Ukuqina Komhlane (Kyphosis): Izimpawu, Izimbangela, Nokwelapha

Ukuqina komhlane (Kyphosis) kuyisimo lapho ingxenye engaphezulu yomhlane wakho iqina kakhulu kunokujwayelekile, okwenza ubonakale uqine noma “uqoqekile”. Nakuba wonke umuntu enomhlane oqine ngokwemvelo, ukuqina komhlane kwenzeka lapho leli qina liba likhulu kunokujwayelekile, okungama digri angu-20 kuya kwangu-45.

Cabanga ngomhlane wakho uqina kakhulu ngaphambili endaweni yesifuba. Lokhu kungaba ukuqina okuncane okungabonakali, noma ukuqina okukhulu okuthinta isimo sakho somzimba nokuthula kwakho. Izindaba ezinhle ukuthi izimo eziningi zingaphathwa ngokunakekelwa okulungile nokwelashwa.

Ziyini izimpawu zokuqina komhlane?

Isinyathelo esicacile sokuqina komhlane yingxenye engaphezulu yomhlane oqine noma amahlombe abonakala eqina phambili. Ungase uqaphele leli shintsho kancane kancane ngokuhamba kwesikhathi, noma abanye bangase bakutshele.

Ngaphezu kwezinguquko ezibonakalayo, ukuqina komhlane kungaletha izimpawu eziningi zomzimba ezithinta ukuthula kwakho kwansuku zonke:

• Ubuhlungu noma ukuqina komhlane, ikakhulukazi phakathi nengxenye engaphezulu yomhlane
• Ukukhathala kwemisipha ngoba umzimba wakho usebenza kanzima ukuze ugcine ibhalansi
• Ukunciphisa ukuguquguquka uma uzama ukulungisa umhlane wakho
• Imisipha eqinile yamathambo noma yesifuba
• Ukuzizwa “udonswa phambili” uma umi

Ezimeni ezinamandla kakhulu, ungase ube nezinkinga zokuphefumula uma ukuqina kuqina isikhala sesifuba sakho. Abanye abantu bahlushwa yi-headache ngenxa yesimo somzimba esishintshile esithinta ukulingana kwabo.

Kubalulekile ukuphawula ukuthi ukuqina komhlane okuncane ngokuvamile akubangeli zimpawu. Abantu abaningi baphila ngokunethezeka ngokuqina okuncane okungakhula noma kubangele izinkinga.

Ziyini izinhlobo zokuqina komhlane?

Ukuqina komhlane kuza ngezindlela eziningi ezahlukene, ngayinye inezingqikithi zayo nezimbangela eziyisisekelo. Ukuqonda ukuthi yiluphi uhlobo onalo kusiza ekuholeni indlela yokwelapha ephumelelayo.

Izinhlobo ezivamile kakhulu zihlanganisa:

• Ukuqina komhlane okuyimikhuba: Uhlobo oluthambile kakhulu, oluvame ukubangelwa imikhuba emibi yokuhlala nokugoqa
• Ukuqina komhlane luka-Scheuermann: Isimo esiyisisekelo esivame ukukhula phakathi nobuntwana
• Ukuqina komhlane okuzelwe nawo: Kukhona kusukela ekuzalweni ngenxa yezinkinga zokukhula komhlane
• Ukuqina komhlane okuhlobene nobudala: Kukula kancane kancane njengoba amathambo ebuthakathaka ngokuguga

Ukuqina komhlane okuyimikhuba kuvame ukulungiseka nge-exercise nokulungisa isimo somzimba. Ukuqina komhlane luka-Scheuermann, ngakolunye uhlangothi, kuhilela izinguquko zangempela kuma-vertebrae futhi kudinga ukwelashwa okuhleliwe.

Izinhlobo ezingavamile zihlanganisa ezozibangelwa ukutheleleka, iziphumo, noma izimo ezinjengoku-osteoporosis. Umhlinzeki wakho wezempilo angakwazi ukuqonda ukuthi yiluphi uhlobo onalo ngokuhlola nokucwaninga izithombe.

Yini ebangela ukuqina komhlane?

Ukuqina komhlane kukhula ngezindlela eziningi ezahlukene, kusuka emikhubeni yansuku zonke kuya ezimweni zezokwelapha eziyisisekelo. Imbangela ngokuvamile ichaza ububi kanye nendlela yokwelapha engcono kakhulu yesimo sakho esithile.

Izimbangela ezivame kakhulu zihlanganisa isimo esibi somzimba esisuka emikhubeni yansuku zonke. Ukuchitha amahora amaningi ugoqekile phezu kwamakhompyutha, ukubuka phansi omakhalekhukhwini, noma ukugoqa uma uhleli kancane kancane kuqeqesha umhlane wakho ukuze ube nomhlane oqine.

Phakathi nezinkathi zokukhula, ikakhulukazi ebuntwaneni, izinkinga zesakhiwo zingakhula:

• Isifo sika-Scheuermann, lapho ama-vertebrae ekhula ngokungalingani
• Izici zobuhle eziqeda ukukhula komhlane
• Ukungahambi kahle kwamapuleti okukhula phakathi neminyaka yobusha
• Ukungahambi kahle kwemisipha okuqeda umhlane phambili

Njengoba siqina, izinguquko eziwohlokayo ziyizimbangela ezivame kakhulu. I-Osteoporosis iyancipha ama-vertebrae, okwenza kube lula ukuthi aqine futhi enze ukuqina okukhulu. I-Arthritis ingashintsha futhi isakhiwo samajwayelekile omhlane ngokuhamba kwesikhathi.

Ngokungavamile, ukuqina komhlane kubangelwa ukutheleleka okuthinta umhlane, iziphumo, noma izimo zezinzwa eziqeda ukulawula kwemisipha. Abanye abantu bazalwa ngokungahambi kahle komhlane okuholela ekuqineni komhlane njengoba bekhula.

Nini kufanele ubheke udokotela ngokuqina komhlane?

Kufanele ucabange ukuya kudokotela uma uqaphela izinguquko ezithuthukayo esimweni sakho somzimba noma uhlushwa ubuhlungu obuqhubekayo bomhlane. Ukucubungula okusheshayo ngokuvamile kuholela ezindleleni zokwelapha eziphumelelayo.

Hlela i-appointment uma uhlushwa yinoma yiziphi izimpawu ezithinta:

• Ubuhlungu bomhlane obukhulu obuphulukanga ngokuphumula
• Ukuwohloka okubonakalayo kwesimo sakho somzimba emasontweni noma ezinyangeni
• Ukuphefumula okunzima noma ukuzizwa ufinyelela umoya
• Ukungabi namandla noma ukubuhlungu ezinyaweni
• Ukuqina okukhulu okuvimba imisebenzi yakho yansuku zonke

Kubantwana, kubalulekile ukufuna ukucubungula phakathi kwezinkathi zokukhula lapho ukuqina komhlane okuyisisekelo kunokwenzeka ukuthi kuqhubeke. Abazali ngokuvamile baqaphela izinguquko esimweni somzimba somntwana wabo ngaphambi kokuba umntwana aqaphele.

Uma uhlushwa izimpawu zezinzwa ezinjengokungabi namandla, ukuthamba, noma ukubuhlungu, lokhu kudinga ukunakekelwa kwezokwelapha okusheshayo. Lezi zimpawu zingase zibonise ukuthi umhlane oqine uthinta uhlelo lwakho lwezinzwa.

Ziyini izici ezikhulu zokuthola ukuqina komhlane?

Izici eziningi zingandisa amathuba akho okuthola ukuqina komhlane, nakuba ukuba nezici ezikhulu akusho ukuthi uzothola leli simo. Ukuqonda lokhu kungakusiza ukuthi uthathe izinyathelo zokuvimbela lapho kungenzeka.

Iminyaka idlala indima ebalulekile, ngokwanda kwezingozi njengoba uqina. Amathambo akho ngokwemvelo alahlekelwa ubukhulu ngokuhamba kwesikhathi, futhi imisipha esekela umhlane wakho ingase ibuthakathaka ngaphandle kwemisebenzi eqinile yokuqina.

Izici ezikhulu ezivamile zihlanganisa:

• Imikhuba emibi yokuhlala, ikakhulukazi emsebenzini noma esikoleni
• Umlando womndeni wezinkinga zomhlane
• I-Osteoporosis noma ukuntuleka kwamabhamu
• Ukuba owesifazane, ikakhulukazi ngemuva kwe-menopause
• Ukwehluleka kokusebenza komzimba njalo
• Izimo ezithile zezokwelapha ezinjenge-arthritis

Kubantwana, ukuba esigabeni esisheshayo sokukhula kwanda ingozi, ikakhulukazi kubafana abathuthukisa ukuqina komhlane luka-Scheuermann. Imidlalo ehilela ukugoqa okuphindaphindayo phambili ingase futhi ibe nomthelela engcupheni.

Izici zomsebenzi ziyabaluleka. Imisebenzi edinga ukuhlala isikhathi eside, umsebenzi wekhompyutha, noma ukuphakamisa izinto ezisindayo ingase kancane kancane ithonye ukulingana komhlane eminyakeni eminingi yokuhlala endaweni efanayo.

Ziyini izinkinga ezingase zenzeke ngokuqina komhlane?

Nakuba abantu abaningi abane-kyphosis ephansi bengaboni izinkinga ezinzima, ukuqina okukhulu kungathinta izici eziningi zezempilo yakho nokusebenza kwansuku zonke. Ukuqonda izinkinga ezingase zenzeke kusiza ukuthi uqonde ukuthi nini kufanele ufuna ukunakekelwa okwengeziwe.

Izinkinga ezivamile kakhulu zihilela ukungakhululeki okuqhubekayo nokulinganiselwa kokunyakaza. Ubuhlungu obuqhubekayo bomhlane bungase bukhule njengoba imisipha yakho isebenza kanzima ukusekela ukulingana komhlane okuguqukile, futhi ungase uthole ukuthi imisebenzi ethile iba nzima.

Izinkinga zomzimba zingase zihlanganise:

• Ubuhlungu obuqhubekayo bomhlane nokukhathala kwemisipha
• Ukunciphisa amandla e-lung ngenxa yokuqina kwesifuba
• Izinkinga zokugaya uma ukuqina okukhulu kuqeda isikhala sesisu
• Ukungena engozini yokwehla ngenxa yokuwohloka kwebhalansi
• Ukulahleka okuqhubekayo kophahla

Ezimeni ezingavamile, ukuqina okukhulu komhlane kungase kuqine i-spinal cord, okuholela ezimpawini zezinzwa ezinjengokungabi namandla, ukubuhlungu, noma izinkinga zokulingana. Lokhu kungenzeka kakhulu ngokuthuthuka okusheshayo noma izimo eziyisisekelo ezithinta ama-vertebrae.

Imiphumela yobuhlungu kanye nomphakathi akufanele ihlale ingabonakali. Izinqubo zokubonakala zingase zithinte ukuzethemba, ikakhulukazi kubantwana. Noma kunjalo, ngokwelashwa okulungile nokusekelwa, abantu abaningi bazivumelanisa kahle futhi bagcina ukuphila okujabulisayo nokusebenza.

Ukuqina komhlane kungavikeleka kanjani?

Nakuba izinhlobo ezithile zokuqina komhlane zingavikeleka, ikakhulukazi ezozibangelwa izici zobuhle noma izifo, izimo eziningi ezihlobene nesimo somzimba kanye nendlela yokuphila zingavikeleka. Ukuthatha izinyathelo ezithuthukile kunganciphisa kakhulu ingozi yakho noma kunciphisa ukuqhubeka.

Imikhuba emihle yokuhlala iyisisekelo sokuvimbela. Lokhu kusho ukunaka indlela ohlala ngayo, ukuma, nokukhuphuka usuku lonke, ikakhulukazi phakathi kwemisebenzi edinga ukugoqa phambili noma ukuhlala isikhathi eside.

Izindlela eziyisihluthulelo zokuvimbela zihlanganisa:

• Ukulondoloza isimo esifanele somzimba uma uhleli nokuma
• Ukuthatha ama-break njalo emsebenzini wedeski ukuze ukhulule futhi ukhanye
• Ukuqina kwemisipha yomzimba nomhlane nge-exercise
• Ukuhlela izindawo zokusebenza ezisekela ukulingana okuhle
• Ukulala ngokusekelwa komhlane okuhle
• Ukuphatha impilo yamagciwane nge-calcium ne-vitamin D eyanele

Ukuzivocavoca njalo kudlala indima ebalulekile ekuvimbeleni. Imisebenzi eqinisa umhlane wakho, umzimba, nemisipha yokuhlala ikusiza ukulondoloza ukulingana komhlane okuhle. I-Yoga, ukubhukuda, kanye ne-exercise eqinile engcono kakhulu ingaba yinzuzo kakhulu.

Kubantu abadala, ukuvimbela i-osteoporosis ngokudla, ukuzivocavoca, nokunakekelwa kwezokwelapha uma kudingeka kusiza ukulondoloza ama-vertebrae aqinile amelene nokuqina kwama-fracture.

Ukuqina komhlane kuqondwa kanjani?

Ukuqonda ukuqina komhlane kuqala ngodokotela wakho obona isimo sakho somzimba futhi ebuza ngezimpawu zakho nomlando wakho wezokwelapha. Uzothanda ukuqonda ukuthi nini uqale uqaphele izinguquko nokuthi uhlushwa yini ubuhlungu noma ukulinganiselwa kokusebenza.

Phakathi kokuhlola komzimba, udokotela wakho uzoqonda ukuqina komhlane wakho kokubili uma ukuma nokugoqa phambili. Uzobuye ahlole ukuguquguquka kwakho, amandla emisipha, nokusebenza kwezinzwa ukuze aqonde ukuthi isimo likuthinta kanjani umzimba wakho.

Amathuluzi okuqonda ngokuvamile ahlanganisa:

• I-X-rays ukuze uqonde izinga eliqondile lokuqina komhlane
• I-MRI scans uma kukhona ukubandakanyeka kwezinzwa
• Izivivinyo zobukhulu lwamathambo ngokuqina komhlane okuhlobene nobudala
• Izivivinyo zomsebenzi we-pulmonary uma ukuphefumula kuthonyeka

Izinga lokuqina lisiza ekuqondeni izindlela zokwelapha. Ukuqina okungaphansi kwama digri angu-50 ngokuvamile kuphathwa ngokulondoloza, kuyilapho ukuqina okukhulu kungase kudinge ukucatshangelwa kokuhlinzwa.

Udokotela wakho uzobuye ahlole izimbangela eziyisisekelo, ikakhulukazi uma ukuqina komhlane kuqhubeke ngokushesha noma kuhambisana nezinye izimpawu. Lokhu kungase kuhilele izivivinyo zegazi noma izifundo ezingeziwe zokucwaninga izithombe.

Yini ukwelashwa kokuqina komhlane?

Ukwelashwa kokuqina komhlane kuyahluka kakhulu ngohlobo, ububi, nombangela oyiyisisekelo wesimo sakho. Izindaba ezinhle ukuthi izimo eziningi ziphendula kahle ekwelapheni okuhlala njalo okungenziwa ekhaya noma ngokwelashwa kwabaphethwe.

Ngokuqina komhlane okuyimikhuba okuncane, ukwelashwa ngokuvamile kugxila ekulungiseni imikhuba nokuqina kwemisipha esekelayo. I-Physical therapy ingakufundisa i-exercise yokuthuthukisa isimo somzimba nokuncipha ubuhlungu ngenkathi yakha amandla adingekayo ukulondoloza ukulingana okuhle.

Izindlela zokwelapha ezivamile zihlanganisa:

• I-Physical therapy kanye ne-exercise eqondiswe
• Ukuphathwa kobuhlungu ngemithi noma ukugonywa
• Ukubopha abasha abanezinga lokuqina eliqhubekayo
• Ukwelashwa kwe-osteoporosis ukuvimbela ukulahleka kwamabhamu okwengeziwe
• Ukushintsha kwemisebenzi kanye nokuthuthukiswa kwe-ergonomic

Ukuhlinzwa kugcinelwe izimo ezinzima ezingaphenduli ekwelapheni okuhlala njalo noma kuhilela izinkinga zezinzwa. Ukuhlinzwa kwe-spinal fusion kungalungisa ukuqina okukhulu nokunciphisa ukuqhubeka, nakuba kudinga isikhathi eside sokuphulukisa.

Abantu abaningi bathola ukuthi ukwelashwa okuhlala njalo okuhlala njalo kuthuthukisa kakhulu ukuthula kwabo nokusebenza. Ikhona ukusebenza neqembu lakho lezokwelapha ukuze uthuthukise uhlelo oluphelele oluqondana nesimo sakho nemizamo yakho.

Indlela yokuphatha ukuqina komhlane ekhaya?

Ukuphathwa ekhaya kuyisigaba esibalulekile ekunakekelweni kokuqina komhlane, kugxila e-exercise, ukunaka isimo somzimba, kanye nokuthuthukiswa kwendlela yokuphila esekela impilo yakho yomhlane. Ukuhlala njalo ngalezi zindlela ngokuvamile kuletha ukuthuthuka okubonakalayo ekuthuleni nasekusebenzeni.

I-Exercise iyithuluzi lakho elinamandla kakhulu lokuphathwa ekhaya. Gxila emisebenzini eqinisa ama-extensors omhlane wakho, ukhulule imisipha eqinile yesifuba, futhi uthuthukise ukunaka kwakho kwesimo somzimba usuku lonke.

Izindlela ezisebenzayo zokuphatha ekhaya zihlanganisa:

• I-exercise yansuku zonke yokuhlala kanye nokugoqa
• I-routine yokuqina komzimba
• I-Heat therapy ngenxa yokucindezeleka kwemisipha nobuhlungu
• Ukulungiswa kwe-ergonomic emsebenzini nasekhaya
• Ama-break njalo okuhamba phakathi kokuhleli isikhathi eside
• Ukunaka isimo somzimba phakathi kwemisebenzi yansuku zonke

Ukwenza i-exercise routine akudingeki izinto ezibiza imali. I-exercise elula njenge-wall slides, ukugoqa kwesifuba, kanye nokugoqa komhlane okuthambile kungenziwa kunoma iyiphi indawo futhi kunikeze izinzuzo ezinkulu ngokuhamba kwesikhathi.

Ukuphathwa kobuhlungu ekhaya kungase kuhlanganise ukusetshenziswa kokushisa okuthambile, imithi yokulwa nokuvuvukala ethenywe ngaphandle komthetho njengoba kunconywe udokotela wakho, kanye nezindlela zokuphumula ukunciphisa ukucindezeleka kwemisipha.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho yokuqina komhlane kusiza ukuqinisekisa ukuthi uthola ukucubungula okuphelele kakhulu nezincomo zokwelapha. Ukuqoqa ulwazi olufanele kusengaphambili kwenza i-visit ibe yiyona ephumelelayo kokubili kuwe nakumhlinzeki wakho wezempilo.

Qala ngokubhala izimpawu zakho, kufaka phakathi ukuthi nini uqale uqaphele izinguquko esimweni sakho somzimba kanye nanoma yimiphi imisebenzi ebiyisa noma ephulukisa ukungakhululeki kwakho. Qaphela noma yimuphi umlando womndeni wezinkinga zomhlane noma izimo ezihlobene.

Letha ulwazi olulandelayo e-appointment yakho:

• Uhlu lwemithi yamanje kanye nezinye izinto
• Izifundo zokucwaninga izithombe zangaphambili noma amarekhodi ezempilo ahlobene nomhlane wakho
• Ukuqoshwa kwezimpawu kanye nokuqhubeka kwazo
• Imibuzo mayelana nezindlela zokwelapha nethemba
• Ulwazi mayelana nomsebenzi wakho, ukuzivocavoca, kanye nemisebenzi yansuku zonke

Cabanga ukubhala phansi imibuzo ethile ofuna ukuyiphendula, njengokuthi isimo sakho sinokwenzeka ukuthi siqhubeke, yiziphi imisebenzi okufanele uyishintshe, kanye nezindlela zokwelapha ezitholakalayo.

Uma kungenzeka, letha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi oluqakathekile oluxoxwe phakathi ne-appointment. Bangase futhi banikeze ukuqaphela okwengeziwe mayelana nezinguquko esimweni sakho somzimba noma izimpawu.

Iyini into ebalulekile mayelana nokuqina komhlane?

Ukuqina komhlane kuyisimo esivamile futhi esivame ukuphatheka esithinta ukuqina komhlane wakho, okwenza ukubonakala komhlane ophezulu oqine kakhulu. Nakuba lokhu kungase kubonakale kukhathaza, izimo eziningi ziphendula kahle ekwelapheni okufanele kanye nokuthuthukiswa kwendlela yokuphila.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukunaka izimpawu ngokushesha ngokuvamile kuholela emiphumeleni emihle. Kungakhathaliseki ukuthi ukuqina komhlane kwakho kuhlobene nemikhuba yokuhlala, izinguquko ezihlobene nobudala, noma izimo eziyisisekelo, kunezindlela ezisebenzayo zokuphatha izimpawu nokunciphisa ukuqhubeka.

Abantu abaningi abane-kyphosis baqhubeka bephila ukuphila okujabulisayo nokunethezeka ngokunakekelwa okufanele. Ukuhlanganiswa kokwelashwa kwezokwelapha, i-exercise yasekhaya, kanye nokuqaphela imikhuba emihle yokuhlala kungathuthukisa kakhulu ikhwalithi yakho yokuphila nempilo yomhlane isikhathi eside.

Uma ukhathazekile ngezinguquko esimweni sakho somzimba noma uhlushwa ubuhlungu bomhlane, ungangabazi ukubheka udokotela. Bangakusiza ukuqonda indlela engcono kakhulu yesimo sakho esithile futhi bakuholele ezindleleni zokwelapha ezisebenzayo.

Imibuzo evame ukubuzwa mayelana nokuqina komhlane

Ingabe ukuqina komhlane kungaphuliwa ngokuphelele?

Impendulo ixhomeke kuhlobo nobunzima bokuqina komhlane kwakho. Ukuqina komhlane okuyimikhuba okubangelwa imikhuba emibi ngokuvamile kungathuthukiswa kakhulu noma kuphulukiswe nge-exercise nokulungisa isimo somzimba. Noma kunjalo, ukuqina komhlane okuyisisekelo njengokuka-Scheuermann ngokuvamile akukwazi ukuphulukiswa ngokuphelele, nakuba izimpawu zingaphathwa kahle futhi ukuqhubeka kuvame ukuvimbelwa.

Ingabe ukuqina komhlane kubangela ubuhlungu kubo bonke abanawo?

Akuwona wonke umuntu one-kyphosis ohlushwa ubuhlungu. Abantu abaningi abanezinga lokuqina eliphansi abanazo izimpawu futhi baphila ngokunethezeka ngaphandle kokwelashwa. Ubuhlungu buvamile ezimweni ezinzima noma lapho isimo siqhubeka ngokushesha. Izinga lokungakhululeki ngokuvamile lihlobene nezinga lokuqina nezici zomuntu siqu ezinjengamandla emisipha kanye nezinga lomsebenzi.

Ingabe abantwana bangathuthukisa ukuqina komhlane, futhi abazali kufanele bakhathazeke?

Yebo, abantwana nabasha bangathuthukisa ukuqina komhlane, ikakhulukazi phakathi kwezinkathi zokukhula. Abazali kufanele baqaphele izinguquko esimweni somzimba, ukukhala ngobuhlungu bomhlane, noma ukuqina okubonakalayo komhlane ophezulu. Ukuqaphela okusheshayo phakathi neminyaka yobusha kubalulekile kakhulu ngoba yilapho ukuqina komhlane okuyisisekelo njengokuka-Scheuermann kuvame ukukhula futhi kuqhubeke ngokushesha.

Kuthatha isikhathi esingakanani ukubona ukuthuthuka ngokwelashwa kokuqina komhlane?

Isikhathi sokuthuthuka sihluka kakhulu ngohlobo lokwelashwa nobunzima besimo sakho. Nge-physical therapy nokuzivocavoca okuhlala njalo, abantu abaningi baqaphela ukunciphisa ubuhlungu nokuthuthukisa isimo somzimba phakathi kwamasonto angu-6 kuya kwangu-12. Noma kunjalo, izinguquko ezinkulu zesimo somzimba zingase zithathe izinyanga eziningi zomzamo oqondile. Umhlinzeki wakho wezempilo angakunika amathemba athile ngokususelwa esimweni sakho somuntu siqu.

Ingabe kunemisebenzi engingayigwema uma ngine-kyphosis?

Abantu abaningi abane-kyphosis abadingi ukugwema imisebenzi ngokuphelele, kodwa ukushintsha kungase kube usizo. Imisebenzi ephakeme ehilela ukugoqa phambili noma ukuphakamisa izinto ezisindayo ingase idinge ukulungiswa. Noma kunjalo, ukuhlala usebenza ngokuvamile kuwusizo empilweni yomhlane. Udokotela wakho noma i-physical therapist bangakunikeza isiqondiso esithile ngokususelwa ebunzimeni besimo sakho futhi bakusize ukushintsha imisebenzi ngokuphepha kunokuyigwema ngokuphelele.