Kodi mumagwada patsogolo mukamayimirira kwa nthawi yayitali kapena kuyenda mtunda waufupi chifukwa cha kupweteka kwa msana? Kapena mumakhala ndi kumva kupweteka kapena kupweteka komwe kumachokera pakhosi panu mpaka m'manja? Anthu ambiri amaganiza kuti izi ndi zachilendo pa ukalamba, koma nthawi zina zimachitika chifukwa cha kupsinjika kwa mitsempha msana. Mu zamankhwala, timatcha izi spinal stenosis. Musadandaule, lero tikambirana chilichonse mwachidule.
Kodi Spinal Stenosis ndi chiyani?
Mwachidule, stenosis ya msana ndi kuchepa kwa malo mkati mwa msana wathu. Taganizirani za msana wathu ngati mphete zingapo (zotchedwa vertebrae) zomwe zimayikidwa pamwamba pa wina ndi mnzake. Mphete iliyonse ili ndi malo pakati, ngati ngalande. Ngalande iyi imatchedwa ngalande ya msana . Msana, gawo lofunika kwambiri la thupi lathu, ndi mitsempha yomwe imatulukamo, imadutsa mu ngalande iyi.
Tsopano ganizirani izi, chimachitika ndi chiyani ngati ngalande iyi yachepa pazifukwa zina? Monga momwe chitoliro cha madzi chimatsekekera, malo oti madzi aziyenda amachepa, pamene ngalande iyi ya msana yachepa, palibe malo okwanira a chingwe cha msana ndi mitsempha mkati. Kenako mitsempha imeneyo imayamba kufinyidwa, kukanidwa, ndi kukakamizidwa. Chifukwa cha kufinyidwa kumeneko timapeza zizindikiro monga kupweteka kwa msana ndi ululu womwe umatsikira m'miyendo (sciatica).
Ngakhale vutoli lingachitike pa msinkhu uliwonse, limapezeka kwambiri mwa anthu azaka zopitirira 50 .
Ndi mbali ziti za msana zomwe zimakhudzidwa kwambiri ndi vutoli?
Kupsinjika kwa mitsempha kumeneku nthawi zambiri kumawoneka m'malo awiri pamsana:
- Lumbar Spinal Stenosis: Matenda omwe amapezeka m'mafupa asanu a msana (L1-L5) a msana wathu. Uwu ndiye mtundu wofala kwambiri wa ululu wammbuyo.
- Kutupa kwa Msana wa Msana wa M'khosi: Vutoli limatha kuchitika m'mafupa asanu ndi awiri a msana (C1-C7) m'khosi mwathu.
Kuwonjezera pa izi ziwiri, vutoli likhoza kuchitikanso pakati pa msana, kutanthauza kuti, pamlingo wa msana wa pachifuwa. Komabe, ndi losowa kwambiri.
Kodi zizindikiro za izi ndi ziti?
Matenda a msana nthawi zambiri amayamba pang'onopang'ono pakapita nthawi. Chifukwa chake, ngakhale kuti angawonekere pa X-ray, simungakhale ndi zizindikiro zilizonse pachiyambi. Zizindikiro zimatha kusiyana malinga ndi munthu. Masiku ena zimatha kukhala zoyipa kwambiri, pomwe zina zimatha kukhala bwino.
Kawirikawiri, kutengera komwe mitsempha yapindika, mungamve zinthu ngati izi m'khosi mwanu, kumbuyo, m'manja, m'miyendo, m'manja, kapena pansi pa mapazi anu:
- Ululu
- Kusanza
- Zofanana ndi mphezi(Kulira / "zikhomo ndi singano")
- Kufooka
Tiyeni tiwone momwe zizindikiro zimasiyanirana pankhani ya stenosis ya msana ndi khosi.
| Mtundu wa chizindikiro | Kufotokozera |
|---|---|
| Zizindikiro za Lumbar Spinal Stenosis | |
| Kupweteka kwa msana | Ululu m'munsi mwa msana. |
| Ululu womwe umayenda pansi pa miyendo | Ululu womwe umayamba m'matako ndikuyenda pansi pa mwendo, nthawi zina mpaka pansi pa phazi. |
| Kulemera ndi kupweteka m'miyendo | Kumva kulemera m'miyendo, kumva ngati miyendo yanu yayamba dzanzi mutayenda kwa kanthawi kochepa, komanso kupweteka m'mimba. |
| Kusanza | Kumva nyerere zikuthamanga m'matako, miyendo, kapena pansi pa mapazi. |
| Ululu umawonjezeka ndi kuchepa | Ululu umawonjezeka mukayimirira kwa nthawi yayitali, mukuyenda, kapena mukutsika phiri. Ululu umachepa mukawerama patsogolo, mutakhala pampando, kapena mukamakwera masitepe/mapiri. (Mwachitsanzo, kuwerama patsogolo, monga mukakankhira trolley ku supermarket, kumachepetsa ululu wa msana.) |
| Zizindikiro za Cervical Spinal Stenosis | |
| Kupweteka kwa khosi | Kupweteka kwa khosi. |
| Kusanza ndi kufooka | Kumva kupweteka kapena kufooka m'manja, m'manja, m'miyendo, kapena m'mapazi. |
| Mavuto okhudzana ndi thanzi la thupi | Kuvuta kukhala ndi thanzi labwino pamene mukuyenda. |
| Mavuto ndi luso labwino la manja | Kuvuta kuchita ntchito zabwino monga kulemba ndi manja, kumanga mabatani a shati, kapena kugwira kapu. |
Nchifukwa chiyani stenosis ya msana imachitika?
Pali magulu awiri akuluakulu a zifukwa izi.
1. Zifukwa zomwe munthu amadwala: Ichi ndi chifukwa chofala kwambiri. Vutoli limachitika chifukwa cha kusintha kwa thupi lathu ("kuwonongeka") komwe kumachitika ndi ukalamba.
2. Zifukwa zobadwa nazo: Anthu ena amabadwa ndi msana wopapatiza. Izi sizichitika kawirikawiri.
Zifukwa zazikulu zomwe zimachitika ndi ukalamba (Zomwe Zimayambitsa)
- Kuchuluka kwa Mafupa: Pamene tikukalamba, mafupa athu amachepa. Izi zimatchedwa osteoarthritis. Pamene mafupa a msana amachepa, thupi limayankha mwa kupanga mafupa atsopano. Mafupa atsopanowa amatha kukula kupita ku msana ndikukankhira mitsempha.
- Ma disc otupa kapena otupa: Pakati pa vertebra iliyonse mu msana wathu, pali khushoni yonga jelly. Timatcha ma disc awa. Pamene tikukalamba, ma disc awa amakhala ouma, osalala, ndipo amatha kukhala ndi ming'alu m'makoma awo. Kenako gawo longa jelly mkati mwake limatha kutuluka (lotupa kapena jelly disc) ndikukankhira mitsempha.
- Kukhuthala kwa Mitsempha: Mitsempha ndi ziwalo zofanana ndi mkanda zomwe zimalumikiza msana wathu. Chifukwa cha matenda monga nyamakazi, mitsempha imeneyi imatha kukhuthala pakapita nthawi ndikutupa mu ngalande ya msana, zomwe zimachepetsa malo a mitsempha.
- Kuvulala kwa msana: Ngalande iyi imathanso kuchepetsedwa chifukwa cha ngozi monga kusweka kapena kuvulala kwa msana.
- Ziphuphu: Nthawi zambiri, chotupa chomwe chili mkati kapena mozungulira msana chingayambitsenso kupsinjika kwa mitsempha.
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kukaonana ndi dokotala yemwe ali ndi zizindikirozi, choyamba adzakufunsani za zizindikiro zanu. Kenako adzakuyesani thupi. Adzapinda msana wanu mbali zosiyanasiyana ndikusamala momwe ululu umachitikira.
Kuphatikiza apo, tingakulimbikitseni mayeso angapo kuti tipeze vuto:
- X-ray ya msana: Izi zimatha kuzindikira kusintha kwa mafupa, kutayika kwa kutalika kwa disc, ndi kuphulika kwa mafupa.
- Kujambula kwa MRI (Magnetic Resonance Imaging): Iyi ndiyo njira yabwino kwambiri yowonera bwino zinthu zofewa monga mitsempha, ma disc, ndi msana.
- Kujambula kwa CT (Computed Tomography): Iyi ndi njira yoyesera yomwe imapereka zithunzi zambiri kuposa X-ray. Nthawi zina CT myelogram, yomwe imagwiritsa ntchito madzi apadera (utoto wosiyana), ingathenso kuchitidwa.
Kodi mankhwala ochizira izi ndi otani?
Anthu akamamva dzinalo, nthawi zambiri amaganiza kuti, "O, kodi ndiyenera kuchitidwa opaleshoni?" Koma si aliyense amene ali ndi vuto la spinal stenosis amene amafunika opaleshoni. Anthu ambiri amatha kuchira popanda opaleshoni. Chithandizo chabwino kwambiri kwa inu chidzadalira kuopsa kwa zizindikiro zanu, komwe vutolo lili, komanso chifukwa chake.
| Njira yochizira | Kufotokozera |
|---|---|
| Mankhwala Opanda Opaleshoni | |
| Zinthu zomwe mungachite kunyumba | Mapaketi a kutentha/ozizira, masewera olimbitsa thupi oyenera monga momwe dokotala walangizira. |
| Mankhwala | Mankhwala oletsa ululu ndi kutupa. Nthawi zina mankhwala monga gabapentin a ululu wa mitsempha. Koma kumbukirani, nthawi zonse muyenera kufunsa dokotala musanagwiritse ntchito mankhwala aliwonse. |
| Kuchiza Thupi | Perekani chithandizo chabwino ku msana kudzera mu masewera olimbitsa thupi omwe amalimbitsa minofu ya msana ndi m'mimba. Yesetsani kuyenda motsatira njira zomwe zimachepetsa kupanikizika kwa mitsempha. |
| Majekeseni a Steroid | Jakisoni woperekedwa kuti achepetse kutupa ndi ululu wozungulira mitsempha yotsekeka. |
| Opaleshoni | |
| Kodi opaleshoni imalimbikitsidwa liti? | Opaleshoni imaganiziridwa pokhapokha ngati njira zina zonse zalephera ndipo zizindikiro zake zili zoopsa kwambiri. |
| Mitundu ikuluikulu ya opaleshoni | Kuchotsa laminectomy: Kuchotsa gawo la vertebra kuti pakhale malo okwanira a mitsempha. Kusakanikirana kwa Msana: Ngati msana suli wokhazikika, kugwirizanitsa mafupa awiri a msana pamodzi. Izi zimaonedwa ngati njira yomaliza. |
Kodi pali njira zopewera vutoli?
Ngakhale sitingathe kuletsa ukalamba kwathunthu, pali zinthu zina zomwe tingachite kuti msana wathu ukhale wathanzi. Izi zingathandize kuchepetsa chiopsezo cha spinal stenosis kapena kuwongolera kupita patsogolo kwake.
- Zakudya Zopatsa Thanzi: Idyani zakudya zokhala ndi calcium yambiri kuti mafupa akhale olimba.
- Kusunga kulemera kwabwino: Pamene kulemera kwa thupi kukukwera, kupanikizika kwa msana kumawonjezeka.
- Pewani kusuta: Kusuta kumawononga mitsempha yathu yamagazi, zomwe zingawonjezere ululu wa msana.
- Kusunga kaimidwe koyenera: Ndikofunikira kwambiri kusunga msana wanu wowongoka mukakhala pansi, mutaimirira, komanso mukamanyamula zolemera.
- Kuchita masewera olimbitsa thupi nthawi zonse: Kuchita masewera olimbitsa thupi omwe amalimbitsa minofu ya msana ndi yapakati, makamaka minofu ya m'mimba, kungathandize kuti msana ukhale wathanzi.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati muli ndi ululu watsopano wa msana kapena khosi, komanso dzanzi kapena kufooka m'manja kapena miyendo yanu, onetsetsani kuti mwaonana ndi dokotala. Ngati mukumwa kale mankhwala koma sakukuthandizani, onani dokotala wanu kuti mukambirane njira zina.
Zadzidzidzi!
Ngati mwadzidzidzi mwayamba kusadziletsa, kapena ngati mukumva ngati miyendo yonse yayamba dzanzi, ndi vuto ladzidzidzi. Ngati zili choncho , pitani ku Dipatimenti Yothandiza Anthu Odwala Zadzidzidzi (ETU) ya chipatala nthawi yomweyo.
Kupweteka kwa msana ndi khosi kungakhale chopinga chachikulu pa moyo wathu watsiku ndi tsiku. Koma nkhani yabwino ndi yakuti pali njira zambiri zochizira matendawa. Choncho m'malo monyalanyaza zizindikiro, lankhulani ndi dokotala wanu kuti mupeze yankho lomwe lingakuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Kuchepa kwa msana ndi kuchepa kwa ngalande ya msana komwe kumachitika ndi ukalamba.
- Zizindikiro zazikulu ndi ululu, dzanzi, ndi kufooka kumbuyo, khosi, manja, kapena miyendo.
- Pankhani ya stenosis m'munsi mwa msana, chizindikiro chodziwika bwino ndichakuti ululu umachepa mukawerama patsogolo.
- Anthu ambiri akhoza kupeza zotsatira zabwino pogwiritsa ntchito njira zosagwiritsa ntchito opaleshoni, monga kuchita masewera olimbitsa thupi, kuchiza thupi, ndi mankhwala.
- Opaleshoni imafunika kokha pa milandu yoopsa yomwe sinayankhe chithandizo china.
- Ngati muli ndi zizindikiro izi, onetsetsani kuti mwawonana ndi dokotala kuti akupatseni chithandizo choyenera.











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