I-arthritis yinkinga evamile yesikhala somgogodla esingabangela izibonakaliso eziningana ezahlukene. I-Lumbar spine arthritis ivame ukubonwa kweziguli ezindala kodwa ingabonakala kuzo zonke izigaba. Iziguli ezisengozini enkulu yokuthuthukisa i-lumbar spine arthritis zihlanganisa:
- Iziguli ezindala
- Abantu ngabanye
- Izisebenzi ezinzima
- Labo abanokulimala kwangaphambilini emgodleni
I-arthritis ye-lumbar spine yinkinga eyenzeka kumalunga axhuma ingxenye ngayinye yomgogodla noma i-vertebrae. Ama-vertebrae axhunyiwe ezindaweni ezintathu. Ngaphambi kwentambo yomgogodla, ama-vertebrae ahlukaniswa ne-cushion-like spinal disc. Ngemuva kwentambo yomgogodla, ama-vertebrae axhunyiwe ngamalungu amabili amancane abizwa ngokuthi ama-facet joints. Lezi zingxube zezinhlangothi , kanye ne-disc spinal, zivumela ukuhamba komgogodla kubandakanya ukuguqa phambili, ukuguqula emuva, noma ukuhlanekezela eceleni.
Uhlobo oluvame kakhulu lwe-arthritis ukuthi lwenzeke emgodleni yi-osteoarthritis noma i-arthritis yokugqoka nokugaya. Lapho i-osteoarthritis yenzeka emgodleni, odokotela babheke lokhu njenge- spondylosis . Lapho amalunga omgogodla eba i-arthritic, ukunyakaza komgogodla kuyaba buhlungu futhi kunzima. I-Lumbar spine arthritis ngokuvamile ibonakala kanye nezinye izimo zomgogodla kubandakanya:
- Ukukhishwa kweDiski
Njengoba izingxenye zezinhlangothi ziphelelwa izimo ze-arthritic zomgogodla, i-disc nayo ingaphelelwa yisikhathi. I-facet arthritis ivame ukuhambisana nesifo se-disc esiqongweni se-lumbar.
- Ukuqina kwesisu
I-stinalosis yomgogodla ibuye ibonwe kaningi ezigulini ezine-arthritis. Njengoba i-arthritis iqhubeka, izinzwa zisuke zikhonjiwe, okuholela ekuboniseni izimpawu zesisu somgogodla. Lezi zimpawu zingase zihlanganise ubuhlungu bomlenze, ukuphazamiseka, ukugubha, nokuhamba kanzima.
Izimpawu Ze-Arthritis Yamagciwane
I-arthritis ye-lumbar spine kaningi ibangela ukuqina nokubuhlungu emhlane ophansi.
Iziguli zivame ukubona ukuthi umhlane wazo usuke unzima kakhulu ekuseni kakhulu emva kokuphuma embhedeni futhi ungakhulula esikhathini sosuku. Izimpawu nazo ziba zimbi nakakhulu ngomsebenzi omude noma okhuni.
Lapho i-lumbar facet i-arthritis ehlangene ikhula, amajoyina enza i-bone spurs, izicubu zigcwala ukuvuvukala, kanti izinzwa ezizungeze la majoyina zingagonywa. Lesi yisimo esibizwa ngokuthi i-spinal stenosis, esivame ukubonakala kwiziguli ezine-arthritis lumbar. Lezi ziguli zivame ukuzwa izimpawu ezivamile zesisu somgogodla.
I-Lumbar Spine Treatment Arthritis
Ukwelashwa kwesifo samathambo esibelethweni sokwemvelo kuncike ezimpawu ezitholwa isiguli. Ukwelapha njalo kuqala ngezinyathelo ezilula futhi kuhileleka ngokwengeziwe uma iziguli zingatholi ukuphumula ngalezi zinyathelo ezilula.
Ezinye zezokwelapha ezitholakala ku-lumbar spine arthritis zihlanganisa:
- Ukwelashwa Kwemvelo
Ukwelapha ngokomzimba kusetshenziselwa ukuqinisa imisipha yomgogodla we-lumbar. Ngokusekela kangcono umgogodla ngemisipha enamandla, umthwalo omncane ungaphansi kwamalungu e-facet. Ngisho nasezigulini ezifanele futhi ezisebenzayo, imisipha ezungeze umgogodla ingabuye yaqiniswa ukuze kunciphise izimpawu. - Ukulahlekelwa kwesisindo
Ukulahlekelwa isisindo kuwumsebenzi onzima ezigulini ezinamalungu aphelile. Nokho, ukulahlekelwa ngisho nesisindo esincane kwesisindo ngokuvamile kuyisinyathelo esanele sokuqeda ubuhlungu. Ngokususa amakhilogremu angu-10 noma ngaphezulu, izixhumanisi zezinhlangothi zizosekela kancane umthwalo, futhi ubuhlungu bungase bukhululeke ngokwanele.
- Imithi Yokulwa Nezivunguvungu
Imithi elwa nokuvuvukala inganciphisa inani lokuvuvukala eduze kwamajoyina e-arthritic. Ngokunciphisa impendulo yokuvuvukala, ubuhlungu buvame ukunciphisa. Ngaso sonke isikhathi sebenzisa imithi elwa nokuvuvukala ngaphansi kokuqondiswa kwedokotela wakho. - Izicelo ze-Ice & Heat
Izinhlelo zokusebenza ze-Ice nokushisa zingasebenza kakhulu ekunciphiseni ubuhlungu ngemuva. Ngokuvamile iziguli zithola ukuthi ukushisa kuphumelela kakhulu ngaphambi komsebenzi ukuze "ukhulule" umgogodla, futhi i-ice isetshenziswe kangcono ngemva kwanoma yimiphi imisebenzi eqinile. - Ukwelashwa kwe-Chiropractic
Izidakamizwa zenza ukulungiswa komgogodla, ngokuvamile ngezinqubo ezibizwa ngokuthi ukuxhaphaza. Lezi zokwelapha aziguquli ukulungiswa komgogodla , kepha zinganikeza ukukhululeka okukhulu kobuhlungu. Ngokuvamile ukukhululeka kungokwengqayizivele, kodwa ukwelashwa kwe-chiropractic kuyindlela efanele yokucubungula ngenkathi kutholakala isifo samathambo e-lumbar.
- Ezinye zokwelapha
Ezinye izindlela zokwelapha zibandakanya ukukhwabanisa, ukubhucisa , ukwelashwa kwamagnet , izindlela zokwelapha zemvelo , nabanye . Akungabazeki ukuthi iziguli eziningi zithola ukukhululeka okukhulu kulezi zinhlobo zokwelapha. Ngenkathi izifundo zesayensi zihluleka ukusekela lezi zelashwa, iningi liba nemiphumela embalwa emibi futhi yilezo zokwelapha ezizwakalayo ukuzama. - Ama-Epidural Injections
I-Epidural injection yindlela yokuphatha i-steroid edonsela endaweni yesifo samathambo. I-Cortisone iyi- anti-inflammatory imithi enamandla . Ukusebenzisa inaliti kuvumela ukuthi imithi ihanjiswe ngqo endaweni yesifo samathambo. Kulezi ziguli ezine-arthritis ye-joint single joint, isisindo esicacile nakakhulu, esibizwa ngokuthi umjovo ohlangene ohlangene, ungenziwa. - Ukuhlinzwa kwe-Spinal Fusion
I-fusion ye-spine yindlela yokuhlinzwa esetshenziselwa ukuqeda ukunyakaza phakathi kwama-vertebrae ahlangene. Lapho zonke ezinye izindlela zokwelashwa zingaphumeleli ukunikeza usizo, izimfutho zomshoshaphansi zingase zibe yindlela enengqondo yokwelapha isifo samathambo esibi kakhulu.
Imithombo:
Njengoba i-Hilibrand ne-N Rand "I-lumbar stenosis ye-Degenerative: ukuxilongwa nokuphathwa" J. Am. I-Acad. I-Ortho. Ukuhlinzwa., Jul 1999; 7: 239 - 249.
UHN Herkowitz no-KS Sidhu "I-Lumbar Spine Fusion ekuPhilweni kwezimo eziguqukayo: Izinkomba zamanje nezincomo" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMeyi 1995; 3: 123 - 135.
Shen FH, et al. "Ukuphathwa Kwezingqalasizinda Zezinhlungu Ezibuhlungu Nezifo Ezibuhlungu Ezibuhlungu" J. Am. I-Acad. I-Ortho. Ngo-Agasti 2006; 14: 477 - 487.