Kuphimbidwa kwa Mtsinje wa Spinal Chifukwa cha Kuphwa kwa Mtsinje wa Spinal
Mthenda yamtsempha ndi mkhalidwe umene umapezeka pamene ngalande ya msana imachepetsa, kuimitsa kapena kupondereza mizu ya mitsempha ndi msana. Kaŵirikaŵiri zimayambitsidwa ndi osteoarthritis ya mzere wa msana . Zizindikiro zofala zimamva kupweteka m'milingo kapena kumbuyo kumbuyo pamene ukuima kapena kuyenda.
Mng'oma wambiri wa m'mimba amatha kuchitika m'munsi (kumbuyo kwa msana) ndi khosi (msana wamphepete mwa msana) kapena, nthawi zina, malo amtundu wa msana.
Zizindikiro za ululu, kufooka, kapena kupweteka zingathe kuchitika m'madera angapo, malingana ndi dera la msana umene ukuphwanyidwa.
Zimayambitsa
Matenda a msana amatha kukhala osakanikirana, ndi anthu ena omwe ali ndi chingwe chochepa cha msana kuchokera pachiyambi. Koma kawirikawiri, zimachokera ku kusintha kosasintha kwa msana, kutayika ndi kutaya kwa mitsempha. Kuchulukira kwa bony kuchokera ku matenda a osteoarthritis, kuphulika kwa mitsempha kumbuyo, ndi ma discs ang'onoting'ono angapangitse vutoli. Ngati muli ndi zaka zoposa 50, muli ndi chiopsezo cha msana wam'mimba. Azimayi ali pangozi kuposa amuna.
Zochitika zina zomwe zingayambitse matenda a msana zimaphatikizapo kutupa kwa spondyloarthritis, zilonda zam'mimba, kupsinjika mtima, kapena matenda a Paget . Zowopsa zanu ziwonjezeka ngati mutapweteka msana wam'mbuyo kapena opaleshoni pa msana wanu.
Zizindikiro
Anthu omwe ali ndi mphutsi yamtsempha nthawi zambiri amamva kupweteka miyendo yawo ndikuchepetsanso.
Ululu umatha pambuyo pokhala pansi kapena kudalira. Panthawi ya mimba yamtundu wa m'mimba, odwala akhoza kukhala ndi zizindikiro zofanana ndi zowawa za m'mimba koma ndi ululu wa pamtima komanso zozizwitsa m'mapiko, ntchito yopuma miyendo, kapena kusadziletsa. Kumeneko kungakhale kunjenjemera, kufooka, kapena kupunduka kwa miyendo.
Matumbo, chikhodzodzo, ndi kugonana kungakhudzidwe ndipo pangakhale kufooka kwa mwendo ndi msana wam'mimba. Chochititsa chidwi n'chakuti si odwala onse omwe ali ndi umboni wa X-ray wa msana wam'mimba amayamba kukhala ndi zizindikiro. Pachifukwa ichi, msana wam'mimba umatanthawuza momwe muli ndi zizindikiro komanso osati kudzichepetsa.
Kudziwa
Mawere a m'mimba amatha kupezedwa ndi mbiri komanso zofufuza, koma kufufuza zojambula (X-rays, CT scan, MRI) kawirikawiri zimagwiritsidwa ntchito pofufuza zomwe zimayambitsa matendawa. Mukhozanso kukhala ndi electromyogram (EMG) yochitidwa kuti muwone ntchito ya mitsempha miyendo yanu. Kuyezetsa magazi kudzachitika kuti muone ngati pali zinthu zina zomwe mungakhale nazo ndi kutulutsa zina.
Chithandizo
Kuchita masewera olimbitsa thupi n'kofunika kuti musunge mphamvu zamtendere ndi bata pamene mukuyenda. Mutha kutchulidwa kwa wodwala thupi yemwe angakupatseni kuchita zozizwitsa zomwe zingakuthandizeni kusunga ndi kulimbitsa minofu yanu, makamaka mmanja mwanu ndi miyendo yapamwamba. Izi zingathandize kuchepetsa ululu. Ngati simunathe kuchita masewera olimbitsa thupi, mukhoza kuyamba ndi masewera olimbitsa thupi ndikugwira ntchito yoyenda kapena kusambira kwa mphindi 30, katatu pa sabata.
NSAID ndi jekesoni ya cortisone imagwiritsidwa ntchito pofuna kuchepetsa ululu ndi kutupa.
Kuchita opaleshoni ndi kotheka pamene zonse zilephera. Komabe, anthu ambiri omwe ali ndi matenda a msana samasowa opaleshoni. Kupweteka kwapadera kwa mitsempha kumachotsa mitsempha yamtsempha pamtsempha wamtsempha ndipo nthawi zambiri umuna umatulanso.
Zotsatira:
> Klippel JH. Choyamba pa Rheumatic Diseases . New York, NY: Springer; 2008.
> Zam'mimba. American College of Rheumatology. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis.