Ingabe ngezinye izikhathi uzizwa ungenampilo ezingalweni nasemilenzeni yakho kanye nentamo noma umhlane obuhlungu? Ingabe ngezinye izikhathi uzizwa sengathi ulahlekelwa ibhalansi yakho lapho uhamba, noma unenkinga yokwenza imisebenzi ebucayi, njengokunamathisela izinkinobho zehembe? Uma unalezi zimpawu, imbangela ingaba nkulu kakhulu kunalokho ocabanga. Namuhla sikhuluma ngesimo esibizwa ngokuthi ' i-myelopathy ' esibangela lezi zimpawu.
Kuyini i-Myelopathy?
Kalula nje, i-myelopathy yisimo esenzeka lapho intambo yomgogodla icindezelwa . Cabanga ngakho, intambo yomgogodla iyintambo yemizwa ebaluleke kakhulu egijima isuka ebuchosheni bethu iye phansi emgogodleni wethu. Ifana 'nentambo' eyinhloko yomzimba wethu. Imiyalezo evela ebuchosheni iyiswa kuwo wonke umzimba, kufaka phakathi izitho zomzimba, futhi imizwa yomzimba iyiswa ebuchosheni ngale ntambo yomgogodla. Ukuze kuvikelwe le 'ntambo' eyigugu, kukhona isembozo esenziwe ngamathambo, i-cartilage, nezicubu ezizungezile, esibizwa ngokuthi umsele womgogodla .
Uma, ngesizathu esithile, isikhala ngaphakathi kwalo msele womgogodla sincipha futhi intambo yomgogodla iqala ukucindezela, ukuxhumana kwemiyalezo kuyaphazamiseka. Yilokho esikubiza ngokuthi i-myelopathy.
Abantu abaningi badidanisa lezi zimo ezimbili i-myelopathy kanye ne-myopathy . Kodwa lezi zimo ezimbili zihluke ngokuphelele. I-Myelopathy yisimo esithinta imizwa emgogodleni . I-Myopathy yisimo esithinta imisipha .
I-Myelopathy ihlukaniswe ngezinhlobo eziningana eziyinhloko kuye ngokuthi ithinteke kuphi emgogodleni.
| Uhlobo lwe-myelopathy | Indawo ethintekile |
|---|---|
| I-Myelopathy Yesibeletho | Kuthinta umgogodla endaweni yentamo. (Lolu uhlobo oluvame kakhulu.) |
| I-Thracic Myelopathy | Ezingeni lesifuba, okusho ukuthi intambo yomgogodla emhlane ophakathi nongaphezulu iyathinteka. |
| I-Lumbar Myelopathy | Kuthinta umhlane ongezansi. Lesi yisimo esingavamile kakhulu ngoba umgogodla awuvamile ukuba phansi kangaka. |
Ziyini izimbangela ze-myelopathy?
Kunezizathu eziningana ezenza ukuthi intambo yomgogodla ingacindezelwa. Izimbangela ezimbili eziyinhloko yizimo ezibizwa ngokuthi i-arthritis kanye ne -spondylosis . Lezi zibangelwa ukuguguleka kancane kancane komgogodla wethu, noma ama-vertebrae, njengoba siguga. Lokhu kuguguleka kungashintsha ukuma kwamathambo futhi kunciphise umsele womgogodla. Isimo esenzeka ikakhulukazi entanyeni sibizwa ngokuthi i-Cervical Spondylotic Myelopathy .
Ngaphezu kwalokho, kunezinye izizathu:
- Ukushelela kwethambo: Ucezu oluncane lwethambo lungaphuma emhlane bese lucindezela umgogodla noma imizwa ephuma kuwo.
- Izingozi: I-Myelopathy ingenzeka ngokuzumayo ngenxa yokulimala komgogodla, njengokuwa noma ingozi yemoto. Lokhu sikubiza ngokuthi i-acute myelopathy .
- Ezinye izimo zezokwelapha: Izifo eziwohlokayo ze-neurogenerative ezifana ne -rheumatoid arthritis , izimila zomgogodla, noma isifo sikaParkinson nazo zingabangela i-myelopathy ukuthi ikhule kancane kancane ngokuhamba kwesikhathi. Lokhu kubizwa ngokuthi i-chronic myelopathy .
Ziyini izimpawu ze-myelopathy?
Izimpawu ze-myelopathy zikhula kancane kancane. Nakuba zingase zibe zincane ekuqaleni, zinganda ngokuhamba kwesikhathi. Izimpawu eziyinhloko ongase uzibone yilezi:
- Ubuhlungu entanyeni, emhlane, ezingalweni, noma emilenzeni.
- Ukuzwa sengathi ungezwani, ushile, noma ulahlekelwe umuzwa ezithweni.
- Ukulahlekelwa ibhalansi ngenkathi uhamba, uzizwa sengathi uyanyakaza.
- Ubunzima bokuxhumanisa ukunyakaza komzimba.
- Ubunzima bokwenza imisebenzi emihle yezandla , njengokubhala, ukubopha izinkinobho zehembe, noma ukubopha izintambo zezicathulo.
- Ukuzizwa ungenamizwa kanye nobuthakathaka ezingalweni nasemilenzeni.
- Njengoba lesi sifo siqhubeka, ungase ubhekane nokuchama okungalawuleki kanye nokuphuma kwendle .
Uma unalezi zimpawu, ungazinaki . Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.
Ungayixilonga kanjani ngokunembile i-myelopathy?
Uma uya kudokotela wakho, into yokuqala azokwenza ukulalela izimpawu zakho bese enza ukuhlolwa ngokomzimba. Ngemva kwalokho, bangase batuse ukuhlolwa okuningana ukuqinisekisa ukuxilongwa nokukhipha ezinye izimo.
| Ukuhlolwa kwezokwelapha | Yini elindelekile kuyo? |
|---|---|
| Ukuhlolwa kwe-X-ray | Hlola ezinye izinkinga ezifana nokuqhekeka noma ukuqhekeka komgogodla. |
| Ukuskena kwe-MRI (Umfanekiso Wokuqabulana Kwamagnetic) | Lesi isivivinyo esingcono kakhulu. Ungabona konke ngokucacile, okuhlanganisa intambo yomgogodla, imizwa, nama-disc phakathi kwamathambo omgogodla. Ungathola ukuthi intambo yomgogodla ikuphi nokuthi icindezelwe kangakanani. |
| I-Myelography | Lokhu kuhlolwa kwenziwa kubantu abangakwazi ukungena emshinini we-MRI (isibonelo, labo abane-pacemaker). Kufakwa uketshezi olukhethekile (udayi) emgogodleni bese kusetshenziswa ama-X-ray (i-fluoroscopy) ukuze kutholakale izindawo ezinenkinga emgogodleni. |
| Ukuhlolwa Kukagesi | Ukuhlolwa okufana ne-electromyogram (EMG) kuhlola ukusebenza kwezinzwa nokuthi imisipha isabela kanjani kuzo. |
Yiziphi izindlela zokwelapha i-myelopathy?
Ukwelashwa kuncike ohlotsheni lwe-myelopathy onayo, imbangela yayo, kanye nobunzima bezimpawu zakho.
Ukwelashwa Okungeyona Eyokuhlinzwa
Ezigabeni zokuqala noma uma izimpawu zingembi kakhulu, udokotela wakho angase ancome ukwelashwa okungadingi ukuhlinzwa.
- Ukwelashwa Komzimba: Lokhu kuzivocavoca kusiza ukuqinisa imisipha yomhlane nentamo nokunciphisa ingcindezi emgogodleni.
- I-brace yentamo: Lokhu kusiza ukunciphisa ukunyakaza kwentamo, ukunciphisa ubuhlungu, nokuvimbela isimo ukuba singabi sibi kakhulu.
- Imithi: Ama-painkiller afana nama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) anikezwa ukunciphisa ubuhlungu nokuvuvukala. Ngezinye izikhathi, uma ubuhlungu bukhulu, imijovo ye-steroid inikezwa ngqo endaweni ethintekile.
Ukwelashwa Kokuhlinzwa
Uma izimpawu zinkulu, ikakhulukazi uma kukhona ukulahlekelwa ukulawula isinyi noma amathumbu, noma uma into efana nesimila noma ingxenye yethambo idinga ukususwa, ukuhlinzwa kuyisisombululo esingcono kakhulu. Ukuhlinzwa kunganciphisa ingcindezi emgogodleni futhi kunikeze impumuzo ehlala njalo.
| Igama lokuhlinzwa | Kwenzekani nje |
|---|---|
| Ukuhlinzwa kwe-Laminectomy | Ingxenye yethambo lomgogodla (i-lamina) ebangela ukucindezelwa komgogodla iyasuswa, okuvumela umgogodla ukuthi uhlale ukhululekile. |
| I-Laminoplasty | Ngaphandle kokususa ithambo ngokuphelele, kwenziwa i-hinge ohlangothini olulodwa, okudala isikhala esifana nokuvula umnyango. Lokhu kwenziwa kuphela emathanjeni entamo. |
| Ukuhlanganiswa Komgogodla | Ama-vertebrae amabili noma ngaphezulu ahlanganiswa ndawonye, okuqinisa umgogodla. Lokhu kunciphisa kakhulu ubuhlungu. |
Ukululama ngemva kokwelashwa
Into ebaluleke kakhulu ku-myelopathy ukuqaphela lesi sifo kusenesikhathi bese uqala ukwelashwa . Ngoba uma umgogodla ucindezelwe kakhulu, kungenzeka umonakalo ongenakulungiseka ezinhlungwini.Kungenzeka. Ngakho-ke, kungenzeka ukuthi ngisho nokunyakaza kwamalungu kungase kulahleke unomphela. Ngakho-ke, uma unezimpawu ezishiwo kulesi sihloko, ungesabi, futhi ubone udokotela ukuze uthole ngakho. Ngokwelashwa okusheshayo, izinga lempilo yakho lingagcinwa kahle.
Umlayezo Wokuya Nawe Ekhaya
- I-Myelopathy akuyona inkinga yemisipha, kodwa inkinga yemizwa ebangelwa ukucindezelwa komgogodla.
- Ungazinaki izimpawu ezifana nobuhlungu bentamo noma umhlane obuhambisana nokungazweli, ubuthakathaka, ubunzima bokuhamba, noma ubunzima bokwenza imisebenzi emihle yezandla.
- Uma unesinye noma ngaphezulu salezi zimpawu, xhumana nodokotela ngokushesha okukhulu ukuze uthole iseluleko.
- Ukuxilongwa kusenesikhathi kanye nokwelashwa kungavimbela ukulimala kwemizwa okungapheli.
- Kuye ngembangela kanye nobukhulu bayo, kunezindlela zokwelapha ezisebenzayo kusukela ekuzivocavoceni kanye nemithi kuya ekuhlinzweni.
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