Spondylolysis ndi Spondylolisthesis: Zomwe Iwo Alili ndi Momwe Mungachitire

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira
• Nthawi komanso momwe physiotherapy imagwirira ntchito

Spondylolysis ndimomwe pamakhala kaphokoso kakang'ono ka msana pamtsempha, komwe kumatha kukhala kopanda tanthauzo kapena kuyambitsa spondylolisthesis, pomwe vertebra 'imatsetsereka' kumbuyo, ikusokoneza msana, kutha kukanikiza mitsempha ndi zimayambitsa zizindikiro monga kupweteka kwa msana komanso zovuta kuyenda.

Izi sizofanana ndendende ndi heniated disc, chifukwa ku hernia kokha disc imakhudzidwa, kuponderezedwa. Pazochitikazi, msana umodzi (kapena kupitirirapo) wa msana 'umatsetsereka chammbuyo', chifukwa cha kuphwanya kwa vertebral pedicle ndipo posakhalitsa pambuyo pake disc ya intervertebral imatsatiranso kuyenda uku, kubwerera chammbuyo, kuchititsa kupweteka kwakumbuyo ndikumverera kwamphamvu. Komabe, nthawi zina zimakhala zotheka kukhala ndi spondylolisthesis ndi disc ya herniated nthawi yomweyo.

Spondylolysis ndi spondylolisthesis ndizofala kwambiri m'chigawo cha khomo lachiberekero ndi lumbar, koma zimathanso kukhudza msana wa thoracic. Machiritso otsimikizika amatha kupezeka ndi opareshoni yomwe imakhazikitsanso msana pamalo ake apachiyambi, koma chithandizo chamankhwala osokoneza bongo ndi chithandizo chokwanira chokwanira chokwanira chitha kuthana ndi ululu.

Zizindikiro zazikulu

Spondylolysis ndiye gawo loyamba la kuvulala kwamtsempha ndipo, chifukwa chake, sangapangitse zizindikilo, kupezeka mwangozi poyesa X-ray kapena tomography ya kumbuyo, mwachitsanzo.

Spondylolisthesis ikapangidwa, vutoli limakhala lalikulu kwambiri ndipo zizindikilo monga:

• Kupweteka kwakumbuyo kwakukulu, m'dera lomwe lakhudzidwa: pansi pamunsi pakhosi kapena m'khosi;
• Kuvuta kuchita mayendedwe, kuphatikiza kuyenda ndi kuchita zolimbitsa thupi;
• Kupweteka kwakumbuyo kumatha kuthamangira kumtunda kapena kumiyendo, kukhala sciatica;
• Kutengeka kwamphamvu m'manja, pakagwa khomo lachiberekero spondylolisthesis ndi miyendo, ngati lumbar spondylolisthesis.

Kuzindikira kwa spondylolisthesis kumachitika kudzera mu MRI yomwe imawonetsa malo enieni a intervertebral disc. Matendawa amapezeka atakwanitsa zaka 48, pomwe azimayi ndi omwe amakhudzidwa kwambiri.

Zomwe zingayambitse

Zomwe zimayambitsa spondylolysis ndi spondylolisthesis ndi izi:

• Kusokonezeka kwa msana: Nthawi zambiri amasintha momwe msana umayambira kuyambira pobadwa ndipo zimathandizira kusunthika kwa msana wachinyamata mukamachita zaluso kapena masewera olimbitsa thupi, mwachitsanzo.
• Sitiroko ndi zoopsa msana: zingayambitse kupindika kwa msana, makamaka pangozi zapamsewu;
• Matenda a msana kapena mafupa: Matenda monga kufooka kwa mafupa angapangitse chiopsezo chotuluka mu msana, womwe umakhala wokalamba.

Spondylolysis ndi spondylolisthesis ndizofala kwambiri m'chiuno ndi m'chiberekero, zomwe zimapweteka kumbuyo kapena m'khosi. Spondylolisthesis itha kukhala yolemetsa ikakhala yayikulu ndipo mankhwalawo samabweretsa kupumula komwe akuyembekezeredwa, pomwe munthuyo angafunike kupuma pantchito.

Momwe mankhwalawa amachitikira

Chithandizo cha spondylolysis kapena spondylolisthesis chimasiyanasiyana kutengera kukula kwa zizindikilozo ndi kuchuluka kwa kusunthika kwa vertebra, komwe kumatha kusiyanasiyana kuyambira 1 mpaka 4, ndipo kumatha kuchitidwa ndi mankhwala odana ndi zotupa, zopumulira minofu kapena ma analgesics, komanso Ndikofunikira kuchita kutema mphini ndi physiotherapy, ndipo ngati palibe izi zomwe zingakwaniritse kupweteka, opaleshoni imawonetsedwa. Kugwiritsiridwa ntchito kwa vesti kudagwiritsidwapo ntchito m'mbuyomu, koma salinso ovomerezeka ndi madotolo.

Ngati spondylolysis itha kulimbikitsidwa kuti mutenge Paracetamol, yomwe imathandiza kuthetsa ululu. Pankhani ya spondylolisthesis, pamene kupatuka kuli kalasi 1 kapena 2 yokha, chifukwa chake, chithandizo chimachitika ndi:

• Kugwiritsa ntchito mankhwala oletsa kutupa, monga Ibuprofen kapena Naproxen: amachepetsa kutupa kwama disc a ma vertebrae, kumachepetsa kupweteka komanso kusapeza bwino.
• Jakisoni Corticosteroid, monga Dexa-citoneurin kapena Hydrocortisone: amagwiritsidwa ntchito molunjika kumalo osunthira ma vertebrae kuti athetse msanga kutupa. Amayenera kupangidwa pakati pa 3 mpaka 5 doses, obwereza masiku asanu aliwonse.

Kuchita opareshoni, kulimbitsa vertebra kapena kupondereza mitsempha, kumachitika kokha mukakhala kalasi ya 3 kapena 4, momwe sizingatheke kuwongolera zizindikirazo pokhapokha ndi mankhwala ndi physiotherapy, mwachitsanzo.

Nthawi komanso momwe physiotherapy imagwirira ntchito

Physiotherapy magawo a spondylolysis ndi spondylolisthesis amathandizira kumaliza chithandizocho ndi mankhwala, kulola kuti muchepetse ululu mwachangu ndikuchepetsa kufunika kwa milingo yayikulu.

Muzochita za physiotherapy magawo amachitidwa omwe amachulukitsa kukhazikika kwa msana ndikuwonjezera mphamvu ya minofu yam'mimba, amachepetsa kuyenda kwa ma vertebrae, kuthandizira kuchepetsa kutupa, motero, kumachepetsa kupweteka.

Zipangizo zamagetsi zothandizira kupweteka, njira zamankhwala zothandizira, kulimbitsa thupi, kulimbitsa m'mimba, kutambasula tbial hamstrings zomwe zili kumbuyo kwa miyendo zitha kugwiritsidwa ntchito. Ndipo ma RPG, Clinical Pilates ndi ma Hydrokinesiotherapy, mwachitsanzo, angalimbikitsidwenso.