Ingabe uzithola ugoba phambili uma ume isikhathi eside noma uhamba ibanga elifushane ngenxa yobuhlungu bomhlane? Noma unomuzwa wokucasuka noma ubuhlungu obuvela entanyeni yakho buyehla ezingalweni zakho? Abantu abaningi bacabanga ukuthi lokhu kuyingxenye evamile yokuguga, kodwa ngezinye izikhathi kubangelwa ukucinana komthambo emgogodleni. Kwezokwelapha, lokhu sikubiza ngokuthi i-spinal stenosis. Ungakhathazeki, namuhla sizoxoxa ngakho konke ngamagama alula.
Kuyini i-Spinal Stenosis?
Kalula nje, i-spinal stenosis iwukuncishiswa kwesikhala ngaphakathi komgogodla wethu. Cabanga ngomgogodla wethu njengochungechunge lwamasongo (abizwa ngokuthi ama-vertebrae) abekwe phezu komunye nomunye. Indandatho ngayinye inesikhala phakathi, njengomhubhe. Lo mhubhe ubizwa ngokuthi umhubhe womgogodla . Umhubhe womgogodla, ingxenye ebaluleke kakhulu yomzimba wethu, kanye nemizwa ephuma kuwo, ihamba kulo mhubhe.
Manje cabanga ngakho, kwenzekani uma lo mhubhe uncipha ngesizathu esithile? Njengoba nje lapho ipayipi lamanzi livalekile, isikhala sokugeleza kwamanzi siyancipha, lapho lo mhubhe womgogodla uncipha, asikho isikhala esanele somgogodla kanye nemizwa ngaphakathi. Bese leyo mizwa iqala ukucindezelwa, ukucindezelwa, nokucindezelwa. Kungenxa yalokho kucindezelwa lapho sithola izimpawu ezifana nobuhlungu bomhlane kanye nobuhlungu obuwela emilenzeni (sciatica).
Nakuba lesi simo singaba khona kunoma yimuphi ubudala, sivame kakhulu kubantu abangaphezu kweminyaka engu-50 .
Yiziphi izingxenye zomgogodla ezithinteka kakhulu yilesi simo?
Lokhu kucindezelwa kwemizwa kuvame ukubonakala ezindaweni ezimbili emgogodleni:
- I-Lumbar Spinal Stenosis: Isimo esenzeka ema-vertebrae amahlanu aphansi (L1-L5) omgogodla wethu. Lolu uhlobo oluvame kakhulu lobuhlungu bomhlane.
- I-Cervical Spinal Stenosis: Lesi simo singase senzeke emathanjeni ayisikhombisa (C1-C7) entanyeni yethu.
Ngaphezu kwalokhu okubili, lesi simo singase senzeke naphakathi komgogodla, okungukuthi, ezingeni lomgogodla wesifuba. Kodwa-ke, akuvamile kakhulu.
Ziyini izimpawu zalokhu?
I-stenosis yomgogodla ivame ukukhula kancane ngokuhamba kwesikhathi. Ngakho-ke, noma ingabonakala ku-X-ray, ungase ungabi nazimpawu ezigabeni zokuqala. Izimpawu zingahluka kumuntu nomuntu. Ngezinye izinsuku kungaba kubi kakhulu, kanti ezinye zingaba ngcono.
Ngokuvamile, kuye ngokuthi inzwa icindezelwe kuphi, ungase uzizwe izinto ezinjengalezi entanyeni yakho, emhlane, ezingalweni, emilenzeni, ezintendeni zezandla, noma ezinyaweni zezinyawo zakho:
- Ubuhlungu
- Ukuba ndikindiki
- Okufana nombani(Ukukhazimula / "izikhonkwane nezinaliti")
- Ubuthakathaka
Ake sibone ukuthi izimpawu zihluka kanjani ezimweni zokuqina komgogodla kanye nentamo.
| Uhlobo lwesibonakaliso | Incazelo |
|---|---|
| Izimpawu ze-Lumbar Spinal Stenosis | |
| Ukuhlungu obusemhlane | Ubuhlungu emhlane ongezansi. |
| Ubuhlungu obuhamba phansi emilenzeni | Ubuhlungu obuqala ezinqeni bese buhamba phansi emlenzeni, ngezinye izikhathi buze bufike ematheni onyawo. |
| Ubunzima kanye nokuqaqamba emilenzeni | Ukuzwa isisindo emilenzeni, ukuzizwa sengathi imilenze yakho iyaphela amandla ngemva kokuhamba isikhashana, kanye nokuqaqamba. |
| Ukuba ndikindiki | Ukuluma noma umuzwa wezintuthwane zigijima ezinqeni, emilenzeni, noma ezinyaweni. |
| Ubuhlungu buyanda futhi buyancipha | Ubuhlungu buyanda uma ume isikhathi eside, uhamba, noma wehla entabeni. Ubuhlungu buyancipha uma ugoba phambili, uhleli esihlalweni, noma ukhuphuka izitebhisi/amagquma. (Isibonelo, ukugoba phambili, njengalapho ucindezela inqola esitolo esikhulu, kunciphisa ubuhlungu bomhlane.) |
| Izimpawu ze-Cervical Spinal Stenosis | |
| Ubuhlungu bentamo | Ubuhlungu bentamo. |
| Ukuba ndikindiki nobuthakathaka | Ukuzwa ukuqaqamba noma ubuthakathaka ezingalweni, ezandleni, emilenzeni, noma ezinyaweni. |
| Izinkinga ngokulinganisela komzimba | Ubunzima bokugcina ibhalansi ngenkathi uhamba. |
| Izinkinga ngamakhono amahle okunyakaza kwezandla | Ubunzima bokwenza imisebenzi emihle njengokubhala ngesandla, ukunamathisela izinkinobho zehembe, noma ukubamba indebe. |
Kungani kwenzeka i-stenosis yomgogodla?
Kunezinhlobo ezimbili eziyinhloko zezizathu zalokhu.
1. Izimbangela Ezitholakalayo: Lena yimbangela evame kakhulu. Lesi simo senzeka ngenxa yezinguquko emzimbeni wethu ("ukuguguleka") ezenzeka ngokuhamba kweminyaka.
2. Izimbangela zokuzalwa: Abanye abantu bazalwa benomsele womgogodla onciphile. Lokhu akuvamile neze.
Izimbangela eziyinhloko ezenzeka ngokuguga (Izimbangela Ezitholakalayo)
- Ukukhula Kwamathambo: Njengoba sikhula, amalunga ethu ayawohloka. Lokhu kubizwa ngokuthi i-osteoarthritis. Lapho amalunga emgogodleni ewohloka, umzimba usabela ngokukhulisa amathambo amasha. Lawa ma-spurs amasha angakhula aye emgudwini womgogodla futhi acindezele imizwa.
- Ama-disc avuvukele noma aqhekekile: Phakathi kwe-vertebra ngayinye emgogodleni wethu, kukhona umcamelo ofana nejeli. Sibiza la ma-disc ngokuthi. Njengoba sikhula, la ma-disc aba omile, abe yisicaba, futhi angaba nemifantu ezindongeni zawo. Khona-ke ingxenye efana nejeli ngaphakathi ingavuvukala (i-disc evuvukele noma i-herniated) bese icindezela imizwa.
- Ukujiya kwemisipha: Imisipha iyizakhiwo ezifana nebhande ezixhumanisa umgogodla wethu. Ngenxa yezimo ezifana ne-arthritis, le misipha ingajiya ngokuhamba kwesikhathi futhi iqhume ingene emgudwini womgogodla, okunciphisa isikhala sezinzwa.
- Ukulimala emgogodleni: Lo msele ungancipha ngenxa yengozi efana nokuphuka noma ukuklwebheka emgogodleni.
- Izimila: Akuvamile kakhulu ukuthi isimila esisemgogodleni noma esizungezile singabangela ukucindezelwa kwemizwa.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba. Uzogoba umgogodla wakho ngezindlela ezahlukene futhi anake indlela ubuhlungu obuvela ngayo.
Ngaphezu kwalokho, singancoma ukuhlolwa okuningana ukuze kutholakale inkinga:
- I-X-ray yomgogodla: Lokhu kungabona izinguquko emathanjeni, ukulahleka kokuphakama kwediski, kanye nokuqhekeka kwamathambo.
- I-MRI scan (Magnetic Resonance Imaging): Lena yindlela engcono kakhulu yokubona ngokucacile izinto ezibucayi njengezinzwa, ama-disc, kanye nentambo yomgogodla.
- I-CT scan (i-Computed Tomography): Lolu uhlobo lokuhlola olunikeza izithombe ezinemininingwane eminingi kune-X-ray. Ngezinye izikhathi i-CT myelogram, esebenzisa uketshezi olukhethekile (udayi wokungafani), nayo ingenziwa.
Yiziphi izindlela zokwelapha lokhu?
Uma abantu bezwa leli gama, bavame ukucabanga, "O, kuzomele ngihlinzwe?" Kodwa akubona bonke abantu abane-spinal stenosis abadinga ukuhlinzwa. Abantu abaningi bangaba ngcono ngokwelashwa okungadingi ukuhlinzwa. Ukwelashwa okungcono kakhulu kuzoncika ebunzimeni bezimpawu zakho, indawo yenkinga, kanye nembangela.
| Indlela yokwelapha | Incazelo |
|---|---|
| Ukwelashwa Okungahlinzwa | |
| Izinto ongazenza ekhaya | Amaphakethe okushisa/okubandayo, izivivinyo ezifanele njengoba kuqondiswe udokotela. |
| Imithi | Ama-NSAID okunciphisa ubuhlungu nokuvuvukala. Ngezinye izikhathi imithi efana ne-gabapentin yobuhlungu bemizwa. Kodwa khumbula, kufanele ubuze udokotela wakho njalo ngaphambi kokusebenzisa noma yimuphi umuthi. |
| Ukwelashwa Komzimba | Nikeza ukwesekwa okuhle emgogodleni ngokuzivocavoca okuqinisa imisipha yangemuva neyesisu. Prakthiza izindlela zokuhamba ezinciphisa ingcindezi emizweni. |
| Imijovo ye-steroid | Imijovo enikezwa ukunciphisa ukuvuvukala nobuhlungu obuzungeze inzwa ecindezelwe. |
| Ukuhlinzwa | |
| Kunconywa nini ukuhlinzwa? | Ukuhlinzwa kucatshangelwa kuphela uma zonke ezinye izindlela zokwelapha zehlulekile futhi izimpawu zinzima kakhulu. |
| Izinhlobo eziyinhloko zokuhlinzwa | Ukususwa kwe-Laminectomy: Ukususwa kwengxenye ye-vertebra ukuze kunikezwe isikhala esengeziwe sezinzwa. Ukuhlanganiswa Komgogodla: Uma umgogodla ungazinzile, kuhlanganiswa amathambo amabili. Lokhu kubhekwa njengendlela yokugcina yokwelapha. |
Ingabe zikhona izindlela zokugwema lesi simo?
Nakuba singenakuyimisa ngokuphelele inqubo yokuguga, kunezinto ezithile esingazenza ukuze sigcine umgogodla wethu uphilile. Lokhu kungasiza ekunciphiseni ingozi ye-spinal stenosis noma ukulawula ukuqhubeka kwawo.
- Ukudla okunempilo: Yidla ukudla okucebile nge-calcium ukuze ugcine amathambo eqinile.
- Ukugcina isisindo esinempilo: Njengoba isisindo somzimba sikhula, ingcindezi emgogodleni iyanda.
- Gwema ukubhema: Ukubhema konakalisa imithambo yegazi yethu, okungandisa ubuhlungu emhlane.
- Ukugcina ukuma okufanele: Kubaluleke kakhulu ukugcina umhlane wakho uqondile lapho uhleli, umile, futhi uphakamisa izinsimbi.
- Ukuzivocavoca okuvamile: Ukuzivocavoca okuqinisa imisipha yangemuva neyengaphakathi, ikakhulukazi imisipha yesisu, kungasiza ukugcina umgogodla uphilile.
Kufanele ngimbone nini udokotela?
Uma unezinhlungu ezintsha emhlane noma entanyeni, kanye nokuba ndikindiki noma ubuthakathaka ezingalweni noma emilenzeni yakho, qiniseka ukuthi ubona udokotela. Uma usuvele uthatha imithi yokwelapha futhi ayisizi, bona udokotela wakho ukuze uxoxe ngezinye izindlela.
Isimo esiphuthumayo!
Uma uzizwa ungasakwazi ukuzibamba, noma uma uzizwa sengathi imilenze yomibili iyaphela amandla, kuyisimo esiphuthumayo. Esimweni esinjalo , hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
Ubuhlungu bomhlane nentamo bungaba yisithiyo esikhulu empilweni yethu yansuku zonke. Kodwa izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha eziphumelelayo. Ngakho-ke esikhundleni sokungazinaki izimpawu, khuluma nodokotela wakho ukuze uthole ikhambi elikusebenzela kangcono.
Umlayezo Wokuya Nawe Ekhaya
- I-stenosis yomgogodla ukuncishiswa komsele womgogodla okwenzeka ngokuguga.
- Izimpawu eziyinhloko ubuhlungu, ukungazweli, kanye nobuthakathaka emhlane, entanyeni, ezingalweni, noma emilenzeni.
- Ezimweni ze-stenosis emhlane ongezansi, uphawu oluvamile ukuthi ubuhlungu buyancipha uma ugoba phambili.
- Abantu abaningi bangazuza imiphumela emihle ngokwelashwa okungadingi ukuhlinzwa, njengokuzivocavoca umzimba, ukwelashwa ngokomzimba, kanye nemithi.
- Ukuhlinzwa kuyadingeka kuphela ezimweni ezimbi kakhulu ezingasabelanga kwezinye izindlela zokwelapha.
- Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okufanele kanye nokwelashwa.
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