Cabanga nje, usebenza ehhovisi ubheke ikhompyutha. Kungazelelwe, uzizwa umuzwa ongajwayelekile njengomsinga ogeleza engalweni yakho kanye nobuhlungu obuncane entanyeni yakho. Ngemva kwesikhashana, iminwe yakho iqala ukuzizwa indikindiki kancane. Lokhu kungase kuthathe usuku noma ezimbili, bese kuvela futhi ngolunye usuku. Ungase ucabange, "O, mhlawumbe kungenxa yokuthi ngishintshe umcamelo" noma "Mhlawumbe kungenxa yokuthi ngisebenza kanzima kakhulu." Kodwa uma lezi zimpawu ziqhubeka, akuwona umqondo omuhle ukuzishaya indiva njengokujwayelekile. Lokhu kungase kube ngenxa yemizwa ecindezelwe emgogodleni wakho wesibeletho. Ngakho-ke, namuhla sizokhuluma ngokuhlolwa komzimba okulula kakhulu, kodwa okubaluleke kakhulu okuzokwenziwa udokotela wakho ukuthola imbangela eqondile yalokhu.
Iyini ngempela i-Spurling Test?
Kalula nje, ukuhlolwa kwe-Spurling kuwukuhlolwa ngokomzimba okwenziwa udokotela wakho esebenzisa izandla zakhe kuphela ukuhlola umthambo ocijile entanyeni yakho. Akudingi mshini omkhulu, futhi awutholi imijovo. Kwenziwa ekamelweni elifanayo nokuhlolwa kwakho.
Ngokwezokwelapha, sibiza leli qoqo lezimpawu ezibangelwa ukucindezelwa komthambo entanyeni ngokuthi 'i-Cervical Radiculopathy' . Nakuba leli gama liyinkimbinkimbi kancane, incazelo ilula. Lisho ukuthi impande yemizwa ephuma emgogodleni endaweni yentamo iyacindezelwa.
Umgogodla wethu wesibeletho awuwona nje amathambo amaningi abekwe phezu komunye nomunye. Kula mathambo ayisikhombisa esibeletho, kuvela imizwa ebalulekile ethwala imiyalezo esuka ebuchosheni bethu iye ezingalweni zethu, emahlombe, nasemzimbeni ongaphezulu elawula imizwa nokunyakaza. Izimbobo ezincane lapho le mizwa iphuma khona zibizwa ngokuthi i-foramen. Ngezinye izikhathi, ngokweminyaka, ngenxa yokuma kabi (ikakhulukazi uma usebenzisa amakhompyutha namafoni), noma ngenxa yengozi encane, idiski emathanjeni ingavuvukala, noma kungakheka ama-spurs amancane ethambo, angacindezela impande yemizwa. Yilapho impande yemizwa icindezelwa khona.
Ngakho-ke, okwenziwa yi-`Spurling test` ukuthi udokotela ashukumise intamo yakho ngokucophelela aye endaweni ethile, anciphise isikhala lapho inzwa iphuma khona kancane. Ngemuva kwalokho, inzwa esivele icindezelwe kancane icindezelwa kancane futhi uzizwa izimpawu ezifana nobuhlungu kanye nokungazweli. Ngaleyo ndlela, udokotela angathola umbono omuhle wokuthi ngabe lokhu kuyimbangela yenkinga yakho.
Lolu vivinyo lwenziwa nini?
Uma ubulokhu uzwa ubuhlungu bentamo cishe inyanga kanye nesinye noma ngaphezulu sezimpawu ezingezansi, udokotela wakho angase afune ukwenza lolu vivinyo. Ake sibone ukuthi ziyini ngempela lezi zimpawu.
| Isibonakaliso | Lokho kukwenza uzizwe kanjani? |
|---|---|
| Ubuhlungu | Lokhu akulona nje ubuhlungu obuvamile entanyeni. Kubuhlungu obukhulu obuqala entanyeni, busakazeke ehlombe, bese kwehla ingalo kuye eminweni. Kwabanye, kungazwakala njengobuhlungu obuhlabayo , kanti kwabanye, kungazwakala njengomuzwa oshisayo . |
| Ukuba ndikindiki noma ukuxinana | Ungase uzwe umuzwa wokucasuka ezandleni zakho naseminweni, noma umuzwa wokucasuka. Ngezinye izikhathi, izingxenye zesandla sakho zingase zizwe sengathi azizona ezakho, sengathi awunawo umuzwa nhlobo. Lokhu kungenza kube nzima ukubamba into efana nendebe kahle. |
| Ubuthakathaka | Ungase uzizwe ungenawo amandla emisipheni yesandla sakho. Isibonelo, ungase uzizwe ubuthakathaka lapho uphakamisa into esindayo, uvula umnyango, noma ngisho nalapho ubhala. |
Ingabe udinga ukulungiselela lolu vivinyo kusenesikhathi?
Cha! Akunasidingo sokulungiselela lokhu. Akudingeki uzile ukudla ngosuku olwandulelayo noma uthathe noma yimuphi umuthi okhethekile. Kulula kakhulu.
Kodwa, uma unakekela izinto ezincane, kuzoba lula kuwe nakudokotela.
- Izingubo: Kungcono ukugqoka izingubo ezikhululekile ezishiya indawo yentamo ikhululekile, ngaphandle kwekhola enkulu. Isibonelo, ijezi le-turtleneck, noma i-saree egqokwa phansi phansi.
- Ubucwebe: Ungagqoki imigexo noma amacici asindayo. Kungase kuphazamise ukuhlolwa.
- Isikhafu: Uma ugqoke isikhafu, akudingeki usisuse. Udokotela uzokwenza ukuhlolwa ngokufanele.
Ngaphambi kokwenza lolu hlolo lwe-'Spurling', udokotela uzokwenza ukuhlolwa okujwayelekile komzimba wakho futhi akubuze ngezimo zakho zezokwelapha, imithi oyiphuzayo, kanye nezingozi zangaphambilini. Ngakho-ke lungela ukuchaza umlando wakho wezokwelapha ngokucacile.
Ingabe kukhona izimo lapho lokhu kuhlolwa kungafanele kwenziwe khona?
Yebo, nakanjani. Lolu udaba lubaluleke kakhulu.
Lokhu kuhlolwa akwenziwa kuzo zonke izinhlungu zentamo. Uma unezinye izimo ezithile zezokwelapha, udokotela ngeke akwenze lokhu kuhlolwa futhi uzokudlulisela ngqo kokunye ukuhlolwa okufana ne-'CT scan' noma i-'MRI' ngoba kungaba yingozi.
Nazi ezinye zezizathu eziyinhloko zokuthi kungani lokhu kuhlolwa kungenziwa:
- Uma kukhona ukungazinzile komgogodla womlomo wesibeletho .
- Uma kukhona ingcindezi noma umonakalo emgogodleni entanyeni (cervical spondylotic myelopathy) .
- Uma usanda kulimala kakhulu emhlane noma entanyeni.
- Uma unezifo ezinzima zamalunga njenge- rheumatoid arthritis .
- Uma kukhona ukusola ukuthi umdlavuza ovela kwenye indawo emzimbeni ususakazeke (wasakazeka) emathanjeni entamo.
Udokotela wakho uzocabangela konke lokhu bese enquma ukuthi uzolwenza yini uhlolo noma cha. Ngakho-ke akukho okufanele ukwesabe.
Kwenzekani ngempela uma ubhala isivivinyo?
Lokhu kuzothatha imizuzu embalwa kuphela. Asikho isizathu sokuba wesabe noma ukhathazeke. Udokotela uzochaza konke akwenzayo kuwe.
Isinyathelo 1: Ukulungisa ukuma
Okokuqala, udokotela uzokucela ukuthi uhlale noma ume uqonde esihlalweni. Gcina umhlane wakho uqondile futhi uphumule.
Isinyathelo sesi-2: Ukugoba Kwentamo Eceleni
Okulandelayo, udokotela uzobeka izandla zakhe ngobumnene phezulu kwekhanda lakho bese egoba intamo yakho kancane eceleni lapho kukhona khona ubuhlungu. Njengokungathi uletha indlebe yakho ehlombe lakho. Uzokubuza ukuthi uzwa ubuhlungu yini ngalesi sikhathi.
Isinyathelo 3: Ukujikeleza Nokwelula Intamo
Bese, ngenkathi ugoba intamo yakho ohlangothini, yiphendule kancane bese ubheka. Konke lokhu kuhamba kwenziwa ngokucophelela nangokucophelela.
Isinyathelo 4: Ukusunduza kancane (Ukucindezelwa kwe-Axial)
Ekugcineni, njengoba intamo yakho ikuleso simo esithile, udokotela uzosebenzisa ukusunduza okuncane kakhulu, okuthambile phansi (ukucindezela okuncane) kusuka phezulu ekhanda lakho.
Into ebaluleke kakhulu ukuthi uma uzwa noma yini ngenkathi wenza lezi zinyathelo, njengobuhlungu noma ukuba ndikindiki owawunakho ngaphambili, kufanele utshele udokotela ngokushesha. Cishe uzokutshela ukuthi uphakamise ingalo yakho uma uzwa ubuhlungu. Uma uzwa ukungakhululeki, uzoyeka ukuhlolwa ngokushesha. Ngeke wenze noma yini ezokwenza ubuhlungu bube bubi kakhulu.
Imiphumela iphuma kanjani futhi isho ukuthini?
Imiphumela yalolu vivinyo iyatholakala ngokushesha. Udokotela uzokutshela imininingwane ngokushesha nje lapho ukuhlolwa sekuqediwe. Kunezinhlobo ezimbili zemiphumela: 'Emihle' noma 'Engemihle'.
| Umphumela | Kusho ukuthini lokho? |
|---|---|
| Okuhle | Uthe uzwe ubuhlungu noma izimpawu okukhulunywe ngazo ekuqaleni (ubuhlungu obuvela engalweni, ukungazweli). Lokhu kusho ukuthi izimpawu zakho cishe zibangelwa umthambo ocijile entanyeni yakho. Udokotela wakho cishe uzoyala i -CT scan noma i-MRI ukuqinisekisa lokhu futhi abone ukuthi ikuphi imithambo ecijile nokuthi yini ebangela lokho. |
| Okubi | Awuzange uzwe ubuhlungu noma izimpawu ezikhethekile ngesikhathi sokuhlolwa. Lokho kusho ukuthi akunakwenzeka ukuthi une-nerve ecindezelwe entanyeni yakho. Kodwa-ke, akuqiniseki ngokuphelele ukuthi akukho nkinga. Kungaba nenye imbangela yobuhlungu bakho (isb., inkinga yemisipha). Udokotela wakho angase afune ukwenza izivivinyo ezengeziwe ukuze athole. |
Yini oyenzayo ngokulandelayo uma ukuhlolwa kubonisa ukuthi unegciwane?
Akufanele sesabe ukuthi ukuhlolwa 'kungaba yikho'. Empeleni kuyinto enhle. Ngoba kusho ukuthi cishe sesiyitholile imbangela yenkinga yethu. Isinyathelo esilandelayo ukwelashwa.
Uma udokotela eseqinisekisile ukuxilongwa nge-MRI scan, ukwelashwa okufanele kuzoqala. Kunezindlela eziningana zokwelapha:
- Imithi: Ukunikeza imithi yokunciphisa ubuhlungu nokuvuvukala kwemizwa.
- Ukuguqulwa Kokuphumula Nokusebenza: Yeluleka ukuyeka okwesikhashana imisebenzi ebeka ingcindezi entanyeni (ukuphakamisa imithwalo esindayo, ukubheka phansi isikhathi eside).
- Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu. Lapha, uzofundiswa izinto eziningi, njengokuzivocavoca ukuqinisa imisipha yentamo, indlela yokulungisa ukuma kwentamo, kanye nendlela yokugwema ukufaka ingcindezi entanyeni ngesikhathi semisebenzi yansuku zonke.
- Ukuhlinzwa:Ezimweni eziningi, lokhu akudingeki. Uma ukwelashwa okungenhla kungasizi, futhi ukucindezeleka kwemizwa kukhulu kakhulu, udokotela wakho angakuthumela ukuthi uyohlinzwa.
Kufanele ngimbone nini udokotela?
Uma ubunezinhlungu zentamo amasonto amaningana, uma ziba zimbi kakhulu, noma uma zingabi ngcono, kufanele nakanjani ubone udokotela. Ungakuzibi, ikakhulukazi uma uzwa ubuhlungu, ukungazweli, noma ubuthakathaka engalweni yakho.
Ukuhlolwa kwe-Spurling kuyindlela elula nengabizi kakhulu yokusiza udokotela wakho ukuthi athole umbono ongcono wezimpawu zakho. Kungaba yinto eyesabekayo ngoba kuyindlela yokuhlolwa kobuhlungu. Kodwa uma udokotela wakho ezwa ukungakhululeki, uzoyeka ukuhlolwa ngokushesha. Ngakho-ke akukho okufanele ukhathazeke ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-'Spurling' kuwukuhlolwa okulula ngokomzimba okwenziwa udokotela ukuhlola inzwa ecindezelwe entanyeni.
- Lokhu kuhlolwa kungenziwa uma unezimpawu ezifana nobuhlungu obuvela entanyeni yakho buye engalweni, ukungazweli, noma ubuthakathaka engalweni yakho.
- Lokhu akudingi noma yikuphi ukulungiselela okukhethekile, futhi ukuhlolwa kuthatha imizuzu embalwa kuphela.
- Kubaluleke kakhulu ukutshela udokotela ngokushesha uma uzizwa ungakhululekile ngesikhathi sokuhlolwa.
- Uma umphumela 'ubonakala', kusho ukuthi imbangela yesifo isitholakele. Ngemva kwalokho, ungaqhubeka nokwelashwa unomphela.
- Uma ubuhlungu bentamo nezimpawu ezihlobene buqhubeka, ungabunaki futhi nakanjani ubone udokotela wakho.
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