Umlomo wesibeleko

I-spondylosis yomlomo wesibeleko sisifo apho kunxitywa khona kwi-cartilage (iidiski) kunye namathambo entamo (i-vertebrae yomlomo wesibeleko). Yimbangela eqhelekileyo yeentlungu ezingapheliyo zentamo.

I-spondylosis yomlomo wesibeleko ibangelwa kukuguga kunye nokunxiba okungapheliyo kumqolo wesibeleko. Oku kubandakanya iidiski okanye ii-cushion phakathi kwe-vertebrae yentamo kunye namalungu phakathi kwamathambo omqolo wesibeleko. Kukho ukukhula okungaqhelekanga okanye ukukhupha kumathambo omgudu (vertebrae).

Ixesha elingaphezulu, olu tshintsho lunokucinezela (compress) enye okanye nangaphezulu yeengcambu. Kwiimeko eziphambili, intambo yomqolo iyabandakanyeka. Oku akunakuchaphazela iingalo kuphela, kodwa nemilenze ngokunjalo.

Ukunxiba kwemihla ngemihla kungaluqala olu tshintsho. Abantu abakhutheleyo emsebenzini okanye kwezemidlalo banokubakho ngakumbi.

Eyona nto iphambili emngciphekweni wokuguga. Ngeminyaka engama-60, uninzi lwabantu lubonisa iimpawu zentsholongwane yesibeleko kwi-x-ray. Ezinye izinto ezinokwenza umntu abe nethuba lokuphuhlisa i-spondylosis zezi:

• Ukutyeba kakhulu nokungazilolongi
• Ukuba nomsebenzi ofuna ukuphakamisa okunzima okanye ukugoba okuninzi nokujija
• Ukulimala kwentamo edlulileyo (rhoqo kwiminyaka eliqela ngaphambili)
• Utyando lwasemva komqolo
• Idiski ehlaziyiweyo okanye etyibilikisiweyo
• Isifo samathambo esiqatha

Iimpawu zihlala zikhula kancinci ngokuhamba kwexesha. Kodwa basenokuqalisa okanye babe mandundu ngesiquphe. Iintlungu zinokuba mnene, okanye zinokuba nzulu kwaye zibe qatha kangangokuba ungakwazi ukuhamba.

Unokuziva iintlungu phezu kwegxalaba. Ingasasazeka kwingalo ephezulu, ingalo, okanye iminwe (kwiimeko ezinqabileyo).

Intlungu inokuba mandundu:

• Emva kokuma okanye ukuhlala
• Ebusuku
• Xa uthimla, ukhohlela okanye uhleka
• Xa ugoba intamo ngasemva okanye ujika intamo yakho okanye uhamba ngaphezu kweeyadi ezimbalwa okanye ngaphezulu kweemitha ezimbalwa

Unokuba nobuthathaka kwiimisipha ezithile. Ngamanye amaxesha, unokungayiboni de ugqirha akuvavanye. Ngamanye amaxesha uya kuqaphela ukuba kunzima ukuphakamisa ingalo yakho, ucinezela ngokuqinileyo ngesandla sakho, okanye ezinye iingxaki.

Ezinye iimpawu eziqhelekileyo zezi:

• Ukuqina kweNeck okuba mandundu ngokuhamba kwexesha
• Ubudenge okanye iimvakalelo ezingaqhelekanga emagxeni okanye ezingalweni
• Intloko, ngakumbi ngasemva kwentloko
• Intlungu ngaphakathi kwegxalaba kunye nentlungu

Iimpawu eziqhelekileyo zezi:

• Ukuphulukana nokulingana
• Intlungu okanye ukuba ndindisholo emilenzeni
• Ukuphulukana nolawulo kwisinyi okanye emathunjini (ukuba kukho uxinzelelo kwintambo yomqolo)

Uvavanyo lomzimba lunokubonisa ukuba unengxaki yokuhambisa intloko yakho egxalabeni lakho kwaye ujikeleze intloko yakho.

Umboneleli wakho wezempilo angakucela ukuba ugobe intloko yakho phambili kwaye kwicala ngalinye ngelixa ubeka uxinzelelo olusezantsi entlokweni yakho. Ukonyusa iintlungu okanye ukuba ndindisholo ngeli xesha lovavanyo kuhlala kungumqondiso wokuba kukho uxinzelelo kwimithambo-luvo kumqolo wakho.

Ukuba buthathaka kwamagxa akho neengalo okanye ukulahleka kwemvakalelo kunokuba yimiqondiso yomonakalo kwiingcambu ezithile zemithambo-luvo okanye kwintambo yomqolo.

I-x-ray yomqolo okanye yentamo inokwenziwa ukujonga isifo samathambo okanye olunye utshintsho kumqolo wakho.

I-MRI okanye i-CT scan yeentamo zenziwa xa une:

• Intamo ebuhlungu okanye iintlungu zengalo ezingangcono kunyango
• Ukuba buthathaka okanye ukuba ndindisholo ezingalweni okanye ezandleni zakho

Uvavanyo lwe-EMG kunye novavanyo lwe-velocity velocity lunokwenziwa ukujonga ukusebenza kwengcambu.

Ugqirha wakho kunye nabanye abaqeqeshi bezempilo banokukunceda ulawule iintlungu zakho ukuze uhlale ukhuthele.

• Ugqirha wakho angakuthumela kunyango lomzimba. Umzimba uya kukunceda ukunciphisa intlungu yakho usebenzisa i-stretches. Ingcali iya kukufundisa imithambo eyomeleza imisipha yakho yentamo.
• Ugqirha unokusebenzisa ukubamba kwentamo ukukhulula uxinzelelo olusentanyeni yakho.
• Unokubona kwakhona i-massage therapist, umntu owenza i-acupuncture, okanye umntu owenza ukunyanzeliswa komgudu (i-chiropractor, ugqirha we-osteopathic, okanye ugqirha womzimba) Ngamanye amaxesha, ukutyelela okumbalwa kuya kunceda ngentlungu yentamo.
• Iipakethe ezibandayo kunye nonyango olushushu lunokunceda iintlungu zakho ngexesha lokuphakama.

Uhlobo lonyango oluthethwayo olubizwa ngokuba yinkqubo yokuziphatha kwengqondo lunokuba luncedo ukuba iintlungu zinempembelelo enkulu kubomi bakho. Obu buchule bukunceda ukuba uyiqonde ngcono intlungu yakho kwaye ikufundise nendlela yokujongana nayo.

Amayeza anokunceda intlungu yakho. Ugqirha wakho unokukunika amayeza angasebenziyo okulwa nokudumba (ii-NSAID) zolawulo lweentlungu zexesha elide. Iiopioids zinokumiselwa ukuba iintlungu zinzima kwaye aziphenduli kwii-NSAID.

Ukuba iintlungu aziphenduli kolu nyango, okanye ulahlekelwe yintshukumo okanye uvakalelo, utyando luyaqwalaselwa. Utyando lwenziwe ukunciphisa uxinzelelo kwimithambo-luvo okanye intambo yomqolo.

Uninzi lwabantu abane-spondylosis yomlomo wesibeleko baneempawu zexesha elide. Ezi mpawu ziyaphucuka ngonyango olungatyandi kwaye aludingi kutyando.

Abantu abaninzi abanengxaki bayakwazi ukugcina ubomi obusebenzayo. Abanye abantu baya kuhlala neentlungu ezingapheliyo (zexesha elide).

Le meko inokukhokelela koku kulandelayo:

• Ukungakwazi ukubamba ilindle (ukungabinako ukungqubana) okanye umchamo (ukungahambelani nomchamo)
• Ukuphulukana nokusebenza kwezihlunu okanye imvakalelo
• Ukukhubazeka okungapheliyo (ngamanye amaxesha)
• Ukungalingani kakuhle

Fowunela umnikezeli wakho ukuba:

• Imeko iya isiba mandundu
• Kukho imiqondiso yeengxaki
• Uphuhlisa iimpawu ezintsha (njengokulahleka kokuhamba okanye ukuziva kwindawo yomzimba)
• Uphulukana nolawulo lwesinyi sakho okanye amathumbu (tsalela umnxeba kwangoko)

Umlomo wesibeleko; Iarthritis - intamo; Intamo arthritis; Intlungu engapheliyo yentamo; Isifo sediserative esihambisayo

• Umqolo womqolo
• Umlomo wesibeleko

Ngokukhawuleza A, Dudkiewicz I. Isifo esonakalisa isibeleko. Ku: UFrontera WR, iSilver JK, uRizzo TD, Omnci., Ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 3.

I-Kshettry VR. Umlomo wesibeleko. Ku: Steinmetz, MP, Benzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 96.