Umqolo wesisu

I-spinal stenosis iyancipha kwikholamu yomgogodla ebangela uxinzelelo kumthambo womgogodla, okanye ukunciphisa indawo evulekileyo (ebizwa ngokuba yi-neural foramina) apho imithambo-luvo yomqolo ishiya khona umqolo womqolo.

I-Spinal stenosis ihlala ivela njengomntu ubudala, nangona kunjalo, ezinye izigulana zizalwa zinendawo encinci yomqolo wabo.

• Iidiski zomqolo ziye zome kwaye ziqale ukukhukhumala.
• Amathambo kunye nemisipha yomqolo iyatyeba okanye ikhule ibe nkulu. Oku kubangelwa yi-arthritis okanye ukudumba kwexesha elide.

I-spinal stenosis inokubangelwa ngu:

• Isifo samathambo somqolo, ngesiqhelo kubantu abaphakathi okanye abadala
• Izifo zamathambo, ezifana nesifo sePaget
• Isiphene okanye ukukhula kumqolo owawukho kwasekuzalweni
• Umjelo omncinci womqolo umntu azalwe nawo
• I-Herniated okanye ityibilika idiski, eyayihlala isenzeka ngaphambili
• Ukulimala okubangela uxinzelelo kwiingcambu zentsholongwane okanye kwintambo yomgogodla
• Amathumba emqolo
• Ukophuka okanye ukwenzakala kwethambo lomqolo

Iimpawu zihlala zisiba mandundu kancinci ngokuhamba kwexesha. Rhoqo, iimpawu ziya kuba kwicala elinye lomzimba, kodwa zinokubandakanya yomibini imilenze.

Iimpawu zibandakanya:

• Ubungqina, ukunyanzelisa, okanye iintlungu ngasemva, iimpundu, amathanga, okanye amathole, okanye entanyeni, emagxeni, okanye kwiingalo
• Ukuba buthathaka kwenxalenye yomlenze okanye yengalo

Iimpawu zisenokwenzeka ukuba zibekhona okanye zibe mbi ngakumbi xa ume okanye uhamba. Ziye zinciphise okanye zinyamalale xa uhlala phantsi okanye uncike phambili. Uninzi lwabantu abane-spinal stenosis abakwazi ukuhamba ixesha elide.

Iimpawu ezinzulu zibandakanya:

• Ubunzima okanye ukungalingani xa uhamba
• Iingxaki zokulawula umchamo okanye ukuhamba kwamathumbu

Ngexesha lovavanyo lomzimba, umboneleli wakho wokhathalelo lwempilo uya kuzama ukufumana indawo ekuyo iintlungu kwaye ufunde ukuba iyichaphazela njani intshukumo yakho. Uya kucelwa ukuba:

• Hlala, ume, uhambe. Ngelixa uhamba, umboneleli wakho unokucela ukuba uzame ukuhamba kwiinzwane zakho kunye nezithende zakho.
• Bend phambili, ngasemva, kwaye kwicala. Intlungu yakho inokuba mandundu ngale ntshukumo.
• Phakamisa imilenze yakho ngokuthe nkqo ngelixa ulele phantsi. Ukuba iintlungu ziba zimbi xa usenza oku, unokuba ne-sciatica, ngakumbi ukuba uziva ubindindisholo okanye ugungqa komnye wemilenze yakho.

Umboneleli wakho uya kuhambisa imilenze yakho kwiindawo ezahlukeneyo, kubandakanya ukugoba nokulungisa amadolo akho. Oku kukujonga amandla akho kunye nokukwazi ukuhamba.

Ukuvavanya ukusebenza kwentliziyo, umboneleli wakho uya kusebenzisa isando seerabha ukujonga indlela ocinga ngayo. Ukuvavanya ukuba iimvakalelo zakho zivakalelwa njani, umboneleli wakho uya kuyichukumisa imilenze yakho kwiindawo ezininzi ngepini, ngekotoni swab, okanye ngesiba. Ukujonga ibhalansi yakho, umboneleli wakho uya kukucela ukuba uvale amehlo ngelixa ugcina iinyawo zakho kunye.

Uvavanyo lwengqondo kunye ne-system ye-neurologic) lunceda ukuqinisekisa ubuthathaka emlenzeni kunye nelahleko yovakalelo emilenzeni. Unokuba nale mvavanyo ilandelayo:

• I-Spinal MRI okanye i-spinal CT scan
• X-reyi yomqolo
• Umbane we-Electromyography (EMG)

Umboneleli wakho kunye nabanye abaqeqeshi bezempilo baya kukunceda ulawule iintlungu zakho kwaye zigcine usebenze kangangoko.

• Umboneleli wakho unokukuthumela kunyango lomzimba. Umzimba uya kukufundisa ukuzolula kunye nokuzilolonga okwenza ukuba izihlunu zakho zangasemva zomelele.
• Unokubona i-chiropractor, i-massage therapist, kunye nomntu owenza i-acupuncture. Ngamanye amaxesha, ukutyelela okumbalwa kuya kukunceda umqolo wakho okanye intlungu yentamo.
• Iipakethe ezibandayo kunye nonyango olushushu lunokunceda iintlungu zakho ngexesha lokuphakama.

Unyango lwentlungu ebangelwa ngumqolo wesisu kubandakanya:

• Amayeza okunceda ekuthomalaliseni iintlungu ezisemqolo.
• Uhlobo lonyango oluthethwayo olubizwa ngokuba yengqondo yokuziphatha ngokuziphatha ukukunceda uqonde ngcono intlungu yakho kwaye ikufundise indlela yokulawula intlungu.
• Inaliti yomgogodla (ESI), ebandakanya ukujova iyeza ngqo kwindawo ejikeleze imithambo-luvo yakho okanye umnqonqo.

Iimpawu zespinal stenosis zihlala zisiba mandundu ngokuhamba kwexesha, kodwa oku kunokwenzeka kancinci. Ukuba iintlungu aziphenduli kolu nyango, okanye ulahlekelwe yintshukumo okanye uziva, unokufuna utyando.

• Utyando lwenziwe ukunciphisa uxinzelelo kwimithambo-luvo okanye intambo yomqolo.
• Wena kunye nomboneleli wakho unokuthatha isigqibo xa kufuneka utyando kwezi mpawu.

Utyando lunokubandakanya ukususa idiski ekhulayo, ukususa inxenye yethambo le-vertebra, okanye ukwandisa umjelo kunye nokuvuleka apho kukho imithambo-luvo yakho yomqolo.

Ngexesha lotyando lomqolo, ugqirha wotyando uya kususa ithambo ukwenza indawo engaphezulu yemithambo-luvo yakho yomqolo okanye ikholamu yomqolo. Ugqirha uya kuthi emva koko adibanise amanye amathambo omqolo ukwenza ukuba umqolo wakho uzinze. Kodwa oku kuyakwenza umqolo wakho uqine kwaye ubangele isifo samathambo kwiindawo ezingentla okanye ngaphantsi komqolo wakho odibeneyo.

Abantu abaninzi abane-spinal stenosis bayakwazi ukusebenza kunye nale meko, nangona banokufuna ukwenza utshintsho kwimisebenzi yabo okanye emsebenzini.

Utyando lomqolo luya kuhlala luyinxalenye okanye luzinciphise ngokupheleleyo iimpawu emilenzeni nasezingalweni. Kunzima ukuqikelela ukuba uza kuphucula na kwaye uza kunika utyando olungakanani.

• Abantu ababenentlungu emva kwexesha elide ngaphambi kotyando lwabo banokuba nentlungu emva kotyando.
• Ukuba ufuna ngaphezulu kolunye uhlobo lotyando lwasemva, unokuba nakho ukuba neengxaki ezizayo.
• Indawo yekholam yomgogodla ngasentla nangaphantsi kwe-fusion yomgogodla kunokwenzeka ukuba ibe noxinzelelo kwaye ibe neengxaki kunye nesifo samathambo kwixesha elizayo. Oku kungakhokelela kotyando oluninzi kamva.

Kwiimeko ezinqabileyo, ukonzakala okubangelwa luxinzelelo kwimithambo-luvo kuhlala ngokusisigxina, nokuba uxinzelelo luyakhululeka.

Fowunela umnikezeli wakho ukuba unempawu zomgogodla wokuqina.

Iimpawu ezinzulu ezifuna ingqalelo ngokukhawuleza zibandakanya:

• Ubunzima okanye ukungalingani xa uhamba
• Ukuba ndindisholo okwandayo nokuba buthathaka kwelungu lakho
• Iingxaki zokulawula umchamo okanye ukuhamba kwamathumbu
• Iingxaki zokuchama okanye ukuhamba kwamathumbu

Pseudo-claudication; Central spinal stenosis; I-Foraminal spinal stenosis; Isifo esiqhekezayo somqolo; Umqolo obuhlungu - i-spinal stenosis; Umqolo obuhlungu - stenosis; I-LBP - stenosis

• Uqhaqho lomqolo-ukukhutshwa

• Inzululwazi yesayensi
• Umqolo wesisu
• Umqolo wesisu

IGardocki RJ, iPaki AL. Ukuphazamiseka okuguqulwayo kwethambo kunye ne-lumbar spine. I-Azar FM, iBeaty JH, iKanale, ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 39.

U-Issac Z, uSarno D. Lumbar spinal stenosis. Ku: Frontera, WR, Isilivere JK, Rizzo TD Jr, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 50.

IKreiner DS, uShaffer WO, u-Baisden JL, et al. Isikhokelo seklinikhi esekwe kubungqina bokuchongwa kunye nonyango lwe-lumbar spinal stenosis (uhlaziyo). Umqolo J. Ngo-2013; 13 (7): 734-743. IINKCUKACHA: 23830297 pubmed.ncbi.nlm.nih.gov/23830297/.

ULurie J, uTomkins-Lane C.Ulawulo lwe-lumbar spinal stenosis. BMJ. Ngo-2016; 352: h6234. IINKCUKACHA: 26727925 pubmed.ncbi.nlm.nih.gov/26727925/.