Kunzima ukuthola umuntu ongakaze abe nobuhlungu bomhlane ngesikhathi esithile empilweni yakhe, akunjalo? Ngezinye izikhathi, ukuklwebheka okuncane, ukucindezeleka kokuphakamisa into esindayo, noma ngisho nobuhlungu bomhlane obungazelelwe, obungachazeki kungaba yinto ecasulayo kakhulu. Esikhathini esiningi, kuyaphela ezinsukwini ezimbalwa, kodwa ubuhlungu bomhlane bungaba uphawu lwento edinga ukunakekelwa kwethu. Ngakho-ke namuhla, ake sixoxe ngezimbangela zobuhlungu bomhlane, ukuthi singabuxilonga kanjani, nokuthi yiziphi izindlela zokwelapha ezitholakalayo.
Okokuqala, ake sibheke ukuthi umgogodla wethu wenziwa kanjani.
Cabanga nje ngomgogodla wethu njengentambo yama-beads. Unamathambo amancane angu-33 abizwa ngokuthi ama-vertebrae . Lawa mathambo abekwe phezu komunye nomunye ukuze akhe umgogodla wethu. Phakathi kwala mathambo kunendawo efana nejeli, eqinile kancane ebizwa ngokuthi i-intervertebral disc . Lokhu kusebenza njengesithambisi sokushaqeka emotweni, kubambe ingcindezi lapho sigijima, sigxuma, noma siphakamisa izinto ezisindayo, kuvikele umgogodla wethu ekulimaleni.
Intambo yomgogodla, intambo yemizwa ebaluleke kakhulu elawula umzimba wethu wonke, idlula kulo lonke umgogodla.
Umgogodla wethu ungahlukaniswa izingxenye eziyinhloko:
- Amathambo omgogodla womlomo wesibeletho: Amathambo angu-7 entanyeni.
- Amathambo esifuba: Amathambo ayi-12 aphakathi kwentamo nomhlane ongezansi.
- I-Lumbar Vertebrae : Amathambo amahlanu aqine kakhulu emhlane ongezansi. Yilapho ubuhlungu obuningi bomhlane buvela khona.
- I-Sacrum ne-Coccyx: Amathambo ahlanganisiwe phansi komgogodla.
Kungani sizwa ubuhlungu emhlane?
Kungaba nezizathu eziningi zobuhlungu bomhlane, hhayi nje esisodwa noma ezimbili. Ngezinye izikhathi imbangela ilula kakhulu.
- Izingozi : Okufana nokuwa, ingozi yemoto.
- Ukucindezeleka Kwemisipha: Lokhu kungenzeka uma uphakamisa isisindo ngendlela engafanele bese ujika ngokuzumayo.
- Izingozi zemidlalo: Ukulimala okwenzeka ngesikhathi udlala imidlalo.
- Ukuma kabi : Ukuhlala endaweni efanayo isikhathi eside, ikakhulukazi ngendlela elimaza umhlane.
Ngaphandle kwalezi zimbangela ezilula, kunezinye izimbangela eziningi, njenge-herniated discs kanye ne-arthritis.
Udokotela usithola kanjani lesi sifo?
Uma uya kudokotela ngenxa yobuhlungu bomhlane, uzoqala ngokukubuza imibuzo mayelana nobuhlungu, ukuthi buqale kanjani, bese ekuhlolisisa kahle. Ngemuva kwalokho, uma kudingeka, angase akucele ukuhlolwa okufana nalokhu ukuze athole imbangela eqondile.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| I-X-ray | Ungahlola izinto ezifana nendawo yamathambo emgogodleni, ama-bone spurs, ama-tumors, kanye nokuqhekeka. |
| I-CT Scan | Izimo ezifana ne-herniated disc noma i-spinal stenosis zingabonakala ngokucacile. |
| Iskeni se-MRI | Kunganikeza isithombe esicacile sama-disc, izimpande zemizwa, kanye nomgogodla. Kuvame ukusetshenziswa ngaphambi kokuhlinzwa. |
Izimo ezimbili ezikhethekile ezenzeka emgogodleni
Nakuba kunezimo eziningi ezithile ezingabangela ubuhlungu emhlane, sizoxoxa ngezimbili ikakhulukazi namuhla. Kungenzeka ukuthi uke wezwa ngazo.
1. I-Spondylolisthesis
Okwenzekayo kulokhu kulula kakhulu. I-vertebra eyodwa emgogodleni wethu (i-vertebral RA ) ishelela phambili noma emuva phezu kwengaphansi kwawo. Kufana nesinye sezitini ezilandelanayo ezihamba phambili naphambili. Lokhu kuvame ukwenzeka phansi komgogodla.
Izimbangela: Kunezimbangela eziningana ezingaba khona zalokhu. Kungaba ubuthakathaka bokuzalwa, ukwaphuka ngenxa yengozi, ukwaphuka kokucindezeleka ngenxa yezemidlalo, noma ukutheleleka.
Izimpawu:
- Ubuhlungu obuphansi emhlane
- Ukuqina nokuqina emhlane nasemisipheni ezungezile
- Ubuhlungu endaweni yezinqe
- Ubuhlungu obuhamba emilenzeni (lokhu kubangelwa ukushelela kwethambo elicindezela izimpande zemizwa)
- Ubuthakathaka bemisipha noma ukuqaqamba emilenzeni
Ukwelashwa:Ezimweni eziningi, lesi simo singalawulwa ngokwelashwa ngokomzimba , okuqinisa imisipha ezungeze umgogodla. Udokotela wakho angase akunike imithi yokwelapha izinhlungu (ama-NSAID) njenge-paracetamol noma i-ibuprofen noma i-naproxen ngenxa yobuhlungu. Ngezinye izikhathi kunikezwa umjovo we-epidural steroid. Imithi ekhethekile efana ne-gabapentin kanye ne-pregabalin nayo inganikezwa ngenxa yobuhlungu bemizwa.
Kuphela uma lezi zindlela zokwelapha zinganikezi impumuzo futhi ubuhlungu bukhulu ngokwanele ukuphazamisa imisebenzi yansuku zonke lapho kufanele kucatshangelwe khona i-laminectomy yokunciphisa ukucindezeleka (ukuhlinzwa kokunciphisa ingcindezi emizweni).
2. Ukucindezeleka Kwezinzwa Zesibeletho (i-Cervical Radiculopathy)
Lokhu kuyinkinga yentamo kakhulu kunenkinga yomhlane. Okwenzekayo lapha ukuthi impande yemizwa ephuma komunye wemisipha yomgogodla entanyeni yethu iyacindezelwa ngesizathu esithile.
Izimbangela: Kwabancane, lokhu kungabangelwa ukuqhekeka kwediski, lapho izingxenye ezivelele zicindezela khona imizwa. Njengoba abantu bekhula, kungabangelwa nayisifo samathambo noma ezinye izifo.
Izimpawu:
- Uphawu oluyinhloko ubuhlungu obuvela entanyeni, esifubeni, emahlombe nasezingalweni .
- Ukuzwa ukuqaqamba noma ukungazweli eminweni.
- Ubuthakathaka bemisipha ezandleni.
- Ubunzima bokwenza imisebenzi emihle yezandla (ukuntuleka kokuxhumana).
Ukwelashwa: Lokhu kuhlanganisa nemithi yokubulala izinhlungu, ukwelashwa ngokomzimba, kanye nemithi ye-steroid (yomlomo noma ejovwayo). Ukwelashwa ngokomzimba kuhlanganisa ukubamba umlomo wesibeletho okuthambile kanye nokuzivocavoca ukusiza ukunciphisa ubuhlungu.
Nalapha futhi, uma inzwa icindezelwe kakhulu futhi kukhona ubuthakathaka engalweni, kungase kudingeke ukuhlinzwa ukuze kuncishiswe ingcindezi. Lesi sinqumo sizokwenziwa udokotela wakho kanye nodokotela ohlinzayo.
Kufanele ubonane nini nodokotela ngenxa yobuhlungu bomhlane?
Ubuhlungu bomhlane obulula kufanele buphele ezinsukwini ezimbalwa. Kodwa uma unezinye "izimpawu ezibomvu" ezingezansi, bona udokotela ngokushesha. Kungase kudingeke uye eMnyangweni Wezimo Eziphuthumayo (ETU) .
- Ubuhlungu obukhulu ngemva kwengozi noma ukuwa.
- Uma ukuqaqamba nobuthakathaka emilenzeni kuyanda.
- Uma unenkinga yokulawula amathumbu noma umchamo wakho.
- Uma wehlisa isisindo ngaphandle kwesizathu, noma uma unomkhuhlane.
- Uma ubuhlungu bukhula ebusuku noma bungapheli ngisho nangemva kokuphumula.
- Uma umuntu onomlando womdlavuza eba nobuhlungu obusha emhlane.
Umlayezo Wokuya Nawe Ekhaya
- Ngisho noma ubuhlungu bomhlane buvame kakhulu, akufanele neze ubushaye indiva.
- Ubuhlungu bomhlane bungavinjelwa kakhulu ngokugwema ukuma kabi kanye nokusebenzisa indlela efanele lapho uphakamisa izinsimbi.
- I-Spondylolisthesis kanye ne-Cervical Radiculopathy yizimo ezimbili ezidinga ukunakwa okukhethekile futhi ezingabandakanya imizwa.
- Uma unezimpawu ezinzima njengokungazweli emilenzeni yakho, ubuthakathaka, noma ubunzima bokulawula umchamo wakho, kuyisimo esiphuthumayo. Bona udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukuthola imbangela eqondile yobuhlungu bakho bese uthola ukwelashwa okufanele kakhulu. Ngakho-ke, ungelaphe ngokuqagela, kodwa landela iseluleko sezokwelapha.
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