Umgogodla Stenosis

-Delile

• Ziyini izimpawu ze-spinal stenosis?
• Ziyini izimbangela ze-spinal stenosis?
• Kutholakala kanjani ukuthi i-spinal stenosis?
• Yiziphi izinketho zokwelashwa kwe-spinal stenosis?
• Ukwelashwa komugqa wokuqala
• Ukuhlinzwa
• Ingabe zikhona izindlela zokubhekana ne-spinal stenosis?
• Uyini umbono wesikhathi eside wabantu abane-spinal stenosis?

Kuyini umgogodla wokuqina?

Umgogodla uyikholamu yamathambo abizwa ngama-vertebrae ahlinzeka ngozinzo nokusekelwa komzimba ongenhla. Kusenza sikwazi ukujika nokusonta. Izinzwa zomgogodla zihamba ngokuvuleka kuma-vertebrae futhi ziqhuba amasiginali avela ebuchosheni kuya kuwo wonke umzimba. Amathambo nezicubu ezizungezile zivikela lezi zinzwa. Uma zilimele noma zikhubazekile nganoma iyiphi indlela, zingathinta imisebenzi efana nokuhamba, ibhalansi, nokuzwa.

I-Spinal stenosis yisimo lapho ikholomu yomgogodla incipha futhi iqala ukucindezela intambo yomgogodla. Le nqubo ihlala ihamba kancane. Uma ukunciphisa kuncane, akukho zimpawu ezizokwenzeka. Ukunciphisa kakhulu kungacindezela izinzwa futhi kudale izinkinga.

I-stenosis ingenzeka noma yikuphi eduze komgogodla. Kungakanani umgogodla othintekile ungahluka.

I-Spinal stenosis ibizwa nangokuthi:

• ipseudo-claudication
• stenosis yomgogodla ophakathi
• i-foraminal spinal stenosis

Ziyini izimpawu ze-spinal stenosis?

Izimpawu zivame ukuthuthuka ngokuhamba kwesikhathi, njengoba izinzwa zicindezelwa kakhulu. Ungahle uzwe:

• ubuthakathaka bomlenze noma bengalo
• ubuhlungu beqolo obuphansi ngenkathi umile noma uhamba
• ukuba ndikindiki emilenzeni noma ezinqeni
• izinkinga zokulinganisela

Ukuhlala esihlalweni kuvame ukusiza ukukhulula lezi zimpawu. Kodwa-ke, bazobuya nezikhathi zokuma noma zokuhamba.

Ziyini izimbangela ze-spinal stenosis?

Isizathu esivame kakhulu se-spinal stenosis ukuguga. Izinqubo ezenzakalayo zenzeka emzimbeni wakho wonke njengoba uneminyaka yobudala. Izicubu emgogodleni wakho zingaqala ukuqina, namathambo angakhula, acindezele izinzwa.Izimo ezinjenge-osteoarthritis kanye ne-rheumatoid arthritis nazo zinganikela ekuguleni komgogodla. Ukuvuvukala abakudalayo kungabeka ingcindezi emthonjeni wakho womgogodla.

Ezinye izimo ezingadala i-stenosis zifaka:

• ukukhubazeka komgogodla okukhona lapho kuzalwa
• umgogodla omncane ngokwemvelo
• ukugobeka komgogodla, noma i-scoliosis
• Isifo sePaget sethambo, esidala ukubhujiswa kwamathambo ngokungajwayelekile nokubuyela esimeni
• izicubu zamathambo
• i-achondroplasia, okuwuhlobo lobufushane

Kutholakala kanjani ukuthi i-spinal stenosis?

Uma unezimpawu ze-spinal stenosis, udokotela wakho uzoqala ngokuthatha umlando wezokwelapha, enze ukuhlolwa komzimba, futhi abheke ukunyakaza kwakho. Udokotela wakho angaphinde ahlele ukuhlolwa ukuze aqinisekise ukuxilongwa okusolwayo, njenge:

• I-X-ray, i-MRI scan, noma i-CT scan ukubuka izithombe zomgogodla wakho
• electromyelogram ukuhlola impilo yemizwa yomgogodla
• ukuskena kwamathambo ukubheka ukulimala noma ukukhula emgogodleni wakho

Yiziphi izinketho zokwelashwa kwe-spinal stenosis?

Ukwelashwa komugqa wokuqala

Ukwelashwa kwemithi kuvame ukuzama kuqala. Umgomo ukukhulula ubuhlungu bakho. Imijovo yeCortisone kukholamu yakho yomgogodla inganciphisa ukuvuvukala. Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) nazo zingasiza ngobuhlungu.

Ukwelashwa ngokomzimba nakho kungaba inketho. Ingaqinisa imisipha futhi yelule umzimba wakho ngobumnene.

Ukuhlinzwa

Ukuhlinzwa kungadingeka ukuze kube nobuhlungu obukhulu noma uma kukhona ukulahleka kwemizwa. Ingakhulula ingcindezi unomphela. Izinhlobo eziningi zokuhlinzwa zisetshenziselwa ukwelapha i-spinal stenosis:

• I-Laminectomy uhlobo oluvame kakhulu lokuhlinzwa. Udokotela ohlinzayo ususa ingxenye yomgogodla wakho ukuze anikeze indawo eningi yezinzwa.
• I-Foraminotomy ukuhlinzwa okwenziwe ukukhulisa ingxenye yomgogodla lapho kuphuma khona izinzwa.
• Ukuhlanganiswa komgogodla kuvame ukwenziwa ezimweni ezinzima kakhulu, ikakhulukazi lapho kuhileleka amazinga amaningi omgogodla, ukuvimbela ukungazinzi. Kufakelwa amathambo noma ukufakelwa kwensimbi ukunamathisela ndawonye amathambo athintekile omgogodla.

Ingabe zikhona izindlela zokubhekana ne-spinal stenosis?

Izinketho ngaphandle kokuhlinzwa ezinganciphisa ubuhlungu be-spinal stenosis zifaka:

• amaphakethe okushisa noma iqhwa
• ukutshopa
• ukubhucungwa umzimba

Uyini umbono wesikhathi eside wabantu abane-spinal stenosis?

Abantu abaningi abane-spinal stenosis bahola izimpilo ezigcwele futhi bahlala bekhuthele. Kodwa-ke, kungadingeka ukuthi benze ukulungisa okuthile emsebenzini wabo womzimba. Abantu abaningi banezinhlungu eziyinsalela ngemuva kokwelashwa noma ukuhlinzwa.