So w’akyi nso yɛ wo yaw? Momma yensua akyi yaw a ɛyɛ nwonwa yi ho ade (Vertebrogenic Low Back Pain)?

Ɔhaw akɛse a nnipa pii rehyia nnansa yi no mu biako ne akyi yaw. Ɛtɔ mmere bi a ebia wubesusuw sɛ eyi nyɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho, nanso nokwarem no, akyi yaw ahorow bi wɔ hɔ a ɛyɛ soronko kakra, kyerɛ sɛ, ɛsono akyi yaw afoforo a ɛtaa ba. Enti, ɛnnɛ yɛrebɛka akyi yaw soronko a ɛte saa biako ho asɛm. Eyi a wubehu no yiye no bɛboa wo kɛse.

Dɛn ne nea wɔfrɛ no Vertebrogenic Low Back Pain yi?

Sɛ yɛbɛka no tiawa a, Vertebrogenic Low Back Pain fi akyi berɛmo no awiei a ɛsɛe wɔ w’akyi berɛmo mu. Afei ebia woresusuw nea ɛyɛ akyi berɛmo awiei mprɛte yi ho.

Fa no sɛ, w’akyi berɛmo yɛ nnompe nketenkete a wɔaboaboa ano wɔ wɔn ho wɔn ho so, a yɛfrɛ no akyi berɛmo. Sɛ akyi berɛmo foforo bi wɔ wɔn ho wɔn ho so a, biribi te sɛ mattress wɔ ntam, na yɛfrɛ no intervertebral disc , anaasɛ diski kɛkɛ. Saa diski yi na ɛma akyi berɛmo no kotow kɔ anim ne akyi, na ɛtwetwe ahodwiriw a ɛba akyi bere a yehuruw na yetu mmirika no nso. Wɔ saa akyi berɛmo no ne diski no ntam no, ntini abien a ɛyɛ tratraa a ɛte sɛ ade a ɛbɔ ho ban, a wɔfrɛ no akyi berɛmo no awiei . Enti, sɛ eyinom sɛe ɔkwan biara so a, ɛhɔ na akyi yaw pɔtee yi fi ase.

Dɛn nti na eyi yɛ soronko wɔ akyi yaw afoforo ho?

Yiw, eyi yɛ soronko kakra. Mpɛn pii no, sɛ yɛdwen akyi yaw ho a, yɛdwen biribi a esii esiane opira anaa biribi te sɛ ntini mu yare nti. Nanso nea ɛde akyi yaw yi (Vertebrogenic) ba titiriw ne sɛe akyi berɛmo no awiei a yɛadi kan aka ho asɛm no.

Bere bi a atwam no, na nnuruyɛfo taa susuw sɛ nea ɛde akyi yaw a ɛkɔ so yɛ no ba ne degenerative disc disease anaa arthritis. Nanso akyiri yi, nhwehwɛmufo hui sɛ ntini ahorow bi wɔ yɛn akyi berɛmo mu a ɛte ɛyaw nka, na sɛ ɛhyɛ abufuw a, ɛyaw tumi ba. Bere a wohui saa no, ɛbɛdaa adi pefee sɛ nneɛma afoforo betumi de akyi yaw aba. Ɛno kyerɛ sɛ ɛnyɛ akyi yaw nyinaa na efi degenerative disc yare anaa ntini mu yare.

Saa tebea yi abu so dɛn?

Nokwarem no, ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a wɔwɔ saa (vertebrogenic) akyi yaw yi. Wɔka sɛ nnipa bɛboro ɔpepem 30 a wɔwɔ ɔman te sɛ Amerika mu wɔ akyi yaw bi a ɛkɔ so daa. Nanso, wonnim wɔn mu dodow pɔtee a wɔwɔ saa (vertebrogenic) tebea yi. Eyi te saa efisɛ nnuruyɛfo tumi hu nea ɛde akyi yaw bɛyɛ 20% ba ankasa . Wɔkyekyɛ 80% a aka no mu sɛ akyi yaw a ɛnyɛ pɔtee .

Dɛn ne eyi ho sɛnkyerɛnne?

Nnipa a wɔwɔ akyi yaw yi (vertebrogenic) taa ka ɛyaw a ɛyɛ hyew na ɛpiapia wɔn akyi ho asɛm. Ɛte sɛ ɛyaw a emu dɔ a ɛyɛ tuo. Wɔ nnipa binom fam no, wɔfrɛ saa ɛyaw yi ɛyaw . Ɛne sɛ, wɔte ɛyaw no nka wɔ beae foforo sen baabi a efi ase.

Mpɛn pii no, ɛyaw yi kɔ soro:

• Bere a wotena beae biako bere tenten a.
• Bere a woreyɛ apɔw-mu-teɛteɛ no .
• Bere a wokotow kɔ w’anim no .

Saa sɛnkyerɛnne ahorow yi te sɛ degenerative disc disease de araa ma ɛtɔ mmere bi a oduruyɛfo mpo betumi adi mfomso aka sɛ biako yɛ foforo. Nea ɛsen saa no, nnipa binom betumi anya tebea abien no nyinaa bere koro mu .

Nneɛma foforo a ɛka disk ho nsɛm ho

Sɛ w’akyi akyi berɛmo a ɛwɔ w’akyi no asɛe na wowɔ diski a asɛe a, wubetumi anya sɛnkyerɛnne afoforo. Wɔ nsɛm a ɛtete saa mu no:

• Ebia wobɛte nka sɛ wo akwaa reyɛ ayɛ wo yaw .
• Mmeae bi wɔ hɔ a ɛyɛ mmerɛw .
• Mmerewa a ɛba nipadua no akwaa mu.

Saa sɛnkyerɛnne ahorow yi ba efisɛ diski no betumi ayɛ mmerɛw na akɔka ntini ahorow a ɛbɛn hɔ no. Ɛnyɛ bere nyinaa na eyi ba, nanso ebetumi aba.

Dɛn na ɛde eyi ba?

Sɛnea yɛadi kan aka no, nea ɛde akyi yaw yi (vertebrogenic) ba titiriw ne akyi berɛmo no awiei a ɛsɛe. Enti, nneɛma pii betumi ama saa endplates yi asɛe:

• Da biara da asɛe: Ɛte sɛ ɔsɛe a wunya bere a wode afiri di dwuma no.
• Kɛse mmoroso: Sɛ nipadua mu duru kɔ soro a, ɛsɛ sɛ akyi berɛmo no nso soa saa mu duru no.
• Ɔsorokɔ a ɛkɔ soro: Nnipa a wɔware nso tumi nya nhyɛso kakra wɔ wɔn akyi.
• Nnwuma a ɛho hia wɔ nipadua mu: Nnipa a wɔma nneɛma a emu yɛ duru so, wogyina hɔ kyɛ, na wɔyɛ adwuma wɔ gyinabea koro no ara wɔ asiane kɛse mu.
• Sɛ obi a ɔwɔ abusua no mu wɔ abakɔsɛm a ɛkyerɛ sɛ ne ti yɛ no yaw bere nyinaa (Abusua abakɔsɛm): Ebia awosu mu nkɛntɛnso nso wɔ hɔ.
• Sigaretnom: Sigaretnom betumi aka mogya ntini a ɛwɔ nipadua no mu no na ama mogya dodow a ɛkɔ mmeae yi so atew.
• Ahodwiriw anaa asehwe: Sɛ obi nya nkɛntɛnso kɛse mpofirim a, ebetumi asɛe mmeae yi nso.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a n’akyi yɛ wo yaw a, ade a edi kan a ɔbɛyɛ ne sɛ ɔbɛyɛ wo nipadua mu nhwehwɛmu a edi mũ.Baako. Wɔbɛte w’akyi nka, wɔbɛka akyerɛ wo sɛ kotow na twitwa kɔ mmeae ahorow na woahu gyinabea ahorow a ɛyɛ yaw kɛse. Wobebisa wo wo yare no ho sɛnkyerɛnne nso ne sɛ ebia obi wɔ w’abusua mu anya akyi haw te sɛ eyi anaa.

Afei, sɛ wo duruyɛfo susuw sɛ biribi asɛe w’akyi a, ɛda adi sɛ ɔbɛhyɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu . Ade a edi kan a wɔtaa yɛ ma akyi yaw ne w’akyi X-ray . Ɛdenam nsɛm a wɔanya so no, ebia oduruyɛfo no behia nsɛm pii. Sɛ saa a, obetumi akra sɛ wɔnyɛ no CT scan (Computed Tomography scan) anaa MRI scan (Magnetic Resonance Imaging scan) . Mpɛn pii no, MRI mfonini betumi ada nnompe mu ntini a ɛyɛ hyew ne nsakrae anaasɛ asɛe wɔ akyi berɛmo no awiei ho sɛnkyerɛnne adi.

Dɛn ne ayaresa ahorow no?

Asɛmpa no ne sɛ ayaresa ahorow pii wɔ hɔ a wɔde sa akyi yaw (vertebrogenic) yi. Oduruyɛfo betumi aboa wo ma woapaw ayaresa a eye ma wo.

• Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs): Eyinom ne nnuru a yɛtaa nom ma ɛyaw ne ɔfe. Nhwɛso ahorow bi ne aspirin, ibuprofen, ne naproxen. Ɛsɛ sɛ wode eyinom di dwuma sɛnea wo duruyɛfo kyerɛ no.
• Apɔw-mu-teɛteɛ: Eyi nso yɛ ayaresa a ɛho hia yiye. Apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ ne ntrɛwmu soronko bi a ɛbɛma w’akyi ayɛ den na atew ɛyaw so. Sɛ woyɛ eyinom yiye a, wubenya ahotɔ kɛse.
• Ntini a ɛma wo ho dwo: Wɔ tebea horow bi mu no, sɛ ntini a atwa w’akyi berɛmo ho ahyia no mu yɛ den a, wobetumi de nnuru ahorow yi ama wɔn de ama wɔn ho adwo wɔn. Nanso, esiane sɛ ebetumi ama woada na sɛ wɔde di dwuma daa a, ebetumi ama woayɛ ade tra so nti, mpɛn pii no nnuruyɛfo kyerɛw ma wo bere tiaa bi pɛ.
• Intracept® nhyehyɛe (basivertebral nerve ablation): Fa no sɛ woasɔ ayaresa afoforo ahwɛ (te sɛ aduru a wɔde twitwiw nipadua, nipadua mu ayaresa) bɛyɛ asram asia na w’akyi yaw no nkɔ yiye. Wɔ tebea a ɛte saa mu no, oduruyɛfo betumi ahyɛ nyansa sɛ wɔnyɛ ayaresa titiriw bi a wɔfrɛ no Intracept®. Nea ɛka eyi ho ne sɛ wɔde adwinnade a ɛyɛ fɛ yiye bedi dwuma na wɔde ɔhyew asɛe (ayi afi hɔ) ntini titiriw a ɛde ɛyaw ba (basivertebral nerve) a ɛwɔ akyi berɛmo no mu no. Eyi ma ɛyaw ho nsɛnkyerɛnne a efi saa ntini no mu no ntumi nkɔ amemene no mu, na ɛyaw no so tew.

Nea ɛho hia: Ɛsɛ sɛ wɔyɛ ayaresa ahorow yi nyinaa wɔ oduruyɛfo afotu ne ne hwɛ ase nkutoo. Mma w’ankasa nnom nnuru anaa apɔw-mu-teɛteɛ biara.

Bere tenten ahe na ebegye na obi ho atɔ no afi tebea yi mu? (Nsusuwii) .

Ayaresa pii wɔ hɔ a wobetumi apaw ama nnipa a wɔwɔ Vertebrogenic Back Pain sen bere biara. Ɛno yɛ ade pa. Nanso, ebetumi agye bere kakra ansa na wɔahu yare no yiye . Afei nso, ebia ɛsɛ sɛ wosɔ ayaresa ahorow pii hwɛ kosi sɛ wubenya nea ɛfata. Ebia worennya ayaresa a ɛfata ntɛm ara.

Akontaabu mu no, aduru a edi mu sen biara a wɔde sa akyi yaw yi (akyi berɛmo mu yaw) ne ɔkwan a yɛadi kan aka ho asɛm (basivertebral nerve ablation) . Nanso, sɛ wopɛ sɛ wofa insurance so nya saa ayaresa yi a, ɛda adi sɛ ɛsɛ sɛ wudi kan kyerɛ sɛ ayaresa afoforo a wɔtaa de di dwuma (te sɛ nnuru a wɔde kum ɛyaw, apɔw-mu-teɛteɛ) adi nkogu. Wo duruyɛfo betumi aboa wo wɔ eyi mu, na obetumi nso akyerɛ wo akwan a wobɛfa so atew ɛyaw so bere a wɔreyɛ ayaresa no.

Wobɛyɛ dɛn asiw eyi ano? (Ayaresa a wɔde siw ano) .

Esiane sɛ saa akyi yaw (a ɛma akyi berɛmo) yi taa yɛ yɛn nipadua no fã a ɛyɛ awosu nti, ɛyɛ den sɛ yebesiw ano koraa . Nanso, nneɛma kakraa bi wɔ hɔ a yebetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Kura mu duru a ɛfata mu ma wo tenten: Bere a wo nipadua mu duru kɔ soro no, nhyɛso a ɛwɔ w’akyi no kɔ soro.
• Apɔw-mu-teɛteɛ daa: Ɛho hia yiye sɛ woyɛ apɔw-mu-teɛteɛ a ɛhyɛ nneɛma atitiriw mu den, titiriw nea atwa akyi ne yafunu ho ahyia no.
• Twe wo ho daa: Sɛ wowɔ adwuma bi a ɛhwehwɛ sɛ wotra baabi kyɛ a, ɛbɛyɛ papa sɛ wobɛsɔre na woatrɛw wo nipadua mu kakra, akɔkyinkyin, anyɛ yiye koraa no pɛnkoro dɔnhwerew biara.
• Kwati sigaretnom: Sigaretnom betumi asiw nipadua no ayaresa kwan.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛsɛ sɛ akyi yaw a ɛfata no brɛ ase wɔ nna kakraa bi anaa dapɛn biako mu. Nanso, sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a , akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn a ɛnkyɛ :

• Akyi yaw a ennyaa ano brɛɛ ase wɔ adapɛn abien anaa abiɛsa akyi.
• Akyi yaw a ɛnkɔ bere a woanom nnuru anaa wɔagye w’ahome mpo akyi.
• Sɛ wote nka sɛ w'akyi yaw no reyɛ kɛse nkakrankakra a .
• Sɛ wuhu sɛnkyerɛnne ahorow te sɛ wo nsa anaa wo nan a ɛyɛ wo yaw , wo ho yɛ wo yaw , anaa woyɛ mmerɛw a .
• Gyina hɔ, sɛ wote nka sɛ nantew yɛ den a .
• Sɛ wowɔ sɛnkyerɛnne afoforo te sɛ atiridiinini ne wo mu duru a ɛso tew ka akyi yaw ho a.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Akyi yaw betumi anya yɛn da biara da asetra so nkɛntɛnso kɛse. Ɛnyɛ sɛ yɛrekɔ adwuma, yɛreyɛ ofie nnwuma, anaa yɛredi agumadi nko na ebetumi ayɛ yɛn yaw kɛse, na mmom bere a yɛte hɔ ara kwa nso. Titiriw bere a yɛwɔ ɛyaw a ɛkɔ so te sɛ eyi a ɛnbrɛ ase wɔ ayaresa a yɛyɛ no daa mu no, ebetumi ahaw yɛn kɛse na ɛtɔ mmere bi mpo a anidaso biara nni yɛn so.

Kae: Sɛ wo nso wowɔ ɛyaw a ɛyɛ hyew na ɛpiapia w’akyi mfinimfini a, ebetumi ayɛ Vertebrogenic Low Back Pain. Enti, nsuro anaasɛ ɛnhaw wo wɔ ho, nanso akyinnye biara nni ho sɛ wo ne oduruyɛfo nkasa na woahu nea wo sɛnkyerɛnne ahorow no yɛ ankasa ne ayaresa a eye sen biara. Sɛ wufi ase yɛ ayaresa a ɛfata ntɛm ara a, wubetumi ayi ɛyaw yi afi hɔ na w’ani agye w’adwuma no ho bio!

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