Ingabe uvame ukuba nobuhlungu emhlane? Ingabe kuyabuhlungu uma ume noma uhamba isikhathi eside? Ingabe ngezinye izikhathi kuzwakala sengathi ubuhlungu buyehla emilenzeni yakho? Kunezizathu eziningi zalokhu, kodwa kungase kube nesizathu ngemuva kwaso ongasicabangi ngaso. Kulapho elinye lamathambo emhlane wakho, i-vertebra, lishelele noma lishelele kancane lapho kufanele libe khona. Kwezokwelapha, lesi simo sibizwa ngokuthi i-Spondylolisthesis . Nakuba igama lingase lizwakale lingavamile, lesi yisihloko esibalulekile okudingeka sikhulume ngaso futhi sisiqonde.
Kalula nje, iyini i-Spondylolisthesis?
Cabanga ngomgogodla wakho njengohlu lwezitini ezibekwe phezu komunye. Ngayinye yalezi zitini ibizwa ngokuthi i-vertebra . Kunama-vertebrae angaba ngu-33 emgogodleni wethu. Nakuba exhumene, anganyakaza kancane lapho sihamba, sigoba, futhi sinyakazisa imizimba yethu.
Manje, uma kwenzeka i-spondylolisthesis, esinye sezitini kulo mugqa, okungukuthi, i-vertebra eyodwa, sishelela kancane kunalokho okufanele sibe yikho, sibeka ingcindezi ku-vertebra engaphansi kwayo. Kufana nesitini esisodwa emgqeni wezitini esiphuma kancane. Uma sishelela kanje, imizwa ezungezile ingacindezelwa. Yilapho kuvela khona izimpawu ezifana nobuhlungu bomhlane kanye nobuhlungu obuya emilenzeni.
Nakuba lesi simo singavela noma kuphi emgogodleni, sivame ukubonakala engxenyeni engezansi yomgogodla wethu, okungukuthi, emgogodleni we-lumbar . Ngezinye izikhathi singavela entanyeni (umgogodla wesibeletho) kanye nasengxenyeni engenhla yomgogodla (umgogodla wesifuba).
Umgogodla oshelelayo ungase ukwesabise, kodwa akusho ukuthi wonke umgogodla wakho awusalungile. Lesi yisimo esivame ukwelashwa nokulawulwa.
Yiziphi izinhlobo eziyinhloko ze-Spondylolisthesis?
I-Spondylolisthesis ingahlukaniswa ngezinhlobo eziningana eziyinhloko kuye ngokuthi yenzeka kanjani. Ake sibheke ukuthi iyini.
| Uhlobo lwe-spondylolisthesis | Incazelo elula |
|---|---|
| I-Degenerative Spondylolisthesis (uhlobo oluhlobene nobudala) | Lolu uhlobo oluvame kakhulu. Njengoba siguga, ama-disc afana nomcamelo phakathi kwamathambo ethu omgogodla ayawohloka. Njengoba la ma-disc encipha, isikhala esiphakathi kwamathambo omgogodla siyanda, okwenza kube lula ukuthi umuntu ashelele. |
| I-Congenital Spondylolisthesis (njengesici sokuzalwa) | Lokhu kwenzeka lapho umgogodla wengane ungakheki kahle ngesikhathi ukhula esibelethweni. Lokhu kungabangela ukuthi amathambo omgogodla aphazamiseke kancane esisekelweni. Izimpawu zingase zivele esemncane, noma zingase zivele kamuva kakhulu empilweni. |
| Isthmic Spondylolisthesis (ngenxa yokuphuka kwethambo) | Lesi simo senzeka lapho ingxenye encane yethambo ebizwa ngokuthi i-pars interarticularis, exhumanisa amathambo amabili, iphuka. Lokhu kuphuka kubangela ukuthi i-vertebra ilahlekelwe ukuqina kwayo nokushelela. Lesi simo sivamile phakathi kwabadlali. |
| I-Spondylolisthesis Ebuhlungu (ngenxa yengozi) | I-vertebra ingasuswa ngenxa yamandla amakhulu asetshenziswa emgogodleni, njengokulimala noma ukuwa. |
| I-Spondylolisthesis ye-Pathological (ngenxa yesinye isifo) | Lesi simo singabangelwa nayizimo ezenza amathambo abe buthaka, njenge-osteoporosis, noma isimila esakheka emathanjeni. |
| I-Spondylolisthesis Yangemva Kokuhlinzwa (ngemuva kokuhlinzwa) | Lesi yisimo esingavamile kakhulu futhi singaba khona njengomphumela ongemuhle wokuhlinzwa komhlane. |
Wazi kanjani ukuthi unalesi simo? Ziyini izimpawu?
Kuyamangalisa ukuthi abanye abantu bane-spondylolisthesis kodwa bangabi nazo izimpawu.Okokuqala. Uma inani le-hernia yomgogodla lincane kakhulu (elisezingeni eliphansi), lingase lingabangeli ingcindezi enkulu ezinzwa, ngakho-ke ungase ungazizwa ubuhlungu.
Kodwa-ke, uma kuvela izimpawu, zingaba kanje:
- Ubuhlungu obuphansi emhlane: Lolu uphawu oluyinhloko noluvame kakhulu.
- I-Sciatica: Lokhu umuzwa wobuhlungu, ukungazweli, noma ukusha okwehla emlenzeni. Kubangelwa ukushelela kwe-vertebra ecindezelekile emsipheni we-sciatic.
- Ukuqina komhlane: Ukuzizwa uqinile emhlane uma uvuka ekuseni noma ngemva kokuhlala isikhashana.
- Ubunzima bokuhamba noma ukuma: Ubuhlungu obubonakala bukhula lapho ume noma uhamba imizuzu engaphezu kwemibalwa.
- Ukuba ndikindiki, ubuthakathaka, noma ukuzwa ukucasuka ezinyaweni .
Indawo yobuhlungu ingahluka kuye ngokuthi i-vertebra eshelele ikuphi. Ngezinye izikhathi ubuhlungu bungasakazekela ezinqeni noma emathangeni.
Kungani amathambo omgogodla eshelela kanje? Yiziphi izinto ezibangela ingozi?
Ake sibheke izimbangela zokulimala kwethambo lomgogodla nokuthi ubani osengozini enkulu yokuliphuka.
Izizathu eziyinhloko:
- Ukuguga: Imbangela eyinhloko ukuguguleka kwama-disc emgogodleni njengoba iminyaka ikhula.
- Abanye abantu bazalwa benama-vertebrae amancane: Lokhu kubenza babe namathuba amaningi okuphuka.
- Ukulimala kwezemidlalo: Le ngozi iphezulu kakhulu kulabo abadlala imidlalo ebeka ingcindezi enkulu noma ecindezela umhlane (isib. i-gymnastics, ukuphakamisa izinsimbi, i-bowling esheshayo ku-cricket).
- Ukukhula okusheshayo ezinganeni: Lezi zimo zingabangelwa ukukhula okusheshayo kwamathambo ngezikhathi lapho izingane kanye nabantu abadala abasebasha bekhula ngokuzumayo.
- Izingozi: Ukulimala emhlane okubangelwa izinto ezifana nokuwa nezingozi zezimoto.
Ubani osengozini enkulu?
- Kubantu abangaphezu kweminyaka engama-50 ubudala (ikakhulukazi uhlobo oluwohlokayo).
- Kwabesifazane.
- Kwabadlali (ikakhulukazi labo abadlala imidlalo ehilela ukugoba umhlane wabo njalo nokugxuma).
- Kulabo abanomlando womndeni walesi simo noma izifo ezihlobene namathambo.
Ungasinquma kanjani ngokunembile lesi simo?
Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela . Udokotela uzokubuza imibuzo futhi akuhlole umhlane wakho.
Kufanele utshele udokotela wakho ukuthi ubuhlungu buqale nini, ukuthi yiziphi izinto ozenzayo ezenza ubuhlungu bube bubi kakhulu, nokuthi ngabe ube nezingozi ngaphambi kokuba kuvele lezi zimpawu.
Ngemva kwalokho, udokotela uzoncoma ukuhlolwa okuningana ukuqinisekisa lesi sifo:
- I-X-ray yomgogodla: Lokhu kungasiza ekunqumeni ukuthi i-vertebra ishelele yini nokuthi ishelele kangakanani.
- Ukuhlolwa kwe-CT scan (i-Computed Tomography scan):Lokhu kunganikeza isithombe esicacile sesakhiwo samathambo.
- Iskena se-MRI (Magnetic Resonance Imaging): Lokhu kungahlola kangcono umonakalo kuma-disc kanye nemizwa phakathi kwamathambo omgogodla.
Izinga le-stenosis yomgogodla (Amabanga)
Ngemva kwe-X-ray, udokotela uzohlukanisa amathambo akho omgogodla abe yizinga ngokusekelwe ekutheni aguqeke kangakanani.
- Izinga eliphansi (Ibanga I neBanga II): Lokhu kusho ukuthi kukhona ukushelela okuncane. Iningi labantu linaleli zinga. Lokhu ngokuvamile akudingi ukuhlinzwa.
- Izinga Eliphezulu (Ibanga Lesi-3 kanye neBanga Lesi-IV): Lokhu kusho ukuthi kukhona ukushelela okukhulu. Kulezi zimo, kungase kudingeke ukuhlinzwa, ikakhulukazi uma ubuhlungu bukhulu.
Yiziphi izindlela zokwelapha lokhu?
Abantu abaningi abane-spondylolisthesis bangakwazi ukuphatha izimpawu zabo kahle ngokwelashwa ngaphandle kokuhlinzwa.
| Indlela yokwelapha | Incazelo |
|---|---|
| Ukuphumula | Ukuzithiba kwezemidlalo kanye nemisebenzi enzima yomzimba ebeka ingcindezi emhlane isikhashana kuzonciphisa ingcindezi emhlane. |
| Izibulali-zinhlungu (Imithi) | Ungathatha ama-NSAID (isib., i-Ibuprofen, i-Diclofenac) noma i-Paracetamol njengoba udokotela wakho ekuyalele ukunciphisa ubuhlungu nokuvuvukala. Ungalokothi uthathe ama-painkiller ngaphandle kokubonisana nodokotela. |
| Ama-Corticosteroids | Lezi yimithi enamandla yokulwa nokuvuvukala. Zinganikezwa njengamaphilisi noma njengomjovo we-cortisone onikezwa ngqo endaweni yobuhlungu. |
| Ukwelashwa ngokomzimba | Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Udokotela wezokwelapha uzokufundisa ukuzivocavoca ukuze uqinise imisipha ezungeze umhlane wakho kanye nesisu (imisipha eyinhloko). Uma le misipha iqinile, ingcindezi emgogodleni wakho iyancishiswa, futhi ungakwazi ukunyakaza kalula ngaphandle kobuhlungu. |
| Ukugqoka i-brace yangemuva | Uma une-vertebra ephukile, udokotela wakho angase akuncome ukuthi ugqoke i-brace efana nale ukuze ugcine umgogodla wakho uzinzile. |
Kunini lapho kudingeka khona ukuhlinzwa?
Akuwona wonke umuntu one-spondylolisthesis odinga ukuhlinzwa. Ikakhulukazi uma kuyisimo esiphansi, futhi izimpawu zingezimbi kakhulu, ungase ukwazi ukuphila ngaphandle kokuhlinzwa.
Kodwa-ke, udokotela wakho angase asikisele ukucabangela ukuhlinzwa kulezi zimo:
- Uma une -spondylolisthesis yezinga eliphezulu .
- Uma ubuhlungu bukhulu kangangokuthi awukwazi ukuma noma ukuhamba.
- Uma izimpawu zingathuthuki naphezu kwezinye izindlela zokwelapha (okungezona ezokuhlinzwa).
Ukuhlinzwa kuvame ukuhilela inqubo ebizwa ngokuthi i-spinal fusion . Lokhu kuhilela ukuhlanganisa i-vertebra eshelele kanye ne-vertebra engaphansi kwayo ndawonye ukuze kwakheke ithambo elilodwa. Lokhu kunikeza indawo amandla nokuqina okwengeziwe. Kungase kudingeke futhi ukuba nokuhlinzwa okubizwa ngokuthi i-spinal decompression ukuze kuncishiswe ingcindezi emizweni.
Yini okudingeka uyazi uma uphila nalesi simo?
Uma usuthole ukuthi une-spondylolisthesis, izimpawu zakho kufanele zithuthuke zingakapheli amasonto noma izinyanga ezimbalwa ngokwelashwa okufana nokuphumula, imithi, kanye nokwelashwa ngokomzimba. Kodwa khumbula, lokhu kwelashwa kwenzelwe ukunciphisa ubuhlungu nokukusiza ukuthi usebenze kahle, hhayi ukubuyisela i-vertebra eshelele endaweni yayo. Ukuhlinzwa kuphela okungabuyisela i-vertebra eshelele endaweni yayo.
Uma ungumsubathi, kungadingeka ukuthi uthathe ikhefu kwezemidlalo uze ukwazi ukuhamba ngokuphepha ngaphandle kobuhlungu. Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuthi uqale ukudlala futhi.
Into ebaluleke kakhulu ukugwema imisebenzi ebeka ingcindezi enkulu emhlane wakho futhi egoba umgogodla wakho kakhulu. Udokotela wakho noma uchwepheshe wezokwelapha uzochaza ukuthi yini ekufanele nengakufanele.
Ufuna ukubona udokotela nini?
Uma unezinhlungu zomhlane ezihlala izinsuku ezingaphezu kwezimbalwa, noma zinzima ngokwanele ukuphazamisa imisebenzi yakho yansuku zonke, bona udokotela ngokushesha okukhulu. Uma lesi simo sitholakala ngokushesha, kuba lula kakhulu ukwelapha nokwelapha.
Nini ukuya e-Emergency Treatment Unit (ETU):
- Uma uke waba nengozi , njengokuwa noma ingozi yemoto.
- Uma ulahlekelwa umuzwa emilenzeni yakho noma unenkinga yokulawula umchamo noma indle yakho , iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. Lezi yizimo eziphuthumayo ezinkulu kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Spondylolisthesis yilapho ithambo lomgogodla (ithambo) emgogodleni liphuma endaweni yalo. Lokhu kungaba imbangela enkulu yobuhlungu bomhlane kanye nobuhlungu obuvela emilenzeni (sciatica).
- Ukuguga, ukulimala kwezemidlalo, kanye nezinye izimo zokuzalwa nazo kungabangela lokhu.
- Akuwona wonke umuntu onalesi simo ozoba nezimpawu, futhi akuwona wonke umuntu ozodinga ukuhlinzwa.
- Abantu abaningi bangakwazi ukulawula izimpawu ngokwelashwa okulula njengokuphumula, izinhlungu zobuhlungu, kanye nokwelashwa ngokomzimba.
- Ukugcina imisipha yakho yangemuva neyesisu iqinile nokugcina indlela yokuphila enempilo kungasiza ekuvimbeleni nasekulawuleni lesi simo.
- Uma ubuhlungu bakho bomhlane buqhubeka izinsuku ezingaphezu kwezimbalwa, ungabunaki futhi nakanjani ubone udokotela wakho.
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