Ingabe nawe uzizwa uqinile futhi uqinile uma uvuka embhedeni ekuseni? Ingabe uzizwa ubuhlungu emhlane wakho uma uvuka ngemva kokuhlala isikhashana? Noma kunzima ukujika intamo yakho noma ukuhamba? Abaningi bethu bacabanga ukuthi lolu hlobo lobuhlungu luyinto evamile eyenzekayo njengoba sikhula. Eqinisweni, kuyiqiniso ukuthi imizimba yethu iyashintsha ngokuguga. Kodwa namuhla sizokhuluma ngesizathu sezokwelapha esingaba khona ngemuva kwalolu buhlungu. Lokho kungukuguguleka kwama-disc e-intervertebral , noma 'i-Degenerative Disk Disease' .
Iyini ngempela i-Degenerative Disk Disease?
Nakuba igama lithi “isifo,” empeleni akusona isifo. Kalula nje, yisimo esenzeka lapho ama-disc aphakathi kwamathambo omgogodla wakho ewohloka njengoba ukhula. Cabanga ngomgogodla wakho njengenqwaba yamathambo amancane (ama-vertebrae) abekwe phezu komunye nomunye. Ukuze kuvinjwe la mathambo ukuthi angagudlani, kukhona umcamelo onjengerabha phakathi kwawo. Siwabiza la ma-disc ama-spinal disc .
Lawa madiski afana 'nezinciphisi zokushaqeka' emotweni. Amunca ingcindezi emhlane wethu lapho sigijima, sigxuma, sigoba, noma siphakamisa izinsimbi, futhi avikele umgogodla wethu. Njengoba siguga, kungokwemvelo ukuthi la madiski aguge futhi ome. Lokhu kwenzeka kuwo wonke umuntu ngezinga elithile.
Inkinga iqala lapho lo mcamelo uguga. Bese amathambo omgogodla eqala ukukhuhlana. Yilokhu okubangela ubuhlungu. Akukhona lokho kuphela, kodwa lesi simo singaholela kwezinye izinkinga .
| Ezinye izimo ezingaba khona | Incazelo elula |
|---|---|
| I-Scoliosis Yabantu Abadala | Umgogodla uqala ukubukeka sengathi udonswa ohlangothini olulodwa. |
| Idiski Ene-Herniated | Idiski ehlungiwe, iphuma futhi icindezela imizwa eseduze. |
| I-Spine Stenosis | Ukuncishiswa kwendlela edlula emgogodleni. |
| I-Spondylolisthesis | Ukushelela kwethambo elilodwa lomgogodla phambili noma emuva uma kuqhathaniswa nelinye. |
Iyiphi ingxenye yomgogodla ethinteka kakhulu yilesi simo?
Lesi simo sithinta kakhulu izingxenye ezimbili zomgogodla: umhlane wethu ongezansi kanye nentamo yethu.
- Isifo Se-Lumbar Degenerative Disk: Amathambo amahlanu emhlane wethu ongezansi (L1 kuya ku-L5) anesisindo esikhulu emzimbeni. Ngakho-ke, ingozi yama-disc kule ndawo iphakeme. Eqinisweni, u-90% walesi simo ubikwa kulomhlane ongezansi. Lokhu kungaba yimbangela yokuthi uzwe ubuhlungu emhlane kanye nobuhlungu obuphuma emilenzeni yakho.
- Isifo Se-Cervical Degenerative Disc: Lesi simo senzeka lapho ama-disc aphakathi kwamathambo ayisikhombisa entanyeni yethu ewohloka. Ubuhlungu lapho siphendula intamo phezulu, phansi, kanye nasezinhlangothini, kanye nokungazweli ezingalweni, kwenzeka lapho ama-disc akule ndawo ewohloka.
- Isifo Sediski Esiwohloka Ngamazinga Amaningi: Ngezinye izikhathi, amadiski angaphezu kweyodwa, okusho amadiski asentanyeni nasemhlane ongezansi, angawohloka ngesikhathi esisodwa. Sibe sesikubiza ngokuthi isimo 'se-Multilevel'.
Into ebalulekile ukuthi wonke umuntu oneminyaka engaphezu kwengu-40 angase abe nokukhubazeka okuthile kuma-spinal discs awo. Kodwa akuwona wonke umuntu ozwa ubuhlungu. Bambalwa kakhulu abenza kanjalo.
Ziyini izimpawu zalesi simo?
Izimpawu eziyinhloko nezivame kakhulu ubuhlungu bomhlane kanye nobuhlungu bentamo . Lobuhlungu bungazwiwa umuntu ngamunye ngendlela ehlukile.
- Ubuhlungu bungafika budlule . Bungahlala amasonto noma izinyanga, bese buphela.
- Ubuhlungu bungavela kusukela emhlane ongezansi kuya ezinqeni nasemilenzeni .
- Ubuhlungu buyanda uma uhleli, ugoba phambili, noma uphakamisa into esindayo .
- Kwabanye abantu, ubuhlungu buyancipha lapho behamba noma bemi.
Buzwakala kanjani lobu buhlungu?
| Uhlobo lobuhlungu | Incazelo |
|---|---|
| Indawo | Kungenzeka entanyeni noma emhlane ongezansi. |
| Ukuqina | Ubuhlungu bungaba buncane, buphakathi, noma bube bukhulu. |
| Indlela okuzwakala ngayo | Kungase kuzwakale njengokugwaza okubukhali, okubuhlungu, noma okuqinile. |
| Isikhathi | Ubuhlungu bungaqala futhi buphele, okusho ukuthi abuhlali njalo. |
| Amathuba akhulayo | Ubuhlungu bungase bukhule ngemva kwemisebenzi ethile, njengokugoba, ukusonta, noma ukuphakamisa into esindayo. |
| Ngokuhamba kwesikhathi | Ubuhlungu bungakhula kancane kancane ngokuhamba kwesikhathi. |
Kungani la madiski egqokwa? Yiziphi izizathu?
Njengoba sesike sakhuluma ngakho ngaphambili, imbangela enkulu ukuguga . Kodwa ake sibheke kabanzi ukuthi kwenzekani kula ma-disc njengoba eguga.
1. Ukomisa amadiski: Ingxenye ephakathi yamadiski ethu omgogodla ifana nejeli. Ngokuvamile ingamanzi. Njengoba siguga, inani lamanzi akule jeli liyancipha ngokwemvelo. Njengoba nje isiponji sincipha lapho somile, lawa madiski nawo ayancipha futhi anciphe. Bese ikhono lawo lokusebenza 'njenge-shock absorber' liyancipha.
2. Dabula noma uqhekeke kumadiski:Izingozi ezincane, ukuma kabi, kanye nokuphakamisa okunzima empilweni yansuku zonke kungabangela ukudabuka okuncane embozweni wangaphandle walezi zidiski. Lezi inyembezi zivame ukuba seduze nemizwa. Yingakho ngisho nokudabuka okuncane kungabangela ubuhlungu. Ngezinye izikhathi, uma lokhu kudabuka kuba kukhulu futhi udonga lwangaphandle lwediski luqhuma, ijeli elingaphakathi lingavuza licindezele imizwa. Lokhu sikubiza ngokuthi 'i-Herniated disc'.
Izinto ezandisa ingozi yokuthi lesi simo senzeke
Nakuba ukuguga kuyimbangela eyinhloko, izici ezithile zingasheshisa ukuguguleka kwala ma-disc futhi zandise ingozi yobuhlungu.
- Izingozi: Izingozi ezifana nokuwa zingalimaza ama-disc.
- Ukukhuluphala: Njengoba isisindo somzimba sikhula, ingcindezi emgogodleni iyanda, okungabangela ukuthi ama-disc aguge ngokushesha.
- Ubulili: Abesifazane banamathuba amaningi okubhekana nalezi zimpawu kunabesilisa.
- Ukubhema: Ukubhema kunciphisa ukutholakala kwegazi kuma-disc, okubangela ukuba ome futhi aguge ngokushesha.
- Imisebenzi enzima ngokomzimba: Abantu abasebenza emisebenzini ehilela ukuphakamisa izinto ezisindayo njalo noma ukukhama umhlane wabo basengozini enkulu.
Udokotela usithola kanjani lesi simo?
Uma uya kudokotela ngenxa yobuhlungu bomhlane, uzoqala akubuze ngezimpawu zakho. Isibonelo:
- Ubuhlungu buqale nini?
- Uzwa kuphi ubuhlungu?
- Yiziphi izinto ezenza ubuhlungu bube bubi nakakhulu?
- Yini esiza ukunciphisa ubuhlungu?
- Ingabe kwakukhona ingozi ngaphambi kokuba ubuhlungu buqale?
- Zikhona yini ezinye izimpawu, njengokungazweli noma ubuthakathaka emilenzeni, kanye nobuhlungu?
- Ungahamba ibanga elingakanani ngokuhamba okukodwa?
Ngemuva kwalokho, udokotela uzokuxilonga. Phakathi nalesi sikhathi, ukusebenza kwemizwa yakho (njengokushaya idolo lakho ngesando esishintshashintshayo), amaphuzu obuhlungu (ngokucindezela ezindaweni ezithile zomhlane wakho), kanye namandla emisipha kungahlolwa.
Ukuze aqinisekise lesi simo, udokotela wakho uvame ukuncoma ukuthi uskene njenge-X-ray, i-CT scan, noma i-MRI. Lokhu kuskena kungabona ngokucacile isimo sama-spinal disc akho nokuthi abekwe kanjani.
Yiziphi izindlela zokwelapha lokhu?
Abantu abaningi bacabanga ukuthi uma benobuhlungu emhlane, kuzodingeka bahlinzwe nakanjani. Kodwa lokho akulona iqiniso. Abantu abaningi bangathola impumuzo ngokwelashwa okungadingi ukuhlinzwa. Udokotela uzoqala azame ukubadlulisela ekwelashweni okunjalo.
Ukwelashwa Okungeyona Eyokuhlinzwa
- Ukwelashwa Komzimba: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Ukuzivocavoca okuqinisa imisipha yangemuva neyesisu, kanye nokuzivocavoca okwelula ngaphansi kokuqondiswa ngumelaphi wezomzimba oqeqeshiwe, kunganciphisa kakhulu ubuhlungu.
- Imithi: Udokotela angase akunike imithi yokwelapha izinhlungu kanye nemithi yokulwa nokuvuvukala efana nama-NSAID, i-paracetamol, imithi yobuhlungu bemizwa, noma ama-steroids.
- Imijovo ye-steroid: Uma ubuhlungu bukhulu, umjovo we-steroid emizweni yomgogodla, kuma-disc, noma emalungeni unganciphisa ukuvuvukala nobuhlungu.
- I-Radiofrequency Neurotomy: Lokhu kuhilela ukusebenzisa amagagasi kagesi ukuvala imizwa ethwala ubuhlungu ebuchosheni. Lokhu futhi kunikeza ukukhululeka ebuhlungwini.
Izinto ongazenza ekhaya
- Ukuzivocavoca: Ungaqinisa imisipha yakho yangemuva ngokwenza izivivinyo ezingasebenzi kahle, njengokubhukuda nokuhamba.
- Ukwelapha ngokushisa nokubandayo: Ukusebenzisa ibhodlela lamanzi ashisayo noma iphakethe leqhwa imizuzu eyi-10-15 kungasiza ekunciphiseni ubuhlungu nokuvuvukala. Ungashintshanisa lokhu kokubili.
- Ukuzilula: Ukwenza izivivinyo zokulula kancane njenge-yoga usuku lonke kungasiza ukulungisa ukuma komzimba nokunciphisa ukuqina komzimba.
Ukuhlinzwa
Udokotela angancoma ukuhlinzwa kuphela uma ukwelashwa okungeyona eyokuhlinzwa kunganikezi impumuzo, uma ubuhlungu buqhubeka, futhi uma kunezimpawu ezifana nokungazweli emilenzeni.
Kunezinhlobo eziningana eziyinhloko zokuhlinzwa. Lokhu kufaka phakathi i-'Diskectomy' (ukususwa kwengxenye yediski), i-'Laminectomy' (ukususwa kwengxenye ye-vertebra ukuze kuvunyelwe ukufinyelela emithanjeni), kanye ne-'Spinal fusion' (ukuxhumanisa amathambo amabili noma ngaphezulu ndawonye ukuze aqine). Udokotela wakho uzonquma ukuthi yikuphi ukuhlinzwa okukulungele.
Ingabe lesi simo singavinjelwa ukuthi singabi sibi kakhulu?
Yebo, ungakwenza nakanjani. Ukwenza izinguquko ezincane endleleni yakho yokuphila kunganciphisa ukuguguleka kwala ma-disc futhi kusize ekulawuleni ubuhlungu.
- Gcina isisindo esinempilo esifanelana nomzimba wakho.
- Uma ubhema, yeka namuhla.
- Vivinya umzimba njalo, ikakhulukazi ukuzivocavoca okuqinisa umhlane wakho kanye nemisipha yesisu.
- Gcina ukuma okufanele. Gcina umhlane wakho uqondile lapho uhleli, umile, futhi uphakamisa izinsimbi.
- Qaphela lapho uphakamisa izinsimbi. Phakamisa izinsimbi ngamadolo akho agobile nomhlane wakho uqonde.
- Ungahlali endaweni efanayo isikhathi eside kakhulu. Uma usebenza ehhovisi, vuka uhambehamba okungenani njalo ngemva kwesigamu sehora.
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-Degenerative Disc akusona isifo, kodwa yisimo semvelo esenzeka ngokuguga.
- Ngisho noma amapuleti abo bonke abantu egugile, bambalwa abantu abazwa ubuhlungu.
- Uphawu oluyinhloko ubuhlungu bomhlane noma entanyeni. Lobuhlungu bungase bube bubi nakakhulu uma uhleli noma ugobile.
- Abantu abaningi bangalulama ngokwelashwa okungadingi ukuhlinzwa njengokushintsha indlela yokuphila, ukwelashwa ngokomzimba, kanye nemithi.
- Uma unalezi zimpawu, ungenzi izinqumo wedwa, kodwa qiniseka ukuthi ubona udokotela ofanelekayo ukuze uthole ukuxilongwa okufanele nokwelashwa.
Ubuhlungu bomhlane, ubuhlungu bentamo, amathambo omgogodla, isifo sediski esiwohlokayo i-sinhala, ubuhlungu bomhlane i-sinhala, idiski yomgogodla
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