Ingabe uzizwa ubuhlungu emhlane, ubuhlungu emilenzeni, noma ukungabi namizwa uma umi noma uhamba isikhashana? Ngezinye izikhathi imbangela yalokhu ingase ingabi lula njengoba ucabanga. Namuhla sikhuluma ngesimo esibizwa ngokuthi ' i-spinal stenosis ', esivame kubantu abaningi, kodwa esingaziwa kahle. Uma uzwa lokhu, kungase kuzwakale njengesifo esikhulu, kodwa ungesabi. Ake sixoxe ngalokhu kalula nangokucacile.
Kuyini i-Spinal Stenosis kalula?
Cabanga ngomgogodla wethu njengepayipi. Intambo yomgogodla, inzwa eyinhloko ethwala imiyalezo esuka ebuchosheni bethu iye kuwo wonke umzimba wethu, idlula kule payipi. Le payipi, ipayipi lomgogodla, iqala ukuncipha ngokuhamba kwesikhathi ngenxa yezizathu ezahlukahlukene. Ngokwezokwelapha, lokhu kuncipha komsele womgogodla kubizwa ngokuthi i-spinal stenosis .
Uma isikhala esingaphakathi sincishisiwe ngale ndlela, leyo ntambo yemizwa ebaluleke kakhulu (umgogodla) kanye neminye imizwa ephuma kuyo iqala ukucindezelwa nokucindezelwa. Yilapho izimpawu ezifana nobuhlungu bomhlane, ukungakhululeki emilenzeni, kanye nomuzwa wokuthi imilenze ayilawuleki.
Kunezinhlobo ezimbili eziyinhloko ze-stenosis yomgogodla:
Lesi simo singahlukaniswa sibe izinhlobo ezimbili eziyinhloko kuye ngokuthi sivela kuphi emgogodleni.
- Ukuqina komgogodla wesibeletho : Lokhu kuwukuncipha komsele womgogodla entanyeni yethu.
- I-Lumbar Stenosis: Lokhu kuwukuncishiswa komsele womgogodla engxenyeni yesithathu engezansi yomgogodla. Lolu uhlobo oluvame kakhulu.
Ezimweni eziningi, imbangela eyinhloko yalesi simo yi-osteoarthritis, okuyisifo samalunga esiwohlokayo esenzeka ngokuguga. Njengoba i-cartilage ehlala phakathi kwamathambo ethu iwohloka, amathambo agudlana. Ngenxa yalokho, umzimba udala ama-spurs amasha amathambo. Leli thambo elengeziwe linganciphisa isikhala nakakhulu.
Yiziphi izimpawu ezivamile zalokhu?
Akuwona wonke umuntu othola izimpawu. Kodwa uma zitholakala, ngokuvamile zingaba yizinto ezifana nobuhlungu bomhlane , ukuqina, kanye nokuba ndikindiki. Ake sibheke ukuthi yiziphi ezinye izimpawu ezithile ezingahambisana nalokhu.
| Isibonakaliso | Incazelo |
|---|---|
| I-Sciatica | Ubuhlungu obubukhali obuqala emhlane noma ezinqeni ezingezansi bese buhamba phansi emlenzeni njengokushaqeka kukagesi. |
| Ubunzima bokuhamba (Ukuwa Kwezinyawo) | Ubuhlungu kanye nobuthakathaka emilenzeni, okungenza uzizwe sengathi izinyawo zakho zishaya phansi uma uhamba. Ubuhlungu bungase bube bubi nakakhulu uma umi noma uhamba. |
| Ukulahlekelwa Ukulawulwa Kwesinye/Amathumbu | (Cauda Equina Syndrome) - Lesi yisimo esibi kakhulu. Lesi simo senzeka ngenxa yokucindezelwa okukhulu kwemizwa exhumanisa isinyi namathumbu. Lesi yisimo esiphuthumayo sezokwelapha. Kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. |
| Ukucindezelwa kwezimpande zemizwa (i-Radiculopathy) | Ubuhlungu, ukungazweli, noma ubuthakathaka ezingalweni nasemilenzeni ngenxa yokucindezelwa kwezimpande zemizwa eziphuma emgogodleni. |
| Ukucindezelwa komgogodla (i-Myelopathy) | Ukuba ndikindiki kanye nobuthakathaka ezingalweni nasemilenzeni ngenxa yokucindezelwa komgogodla. |
Yiziphi izimbangela eziyinhloko ze-spinal stenosis?
Njengoba sixoxile ngaphambili, isifo samathambo siyimbangela eyinhloko. Ngaphandle kwalokho, kungaba nezinye izimbangela eziningana.
| Imbangela | Kwenzakalani |
|---|---|
| Amadiski Ane-Herniated | Idiski phakathi kwamathambo omgogodla iyaqhuma, okubangela ukuthi izinto ezifana nejeli ngaphakathi kuwo ziphume futhi zicindezele imizwa. |
| Ukulimala | Ukuphuka noma ukuklwebheka komgogodla ngenxa yengozi. |
| Amathumba | Umdlavuza noma ezinye izinhlobo zezimila ezikhula emgudwini womgogodla. |
| Ama-Ligaments Aqinisiwe | Imisipha exhumanisa amathambo ethu ndawonye iyaqina ngokuhamba kwesikhathi bese iphumela emgodini. |
Yiziphi izinto ezibangela ingozi?
- Ukuba neminyaka engaphezu kwengu-50 ubudala kuyisici esiyinhloko esiyingozi.
- Abesifazane banamathuba amaningi okuthola lesi simo.
- Uma uke wahlinzwa umhlane ngaphambilini.
- Kwabanye abantu, lesi simo singase sikhule besebancane, phakathi kweminyaka engama-30-50, ngenxa yezinkinga ezithile zomgogodla ezizalwa nazo (isb., i-scoliosis ).
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza ngesimo sakho. Ngemuva kwalokho uzokuhlola ngokomzimba. Angase acindezele ezindaweni zomhlane wakho ezibangela ubuhlungu, futhi angase ahlole ukuhamba kwakho nendlela oma ngayo.
Ukuze kuqinisekiswe lesi simo ngokunembile, kufanele kwenziwe izivivinyo zezithombe.
- I-MRI Scan : Lokhu kungathatha isithombe esicacile kakhulu somgogodla esinezinhlangothi ezintathu (3D). Kungabona ngokucacile izinto ezifana nemizwa ecindezelwe, umonakalo wediski, kanye namathumba.
- I-CT Scan: Lokhu futhi kuyindlela ye-X-ray ekhiqiza izithombe ezinobukhulu obuthathu. Ngezinye izikhathi idayi ifakwa emzimbeni. Lokhu kungasiza ekutholeni izinkinga hhayi emathanjeni kuphela kodwa nasezicutshini ezithambile.
Yiziphi izindlela zokwelapha lokhu?
Into yokuqala nebaluleke kakhulu okufanele uyisho ukuthi ayikakabi khona ikhambi le-spinal stenosis.Kodwa-ke, kunezindlela eziningi zokwelapha ezingasiza ukulawula izimpawu, ukunciphisa ubuhlungu, futhi zikusize uphile impilo evamile. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe.
- Iziqeda-zinhlungu: Uma uzwa ubuhlungu obujwayelekile, ungasebenzisa imithi yesikhashana efana ne-paracetamol ne-ibuprofen. Uma uzwa ubuhlungu besikhathi eside, udokotela wakho angase ancome imithi ethile yokucindezeleka kanye neminye imithi yobuhlungu bemizwa.
- Imijovo ye-Corticosteroid: I-steroid ifakwa ngqo endaweni yobuhlungu nokuvuvukala. Lokhu kunikeza impumuzo esheshayo ebuhlungwini, kodwa akwenzeki njalo ngenxa yemiphumela emibi.
- Ukwelashwa Komzimba: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzoklama uchungechunge lwezivivinyo ezifanele wena. Lokhu kuzivocavoca kungaqinisa umhlane wakho kanye nemisipha yesisu futhi kunciphise ingcindezi emgogodleni wakho.
- Ukuhlinzwa: Ukuhlinzwa kubhekwa ezimweni ezimbi kakhulu, njengalapho kungekho okunye ukwelashwa okuye kwasiza, lapho kunzima ukuhamba, noma lapho kulahlekelwa ukulawula umchamo. Kunezinhlobo eziningana zokuhlinzwa (isb., i-Laminectomy) ezidala isikhala lapho inzwa icindezelwa khona. Ukuhlinzwa kuyindlela yokugcina. Kufanele uxoxe ngakho nodokotela wakho ngaphambi kokwenza isinqumo.
Izinto ongazenza ekhaya nezinto okufanele uzigweme
Kanye nokwelashwa okuhlinzekwa udokotela wakho, ungathola impumuzo enkulu ezinguqukweni ezincane endleleni yakho yokuphila.
- Ukuzivocavoca: Ngemvume kadokotela wakho, vivinya umzimba kancane njengokuhamba nokubhukuda.
- Ukucindezela okushisayo nokubandayo: Ukucindezela okushisayo kukhulula imisipha. Amaphakethe eqhwa anciphisa ukuvuvukala. Bheka ukuthi iyiphi indlela ekunika impumuzo.
- Ukuma okuhle: Sukuma uqonde lapho umi futhi uhleli. Uma uphakamisa into esindayo, goba emadolweni, hhayi ngemuva.
- Yehlisa isisindo: Ukukhuluphala ngokweqile kubeka ingcindezi eyengeziwe emhlane wakho. Ukwehlisa isisindo kancane kunganciphisa kakhulu ubuhlungu.
- Gwema ukubhema: Ukubhema kuyingozi kakhulu empilweni yomgogodla.
Umlayezo Wokuya Nawe Ekhaya
- I-stenosis yomgogodla ukuncipha kwesikhala ngaphakathi komgogodla. Lokhu kungabangela ukucindezelwa kwemizwa, ubuhlungu, kanye nokungazweli.
- Ukuguga kanye nesifo samathambo yizona zimbangela eziyinhloko, kodwa kungenzeka nakubantu abasebasha.
- Ubuhlungu emhlane, ubuhlungu obuvela emilenzeni (sciatica), kanye nobunzima bokuhamba kuyizimpawu ezivamile.
- Uma ulahlekelwa ukulawula umchamo noma indle yakho ngokuzumayo, kuyisimo esiphuthumayo sezokwelapha . Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Nakuba lesi simo singelapheki ngokuphelele, izimpawu zingalawulwa kahle ngemithi, ukwelashwa ngokomzimba, kanye nokushintsha indlela yokuphila. Landela njalo imiyalelo kadokotela wakho.
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