Ubuhlungu bomhlane buyinkinga abantu abaningi ezweni lethu abanayo manje, kungakhathaliseki ubudala babo, akunjalo? Ngokuvamile sicabanga ukuthi ubuhlungu bomhlane bubangelwa i-disc ephukile noma i-arthritis. Kodwa ngezinye izikhathi, kungakhathaliseki ukuthi uthatha imithi noma ukwelashwa ngokomzimba okungakanani, kukhona ubuhlungu bomhlane obungapheli. Imbangela kungenzeka ingabi yilokho esikucabangayo. Namuhla, sikhuluma ngohlobo olukhethekile lobuhlungu bomhlane olusanda kutholakala yisayensi yezokwelapha, okungukuthi " ubuhlungu bomgogodla ".
Kalula nje, buyini ubuhlungu be-vertebrogenic?
Ukuze siqonde lokhu, ake siqale sicabange ngomgogodla wethu. Umgogodla wethu wakhiwe yinqwaba yamathambo amancane (ama-vertebrae) abekwe phezu komunye nomunye, njengezitini ezibekwe phezu komunye nomunye. Phakathi kwalezi "zitini" kukhona idiski esiyaziyo sonke.
Kodwa ingxenye ebaluleke kakhulu yale ndaba ungqimba olukhethekile lokuvikela oluhlala ngaphezu nangaphansi kwe-vertebra ngayinye. Lolu ungqimba oluncane olwenziwe nge-cartilage nethambo. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-vertebral endplate . Esikhathini esidlule, odokotela babecabanga ukuthi izinkinga ze-disc ziyimbangela eyinhloko yobuhlungu bomhlane. Kodwa ucwaningo olusha luthole ukuthi lapho la ma-endplate onakele, imizwa edlula kuwo ingacindezelwa, ibangele ubuhlungu obukhulu, obuhlala isikhathi eside.
Kalula nje, " ubuhlungu be-vertebrogenic" buwubuhlungu bomhlane obungabangelwa yi-disc, kodwa ukulimala kwama-endplates phezulu nangaphansi kwe-vertebrae.
Lokhu kungahlobene nezinkinga zediski. Abacwaningi bathole ukuthi lapho idiski isigugile khona, kwenzeka izinguquko emgogodleni ngaphezulu nangaphansi kwayo. Kukhona futhi imicu yezinzwa eminingi ethwala ubuhlungu kulezo zindawo. Kodwa basathola ukuthi lokho kwenzeka kanjani ngqo.
Yiziphi izizathu zalesi simo?
Kunezizathu eziningi ezenza ukuthi ama-endplate ethu onakale. Lokhu kungabangelwa ukuguguleka kwemvelo okuhambisana nokuguga, kanye nengozi.
Lokhu akwenzeki kuwo wonke umuntu, kodwa abanye abantu basengozini enkulu yokuba nalesi simo.
- Ukuba neminyaka engaphezu kwengu-40 ubudala: Le ngozi iyanda ngokushintsha kwemvelo emzimbeni njengoba siguga.
- Ukuphakama: Abantu abade bangase babe nokucindezeleka okukhulu emgogodleni wabo.
- Ukukhuluphala: Njengoba isisindo somzimba sikhula, umthwalo osemgogodleni uyanda, okwenza amalunga ezinhlangothi abe sengozini yokulimala.
- Ukubhema: Ukubhema kubangela ukuthi imithambo yegazi inciphe, okunciphisa ukuphakelwa kwegazi ezingxenyeni zomgogodla. Lokhu kuphazamisa inqubo yokuphulukiswa.
- Umsebenzi onzima womzimba: Abantu abenza imisebenzi ehilela ukuphakamisa izinto ezisindayo noma ukukhama umhlane wabo, njengokwakha, basengozini enkulu.
- Umlando womndeni : Uma othile emndenini wakho eke waba nobuhlungu obungapheli emhlane, ungase ube nabo ngenxa yethonya lezakhi zofuzo.
Ungazibona kanjani izimpawu?
Lobuhlungu buhlukile kancane kwezinye izinhlungu zomhlane. Bheka ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Izikhathi lapho ubuhlungu bukhula khona | Ubuhlungu buyanda uma ugoba phambili, uhleli isikhathi eside, kanye nangesikhathi semisebenzi esebenzayo njengokuzivocavoca umzimba. |
| Uhlobo lobuhlungu | Kungazwakala njengobuhlungu obujulile, ukusha, noma ubuhlungu obuvuthayo obuvela ngaphakathi. |
| Indawo lapho kuzwakala khona ubuhlungu | Ubuhlungu buvame ukuba sengxenyeni engezansi, ephakathi yomhlane. |
| Umehluko obaluleke kakhulu | Ukuba ndikindiki nokuqaqamba emilenzeni, njengoba kubonakala ngezinkinga zamadiski, akuvamile ukubonwa kulesi simo. Kodwa-ke, uma unezinkinga zombili, lezi zimpawu zingase zivele. |
Ukuthola kanjani lokhu, Dokotela?
Uma ubunezinhlungu emhlane isikhathi esingaphezu kwezinyanga eziyisithupha futhi zingakathuthuki ngokwelashwa okujwayelekile, udokotela wakho angase asole lesi simo (ubuhlungu be-vertebrogenic). Izinyathelo ezilandelayo zizothathwa ukuze kutholakale ukuthi unesifo:
1. Ukukubuza ngemvelaphi yakho: Ingabe ukhona emndenini wakho onezinkinga zomhlane ezinje nokuthi ubuhlungu bunjani?
2. Ukuhlolwa komzimba: Uzocelwa ukuthi ugobe phambili futhi ubheke emaceleni, futhi uhlole ukuthi ubuhlungu buyanda nini.
3. Ukukhipha ezinye izifo: Kwenziwa ezinye izivivinyo ukuze kubonakale ukuthi zikhona yini ezinye izimbangela, njengenkinga yediski noma isimila.
4. Ukuskena kwe-MRI: Impendulo yokugcina necacile kakhulu ivela ekuskeneni kwe-MRI (Magnetic Resonance Imaging). Lokhu kungathatha izithombe ezicacile zomgogodla.
Ku-MRI, udokotela wakho angabona izinguquko ezithile kuma-endplates abangela ubuhlungu. Lezi zibizwa ngokuthi izinguquko ze-Modic . Ziza ngezinhlobo ezimbili eziyinhloko:
- Uhlobo lwe-Modic 1: Kukhona ukuvuvukala nokuvuvukala emnkantsheni wethambo.
- Uhlobo lwe-Modic 2: Esikhundleni somongo obomvu onempilo, kubonakala umongo wethambo ophuzi onamafutha.
Iphathwa kanjani?
Okokuqala, udokotela wakho uzoncoma ukwelashwa okujwayelekile okufana nemithi yokunciphisa izinhlungu (ama-NSAID), imithi yokuphumula imisipha, kanye nokwelashwa ngokomzimba.
Kodwa-ke, uma kungekho ngcono ngemva kwezinyanga ezingaba yi-6 zalokhu kwelashwa, kungacatshangwa indlela ekhethekile yokwelapha. Ibizwa ngokuthi i-Basivertebral Nerve Ablation .
Kuyini i-Basivertebral Nerve Ablation?
Kalula nje, inzwa eyinhloko ethwala izimpawu zobuhlungu emalungeni ethu yi-"basivertebral nerve." Lokhu kwelashwa kuhilela ukulimaza le nzwa lapho ingena khona ema-vertebrae lapho kuvela khona ubuhlungu, ukuvimba izimpawu zobuhlungu ukuthi ziye ebuchosheni.
Lokhu akusiwo umsebenzi omkhulu. Uzonikezwa i-anesthesia, ngakho ngeke uzwe ubuhlungu. Udokotela ohlinzayo uzokwenza i-incision encane esikhumbeni lapho uzwa ubuhlungu emhlane bese efaka ithuluzi elincane ngalo emgogodleni. Ngemuva kwalokho, bazosebenzisa ukushisa ukulimaza inzwa.
Ngokuvamile ungaya ekhaya ngalolo suku. Isikhathi sokululama sifushane kunezinye izindlela zokuhlinzwa emhlane. Ucwaningo luthole ukuthi lokhu kwelashwa kungakusiza ukuthi uhlale ungenabuhlungu iminyaka emihlanu noma ngaphezulu.
Kufanele ngimbone nini udokotela?
Uma ubuhlungu bakho emhlane buhlale isikhathi esingaphezu kwamasonto ambalwa, uma ubuhlungu buba bubi kakhulu, noma uma ukwelashwa kungasizi, qiniseka ukuthi ubona udokotela .
Ikakhulukazi okulandelayoUma kukhona izimpawu ezibomvu, funa iseluleko sezokwelapha ngokushesha :
- Ukuba ndikindiki noma ubuthakathaka emilenzeni
- Ubunzima bokuma noma ukuhamba
- Ukuvuza komchamo noma indle ngokungazi (lesi yisimo esiphuthumayo esibucayi kakhulu, hamba uye egumbini lezimo eziphuthumayo esibhedlela (ETU) ngokushesha)
- Ukwehla kwesisindo ngokuzumayo
- Imfiva
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu be-vertebrogenic uhlobo oluthile lobuhlungu bomhlane olungabangelwa inkinga yediski, kodwa ukulimala kwama-endplate omgogodla.
- Lobuhlungu buyanda uma ugoba phambili noma uhleli, futhi izimpawu ezifana nokungazweli emilenzeni zivame ukungabi zivamile.
- Kungadingeka ukuthi kwenziwe i-MRI scan ukuze kutholakale kahle lesi sifo.
- Uma ukwelashwa okuvamile kunganikezi impumuzo, ukwelashwa kwesimanje okuphumelelayo okufana nokuthi "ukususwa kwemizwa ye-basivertebral" sekuyatholakala manje.
- Ungalokothi ungazinaki izinhlungu zomhlane. Uma ziqhubeka noma zinezimpawu ezinzima, qiniseka ukuthi ubona udokotela wakho.
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