Ese urutirigongo rwawe rurimo kunyerera? Reka twige ku bijyanye na spondylolisthesis!

Kubabara umugongo ni ikibazo gikunze kugaragara abantu benshi muri iyi minsi. Hari igihe bishobora kuba ububabare bworoheje bw'umugongo buturuka ku gukora cyane. Ariko, niba ubu bubabare burushaho kuba bubi mu minsi imwe n'imwe, cyangwa bukagira ibindi bimenyetso, ubwo hashobora kuba hari impamvu yihariye yabwo. Ni ukuvuga indwara ibera mu mugongo (Spondylolisthesis) . Nubwo izina rishobora kumvikana nk'iry'urujijo, reka tubisobanukirwe mu buryo bworoshye.

Spondylolisthesis ni iki? Mu magambo make...

Tekereza umugongo wawe nk'umurundo w'amagufwa mato (atwa vertebrae) ashyizwe hejuru y'andi. Hari vertebrae 33, mu by'ukuri. Nubwo aya magufwa afatanye, ashobora kugenda gato iyo twunamye cyangwa tugendanye n'imibiri yacu. Noneho, mu ndwara yitwa spondylolisthesis, imwe muri izi vertebrae irava aho iri ikajya isunika vertebrae iri munsi yayo. Ni nk'aho umugozi wacitse mu mugozi. Iyo ibi bibaye, imitsi yo muri ako gace ishobora gukandamizwa. Ni bwo ibimenyetso nk'ububabare bw'umugongo n'ububabare bw'amaguru bivuka. Spondylolisthesis ishobora kubaho ahantu hose mu mugongo, ariko ikunze kugaragara mu mugongo wo hasi (umugongo wo ku kibuno) . Nanone, iyi ndwara ishobora kubaho mu ijosi (umugongo wo mu kibuno) cyangwa kuva mu ijosi kugeza ku mpera y'imbavu (umugongo wo mu gituza). Umugongo ni nk'umugozi uhora ushyigikira umubiri wacu. Rero, bishobora gutera ubwoba gato iyo umugozi ucitse. Ariko, ibyo ntibivuze ko umugozi wose wangiritse. Akenshi hari uburyo bwiza bwo kuvura indwara yitwa spondylolisthesis. Niba ufite ububabare bushya mu mugongo cyangwa amaguru kandi ukaba ugorwa no gukora imirimo ya buri munsi, menya neza ko wagiye kwa muganga.

Ni izihe mpamvu zishobora gutera spondylolisthesis?

Hari uburyo bwinshi bw'ingenzi iki kibazo gishobora kubaho:

1. Indwara iterwa n'imyaka (Degenerative Spondylolisthesis)

Ubu ni bwo bwoko bukunze kugaragara cyane. Uko tugenda dusaza, ibice bisa n'umusego biri hagati y'amagufwa yacu (byitwa disiki ) birashira. Uko izi disiki ziba nto, umwanya uri hagati y'amagufwa urushaho kwiyongera, bigatuma umuntu ashobora kunyerera. Ubu kandi ni ubwoko bw'indwara ya disiki itera kwangirika .

2. Spondylolisthesis y'ivuka rya Congenital

Hari igihe iki kibazo gishobora kubaho bitewe nuko uruti rw'umugongo rw'umwana rudakozwe neza akiri mu nda. Iyo ibi bibaye, ibibazo bishobora kuvuka haba mu bwana bwe cyangwa mu myaka myinshi ishize.

3. Bitewe no kuvunika aho urutirigongo ruhurira (Isthmic Spondylolisthesis)

Iyo agace gato k'igufwa gahuza vertebrae ebyiri (zitwa pars interarticularis ) kavunitse, ntikiba kigishobora kuzifata neza. Hanyuma vertebrae iracika. Ibi bishobora kubaho ku bakinnyi, cyane cyane abakora imyitozo yo gusimbuka no gukurura .

Izindi nyoni zitakunze kugaragara cyane:

• (Spondylolisthesis ibabaje):Uruti rw'umugongo rushobora kunyerera bitewe n'ibyangiritse bikomeye ku mugongo bivuye ku mpanuka ikomeye cyangwa kugwa.
• Spondylolisthesis y’indwara: Ibi bishobora guterwa n’indwara zituma amagufwa acika intege (nk’indwara y’amagufwa cyangwa ikibyimba mu magufwa).
• (Postsurgical Spondylolisthesis): Ni gake cyane, iyi ndwara ishobora kubaho nk'ingaruka mbi zo kubagwa uruti rw'umugongo.

Ni ibihe bimenyetso bya spondylolisthesis?

Igitangaje ni uko hari abantu bafite spondylolisthesis kandi nta bimenyetso bafite. Iyo vertebra yacitse ari nto cyane (ifite urwego rwo hasi), ishobora kutagira ibimenyetso kuko idashyira igitutu kinini ku bindi bice by'umugongo cyangwa imitsi. Ariko, niba ibimenyetso bigaragaye, bishobora kuba birimo:

• Kubabara umugongo wo hasi.
• Ububabare bunyura mu maguru (bwitwa kandi sciatica ).
• Kumva umugongo uhambiriye kandi uhambiriye.
• Kugorwa no kugenda cyangwa guhagarara mu gihe kirenze iminota mike.
• Kubura ibinya, intege nke, cyangwa kumva ibirenge bidafite icyo bivuze.

Bitewe n'aho imitsi y'umugongo yanyerereye, ububabare bushobora no kumvikana mu bindi bice by'umugongo. Ubu bubabare bushobora no gukwirakwira mu matako cyangwa mu bibero.

Ni izihe mpamvu zitera indwara ya spondylolisthesis?

Impamvu itera vertebra kugwa iratandukanye bitewe n'ubwoko bwa spondylolisthesis ufite. Zimwe mu mpamvu zikunze kugaragara zirimo:

• Udupira tw'umugongo dushira uko umuntu asaza.
• Imitsi yo mu bwonko iba yoroshye kurusha uko bisanzwe igihe cyo kuvuka.
• Impanuka mu gihe cyo gukina siporo.
• Ikura ryihuta mu bana no mu rubyiruko.
• Impanuka nko kugwa no kugonga imodoka.

Ni nde uri mu kaga gakomeye ko kurwara iyi ndwara?

Nubwo umuntu wese ashobora kurwara spondylolisthesis, hari abantu bafite ibyago byinshi:

• Abantu barengeje imyaka 50.
• Abagore.
• Abakinnyi (cyane cyane abakina siporo ikomeye, basimbuka cyane, kandi bakora imyitozo ngororamubiri).
• Abantu bafite amateka yo mu muryango wabo ku ndwara zo mu bwonko cyangwa indwara ziterwa n'amagufwa.

Ni iki gishobora kubaho iyo spondylolisthesis itavuwe? (Ingaruka mbi)

Iyo iyi ndwara idasuzumwe neza kandi itaravurwa neza, ushobora guhura n'ibi bikurikira:

• Kubabara umugongo bidakira.
• Indwara ya rubagimpande yo mu mugongo.
• Kwangirika kw'imitsi.
• Kudashobora kugenzura inkari (Kunanirwa kwihagarika inkari) cyangwa kunanirwa kwihagarika amara (Kunanirwa kwihagarika amara) .

Ni gute abaganga basuzuma indwara ya spondylolisthesis?

Umuganga azasuzuma indwara ya spondylolisthesis akoresheje isuzuma ry’umubiri n’ibizamini byihariye byo gufata amashusho. Azasuzuma umugongo wawe n’umugongo wawe witonze. Uzakenera kubwira muganga wawe igihe watangiye kugira ububabare cyangwa ibindi bimenyetso, ibikorwa bituma ububabare burushaho kwiyongera, n’ibyo wakoze mbere yuko ibimenyetso byawe bitangira, cyane cyane niba waragize impanuka. Hanyuma muganga wawe azafata X-ray yo mu ruti rw’umugongo kugira ngo afate amafoto y’uruti rw’umugongo. Ushobora kandi gukenera CT scan cyangwa MRI scan kugira ngo urebe niba hari ibyangiritse kuri disiki cyangwa imitsi yawe.

Ibyiciro bya Spondylolisthesis

Muganga wawe azaguha amanota ajyanye n'uburwayi bwawe, bitewe n'ingano y'umugongo wawe wacitse. Iyi ishobora kuba umubare, "w'icyiciro cyo hasi" cyangwa "w'icyiciro cyo hejuru":

• Spondylolisthesis yo mu rwego rwo hasi - Icyiciro cya mbere n'icya kabiri: Ubu ni bwo bwoko bukunze kugaragara cyane. Abana benshi bato bafite spondylolisthesis ya isthmic n'abantu bakuru bafite spondylolisthesis yo mu rwego rwo hasi bafite iyi ndwara idakabije cyane.
• Spondylolisthesis yo mu rwego rwo hejuru (Icyiciro cya gatatu n'icya kane): Muri ibi bihe, kubagwa birashoboka cyane, cyane cyane iyo ufite ububabare bukabije cyangwa ibindi bimenyetso.

Ni ubuhe buryo bwo kuvura indwara ya spondylolisthesis?

Abantu benshi bashobora kugenzura ibimenyetso byabo bakoresheje uburyo bwo kuvura butari ubwo kubaga, harimo:

• Kuruhuka : Gufata ikiruhuko gito ku mikino no gukora imyitozo ngororamubiri bizagabanya umuvuduko ku mugongo.
• Imiti: Ushobora gukoresha imiti igabanya ububabare no kubyimba ( NSAIDs) itangwa na muganga (urugero: Ibuprofen, Diclofenac) cyangwa Acetaminophen (urugero: Panadol) kugira ngo ugabanye ububabare no kubyimba. Ariko, ntugafate iyi miti mu gihe kirenze iminsi 10 utabanje kugisha inama muganga. Vugana na muganga wawe mbere yo gutangira imiti iyo ari yo yose, kugira ngo aguhe umuti ukubereye .
• Corticosteroids: Iyi ni imiti ikomeye yanditswe na muganga kugira ngo igabanye ububyimbirwe. Ishobora gutangwa mu kanwa cyangwa igaterwa mu gace kababara (urushinge rwa cortisone) .
• Ubuvuzi bw'umubiri:Umuganga w’imitsi azakwigisha imyitozo ngororamubiri yo gukomeza imitsi ikikije uruti rw’umugongo (cyane cyane imitsi y’umugongo n’iy’inda). Ibi bizagabanya umuvuduko ku ruti rw’umugongo wawe kandi bigufashe kugenda byoroshye.
• Kwambara inkingi yo gukingira: Niba ufite imvune yo mu mugongo, muganga wawe ashobora kukugira inama yo kwambara inkingi yo gukingira kugira ngo umugongo wawe ukomeze gukomera. Azakubwira kandi igihe ugomba kuyambara.

Ni ryari kubagwa biba bikenewe kugira ngo umuntu agire ikibazo cyo kubabara mu bwonko (spondylolisthesis)?

Si buri wese uzakenera kubagwa spondylolisthesis. Niba vertebrae yacitse idatera ibimenyetso bikomeye cyangwa idafite ibyago byo kugira izindi ngorane, ushobora kubaho ufite indwara yo hasi. Muganga wawe azakubwira igihe cyo gutekereza kubagwa kigeze. Kubagwa bishobora kuba ngombwa mu bihe bikurikira:

• Niba ufite ikibazo cyo kurwara indwara yo mu bwonko (spondylolisthesis) .
• Niba ufite ububabare bukabije cyangwa ibindi bimenyetso bituma bidashobora guhagarara, kugenda, cyangwa kugendagenda.
• Niba ibimenyetso bitaragabanuka nubwo hari ubundi buryo bwo kuvura butari ubwo kubaga .

Umuganga w’inzobere mu kubaga ashobora gukora igikorwa cyitwa spinal fusion . Ibi bikubiyemo guhuza vertebrae yawe no gukomeza agace k’aho utuye. Ushobora kandi gukenera gukora igikorwa cyitwa spinal decompression kugira ngo ugabanye umuvuduko ku mitsi yawe ya sciatic. Muganga wawe cyangwa umuganga wawe azagusobanurira uburyo bwo kubagwa ukeneye n’icyo witeze.

Ingaruka mbi zishobora kubaho nyuma yo kubagwa

Hari abantu babazwe uruziga rw'umugongo bashobora kugabanuka gato mu mikorere y'amaguru nyuma yo kubagwa. Ibi biterwa nuko kubagwa bihuza imitsi ibiri y'amagufwa kugira ngo bibe igufwa rimwe. Ariko, ku bantu benshi, ububabare ni buke cyane ku buryo bashobora kwihanganira ubu burwayi buto. Ariko, ntutinye kuvugana n'umuganga wawe mbere yuko ufata icyemezo cyo kubagwa. Ashobora kugusobanurira ingaruka zishobora kubaho no kugufasha kwitega ibintu bifatika.

Ese indwara ya spondylolisthesis ishobora kwirindwa?

Hari igihe indwara ya spondylolisthesis idashobora kwirindwa burundu, cyane cyane iyo ibaye bitewe n'impanuka cyangwa uburyo umugongo wawe waremwe igihe wavukaga. Ariko, ushobora kugabanya ibyago byawe ukurikije izi nama:

• Kora imyitozo ikomeza umugongo wawe n'imitsi yo mu nda .
• Kurikira indyo yuzuye ikubereye. Ibi bishobora kurinda amagufwa yawe n'ubuzima bwawe muri rusange.
• Vugana na muganga wawe ku buzima bw'amagufwa yawe. Azakubwira niba n'igihe ugomba gupimisha ubucucike bw'amagufwa yawe .

Ni iki wakwitega niba ufite spondylolisthesis?

Niba ufite spondylolisthesis, ibimenyetso byawe bigomba kuzamuka ukoresheje uburyo bwo kuvura butari ubwo kubaga nko kuruhuka, imiti, no kuvura umubiri. Umaze gutangira kuvurwa, muganga wawe azagufata X-ray nyinshi kugira ngo arebe niba urutirigongo rwawe rurimo kunyerera cyane. Muganga wawe azakurikirana neza urutirigongo rwamenetse. Iyo rumenetse cyane, ushobora gukenera kubagwa.

Ubuvuzi butari ubw'ababaga ntibushobora gusubiza vertebra yacitse mu mwanya wayo, ariko bushobora kugufasha gukora imirimo yawe ya buri munsi nta bubabare. Kubagwa gusa ni byo bishobora gusubiza imiterere y'umugongo.

Bishobora gufata ibyumweru bike kugeza ku mezi make kugira ngo uruhuke neza nyuma yo kubagwa uruti rw'umugongo. Umuganga wawe azaguha gahunda yo gukira ikubereye, bitewe n'ibyo ukeneye.

Ni ryari nshobora kongera gukina?

Abantu benshi bafite uburwayi bwa spondylolisthesis bashobora gusubira mu mikino ngororamubiri n'indi mirimo ngororamubiri nyuma y'ibyumweru bike bamaze kuvurwa. Ubusanzwe, ugomba gutegereza kugeza igihe uzabasha kugenda neza nta bubabare. Vugana na muganga wawe cyangwa umuganga mbere yo kongera gukora imyitozo ngororamubiri. Bashobora kukugira inama y'uburyo bwiza bwo gukomeza gukora siporo utibagiwe ibyago byo kurwara indwara.

Ni iki wakwirinda gukora mu gihe ufite spondylolisthesis?

Muganga wawe azakubwira imyitozo itekanye ushobora gukora. Ushobora kuba ugomba guhagarika gukora siporo ijyanye n'aho ukorera cyangwa gukora imyitozo ishyira umugongo wawe ku gitutu kinini cyangwa isaba kunanura imitsi cyane.

Ni ryari ukwiye kujya kwa muganga?

Uko ujya kwa muganga vuba, niko barushaho kumenya no kuvura indwara ya spondylolisthesis. Niba ufite ububabare bw'umugongo bumara iminsi irenga mike, cyangwa niba ububabare bukabije ku buryo utashobora gukora imirimo yawe isanzwe, jya kwa muganga vuba bishoboka.

Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) ?

Niba ugize impanuka, nko kugwa cyangwa impanuka y'imodoka, jya mu cyumba cyita ku barwayi barembye. Niba wumva amaguru yawe afite ibisebe, cyangwa niba udashobora kugenzura inkari cyangwa amara, jya mu cyumba cyita ku barwayi barembye ako kanya.

Ni ibihe bibazo ugomba kubaza muganga?

Ushobora kubaza muganga wawe ibi bibazo:

• Ese mfite ikibazo cy'umugongo cyangwa ikindi kibazo cy'umugongo?
• Ni ubuhe bwoko bw'ubuvuzi nkeneye?
• Ese ngomba kubagwa?
• Ni ryari nshobora gusubira mu bikorwa by'imyitozo ngororamubiri nka siporo?

Ni irihe tandukaniro riri hagati ya (Spondylolisthesis) na (Spondylolysis)?

Spondylolisthesis na Spondylolysis ni indwara ebyiri zifite amazina asa kandi zishobora kwitiranywa. Itandukaniro riri hagati yazo ni uburyo zigira ingaruka ku mugongo wawe.

• Spondylolisthesis ni igihe vertebra inyerera igasunika vertebra iri munsi yayo.
• (Spondylolysis)Ni ukuvunika gato k'igufwa gusa kugaragara mu gace gato k'igufwa (pars interarticularis) hagati y'amagufwa abiri. Iyi ndwara yitwa spondylolysis, ni yo mpamvu nyamukuru itera spondylolisthesis ya isthmic. Kuko iyo mvune ishobora gutuma amagufwa anyerera.

Amaherezo, hari icyo tugomba gusuzuma.

Ni ibisanzwe ko umuntu wese yumva ubwoba iyo yumvise ijambo "spondylolisthesis". Iyo wumvise ijambo "spondylolisthesis," igufwa rigwa mu gice cy'ingenzi cy'umubiri, ibintu bitandukanye biza mu mutwe. Ni ibisanzwe gutungurwa no kugira ibibazo byinshi. Fata umwuka mwinshi. Spondylolisthesis ishobora kugorana kuyivuga no kuyindika, ariko ku bw'amahirwe, si indwara zose zifite amazina agoye zisaba ubuvuzi bugoye. Ushobora kuba ukeneye ibyumweru bike gusa byo kuruhuka, imiti itangwa ku muganga, no kuvurwa ku mubiri. Nubwo wabazwe, nyuma yo guha umubiri wawe umwanya ukeneye wo gukira, uzabasha gusubira mu mirimo yawe isanzwe. Spondylolisthesis, ububabare bw'umugongo, spondylolisthesis, uruti rw'umugongo, gukanda imitsi, ubuvuzi bw'umubiri, kubagwa umugongo.