Fa no sɛ, woreyɛ adwuma wɔ adwumayɛbea hɔ a worehwɛ kɔmputa no. Mpofirim ara, wote nkate bi a ɛyɛ nwonwa te sɛ nsu a ɛretu fa wo nsa so a ɛyaw kakra a ɛwɔ wo kɔn mu ka ho. Bere bi akyi no, wo nsateaa fi ase te nka kakra. Ebia eyi bɛkɔ so da koro anaa nnanu, na afei asan apue da koro. Ebia wubesusuw sɛ, "Oh, ebia ɛyɛ nea mesesaa pillow no nti" anaasɛ "Ebia ɛyɛ esiane sɛ mereyɛ adwumaden dodo nti." Nanso sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, ɛnyɛ papa sɛ wubebu w’ani agu so kɛkɛ sɛnea ɛte daa. Eyi betumi afi ntini a ɛyɛ mmerɛw wɔ w’awotwaa mu akyi berɛmo mu. Enti, ɛnnɛ yɛrebɛka nipadua mu nhwehwɛmu a ɛyɛ mmerɛw yiye, nanso ɛho hia yiye a wo duruyɛfo bɛyɛ de ahu nea ɛde eyi ba ankasa ho asɛm.
Dɛn ankasa ne Spurling Sɔhwɛ no?
Sɛ yɛbɛka no tiawa a, Spurling sɔhwɛ no yɛ nipadua mu nhwehwɛmu a wo duruyɛfo de ne nsa nkutoo yɛ de hwɛ sɛ ntini bi a ɛyɛ mmerɛw wɔ wo kɔn mu anaa. Ɛho nhia sɛ wode afiri kɛse bi di dwuma, na womfa nnuru biara nhyɛ wo mu. Wɔyɛ no wɔ dan koro no ara mu ne wo sɔhwɛ no.
Wɔ aduruyɛ mu no, yɛfrɛ sɛnkyerɛnne ahorow a wɔaboaboa ano a ntini a ɛyɛ mmerɛw wɔ kɔn mu de ba yi ‘Cervical Radiculopathy’ . Ɛwom sɛ edin no yɛ den kakra de, nanso nea ɛkyerɛ no yɛ mmerɛw. Ɛkyerɛ sɛ wɔremia ntini ntini bi a efi akyi berɛmo no mu ba wɔ kɔn no fã no.
Yɛn awotwaa mu akyi berɛmo nyɛ nnompe akuwakuw bi a wɔaboaboa ano wɔ wɔn ho wɔn ho so kɛkɛ. Ntini a ɛho hia a ɛde nkrasɛm fi yɛn amemene mu kɔ yɛn nsa, mmati, ne yɛn nipadua atifi a ɛhwɛ nkate ne kankyee so fi awotwaa mu akyi berɛmo ason yi mu ba. Wɔfrɛ ntokuru nketewa a saa ntini ahorow yi fa mu ba no foramen. Ɛtɔ mmere bi a, bere a obi nyin, esiane sɛnea obi nnyina hɔ yiye nti (titiriw bere a ɔde kɔmputa ne telefon redi dwuma), anaasɛ esiane akwanhyia ketewaa bi nti, diski bi a ɛwɔ akyi berɛmo no mu betumi ayɛ kɛse, anaasɛ nnompe nketenkete betumi ayɛ, na ebetumi amia ntini no ntini no. Eyi ne bere a ntini no ntini no mu yɛ den.
Enti, nea `Spurling test` no yɛ ne sɛ, oduruyɛfo no de ahwɛyiye kɛse de wo kɔn kɔ tebea pɔtee bi mu, ɔtew ɔkwan a ɛbue a ntini no fi adi no so kakra kɛse. Afei, ntini a wɔahyɛ no den kakra dedaw no mia kakra kɛse na wote sɛnkyerɛnne te sɛ ɛyaw ne akisikuru nka. Saa kwan no so no, oduruyɛfo no betumi anya adwene pa sɛ ebia eyi na ɛde wo haw no ba anaa.
Bere bɛn na wɔyɛ sɔhwɛ yi?
Sɛ wo kɔn mu yɛ wo yaw bɛyɛ ɔsram biako a ɛka ho ne sɛnkyerɛnne a ɛwɔ ase ha no biako anaa nea ɛboro saa a, ebia wo duruyɛfo bɛpɛ sɛ ɔyɛ nhwehwɛmu yi. Ma yɛnhwɛ nea saa sɛnkyerɛnne ahorow yi yɛ ankasa.
| Nsɛnkyerɛnne a ɛkyerɛ | Ɛno ma wote nka dɛn? |
|---|---|
| Yeaw | Eyi nyɛ kɔn mu yaw a ɛtaa ba ara kwa. Ɛyɛ ɛyaw a ɛhyerɛn a efi ase wɔ kɔn mu, trɛw fa mmati no mu, na ɛkɔ fam wɔ abasa no so kosi nsateaa no so. Wɔ ebinom fam no, ebetumi ayɛ te sɛ ɛyaw a ano yɛ nnam a wɔde sekan abɔ wɔn , bere a wɔ afoforo fam no, ebetumi ayɛ te sɛ nea wɔrehyew . |
| Ayɛ a ɛyɛ mmerɛw anaasɛ Tingling | Ebia wobɛte nka sɛ wo nsa ne wo nsateaa mu ayɛ wo yaw, anaasɛ wo ho ayɛ wo yaw. Ɛtɔ da bi a, wo nsa afã horow betumi ayɛ te sɛ nea ɛnyɛ wo dea, te sɛ nea wunni atenka biara koraa. Eyi betumi ama ayɛ den sɛ wobɛkura biribi te sɛ kuruwa mu yiye. |
| Mrɛyɛ | Ebia wobɛte nka sɛ ahoɔden nni wo nsa ntini mu. Sɛ nhwɛso no, ebia wobɛte nka sɛ woayɛ mmerɛw bere a woma ade a emu yɛ duru so, worebue ɔpon, anaa bere a worekyerɛw mpo no. |
So ɛsɛ sɛ wudi kan siesie wo ho ma sɔhwɛ yi?
Kwan biara nni hɔ! Ɛho nhia sɛ wusiesie wo ho ma eyi. Ɛho nhia sɛ wudi mmuada da a edi kan no anaasɛ wobɛnom aduru titiriw biara. Ɛyɛ mmerɛw yiye.
Nanso, sɛ wohwɛ nneɛma nketenkete no so a, ɛbɛyɛ mmerɛw ama wo ne oduruyɛfo no nyinaa.
- Ntade: Ɛyɛ papa sɛ wobɛhyɛ ntade a ɛho ayɛ hare a ɛma kɔn no fã no yɛ nea ɛho nhia, a enni kɔla kɛse. Sɛ nhwɛso no, turtleneck sweater, anaa saree a wɔhyɛ a ase no akɔ fam.
- Aguade: Nhyɛ kɔnmuade anaa asomuade a emu yɛ duru. Ebia wɔbɛtwetwe sɔhwɛ no.
- Ti nhwi: Sɛ wohyɛ atade a, ɛho nhia sɛ wuyi fi hɔ. Oduruyɛfo no bɛyɛ nhwehwɛmu no sɛnea ɛfata.
Ansa na ɔbɛyɛ saa `Spurling sɔhwɛ` yi no, oduruyɛfo no bɛyɛ wo nipadua mu nhwehwɛmu a ɛkɔ akyiri na wabisa w'ayaresa tebea, nnuru a worenom, ne akwanhyia a atwam ho asɛm. Enti siesie wo ho sɛ wobɛkyerɛkyerɛ w’ayaresa ho abakɔsɛm mu pefee.
So nsɛm bi wɔ hɔ a ɛnsɛ sɛ wɔyɛ sɔhwɛ yi?
Yiw, akyinnye biara nni ho. Eyi yɛ asɛm a ɛho hia paa.
Wɔnyɛ sɔhwɛ yi mma kɔn mu yaw biara. Sɛ wowɔ ayaresa tebea afoforo bi a, oduruyɛfo no renyɛ nhwehwɛmu yi na ɔde wo bɛkɔ tẽẽ akɔyɛ nhwehwɛmu foforo te sɛ `CT scan` anaa `MRI` efisɛ ebetumi apira.
Nneɛma atitiriw a enti wɔnyɛ sɔhwɛ yi no bi ni:
- Sɛ awotwaa mu akyi berɛmo a entumi nnyina pintinn wɔ hɔ a.
- Sɛ nhyɛso anaasɛ asɛe wɔ akyi berɛmo a ɛwɔ kɔn no mu (Cervical spondylotic myelopathy) .
- Sɛ nnansa yi ara na woapira kɛse wɔ w’akyi anaa wo kɔn mu a.
- Sɛ wowɔ nkwaa mu nyarewa a emu yɛ den te sɛ ntini mu yare a .
- Sɛ adwenem naayɛ bi wɔ hɔ sɛ kokoram a efi nipadua no mmeae afoforo atrɛw (atrɛw) akɔ kɔn nnompe mu a.
Wo duruyɛfo no besusuw eyinom nyinaa ho na wasi gyinae sɛ ɔbɛyɛ nhwehwɛmu no anaasɛ ɔnyɛ saa. Enti biribiara nni hɔ a ɛsɛ sɛ wosuro.
Dɛn na ɛba ankasa bere a woreyɛ sɔhwɛ no?
Eyi begye simma kakraa bi pɛ. Biribiara nni hɔ a enti ɛsɛ sɛ wusuro anaa wohaw wo ho. Oduruyɛfo no bɛkyerɛkyerɛ biribiara a ɔreyɛ mu akyerɛ wo.
Anamɔn 1: Sɛnea wobɛsakra sɛnea wogyina hɔ no
Nea edi kan no, oduruyɛfo no bɛka akyerɛ wo sɛ tena nkongua so anaa gyina hɔ tẽẽ. Ma w’akyi nyɛ tẽẽ na gye w’ahome.
Anamɔn 2: Lateral Flexion of the Neck
Afei, oduruyɛfo no de ne nsa bɛto wo ti atifi brɛoo paa na wabɔ wo kɔn brɛoo akɔ ɔfã a ɛyaw no wɔ no. Te sɛ nea wode w’aso reba wo mmati so. Obebisa sɛ wote ɛyaw bi nka saa bere yi anaa.
Anamɔn 3: Kɔn a Wɔkyinkyini ne Ntrɛwmu
Afei, bere a woma kɔn no kotow kɔ saa ɔfã no, dan kɔ akyi kakra na hwɛ. Wɔde ahwɛyiye ne ahwɛyiye kɛse na ɛyɛ saa kankyee ahorow yi nyinaa.
Anamɔn 4: Nneɛma a wɔde piapia no brɛoo (Axial Compression) .
Awiei koraa no, bere a wo kɔn wɔ saa gyinabea pɔtee no mu no, oduruyɛfo no bɛpiapia no brɛoo akɔ fam (nhyɛso ketewaa bi) afi wo ti atifi.
Nea ɛho hia sen biara ne sɛ, sɛ wote biribi nka bere a woreyɛ saa anammɔn yi, te sɛ ɛyaw anaa akisikuru a na wowɔ kan no a, ɛsɛ sɛ woka kyerɛ oduruyɛfo no ntɛm ara. Ebia ɔbɛka akyerɛ wo sɛ sɛ wote ɛyaw bi nka a, ma wo nsa so. Sɛ wote nka sɛ wo ho nyɛ wo dɛ a, obegyae sɔhwɛ no ntɛm ara. Worenyɛ biribiara a ɛbɛma ɛyaw no mu ayɛ den.
Ɔkwan bɛn so na nea efi mu ba no ba na dɛn na ɛkyerɛ?
Nea afi sɔhwɛ yi mu aba no wɔ hɔ ntɛm ara. Oduruyɛfo no bɛka nsɛm no akyerɛ wo bere a wɔawie nhwehwɛmu no ara pɛ. Nea efi mu ba no ahorow abien na ɛwɔ hɔ: ‘Positive’ anaa ‘Negative’.
| Nsunsuansoɔ | Dɛn na ɛno kyerɛ? |
|---|---|
| Aane | Wokaa sɛ wotee ɛyaw anaa sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm (ɛyaw a ɛhyerɛn kɔ abasa no ase, akisikuru). Eyi kyerɛ sɛ ɛda adi kɛse sɛ ntini a ɛyɛ wo kɔn mu a ɛyɛ mmerɛw na ɛde wo sɛnkyerɛnne ahorow no ba. Ɛda adi sɛ wo duruyɛfo bɛkra sɛ wɔnyɛ CT scan anaa MRI de si eyi so dua na wahu baabi pɔtee a ntini a ayɛ mmerɛw no wɔ ne nea ɛde ba. |
| Negetifu | Woante ɛyaw biara anaa sɛnkyerɛnne titiriw biara nka bere a wɔreyɛ nhwehwɛmu no. Ɛno kyerɛ sɛ ɛnyɛ nea ɛbɛyɛ yiye sɛ wowɔ ntini bi a ɛyɛ pintinn wɔ wo kɔn mu. Nanso, ɛnyɛ 100% sɛ ɔhaw biara nni ho. Ade foforo nso betumi de wo yaw no aba (e.g., ntini mu haw). Ebia wo duruyɛfo bɛpɛ sɛ ɔyɛ nhwehwɛmu pii de hu. |
Sɛ nhwehwɛmu no da adi a, dɛn na woyɛ akyi?
Ɛnsɛ sɛ yɛsuro sɛ sɔhwɛ no bɛyɛ ‘positive’. Ɛyɛ ade pa ankasa. Efisɛ ɛkyerɛ sɛ ɛkame ayɛ sɛ yɛahu nea ɛde yɛn haw no bae. Ade a edi hɔ ne ayaresa.
Sɛ oduruyɛfo no de MRI mfonini si yare no so dua wie a, wobefi ase ayɛ ayaresa a ɛfata. Ayaresa ahorow pii wɔ hɔ a wobetumi apaw:
- Nnuru: Nnuru a wɔde ma de tew ɛyaw ne ntini a ɛho ahonhon so.
- Ahomegye ne Dwumadi mu Nsakrae: Tu fo sɛ wonnyae dwumadi ahorow a ɛde nhyɛso ba kɔn no so bere tiaa bi (nnesoa a emu yɛ duru a wɔma so, hwɛ fam bere tenten).
- Apɔw-mu-teɛteɛ: Eyi ho hia yiye. Ɛha yi, wɔbɛkyerɛ wo nneɛma pii, te sɛ apɔw-mu-teɛteɛ a wode bɛhyɛ kɔn mu ntini mu den, sɛnea wobɛteɛteɛ wo kɔn mu gyinabea, ne sɛnea wobɛkwati sɛ wode nhyɛso bɛto kɔn so bere a woreyɛ da biara da dwumadi ahorow no.
- Sɛɛgyiri:Mpɛn pii no, eyi ho nhia. Sɛ atifi hɔ ayaresa ahorow no mmoa, na ntini a ɛyɛ den no mu yɛ den yiye a, ebia wo duruyɛfo de wo bɛkɔ akɔyɛ wo oprehyɛn.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wo kɔn mu ayɛ wo yaw adapɛn pii, sɛ ɛreyɛ kɛse, anaasɛ ɛnyɛ yiye a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Mma w’ani ngu so, titiriw sɛ wote ɛyaw, wo ho yɛ wo yaw, anaa wo nsa yɛ mmerɛw a.
Spurling sɔhwɛ no yɛ nhwehwɛmu a ɛnyɛ den na ne bo nyɛ den a ɛboa wo duruyɛfo ma onya wo sɛnkyerɛnne ahorow no ho adwene pa. Ebetumi ayɛ hu kakra efisɛ ɛyɛ ɛyaw ho sɔhwɛ. Nanso sɛ wo duruyɛfo no te nka sɛ ne ho nyɛ no dɛ biara a, wobegyae nhwehwɛmu no ntɛm ara. Enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.
Nkrasɛm a Wɔde Kɔ Fie
- `Spurling sɔhwɛ` yɛ nipadua mu sɔhwɛ a ɛnyɛ den a oduruyɛfo yɛ de hwɛ sɛ ntini bi a ɛyɛ pintinn wɔ kɔn no mu anaa.
- Wobetumi ayɛ nhwehwɛmu yi sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɛyaw a efi wo kɔn mu kɔ wo basa mu, wo nsa a ɛyɛ mmerɛw, anaa wo nsa a ɛyɛ mmerɛw a.
- Eyi nhia ahosiesie titiriw biara, na sɔhwɛ no gye simma kakraa bi pɛ.
- Ɛho hia yiye sɛ wobɛka akyerɛ oduruyɛfo no ntɛm ara sɛ wote nka sɛ wo ho nyɛ wo dɛ bere a woreyɛ nhwehwɛmu no a.
- Sɛ nea efi mu ba no yɛ ‘papa’ a, ɛkyerɛ sɛ wɔahu nea ɛde yare no ba. Ɛno akyi no, wubetumi akɔ so ayɛ ayaresa a ɛtra hɔ daa.
- Sɛ kɔn mu yaw ne sɛnkyerɛnne ahorow a ɛfa ho no kɔ so a, mmu w’ani ngu so na akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment