Yu kin gɛt bak ɛn nɛk pen bak ɔltɛm? I kin bi bikɔs ɔf Degenerative Disk Disease!

Sɔntɛnde yu kin gɛt bak pen, yu nɛk kin stif, ɔ yu kin gɛt pen we yu shot dɔŋ yu an? I tan lɛk se dis pen kin wɔs we yu sidɔm, es wet, ɔ grap na bed na mɔnin? Bɔrku pipul nɔr kin pe atɛnshɔn to dɛn sik ya. Bɔt dis kin bi bikɔs ɔf di chenj dɛn we kin apin na wi spayna we wi de ol. Tide, wi go tɔk bɔt wan kɔndishɔn we dɛn kɔl `Degenerative Disk Disease`. Pan ɔl we di nem tan lɛk sik, i nɔ rili bi sik, bɔt na nem we dɛn kin gi to di we aw di disk dɛn na wi spayna kin pwɛl as tɛm de go.

Wetin na Dijeneretiv Disk Disease?

Fɔ tɔk am simpul wan, dis na di we aw di disk dɛn we de bitwin di vɛrbra dɛn na wi spayna de west ɛn te. Tink bɔt wi spayna lɛk wan bɔnch smɔl smɔl bon (vɛrbra) dɛn we dɛn dɔn stak pan dɛnsɛf. Insay bitwin dɛn bon dɛn ya, lɛk tin dɛn we de absɔb na motoka, kusɛn dɛn de. Na dɛn tin ya wi kin kɔl spɛshal disk dɛn . Dɛn tan lɛk rɔba, dɛn at smɔl, bɔt dɛn gɛt sɔntin we tan lɛk jeli insay.

Dɛn disk dɛn ya kin ɛp wi spayna fɔ bɛn, twist, ɛn es di wet dɛn izi wan. Dɛn kin tek bak di shɔk ɛn vaybreshɔn we kin kam na wi spayna we wi de rɔn ɛn jomp, ɛn dis kin protɛkt wi bren frɔm damej.

Ɔlman in disk kin west as dɛn de ol. Dis na tin we rili nɔmal. I jɔs tan lɛk se wi skin de rɔtin ɛn wi ia de tɔn grey. bכt sכmtεm, biכs fכ dis wear, dεn vεrbra dεm de bigin fכ rכb pan dεn wan dεm. Na da tɛm de di pen kin bigin fɔ kam.

Dis wan tɛm we dɛn kin pe kin mek ɔda prɔblɛm dɛn:

• Adult scoliosis : Na wan sayd we di spayna de kɔba.
• Disk we gɛt hεnia : Sɔm pipul dɛn kin kɔl dis disk we gɛt hεnia, bulge, ɔ disk we brok.
• di spεnal stenosis : na di spεnal kanal we de sכmtεm sכmtεm, we na di say we di spεnal kכd de pas.
• Spondylolisthesis : Wan vεrbra de slip oba כda wan.

Us pat pan di spayna kin afɛkt mɔ pan dis sik?

di spεnal stεnosis kin afekt wi lכw bכk (lכmba spayna) εn nεk (sεvikal spayna) mεntal wan .

1. Lumbar Dijeneretiv Disk Disizin

na di bכtכm pat pan wi spayna, insay wetin wi kכl di lכmba rijyכn, fayv big vεrbra dεm de. Dɔktɔ dɛn kin kɔl dɛn L1 to L5. Bitwin ɛni wan pan dɛn vεrbra dεm ya, wan disk de. כl di tεm (bכt 90%) dis disk hεnia de apin na di lכw pat pan di spayna. Tink bɔt pɔsin we de es wet ɔltɛm, ɔ pɔsin we de sidɔm na di sem pozishɔn fɔ lɔng tɛm. Dɛn kin gɛt pen na dis eria.

2. Sεvikal Dijεnεraytiv Disk Disiz

dis kin apin biכs fכ di ligament dεm bitwin di sεvin vεrbra dεm na wi nεk (sεvikal spayna). dis ligament de εp wit כl dεn muvmεnt dεm ya we wi de tכn wi nεk כp εn dכn, we wi de luk frכm sayd to sayd. We di ligamɛnt dɛn na dis eria dɔn pwɛl, we wi tɔn wi nɛk, we wi luk ɔp, wi kin fil shap pen . Sɔntɛnde dis pen kin ivin go dɔŋ wi an.

3. Mɔltilɛvɛl Dijeneretiv Disk Sik

dis min se di spayna nכto jכs wan ples, bכt difrεn vεrbra dεm, כ difrεn lεvεl dεm , de afekt. fכ egzampl, di hεnia disk kin de na di lכw bכdi εn di nεk.

Aw dis sik kin kɔmɔn?

Infakt, klos to ɔlman kin bigin fɔ gɛt sɔm kayn bak pen afta dɛn dɔn ol 40. Bɔt nɔto ɔlman kin gɛt sɔm sayn dɛn, dat na pen. Na lɛk 5% pan di big pipul dɛn kin gɛt bak pen bikɔs ɔf dis.

Wetin na di sayn dɛm fɔ di vεrbral kɔmpreshɔn fraktrɔs?

Di sayn dɛm wae kin kam pan pɔrsin na yu nɛk pen ɛn bak pen. Yu kin gɛt pen lɛk dis:

• Na pen we kin kam ɛn go, nɔto ɔl wan tɛm. I kin las fɔ sɔm wiks ɔ ivin sɔm mɔnt.
• Pen we de stat na di lכw bכk εn travul dכn di bכtכk.
• Di pen kin bɔku we yu sidɔm, bɛn bifo, ɔ es ebi ebi tin.

Aw dis pen kin fil?

Dis pen kin bi:

• I kin apin na di nɛk ɔ di ɔda pat na di bɔdi.
• Yu kin fil am smɔl, smɔl, ɔ bad bad wan .
• I kin fil shap, chuk, ɔ kɔnstrikt .
• I kin apia, nɔ de igen fɔ sɔm tɛm, dɔn i kin apia bak.
• Di pen kin bɔku afta sɔm tin dɛn we yu dɔn du, lɛk fɔ bɛn fɔ go bifo, fɔ twis, ɔ fɔ es ebi ebi tin.
• Di pen kin go ɔp smɔl smɔl as tɛm de go.

Wetin na di tin dɛm we kin mek di vεrbral kɔmpreshɔn fraktrɔs?

As wi bin dɔn tɔk bifo tɛm, dis kayn swɛlin na tin we kin apin we pɔsin ol. Dis sik kin afɛkt bɔrku pipul dɛm, mɔr lɛk afta dɛn dɔn ol 40. Bɔt nɔto ɔlman kin gɛt dis pen.

Yu kin gɛt pen fɔ dɛn rizin ya:

1. Dray aut: di sכft tisu we de insay wi vεrbra na wata mכst. As wi de ol, dis wata we de insay de go dɔŋ bay insɛf. Di disk dɛn kin tan lɛk tin ɛn dɛn nɔ kin ebul fɔ tek shɔk dɛn. Tink bɔt wetin kin apin we spɔnj dray. Na so i bi.

2. Tia ɔ krak na di ligament: Smɔl aksidɛnt, fɔdɔm, ɛn we yu nɔ es am di rayt we, kin mek smɔl smɔl kray ɔ krak na dɛn ligamɛnt ya. Bɔku tɛm, dɛn krak krak ya kin de nia di nerv dɛn. Ivin if dis na smɔl kray wata, i kin mek yu gɛt inflamɛns wit di nɛf dɛn we de rawnd am.I kin mek pɔsin fil pen. Sɔntɛnde, if di ɔda wɔl na di disk brok, di insay pat kin kɔmɔt na do. Na dat wi de kɔl `Herniated disc`. Dis kin prɛs bak pan wan nerv we de nia yu.

Wetin na de risk factor wae kin mek dis sik?

Dis sik kin bɔrku pan pipul dɛm wae dɔn pas 40. Bɔt sɔm ɔda tin dɛm kin mek pɔrsin gɛt dis sik:

• Aksidɛnt: Tin dɛn lɛk fɔdɔm.
• Fɔ fat: I kin mek yu bɔdi wet mɔ ɛn mɔ.
• Jɛnda: Uman dɛn kin gɛt di sik mɔ.
• Fɔ smok.
• Fɔ wok na wok we nɔ izi fɔ dɛn bɔdi: Fɔ di wan dɛn we kin es ebi ebi tin dɛn ɛn du wok we kin mek dɛn bak strɛs.

Risk de fɔ gɛt ɔda mɛdikal kɔndishɔn bikɔs ɔf spɛshal stenɔsis?

Yɛs, di disk dɛn we dɔn pwɛl kin mek yu gɛt ɔda prɔblɛm dɛn na yu spayna mɔ. Sɔm pan di tin dɛn we kin apin to pɔsin na:

• Ɔstiɔ-arayt sik
• Skɔliosis we de mek pɔsin gɛt sik
• Stɛnɔsis we de na di spaynal
• Spɔndilɔlistɛsis
• Pen we pɔsin kin gɛt we i kɔmprɛs di nerv rut (Radiculopathy) .
• Spondylolysis ( we de brok wan pat pan di vεrbra ) .

Aw dɔktɔ dɛn kin no bɔt dis sik?

Fɔ no dis sik, yu dɔktɔ go aks yu fɔs bɔt di sayn dɛm we yu gɛt. Dɛn kin aks kwɛstyɔn dɛn lɛk:

• Ustɛm di pen bigin?
• Usay yu de fil di pen?
• Us kayn tin yu kin fil pen pas ɔl fɔ du?
• Us kayn tin dɛn kin mek pɔsin nɔ fil pen?
• Yu tink se aksidɛnt, lɛk we pɔsin fɔdɔm, bifo di pen bigin?
• Ɛni ɔda sayn de, lɛk wae pɔrsin nɔr de fil fayn ɔr nɔr kin no natin?
• Aw fa yu go ebul fɔ waka?

Dɔn, di dɔktɔ go chɛk yu. I kin ɔda bak fɔ mek dɛn du imej tɛst lɛk ɛkstrem rayt, CT skan, ɔ MRI skan . Dɛn tɛst ya kin gi di dɔktɔ gud aidia bɔt aw yu jɔyn dɛn de ɛn aw dɛn de.

Yu kin si dɛn tin ya we yu de chɛk yu bɔdi:

• Nεv fכnshכn: dεn de yuz sכm hama (rεflεks hama) fכ tap di kכn. If di rεspכns nכ de, di nerv kin pinch כ damej.
• Di pen lɛvɛl: Dɛn go tɔch ɛn pres sɔm say dɛn na yu bak ɛn nɛk fɔ si aw yu de fil pen.
• Strɔng: I de chɛk fɔ si if di mɔsul dɛn wik ɔ if i dɔn atrofi. Dis kin bi sayn bak fɔ se di nerv dɛn dɔn pwɛl ɔr dɛn dɔn pwɛl.

Wetin na di stej dεm we di spεnal fכs de fכm?

Dɔktɔ dɛn kin tɔk bɔt 4 men tin dɛn we dɛn kin du fɔ no bɔt dis sik:

1. Disfunkshɔn: .Yu vεrbra dεm de bigin fכ west. Yu kin de gɛt sɔm kayn sik wae nɔr bɔrku.

2. Dehydration: Di joyn dεm bigin fכ dray, dεn de lכs dεn ayt εn fleksibiliti. di pen na di nεk εn bak kin bכku pan dis stej.

3. Stabilizεshכn: insay dis stej, di spayna de tray fכ stebul insεf. dis kin mek yu gεt kכndyushכn lεk spεnal stεnosis (narכw di spεnal kanal) εn siriכs pen.

4. Kכlaps: di vεrbra dεm na di spayna de kכmprεs bכku bכku wan, εn di bon dεm (vεrbra) dεm na di spayna de bigin fכ rכb pan dεn wan dεm. di vεrbra dεm we dεn dכn pwεl de kכmprεs di nεv dεm, we de mek yu fil bad bad wan.

Aw dɛn kin trit dis?

Bɔku tɛm, dɔktɔ dɛn go tɛl yu fɔs fɔ tek tritmɛnt we nɔ de ambɔg yu . Yu tritmɛnt kin inklud:

• Fizik tɛrapi: Fɔ du ɛksɛsayz fɔ mek yu strɔng ɛn strɛch ɔnda di gayd we pɔsin we tren fɔ mɛn yu bɔdi de gayd. Dis kin ɛp fɔ mek di mɔsul dɛn we de rawnd di spayna strɔng ɛn fɔ mek di pen nɔ bɔku.
• Mεdikeshכn dεm: Tin dεm lεk pen εn anti-inflammatory drugs (NSAID), asetaminofen, nyuromodulεshכn mεdikeshכn, כ stεroyd.
• Stɛroyd injɛkshɔn: Injekt mɛrɛsin na yu spaynal kɔd, nerv, ɔ joyn fɔ ridyus inflamɛns ɛn pen.
• Radiofrequency neurotomy: na we dεn de yuz ilektrikal wev fכ bכn di sεns nεv dεm we de kכri pen, we de stכp di pen signal fכ rich di bren.

Fɔ kia fɔ yusɛf na os

Sɔm pipul kin gɛt fridɔm frɔm pen wit mɛrɛsin na os. Pan ɔl we dɛn tin ya kin ɛp fɔ pul pen fɔ shɔt tɛm, dɛn nɔto sɔlv fɔ lɔng tɛm fɔ pipul dɛm wae gɛt siriɔs pen. Yu kin tray dɛn tin ya:

• Fɔ du bɔdi wok: Ɛksesaiz we nɔ gɛt bɛtɛ impak lɛk fɔ waka ɛn swim kin mek di bak mɔsul dɛn strɔng ɛn i kin mek yu nɔ fil pen.
• Ɔt ɛn kol tritmɛnt: If yu chenj di ays pak ɛn ɔt pad fɔ 10-15 minit 4 tɛm insay di de, dat kin ɛp fɔ ridyus di swɛlin ɛn pen.
• Stretching: If yu du ɛksesaiz fɔ strɛch saful saful lɛk yoga ɔl di de, dat kin mek yu tinap fayn ɛn i kin mek yu nɔ strɛs.
• Trakshɔn: Sɔntɛnde, trakshɔn kin ɛp fɔ ridyus di sayn dɛm ɛn fɔ mek yu nɔ gɛt tɛnsiɔn. Bɔt, na ɔnda dɔktɔ advays nɔmɔ fɔ du dis.

Ɔpreshɔn fɔ mek di vɛrbra dɛn fayn

Bɔrku pipul nɔr nid ɔpreshɔn fɔ dis sik. Bɔt if yu dɔn tray bɔku tritmɛnt dɛn we nɔto ɔpreshɔn ɛn kɔntinyu fɔ gɛt pen ɛn/ɔ wik, ɔpreshɔn kin bi fayn tin fɔ du.

Yu dɔktɔ kin du wan pan dɛn kayn ɔpreshɔn ya we dɛn kin du fɔ mek yu nɔ gɛt bɔku prɔblɛm wit yu spaynal:

• `Diskectomy`: fכ pul pat pan wan vεrbra fכ rilivu di nεv kכmpreshכn.
• Foraminotomy: fכ pul di tisu εn bon fכ mek di ol we di nεv rכt dεm de kכmכt tru big.
• Laminectomy: Dɛn kin pul wan smɔl pat pan di bon we dɛn kɔl di lamina fɔ wan vεrbra na di lכw bכk.
• Osteophyte removal: Rimov di bon spur dεm (osteophytes ).
• di spεnal fכs: na di fכs fכ tu כ mכr vεrbra dεm fכ mek di spayna stebul.

Aw wi go mek dis tin nɔ wɔs?

Yu kin mek dis spεnal dεjεnεshכn nכ de כ slo dכn bay we yu mek sכm chenj dεm na yu layf. Sɔm pan dɛn tin ya na:

• Fɔ mek yu gɛt wɛlbɔdi wet fɔ yu.
• Nɔ smok ɔ lɛf fɔ smok. Smok kin rili bad fɔ dis sik.
• Ɛnjɔy fɔ ɛksesaiz ɔltɛm fɔ mek yu gɛt mɔ trɛnk ɛn fɔ mek yu ebul fɔ chenj di we aw yu de du tin.

Yu tink se yu go ebul fɔ wɛl ful wan bay we yu pe fɔ spɛshal tap?

Bɔrku pipul dɛm wae gɛt ɔpreshɔn fɔ dis sik kin gɛt pwɛl hat fɔ lɔng tɛm . Bɔt yu fɔ kɔntinyu fɔ ɛksesaiz ɛn du ɛksɛsayz fɔ strɛch fɔ mek yu bak strɔng ɛn gɛt wɛlbɔdi ivin afta dɛn dɔn du di ɔpreshɔn.

Bɔrku pipul dɛn kin manej dɛn pen fɔ lɔng tɛm wit tritmɛnt wae nɔr de ɔspitul, na dɛn os. If yu gɛt smɔl to smɔl bak pen, yu kin nid fɔ kɔntinyu fɔ gɛt tritmɛnt fɔ mek yu nɔ ebul fɔ kɔntrol am.

Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn ɛksesaiz ɔltɛm.

If a gɛt spɛshal stenɔsis, wetin a fɔ avɔyd?

If yu gɛt dis sik, i go fayn fɔ mek yu avɔyd dɛn tin ya:

• Smok: Smok kin mek yu fil pen mɔ ɛn mɔ ɛn i kin mek yu tritmɛnt nɔ go wok fayn.
• We yu de es yu wet: We yu es yu wet, mɔ we yu de es am bɔku tɛm, dat kin mek yu bak mɔsul dɛn strɛs.
• Fɔ drink rɔm: If yu drink bɔku rɔm, dat kin mek yu gɛt bak pen.
• Sidɔm fɔ lɔng tɛm: If yu sidɔm fɔ lɔng tɛm, ilɛksɛf na sofa ɔ bifo tebul, dat kin mek yu bak pen mɔ ɛn mɔ. So, i impɔtant fɔ grap ɛn waka rawnd ɔltɛm.
• Di fyzikal aktiviti we gɛt ay impak:Spɔt ɛn ɛksesaiz dɛn we gɛt ay impak lɛk fɔ jomp ɛn sprint kin at fɔ yu bak. Bifo dat, tray fɔ du ɛksɛsayz dɛn we nɔ go ambɔg yu lɛk fɔ waka ɛn fɔ swim.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin kin bi di men rizin we mek mi sɛvikal vɛrbra dɛn west?
• Aw wi go slo di rit we dis tin de wɔs?
• Wetin na di bɛst tritmɛnt dɛn we nɔto ɔpreshɔn fɔ mek a nɔ fil pen?
• Wetin kin apin if dɛn nɔ du mi ɔpreshɔn?
• Aw fɔ mek di pen nɔ kam bak afta dɛn dɔn du di ɔpreshɔn?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Dijeneretiv Disk Disease (DDD) na di dεjεnεrayshכn fכ di disk dεm na wi spayna. Bɔt i sɔri fɔ no se dis na tin we pɔsin kin du we i ol. As dɛn disk ya de west, i kin mek bak pen ɛn stif. Sɔm pipul kin ridyus dɛn pen wit mɛrɛsin na os, lɛk ɔt ɛn kol tritmɛnt. If di pen bad bad wan, i kin ɛp fɔ gi yu spɛshal injɛkshɔn ɔ ɔpreshɔn.

If yu gɛt bak ɔ nɛk pen, i impɔtant fɔ go to dɔktɔ ɛn nɔ fɔ pe atɛnshɔn to am. Wan spɛshal dɔktɔ we de mɛn yu spayna kin ɛp yu fɔ no di bɛst tritmɛnt fɔ yu. Mɛmba se, di kwik we dɛn no se yu gɛt di sik, na di mɔ yu go gɛt di chans fɔ gɛt tritmɛnt!

` Bak Pen, Nεk Pen, Sεvikal Spondylosis, Dijeneretiv Disk Disk, Spin, Nεv Pen, Fizik Tεrapi