Uma ugoba indololwane yakho bese uyibamba isikhashana, ingalo yakho iqala ukuzizwa indikindiki kancane, akunjalo? Kodwa ngokushesha nje lapho uphinda uqondisa ingalo yakho, indikindiki iyanyamalala kancane kancane. Kodwa cabanga, kuthiwani uma indikindiki iqhubeka? Yilokho okwenzeka esimweni esibizwa ngokuthi i-Myelopathy. Lokhu kuyinto okufanele ikhathazeke ngayo. Wozani, ake sixoxe ngalokhu kalula.
Kuyini i-Myelopathy? Ake sikuqonde kalula.
Kalula nje, i-Myelopathy yilapho umgogodla ongaphakathi komgogodla wethu ucindezelwa ngesizathu esithile. Cabanga ngomgogodla wethu 'njengekhebula' eliyinhloko elithwala imiyalezo evela ebuchosheni bethu iye kuzo zonke ezinye izingxenye zomzimba wethu. Igijima ngokuphephile ngaphakathi komgogodla wethu.
Ngakho-ke kwenzekani uma le 'ntambo' ebaluleke kakhulu, umgogodla, icindezelwa ndawana thize? Lowo myalezo uyaphazamiseka. Yilapho izinto ezifana nobuhlungu, ukungakhululeki, umuzwa wokuba ndikindiki ezingxenyeni zomzimba, kanye nokungakwazi ukunyakaza kahle ziqala ukwenzeka. Ngisho nemisebenzi yansuku zonke efana nokubamba ipeni kahle noma ukunamathisela izinkinobho zehembe ingaba nzima.
Ingabe zikhona izinhlobo eziyinhloko ze-myelopathy?
Yebo, i-Myelopathy ingahlukaniswa ngezinhlobo ezintathu eziyinhloko kuye ngokuthi intambo yomgogodla icindezelwe kuphi.
| Uhlobo lwe-Myelopathy | Incazelo |
|---|---|
| I-Myelopathy Yesibeletho | Lolu uhlobo oluvame kakhulu. Kwenzeka lapho intambo yomgogodla icindezelwa emgogodleni womlomo wesibeletho . Lesi simo sivame ukubangelwa izinguquko eziwohlokayo emgogodleni njengoba ukhula. |
| I-Thracic Myelopathy | Lapha, ukucindezela kwenzeka phakathi nomhlane, okungukuthi, emgogodleni wesifuba ngemuva kwesifuba . |
| I-Lumbar Myelopathy | Kulokhu, ingcindezi itholakala emhlane ongezansi (umgogodla we-lumbar) . |
Kufanele sithathwe ngokungathi sína kangakanani lesi simo?
Lesi akusona isimo okufanele simane singasinaki. Uma singelashwa, lesi simo singaba sibi kakhulu ngokuhamba kwesikhathi.
Uma ukucindezelwa komgogodla kuqhubeka, kungabangela umonakalo ongapheli ezinzwa. Uma lokho kwenzeka, izimpawu zingase zingaphinde ziguqulwe. Kwezinye izimo ezimbi kakhulu, lesi simo singaholela ngisho nasezinkingeni ezinkulu njengokukhubazeka .
Ngakho-ke, uma usola ukuthi unanoma yiziphi zalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha ukuze uthole iseluleko. Uma usheshe watholakala ukuthi unalesi sifo, kulapho amathuba okuthola imiphumela emihle yokwelashwa ayanda khona.
Yiziphi izimpawu eziyinhloko ze-myelopathy?
Ngenxa yokuthi izingxenye ezahlukene zomgogodla zilawula izingxenye ezahlukene zomzimba, izimpawu zingahluka kuye ngokuthi ukucindezelwa kwenzeka kuphi. Kodwa-ke, kunezimpawu ezimbalwa ezivamile ezingabonakala.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu | Ubuhlungu entanyeni noma emhlane. |
| Ukuba ndikindiki, ukungabi nampilo | Ukuba ndikindiki, ukuqaqamba, noma ubuthakathaka ezingalweni, ezandleni, emilenzeni, noma ezinyaweni. |
| Ubunzima ngemisebenzi ebucayi | Ubunzima bokwenza amakhono okunyakaza okuhle njengokunamathisela izinkinobho zehembe, ukubhala ngepeni, noma ukusebenzisa isikrufu. |
| Izinkinga ngokuhamba nokulinganisela | Ukuzizwa ulahlekelwe yibhalansi, ukungakhululeki lapho uhamba. |
| Izinkinga ngokulawula amathumbu | Kwezinye izimo ezinzima kakhulu, kungase kube nobunzima ekulawuleni amathumbu kanye nesinye. |
Ziyini izimbangela ze-myelopathy?
Kunezinto eziningi ezingabangela ukucindezelwa komgogodla.
- Idiski ene-herniated: Idiski efana ne-jelly phakathi kwamathambo amabili angavuvukala acindezele umgogodla .
- I-Spondylosis: Ngenxa yokuguguleka kwemvelo kanye nezinguquko ezenzeka emgogodleni njengoba siguga.
- I-Spine stenosis: Ukuncishiswa komsele womgogodla ngenxa yezizathu ezahlukahlukene.
- Ukulimala okubuhlungu: Ukulimala komgogodla ngenxa yokuthile okufana nokuwa noma ingozi yemoto.
- Ukutheleleka nokuvuvukala: Izimo ezithathelwanayo ezithinta umgogodla.
- Isimila: Isimila esinomdlavuza noma esinye isimila esakheka emgogodleni noma eduze kwawo.
- Izifo eziwohlokayo ze-neuro: Izimo ezifana nesifo sikaParkinson noma i-ALS.
Ubani osengozini enkulu yokuthuthukisa lokhu?
I-Myelopathy ingenzeka kunoma yimuphi ubudala. Kodwa-ke, uhlobo oluvela ngenxa yezinguquko ezihlobene nobudala emgogodleni luvame kakhulu kubantu abangaphezu kweminyaka engama-40. Futhi, ucwaningo lukhombisile ukuthi amadoda anamathuba amaningi okuthola lesi simo kunabesifazane.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzoqala ngokukubuza ngokuningiliziwe ngezimpawu zakho, ukuthi zaqala kanjani, nokuthi usunesikhathi esingakanani unazo. Ngemuva kwalokho uzokuxilonga.
- Ukuhlolwa komzimba: Ukunyakaza komzimba wakho kanye nezindawo ezibuhlungu kuyahlolwa.
- Ukuhlolwa kwe-neurological: Lokhu kuzohlola ukusabela kwakho, amandla emisipha, kanye nokuzwa.
Ngemva kwalezi zivivinyo, kunconywa ukuthi kwenziwe izivivinyo ezithile ukuqinisekisa ukuxilongwa nokunquma imbangela eqondile yokuqhuma.
- Ukuhlolwa kwezithombe: Ukuhlolwa okuthatha izithombe zomgogodla. Isibonelo, i -X-ray, i-MRI scan, noma i-CT scan . Lokhu kungabona ngokucacile isimo somgogodla, ama-disc, kanye nentambo yomgogodla.
- I-Myelogram:Kufakwa into ekhethekile (idayi yokuhlukanisa) emgogodleni bese kuthathwa i-X-ray noma i-CT scan. Lokhu kungakhomba ngokucacile izindawo lapho intambo yomgogodla kanye nemizwa kucindezelwa khona.
- Ukuhlolwa kokusebenza kwemizwa: Ukuhlolwa okukala isivinini lapho imiyalezo igeleza khona phakathi kobuchopho nomzimba. I-Electromyography (EMG) ingenye yezivivinyo ezinjalo.
Yiziphi izindlela zokwelapha i-myelopathy?
Ukwelashwa kuncike ebunzimeni bezimpawu zakho, indawo okucindezelwe kuyo umgogodla, kanye nembangela. Okusebenza komunye umuntu kungase kungasebenzi komunye. Kunezinhlobo ezimbili eziyinhloko zokwelapha: okungahlinzwa kanye nokuhlinzwa.
Ukwelashwa okungekona ukuhlinzwa
Lokhu kwelashwa kulawula izimpawu kuphela. Akunciphisi ukucindezeleka emgogodleni. Uma izimpawu zakho zingezimbi kakhulu, noma ngenkathi ulinde ukuhlinzwa, udokotela wakho angase akuncome lokhu kwelashwa.
- Ukugqoka i-brace: I-brace egqokwa entanyeni noma emhlane inganciphisa ukunyakaza kuleyo ndawo futhi inciphise ubuhlungu.
- Ukwelashwa ngokomzimba: Kunconywa ukuvivinya umzimba kanye nokwelashwa okuqondile ukuze kuqiniswe imisipha, kwandiswe ukuguquguquka, futhi kuncishiswe ubuhlungu.
- Imithi: Izinto ezifana nemithi yobuhlungu kanye nemithi yokulwa nokuvuvukala (i-corticosteroids) zingasiza ekulawuleni izimpawu.
Ukuhlinzwa
Ku-myelopathy, indlela engcono kakhulu yokunciphisa ingcindezi emgogodleni futhi uwunike inkululeko ukuhlinzwa.
Uma izimpawu zinzima, ziba zimbi kakhulu usuku nosuku, noma uma ukwelashwa okungekhona ukuhlinzwa kungasizi, udokotela wakho angase akuncome ukuhlinzwa.
Lokhu kwenziwa kusetshenziswa uhlobo lokuhlinzwa olubizwa ngokuthi ukuhlinzwa kokususa ukucindezeleka komgogodla . Kuye ngokuthi imbangela yokucindezeleka ibangelwa yini, udokotela ohlinzayo usebenzisa amasu ahlukene. Ezinye izibonelo yilezi:
- Ukuhlinzwa kwe-ACDF
- Ukususwa kwediski (i-diskectomy)
- Ukufakwa kwediski (ukufakwa kwediski yokwenziwa)
- Ukuhlinzwa kwe-Laminectomy
- I-Laminoplasty
- Ukuhlanganiswa komgogodla
Ngaphambi kokuhlinzwa, udokotela wakho ohlinzayo uzochaza ngokucacile izinzuzo, ukungalungi, kanye nezingozi kuwe.
Ingabe ikhona indlela yokuvimbela i-myelopathy?
Akunakwenzeka njalo ukuvimbela lokhu, ikakhulukazi uma kukhulunywa ngezimo ezenzeka njengoba sikhula.
Kodwa-ke, ukunakekela umgogodla wethu kunganciphisa ingozi yezimbangela ezithile.
- Uma uphakamisa umthwalo, uwuphakamise kahle: Uma uphakamisa umthwalo, prakthiza ukuwuphakamisa ngamadolo akho agobile nomhlane wakho uqonde, ngaphandle kokugoba umhlane wakho.
- Gcina ukuma okuhle:Gcina umhlane wakho uqondile lapho uhleli futhi umile.
- Vivinya umzimba njalo: Zivocavoce njalo eziqinisa imisipha yakho yangemuva neyesisu.
Kufanele ngimbone nini udokotela?
Uma unezimpawu ezilandelayo, ungazinaki futhi ubone udokotela ngokushesha.
| Funa iseluleko sezokwelapha ngokushesha. | |
|---|---|
| Ushintsho endleleni ohamba ngayo, ukulahlekelwa ibhalansi, noma ukuthambekela kokukhubeka | |
| Ubuhlungu obusha noma obubi kakhulu entanyeni noma emhlane | |
| Ukuba ndikindiki, ukuqaqamba, noma ubuthakathaka ezandleni, eminweni, ezinyaweni, noma ezinzwaneni | |
Imibuzo okufanele uyibuze udokotela wakho
Uma uthola ukuthi unalesi simo, ungase ube nemibuzo eminingi engqondweni yakho. Buza udokotela wakho ngalezi zinto.
- Kungani umgogodla wami ucindezelwe?
- Yikuphi ukwelashwa okungcono kakhulu ongincomayo?
- Ingabe ikhona imiphumela emibi yalezi zindlela zokwelapha?
- Ingabe ngizodinga ukuhlinzwa?
- Kuthatha isikhathi esingakanani ukululama ngokuphelele ngemva kokuhlinzwa?
- Yiziphi izinto okungafanele ngizenze noma engingazigwemi?
Umgogodla uyingxenye ebaluleke kakhulu yomzimba wethu. Ngisho nokucindezela okuncane kuwo kungathinta ukusebenza komzimba wethu wonke. Ngakho-ke, kubaluleke kakhulu ukuqaphela izimpawu nokufuna iseluleko sezokwelapha ngokushesha uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- I-Myelopathy yisimo esibi esibangelwa ukucindezelwa komgogodla. Lokhu akufanele kunganakwa.
- Uma uzwa izimpawu ezifana nokungazweli emilenzeni yakho, ubuthakathaka, noma ubunzima bokuhamba kanye nobuhlungu bentamo noma umhlane, xhumana nodokotela ngokushesha.
- Ukuxilongwa kusenesikhathi kanye nokwelashwa kungavimbela ukulimala kwemizwa okungapheli.
- Kunezindlela zokwelapha (zokuhlinzwa kanye nezingahlinzwa), futhi udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe.
- Ukunakekela umhlane wakho lapho uphakamisa izinsimbi kanye nemisebenzi yansuku zonke kunganciphisa ezinye zezingozi.
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