Ucwaningo lwamuva lubonisa ukuthi ukwelashwa ngokomzimba kwesimo sokugaya umgogodla we-lumbar kuveza umphumela ofanayo nokuhlinzeka nge-stenosis.
Uma unesihlungu esiphansi noma ubuhlungu bomlenze obuvela ku-stumosis yomgogodla we-lumbar, ungase uzuze ekwelashweni okungokwenyama ukukusiza ukuthuthukisa ukuhamba kwakho nokunciphisa ubuhlungu bakho. Umhlinzeki wakho womzimba angakufundisa indlela yokuphatha ngokuphumelelayo izimpawu zakho ngokusebenzisa ukuzivocavoca nokulungiswa kwangasese .
Izimpawu ze-stumosis ye-lumbar spinal ngokuvamile zihlanganisa:
- Ukuhlungu obusemhlane
- Ubuhlungu besemlenzeni noma ukubetha komlenze okubi nakakhulu ngokuhamba nokuhle ngokuhlala
- Kunzima ukuhamba ngenxa yobuhlungu
- I-post backback yesikhala esinekhono elincane elibheke phambili
Ngesinye isikhathi udokotela wakho angancoma ukuthi uvakashele udokotela ohlinzayo ukuze akusize ukuphatha ubuhlungu obuvela ekuguleni kwesisu somgogodla. Udokotela ohlinzayo angenza umsebenzi obizwa ngokuthi i- lumbar laminectomy , inqubo eyenzelwe ukudonsa izinzwa emhlane wakho ngokususa izingxenye zamathambo omgogodla wakho.
Kodwa ingabe ukwelashwa kuyindlela engcono yokuphatha ukuqina kwesisu somgogodla?
Icala Ngokumelene Nokuhlinzwa Kwe-Stinal Stinosis
Ucwaningo olunyatheliswa ngo-2015 emaphephandabeni we- Annals of Internal Medicine lwaqhathanisa imiphumela yesikhathi eside yokuhlinzwa nokuphika ngokomzimba for stumosis lumbar stenosis. Esicwaningweni, iziguli ezingu-169 ezazihlelwe ukuhlinzekwa kwesifo somgogodla zazihlelwe ngamanye amaqembu amabili-iziguli ezingu-87 zahlinzwa, kanti abahlanganyeli abangu-82 bahlanganyela ohlelweni oluthile lokwelapha lwe-lumbar stenosis.
Ekupheleni kwesifundo, iziguli ezingu-74 zokuhlinzeka neziguli ezingama-72 PT zasetshenziswa ekuhlaziyweni kwedatha.
Isimiso esiyinhloko esilinganisweni esifundweni kwakuyi-score kwiFomu Elifingqiwe 36, isilinganiso somsebenzi womzimba. Ezinye imiphumela kwakuyizinyathelo zokusebenza ngokomzimba emazingeni ahlukahlukene ngemva kokuqala kokutadisha.
Ngemuva kwezinyanga ezingu-24, kwakungekho nhlobo ephawulekayo phakathi kwamaqembu amabili okucwaninga. Kwakungenandaba ukuthi uhlinzekwe noma uhlanganyela ekwelapheni ngokomzimba we-lumbar stinalosis - emva kweminyaka emibili, umsebenzi wakho womzimba wonke wawufana.
Abanye abathintekayo bafundela ukwelapha okwelashwa ngokomzimba kuya ekwelapheni kokuhlinzwa; kusobala ukuthi akekho ohlanganyele owayekwazi ukuwela ukuhlinzekwa kwefomu ku-PT - uma ukuhlinzwa kwenziwa, sekufeziwe.
Izingozi Zokuhlinzwa Ze-Stinal Stenosis
Ayikho inqubo yokuhlinzeka ngaphandle kwezingozi. Izingozi ze-lumbar opened stenosis operation zifaka, kodwa azikhawulelwe ku:
- Ukutheleleka
- Ukulahleka kwegazi
- Ukufa
- Ukukhubazeka noma i-paresis
- Ukwehluleka ukukhulula ngokwanele izimpawu zakho noma ukwedlula izimpawu zakho
Lezi zingozi azivamile, futhi kufanele uxoxe ngezingozi zokuhlinzwa noma udokotela wakho ngaphambi kokuba wenze inqubo.
Izingozi Zokwelashwa Kwemvelo Ngokwe-Stinal Stinosis
Izingozi zokubamba iqhaza ekwelapheni ngokomzimba ngesimo sokugaya umgogodla we-lumbar ayizincane. Zingafaka:
- Ukwehluleka ukukhulula izimpawu zakho noma ukwedlula izimpawu zakho
- I-muscle soreness yesikhashana, eyaziwa ngokuthi i-DOMS
Njengoba ukwelashwa ngokomzimba kungasebenza ngempumelelo ye-lumbar stenosis yomgogodla kanti izingozi zingamancane, ukuvivinywa kokuzivocavoca kwe-PT nokulungiswa kwe-postural kungase kube ukukhetha okuhle lapho ubhekene nokuhlinzwa kwe-laminectomy for stenosis.
Uhlelo lwakho lwezokwelapha kufanele lusebenze, futhi i-PT kufanele ikufundise imishanguzo ekhethekile eyenzelwe ukunciphisa ingcindezi emithanjeni yakho yomgogodla futhi ithuthukise ukuhamba kwakho. Isimo esibi kunazo zonke: I-PT ayikwazi ukusebenza ekunciphiseni izimpawu zakho futhi ukhetha ukuhlinzwa ngenxa yesimo sakho se-stenosis. Akuyona indlela emgwaqweni emibili, noma kunjalo. Ungaqala i-PT bese ukhetha ukuhlinzwa, kodwa awukwazi ukuqala ukuhlinzwa bese ukhetha ukuphishekela umzila wokunakekelwa okuqaphayo.
Uma une-lumbar operation for stenosis yomgogodla, ungase uzuze ekwelapheni ngokomzimba ngemva kokuhlinzwa kwakho emuva ukukusiza ukuphatha ubuhlungu bakho futhi uphinde uthole izinga lakho elijwayelekile lokuhamba nokusebenza.
Ngaphansi
Ngokusho kwalolu cwaningo, umphumela weminyaka emibili wokuhlinzekwa kwe-lumbar stenosis kanye nokwelapha ngokomzimba we-lumbar stenosis kubonakala kufana. Lokhu akusho ukuthi kufanele ugweme ukuhlinzwa kuzo zonke izindleko - abanye abantu bayazuza ngokuhlinzwa ngenxa yesisu somgogodla. Kusho ukuthi udokotela wakho kufanele akuchazele izingozi nezinzuzo ezihlobene nokuhlinzwa, futhi kufanele akunikeze ezinye izindlela zokuhlinzwa. Ukwelashwa ngokomzimba kumele kube yilezo zindlela, njengoba kuye kwafakazelwa ukunikeza ukuphumula kobuhlungu nokusebenza okuthuthukisiwe kwesimo sokugaya umgogodla ngezingozi ezimbalwa kakhulu.
Izwi kusuka
Uma une-lumbar stenosis yomgogodla, vakashela udokotela wakho ukuze anqume indlela engcono yokwelashwa ngesimo sakho esithile. Uma ukuhlinzwa komgogodla kungenye yezinketho zakho, qiniseka ukubuza mayelana nokuzibandakanya kwinkambo esebenzayo yokwelapha ngokomzimba we-lumbar spinal stenosis ukuze uzame ukugcina ngokucophelela izimpawu zakho futhi uthuthukise ukuhamba kwakho. Ucwaningo lubonisa ukuthi ungase ube nomphumela ofanayo ne-PT uma uqhathaniswa nokuhlinzekwa kwesimo somzimba wamagogasi.
Umthombo: Delitto, A. etal. Ukwelashwa ngokungahambisani nemithi ye-lumbar stenosis ye-lumbar: isilingo esihleliwe. U-Ann Intern Med. 162 (7) Ngo-Ephreli, 2015. 465-73.