Kodi kupweteka kwa msana wanu kungayambitsidwe ndi spondylolysis? Tiyeni tikambirane za izi!

Kodi inunso mumavutika ndi ululu wa msana? Nthawi zina mumaganiza kuti izi ndi zachilendo, koma pakhoza kukhala zifukwa zina zomwe zimayambitsa ululu wina. Lero tikambirana za vuto lomwe lingayambitse ululu wa msana, koma sitilankhula kwambiri za vutoli.

Kodi Spondylolysis ndi chiyani?

Mwachidule, spondylolysis ndi mng'alu waung'ono kapena kusweka pakati pa mafupa awiri a msana wathu. Kodi mukudziwa kuti msana wathu umapangidwa ndi mafupa ang'onoang'ono 33 omwe amakonzedwa limodzi pamwamba pa linzake motsatizana? Timatcha mafupa onsewa kuti 'vertebra'. Mafupa awa amalumikizidwa pamodzi kuti apange msana wathu. Madokotala nthawi zina amatcha vutoli kuti 'pars defect' kapena 'pars fracture' . Chifukwa cha izi ndikuti mng'alu uwu umachitika m'chigawo chaching'ono cha fupa chotchedwa ' pars interarticularis' chomwe chimalumikiza mafupa a msana. Taganizirani ngati mlatho waung'ono wolumikiza mafupa awiri a msana. Pamenepo ndi pomwe vutoli limachitika. Nthawi zambiri, spondylolysis imakhudza gawo la pansi la msana wathu (lumbar spine) . Koma nthawi zina, izi zimatha kuchitika msana wa chiberekero, msana wa pachifuwa, kapena ngakhale msana wapakati.

Kodi vutoli ndi lofala bwanji?

Ngakhale kuti palibe ziwerengero zenizeni ku Sri Lanka, akatswiri m'maiko ngati United States akuti vutoli (Spondylolysis) limakhudza anthu osakwana 10% pachaka. Komabe, limapezeka kwambiri pakati pa ana aang'ono ndi achinyamata , makamaka omwe amasewera masewera olimbitsa thupi.

Kodi zizindikiro za izi ndi ziti?

Chizindikiro chachikulu cha anthu ambiri ndi kupweteka kwa msana . Ululu uwu nthawi zambiri ungafotokozedwe motere:

• Mungamve ululu kuyambira pansi pa msana wanu ndikufalikira mpaka ku ntchafu ndi matako anu.
• Zingamveke ngati minofu ikupweteka m'munsi mwa msana.
• Ululu umawonjezeka mukamachita masewera olimbitsa thupi , ndipo umachepa mukapuma kapena osasuntha kwambiri.

Koma chodabwitsa n'chakuti, anthu ena ali ndi vutoli (Spondylolysis) koma alibe zizindikiro zilizonse . Amadziwa za izi pambuyo pake pamene mayeso ojambulira zithunzi , monga scan, achitika pazifukwa zina.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Monga ndanenera kale, chifukwa chachikulu cha spondylolysis ndi kuwonongeka kwa gawo la vertebrae yathu lotchedwa (pars interarticularis) . Kumbukirani, izi (pars interarticularis)Izi ndi zidutswa zazing'ono za mafupa zomwe zimalumikiza mafupa a msana pamwamba ndi pansi ndipo zimathandiza kuti msana wathu usunthe mosavuta. Chilichonse chomwe chingawononge izi chingayambitse kusweka, kapena kusweka kwa mafupa a msana . Pali zifukwa zingapo zazikulu zomwe kusweka kwa mafupa a msana kumeneku kumachitika nthawi zambiri:

1. Kugwiritsa Ntchito Mopitirira Muyeso:

Mukachita mayendedwe obwerezabwereza komanso opsinjika omwe amaika kulemera kwambiri msana wanu, mafupa anu amatha kuwonongeka pang'onopang'ono. Pakapita nthawi, kuwonongeka kumeneku kumatha kusonkhana ndikupangitsa kuti pars fracture iwonongeke. Mwachitsanzo, ngati ntchito yanu ikuphatikizapo kunyamula zinthu zolemera, mumasewera masewera olimbitsa thupi, kapena mumavulaza msana wanu pafupipafupi, muli pachiwopsezo chachikulu.

2. Kukula msanga:

Ana ena ndi achinyamata amakhala ndi nthawi yokulira mofulumira, yomwe timaitcha kuti kukula msanga . Pa nthawi imeneyo, anthu ena amatha kukhala ndi spondylolysis . Izi zimachitika chifukwa chakuti kusintha kwachangu kumachitika m'thupi la mafupa panthawiyo.

3. Majini:

Anthu ena amabadwa ndi mafupa a msana opyapyala pang'ono. Izi zikutanthauza kuti mafupa awo a msana ndi ofooka pang'ono kuposa ena. Anthuwa alinso ndi mwayi waukulu wopeza mafupa a msana .

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Spondylolysis ingachitike kwa aliyense, koma magulu ena ali pachiwopsezo chachikulu chotenga pars fracture . Izi zikuphatikizapo:

• Anthu omwe amasewera masewera olumikizana : Mwachitsanzo, omwe amasewera masewera monga mpira wamiyendo, masewera olimbitsa thupi, ndi kunyamula zolemera .
• Ana ndi achinyamata omwe matupi awo akukula ndi kusintha mofulumira .
• Anthu ochokera ku Alaska : Kafukufuku wina wapeza kuti anthuwa nthawi zambiri amabadwa ndi mafupa owonda.

Kodi ndi mavuto otani omwe angabwere chifukwa cha vutoli?

Kupweteka kwa msana komwe kumabwera ndi spondylolysis kungathandize kuchepetsa kuyenda kwanu, zomwe zimapangitsa kuti muzitha kuyenda mosavuta komanso mosavuta . Chofunika kwambiri, ngati simulandira chithandizo , spondylolysis imatha kupita ku vuto lotchedwa spondylolisthesis . Kodi mukudziwa kuti spondylolisthesis ndi chiyani? Zimatanthauza,Spondylolisthesis ndi vuto lomwe vertebra imatuluka pamalo ake chifukwa cha ming'alu kapena kufooka kwa vertebra. Taganizirani izi ngati njerwa yomwe ili pamzere wa njerwa zomwe zikusunthira patsogolo. Ngati vertebra yotsika ikakankhira mitsempha, ingayambitse ululu waukulu (sciatica) womwe umamveka ngati kugwedezeka kwamagetsi pansi pa mwendo wanu. Anthu ena omwe ali ndi vutoli (spondylolisthesis) angafunike opaleshoni kuti achepetse zizindikiro ndikubwerera kuntchito yawo yachibadwa.

Kodi madokotala amazindikira bwanji izi? (Kuzindikira)

Dokotala adzazindikira vuto la spondylolysis mwa kuchita mayeso a thupi ndikuchita mayeso ojambulira zithunzi (scans) . Iye adzakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala. Muyenera kuuza dokotala tsatanetsatane monga nthawi yomwe munayamba kumva kupweteka kwa msana wanu komanso zomwe munkachita ululu usanayambe.

Ndi mayeso ati omwe akuchitidwa pa izi?

Dokotala wanu adzagwiritsa ntchito mayeso ojambulira zithunzi kuti ajambule zithunzi za mafupa a msana wanu ndi minofu yozungulira msana wanu. Zofunikira kwambiri ndi izi:

• Kuyezetsa X-ray .
• Mayeso owunikira a MRI (Magnetic Resonance Imaging - MRI ) .
• Mayeso a CT (Computed Tomography - CT) scan.

Kodi chithandizo cha izi ndi chiyani?

Dokotala wanu adzayesa kaye kuchepetsa ululu wanu ndi zizindikiro zina ndikupatsa nthawi yoti fupa liphwanyike , kapena kuti fupa liphwanyike. Kutengera ndi vertebra yomwe yakhudzidwa komanso momwe fupalo lilili loopsa, mungafunike chithandizo kwa milungu ingapo mpaka miyezi ingapo. Mankhwala akuluakulu a spondylolysis ndi awa:

• Kupuma : Pewani masewera olimbitsa thupi ndi zinthu zina zolimbitsa thupi zomwe zimakuvutitsani msana kwa kanthawi. Izi zichepetsa kupsinjika kwa msana wanu.
• Mankhwala : Mankhwala ochepetsa ululu omwe amaperekedwa popanda chilolezo cha dokotala ( NSAIDs ) (monga ibuprofen, naproxen) angathandize kuchepetsa ululu ndi kutupa. Komabe, musamwe mankhwala ochepetsa ululu awa kwa masiku opitilira 10 popanda upangiri wa dokotala.
• Corticosteroids : Awa ndi mankhwala amphamvu omwe amachepetsa kutupa. Dokotala wanu angakupatseni piritsi kuti mumwe pakamwa, kapena angakupatseni jakisoni mwachindunji pamalo omwe mukumva ululu.
• Kuchiza thupi: Katswiri wa zamaganizo ndi katswiri wa zaumoyo amene amakuthandizani kusuntha thupi lanu bwino. Angakuthandizeni kuthana ndi ululu, kuuma, ndi zizindikiro zina zomwe zimapangitsa kuti zikhale zovuta kusuntha. Angakuphunzitseni masewera olimbitsa thupi kuti mulimbikitse minofu yozungulira msana wanu.
• Kulimbitsa Msana : Dokotala wanu angakulangizeni kuti muvale cholimbitsa msana kuti msana wanu ukhale wolimba mpaka kusweka kwa pars kuchira.

Kodi aliyense amafunika opaleshoni?

Opaleshoni siifunikira kawirikawiri pa spondylolysis . Anthu ambiri amachira ndi chithandizo chopanda opaleshoni. Anthu ena angafunike opaleshoni kuti msana wawo ukhazikike bwino. Pa opaleshoni yokonza mapapo , dokotala nthawi zambiri amatha kukonza kusweka kwa mapapo popanda kulumikiza mafupa awiri a msana ( spinal fusion ). Ngati mukufuna opaleshoni, dokotala wanu kapena dokotala wanu adzakufotokozerani ndikukuuzani nthawi yomwe zingatenge kuti muchiritse.

Kodi zitenga nthawi yayitali bwanji kuti izi zichiritsidwe?

Kusweka kwa mafupa a msana kumatha kutenga miyezi isanu ndi umodzi kuti kuchiritsidwe. Komabe, anthu ambiri omwe ali ndi spondylolysis amayamba kumva bwino atangoyamba kulandira chithandizo. Ngakhale zizindikiro zanu zitayamba bwino msanga, tsatirani dongosolo lanu la chithandizo mpaka dokotala wanu kapena katswiri wa zamaganizo atakuuzani. Ndikofunikira kupatsa msana wanu nthawi yoti uchire kwathunthu. Funsani dokotala wanu nthawi yomwe mungayambenso kusewera masewera kapena kunyamula zinthu zolemera.

Kodi izi sizingapewedwe?

Spondylolysis nthawi zambiri imakhala yovuta kupewa, koma mutha kuchepetsa chiopsezo chanu cha kusweka kwa pars potsatira malangizo awa otetezera:

• Nthawi zonse muzivala lamba wanu wapampando poyendetsa galimoto , kuphatikizapo lamba wapaphewa.
• Valani zida zoyenera zodzitetezera pazochitika zonse ndi masewera.
• Yang'anani kunyumba kwanu ndi kuntchito kwanu kuti muwone ngati pali zinthu zosafunikira zomwe zingakugwetseni kapena kukhumudwitsani wina, ndipo zichotseni ngati zilipo.
• Mukanyamula chinthu chomwe chili pamwamba pa nyumba , nthawi zonse gwiritsani ntchito chida kapena chipangizo choyenera ntchitoyi . Musakwere pa mipando, matebulo, kapena makauntala.
• Tsatirani zakudya zoyenera komanso masewera olimbitsa thupi omwe amathandiza kuti mafupa akhale ndi thanzi labwino.
• Ngati muli ndi zaka zoposa 50, kapena ngati wina m'banja mwanu ali ndi vuto la mafupa , lankhulani ndi dokotala wanu za kuyezetsa mafupa.
• Ngati mukuvutika kuyenda kapena muli pachiopsezo chachikulu chogwa, gwiritsani ntchito ndodo kapena choyendera.

Nanga chimachitika ndi chiyani ndikakhala ndi vutoli?

Inu (Spondylolysis)Ngati zilipo, mankhwala osachita opaleshoni monga kupuma, mankhwala, ndi physiotherapy ziyenera kuthandiza zizindikiro zanu kuchira. Mankhwalawa sangachotseretu kusweka kwa fupa , koma angakuthandizeni kubwerera ku zochita zanu za tsiku ndi tsiku mwachangu momwe mungathere popanda kupweteka.

Kodi ndiyamba liti kuchita masewera olimbitsa thupi komanso kusewera masewera?

Onetsetsani kuti mwalankhula ndi dokotala wanu musanapitirize kuchita masewera olimbitsa thupi okhwima. Ngakhale ululu wanu ndi zizindikiro zina zitakula, mafupa anu a msana amafunika nthawi kuti achire. Dokotala wanu adzayang'anira momwe mukupitira patsogolo ndi chithandizo. Pamene ululu wanu ukuchepa ndipo kusinthasintha kwanu kukuwonjezeka, pang'onopang'ono mutha kubwerera ku zochita zanu zachizolowezi. Anthu omwe akuchira ku spondylolysis nthawi zambiri amafunika milungu ingapo (ndipo nthawi zina miyezi) ya chithandizo asanayambirenso kuchita masewera olimbitsa thupi okhwima, monga kusewera masewera kapena kunyamula zolemera.

Kodi ndiyenera kupita kwa dokotala liti?

Mukapita kwa dokotala msanga, amatha kuzindikira ndi kuchiza vutoli (Spondylolysis) . Ngati muli ndi ululu wam'munsi mwa msana womwe umatenga masiku opitilira angapo, kapena woopsa kwambiri moti simungathe kuchita ntchito zanu zachizolowezi, pitani kwa dokotala mwachangu momwe mungathere.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati mwakumana ndi vuto loopsa, monga kugwa kapena ngozi ya galimoto, pitani ku chipinda chothandizira anthu ovulala mwadzidzidzi. Komanso, ngati mwataya kumva chilichonse m'thupi lanu kapena simungathe kuchisuntha, pitani kuchipatala nthawi yomweyo.

Kodi kusiyana pakati pa Spondylolysis ndi Spondylolisthesis ndi kotani?

Spondylolysis ndi Spondylolisthesis ndi matenda awiri ofanana omwe amakhudza msana wanu.

• Spondylolisthesis ndi pamene vertebra imodzi mu msana wanu imagwera pamwamba pa vertebra yomwe ili pansi pake, monga njerwa yotsatizana yomwe ndatchula kale yomwe imagwera patsogolo.
• Spondylolysis ndi chifukwa chofala cha spondylolisthesis . Spondylolysis imayambitsa kusweka kwa mafupa ( pars fracture ) mu vertebra, zomwe zimapangitsa kuti mafupawo afooke ndipo amatha kutuluka m'malo mwake, zomwe zimayambitsa spondylolisthesis .

Mwachidule, (Spondylolysis) amatanthauza kusweka kwa vertebra. (Spondylolisthesis) amatanthauza kutsetsereka kwa vertebra chifukwa cha kusweka kumeneko. Mwamvetsa?

Kodi kusiyana pakati pa Spondylosis ndi Spondylosis ndi kotani?

Ngakhale mayina (Spondylolysis) ndi (Spondylosis) amamveka ofanana, pali kusiyana pakati pa awiriwa, ngakhale kuti onse ndi matenda omwe amakhudza msana. Onsewa angayambitse zizindikiro monga kupweteka ndi kuuma.

• (Spondylolysis)Zimatanthauza kuvulala kwinakwake - kutanthauza kusweka kwa gawo la msana wanu lotchedwa pars interarticularis , zomwe zikutanthauza kuti pali mng'alu.
• Spondylosis ndi mawu ofala omwe amagwiritsidwa ntchito pofotokoza kuwonongeka kwa msana kwachibadwa pamene tikukalamba . Izi zikufanana ndi kuwonongeka kwa mafupa ena m'thupi lathu pamene tikukalamba.

Ndiko kuti, (Spondylolysis) ndi chifukwa (rupture) , (Spondylosis) ndi vuto lofala (chifukwa cha ukalamba) .

Kodi vuto ili (Spondylolysis) lidzakhala bwino lokha?

Kusweka kwa mafupa komwe kumakhudzana ndi spondylolysis nthawi zambiri kumachira pakapita nthawi. Komabe, ndikofunikira kuti dokotala awazindikire ndikuwapatsa chithandizo . Ngati muli ndi ululu wam'munsi mwa msana womwe umatenga masiku opitilira ochepa, kapena woopsa mokwanira kuti usokoneze zochita zanu za tsiku ndi tsiku, onetsetsani kuti mwawonana ndi dokotala. Angakulimbikitseni chithandizo choyenera kuti muthandize mafupa anu kuchira bwino komanso mwachangu momwe mungathere.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Choncho, spondylolysis ndi vuto lomwe limachitika pamene ming'alu yaying'ono imapanga m'malo olumikizirana mafupa a msana wathu. Izi nthawi zambiri zimayambitsa kupweteka m'munsi mwa msana. Nkhani yabwino ndi yakuti anthu ambiri omwe ali ndi spondylolysis amatha kubwerera ku masewera ndi zochita zachizolowezi mafupa awo akachira ndipo ululuwo utatha.

Musanyalanyaze ululu wa msana - makamaka ngati umatenga masiku opitilira ochepa kapena woopsa kwambiri moti simungathe kuchita zinthu zanu zachizolowezi. Ndi bwino kuonana ndi dokotala kuti adziwe chomwe chimayambitsa ululu wanu ndikupeza chithandizo chomwe chingateteze msana wanu ndikuthandiza kuti uchire.

Ngati muli ndi mafunso ena okhudza izi, musaope kufunsa dokotala kapena namwino wanu. Adzakuthandizani. Kupweteka kwa msana, spondylolysis, spondylolisthesis, pars interarticularis, msana, kuvulala kwa masewera, chithandizo cha thupi