Ingabe uvame ukuba nobuhlungu emhlane? Noma uzizwa umuzwa wokucasuka owehla engalweni yakho kanye nobuhlungu entanyeni yakho? Isikhathi esiningi, siyakhohlwa ngezinto ezinjalo, sicabanga ukuthi "yilokhu okwenzekayo uma ukhula" noma "kungenxa yomsebenzi nokukhathala." Kodwa ngezinye izikhathi kungase kube nesizathu sezokwelapha ngemuva kwalobu buhlungu okudingeka sisinake. Namuhla sikhuluma ngesimo esinjalo, okungukuthi i-Neural foraminal stenosis (i-Foraminal Stenosis ngamafuphi). Nakuba igama liyinkimbinkimbi kancane, masiqonde indaba kalula.
Kalula nje, iyini i-Foraminal Stenosis?
Cabanga ngomgogodla wakho. Ufana neqoqo lamathambo amancane (abizwa ngokuthi ama-vertebrae) abekwe phezu komunye nomunye. Umgogodla, olawula umzimba wakho wonke, uvikelekile ngaphakathi komgogodla. Umgogodla oxhuma ezingalweni zakho, emilenzeni, nakuwo wonke amanye amalungu omzimba wakho.
Manje into ebalulekile ukuthi, kunezimbobo ezincane, njengemihubhe emincane, phakathi kwamathambo omgogodla ukuze kuphume lezi zinzwa. Lezi zimbobo yilokho esikubiza ngokwezokwelapha ngokuthi i-neural foramina. Kwenzekani uma lezi zimbobo zincipha noma zivalekile ngesizathu esithile? Khona-ke i-nerve ephuma kulowo mgodi iqala ukucindezelwa. Kufana nomuntu onyathela ipayipi lamanzi bese amanzi eyeka ukugeleza. Lesi simo sokucindezelwa kwemizwa yilokho esikubiza ngokuthi i-Foraminal Stenosis .
Lesi simo singavela kuphi emgogodleni?
I-Foraminal Stenosis ingavela noma kuphi emgogodleni. Izimpawu ziyahlukahluka kuye ngokuthi yenzeka kuphi. Kunezinhlobo ezintathu eziyinhloko.
1. I-Cervical Foraminal Stenosis
Lesi yisimo esenzeka phakathi kwamathambo omgogodla entanyeni yethu. Njengoba intamo yethu iyingxenye yomzimba ehamba kakhulu futhi ithwala isisindo sekhanda, kunethuba elikhulu lokuthi kube ne-stenosis kule ndawo. Lesi simo singathinta abantu abachitha isikhathi esiningi bebuka ikhompyutha noma belele endaweni engafanele.
2. I-Thracic Foraminal Stenosis (umhlane ophakathi)
Lokhu akuvamile kangako. Lesi simo singase senzeke endaweni yethu engenhla emhlane, okungukuthi, emgogodleni wesifuba ngemuva kwesifuba. Lokhu kungathinta amahlombe nesifuba.
3. I-Lumbar Foraminal Stenosis (Umhlane Ophansi)
Lolu futhi uhlobo oluvame kakhulu. Umhlane wethu ongezansi uyingxenye yomzimba wethu ethwala isisindo esikhulu futhi egobayo futhi elula kakhulu. Ngakho-ke, imizwa kule ndawo inamathuba amaningi okucindezelwa. Lesi yisona sizathu esiyinhloko " sobuhlungu bomhlane " abantu abaningi abanaso.
Yiziphi izimbangela ze-Foraminal Stenosis?
Esikhathini esiningi, lesi simo sibangelwa izinguquko eziwohlokayo emgogodleni ezenzeka ngokukhula. Lokhu kusho ukuthi akuyona into eyenzeka ngobusuku obubodwa, kodwa into ekhula kancane kancane. Ngaphandle kwalokho, kungase kube nezinye izizathu.
| Isizathu | Kuchazwe kalula |
|---|---|
| I-Osteoarthritis | Njengoba sikhula, amalunga ayawohloka bese kwakheka ama-spurs amasha ethambo. La ma-spurs ayabhajwa endleleni yezinzwa bese eyicindezela. |
| Amadiski e-Herniated | 'Ama-cushion' (ama-disk) afana nojeli phakathi kwamathambo angavuvukala acindezele imizwa. |
| Ama-Ligaments Aqinisiwe | Imisipha ebamba umgogodla ndawonye iyaqina ngokuhamba kwesikhathi, ingenele endleleni yezinzwa bese iyicindezela. |
| Ukulimala Komgogodla | Uma kwenzeka ingozi yokuphuka noma ukuhlukana komgogodla, izimpande zemizwa zingancipha. |
| Ezinye izimo zezokwelapha | Lokhu kungabangelwa nayizimo ezifana nokuphazamiseka kokukhula kwamathambo njengesifo sikaPaget noma izimila (lezi azivamile). |
Yiziphi izimpawu ongase ube nazo?
Akuwona wonke umuntu onezimpawu. Abanye abantu bangase bazithole ngengozi ku-scan. Uma kuvela izimpawu, zivame ukuza zidlule, futhi zingaba zincane. Izimpawu zincike ekutheni inzwa icindezelwe kuphi.
| Indawo ethintekile | Izimpawu ezivamile |
|---|---|
| Intamo (Umlomo wesibeletho) |
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| Umhlane ongezansi (i-Lumbar) |
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| Izimpawu ezinzima ezidinga ukunakekelwa okusheshayo! | |
Uma uhlangabezana nanoma yiziphi izimpawu ezingenhla, okuhlanganisa ukulahlekelwa ukulawula isinyi noma amathumbu , ukungasebenzi kahle kocansi, noma ukuba ndikindiki emilenzeni yakho, kuyisimo esiphuthumayo sezokwelapha . Yiya emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha. | |
Udokotela uhlonza kanjani lokhu?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela . Udokotela uzoqala ngokubuza ngomlando wakho wezokwelapha bese ekuhlolisisa ngokucophelela. Bazohlola ububanzi bokunyakaza kwakho, izindawo zobuhlungu, kanye nokusebenza kwemizwa (reflexes).
Ngemva kwalokho, kunganconywa ukuhlolwa okuningana ukuqinisekisa lesi sifo nokunquma ubukhali baso:
- I-X-ray: Ingabheka ukuphuka, ukuqhekeka kwamathambo, noma ezinye izinkinga emgogodleni.
- I-MRI Scan: Lena yindlela enembile kakhulu yokubona isimo sezicubu ezithambile njengemizwa, ama-disc phakathi kwamathambo omgogodla, kanye nemisipha. Kungabonisa kahle ukuthi inzwa icindezelwe yini.
- I-CT Scan: Lokhu kungaveza nezithombe ezinemininingwane zomgogodla nezakhiwo ezizungezile.
- I-Myelogram: Lolu uhlobo lokuhlolwa olukhethekile. Kufakwa idayi ekhethekile emgogodleni bese kwenziwa i-CT noma i-MRI scan. Lokhu kuvumela ukugeleza koketshezi lomgogodla kanye nendawo lapho kucindezelwa khona izinzwa ukuthi kubonakale kahle.
Yiziphi izindlela zokwelapha ezikhona?
Ukwelashwa kuncike ebunzimeni bezimpawu zakho kanye nobukhulu bomonakalo wezinzwa. Ngokuvamile, udokotela wakho uzozama ukwelashwa ngaphandle kokuhlinzwa kuqala.
Ukwelashwa okungekona ukuhlinzwa
- Imithi: Udokotela wakho angase akunike imithi yokwelapha izinhlungu kanye nemithi yokulwa nokuvuvukala (ama-NSAID), imithi yokuphumula imisipha, kanye nemijovo ye-steroid.
- Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu. Udokotela wezokwelapha umzimba uzokufundisa izivivinyo ezithile ezizoqinisa imisipha yakho yasemhlane neyesisu, zandise ukuguquguquka, futhi zinciphise ubuhlungu.
- Ukulungiswa Kwesimo Somzimba: Uma unesimo sokuma esingafanele lapho umi, uhleli, noma usebenza, lokhu kubeka umthwalo ongadingekile emhlane nasentanyeni yakho. Kubaluleke kakhulu ukufunda ngesimo sokuma esifanele.
- Ukugqoka Ama-braces: Kwezinye izimo, udokotela wakho angase ancome ukugqoka i-braces yangemuva noma yentamo.
Ukuhlinzwa
Uma ukwelashwa okungenhla kungasizi, uma ubuhlungu bungabekezeleleki, futhi buthinta kakhulu impilo yakho yansuku zonke, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhlinzwa kubizwa ngokuthi i-foraminotomy .
Lokhu kuhlinzwa kuhilela ukususa ama-bone spurs, izingcezu zama-disc, noma ezinye izicubu ezicindezela i-nerve, okuvumela i-nerve ukuthi ihambe ngokukhululeka. Lokhu kuvame ukwenziwa udokotela ohlinza izinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Foraminal Stenosis yisimo esivamile esenzeka ngokuguga. Ngakho-ke ungabunaki ubuhlungu bomhlane nentamo.
- Ubuhlungu, ukungazweli, noma ubuthakathaka emalungeni kungaba yizimpawu eziyinhloko zalesi sifo.
- Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela bese uthola ukuxilongwa okufanele.
- Abantu abaningi bangalulama kahle ngokwelashwa okungadingi ukuhlinzwa (ukwelashwa ngokomzimba, ukuvivinya umzimba, imithi).
- Uma uba nezimpawu ezinzima, njengokulahlekelwa ukulawula isinyi noma amathumbu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Ukugcina isisindo esinempilo nokugcina ukuma okufanele kuhamba phambili ekuvimbeleni nasekuphatheni lesi simo.
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