I-osteoarthritis ingathinta noma yikuphi ukujoyina emzimbeni, kuhlanganise nomgogodla. I-osteoarthritis yomgogodla iyenzeka uma kunokukhubazeka kuma-discs phakathi kwama-vertebrae. Ukuxilongwa kokuqala kanye nokwelashwa kusiza abantu abane-osteoarthritis yomgogodla ukuphatha izimpawu zabo.
Imbangela ye-Spine Osteoarthritis
Ukuwohloka kwama-discs phakathi kwama-vertebrae omgogodla kungabangelwa yi:
- ukuhlukunyezwa okuphindaphindiwe kumgogodla kusuka ezingozini, ukulimala kwezemidlalo, imisebenzi yomsebenzi, noma ukuma okuncane
- ukuguga kwezinhlaka zomgogodla kusukela lapho umuntu engama-30s
- ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile, okubeka umthwalo owengeziwe ezinxenyeni ezithwala isisindo njengomgogodla
- umlando womndeni we-osteoarthritis, ikakhulukazi umgogodla
- ukuhlangana nezinye izifo ezifana ne- rheumatoid arthritis , igciwane, isifo sikashukela , kanye nezifo
Nge-osteoarthritis eyinhloko yomgogodla, imbangela ayaziwa futhi ivame ukubhekwa ngenqubo yokuguga. Uma imbangela yaziwa (ie, ukulimala, ezinye izifo, ukukhuluphala), kubizwa ngokuthi i-osteoarthritis yesibili yomgogodla.
Ukuxilongwa kwe-Spine Osteoarthritis
Noma yisiphi isiguli esinezinhlungu emuva eziphikelela isikhathi esingaphezu kwamasonto amabili kufanele sixoxe nodokotela. Ukuxilongwa kwe-osteoarthritis yomgogodla kuyolandela:
- umlando wezokwelapha
- ukuhlolwa kwezimpawu
- ukuhlolwa ngokomzimba
- x-ray noma ezinye izifundo ze-imaging zomgogodla
- ezinye izivivinyo (ezifana nokuhlolwa kwegazi, ukuhlolwa kwamathambo, i-MRIs) kungalawulwa ukulawula ezinye izimo
I-X ray kuphela ayinikezi ulwazi olwanele ukuba yilawo kuphela ithuluzi lokuxilonga elisetshenzisiwe. Iningi labantu abaneminyaka engaphezu kwengu-60 ubudala linezinguquko ezishintshashintshayo emgodini we-osteoarthritis, kodwa abangaphezu kwamaphesenti angu-80 babo abazwa ubuhlungu noma ukuqina komgogodla.
Inqubo yokuxilonga inenani kakhulu uma iziguli zinempawu futhi udokotela uyakwazi ukulandelela isizathu salowo mpawu. Ukuxilongwa okunembile kuyadingeka ukwelashwa okufanelekile kuqale.
Izimpawu Ze-spine Osteoarthritis
Ukuwohloka kwama-disc phakathi kwe-vertebrae yomgogodla kuvame ukuvela kancane kancane futhi kuholele ekunciphiseni kwezikhala phakathi kwama-vertebrae. Amangqamuzana ahlabayo noma ama- osteophyte akhula. Njengoba amathambo eqala ukugubha amathambo, ama- facet joints (awaziwa nangokuthi ama-vertebral joints) avuleka futhi kukhona ukuqhuma okuqhubekayo okuhlangene okuqhubekayo. Ubuso bezingxenye zezinhlangothi zihlanganiswe ne-articular cartilage. Izimpawu ezitholakala zihlanganisa:
- ubuhlungu emhlane noma emgodleni
- ukuqina komgogodla
- ukulahleka kokuguquguquka komgogodla
I-osteoarthritis ingenzeka emkhakheni wesibeletho (intamo), iziqu ze-thoracic (emaphakathi-ngemuva), noma i-lumbar (ezingezansi emuva) zomgogodla. Nge-osteoarthritis yomlomo wesibeletho, ubuhlungu bentamo bungase bukhanye emahlombe noma phansi kwezingalo. Ama-osteophyte esifundeni somlomo wesibeletho angabangela ukucindezeleka kwesibindi nokubuthakathaka ezandleni. Ubuhlungu be-osteoarthritis esifundeni se-thoracic somgogodla uvame ukucasuka ngokuhamba phambili kwe-flyxion ne-hyperextension.
I-osteoarthritis yesifunda se-lumbar yomgogodla ibhekene nokuqina kwesimanje (cishe imizuzu engama-30) futhi kuvame ukubandakanya ama-vertebrae angaphezu kweyodwa. Izimpawu zingalimaza ngemuva kokusebenza komzimba, ukunyakaza okuphindaphindiwe, nokuhlala isikhathi eside. Ubuhlungu besikhathi emuva bungaba inkinga ephindaphindiwe.
Ukwelashwa kwe-spine Osteoarthritis
Kunezinhlobo ezingekho zokuhlinzwa nezinhlinzeko ze-osteoarthritis yomgogodla:
- imithi kuhlanganise ne- NSAID , i- acetaminophen , ne- analgesics ye-opioid
- ukwelashwa ngokomzimba
- ukuzivocavoca
- ukulahlekelwa isisindo
- ukushisa noma ukwelashwa okubandayo
- ukwelashwa kwamanzi
- ukusikhipha
- TENS
- bracing
Iningi labantu abanezinkinga ze-dis degenerative akudingi ukuhlinzwa.
Isiguli esisodwa kwezingu-3 kuphela sidinga ukuhlinzwa, kuyilapho ababili kwabathathu basizwa yizokwelapha eziqhubekayo. Uma izinyathelo zokuzivikela zingaphumeleli emva kwesikhathi, izinketho zokuhlinzwa zikhona kuhlanganise ne-lumbar laminectomy, discectomy kanye nomswakama wokugwinya.
Imithombo:
Ukuqonda i-Osteoarthritis ye-Spine. Spine-health.com. 6/7/2005.
I-Spondylosis (i-Spinal Osteoarthritis). SpineUniverse. Ifinyelele ngo-9/8/2007.
I-Lumbar Diabenerative Disease. eOrthopod. Ifinyelele ngo-9/6/2007.