Akyi yaw yɛ ɔhaw a nnipa pii wɔ yɛn man yi mu mprempren, ɛmfa ho mfe a wɔadi, ɛnte saa? Yɛtaa susuw sɛ akyi yaw fi diski a ahwe ase anaa ntini mu yare. Nanso ɛtɔ mmere bi a, ɛmfa ho nnuru anaa nipadua mu ayaresa dodow a wobɛnom no, akyi yaw bi wɔ hɔ a ɛnbrɛ ase. Ebia nea ɛde ba no nyɛ nea yesusuw. Ɛnnɛ, yɛreka akyi yaw soronko bi a aduruyɛ ho nyansahu ahu nnansa yi ho asɛm, a ɛne `` akyi berɛmo mu yaw ''.
Sɛ yɛbɛka no tiawa a, dɛn ne Vertebrogenic ɛyaw?
Sɛ yɛbɛte eyi ase a, momma yenni kan nsusuw yɛn akyi berɛmo ho. Yɛn akyi berɛmo yɛ nnompe nketewa (akyi berɛmo) a wɔaboaboa ano wɔ wɔn ho wɔn ho so, te sɛ birikisi a wɔaboaboa ano wɔ wɔn ho wɔn ho so. Wɔ saa "birikisi" yi ntam no, disc a yɛn nyinaa nim no wɔ.
Nanso asɛm yi fã a ɛho hia sen biara ne ahobammɔ titiriw a ɛtra akyi berɛmo biara atifi ne ase no. Eyi yɛ ade a ɛyɛ tratraa a wɔde ntini ne dompe ayɛ. Wɔ aduruyɛ mu no, wɔfrɛ eyi akyi berɛmo awiei . Bere bi a atwam no, na nnuruyɛfo susuw sɛ diski ho haw na ɛde akyi yaw ba titiriw. Nanso nhwehwɛmu foforo ada no adi sɛ sɛ saa awiei ntini yi sɛe a, ntini a ɛfa mu no betumi amia, na ɛde ɛyaw a emu yɛ den a ɛtra hɔ kyɛ aba.
Sɛ yɛbɛka no tiawa a, ``Vertebrogenic pain '' yɛ akyi yaw a ɛnyɛ disc no na ɛde ba, na mmom ɛnam endplates a ɛwɔ vertebrae no atifi ne ase a ɛsɛe so.
Eyi nso betumi ayɛ nea ɛfa diski ho haw ahorow ho. Nhwehwɛmufo ahu sɛ baabi a diski asɛe no, nsakrae ba akyi berɛmo a ɛwɔ n’atifi ne ase no mu. Ntini mu nhama pii nso wɔ hɔ a ɛde ɛyaw kɔ saa mmeae no. Nanso wɔda so ara resusuw sɛnea ɛba saa ankasa ho.
Dɛn ne nneɛma a ɛde tebea yi ba?
Nneɛma pii nti na yɛn endplates no betumi asɛe. Eyi betumi afi abɔde mu asɛe a ɛba bere a obi nyin, ne akwanhyia nso.
Eyi nsi obiara, nanso nnipa binom wɔ asiane kɛse mu kakra sɛ wobenya saa tebea yi.
- Sɛ yɛadi boro mfe 40: Asiane yi kɔ soro bere a abɔde mu nsakrae ba nipadua no mu bere a yɛrenyin no.
- Ɔsorokɔ: Ebia nnipa atenten behyia nhyɛso kɛse wɔ wɔn akyi berɛmo so.
- Kɛse mmoroso: Bere a nipadua mu duru kɔ soro no, adesoa a ɛwɔ akyi berɛmo no so no kɔ soro, na ɛma facet nkwaa no yɛ mmerɛw sɛ ɛbɛsɛe.
- Sigaretnom: Sigaretnom ma mogya ntini mu teateaa, na ɛma mogya a ɛkɔ akyi berɛmo no afã horow no so tew. Eyi siw ayaresa kwan no kwan.
- Honam fam adwuma a emu yɛ duru: Nnipa a wɔde wɔn ho hyɛ nnwuma a ɛhwehwɛ sɛ wɔma nneɛma a emu yɛ duru so anaasɛ wɔhyɛ wɔn akyi te sɛ adansi mu no wɔ asiane kɛse mu.
- Abusua abakɔsɛm : Sɛ obi a ɔwɔ w’abusua mu anya akyi yaw a enni sabea a, wubetumi nso anya bi esiane awosu mu nkɛntɛnso nti.
Ɔkwan bɛn so na wobetumi ahu sɛnkyerɛnne ahorow no?
Saa ɛyaw yi yɛ soronko kakra wɔ akyi yaw afoforo ho. Hwɛ sɛ wo nso wowɔ saa sɛnkyerɛnne ahorow yi anaa.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Mmere a ɛyaw no yɛ kɛse | Ɛyaw no kɔ soro bere a ɔkotow kɔ n’anim, ɔtra ase kyɛ, ne bere a ɔreyɛ nneɛma a ɛyɛ nnam te sɛ apɔw-mu-teɛteɛ no. |
| Ɛyaw su | Ebetumi ayɛ te sɛ ɛyaw a emu yɛ den, ɔhyew, anaa ɛyaw a ɛyɛ hyew a efi obi mu. |
| Beae a wɔte ɛyaw no nka | Ɛyaw no taa yɛ akyi fã a ɛwɔ fam, mfinimfini. |
| Nsonsonoe a ɛho hia sen biara | Wɔntaa nhu nan a ɛyɛ mmerɛw na ɛyɛ mmerɛw, sɛnea wohu wɔ disc haw ahorow ho no, wɔ tebea yi mu. Nanso, sɛ wowɔ ɔhaw abien no nyinaa a, saa sɛnkyerɛnne ahorow yi nso betumi aba. |
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Sɛ w’akyi yaw bɛboro asram 6 na ennyaa nkɔso wɔ ayaresa a wɔtaa de di dwuma mu a, ebia wo duruyɛfo besusuw sɛ wowɔ saa tebea yi (Vertebrogenic pain). Wɔbɛyɛ nneɛma a edidi so yi de ahu yare no:
1. Wo a wobebisa wo sɛnea wufi mu: So obi wɔ w’abusua mu a ɔwɔ akyi ho haw te sɛ eyi ne sɛnea ɛyaw no te?
2. Nipadua mu nhwehwɛmu: Wɔbɛka akyerɛ wo sɛ kotow kɔ w’anim ne nkyɛnkyɛn, na hwɛ bere a ɛyaw no mu yɛ den.
3. Nyarewa afoforo a wɔayi afi mu: Wɔyɛ nhwehwɛmu afoforo de hwɛ sɛ ebia nneɛma foforo bi de ba, te sɛ diski ho haw anaa akisikuru.
4. MRI scan: Mmuae a etwa to na ɛyɛ nokware sen biara no fi MRI (Magnetic Resonance Imaging) scan mu. Eyi betumi atwa akyi berɛmo no ho mfonini a emu da hɔ yiye.
Wɔ MRI so no, wo duruyɛfo betumi ahu nsakrae pɔtee bi wɔ endplates a ɛde ɛyaw no reba no mu. Wɔfrɛ eyinom sɛ Modic nsakrae . Wɔwɔ ahorow atitiriw abien:
- Modic type 1: Nnompe mu ntini a ɛho ahonhon na ɛyɛ hyew.
- Modic type 2: Sɛ́ anka wobehu nnompe mu ntini kɔkɔɔ a ɛte apɔw no, wohu nnompe kɔkɔɔ a srade wom.
Ɔkwan bɛn so na wɔsa?
Nea edi kan no, wo duruyɛfo bɛkamfo ayaresa a wɔahyɛ da ayɛ te sɛ nnuru a wɔde kum ɛyaw (NSAID), nnuru a ɛma ntini mu dwo, ne apɔw-mu-teɛteɛ.
Nanso, sɛ nkɔso biara amma wɔ bɛyɛ asram 6 akyi wɔ saa ayaresa yi akyi a, wobetumi asusuw ayaresa kwan titiriw bi ho. Wɔfrɛ no Basivertebral Nerve Ablation .
Dɛn ne Basivertebral Nerve Ablation?
Sɛ yɛbɛka no tiawa a, ntini titiriw a ɛde ɛyaw nsɛnkyerɛnne kɔ yɛn akyirikyiri ne ``basivertebral nerve.`` Saa ayaresa yi hwehwɛ sɛ wɔsɛe saa ntini yi wɔ baabi a ɛhyɛn akyi berɛmo mu baabi a ɛyaw no fi ba no, na ɛma ɛyaw nsɛnkyerɛnne no nkɔ amemene no mu.
Eyi nyɛ oprehyɛn kɛse. Wɔbɛma wo aduru a wɔde kum wo, enti worente ɛyaw biara. Oduruyɛfo a ɔyɛ oprehyɛn no bɛtwa honam ani baabi ketewaa bi wɔ baabi a w’akyi yɛ wo yaw no na ɔde adwinnade ketewaa bi afa mu akɔ akyi berɛmo no mu. Afei, wɔde ɔhyew bɛsɛe ntini no.
Mpɛn pii no wubetumi akɔ fie da koro no ara. Bere a wɔde ma obi ho tɔ no yɛ tiaa sen akyi oprehyɛn afoforo. Nhwehwɛmu ada no adi sɛ saa ayaresa yi betumi aboa wo ma woakɔ so ayɛ wo yaw mfe 5 anaa nea ɛboro saa.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ w’akyi yaw no akɔ so bɛboro adapɛn kakraa bi, sɛ ɛyaw no reyɛ kɛse, anaasɛ ayaresa no mmoa a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn .
Titiriw nea edidi so yiSɛ frankaa kɔkɔɔ ho sɛnkyerɛnne bi wɔ hɔ a, hwehwɛ aduruyɛfo afotu ntɛm ara :
- Nan a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw
- Ɛyɛ den sɛ wubegyina hɔ anaasɛ wobɛnantew
- Nsu anaa nsu a ɛretu a wompɛ (eyi yɛ ntɛmpɛ a emu yɛ den yiye, kɔ ayaresabea dan a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara) .
- Mu duru a ɛso tew mpofirim
- Huraeɛ
Nkrasɛm a Wɔde Kɔ Fie
- Vertebrogenic pain yɛ akyi yaw pɔtee bi a ɛnyɛ disc haw bi na ɛde ba, na mmom ɛnam akyi berɛmo no awiei a ɛsɛe so.
- Saa ɛyaw yi kɔ soro bere a ɔkotow n’anim anaa ɔtra ase no, na mpɛn pii no, sɛnkyerɛnne te sɛ nan a ɛyɛ mmerɛw no ntaa mma.
- Ebia ɛho behia sɛ wɔyɛ MRI scan na ama wɔahu yare no pɛpɛɛpɛ.
- Sɛ ayaresa a wɔtaa de di dwuma no mma ahotɔ a, nnɛyi ayaresa a edi mu te sɛ ``Basivertebral nerve ablation'' wɔ hɔ mprempren.
- Mmu w’ani ngu akyi yaw so da. Sɛ ɛkɔ so anaasɛ ɛwɔ sɛnkyerɛnne ahorow a emu yɛ den a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn.
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