Kufikira 74.6 peresenti ya opaleshoni yochepa ya msana m'mbuyo kumalephera kuthetsa ululu kwathunthu, malinga ndi ndemanga ya 2016 yomwe inalembedwa mu Journal of Pain Research.
Khulupirirani kapena ayi, pali dzina lachipatala la matendawa operewera kumbuyo. FBSS monga momwe nthawi zambiri imatchulidwira mwachidule, imatanthauzira ululu wopitirira pambuyo pa opaleshoni ya kumbuyo. Ululu ukhoza kukhala kumbuyo kwanu, mwendo wanu, kapena zonse ziwiri.
FBSS ili ndi tanthauzo losavuta, ndipo monga momwe mudzaonera, likhoza kukhala lovuta kwambiri.
Mayina ena chifukwa cha vuto la opaleshoni yolephereka kumaphatikizapo: Matenda a opaleshoni a post-lumbar, post-laminectomy syndrome, komanso matenda osagwira ntchito opatsirana. (Matenda ndi chizindikiro cha zizindikiro).
Kodi Ndi Zipangizo Ziti Zomwe Mungaperekere Zomwe Mungachite Kuti Musamangogonjetsa Matenda?
Ngakhale kuti matenda olephera opaleshoni ombuyo amatha chifukwa cha mtundu uliwonse wa opaleshoni yammbuyo, ambiri amaphatikizapo laminectomy ndi discectomy. Laminectomy, yomwe imadziwikanso kuti kuponderezana, ndiyo njira yomwe mbali ina ya bony mphete kumbuyo kwa vertebra imachotsedwa kuti pakhale mitsempha yopitilira. Mankhwalawa amagwiritsidwa ntchito poyang'anira zizindikiro za msana wam'mimba.
Mu discectomy, zidutswa za disc wa herniated zimachotsedwa msana wanu. Kuchotsa tizidutswa ting'onoting'ono kungathandize kupanikizika m'mitsempha ya m'mimba. Izi ndichifukwa chakuti zidutswa zambiri "zimakhala" pamtunda wa mitsempha ya msana , kuwakwiyitsa ndipo nthawi zambiri zimapweteka komanso zizindikiro zina.
Chifukwa chimodzi chimene zimachititsa kuti laminectomy ndi discectomy zikhale zovuta kwambiri zogwirizana ndi kuti opaleshoni ya m'mimbayi ndi imodzi mwa omwe amaperekedwa kwa odwala.
Kodi N'chiyani Chimachitika Pambuyo Opaleshoni Yopewera?
Zomwe zikuchitika kwa anthu omwe opaleshoni yawo yatha "imalephera?" Tsoka ilo, chithunzichi chikhoza kukhala chopweteka; Izi ndi chifukwa palibe mankhwala enieni a FBSS.
Dokotala wanu anganene kuti akuchita opaleshoni yachiwiri, yomwe imatchedwa opaleshoni yowonzanso , koma, ndithudi, izi zimadalira pa zinthu zambiri kuphatikizapo mtundu wa opaleshoni yomwe munali nayo poyamba, mtundu wa ululu umene mumakumana nawo pambuyo pake ndi zina zambiri. Ndipo ngati opaleshoni yomasulirayo sichikutsegula zizindikiro zanu, dokotala wanu angakulimbikitseni kuti mupite njira ina yowonongeka.
Mwa njirayi, pakati pa 13 peresenti ndi 35 peresenti ya anthu omwe amayamba opaleshoni yapamwamba amakhalanso opaleshoni yowonanso, malinga ndi ndemanga ya 2016 yomwe tatchula pamwambapa.
Kuwongolera kumanena kuti opaleshoni mobwerezabwereza sikuti imangowonjezera ndalama zapamwamba zachipatala koma momwe ndondomeko iliyonse ikutsatiridwa, zovuta za zotsatira zokhutiritsa zimachepa.
Pali uthenga wabwino muzinthu izi, ngakhale. Anthu ambiri omwe amapeza opaleshoni yachiwiri ndi yachitatu amafotokoza kuti njira zomwe zimatsatira zikugwira bwino bwino-ululu wawo ndi zizindikiro zina potsirizira pake, ndipo misana yawo imakhala yabwino ngati yatsopano.
Koma anthu omwe ali ndi vuto la opaleshoni lomwe lalephera kumbuyo omwe achita ma opaleshoni ochuluka omwe asinthidwa popanda kusintha pang'ono kapena kaŵirikaŵiri, amatha kupweteka kwambiri. Pachifukwa ichi, kupweteka kwa mankhwala ndi neuromodulation -zomwe zimakhala ndi mphutsi ya msana, kapena, monga njira yomaliza, kupweteka kwapopeni (mankhwala) -mayesedwa kawirikawiri, komanso masewera olimbitsa thupi, mankhwala ochiritsira, ndi chidziwitso cha khalidwe mankhwala.
Kuphunzira momwe mungagwiritsire ntchito ululu tsiku ndi tsiku ndi luso lofunika kwambiri pamene muli mu pulogalamu ya ululu .
Kugwiritsiridwa ntchito kwazitsulo zokopa zamtsempha za msana kwa kupweteka kwa kupweteka kumafufuzidwa mu makampani pakalipano. Kuyambira chapakatikati pa zaka za m'ma 2000, ndiyothandiza kwambiri ngati gawo la dongosolo lonse la mankhwala la ululu pambuyo pa opaleshoni ya kumbuyo. Mtundu uwu umakhala ululu wa mitsempha, makamaka, kupweteka kwa dzuwa, ndi kupweteka kwa kuwonongeka kwa minofu (yotchedwa nosioceptive).
Tsopano kuti mudziwe pang'ono za matenda olephera opaleshoni, mungakhale mukuganiza zomwe zimachitika "pansi pa hood"; mwa kuyankhula kwina, bwanji inu mukumva ululu pambuyo pa opaleshoni?
Kodi opaleshoniyo sayenera kuthetsa ululu wanu?
Opaleshoni Yobwereza Yotchedwa Syndrome Causes
Kawirikawiri, kupweteka kwapadera kumbuyo kumatha kumveka ngati kukuchitika pa gawo limodzi mwa magawo atatu: Kukonzekera gawo, chipinda chogwiritsira ntchito, ndi gawo lotsatira-opaleshoni.
Gawo Lopanga
Gawo lokonzekera likuphatikizapo zinthu monga: Kodi ndiwe woyenera kukhala opaleshoni poyamba?
Ngati msana wanu wosakhazikika ngakhale opaleshoni isanafike (mwachitsanzo, panthawi yomwe mukukambirana ndi akatswiri, madokotala opaleshoni ndi ena a gulu lachipatala pofuna kuyesa zomwe zikuchitika,) opaleshoni ya kumbuyo mwina osati kwa inu.
Ngati kupweteka kwanu sikungayambidwe ndi zinthu monga makina a herniated, kachiwiri, mwina simungakhale woyenera pa opaleshoni. Matenda omwe amagwera m'gulu lino ndi mavuto a shuga monga shuga, komanso mavuto a mitsempha (zotengera magazi), mavairasi ndi zotupa.
Chinthu china chimene chimakuchititsani kuchitidwa opaleshoni yammbuyo, ngakhale kuti mumamva ululu.
Ndipo potsiriza, ngati, limodzi ndi mwendo wanu kapena ululu wammbuyo, mutinso muli ndi kupsinjika maganizo, nkhawa kapena mavuto ena amalingaliro, mukhoza kukhala pachiopsezo chachikulu cha matenda operewera a m'mbuyo. (Chinachake choyenera kuganizira musanaganize kuti mupite patsogolo ndi ndondomeko).
Pa Surgery Back
Gawo lachiwiri la FBSS limayambitsa-zomwe zimachitika mukakhala pa gome lopangira-zimaphatikizapo zinthu monga opaleshoni ya opaleshoni ndi mtundu wa opaleshoni yomwe muli nayo (makamaka ngati ikukhudzana ndi mtundu wa FBSS zomwe zikuchitika pambuyo pake).
Kodi ndi zolakwika ziti zomwe dotolo angapange mukakhala "pansi?" Iye akhoza kugwira ntchito pa mlingo woyipa, kapena mbali yolakwika ya thupi lanu. Kapena amatha kupitilira kapena kugwira ntchito, kutanthauza kuti amachotsa kwambiri kapena kamphindi kakang'ono ka msana.
Ngati atatha kugwira ntchito, nthawi zina izi zimawoneka ngati zachiwawa, ndipo zingayambitse msinkhu wosasunthika umene sunalipo asanachitike opaleshoniyo. Ngati iye akugwira ntchito, akhoza kulephera kuchotsa zina kapena zonse zomwe zimayambitsa ululu wanu (wotchedwa "jenereta zopweteka").
Ndipo mawu a chenjezo. Ngati mwasankha njira yowonongeka yochepa monga microdiscectomy-mwinamwake chifukwa munauzidwa kuti zidzakhala zosavuta kwa inu kusiyana ndi chikhalidwe chotseguka-zizindikiro zanu za FBSS (ngati muzipeza) zingakhale zophweka. Ngakhale ena mwa ntchitoyi sagwirizane, akatswiri ambiri amthambo amakhulupirira kuti kukhala ndi njira zochepa zomwe sizikutanthauza kuti FBSS idzakhala yofatsa, komanso. Ndondomeko ya Journal of Pain Research yomwe yatchulidwa pamwamba pa mutu uno imati palibe njira zopaleshoni zomwe, zikagwiritsidwa ntchito, zidzatsimikizira kuti FBSS sizimachitika .
Gawo lachitatu pamene FBSS ikuyambitsa imapezeka kamodzi kachitidwe kachitidwe. Kutchedwa post-operative, gulu la thanzi labwinoli likhoza kukhala chirichonse kuchokera ku matenda, mafunde kapena mahematoma kuti abwererenso kachilomboka, kuthamanga kwa minofu, ndi zina zambiri. Pano pali mndandanda wa zinthu zomwe zingayambitse kupweteka pambuyo pa opaleshoni ya mphuno ya lumbar.
- Kutenga. Phunziro la 2016 lomwe linayesa kudziwa chomwe chinapangitsa anthu kubwereranso kuchipatala chomwe chimapezeka kuti kachilombo kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri.
- Pseudoarthrosis, ndilo mawu omveka bwino omwe amagwiritsidwa ntchito pang'onopang'ono osweka. Pseudoarthrosis pambuyo pa opaleshoni ya msana ikugwirizana kwambiri ndi njira ya msana wa kusakanikirana ndipo imasonyeza kulephera kwa mafupa kuti asokoneze momwe akuyenera kuchitira.
- Epidural fibrosis ndi dzina lachidwi la mankhwala la minofu yofiira yomwe imapanga kuzungulira mitsempha ya msana. Ndizofala kwambiri pambuyo pa opaleshoni ya kumbuyo.
- Kusintha kwa thupi lanu kapena / kapena biomechanics kungachititse kuti msana usasinthike , kuperewera kwa sacroiliac , kuwonetsa stenosis (mwachitsanzo, kupopera kwa "mabowo" pambali pa msana umene mitsempha ikudutsa). Kusintha kwa kayendedwe kotereku kungapangitsenso mbali zina za mafupa a msana pamsana pa ena, zomwe zimabweretsa mavuto ambiri msana. Ndipotu, izi zikachitika, mungapeze kuti ululu ndi mavuto omwe poyamba anakuchititsani opaleshoni kubwerera.
- Kuthamanga kwa mitsempha yokhudzana ndi minofu ya m'magazi, minofu ya mthunzi ndi zina.
- Kusintha kwa myofascial tissue (myofascia imatanthawuza zida zogwirizana zozungulira minofu zomwe zimathandiza thupi kukhalabe mawonekedwe ake ndi umphumphu) zingayambitse kupweteka komwe kumakhala kovuta kusokonezeka ndi radiculopathy. (Radiculopathy amatanthauza kupweteka ndi magetsi, komanso kufooka ndi zofooka zomwe zingagwere mwendo umodzi pamene mitsempha ya msana imakwiyitsa kapena kukakamizidwa. Anthu ambiri amatcha " sciatica ").
Kusintha kwa majeremusi kungathe kuchitika pafupi ndi msinkhu womwe umagwiritsidwa ntchito, makamaka m'mimba ya mbozi yomwe imalowa m'mimba. - Kusamala kwanu kutsogolo kungasokonezedwe pambuyo pa opaleshoni ya kumbuyo, ndipo panthawi imeneyo, kukhazikika kwanu ndi kugwirizana pamene mukuchita ntchito zanu za tsiku ndi tsiku zingasinthe.
Tsogolo la FBSS
Mpaka posachedwapa (2016), kugwiritsidwa ntchito kwa mawu akuti, "Matenda operewera m'mbuyo" kunasonyeza kuti ululu, zizindikiro ndi / kapena matenda atsopano kapena ochiritsira pambuyo pa opaleshoni ya msana ndiye dokotala wa opaleshoni. Monga mukuonera kuchokera pamwambapa, nthawi zina ndi zoona, koma nthawi zambiri pali zifukwa zina za FBSS.
Makampaniwa pakalipano akufufuza mgwirizano pa tanthauzo latsopano la FBSS. Izi zimaphatikizapo, zina mwazinthu, kuti zikhale zotheka kutanthauzira zochitikazo komanso kukhala ndi chilankhulo chomwe chidzachitike makamaka (zomwe mungachite kenako) ndi madokotala ochepa operewera.
> Chitsime:
> Blond S., Mertens P., David R., Roulaud M., Rigoard P. Kuchokera "Mankhwala" kupita ku "Neuropathic" Pachiyambi Chikondi cha FBSS Odwala. Kukonzekera Mwatsatanetsatane Pa Zinthu Zomwe Zimatsogolera Kulimbitsa Katundu Gawo C). Neurochirurgie. March 2015. https://www.ncbi.nlm.nih.gov/pubmed/25596973
> Blond S., David R., Mertens P. Pathophysiological Characterological of Back Back Pain Generators mu Opaleshoni Yosabwereka Syndrome (Gawo B). Neurochirurgie. March 2015. https://www.ncbi.nlm.nih.gov/pubmed/25456443
> Bordoni B., Marelli F. Kulephera Kuchita Opaleshoni Yoperewera: Yongosoledwenso ndi Maganizo Atsopano. J Pain Res. Jan 2016. https://www.ncbi.nlm.nih.gov/pubmed/26834497
> Durand G., Girodon J., Debiais F. Kusamalira Mankhwala a Opaleshoni Yopewera Yopewera ku Ulaya: Kufufuza Zomwe Momwe Mungayankhire ndi Chithandizo Chakuchipatala. Neurochirurgie. March 2015 https://www.ncbi.nlm.nih.gov/pubmed/25676909.
> Rigoard P., Desai M., Taylor R. Kupweteka Kwambiri Kumayambilira: Ndi Dzina Liti? Cholinga Chokhazikitsa "FBSS" ndi "POPS" Neurochirurgie. March 2015. https://www.ncbi.nlm.nih.gov/pubmed/25665773.