I-Spondylolisthesis

I-Spondylolisthesis yisimo lapho ithambo (i-vertebra) emgogodleni liqhubekela phambili lisuka endaweni efanele lingene ethanjeni elingezansi kwalo.

Ezinganeni, i-spondylolisthesis ivame ukwenzeka phakathi kwethambo lesihlanu emhlane ongezansi (i-lumbar vertebra) kanye nethambo lokuqala endaweni ye-sacrum (pelvis). Imvamisa kungenxa yokukhubazeka kokuzalwa kuleyo ndawo yomgogodla noma ukulimala okungazelelwe (ukuhlukumezeka okukhulu).

Kubantu abadala, imbangela evame kakhulu ukugqoka okungavamile kuqwanga namathambo, njengesifo samathambo. Lesi simo sithinta kakhulu abantu abaneminyaka engaphezu kwengama-50 ubudala. Kuvame kakhulu kwabesifazane kunabesilisa.

Isifo samathambo nokuqhekeka nakho kungadala i-spondylolisthesis. Imisebenzi ethile yezemidlalo, efana ne-gymnastics, i-weightlifting, ne-football, icindezela kakhulu amathambo asemhlane ongezansi. Baphinde badinge ukuthi umgijimi aqhubeke nokwelula (i-hyperextend) umgogodla njalo. Lokhu kungaholela ekuqhekekeni kwengcindezi kolunye noma zombili izinhlangothi ze-vertebra. Ukwephuka kwengcindezi kungadala ukuthi ithambo lomgogodla libe buthakathaka futhi liphume endaweni.

Izimpawu ze-spondylolisthesis zingahluka kusuka kumnene kuya kokubi. Umuntu one-spondylolisthesis kungenzeka angabi nazimpawu. Izingane kungenzeka zingakhombisi izimpawu zize zibe neminyaka engu-18 ubudala.

Isimo singaholela ekwandeni kwe-Lordosis (ebizwa nangokuthi yi-swayback). Ezigabeni zakamuva, kungahle kube nomphumela we-kyphosis (roundback) njengoba umgogodla ongaphezulu uwela emgogodleni ophansi.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu obuphansi emuva
• Ukuqina kwemisipha (imisipha eqinile yomsipha)
• Ubuhlungu, ukuba ndikindiki, noma ukuncinza emathangeni nasezinqeni
• Ukuqina
• Ubumnene endaweni ye-vertebra engekho endaweni
• Ubuthakathaka emilenzeni

Umhlinzeki wakho wokunakekelwa kwezempilo uzokuhlola bese ezwa umgogodla wakho. Uzocelwa ukuthi uphakamise umlenze wakho uqonde ngqo phambi kwakho. Lokhu kungahle kungakhululeki noma kube buhlungu.

I-X-ray yomgogodla ingakhombisa ukuthi ngabe ithambo lomgogodla alikho endaweni noma liphukile.

I-CT scan noma i-MRI scan yomgogodla ingakhombisa uma kukhona ukuncipha komsele womgogodla.

Ukwelashwa kuya ngokuthi i-vertebra ishintshe kangakanani endaweni yayo. Iningi labantu liba ngcono ngokuvivinya umzimba okunwebeka nokuqinisa imisipha engemuva engezansi.

Uma ishifti singesibi, ungadlala imidlalo eminingi uma kungekho buhlungu. Isikhathi esiningi, ungaqala kancane imisebenzi.

Ungacelwa ukuthi ugweme imidlalo yezokuxhumana noma ushintshe imisebenzi ukuvikela umqolo wakho ekubeni wengezwe ngokweqile.

Uzoba nama-x-ray okulandelela ukuze uqiniseke ukuthi inkinga ayibi yimbi.

Umhlinzeki wakho futhi angancoma:

• I-brace yangemuva yokukhawulela ukunyakaza komgogodla
• Umuthi wezinhlungu (othathwe ngomlomo noma ojojowe ngemuva)
• Ukwelashwa ngokomzimba

Ukuhlinzwa kungadingeka ukudibanisa ama-vertebrae aguqukile uma une:

• Ubuhlungu obukhulu obungabi ngcono ngokwelashwa
• Ukushintsha okunzima kwethambo lomgogodla
• Ubuthakathaka bemisipha emlenzeni wakho owodwa noma womabili
• Ubunzima bokulawula amathumbu akho nesinye

Kukhona ithuba lokulimala kwemizwa ngokuhlinzwa okunjalo. Noma kunjalo, imiphumela ingaphumelela kakhulu.

Ukuzivocavoca kanye nezinguquko emsebenzini kuyasiza kubantu abaningi abane-spondylolisthesis emnene.

Uma ukunyakaza okuningi kwenzeka, amathambo angaqala ukucindezela izinzwa. Ukuhlinzwa kungadingeka ukulungisa isimo.

Ezinye izinkinga zingafaka:

• Ubuhlungu beqolo besikhathi eside (esingapheli)
• Ukutheleleka
• Ukulimala kwesikhashana noma unomphela kwezimpande zomgogodla, okungadala ushintsho lokuzwa, ubuthakathaka, noma ukukhubazeka kwemilenze
• Kunzima ukulawula isisu sakho nesinye
• I-arthritis ekhula ngaphezu kwezinga le-slippage

Shayela umhlinzeki wakho uma:

• Ingemuva libonakala lijika kakhulu
• Unobuhlungu beqolo noma ukuqina okungapheli
• Unobuhlungu emathangeni nasezinqeni ezingapheli
• Unobuthakathaka nobuthakathaka emilenzeni

Ubuhlungu obuphansi emuva - i-spondylolisthesis; I-LBP - i-spondylolisthesis; Ubuhlungu be-Lumbar - i-spondylolisthesis; I-degenerative spine - i-spondylolisthesis

I-Porter AST. I-Spondylolisthesis. Ku: Giangarra CE, Manske RC, abahleli. Ukuvuselelwa Kwe-Orthopedic Clinical: Indlela Yethimba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 80.

UWilliam KD. I-Spondylolisthesis. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 40.