Retrolisthesis ndi kayendetsedwe ka kumbuyo kwa vertebra ya msana kwa vertebra pansi pake. Zakale, kubwezeretsa mmbuyo kwawoneka ngati alibe chidziwitso cha kuchipatala. Koma monga momwe zofukufuku zikupitilira, mayanjano ndi ululu, kuchepetsa ntchito, ndi kusintha kosasintha mu msana ukupangidwa.
Mwachitsanzo, kafukufuku wina wa 2003 wofalitsidwa mu The Spine Journal anapeza kuti amayi a ku America a ku America anali ndi 2 mpaka 3 kuposa anterolisthesis (kutsogolo kwachisawawa) kusiyana ndi anzawo a ku Caucasus.
The anterolisthesis siinakhudze kwambiri ntchito yawo ya kumbuyo. Phunziro lomwelo linapezanso kuti kubwezeretsa m'mbuyo (kubwerera m'mbuyo) kunkachepa kwambiri m'dera lomweli (4%) koma kunachepetsanso kugwira ntchito mmbuyo.
Kafukufuku wofalitsidwa mu magazini ya March 2015 ya Journal of the Korean Neurosurgical Society adatchula kuti retrolisthesis ndi mphotho yomwe imapangitsa vertebra kubwerera pamene msana wanu ndi mapepala akuyang'ana kutsogolo kutsogolo kwa ndege. Ofufuzawo amanena kuti pangŠ¢ono kakang'ono ka lumbar lordosis ndi / kapena kakang'ono kamene kamangokhalako kamene kangapangitse kupanga mapuloteni.
Opaleshoni Yoyambiranso ndi Kubwezeretsa
Mu kafukufuku wa 2007 wofalitsidwa mu Spine Journal, ofufuza adafufuza odwala 125 omwe anali ndi discactomy ya L5-S1. Cholinga chawo chinali kuyang'ana kukhalapo kwa retrolisthesis. Apeza kuti pafupifupi 1/4 mwa odwala mu phunziroli anali ndi kumbuyo kwa L5 pa S1.
Ngati muli ndi retrolisthesis, zotsatirazi sizikutanthauza kuti mudzamva kupweteka kwambiri kusiyana ndi wina yemwe sali. Ofufuzawa adapeza kuti asanakhale ndi discectomy, zizindikiro zomwe magulu onse awiriwa (mwachitsanzo, ndi popanda komanso kubwezeretsa) anali ofanana.
Ofufuzawowa adafufuzanso kusintha kwa maginito omwe amatsagana nawo.
Ambiri, adapeza kuti kukhalapo kwa retrolisthesis sikunagwirizane ndi chiwopsezo chachikulu cha matenda osokoneza maganizo kapena kusintha kosasinthika mu mphete ya bony kumbuyo kwa vertebra.
Retrolisthesis ingabwere chifukwa cha opaleshoni. Kafukufuku wina, wofalitsidwa mu Spine Journal mu 2013 anapeza kuti zaka 4 pambuyo pa discectomy, kupweteka kuchokera ku retrolisthesis kunadziwonetsa kwa nthawi yoyamba kapena kuipiraipira. Zomwezo zinali zowona kuntchito.
Mofanana ndi kafukufuku wa Dartmouth, zotsatira za odwala omwe ali ndi retrolisthesis omwe anali ndi discectomy anali ofanana ndi a odwala popanda. Komabe, panthawiyi zotsatira zake zinalipo nthawi yothandizira, kuchuluka kwa magazi, nthawi yomwe amachitira kuchipatala kapena kuchipatala, mavuto, zofunikira za opaleshoni yowonjezereka komanso / kapena zochitika zina zapadera.
Komabe phunziro lina (lofalitsidwa mu magazini ya December 2015 ya Journal of Neurosurgery: Zamphepete) linapeza kuti opaleshoni siingakhale yoyenera kwa odwala omwe anali oposa 7.2% obwereza mmbuyo poonjezera (kubwerera kumbuyo). Chifukwa chake chinali chakuti kubwezeretsa m'mbuyo mwazimenezi kunawonjezera chiopsezo cha odwala chifukwa cha kuvuta kwake kwa lumbar disniation. (Opaleshoni yomwe ili mu funsoyi inali laminectomy ya mbali imodzi, pamodzi ndi kuchotsedwa kwa chithandizo cha posterior.)
Ndani Amapeza Kubwezeretsa?
Kotero ndi mtundu wanji wa wodwala amene amatha kubwezeretsa? Kafukufuku wa 2007 omwe tatchula pamwambapa adapeza kuti kukhalapo kwa retrolisthesis kunali kosagwirizana ndi onse odwala - kaya anali achikulire, achinyamata, amuna, akazi, osuta fodya kapena ayi, ophunzitsidwa kapena ochepa, ndipo mosasamala mtundu.
Izi zidati, anthu omwe ali ndi retrolisthesis anali oyenerera kulandira antchito. Ndipo zaka zinali zovuta kwa iwo omwe anali ndi matenda osokoneza bongo komanso / kapena matenda osokoneza maganizo (onse ndi opanda retrolisthesis). Izi zikhoza kukhala chifukwa, kawirikawiri, kusintha koteroko ndikulingana ndi zaka.
Ndipo potsiriza, kuwerenga ophunzira omwe anali ndi vertebra kusintha kosinthika ankakonda kukhala osuta ndipo samakhalanso ndi inshuwaransi.
> Zotsatira:
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> Moore RJ. Mphepete yam'mimba: kodi timadziwa chiyani? Eur Spine J. 2000 Apr; 9 (2): 92-6.
> Shen M, Razi A, Lurie JD, Hanscom B, Weinstein J. Retrolisthesis ndi mndandanda wamakono: kuyesedwa koyambirira kwa ntchito ya odwala. J. Spine 2007 2007 Jul-Aug; 7 (4): 406-13. Epub 2007 Jan 2.
> Takenaka S., Tateishi K., Hosono N., Mukai Y., Fuji T. Preoperative retrolisthesis monga chiopsezo cha postdecompression lumbar disc herniation. J Neurosurg Spine. Dec 2015.
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