Ake sifunde ngomhlane wakho ongezansi (Lumbar Spine) Kuyini ngempela lokhu?

Ingabe ngezinye izikhathi uba nobuhlungu emhlane ongezansi? Uma uhleli endaweni eyodwa isikhathi eside, noma uma uphakamisa umthwalo osindayo, umhlane ongezansi yingxenye ecindezeleke kakhulu. Ngakho-ke, namuhla sizokhuluma ngomhlane ongezansi, okuyingxenye ebaluleke kakhulu yomzimba wethu, noma njengoba odokotela bewubiza kanjalo , umgogodla we-lumbar . Ake siqonde ukuthi iyini, yiziphi izinsizakalo ezinikezayo emzimbeni wethu, yiziphi izinkinga ezingabangelwa yizo, nokuthi yiziphi izixazululo zazo.

Iyini i-Lumbar Spine?

Kalula nje, umgogodla we-lumbar wakhiwe ngamathambo amahlanu (abizwa nangokuthi ama-vertebrae) phansi komhlane wakho. Odokotela babiza la mathambo amahlanu ngokuthi i-L1, i-L2, i-L3, i-L4, kanye ne-L5. (I-L imele i-lumbar.) Lawa ma-vertebrae e-lumbar makhulu futhi ajiyile kunezinye izithambo zomgogodla wakho wonke, njengedwala eliyisikwele.

Cabanga nje, umgogodla we-lumbar utholakala ngaphansi kwamathambo ayi-12 esifubeni sakho (lawa abizwa ngokuthi amathambo esifuba) kanye nangaphezu kwethambo elinobunxantathu elibizwa ngokuthi i-sacrum, elingaphansi kakhulu.

Ngenxa yokuthi la mathambo omgogodla makhulu, ahlinzeka ngokuqina okuhle emgogodleni wethu. Futhi, imisipha eminingi kanye nemisipha iyafika ixhumane nale ngxenye. Okubaluleke kakhulu, lo mgogodla womgogodla uthwala isisindo esikhulu somzimba wakho. Akukhona lokho kuphela, futhi kuyakusiza ukuthi ugcine ibhalansi yakho. Imisipha kanye nemisipha exhunywe kulo mgogodla womgogodla ikusiza ukuthi uhambe, ugijime, uhlale, uphakamise izinto, ugobe futhi uphendule umzimba wakho kuzo zonke izinhlangothi.

Umgogodla wakho we-lumbar unejika elincane elingaphakathi. Libizwa ngokuthi ijika le-lordotic .

Kwenzekani emgogodleni we-lumbar?

Ake sibheke ezinye zezinto ezenzeka emhlane wethu ongezansi:

• Isekela umzimba wakho ongaphezulu futhi isabalalisa isisindo sakho: Umgogodla we-lumbar osekela isisindo sekhanda lakho, kanye namathambo ayisikhombisa entanyeni yakho (obizwa ngokuthi umgogodla wesibeletho) kanye namathambo ayishumi nambili esifubeni sakho (umgogodla wesifuba). Iphinde ixhunywe ne-pelvis yakho, ethwala isisindo esiningi emzimbeni wakho futhi ithwala ingcindezi uma uphakamisa noma uphatha okuthile. Yingxenye edlulisela isisindo somzimba wakho ongaphezulu emilenzeni yakho.
• Kukusiza ukuthi unyakazise umzimba wakho: Imisipha emhlane wakho ongezansi kanye nokuguquguquka komgogodla wakho we-lumbar kukuvumela ukuthi ugobe umzimba wakho kuzo zonke izinhlangothi (phambili, emuva), ugobe ohlangothini, ujikeleze ngokugcwele, futhi ujike. Ama-vertebrae amabili okugcina e-lumbar (L4, L5) ikakhulukazi asiza kakhulu kulezi zinyathelo.
• Ivikela Intambo Yakho Yomgogodla kanye ne-Cauda Equina: Intambo yomgogodla, edlula emgogodleni wakho, ifana nentambo yemizwa eyinhloko evela ebuchosheni bakho. Iqala phansi kwekhanda lakho bese iphela ku-vertebra yokuqala ye-lumbar (L1). Bese kuba nenqwaba yemizwa egeleza phansi isuka ekugcineni kwentambo yomgogodla. Ibukeka njengomsila wehhashi ngobaIbizwa ngokuthi i-cauda equina (okusho umsila wehhashi). Lo mgogodla, i-cauda equina, uvikelwe yisimbozo esakhiwe yilawa mathambo.
• Ilawula ukunyakaza kwemilenze: Imizwa ephuma emgogodleni wakho ongezansi kanye ne-cauda equina ilawula imizwa (imizwa) kanye nokunyakaza kwemilenze yakho.

Yimiphi imisipha nezinye izicubu ezithambile ezisemgogodleni we-lumbar?

Imisipha yomgogodla we-lumbar

Imisipha yakho engezansi yomhlane, kanye nemisipha yesisu sakho, inyakazisa umzimba wakho kanye nomhlane ongezansi. Le misipha kanye nemisipha kunikeza amandla nokuzinza emhlane wakho ongezansi, okukusiza ukuthi ugobe phambili, emuva, futhi ujikeleze. Nazi ezinye zemisipha eyinhloko exhuma emgogodleni we-lumbar:

• I-Latissimus Dorsi: Lona umsipha omkhulu, oyisicaba, ongunxantathu. Ugijima emhlane wakho ophakathi nowangaphansi. Ukusiza ukuphakamisa izinsimbi ngezingalo zakho, uphakamise isifuba sakho uma uphefumula, bese ugoba umhlane wakho eceleni.
• I-Iliopsoas: Leli yiqembu lemisipha emithathu. Lishukumisa ilunga lakho lesinqe. Le misipha isiza ukugcina isinqe sakho kanye nomhlane wakho ongezansi kuzinzile uma uhamba, ugijima, futhi uvuka esihlalweni.
• Ama-Paraspinal: La maqembu amathathu emisipha atholakala emgogodleni wakho. Akusiza ukuthi ume uqonde, ugobe eceleni, futhi ujikeleze. Abalulekile futhi ekugcineni ukuma kwakho.

Ama-disc emgogodleni we-lumbar

Ama-disc aphakathi komgogodla yizingxenye zomgogodla ezisebenza njenge- "shock absorber cushions" phakathi kwama-vertebrae amabili. Kunezinhlobo ezinhlanu zama-disc phakathi kwama-vertebrae akho e-lumbar. Ngaphezu kokumunca ukushaqeka, la ma-disc asiza futhi ukusekela isisindo esihamba phansi komgogodla wakho futhi avumele ukunyakaza phakathi kwama-vertebrae.

Okubalulekile: Le disc emhlane wakho ongezansi yiyona engase ibole noma iqhume. Yilapho uqala ukuzwa ubuhlungu emhlane wakho ongezansi, noma phansi emilenzeni yakho, ngezinye izikhathi ezinyaweni zakho.

Ama-Ligaments omgogodla we-lumbar

Ama-ligamenti yizicubu ezixhumanisa ithambo elilodwa nelinye. Ama-ligamenti emgogodleni we-lumbar asiza ukugcina umgogodla uzinzile, avumela ukunyakaza okubushelelezi, futhi asiza ekumunceni ukushayisana uma kwenzeka ingozi. Eminye yemisipha eyinhloko yile:

• I-Anterior Longitudinal Ligament: Lokhu kugijima phansi ngaphambili kwe-lumbar vertebrae. Kuqinisa amalunga e-lumbar futhi kunciphise ukugoba emuva (ukwelulwa).
• I-Posterior Longitudinal Ligament: Lokhu kuhamba ngemuva kwe-lumbar vertebrae. Kukhawulela ukugoba phambili.
• I-Supraspinous ligament/i-Interspinous ligament:Lokhu kubopha kusiza futhi ukunciphisa ukugoba phambili.
• I-Ligamentum Flavum: Lezi zimboza ingaphakathi lomsele womgogodla futhi zivikele intambo yomgogodla ngemuva.
• Ama-ligaments axhumanisa izinqubo ezishintshashintshayo zama-vertebrae. Asiza ukumelana nokugoba kwe-lateral kwe-torso yakho.
• I-ligament ye-Iliolumbar: Lokhu kuhamba kusukela ku-vertebra ye-L5 kuya ethanjeni le-pelvic. Kusiza ekuqiniseni umgogodla we-lumbosacral.

Intambo Yomgogodla Nezinzwa

Njengoba sesixoxile kakade, umgogodla uyinqwaba yezicubu zemizwa ezisuka ebuchosheni ziye emhlane we-L1. Yilokhu okuthwala imiyalezo esuka ebuchosheni iye emisipheni. Izimpande zemizwa eziwela phansi ngemva kwe-L1 zibizwa ngokuthi i-cauda equina .

Amabhangqa amahlanu ezinzwa aphuma emgogodleni wakho we-lumbar (L1 kuya ku-L5, eyodwa ohlangothini ngalunye). Lezi zinzwa zihamba emgogodleni wakho bese zihlangana nezinye izinzwa ukuze zakhe inethiwekhi yezinzwa ezilawula ubuhlungu, imizwa, kanye nokunyakaza emilenzeni yakho engezansi.

• I-L1 nerve: Inikeza umuzwa endaweni yakho yezimbotshana kanye nezitho zangasese, futhi isiza ekunyakaziseni imisipha yakho yesinqe.
• Imizwa ye-L2, L3, L4: Inikeza umuzwa ngaphambili kwethanga lakho nangaphakathi komlenze wakho ongezansi. Iphinde ilawule ukunyakaza kwemisipha yesinqe nedolo.
• Inzwa ye-L5: Inikeza umuzwa ngemuva komlenze wakho ongezansi, phezulu konyawo lwakho, kanye nendawo ephakathi kozwane lwakho olukhulu nozwane lwesibili. Iphinde ilawule ukunyakaza kwezinqe zakho, amadolo, izinyawo, kanye nezinzwane.
• I-Sciatic Nerve: Lokhu kwakheka yi-L4, i-L5, kanye neminye imizwa ye-sacral. Iqala esinqeni sakho, yehle ngomlenze wakho, bese iphela onyaweni lwakho. Ubuhlungu be-sciatica buvela lapho le mizwa yonakele noma icindezelwe.

Imithambo Yegazi

Ama-vertebrae, imisipha, kanye nemisipha esifundeni se-lumbar zithola igazi kanye nezakhamzimba ezivela emagatsheni avela ku-aorta yesisu, umthambo oyinhloko esiswini sakho.

Yiziphi izifo nezinkinga ezithinta umgogodla we-lumbar?

Ngeshwa, le ngxenye engezansi yomgogodla wethu ingaba nezinkinga ezahlukahlukene. Lezi zinkinga zinganciphisa ububanzi bokunyakaza emhlane noma ezinqeni zakho, futhi zingabangela ubuhlungu, ubuthakathaka, kanye nokungazweli emhlane wakho, ezinqeni, emathangeni, noma emilenzeni.

Ezinye zezifo nezimo ezithinta umgogodla we-lumbar yilezi:

• Ubuhlungu obuphansi emhlane: Lena inkinga evamile kubantu abaningi. Ingabangelwa ukulimala okuhlukahlukene kanye nezimo. Izifo eziwohlokayo (isib. i-Osteoarthritis , i-Ankylosing Spondylitis ), i-Spinal Stenosis , i-Herniated DiskUbuhlungu bomhlane bungabangelwa izinto ezifana nokucinana kwemizwa, ukuqhekeka, ukuphuka komgogodla, izimila, ama-cyst, ama-bone spurs, kanye ne-spondylolisthesis (ukushelela kwe-vertebra).
• I-Lumbar Stenosis: Lokhu kuwukuncishiswa kwesikhala esizungeze umgogodla wakho. Lokhu kunciphisa isikhala sezinzwa eziphuma emgogodleni. Lokhu kungabangela ukucindezelwa kwezinzwa, ubuhlungu, ukungazweli, ubuthakathaka emilenzeni, emaqakaleni, ezinqeni, emhlane ongezansi. Lezi zimpawu zingase zibe zimbi kakhulu lapho uhamba noma umile, futhi zingase zincishiswe ngokulala phansi, ukuhlala phansi, noma ukugoba phambili kancane.
• I-Spondylolisthesis: Lokhu kwenzeka lapho i-lumbar vertebra ishelela phambili uma kuqhathaniswa ne-vertebra engaphansi kwayo. Lokhu kungacindezela inzwa futhi kubangele ubuhlungu emhlane noma emilenzeni.
• Ukuphuka Kokucindezeleka Komgogodla: Umuntu onesifo esifana ne-osteoporosis angaphuka ukucindezeleka komgogodla ngisho nangengozi encane. Ukuphuka okukhulu kungavela nasezintweni ezifana nezingozi zezimoto nokuwa kusuka phezulu.
• I-Sciatica: Eyaziwa nangokuthi i-lumbar radiculopathy , lokhu ubuhlungu bemizwa obubangelwa umonakalo noma ukucasuka kwe-sciatic nerve. Kungabangelwa izinto ezifana ne-herniated disc, i-spondylolisthesis, noma i-osteoarthritis.
• I-Herniated Disk: Lokhu kwenzeka lapho i-disc ephakathi kwamathambo omgogodla iqhuma, idabula, noma ivuza okuphakathi kwayo. Kungabangela ubuhlungu emhlane, ukungazweli emilenzeni, kanye nobuthakathaka bemisipha.
• I-Lumbar Lordosis (eyaziwa nangokuthi "i-Swayback"): Lokhu kuwukugoba ngokweqile komhlane ongezansi. Lokhu kubeka ingcindezi engadingekile kumathambo omgogodla. Lokhu kungabangelwa izifo, ukuma okungekuhle, kanye nokugoba ngokweqile komgogodla.
• Ukuqaqamba Kwemisipha: Kunemisipha emikhulu esekela indawo ye-lumbar. Le misipha ingaqina noma iphenduke. Lokhu futhi kuyimbangela evamile yobuhlungu emhlane.
• Isifo Sediski Esiwohlokayo: Lesi simo senzeka lapho ama-disc emgogodleni we-lumbar ewohloka. Isikhala esiphakathi kwamathambo omgogodla siyancipha, okungabangela ukucindezelwa kwemizwa kanye nobuhlungu emhlane.
• I-Scoliosis Yabantu Abadala: I-Scoliosis ukugoba komgogodla eceleni. Lesi simo singase senzeke emgogodleni we-lumbar njengoba siguga noma njengoba umgogodla uguga.
• I-Cauda Equina Syndrome: Lesi simo sibangelwa ukucindezelwa kwe-nerve bundle ebizwa ngokuthi i-cauda equina. Lesi yisimo esiphuthumayo sezokwelapha . Izimpawu zifaka phakathi ubuhlungu, ubuthakathaka, kanye nokulahlekelwa ukulawula amathumbu kanye nesinye.

Izifo nezimo zomgogodla we-lumbar zihlonzwa kanjani?

Okokuqala, udokotela wakho uzokubuza ngomlando wakho wezokwelapha, imithi oyiphuzayo, kanye nezimpawu. Ngemuva kwalokho, uzokwenza ukuhlolwa ngokomzimba futhi a-ode ukuhlolwa kanye nokuskena uma kudingeka.

Ungenza izivivinyo ezinjengalezi:

• I-CT Scan (I-Computed Tomography - I-CT Scan): Lokhu kusebenzisa ama-X-ray kanye nekhompyutha ukuthatha izithombe ezincane kakhulu "zezingcezu" zendawo ehlolwayo. Kungabheka izinto ezifana nokuma nobukhulu bomsele womgogodla, kanye nesimo samathambo (ukuqhekeka kwamathambo, ukuhlangana kwamathambo, ukubhujiswa kwamathambo ngenxa yokutheleleka noma izimila).
• I-Magnetic Resonance Imaging (MRI): Lokhu kusebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukuthatha izithombe ezinemininingwane. Kungasiza ekuxilongeni izinkinga ngomgogodla kanye nemizwa ephuma emgogodleni, njenge-herniated discs, izifo, kanye nama-tumors. I-MRI inikeza isithombe esicacile semizwa kune-CT scan.
• Ama-X-ray: Asebenzisa inani elincane lemisebe ukuthatha izithombe zamathambo nezicubu ezithambile. Angabheka izinto ezifana nokuqhekeka kwamathambo, izinkinga zediski, i-spinal stenosis, kanye ne-arthritis.
• Izifundo ze-Electromyogram (EMG) kanye Nokuqhutshwa Kwezinzwa: I-EMG ihlola impilo kanye nokusebenza kwezinzwa nemisipha. Ucwaningo lokuqhutshwa kwezinzwa lulinganisa ukuthi i-electric impulse ihamba ngokushesha kangakanani emsipheni. Lezi zivivinyo zingasiza ekuboneni umonakalo wezinzwa nokuthi inzwa icindezelwa kuphi.
• I-Myelogram: Lokhu kuhlolwa kubheka ukuxhumana phakathi kwamathambo omgogodla nama-disc, intambo yomgogodla, kanye nezimpande zemizwa. Kungahlola isimila, i-bone spur, noma i-herniated disc ecindezela intambo yomgogodla noma imizwa, okubangela ubuhlungu, ukungazweli, noma ubuthakathaka.

Izinkinga zempilo yomgogodla we-lumbar ziphathwa kanjani?

Kukhona kokubili ukwelashwa okungahlinzwa kanye nokwelashwa kokuhlinzwa kwezimo eziningi ezithinta umgogodla we-lumbar. Indlela yokwelapha oyikhethayo izoncika embangela yenkinga kanye nobunzima bayo.

Yiziphi izindlela zokwelapha ezingadingi ukuhlinzwa?

Uma ubuhlungu bakho obungezansi emhlane bungabangelwanga ingozi noma isimila, udokotela wakho angase ancome ukwelashwa okungadingi ukungenelela okukhulu kuqala. Ezinye izindlela zokwelapha ezivamile ezingadingi ukuhlinzwa zifaka:

• Ukuphumula.
• Iqhwa noma ukucindezela okushisayo.
• Ukugwema umsebenzi okhathazayo noma owandisa ubuhlungu.
• Ukwelashwa Komzimba.
• Imithi: imithi yokuphumula imisipha, imithi yokuqeda ubuhlungu (isib. i-paracetamol), kanye nemithi yokulwa nokuvuvukala (isib. i-ibuprofen, i-naproxen).
• Imijovo Yama-Steroid: Kunezinhlobo ezintathu zemijovo yama-steroid ezingacatshangelwa ubuhlungu be-lumbar. I-Lumbar Epidural Block iwumjovo wama-steroid esikhaleni se-epidural, okuyisikhala esingaphandle komgogodla.I-lumbar facet joint block iwumjovo we-steroid ofakwe phakathi kwe-facet joint lining phakathi kwamathambo omgogodla. Umjovo we-interlaminar noma umjovo we-transforaminal uwumjovo we-steroid ofakwe esikhaleni esiphakathi komgogodla kanye nekholomu yomgogodla.
• Ukususwa Kwegatsha Lezokwelapha kanye Nokususwa Kwemisebe Yemisebe: Lokhu kwelashwa kucatshangelwa ubuhlungu obungapheli be-lumbar. Okokuqala, kufakwa umuthi wokubulala izinzwa endaweni exhumanisa nengxenye yomgogodla. Uma ubuhlungu buncipha, isinyathelo esilandelayo ukuzama ukuqeda ubuhlungu unomphela. Lokhu kwenziwa ngokulimaza umuthi ngendlela ebizwa ngokuthi i-radiofrequency ablation . Ubuhlungu buncishisiwe izinyanga eziningi. Kodwa-ke, uma umuthi ukhula futhi, ubuhlungu bungabuya.

Ngingazi kanjani ukuthi ngidinga ukuhlinzwa komgogodla we-lumbar?

Ungadinga ukuhlinzwa komgogodla we-lumbar uma:

• Uma ezinye izindlela zokwelapha zingasizi.
• Uma izimpawu zakho zomhlane ongezansi, inqulu kanye/noma umlenze ziba zimbi kakhulu (ukuhlinzwa kuvame ukwenziwa ngenxa yobuhlungu bomlenze kunobuhlungu bomhlane).
• Uma uphilile ngokwanele ukuthi ungahlinzwa.

Uma ulimele esifundeni se-lumbar ngenxa yengozi (njengengozi yemoto), umdlavuza, i-epidural abscess (ukutheleleka phakathi komgogodla kanye nesembozo somgogodla), i-osteomyelitis (ukutheleleka kwethambo), i-cauda equina syndrome, noma i-conus medullaris syndrome (uhlobo lwesifo somgogodla), ukuhlinzwa kuyindlela yokuqala yokwelashwa.

Yimiphi imisebenzi yokuhlinzwa etholakalayo yezinkinga zomgogodla we-lumbar?

Nazi ezinye izinqubo zokuhlinzwa ezivame ukwenziwa:

Ukuhlinzwa Kokuncishiswa Komgogodla We-Lumbar

Leli igama elijwayelekile. Libhekisela ezinqubweni ezahlukene zokuhlinzwa ezenziwayo ukuze kuncishiswe izimpawu ngokunciphisa ingcindezi noma ukucindezela emgogodleni noma ezimpandeni zemizwa. Amasu okuhlinzwa avamile afaka:

• Ukususwa kwe-Lumbar Disk: Kule nqubo, udokotela ohlinzayo ususa ingxenye yediski ukuze anciphise ingcindezi ezimpandeni zemizwa eziseduze.
• Ukuhlinzwa kwe-Lumbar Laminotomy noma i-Laminectomy: Kule nqubo, udokotela ohlinzayo ususa ingxenye encane ye-bone arch (i-lamina) yomsele womgogodla. Ku-laminotomy, kususwa ingxenye encane ye-lamina kuphela. Ku-laminectomy, kususwa yonke i-lamina, kanye nanoma yiziphi izinhlayiya zamathambo, izingcezu ze-disc, kanye nemisipha ejiyile, uma kudingeka. Lapho i-lamina isuswa, umsele womgogodla uyanwebeka futhi ingcindezi iyancishiswa.
• I-Lumbar Foraminotomy noma i-Foraminectomy:Zombili lezi zinqubo zokuhlinzwa zenziwa ukuze kwandiswe isikhala (i-foramen) lapho izimpande zemizwa ziphuma khona emgogodleni, ngokususa elinye ithambo kuleyo ndawo. Ekuhlinzweni kwe-foraminectomy, kususwa ithambo elikhulu.
• Ukuhlinzwa kwe-Lumbar Corpectomy: Kulokhu kuhlinzwa, udokotela ohlinzayo ususa ingxenye eyinhloko ye-vertebra (umzimba we-vertebral) kanye ne-disc ukuze anciphise ingcindezi emgogodleni. Ngezinye izikhathi, amathambo ahlanganiswa ndawonye ( ukuhlanganiswa komgogodla ) ukuze kuqiniswe umgogodla we-lumbar.

Ukuhlinzwa Kokufaka I-Lumbar Disc

Kulokhu, kususwa idiski ye-lumbar enesifo bese kufakwa idiski yokwenziwa. Lokhu kuvame ukwenziwa ukuze kufakwe idiski ye-lumbar esikhundleni sayo. Kodwa-ke, eminyakeni yamuva nje, lokhu kuhlinzwa sekuye kwaba yinto engavamile, ngenxa yezinkinga ezenzeka ngemva kokuhlinzwa.

Ukuhlanganiswa Komgogodla We-Lumbar

Lokhu ukuhlinzwa okuhlanganisa unomphela ithambo elilodwa noma ngaphezulu le-lumbar, okususa ukunyakaza phakathi kwethambo.

Ukuvuselelwa Kokusebenza Kukagesi Kokulimala Kwentambo Yomgogodla

Kule ndlela, kusetshenziswa ama-pulse amancane kagesi ukuze kusebenze imisipha nemizwa yomzimba ongaphansi elawulwa yimizwa ye-lumbar, ezama ukubuyisela umsebenzi wayo.

Ngingakwazi yini ukuhlinzwa komgogodla we-lumbar okungadingi ukungenelela okukhulu?

Khuluma nodokotela wakho ohlinzayo ngalokhu. Ezimweni eziningi, ukuhlinzwa komgogodla okungangenisi kakhulu kuye kwathatha indawo yokuhlinzwa okuvulekile kwendabuko. Esikhundleni sokwenza ukusika okukodwa okukhulu esikhumbeni, ukuhlinzwa okungangenisi kakhulu kwenziwa ngokusika okukodwa noma ngaphezulu okuncane. Ngenxa yokuthi ukusika kuncane, kunomonakalo omncane emisipheni nasezicutshini ezithambile kunalapho ukusika okukhulu kungene.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Umgogodla wakho we-lumbar uyingxenye engezansi yomhlane wakho. Unama-vertebrae amahlanu (L1-L5). Uphinde uqukethe ama-disc e-intervertebral, i-spinal cord, kanye nemizwa, imisipha, imisipha, kanye ne-ligaments. Umgogodla we-lumbar osekela isisindo somzimba wakho futhi uvumela ukunyakaza komzimba wakho okuningi.

Into ebaluleke kakhulu ukuthi, uma unezinhlungu ezingapheli emhlane ongezansi, ukungazweli emilenzeni yakho, noma ubuthakathaka, ungabunaki. Qiniseka ukuthi ubonana nodokotela bese uthola iseluleko.

Kukhona kokubili ukwelashwa okungahlinzwa kanye nokwelashwa kokuhlinzwa kwezimo eziningi. Ngakho-ke akukho okufanele ukhathazeke ngakho. Ungasiza futhi ekugcineni umgogodla wakho we-lumbar uphilile ngokugcina ukuma okufanele, ukuphakamisa izinsimbi ngendlela efanele, kanye nokuzivocavoca.

Ubuhlungu bomhlane , umgogodla we-lumbar, amathambo omgogodla, izinkinga zediski, i-sciatica, umgogodla, ubuhlungu bemizwa