Cervical spondylosis

Cervical spondylosis ndi vuto lomwe limavala pamatenda (ma disks) ndi mafupa a khosi (khomo lachiberekero). Ndi chifukwa chofala cha kupweteka kwa khosi.

Cervical spondylosis imayamba chifukwa cha ukalamba komanso kuvala kwanthawi yayitali pamtsempha wa khomo lachiberekero. Izi zikuphatikiza ma disks kapena ma cushion pakati pamitsempha yam'khosi ndi zimfundo pakati pa mafupa a msana. Pakhoza kukhala kukula kosazolowereka kapena kutuluka m'mafupa a msana (vertebrae).

Popita nthawi, kusintha kumeneku kumatha kupitilira (compress) imodzi kapena zingapo zamitsempha. M'milandu yayikulu, msana wa msana umakhudzidwa. Izi sizingakhudze manja okha, komanso miyendo.

Kuvala kwa tsiku ndi tsiku kungayambitse kusintha kumeneku. Anthu omwe amakhala otanganidwa pantchito kapena pamasewera atha kukhala nawo.

Choopsa chachikulu ndi ukalamba. Pofika zaka 60, anthu ambiri amawonetsa zizindikiro za khomo lachiberekero pa x-ray. Zinthu zina zomwe zingapangitse wina kukhala ndi spondylosis ndi:

• Kukhala wonenepa kwambiri komanso osachita masewera olimbitsa thupi
• Kukhala ndi ntchito yomwe imafunikira kukweza kwambiri kapena kupindika kwambiri ndi kupindika
• Kuvulala kwa khosi m'mbuyomu (nthawi zambiri zaka zingapo zisanachitike)
• Opaleshoni yam'mbuyo yam'mbuyo
• Diski yong'ambika kapena yotumphuka
• Matenda a nyamakazi

Zizindikiro nthawi zambiri zimayamba pang'onopang'ono pakapita nthawi. Koma amatha kuyamba kapena kuwonongeka mwadzidzidzi. Ululu ukhoza kukhala wofatsa, kapena ukhoza kukhala wozama komanso wowopsa kotero kuti sungathe kusuntha.

Mutha kumva kupweteka paphewa. Itha kufalikira kumtunda, mkono, kapena zala (nthawi zina).

Ululu ukhoza kukulira:

• Pambuyo poyimirira kapena kukhala
• Usiku
• Mukayetsemula, kutsokomola, kapena kuseka
• Mukaweramitsa khosi cham'mbuyo kapena kupotoza khosi lanu kapena kuyenda mtunda wopitilira mayendedwe angapo kapena kupitirira mita zochepa

Mwinanso mungakhale ndi zofooka mu minofu ina. Nthawi zina, mwina simungazindikire mpaka dokotala atakuyesani. Nthawi zina, mudzawona kuti mukuvutika kukweza mkono wanu, kufinya mwamphamvu ndi dzanja limodzi, kapena mavuto ena.

Zizindikiro zina zofala ndi izi:

• Kuuma kwa khosi komwe kumawonjezeka pakapita nthawi
• Dzanzi kapena kumva zachilendo pamapewa kapena mikono
• Kupweteka mutu, makamaka kumbuyo kwa mutu
• Ululu mkati mwa tsamba la phewa ndi kupweteka m'mapewa

Zizindikiro zochepa kwambiri ndi izi:

• Kutaya malire
• Kupweteka kapena dzanzi m'miyendo
• Kutaya mphamvu pa chikhodzodzo kapena matumbo (ngati pali vuto pamtsempha)

Kuyezetsa thupi kumatha kuwonetsa kuti mukulephera kusunthira mutu wanu paphewa ndikuzungulira mutu.

Wothandizira zaumoyo wanu akhoza kukufunsani kuti mugwaditse mutu wanu kutsogolo ndi mbali iliyonse kwinaku mukukakamiza kutsika pang'ono pamutu panu. Kuchulukirachulukira kapena kufooka pakamayesedwe kameneka nthawi zambiri kumakhala chizindikiro kuti pali vuto mumtsempha msana wanu.

Kufooka kwa mapewa anu ndi mikono kapena kutaya mtima kwanu kumatha kukhala zizindikilo zowononga mizu ina ya mitsempha kapena msana.

X-ray ya msana kapena khosi ikhoza kuchitidwa kuti ifufuze nyamakazi kapena zosintha zina msana wanu.

Kujambula kwa MRI kapena CT kwa khosi kumachitika mukakhala ndi:

• Kupweteka kwambiri kwa khosi kapena mkono komwe sikumakhala bwino ndi chithandizo
• Kufooka kapena dzanzi m'manja mwanu kapena m'manja

Mayeso a EMG ndi mitsempha yopanga ma velocity atha kuchitidwa kuti aone momwe mizu imagwirira ntchito.

Dokotala wanu ndi ena azaumoyo atha kukuthandizani kuti muchepetse ululu wanu kuti mukhalebe achangu.

• Dokotala wanu akhoza kukutumizirani chithandizo chamankhwala. Wothandizira zakuthupi angakuthandizeni kuchepetsa kupweteka kwanu pogwiritsa ntchito kutambasula. Wothandizira adzakuphunzitsani zolimbitsa thupi zomwe zimapangitsa kuti khosi lanu likhale lolimba.
• Wothandizira amathanso kugwiritsira ntchito khosi kuti athetse mavuto ena m'khosi mwanu.
• Muthanso kuwona wothandizira kutikita minofu, wina amene amachita kutema mphini, kapena wina amene amachita msana (chiropractor, dokotala wa mafupa, kapena othandizira thupi). Nthawi zina, maulendo ochepa angathandize kupweteka kwa m'khosi.
• Ma phukusi ozizira komanso othandizira kutentha kumatha kuthandizira kupweteka kwanu mukamayaka.

Mtundu wa mankhwala olankhulira otchedwa chidziwitso cha chithandizo chamakhalidwe atha kukhala othandiza ngati kupweteka kukukhudzani moyo wanu. Njira imeneyi imakuthandizani kumvetsetsa ululu wanu ndikuphunzitsani momwe mungawathetsere.

Mankhwala amatha kuthandiza kupweteka kwa khosi. Dokotala wanu angakupatseni mankhwala osagwiritsa ntchito zotupa (NSAIDs) kuti muchepetse kupweteka kwakanthawi. Ma opioid amatha kuperekedwa ngati kupweteka kuli kwakukulu ndipo sikuyankha ma NSAID.

Ngati kupweteka sikukuyankha mankhwalawa, kapena mukulephera kuyenda kapena kumva, kuchitidwa opaleshoni kumaganiziridwa. Opaleshoni yachitika kuti muchepetse kupanikizika kwa mitsempha kapena msana.

Anthu ambiri omwe ali ndi khomo lachiberekero la spondylosis amakhala ndi zizindikilo zazitali. Zizindikirozi zimakula bwino ngati osachita opaleshoni ndipo safunikira kuchitidwa opaleshoni.

Anthu ambiri omwe ali ndi vutoli amatha kukhalabe achangu. Anthu ena amayenera kukhala ndi ululu wosatha (wa nthawi yayitali).

Izi zitha kubweretsa izi:

• Kulephera kugwira ndowe (kusadziletsa) kapena mkodzo (kusagwira kwamikodzo)
• Kutayika kwa minofu kapena kumverera
• Kulemala kwamuyaya (nthawi zina)
• Kulingalira bwino

Itanani omwe akukuthandizani ngati:

• Vutoli likuipiraipira
• Pali zizindikiro za zovuta
• Mumakhala ndi zizindikilo zatsopano (monga kuchepa kwa kuyenda kapena kumva mdera la thupi)
• Mumalephera kuwongolera chikhodzodzo kapena matumbo (imbani pomwepo)

Khomo lachiberekero mafupa; Nyamakazi - khosi; Khosi nyamakazi; Kupweteka kwa khosi; Matenda osokonezeka a disk

• Mafupa msana
• Cervical spondylosis

Fast A, Dudkiewicz I. Matenda opatsirana pakhosi. Mu: Frontera WR, Silver JK, Rizzo TD, Jr., olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: chaputala 3.

Kshettry VR. Cervical spondylosis. Mu: Steinmetz, MP, Benzel EC, olemba. Opaleshoni ya Spine ya Benzel. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 96.