Ingabe nomhlane wakho uyabuhlungu? Ake sifunde ngalobu buhlungu obungavamile bomhlane (Ubuhlungu Bomhlane Ophansi Obubangelwa Yi-Vertebrogenic)?

Enye yezinkinga ezinkulu abantu abaningi abanazo kulezi zinsuku ubuhlungu bomhlane. Ngezinye izikhathi ungase ucabange ukuthi lokhu akuyona into okufanele ukhathazeke ngayo, kodwa empeleni kunezinhlobo ezithile zobuhlungu bomhlane ezikhethekile kancane, okungukuthi, ezihlukile kwezinye izinhlungu zomhlane ezivamile. Ngakho-ke, namuhla sizokhuluma ngohlobo olulodwa olukhethekile lobuhlungu bomhlane. Ukukwazi lokhu kahle kuzokusiza kakhulu.

Iyini le nto ebizwa ngokuthi yi-Vertebrogenic Low Back Pain?

Kalula nje, ubuhlungu bomhlane obuphansi be-vertebrogenic bubangelwa ukulimala kwama-endplate omgogodla wakho. Manje ungase uzibuze ukuthi ziyini lezi zingxenye zomgogodla.

Cabanga nje, umgogodla wakho wakhiwe ngamathambo amancane abekwe phezu komunye nomunye, esiwabiza ngokuthi ama-vertebrae. Uma kukhona elinye i-vertebrae phezu komunye nomunye, kukhona into efana nomatrasi phakathi kwawo, esiwabiza ngokuthi i-intervertebral disc , noma i-disc nje. Le disc yilokho okuvumela umgogodla ukuthi ugobe uye emuva naphambili, futhi imunca nokushaqeka okuza ngemuva lapho sigxuma futhi sigijima. Phakathi kwaleyo vertebrae ne-disc, kunezinhlayiya ezimbili ezincane ezifana nesembozo esivikelayo, esibizwa ngokuthi ama-vertebral endplates . Ngakho-ke, uma lezi zonakele nganoma iyiphi indlela, yilapho kuqala khona lobu buhlungu bomhlane.

Kungani lokhu kuhlukile kwezinye izinhlungu zomhlane?

Yebo, lokhu kuhlukile kancane. Ngokuvamile uma sicabanga ngobuhlungu bomhlane, sicabanga ngento eyenzekile ngenxa yokulimala noma into efana ne-arthritis. Kodwa imbangela eyinhloko yalobu buhlungu bomhlane (i-Vertebrogenic) ukulimala kwama-vertebral endplates esikhulume ngawo ngaphambili.

Esikhathini esidlule, odokotela babevame ukucabanga ukuthi imbangela yobuhlungu obuqhubekayo emhlane kwakuyisifo sediski esiwohlokayo noma isifo samathambo. Kodwa kamuva, abacwaningi bathola ukuthi kunezinzwa ngaphakathi kwamathambo ethu ezizwa ubuhlungu, futhi uma zicasukile, ubuhlungu bungaba khona. Ngaleso sitholo, kwacaca ukuthi kungaba nezinye izimbangela zobuhlungu emhlane. Lokho kusho ukuthi akuzona zonke izinhlungu emhlane ezibangelwa isifo sediski esiwohlokayo noma isifo samathambo.

Sivame kangakanani lesi simo?

Eqinisweni, kunzima ukusho ngqo ukuthi bangaki abantu abanalobu buhlungu bomhlane (obubangelwa yi-vertebrogenic). Kuthiwa abantu abangaphezu kwezigidi ezingu-30 ezweni elifana neMelika banohlobo oluthile lobuhlungu bomhlane obuqhubekayo. Kodwa-ke, akwaziwa kahle ukuthi bangaki kubo abanalesi simo (esibangelwa yi-vertebrogenic). Lokhu kungenxa yokuthi odokotela bangathola kuphela imbangela eqondile cishe engu-20% yobuhlungu bomhlane. Amanye angu-80% ahlukaniswa njengobuhlungu bomhlane obungaqondile .

Ziyini izimpawu zalokhu?

Abantu abanalobu buhlungu bomhlane (bomgogodla) bavame ukuchaza ubuhlungu obushisayo nobucindezelayo phakathi nomhlane wabo. Buzwakala njengobuhlungu obujulile, obudubulayo. Kwabanye abantu, lobu buhlungu bubizwa ngokuthi ubuhlungu . Okusho ukuthi, ubuhlungu buzwakala endaweni ehlukile kunalapho buvela khona.

Ngokuvamile lobu buhlungu buyanda:

• Uma uhleli endaweni eyodwa isikhathi eside.
• Uma umatasa ngokomzimba .
• Uma ugoba phambili .

Lezi zimpawu zifana kakhulu nezesifo sediski esiwohlokayo kangangokuthi ngisho nodokotela ngezinye izikhathi angaphambanisa esinye nesinye. Ngaphezu kwalokho, abanye abantu bangaba nazo zombili lezi zimo ngesikhathi esisodwa .

Izici ezengeziwe ezihambisana nezinkinga zediski

Uma ama-endplate omgogodla emhlane wakho ongezansi onakele futhi une-disc eyonakele, ungase ube nezimpawu ezengeziwe. Ezimweni ezinjalo:

• Ungase uzizwe uthuthumela ezithweni zakho.
• Ezinye izindawo azinangqondo .
• Ubuthakathaka emalungeni.

Lezi zimpawu zenzeka ngoba idiski ingahluma futhi ithinte imizwa eseduze. Lokhu akwenzeki njalo, kodwa kungenzeka.

Yini ebangela lokhu?

Njengoba sishilo ngaphambili, imbangela eyinhloko yalobu buhlungu bomhlane (bomgogodla) ukulimala kwama-endplate omgogodla. Ngakho-ke, kungaba nezizathu eziningi zokulimala kwala ma-endplate:

• Ukuguga kwansuku zonke: Kufana nokuguga okuthola ngokusebenzisa umshini.
• Ukukhuluphala: Lapho isisindo somzimba sikhuphuka, umgogodla nawo kufanele uthwale leso sisindo.
• Ukuphakama okuphezulu: Abantu abade bangabhekana nokucindezeleka okwengeziwe emhlane wabo.
• Imisebenzi enzima ngokomzimba: Abantu abaphakamisa izinsimbi ezisindayo, abama isikhathi eside, futhi abasebenza endaweni efanayo basengozini enkulu.
• Uma othile emndenini enomlando wekhanda elibuhlungu elingapheli (Umlando womndeni): Kungase kube nethonya lezakhi zofuzo.
• Ukubhema: Ukubhema kungathinta imithambo yegazi emzimbeni futhi kunciphise inani legazi elifinyelela kulezi zindawo.
• Ukulimala noma ukuwa: Umthelela omkhulu ongazelelwe ungalimaza lezi zindawo.

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela ohlushwa ubuhlungu emhlane, into yokuqala azokwenza ukukuhlola ngokuphelele ngokomzimba.Okokuqala. Bazokuthinta umhlane wakho, bakucele ukuthi ugobe futhi uphenduke ngezindlela ezahlukene ukuze babone ukuthi yiziphi izikhundla ezibuhlungu kakhulu. Bazokubuza nangezimpawu zakho nokuthi ngabe kukhona yini emndenini wakho oke waba nezinkinga zomhlane ezinjengalezi.

Uma udokotela wakho ecabanga ukuthi kukhona okungahambi kahle emhlane wakho, cishe uzo-oda ukuhlolwa kwezithombe . Into yokuqala evame ukwenziwa ngenxa yobuhlungu bomhlane i-X-ray yomhlane wakho . Kuye ngolwazi olutholiwe, udokotela angadinga ulwazi olwengeziwe. Uma kunjalo, anga-oda i -CT scan (i-Computed Tomography scan) noma i -MRI scan (i-Magnetic Resonance Imaging scan) . I-MRI scans ingabonisa izimpawu zokuvuvukala komnkantsha wethambo kanye nezinguquko noma umonakalo kuma-vertebral endplates.

Yiziphi izindlela zokwelapha?

Izindaba ezinhle ukuthi kunezindlela eziningana zokwelapha lobu buhlungu bomhlane (bomgogodla). Udokotela angakusiza ukhethe ukwelashwa okukulungele.

• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Le yimithi esivame ukuyithatha ngenxa yobuhlungu nokuvuvukala. Izibonelo zifaka phakathi i-aspirin, i-ibuprofen, ne-naproxen. Le mithi kufanele isetshenziswe njengoba udokotela wakho ekuqondisile.
• Ukwelashwa ngokomzimba: Lokhu futhi kuyindlela yokwelapha ebaluleke kakhulu. Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca okukhethekile kanye nokulula okuzoqinisa umhlane wakho futhi kunciphise ubuhlungu. Uma ukwenza lokhu ngendlela efanele, uzothola impumuzo enkulu.
• Ama-muscle relaxer: Kwezinye izimo, uma imisipha ezungeze umgogodla wakho iqinile, lezi zinhlobo zemithi zinganikezwa ukuze ziphumuze. Kodwa-ke, ngoba zingakwenza ulale futhi zingaba umlutha uma zisetshenziswa njalo, odokotela bavame ukuzinika isikhathi esifushane kuphela.
• Inqubo ye-Intracept® (ukususwa kwemizwa ye-basivertebral): Ake sithi uzame ezinye izindlela zokwelapha (njengokubhucungwa, ukwelashwa ngokomzimba) cishe izinyanga eziyisithupha futhi ubuhlungu bakho bomhlane abunciphi. Esimweni esinjalo, udokotela angase asikisele inqubo ekhethekile ebizwa ngokuthi i-Intracept®. Lokhu kuhilela ukusebenzisa ithuluzi elihle kakhulu nokufaka ukushisa ukuze kulimaze (kususwe) inzwa eyinhloko ethwala ubuhlungu (imizwa ye-basivertebral) ngaphakathi kwe-vertebra. Lokhu kuvimbela izimpawu zobuhlungu ezivela kuleyo nzwa ukuthi ziye ebuchosheni, futhi ubuhlungu buyancipha.

Okubalulekile: Zonke lezi zindlela zokwelapha kufanele zenziwe kuphela ngaphansi kweseluleko nokuqondisa kukadokotela. Ungathathi noma yimiphi imithi noma ukuzivocavoca umzimba wedwa.

Kuzothatha isikhathi esingakanani ukululama kulesi simo? (Outlook)

Kunezindlela eziningi zokwelapha abantu abane-Vertebrogenic Back Pain kunanini ngaphambili. Lokho kuyinto enhle. Kodwa-ke, kungathatha isikhathi ukuthola ukuxilongwa okufanele . Futhi, kungadingeka uzame izindlela zokwelapha eziningana uze uthole okulungile. Ungase ungakutholi ukwelashwa okufanele ngokushesha.

Ngokwezibalo, ukwelashwa okuphumelelayo kakhulu kwalokhu buhlungu bomhlane (obangelwa yi-vertebrogenic) inqubo esixoxe ngayo ngaphambilini (ukususwa kwemizwa ye-basivertebral) . Kodwa-ke, uma ufuna ukuthola lokhu kwelashwa ngomshuwalense, cishe kuzodingeka uqale ufakazele ukuthi ezinye izindlela zokwelapha ezivamile (ezifana nezinhlungu zobuhlungu kanye nokwelashwa ngokomzimba) zehlulekile. Udokotela wakho angakusiza ngalokhu, futhi angakufundisa nezindlela zokunciphisa ubuhlungu ngesikhathi sokwelashwa.

Ukuvimbela kanjani lokhu ukuthi kungenzeki? (Ukuvimbela)

Njengoba lobu buhlungu bomhlane (obubangelwa yi-vertebrogenic) buvame ukuba yingxenye yemvelo yokuguguleka kwemizimba yethu, kunzima ukubuvimbela ngokuphelele . Kodwa-ke, kunezinto ezimbalwa esingazenza ukuze sinciphise ingozi yethu:

• Gcina isisindo esinempilo ngobude bakho: Njengoba isisindo somzimba wakho sikhula, ingcindezi emhlane wakho iyanda.
• Ukuzivocavoca njalo: Kubaluleke kakhulu ukwenza izivivinyo zokuqinisa umzimba, ikakhulukazi eziseduze nomhlane nesisu.
• Zelula njalo: Uma unomsebenzi odinga ukuthi uhlale endaweni eyodwa isikhathi eside, kungumqondo omuhle ukuvuka welule umzimba wakho kancane, uhambahamba, okungenani kanye ngehora.
• Gwema ukubhema: Ukubhema kungaphazamisa inqubo yokuphulukiswa komzimba.

Kufanele ngimbone nini udokotela?

Ubuhlungu obujwayelekile emhlane kufanele buphele ezinsukwini ezimbalwa noma ngesonto. Kodwa-ke, uma unezinye zalezi zimpawu , kufanele nakanjani ubone udokotela ngokushesha :

• Ubuhlungu bomhlane obungaphelanga ngemva kwamasonto amabili noma amathathu.
• Ubuhlungu bomhlane obungapheli ngisho nangemva kokuthatha umuthi noma ukuphumula.
• Uma uzizwa sengathi ubuhlungu bakho emhlane buya ngokuya buba bubi kakhulu .
• Uma uzwa izimpawu ezinjengokuqaqamba, ukungazweli , noma ubuthakathaka ezandleni noma ezinyaweni zakho .
• Sukuma, uma uzizwa sengathi ukuhamba kunzima .
• Uma unezinye izimpawu ezifana nomkhuhlane kanye nokwehla kwesisindo kanye nobuhlungu emhlane.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Ubuhlungu bomhlane bungaba nomthelela omkhulu empilweni yethu yansuku zonke. Kungaba yinto ecasulayo kakhulu hhayi kuphela lapho siya emsebenzini, senza imisebenzi yasekhaya, noma sidlala imidlalo, kodwa nalapho sihleli nje. Ikakhulukazi uma sinobuhlungu obungapheli obunjengalobu obungapheli ngokwelashwa okuvamile, kungaba yinto ecindezelayo kakhulu futhi ngezinye izikhathi engaba yize.

Khumbula: Uma futhi unesihlungu esishisayo nesicindezelayo phakathi nomhlane wakho, kungaba yi-Vertebrogenic Low Back Pain. Ngakho-ke, ungesabi noma ukhathazeke ngakho, kodwa qiniseka ukuthi ukhuluma nodokotela ukuze uthole ukuthi yiziphi izimpawu zakho nokuthi yikuphi ukwelashwa okungcono kakhulu. Uma uqala ukwelashwa okufanele ngokushesha okukhulu, uzokwazi ukususa lobu buhlungu futhi ujabulele umsebenzi wakho futhi!

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