Umqolo Stenosis

Umxholo

• Ziintoni iimpawu zespinal stenosis?
• Zithini izizathu zestinal stenosis?
• Ufunyanwa njani umgogodla wesisu?
• Zithini iindlela zokhetho kunyango lwe-spinal stenosis?
• Unyango lodidi lokuqala
• Ugqirha
• Ngaba zikhona iindlela zokuhlangabezana ne-spinal stenosis?
• Yeyiphi imbonakalo yexesha elide yabantu abane-spinal stenosis?

Yintoni i-spinal stenosis?

Umqolo yikholamu yamathambo abizwa ngokuba zii-vertebrae ezibonelela ngozinzo nenkxaso kumzimba ongaphezulu. Isenza ukuba sikwazi ukujika nokujija. Imithambo-luvo yomqolo ibaleka ngokuvuleka kwi-vertebrae kwaye iqhube imiqondiso esuka kwingqondo ukuya kuwo wonke umzimba. Amathambo kunye nezicubu ezikufutshane zikhusela le mithambo-luvo. Ukuba zonakalisiwe okanye ziphazamisekile nangayiphi na indlela, inokuchaphazela imisebenzi efana nokuhamba, ibhalansi, kunye nemvakalelo.

I-spinal stenosis yimeko apho ikholamu yomqolo iyancipha kwaye iqala ukunyanzela intambo yomqolo. Le nkqubo ihlala ithe chu. Ukuba ukunciphisa kuncinci, akukho zimpawu ziya kubakho. Ukunciphisa kakhulu kunokucinezela iimbilini kwaye kubangele iingxaki.

I-Stenosis inokwenzeka naphina emqolo. Ubungakanani bomgudu ochaphazelekayo buyahluka.

Ispinal stenosis ikwabizwa ngokuba:

• ipseudo-claudication
• Central spinal stenosis
• I-foraminal spinal stenosis

Ziintoni iimpawu zespinal stenosis?

Iimpawu zihlala zihamba ngokuhamba kwexesha, njengoko iimbilini zixineke ngakumbi. Unokufumana:

• ubuthathaka bomlenze okanye bengalo
• iintlungu ezisezantsi xa umile okanye uhamba
• Ukuba ndindisholo emilenzeni okanye ezinqeni
• iingxaki zokulinganisela

Ukuhlala esihlalweni kuhlala kunceda ukukhulula ezi mpawu. Nangona kunjalo, baya kubuya namaxesha okuma okanye okuhamba.

Zithini izizathu zestinal stenosis?

Isizathu esona siqhelekileyo sesipinal stenosis kukuguga. Iinkqubo eziguqukayo zenzeka kuwo wonke umzimba wakho njengoko uneminyaka. Izicubu zomqolo wakho zingaqala ukujiya, kwaye amathambo angakhula, acinezele imithambo-luvo. Iimeko ezinjenge-osteoarthritis kunye ne-rheumatoid arthritis nazo zinokufaka isandla kwi-spinal stenosis. Ukudumba okubangela ukuba kungabeka uxinzelelo kumqolo wakho.

Ezinye iimeko ezinokubangela i-stenosis zibandakanya:

• iimpazamo zomqolo ezikhoyo ngexesha lokuzalwa
• intambo yomqolo emxinwa ngokwendalo
• i-spinal curvature, okanye i-scoliosis
• Isifo sePaget sethambo, esibangela ukutshatyalaliswa kwamathambo ngokungaqhelekanga kunye nokubuya kwakhona
• amathumba
• achondroplasia, eluhlobo lokuncipha

Ufunyanwa njani umgogodla wesisu?

Ukuba uneempawu zespinal stenosis, ugqirha wakho uya kuqala ngokuthatha imbali yezonyango, ukwenza uvavanyo lomzimba, kunye nokujonga ukuhamba kwakho. Ugqirha wakho unokuyalela iimvavanyo ukuze aqinisekise ukuba uxilongiwe, njengoku:

• I-X-ray, i-MRI scan, okanye i-CT scan ukujonga imifanekiso yomqolo wakho
• i-electromyelogram ukujonga impilo yemithambo-luvo yomqolo
• Ukuskena kwethambo ukukhangela umonakalo okanye ukukhula kumqolo wakho

Zithini iindlela zokhetho kunyango lwe-spinal stenosis?

Unyango lodidi lokuqala

Unyango lwamayeza luvanywa kuqala. Injongo kukuba ukhulule iintlungu zakho. Inaliti yeCortisone kwikholamu yakho yomqolo inokunciphisa ukudumba. Izidakamizwa ezichasayo ezichasayo (i-NSAIDs) nazo zinokunceda ngeentlungu.

Unyango lomzimba lunokukhetha. Inokomeleza izihlunu kwaye yolule umzimba wakho ngobunono.

Ugqirha

Utyando lunokufuneka kwiintlungu ezinzima okanye ukuba kukho ilahleko yemithambo-luvo. Inokunciphisa uxinzelelo ngokusisigxina. Iindlela ezahlukeneyo zotyando zisetyenziselwa ukunyanga i-spinal stenosis:

• I-Laminectomy lolona hlobo luqhelekileyo lotyando. Ugqirha ususa inxenye yethambo lomqolo wakho ukubonelela ngakumbi kwigumbi lemithambo-luvo.
• I-Foraminotomy lutyando olwenziwe ukwandisa icandelo lomqolo apho ukuphuma kwemithambo-luvo.
• Ukuhlanganiswa komgogodla kuqhutyelwa kwiimeko ezinzima kakhulu, ngakumbi xa kubandakanywa amanqanaba amaninzi omgudu, ukukhusela ukungazinzi. Ukufakelwa kwamathambo okanye ukufakelwa kwesinyithi kusetyenziswa ukudibanisa amathambo achaphazelekayo omqolo kunye.

Ngaba zikhona iindlela zokuhlangabezana ne-spinal stenosis?

Izinketho ngaphandle kotyando ezinokunciphisa iintlungu zomqolo wesisu zibandakanya:

• iipakethe zobushushu okanye umkhenkce
• ukutshiza
• ukuphulula

Yeyiphi imbonakalo yexesha elide yabantu abane-spinal stenosis?

Abantu abaninzi abane-spinal stenosis bakhokelela kubomi obupheleleyo kwaye bahlala bekhuthele. Nangona kunjalo, banokufuna ukwenza uhlengahlengiso kwimisebenzi yabo yomzimba. Abantu abaninzi baneentlungu ezishiyekileyo emva konyango okanye uqhaqho.