Ukulimala Komgogodla: Izimpawu, Izimbangela, Nokwelashwa

Ukulimala komgogodla kwenzeka lapho umgogodla wakho ulimalile, kuchaphazela indlela ubuchopho bakho buxhumana ngayo nezinye izingxenye zomzimba wakho. Cabanga ngomgogodla wakho njengendlela enkulu ethwala imiyalezo phakathi kobuchopho bakho nayo yonke ingxenye yomzimba wakho ngaphansi kwentamo yakho.

Uma le ndlela iphazamiseka, ingachaphazela ukunyakaza, ukuzwa, nezinye imisebenzi yomzimba. Izindaba ezinhle ukuthi ukuthuthuka kwezokwelapha kuye kwathuthukisa kakhulu imiphumela yabantu abaneziphumo zokulimala komgogodla, futhi abaningi baqhubeka bephila impilo egcwele, enenjongo.

Iyini Ukulimala Komgogodla?

Umgogodla wakho uyisicupho samithambo ehamba ngaphakathi kwendawo eyihlombe ngaphakathi kwe-vertebrae yakho (umgogodla). Ubukhulu bawo bufana nobukhulu bomunwe wakho futhi uqala ebuchophweni bakho uye phansi emhlane wakho ophansi.

Uma umgogodla uqhaqhazela, uqhekekile ngokulinganayo, noma uqhekekile ngokuphelele, ukugeleza okuvamile kwemilayezo kuya kuphazamiseka. Lokhu kungenzeka noma kuphi emgogodleni, kusukela entanyeni yakho kuye phansi emhlane wakho ophansi.

Indawo yokulimala inqunywa yiziphi izingxenye zomzimba wakho ezichaphazelekayo. Ukulimala okuphezulu emgogodleni kuvame ukuchaphazela ingxenye enkulu yomzimba wakho kunalokho okungaphansi.

Ziyini Izinhlobo Zokulimala Komgogodla?

Ukulimala komgogodla kuwela ezinhlotsheni ezimbili eziyinhloko kuye kokuthi umgogodla ulimalile kangakanani. Ukuqonda lezi zinhlobo kungakusiza uqonde ukuthi kungenzeka yini okwenzekayo esimweni sakho.

Ukulimala okuphelele kusho ukuthi umgogodla uqhekekile ngokuphelele noma ulimalile kakhulu. Lokhu kuvimba yonke imiyalezo yemithambo ehamba ngaphakathi kwendawo yokulimala, okuholela ekubeni ungabi nakuzwa nokunyakaza ngaphansi kwalelo zinga.

Ukulimala okungaphelele kuvame kakhulu futhi kunikeza ithemba elikhulu lokuphulukisa. Lapha, umgogodla ulimalile ngokulinganayo kuphela, ngakho-ke ezinye izindlela zemithambo zihlala zilungile. Lokhu kusho ukuthi ungase uhlale unokuzwa noma ukunyakaza ngaphansi kwendawo yokulimala.

Odokotela futhi bahlukanisa ukulimala ngendawo emgogodleni. Ukulimala kwe-cervical kuchaphazela indawo yentamo, ukulimala kwe-thoracic kuchaphazela indawo yesifuba, kanti ukulimala kwe-lumbar kuhilela umhlane ophansi.

Ziyini Izimpawu Zokulimala Komgogodla?

Izimpawu zokulimala komgogodla zingase zihluke kakhulu kuye kokuthi umgogodla ulimalile kuphi nokuthi ulimalile kangakanani. Ezinye izimpawu zivele ngokushesha, kanti ezinye zingase zithuthuke emahoreni noma ezinsukwini.

Nawa izimpawu ezivame kakhulu ongaziqaphela:

• Ukwehluleka kokunyakaza emahlombe, ezinyaweni, noma kokubili
• Ukwehluleka kokuzwa, kufaka phakathi ukuthinta, ukushisa, nokuthanda
• Ukuphefumula noma ukukhokha okunzima
• Ukwehluleka kokulawula isiphithiphithi noma izisu
• Ubuhlungu obukhulu noma ukucindezela entanyeni, ekhanda, noma emhlane
• Ukuma okungavamile kwekhanda noma yentamo
• Ubuthakathaka noma ukungakwazi ukunyakaza kunoma iyiphi ingxenye yomzimba
• Ukukhahlela noma ukukhahlela ezandleni, eminweni, ezinyaweni, noma ezinzwini

Ngezinye izikhathi, izimpawu ezingabonakali zingase zibonise ukulimala komgogodla. Lokhu kungase kuhlanganise ukukhathazeka ekuhambeni, ukungalingani, noma ukungakwazi ukuqondisa izandla.

Ezimeni ezingavamile, ungase uhlangabezane nalokho odokotela abakubiza ngokuthi “ukushokolatheka komgogodla.” Lesi simo sesikhashana singenza izimpawu zibonakale zimbi ekuqaleni kunalokho ezingukona, njengoba umgogodla wakho uvala ngokwesikhashana imisebenzi yawo evamile.

Ziyini Izimbangela Zokulimala Komgogodla?

Ukulimala okuningi komgogodla kuvela ezigcawini eziqubukezelayo, ezibuhlungu ezilimaza ama-vertebrae, ama-ligaments, noma ama-disks emgogodleni wakho. Ukuqonda lezi zimbangela kungakusiza uqonde ukuthi ubani ongabe esengozini.

Izimbangela ezivame kakhulu zihlanganisa:

• Izingozi zezimoto (ezibangela cishe u-38% wokulimala)
• Ukuwa, ikakhulu kubantu abadala
• Imisebenzi yezemidlalo neyenjabulo
• Ubudlova, kufaka phakathi izibhamu
• Izimo zezokwelapha njengokugula kwama-arthritis noma i-osteoporosis
• Iziphumo ezicindezela umgogodla
• Ukutheleleka okubangela ukukhula komgogodla

Ngezinye izikhathi, izimbangela ezingelona ubuhlungu zingase futhi ziholele ekulimala komgogodla. Lokhu kuhlanganisa izimo ezinjenge-multiple sclerosis, i-spina bifida, noma ama-blood clots aqeda ukunikezwa kwegazi emgogodleni.

Ezimeni ezingavamile, izinqubo zezokwelapha noma izinkinga ngesikhathi sokuhlinzwa zingase zilimaze umgogodla ngephutha, nakuba lokhu kungavamile kakhulu ngezindlela zokwelapha zanamuhla.

Nini Okufanele Ubone Udokotela Ngokulimala Komgogodla?

Kufanele ufuna usizo lwezokwelapha oluphuthumayo ngokushesha uma ucindezela ukuthi unekulimala komgogodla. Lokhu kuhlale kuyisimo esiphuthumayo sezokwelapha, ngisho noma izimpawu zibonakala zingenamandla ekuqaleni.

Shaya u-911 ngokushesha uma othile ehlangabezana nanoma yiziphi izimpawu zezexwayiso ngemuva kengozi noma ukulimala. Ungalokothi uzama ukuhambisa umuntu ongabe enokulimala komgogodla ngaphandle kokuthi usezingozini eziphuthumayo.

Ngisho noma izimpawu zibonakala zingenamandla, kubalulekile ukuhlolwa kwezokwelapha ngokushesha. Ezinye iziphumo zokulimala komgogodla zingase zibe zimbi ngokuhamba kwesikhathi uma zingalashwa kahle, futhi ukungenelela kwangaphambi kwesikhathi kuvame ukuletha imiphumela emihle.

Ziyini Izingozi Zokulimala Komgogodla?

Ngenkathi ukulimala komgogodla kungenzeka kunoma ubani, izinto ezithile zingandisa amathuba akho okuhlangabezana nalo. Ukuqaphela lokhu kungakusiza uthathe izinyathelo ezifanele.

Ubudala buwumsebenzi obalulekile ezigcawini zengozi. Abantu abadala abasha phakathi kweminyaka engu-16 no-30 babhekene nezingozi eziphezulu ngenxa yokuthi bahlanganyela kakhulu emisebenzini engozi. Noma kunjalo, abantu abadala abangaphezu kweminyaka engu-65 nabo babhekene nengozi eyenziwe ngenxa yenguquko ebuhlotsheni bobudala ebunzimeni bamaphaphu nokuqondana.

Amadoda avame kakhulu ukuhlangabezana nokulimala komgogodla, okubalwa cishe u-80% yeziqede. Umehluko lo uvame ukuphathelene nokuhlanganyela okukhulu emisebenzini engozi nasemisebenzini.

Ezinye izingozi zihlanganisa:

• Ukuhlanganyela emisebenzini yezemidlalo engozi njengokugxuma emanzini, ibhola, noma ijimnastics
• Ukuba nezimo zezokwelapha ezinjenge-arthritis noma i-osteoporosis
• Ukusebenza emisebenzini engozi
• Ukuba nomlando wokulimala komgogodla kwangaphambili
• Ukuphuza utshwala noma izidakamizwa, okungase kulimaze ukwahlulela nokuqondana

Ukuba nezingozi akusho ukuthi uzokuhlangabezana ngokuqinisekile nokulimala komgogodla. Abantu abaningi abanezingozi eziningi abanawo amaphutha, kanti abanye abangenazo izingozi ezibonakalayo bangase bachotshozwe.

Ziyini Izingozi Ezingase Zivele Ngokulimala Komgogodla?

Ukulimala komgogodla kungase kuholele ezingozini ezihlukahlukene ezichaphazela izinhlelo ezahlukene zomzimba. Ukuqonda lezi zinkinga ezingase zivele kukusiza wazi ukuthi yini okufanele uyilinde futhi nini okufanele ufuna usizo.

Izingozi eziphuthumayo zivame ukuhilela ukuphefumula nokugeleza kwegazi. Ukulimala komgogodla ophezulu kungase kuchaphazele imisipha oyisebenzisayo ukuze uphefumule, okungase kudinge ukusekelwa kokuphefumula okuzenzakalelayo.

Izingozi ezivamile zihlanganisa:

• Ama-blood clots ezinyaweni noma emaphashini ngenxa yokunciphisa ukunyakaza
• Ama-pressure sores ngenxa yokulala isikhathi eside embhedeni noma ukusebenzisa i-wheelchair
• Ukutheleleka kwe-urinary tract ngenxa yezinkinga zokulawula isiphithiphithi
• I-pneumonia ngenxa yokuhluleka ukukhokha kahle
• Usizi nokukhathazeka okuhlobene nokuhluka kwempilo
• Ubuhlungu obuhlala njalo obunokuthuthuka ngokuhamba kwesikhathi
• I-Autonomic dysreflexia (ukukhuphuka okungozi kwezinga lokucindezela kwegazi)

Abanye abantu nabo bahlangabezana nezingozi ezingavamile ezinjengokulawula okungalingani kobushisa noma izinkinga zokugaya. Iqembu lakho lezokwelapha lizokuqapha lokhu futhi likufundise amasu okuvimbela.

Izindaba ezimnandi ukuthi izingozi eziningi zingavikeleka ngokunakekelwa okuhle nokugxilwa. Ukuphathwa kwezokwelapha kwamanje kuye kwanciphisa kakhulu ubukhulu nokuvamile kwalezi zinkinga.

Ukulimala Komgogodla Kuhlolwa Kanjani?

Ukuhlola ukulimala komgogodla kuhilela izinyathelo eziningi nezivivinyo ukuze kunqunywe ubukhulu nendawo yokulimala. Iqembu lakho lezokwelapha lizoqala ngokushesha kodwa ngokuphelele ukuze lithole ulwazi olunembile.

Inqubo ivame ukuqala ngokuhlolwa komzimba lapho odokotela behlwaya khona imiphumela yakho, amandla emisipha, kanye nekhono lokubona ukuzwa. Bazokuqondisa ngezimpawu zakho nokuthi ukulimala kwenzeke kanjani.

Izivivinyo zokuthola izithombe zinikeza izithombe eziningi zomgogodla wakho nomgogodla. Ama-CT scans angabonisa ngokushesha ukulimala kwama-bone, kanti ama-MRI scans anikeza izithombe ezicacile zomgogodla ngokwawo nezinye izicubu ezizungezile.

Odokotela bakho bangase futhi benze izivivinyo ze-neurological ukuze bamape izinto ezichaphazelekayo. Lezi zivivinyo zisiza ekuqondeni ukuthi ukulimala kuphelele noma akuphelele futhi kuqikelele amathuba okuphulukisa.

Ngezinye izikhathi, ezinye izivivinyo ezinjenge-X-rays noma ama-scans akhethekile adingeka ukuze uthole isithombe esiphelele. Inqubo yokuhlola ingase ithathe izinsuku ezimbalwa njengoba ukukhula kuncipha futhi isimo sakho siqina.

Iyini Ukwelashwa Kokulimala Komgogodla?

Ukuphathwa kokulimala komgogodla kugxila ekuvimbeleni ukulimala okwengeziwe, ukuphatha izingozi, nokwenza okuningi ngomsebenzi wakho osaleyo. Indlela ihluka kakhulu kuye hlobo nobukhulu bokulimala kwakho.

Ukuphathwa kwangaphambi kwesikhathi kuvame ukuhilela ukuqinisa umgogodla wakho ukuze kuvinjwe ukulimala okwengeziwe. Lokhu kungase kuhlanganise imithi yokunciphisa ukukhula, ukuhlinzwa ukususa izingcezu zama-bone noma ukuqinisa umgogodla, noma ama-braces angaphandle ukuze ugcine umgogodla wakho uqondile.

Uhlelo lwakho lokwelashwa lungase luhlanganise:

• Imithi yokunciphisa ukukhula nokuphatha ubuhlungu
• Ukuhlinzwa ukuqinisa umgogodla noma ukususa ukucindezela emgogodleni
• Ukwelashwa kokuvuselela ukuze wenze okuningi ngomsebenzi osaleyo
• Ukwelashwa komzimba ukuze ugcine amandla emisipha nokuqina
• Ukwelashwa komsebenzi ukuze ufunde kabusha imisebenzi yansuku zonke
• Ukubonisana ukuze usize ngokulungiswa kwengqondo
• Amadivayisi okusiza njengezihlalo zezithuthuthu noma ama-braces

Ukuphulukisa kuvame ukuba inqubo ende engase iqhubeke izinyanga noma iminyaka. Abanye abantu bahlangabezana nokuthuthuka okukhulu, kanti abanye bagxila ekulungiseni izimo zabo ezintsha.

Ukuthuthuka kwamuva ocwaningweni lwe-stem cell nokubuyiselwa kwemithambo kunikeza ithemba lokwelashwa kwesikhathi esizayo, nakuba lokhu kusase kuyizinto eziningi ezingokuvavanyo.

Indlela Yokuphatha Ukunakekelwa Ekhaya Ngesikhathi Sokuvuselela Ukulimala Komgogodla?

Ukuphatha ukunakekelwa ekhaya ngemuva kokulimala komgogodla kudinga ukulungiselela nokuqaphela okuqhubekayo ukuze kuvinjwe izingozi. Iqembu lakho lezokwelapha lizonikeza isiqondiso esithile esilungisiwe esimweni sakho.

Ukuvimbela ama-pressure sores kubalulekile uma usebenzisa i-wheelchair noma uchitha isikhathi embhedeni. Shintsha izikhundla njalo, sebenzisa ama-cushions afanele, futhi hlola isikhumba sakho nsuku zonke nganoma iyiphi indawo ebomvu noma elimalile.

Ukuhlala unempilo yesisu nesisu kudinga ukwakha izindlela zansuku zonke. Iqembu lakho lezokwelapha lizokuqeqesha izindlela zokuphatha le misebenzi ngokuphepha nangokuphumelelayo.

Qhubeka nemisebenzi yokwelashwa komzimba njengoba kunqunyiwe. Lokhu kusiza ekuqinisweni kwemisipha, ukuvimbela ukunqamuka, futhi kungase kusekele ukuphulukisa komsebenzi ngokuhamba kwesikhathi.

Qaphela izimpawu zezingozi ezinjengokutheleleka, ama-blood clots, noma i-autonomic dysreflexia. Yazi ukuthi nini okufanele uxhumane nodokotela wakho futhi ungangabazi ukufuna usizo uma kudingeka.

Kufanele Uzilungiselele Kanjani Ukuya Kwikamu Lokubonisana Nodokotela Wakho?

Ukulungiselela ukuya kubonisana namaqembu akho ezokwelapha kusiza ukuqinisekisa ukuthi uthola okuningi ekuhambeni kwakho. Ukulungiselela okuhle kungase kuholele ekunakekelweni okuhle kakhulu nasezinqumweni ezinolwazi.

Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zishintshe kanjani. Faka imininingwane mayelana namazinga obuhlungu, ukushintsha kokunyakaza, nanoma yikuphi ukukhathazeka okusha kusukela ekuhambeni kwakho kwangaphambili.

Letha uhlu oluphelele lwazo zonke imithi, izongezelelo, kanye nokwelashwa okusebenzisayo njengamanje. Faka imithamo nokuthi uyithatha kangaki.

Lungiselela imibuzo kusengaphambili mayelana nokuphulukisa kwakho, izinketho zokwelashwa, noma ukukhathazeka mayelana nemisebenzi yansuku zonke. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu - iqembu lakho lezokwelapha lifuna ukukusiza uqonde isimo sakho.

Cabanga ngokuletha ilungu lomndeni noma umngani ukuze akusize ukukhumbula ulwazi oluxoxwe ngesikhathi sokuya kubonisana. Bangase futhi banikeze ukwesekwa ngokomzwelo ngesikhathi sezingxoxo ezinzima.

Ukulimala Komgogodla Kungavikeleka Kanjani?

Ngenkathi akuwona wonke ukulimala komgogodla okungavikeleka, amaningi avele ezingozini ezingase zigwenywe ngezinyathelo ezifanele. Ukuthatha ukuphepha ngokungathi sína kunganciphisa kakhulu ingozi yakho.

Gqoka njalo ama-seatbelts ezimoto futhi uqinisekise ukufakwa kahle kwezihlalo zezimoto zezingane. Ungalokothi uqhube ngaphansi kokuthonywa utshwala noma izidakamizwa, futhi gwema ukuhamba nabashayeli abangenamandla.

Zama ukuphepha emisebenzini yezemidlalo neyenjabulo. Sebenzisa imishini yokuphepha efanele, landela imithetho yokuphepha, futhi gwema ukuziphatha okungozi njengokugxuma emanzini ajulile.

Yenza ikhaya lakho liphephile ngokususa izingozi zokuwa, ukufaka ama-grab bars ezihlanzweni, nokuqinisekisa ukukhanya okwanele. Lokhu kubalulekile ikakhulu kubantu abadala ababhekene nengozi enkulu yokuwa.

Sebenzisa imishini yokuphepha efanele emsebenzini futhi landela izinqubo zokuphepha emsebenzini. Ukulimala okuningi komgogodla emsebenzini kungavikeleka ngezinyathelo ezifanele.

Iyini Iphuzu Eliyinhloko Mayelana Nokulimala Komgogodla?

Ukulimala komgogodla kuyizimo ezinkulu ezidinga ukunakekelwa kwezokwelapha ngokushesha nokunakekelwa okuqhubekayo. Noma kunjalo, ngokwelashwa okuhle nokusekelwa, abantu abaningi abaneziphumo zokulimala komgogodla baqhubeka bephila impilo egcwele, ezuzisayo.

Ukuze uthole umphumela omuhle kakhulu, kubalulekile ukuthola ukunakekelwa kwezokwelapha ngokushesha, ulandele uhlelo lwakho lokwelashwa, futhi uhlale uhlanganyela neqembu lakho lezokwelapha. Ukuphulukisa kungaba inqubo ende, kodwa abantu abaningi baqhubeka bebona ukuthuthuka ngokuhamba kwesikhathi.

Khumbula ukuthi ukuba nokulimala komgogodla akukukhombi noma akunqamuki amandla akho okujabula nokuphumelela. Ngokusekelwa nokusekelwa okufanele, ungakwazi ukulungisa nokuthuthuka naphezu kwezinselele.

Imibuzo Evamile Mayelana Nokulimala Komgogodla

Ingabe ukulimala komgogodla kungaphulile ngokuphelele?

Ezinye iziphumo zokulimala komgogodla okungaphelele zingathuthuka kakhulu ngokuhamba kwesikhathi, ikakhulu ngokwelashwa okuhle nokubuyiselwa. Noma kunjalo, ukulimala okuphelele akunikeli ngokuvamile ekuphulukiseni okuphelele komsebenzi olahlekile. Ubukhulu bokuphulukisa buhluka kakhulu phakathi kwabantu futhi kuncike ezintweni ezinjengendawo nobukhulu bokulimala, ubudala, nempilo yonke.

Ukuphulukisa ukulimala komgogodla kuthatha isikhathi esingakanani?

Isikhathi sokuphulukisa sihluka kakhulu kuye hlobo nobukhulu bokulimala. Ukuthuthuka okukhulu kwenzeka phakathi kwezinyanga eziyisithupha kuya eminyakeni emibili ngemuva kokulimala. Noma kunjalo, abanye abantu baqhubeka bebona ukuthuthuka okuncane iminyaka eminingi. Inqubo yokuphulukisa iyabantu futhi incike ezintweni eziningi kufaka phakathi ukuzimisela kwakho ekuvuselelweni.

Ingabe ngizodinga i-wheelchair unomphela ngemuva kokulimala komgogodla?

Akuwona wonke umuntu onokulimala komgogodla odinga i-wheelchair unomphela. Abantu abaneziphumo zokulimala okungaphelele noma ukulimala okungaphansi emgogodleni bangase bakwazi ukuhamba ngezinto zokusiza noma ngaphandle kokusizwa. Iqembu lakho lezokwelapha linganikeza ulwazi oluqondile olusekelwe ekulimala kwakho okuthile nokuthuthuka.

Ingabe abantu abaneziphumo zokulimala komgogodla bangaba nezingane?

Yebo, abantu abaningi abaneziphumo zokulimala komgogodla bangaba nezingane. Ngenkathi ukulimala kungase kuchaphazele ukukhulelwa noma umsebenzi wezocansi, izinketho eziningi zezokwelapha kanye nezinto zokusiza ziyatholakala. Kubalulekile ukuxoxa ngokuhlela umndeni neqembu lakho lezokwelapha, elinganikeza isiqondiso esikhethekile esimweni sakho.

Uyini umehluko phakathi kokungakwazi ukunyakaza nokulimala komgogodla?

Ukungakwazi ukunyakaza kuyisigxobo esingase siphumelele ekulimala komgogodla, kodwa kungase futhi kubangelwe ezinye izimo ezinjengokuqhaqhazela, ukulimala kobuchopho, noma izifo ezithile. Ukulimala komgogodla kubhekisela ngokuqondile ekulimala komgogodla ngokwawo, okungase kube khona noma kungabi khona ukungakwazi ukunyakaza kuye kokuthi ukulimala kunzima kangakanani nendawo yokulimala.