I-Spondylolisthesis

I-Spondylolisthesis yimeko apho ithambo (i-vertebra) emqolo iqhubela phambili ukuphuma kwindawo efanelekileyo kwithambo elingaphantsi kwayo.

Kubantwana, i-spondylolisthesis ihlala iphakathi kwethambo lesihlanu kumqolo ongezantsi (i-lumbar vertebra) kunye nethambo lokuqala kwindawo ye-sacrum (pelvis). Rhoqo ngenxa yesiphene sokuzalwa kuloo ndawo yomqolo okanye ukwenzakala ngesiquphe (trauma).

Kubantu abadala, esona sizathu siqhelekileyo kukunxiba okungaqhelekanga kwi-cartilage kunye namathambo, njenge-arthritis. Le meko ichaphazela kakhulu abantu abangaphezulu kweminyaka engama-50 ubudala. Kuqheleke kakhulu kubafazi kunamadoda.

Isifo samathambo kunye nokuqhekeka nako kunokubangela i-spondylolisthesis. Imisebenzi ethile yezemidlalo, enje ngejimnastics, ukuphakamisa iintsimbi, kunye nebhola ekhatywayo, uxinzelelo olukhulu kumathambo kumqolo ongezantsi. Bakwafuna ukuba iimbaleki zisoloko zisolula ngaphezulu (i-hyperextend) yomqolo. Oku kunokukhokelela kukophuka koxinzelelo kwelinye okanye kumacala omabini e-vertebra. Ukwaphuka koxinzelelo kunokubangela ukuba ithambo lomqolo libe buthathaka kwaye liphume endaweni.

Iimpawu ze-spondylolisthesis ziyahluka ukusuka kubumnene ukuya kubunzima. Umntu one-spondylolisthesis akanakuba nazimpawu. Abantwana abanakho ukubonisa iimpawu de babe neminyaka eli-18 ubudala.

Le meko inokukhokelela ekwandeni kwe-Lordosis (ekwabizwa ngokuba yi-swayback). Kwimigangatho yamva nje, inokubangela i-kyphosis (roundback) njengoko umqolo ongaphezulu uwela kumqolo ongezantsi.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Iintlungu ezisezantsi
• Ukuqina kwemisipha (umsipha womsipha oqinileyo)
• Ubuhlungu, ukuba ndindisholo, okanye ukubetha emathangeni nasezimpundu
• Ukuqina
• Ukuthantamisa kwindawo ye-vertebra engekho endaweni
• Ubuthathaka emilenzeni

Umboneleli wakho wezempilo uya kukuvavanya kwaye uzive umqolo wakho. Uya kucelwa ukuba uphakamise umlenze ngqo phambi kwakho. Oku kunokungonwabisi okanye kubuhlungu.

I-X-ray yomqolo ingabonisa ukuba ithambo lomqolo alikho endaweni okanye liphukile.

Ukuvavanywa kwe-CT okanye ukuskena kwe-MRI yomqolo kungabonisa ukuba kukho nakuphi na ukunciphisa umjelo womqolo.

Unyango luxhomekeke kwindlela i-vertebra etshintshe ngayo endaweni. Uninzi lwabantu lubangcono ngokuzivocavoca olula kwaye lomeleze izihlunu ezisezantsi.

Ukuba utshintsho alukho nzima, ungadlala imidlalo emininzi ukuba akukho ntlungu. Uninzi lwexesha, unokuqhubeka kancinci nemisebenzi.

Unokucelwa ukuba uphephe ukunxibelelana nemidlalo okanye utshintshe imisebenzi ukukhusela umqolo wakho ekubeni ungoyiswa kakhulu.

Uya kuba ne-x-reyi yokulandela ukuze uqiniseke ukuba ingxaki ayibi mandundu.

Umboneleli wakho unokucebisa:

• Isibiyeli sangasemva sokunciphisa intshukumo yomqolo
• Iyeza leentlungu (elithathwa ngomlomo okanye elitofelwe ngasemva)
• Ulungiso lwenyama

Utyando lunokufuneka ukuze kufakwe i-vertebrae eguqulweyo ukuba unayo:

• Intlungu ebuhlungu engangcoli ngonyango
• Utshintsho olukhulu kwithambo lomqolo
• Ubuthathaka bemisipha komnye okanye kwimilenze yakho yomibini
• Ubunzima bokulawula amathumbu kunye nesinyi

Kukho ithuba lokonzakala kwemithambo-luvo ngotyando olunjalo. Nangona kunjalo, iziphumo zinokuphumelela kakhulu.

Ukuzivocavoca kunye notshintsho kwimisebenzi kuluncedo kuninzi lwabantu abane-spondylolisthesis emnene.

Ukuba kuninzi ukushukuma kwenzeka, amathambo aqala ukucinezela kwimithambo-luvo. Utyando lunokuba yimfuneko ukulungisa imeko.

Ezinye iingxaki zinokubandakanya:

• Ixesha elide (elingapheliyo) intlungu ebuyayo
• Usulelo
• Umonakalo wethutyana okanye osisigxina weengcambu zomqolo onokuthi ubangele utshintsho, ubuthathaka okanye ukukhubazeka kwemilenze
• Ubunzima bokulawula isisu sakho kunye nesinyi
• Isifo samathambo esikhula ngaphezulu kwenqanaba lokutyibilika

Fowunela umnikezeli wakho ukuba:

• Umva ubonakala ngathi unegophe eliqatha
• Unentlungu emva okanye ukuqina okungapheliyo
• Unentlungu emathangeni nakwimpundu ezingapheli
• Unobuthathaka kwaye ubuthathaka emilenzeni

Iintlungu ezisezantsi - i-spondylolisthesis; I-LBP - i-spondylolisthesis; Intlungu yeLumbar - i-spondylolisthesis; Umqolo ohlaziyayo-spondylolisthesis

Porter AST. I-Spondylolisthesis. Ku: Giangarra CE, Manske RC, ii-eds. Clinical Ugqirha wamathambo: Indlela yeQela. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 80.

Ifayile kaWilliam KD. I-Spondylolisthesis. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 40.