Ingabe uvame ukuthola ubuhlungu emhlane ongezansi? Ingabe buba bubi nakakhulu uma uzivocavoca, uma isikhathi eside, noma uphakamisa izinsimbi ezisindayo? Abantu abaningi bacabanga ukuthi lokhu kumane kuwukucindezeleka kwemisipha noma ukuklwebheka . Kodwa akubona bonke ubuhlungu emhlane obulula kanjalo. Ngezinye izikhathi imbangela ijule kancane, futhi sidinga ukuyinaka. Yilokho esizokhuluma ngakho namuhla, ikakhulukazi phakathi kwentsha esebenzayo.
Kuyini i-Spondylolysis?
Kalula nje, i-spondylolysis iwukuqhekeka okuncane noma ukuphuka phakathi kwamathambo amabili emgogodleni wethu. Manje ungase uzibuze ukuthi lawa mathambo ayini. Cabanga nje, umgogodla wethu ufana nombhoshongo owakhiwe ngamathambo amancane abekwe phezu komunye nomunye. Yilokhu esikubiza ngokuthi i-vertebra. Lawa mathambo angu-33 ayahlangana ukuze akhe wonke umgogodla.
Nasi ingcezu encane yethambo ethambile kakhulu lapho la mathambo ahlangana khona. Odokotela bakubiza lokhu ngokuthi 'i-pars interarticularis'. Kufana nengcezu encane exhumanisa izixhumanisi ezimbili eketangeni. Ukuphuka kuleyo ngxenye yilokho esikubiza ngokuthi i-spondylolysis . Odokotela ngezinye izikhathi bakubiza ngokuthi 'i-pars defect' noma 'i-pars fracture'.
Lesi simo sivame kakhulu engxenyeni engezansi yomhlane wethu, umgogodla we-lumbar. Lokhu kungenxa yokuthi sithwala isisindo esikhulu futhi sibhekene nokugoba nokusonta okukhulu kwemizimba yethu. Kodwa-ke, ngezinye izikhathi singase senzeke emgogodleni womlomo wesibeletho noma emgogodleni wesifuba.
Ziyini izimpawu ze-spondylolysis?
Uphawu oluyinhloko noluvame kakhulu lwalesi simo ubuhlungu emhlane ongezansi. Kodwa kunezici eziningana eziqondile zalobu buhlungu. Ake sibone ukuthi ziyini.
| Isibonakaliso | Incazelo yaso |
|---|---|
| Ubuhlungu obuphansi emhlane | Lobuhlungu buvame ukuzwakala sengathi ucezu lwenyama ludatshulwa. Abantu abaningi babuchaza njengobuhlungu obungathandeki obuvela ngaphakathi. |
| Ukusabalalisa ubuhlungu | Lobuhlungu abugcini endaweni eyodwa yomhlane. Ngezinye izikhathi busakazeka ezinqeni nasemathangeni. |
| Ubuhlungu obukhula ngokwenziwa komsebenzi | Lokhu kuyinto ebaluleke kakhulu. Lobuhlungu buyanda uma udlala imidlalo, uvivinya umzimba, ugoba phambili, noma uphakamisa into esindayo. Futhi, uma uphumula futhi ulala phansi isikhashana, ubuhlungu buyancipha. |
| Abanye abantu abanazo izimpawu. | Okumangazayo ukuthi abanye abantu abazizwa ubuhlungu noma ukungakhululeki yize benoqhekeko emgogodleni wabo. Bakuthola ngengozi kuphela uma bethola into efana ne-X-ray ngesinye isizathu. |
Kungani lokhu kwenzeka? Yiziphi izizathu?
Nakuba imbangela eqondile yalesi simo esibizwa ngokuthi i-Spondylolysis ingakatholakali, izimbangela eziningana eziyinhloko sezitholiwe.
- Ukusebenzisa ngokweqile kanye nokucindezeleka: Lena imbangela eyinhloko. Ukwenza izinto ezicindezela umgogodla ngokuphindaphindiwe. Cabanga ngomuntu ophonsa i-bowling esheshayo kukhilikithi, umuntu ophakamisa izinsimbi ejimini, umuntu owenza i-gymnastics, noma umuntu onomsebenzi odinga ukuba agobe futhi aphakamise izinsimbi. Ngokuhamba kwesikhathi, ingxenye ebucayi yomgogodla ebizwa ngokuthi 'i-pars interarticularis' ingenza buthaka futhi ibangele ukuphuka kokucindezeleka.
- Ukukhula okusheshayo: Kunesikhathi lapho izingane ezincane, ikakhulukazi, zikhula khona ngokuzumayo. Phakathi nalesi sikhathi, amathambo omzimba nawo akhula ngokushesha. Lesi simo singase senzeke ngenxa yokucindezeleka emgogodleni phakathi nalesi sikhathi. Yingakho sivame ukubonakala phakathi kwabadlali abasebasha.
- Izakhi zofuzo: Abanye abantu bazalwa nomgogodla omncane kancane. Lokhu kusho ukuthi 'i-pars interarticularis' ingase ibe buthakathaka kunokuvamile. Abantu abanjalo banamathuba amaningi okuthola lolu hlobo lokuphuka kunabanye.
Kwenzekani uma ukwelashwa kunganikezwa? (Izinkinga)
Abantu abaningi bacabanga ukuthi ubuhlungu bomhlane buyinkinga elula ezophela ngokwayo ezinsukwini ezimbalwa. Kodwa-ke, uma ingelashwa, i-spondylolysis ingaholela esimweni esibucayi kakhulu.
Uma lo mfantu ungelashwanga kahle, ungakhula kancane kancane futhi ubuthakathaka umgogodla. Uma lokho kwenzeka, umgogodla ungashelela phambili phezu komgogodla ongaphansi kwawo.
Lesi simo sibizwa ngokuthi i-spondylolisthesis . Uma ithambo elishelelayo licindezela inzwa edlula kuyo, kungabangela ubuhlungu obukhulu, ukungazweli, noma ngisho ne-sciatica engaphuma emilenzeni. Ezimweni ezinjalo, kungase kudingeke ukuhlinzwa. Ngakho-ke, akuwona umqondo omuhle ukunganaki ubuhlungu bomhlane.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela ngenxa yobuhlungu bomhlane, uzoqala akubuze ngezimpawu zakho. Umhlane wakho waqala nini ukuba buhlungu, yini eyenza kube kubi kakhulu, uyadlala yini ezemidlalo, umsebenzi wakho uyini, nezinye izinto eziningi. Ngemuva kwalokho uzohlola umhlane wakho.
Ngemuva kwalokho, ukuqinisekisa isimo, udokotela uzoyala ukuhlolwa okuningana kwezithombe.
- Ukuhlolwa kwe-X-ray: Lokhu kuvame ukubona ukuphuka kwamathambo.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Lokhu kukuvumela ukuthi ubone kahle hhayi amathambo omgogodla kuphela, kodwa nezicubu ezithambile kanye nemizwa ezungezile.
- I-CT scan (i-Computed Tomography): Lokhu kungabona ngisho nokuqhekeka okuncane emathanjeni ngokucacile nangokuningiliziwe.
Yiziphi izindlela zokwelapha lokhu?
Nakuba igama lingase lizwakale lesabisa, i-spondylolysis yisimo esivame ukuphulukiswa ngokuphelele ngaphandle kokuhlinzwa, ngokwelashwa okulula. Umgomo oyinhloko ukulawula ubuhlungu nokunikeza umgogodla okusele kanye nokusekela okudingayo ukuze uphulukiswe.
| Indlela yokwelapha | Incazelo emfushane |
|---|---|
| Ukuthatha ikhefu | Hlala kude nanoma yini ekucindezela umhlane wakho, njengokudlala ezemidlalo noma ukuphakamisa izinsimbi, isikhashana. Lokhu kuzonikeza umhlane wakho isikhathi osidingayo ukuze ululame. |
| Imithi | Udokotela wakho angase ancome ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) ukuze kuncishiswe ubuhlungu nokuvuvukala. Kodwa-ke, ungazisebenzisi izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela wakho. Unganikwa futhi ama-corticosteroids (amaphilisi noma imijovo yomlomo) ukuze kuncishiswe ukuvuvukala. |
| Ukwelashwa Komzimba | Lokhu kubaluleke kakhulu. Uchwepheshe wezokwelapha uzokufundisa izivivinyo ezithile zokuqinisa imisipha ezungeze umhlane wakho kanye nesisu (imisipha eyinhloko). Uma le misipha iqinile, inikeza ukusekela okuhle komgogodla wakho. |
| Ukugqoka ibhande (i-Bracing) | Ngezinye izikhathi, udokotela uzokuncoma ukuthi ugqoke ibhande elikhethekile (i-back brace) ukuze unciphise ukunyakaza komhlane wakho futhi uwugcine uzinzile uze uphole. |
Ingabe ukuhlinzwa kuzodingeka?
Ukuhlinzwa akuvamile ukudingeka. Abantu abangaphezu kuka-90% bayalulama kulesi simo ngezinye izindlela zokwelapha. Kodwa-ke, ezimweni ezimbi kakhulu, njengalapho amathambo omgogodla eshelela futhi ecindezela imizwa, noma uma ubuhlungu bungapheli ngemva kwezinyanga zokwelashwa, udokotela wakho angase acabangele ukuhlinzwa.
Kufanele ngimbone nini udokotela?
Uma imbangela isheshe itholakale, kuba lula kakhulu ukuyilapha nokuyiphulukisa. Ngakho-ke,
- Uma ubuhlungu emhlane buhlala izinsuku ezingaphezu kwezimbalwa ,
- Uma ubuhlungu bukwenza kube nzima ngawe ukwenza imisebenzi yakho evamile (ukuya esikoleni, ukuya emsebenzini, ukudlala imidlalo) ,
Bonana nodokotela ngokushesha.
Kufanele uye nini e-Emergency Treatment Unit (ETU)?
- Uma umhlane wakho ubuhlungu ngemva kwengozi (ukuwa, ingozi yemoto).
- Uma ubuhlungu bomhlane buhambisana nokungazweli engxenyeni ethile yomzimba, noma ukungakwazi ukunyakaza leyo ngxenye .
- Uma unesimo lapho ungakwazi ukulawula umchamo noma indle yakho .
Esimweni esinjalo, ungachithi isikhathi bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Ezinye izinkinga zomhlane ezinamagama afanayo
I-Spondylolysis, i-Spondylolisthesis, i-Spondylosis... Nakuba la magama amathathu ezwakala efana, empeleni abhekisela ezimweni ezintathu ezahlukene ezenzeka emgogodleni. Abantu abaningi bayawadida. Ake sibone ukuthi umehluko uyini.
| Isimo | Kalula nje... |
|---|---|
| I-Spondylolysis | Ukuqhekeka noma ukuphuka kwethambo lomgogodla emgogodleni. |
| I-Spondylolisthesis | I-Spondylolysis ukushelela phambili kwe-vertebra ebuthakathaka phezu kwe-vertebra engaphansi kwayo. (Ukushelela) |
| I-Spondylosis | Lokhu kuhluke kakhulu. I-Spondylosis igama elivamile elisetshenziselwa ukuguguleka nokuguga okuvamile komgogodla okwenzeka ngokuguga . (Ukuguguleka nokuguga okuhlobene nobudala) |
Umlayezo Wokuya Nawe Ekhaya
- I-Spondylolysis ukuqhekeka okuncane ethanjeni emgogodleni. Kuvame kakhulu emhlane ongezansi.
- Intsha edlala imidlalo evame ukubacindezela emhlane wayo isengozini enkulu yokuthola lesi simo.
- Uphawu oluyinhloko ubuhlungu bomhlane obunciphayo ngokuphumula futhi buyanda ngokuzivocavoca.
- Ezimweni eziningi, ingelapheka ngokuphelele ngokwelashwa okulula njengokuphumula, ukwelashwa ngokomzimba, kanye nemithi. Ukuhlinzwa akuvamile ukwenziwa.
- Uma unezinhlungu zomhlane ezihlala izinsuku ezingaphezu kwezimbalwa, ungakuzibi futhi nakanjani ubone udokotela. Ukwelashwa okusheshayo kungakusiza ukuthi ululame ngokushesha.
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