Ukwelashwa Okuphelele Kokucindezeleka Kwentambo Yomgogodla
Uma into ethile icindezela umgogodla wakho, izimpawu ezivelayo zingasukela ekungakhululeki okuncane kuya ekukhubazekeni okukhulu. Ukwelashwa kokucindezela umgogodla kulungisa imbangela eyisisekelo yokucindezeleka ngenkathi kulondolozwa futhi kubuyiselwa ukusebenza kwezinzwa. Kungakhathaliseki ukuthi ukucindezela kukhula kancane kancane ngenxa yezinguquko eziwohlokayo noma ngokuzumayo ngenxa yokulimala noma isimila, ukuxilongwa okusheshayo kanye nokwelashwa okufanele kubalulekile ukuze kube nomphumela omuhle kakhulu.
KwaMadison Medical, ochwepheshe bethu bomgogodla bayaqonda ukuphuthuma kanye nobunzima bokucindezelwa komgogodla. Sinikeza ukuhlolwa okuphelele ukuze sithole imbangela eqondile kanye nendawo yokucindezelwa, bese sakha izinhlelo zokwelapha ezizimele ezingafaka ukuphathwa okulondoloziwe, izinqubo zokungenelela, noma ukususwa kokucindezelwa ngokuhlinzwa. Umgomo wethu ukunciphisa ingcindezi ngaphambi kokuba kwenzeke umonakalo ongapheli.
Ukuqonda Ukucindezelwa Kwentambo Yomgogodla
Intambo yomgogodla idlula emgudwini womgogodla ovikelayo owakhiwe yi-vertebrae yakho. Noma yini enciphisa lo mgudwini noma engena esikhaleni ingacindezela intambo. Izimbangela ezivamile zifaka phakathi ama-disc e-herniated, ama-bone spurs avela ku-arthritis, i-spinal stenosis, ama-tumors, izifo, kanye nokulimala. Indawo kanye nobunzima bokucindezelwa kunquma ukuthi yiziphi izimpawu ezikhula.
Ukucindezelwa kwentambo yomgogodla yomlomo wesibeletho (intamo) kungathinta wonke umzimba ngaphansi kwentamo, okungase kubangele izimpawu zengalo nemilenze. Ukucindezelwa kwesifuba (phakathi nomhlane) kuthinta umzimba nemilenze. Ukucindezelwa kwethambo lomgogodla kuvame ukuthinta i-cauda equina—inqwaba yezinzwa ezansi komgogodla—kunokuba kuthinte intambo uqobo.
Ukucindezeleka kungakhula kancane kancane ezinyangeni noma eminyakeni, njengasezimweni eziwohlokayo, noma ngokuzumayo ngenxa yokulimala noma izimila ezikhula ngokushesha. Ukucindezeleka kancane kancane ngezinye izikhathi kuvumela intambo ukuthi ivumelane kancane, kanti ukucindezeleka okungazelelwe kubangela izimpawu ezisheshayo.
Ukubona Izimpawu Eziyisixwayiso
Izimpawu zincike endaweni yokucindezelwa kanye nobunzima bayo. Ubuhlungu entanyeni noma emhlane, obuvame ukusabalala ezingalweni noma emilenzeni, buvamile. Ukungazweli, ukuthuthumela, noma imizwa yokusha kungathinta imilenze. Ubuthakathaka ezingalweni, emilenzeni, noma kokubili kubonisa ukubandakanyeka kwemizwa yokunyakaza.
Ubunzima bokuhamba, okuhlanganisa nezinkinga zokulinganisela kanye nokushintsha kwendlela ohamba ngayo, kusikisela ukucindezeleka okukhulu. Ungase uqaphele ukuthi imilenze yakho izizwa iqinile noma ibuthakathaka, noma ukuthi awuhambisani kahle nokuvamile. Ukungakwazi ukwenza izinto kahle ngezandla—ubunzima bezinkinobho, ukubhala, noma imisebenzi yemisipha emincane—kungabonisa ukucindezeleka kwentambo yomlomo wesibeletho.
Izimpawu eziphuthumayo ezidinga ukunakekelwa okusheshayo zifaka phakathi ubuhlungu obukhulu obungazelelwe, ubuthakathaka obuqhubekayo ngokushesha, ukulahlekelwa ukulawula isinyi noma amathumbu, ukuba ndikindiki endaweni yembongolo, noma izimpawu eziqhubeka amahora amaningi kunokuba kube amasonto. Lokhu kungase kubonise i-cauda equina syndrome noma ukucindezeleka okukhulu kwentambo okudinga ukwelashwa okuphuthumayo.
Yini Ebangela Ukucindezelwa Kwentambo Yomgogodla?
Isifo somgogodla esiwohlokayo yisona esivame kakhulu kubantu abadala. Njengoba ama-disc elahlekelwa ukuphakama nokukhukhumala, kwakheka ama-spurs ethambo, futhi imisipha iqina, umsele womgogodla uyancipha kancane kancane. Le nqubo ehlobene nokuguga iyashesha ngemva kweminyaka engu-50 futhi ekugcineni ingacindezela intambo.
Ama-disc ane-herniated angangena ngokuzumayo emgudwini womgogodla, ikakhulukazi emgogodleni womlomo wesibeletho kanye nowe-lumbar. Ama-herniation amakhulu aphakathi angase acindezele intambo ngqo, kuyilapho ama-herniation aseceleni ecindezela izimpande zemizwa eziphumayo. Ama-herniation e-traumatic disc avela ekulimaleni angabangela ukucindezeleka okukhulu.
Amathumba, kungaba amathumba omgogodla ayinhloko noma ama-metastases avela kumdlavuza kwenye indawo, angakhula ngaphakathi noma eduze komsele womgogodla futhi acindezele izakhiwo zezinzwa. Ukutheleleka okubangela amathumba e-epidural kumelela izimo eziphuthumayo zezokwelapha ezidinga ukwelashwa ngokushesha.
Izimbangela Zokucindezelwa Kwentambo Yomgogodla
- Izinguquko zokukhubazeka: I-stenosis yomgogodla, i-bone spurs, i-disc bulging, ukuqina kwe-ligament
- Izinkinga zediski: Ama-disc amakhulu aqunyiwe angena emgodini womgogodla
- Izimila: Izimila zomgogodla eziyinhloko noma umdlavuza osakazeka kalula
- Ukuhlukumezeka: Ukuphuka noma ukuhlukana ngenxa yokulimala
- Amagciwane: Amathumba e-Epidural, i-vertebral osteomyelitis
- Okunye: I-rheumatoid arthritis, i-congenital stenosis, ama-spinal cysts
Ukuhlola Ukuxilonga
Ukuhlolwa kwe-neurological kuhlola amandla okunyakaza, imizwa, ukusabela, kanye nokuxhumana kuzo zonke izinhlangothi. Ukuhlolwa okuqondile kuhlola ukusebenza komgogodla futhi kusiza ukuthola izinga lokucindezelwa. Ukuqhathanisa izinhlangothi zombili kukhomba ukubandakanyeka okungalingani.
I-MRI iyindinganiso yegolide yokubona ukucindezelwa komgogodla. Lesi sithombe sibonisa intambo, izakhiwo ezizungezile, kanye nanoma yiluphi uhlobo lokucindezeleka ngemininingwane emihle kakhulu. I-MRI yembula ukuthi ukucindezelwa kuvela ku-disc, ithambo, isimila, noma ezinye izimbangela, iqondisa ukukhetha ukwelashwa.
Ama-CT scan ahlinzeka ngemininingwane emihle kakhulu yethambo futhi angasetshenziswa uma i-MRI ingenzeki. I-CT myelography, ehilela ukujova uketshezi lomgogodla, inikeza enye inketho yokubona ngeso lengqondo umsele ngemininingwane. Ama-X-ray ahlola ukuhambisana nokuqina kodwa awabonisi ukucindezelwa kwezicubu ezithambile.
Izindlela Zokwelapha Ezingaguquguquki
Ukucindezelwa okuncane ngaphandle kwezimpawu ezibalulekile zezinzwa kungaphathwa ngendlela ehlelekile ekuqaleni. Ukuguqulwa komsebenzi, ukwelashwa ngokomzimba, kanye nemithi kunganikeza ukukhululeka kwezimpawu ngenkathi kubhekwa ukuqhubeka kwazo. Imithi yokulwa nokuvuvukala inciphisa ukuvuvukala eduze kwezakhiwo ezicindezelwe.
Imijovo ye-epidural steroid iletha imithi yokulwa nokuvuvukala ngqo endaweni yokucindezelwa, okungenzeka inciphise ukuvuvukala nezimpawu. Nakuba imijovo ingasusi ukucindezelwa kwesakhiwo, inganikeza impumuzo ebalulekile kanye nokubambezeleka noma ukugwema ukuhlinzwa ezigulini ezikhethiwe.
Ukwelashwa ngokomzimba kugxila ekulondolozeni ukuguquguquka, ukuqinisa imisipha esekelayo, kanye nokufundisa amasu okunyakaza anciphisa ukucindezeleka endaweni ecindezelwe. Ukwelashwa kulungisa nanoma yiziphi izinkinga zokuhamba noma zokulinganisela eziye zavela.
Ukuwohloka kokuhlinzwa
Ukuhlinzwa kuyadingeka lapho ukucindezela kubangela ukwehla okuqhubekayo kwezinzwa, ubuthakathaka obukhulu, noma ukungasebenzi kahle kwamathumbu/isinyi. Umgomo ukususa umthombo wokucindezela ukuze kuvinjelwe umonakalo owengeziwe futhi kuvunyelwe ukululama. Isikhathi sibalulekile—uma ukucindezela kuqhubeka isikhathi eside, kulapho ukululama okuncane kungenzeka khona.
Indlela yokuhlinzwa incike endaweni yokucindezelwa kanye nembangela. I-Laminectomy isusa ingxenye ye-vertebral arch ukuze kwandiswe umsele womgogodla. I-Discectomy isusa izinto ze-disc ezihlungiwe. Ukususwa kwesimila kulungisa ukucindezelwa kwe-neoplastic. Kungadingeka ukuhlanganiswa lapho ukucindezelwa kudala ukungazinzi.
Amasu angangenisi kakhulu anciphisa ukuphazamiseka kwezicubu futhi asheshise ukululama uma kufaneleka. Kodwa-ke, ukucindezela okukhulu kungadinga izindlela ezivulekile zendabuko zokukhulula ukucindezeleka okwanele. Udokotela wakho ohlinzayo uzoncoma indlela efaneleka kakhulu esimweni sakho.
Kungani iMadison Medical ifuna ukwelashwa kokucindezeleka kwentambo yomgogodla?
Ochwepheshe bethu bomgogodla baletha ulwazi oluningi ekuxilongeni nasekwelapheni zonke izimbangela zokucindezelwa komgogodla. I-Madison Medical ibona iziguli ezingaphezu kuka-1,200 masonto onke, kanye nokufinyelela ekuthathweni kwezithombe okuthuthukisiwe kanye nezinketho zokwelapha ezilondolozayo kanye nezokuhlinzwa. Sigcizelela ukuhlolwa okuphelele ukuqinisekisa ukuxilongwa okunembile.
Ithimba lethu elihlanganisiwe lifaka ochwepheshe bokuphathwa kobuhlungu, abelaphi bomzimba, kanye nodokotela abahlinza umgogodla abahlela amacala ayinkimbinkimbi. Samukela izinhlelo eziningi zomshuwalense ezinkulu futhi sinikeza izindawo eziseduze zaseNew Jersey. Kusukela ekuhlolweni kokuqala kuya ekululameni okuphelele, sinikeza ukunakekelwa okuphelele komgogodla.
Bukela ukuze ufunde kabanzi
Vikela Intambo Yakho Yomgogodla
Ukucindezelwa komgogodla kuyinto enkulu kodwa kuvame ukwelapheka, ikakhulukazi uma kutholakale kusenesikhathi. Ukuhlolwa okusheshayo kwezimpawu eziphathelene nakho kungavimbela ukulimala okungapheli kwezinzwa. Izinketho zokwelapha zanamuhla ziyayiqeda ngempumelelo intambo futhi zivumele ukululama okukhulu.
Xhumana neMadison Medical ukuze uhlele ukuhlolwa komgogodla wakho. Ochwepheshe bethu bazohlola izimpawu zakho, ba-ode izithombe ezifanele, futhi bathuthukise uhlelo lokwelashwa ukuze babhekane nokucindezelwa kwakho. Kungakhathaliseki ukuthi udinga ukuphathwa okulondolozayo noma ukungenelela kokuhlinzwa, sinobuchwepheshe bokukusiza.