So woate nka pɛn sɛ wo ho yɛ wo yaw a efi wo kɔn so kosi wo mmati so na ɛkɔ wo nsa so? Ebia ɛyaw yi kɔ soro bere a woyɛ adwuma wɔ kɔmputa anim bere tenten, woda wɔ ɔkwan a ɛnteɛ so, anaa woma nneɛma a emu yɛ duru so no. Ɛwom sɛ nnipa pii susuw sɛ saa kɔn mu yaw yi yɛ ade a ɛfata de, nanso ɛtɔ mmere bi a ebetumi ayɛ ɔhaw bi a emu yɛ den ho sɛnkyerɛnne. Enti, sɛnea ɛbɛyɛ na woahu nea ɛde kɔn mu yaw a ɛte sɛɛ ba ankasa no, sɔhwɛ bi a ɛyɛ mmerɛw yiye nanso ɛho hia wɔ hɔ a oduruyɛfo betumi ayɛ. Ɛnnɛ yɛreka 'Spurling Test ' ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Spurling Sɔhwɛ no?
Spurling sɔhwɛ no yɛ nipadua mu nhwehwɛmu a wɔde nsa yɛ a wo duruyɛfo yɛ de hu nea ɛde wo kɔn mu yaw no ba. Ɛnyɛ mogya mu nhwehwɛmu anaa scan. Wɔde Roy Spurling, ntini mu oprehyɛn ho ɔbenfo a odii kan de sɔhwɛ no bae wɔ 1944 mu no din na ɛtoo no.
Ɛyɛ adwuma wɔ adwene a ɛyɛ mmerɛw yiye so. Fa no sɛ biribi nti ntini bi a efi wo kɔn mu akyi berɛmo no biako mu ba. Wɔ sɔhwɛ yi mu no, oduruyɛfo no bɔ mmɔden sɛ ɔbɛma wo kɔn ayɛ brɛoo yiye a wɔahyɛ so a ɛbɛbɔ saa ntini no, na wahwɛ sɛ ɛyaw a wotaa te nka no asan aba anaa . Ɔkwan foforo so no, eyi ne nea wɔreyɛ de akanyan yare no ho sɛnkyerɛnne ahorow. Sɛ ɛba saa a, oduruyɛfo no betumi anya baabi a ɔhaw no wɔ ho adwene pa.
Sɛ nhwehwɛmu no yɛ papa a, ɛkyerɛ dɛn?
Sɛ wɔyɛ sɔhwɛ no wie a, nea ebefi mu aba no betumi ayɛ ‘Positive’ anaa ‘Negative’.
Nea eye a efi mu ba kyerɛ sɛ sɛ oduruyɛfo no dan wo kɔn kɔ baabi pɔtee bi na ɔde nhyɛso brɛoo a, wote ɛyaw, wo ho yɛ wo yaw, anaa wo ho nyɛ wo dɛ te sɛ nea wote nka bere nyinaa wɔ wo nsa ho no.
Nea efi mu ba pa te sɛ eyi taa kyerɛ sɛ wɔremia ntini ntini bi a efi wo kɔn mu akyi berɛmo no biako mu ba no. Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi ‘Cervical Radiculopathy’ .
Nneɛma pii betumi ama ntini bi atumi ayɛ pintinn wɔ saa kwan yi so:
- Herniated Disk : Sɛ yɛbɛka no pɛpɛɛpɛ a, cushion (disk) bi a ɛte sɛ jelly a ɛda akyi berɛmo abien ntam no puepue na ɛmia ntini bi.
- Nnompe mu nsakrae: Nsakrae a ɛba akyi berɛmo mu (ntini mu yare) a ɛba bere a obi nyin no betumi ama nnompe foforo a enyin no ahyɛ ntini no so.
- Ntini a ɛho ahonhon anaasɛ ɛyɛ akuru:Ntini a ɛho ahonhon anaasɛ akuru a ɛba bere a akwanhyia bi asi akyi no betumi ama ntini no ayɛ den.
- Ntini a ɛyɛ den : Ntini nso betumi ayɛ pintinn esiane ntini a ɛyɛ den dodo wɔ kɔn no mu nti.
Sɛ oduruyɛfo no susuw w’ayaresa ho abakɔsɛm ne sɛnkyerɛnne afoforo ho a, obetumi de wo yare no ho asɛm pa aba awiei a nea eye afi Spurling Sɔhwɛ yi mu aba.
Ɔkwan bɛn so na oduruyɛfo no yɛ nhwehwɛmu yi?
Ebia nnipa binom suro kakra bere a wɔte sɔhwɛ yi ho asɛm no. Nanso wɔyɛ no ahwɛyiye kɛse na wɔhyɛ so. Sɛ wote ɛyaw biara a, wobegyae sɔhwɛ no ntɛm ara.
Anamɔn a ɛsɛ sɛ wotaa yɛ yi ni:
1. Anamɔn 1: Oduruyɛfo no bɛma woatra akongua so na bere a wo ti teɛ no, ɔde nhyɛso brɛoo ahyɛ wo ti atifi. Wɔfrɛ eyi sɛ Basic Compression Test . Sɛ woante ɛyaw anaa wo ho nyɛ wo dɛ biara wɔ saa bere yi mu a, wubetumi akɔ anammɔn a edi hɔ no so.
2. Anamɔn 2: Afei oduruyɛfo no bɛdan wo kɔn kakra akɔ ɔfã a ɛyaw no wɔ no . Sɛ nhwɛso no, sɛ ɛyaw no rekɔ wo nsa nifa so a, ɔbɛdan wo ti kakra akɔ nifa.
3. Anamɔn a Ɛto so Abiɛsa: Bere a wɔadan ti no wɔ saa tebea yi mu no, ɔsɔfo no san de nhyɛso brɛoo gu ti no atifi.
Sɛ wɔde saa nhyɛso yi di dwuma a, sɛ wote saa ɛyaw, akisikuru, anaa anyinam ahoɔden a wunim no nka bere nyinaa, kɔ wo mmati anaa wo nsa so a, sɔhwɛ no yɛ ‘ɛyɛ papa’. Sɛ wote saa ara pɛ a, oduruyɛfo no gyae nhwehwɛmu no. Sɛ wɔante ɛyaw biara a, nea efi mu ba no yɛ ‘asɛmmɔne’.
Nea ɛho hia paa: Ɛnsɛ sɛ wosɔ sɔhwɛ yi hwɛ wɔ fie da anaasɛ woma obi foforo yɛ ma wo. Ɛsɛ sɛ oduruyɛfo a ɔfata nkutoo na ɔyɛ eyi. Sɛ woyɛ no wɔ ɔkwan a ɛnteɛ so a, ebetumi asɛe wo kɔn.
Sɔhwɛ afoforo bɛn na wɔyɛ ka Spurling Sɔhwɛ no ho?
Spurling sɔhwɛ no yɛ sɔhwɛ pɔtee bi a wɔde hu ntini a ɛyɛ pintinn. Eyi kyerɛ sɛ sɛ ɛyɛ ‘adepa’ a, ɛda adi kɛse sɛ ntini bi a wɔabɔ no pintinn wɔ hɔ. Nanso, ɛnyɛ sɔhwɛ a ɛyɛ nkate kɛse. Wei kyerɛ sɛ esiane sɛ sɔhwɛ no yɛ ‘negative’ nti, wontumi nka no yiye 100% sɛ wunni ɔhaw biara. Ebetumi aba sɛ biribi foforo na ɛde ɛyaw no ba.
Enti, oduruyɛfo no betumi ayɛ nipadua mu nhwehwɛmu afoforo pii nso na ama wanya mfonini no nyinaa. Sɔhwɛ ahorow a ɛte saa foforo bi ni.
| Sɔhwɛ no din | Sɛnea wobɛyɛ no mmerɛw na woayɛ ‘adepa’. |
|---|---|
| Mmati a Wɔkyere (Ahotɔ) Nsɛnkyerɛnne | Wɔbɛka akyerɛ wo sɛ ma basa a ɛwɔ wo ti nkyɛn a ɛyɛ yaw no so. Sɛ wo yaw no so tew bere a woyɛ saa a, sɔhwɛ no yɛ ‘Positive’. |
| Kɔn mu Nneɛma a Ɛtwetwe Adwene Sɔhwɛ | Oduruyɛfo no bɛkura wo ti wɔ wo hwene ase ne wo ti akyi na watwe no brɛoo akɔ soro. Sɛ wo yaw no so tew wɔ saa bere yi mu a, nhwehwɛmu no yɛ ‘positive’. |
| L'hermitte Nsɛnkyerɛnne | Sɛ, sɛ wobɔ wo ti kɔ fam (kɔ wo moma so), wote anyinam ahoɔden nka wɔ w’akyi berɛmo anaa wo nsa ne wo nan ho a, sɔhwɛ no yɛ ‘Positive’. |
| Hoffman Nsɛnkyerɛnne no | Oduruyɛfo no ‘bɛbɔ’ wo mfinimfini nsateaa no nnadewa no brɛoo. Sɛ nsateaa a wɔde kyerɛ ade ne nsateaa kɛse no kotow ankasa a, sɔhwɛ no yɛ ‘ɛyɛ papa’. |
| Adson Sɔhwɛ no | Wɔbɛdan wo ti akɔ ɛyaw no nkyɛn, wɔama wo hwene so, na wɔaka akyerɛ wo sɛ home denneennen. Saa bere yi de, oduruyɛfo no bɛhwɛ sɛnea wo koma bɔ fi wo nsateaa so. Sɛ pulse no gyae a, sɔhwɛ no yɛ ‘Positive’. |
Sɛ wo duruyɛfo no bɛboaboa nsɛm a efi nhwehwɛmu ahorow yi mu ano na ɔde wo akɔyɛ nhwehwɛmu foforo te sɛ MRI scan, sɛ ɛho hia a, obehu ayaresa a ɛfata wo sen biara.
Nkrasɛm a Wɔde Kɔ Fie
- Spurling sɔhwɛ no yɛ nipadua mu nhwehwɛmu a ɛnyɛ den a oduruyɛfo yɛ de hwɛ sɛ ntini mu nhyɛso a ɛde ɛyaw a efi kɔn mu kɔ abasa no mu reba anaa.
- Nhwehwɛmu a ‘ɛyɛ papa’ kyerɛ sɛ adanse a emu yɛ den wɔ hɔ a ɛkyerɛ sɛ ntini bi a ɛwɔ wo kɔn mu no ayɛ den.
- Saa sɔhwɛ yi yɛ nea wɔde hu yare no fã biako pɛ. Wo duruyɛfo besusuw nea ebefi mu aba yi ho aka wo yare no ho sɛnkyerɛnne, aduruyɛ ho abakɔsɛm, ne nhwehwɛmu afoforo ho.
- Mmɔ mmɔden sɛ wobɛyɛ sɔhwɛ yi wɔ fie esiane biribiara nti. Ɛsɛ sɛ oduruyɛfo a ɔfata nkutoo na ɔyɛ.
- Sɛ worehu ɛyaw, wo ho ayɛ wo den, anaasɛ wo kɔn, wo mmati, anaa wo nsa mu yɛ wo yaw a, mmu w’ani ngu so na akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu ne ayaresa a ɛfata.
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