Ngati muli ndi matenda a nyamakazi , zimawoneka kuti ndi zachilengedwe kuti muziimba mlandu wanu pa matendawa. Pambuyo pake, ndi matenda aakulu omwe amatha kupweteka limodzi ndi chizindikiro chachikulu. Kupweteka kwakumbuyo kumagwirizanitsidwa kwambiri ndi osteoarthritis, koma nyamakazi ya nyamakazi ingakhudze msana.
Chiberekero Chimagwirizanitsa Kuphatikizana kwa Mphepete
Matenda a nyamakazi amene amachititsa msanawo amachititsa ululu wa m'khosi , ululu wammbuyo, ndipo pakhoza kukhala radiculopathy (kupweteka komwe kumawombera miyendo kapena mikono) chifukwa cha kupweteka kwa mitsempha mkati mwa msana wa msana kapena mizu ya mitsempha.
Pamene nyamakazi ya nyamakazi imayambitsa kupweteka kwa m'mbuyo, zimakhala zachilendo kuti khola la khosi la mkhosi lizikhudzidwa m'malo mwa thoracolumbar msana kapena ziwalo za sacroiliac . Mphuno ya chiberekero yomwe imakhudzidwa ndi nyamakazi imakhala ndi matenda apamwamba.
Ndiwo msana wam'mimba wamtundu womwe umakhala nawo m'thupi la nyamakazi. Kutayika kwa mitsempha yomwe imathandizira choyamba ndi chachiwiri cha pervical vertebrae (C1 ndi C2) kungachititse kusakhazikika pa msana umenewo. Odwala omwe ali ndi matenda a nyamakazi ayenera kuyesedwa kawirikawiri kuti adziwe zizindikiro za kugonjetsa (kusokonezeka mwachisawawa) m'kati mwa msana. Ngati kugonjetsa kumayambitsa kupweteka kwa msana, pangakhale zizindikiro zachitali chapamwamba (neurons), kuphatikizapo hyperreflexia (reflexes).
Pali njira ziwiri zomwe zingathandize kufotokozera momwe zimagwirizanirana ndi matenda a chiberekero mu nyamakazi ya nyamakazi:
- Kuwonjezeka kwa njira yotupa yochokera m'magulu a m'mimba pafupi ndi malo osungunuka (mawonekedwe pakati pa disc ndi vertebral body).
- Kusakhazikika kwachiberekero kosalekeza kotengedwa ndi apophyseal (mbali) kuwonongeka kophatikizana, zomwe zimayambitsa kupweteka kwa thupi kapena kugwedeza, zomwe zingayambitse tizilombo tating'onoting'ono ta mapuloteni, kutulutsa magazi, kapena kutaya kwa tizilombo toyambitsa matenda.
Kuphatikizidwa kwa zigawo zina za mphutsi ndi matenda a discitis zimakhalapo chifukwa cha nyamakazi ya nyamakazi nthawi zina, makamaka potsatira masewero ndi maphunziro apambuyo. Pochita masewera olimbitsa thupi, musanayambe kupezeka mthemphayumu ya mphutsi, zizindikiro zomwe zimayambitsa kupweteka kwa m'mbuyo (mwachitsanzo, kupweteka kwa kupweteka kwa m'mimba) ziyenera kuchotsedwa.
Kuphatikizidwa Kwapakati Zogwirizana ndi Rhumamu Yachifuwa
Zizindikiro zomwe nthawi zambiri zimagwirizanitsidwa ndi nyamakazi ya nyamakazi pamsana ndi zomwe zikhoza kudziwika kwa wodwalayo zikuphatikizapo:
- Kugawanika kwa malo okhudzidwa ndi msana kumayambitsa chikondi
- Kufooka kumadera okhudzidwa ndi msana
- Malo okongola , makamaka m'dera la khosi
- Mutu ukhoza kuchitika ndi nyamakazi ya chiberekero
- Ululu umene umatulutsa pansi limodzi kapena zida zonse ziwiri, zomwe zimasonyeza kuti mimba ya msana imatuluka (cervical radiculopathy)
- Ululu umene umapweteka pansi pamodzi kapena miyendo yonse iwiri, kuwonetsa mitsempha ya mitsempha ya lumbar radiculopathy)
- Kuvuta kuyenda, chizindikiro cha kuwonjezeka kwa msana
- Kuwongolera, kufooka kwa manja kapena miyendo, kusintha kuti mukhale oyenera komanso kugwirizana komwe kungakhale chizindikiro cha kugwidwa kwa msana
- Vuto lokhala ndi chifuwa kapena chikhodzodzo (mwachitsanzo, kusadziletsa, kusakwanitsa kukodza, kapena kusakhoza kulamulira matumbo) kungakhale chizindikiro cha kugwidwa kwa msana. Izi zimafuna kuchipatala mwamsanga.
Ngati nyamakazi ya nyamakazi imayambitsa chiwonongeko cha mbali za msana, chidziwitso chotchedwa spondylolisthesis chikhoza kukula. Ndi spondylolisthesis, vertebra chapamwamba imayenda kutsogolo pamwamba pa vertebra yapafupi pafupi. Vertebra yotsekedwa ikhoza kuwonjezera mphamvu pa msana wamtsempha kapena mizu ya mitsempha yomwe imachokera msana ndipo imayambitsa mavuto ena omwe tawatchula omwe akukhudzana ndi kukakamizika pa msana.
Zotsatira:
> Matenda a Nyamakazi ndi Matenda Amene Amakhudza Mbuyo. Arthritis Foundation. https://www.arthritis.org/about-arthritis/where-it-hurts/back-pain/causes/back-arthritis.php.
> Currier BL, Coblyn J. Cervical Kugonjetseratu mu Chifuwa cha Matenda a Nyamakazi. Zaposachedwa. http://www.uptodate.com/contents/cervical-subluxation-in-rheumatoid-arthritis.
> Venables PJW, Maini RN. Zochitika Zachipatala za Matenda a Chifuwa. Zaposachedwa. http://www.uptodate.com/contents/clinical-manifestations-of-rheumatoid-arthritis.