I-spondylosis yomlomo wesibeletho

I-Cervical spondylosis yisifo lapho kugqokwa khona uqwanga (amadiski) namathambo entamo (umgogodla womlomo wesibeletho). Kuyimbangela ejwayelekile yezinhlungu ezingapheli zentamo.

I-cervical spondylosis ibangelwa ukuguga nokugqoka okungapheli emgogodleni wesibeletho. Lokhu kufaka phakathi amadiski noma amakhushini phakathi komgogodla wentamo namalunga phakathi kwamathambo omgogodla womlomo wesibeletho. Kungaba nokukhula okungajwayelekile noma kuqhume emathanjeni omgogodla (i-vertebrae).

Ngokuhamba kwesikhathi, lezi zinguquko zingacindezela phansi (cindezela) eyodwa noma ngaphezulu yezimpande zemizwa. Ezimweni eziphambili, intambo yomgogodla iyabandakanyeka. Lokhu kungathinta hhayi izingalo kuphela, kodwa nemilenze.

Ukuguga kwansuku zonke kungaqala lezi zinguquko. Abantu abakhuthele kakhulu emsebenzini noma kwezemidlalo bangase babe nabo.

Isici esiyingozi enkulu ukuguga. Ngeminyaka engama-60, iningi labantu likhombisa izimpawu zesibeletho i-spondylosis ku-x-ray. Ezinye izinto ezingenza umuntu amathuba okuba athuthukise i-spondylosis yilezi:

• Ukukhuluphala ngokweqile nokungazivocavoci umzimba
• Ukuba nomsebenzi odinga ukuphakamisa okunzima noma ukugoba nokujija okuningi
• Ukulimala kwentamo edlule (imvamisa iminyaka eminingi ngaphambili)
• Ukuhlinzwa komgogodla okwedlule
• Idiski eqhekekile noma eshelele
• Isifo samathambo esinamandla

Izimpawu zivame ukukhula kancane ngokuhamba kwesikhathi. Kodwa bangaqala noma babe babi ngokuzumayo. Ubuhlungu bungaba mnene, noma bungaba bujulile futhi bube bukhulu kangangokuba ungakwazi ukunyakaza.

Ungabuzwa ubuhlungu obungaphezulu kwehlombe. Ingasakazeka kungalo ephezulu, ingalo, noma iminwe (ezimweni ezingavamile).

Ubuhlungu bungaba buhlungu kakhulu:

• Ngemuva kokuma noma ukuhlala
• Ebusuku
• Lapho uthimula, ukhwehlela, noma uhleka
• Lapho ugoba intamo ubheke emuva noma usonta intamo yakho noma uhamba ngaphezu kwamayadi ambalwa noma ngaphezu kwamamitha ambalwa

Ungaba nobuthakathaka emisipheni ethile. Kwesinye isikhathi, ungahle ungakuqapheli kuze kube yilapho udokotela ekuhlola. Kwezinye izimo, uzobona ukuthi unenkinga yokuphakamisa ingalo, ukucindezela uqinise ngesinye sezandla zakho, noma ezinye izinkinga.

Ezinye izimpawu ezivamile yilezi:

• Ukuqina kwentamo okuya kuba kubi ngokuhamba kwesikhathi
• Ukuba ndikindiki noma ukuzwa okungavamile emahlombe noma ezingalweni
• Ukuphathwa yikhanda, ikakhulukazi ngemuva kwekhanda
• Ubuhlungu obungaphakathi kwehlombe nobuhlungu behlombe

Izimpawu ezingavamile kakhulu yilezi:

• Ukulahlekelwa ibhalansi
• Ubuhlungu noma ukuba ndikindiki emilenzeni
• Ukulahlekelwa ukulawula phezu kwesinye noma amathumbu (uma kunengcindezi entanjeni yomgogodla)

Ukuhlolwa komzimba kungakhombisa ukuthi unenkinga yokuhambisa ikhanda lakho uye ehlombe lakho futhi ujikeleze ikhanda lakho.

Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi ugobise ikhanda lakho phambili nohlangothi ngalunye ngenkathi ubeka ingcindezi encane eya phansi ekhanda lakho. Ukwanda kobuhlungu noma ukuba ndikindiki phakathi nalesi sivivinyo ngokuvamile kuwuphawu lokuthi kukhona ingcindezi emthanjeni womgogodla wakho.

Ubuthakathaka bamahlombe akho nezingalo noma ukulahlekelwa umuzwa kungaba yizimpawu zokulimala ezimpandeni ezithile zezinzwa noma entanjeni yomgogodla.

I-x-ray yomgogodla noma yentamo ingenziwa ukubheka i-arthritis noma olunye ushintsho emgogodleni wakho.

Ukuskena kwe-MRI noma kwe-CT kwentamo kwenziwa lapho une:

• Ubuhlungu obukhulu bentamo noma bengalo obungehli kangcono ngokwelashwa
• Ubuthakathaka noma ukuba ndikindiki ezandleni zakho noma ezandleni zakho

Ukuhlolwa kwe-EMG kanye ne-nerve conduction velocity kungenziwa ukuhlola ukusebenza kwempande yezinzwa.

Udokotela wakho kanye nabanye ochwepheshe bezempilo bangakusiza ukuphatha izinhlungu zakho ukuze uhlale usebenza.

• Udokotela wakho angakudlulisela ekwelashweni ngokomzimba. Uchwepheshe wezempilo uzokusiza wehlise ubuhlungu bakho usebenzisa ukwelula. Uchwepheshe uzokufundisa izivivinyo ezenza imisipha yakho yentamo iqine.
• Uchwepheshe angasebenzisa nokudonsa kwentamo ukukhulula enye ingcindezi entanyeni yakho.
• Ungabona futhi i-massage therapist, umuntu owenza i-acupuncture, noma umuntu owenza ukuxhaphaza umgogodla (i-chiropractor, udokotela we-osteopathic, noma owelapha ngokomzimba). Kwesinye isikhathi, ukuvakashelwa okumbalwa kuzosiza ngobuhlungu bentamo.
• Amaphakethe abandayo kanye nokwelashwa kokushisa kungasiza ubuhlungu bakho ngesikhathi sokuqhuma.

Uhlobo lokwelashwa kokukhuluma olubizwa ngokuthi ukwelashwa kokuziphatha kwengqondo lungasiza uma ubuhlungu bunomthelela omkhulu empilweni yakho. Le ndlela ikusiza ukuthi ubuqonde kangcono ubuhlungu bakho futhi ikufundise ukuthi ubulawula kanjani.

Imithi ingasiza ubuhlungu bentamo yakho. Udokotela wakho angakunikeza imithi engewona ama-steroid (anti-inflammatory) (ama-NSAID) yokulawulwa kobuhlungu besikhathi eside. Ama-opioid angabekwa uma ubuhlungu bukhulu futhi bungaphenduli kuma-NSAID.

Uma ubuhlungu bungaphenduli kulezi zindlela zokwelapha, noma ulahlekelwe ukunyakaza noma ukuzwa, ukuhlinzwa kubhekwa. Kuhlinzwa ukwenziwa ukunciphisa ingcindezi emithanjeni noma emgogodleni.

Iningi labantu abane-spondylosis yomlomo wesibeletho banezimpawu zesikhathi eside. Lezi zimpawu ziyathuthuka ngokwelashwa okungahlinzeki futhi azidingi ukuhlinzwa.

Abantu abaningi abanale nkinga bayakwazi ukugcina impilo isebenza. Abanye abantu kuzodingeka baphile nezinhlungu ezingapheli (zesikhathi eside).

Lesi simo singaholela kokulandelayo:

• Ukwehluleka ukubamba indle (ukungasebenzi komchamo) noma umchamo (ukungahambisani nomchamo)
• Ukulahlekelwa ukusebenza kwemisipha noma umuzwa
• Ukukhubazeka unomphela (ngezikhathi ezithile)
• Ukulinganisela okuncane

Shayela umhlinzeki wakho uma:

• Isimo siba sibi kakhulu
• Kunezimpawu zezinkinga
• Uba nezimpawu ezintsha (njengokulahlekelwa ukunyakaza noma ukuzwa endaweni yomzimba)
• Ulahlekelwa ukulawula isinye sakho noma amathumbu (shayela ngokushesha)

I-osteoarthritis yomlomo wesibeletho; Isifo samathambo - intamo; Intamo i-arthritis; Ubuhlungu obungapheli bentamo; Isifo sedisgenerative disk

• Umgogodla wamathambo
• I-spondylosis yomlomo wesibeletho

I-Fast A, Dudkiewicz I. Isifo esiwohloza somlomo wesibeletho. Ku: Frontera WR, iSilver JK, uRizzo TD, Jr., ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 3.

I-Kshettry VR. I-spondylosis yomlomo wesibeletho. Ku: Steinmetz, MP, Benzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 96.