Kuyini Ukuhlanganiswa Komgogodla? Inhloso, Inqubo & Ukululama

Ukuhlanganiswa komgogodla kuyinqubo yokuhlinzwa exhuma unomphela ama-vertebrae amabili noma ngaphezulu emgogodleni wakho ukuze kuqedwe ukunyakaza phakathi kwawo. Cabanga ngakho njengokudala ibhuloho eliqinile phakathi kwamathambo ahlukene ukuze aphole ndawonye njengeyunithi elilodwa. Lokhu kuhlinzwa kusiza ukuzinzisa umgogodla wakho lapho ezinye izindlela zokwelapha zingazange zikhulule ubuhlungu obungapheli noma zilungise izinkinga zesakhiwo.

Kuyini ukuhlanganiswa komgogodla?

Ukuhlanganiswa komgogodla kuhlanganisa unomphela ama-vertebrae ndawonye kusetshenziswa ama-bone grafts, izikulufo, nezinduku ukudala ithambo elilodwa eliqinile. Udokotela ohlinzayo ususa i-disc elimele noma izicubu eziphakathi kwama-vertebrae futhi alithathele indawo ngezinto zamathambo ezikhuthaza ukuphola kwemvelo. Ezinyangeni eziningana, umzimba wakho ukhulisa ithambo elisha ngaphakathi kwe-graft, empeleni ushisa ama-vertebrae ndawonye.

Le nqubo iqeda ukunyakaza endaweni enenkinga yomgogodla wakho. Ngenkathi lokhu kunciphisa ukuguquguquka kulesi sigaba esithile, kunganciphisa kakhulu ubuhlungu futhi kuvimbele ukulimala okuqhubekayo. Abantu abaningi bazivumela kahle ekulahlekelweni okuncane kokunyakaza, ikakhulukazi uma kusho ukukhululeka ekungakhululeki okungapheli.

Kungani kwenziwa ukuhlanganiswa komgogodla?

Ukuhlanganiswa komgogodla kuphatha izimo ezihlukahlukene ezibangela ukungazinzi, ubuhlungu, noma ukucindezelwa kwemizwa emgogodleni wakho. Udokotela wakho uvame ukuncoma lokhu kuhlinzwa lapho ukwelashwa okuvamile njenge-physical therapy, imithi, noma imijovo kungazange kunikeze ukukhululeka okwanele ngemva kwezinyanga eziningana.

Izizathu ezivame kakhulu zokuhlanganiswa komgogodla zihlanganisa ubuhlungu obungapheli emhlane obubangelwa isifo se-degenerative disc, i-spinal stenosis, noma i-spondylolisthesis. Lezi zimo zivame ukuthuthuka kancane kancane njengoba ukhula, okubangela ukuthi ama-vertebrae ashintshe noma acindezele imizwa. Ukuhlanganiswa kusiza ukubuyisela ukuhlelwa okufanele futhi kunciphise ingcindezi ezindaweni ezithintekile.

Nazi izimo eziyinhloko ezingadinga ukuhlanganiswa komgogodla:

• Isifo se-disc esibolayo esinezinhlungu ezinzima
• I-spinal stenosis ebangela ukucindezelwa kwemizwa
• I-Spondylolisthesis lapho ama-vertebrae eshelela endaweni
• Ukuqhekeka komgogodla okuvela ekuhlaselweni noma i-osteoporosis
• I-Scoliosis noma ezinye izinkinga zomgogodla
• Amathumba omgogodla adinga ukususwa kwamathambo
• Ukutheleleka okulimaza ama-vertebrae noma ama-disc

Udkt. ohlinzayo uzohlola ngokucophelela isimo sakho esithile nempilo yakho yonke ngaphambi kokuncoma ukuhlanganiswa. Umgomo uhlala ukuthuthukisa izinga lakho lempilo nokubuyisela ukusebenza.

Yini inqubo yokuhlanganiswa komgogodla?

Ukuhlinzwa kokuhlanganiswa komgogodla kuvame ukuthatha amahora angu-2 kuya kwangu-6 kuye ngokuthi zingaki izinhlobo ze-vertebrae ezidinga ukwelashwa. Uzothola i-anesthesia ejwayelekile futhi ungase ubekwe esiswini sakho noma eceleni. Udkt. ohlinzayo wenza ukusikeka futhi unyakazisa ngokucophelela imisipha nezicubu ukuze afinyelele emgogodleni wakho.

Udkt. ohlinzayo ususa izinto ze-disc ezilimele futhi ulungiselela izindawo ze-vertebrae zokuhlanganiswa. Izinto zokuthatha amathambo zibekwa phakathi kwama-vertebrae ukuze zikhuthaze ukukhula kwamathambo amasha. Izingxenyekazi zensimbi ezinjengezikulufo, izinduku, noma amapuleti zibamba konke endaweni efanele ngenkathi ukuphola kwenzeka.

Izindlela ezahlukene zokuhlinzwa ziyatholakala ngokuya ngesimo sakho:

1. Ukuhlanganiswa kwangemuva - ukusikeka okwenziwa ngomhlane wakho
2. Ukuhlanganiswa kwangaphambili - ukusikeka okwenziwa ngesisu sakho
3. Ukuhlanganiswa kwangemuva - ukusikeka okwenziwa eceleni kwakho
4. Izindlela ezingahlaseli kakhulu zisebenzisa ukusikeka okuncane

Udkt. ohlinzayo uzokhetha indlela engcono kakhulu yokwakheka komzimba wakho kanye nesimo sakho esithile. Izinto zokuthatha amathambo zingase zivela ethangeni lakho, umnikeli, noma izinto zokwenziwa ezikhuthaza ukukhula kwamathambo.

Ungalungiselela kanjani ukuhlanganiswa komgogodla wakho?

Ukulungiselela ukuhlangana komgogodla kuqala emasontweni amaningana ngaphambi kokuhlinzwa ngemvume yezokwelapha nokulungiswa kwendlela yokuphila. Udokotela wakho uzobuyekeza imithi yakho futhi angakucela ukuthi uyeke imithi yokunciphisa igazi noma imithi elwa nokuvuvukala. Uzodinga futhi ukuhlolwa kwegazi futhi mhlawumbe izifundo zokuthwebula izithombe ukuze uqedele uhlelo lokuhlinzwa.

Ukulungiselela ngokomzimba kusiza ekuqinisekiseni umphumela ongcono kakhulu. Uma ubhema, ukuyeka okungenani amasonto angu-4 ngaphambi kokuhlinzwa kuthuthukisa kakhulu ukuphola kwamathambo. Ukugcina ukudla okunomsoco okuhle ngamaprotheni anele, i-calcium, kanye novithamini D kusekela inqubo yokuhlangana.

Nakhu ongakwenza ukulungiselela:

• Yeka ukubhema ngokuphelele uma njengamanje ubhema
• Lungiselela usizo ekhaya ngemisebenzi yansuku zonke
• Lungisa indawo yakho yokuhlala ngezinto ezidingekayo ezifinyelelekayo
• Landela imiyalelo yokuzila ukudla ngaphambi kokuhlinzwa ngokucophelela
• Hlela ezokuthutha eziya esibhedlela nokubuya
• Qedela noma yiziphi izivivinyo ezidingekayo ngaphambi kokuhlinzwa

Ithimba lakho lokuhlinzwa lizohlinzeka ngemiyalelo ethile eyenzelwe inqubo yakho. Ukulandela lezi ziqondiso ngokucophelela kunciphisa izinkinga futhi kukhuthaza ukuphola okusheshayo.

Ungawafunda kanjani imiphumela yakho yokuhlangana komgogodla?

Impumelelo yokuhlangana komgogodla ilinganiswa ngokuqeda ubuhlungu, ukuthuthukiswa komsebenzi, nokuphola kwamathambo okuqinile ngokuhamba kwesikhathi. Udokotela ohlinzayo uzosebenzisa ama-X-ray, ama-CT scans, noma izithombe ze-MRI ukuqinisekisa ukuthi ama-vertebrae ahlanganiswe kahle ndawonye. Ukuhlangana okuphelele kuvamile ukuthatha izinyanga eziyi-6 kuya kweziyi-12, nakuba ungase uzwe ukuthuthuka ngokushesha.

Ukuhlangana okuphumelelayo kuvela ekuthwebuleni izithombe njengamathambo aqhubekayo axhuma ama-vertebrae aphathwayo ngaphandle kwegebe noma ukunyakaza. Udokotela wakho uzohlola namazinga akho obuhlungu, ukuhamba, kanye nekhono lokwenza imisebenzi yansuku zonke. Abantu abaningi bathola ukuthuthuka okukhulu ezimpawini zabo zokuqala.

Izimpawu zokuhlangana okuphumelelayo zihlanganisa:

• Ukuncipha kobuhlungu endaweni yokuhlinzwa
• Ukwanda kwamandla okuhamba nokuma
• Ukuphucuka kwekhwalithi yokulala
• Ukuncipha kwesidingo semithi yokwelapha ubuhlungu
• Ukwakheka kwamathambo okuqinile ekuhlolweni kwemifanekiso

Inqubekela phambili yakho yokululama izoqashwa ngokuqokwa okulandelayo njalo. Ithimba lakho labahlinzi lizolandela ukuphola kwakho futhi lizobhekana nanoma yiziphi izinkathazo eziphakamayo ngesikhathi senqubo yokululama.

Ungayithuthukisa kanjani ukululama kwakho kokuhlanganiswa komgogodla?

Ukululama ekuhlanganisweni komgogodla kudinga ukubekezela nokuzibophezela ekulandeleni imihlahlandlela kadokotela ohlinzayo. Isigaba sokuqala sokuphola sithatha amasonto angu-6 kuya kwangu-8, ngesikhathi okuzodingeka ukuthi unciphise ukugoba, ukuphakamisa, nokusonta. Ukuhlanganiswa okuphelele kuthatha izinyanga eziningana njengoba umzimba wakho ukhulisa ithambo elisha eduze nendawo yokuhlinzwa.

I-physical therapy idlala indima ebalulekile ekululameni kwakho uma udokotela ohlinzayo ekukhulula ekuzivivinyeni. Umqeqeshi okhethekile uzokuqondisa ngokunyakaza okuphephile okuqinisa imisipha esekelayo ngaphandle kokucindezela indawo yokuhlanganiswa. Ukwanda kancane kancane komsebenzi kusiza ukubuyisela umsebenzi futhi kuvimbele izinkinga.

Amaqhinga abalulekile okululama afaka:

• Thatha imithi ebekiwe njengoba kuqondiswe ngayo ngenxa yobuhlungu nokuvuvukala
• Gqoka ibhulashi lakho langemuva ngendlela eqondile njengoba uqondisiwe
• Hambela konke ukuqokwa okulandelayo kanye namaseshini e-physical therapy
• Gcina ukudla okunempilo ukuze kusekele ukuphola kwamathambo
• Gwema ukubhema futhi unciphise ukusetshenziswa kotshwala
• Lala ngomhlane wakho noma ngohlangothi lwakho ngemithwalo yokusekela
• Sebenzisa imishini efanele yomzimba lapho uhamba

Abantu abaningi babuyela emsebenzini wedeskhi phakathi kwamasonto angu-2 kuya kwangu-4 kanye nemisebenzi yomzimba phakathi kwezinyanga ezingu-3 kuya kwezingu-6. Isikhathi sakho somuntu ngamunye sincike ezintweni ezinjengempilo yakho yonke, izinga lokuhlinzwa, nokuthi ulandela kahle kangakanani imihlahlandlela yokululama.

Yiziphi izici eziyingozi zezinkinga zokuhlanganiswa komgogodla?

Ezinye izinto zingakhuphula ingozi yakho yezinkinga ngesikhathi noma ngemva kokuhlinzwa kokuhlanganiswa komgogodla. Ubudala, impilo yonke, isimo sokubhema, kanye nobunkimbinkimbi benqubo yakho konke kunomthelela kuphrofayili yakho yengozi. Ukuqonda lezi zinto kukusiza wena nodokotela ohlinzayo ukuthi nithathe izinqumo ezinolwazi mayelana nokunakekelwa kwakho.

Ukubhema kuphazamisa kakhulu ukuphola kwamathambo futhi kwandisa ingozi yokutheleleka. Isifo sikashukela, ukukhuluphala ngokweqile, nokungondleki kahle nakho kunganciphisa ukululama futhi kwandise izinkinga. Udokotela ohlinzayo uzosebenza nawe ukuthuthukisa lezi zinto eziyingozi ezilawulekayo ngaphambi kokuhlinzwa.

Izinto eziyingozi ezivamile zihlanganisa:

• Ukubhema noma ukusebenzisa ugwayi
• Isifo sikashukela noma ukulawulwa kukashukela okungahambi kahle egazini
• Ukukhuluphala ngokweqile noma ukuzuza isisindo esikhulu
• Ukungondleki kahle noma ukuntula kwamavithamini
• Ubudala obuthuthukile noma izimo zempilo eziningi
• Ukuhlinzwa komgogodla kwangaphambilini noma ukwelashwa ngemisebe
• Imithi ethile ethinta ukuphola kwamathambo

Ithimba lakho lokuhlinza lizohlola izinto eziyingozi zakho ngazinye futhi likusize ukuthi uzinciphise uma kungenzeka. Le ndlela yokubambisana ithuthukisa amathuba akho okuphumelela nokululama okusheshayo.

Ziyini izinkinga ezingaba khona zokuhlanganiswa komgogodla?

Njenganoma yikuphi ukuhlinzwa okukhulu, ukuhlanganiswa komgogodla kuthwala izingozi ezingaba khona nezinkinga okufanele uziqonde ngaphambi kokuqhubeka. Abantu abaningi bathola imiphumela ephumelelayo, kodwa ukuqaphela izinkinga ezingaba khona kukusiza ukuthi uqaphele izinkinga kusenesikhathi futhi ufune ukunakekelwa okufanele.

Ukutheleleka kungenye yezinkinga ezinzima kakhulu, ezenzeka cishe kuma-1 kuya kuma-4 ekhulwini amacala. Izimpawu zihlanganisa ukwanda kobuhlungu, umkhuhlane, ububomvu, noma ukuphuma emgodini wokuhlinza. Ukwelashwa okusheshayo ngama-antibiotics ngokuvamile kulungisa izifo, nakuba ngezinye izikhathi kudingeka ukuhlinzwa okwengeziwe.

Izinkinga ezingaba khona zihlanganisa:

• Ukunyathela ngamagciwane endaweni yokuhlinzwa noma ezicutshini ezijulile
• Ukuphuma kwegazi okudinga ukumpontshelwa igazi
• Umonakalo wemizwa obangela ubuthakathaka noma ukuba ndikindiki
• Ukuhluleka ukuhlanganisa lapho amathambo engalaphi ndawonye
• Amagazi aqinile emilenzeni noma emaphashini
• Ukuphendula emuthini wokubulala izinzwa noma emithini
• Ukuhluleka kwemishini noma ukuxega
• Isifo esingumakhelwane esithinta ama-vertebrae aseduze

Udkt wakho ohlinzayo uzoxoxa ngobungozi bakho obuthile kanye nezinyathelo ezithathiwe zokunciphisa izinkinga. Ukulandela imiyalelo ngemva kokuhlinzwa ngokucophelela kunciphisa ubungozi bakho bezinkinga eziningi kakhulu.

Kufanele ngibone nini udokotela ngezinkinga zokuhlanganiswa komgogodla?

Xhumana nodokotela wakho ohlinzayo ngokushesha uma uhlangabezana nezimpawu zezinkinga ezinzima ngesikhathi sokululama kwakho. Ubuhlungu obukhulu obushintsha ngokuzumayo, umkhuhlane, noma izinguquko ekusebenzeni kwamathumbu noma esinyeni kudinga ukunakekelwa kwezokwelapha okuphuthumayo. Lezi zimpawu zingabonisa ukutheleleka, ukulimala kwemizwa, noma ezinye izinkinga ezinzima.

Ezinye izimpawu zokuxwayisa zicashile kodwa zibalulekile ukuzibika. Ukuphuma okuqhubekayo emgqonyeni wakho, ukwanda kokuba ndikindiki noma ubuthakathaka, noma ukungakwazi ukuhambisa imilenze yakho ngokujwayelekile kufanele kuqale ucingo eqenjini lakho lokuhlinza. Ukuphazamisa kwangaphambi kwesikhathi kuvame ukuvimbela izinkinga ezincane ukuthi zingabi yizinkinga ezinkulu.

Funa ukunakekelwa kwezokwelapha ngokushesha uma:

• Umkhuhlane ongaphezu kuka-101°F noma ama-chills
• Ubuhlungu obukhulu obungathuthuki ngemithi
• Ukuqala okungazelelwe kobuthakathaka noma ukuba ndikindiki
• Ukulahlekelwa ukulawula amathumbu noma isinye
• Ukuphuma ngokweqile noma ukuphuma kwegazi emgqonyeni
• Izimpawu zamagazi aqinile njengokuvuvukala komlenze noma ubuhlungu besifuba
• Ukuphefumula kanzima noma ukuphefumula kanzima

Iqembu lakho lokuhlinza litholakala ukuze libhekane nezinkinga ngesikhathi sokululama kwakho. Unganqikazi ukuxhumana nabo uma kukhona okungazwakali kahle noma uma unemibuzo mayelana nokuqhubeka kwakho kokuphola.

Imibuzo ebuzwa njalo mayelana nokuhlanganiswa komgogodla

Ingabe ukuhlinzwa kokuhlanganisa umgogodla kulungile ngesifo se-degenerative disc?

Yebo, ukuhlanganisa umgogodla kungasebenza kahle kakhulu ngesifo se-degenerative disc lapho ukwelashwa okungagcini ngempumelelo kunikezanga ukukhululeka okwanele. Ukuhlinzwa kususwa i-disc elimele futhi kumise ukunyakaza okubuhlungu phakathi kwama-vertebrae. Ucwaningo lubonisa ukuthi amaphesenti angama-80 kuya kwangama-90 abantu athola ukuncipha okukhulu kobuhlungu ngemuva kokuhlanganiswa kwesifo se-degenerative disc.

Abantu abangcono kakhulu abazame ukwelashwa ngokomzimba, imithi, kanye nemijovo okungenani izinyanga eziyisi-6 ngaphandle kwempumelelo. Udokotela ohlinzayo uzocabangela izinto ezinjengobudala bakho, izinga lomsebenzi, nempilo yonke lapho enquma ukuthi ukuhlanganisa kulungile yini kuwe.

Ingabe ukuhlanganisa umgogodla kubangela i-arthritis ezingxenyeni ezingomakhelwane?

Isifo esingumakhelwane singathuthuka ngemva kweminyaka eminingi ngemuva kokuhlanganiswa komgogodla, kodwa akuyona into engenakugwemeka. Lapho ama-vertebrae ehlanganiswa, izingxenye eziseduze zingase zithole ukucindezeleka okwandisiwe nokuguga ngokuhamba kwesikhathi. Kodwa-ke, abantu abaningi abasoze bathuthukise izinkinga ezingomakhelwane, futhi lapho zenzeka, izimpawu zivame ukuba mnene.

Ingozi iyanda ngobudala kanye nenani lamazinga ahlanganisiwe. Udokotela ohlinzayo uzohlanganisa kuphela inani elincane lama-vertebrae elidingekayo ukuze kubhekwane nesimo sakho, okunciphisa amathuba ezinkinga ezingomakhelwane.

Ihlala isikhathi esingakanani i-hardware yokuhlanganisa umgogodla?

I-hardware yokuhlanganisa umgogodla yakhelwe ukuthi ihlale impilo yonke ezimweni eziningi. Izikulufo zensimbi, izinduku, namapuleti zenziwe nge-titanium noma insimbi engagqwali engamelana nokugqwala nokuguga. Uma ama-vertebrae akho ehlanganisa ndawonye, i-hardware iba ngaphansi kokubaluleka ngoba ithambo eliqinile linikeza ukuzinza.

Ukwehluleka kwe-hardware akuvamile, kwenzeka ngaphansi kwamaphesenti ama-5 amacala. Uma kwenzeka, kuvame ukuba ngonyaka wokuqala ngemuva kokuhlinzwa ngaphambi kokuthi ukuhlanganiswa okuphelele kwenzeke. Abantu abaningi abasoze badinga ukususwa kwe-hardware ngaphandle kokuthi kuvela izinkinga.

Ngingakwazi yini ukuzivocavoca ngokujwayelekile ngemuva kokuhlanganisa umgogodla?

Ungakwazi ukubuyela emisebenzini eminingi ngemva kokuhlangana komgogodla, nakuba umkhuba wakho wokuzivocavoca ungase udinge ezinye izinguquko. Imisebenzi enomthelela ophansi efana nokuhamba, ukubhukuda, nokuhamba ngebhayisikili iyizinqumo ezinhle kakhulu ezigcina ukufaneleka ngaphandle kokucindezela umgogodla wakho. Abantu abaningi bahlanganyela kugalofu, ithenisi, neminye imidlalo yokuzilibazisa ngempumelelo.

Imisebenzi enomthelela omkhulu efana nokugijima noma ezemidlalo yokuxhumana ingase idinge ukukhawulelwa kuye ngokuthi ukuhlangana kwakho kanye nesimo sakho esiphelele. Udokotela ohlinzayo kanye nomqeqeshi wakho womzimba bazokusiza ukuthi wakhe uhlelo lokuzivocavoca oliphephile, olusebenzayo oluhambisana nemigomo yakho namakhono akho.

Ngizodinga yini i-back brace ngemva kokuhlangana komgogodla?

Abantu abaningi bagqoka i-back brace amasonto amaningana ngemva kokuhlangana komgogodla ukuze basekele ukuphola okufanele. I-brace ikhawulela ukunyakaza endaweni yokuhlinzwa ngenkathi amathambo akho eqala ukuhlangana ndawonye. Abanye odokotela abahlinzayo bakhetha ama-brace ukuze bathole ukwesekwa okwengeziwe, kanti abanye bathembele ku-hardware yangaphakathi kuphela.

Udokotela wakho ohlinzayo uzoqaphela ukuthi ngabe udinga i-brace ngokuya ngezinto ezifana nobubanzi bokuhlinzwa kwakho, ikhwalithi yamathambo, kanye nezinga lomsebenzi. Uma kunqunyiwe, ukugqoka i-brace yakho njengoba kuqondisiwe kuthuthukisa kakhulu amathuba akho okuphumelela ukuhlangana futhi kunciphisa izinkinga.