Uphando olutshanje lubonisa ukuba unyango lomzimba lwe- lumbar spinal stenosis luvelisa isiphumo esifanayo kunye nokuhlinzwa okwenzela i-stenosis.
Ukuba unentlungu ephantsi okanye intlungu yomlenze kwi-lumbar spinal stenosis, unokufumana inzuzo yonyango ekuncedeni ukuphucula ukuhamba kwakho nokunciphisa intlungu yakho. Ingcali yakho yomzimba ingakufundisa indlela yokuphatha kakuhle iimpawu zakho ngokusebenza kunye nokulungiswa kwangasemva .
Iimpawu ze-lumbar spinal stenosis ziquka:
- Umqolo obuhlungu
- Intlungu yomlenze okanye ukubetha komzimba okubi kakhulu ngokuhamba nokuphucula ngokuhlala
- Unzima ukuhamba ngenxa yentlungu
- I-post back posture nge-slow forward
Ngamanye amaxesha ugqirha wakho unokucebisa ukuba u tyelele udokotela ogqirha ukuze akuncede ulawule intlungu ebuhlungu besisu. Udokotela ogqirha angenza umsebenzi obizwa ngokuba yi- lumbar laminectomy , inkqubo eyenzelwe ukudibanisa iintsholongwane emhlane wakho ngokususa iinxalenye zamathambo akho omgulane.
Kodwa ngaba utyando luyindlela efanelekileyo yokulawula i-lumbar spinal stenosis?
I-Case Against Against Surgery for Spinal Stenosis
Uphando olwanyatheliswa ngo-2015 kwiphephancwadi lwe- Annals of Medicine Internal lithelekisa iimpembelelo ezide zonyango ngokubhekiselele kwonyango lomzimba we-lumbar spinal stenosis. Kulo cwaningo, izigulane ezingama-169 ezacetywayo ukuba zenziwe ngophando lwe-spinal stenosis zazingenangqungquthela kwelinye lamacandelo amabini-izigulane ezingama-87 zahlinzwa, kwaye abathathi-nxaxheba abangama-82 bathatha inxaxheba kwinkqubo yokwelapha yokwenza unyango olulinganisiweyo lwe-lumbar stenosis.
Ekugqibeleni isifundo, izigulane ezingama-74 kunye nezigulane ezingama-72 ze-PT zazisetyenziselwa ukuhlaziywa kwedatha.
Isiphumo esiphambili siphumo ekufundweni kwakuyi-score kwiFom Ifom 36, umlinganiselo wesenzo somzimba. Ezinye iziphumo zaba yimilinganiselo yomsebenzi kwizinto ezahlukahlukeneyo emva kokuqalisa isifundo.
Emva kweenyanga ezingama-24, kwakungekho nomehluko okhoyo phakathi kweeqela ezimbini zokufunda. Kwakungakhathaliseki ukuba utyando okanye uthatha inxaxheba kwipilisi yonyango ye-lumbar spinal stenosis - emva kweminyaka emi-2, umsebenzi wakho wenyama ufana.
Abanye abathathi-nxaxheba baye bawela ngaphantsi kwonyango lwangonyango ukuya kwonyango lotyando; ngokusobala, akukho nxaxheba owakwazi ukuwela ukutyunjwa kwifomu kwi-PT - emva kokuhlinzwa, kwenziwa.
Iingozi zoKuchocholo lwe-Spinal Stenosis
Akukho nqubo yokuhlinzwa engenazo ingozi. Utyando lwe-lumbar optic stenosis buquka, kodwa aluphelelanga:
- Sulelo
- Ukulahleka kwegazi
- Ukufa
- Ukukhubazeka okanye iparresis
- Ukungaphumeleli ukukhupha ngokwaneleyo iimpawu zakho okanye ukugqithisa kweempawu zakho
Ezi ngozi zingabonakali, kwaye kufuneka uxoxe ngeengozi zonyango logqirha wakho phambi kokuba ube nenkqubo.
Izingozi zoLwazi lweZinyango kwi-Spinal Stenosis
Ubungozi bokuthabatha inxaxheba kwimeko yokwelashwa kwe-lumbar spinal stenosis. Zingaquka:
- Ukungaphumeleli ukukhupha iimpawu zakho okanye ukugqithisa kweempawu zakho
- Ubuhlungu besikhashana, obubizwa ngokuba yi-DOMS
Ekubeni unyango lomzimba lungasebenza kakuhle kwi-lumbar spinal stenosis kwaye ingozi yinto encinci, uvavanyo lwezilwanyana ze-PT kunye nokulungiswa kwangemva kwimeko enokuthi lukhethwe kakuhle xa lujongene nokuhlinzwa kwe-stenosis.
Iprogram yakho yokwelapha kufuneka isebenze, kwaye i-PT kufuneka ikufundise iimvavanyo ezithile ezilungiselelwe ukunciphisa uxinzelelo kumagulane akho omgudu kwaye uphucule ukuhamba kwakho. Iimeko ezimbi kunazo zonke: I-PT ayinakuphumelela ekunciphiseni iimpawu zakho kwaye ukhetha ukuba utyando lwakho lwe-stenosis. Akusiyo indlela yesibini, nangona kunjalo. Unokuqala i-PT kwaye ukhetha ukhetho, kodwa awukwazi ukuqala ukuhlinzwa kwaye ukhetha ukulandela indlela enonophelo yokunyamekela.
Ukuba unobungqina bonyango lwe-spinal stenosis, unokufumana inzuzo yonyango emva kokuhlinzwa kwakho kwangaphambili ukukunceda ukuphatha intlungu yakho kwaye uphinde uphinde uhlawule umgangatho wokuhamba nokusebenza.
Okukwintsusa
Ngokwalolu cwaningo, umphumo wesi-2 weminyaka yokuhlinzwa ngokugqithisa i-lumbar stenosis kunye neyonyango ye-lumbar stenosis ibonakala ifana. Oku akuthethi ukuba ufanele ugweme ukuhlinzwa kuzo zonke iindleko - abanye abantu bayazuza kwi-opervical stenosis. Kuthetha ukuba ugqirha kufuneka akuchazele iingozi kunye neenzuzo ezinxulumene nophando, kwaye kufuneka akunike ezinye iindlela zokuhlinzwa. Ulwaphulo lwezonyango kufuneka lube lunye lwezo zindlela, njengoko kuye kwafakazelwa ukuba kunikezwe ukuphucula intlungu kunye nomsebenzi ophuculweyo wesifo sokuguliswa kwesisu nomngcipheko omncinci.
ILizwi
Ukuba unogqirha wokugulisa umthambo, tyelela ugqirha wakho ukuba ufumane inkqubo engcono kakhulu yokonyango kwimeko yakho ethile. Ukuba ukuhlinzwa komgogodla ngenye yezinto ozikhethayo, qiniseka ukuba ubuze malunga nokubandakanyeka kwindlela esebenzayo yokwelashwa kwe-lumbar spinal stenosis ukuze uzame ukulawula kakuhle iimpawu zakho kwaye uphucule ukuhamba kwakho. Uphando lubonisa ukuba unokuba nesiphumo esifanayo kunye ne-PT xa kuthelekiswa nokuhlinzwa ngenxa yesisu somgogodla.
Umthombo: Delitto, A. etal. Ugqirha ngokubhekiselele kunyango lwezonyango lwe-lumbar spinal stenosis: ityala elingenangqondo. Ann Intern Med. 162 (7) Epreli, 2015. 465-73.