Ukuqina kwesisu

Ukwelashwa kwe-Spinal Stenosis E-Hyderabad

I-Spinal stenosis wukuncipha kwezikhala ezingaphakathi komgogodla wakho okungabangela ingcindezi emithanjeni egijima kuwo. I-Spinal stenosis ngokuvamile ithinta umhlane ophansi nentamo. I-Spinal stenosis ngokuvamile ibangelwa ukuguga nokukhala kwe-osteoarthritis emgogodleni. Ezimweni ezimbi kakhulu ze-spinal stenosis, odokotela bangase bacebise ukuhlinzwa ukuze kunikeze indawo eyengeziwe yomgogodla noma izinzwa.

Izinhlobo ze-Spinal stenosis

Izinhlobo ze-spinal stenosis zihlukaniswa ngokusekelwe lapho inkinga ivela khona emgogodleni. 

• I-Cervical stenosis - Ukuncipha kwenzeka esifundeni somgogodla entanyeni yakho ngalesi sifo.

• I-Lumbar stenosis Ukuncipha komgogodla emhlane wakho ongezansi kwenzeka kulesi simo. Iwuhlobo oluvame kakhulu lwe-spinal stenosis.

Izimpawu

Izimpawu zivame ukuqala kancane futhi ziba namandla ngokuhamba kwesikhathi. Izimpawu ziyahlukahluka kuye ngokuthi i-stenosis ikuphi nokuthi yiziphi izinzwa ezithintekayo. Ezinye zezimpawu ezivame kakhulu yilezi; 

• Entanyeni (umgogodla wesibeletho)

• Isandla, ingalo, unyawo, noma umlenze ubuthakathaka

• Izinkinga zokuhamba nokulinganisela

• Intamo ebuhlungu

• Ezimweni ezimbi kakhulu, kungase kube nezinkinga zamathumbu noma esinyeni (ukuphuthuma komchamo kanye nokungakwazi ukuzibamba)

• Ubuhlungu obuphansi emuva (i-lumbar spine)

• Unyawo noma umlenze ukuba ndikindiki noma ukushoshozela

• Ukunganeli onyaweni noma emlenzeni

• Uma umile isikhathi eside noma uhamba, ungase ube nezinhlungu noma ucindezeleke emlenzeni owodwa noma yomibili, okuvame ukuncipha lapho ugobela phambili noma uhlezi.

• Ubuhlungu emuva

Izimbangela

• I-disk herniation - Ngokuhamba kwesikhathi, ama-cushions athambile asebenza njengama-absorbers phakathi kwama-vertebrae akho ayoma. Imisipha eseyaqina. Imicu eqinile esiza ukugcina amathambo omgogodla wakho ehlangene ingase iqine futhi ikhule ngokuhamba kwesikhathi. 

• Amathumba - Ukukhula okungavamile kungavela ngaphakathi komgogodla, ulwelwesi oluwuzungezile, noma isikhala phakathi komgogodla kanye nama-vertebrae. 

• Ukulimala komgogodla - Ukuhlukaniswa noma ukuphuka kwe-vertebrae eyodwa noma ngaphezulu kungaholela ezingozini zezimoto noma okunye ukulimala. 

Izinto eziyingozi

Iningi leziguli ezine-spinal stenosis zingaphezu kweminyaka engama-50. Nakuba izinguquko eziwohlokayo zingabangela i-spinal stenosis kubantu abasha, izici ezengeziwe kufanele zibhekiswe. 

Izinkinga

I-stenosis yomgogodla engelashiwe eqinile ingase ingavamile ukuba ibe yimbi futhi ibangele unomphela:

• Ubumbulu

• Ukungabi namandla

• Izinkinga nge-balance

• I-Incontinence

• ukukhubazeka

Ukuxilongwa Kwezibhedlela ze-CARE

Udokotela wakho angase acele ukuhlolwa kwesithombe okuningana ukuze akusize ekutholeni umthombo wezimpawu nezimpawu zakho.

Ukuhlolwa kwezithombe

Lezi zivivinyo zingabandakanya lokhu okulandelayo:

• Ama-X-ray: I-X-ray yomhlane wakho ingase ibonise ukungahambi kahle kwamathambo, njenge-bone spurs, engakhawulela indawo ngaphakathi komsele womgogodla. 

• I-Magnetic resonance imaging (MRI): Ukuhlolwa kungakwazi ukubona ukulimala kwe-disc kanye ne-ligament, kanye nokuba khona kwezifo ezimbi. Okubaluleke kakhulu, kungadalula lapho izinzwa ezisentanjeni yomgogodla zicindezelwa khona.

• I-CT scan noma i-CT myelogram: Uma i-MRI ingeyona inketho, udokotela wakho angase asikisele i-computed tomography (CT), ukuhlolwa okuhlanganisa izithombe ze-X-ray eziqoqwe kuma-engeli ahlukahlukene ukuze kukhiqizwe izithombe eziphelele, ezihlukene zomzimba wakho.

• I-CT scan ku-CT myelogram yenziwa ngemva kokukhishwa kodayi wokuqhathanisa. 

Ukwelashwa Kwezibhedlela ze-CARE

Ukuhlinzwa kwe-spinal stenosis

Ubukhulu bezinkomba nezimpawu zakho, kanye nendawo ye-stenosis, kunquma ukwelashwa kwakho kwe-spinal stenosis. Xhumana nodokotela wakho mayelana nokwelashwa okungcono kakhulu kwesimo sakho esithile. 

Imithi kanye nePhysiotherapy 

Udokotela wakho uzohlinzeka ngemithi edingekayo ukuze udambise noma yibuphi ubuhlungu. Ukuze kuncishiswe ukungakhululeki, iziguli ezine-spinal stenosis ngokuvamile zingasebenzi kahle. I-Physiotherapy inconywa ukuba;

• Khulisa amandla akho nokukhuthazela.

• Gcina ukuguquguquka nokuqina komgogodla wakho.

• Khulisa ukulingana kwakho.

Inqubo ye-decompression

Lokhu kusebenza kuhilela ukusetshenziswa kwamadivayisi afana nenaliti ukuze kususwe ingxenye yomgudu oqinile ngemuva kwekholomu yomgogodla ukuze kwandiswe isikhala somgogodla futhi kudambise ukufakwa kwezimpande zezinzwa. Le ndlela ye-decompression itholakala kuphela kubantu abane-lumbar spinal stenosis kanye ne-ligament thicker.

I-PILD- Iphinde yabizwa ngokuthi yi-minimalily invasive lumbar decompression (MILD), nakuba odokotela bekhetha igama elithi PILD ukuvimbela ukudideka ngemithi yokuhlinzwa engavamile. Ngenxa yokuthi i-PILD yenziwa ngaphandle kokusebenzisa izinzwa ezivamile, kungase kube ithuba ezigulini ezithile ezisengozini enkulu yokuhlinzwa ngenxa yezinye izinkinga zezokwelapha.

Ukuhlinzwa

Uma ezinye izindlela zokwelapha zehlulekile noma ukhubazekile ngenxa yezimpawu zakho, ukuhlinzwa kungase kucatshangelwe. 

Phakathi kwezindlela zokuhlinzwa ezisetshenziselwa ukwelapha i-spinal stenosis yilezi:

• I-Laminectomy: I-laminectomy yaziwa nangokuthi ukuhlinzwa kwe-decompression ngoba ikhulula ukucindezeleka kwezinzwa ngokudala isikhala esiningi ezizungezile. Ukuze ugcine amandla omgogodla, lelo thambo lomgogodla kungase kudingeke ukuthi lihlanganiswe nama-vertebrae azungezile kusetshenziswa i-hardware yensimbi kanye nokufakelwa kwethambo (ukuhlanganiswa komgogodla).

• I-Laminotomy: Le ndlela iqeda kuphela ingxenye ye-lamina, ngokuvamile ngokusika imbobo nje enkulu ngokwanele ukunciphisa ukucindezela endaweni ethile.

• I-Laminoplasty: Lokhu kwelashwa kusetshenziselwa kuphela ama-vertebrae entanyeni (umgogodla wesibeletho). 

• Ukuhlinzwa okuhlaselayo okuncane: Lolu hlobo lokuhlinzwa lususa ithambo noma i-lamina kuyilapho kunciphisa ukulimala kwezicubu ezinempilo ezingomakhelwane. Lokhu kunciphisa isidingo sama-fusions.

Nakuba ukuxutshwa komgogodla kungasiza ekuqiniseni umgogodla futhi kunciphise ukungakhululeki, ukukugwema kungasiza ekuvimbeleni izingozi ezingase zibe khona njengobuhlungu obungemuva kokuhlinzwa nokuvuvukala, nokugula ezindaweni ezingomakhelwane zomgogodla. Indlela encane yokuhlinzwa yokuhlinzwa itholakale ibangela isikhathi sokululama ngokushesha, ngaphezu kokuqeda isidingo sokuhlanganisa umgogodla.

Ezimweni eziningi, lokhu kuhlinzwa okudala isikhala kusiza ekudambiseni izimpawu ze-spinal stenosis. Izibhedlela ze-CARE zinikeza izinsiza zokwelapha ezithuthukisiwe ukusiza ukuthuthukisa izinga lempilo yakho. Sineqembu lodokotela abanekhono eliphezulu, abanikeza ukunakekelwa okungcono kakhulu ngangokunokwenzeka.