Iintlungu ezisezantsi ezingapheliyo

Intlungu ebuyela emva ibhekisa kwintlungu ozivayo kumqolo wakho osezantsi. Unokuba nobunzima bokubuya, ukunciphisa ukunyakaza komqolo ongezantsi, kunye nobunzima bokuma ngqo.

Iintlungu ezisezantsi ezibizwa ngokuba lixesha elide zibizwa ngokuba ziintlungu ezingapheliyo.

Iintlungu ezisezantsi zomqolo ziqhelekile. Phantse wonke umntu uneentlungu zomqolo ngexesha elithile ebomini bakhe. Rhoqo, oyena nobangela wentlungu awufumaneki.

Umnyhadala omnye awunakuba ubangele iintlungu zakho. Usenokuba wenze izinto ezininzi, njengokuphakamisa indlela engeyiyo, ixesha elide. Ke ngequbuliso, intshukumo enye elula, njengokufikelela into okanye ukugoba esinqeni sakho, kukhokelela kwintlungu.

Abantu abaninzi abaneentlungu ezingapheliyo zangasemva bane-arthritis. Okanye banokunxiba okungaphezulu kunye neenyembezi zomqolo, ezinokuthi zibekho ngenxa:

• Ukusetyenziswa kakhulu emsebenzini okanye kwezemidlalo
• Ukonzakala okanye ukwaphuka
• Ugqirha

Unokuba unayo idiski ye-herniated, apho icandelo lediski yomqolo lityhala kwiimbilini ezikufutshane. Ngokwesiqhelo, iidiski zibonelela ngendawo kunye nomqamelo kumqolo wakho. Ukuba ezi diski zomile kwaye zibhitye kwaye ziba krakra, ungaphulukana nentshukumo kumqolo ekuhambeni kwexesha.

Ukuba izithuba eziphakathi kwemithambo-luvo yomnqonqo kunye nentambo yomqolo ziye zacutheka, oku kungakhokelela kwi-spinal stenosis. Ezi ngxaki zibizwa njenge-degenerative joint okanye isifo somqolo.

Ezinye izinto ezinokubangela iintlungu ezingapheliyo zangasemva zibandakanya:

• Ukugoba komqolo, njenge-scoliosis okanye i-kyphosis
• Iingxaki zonyango, ezinjenge-fibromyalgia okanye i-rheumatoid arthritis
• I-Piriformis syndrome, ingxaki yentlungu ebandakanya umsipha kwiimpundu ezibizwa ngokuba yimisipha ye-piriformis

Usemngciphekweni omkhulu weentlungu ezisezantsi xa:

• Ngaphezulu kweminyaka yobudala engama-30
• Batyebile
• Ukhulelwe
• Musa ukwenza umthambo
• Uziva uxinezelekile okanye uxinezelekile
• Unomsebenzi ekufuneka uphakamise kuwo ubunzima, ukugoba nokujija, okanye oko kubandakanya ukungcangcazela komzimba wonke, njengokuqhuba iloli okanye ukusebenzisa isandblaster
• Umsi

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Intlungu ebuhlungu
• Intlungu ebukhali
• Ukulinganisa okanye ukutshisa imvakalelo
• Ubuthathaka emilenzeni okanye ezinyaweni zakho

Iintlungu ezisezantsi ezinokwahluka zinokwahluka kumntu kumntu. Iintlungu zinokuba mnene, okanye zinokuba nzima kangangokuba ungakwazi nokushukuma.

Kuxhomekeke kwisizathu seentlungu zakho zangasemva, unokuba nentlungu emlenzeni wakho, esinqeni, okanye emazantsi onyawo lwakho.

Ngexesha lovavanyo lomzimba, umboneleli wezempilo uya kuzama ukukhomba indawo yeentlungu kwaye abone ukuba iyichaphazela njani intshukumo yakho.

Olunye uvavanyo uxhomekeke kwimbali yakho yonyango kunye neempawu.

Uvavanyo lunokubandakanya:

• Uvavanyo lwegazi, olufana nokubala okupheleleyo kwegazi kunye nenqanaba lokuchithwa kwe-erythrocyte
• Ukuvavanywa kwe-CT komqolo osezantsi
• Ukuvavanywa kweMRI yomqolo ongezantsi
• I-Myelogram (i-x-ray okanye i-CT scan yomgudu emva kokuba idayi ijojowe kwikholam yomgogodla)
• X-reyi

Intlungu yakho yangemva ayinako ukuhamba ngokupheleleyo, okanye ingaba buhlungu ngamanye amaxesha. Funda ukukhathalela umqolo wakho ekhaya kunye nendlela yokuthintela ukuphindaphinda iziqendu zentlungu. Oku kunokukunceda uqhubeke nemisebenzi yakho yesiqhelo.

Umboneleli wakho unokuncoma amanyathelo okunciphisa iintlungu zakho, kubandakanya:

• Ukubamba umva ukuxhasa umqolo wakho
• Iipakethe ezibandayo kunye nonyango lobushushu
• Ukutsalwa
• Unyango lomzimba, kubandakanya ukolula kunye nokuqinisa umthambo
• Ukucebisa ukuze ufunde ngeendlela zokuqonda nokulawula iintlungu zakho

Abanye ababoneleli ngezempilo banokunceda:

• Ugqirha ophulula
• Umntu owenza i-acupuncture
• Umntu owenza ubuqhetseba bomqolo (ugqirha wezonyango, ugqirha wamathambo, okanye ugqirha wezonyango)

Ukuba kuyimfuneko, umboneleli wakho unokumisela amayeza ukukunceda kwiintlungu zakho zangasemva:

• I-Aspirin, naproxen (Aleve), okanye ibuprofen (Advil), onokuyithenga ngaphandle kommiselo
• Amayeza asezantsi amayeza amiselweyo
• I-Narcotic okanye i-opioids xa iintlungu zinzima

Ukuba iintlungu zakho aziphucuki ngonyango, unyango lomzimba, kunye nolunye unyango, umboneleli wakho unokucebisa ngenaliti yesifo.

Uqhaqho lomqolo luthathelwa ingqalelo kuphela xa unokonzakala kwemithambo-luvo okanye unobangela weentlungu zangasemva awuphilisi emva kwexesha elide.

Kwezinye izigulana, i-spinal cord stimulator inokunceda ukunciphisa iintlungu zangasemva.

Olunye unyango olunokucetyiswa ukuba intlungu yakho ayiphuculanga kunyango kunye nonyango olubandakanya:

• Uqhaqho lomqolo, kuphela ukuba unokonakala kwemithambo-luvo okanye unobangela wentlungu yakho ayipholi emva kwexesha elide
• Ukuvuselelwa kwentambo yomqolo, apho isixhobo esincinci sithumela umbane kumqolo ukuvimba imiqondiso yeentlungu

Abanye abantu abaneentlungu ezisezantsi banokufuna:

• Umsebenzi uyatshintsha
• Ukucebisa ngomsebenzi
• Ukuqeqeshwa kwakhona komsebenzi
• Unyango emsebenzini

Uninzi lweengxaki zangasemva ziba ngcono ngokwazo. Landela iingcebiso zomboneleli wakho kunyango kunye namanyathelo okuzikhathalela.

Fowunela umnikezeli wakho ukuba unentlungu ebuhlungu engapheliyo. Tsalela umnxeba ngoko nangoko ukuba unesihlwitha, ukulahleka kokuhamba, ubuthathaka, okanye isilwanyana okanye utshintsho lwesinyi.

Intlungu engacacanga ebuyayo; Umva - okungapheliyo; Intlungu yeLumbar - engapheliyo; Iintlungu - umva - ezingapheliyo; Iintlungu ezibuhlungu ezingapheliyo - eziphantsi

• Uqhaqho lomqolo-ukukhutshwa

• Umqolo wesisu
• Umva

UAd OHE, uAmadera JED. Uhlobo oluphantsi lokubuya okanye ukunyuka. Ku: UFrontera WR, iSilver JK, uRizzo TD Jr, ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 48.

UMaher C, Underwood M, uBuchbinder R.Iintlungu ezingachazwanga ezisezantsi. ILancet. Ngo-2017; 389: 736-747. IINKCUKACHA: 27745712. www.ncbi.nlm.nih.gov/pubmed/27745712.

UMalik K, uNelson A. Isishwankathelo seengxaki ezisezantsi zentlungu. Ku: I-Benzon HT, i-Raja SN, i-Liu SS, i-Fishman SM, i-Cohen SP, ii-eds. Iimfuno zonyango lwezoNyango. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 24.