Lordosis

I-Lordosis, isimo esithinta ukugoba kwemvelo komgogodla, kuba nomthelela omkhulu ekumeni kanye nempilo yonke. Lokhu kungavamile komgogodla kwenzeka lapho umhlane ongezansi ugobela ngaphakathi ngokweqile, okwenza izinqe ziphumele ngaphandle nesisu siphumele ngaphandle. Ukuma kwe-Lordosis kungabangela ukungakhululeki, ubuhlungu, nokunciphisa ukuhamba, okwenza kube kubalulekile ukuqonda izimbangela zayo futhi ufune ukwelashwa okufanele kwe-lordosis.

Ukuqaphela izimpawu ze-lordosis kusenesikhathi kuyisihluthulelo sokuvimbela ezinye izinkinga futhi uthole ikhambi eliphumelelayo le-lordosis. Ake sihlole izinhlobo ezahlukene ze-lordosis, izimbangela zazo, kanye nezinketho zokwelapha ezitholakalayo. 

Iyini i-Lordosis?

I-Lordosis yisimo esibonakala ngejika langaphakathi eliyihaba lomgogodla. Lokhu kugoba ngokuvamile kwenzeka emhlane ophansi (i-lumbar lordosis) noma entanyeni (i-cervical lordosis). Nakuba izinga elithile lokugoba livamile futhi liyadingeka ekusekeleni umzimba, i-lordosis ngokweqile ingaholela ezindabeni ezihlukahlukene. Ukuma kwe-Lordosis kungathinta kokubili izingane kanye nabantu abadala. 

Umgogodla ngokwemvelo unamajika amaningana asiza ukusabalalisa isisindo nokugcina ibhalansi. Ku-lordosis, noma kunjalo, lawa majika agqama kakhulu. Leli haba lingabangela ukuthi izinqe ziphumele ngaphandle nesisu siphumele ngaphandle, okuholela kulokho abanye abantu abakubiza ngokuthi 'ukubukeka kwe-swayback'.

Izinhlobo ze-Lordosis

Okulandelayo yizinhlobo ezinhlanu eziyinhloko ze-lordosis:

• I-Postural Lordosis: Lolu hlobo lwe-lordosis luvame ukubangelwa ukukhuluphala ngokweqile nokuba nemisipha ebuthakathaka yesisu nangemuva. Isisindo esiningi endaweni yesisu sidonsela umhlane phambili, futhi imisipha ebuthakathaka ayikwazi ukusekela umgogodla ngokwanele. 
• Congenital noma I-Traumatic Lordosis: Lokhu kungenzeka ngenxa yokulimala noma izinkinga zokuthuthuka ezixhumanisini zokuxhuma zomgogodla. Kuvame kakhulu ezinganeni ezihlangabezane nokulimala kwezemidlalo noma izingozi.
• I-Laminectomy yangemuva kokuhlinzwa: I-hyperlordosis yalolu hlobo luvame ukubonakala ezinganeni ezilandela izinqubo zokususa izimila zomgogodla.
• I-Neuromuscular Lordosis: Lolu hlobo lwe-lordosis luhlanganisa izimo eziningi ezingabangela izinkinga zokugoba komgogodla. Isifo ngasinye esingaphakathi kwalesi sigaba singadinga izindlela ezahlukene zokwelapha i-lordosis.
• I-Lordosis Secondary kuya ku-Hip Flexion Contracture: Lolu uhlobo oluyingqayizivele lapho izinkinga ze-hip joint zikhipha umgogodla endleleni. Lokhu kungabangelwa yizimbangela ezihlukahlukene, okuhlanganisa ukutheleleka, ukulimala, noma ukuphazamiseka kokungalingani kwemisipha.

Izinkinga ze-Lordosis

I-Lordosis inezimbangela ezihlukahlukene, kusukela ezicini zofuzo kuya ekukhethweni kwendlela yokuphila:

• I-Genetics: Ucwaningo luphakamisa ukuthi izici zofuzo zithonya kakhulu i-lumbar lordosis kanye nokuguquguquka kwe-sagittal. 
• Imikhuba Yama-Postural: Ukuma okungalungile, ikakhulukazi uma kuhlangene nesisindo esiningi kanye nemisipha ebuthakathaka yesisu nangemuva, kungaholela ku-postural lordosis. 
• Izimo Zezokwelapha: Izimo ezithile zesistimu, njenge-spondylolisthesis, i-osteoporosis, ne-osteosarcoma (uhlobo lomdlavuza wamathambo), zingase zibe nomthelela ekuthuthukiseni i-lordosis.
• Ukulimala: Ukuhlukumezeka noma ukulimala komgogodla kungabangela i-lordosis yokuzalwa noma ebuhlungu. Lokhu kuvame kakhulu ezinganeni eziye zathola ukulimala kwezemidlalo noma izingozi. 
• Ukungenelela kokuhlinzwa: Kwezinye izimo, i-lordosis ingathuthuka ngemva kokuhlinzwa komgogodla, okwaziwa ngokuthi i-post-surgical laminectomy hyperlordosis.
• ukukhulelwa: Ukukhulelwa kuvame ukudala i-lordosis yesikhashana njengoba umgogodla ulungisa ukulungisa kabusha isikhungo sokudonsela phansi. Nokho, lokhu ngokuvamile kuyaxazululeka ngemva kokubeletha.

Izimpawu ze-Lordosis

I-Lordosis inomthelela omkhulu ekumeni futhi ingabangela izimpawu ezihlukahlukene. Isibonakaliso esiphawuleka kakhulu se-lordosis ijika langaphakathi eliyihaba lomgogodla, okuholela ekubukekeni okuhlukile. Abantu abane-lordosis bavame ukuba nokwakheka kuka-C emhlane wabo ongezansi, okwenza izinqe zabo ziphumele ngaphandle kanye nesisu sabo siphumele ngaphandle.

Ezinye izimpawu ze-lordosis zifaka:

• Ubunzima bokulala phansi endaweni eqinile
• Ubuhlungu beqolo kanye nokungakhululeki 
• Ukunyakaziswa kwemisipha noma inkinga yokuhamba ngezindlela ezithile ngenxa yokugoba komgogodla.

Ezimweni ezimbi kakhulu, i-lordosis ingabangela izimpawu ezengeziwe. Lokhu kungase kuhlanganise: 

• Ubuhlungu obuphumela emilenzeni nasezinyaweni (sciatica) 
• Ukuluma noma ukuba ndikindiki emaphethelweni abo
• Ukulahlekelwa okwesikhashana ukulawula esinyeni 

Sifo

Ukuxilongwa kwe-lordosis ngokuvamile kuhilela indlela ebanzi ehlanganisa okulandelayo: 

• Ukuhlola Umzimba: Odokotela benza ukuhlolwa okuphelele komzimba ukuze bahlole ukuma kwesiguli nokugoba komgogodla. Babheka ngokucophelela ukuhleleka komgogodla, bahlole amajika angeyona eyemvelo, futhi bahlole ukuguquguquka kwejika le-lordotic. Uma ijika lihamba nesiguli lapho sigobisa intamo yaso noma iqolo eliphansi, mancane amathuba okuthi kudinge ukwelashwa okubanzi noma ukuhlinzwa. Uphenyo lomzimba lusiza ekunqumeni ubucayi besimo futhi luqondise uhlelo lokwelapha.
• Ukuhlolwa Kwezithombe:
  • Ama-X-ray ukuze ubone amathambo ngeso lengqondo futhi ulinganise izinga lokugoba komgogodla. 
  • I-CT scan noma i-MRIs inikeza izithombe ezinemininingwane yamathambo, imisipha, nezicubu ezithambile, okuvumela odokotela ukuba babone noma yiziphi izimbangela eziyinhloko ze-lordosis.
  • Ukuskena kwamathambo kungasiza ekutholeni izifo zamathambo noma izimila ezingase zibe nomthelela ku-lordosis. 
  • Ukuhlolwa kwegazi kungase kusetshenziselwe ukuphenya izimo ezihlotshaniswayo ze-metabolic.

Ukwelashwa

Indlela yokwelapha i-lordosis incike ebukhulu bejika kanye nembangela yayo eyisisekelo. Kubantu abaningi abane-lordosis, ukungenelela kwezokwelapha akudingekile ngaphandle uma isimo sinzima. Kodwa-ke, lapho ukwelashwa kwe-lordosis kuyadingeka, izinketho eziningana ziyatholakala, kuhlanganise:

• Imithi: Imithi edambisa izinhlungu ngaphandle kwe-counter ingalawula ukungakhululeki futhi yehlise ukuvuvukala ezimeni ezithambile. 
• Ukwelapha Ngomzimba: Ukuzivocavoca umzimba kwansuku zonke kusiza ukuqinisa imisipha futhi kuthuthukise ukunyakaza okuhlukahlukene. Lezi zivivinyo ziqondise umgogodla, okhalweni, ama-glutes, nama-hamstrings, okusiza ukulungisa ukuma kwe-lordosis ngokulungisa kabusha i-pelvis.
• Ukulawulwa Kwesisindo: Ukulahlekelwa isisindo kungase futhi kube nomthelela omuhle izimpawu ze-lordosis, njengoba isisindo esiningi endaweni yesisu singaba nomthelela esimweni. 
• I-Bracing: Ezinganeni nasentsheni, ukuqiniswa kusiza ukusekela umgogodla futhi kuvimbele ukugoba okwengeziwe. Lezi zinsimbi zenzelwe ngokukhethekile i-curvature yakho, futhi zisekela umgogodla wakho futhi ziwumise ukuthi ungagobi. Udokotela wakho uzokutshela ukuthi kufanele uzigqoke kangaki izisekelo zakho zensimbi nokuthi uzodinga ukuzigqoka isikhathi esingakanani.
• Ukuhlinzwa: Ezimweni ezinzima kakhulu, ikakhulukazi lezo ezibandakanya ukukhathazeka kwemizwa, ukuhlinzwa kungase kudingeke. Lokhu ngokuvamile kuhilela ukuhlanganisa umgogodla ukuze uqondise umgogodla futhi unciphise ijika. 
• Izithako Zokudla Okunomsoco: Odokotela bangase batuse izithako zokudla, ikakhulukazi i-vitamin D, zinganconywa ukusekela impilo yamathambo. 

Uzoyibona Nini Udokotela

Nakuba i-lordosis emnene ingase ingadingi usizo lwezokwelapha ngokushesha, kunezimo lapho kudingekile ukubonisana nodokotela: 

• Uma uqaphela ukuthi ijika lomgogodla wakho lihlala lingashintshile lapho ugobela phambili
• Uma uhlangabezana nezimpawu ezengeziwe ezihlobene ne-lordosis, njengokundikindiki, ukuntweza ukuzwa, izinhlungu ezinjengokushaqeka kukagesi, ukulawulwa kwesinye esibuthakathaka, noma ubunzima bokugcina ukulawulwa kwemisipha.
• Uma uzwa ubuhlungu obuphazamisa imisebenzi yakho yansuku zonke

Prevention

Nakuba kungenakwenzeka ngaso sonke isikhathi ukuvimbela i-lordosis, kunezinyathelo ongazithatha ukuze ugcine ukuma okuhle nempilo yomgogodla. 

• Ukuvivinya umzimba njalo kudlala indima ebalulekile ekuvimbeleni ukugoba ngokweqile komgogodla. Ukuzivocavoca okumnene kungasiza ekunciphiseni ubuhlungu futhi kuqinise imisipha, kusekele ukuma okungcono futhi kungase kugcine isimo singabi sibi.
• Ukuzivocavoca okuqondile okungazuzisa kufaka phakathi ukuhlehlisa amahlombe, ukutshekisa intamo eceleni, nokuphakamisa umlenze. 
• Ukuma kwe-Yoga okufana ne-Cat and Bridge pose kungasiza futhi ukuthuthukisa ukuguquguquka futhi kuqinise imisipha ewumongo. 
• Ukwenza ukutsheka kwe-pelvic ebholeni elizinzile kungathuthukisa ukuqondanisa kwe-pelvic, ikakhulukazi kulabo abanokhalo olubheke phambili.
• Hlala uthintana nochwepheshe ngaphambi kokuqala uhlelo lokuzivocavoca ukuze uqinisekise ukuthi luhambisana nesimo sakho.
• Ukuzijwayeza imikhuba emihle ye-postural usuku lonke kubalulekile. Qaphela ukuma kwakho ngesikhathi sokuma isikhathi eside, njengoba lokhu kungase kuthinte ijika lomgogodla wakho. 
• Ukukhetha ifenisha ye-ergonomic, njengezihlalo ezisekelayo nomatilasi, kungasiza ekugcineni ukuhleleka okufanele komgogodla.

Isiphetho

Ukuqonda i-lordosis kanye nemiphumela yayo ekumeni kubalulekile ekugcineni umgogodla onempilo kanye nokuphila kahle. Lesi simo sibonakala ngejika langaphakathi eliyihaba lomgogodla. I-Lordosis ingaba nomthelela omkhulu empilweni yomuntu. Ngokubona izimpawu kusenesikhathi nokufuna ukwelashwa okufanele, abantu bangavimbela ezinye izinkinga futhi bathuthukise ukuma kwabo.

Ukuphatha i-lordosis ngokuvamile kuhilela inhlanganisela yezindlela, kuhlanganise nokuzivocavoca, izinguquko zokuphila, futhi ngezinye izikhathi ukungenelela kwezokwelapha. Khumbula, uma ubona izinguquko eziqhubekayo ekugotshweni komgogodla wakho noma uzwa ubuhlungu, kubalulekile ukubonana nodokotela onguchwepheshe ukuze uthole ukuxilonga okufanele kanye nohlelo lokwelapha oluhambisana nawe.

Imibuzo Evame Ukubuzwa

1. Lesi simo siwuthinta kanjani umzimba wami?

I-Lordosis inomthelela omkhulu ekumeni futhi ingathinta izingxenye ezahlukene zomzimba. I-Lordosis yomlomo wesibeletho, ezimweni ezingavamile, iphazamisa ukukhuluma noma ukugwinya. I-Lumbar lordosis, eyaziwa nangokuthi i-swayback, ingabangela ubuhlungu obuphansi emuva kanye nesikhala esiyihaba ngaphansi komhlane ophansi lapho ulele. Ezimweni ezimbi kakhulu, i-lordosis ingase yenze kube nzima ukuhambisa intamo noma emuva futhi ingase ithinte ngisho nokulawulwa kwesinye noma isisu.

2. I-lordosis ithinta bani?

I-Lordosis ingathinta abantu bayo yonke iminyaka, kodwa amaqembu athile angathinteka kakhulu. Abantu abadala abangaphezu kweminyaka engama-50, izingane ezikhula ngesivinini, kanye nabesifazane abakhulelwe banamathuba amaningi okuba nalesi simo. Ukwengeza, abantu abanezimo ezithile zezokwelapha ezifana ne-achondroplasia, i-discitis, i-kyphosis, ukukhuluphala, i-osteoporosis, ne-spondylolisthesis bangase bathambekele ekuthuthukiseni i-lordosis.

3. Ingabe i-lordosis ibuhlungu?

Nakuba abantu abaningi abane-lordosis bengase bangabi nakho ukungakhululeki ngokomzimba, abanye bangase babhekane nezinselele ezihlukahlukene. Ukuhlungu obusemhlane futhi ukungakhululeki kuyizimpawu ezivamile ze-lordosis, ikakhulukazi endaweni ephansi yomgogodla. Abanye abantu bangase baphinde bahlangane nemisipha noma babe nenkinga yokuhamba ngezindlela ezithile ngenxa yokugoba komgogodla wabo. Ezimweni ezimbi kakhulu, i-lordosis ingabangela ubuhlungu obuphuma emilenzeni nasezinyaweni, isimo esaziwa ngokuthi i-sciatica.

4. Ingabe ukuhlala kungabangela i-lordosis?

Ukuhlala isikhathi eside kuyinkinga enkulu engozini yobuhlungu obuphansi emuva futhi kungaba nomthelela ekuthuthukiseni i-lordosis. Uma uhlezi, amadolo nezinqulu ziyaguquguquka, okwenza i-pelvis ijikeleze emuva futhi i-lordosis ye-lumbar ihlakazeke. Lesi sikhundla sandisa umthwalo emgogodleni, njengoba kuboniswa izilinganiso zokucindezela kwe-intervertebral disc. 

5. I-lordosis iyingozi kangakanani?

Ubunzima be-lordosis bungahluka kakhulu. Ezimweni eziningi, i-lordosis ishintsha kuphela ukubukeka komuntu ngaphandle kokubangela izimpawu. Kodwa-ke, i-lordosis enzima ingase iholele ebuhlungu emuva noma entanyeni, i-sciatica, futhi, ezimweni ezingavamile, ukulahlekelwa kwesinye noma ukulawulwa kwamathumbu. Ukutholwa kusenesikhathi kanye nokwelashwa okufanele kwe-lordosis kubalulekile ekulawuleni isimo ngempumelelo.

UDkt Vikas Jain

I-MBBS, i-MS (i-Orthopaedics), i-FIJR, i-FIRJR, i-FASM
Izibhedlela ze-CARE CHL, e-Indore

Ukuze Ubhukhe Isikhathi, shayela:

+91 406 810 6585