Kodi Spondylolisthesis ndi chiyani?
Mapuloteni amapezeka pamene vertebra imachoka pamalo pomwe pali vertebra pansi pake. Kutsegula uku kungakhale anteriolithesis kapena retrolithesis.
Zokhudzana: Mitundu iwiri ya Spondylolisthesis
Ndani Ali Pangozi Chifukwa cha Chipatala?
Ana omwe amachita nawo masewera monga masewero olimbitsa thupi ndi kuthamanga amakhala ndi chiwerengero chachikulu cha spondylolisthesis.
Masewerawa ndi masewera ena amabweretsa mavuto ambiri kumbuyo, makamaka kayendetsedwe ka kachilomboka (kutembenukira kumbuyo) .
Maphunziro a spondylolisthesis amakhalanso ndi akuluakulu atakwanitsa zaka 40, chifukwa cha kuchepa .
Zifukwa za Spondylolisthesis
Spondylolysis ndilo vuto lalikulu la spondylolisthesis. Izi zimayambira ndi vuto m'madera omwe amadziwika kuti pars. Pakapita nthawi, makamaka ngati sichikuchiritsidwa, kupweteka kwaperepala kapena kachilombo kungapangitse kukhala spondylolysis. Katemera akapezeka, spondylolysis imakhala spondylolisthesis. NthaƔi zina ma Genetics amachititsa anthu kukhala olakwika, koma osati nthawi zonse; izi zimatchedwa dysplastic spondylolisthesis.
Zina mwazi zimaphatikizapo kutaya kapena matenda a nyamakazi pamsana, kupweteka, kapena matenda a mafupa monga chifuwa.
Maphunziro a Spondylolisthesis
Mapulogalamu a spondylolisthesis amawerengedwa mu sukulu (madigiri) otsekemera. Pali mitu 4, iliyonse yowonjezeretsa 25%.
Mwachitsanzo, ngati wodwala akuyesedwa kuti akhale ndi kalasi ya 2 Spondylolisthesis, izi zikutanthauza kuti 2 pafupi ndi vertebra amasunga 50%.
Maphunziro amawerengedwa poyang'ana mbali ya X-ray.
Njira zina zothandizira, monga CT scans kapena MRIs zingagwiritsidwe ntchito pofuna kudziwa kuwonongeka kwa matenda ozungulira.
Kuchiza kwa Spondylolisthesis:
Kupatsirana kafukufuku wamatenda kumatengedwa malinga ndi Maphunziro. Pa sukulu yoyamba ndi yachiwiri, chithandizo chodziletsa, kuphatikizapo mankhwala, machitidwe a panyumba, kutambasula ndi kugwiritsa ntchito nsalu nthawi zambiri zimaperekedwa. Kodi izi ndi zothandiza?
Kukonzekera kosinthika kwa 2003 komwe kwatuluka mu Buku Therapy kunapeza kuti njira zochitira zolimbitsa thupi zomwe zimaperekedwa mwachindunji kapena zogwirizana ndi mankhwala ena, zingathe kuchepetsa ululu wam'mimba. Kupitirira apo, ochita kafukufuku akunena kuti, alibe chidziwitso chokwanira choti afotokoze zomwe zimagwira ntchito ndi zomwe siziri.
Mofulumira zaka khumi pambuyo pake, ndipo ndondomeko ina yowonongeka, yomwe inalembedwanso mu Manual Therapy , inanena kuti palibe mgwirizano womwe ungafikire ngati kusamalidwa bwino (zitsanzo za mankhwala osaphatikizapo kuphatikizapo mankhwala ndi mankhwala) zinali zogwira mtima kusiyana ndi kuchitidwa opaleshoni. Koma musanafulumize kukaonana ndi a neurosurgeon, ganizirani kuti maphunziro omwe akuwongosoledwa, malinga ndi olembawo, anali ndi zolephera zambiri.
Zokhudzana: Kodi Kutumiza kwa Neurosurgeon Kumatanthauza Kuchita Zipatala Zobwerera?
Maphunziro apamwamba a ma Spondylolisthesis angafune kuchitidwa opaleshoni, koma mankhwalawa sangakhale othandiza ngakhale. Ndemanga yowonongeka yomwe ili ndi Database ya Cochrane inapeza kuti zotsatira za kafukufuku wopeza opaleshoni (ndi mankhwala ena) a spondylolisthesis amatsutsana wina ndi mzake.
Chifukwa chake, ochita kafukufukuwo anapeza kuti mbali zina za opaleshoni zingakhale zothandiza, pamene ena akufunsidwa. Ananenanso kuti maphunziro ambiri pa mutuwu ndi ofunikira.
Zofanana: Kusinthika kwa Chithandizo cha Spondylolisthesis
Zotsatira:
Garet M, MP Reiman, Mathers J, Sylvain J. Osoperative chithandizo mu lumbar spondylolysis ndi spondylolisthesis: ndondomeko yowonongeka. Masewera a Zamasewero 2013. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0062554/
McNeely ML, Torrance G, Magee D J. Kulongosola mwachidwi kwa physiotherapy kwa spondylolysis ndi spondylolisthesis. Manual Therapy 2003. Kupezeka: Feb 2016. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0020737/
Chisipanishi. MedicineNet intaneti. Idafika pa Dec 3 2013. http://www.medicinenet.com/spondylolisthesis/article.htm
Chisipanishi. Zolemba Zaumoyo Kufikira: Feb. 2016.
Kuchita opaleshoni ya lumbar spondylosis. Dongosolo la Cochrane la Zosinthika Zosinthika: Zowonjezera Zinenero Zowonongeka [Internet]. 2008. Kufikira: Feb. 2016. "> http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010999/