Kodi vertebra m'msana mwanu ikugwa? Tiyeni tiphunzire za spondylolisthesis!

Kupweteka kwa msana ndi vuto lofala lomwe anthu ambiri amakumana nalo masiku ano. Nthawi zina kungakhale kupweteka kwa msana komwe kumabwera chifukwa chochita masewera olimbitsa thupi. Komabe, ngati ululuwu umakhala wowawa pang'ono masiku ena, kapena ngati umabwera ndi zizindikiro zina, ndiye kuti pakhoza kukhala chifukwa china chake. Ndiko kuti, vuto lomwe limapezeka mumsana (Spondylolisthesis) . Ngakhale dzinalo lingamveke lovuta pang'ono, tiyeni timvetse mosavuta.

Kodi Spondylolisthesis ndi chiyani? Mwachidule...

Ganizirani msana wanu ngati mulu wa mafupa ang'onoang'ono (otchedwa vertebrae) omangidwa pamwamba pa wina ndi mnzake. Pali mafupa 33, kuti ndikhale olondola. Ngakhale mafupa awa alumikizana, amatha kusuntha pang'ono tikamapinda kapena kusuntha matupi athu. Tsopano, mu vuto lotchedwa spondylolisthesis, limodzi mwa mafupawa limatuluka pamalo ake ndikukankhira vertebra pansi pake. Zimakhala ngati cholumikizira chosweka mu unyolo. Izi zikachitika, mitsempha m'derali imatha kupanikizika. Pamenepo ndi pomwe zizindikiro monga kupweteka kwa msana ndi kupweteka kwa mwendo zimabuka. Spondylolisthesis imatha kuchitika kulikonse mu msana, koma nthawi zambiri imakhala m'munsi mwa msana (lumbar spine) . Komanso, vutoli likhoza kuchitika pakhosi (cervical spine) kapena kuchokera pakhosi mpaka kumapeto kwa nthiti (thoracic spine). Msana uli ngati unyolo womwe umathandizira thupi lathu nthawi zonse. Chifukwa chake, zitha kukhala zoopsa pang'ono pamene cholumikizira chatsika. Koma, sizitanthauza kuti unyolo wonse wasokonekera. Nthawi zambiri pamakhala mankhwala abwino a vuto lotchedwa spondylolisthesis. Ngati muli ndi ululu watsopano kumbuyo kapena miyendo yanu ndipo mukuvutika kuchita zinthu za tsiku ndi tsiku, onetsetsani kuti mwaonana ndi dokotala.

Kodi ndi zifukwa ziti zomwe zingayambitse spondylolisthesis?

Pali njira zingapo zazikulu zomwe vutoli lingachitikire:

1. Zokhudzana ndi ukalamba (Degenerative Spondylolisthesis)

Uwu ndi mtundu wofala kwambiri. Pamene tikukalamba, ziwalo zonga khushoni pakati pa vertebrae yathu (yotchedwa ma disc ) zimachepa. Pamene ma disc awa amachepa, malo pakati pa vertebrae amawonjezeka, zomwe zimapangitsa kuti munthu athe kutsetsereka. Uwu ndi mtundu wa matenda a disc omwe amawononga .

2. Congenital Spondylolisthesis

Nthawi zina, vutoli limatha kuchitika chifukwa chakuti msana wa mwana sunapangidwe bwino ali m'mimba. Izi zikachitika, mavuto angabuke ali mwana kapena atakula kwambiri.

3. Chifukwa cha kusweka kwa mafupa a msana komwe mafupa a msana amakumana (Isthmic Spondylolisthesis)

Pamene fupa laling'ono lomwe limalumikiza mafupa awiri a msana (lotchedwa pars interarticularis ) lasweka, silingathenso kuwagwirizanitsa bwino. Msanawo umatsetsereka. Izi zingachitikire othamanga, makamaka omwe amachita masewera olimbitsa thupi odumphadumpha ndi kukoka .

Mitundu ina yosazolowereka:

• (Spondylolisthesis Yoopsa):Msana ukhoza kutsetsereka chifukwa cha kuwonongeka kwakukulu kwa msana chifukwa cha ngozi yaikulu kapena kugwa.
• Matenda a Spondylolisthesis: Izi zitha kuchitikanso chifukwa cha matenda omwe amafooketsa mafupa (monga osteoporosis kapena chotupa m'mafupa).
• (Postsurgical Spondylolisthesis): Kawirikawiri, vutoli limatha kuchitika ngati zotsatira zoyipa za opaleshoni ya msana.

Kodi zizindikiro za spondylolisthesis ndi ziti?

Chodabwitsa n'chakuti anthu ena ali ndi spondylolisthesis ndipo alibe zizindikiro. Ngati vertebra yotsetsereka ndi yaying'ono kwambiri (yotsika), sizingayambitse zizindikiro chifukwa sizikukakamiza kwambiri ziwalo zina za msana kapena mitsempha. Komabe, ngati zizindikirozo zichitika, zitha kuphatikizapo:

• Kupweteka kwa msana.
• Ululu womwe umayenda m'miyendo (wotchedwanso sciatica ).
• Kumva kulimba ndi kulimba kumbuyo.
• Kuvutika kuyenda kapena kuyima kwa mphindi zoposa zingapo.
• Kusanza, kufooka, kapena kumva dzanzi m'mapazi.

Kutengera ndi komwe mafupa a msana atsetsereka, ululu ungamvekenso m'mbali zina za msana. Ululuwu ukhozanso kufalikira mpaka m'matako kapena m'ntchafu.

Kodi ndi zifukwa ziti zomwe zimayambitsa spondylolisthesis?

Choyambitsa vertebra yoterera chimasiyana malinga ndi mtundu wa spondylolisthesis yomwe muli nayo. Zina mwa zifukwa zofala ndi izi:

• Ma disc a msana amatha ndi ukalamba.
• Mafupa a msana omwe ndi opyapyala kuposa abwinobwino akangobadwa.
• Ngozi pamene mukusewera masewera.
• Kukula kwa ana ndi achinyamata kumawonjezeka.
• Ngozi monga kugwa ndi ngozi zamagalimoto.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti aliyense akhoza kukhala ndi spondylolisthesis, anthu ena ali pachiwopsezo chachikulu:

• Anthu opitirira zaka 50.
• Akazi.
• Ochita masewera (makamaka omwe amasewera masewera amphamvu kwambiri, kulumpha kwambiri, komanso kuchita masewera olimbitsa thupi otambasula thupi).
• Anthu omwe ali ndi mbiri ya banja lawo ya spondylolisthesis kapena matenda okhudzana ndi mafupa.

Kodi chingachitike n’chiyani ngati spondylolisthesis sichitha kuchiritsidwa? (Zovuta)

Ngati vutoli silinapezeke bwino ndi kuchiritsidwa, mungakumane ndi zotsatirazi:

• Kupweteka kwa msana kosatha .
• Matenda a msana.
• Kuwonongeka kwa mitsempha.
• Kulephera kulamulira kukodza (Kusadziletsa kukodza) kapena kusadziletsa m'mimba (Kusadziletsa m'mimba) .

Kodi madokotala amazindikira bwanji spondylolisthesis?

Dokotala adzazindikira matenda a spondylolisthesis mwa kuchita mayeso olimbitsa thupi ndi mayeso apadera ojambulira zithunzi. Iye adzayang'ana msana wanu mosamala. Muyenera kuuza dokotala wanu nthawi yomwe munayamba kumva ululu kapena zizindikiro zina, zochita zomwe zimapangitsa ululuwo kukhala woipa, komanso zomwe munachita musanayambe zizindikiro zanu, makamaka ngati munachita ngozi. Dokotala wanu adzajambula X-ray ya msana kuti ajambule zithunzi za msana wanu. Mungafunikenso CT scan kapena MRI scan kuti muwone ngati ma disc kapena mitsempha yanu yawonongeka.

Magulu a Spondylolisthesis

Dokotala wanu adzakupatsani giredi malinga ndi vuto lanu, kutengera kuchuluka kwa mafupa a msana omwe mwatsika. Imeneyi ingakhale nambala, "yotsika" kapena "yokwera":

• Spondylolisthesis Yotsika - Giredi I ndi Giredi II: Iyi ndi mtundu wofala kwambiri. Ana ambiri aang'ono omwe ali ndi isthmic spondylolisthesis ndi akuluakulu omwe ali ndi degenerative spondylolisthesis ali ndi vuto lochepa kwambiri.
• Spondylolisthesis yapamwamba kwambiri (Giredi III ndi Giredi IV): Pazochitikazi, opaleshoni imafunika kwambiri, makamaka ngati muli ndi ululu waukulu kapena zizindikiro zina.

Kodi chithandizo cha spondylolisthesis ndi chiyani?

Anthu ambiri amatha kuwongolera zizindikiro zawo popanda opaleshoni, kuphatikizapo:

• Kupuma : Kupuma pang'ono ku masewera ndi zochita zolimbitsa thupi kwa kanthawi kumachepetsa kupsinjika kwa msana.
• Mankhwala: Mungagwiritse ntchito mankhwala a NSAID omwe amagulitsidwa popanda chilolezo cha dokotala (monga Ibuprofen, Diclofenac) kapena Acetaminophen (monga Panadol) kuti muchepetse ululu ndi kutupa. Komabe, musamwe mankhwala awa kwa masiku opitilira 10 popanda upangiri wa dokotala. Lankhulani ndi dokotala wanu musanayambe kumwa mankhwala aliwonse, kuti akuuzeni mankhwala omwe ali oyenera kwa inu.
• Corticosteroids: Awa ndi mankhwala amphamvu omwe dokotala amawapatsa kuti achepetse kutupa. Angaperekedwe pakamwa kapena kubayidwa mwachindunji pamalo opweteka (jakisoni wa cortisone) .
• Kuchiza thupi:Katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi kuti mulimbikitse minofu yozungulira msana wanu (makamaka minofu ya msana wanu ndi m'mimba). Izi zichepetsa kupanikizika kwa msana wanu ndikukuthandizani kuyenda mosavuta.
• Kuvala chothandizira: Ngati muli ndi vertebra yosweka, dokotala wanu angakulangizeni kuti muvale chothandizira kuti msana wanu ukhale wolimba. Iye adzakuuzaninso nthawi yomwe muyenera kuvala.

Kodi opaleshoni imafunika liti pa spondylolisthesis?

Si aliyense amene angafunike opaleshoni ya spondylolisthesis. Ngati vertebrae yotsetsereka siikuyambitsa zizindikiro zoopsa kapena siili pachiwopsezo cha mavuto ena, mutha kukhala ndi vuto lochepa. Dokotala wanu adzakuuzani nthawi yoti muganizire za opaleshoni. Opaleshoni ingafunike pazochitika zotsatirazi:

• Ngati muli ndi vuto lapamwamba (spondylolisthesis) .
• Ngati muli ndi ululu waukulu kapena zizindikiro zina zomwe zimapangitsa kuti zikhale zovuta kuyimirira, kuyenda, kapena kuyenda.
• Ngati zizindikiro sizinathe ngakhale kuti pali njira zina zosagwiritsa ntchito opaleshoni .

Dokotala wochita opaleshoni mwina adzachita opaleshoni yotchedwa spinal fusion . Izi zimaphatikizapo kukonzanso mafupa a msana wanu ndikulimbitsa malowo. Mungafunikenso kuchita opaleshoni yotchedwa spinal decompression kuti muchepetse kupanikizika kwa mitsempha yanu ya sciatic. Dokotala wanu kapena dokotala wanu adzakufotokozerani opaleshoni yomwe mukufuna komanso zomwe mungayembekezere.

Zotsatirapo zomwe zingatheke pambuyo pa opaleshoni

Anthu ena omwe amachitidwa opaleshoni yolumikiza msana amatha kuchepa pang'ono pakuyenda pambuyo pa opaleshoniyo. Izi zili choncho chifukwa opaleshoniyo imagwirizanitsa mafupa awiri a msana kuti apange fupa limodzi. Komabe, kwa anthu ambiri, ululuwo ndi wochepa kwambiri moti amatha kupirira kusasangalala pang'ono kumeneku. Komabe, musaope kulankhula ndi dokotala wanu za izi musanasankhe opaleshoni. Iye angakufotokozereni zoopsa zake ndikukuthandizani kukhala ndi ziyembekezo zenizeni.

Kodi spondylolisthesis ingapewedwe?

Nthawi zina, spondylolisthesis singathe kupewedwa kotheratu, makamaka ngati ichitika chifukwa cha ngozi kapena chifukwa cha momwe msana wanu unapangidwira pobadwa. Komabe, mutha kuchepetsa chiopsezo chanu potsatira malangizo awa:

• Chitani masewera olimbitsa thupi omwe amalimbitsa minofu ya msana ndi m'mimba .
• Tsatirani zakudya zabwino zomwe zimakuyenererani. Izi zingateteze mafupa anu komanso thanzi lanu lonse.
• Lankhulani ndi dokotala wanu za thanzi la mafupa anu. Iye adzakuuzani ngati muyenera kuyezetsa kuchuluka kwa mafupa komanso nthawi yomwe muyenera kuyezetsa.

Kodi mungayembekezere chiyani ngati muli ndi spondylolisthesis?

Ngati muli ndi spondylolisthesis, zizindikiro zanu ziyenera kutsika ndi chithandizo chosagwiritsa ntchito opaleshoni monga kupuma, mankhwala, ndi physiotherapy. Mukayamba kulandira chithandizo, dokotala wanu adzakujambulani ma X-ray ambiri kuti aone ngati vertebrae yanu ikutsika kwambiri. Dokotala wanu adzayang'anira vertebra yomwe yatsika. Ngati yatsika kwambiri, mungafunike opaleshoni.

Mankhwala osachita opaleshoni sangabwezeretse msana wosweka, koma angakuthandizeni kuchita ntchito zanu za tsiku ndi tsiku popanda kupweteka. Opaleshoni yokha ndi yomwe ingabwezeretse momwe msana unalili poyamba.

Zingatenge milungu ingapo mpaka miyezi ingapo kuti munthu achire bwino atachitidwa opaleshoni ya msana. Dokotala wanu adzakupatsani ndondomeko yoti muchiritse matenda anu malinga ndi zosowa zanu.

Kodi ndingayambe liti kusewera kachiwiri?

Anthu ambiri omwe ali ndi spondylolisthesis amatha kubwerera ku masewera ndi masewera ena olimbitsa thupi atatha milungu ingapo ya chithandizo. Nthawi zambiri, muyenera kudikira mpaka mutayenda bwino popanda ululu. Lankhulani ndi dokotala wanu kapena dokotala musanayambe kuchita masewera olimbitsa thupi. Angakupatseni njira zotetezeka zoti mupitirize kuchita masewera olimbitsa thupi popanda kuwonjezera chiopsezo chanu cha mavuto.

Kodi muyenera kupewa kuchita chiyani mukakhala ndi spondylolisthesis?

Dokotala wanu adzakuuzani zochita zomwe zili zotetezeka kwa inu. Mungafunike kusiya kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi omwe amaika mphamvu zambiri pamsana wanu kapena omwe amafunikira kutambasula kwambiri.

Kodi muyenera kupita kwa dokotala liti?

Mukapita kwa dokotala msanga, amatha kuzindikira bwino ndikuchiza matenda a spondylolisthesis. Ngati muli ndi ululu wamsana womwe umatenga masiku opitilira ochepa, kapena ngati ululuwo ndi waukulu kwambiri moti simungathe kuchita ntchito zanu zachizolowezi, pitani kwa dokotala mwachangu momwe mungathere.

Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?

Ngati mwachita ngozi, monga kugwa kapena ngozi ya galimoto, pitani ku chipinda chothandizira anthu ovulala mwadzidzidzi. Ngati mukumva dzanzi m'miyendo yanu, kapena ngati simungathe kulamulira mkodzo wanu kapena matumbo anu, pitani ku chipinda chothandizira anthu ovulala mwadzidzidzi nthawi yomweyo.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mungathe kufunsa dokotala wanu mafunso awa:

• Kodi ndili ndi spondylolisthesis kapena vuto lina la msana?
• Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika?
• Kodi ndiyenera kuchitidwa opaleshoni?
• Kodi ndingabwerere liti ku zochita zolimbitsa thupi monga masewera?

Kodi kusiyana pakati pa (Spondylolisthesis) ndi (Spondylolysis) ndi kotani?

Spondylolisthesis ndi Spondylolysis ndi matenda awiri omwe ali ndi mayina ofanana ndipo amatha kusokonezedwa. Kusiyana pakati pa awiriwa ndi momwe amakhudzira msana wanu.

• Spondylolisthesis imachitika pamene vertebra imatsetsereka ndikukankhira vertebra yomwe ili pansi pake.
• (Spondylolysis)Ndi kusweka pang'ono kwa fupa komwe kumachitika mu kachidutswa kakang'ono ka fupa (pars interarticularis) pakati pa vertebrae ziwiri. Vutoli, lotchedwa spondylolysis, ndilo chifukwa chachikulu cha isthmic spondylolisthesis. Chifukwa kusweka kumeneko kungayambitse kutsetsereka kwa vertebrae.

Pomaliza, pali chinthu choti muganizire.

Ndizachilendo kuti aliyense achite mantha akamva mawu akuti "spondylolisthesis." Mukamva mawu akuti "spondylolisthesis," fupa limalowa m'thupi lofunika kwambiri, zinthu zosiyanasiyana zimabwerera m'maganizo. Ndizachibadwa kudabwa ndikukhala ndi mafunso ambiri. Pumirani mpweya wambiri. Spondylolisthesis ingakhale yovuta kutchula ndi kulemba, koma mwamwayi, si matenda onse okhala ndi mayina ovuta omwe amafunikira chithandizo chovuta. Mwina mungafunike kupuma kwa milungu ingapo, mankhwala ena operekedwa ndi dokotala, komanso chithandizo chamankhwala. Ngakhale mutachitidwa opaleshoni, mutapatsa thupi lanu nthawi yomwe likufunika kuti lichiritsidwe, mudzatha kubwerera ku zochita zanu zachizolowezi. spondylolisthesis, kupweteka kwa msana, spondylolisthesis, msana, kupsinjika kwa mitsempha, chithandizo cha thupi, opaleshoni ya msana