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Chidule cha Cervical Spondylosis ndi Arthritis ya NeckKukalamba sikungapeweke ndipo kumatulutsa kuvulaza pamagulu a msana. Pamene simungaleke kuvulala, mungathe kuchepetsa kukula kwake. Nkhaniyi imafotokozera mtundu wa kervical spondylosis, vuto limene lingabwere chifukwa cha kusintha kwa mafupa ndi ma discs mu khosi lanu.
Mayina ochepa chabe a machitidwe a matendawa ndi osteoarthritis a khosi, kapena matenda osokoneza maganizo a m'khosi.
Kawirikawiri, nyamakazi yamagetsi imayamba kuwonetsa ali ndi zaka pafupifupi 40, ndipo imakula ngati zaka zikutha. Izi zikuti, anthu amayamba kukhala ndi kervical spondylosis ali wamng'ono kwambiri kuposa akazi. Cervical spondylosis ikhoza kuyambitsa myelopathy ; Ndipotu, ndizofala kwambiri pa khosi zomwe zingakhudze msana.
Matenda a Nyamakazi - Nkhumba ndi Kusintha Kwake
Matenda a mitsempha m'khosi imayamba ndi osteophytes - aka fupa - yomwe imapanga matupi a m'mimba .
Nkhungu zimatuluka ndi zomwe thupi limayankha pakuvala. Mu msana iwo amatumikira cholinga, kumathandiza kuonjezera mgwirizano wa pamwamba ndikugawa kulemera kwake mofanana mofanana.
Vuto ndiloti, fupa la fupa limapangitsanso ululu akamapanikiza mitsempha ya msana , ndi / kapena msana. Kupsyinjika kungayambitsenso kufooka, kufooka komanso kusadzimva kwa matumbo kapena chikhodzodzo (chomwe chimachokera kutero chimatengedwa ngati chodzidzimutsa kuchipatala.)
Onani pamwambapa kuti mukhale ndi chithunzi cha nyamakazi yamtsempha, pansipa, komanso masamba omwe akutsatira, kuti mumve zambiri zokhudza zizindikiro ndi mankhwala.
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Zoopsa za Arthritis MumsanaZaka
Chikondwerero cha Amercian of Orthopedic Surgerons chimati chiopsezo chachikulu cha kervical spondylosis ndicho, choyamba, zaka. Kuyambira ali a zaka zapakati (ndi kupitirizabe,) amati, nyamakazi m'khosi ndizofala kwambiri.
Genetics
Pambuyo pa msinkhu, chinthu chotsatira chachikulu chotengera chiopsezo ndicho chibadwa. Matenda a mitsempha m'khosi (ngati mitundu ina ya mavuto a msana), akhoza kuyendetsedwa m'mabanja. Ngati mung'onoting'ono wanu wam'mimba ndi / kapena intervertebral foramen mwachibadwa muli ochepa, chiopsezo chanu chokhala ndi zovuta za kusintha kosasintha kungakhale kokwera. Ndi khola laling'ono la msana, msana wamtsempha - chimangidwe chodzidzimutsa chomwe chimapereka malingaliro ku ubongo ndi kusuntha malamulo kuchokera mu ubongo kupita ku minofu - ali ndi malo ochepa omwe angagwirizane mkati mwa fupa la fupa lomwe limakhala nalo. Kuyankhulana pakati pa chingwe ndi chigawocho kungakwiyitse chigawocho ndi chifukwa cha zizindikiro.
Kusuta
Kusuta kumapangitsa kuti matenda osokoneza bongo amachepetse, ndipo palinso vuto lina la mitsempha ya m'khosi.
Zinthu Zowopsa Maganizo
Kusokonezeka maganizo ndi nkhawa ndizifukwa zomveka za matenda a nyamakazi m'khosi.
Ntchito Yanu Yonse
Kenako, tiyeni tikambirane za ntchito yanu. AAOS imati ngati ntchito yanu ikuphatikiza mobwerezabwereza khosi ndi / kapena ntchito yomwe imachitika pamwamba pa mutu wanu, chiopsezo chanu chingakhalenso chapamwamba. Kusokonezeka maganizo ndi / kapena nkhawa ndizifukwa zowopsya.
Zovuta
Ndipo potsiriza, kukhumudwitsidwa, makamaka kukhumudwa mobwerezabwereza, kumawonjezera chiopsezo chanu cha kervical spondylosis. Izi zinati, matenda ambiri amtundu wa nyamakazi sagwidwa ndi vuto.
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Zizindikiro Zomwe Zimabwera ndi Nyamakazi M'kamwaKawirikawiri, magwero a mitsempha ya m'khosi sakudziwika bwino ndi achipatala. Ndipotu, n'zotheka kukhalabe zizindikiro konse!
Khosi ndi Zizindikiro Zazikulu
Pamene zizindikiro zimachitika, ululu wamkati wa m'khosi (wotchedwa cervicalgia ) ndi kuuma kumakhala kofala kwambiri. Ndipo pafupifupi anthu atatu mwa anthu atatu ali ndi nyamakazi yamphongo ali ndi mutu, omwe nthawi zambiri amakhala m'dera la pansi (lomwe limatchedwa sub-occiptial). Ngakhale kupweteka kwa khosi ndi kuuma kwafala kwambiri kwa anthu omwe ali ndi nyamakazi ya khosi, nthawi zina mutu umalira zizindikiro zina.
Zizindikiro zamankhwala ndi zizindikiro za mitsempha
Kuphatikizanso apo, kuwonetsa kwa matenda, matenda osokoneza ubongo, omwe amachititsa kuti mitsempha ya m'mimba ikhale yovuta, ingaphatikizeko ndi cervical spondylosis. Izi zikuphatikizapo zikhomo ndi singano, kupweteka, kupweteka ndi / kapena kufooka kutsika mkono umodzi (ndi dzanja.) Magetsi amatha kuchitika, komanso.
Mofananamo, myelopathy, yomwe imayambitsidwa ndi kupweteka kwa mitsempha ya msana , ndiyo njira ina yomwe ingayambitsire zizindikiro za nyamakazi.
Koma mosiyana ndi radiculopathy, myelopathy imafika pang'onopang'ono pa nthawi, ndipo imatha kudziwonetsera yokha mu mitundu yosiyanasiyana ya zizindikiro. Ndicho chifukwa chofala cha mapepala ndi singano. Kuwonjezera apo, ngati zizindikiro zimachokera kumtunda (C-3 mpaka 5), mukhoza kukhala ndi matenda otchedwa "numb, manja ovuta," pomwe ntchito ndi zofanana zimakhala zovuta.
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Kuzindikira Chithandizo cha Cervical Spondylosis ndi Mavuto Ovuta ndi Ma X-RaysMonga momwe zilili ndi ndondomeko yochuluka ya kupweteka kwa khosi ndi kumbuyo, dokotala wanu adzasonkhanitsa zokhudzana ndi matenda a nyamakazi yanu podziwa mbiri yakale ndi kuyeza thupi.
MRI ya Neck Arthritis
Ndipo pankhani ya kujambula (ie, ma-ray, MRI, CT ndi zina zotero) muyezo wa golide ndi MRI, makamaka kuti adziwe kumene kuli magwero a mitsempha monga kupweteka, mapepala ndi singano, kufooka kapena kufooketsa kumatsika mkono. Chifukwa chake, MRI ingathandize dokotala wanu kuti asamawone mafupa anu okha, koma minofu yanu yofewa ndi mitsempha. Zingamuthandize kulingalira moyenera momwe malo osasinthika amasiyidwira m'madera omwe mitsempha ya nyumba, yomwe ili mumtsinje wa msana ndi intervertebral foramen.
Ziphuphu Zogwiritsa Ntchito Matenda a Nyamakazi
Ma X-ray amagwiritsidwanso ntchito pofufuza matenda a nyamakazi m'khosi, momwe amalola dokotala kuganizira momwe msana wanu umayendera, kuphatikizapo spondylolisthesis, kapena kutuluka kwa vertebra, kumathandizira pakati pa canal stenosis. (Spinal stenosis ndi njira yowonjezera ya osteoarthritis.)
Ngati mulibe zizindikiro za mitsempha, mungafunike x ray. Mphamvu ya x-ray ndizokhoza kuwonetsa zomwe zikuchitika ndi mafupa, kotero m'malo mwa ululu kapena zizindikilo zina, kukhala ndi wina akhoza kuchenjeza dokotala wanu zinthu monga kuchepa mu danga lanu, fupa la fupa, kutayika kwa khosi, Kuphatikizana, komanso kuchepa kwa msana wa m'mimba (monga momwe tafotokozera pamwambapa) Kungamuthandizenso kuti azisankha anthu okalamba kuti akhale ofatsa, ochepa kapena ovuta.
CT Scans kwa Mitsempha Yamatenda
Pulojekiti ya CT (CAT scan) ndiyeso yowunikira kugonana yomwe imaperekedwa kwa anthu omwe ali ndi chiberekero cha spondylosis. Kansalu ya CT ikufanana ndi x-ray kupatula kuti imatenga zithunzi zambiri za mkati mwa thupi, ndikuziyika pamodzi kuti zisonyeze gawo la chigawocho. Ubwino wa chithunzicho ndi wabwino kuposa wa x-ray, zomwe zingalole kuti dokotala wanu aziphunzira bwino momwe mungagwiritsire ntchito msana wanu, neural foramen, ndi kusintha kulikonse kwa mafupa anu omwe achitika kuchokera ku CT scan.
Myelography amagwiritsiridwa ntchito kuwonetsa mitsempha yanu ya mitsempha; Apa ndi pamene msana wa msana umatulutsa mitsempha ya msana. Palinso myelography ya CT imene akatswiri ena amakonda chifukwa amalingalira kuti ali ndi zotsatira zabwino zochepa (poyerekezera ndi myelography.) CT myelography nthawi zambiri amagwiritsidwa ntchito pamene opaleshoni ikukhudzidwa, mosiyana ndi nthawi yoyamba kapena matenda opatsirana.
Phunziro Lokuchita Magazi
Ndipo potsiriza, mayeso ena omwe madokotala amagwiritsa ntchito kuti apeze (kapena kutsimikiziridwa kuti) chithandizo cha radiculopathy ndi kuphunzira kwa mitsempha yotsitsimutsa.
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Matenda a Nyamakazi M'khosi - ChithandizoDokotala wanu wamkulu kapena wamkulu internist akhoza kuthandizira mankhwala anu achiberekero spondylosis. Izi zinati, ambiri kutumizira kwa katswiri amapangidwa chifukwa cha matenda a nyamakazi. Zowonjezera kwa akatswiri a rheumatologists, akatswiri a sayansi ya ubongo, ndi opaleshoni ya mafupa kapena opaleshoni ndizofala.
Koma opaleshoni siyinaperekedwe kawirikawiri pamutu wa nyamakazi. M'malo mwake, chisamaliro chodziletsa (onani m'munsimu kuti mudziwe zambiri) chingakuthandizeni kuchepetsa ululu ndi kuchepetsa kupitirira kwa matendawa.
Zizindikiro zomwe mungafunikire opaleshoni zimaphatikizapo kupweteka kumene kuli kovuta kapena kosatheka kulamulira, ndi / kapena mavuto a mitsempha, mwachitsanzo, zikhomo ndi singano kapena zozizwitsa zamagetsi, kufooka ndi / kapena kufooka mkono umodzi) kuti patapita nthawi pitirize kuwonjezereka.
Ngati mukusowa opaleshoni, mwina mukuyang'ana laminectomy , yomwe imatchedwanso opaleshoni yochotsa mimba .
Thandizo Lathupi la Matenda a Matenda M'mitambo
Ngati zizindikiro zanu zili zochepa kapena zochepa, ndipo ngati mulibe vuto la mitsempha, muyenera kuthandizidwa mosamala. Izi zingaphatikizepo chimodzi kapena zingapo zotsatirazi:
- • Mankhwala osakanikirana ndi otsekemera (NSAIDs) kuphatikizapo aspirin, naproxen kapena ibuprofen kuthandiza kuchepetsa kutupa ndi kuchepetsa ululu.
- Malingaliro, monga acetaminophen (Tylenol) kuti amve kupweteka kokha.
- Mankhwala a corticosteroid kuti athetse ululu wopweteka komanso kuchepetsa kutupa.
- • Mitsempha yothandizira kupweteka kwa kanthaŵi kochepa.
- • Kuletsa koma osasiya zochitika.
- • Khola lachiberekero kuti liwathandize komanso likhale lolimba pa nthawi ya machiritso.
- • Kuchita masewera olimbitsa thupi komanso, monga momwe tanenera zachipatala.
Zowonjezera kwa opaleshoni zakuthupi zimapangidwira chisamaliro chosamalidwa chomwe chingafanane ndi zizindikiro zanu ndi chikhalidwe.
Chitsime:
> AAOS. Cervical Spondylosis (Arthritis of the Neck.) OrthInfo. American Academy of Orthopedic Surgeon webusaiti. August 2015.
Rana, S., MD, ndi. al. Kusanthula ndi Kulamulira kwa Pulogalamu yachipatala ya Cervical Spondylosis. Webusaiti ya Masewera. Ndasinthidwa komaliza: Aug 2015.