Ingabe uzwa ukungakhululeki ezingalweni nasemilenzeni yakho kanye nobuhlungu emhlane nasentanyeni? Ake sifunde nge-Spinal Stenosis!

Ingabe ngezinye izikhathi uzwa umuzwa wokuqaqamba oqala emhlane wakho bese wehla ngemilenze yakho? Ingabe imilenze yakho izwa sengathi ayizwakali kahle uma uhamba ibanga elifushane? Noma uzwa sengathi ayizwakali kahle ezingalweni zakho kanye nobuhlungu bentamo? Ungase ucabange ukuthi lezi yizinkinga zomzimba nje, kodwa mhlawumbe imbangela inkinga emgogodleni wakho. Namuhla sikhuluma nge-Spinal Stenosis, isimo esibangela ubuhlungu emgogodleni.

Kuyini i-Spinal Stenosis?

Kalula nje, i-Spinal Stenosis ukuncishiswa komsele womgogodla, isikhala esifana nethubhu lapho intambo yomgogodla kanye nemizwa kudlula khona emgogodleni wethu. Cabanga ukuthi lapho ukungcola kubhajwa epayipini lamanzi, isikhala sokugeleza kwamanzi siyancishiswa.

Uma lesi sikhala siba sincane , imizwa engaphakathi iqala ukucindezelwa nokucindezelwa. Yilapho-ke siqala ukuzwa izimpawu ezifana nobuhlungu kanye nokungazweli. Lesi simo sivame ukuthinta izindawo ezimbili eziyinhloko zomgogodla:

• I-Lumbar Spinal Stenosis: Ivela emathanjeni amahlanu (L1-L5) phansi komgogodla wethu.
• I-Cervical Spinal Stenosis: Ivela emathanjeni ayisikhombisa entanyeni yethu (C1-C7).

Lesi simo asivamile kakhulu ukwenzeka engxenyeni ephakathi yomgogodla (i-Thoracic Spine).

Sivame kangakanani lesi simo?

Empeleni lesi yisimo esivame kakhulu kunalokho ongakucabanga. Ikakhulukazi ngemva kweminyaka engu-50, abantu abaningi babhekana nezinguquko ezithile kanye nokukhubazeka emgogodleni wabo. I-stenosis yomgogodla ingenye inguquko evamile eyenzeka ngokuguga. Iningi labantu abangaphezu kweminyaka engu-65 abahlinzwa umgogodla babangelwa yilesi simo.

Ziyini izimpawu ze-Spinal Stenosis?

Izimpawu ze-spinal stenosis azifani kuwo wonke umuntu. Kuya ngokuthi imizwa icindezelwe kuphi emgogodleni, nokuthi icindezelwe kangakanani. Abanye abantu bangase bangabi nazimpawu ekuqaleni, yize bebona isimo ku-X-ray.

Ake sibone ukuthi izici zishintsha kanjani ezingxenyeni ezimbili eziyinhloko.

Kungani kwenzeka i-stenosis yomgogodla?

Izimbangela ze-spinal stenosis zingahlukaniswa ngezigaba ezimbili eziyinhloko.

Izimbangela Ezitholiwe

Lesi yisimo esivame kakhulu. Senzeka ngemva kokuzalwa, ngokuvamile ngemva kweminyaka engu-50, ngenxa "yokuguguleka" okwenzeka emgogodleni wethu.

• Ukukhula Kwamathambo: Njengoba siguga, amalunga ethu ayawohloka, okubizwa ngokuthi i-Osteoarthritis. Lapho amalunga omgogodla ewohloka, umzimba udala izakhiwo ezintsha ezifana namathambo ukuze zithathe indawo yawo. Sibiza lawa ma-bone spurs ngokuthi. Lawa ma-bone spurs amasha akhula abe yindawo lapho imizwa idlula khona, okunciphisa isikhala.
• Ama-Disk Avuvukele noma Ane-Herniated: I-disc efana ne-jelly ephakathi kwamathambo amabili omgogodla ingaguga, ivuvuke, futhi icindezele imizwa.
• Ama-Ligament Aqinile: Njengoba sikhula, ama-ligament, afana nama-band abambe umgogodla ndawonye, ​​angajiya futhi agobe ngaphakathi, anciphise isikhala.
• Ukuphuka Komgogodla Nokulimala: Uma ithambo lomgogodla liphuka noma liwa, njengasengozini, isikhala singaba sincane.
• Ama-Cyst noma ama-Tumors omgogodla: Akuvamile kakhulu, lesi simo singabangelwa nangama-tumors akheka eduze komgogodla.

Izimbangela Zokuzalwa

Lokhu akuvamile kakhulu. Kusho ukuthi lapho umuntu ezalwa, indlela yezinzwa emgogodleni wakhe incane kunokujwayelekile. Lokhu kungabangelwa yizimo zofuzo ezifana ne-achondroplasia.

Udokotela ukuthola kanjani lokhu?

Uma uya kudokotela onalezi zimpawu, uzolandela lezi zinyathelo.

1. Ukubuza ngezimpawu: Okokuqala, bazobuza ngokucophelela ukuthi ubuhlungu bunjani, ukuthi sebunesikhathi esingakanani bukhona, nokuthi yini eyenza bube bubi nakakhulu.

2. Ukuhlolwa komzimba: Ngemuva kwalokho uzohlolwa. Uzocelwa ukuthi ubheke umhlane wakho, ugobe phambili, emuva, futhi ubheke eceleni.

3. Ukuhlolwa Kwezithombe: Ungabe usucelwa ukuthi wenze izivivinyo eziningana ukuqinisekisa lokhu.

• I-X-ray: I-X-ray ingahlola izinguquko emathanjeni, ukuthi ukuphakama kwediski kwehlile yini, nokuthi ngabe kukhona yini ama-bone spurs.
• I-MRI Scan: Yilokhu okukuvumela ukuthi ubone izinto ezifana nezinzwa, ama-disc, kanye nentambo yomgogodla ngokucacile. Yilokhu okukusiza ukuthi uthole ukuthi zicindezelwe kuphi nokuthi zingakanani.
• I-CT Scan: Ngezinye izikhathi ungase ucelwe ukuthi wenze i-CT Scan. Ngezinye izikhathi i-CT Myelogram ingenziwa ngoketshezi olukhethekile (udayi wokungafani) olufakwe endaweni. Lokhu kuvumela imizwa ukuthi ibonakale ngokucacile.

Yiziphi izindlela zokwelapha?

Ukwelashwa Okungahlinzwa

Abantu abaningi bangazuza kulezi zindlela zokwelapha.

• Izinto ongazenza ekhaya:
• Ukushisa: Ukushisa, njengokusebenzisa ibhodlela lamanzi ashisayo, endaweni ebuhlungu kungaphumuza imisipha futhi kunciphise ubuhlungu.
• Ukucindezela Okubandayo: Ngezinye izikhathi, uma kukhona ukuvuvukala, kufanelekile ukufaka iphakethe leqhwa.
• Ukuzivocavoca: Lokhu kuyinto okufanele nakanjani ubuze udokotela wakho noma uchwepheshe wezokwelapha umzimba ngayo. Ukuzivocavoca okufanele kungaqinisa imisipha ezungeze umhlane wakho futhi kunciphise ubuhlungu.

• Ukwelashwa kwezokwelapha:
• Imithi: Udokotela wakho cishe uzokunikeza imithi yokwelapha izinhlungu kanye nemithi yokulwa nokuvuvukala (ama-NSAID). Angase futhi akunike imithi eqondene ngqo nobuhlungu bemizwa (isib. i-Gabapentin).
• Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu. Udokotela wezokwelapha umzimba uzokufundisa ukuzivocavoca okuzoqinisa umhlane wakho, kwandise ukuguquguquka kwakho, futhi akufundise nendlela yokuhamba ngendlela enciphisa ukucindezelwa kwemizwa.
• Imijovo Yama-steroid: Uma ubuhlungu nokuvuvukala kukhulu, udokotela wakho angase anqume ukujova endaweni lapho inzwa icindezelwe khona. Lokhu kunganikeza impumuzo yesikhashana.

Ukuhlinzwa

Ukuhlinzwa kwenziwa ukuze kuncishiswe ingcindezi emthanjeni. I-laminectomy uhlobo oluvamile lokuhlinzwa. Kuhilela ukususa ingxenye yethambo evimba umthambo futhi idale isikhala. Ngezinye izikhathi, uma kukhona ukungazinzile emgogodleni, ukuhlinzwa kokuhlanganiswa komgogodla kungenziwa ukuze kuhlanganiswe amathambo amabili.

Ingabe lesi simo singavinjelwa?

Akunakwenzeka ukuvimbela lokhu ngokuphelele njengoba ukuguga kungenakuvinjelwa. Kodwa-ke, ngokulandela imikhuba ethile yokugcina umgogodla wethu uphilile, singanciphisa ingozi yokuthi lokhu kwenzeke futhi silawule ukuwohloka kwalesi simo.

• Yidla ukudla okunempilo . Yidla ukudla okucebile nge-calcium ukuze uqinise amathambo.
• Gcina isisindo somzimba wakho siphilile . Njengoba ukhuluphala, ingcindezi emhlane wakho iyakhula.
• Gwema ukubhema.
• Gcina ukuma okufanele. Gcina umhlane wakho uqondile lapho uhleli futhi uphakamisa izinsimbi.
• Vivinya umzimba njalo. Ukuzivocavoca okuqinisa umhlane wakho kanye nemisipha yomzimba kubaluleke kakhulu.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nezimpawu ezintsha njengobuhlungu bomhlane noma bentamo , ukungazweli ezingalweni noma emilenzeni, ubuthakathaka, noma ubunzima bokulawula umchamo noma indle yakho , ungakushayi indiva bese ubona udokotela ngokushesha. Lokhu kungaba izimpawu zesimo esibucayi.

Uma usuvele uthola ukwelashwa, kodwa ubuhlungu bunganciphi, khuluma nodokotela wakho ngalokho. Angabe esenquma ezinye izindlela zokwelapha.