Imilenze yangemuva yenja yenqaba - izizathu nokuthi kufanele ngenzeni?

Izizathu zokuthi kungani imilenze yangemuva yenja ihluleka

Ngokuvamile, imbangela yokukhubazeka noma ubuthakathaka bemilenze ye-pelvic ilele ekuguleni kwekholomu yomgogodla kanye nezinzwa. Uma lesi sifo sikhula ngokushesha, khona-ke inja ikhubazekile ngokoqobo phambi kwamehlo ethu. Uma ikhula ngokuhamba kweminyaka, khona-ke izikhalazo ziqala ukubonakala isikhathi eside ngaphambi kokukhubazeka. Into eyinhloko ukubona udokotela ngokushesha ngangokunokwenzeka futhi uthole imbangela yalesi simo.

Cabangela izizathu ezivamile zokuthi kungani imilenze yangemuva yenja isuswa.

Ukunakekelwa kwe-Intervertebral disc (i-discopathy)

Ikholomu yomgogodla iqukethe ama-vertebrae anamandla kakhulu, athatha umsebenzi wokusekela wonke umzimba, nama-discs atholakala phakathi kwawo, ehlinzeka ngokuguquguquka komgogodla. I-disc ye-herniated i-pathology lapho i-nucleus (ingxenye ye-intervertebral disc) ikhula ngosayizi, iphuma futhi iqala ukufaka ingcindezi emthonjeni womgogodla noma izimpande zezinzwa ezivela kuyo.

I-Discopathy yisifo esingelapheki. Ezigabeni zokuqala, isilwane sizwa ubuhlungu obulinganiselwe, siba lukhuni, senqabe ukukhuphuka izitebhisi noma ukugxumela kusofa, sihamba ngokungabaza, futhi silala kabi. Ngolunye usuku inja ngeke ikwazi ukuma emilenzeni yangemuva, okuzobonisa isigaba esibi kakhulu sesifo, bese kudingeka ukuhlinzwa okuphuthumayo. Uma ukuxilongwa kutholakala kusenesikhathi, maningi amathuba okuthi alulame ngokugcwele.

Izimila zomgogodla kanye nekholomu yomgogodla endaweni ye-lumbar

Izimila zekholomu yomgogodla zingaba yi-intramedullary (kusuka entweni yomgogodla) kanye ne-extramedullary (kusuka ezicutshini ezizungeze umgogodla - izimpande, imithambo yegazi, i-meninges). Ngokuya ngendawo yesimila, izimpawu zizohluka. Nge-intramedullary - imilenze yangemuva yenja iyayeka, ukuzwela kwesikhumba nemisipha kuyehla, bese ukukhubazeka kuqhubekela phambili. Ngama-tumor e-extramedullary, ubuhlungu bokuqala obubuhlungu endaweni yezimpande ezithintekile kanye nokuncipha kokuzwela kwesikhumba kuyisici.

I-Degenerative lumbosacral stenosis noma i-cauda equina syndrome

Isifo esivame kakhulu ezinjeni ezinkulu. I-syndrome yenzeka ngenxa yokuncipha kwe-lumen yomgogodla womgogodla ngenxa yokuthuthukiswa kwezinqubo eziwohlokayo (ukubhujiswa). Kucatshangwa ukuthi ukubukeka kwe-syndrome kukhuthazwa yi-anomaly yokuzalwa yekholomu yomgogodla - ukuba khona kwe-vertebra yesikhashana (i-Hansen's hernia) noma i-subluxation ye-vertebrae. Abelusi baseJalimane besilisa basengozini yokugula. Ekuqaleni, abanikazi bayaqaphela ukuthi isilwane sinobuhlungu ku-sacrum, uyanqikaza ukunyakaza, imilenze yangemuva yenja inikezela, umsila wehla, ukuhamba kwawo kunqunyelwe.

I-Discospondylitis

Lesi yisilonda esithathelwanayo se-nucleus ye-intervertebral disc ngokuthunjwa kwemizimba ye-vertebral kanye nokuguqulwa kwabo okuqhubekayo (ukushintsha kwesimo). Lesi sifo asizuzwa njengefa futhi singenzeka kuzo zonke izinhlobo zezinja, kaningi eminyakeni yobudala (abadala). Njengomphumela wokuguqulwa kwekholomu yomgogodla, isilwane sizwa ubuhlungu, ngezinye izikhathi endaweni endaweni yesilonda, ngezinye izikhathi yonke indawo. Uma isilonda sisendaweni ye-lumbar, khona-ke imilenze yenja ingase ivuleke. Kukhona ukucindezeleka okuvamile kanye nezimpawu zokudakwa (ubuthi).

Ukulimala ngokomzimba

Ukubonakala kokulimala ngokomzimba kungahlotshaniswa nokuwa, ukugxuma, ingozi noma ukulwa nezinye izilwane. Njengomphumela womthelela womzimba, kukhona ukwephulwa kwe-innervation (ukuxhumana nesimiso sezinzwa esiyinhloko) noma ukuphuka okuphelele komgogodla, okuholela ekuhlulekeni kwemilenze yangemuva. Ezimweni ezimbi kakhulu, inja ihudula imilenze yangemuva, ayizwa ubuhlungu, ayichami, futhi ayikwazi ukulawula ukulawula indle.

Diagnostics

Ukuze uthole isizathu sokuthi kungani imilenze yangemuva yenja ihluleka, okokuqala, ukuhlolwa kwezinzwa zesilwane kuyodingeka. Ukuhlolwa kokuhamba, ukuzwela kwezidladla kuyenziwa, i-neuralgic reflexes iyahlolwa. Njengomthetho, kakade kulesi sigaba, udokotela angenza ukuxilongwa kokuqala futhi anikeze izifundo ezengeziwe ukuze enze ukuxilongwa okunembile futhi athole ukugxila okuthintekile.

I-x-ray izokuvumela ukuthi uhlole ukuma okulungile kwamathambo, imigqa kanye nekholomu yomgogodla. Kumele kwenziwe ngokulimala, lokhu kuzokuvumela ukuthi ubone izimila. Ukuhlola umgogodla womgogodla, indlela ye-myelography isetshenziswa - isifundo somgogodla. Kulesi simo, into ye-radiopaque ijojowe emgodleni womgogodla futhi uchungechunge lwezithombe luthathwa, luhlola ukuthi ludlula kanjani. Lokhu kukuvumela ukuthi uhlole ama-hernias namathumba.

I-Computed tomography (CT) iwucwaningo lwe-layer-by-layer lwezitho ezisebenzisa ama-X-ray nokucutshungulwa kwekhompyutha. Ikuvumela ukuthi ubone ngokushesha futhi ngokuningiliziwe izitho futhi unqume i-pathology esigabeni sokuqala sokukhula, ngisho nangaphambi kokuba izinguquko zivele ku-X-ray.

I-Magnetic resonance imaging (i-MRI) esebenzisa amaza omsakazo namandla kazibuthe ikuvumela ukuba uhlole izicubu ezithambile, imithambo yegazi, nezinzwa ngemininingwane emincane. Le ndlela iphinde isize ukunquma izinguquko ezinyathelweni zokuqala ezinzima kakhulu ukutadisha izitho kanye nokunquma umthamo wezinqubo zokuvuvukala.

Uma imbangela yokukhubazeka ilele kuma-neoplasms, izinguquko ezihlobene nobudala, noma eminyakeni yobudala yesilwane esifuywayo, khona-ke izifundo ezengeziwe zizodingeka ngaphambi kokuchaza ukwelashwa, imithi noma ukuhlinzwa. Lena i-ultrasound yomgodi wesisu, ukuhlolwa kwegazi lomtholampilo kanye ne-biochemical, ukuhlolwa kwenhliziyo. Ukuhlaziywa kuyadingeka ukuze kukhishwe ama-pathologies engeziwe kanye nama-contraindication ekwelashweni.

Yini okufanele uyenze uma imilenze yenja ikhubazekile?

Uma imilenze yangemuva yenja isuswa, ngaphambi kokuya kudokotela wezilwane, unganikeza usizo lokuqala esilwaneni. Qiniseka ukuthi ulawula ukuchama kanye nendle (indle). Inja kufanele ichame okungenani kabili ngosuku. Uma lokhu kungenzeki, umchamo uzodinga ukuthi uphambukiswe. Uma ivuza futhi ivuza, futhi isisu senyuke ngosayizi, ungacindezela kancane kuso ukuze ukuvuza kube namandla futhi isinye sikhishwe. Ezimweni lapho umchamo ungabonakali nhlobo, futhi isisu sikhulisiwe, kubalulekile ukuthintana ngokushesha nomtholampilo, ngoba, cishe, i-catheterization (ukufakwa kwe-catheter) yesinye izodingeka. Kuyingozi ukumfaka ingcindezi.

Lokhu ngeke kwenziwe uma imilenze yangemuva yenja yehlulekile:

• massage nokuhlikihla. Ngokuphambene nenkolelo evamile, akufanele uxove inja ngokwakho, ukusikhipha umzimba okungafanele noma inqwaba yezifo ezikhona zingakhubaza isilwane ngokungenakuguquleka;

• ungavumeli ukunyakaza okusebenzayo. Beka inja endaweni eqondile, ethambile futhi uyikhawulele esikhaleni - sebenzisa ikheji noma umthwali. Kubalulekile ukuthi isilwane sihamba kancane ngangokunokwenzeka futhi singadali umsebenzi owengeziwe wemisipha nomgogodla;

• ungawanikezi amaphilisi ezinhlungu. Ngisho noma isilwane sisezinhlungwini ezinkulu. Uma umuthi usuqalile ukusebenza, inja izosebenza futhi ingase ikhulise ukulimala. Izidakamizwa ze-analgesic zingathathwa kuphela njengoba kunqunywe udokotela, futhi, njengomthetho, ngokuhlanganiswa nama-sedatives (ama-sedatives);

• ungafaki iqhwa noma ukushisa endaweni okusolwa ukuthi ulimele;

• ungahambi kwabangewona ochwepheshe - abafuyi, ababambi, abahlinzeki, odokotela abahlinzayo noma abahlinzayo. Ngamunye wabo unezibopho zakhe nolwazi. Abanawo amakhono adingekayo futhi ngeke bakwazi ukusiza kulesi simo;

• ungayiniki inja yakho amanzi. Kukhona inkolelo yokuthi isilwane singelashwa ukukhubazeka nezinye izifo eziningi ngokuphuza i-vodka. Lena insumansumane enonya engenabo ubufakazi. Ngaphezu kwalokho, isilwane esifuywayo asinawo ama-enzyme angakwazi ukudiliza futhi amunce utshwala, ngakho-ke sifakwe ubuthi ngokuqondile egazini nakuzo zonke izitho. Lokhu kungabangela ukuba inja ife.

Into eyinhloko ukudala ukuthula, ukunyakaza okuncane. Indawo yokulala yesilwane esifuywayo kufanele ihlanzeke futhi yome ukuze kugwenywe izilonda.

Ukwelashwa

Uma inja inokuhluleka komlenze wangemuva, ukwelashwa kuzoxhomeka ekuqhubekeleni phambili kwesifo kanye nembangela yaso.

Ukwelashwa kokuhlinzwa kunqunyelwe ukuphuka komgogodla kanye ne-pelvis, ngokuthuthukiswa kwe-hernia. Uhlobo lokuhlinza luhlobene ngqo nenkinga etholiwe. Isigaba sokuqala - ukuhlinzwa, bese - ukuvuselelwa, ukususwa kokuvuvukala kanye ne-anesthesia.

Ezimweni ezingavulwa, ungaphila kuphela ngemithi. Ochwepheshe banikeza i-anti-inflammatory, antibiotics ngisho nama-hormone. Ukwelashwa kuhloswe ukukhulula ubuhlungu, ukuvuvukala kwemisipha noma izinzwa, ukuthuthukisa ukuqhutshwa kwe-nerve impulse.

Futhi ingxenye yesithathu ebalulekile yokwelashwa ukuvuselela. Kungaba yinde impela. Ukuvuselelwa ngemuva kokuhlinzwa, ukulimala noma izifo ezingapheli ukubhucunga, ukubhukuda, i-physiotherapy. Izinqubo ezinjalo zithuthukisa ukugeleza kwegazi, zandise amandla emisipha futhi zifundise inja ukuhamba futhi. Ngokuvamile ihlanganiswa nokwelashwa kwezidakamizwa.

Iqembu lobungozi

Izinhlobo ezinkulu zezinja zisengozini. Ngesikhathi sokukhula okusebenzayo, ukuthuthukiswa okungalungile kwamalunga kungase kwenzeke, futhi kakade esemncane isilwane esifuywayo sizoba nezinkinga ngezidladla zaso. Lezi yizinhlobo ezifana ne-St. Bernards, i-Great Danes yazo zonke izinhlobo, abelusi baseJalimane, i-Labradors, i-Alabai.

Elinye iqembu lezinja ezicatshangelwe kusengaphambili lifuywa ngokwenziwa. Ngenxa yesifiso somuntu sokuba nezici ezivelele zohlobo, umthethosisekelo wesilwane washintshwa ngaphezu kokuqashelwa - "izinja-amasoseji" amade, ama-brachiocephals anekhala elingekho. Ngenxa yeminyaka eminingi yokuhlolwa kokukhetha, ezinye izilwane ezifuywayo zisengozini yokuba nezifo zomgogodla kusukela zizalwa. Lawa ama-dachshunds, ama-corgis, ama-bassets, ama-pugs, ama-Pekingese, ama-bulldogs ase-French kanye nesiNgisi, ama-sharpei, ama-boxer.

Iziguli ze-Geriatric ezineminyaka engaphezu kwe-11-13 yanoma yiluphi uhlobo nazo zisengozini ngenxa yokuthuthukiswa kwezinqubo zokuwohloka okungenakuhlehliswa emalungeni, imizwa kanye nemisipha.

Prevention

Ukuvimbela kubalulekile kusukela ekuzalweni. Musa ukwenza inbreeding, khetha umama nobaba usayizi ofanayo, umthethosisekelo. Buza ngezifo asebenazo.

Landela imikhuba yokudla komdlwane – ngokuya ngeminyaka, ubukhulu kanye nezincomo zezazi zokudla okunomsoco wezinto ezincane nezinkulu. Ukulinganisela kwabo kubaluleke kakhulu, hhayi nje ukuba khona kwabo. Awukwazi nje ukuphakela umdlwane ushoki noma ukudla kwamathambo futhi ukhulise umdlwane onamalunga namathambo anempilo.

Kubalulekile ukuthi izingane zohlobo olulindelekile zinganikezi umthwalo omkhulu kuze kube yizinyanga eziyi-12 - zingazivumeli ukuthi zigxume noma zigxumele phezulu. Yiqiniso, kufanele kube nomsebenzi, kodwa ngokulinganisela. Uma ungabaza ukuthi uzokwazi ukuhlola ngokuzimela umthwalo we-puppy, thintana nochwepheshe wokuvuselela, futhi uzobhala uhlelo lomsebenzi wesilwane.

Isilwane akufanele sikhule ngokweqile. Landelela isisindo kanye nomthethosisekelo wenja endala kanye nomdlwane futhi ungalokothi uvumele ukukhuluphala.

Uma ungumnikazi wesilwane esine-predisposition yezifo zamalunga nomgogodla, njalo uhlolwe yi-neurologist. Udokotela uzoqaphela ukuntula kwesitho se-neuralgic ngaphambi kwesikhathi kunomnikazi. Isibonelo, uzoqonda ukuthi imilenze yangemuva yenja iyadonsa.

Isifinyezo

1. Ngaphambi kokuhluleka okuphelele kwezitho, ezinye izimpawu ezicashile sezivele zibonakalisiwe, okuyisizathu sokuya kudokotela. Ngakho-ke kubalulekile ukuqaphela noma yiziphi izinguquko ekuhambeni kwenja yakho – ukuma kancane, ukuhamba kancane, ukwenqaba ukugibela izitebhisi, noma ukungalali nawe embhedeni.

2. Uma isilwane sakho siwuhlobo olude noma i-brachiocephalic, idla ukudla okulinganiselayo kusukela ebuntwaneni, khetha uhlelo lomsebenzi wezempilo, futhi uvakashele udokotela wezinzwa wezilwane njalo.

3. Uma ukukhubazeka sekuvele kwenzeka, ungazitholi ngokwakho, kodwa yisa inja kudokotela ngokushesha ngangokunokwenzeka. Ngesikhathi esifanayo, ungadonsi isilwane, ungaguquki noma usike umzimba - ukuthula nokuntuleka kokuzivocavoca umzimba kuzokuvumela ukuba ulethe isilwane kuchwepheshe ngaphandle kokulimala okwengeziwe.

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