Akyi yaw yɛ ɔhaw a abu so yiye a anyɛ yiye koraa no nnipa dodow no ara a wɔwɔ yɛn man yi mu pɛnkoro wɔ wɔn asetra mu. Ebia wo nso woanya eyi mu osuahu. Ɛyaw a efi w’akyi mfinimfini ba bere a wotena ase, gyina hɔ, anaa woma adesoa ketewaa bi so kakra no betumi ayɛ nea wuntumi nnyina ano. Mpɛn pii no, akyi yaw a ɛte sɛɛ brɛ ase wɔ nna kakraa bi mu. Nanso nnipa binom fam no, ɛyaw yi kɔ so asram pii, ɛtɔ mmere bi mpo a mfe pii. Ɛbɛyɛ nea ɛhyɛ abufuw araa ma wontumi nyɛ wɔn da biara da nnwuma yiye mpo. Ɛnnɛ, yɛreka akyi yaw a ɛkɔ so daa yi ho asɛm, kyerɛ sɛ, Akyi Ɛyaw a Enni sabea.
Dɛn nti na yɛn akyi yɛ yaw saa?
So woasusuw nea enti a akyi no ase yɛ yaw sen akyi akyi no ho pɛn? Sɛ yɛbɛka no tiawa a, akyi a ɛwɔ fam no soa yɛn nipadua a ɛwɔ soro no mu duru nyinaa. Fa no sɛ abantenten a nnompe nketewa (akyi berɛmo) a wɔaboaboa ano wɔ wɔn ho wɔn ho so ayɛ. Nea ɛbɛyɛ na saa nnompe yi anwene wɔn ho wɔn ho no, ntini bi a ɛyɛ mmerɛw a ɛte sɛ sponge wɔ wɔn ntam. Yɛfrɛ eyinom "disc." Eyinom yɛ adwuma te sɛ ‘shock absorbers’ a ɛwɔ kar mu no. Nneɛma a emu yɛ duru a wɔkotow, wɔtrɛw mu, na wɔma so bere nyinaa no de nhyɛso kɛse ba akyi no ase.
Nokwarem no, wiase nnipa bɛyɛ 80% benya akyi yaw wɔ wɔn asetra mu bere bi. Wɔn mu ɔha biara mu kakraa bi, 2% kosi 10% ntam no, ebetumi abɛyɛ tebea a enni sabea a ɛtra hɔ bɛboro asram 3.
Dɛn ne nneɛma atitiriw a ɛde akyi yaw a ɛtra hɔ kyɛ ba?
Nneɛma pii betumi de akyi yaw aba . Ɛtɔ mmere bi a, ntini mu yaw a efi mmɔdenbɔ boro so de ba no befi hɔ wɔ nna abien mu. Nanso ɛyaw a ɛkɔ so daa betumi de nneɛma a emu dɔ aba. Ma yɛnhwɛ nneɛma atitiriw a ɛde ba no bi.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Degenerative Disc Yare a Ɛyɛ Fɛ | Bere a yɛrenyin no, te sɛ biribiara a ɛwɔ yɛn nipadua mu no, saa diski yi brɛ ase nkakrankakra na ɛso tew. Eyi ma hokwan a ɛwɔ hɔ sɛ akyi berɛmo no bɛpetepete wɔn ho wɔn ho so, na ɛno betumi ama wɔate ɛyaw no yɛ kɛse. |
| Herniated Disc a ɛwɔ nipadua no mu | Ɛtɔ mmere bi a, diski no yɛ mmerɛw na nneɛma a ɛte sɛ jelly a ɛwɔ mu no puw te sɛ ahurututu a ɛwɔ kar tae mu. Sɛ saa ahurututu yi mia ntini bi a ɛbɛn hɔ a, ebetumi ama obi ate ɛyaw a wontumi nnyina ano. Sɛ ɛyaw yi fi akyi sian kɔ asen mu kosi nan so a, yɛfrɛ no sciatica . |
| Akyi berɛmo bi a ɛhwe ase (Spondylolisthesis) . | Bere a akyi berɛmo no nkwaa ne ntini ahorow yɛ mmerɛw bere a obi nyin no, akyi berɛmo biako tumi hwe ase kɔ n’anim wɔ foforo so. Eyi nso betumi ama obi ate ɛyaw na ntini ahorow no ayɛ pintinn. |
| Akyi berɛmo mu Stenosis | Ntini betumi ayɛ den bere a akyi berɛmo mu kwan, baabi a ɛte sɛ afiri a ɛwɔ akyi berɛmo no mu a yɛn ntini fa mu no teateaa no. Mpɛn pii no, nnompe a ɛyɛ mmerɛw na ɛde eyi ba. |
| Nneɛma afoforo nti | Akyi yaw a enni sabea nso betumi afi tebea horow te sɛ nnompe mu yare, akyi berɛmo mu akisikuru, ne scoliosis mu aba. |
So awosu mu nkwaadɔm betumi aka eyi?
Ebia ɛbɛyɛ wo nwonwa sɛ wobɛte saa asɛm yi. Ɛtɔ mmere bi a, ade titiriw a ɛde akyi yaw ba ne yɛn awosu mu nkwaadɔm. Susuw mmanoma baanu a wɔyɛ pɛ a wɔn ho yɛ pɛ pɛpɛɛpɛ ho hwɛ. Obi wɔ adwuma a ɛhwehwɛ sɛ ɔma nneɛma a emu yɛ duru so na ɔyɛ adwumaden. Ɔfoforo no wɔ ɔfese adwuma a ɛhwehwɛ sɛ ɔtra akongua so da mũ nyinaa. Nanso bere a wɔyɛɛ wɔn akyi berɛmo ho MRI scan no, wohui sɛ diski a ɛwɔ wɔn baanu nyinaa mu no asɛe wɔ ɔkwan a ɛte saa ara so.
Eyi kyerɛ sɛ asetra kwan ne awosu mu nneɛma di dwuma titiriw wɔ akyi yaw mu . Nnipa binom wɔ nociceptive fibers a ɛyɛ mmerɛw yiye wɔ wɔn akyi. Eyi kyerɛ sɛ nneɛma nketenkete mpo betumi ama wɔate ɛyaw a emu yɛ den. Ebetumi aba sɛ awosu mu nsonsonoe yi nti na obi foforo tumi ma nneɛma a emu yɛ duru so a ɔnte ɛyaw biara.
Wobɛyɛ dɛn ahu bere a w’akyi yɛ wo yaw no?
Mprempren, sɛnea ɛbɛyɛ a wobehu nea ɛde akyi yaw ba no, `X-ray`, `MRI ( magnetic resonance imaging)`Sɛ wɔde mfiridwuma mu nimdeɛ a ɛkɔ anim te sɛ CT (Computerized Axial Tomography) scan mpo di dwuma a, ɛtɔ mmere bi a ɛyɛ den ma nnuruyɛfo mpo sɛ wobehu nea ɛde ba ankasa.
Enti, sɛ w’akyi yɛ wo yaw a, ade a eye sen biara a wobɛyɛ ne sɛ wobɛkɔ oduruyɛfo a ɔfata nkyɛn sen sɛ w’ankasa wobɛbɔ mmɔden ahu nea ɛde ba. Wo duruyɛfo begyina wo sɛnkyerɛnne ahorow so asi nhwehwɛmu ahorow a ɛsɛ sɛ woyɛ ho gyinae.
Dɛn na yebetumi ayɛ na yɛakwati akyi yaw?
Ɛwom sɛ awosu mu su bi wɔ hɔ a ɛma obi nya akyi yaw de, nanso ɛnyɛ nea yentumi nni so koraa. Sɛ yɛsakra yɛn da biara da su a, ebetumi aboa kɛse ma yɛayi ɛyaw yi afi hɔ na yɛasiw ano daakye.
Nneɛma 5 a ɛnyɛ den a wubetumi asɔ ahwɛ ni:
- Gyae sigaretnom: Sɛ wugye di anaasɛ wunnye nni no, ɛda adi sɛ wɔn a wɔnom sigaret no benya akyi yaw bɛyɛ nkyem abiɛsa mu biako sen wɔn a wɔnnom sigaret. Enti sɛ woyɛ obi a ɔnom sigaret a, hwehwɛ mmoa na ama woagyae.
- Kura gyinabea pa mu: Ma w’akyi nyɛ tẽẽ bere nyinaa bere a wote ase, gyina hɔ, na woreyɛ adwuma no. Ebia eyi bɛyɛ den mfiase no, nanso sɛ wode yɛ wo su pɛ a, w’akyi bɛte nka kɛse.
- Ɔkwan pa a wobɛfa so ama nneɛma a emu yɛ duru so: Sɛ worema biribi a emu yɛ duru so a, mma w’akyi nkotow. Bere nyinaa kotow wo nkotodwe na ma so ma w’akyi tẽẽ. Eyi yɛ su a ɛho hia paa.
- Hyɛ wo ntini titiriw no den: Ntini a atwa wo yafunu, w’asen, ne w’akyi ho ahyia no ma w’akyi boa wo yiye. Wɔfrɛ eyinom wo ntini titiriw. Sɛ woyɛ apɔw-mu-teɛteɛ a ɛhyɛ saa ntini ahorow yi den (e.g. mpuran) a, ebetumi ama nsakrae kɛse aba w’akyi yaw no mu. Wubetumi ahwehwɛ afotu afi apɔw-mu-teɛteɛ ho ɔyaresafo hɔ wɔ eyi ho.
- Mma ntra mpa so: Sɛ w’akyi yɛ wo yaw a, ebia wobɛpɛ sɛ wotra mpa so. Nanso sɛ wotra baabi biako a, ebetumi ama wo ntini ayɛ mmerɛw na ama wo yaw no ayɛ kɛse. Enti, wo ne wo duruyɛfo nkasa na bɔ mmɔden sɛ wobɛkɔ so ayɛ nnam wɔ ɔkwan a ɛfata wo so. Nantew tiawa mpo betumi aboa.
Kae sɛ, ɛnsɛ sɛ wode ɛyaw tra ase bere a ɛba no. Sɛ wohwehwɛ aduruyɛ mu afotu wɔ ɛyaw no mfiase pɛɛ a, ebetumi asiw anyɛ tebea a enni sabea ano na aboa wo ma woatra ase a ahotɔ wom.
Nkrasɛm a Wɔde Kɔ Fie
- Akyi akyi yaw a enni sabea) yɛ tebea a ɛtaa ba. Ɛnyɛ wo nkutoo na worehyia ɔhaw yi.
- Nneɛma a ɛde ba te sɛ disc degeneration ne disc herniation bere a obi nyin no ne nneɛma atitiriw a ɛka eyi. Ebia awosu mu nkɛntɛnso nso wɔ hɔ.
- Wobetumi adi tebea yi so kɛse denam nsakrae nketenkete a wobɛyɛ wɔ w’asetra kwan mu (sigaretnom a wubegyae, sɛnea wugyina hɔ yiye, apɔw-mu-teɛteɛ) so.
- Sɛ w’akyi yaw no kɔ so anaasɛ emu yɛ den a, nnyɛ wo ho aduru, na mmom akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn na nya afotu ne ayaresa a ɛfata.
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