So ebetumi aba sɛ spondylolysis na ɛde w’akyi yaw no ba? Momma yɛnka ho asɛm!

So akyi yaw nso haw wo? Ɛtɔ mmere bi a wususuw sɛ eyi yɛ ade a ɛfata, nanso ebia ntease afoforo wɔ ɛyaw ahorow bi akyi. Ɛnnɛ yɛrebɛka tebea bi a ebetumi ama akyi ayɛ yaw ho asɛm, nanso yɛnka ho asɛm pii.

Dɛn ne Spondylolysis?

Sɛ yɛbɛka no tiawa a, spondylolysis yɛ mpaapaemu anaa mpaapaemu ketewaa bi a ɛda yɛn akyi berɛmo mu akyi berɛmo abien ntam. So wunim sɛ yɛn akyi berɛmo no yɛ nnompe nketewa 33 a wɔahyehyɛ biako wɔ biako atifi nnidiso nnidiso? Yɛfrɛ saa nnompe yi mu biara ‘vertebra’. Saa akyi berɛmo yi ka bom ma ɛyɛ yɛn akyi berɛmo. Ɛtɔ mmere bi a nnuruyɛfo frɛ tebea yi ‘pars defect’ anaa ‘pars fracture’ . Nea enti a ɛte saa ne sɛ saa mpaapaemu yi ba dompe ketewaa a wɔfrɛ no ‘ pars interarticularis’ a ɛka akyi berɛmo no bom no mu. Fa no sɛ ɛte sɛ abɔntenban ketewaa bi a ɛka akyi berɛmo abien bom. Ɛhɔ na ɔhaw no ba. Mpɛn pii no, spondylolysis ka yɛn akyi fã a ɛwɔ fam (akyi berɛmo) . Nanso ɛtɔ mmere bi a, eyi betumi aba wɔ awotwaa mu akyi berɛmo, ahurututu mu akyi berɛmo, anaa mfinimfini akyi berɛmo mpo mu.

Saa tebea yi abu so dɛn?

Ɛwom sɛ akontaabu pɔtee biara nni Sri Lanka de, nanso abenfo a wɔwɔ aman te sɛ United States mu bu akontaa sɛ saa tebea yi (Spondylolysis) ka nnipa a wonnu 10% afe biara. Nanso, abu so kɛse wɔ mmofra nkumaa ne mpanyimfo nkumaa mu , titiriw wɔn a wɔbɔ agumadi a wɔde wɔn ho hyɛ mu no.

Dɛn ne eyi ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw a ɛda adi ma nnipa pii ne akyi berɛmo mu yaw . Mpɛn pii no, wobetumi aka ɛyaw yi ho asɛm sɛ:

• Ebia wobɛte ɛyaw nka fi ase wɔ w’akyi ase na atrɛw akɔ w’asen ne w’asen mu.
• Ebia ɛbɛyɛ te sɛ ntini bi a ɛyɛ den wɔ akyi berɛmo no ase.
• Ɛyaw no kɔ soro bere a wode wo ho hyɛ apɔw-mu-teɛteɛ biara mu , na ɛso tew bere a woagye w’ahome anaasɛ wunhinhim pii no.

Nanso nea ɛyɛ nwonwa ne sɛ, nnipa binom wɔ saa tebea yi (Spondylolysis) nanso wonni sɛnkyerɛnne biara . Wohu ho asɛm akyiri yi bere a wɔyɛ mfoninitwa sɔhwɛ , te sɛ scan, esiane biribi foforo nti.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Sɛnea madi kan aka no, ade titiriw a ɛde spondylolysis ba ne yɛn akyi berɛmo no fã a wɔfrɛ no (pars interarticularis) a ɛsɛe . Kae sɛ, eyi (pars interarticularis) .Eyinom yɛ nnompe nketenkete a ɛka akyi berɛmo a ɛwɔ soro ne ase no bom na ɛboa ma yɛn akyi berɛmo no tu ntɛmntɛm. Biribiara a ɛsɛe eyinom betumi ama wɔabubu, anaasɛ pars abubu . Nneɛma atitiriw pii nti na saa pars a ɛpaapae yi taa ba:

1. Nneɛma a wɔde di dwuma boro so:

Sɛ woyɛ nneɛma a ɛtaa yɛ adwennwen a ɛma w’akyi fam mu duru kɛse a, w’akyi berɛmo betumi asɛe nkakrankakra. Bere kɔ so no, saa ɔsɛe yi betumi aboaboa ano na ama pars abubu . Sɛ nhwɛso no, sɛ w’adwuma no hwehwɛ sɛ woma nneɛma a emu yɛ duru so, wobɔ contact sports , anaasɛ wotaa pira w’akyi a, ɛnde na wowɔ asiane kɛse mu.

2. Nkɔso a ɛba ntɛmntɛm:

Mmofra ne mpanyimfo nkumaa binom wɔ mmere a wonyin ntɛmntɛm, na yɛfrɛ no onyin a ɛyɛ hu . Wɔ saa mmere no mu no, nnipa binom betumi anya spondylolysis . Nea enti a ɛte saa ne sɛ nsakrae ba nipadua no nnompe mu ntɛmntɛm wɔ saa bere no mu.

3. Awosu mu nneɛma:

Wɔwo nnipa binom a wɔn akyi berɛmo yɛ tratraa kakra . Eyi kyerɛ sɛ wɔn akyi berɛmo no yɛ mmerɛw kakra sen afoforo. Saa nkurɔfo yi nso taa nya pars fracture .

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?

Spondylolysis betumi ato obiara ankasa, nanso akuw binom wɔ asiane kɛse mu sɛ wobenya pars fracture . Eyinom bi ne:

• Nnipa a wɔbɔ agumadi a wɔde wɔn ho hyɛ mu : Sɛ nhwɛso no, wɔn a wɔbɔ agumadi te sɛ bɔɔlbɔ, apɔw-mu-teɛteɛ, ne nneɛma a wɔma so .
• Mmofra ne mmerante ne mmabaa a wɔn nipadua renyin na ɛresakra ntɛmntɛm .
• Nnipa a wofi Alaska Abibifo abusua mu : Nhwehwɛmu ahorow bi ada no adi sɛ ɛda adi sɛ wɔwo saa nkurɔfo yi a wɔn akyi berɛmo yɛ tratraa.

Nsɛnnennen bɛn na ebetumi afi tebea yi mu aba?

Akyi yaw a ɛba bere a spondylolysis ba no betumi atew wo kankyee so, na ɛno ne sɛnea wubetumi akɔ baabiara yiye na ɛnyɛ den . Nea ɛho hia sen saa no, sɛ wɔansa a , spondylolysis betumi akɔ anim akodu tebea bi a wɔfrɛ no spondylolisthesis . So wunim nea spondylolisthesis yɛ? Ɛkyerɛ sɛ, .Spondylolisthesis yɛ tebea a akyi berɛmo bi twetwe fi baabiara esiane akyi berɛmo no mu mpaapaemu anaa mmerɛwyɛ nti. Fa no sɛ birikisi a ɛwɔ birikisi a ɛtoatoa so a ɛrehuruhuruw akɔ n’anim. Sɛ akyi berɛmo a ahwe ase mia ntini bi so a, ebetumi ama woate ɛyaw a emu yɛ den (sciatica) a ɛte sɛ nea anyinam ahoɔden abɔ wo nan ase. Ebia nnipa binom a wɔwɔ saa tebea yi (spondylolisthesis) behia oprehyɛn na ama yare no ho sɛnkyerɛnne no so atew na wɔasan ayɛ adwuma sɛnea ɛsɛ.

Ɔkwan bɛn so na nnuruyɛfo hu eyi? (Nyare a Wɔahu) .

Oduruyɛfo bɛkyerɛ sɛ obi anya spondylolysis denam nipadua mu nhwehwɛmu a ɔbɛyɛ ne mfoninitwa nhwehwɛmu (scans) a ɔbɛyɛ so . Obebisa wo wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm. Ɛho behia sɛ woka nsɛm a ɛkɔ akyiri te sɛ bere a edi kan a wufii ase tee w’akyi yaw ne nea na woreyɛ ansa na ɛyaw no afi ase kyerɛ oduruyɛfo no.

Sɔhwɛ ahorow bɛn na wɔreyɛ ama eyi?

Wo duruyɛfo de mfoninitwa nhwehwɛmu bedi dwuma de atwa w’akyi berɛmo ne ntini a atwa w’akyi berɛmo ho ahyia no mfonini. Wɔn titiriw ne:

• X-ray nhwehwɛmu ahorow.
• MRI (Magnetic Resonance Imaging - MRI ) nhwehwɛmu a wɔde hwɛ nneɛma so .
• CT (Computed Tomography - CT) nhwehwɛmu a wɔde yɛ nhwehwɛmu.

Dɛn ne ayaresa a wɔde sa eyi?

Wo duruyɛfo bedi kan abɔ mmɔden sɛ obedi wo yaw ne sɛnkyerɛnne afoforo so na wama pars fracture , anaasɛ dompe no mu mpaapaemu no bere ma ayɛ yiye. Ɛdenam akyi berɛmo a ɛka wo ne sɛnea mpaapaemu no mu yɛ den so no, ebia wubehia ayaresa adapɛn kakraa bi kosi asram kakraa bi. Ayaresa atitiriw a wɔde sa spondylolysis ne:

• Ahomegye : Twe wo ho fi agumadi ne apɔw-mu-teɛteɛ afoforo a emu yɛ den a ɛde nhyɛso ba w’akyi ho kakra. Eyi bɛma adwennwen a ɛwɔ w’akyi berɛmo so no so atew.
• Nnuru : Nnuru a wɔde kum ɛyaw a wɔtɔn ( NSAIDs ) (e.g., ibuprofen, naproxen) betumi aboa ma ɛyaw ne ɔfe so atew. Nanso, nnom nnuru a wɔde kum ɛyaw yi bɛboro nnafua 10 bere koro mu a wunni aduruyɛfo afotu.
• Corticosteroids : Eyinom yɛ nnuru a ano yɛ den a ɛtew ɔfe so. Ebia wo duruyɛfo bɛma wo aduru bi a wobɛnom, anaasɛ ɔbɛma wo aduru bi akɔ baabi a ɛyaw no wɔ no tẽẽ.
• Nipadua mu ayaresa: Apɔw-mu-teɛteɛ ho ɔbenfo yɛ akwahosan ho ɔbenfo a ɔboa wo ma wo nipadua no tu yiye. Wobetumi aboa wo ma woadi ɛyaw, akisikuru, ne sɛnkyerɛnne afoforo a ɛma ɛyɛ den sɛ wobɛkeka wo ho no so. Wobetumi akyerɛ wo apɔw-mu-teɛteɛ a wode bɛhyɛ ntini a atwa w’akyi berɛmo ho ahyia no den.
• Bracing : Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wohyɛ akyi brace na ama w’akyi berɛmo no agyina kosi sɛ pars a abubu no bɛsa.

So ɛsɛ sɛ wɔyɛ obiara oprehyɛn?

Wɔntaa nhia oprehyɛn wɔ spondylolysis ho . Nnipa pii ho tɔ wɔn wɔ ayaresa a ɛnyɛ oprehyɛn mu. Ebia ebehia sɛ wɔyɛ nnipa binom oprehyɛn na ama wɔn akyi berɛmo agyina. Wɔ pars repair oprehyɛn mu no , mpɛn pii no oduruyɛfo a ɔyɛ oprehyɛn betumi asiesie pars a abubu no a enhia sɛ ɔde akyi berɛmo abien bom ( spinal fusion ). Sɛ ehia sɛ wɔyɛ wo oprehyɛn a, wo duruyɛfo anaa oduruyɛfo a ɔyɛ oprehyɛn no bɛkyerɛkyerɛ mu akyerɛ wo na wakyerɛ wo bere tenten a ebegye ansa na wo ho atɔ wo.

Bere tenten ahe na ebegye ansa na eyi asa?

Pars a abubu no betumi agye asram asia ansa na ayɛ yiye. Nanso, nnipa pii a wɔwɔ spondylolysis no fi ase te nka bere a wɔafi ayaresa ase no akyi bere tiaa bi. Sɛ wo yare no ho sɛnkyerɛnne no tu mpɔn ntɛm mpo a, di w’ayaresa nhyehyɛe no akyi pɛpɛɛpɛ kosi sɛ wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo bɛka akyerɛ wo. Ɛho hia sɛ woma w’akyi berɛmo bere ma ɛsa koraa. Bisa wo duruyɛfo bere a wubetumi afi ase adi agumadi anaasɛ woayɛ nneɛma a emu yɛ duru a wobɛma so bio.

So wontumi nsiw eyi ano?

Mpɛn pii no, ɛyɛ den sɛ wobesiw spondylolysis ano, nanso wubetumi atew asiane a ɛwɔ hɔ sɛ wobɛpaapae pars mu no so denam ahobammɔ ho afotu a ɛfa nneɛma nyinaa ho yi a wubedi akyi so:

• Hyɛ wo ahobammɔ bɛlt bere nyinaa bere a woreka kar no , a mmati abɔso ka ho.
• Hyɛ ahobammɔ nnwinnade a ɛfata ma dwumadi ne agumadi biara.
• Hwɛ wo fie ne w’adwumam sɛ nneɛma a ɛho nhia a ebetumi ahinhim wo anaa obi foforo, na sɛ ebi wɔ hɔ a, yi fi hɔ.
• Sɛ worefa biribi a ɛkorɔn wɔ fie hɔ a , fa adwinnade anaa afiri bi a ɛfata adwuma no di dwuma bere nyinaa . Mforo nkongua, apon, anaa counter so da.
• Di aduan ne apɔw-mu-teɛteɛ nhyehyɛe a ɛboa ma nnompe akwahosan pa kɔ so di akyi.
• Sɛ woadi boro mfe 50, anaasɛ sɛ obi a ɔwɔ w’abusua mu wɔ nnompe mu yare a , wo ne wo duruyɛfo nkasa mfa nnompe mu duru ho nhwehwɛmu ho.
• Sɛ ɛyɛ den ma wo sɛ wobɛnantew anaasɛ asiane kɛse wom sɛ wobɛhwe ase a, fa poma anaa nea wɔde nantew di dwuma.

Sɛ mewɔ saa tebea yi a, dɛn na ɛba?

Wo (Spondylolysis) .Sɛ ɛwɔ hɔ a, ɛsɛ sɛ ayaresa a ɛnyɛ oprehyɛn te sɛ ahomegye, nnuru, ne nipadua mu ayaresa boa ma wo sɛnkyerɛnne ahorow no tu mpɔn. Ebia saa ayaresa ahorow yi rentumi nyi akisikuru no mfi hɔ koraa , nanso ebetumi aboa wo ma woasan akɔ wo da biara da dwumadi ahorow mu ntɛm ara a ɛyaw biara nni ho.

Bere bɛn na metumi afi ase ateɛteɛ m’apɔw mu na madi agoru bio?

Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ansa na woasan afi apɔw-mu-teɛteɛ a emu yɛ den ase. Sɛ wo yaw ne sɛnkyerɛnne afoforo tu mpɔn mpo a, w’akyi berɛmo hia bere ansa na ayɛ yiye. Wo duruyɛfo no bɛhwɛ wo nkɔso wɔ ayaresa mu. Bere a ɛyaw a wote no so tew na wo ho yɛ den no, wubetumi de nkakrankakra asan akɔ wo dwumadi ahorow a woyɛ daa no so. Mpɛn pii no, nnipa a wɔn ho tɔ wɔn wɔ spondylolysis mu no hia adapɛn pii (na ɛtɔ mmere bi a asram pii) ayaresa ansa na wɔatumi asan afi apɔw-mu-teɛteɛ a emu yɛ den ase, te sɛ agumadi anaa nneɛma a emu duru a wɔma so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Dodow a wokɔ oduruyɛfo nkyɛn ntɛm no, dodow no ara na wobetumi ahu tebea no na wɔasa (Spondylolysis) ntɛm . Sɛ w’akyi yaw a ɛtra hɔ bɛboro nna kakraa bi, anaasɛ emu yɛ den araa ma wuntumi nyɛ wo dwumadi ahorow a wotaa yɛ no a, kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?

Sɛ wuhyia asɛm bi a ɛyɛ hu, te sɛ asehwe anaa kar akwanhyia a, kɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ. Afei nso, sɛ wo nsa nka wo nipadua no fã biara anaasɛ wuntumi ntutu a, kɔ ayaresabea ntɛm ara.

Nsonsonoe bɛn na ɛda Spondylolysis ne Spondylolisthesis ntam?

Spondylolysis ne Spondylolisthesis yɛ tebea abien a ɛfa ho a ɛka w’akyi berɛmo.

• Spondylolisthesis yɛ bere a w’akyi berɛmo mu akyi berɛmo biako hwirew akyi berɛmo a ɛwɔ n’ase no so, te sɛ birikisi a ɛtoatoa so a madi kan aka ho asɛm a ɛtwetwe kɔ w’anim no.
• Spondylolysis yɛ ade a ɛtaa de spondylolisthesis ba . Spondylolysis ma akyi berɛmo bi mu paapae ( pars fracture ), na ɛma ɛyɛ mmerɛw na ebetumi ama ahwe ase afi baabi a ɛwɔ, na ɛde spondylolisthesis aba .

Sɛ yɛbɛka no tiawa a, (Spondylolysis) kyerɛ sɛ obi abubu. (Spondylolisthesis) kyerɛ sɛ akyi berɛmo no ahwe ase esiane saa akisikuru no nti. Ate aseɛ?

Nsonsonoe bɛn na ɛda Spondylolysis ne Spondylosis ntam?

Ɛwom sɛ edin (Spondylolysis) ne (Spondylosis) no te sɛ nea ɛte de, nanso nsonsonoe wɔ abien no ntam, ɛwom mpo sɛ abien no nyinaa yɛ tebea horow a ɛka akyi berɛmo no de. N’abien nyinaa betumi de sɛnkyerɛnne ahorow te sɛ ɛyaw ne akisikuru aba.

• (Spondylolysis a ɛma nipadua no yɛ adwuma) .Ɛkyerɛ sɛ opira pɔtee bi - kyerɛ sɛ, w’akyi berɛmo no fã bi a abubu a wɔfrɛ no pars interarticularis , a ɛkyerɛ sɛ mpaapaemu bi wɔ hɔ.
• Spondylosis yɛ asɛmfua a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so de kyerɛ sɛnea akyi berɛmo no sɛe sɛnea ɛsɛ bere a yɛrenyin no . Eyi te sɛ sɛnea yɛn nipadua mu nkwaa afoforo sɛe bere a yɛrenyin no.

Ɛne sɛ, (Spondylolysis) yɛ ade a ɛde ba (paapae) , (Spondylosis) yɛ tebea a ɛtaa ba (esiane mfe a obi adi nti) .

So tebea yi (Spondylolysis) no ankasa bɛyɛ yiye?

Mpɛn pii no, pars a ɛpaapae a ɛbata spondylolysis ho no sa bere tenten. Nanso, ɛho hia sɛ woma oduruyɛfo hu wɔn na wɔsa wɔn yare . Sɛ w’akyi yaw a ɛtra hɔ bɛboro nna kakraa bi, anaasɛ emu yɛ den araa ma ɛhaw wo da biara da dwumadi ahorow a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Wobetumi akamfo ayaresa a ɛfata a ɛbɛboa w’akyi berɛmo ma ayɛ yiye dwoodwoo na ɛyɛ ntɛm sɛnea ɛbɛyɛ yiye biara akyerɛ.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Enti, spondylolysis yɛ tebea a ɛba bere a mpaapaemu nketenkete ba yɛn akyi berɛmo no nkwaa mu no. Eyi taa de ɛyaw ba akyi berɛmo no ase. Asɛmpa no ne sɛ nnipa dodow no ara a wɔwɔ spondylolysis no betumi asan akɔ agumadi ne dwumadi ahorow a ɛfata mu bere a wɔn akyi berɛmo no sa na ɛyaw no afi hɔ no.

Mma w'ani ngu w'akyi yaw so da - titiriw sɛ ɛkyɛ boro nna kakraa bi anaasɛ emu yɛ den araa ma wuntumi nyɛ wo dwumadi ahorow a wotaa yɛ no a. Ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ nea ɛde wo yaw no ba ankasa na woanya ayaresa a ɛbɛbɔ w’akyi berɛmo ho ban na aboa ma ayɛ yiye.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, nsuro sɛ wubebisa wo duruyɛfo anaa ɔyarehwɛfo. Wɔbɛboa wo. Akyi yaw, spondylolysis, spondylolisthesis, pars interarticularis, akyi berɛmo, agumadi mu opira, nipadua mu ayaresa