Usuqalile ukuzwa ubuhlungu emhlane, ukungakhululeki emilenzeni yakho, noma ukungakhululeki lapho uhamba ngemva kokuhlanganisa iminyaka engu-50? Uzizwa sengathi imilenze yakho iyaba ndikindiki ngemva kokuhamba ibanga elifushane, ngakho-ke kufanele uhlale phansi isikhashana bese uhamba futhi? Uma unalezi zimpawu, imbangela ingaba ukuncipha kwezindlela zemizwa emgogodleni wakho. Kwezokwelapha, lesi simo sibizwa ngokuthi i-spinal stenosis . Ungesabi ukuzwa leli gama. Nakuba lingelapheki ngokuphelele, kunezindlela eziningi zokwelapha ezingakusiza ukuthi uliphathe kahle futhi uphile impilo esebenzayo. Ngakho ake sixoxe ngakho namuhla.
Into elula kakhulu engcono kakhulu - Ukwelashwa Komzimba
Esikhathini esiningi, udokotela wakho uzokweluleka ukuthi uqale ngezinto ezilula ngaphambi kokuya entweni enkulu njengokuhlinzwa. Ukwelashwa ngokomzimba kuyindlela yokwelapha ebaluleke kakhulu. Ngokuzivivinya umzimba okufanele, unganciphisa kakhulu izimpawu zakho.
Cabanga ngale ndlela: uma umgogodla wakho ufana nenduku, imisipha ewuzungezile ifana nezintambo ezisiza ukugcina induku iqonde. Ngakho-ke ukuqinisa le misipha kunganciphisa ingcindezi emgogodleni wakho.
Ngaphansi kokuqondiswa ngudokotela wezokwelapha ngokomzimba, ungathuthukisa:
- Ukuzivumelanisa nezimo : Ukuzilolonga kwemisipha yomhlane nentamo kunganciphisa ubuhlungu futhi kuthuthukise ukuhamba.
- Amandla: Ukuqeqeshwa kokuqinisa umzimba kusiza ukuqinisa imisipha esekela umgogodla. Lokhu kuyizivivinyo ezilula ezingenziwa ekhaya.
- Ibhalansi: Ukuzivocavoca ngokulinganisela kunciphisa amathuba okuwa ngenkathi uhamba.
- Ukuqina Kwenhliziyo Nemithambo Yegazi: Uma wenza izivivinyo ze-aerobic ezikhulisa kancane izinga lokushaya kwenhliziyo yakho, njengokubhukuda noma ukugibela ibhayisikili , ubuchopho bakho bukhipha amakhemikhali abizwa ngokuthi ama-endorphin . Lawa asebenza njengemithi yokwelapha ubuhlungu yemvelo, esiza ekunciphiseni ubuhlungu bakho.
Khumbula, ayikho indlela yokuzivocavoca efanela wonke umuntu. Ngakho-ke qiniseka ukuthi ukhuluma nodokotela wakho noma nochwepheshe wezokwelapha ukuze uthole ukuthi yikuphi ukuvivinya umzimba okukulungele. Akukuhle futhi ukwenza ngokweqile.
Ngezinye izikhathi, amabhande akhethekile (ama-corsets noma ama-braces) agqokwa esiswini angasetshenziswa ngesikhathi sokuzivocavoca. Kodwa-ke, ukuwagqoka njalo kungenza imisipha ibe buthaka, ngakho funa iseluleko sezokwelapha ngalokho.
Imithi eqeda ubuhlungu
Udokotela wakho angase akunike imithi ethile ukuze akusize ulawule ubuhlungu kanye nokuzivocavoca. Nakuba eminye yale mithi ingathengwa ekhemisi ngaphandle kwencwadi kadokotela, akufanele neze uthathe noma yimuphi umuthi ngaphandle kokubonisana nodokotela wakho kuqala. Eminye imithi ingasebenzisana neminye imithi oyithathayo futhi ingabangela imiphumela emibi.
| Isigaba sezidakamizwa | Izibonelo kanye nokusebenza | Amaphuzu abalulekile |
|---|---|---|
| Imithi yokunciphisa ubuhlungu | Njenge-acetaminophen (Tylenol, Panadol). Lokhu kunciphisa ubuhlungu kuphela, hhayi ukuvuvukala. | Ngokuvamile kuphephile, kodwa ukuthatha okungaphezu komthamo onconywayo kuyingozi esibindini. |
| Ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala) | I-Ibuprofen, njengeNaproxen, yehlisa ubuhlungu kanye nokuvuvukala. | Uma isetshenziswa ngokweqile, ingabangela izilonda zesisu futhi ithinte izinso. Ayifanele abantu asebekhulile noma labo abanesifo senhliziyo. |
| Imithi yobuhlungu bemizwa | IGabapentin, njengePregabalin, isetshenziselwa ukwelapha ubuhlungu obubangelwa ukucindezelwa kwemizwa, njengokungazweli nokuvuvukala. | Ubuthongo kanye nesiyezi kungase kube khona. Kufanele kuqashelwe uma ushayela. |
| Ezinye izidakamizwa zokucindezeleka | Njenge-amitriptyline. Uma inikezwa ngemithamo ephansi, lokhu kungasiza ekulawuleni ubuhlungu obungapheli. | Imiphumela emibi efana nokozela, umlomo owomile, kanye nokukhuluphala kungenzeka. Yingakho kuvame ukunconywa ukuthi uyiphuze ebusuku. |
Uma kungekho kulezi zinto ezilawula ubuhlungu, akuvamile kakhulu ukuthi kunikezwe imithi enamandla yokubulala ubuhlungu ye-opioid isikhathi esifushane. Kodwa-ke, le mithi ayisetshenziswa isikhathi eside ngenxa yengozi yokuba umlutha.
Ingabe imijovo inganikeza impumuzo?
Ngezinye izikhathi imijovo isetshenziswa njengokwelashwa okuqondiswe kakhulu kunamaphilisi. Kunezinhlobo ezimbili eziyinhloko:
1. Umjovo we-Epidural Corticosteroid : Lokhu kuhilela umjovo oqaphile kakhulu endaweni yomgogodla lapho inzwa icindezelwe khona. I-corticosteroid ekulo mjovo inciphisa ukuvuvukala kuleyo ndawo futhi inikeza ukukhululeka ebuhlungwini. Lokhu kwenziwa uchwepheshe onjengodokotela obulala izinzwa.
2. Ukuvinjelwa Kwezinzwa: Lokhu kuhilela ukujova umuthi wokubulala izinzwa eduze kwenzwa ethwala ubuhlungu, "okwenza" leyo nzwa "ibe yizithutha" okwesikhashana.
Le mijovo ayinikezi imiphumela efanayo kuwo wonke umuntu. Abanye abantu bazizwa bekhululekile izinyanga eziningi. Abanye bazizwa izinsuku ezimbalwa kuphela. Abanye bangase bangazizwa nhlobo umehluko.
Kunini lapho kudingeka khona ukuhlinzwa?
Ukuhlinzwa kuvame ukuba yindlela yokugcina, kodwa udokotela wakho angase afune ukuthi ucabangele ukuhlinzwa ezimweni ezilandelayo:
- Uma kukhona ubuhlungu obungabekezeleleki .
- Uma kunzima kakhulu ukuhamba noma ukuma.
- Uma uhluleka ukulawula umchamo noma indle yakho (lokhu kuyisimo esiphuthumayo).
Ukuhlinzwa akukwazi "ukuyelapha" ngokuphelele le nkinga. Kodwa kungasiza ekunciphiseni ingcindezi emizweni, kunciphise ubuhlungu, futhi kukusize ubuyele ekuphileni impilo evamile.
Izinhlobo eziningana ezinkulu zokuhlinzwa
- Ukuhlinzwa kwe-Laminectomy: Lokhu kuyindlela yokuhlinzwa evame kakhulu. Isusa amathambo amaningi, izigaxa, kanye nemisipha ejiyile emgogodleni ecindezela imizwa. Kufana nokususa isivimbeli.
- I-Laminotomy: Inqubo ehilela ukwenza imbobo encane ukuze kuncishiswe ingcindezi emthanjeni, ngaphandle kokususa lonke ithambo.
- Ukuhlanganiswa Komgogodla: Ngezinye izikhathi kwenziwa kanye ne-laminectomy, le nqubo ihilela ukuhlanganisa amathambo amabili noma ngaphezulu angazinzile ndawonye ukuze kumiswe ukunyakaza okungafuneki kuleyo ndawo.
- Ukususwa kwe-Disc: Uma i-disc ephakathi kwamathambo omgogodla ishelele futhi icindezela inzwa, kususwa ingxenye ye-disc ecindezelayo kuphela.
- Ukuhlinzwa Okungangeni Kakhulu: Indlela yokwenza ukuhlinzwa ngaphandle kokwenza ukusika okukhulu, ngokufaka ikhamera namathuluzi akhethekile ngokusebenzisa ukusika okuncane kakhulu, ngaphandle kokulimaza izicubu ezinempilo.
Isikhathi sokululama ngemva kokuhlinzwa singasukela ezinsukwini ezimbalwa kuya ezinyangeni ezingu-2-3, kuye ngohlobo lokuhlinzwa okwenziwe kanye nempilo yakho iyonke.
Umlayezo Wokuya Nawe Ekhaya
- I-Spinal Stenosis yisimo esivame kakhulu lapho umuntu ekhula, lapho izindlela zemizwa emgogodleni ziba zincane khona. Lokhu akumelwe ukwesabe futhi kungaphathwa kahle.
- Izinto zokuqala okufanele uzizame ukwelashwa ngokomzimba kanye nokuzivocavoca okunqunywe udokotela. Lokhu kungasiza ekulawuleni ubuhlungu ngezinga elikhulu.
- Ngisho noma kuyisidakamizwa sokuqeda izinhlungu ongasithenga ekhemisi, ungalokothi usisebenzise ngaphandle kokubuza udokotela wakho.
- Ukwelashwa okulandelayo okufanele ukucabangele ngemijovo nokuhlinzwa. Lokhu kuyadingeka kuphela kulabo abanezimpawu ezinzima.
- Uma unesihlungu noma ukuqina emhlane noma emilenzeni yakho, ungakushayi indiva futhi nakanjani bonana nodokotela ukuze uthole imbangela.
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