Makhalidwe apamtima amapezeka pakati pa maginito a gawo lililonse la mzere wa msana. Matenda a osteoarthritis angapangidwe m'magulu amenewa ndipo angatchedwe kuti thupi limakhala ndi matenda enaake. Phunzirani za vutoli ndi zomwe mankhwala angapangidwe.
Mwachidule
Matenda a kutupa nyamakazi ndi nyamakazi yowonongeka yomwe imakhudza magawo a msana.
M'madera a msana omwe ali ndi ziwalo zosiyana, kupweteka kumayambitsa matenda a nyamakazi kungapangitse.
Mapepala ammimba amapezeka m'mbuyo mwa msana . Pali magetsi 24 omwe amapanga msana wa munthu pamwamba pa sacrum (tailbone). Pali zigawo ziwiri pakati pa maginito a mtundu uliwonse wa msana pamphepete mwa msana.
Chigawochi chimagwirizanitsa ndi disvertebral disc imakhala zovuta zitatu pakati pa vertebrae. Chophatikizanachi chimakhala ndi malo awiri ozungulira ndi kalisiti pakati pawo ndi kapule ya mitsempha yozungulira iyo. Madzi a Synovial amavomereza manyowa, monga momwe zilili ndi ziwalo zina monga bondo. Makhalidwe amthandizi amathandizira kusinthasintha kwachibadwa kwa vertebrae ndi kuchepetsa kuyenda.
Zimayambitsa
Matenda a nyamakazi m'magulu angapangidwe kuchokera:
- Valani ndi kufoola zomwe zimachepetsa danga pakati pa vertebrae zomwe zimayambitsa ziwalo zazing'ono kuti zisakanizane palimodzi
- Kuvulala kumbuyo komwe
- Fractures
- Mitundu yowonongeka
- Matenda a disc
Chifukwa cha zovuta zina zomwe zimayambitsa mikhalidwe imeneyi, mafupa a fupa (omwe amadziwika kuti osteophytes) amatha kukula ndipo khungu limatha kuwonongeka.
Zina osati chifukwa cha kuvulala, chikhalidwe cha kugonana ndi matenda a ukalamba. Chomwe chimayambitsa chiwonongeko ndi msinkhu wa msana umene umapezeka m'moyo wamtsogolo.
Zizindikiro
Ululu ndi chizindikiro chachikulu chomwe chimagwirizanitsidwa ndi chiwalo cha nyenyezi. Kupweteka kumakhala koipitsitsa pogona pogona kapena kupumula. Zowawa zomwe zimagwirizanitsidwa ndi ziwalo zina zimatha kuwonjezereka mwa kupotoza kapena kubwerera mmbuyo.
Kumva kupweteka kumbuyo kumakhala kudandaula kawirikawiri koma kawirikawiri sikungoyenda pansi pa miyendo kapena matako pokhapokha ngati msinkhu wa stinosis umakhudzidwa.
Momwe Iwo Amadziwira
Ma X-ray, CT , ndi maginito opanga maginito (MRI) angagwiritsidwe ntchito kuthandiza kuthandizira kugonana kwa nyenyezi. Njira ina yomwe ili yeniyeni yeniyeni imaphatikizapo kupanga jekeseni wothandizira pogwiritsira ntchito fluoroscope. Mankhwala ndi dye amajambulidwa. Dye amalola dokotala kuti ayang'ane kusungidwa kwa singano ndi jekeseni. Ngati chophatikizanacho chikuphatikizidwa ndi jekeseni ndi kupumula kupweteka ndi zotsatira zake, zomwe zimatsimikizira kuti matendawa amadziwika bwino.
Chithandizo Chodziletsa
Poyambirira, adokotala angalimbikitse nthawi yopuma pofuna kuyesa zizindikiro. Malo ogona omwe amachotsedwa pamagulu ang'onoang'ono angakhale othandizidwa, monga kugwedeza mpaka kugona kapena kugona kumbuyo kwanu ndi mawondo ndi miyendo pansi.
Mankhwala ovomerezeka angapangidwe monga:
- Tylenol
- Mankhwala otsutsana ndi kutupa (osaperoidal anti-inflammatory drugs (NSAIDs)
- Zosangalatsa zamagazi
- Corticosteroids
Njira zina zothandizira mankhwala ndi izi:
- Kuthamanga
- Kulimbikitsana ndi kuchita masewera olimbitsa thupi
- Mankhwala othandiza madzi
- Kusokonezeka kwa msana
Chithandizo Chamakani
Ngati zowonongeka sizilephera, dokotala wanu angalangize mankhwala awa:
- Majekeseni a mankhwala opatsirana kapena mankhwala a steroid m'thupi kapena mitsempha yomwe imapita ku gawoli akhoza kuyesedwa.
- Sinu-vertebral nerve ablation yomwe imayambitsa mitsempha ndi magetsi pangakhale njira.
- Opaleshoni kawirikawiri imafunikanso kuti munthu akhale ndi matenda enaake, koma pali zinthu zina zomwe zimakhalapo.
Njira Zothandizira
Njira zopangira opaleshoni kuti zithetse vutoli zimaphatikizapo:
- Facet rhizotomy: Pezani imodzi mwa mitsempha yopita ku gawo limodzi.
- Kusakanikirana: Gwiritsani ntchito zowonjezera ziwiri kapena zowonjezera zowonjezera kuti musamayende kayendetsedwe kake. Nthawi zina ziwalo zimachotsedwa pafupipafupi.
> Zotsatira:
> Firestein, Gary S .; Budd, Ralph; Gabriel, Sherine E; ODell, James R; McInnes, Ia B B, Budd RC, Firestein GS, Kelley WN. Kelleys Textbook of Rheumatology . Sukulu ya zaumoyo ya Elsevier; 2012.
> Zosakaniza za m'mimba. American Academy of Orthopedic Surgeons. https://orthoinfo.aaos.org/en/treatment/spinal-injections/.