Ube nobuhlungu emhlane isikhathi eside? Ingabe lobu buhlungu ngezinye izikhathi buya ngokuya buba bubi ebusuku? Sivame ukucabanga ukuthi lolu hlobo lobuhlungu luvamile ngenxa yokukhathala kanye nokuma kabi. Kodwa ngezinye izikhathi, kungaba nesizathu esingathi sína ngemuva kwalokho. Namuhla sizokhuluma ngesihloko esingathi sína kancane, kodwa sonke okufanele siqaphele. Okungukuthi, izimila ezikhula emgogodleni, noma emgogodleni, noma 'emathunjini omgogodla'.
Kalula nje, iyini isimila somgogodla?
Isimila somgogodla ukukhula okungajwayelekile kwamaseli akha ngaphakathi noma eduze komgogodla wakho noma intambo yomgogodla. Njengoba nje izimila zingakheka kwezinye izingxenye zomzimba wethu.
Ukuze sikuqonde lokhu kakhudlwana, ake sibheke umgogodla wethu.
- Umgogodla/Umgogodla: Lesi yisakhiwo esifana nombhoshongo esakhiwe ngamathambo axhumene (ama-vertebrae) aqala ekhanda lethu aye ezinqeni zethu. Yilokho okunikeza imizimba yethu amandla okuma iqonde.
- Intambo Yomgogodla: Lena yingxenye yobuchopho bethu efana nentambo egeleza isuka ebuchosheni bethu futhi yakhiwe ngenani elikhulu lemicu yezinzwa. Ivikelwe yintambo yomgogodla esikhulume ngayo ekuqaleni. Yile ntambo yomgogodla lapho imiyalezo ithwalwa khona isuka ebuchosheni iye kuwo wonke umzimba, futhi imiyalezo ithwalwa isuka emzimbeni iye ebuchosheni.
Manje usuyaqonda ukuthi lezi zingxenye ezimbili zibaluleke kangakanani, akunjalo? Ngakho-ke uma isimila sikhula endaweni ebaluleke kangaka, kuyinto okufanele uyikhathalele.
Lezi zimila zingaba yingozi noma zibe yingozi . Kodwa-ke, akukuhle ukucabanga nje ukuthi azinawo umdlavuza. Ngoba, ngisho nezinye izimila ezingezona umdlavuza zingakhula zibe zikhulu futhi zicindezele umgogodla noma imizwa, okubangela izinkinga ezinkulu.
Kunezindlela ezimbili ezakha ngazo lezi zimila.
Kunezindlela ezimbili eziyinhloko ezakha ngazo izimila zomgogodla. Ukuqonda lokhu kubaluleke kakhulu ekwelapheni.
1. Izimila Eziyinhloko Zomgogodla: Lezi izimila eziqala ukukhula emgogodleni. Lokhu kusho ukuthi isimila siqala emgogodleni. Lezi azivamile.
2. Ama-Metastatic noma ama-Secondary Spinal Tumors: Lolu uhlobo oluvame kakhulu. Okwenzekayo lapha ukuthi amangqamuzana omdlavuza aqale kwenye indawo emzimbeni (isibonelo, iphaphu, ibele, i-prostate) ahamba ngegazi bese ehlala emgogodleni, lapho akhula khona abe yi-tumor.
Kalula nje, izimila eziningi ezitholakala emgogodleni empeleni akuzona lezo eziqale emgogodleni, kodwa kunalokho umdlavuza osusabalale usuka kwenye indawo emzimbeni.
Uzihlukanisa kanjani izimila zomgogodla?
Odokotela bahlukanisa lezi zimila zibe izinhlobo eziningana. Lokhu kwenza kube lula ukuqonda lesi sifo ngokunembile nokunquma ukwelashwa okungcono kakhulu.
Kuye ngendawo emgogodleni
Umgogodla wethu uhlukaniswe ngezigaba eziningana. Uphinde uhlukaniswe ngokuya ngokuthi isimila sikuphi.
| Indawo yomgogodla | Kalula nje, |
|---|---|
| Umgogodla womlomo wesibeletho | Indawo yentamo |
| Isifuba | Ezingeni lesifuba, phakathi nomhlane |
| Umgogodla we-Lumbar (Lumbar) | Umhlane ophansi |
| I-Sacrum | Ingxenye ephansi kakhulu yomgogodla, phakathi kwamathambo enqulu |
Lezi zimila zivame ukubonakala ezindaweni zesifuba kanye ne-lumbar.
Kuye ngendawo okuyo eceleni komgogodla
Lokhu kujule kancane, kodwa kubalulekile ukukuqonda.
- I-Intramedullary: Lezi zimila zikhula ngaphakathi komgogodla ngokwawo. Lezi azivamile.
- I-intradural-extramedullary: Kukhona isembozo esincane esifana ne-membrane (dura) esizungeze intambo yomgogodla . Lawa mathumba akhula ngaphakathi kwaleso sembozo, kodwa ngaphandle kwentambo yomgogodla.
- I-Extradural: Lokhu kuvela ngaphandle kwentambo yomgogodla . Okusho ukuthi, emathanjeni omgogodla (ama-vertebrae). Iningi lezimila zomgogodla lingelalolu hlobo.
Ubuhlungu bomhlane luwuphawu oluyinhloko!
Izimpawu zezimila zomgogodla zincike ezintweni eziningi. Indawo, ubukhulu, kanye nohlobo lwesimila kungathinta lokhu. Amanye amathumba amancane angase angakhombisi nhlobo izimpawu. Kodwa-ke, izimpawu zingase zivele lapho isimila sikhula futhi siqala ukucindezela imizwa eseduze.
Naka ngokukhethekile lezi zimpawu:
| Isibonakaliso | Incazelo yaso |
|---|---|
| Ukuhlungu obusemhlane | Lolu uphawu oluvame kakhulu . Lobuhlungu buhlukile ebuhlungwini obuvamile bomhlane. Uma ubuhlungu bukhula, ikakhulukazi ebusuku , kuyinto okufanele uyikhathalele. Ubuhlungu bungase bukhule lapho uthimula, ukhwehlela, noma uvivinya umzimba. Lobuhlungu bungase bungaqedwa yimithi yokwelapha ubuhlungu evamile. |
| Ubuhlungu obukhulu | Ungase uzwe ubuhlungu obukhulu obuhamba kusukela emhlane wakho kuya ezinqeni, emilenzeni nasezingalweni. Kungase kuzwakale sengathi othile ukugwaza ngommese. |
| Ukuba ndikindiki nokulahlekelwa umuzwa | Ukuba ndikindiki ezindaweni ezifana nezandla, izinyawo, nesifuba, noma ukulahlekelwa umuzwa wokuthinta, ukushisa, noma ukubanda kulezo zindawo. |
| Ubuthakathaka bemisipha | Ulahlekelwa amandla ezithweni zakho. Unenkinga yokuhamba, awukwazi ukuphakamisa izinto, futhi ungase uwe njalo ngenkathi uhamba. |
| Ukulahlekelwa ukulawula amathumbu kanye nesinye | Ungase ube nokungakwazi ukuzibamba, okuwuphawu olubi kakhulu. |
| Ushintsho esimweni somgogodla | Amanye amathumba amakhulu angabangela izimo ezifana ne-scoliosis. |
Into ebaluleke kakhulu ukuthi uma unezinhlungu zomhlane ezingapheli ezingathuthuki ngokwelashwa okuvamile, ikakhulukazi ebusuku, kufanele nakanjani ubone udokotela . Lokhu kubaluleke kakhulu uma wake waba nomdlavuza esikhathini esidlule.
Ungasithola kanjani lesi sifo? (Ukuxilongwa)
Uma uya kudokotela, uzolalela ngokucophelela izimpawu zakho. Ngemuva kwalokho uzokuhlola. Uzokwenza ukuhlolwa kwezinzwa, okuzohlola amandla emisipha yakho, imizwa, kanye nokusabela komzimba.
Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuqinisekisa ukuxilongwa:
- Ukuhlolwa Kwezithombe (ukuskena):
- I-MRI scan: Lena yindlela engcono kakhulu nenembile yokuthola isimila somgogodla. I-MRI ingaveza izithombe ezicacile zomgogodla, imizwa, nezicubu ezizungezile.
- I-CT scan: Lokhu kungakunikeza ukuqonda okungcono ngesimo samathambo omgogodla.
- I-X-ray: Ngezinye izikhathi i-X-ray ingenziwa njengokuhlolwa kokuqala.
- I-Biopsy: Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu ezivela esimila bese uyihlola ngaphansi kwe-microscope. Yilokhu okunquma ngqo ukuthi isimila sinomdlavuza noma cha, nokuthi siluhlobo luni.
- Ukuskena Kwamathambo: Lokhu kuhlolwa kungenziwa uma kukhona okusolakala ukuthi umdlavuza ususakazekele emathanjeni usuka kwenye indawo emzimbeni.
- Ukuhlolwa Kwegazi: Ezinye izinhlobo zomdlavuza zingabangela ushintsho emazingeni ezinto ezithile egazini (isib. i-calcium). Ukuhlolwa kwegazi kungasiza futhi ekuhloleni lokhu.
Yiziphi izindlela zokwelapha?
Uhlelo lokwelashwa luzohluka kumuntu nomuntu. Kuya ngohlobo, usayizi, indawo yesimila, kanye nempilo yakho iyonke. Imigomo eyinhloko yokwelashwa yile:
- Ukunciphisa ubuhlungu.
- Ukuvikela noma ukuthuthukisa ukusebenza komgogodla kanye nemizwa.
- Ukwandisa izinga lokuphila kanye nempilo.
Ithimba lodokotela abavela kochwepheshe abahlukahlukene livame ukuhlangana ukuze lithole ukwelashwa.
Kunezindlela eziningana zokwelapha eziyinhloko:
1. Ukuhlinzwa: Noma nini lapho kungenzeka, ikakhulukazi uma isimila sicindezela imizwa, kwenziwa ukuhlinzwa ukuze kususwe sonke noma ingxenye yaso. Amanye amathumba angewona umdlavuza angelapheka uma esusiwe ngokuphelele. Kodwa-ke, amanye amathumba atholakala ngaphakathi komgogodla kunzima ukuwasusa ngokuphelele ngaphandle kokulimaza imizwa.
2. Ukwelashwa Ngemisebe:Lokhu kuhilela ukusebenzisa imisebe enamandla aphezulu (njenge-X-ray) ukubhubhisa amangqamuzana omdlavuza noma ukunciphisa isimila. Lapho isimila sincipha, ubuhlungu nezinye izimpawu ziyancipha.
3. Ukwelashwa ngamakhemikhali: Lokhu kuhilela ukunikeza umzimba imithi ebulala amangqamuzana omdlavuza. Le mithi inganikezwa njengamaphilisi noma imijovo.
4. Ukuhlinzwa Kwemisebe Ye-Stereotactic: Lokhu akusikho ukuhlinzwa. Kuyindlela enikeza imisebe yemisebe eqondile, eqondiwe, nenesilinganiso esiphezulu kuphela esigaxeni. Lokhu kubangela umonakalo omncane kakhulu ezicutshini eziphilile ezizungezile.
5. Ukuqapha: Uma unezimila ezincane ezingenawo umdlavuza, ezingenazimpawu, udokotela wakho angase anqume ukungazilaphi nhlobo, kodwa aqaphele nje ukuthi isimila sikhula kanjani ngokuskena njalo kwe-MRI.
Izimo lapho udinga ukuya esibhedlela ngokushesha
Uma welashwa isimila somgogodla futhi uba nezimpawu ezintsha noma uma izimpawu ezikhona ziba zimbi kakhulu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze nawe ngokushesha.
Kungakhathaliseki ukuthi iyiphi indlela yokwelapha, izonqunywa udokotela wakho kanye nethimba lakho lezokwelapha. Ngakho-ke, unganqumi ukwelashwa kwakho ngokusekelwe kulokho okufundayo ku-inthanethi noma kulokho abanye abakushoyo. Xoxa ngayo yonke imibuzo yakho nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Uma unezinhlungu zomhlane ezihlukile kobuhlungu obujwayelekile bomhlane, ikakhulukazi ebusuku , futhi ezingasabeli emithini yobuhlungu ejwayelekile, ungakuzibi.
- Uma ubuhlungu bomhlane buhambisana nokungazweli, ubuthakathaka, noma ubunzima bokulawula umchamo/indle , kuyisimo esiphuthumayo. Funa usizo lwezokwelapha ngokushesha.
- Akuzona zonke izimila ezakha umgogodla ezibangela umdlavuza. Kukhona nezimila ezingenabungozi. Kodwa zingadala umonakalo ngokucindezela imizwa.
- Uma umuntu oke waba nomdlavuza kwenye indawo emzimbeni eba nobuhlungu obusha emhlane, kubaluleke kakhulu ukwazisa udokotela wakhe ngokushesha , ngoba kungaba uphawu lokusabalala komdlavuza.
- Ukutholwa kusenesikhathi kanye nokwelashwa okufanele kuvame ukuthela imiphumela emihle. Ngakho-ke ungesabi izimpawu, futhi uma unemibuzo, bheka udokotela ukuze akuhlole.
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