Ukuqhawula umgca weNtsalane ngenxa yokunciphisa umgca we-Spinal Canal
I-spinal stenosis yinto eyenzeka njengoko umgudu wamagxa omncinci uphazamisa, uthintela okanye uxinzelele iingcambu zeembilini kunye nomgca we-spinal. Ngokuqhelekileyo kubangelwa i- osteoarthritis yomqolo wamagxa . Iimpawu eziqhelekileyo zintlungu emilenzeni okanye ephantsi emva kokuma okanye ukuhamba.
Ukunciphisa umgudu womgogodla kudla kwenzeka kwi-back back (lumbar spine) kunye nentamo (umlenze wesibeletho) okanye, kwixesha elincinci, ummandla we-thoracic wesihlwele (ngasentla).
Iimpawu zentlungu, ubuthathaka, okanye i-numbness zingenzeka kwimimandla emininzi, kuxhomekeke kummandla wentambo yomgogodla.
Izizathu
I-spinal stenosis ingaba yimeko yokuzalwa, kunye nabanye abantu abanomsele omncinci womgca wokuzalwa. Kodwa ngokuphindaphindiweyo, kubangelwa ukuguqulwa okutshintshayo emgodini, ukuguga kunye neengcazi ezikhokelela kwi-osteoarthritis. Ukugqithiswa kweBony ukusuka kwi-osteoarthritis, ukunyuka kwegilenti kwimva, kunye neerks ezikhuphayo zinokufaka isandla kwiimeko. Ukuba uneminyaka engaphezu kwama-50 ubudala, unomngcipheko we-spinal stenosis. Abafazi basengozini kakhulu kunamadoda.
Ezinye iimeko ezinokubangela ukuba umthambo wesisu uqulethe i-spondyloarthritis, izilonda zomgulane, umonakalo okanye isifo sikaPaget . Ubungozi bakho bonyuka ukuba unobungozi bokudlula umlenze okanye utyando olusecaleni lakho.
Iimpawu
Abantu abanamaqabunga e-spinal stenosis bahlala bebuhlungu emilenzeni yabo kwaye bahlehla emva kokuhamba.
Intlungu iyancipha emva kokuhlala phantsi okanye ukuxhomekeka. Kwiimeko zentsholongwane yomlomo wesibeleko, izigulane zinokuba neempawu ezifana ne-lumbar stenosis kodwa zineentlungu ezivelelekileyo kunye neengcinga ezikhethekileyo kwiingalo, umsebenzi omlenze umlenze, okanye ukungabikho. Kukho kwakhona kunokuba yincinci, ubuthathaka, okanye ukunyanzelwa kwemilenze.
Umzimba, isisu kunye nesenzo sezesondo kunokuchaphazeleka kwaye kunokufumana isantya somlenze wokukhubazeka ngesifo somgogodla. Kuyathakazelisa, kungekhona zonke izigulane ezinobungqina be-X-ray bokuguliswa kwesisu somzimba. Ngenxa yalesi sizathu, u-spinal stenosis ubhekisela kwimeko apho unempawu kwaye ungabi ncitshiswa.
Ukuxilongwa
I-spinal stenosis inokufunyaniswa ngembali kunye nokuhlolwa komzimba, kodwa izifundo zokucinga (i-X-rays, CT scan, i-MRI) isoloko isetyenziselwa ukuhlola izizathu kunye nobunzima besifo. Unokuthi ube ne-electromyogram (EMG) eyenziwa ukujonga umsebenzi weentsholongwane kwimilenze yakho. Iimvavanyo zegazi ziya kwenziwa ukwenzela ukujonga ezinye iimeko onokuzenza kunye nokulawula ezinye izinto.
Unyango
Ukuzivocavoca kubalulekile ukugcina amandla omzimba nokuzinza xa uhamba. Unokuthunyelwa kumgqirha ongokwenjenjalo onokunika ukuzisebenzisa ukwenza oko kuya kunceda ukugcina nokuqinisa imizimba yakho, ingakumbi kwiingalo zakho nasemilenzeni. Oku kunokukunceda ukulawula intlungu. Ukuba awuzange ukwazi ukusebenzisa ngenxa yentlungu, unokuqala ngokusetyenziswa kwemisipha kunye nokusebenza ukuhamba okanye ukubhukuda imizuzu engama-30, kathathu ngeveki.
I-NSAID kunye ne-cortisone injections zisetyenziselwa ukulawula intlungu kunye nokuvuvukala.
Utyando luyakwenzeka xa zonke izinto zingaphumeleli. Nangona kunjalo, uninzi lwabantu abane-spinal stenosis aludingi ukuhlinzwa. I-Decompression laminectomy isusa isakhiwo seethambo emgodini womgogodla kwaye kaninzi i-fusion fusion nayo iyenziwa.
Imithombo:
> Klippel JH. I-Primer kwi-Rheumatic Diseases . ENew York, NY: I-Springer; 2008.
> I-Spinal Stenosis. Ikholeji yaseMerika yaseRheumatology. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis.