Ukunamathiswa komgogodla ngenxa yokunciphisa umgudu wokugcoba
I-stinalosis yomgogodla yinkinga eyenzeka njengoba umgogodla womgogodla uphazamisa, ukhawulela noma ucindezela izimpande zesibindi nomgogodla. Ngokuvamile kubangelwa i- osteoarthritis yekholomu yomgogodla . Izimpawu ezijwayelekile zibuhlungu emilenzeni noma ephansi ngemuva uma uhamba noma uhamba.
Ukunciphisa umgogodla womgogodla kwenzeka kaningi emhlane ophansi (umgogodla we-lumbar) nentamo (umgogodla womlomo wesibeletho) noma, ngezikhathi ezingavamile, isifunda se-thoracic somgogodla (ngemuva ongemuva).
Izimpawu zobuhlungu, ubuthakathaka, noma ukuphazamiseka kungenzeka ezindaweni eziningana, kuye ngokuthi isifunda somgogodla okhonjiwe.
Izimbangela
Isimo sokubeletha singase sibe nesimo sokubeletha, nabanye abantu abanomswakama omncane ongasemgogodini kusukela ekuzalweni. Kodwa kaningi, kubangelwa izinguquko ezishintshashintshayo emgodleni, ukugqoka nokudabuka okuholela e-osteoarthritis. Ukweqa kwe-Bony kusuka e-osteoarthritis, ukuqina komgogodla ngemuva, futhi ama-disk enqwabazayo angabangela isimo. Uma uneminyaka engaphezu kwengu-50, unengozi yokuphefumula komgogodla. Abesifazane basengozini kakhulu kunamadoda.
Ezinye izimo ezingabangela isisu somgogodla zihlanganisa spondyloarthritis yokuvuvukala, izicubu zomgogodla, ukuhlukunyezwa noma isifo sikaPaget . Izingozi zakho zikhuphuka uma unesilima esidlule somgogodla noma ukuhlinzwa emgodini wakho.
Izimpawu
Abantu abane-stumosis ye-spinal stenosis bavame ukuzwa ubuhlungu emilenzeni yabo bese behle emuva emuva kokuhamba.
Ubuhlungu buya ngemuva kokuhlala phansi noma ukuxhomeka phezu. Ezimweni zesisu somgogodla womlomo wesibeletho, iziguli zingaba nezimpawu ezifana ne-lumbar stenosis kodwa zizwakala ubuhlungu bezintamo ezivelele kanye nokuzwa okuvelele ezandleni, umsebenzi omlenze womlenze, noma ukungabikho komzimba. Kukhona futhi okungenzeka kube yinkimbinkimbi, ubuthakathaka, noma ukuchoboza imilenze.
Umsebenzi wesisu, isisu nesenzo socansi kungathinteka futhi kungahle kube nokukhubazeka komlenze nge-spinal stenosis. Ngokuthakazelisayo, akuzona zonke iziguli ezine-X-ray ubufakazi bokuqina komgogodla eziveza izimpawu. Ngenxa yalesi sizathu, i-stenosis yomgogodla ibhekisela esimweni lapho unayo izimpawu hhayi ekunciphiseni ngokwayo.
Ukuxilongwa
I-stinalosis yomgogodla ingatholakala ngomlando nokuhlolwa komzimba, kodwa ukucwaninga (i-X-rays, i-CT scan, i-MRI) kuvamise ukusetshenziswa ukuhlola izimbangela nobuhlungu besifo. Ungase futhi ube ne-electromyogram (EMG) eyenziwa ukuhlola umsebenzi wezinzwa emilenzeni yakho. Ukuhlolwa kwegazi kuzokwenziwa ukuhlola ezinye izimo ongase ube nazo futhi uphinde wenze ezinye izindlela.
Ukwelapha
Ukuzivocavoca kubalulekile ukugcina amandla emisipha nokuzinza lapho uhamba. Ungathunyelwa kumuntu owelapha umzimba ongakunikeza umzimba ukuze akwazi ukugcina nokuqinisa imisipha yakho, ikakhulukazi ezandleni zakho nasemilenzeni engaphezulu. Lokhu kungasiza ukulawula ubuhlungu. Uma ungenakukwazi ukuzivocavoca ngenxa yobuhlungu, ungase uqalwe ngokuzivocavoca okusekelwe e-flexion bese usebenza ukuhamba noma ukubhukuda imizuzu engu-30, kathathu ngesonto.
Ama-NSAID kanye namagciwane e-cortisone asetshenziselwa ukulawula ubuhlungu nokuvuvukala.
Ukuhlinzwa kungenzeka uma konke okunye kungaphumeleli. Kodwa-ke, iningi labantu abane-spen stenosis ayidingi ukuhlinzwa. I-Decompression laminectomy isusa isakhi samathambo emgodini womgogodla futhi ngokuvamile kuvunywe umfutho we-spinal.
Imithombo:
> Klippel JH. I-Primer kuma-Rheumatic Diseases . ENew York, NY: i-Springer; 2008.
> Stenosis yomgogodla. I-American College of Rheumatology. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis.