Ingabe ngezinye izikhathi uzwa ubuhlungu emhlane kanye nomuzwa wokuqaqamba owela emilenzeni yakho? Ingabe lobu buhlungu buyanda uma uhamba ibanga elifushane noma ume, futhi buyancipha uma uhleli noma ugoba phambili? Lena inkinga evamile kubantu abaningi. Namuhla sikhuluma ngesimo esibizwa ngokuthi ' i-spinal stenosis ' esingabangela lokhu, ikakhulukazi njengoba sikhula.
Kalula nje, iyini i-Spinal Stenosis?
Cabanga ngomgogodla wakho njengombhobho wamanzi. Umgogodla, impande eyinhloko yemizwa evela ebuchosheni bethu, kanye nemizwa ehlukana nayo, ihamba ngaleli payipi. Ngokuhamba kwesikhathi, ngenxa yezizathu ezahlukahlukene, isikhala ngaphakathi kwaleli payipi siyancipha kancane kancane futhi siqala ukuncishiswa. Bese le mizwa ebucayi ngaphakathi iqala ukucindezelwa. Yilokho esikubiza ngokuthi i-Spinal Stenosis .
Lokhu kucindezela kungenzeka noma kuphi emgogodleni. Izimpawu zincike ekutheni ukucindezela kwenzeka kuphi. Akuveli ngokuzumayo, kodwa kuvame ukukhula kancane kancane ngokuhamba kweminyaka.
Kunezinhlobo ezimbili eziyinhloko ze-stenosis yomgogodla:
Lesi simo singahlukaniswa ngezinhlobo ezimbili eziyinhloko kuye ngokuthi senzeka kuphi:
1. I-stenosis yomgogodla wesibeletho: Lokhu kwenzeka lapho indlela yezinzwa entanyeni yakho incipha.
2. I-Lumbar spinal stenosis: Lolu uhlobo oluvame kakhulu. Luvela lapho impande yemizwa emhlane wakho ongezansi, umgogodla we-lumbar, icindezelwa.
Abanye abantu bangaba nazo zombili izinhlobo ngesikhathi esisodwa. Kungenzeka futhi ukuthi lesi simo sivele emhlane ophakathi, yize lokhu kungavamile.
Isizathu esiyinhloko esenza abantu abaningi babe ne-spinal stenosis yi -osteoarthritis , isimo esenzeka ngokuguga.
Ingabe nawe unalezi zimpawu?
Akuwona wonke umuntu ozobhekana nezimpawu. Abanye abantu bangase babe nalesi simo ku-scan kodwa bangabi nabuhlungu noma ukungakhululeki. Kodwa-ke, uma kuvela izimpawu, zivame ukubonakala ngezindlela ezilandelayo:
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu nokuqina komhlane noma entanyeni | Ubuhlungu buyanda lapho umi noma uhamba, futhi buyancipha lapho ugoba phambili noma uhleli. |
| Ukuba ndikindiki, ukuqaqamba, noma ubuthakathaka emilenzeni noma ezingalweni | Ukucindezelwa kwemizwa kubangela ukuphazamiseka kwemizwa ezingalweni nasemilenzeni. |
| Ubuhlungu be-sciatica | Ubuhlungu obubukhali, njengokushaqeka kukagesi, obuqala esinqeni bese bugeleza emlenzeni. |
| Ubunzima bokuhamba nokulahlekelwa ibhalansi | Ubuthakathaka emilenzeni bungabangela imilenze ukuthi izwakale sengathi ihudula phansi lapho ihamba (ukuwa kwezinyawo). Ukuhamba ibanga elifushane kungabangela ubuhlungu emhlane ukuba bukhule, okukuphoqa ukuthi ume. |
| Ubunzima bokulawula umchamo noma indle | Lokhu kungenzeka ezimweni ezimbi kakhulu zesifo. Lesi simo sibangelwa ukucindezelwa okukhulu kwemizwa exhumanisa isinyi namathumbu. |
| I-Cauda equina syndrome | Isimo esiphuthumayo sezokwelapha esibangelwa ukucindezelwa kwe-nerve bundle phansi komgogodla. Izimpawu zifaka phakathi ukungazweli endaweni yezitho zangasese nasezindaweni ezizungezile, kanye nokulahlekelwa ngokuphelele ukulawula isinyi kanye namathumbu. Uma uhlangabezana nalezi zimpawu, kufanele uye ngokushesha emnyangweni wezimo eziphuthumayo wesibhedlela (ETU). |
Yiziphi izimbangela ze-Spinal Stenosis?
Njengoba sixoxile ngaphambili, imbangela eyinhloko yi -arthritis, ehambisana nokuguga.Isimo. Lapho i-cartilage ehlala phakathi kwemisipha yethu iphela, amathambo ayagudlana. Bese kuthi, njengoba umzimba uzama ukuphola, kukhule amathambo amasha. Lawa mathambo amasha anciphisa indlela yokungena kwemizwa.
Ngaphezu kwalokho, kunezinye izizathu eziningana.
| Isizathu | Incazelo |
|---|---|
| Amadiski ane-herniated | Idiski efana nojeli phakathi kwamathambo omgogodla ingaqhuma, okubangela ukuthi okungaphakathi kuvuza kuphume bese kucindezela umgogodla noma imizwa. |
| Ukulimala komgogodla | Umgogodla ophukile noma ophukile engozini ungabangela ukucindezelwa komthambo. |
| Amathumba | Imizwa ingacindezelwa ngenxa yezimila noma ezinye izimila emgogodleni. |
| Imisipha eqinisiwe | Imisipha exhumanisa umgogodla wethu ingaqina ngokuhamba kwesikhathi, igobe ngaphakathi, futhi ivimbe izindlela zemizwa. |
Izici zengozi
Ingozi enkulu yokuthola lesi simo ukuba neminyaka engaphezu kwengu-50 ubudala . Abesifazane nalabo abake bahlinzwa umhlane ngaphambilini basengozini enkulu. Futhi, abantu abazalwa benesifo esifana ne-scoliosis noma abaye balimala kakhulu umhlane besebancane nabo bangase babe nalesi sifo kusenesikhathi.
Ungasithola kanjani lesi sifo?
Uma unezimpawu ezinjengalezi, into yokuqala okufanele uyenze ukubona udokotela ofanelekayo.
1. Ukukhuluma nodokotela: UdokotelaOkokuqala, uzobuzwa ngezimpawu zakho, ukuthi zaqala kanjani, nokuthi ziqala nini ukuba zimbi kakhulu.
2. Ukuhlolwa komzimba: Okulandelayo, uzohlolwa, kubhekwe izindawo ezinobuhlungu emhlane, ukungazweli emilenzeni yakho, kanye namandla emisipha.
3. Ukuhlolwa kwezithombe: Kungase ku-odwe ukuskena ukuqinisekisa ukuxilongwa nokunquma ukuthi isimo sibi kangakanani.
- I-MRI scan : Lokhu kukuvumela ukuthi ubone isimo somgogodla, ama-disc, ama-ligaments, kanye nemizwa esithombeni esicacile kakhulu esinezinhlangothi ezintathu.
- I-CT scan: Lokhu kungasetshenziswa ukubheka isimo somgogodla. Ngezinye izikhathi i-CT myelogram, esebenzisa udayi okhethekile, ingakhomba indawo eqondile yokucindezelwa kwemizwa.
Yiziphi izindlela zokwelapha?
Nakuba kungekho ukwelashwa kwalesi simo, kunezindlela eziningi zokwelapha ezingasiza ukulawula izimpawu, ukunciphisa ubuhlungu, futhi zikusize uphile impilo engcono. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe.
- Imithi: Kunemithi ehlukahlukene etholakalayo yokunciphisa ubuhlungu nokuvuvukala. Udokotela wakho angase akunike imithi yokwelapha izinhlungu ejwayelekile, imithi yobuhlungu bemizwa, kanye nemithi yokuphumula imisipha. Ngezinye izikhathi, umjovo we-corticosteroid endaweni ethintekile unganikeza impumuzo yesikhashana.
- Ukwelashwa ngokomzimba: Lena yindlela yokwelapha ebaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca okufanele wena. Lokhu kuzivocavoca kungaqinisa imisipha yakho yasemhlane neyesisu, kunciphise ingcindezi emgogodleni wakho, futhi kukusize wenze imisebenzi yansuku zonke ngaphandle kobuhlungu obuncane.
- Ukuhlinzwa: Uma zonke ezinye izindlela zokwelapha zehlulekile, ubuhlungu abubekezeleleki, imilenze ibuthakathaka kakhulu ukuba ingahamba, noma isiguli silahlekelwe ukulawula isinyi/amathumbu, udokotela angase atuse ukuhlinzwa. Lokhu kuhilela ukwandisa isikhala lapho inzwa icindezelwa khona. Kunezinhlobo ezahlukene zokuhlinzwa, njenge-"Laminectomy" kanye ne-"Laminoplasty". Njengoba lesi kuyisinqumo esikhulu, kubalulekile ukuxoxa ngezinzuzo nezimbi nodokotela wakho.
Izinguquko okufanele zenziwe ekhaya nasendleleni yokuphila
Ngaphezu kokwelashwa, izinguquko ezincane endleleni yakho yokuphila zingakunikeza impumuzo enkulu.
- Ukuzivocavoca okufanele: Buza udokotela wakho noma uchwepheshe wezokwelapha ukuthi yiziphi izivivinyo ezifanele wena bese uzenza nsuku zonke. Izinto ezifana nokuhamba nokubhukuda zinhle kakhulu.
- Gcina ukuma okuhle: Sukuma uqonde lapho umi futhi uhleli. Uma uphakamisa, goba emadolweni, hhayi ngemuva.
- Ukulawula isisindo: Njengoba isisindo somzimba sikhula, ingcindezi emgogodleni iyanda. Ngakho-ke, ukugcina isisindo esinempilo kubaluleke kakhulu.
- Amadivayisi okusiza: Ngezinye izikhathi, udokotela wakho angase ancome ukusebenzisa i-brace noma i-walker ekhethekile ukuze anciphise ubuhlungu futhi enze ukuhamba kube lula.
- Izinto okufanele uzigweme: Gwema ukuphakamisa izinto ezisindayo, imidlalo ecindezela kakhulu njengokugijima nokugxuma, nokuhlala endaweni efanayo isikhathi eside (isib., phambi kwekhompyutha).
Umlayezo Wokuya Nawe Ekhaya
- I-spinal stenosis yisimo esibangelwa ukucindezelwa kwemizwa ngenxa yokuncishiswa komsele womgogodla.
- Ubuhlungu emhlane noma entanyeni, ukungazweli kanye nobuthakathaka ezingalweni nasemilenzeni, ikakhulukazi lapho uhamba, yizimpawu eziyinhloko.
- Isizathu esiyinhloko salokhu yi-arthritis, eyenzeka ngokuguga.
- Uma uhlangabezana nokulahlekelwa okungazelelwe kokulawula isinyi noma amathumbu kanye nokuba ndikindiki endaweni yezitho zangasese, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Izimpawu zingalawulwa kahle ngemithi, ukwelashwa ngokomzimba, kanye nokushintsha indlela yokuphila. Ukuhlinzwa kuyadingeka kuphela ezimweni ezinzima kakhulu. Khuluma nodokotela wakho nganoma yiziphi izindlela zokwelapha.
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