Ingabe nawe uzwa ubuhlungu obuphindaphindayo emhlane nasentanyeni? Kungase kube ngenxa yesifo se-Degenerative Disk!

Ingabe ngezinye izikhathi uzwa ubuhlungu emhlane, ukuqina kwentamo, noma ubuhlungu bokudubula ezingalweni zakho? Ingabe lobu buhlungu bubonakala buba bubi nakakhulu uma uhleli, uphakamisa izinsimbi, noma uvuka embhedeni ekuseni? Abantu abaningi abanaki kakhulu lezi zimpawu. Kodwa-ke, lokhu kungaba umphumela wezinguquko zemvelo ezenzeka emhlane wethu njengoba siguga. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi 'i-Degenerative Disk Disease'. Nakuba igama lizwakala njengesifo, akusona ngempela isifo, kodwa igama elinikezwa ukonakala kwama-disc emgogodleni wethu ngokuhamba kwesikhathi.

Iyini Isifo Se-Degenerative Disk?

Kalula nje, lokhu kuwukuguguleka kwama-disc phakathi kwamathambo omgogodla wethu. Cabanga ngomgogodla wethu njengenqwaba yezingcezu ezincane zamathambo (ama-vertebrae) ezibekwe phezu komunye nomunye. Phakathi kwalezi zingcezu zamathambo, njengezithambisi zokushaqeka emotweni, kunezicamelo. Lezi yizinto esizibiza ngokuthi ama-spinal disc . Afana nerabha, aqinile kancane, kodwa anezinto ezifana nejeli ngaphakathi.

Lawa ma-disc asiza umgogodla wethu ukuba ugobe, ujike, futhi uphakamise izinsimbi kalula. Aphinde amunce ukushaqeka nokudlidliza okuza emgogodleni wethu lapho sigijima futhi sigxuma, okuvikela ubuchopho bethu ekulimaleni.

Amadiski abo bonke ayaguga njengoba beguga. Lokhu kuyinto yemvelo kakhulu. Kufana nje nemibimbi yesikhumba sethu nezinwele zethu ziba mpunga. Kodwa ngezinye izikhathi, ngenxa yalokhu kuguga, lawo mathambo aqala ukukhuhlana. Yilapho ubuhlungu buqala khona.

Lokhu kukhokha isamba kungadala izinkinga ezengeziwe:

• I-scoliosis yabantu abadala : Ukugoba komgogodla eceleni.
• Idiski ene-Herniated : Abanye abantu bayibiza ngokuthi idiski ene-herniated, i-bulge, noma idiski ephukile.
• I-Spinal stenosis : Ukuncipha komsele womgogodla, okuyindlela edlula emgogodleni.
• I-Spondylolisthesis : I-vertebra eyodwa ishelela phezu kwenye.

Iyiphi ingxenye yomgogodla ethinteka kakhulu yilesi simo?

I-stenosis yomgogodla ithinta kakhulu umhlane wethu ongezansi (umgogodla we-lumbar) kanye nentamo (umgogodla wesibeletho) .

1. Isifo Se-Lumbar Degenerative Disc

Ngaphansi komgogodla wethu, kulokho esikubiza ngokuthi isifunda se-lumbar, kunezinhlayiya ezinhlanu ezinkulu zamathambo. Odokotela bazibiza ngokuthi i-L1 kuya ku-L5. Phakathi kwalawa ma-vertebrae ngalinye kunediski. Isikhathi esiningi (cishe ama-90%) lokhu kuqhekeka kwediski kwenzeka engxenyeni engezansi yomgogodla. Cabanga ngomuntu ophakamisa izinsimbi ngaso sonke isikhathi, noma umuntu ohlala endaweni efanayo isikhathi eside. Banamathuba amaningi okuzwa ubuhlungu kule ndawo.

2. Isifo Se-Cervical Degenerative Disc Disease

Lokhu kwenzeka ngenxa yemisipha ephakathi kwamathambo ayisikhombisa entanyeni yethu (umgogodla womlomo wesibeletho). Le misipha iyasiza kuzo zonke lezi zinyathelo lapho siphendula intamo yethu phezulu naphansi, lapho sibheka kusukela kolunye uhlangothi kuya kolunye. Lapho imisipha kule ndawo yonakele, lapho siphendula intamo yethu, lapho sibheka phezulu, singase sizwe ubuhlungu obukhulu . Ngezinye izikhathi lobu buhlungu bungaze budlule ngisho nasezingalweni zethu.

3. Isifo Sediski Esiwohlokayo Esinamazinga Amaningi

Lokhu kusho ukuthi umgogodla awuyona indawo eyodwa kuphela, kodwa kuthinteka amathambo amaningana, noma amazinga amaningana . Isibonelo, kungase kube ne-herniated disc kokubili emhlane ongezansi nasentanyeni.

Sivame kangakanani lesi simo?

Eqinisweni, cishe wonke umuntu uqala ukuzwa ubuhlungu bomhlane ngezinga elithile ngemva kweminyaka engama-40. Kodwa-ke, akuwona wonke umuntu ozwa izimpawu, okungukuthi, ubuhlungu. Cishe abantu abadala abangu-5% bangase babe nobuhlungu bomhlane ngenxa yalokhu.

Ziyini izimpawu zokuphuka kokucindezeleka komgogodla?

Izimpawu ezivame kakhulu ubuhlungu bentamo kanye nobuhlungu bomhlane. Ungase ube nobuhlungu obufana nabu:

• Kubuhlungu obufika buphinde buphele, hhayi ngesikhathi esisodwa. Bungahlala amasonto noma izinyanga.
• Ubuhlungu obuqala emhlane ongezansi bese buyehla ezinqeni.
• Ubuhlungu buyanda lapho uhleli, ugoba phambili, noma uphakamisa into esindayo.

Buzwakala kanjani lobu buhlungu?

Lobuhlungu bungaba:

• Kungenzeka entanyeni noma emhlane ongezansi.
• Kungazwakala kancane, ngokulinganisela, noma kanzima .
• Kungase kuzwakale kubukhali, kuhlaba, noma kuncipha .
• Kungase kuvele, kunyamalale isikhashana, bese kuvela futhi.
• Ubuhlungu bungase bukhule ngemva kwemisebenzi ethile, njengokugoba phambili, ukusonta, noma ukuphakamisa into esindayo.
• Ubuhlungu bungakhula kancane kancane ngokuhamba kwesikhathi.

Yiziphi izimbangela zokuqhekeka kokucindezeleka komgogodla?

Njengoba sesixoxile ngaphambili, lolu hlobo lokuvuvukala luyingxenye yemvelo yokuguga. Lesi simo sithinta abantu abaningi, ikakhulukazi ngemva kweminyaka engu-40. Kodwa akubona bonke abantu abazwa ubuhlungu.

Ungase uzwe ubuhlungu ngenxa yalezi zizathu:

1. Ukomisa: Izicubu ezithambile ngaphakathi kwamathambo ethu zingamanzi kakhulu. Njengoba siguga, lokhu kuqukethwe kwamanzi kwehla ngokwemvelo. Ama-disc aba mancane futhi awakwazi ukumunca ukushaqeka. Cabanga ngalokho okwenzekayo lapho isiponji somile. Kunjalo.

2. Ukudabuka noma ukuqhekeka kwemisipha: Izingozi ezincane, ukuwa, kanye nokuphakamisa okungafanele kungabangela ukudabuka okuncane noma ukuqhekeka kwale misipha. Lezi ziqhekeko zivame ukutholakala eduze kwemisipha. Ngisho noma lokhu kudabukile okuncane, kungabangela ukuvuvukala kanye nemisipha ezungezile.Kungabangela ubuhlungu. Ngezinye izikhathi, uma udonga lwangaphandle lwediski luqhuma, ingxenye yangaphakathi ingaphuma. Yilokho esikubiza ngokuthi 'i-Herniated disc'. Lokhu kungacindezela nomthambo oseduze.

Yiziphi izici eziyingozi ezibangela lesi simo?

Lesi simo sivame kakhulu kubantu abangaphezu kweminyaka engama-40. Kodwa-ke, ezinye izici zingandisa ingozi yokuba naso:

• Izingozi: Izinto ezifana nokuwa.
• Ukukhuluphala: Ukwanda kwesisindo somzimba.
• Ubulili: Abesifazane banamathuba amaningi okubhekana nezimpawu.
• Ukubhema.
• Ukusebenza emsebenzini odinga amandla: Kulabo abavame ukuphakamisa izinsimbi ezisindayo futhi benze umsebenzi obenza bacindezeleke emhlane.

Ingabe ikhona ingozi yokuthola ezinye izimo zezokwelapha ngenxa ye-spinal stenosis?

Yebo, amadiski agugile angandisa ingozi yezinye izinkinga zomgogodla. Ezinye zezimo ezivame kakhulu yilezi:

• I-Osteoarthritis
• I-Scoliosis
• I-stenosis yomgogodla
• I-Spondylolisthesis
• Ubuhlungu obubangelwa ukucindezelwa kwezimpande zemizwa (i-Radiculopathy)
• I-Spondylolysis ( ukuphuka kwengxenye ye-vertebra )

Odokotela bakuthola kanjani lesi simo?

Ukuze ahlole lesi simo, udokotela wakho uzoqala akubuze ngezimpawu zakho. Bangase bakubuze imibuzo efana nale:

• Ubuhlungu buqale nini?
• Uzwa kuphi ubuhlungu?
• Yiziphi izinto ozizwa ubuhlungu kakhulu ozenzayo?
• Yiziphi izinto ezinciphisa ubuhlungu?
• Ingabe kwaba khona ingozi, njengokuwa, ngaphambi kokuba ubuhlungu buqale?
• Zikhona yini ezinye izimpawu, njengokungezwani noma ukulahlekelwa ukwazi?
• Ungahamba ibanga elingakanani ngezinyawo?

Ngemuva kwalokho, udokotela uzokuxilonga. Angase futhi acele ukuhlolwa kwezithombe njenge -X-ray, i-CT scan, noma i-MRI scan . Lokhu kuhlolwa kunganikeza udokotela umbono omuhle ngesimo samalunga akho nokuthi abekwe kanjani.

Izinto ezilandelayo zingabonakala ngesikhathi sokuhlolwa ngokomzimba:

• Umsebenzi wemizwa: Kusetshenziswa isando esincane (isando sokuzibamba) ukuze kuthinte idolo. Uma kungekho mpendulo ingako, imizwa ingase icindezelwe noma yonakale.
• Amazinga obuhlungu: Azothinta futhi acindezele ezindaweni ezithile zomhlane wakho nentamo ukuze abone ukuthi uzizwa ubuhlungu obungakanani.
• Amandla: Ukuhlola ubuthakathaka bemisipha noma ukuwohloka. Lokhu kungaba uphawu lokulimala kwemizwa noma ukuwohloka.

Yiziphi izigaba zokuhlanganiswa komgogodla?

Odokotela bakhuluma ngezigaba ezine eziyinhloko lapho bexilonga lesi simo:

1. Ukungasebenzi kahle:Amathambo akho aqala ukuguga. Ungase ube nezimpawu ezincane.

2. Ukuphelelwa amanzi emzimbeni: Amalunga aqala ukoma, alahlekelwe ukuphakama kwawo kanye nokuguquguquka kwawo. Ubuhlungu entanyeni nasemhlane bungase bukhule phakathi nalesi sigaba.

3. Ukuzinza: Phakathi nalesi sigaba, umgogodla uzama ukuzinza. Lokhu kungaholela ezimweni ezifana nokucinana komgogodla (ukuncipha komsele womgogodla) kanye nobuhlungu obukhulu.

4. Ukuwa: Amathambo omgogodla aya ngokuya ecindezelwa, futhi amathambo (ama-vertebrae) emgogodleni aqala ukukhuhlana. Amathambo omgogodla alimele acindezela imizwa, okubangela ubuhlungu obukhulu.

Kuphathwa kanjani lokhu?

Ngokuvamile, odokotela bazoncoma izindlela zokwelapha ezingahlaseli kuqala. Ukwelashwa kwakho kungafaka:

• Ukwelashwa ngokomzimba: Ukuzibandakanya ekuqiniseni nasekululekeni umzimba ngaphansi kokuqondiswa ngumelaphi oqeqeshiwe. Lokhu kusiza ukuqinisa imisipha ezungeze umgogodla nokunciphisa ubuhlungu.
• Imithi: Izinto ezifana nemithi yokunciphisa ubuhlungu kanye nemithi yokulwa nokuvuvukala (ama-NSAID), i-acetaminophen, imithi yokuguqula imizwa, noma ama-steroid.
• Imijovo ye-steroid: Ukujova umuthi emgogodleni wakho, ezinzwa, noma emalungeni ukuze kuncishiswe ukuvuvukala nobuhlungu.
• I-Radiofrequency neurotomy: Inqubo esebenzisa amaza kagesi ukushisa imizwa ethwala ubuhlungu, ivimbele izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.

Ukuzinakekela ekhaya

Abanye abantu bangathola impumuzo ebuhlungwini ngemithi yasekhaya. Nakuba lokhu kungasiza ekunciphiseni ubuhlungu okwesikhashana, akulona ikhambi lesikhathi eside kubantu abanobuhlungu obukhulu. Ungazama lezi zinto:

• Umsebenzi womzimba: Ukuzivocavoca okungenamthelela omkhulu njengokuhamba nokubhukuda kungaqinisa imisipha yomhlane futhi kunciphise ubuhlungu.
• Ukwelapha ngokushisa nokubandayo: Ukushintshanisa amaphakethe eqhwa nama-heating pad imizuzu eyi-10-15 kane ngosuku kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
• Ukuzilula: Ukwenza izivivinyo zokulula kancane njenge-yoga usuku lonke kungathuthukisa ukuma komzimba futhi kunciphise ukucindezeleka.
• Ukudonsa: Ngezinye izikhathi ukudonsa kungasiza ekunciphiseni izimpawu nokunciphisa ukucindezeleka. Kodwa-ke, lokhu kufanele kwenziwe kuphela ngaphansi kweseluleko sikadokotela.

Ukuhlinzwa kokulungisa amathambo

Iningi labantu alidingi ukuhlinzwa ngenxa yalesi simo. Kodwa-ke, uma uke wazama izindlela eziningana zokwelapha ngaphandle kokuhlinzwa futhi uqhubeka nokuba nobuhlungu kanye/noma ubuthakathaka, ukuhlinzwa kungaba yindlela enhle.

Udokotela wakho ohlinzayo angenza olunye lwalezi zinhlobo zokuhlinzwa kokunciphisa ukucindezeleka komgogodla:

• `I-Diskectomy`: Ukususwa kwengxenye yomgogodla ukuze kuncishiswe ukucindezelwa kwemizwa.
• I-Foraminotomy: Ukususwa kwezicubu namathambo ukuze kwandiswe imbobo lapho izimpande zemizwa ziphuma khona.
• Ukususwa kwethambo: Ukususwa kwengcezu encane yethambo ebizwa ngokuthi i-lamina ye-vertebra emhlane ongezansi.
• Ukususwa kwe-osteophyte: Ukususwa kwe-bone spurs (ama-osteophyte ).
• Ukuhlanganiswa komgogodla: Ukuhlanganiswa kwamathambo amabili noma ngaphezulu ndawonye ukuze kwandiswe ukuzinza komgogodla.

Singakuvimbela kanjani lesi simo ukuba singabi sibi kakhulu?

Ungavimbela noma wehlise ijubane lokuqhubeka kwalokhu konakala komgogodla ngokwenza izinguquko ezithile endleleni yokuphila. Ezinye zalezi zinguquko zifaka:

• Ukugcina isisindo sakho siphilile.
• Gwema noma uyeke ukubhema. Ukubhema empeleni kuyingozi kakhulu kulesi simo.
• Zivocavoce njalo ukuze wandise amandla nokuguquguquka.

Ingabe ukululama okuphelele kungatholakala ngokukhokhela umpompi womgogodla?

Abantu abaningi abahlinzwa ngenxa yalesi simo bathola impumuzo yobuhlungu besikhathi eside . Kodwa-ke, kufanele uqhubeke nokuzivocavoca nokwenza izivivinyo zokulula ukuze ugcine umhlane wakho uqinile futhi uphilile ngisho nangemva kokuhlinzwa.

Abantu abaningi baphatha ubuhlungu babo isikhathi eside ngokwelashwa ekhaya ngaphandle kokuhlinzwa. Uma unobuhlungu bomhlane obuncane kuya kobuphakathi, ungadinga ukwelashwa okuqhubekayo ukuze ubulawule.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo futhi uvivinye umzimba njalo.

Uma ngine-spinal stenosis, yini okufanele ngiyigweme?

Uma unalesi simo, kungcono ukugwema lezi zinto:

• Ukubhema: Ukubhema kungandisa ubuhlungu bakho futhi kunciphise impumelelo yokwelashwa kwakho.
• Ukuphakamisa izinsimbi: Ukuphakamisa izinsimbi, ikakhulukazi uma kwenziwa njalo, kubeka umthwalo omkhulu emisipheni yakho yangemuva.
• Ukuphuza utshwala: Ukuphuza utshwala obuningi kwandisa ingozi yobuhlungu emhlane.
• Ukuhlala isikhathi eside: Ukuhlala isikhathi eside, kungaba kusofa noma phambi kwedeski, kungenza ubuhlungu bomhlane bube bubi nakakhulu. Ngakho-ke, kubalulekile ukuvuka nokuhambahamba njalo.
• Umsebenzi womzimba onomthelela omkhulu:Ezemidlalo kanye nokuzivocavoca okunomthelela omkhulu njengokugxuma kanye nokushwibeka ngejubane kungaba nzima emhlane wakho. Esikhundleni salokho, zama ukuzivocavoca okunomthelela omncane njengokuhamba nokubhukuda.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungumqondo omuhle ukubuza udokotela wakho imibuzo efana nale:

• Yini engaba yimbangela eyinhloko yokuguguleka kwamathambo omgogodla womlomo wesibeletho?
• Singalinciphisa kanjani izinga lesi simo esiba sibi kakhulu?
• Yiziphi izindlela zokwelapha ezingezona ezokuhlinzwa ezingcono kakhulu zokuqeda ubuhlungu bami?
• Kwenzekani uma ngingahlinzwa?
• Ungakuvimbela kanjani ubuhlungu ukuthi bubuye ngemva kokuhlinzwa?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Isifo se-Degenerative Disk Disease (DDD) ukuwohloka kwama-disc emgogodleni wethu. Ngeshwa, lokhu kuyingxenye yemvelo yokuguga. Njengoba la ma-disc ewohloka, ngokuvamile kubangela ubuhlungu nokuqina komhlane. Abanye abantu banganciphisa ubuhlungu babo ngemithi yasekhaya, njengokwelashwa ngokushisa nokubanda. Uma ubuhlungu bukhulu, imijovo yomgogodla noma ukuhlinzwa kungaba usizo.

Uma unesifo somhlane noma sentamo, kubalulekile ukufuna iseluleko sezokwelapha ngaphandle kokusishaya indiva. Uchwepheshe womgogodla angakusiza ukuthi uthole ukwelashwa okungcono kakhulu kuwe. Khumbula, uma usheshe uxilongwe, amathuba akho okuthola ukwelashwa ayanda!

Ubuhlungu Bomhlane , Ubuhlungu Bentamo, I-Spondylosis Yesibeletho, Isifo Sediski Esiwohlokayo, Umgogodla, Ubuhlungu Bezinzwa, Ukwelashwa Komzimba