Lumbar Spine Spine Arthritis ndi Zigulu Zogonana

Matenda a nyamakazi ndi vuto lalikulu la mphutsi ya mimba yomwe ingabweretse zizindikiro zosiyanasiyana. Lumbar amadwala matenda a nyamakazi amawonekera kwambiri kwa odwala okalamba koma amawoneka m'magulu onse. Odwala omwe ali pachiopsezo chachikulu chokhazikitsa nyamakazi ya amphongo ndi:

• Odwala achikulire
• Anthu omvera
• Antchito olemera
• Amene ali ndi kuvulala kwapambuyo kwa msana

Matenda a nyamakazi amatha kukhala vuto lomwe limagwirizanitsa mbali iliyonse ya msana kapena vertebrae. Mitsemphayi imagwirizanitsidwa m'malo atatu. Kutsogolo kwa msana wamtsempha, mazira amtunduwu amalekanitsidwa ndi mphutsi yonga msana. Pambuyo pa msana wamtsempha, magetsi amagwirizanitsidwa ndi zigawo ziwiri zochepa zomwe zimatchedwa zigawo za mbali. Makhalidwe amenewa, pamodzi ndi mphutsi yamtsempha, amalola kuyenda kwa msana monga kutsogolo kutsogolo, kugwedeza kumbuyo kwanu, kapena kupotoza kumbali.

Mtundu wodwala wamagazi umene umapezeka mumsana ndi osteoarthritis kapena nyamakazi yovala. Pamene osteoarthritis imapezeka msana, madokotala amatchula izi ngati spondylosis . Pamene ziwalo za m'mphepete zimakhala nyamakazi, kusuntha kwa msana kumakhala kowawa komanso kolimba. Lumbar matenda a nyamakazi nthawi zambiri amawoneka limodzi ndi zina zamtsempha kuphatikizapo:

• Kukhazikitsidwa kwa Disc
  Pamene chigawochi chimakhala ndi matenda a nyamakazi, msangamsanga akhoza kutaya nthawi. Matenda a nyamakazi nthawi zambiri amabwera pamodzi ndi matenda a disc on the spum.

• Mimba Yam'mimba
  Mthenda yamtsempha imapezeka nthawi zambiri kwa odwala omwe ali ndi matenda a nyamakazi. Pamene nyamakazi ikupita, mitsempha imakhala yochuluka, ndipo imayambitsa zizindikiro za msana wam'mimba. Zizindikiro izi zingaphatikize kupweteka kwa mwendo, kupweteka, kuyimba, ndi kuyenda kovuta.

Zizindikiro za Mthempha ya M'mimba

Matenda a nyamakazi kawirikawiri amachititsa kuuma ndi kupweteka kumbuyo.

Odwala nthawi zambiri amazindikira kuti kumbuyo kwawo kumakhala kovuta m'mawa atatha kudzuka ndipo amamasula patsikulo. Zizindikiro zimakhalanso zovuta kwambiri ndi ntchito yayitali kapena yovuta.

Pamene nthenda yamagetsi imadwala, ziwalo zimapanga mafupa, minofu imayamba kutukumuka, ndipo mitsempha yomwe imayang'anizana ndi ziwalozi ikhoza kusungunuka. Ichi ndi chikhalidwe chotchedwa spinal stenosis, chomwe chimapezeka nthawi zambiri kwa odwala matenda a nyamakazi. Odwalawa nthawi zambiri amakhala ndi zizindikiro zofala za msana wam'mimba.

Lumbar Spine Arthritis Chithandizo

Chithandizo cha matenda a nyamakazi kamakhala ndi zizindikiro zomwe wodwalayo amapeza. Nthawi zonse mankhwala amayamba ndi njira zosavuta komanso amakhala okhudzidwa kwambiri ngati odwala sapeza mpumulo ndi njira zosavuta.

Zina mwa mankhwala omwe amapezeka pa matenda a nyamakazi ndi am:

• Thandizo la Thupi
  Mankhwalawa amagwiritsidwa ntchito kulimbitsa minofu ya msana. Pakuthandizira bwino msana ndi minofu yamphamvu, zolemetsa zochepa zimayikidwa pazigawo za mbali. Ngakhalenso odwala omwe ali oyenera komanso othandiza, minofu yomwe ili pafupi ndi msana imatha kulimbikitsidwa kuti athe kuchepetsa zizindikiro.
• Kuchepetsa Kulemera
  Kutaya thupi ndi ntchito yovuta kwa odwala omwe ali ndi ziwalo zokalamba. Komabe, kutayika ngakhale zochepa zolemetsa nthawi zambiri ndizokwanira kuti athetse ululu. Pochotsa ngakhale mapaundi 10 kapena kuposerapo, ziwalozikuluzikulu zimathandiza kuchepetsa katundu, ndipo ululu ukhoza kuthetsedwa mokwanira.

• Mankhwala Oletsa Kupweteka
  Mankhwala otsutsa-kutupa angachepetse kuchuluka kwa kutupa pamagulu a nyamakazi. Mwa kuchepetsa kuyankha kotupa, ululu nthawi zambiri umachepetsedwa. Nthawi zonse muzigwiritsa ntchito mankhwala odana ndi kutupa pansi pa dokotala wanu.
• Mapulogalamu a Chida ndi Kutentha
  Kuda kwa dzuwa ndi kutentha kungakhale kothandiza kuthetsa ululu kumbuyo. Odwala nthawi zambiri amapeza kuti kutentha kumathandiza kwambiri musanachite ntchito kuti "kumasula" msana, ndipo ayezi amagwiritsidwa ntchito kwambiri pambuyo pa zovuta zina.
• Kuchiza Mankhwala
  Akatswiri odwala tizilombo amatha kusamalira msana, nthawi zambiri ndi ndondomeko yotchedwa kusokoneza. Mankhwalawa samasintha mtundu wa msana , koma amatha kupweteka kwambiri. Kaŵirikaŵiri chithandizocho ndi cha kanthawi, koma mankhwala okhudza tizilombo ndi mankhwala othandiza kuganizira nthawi imene nyamakazi imatha.

• Njira Zochiritsira Zina
  Njira zina zochiritsira zimaphatikizapo kutsekemera, kupaka minofu , maginito mankhwala , mankhwala achilengedwe , ndi ena . Palibe kukayikira kuti odwala ambiri amapeza mpumulo wa mankhwalawa. Ngakhale kuti sayansi ikusowa kuchirikiza chithandizochi, ambiri amakhala ndi zotsatira zochepa ndipo ndi mankhwala oyenera kuyesa.
• Epidural Injections
  Majekesiti a Epidural ndiwo njira yothandizira steroid kuwombera kumbali ya nyamakazi. Cortisone ndi mankhwala amphamvu oletsa kupweteka . Kugwiritsira ntchito singano kumalola kuti mankhwala aperekedwe kumalo a nyamakazi. Kwa odwala ali ndi nyamakazi ya chidutswa chimodzi chophatikizidwa, jekeseni yeniyeni yeniyeni, yomwe imatchedwa jekeseni yowonongeka, ingathe kuchitidwa.
• Opaleshoni ya M'mimba
  Kusakanikirana kwapakati ndi njira yopaleshoni yomwe imagwiritsidwa ntchito kuthetsa kusuntha pakati pa mapepala apamtima. Pamene mankhwala ena onse sapereka mpumulo wa zizindikiro, msanganizo wa msana ukhoza kukhala wodalirika kuti athe kuchiritsira matenda aakulu a nyamakazi.

_Zotsatira:

_{AS Hilibrand ndi N Rand "Degenerative lumbar stenosis: matenda ndi matenda" J. Am. Acad. Ortho. Kukonza., Jul 1999; 7: 239 - 249.}

_{HN Herkowitz ndi KS Sidhu "Lumbar Spine Fusion mu Chithandizo cha Zosintha: Zisonyezo Zatsopano ndi Malangizo" J. Am. Acad. Ortho. Kukula, May 1995; 3: 123 - 135.}

_{Shen FH, ndi al. "Kupanga Nonsurgical Management of Acute and Chronic Low Back Pain" J. Am. Acad. Ortho. Kukula, August 2006; 14: 477 - 487.}