Kunzima ukuthola umuntu ongakaze abhekane nobuhlungu bomhlane empilweni yethu yansuku zonke, akunjalo? Ngezinye izikhathi lobu buhlungu bungavela ekuphakamiseni into encane, ukuhlala kabi, noma ngisho nasengozini encane. Kodwa akuzona zonke izinhlungu zomhlane ezifanayo, futhi izimbangela zazo zihlukile. Ngakho-ke namuhla, ake sixoxe ngokuthi buyini lobu buhlungu bomhlane , izimbangela zabo, izimpawu, kanye nokwelashwa ngokuningiliziwe nangokulula.
Okokuqala, ake sibheke ukuthi umgogodla wethu wenziwa kanjani.
Kalula nje, umgogodla wethu uyiqoqo lamathambo amancane aqala ekhanda lethu aye ethangeni lethu, ahlelwe ngokulandelana. Sibiza la mathambo amancane ngokuthi 'ama-vertebrae' . Umgogodla wethu wakhiwe yi-vertebrae engu-33. Into ebaluleke kakhulu ngalokhu ukuthi umgogodla, olawula umzimba wethu wonke, ugijima ngalezi vertebrae futhi uvikelekile.
Cabanga nje, uma lawa ma-vertebrae ebekwe phezu komunye nomunye, kufanele kube nokuthile okuwavimbela ukuthi angagudlani, akunjalo? Yingakho kukhona ucezu lwe-cartilage olubizwa ngokuthi i-intervertebral disk phakathi kwama-vertebrae amabili. Lusebenza njengesivikelo sokushaqeka emotweni, lumunca ingcindezi emhlane wethu lapho sigijima futhi sigxuma.
Umgogodla wethu ungahlukaniswa izingxenye eziyinhloko:
- Amathambo omgogodla womlomo wesibeletho: Amathambo omgogodla angu-7 entanyeni.
- I-vertebrae yesifuba: I-vertebrae engu-12 etholakala phakathi kwentamo nomhlane ongezansi.
- I-Lumbar Vertebrae : Ama-vertebrae amahlanu aqine kakhulu futhi amakhulu kunawo wonke emhlane ongezansi.
- I-Sacrum ne-Coccyx: Amathambo asemaphethelweni aphansi kakhulu omgogodla.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela ngenxa yobuhlungu bomhlane, uzoqala ngokukubuza imibuzo (umlando wezokwelapha) bese ekuxilonga ukuze athole umbono wesimo. Ngemuva kwalokho, uma kudingeka, angase akucele ukuthi uhlolwe ezinye izivivinyo ezinjengalezi ukuze athole imbangela eqondile.
- Ukuhlolwa kwe-X-ray: Lokhu kuhlola kakhulu isakhiwo samathambo omgogodla, ukungazinzile kwawo (njengokushelela), izimila, noma ukwaphuka .
- I-CT scan: Lokhu kungakhomba izimo ezithile njenge-herniated disc noma i-spinal stenosis.
- Ukuskena kwe-MRI:Lesi isivivinyo esingcono kakhulu sokubheka ama-disc kanye nezimpande zemizwa ngokuningiliziwe. Sivame ukusetshenziswa ukuhlela ngaphambi kokuhlinzwa.
Ake sithole izinhlobo ezimbili ezithile zobuhlungu bomhlane.
Nakuba kunezimbangela eziningi ezivamile zobuhlungu bomhlane, namuhla sikhuluma ngezimo ezimbili eziqondile kancane futhi ezidinga ukwelashwa .
1. I-Spondylolisthesis (ukushelela kwamathambo omgogodla)
Leli gama lizwakala liyesabeka kancane, akunjalo? Kodwa kulula ukuliqonda. Okwenzekayo ukuthi i-vertebra eyodwa ('i-vertebra') ishelela phambili noma emuva phezu kwe-vertebra engaphansi kwayo. Cabanga ngayo njengesitini esisodwa emgqeni wezitini ezishelela phambili kancane. Lesi simo sivame ukwenzeka emhlane ongezansi (umgogodla we-lumbar).
Lokhu kungabangelwa ubuthakathaka bokuzalwa emhlane womgogodla, ukuphuka kokucindezeleka ngenxa yengozi noma ngesikhathi udlala imidlalo, noma mhlawumbe ubuthakathaka bamathambo omgogodla ngenxa yokutheleleka.
Ziyini izimpawu zalesi simo?
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obuphansi emhlane | Ubuhlungu bungase bukhule, ikakhulukazi uma uhamba noma ume isikhathi eside. |
| Ukuqina kwemisipha nokuqina kwayo | Ukuzwa ukuqina emhlane kanye nemisipha yemisipha. |
| Ubuhlungu endaweni yezinqe | Ubuhlungu bungasakazekela ezinqeni. |
| Ubuhlungu busakazeka emilenzeni | Ngenxa yokuthi i-vertebra eshelelayo icindezela izimpande zemizwa, ubuhlungu bungahamba emilenzeni. |
| Ubuthakathaka bemisipha | Ungase uzizwe ubuthakathaka emilenzeni yakho. |
Ukwelashwa kwe-spondylolisthesis
Enye yezindlela zokwelapha ezinhle kakhulu zalokhu ukwelashwa ngokomzimba . Kuqinisa imisipha esekela umhlane nesisu. Udokotela wakho angase akunike imithi engeyona eye-steroidal anti-inflammatory (NSAIDs) njenge-acetaminophen noma i-ibuprofen yobuhlungu. Uma ubuhlungu bukhulu, unganikezwa umjovo we-epidural steroid.
Ngaphezu kwalokho, udokotela wakho angase acabangele nemithi ethile yobuhlungu be-neuropathic kanye nemithi yokuphumula imisipha. Kodwa-ke, uma unesifo esifana nesifo sikashukela, kufanele uqaphele lapho uthatha ama-steroid, njengoba angakhuphula amazinga kashukela egazini okwesikhashana. Ngakho-ke, xoxa ngakho konke nodokotela wakho. Uma lokhu kwelashwa kungasizi, ukuhlinzwa ukuze kunikezwe isikhala esengeziwe sezinzwa (decompressive laminectomy) noma i-spinal fusion (spinal fusion) kungacatshangelwa.
2. I-Cervical Radiculopathy (i-nerve ecindezelwe entanyeni)
Lesi yisimo esenzeka lapho impande yemizwa ephuma kumgogodla womlomo wesibeletho entanyeni icindezelwa . Njengoba nje umuntu enyathela ipayipi lamanzi bese ukugeleza kwamanzi kwehla, lapho inzwa icindezelwa, izimpawu ezihamba ngayo ziyaphazamiseka.
Imbangela eyinhloko yalesi simo kubantu abasha ukuqhekeka kwediski entanyeni, okubangela ukuba inzwa icindezelwe yizinto eziphuma kuyo. Kubantu asebekhulile, inzwa ingacindezelwa ngenxa yezinguquko ezivamile zokuwohloka noma i-arthritis eyenzeka ngokuguga.
Izimpawu ze-Cervical Radiculopathy
- Uphawu oluyinhloko ubuhlungu obusakazekela entanyeni, esifubeni, emahlombe nasezingalweni .
- Ungase uzizwe ungenamizwa noma uqhaqhazela ezandleni noma eminweni yakho.
- Ungase uzizwe ubuthakathaka bemisipha esandleni sakho.
- Abanye abantu bangase balahlekelwe yibhalansi kanye nokuxhumana , ikakhulukazi ezandleni.
Ukwelashwa kwe-Cervical Radiculopathy
Ama-painkiller kanye nokwelashwa ngokomzimba yizona zindlela eziyinhloko zokwelapha lokhu. Ukwelashwa ngokomzimba kuhilela ukubamba umlomo wesibeletho kancane, ukuvivinya umzimba, kanye nezinye izindlela zokusiza ukunciphisa ubuhlungu. Udokotela wakho angase futhi ancome imijovo ye-steroid noma i-epidural.
Okubaluleke kakhulu, uma ukucindezelwa kwemizwa kubangele ubuthakathaka obukhulu bokunyakaza kwesandla, kungase kudingeke ukuhlinzwa ukuze kuncishiswe ingcindezi.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu bomhlane abuyona into okufanele ithathwe kalula. Kungaba nezimbangela eziningi, ngakho-ke kubalulekile ukuthola imbangela efanele.
- Uma ubuhlungu bukhulu, buhamba emilenzeni, noma buhambisana nokungazweli noma ubuthakathaka emilenzeni, kufanele nakanjani ubone udokotela kunokuba uzame ukuzelapha wena.
- Ukuhlolwa okufana ne
X-raykanye neMRIokunqunywe udokotela wakho kubaluleke kakhulu ekuxilongeni izifo. Ungaziyeki. - Ukwelashwa ngokomzimba kuyindlela yokwelapha ephumelela kakhulu futhi ephephile yobuhlungu bomhlane. Ukuqinisa imisipha ezungeze umgogodla ngokuzivocavoca okufanele kungasiza ekutholeni impumuzo yesikhathi eside.
- Uma unezinye izimo zezokwelapha, njengesifo sikashukela noma umfutho wegazi ophakeme, yazisa udokotela wakho ngaphambi kokusebenzisa noma yimuphi umuthi wobuhlungu bomhlane.
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