I-osteoarthritis yamazinyo, eyaziwa nangokuthi i-spondylosis yomlomo wesibeletho, isifo esibi esingapheli se-vertebrae esifundeni somlomo wesibeletho, kanye nama-discs phakathi kwama-vertebrae. Umzimba we-osteoarthritis ngokuvamile uthinta amadoda nabesifazane abangaphezu kuka-40 futhi ukhula kancane ngokukhula. Ukusabalalisa kwe-neck osteoarthritis kuyafana nabesilisa nabesifazane, kodwa amadoda athambekele ekuhlakuleleni isimo esincane kunabesifazane.
Isizathu se-Neck Osteoarthritis
Izinguquko ezibangelwa ukuwohloka kwesifunda somgogodla womlomo wesibeletho zinganciphisa eyodwa noma ngaphezulu izimpande zesisindo. Ukucindezeleka kwemizwa akukwazi nje ukubangela ubuhlungu entanyeni, kodwa ubuhlungu, ubuthakathaka, ukuphazamiseka, nokugubha ngengalo.
Nakuba ukulimala kwentamo eyedlule kungaholela eminyakeni ye-osteoarthritis entanyeni kamuva, ukuguga kuyinhloko enkulu engozini noma imbangela yentamo ye-osteoarthritis. Amaphesenti angu-70 abesifazane kanye namadoda angu-85% anesibindi se- x-ray yentamo ye-osteoarthritis eneminyaka engu-60.
Ukuxilongwa kwe-Neck Osteoarthritis
Ukuxilongwa kwentamo ye-osteoarthritis kusekelwe kwisiguli:
- Umlando wezokwelapha
- Ukuhlolwa komzimba (qaphela ubuhlungu, ukuhamba kwenhliziyo entanyeni, ukucabangela, izinzwa, nokusebenza kwemisipha ezandleni nasemilenzeni
- Ucwaningo lokuhlola nezinye izivivinyo zokuxilonga (zingabandakanya intamo x ray, CT scan, MRI, myelogram, EMG)
Izimpawu Ze-Oeck Osteoarthritis
Ubuhlungu obungapheli nokuqina yizimpawu eziyinhloko ezihlobene ne-osteoarthritis yentamo.
Ezinye izimpawu ezihlobene ne-neck osteoarthritis zihlanganisa:
- Ubuhlungu bemisipha bubi nakakhulu ngomsebenzi okwenziwe lapho isiguli siqondile
- Ubuhlungu bezinsiza obuya emlonyeni noma ehlombe
- Ubumbulu nobuthakathaka ezandleni, izandla, iminwe
- Ukungabi namandla emilenzeni, ukukhathazeka ukuhamba, ukulahlekelwa ibhalansi
- Ukugaya umsindo entanyeni lapho kuhamba
- Izinsizwa
I-neck osteoarthritis ingathinta nokulala, ikhono lokusebenza, kanye nekhono lokwenza imisebenzi evamile yansuku zonke.
Ukwelashwa kwe-Neck Osteoarthritis
Uma izimpawu ze-osteoarthritis yentamo ziba mnene, ukwelashwa okungenasidakamizwa kunganconywa. Umgomo wokwelapha ukukhulula ubuhlungu nokuvimbela ukucindezeleka kwemizwa. Ukuphumula nokuphoqelela intanyeni ngekholomu yomlomo wesibeletho kungasiza.
Imithi efana nezidakamizwa ezingezona ukuvuvukala (non- steroidal anti-inflammatory drugs (NSAIDs) kanye nama-analgesics angewona ama-narcotic noma imijovo ye-corticosteroid ingasetshenziselwa ukwelapha i-osteoarthritis yentamo. Ukuze uthole i-osteoarthritis yentamo enamandla kakhulu, ukuphumula kwemisipha kungabuye kubekiwe kanye nama-analgesics e-narcotic.
Ukwelapha ngokomzimba kufaka phakathi ukuvuthwa komlomo wesibeletho, ukwelashwa okushisayo noma okubandayo, kanye nohlelo lokuzivocavoca ukwandisa nokuqinisa intamo namahlombe angasetshenziswa. Ukwelashwa kwezidakamizwa nakho kunganciphisa ubuhlungu besiguli se-osteoarthritis entanyeni.
Ukungenelela kokuhlinzwa kungahle kudingeke ukuba kube nezimo ezinzima kakhulu ze-osteoarthritis yentamo. Izinqubo zingase zibandakanye ukususwa kwamathambo, ama- osteophyte (amathambo ama-bone spurs), noma ama-disc tishu okucindezela izinzwa zomgogodla. I-fusion yomlomo wesibeletho , noma ukuhlanganisa ama-discs esifundeni somlomo wesibeletho, kungasiza ukuzinzisa intamo.
Kubalulekile ukubona udokotela wakho uma uqala ukuthola izimpawu. Ukuxilongwa kokuqala kuzokwenza ukwelashwa kusenesikhathi okungenzeka kunganciphisa inqubo eguqukayo noma okungenani kukhululwe izimpawu futhi kuthuthukise umsebenzi.
Imithombo:
> Spondylosis yamaCervical. I-American Academy yezidokotela ze-Orthopedic (AAOS). Okthoba 2007. http://orthoinfo.aaos.org/topic.cfm?topic=A00369.
> Spondylosis yamaCervical. I-MedlinePlus. 5/31/2006. http://www.nlm.nih.gov/medlineplus/ency/article/000436.htm