Kodi nthawi zambiri mumakhala ndi ululu wa msana? Ichi chingakhale chifukwa chake (Spondylolysis)

Kodi nthawi zambiri mumakhala ndi ululu wa m'munsi mwa msana? Kodi umakula kwambiri mukamachita masewera olimbitsa thupi, kuyimirira kwa nthawi yayitali, kapena kunyamula zinthu zolemera? Anthu ambiri amaganiza kuti uku ndi kupsinjika kwa minofu kapena kuvulala . Koma sikuti ululu wonse wa msana ndi wosavuta. Nthawi zina chifukwa chake chimakhala chakuya pang'ono, ndipo tiyenera kusamala nacho. Ndicho chimene tikambirana lero, makamaka pakati pa achinyamata ochita masewera olimbitsa thupi.

Kodi Spondylolysis ndi chiyani?

Mwachidule, spondylolysis ndi mng'alu waung'ono kapena kusweka pakati pa mafupa awiri a msana wathu. Tsopano mwina mukudabwa kuti mafupa awa ndi otani. Tangoganizirani, msana wathu uli ngati nsanja yopangidwa ndi mafupa ang'onoang'ono omangidwa pamwamba pa wina ndi mnzake. Ichi ndi chomwe timachitcha kuti mafupa a msana. Mafupa 33 awa amasonkhana pamodzi kuti apange msana wonse.

Apa pali fupa laling'ono kwambiri, lofewa kwambiri pomwe mafupa a msana amalumikizana. Madokotala amatcha ichi kuti 'pars interarticularis'. Chili ngati chidutswa chaching'ono chomwe chimalumikiza maulalo awiri mu unyolo. Kusweka kwa gawo limenelo ndi komwe timatcha spondylolysis . Madokotala nthawi zina amatcha ichi kuti 'pars defect' kapena 'pars fracture'.

Matendawa amapezeka kwambiri m'munsi mwa msana wathu, msana wa m'chiuno. Izi zili choncho chifukwa chakuti ndi wolemera kwambiri ndipo thupi lathu limapindika kwambiri. Komabe, nthawi zina amatha kuchitika m'khosi mwa msana kapena msana wa pachifuwa.

Kodi zizindikiro za spondylolysis ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha vutoli ndi kupweteka m'munsi mwa msana. Koma pali zizindikiro zingapo za ululu uwu. Tiyeni tiwone zomwe zili.

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

Ngakhale kuti chifukwa chenicheni cha vutoli chotchedwa Spondylolysis sichinapezeke, zifukwa zingapo zazikulu zadziwika.

• Kugwiritsa ntchito mopitirira muyeso ndi kupsinjika maganizo: Ichi ndiye chifukwa chachikulu. Kuchita zinthu zomwe zimaika mphamvu pa msana mobwerezabwereza. Taganizirani za munthu amene amaponya mpira mwachangu mu cricket, munthu amene amanyamula zolemera mu gym, munthu amene amachita masewera olimbitsa thupi, kapena munthu amene ali ndi ntchito yomwe imafuna kuti awerama ndikunyamula zolemera. Pakapita nthawi, gawo lofewa la msana lotchedwa 'pars interarticularis' lingafooke ndikuyambitsa kusweka kwa nkhawa.

• Kukula mofulumira: Pali nthawi yomwe ana aang'ono, makamaka, amakula mwadzidzidzi. Panthawiyi, mafupa a thupi amakulanso mofulumira. Vutoli limathanso kuchitika chifukwa cha kupanikizika kwa msana panthawiyi. Ichi ndichifukwa chake limapezeka kwambiri pakati pa othamanga achinyamata.

• Majini: Anthu ena amabadwa ndi msana woonda pang'ono. Izi zikutanthauza kuti 'pars interarticularis' ikhoza kukhala yofooka kuposa yachibadwa. Anthu oterewa ali ndi mwayi waukulu wovulala mwanjira imeneyi kuposa ena.

Kodi chimachitika ndi chiyani ngati chithandizo sichiperekedwa? (Zovuta)

Anthu ambiri amaganiza kuti kupweteka kwa msana ndi vuto losavuta lomwe limatha lokha pakatha masiku ochepa. Komabe, ngati silinachiritsidwe, spondylolysis ingayambitse matenda aakulu kwambiri.

Matendawa amatchedwa spondylolisthesis . Ngati fupa lotsetsereka likakankhira mitsempha yomwe imadutsa, ingayambitse ululu waukulu, dzanzi, kapena sciatica yomwe imatha kutuluka m'miyendo. Zikatero, opaleshoni ingafunike. Chifukwa chake, si bwino kunyalanyaza ululu wa msana.

Kodi mwapeza bwanji izi, Dokotala?

Mukapita kwa dokotala chifukwa cha ululu wa msana, choyamba adzakufunsani za zizindikiro zanu. Kodi msana wanu unayamba liti kupweteka, chomwe chikukupangitsani kukhala woipa kwambiri, kodi mumachita masewera olimbitsa thupi, ntchito yanu ndi iti, ndi zina zambiri. Kenako adzakuyang'anirani msana wanu.

Kenako, kuti atsimikizire vutoli, dokotalayo adzalamula mayeso angapo ojambulira zithunzi.

• Kuyezetsa X-ray: Izi nthawi zambiri zimatha kuzindikira kusweka kwa mafupa.
• Kujambula kwa MRI (Magnetic Resonance Imaging): Izi zimakupatsani mwayi wowona bwino osati mafupa a msana okha, komanso minofu yofewa ndi mitsempha yozungulira msana.
• Kujambula kwa CT (Computed Tomography): Izi zimatha kuona ngakhale kusweka pang'ono m'mafupa momveka bwino komanso mwatsatanetsatane.

Kodi mankhwala ochizira izi ndi otani?

Ngakhale dzinali lingamveke loopsa, spondylolysis ndi vuto lomwe nthawi zambiri limatha kuchiritsidwa kwathunthu popanda opaleshoni, ndi mankhwala osavuta. Cholinga chachikulu ndikuchepetsa ululu ndikupatsa msana mphamvu yotsalayo ndikuthandizira kuti uchiritsidwe.

Kodi opaleshoni idzafunika?

Opaleshoni siifunikira kawirikawiri. Anthu opitilira 90% amachira ku vutoli pogwiritsa ntchito njira zina zochizira. Komabe, pazochitika zazikulu, monga pamene mafupa a msana atsetsereka ndipo akuphwanya mitsempha, kapena ngati ululu sunathe pambuyo pa miyezi yambiri ya chithandizo, dokotala wanu angaganizire za opaleshoni.

Kodi ndiyenera kupita kwa dokotala liti?

Choyambitsa chikadziwika msanga, zimakhala zosavuta kuchiza ndi kuchiza.

• Ngati muli ndi ululu wa msana womwe umatenga masiku opitilira angapo ,
• Ngati ululu ukukulepheretsani kuchita zinthu zanu zachizolowezi (kupita kusukulu, kuntchito, kusewera masewera) ,

Kaonaneni ndi dokotala nthawi yomweyo.

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

• Ngati msana wanu ukupweteka pambuyo pa ngozi (kugwa, ngozi ya galimoto).
• Ngati kupweteka kwa msana kumayenderana ndi dzanzi m'chigawo cha thupi, kapena kulephera kusuntha gawo limenelo .
• Ngati muli ndi vuto lomwe simungathe kulamulira mkodzo wanu kapena ndowe zanu .

Mu mkhalidwe wotere, musataye nthawi ndipo pitani nthawi yomweyo ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.

Mavuto ena a msana okhala ndi mayina ofanana

Spondylolysis, Spondylolisthesis, Spondylosis... Ngakhale mayina atatuwa akumveka ofanana, kwenikweni amatanthauza matenda atatu osiyanasiyana omwe amapezeka mumsana. Anthu ambiri amawasokoneza. Tiyeni tiwone kusiyana kwake.