Bɔku tɛm yu kin gɛt bak pen? Yu tink se i kin at we yu tinap ɔ waka fɔ lɔng tɛm? Sɔntɛnde, yu kin fil lɛk se di pen de go dɔŋ yu leg? Bɔrku rizin de fɔ dis, bɔt sɔm rizin de biɛn am wae yu nɔr de tink bɔt. Na we wan pan di bon dεm na yu bak, we na vεrbra, dכn slip כ slip sכmtεm frכm usay i fכ de. Insay mɛrɛsin, wi kin kɔl dis sik Spondylolisthesis . Pan ɔl we di nem kin tan lɛk se i strenj smɔl, dis na impɔtant tɔpik we wi nid fɔ tɔk bɔt ɛn ɔndastand.
Fɔ tɔk am simpul wan, wetin na Spondylolisthesis?
Tink bɔt yu spayna lɛk wan row we gɛt brik dɛn we dɛn put wan pan di ɔda wan. Dɛn kɔl ɛni wan pan dɛn brik dɛn ya wan vayb . na lεk 33 pan dεn vεrbra dεm ya de na wi spayna. Pan ɔl we dɛn gɛt kɔnekshɔn to dɛnsɛf, dɛn kin muf smɔl we wi de waka, bɛn, ɛn muv wi bɔdi.
naw, insay di kes fכ spondylolisthesis, wan pan di brik dεm na dis rכw, dat na wan vεrbra, de slip sכmtεm pas aw i fכ bi, we de put prεshכn pan di vεrbra dεn we de dכn am. I tan lɛk wan brik we de insay wan row we gɛt brik we de stik smɔl. We i slip lɛk dis, di nɛf dɛn we de rawnd am kin kɔmprɛs. Na da tɛm de simptom lɛk bak pen ɛn pen we de go dɔŋ di leg dɛn kin apia.
Pan ɔl we dis sik kin apin ɛnisay na di spayna, dɛn kin si am mɔ na di ɔda pat na wi spayna, dat na di lכmbal spayna . sכmtεm i kin apin bak na di nεk (sεvikal spayna) εn כp pat pan di spayna (tכraks spayna).
Vɛrbra we slip kin mek yu fred, bɔt i nɔ min se yu ɔl spayna nɔ de alaynɛd. Dis na wan sik wae dɛn kin trit ɛn kɔntrol bɔrku tɛm.
Wetin na di men kayn Spondylolisthesis?
Spondylolisthesis kin sheb to difrεn men tכp dεm dipכnt pan aw i de apin. Lɛ wi tek wan luk pan wetin dɛn bi.
| Tayp fɔ di spondylolisthesis | Simpul ɛksplen |
|---|---|
| Dijeneretiv Spondylolisthesis (tayp we gɛt fɔ du wit di ej) . | Dis na di kayn we we pipul dɛn kin gɛt mɔ. As wi de ol, di disk dεm we lεk kushכn bitwin wi vεrbra dεm de west. as dεn disk dεm ya de tכn, di spεs bitwin di vεrbra dεm de go כp, we de mek i izi fכ wan slip. |
| Spondylolisthesis we dɛn bɔn wit (as wan prɔblɛm we dɛn bɔn wit) . | dis kin apin we di pikin in spayna nכ de fכm fayn we i de divεlכp insay di bεlε. dis kin mek di vεrbra dεm nכ de alaynd sכmtεm frכm di bays. Di sayn dɛm kin apun na yu layf kwik kwik wan, ɔr kin apia bɔrku leta na yu layf. |
| Isthmic Spondylolisthesis (bikɔs ɔf wan bon we brok) . | dis kכndyushכn kin apin we wan sכm pat pan di bon we dεn kכl di pars interarticularis we de kכnεkt tu vεrbra dεm, brok. dis brek de mek di vεrbral nכ de lכs in stεbiliti εn slip. Dis sik kin kɔmɔn pan atlet dɛn. |
| Traumatik Spɔndylolistɛsis (bikɔs ɔf aksidɛnt) . | wan vεrbra kin kכmכt biכs fכ fכs pasmak we dεn put pan di spayna, lεk aksidεnt כ fכl. |
| Pathological Spondylolisthesis (bikɔs ɔf ɔda sik) . | Dis sik kin kam bak bikɔs ɔf tin dɛn we kin mek di bon dɛn wik, lɛk ɔstioporosis, ɔ wan tumbu we kin mek na di bon dɛn. |
| Spondylolisthesis afta dɛn dɔn ɔpreshɔn (afta dɛn du ɔpreshɔn) . | Dis na tin we nɔ kin apin so ɔltɛm ɛn i kin apin bak as sayd ɛfɛkt we dɛn du ɔpreshɔn pan bak. |
Aw yu go no if yu gɛt dis sik? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
E kin amazing aw sɔm pipul kin gɛt spondylolisthesis bɔt nɔr kin gɛt ɛni symptom.Wan. If di amount of spinal disc herniation na rili smɔl (lɔ-grɛd), i nɔ kin mek bɔku prɛshɔn pan di nerv dɛm, so yu nɔ kin fil ɛni pen.
Bɔt if di sayn dɛn kin apin, dɛn kin tan lɛk dis:
- Lɔwa bak pen: Dis na di men ɛn kɔmɔn sayn.
- Sciatica: Dis na filin wae de fil pen, swɛt, ɔr bɔn wae de rayt dɔŋ di leg. i de kכz fכ wan slip vεrbra we de prεs pan di sciatic nerve.
- Bak stiffness: Yu kin fil stiff na yu bak we yu wek na mɔnin ɔ afta yu sidɔm fɔ sɔm tɛm.
- I nɔ kin izi fɔ waka ɔ tinap: I kin tan lɛk se i kin fil pen we yu tinap ɔ waka fɔ pas sɔm minit.
- Yu kin swɛla, yu kin wik, ɔ yu kin fil lɛk se yu de swɛt na yu fut .
di say we di pen de kin difrεn dipכnt pan di say we di vεrbra we dεn slip de. Sɔntɛnde, di pen kin go na di bɔdi ɔ di shɔl.
Wetin mek di vεrbra dεm de slip lεk dis? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Lɛ wi tek wan luk pan di tin dɛm we kin mek pɔsin slip ɛn udat de pan denja fɔ am pas ɔl.
Men rizin dɛn:
- di ol we yu de ol: Di men tin we kin mek yu de ol na di we aw di disk dεm na di spayna de west εn te we yu de ol.
- Sɔm pipul dɛn kin bɔn wit tin we dɛn kɔl tint vertebrae: Dis kin mek dɛn frayd.
- Spɔt injuri: Dis risk kin bɔku mɔ fɔ di wan dɛn we de ple spɔt we de put bɔku prɛshɔn ɔ strɛs pan di bak (e.g. jimnastik, wetliftin, fast bɔl na kriket).
- di growth spurts in pikin dεm: dεn kכndyushכn ya kin apin bikoz fכ di bon dεm we de gro kwik kwik wan insay di tεm we pikin dεm εn yכng big pipul dεm de gεt ayt wan wan.
- Aksidɛnt: Bak injury we kin kam bikɔs ɔf tin dɛn lɛk fɔdɔm ɛn motoka aksidɛnt.
Udat dɛn de pan big risk?
- Fɔ pipul dɛm wae dɔn pas 50 ia (especially di degenerative type).
- Fɔ uman dɛn.
- Fɔ atlet dɛn (espɛshali di wan dɛn we de ple spɔt we gɛt fɔ du wit fɔ bɛn dɛn bak ɔltɛm ɛn jomp).
- Fɔ di wan dɛn we gɛt famili histri bɔt dis sik ɔ sik dɛn we gɛt fɔ du wit bon.
Aw fɔ no kɔrɛkt wan bɔt dis tin we de apin?
If yu gɛt dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ . Di dɔktɔ go aks yu kwɛstyɔn dɛn ɛn chɛk yu bak.
Yu fɔ tɛl yu dɔktɔ bɔt ustɛm di pen bigin, us kayn tin yu kin du we kin mek di pen wɔs, ɛn if yu bin gɛt ɛni aksidɛnt bifo dɛn sayn ya kam.
Afta dat, di dɔktɔ go tɛl yu fɔ du bɔku tɛst fɔ no if yu gɛt di sik:
- Bak X-ray: Dis kin ɛp fɔ no if wan vayb dɔn slip ɛn aw i de slip.
- CT skan (Kɔmpyuta Tomografi skan) tɛst:Dis kin mek yu si klia wan aw di bon dɛn tan.
- MRI (Magnetic Resonance Imaging) scan: dis kin bεst fכ chεk fכ di disk dεm εn nεv dεm bitwin di vεrbra dεm we dεn dכn pwεl.
Digri fɔ di spaynal stenɔsis (Grɛd) .
Afta di ɛkstrem rayt, di dɔktɔ go klas yu vɛrbra dɛn to wan gred bay aw dɛn slow.
- Lɔw-grɛd (Grɛd I ɛn Gret II): Dis min se smɔl smɔl slip de. Bɔku pipul dɛn gɛt dis lɛvul. Bɔku tɛm, dis nɔ kin nid fɔ du ɔpreshɔn.
- Ay-grɛd (Grɛd III ɛn Gret IV): Dis min se bɔku bɔku slip de. Insay dɛn kayn tin ya, i kin nid fɔ du ɔpreshɔn, mɔ if di pen rili bad.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔrku pipul dɛm wae gɛt spondylolisthesis kin ebul fɔ manej dɛn sik fayn fayn wan wit tritmɛnt wae nɔr de du ɔpreshɔn.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Rɛst | If yu de fa frɔm spɔt ɛn yu fɔ du bɔku bɔku tin dɛn we de mek yu gɛt prɛshɔn na yu bak fɔ sɔm tɛm, dat go mek yu nɔ gɛt bɔku prɛshɔn na yu spayna. |
| Di tin dɛn we dɛn kin yuz fɔ mɛn pen (Mɛdikeshɔn dɛn) . | Yu kin tek NSAID (e.g., Ibuprofen, Diclofenac) ɔ Paracetamol as yu dɔktɔ tɛl yu fɔ ridyus di pen ɛn swel. Nɔ ɛva tek mɛrɛsin fɔ mek yu fil pen if yu nɔ go to dɔktɔ. |
| Kɔtikosterɔyd dɛn | Dis na pawaful mɛrɛsin dɛn we de mek pɔsin nɔ gɛt inflammatory. Dɛn kin gi dɛn as pils ɔ as kɔtizɔn shot we dɛn kin gi dairekt to di say we di pen de. |
| Fizik tɛrapi | Dis na tritmɛnt we rili impɔtant. Wan dɔktɔ we de mɛn yu bɔdi go tich yu ɛksɛsayz fɔ mek di mɔsul dɛn we de rawnd yu bak ɛn yu bɛlɛ (kɔr mɔsul dɛn) strɔng. We dɛn mɔsul dɛn ya strɔng, di prɛshɔn we de na yu spayna nɔ go bɔku, ɛn yu kin muv izi wan we yu nɔ go gɛt pen. |
| We yu wɛr bak bres | If yu gɛt brayt brayt brayt brayt brayt brayt wan, yu dɔktɔ kin se yu fɔ wɛr bres lɛk dis fɔ mek yu spayna nɔ chenj. |
Ustɛm i nid fɔ du ɔpreshɔn?
Nɔto ɔlman we gɛt spondylolisthesis nid fɔ gɛt ɔpreshɔn. Ɛspɛshali if na lɔw-grɛd kɔndishɔn, ɛn di sayn dɛm nɔr bad, yu kin ebul fɔ liv yu nɔr gɛt ɔpreshɔn.
Bɔt pan dɛn kayn tin ya, yu dɔktɔ kin tɛl yu fɔ tink bɔt fɔ du ɔpreshɔn:
- If yu gɛt ay-grɛd spondylolisthesis.
- If de pen so bad dat yu nɔr kin ebul fɔ tinap ɔr waka.
- If di sayn dɛm nɔr de bɛtɛ pan ɔl we dɛn de trit ɔda tritmɛnt (nɔto ɔspitul).
Bɔku tɛm, ɔpreshɔn kin gɛt wan tin we dɛn kɔl spinal fusion . dis involv fכ fכs di vεrbra we dεn slip εn di vεrbra dεm we de dכn am tכgeda fכ mek wan bon. Dis kin mek di eria gɛt mɔ trɛnk ɛn stebul. Yu kin nid bak fɔ mek dɛn du ɔpreshɔn we dɛn kɔl spinal decompression fɔ mek yu nɔ gɛt prɛshɔn pan di nerv dɛn.
Wetin yu nid fɔ no we yu de liv wit dis sik?
Wae dɛn dɔn no se yu gɛt spondylolisthesis, yu sik fɔ bɛtɛ insay sɔm wik ɔr mɔnt wit tritmɛnt lɛk fɔ rɛst, fɔ tek mɛrɛsin, ɛn fɔ trit yu bɔdi. Bɔt mɛmba se dɛn tritmɛnt ya na fɔ ridyus pen ɛn ɛp yu fɔ wok nɔmal wan, nɔto fɔ put di vatebra we dɔn slip bak na in ples. Na ɔpreshɔn nɔmɔ go ebul fɔ put di vɛrbra we dɔn slip bak na in ples.
If yu na atlet, yu go nid fɔ blo smɔl frɔm spɔt te yu ebul fɔ muv sef wan we yu nɔ go fil pen. Mek shɔ se yu tɔk to yu dɔktɔ bifo yu bigin fɔ ple bak.
Di tin we impɔtant pas ɔl na fɔ avɔyd fɔ du tin dɛn we de put bɔku prɛshɔn pan yu bak ɛn bɛn yu spayna tumɔs. Yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi go ɛksplen to yu wetin fayn fɔ yu ɛn wetin nɔ fayn fɔ yu.
Ustɛm yu want fɔ go to di dɔktɔ?
If yu gɛt bak pen we kin te fɔ pas sɔm dez, ɔr kin tranga fɔ ambɔg yu ɛvride, go to dɔktɔ kwik kwik wan. Di kwik we dɛn no di sik, na di mɔ i izi fɔ trit ɛn mɛn am.
Ustɛm fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU):
- If yu dɔn gɛt aksidɛnt , lɛk we yu fɔdɔm ɔ we yu gɛt motoka aksidɛnt.
- If yu nɔ fil fayn na yu leg ɔ i nɔ izi fɔ yu fɔ kɔntrol yu urine ɔ yu stɔl , go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dɛn tin ya na rili siriɔs imejensi.
Mɛsej we dɛn kin kɛr go na os
- Spondylolisthesis na we wan vεrbra (bon) na di spayna slip kכmכt na in ples. Dis kin bi wan big tin we kin mek yu gɛt bak pen ɛn pen we de rayt dɔŋ di leg dɛn (sciatica).
- We pɔsin de ol, i kin wund we i de ple spɔt, ɛn sɔm tin dɛn we pɔsin kin gɛt we i bɔn kin mek dis apin.
- Nɔto ɔlman wae gɛt dis sik go gɛt dis sik, ɛn nɔr to ɔlman go nid fɔ gɛt ɔpreshɔn.
- Bɔrku pipul kin kɔntrol de sik wit simpul tritmɛnt lɛk fɔ rɛst, fɔ mɛn pen, ɛn fɔ trit yu bɔdi.
- If yu kip yu bak ɛn yu bɛlɛ mɔsul dɛn strɔng ɛn kɔntinyu fɔ liv fayn layf, dat kin ɛp fɔ mek yu nɔ gɛt dis sik ɛn kɔntrol am.
- If yu bak pen de fɔ pas sɔm dez, nɔ ignore am ɛn go mɔs go to yu dɔktɔ.
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