Spondylosis Yeqhohlo

I-spondylosis yeqhohlo iyibizo elilodwa lezingozi zokuguguleka komzimba ezihambisana nobudala ezihlasela ama-disks asehlathini lomqondo. Njengoba ama-disks eoma futhi ecinywa, izimpawu ze-osteoarthritis zivela, kufaka phakathi ukukhula kwama-bone spurs emaphethelweni amathambo.I-spondylosis yeqhohlo ivame kakhulu futhi iba yimbi njengoba umuntu esephakama. Ngaphezu kuka-85% lwabantu abadala abangaphezu kweminyaka engama-60 baphethwe yi-spondylosis yeqhohlo.Kubantu abaningi, i-spondylosis yeqhohlo ayibangeli zimpawu. Uma izimpawu zivela, ukwelashwa okungeyona i-surgery kuvame ukuphumelela.

Abantu abaningi abanawo noma yimaphi amazingo. Uma kwenzeka amazingo, ngokuvamile ahlanganisa ubuhlungu nokuqina entanyeni.

Ngezinye izikhathi, i-cervical spondylosis iholela ekunciphilekeni komgca womgogodla ngaphakathi amathambo omgogodla (ama-vertebrae). Umgodi womgogodla yindawo engaphakathi kwama-vertebrae lapho umgogodla kanye nezimpande zezinzwa zidlula khona ukuze zifinyelele ezinye izingxenye zomzimba. Uma umgogodla noma izimpande zezinzwa zicindezelwa, ungase uhlangabezane nalokhu okulandelayo:

• Ukukhahlela, ukungabi namqondo nobuthakathaka ezingalweni, ezandleni, emilenzeni noma ezinyaweni
• Ukungabi nesisusa nobunzima ekuhambeni
• Ukwehluleka kokulawula kwesisu noma kwesisu

Funani usizo lokuwelapha uma ubona ukuqala ngokuzumayo kokungabi namandla noma ubuthakathaka, noma ukulahlekelwa ukulawula kwesisu noma amathumbu.

Njengoba abantu bekhula, izakhiwo ezenza umgogodla nokhwelo zithuthukisa kancane kancane ukugqwala nokukhahlela. Lezi zinguquko zingabandakanya:

• Amadiski omsundu. Amadiski asebenza njengamathuluzi phakathi kwe-vertebrae yomgogodla. Ngokuya ngobudala bama-40, amadiski omgogodla wabaningi abantu aqala ukuoma nokunciphisa. Njengoba amadiski eba mancane, kunokuxhumana okukhulu kwamathambo phakathi kwe-vertebrae.
• Amadiski ahlukanisiwe. Amapheqe avele nakwi-exterior yamadiski omgogodla. Ingaphakathi elithambile le-disk lingacindezela ngale miqala. Ngezinye izikhathi, licindezela umgogodla we-spinal namalunga ezinzwa.
• Ama-bone spurs. Njengoba amadiski ewohloka, umzimba ungakhiqiza inani elikhulu lamathambo ngomzamo ophosakele wokwenza umgogodla ube namandla. La ma-bone spurs ngezinye izikhathi angacindezela umgogodla we-spinal namalunga ezinzwa.
• Ama-ligaments aqinile. Ama-ligaments yizintambo zezicubu ezihlanganisa ithambo nethambo. Ama-ligaments omgogodla angaqina ngokukhula, okwenza ikhwelo lingabi nesiqondiso.

Izimbangela ezingozi ze-cervical spondylosis zifaka phakathi:

• Ubudala. I-Cervical spondylosis iqala njengoba umuntu esele ekhulile.
• Umsebenzi. Imisebenzi edinga ukuphindaphinda ukunyakaza kwentamo, isimo esingalungile noma umsebenzi omningi ngaphezulu kwekhanda kuyafakela ingcindezi enkulu entanyeni.
• Ukulimala kwentamo. Ukulimala kwangaphambili kwentamo kubonakala sengathi kukhuphula ingozi ye-cervical spondylosis.
• Izici zofuzo. Abanye abantu emindenini ethile bazobhekana kakhulu nalawa maguquko ngokuhamba kwesikhathi.
• Ukubhema. Ukubhema kuye kwahlanganiswa nobuhlungu obungaphezulu entanyeni.

Uma i-spondylosis yeqhohlo icindezela kakhulu i-spinal cord yakho noma imizuzu yethambo, ukonakala kungaba okungapheli.

Umhlinzeki wakho wezempilo cishe uzoqala ngokuhlolwa komzimba okuhlanganisa:

Izivivinyo zezithombe zingakunikeza ulwazi oluqondile ukuqondisa ukuxilongwa nokuphathwa. Izibonelo zihlanganisa:

Ungadinga ukuhlolwa ukuze ubone ukuthi izigxobo zezinzwa zihamba kahle yini emiphongolweni yakho. Ukuhlolwa kokusebenza kwezinzwa kuhlanganisa:

• Ukubheka ububanzi bokuhamba entanyeni yakho

• Ukuhlola imiphendulo yakho namandla emisipha ukuze ubone ukuthi kukhona ukucindezela ezinzwaneni zakho zomgogodla noma emgogodleni

• Ukukubuka uhamba ukuze ubone ukuthi ukucindezelwa komgogodla kuchaphazela ukugibela kwakho yini

• X-ray yentanyeni. I-X-ray ingabonisa izinguquko emgogodleni, njengezihlahla zamathambo, ezibonisa i-cervical spondylosis. I-X-ray yentanyeni ingaphinda ikhiphe izimbangela ezingavamile nezinzima kakhulu zobuhlungu nokuqina kwentanyeni, njengezinhlungu, umdlavuza, ukutheleleka noma ukweqa.

• Ukufanekisa komsindo oqondile (MRI). Usebenzisa amaza omsindo kanye nendlela enamandla ye-magnetic, i-MRI ingakha izithombe eziqondile ezingasiza ekutholeni izindawo lapho izinzwa zingase ziqiniswe khona.

• Ukukhompyutha i-tomography (CT) myelography. Kulolu hlobo lokukhompyutha i-tomography (CT) scan, i-dye isetshenziswa emgodini womgogodla ukuhlinzeka ngezithombe eziqondile. Lo mvivinyo uwenza kube lula ukubona imininingwane yomgogodla, umgogodla kanye nezimpande zezinzwa.

• I-Electromyography. Lo mvivinyo uqapha umsebenzi wamagetsi ezinzwaneni zakho njengoba zithumela imiyalezo emiphongolweni yakho lapho imisipha iqinisile futhi iphumule.

• Isifundo sokusebenza kwezinzwa. Ama-electrodes axhunyiwe kwisiqephu esingezansi kwenzwa okuzofundwa. Ukushayiswa okuncane kudluliselwa enzwini ukuze kuqashwe amandla nokukhawuleza kwezigxobo zezinzwa.

Ukwelashwa kwe-cervical spondylosis kuncike ezingeni lobukhulu bayo. Umgomo wokwelashwa ukunciphisa ubuhlungu, ukukusiza uqhubeke nemisebenzi yakho evamile ngangokunokwenzeka, nokuvimbela ukulimala okungapheli komgogodla nezinzwa.

Uma izilondolozi zobuhlungu ezingabhalwanga yi-dokotela zinganelisi, umhlinzeki wakho wezinsizakalo zezempilo angase abhale:

Uchwepheshe wezokwelapha angakufundisa ukuzivocavoca okuzokusiza ukululamisa nokuqina imisipha yentamo nehlombe. Lokhu kungaba omunye wemithi engcono kakhulu yobhlungu nokuqina. Abanye abantu abane-cervical spondylosis bazuza ekusebenziseni i-traction, engasiza ekuhlinzekeni isikhala esiningi ngaphakathi emgogodleni uma izimpande zezinzwa zicindezelwa.

Uma ukwelashwa okuqondile kwehluleka noma uma izimpawu zezinzwa - njengobunqunu ezingalweni noma emilenzeni - ziyaqhubeka, ungase udinga ukuhlinzwa ukuze uthole isikhala esiningi emgogodleni wakho nasezimpandeni zezinzwa.

Ukuhlinzwa kungase kuhilele ukususa i-disk ephukile, ama-bone spurs noma ingxenye yevitebra. Ingxenye yentamo yakho ingase idingeke ukuba ihlanganiswe ngama-bone grafts ne-hardware.

• Imithi engalwi nokuvuvukala. Imithi engalwi nokuvuvukala (NSAIDs), njenge-ibuprofen (Advil, Motrin IB, nabanye) ne-naproxen sodium (Aleve), ivame ukufumaneka ngaphandle kwesikripthi. Ungase udinga izinguqulo zamandla okubhalwa yi-dokotela ukuze unciphise ubuhlungu nokuvuvukala okuhambisana ne-cervical spondylosis.
• I-Corticosteroids. Inkambo emfushane ye-oral prednisone ingasiza ekuqedeni ubuhlungu. Uma ubuhlungu bakho bukhulu, ukugonywa kwe-steroid kungasiza.
• Imithi yokululamisa imisipha. Imithi ethile, njenge-cyclobenzaprine (Amrix, Fexmid), ingasiza ekuqedeni ukubamba kwemisipha yentamo.
• Imithi yokulwa nokuhlanza. Imithi ethile yokwelapha isifo se-epilepsy inganciphisa ubuhlungu bezinzwa ezilimele.
• Imithi yokulwa nokucindezeleka. Imithi ethile yokulwa nokucindezeleka ingasiza ekuqedeni ubuhlungu bentamo obuvela e-cervical spondylosis.

Ukuqina okulinganiselwe kwentamo kungase kuphenduke ngokusebenzisa:

• Ukuzivocavoca njalo. Ukugcina umsebenzi kuzosiza ukushesisa ukuphulukisa, ngisho noma kufanele uguqule ezinye zezinto zakho zokuzivocavoca ngenxa yobuhlungu bentanyana. Abantu abahamba nsuku zonke abanalo ithuba lokuba nobuhlungu bentanyana nemuva oluphansi.
• Imithi yokunciphisa ubuhlungu ongayithenga ngaphandle kwesikripthi. I-Ibuprofen (Advil, Motrin IB, nabanye), i-naproxen sodium (Aleve) noma i-acetaminophen (Tylenol, nabanye) ivame ukwanele ukulawula ubuhlungu obuhambisana nokuqina kwentamo.
• Ukushisa noma iqhwa. Ukufaka ukushisa noma iqhwa entanyeni yakho kunganciphisa imisipha ebuhlungu yentanyana.
• Ibhande lentanyana elithambile. Ibhande liyavumela imisipha yentanyana yakho ukuthi iphumule. Noma kunjalo, ibhande lentanyana kufanele ligqokwe isikhathi esifushane kuphela ngoba ekugcineni lingayenza ibuthakathaka imisipha yentanyana futhi libangele ukuqina kwentamo.