1 -
Kusuta ndi Kubwerera KumbuyoKusuta ndi Kubwerera Kumbuyo
Ngati mumasuta, mwinamwake winawake, panthawi ina, akuchenjezani za zoopsa zaumoyo zomwe zimakhudzana ndi khalidwe lanu. Matenda a mtima, khansa ndi matenda ena aakulu pamwamba pa mndandanda. Koma kodi mumadziƔa kuti ululu wammbuyo uli pomwepo?
Kusuta Kumayambitsa Mtengo Wanu Wathanzi Mosasamala za Gender ndi Age
Zodziwika pakati pa akatswiri a zachipatala kuti kusuta kumayambidwa ndi ululu wammbuyo. Ndipo maphunziro amapereka izi.
Mwachitsanzo, kafukufuku wina wa ku Finland wa kafukufuku 40 wofalitsidwa mu magazini ya American Journal of Medicine ya January 2010, adapeza kuti anthu omwe akusuta fodya masiku 1,16 amakhala ovutika kwambiri m'mbuyomo mwezi watha, osasuta.
Akazi akhoza kukhala pavuto linalake. Eric Truumees, dokotala wa opaleshoni wa mafupa ku Austin, Texas, akuti "akazi omwe amasuta amaoneka kuti ali pangozi yaikulu ya kupweteka kwa m'mbuyo, ngakhale atakhala ochepa chabe."
Ndipo musaiwale achinyamata. Ndemangayi idapeza kuti achinyamata omwe amasuta fodya anali 1,82 nthawi zambiri kuti amve kupweteka kwa msana kusiyana ndi achikulire omwe ali ndi chizolowezi chomwecho.
Zokhudzana: 3 Machitidwe a Health omwe Mess ndi Back Your
Zotsatira:
Shiri et al. Kuphatikizana pakati pa kusuta ndi kupweteka kwa msana: meta-analysis. AmJ Med. 2010 Jan; 123 (1): 87.e7-35. http://www.ncbi.nlm.nih.gov/pubmed/20102998
Imelo Kucheza. Truumees, E. MD. Seton Spine ndi Scoliosis Center. Austin, TX. Feb. 2012.
2 -
Kusuta ndi Zam'mimbaKusuta ndi Njira Yowopsa Chifukwa Chakumbuyo Mavuto
Kodi ndi fodya wochuluka bwanji umene mungachite musanabwererenso ululu, ndipo mumamva ululu wotani?
Dr. Alexander Vaccaro, kupita ku dokotala wa opaleshoni, odwala matenda a mitsempha ndi matenda a ubongo, chipatala cha Thomas Jefferson University ku Philadelphia, akuti anthu omwe amasuta 50 amatha chaka kapena kuposerapo, makamaka ngati ali ndi zaka zoposa 45, kusuta ndi ntchito yowopsa.
Kwa omwe amasuta fodya kwa nthawi yayitali, AAOS ikulongosola mgwirizano pakati pa chiwerengero cha zaka-pakiti (# mapaketi tsiku tsiku kusuta X # ya zaka ngati kusuta) ndi chitukuko cha disni herniated, komanso kukula kwa spondylolisthesis, kumayambiriro koyambirira za kutupa, ndi kuchepa kugwira ntchito ndi umoyo wa moyo.
Kusuta ndi Zomwe Mumagwiritsa Ntchito M'magazi - Monga Mafuta ndi Madzi
Ngakhale kusuta fodya kumagwira ntchito "zamatsenga" pamagulu ambiri a msana, ma diski, makamaka, amatenga zovuta.
Kusuta kumawonjezereka mlingo umene umatulutsa nthawi, Vaccaro akuti. Awonjezeranso kuti chifuwa chachikulu chokumana ndi anthu ambiri osuta fodya chingayambitse kupanikizika pa diski.
Kupenda kwa 2009 komwe Kauppila anaitcha kuti "Atherosclerosis ndi Disgraeneration / Low-Back Pain - A Reviewed System" anapeza kuti mitsempha yowonongeka yomwe imachokera m'mimba m'mimba imatha kuchepetsa kuthamanga kwa magazi ku msana ndi kubweretsa ululu. Ndemanga yowonongeka kuti muzofukufuku zomwe zinkawoneka pazochitika za matenda (zomwe zimatchedwa epidemiological studies), kusuta, pamodzi ndi cholesterol chokwanira, nthawi zambiri zimagwirizanitsidwa ndi kupweteka kwapweteka kwapweteka komanso kutaya.
Kusuta kumachepetsa kusinthana kwa zinthu zomwe mukusowa ma diski wathanzi, kuphatikizapo oksijeni, Vaccaro akuti. Akulongosola kuti: Amayambitsa mitsempha yomwe imalowa mumtsempha wamtsempha wambiri, zomwe zingalepheretse kupeza zakudya ku diski.
Zotsatira:
Canale, P., MD, ndi. Al. Kusuta kumayambitsa zotsatira za mitsempha. AAOS Tsopano. June 2012. Idapezeka mu June 2015. http://www.aaos.org/news/aaosnow/jun12/cover2.asp
Kauppila, L. Atherosclerosis ndi Disc Degeneration / Low-Back Pain - Kukambirana Kwambiri June 2009. webusaiti ya Medscape. Vesi 37, Nkhani 6, masamba 661-670
3 -
Kusuta ndi Kuchitidwa OpaleshoniKusuta ndi Kuchitidwa Opaleshoni
Ngati mukufuna zotsatira zabwino kuchokera ku opaleshoni yanu yam'mbuyo, makamaka ngati msana wa msana, musasute.
Musati muopseze Opaleshoni Yanu Yamakono
Mu msana wamtsempha, fupa kapena fupa ngati zinthu zimayikidwa pakati pa awiri odwala vertebra monga njira yomwe imalimbikitsa iwo kuti agwirizane. Pa nthawi yotsatira opaleshoni (pafupifupi miyezi 3-4) mafupa amafupa, omwe madokotala ndi ochita kafukufuku nthawi zambiri amawatcha "machiritso." Izi ndi nthawi yowopsya, chifukwa mgwirizano wa vertebrae siwotsimikiziridwa. The Scoliosis Research Society inanena kuti pafupifupi pakati pa 5 ndi 15% ya ziphuphu za m'mimba zimatha kuchira.
Ndipo talingalirani zomwe zili pamwamba pa mndandanda wa zifukwa za msana wachisanu kulephera? Kusuta.
M'nkhani yawo "Revision Strategies for Lumbar Pseudarthrosis" yofalitsidwa pa webusaiti ya Medscape, Ondra ndi Marzouk lipoti la 33% yowonjezera pamtsempha wosakanikirana ndi fodya. Ndipotu, madokotala ena opaleshoni sachita ngakhale kusuta fodya pokhapokha kuchita zimenezo sikungasokoneze moyo wawo. Ena amalangiza odwala kuti asiye kusuta fodya asanayambe opaleshoni.
Mavuto a Kusuta ndi Otsatira
AAOS imanena kuti kusuta kungakhale chinthu chofunikira kwambiri pa zovuta za postoperative, kutchula zotsatira zosauka ndi zovuta zambiri zomwe zimatsatira opaleshoni ya msana mwa osuta. Izi ndizoona, amati, chifukwa cha mtundu uliwonse wa msana umene opaleshoniyo yachitidwa, kuphatikizapo msana wam'mimba, kupweteka kwa m'mimba kapena kupweteka kwa msana. Osati izi zokha, koma AAOS imanena kuti kugwiritsa ntchito fodya kwa odwala nthawi zambiri imalosera kuti zimachitika chifukwa cha matendawa.
Zokhudzana:
- Misozi Yomwe Akuchipatala - Kodi Chipatala Chanu Chimakuuzani Zonse?
- Kuwopsa Kwambiri kwa Opaleshoni Yamakono
Zotsatira:
Canale, P., MD, ndi. Al. Kusuta kumayambitsa zotsatira za mitsempha. AAOS Tsopano. June 2012. Idapezeka mu June 2015. http://www.aaos.org/news/aaosnow/jun12/cover2.asp
Ondra, S., MD, Marzouk, S., MD Revision Strategies kwa Lumbar Pseudarthrosis. Webusaiti ya Masewera. Idapezeka mu June 2015. http://www.medscape.com/viewarticle/462180_2
Scoliosis Research Society. Pseudoarthrosis. Kukalamba Kwambiri. SRS intaneti. https://web.archive.org/web/20150214215129/http://www.srs.org/patient_and_family/the_aging_spine/pseudarthrosis.htm
4 -
Kusiyiratu Kusuta kwa Kubwerera KwambiriKusuta Sikumabweretsa Ululu Wabwereza, koma Iwo Umakhala Wotsimikiza
Ngakhale zili zoonekeratu kuti kusuta kumapangitsa kuti ululu wammbuyo umveke m'njira zingapo, kuphatikizapo kutaya magazi, si chifukwa.
Mankhwalawa ndi amene amachititsa kuti matenda a msana asawonongeke, malinga ndi Truumees. Komabe, iye akuti, nyamakazi yam'mbuyo ndi ya m'khosi imakhala osachepera katatu kuposa onse omwe amasuta fodya. Truumees, yemwe ndi Mkonzi Wamkulu wa AAOS Tsopano , akuti mavuto omwe amabwera chifukwa cha msana wamphongo amakhala ndi nyamakazi ya khosi ndi kumbuyo, ma discs and bone spur formation ( spinal stenosis ).
Kusuta Kusuta - Kuphimba Siliva Mumtambo
Nkhani yabwino ndi yakuti zotsatira za kusuta pamsana ndi zina zomwe zimasinthidwa. Ndiko kuti, mutasiya kusuta, mungapeze kuti muli ndi ululu wochepa, komanso. Ngakhale kuti chiwerengero cha ku Finland chinapweteka kwambiri m'mbuyo mwa anthu omwe adasiya kusuta kusiyana ndi omwe sanasute fodya, omwe kale anali osuta anali ndi ululu wochepa kusiyana ndi omwe amasuta fodya.
AAOS ikuti mavuto ochepa okhudzana ndi machiritso a machiritso amatsatira opaleshoni ya msana kwa odwala omwe asanakhalepo ndi masabata 4 osuta fodya.
Zotsatira:
Imelo Kucheza. Truumees, E. MD. Seton Spine ndi Scoliosis Center. Austin, TX. Feb. 2012.
Scoliosis Research Society. Pseudoarthrosis. Kukalamba Kwambiri. SRS intaneti. https://web.archive.org/web/20150214215129/http://www.srs.org/patient_and_family/the_aging_spine/pseudarthrosis.htm
Shiri et al. Kuphatikizana pakati pa kusuta ndi kupweteka kwa msana: meta-analysis. AmJ Med. 2010 Jan; 123 (1): 87.e7-35. http://www.ncbi.nlm.nih.gov/pubmed/20102998