I-spinal stenosis

I-Spinal stenosis incipha kukholamu lomgogodla odala ingcindezi entanjeni yomgogodla, noma ukuncipha kwezikhala (ezibizwa nge-neural foramina) lapho izinzwa zomgogodla zishiya khona umgogodla.

I-Spinal stenosis ivame ukwenzeka njengoba umuntu eneminyaka, noma kunjalo, ezinye iziguli zizalwa zinendawo encane yomgogodla wazo.

• Amadiski omgogodla ayoma futhi aqale ukuqina.
• Amathambo nemisipha yomgogodla iyakhula noma ikhule ibe nkulu. Lokhu kudalwa yisifo samathambo noma ukuvuvukala kwesikhathi eside.

I-Spinal stenosis nayo ingabangelwa:

• I-arthritis yomgogodla, imvamisa kubantu abaphakathi nendawo noma abadala
• Izifo zamathambo, njengesifo sePaget
• Iphutha noma ukukhula emgogodleni owawukhona kusukela ekuzalweni
• Umsele womgogodla omncane owazalwa nawo lowo muntu
• I-disk ye-Herniated noma eshelelisiwe, okuvame ukwenzeka esikhathini esedlule
• Ukulimala okubangela ingcindezi ezimpandeni zezinzwa noma emgogodleni
• Izimila emgogodleni
• Ukwephuka noma ukulimala kwethambo lomgogodla

Izimpawu zivame ukuba zimbi kancane ngokuhamba kwesikhathi. Imvamisa, izimpawu zizoba sohlangothini olulodwa lomzimba, kepha zingabandakanya imilenze yomibili.

Izimpawu zifaka:

• Ukuba ndikindiki, ukuqunjelwa, noma ubuhlungu ngemuva, ezinqeni, emathangeni, noma kumathole, noma entanyeni, emahlombe, noma ezingalweni
• Ubuthakathaka bengxenye yomlenze noma ingalo

Izimpawu zivame ukuba khona noma zibe zimbi kakhulu lapho umile noma uhamba. Imvamisa ziyancipha noma zinyamalale lapho uhlala phansi noma uncike phambili. Iningi labantu abane-spinal stenosis abakwazi ukuhamba isikhathi eside.

Izimpawu ezimbi kakhulu zifaka:

• Ubunzima noma ibhalansi embi lapho uhamba
• Izinkinga zokulawula umchamo noma ukuhamba kwamathumbu

Ngesikhathi sokuhlolwa ngokomzimba, umhlinzeki wakho wokunakekelwa kwezempilo uzozama ukuthola indawo yobuhlungu futhi afunde ukuthi kuthinta kanjani ukunyakaza kwakho. Uzocelwa ukuthi:

• Hlala, ume, uhambe. Ngenkathi uhamba, umhlinzeki wakho angakucela ukuthi uzame ukuhamba ngezinzwane zakho bese izithende zakho.
• Bend phambili, emuva, futhi eceleni. Ubuhlungu bakho bungaba nzima ngalezi zinyathelo.
• Phakamisa imilenze yakho uqonde phezulu ngenkathi ulele phansi. Uma ubuhlungu buba bubi kakhulu uma wenza lokhu, ungahle ube ne-sciatica, ikakhulukazi uma uzizwa uba ndikindiki noma uthinteka komunye wemilenze yakho.

Umhlinzeki wakho uzophinde ahambise imilenze yakho ezindaweni ezahlukahlukene, kufaka phakathi ukuguqa nokuqondisa amadolo akho. Lokhu ukuhlola amandla akho nekhono lokuhamba.

Ukuhlola ukusebenza kwezinzwa, umhlinzeki wakho uzosebenzisa isando senjoloba ukuhlola ukucabanga kwakho. Ukuhlola ukuthi imizwa yakho izwa kahle kangakanani, umhlinzeki wakho uzokuthinta imilenze yakho ezindaweni eziningi ngephini, i-cotton swab, noma uphaphe. Ukuhlola ibhalansi yakho, umhlinzeki wakho uzokucela ukuthi uvale amehlo akho ngenkathi ugcina izinyawo zakho ndawonye.

Ukuhlolwa kobuchopho nokwesaba (i-neurologic) kusiza ukuqinisekisa ubuthakathaka bomlenze nokulahlekelwa umuzwa emilenzeni. Ungaba nokuhlolwa okulandelayo:

• I-Spinal MRI noma i-spinal CT scan
• I-X-ray yomgogodla
• I-Electromyography (EMG)

Umhlinzeki wakho kanye nabanye ochwepheshe bezempilo bazokusiza ukuphatha ubuhlungu bakho futhi kukugcine usebenza ngokusemandleni.

• Umhlinzeki wakho angakudlulisela ekwelashweni ngokomzimba. Uchwepheshe wezomzimba uzokufundisa ukunweba nokuzivocavoca umzimba okwenza imisipha yakho yangemuva iqine.
• Ungabona futhi i-chiropractor, i-massage Therapist, nomuntu owenza i-acupuncture. Kwesinye isikhathi, ukuvakashelwa okumbalwa kuzosiza ubuhlungu bakho bangemuva noma entanyeni.
• Amaphakethe abandayo kanye nokwelashwa kokushisa kungasiza ubuhlungu bakho ngesikhathi sokuqhuma.

Ukwelashwa kobuhlungu beqolo obudalwa yi-spinal stenosis kufaka:

• Imithi yokusiza ekudambiseni izinhlungu emuva.
• Uhlobo lokwelashwa kokukhuluma olubizwa ngokuthi yi-cognitive therapy yezokwelapha ukukusiza uqonde kangcono ubuhlungu bakho futhi likufundise ukuthi ungabuphatha kanjani ubuhlungu emuva.
• Umjovo we-epidural spinal (ESI), okubandakanya ukujova umuthi ngqo esikhaleni esizungeze izinzwa zakho zomgogodla noma umgogodla.

Izimpawu zomgogodla wesibindi zivame ukuba zimbi ngokuhamba kwesikhathi, kepha lokhu kungenzeka kancane. Uma ubuhlungu bungaphenduli kulezi zindlela zokwelapha, noma ulahlekelwa ukunyakaza noma ukuzwa, ungadinga ukuhlinzwa.

• Kuhlinzwa ukwenziwa ukunciphisa ingcindezi emithanjeni noma emgogodleni.
• Wena nomhlinzeki wakho ninganquma ukuthi kunini lapho kufanele nihlinzelwe lezi zimpawu.

Ukuhlinzwa kungafaka ukususa i-bulging disk, ukususa ingxenye yethambo le-vertebra, noma ukunweba umsele nokuvuleka lapho kutholakala izinzwa zakho zomgogodla.

Ngesikhathi sokuhlinzwa komgogodla, udokotela ohlinzayo uzosusa ithambo elithile ukudala indawo ethe xaxa yezinzwa zakho zomgogodla noma ikholomu yomgogodla. Udokotela ohlinzayo uzobe ehlanganisa amanye amathambo omgogodla ukwenza umgogodla wakho uzinze. Kepha lokhu kuzokwenza umqolo wakho uqine futhi kubangele isifo samathambo ezindaweni ezingenhla noma ngaphansi komgogodla wakho ohlanganisiwe.

Abantu abaningi abane-spinal stenosis bayakwazi ukusebenza ngalesi simo, yize bengadinga ukwenza ushintsho emisebenzini yabo noma emsebenzini wabo.

Ukuhlinzwa komgogodla kuvame ukukhulula noma ngokuphelele izimpawu emilenzeni nasezingalweni zakho. Kunzima ukubikezela ukuthi uzothuthuka nokuthi ukuhlinzekwa ngosizo kuzokunikeza malini.

• Abantu ababenezinhlungu zesikhathi eside emuva ngaphambi kokuhlinzwa kwabo kungenzeka babe nobuhlungu ngemuva kokuhlinzwa.
• Uma udinga izinhlobo ezingaphezu kweyodwa zokuhlinzwa emuva, ungahle ube nezinkinga zesikhathi esizayo.
• Indawo yekholomu yomgogodla ngenhla nangaphansi kokuhlanganiswa komgogodla kungenzeka ukuthi icindezeleke futhi ibe nezinkinga nesifo samathambo ngokuzayo. Lokhu kungaholela ekuhlinzweni okuningi kamuva.

Ezimweni ezingavamile, ukulimala okubangelwa ukucindezelwa kwezinzwa kuhlala unomphela, noma ngabe ingcindezi isusiwe.

Shayela umhlinzeki wakho uma unezimpawu ze-spinal stenosis.

Izimpawu ezimbi kakhulu ezidinga ukunakekelwa ngokushesha zifaka:

• Ubunzima noma ibhalansi embi lapho uhamba
• Ukuba ndikindiki nobuthakathaka bomlenze wakho
• Izinkinga zokulawula umchamo noma ukuhamba kwamathumbu
• Izinkinga ukuchama noma ukunyakaza kwamathumbu

I-Pseudo-claudication; I-central stenosis yomgogodla; I-foraminal spinal stenosis; Isifo somgogodla esiwohlozayo; Ubuhlungu emuva - stenosis yomgogodla; Ubuhlungu obuphansi emuva - stenosis; I-LBP - stenosis

• Ukuhlinzwa komgogodla - ukukhishwa

• Inzwa yeSciatic
• I-spinal stenosis
• I-spinal stenosis

IGardocki RJ, iPaki AL. Ukuphazamiseka okwehlayo komgogodla we-thoracic ne-lumbar. I-Azar FM, iBeaty JH, iCanale, ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 39.

I-Issac Z, uSarno D. Lumbar stenosis yomgogodla. Ku: Frontera, WR, Silver JK, Rizzo TD Jr, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 50.

IKreiner DS, Shaffer WO, Baisden JL, et al. Umhlahlandlela womtholampilo osuselwa ebufakazini bokuxilongwa nokwelashwa kwe-lumbar spinal stenosis (isibuyekezo) esiwohlokayo. Umqolo J. 2013; 13 (7): 734-743. I-PMID: 23830297 pubmed.ncbi.nlm.nih.gov/23830297/.

ULurie J, uTomkins-Lane C. Ukuphathwa kwe-lumbar spinal stenosis. BMJ. 2016; 352: h6234. I-PMID: 26727925 pubed.ncbi.nlm.nih.gov/26727925/.