Zikhulupirire kapena ayi, ndi 2056 padzakhala okalamba ambiri kuposa ana malinga ndi kuwerengera kwa US. Zoonadi, anthu okalamba akukula. Chiwerengerochi chikulingalira kuti pofika chaka cha 2029 gulu la anthu oposa 65 lidzakhala 20 peresenti ya anthu onse.
Ndipo pamene ife tikulamba, chomwechonso timapanga zathu. Ngakhale pali zinthu zingapo zobwerera m'mbuyo zomwe inu kapena okondedwa anu mungakumane nazo, zomwe zimakhala zofala kwambirizi zimakhala zokhudzana ndi matenda a mitsempha ya m'mimba komanso kusintha kosasintha kumene kumakhudza ma diski ndi zina.
Mphuno ya m'mimba ndi Hyperkyphosis
Ngati ndinu azimayi komanso oposa 70, mukhoza kudziwa kupweteka ndi kusokonezeka kwa kutaya kwa osteoporotic. Kawirikawiri pakati pa ziphuphu za ana ndi mibadwo yakale, kugwidwa kwa mitsempha (kapena mtundu wina) wamagazi kungawononge nthawi zonse, kukumva ululu wammbuyo. Kukhumudwa kungakhudze zochita zanu za tsiku ndi tsiku ndipo zimakhudza maganizo anu kapena maubwenzi anu.
Mapuloteni amtunduwu ndi omwe amapezeka kwambiri m'magazi a osteoporotic fractures. Nthawi zina kupweteka kumbuyo komwe kumabwera chifukwa cha kupweteka kwa m'mimba kumatsanzira zizindikiro za matenda ena kapena zochitika zina. Ichi ndi chifukwa chake kujambula zofunikira ndizofunika. Zikuoneka ngati X-rays, MRIs , kapena CT zikhoza kuthandizira kufufuza zoperewera ndi kuperewera kwa fodya. Kuphatikiza apo, mayeso a kuperewera kwa pfupa angakuuzeni mwatsatanetsatane ngati mukudwala matenda ofooka. Zizindikiro za mafupa zimagwiritsidwanso ntchito pofuna kutsimikizira kufooka kwa magazi.
Osteoporosis ndi matenda a mafupa omwe amakhudza makamaka amayi omwe amatha kupha amayi.
Mukadwala matenda a mitsempha, mafupa anu amachepa mofulumira kuposa momwe amatha kukhalira. Mfupa wa mafupa umapangidwa ndi mapuloteni, komanso minerals calcium ndi phosphorus.
Mphuno chifukwa cha osteoporosis ikhoza kuchitika pambuyo pa zoopsa, koma zingathe kubwera komanso popanda chifukwa.
Komabe, uthenga wabwino ndi wakuti nthawi zambiri matenda opatsirana m'mimba amawoneka bwino mkati mwa miyezi itatu popanda mankhwala onse, malinga ndi a American Academy of Orthopedic Surgeons.The Academy ikusonyeza kuti mukuchita zosavuta pamene mukuchiritsidwa , monga kuchepetsa kugwiritsa ntchito mankhwala opweteka komanso nthawi yopuma ngati pakufunika.
Dokotala wanu angapereke mankhwala oti muzivala nawo.
Opaleshoni ya Fractures ya Spinal
Pafupifupi gawo limodzi mwa magawo atatu aliwonse odwala matenda opatsirana osteoporosis sagwirizana ndi chisamaliro chowongolera, monga mankhwala, mankhwala, kapena kungoyembekezera. Kotero ngati ululu wanu uli wovuta ndipo sungakhale bwino ndi zizindikiro zowonongeka, ndiye kuti nthawiyo ingakhale nthawi yopenda opaleshoni. Kambiranani zadongosolo lanu ndi dokotala kuti mutsimikizire.
Mitundu iwiri ya njirazi zimagwiritsidwa ntchito pochiritsira opaleshoni ya m'mimba: vertebroplasty ndi kyphoplasty. Zonsezi zimawonongeka pang'ono ndipo zikhoza kukulolani kuti mupulumutsidwe mofulumira komanso mosavuta. Zimaphatikizapo kulumikiza simenti m'phfupa lanu kuti muthe kulikonza, ndipo nthawi zina, kubwezeretsa kutalika kwa vertebra.
Hyperkyphosis
Mafupa amtunduwu amachititsa munthu kukhala ndi matenda otchedwa hyperkyphosis , omwe amatchedwanso kuti hyperkyphosis. Ngakhale hyperkyphosis ingayambidwe ndi zinthu zingapo pafupi nthawi yachitatu, ndizo chifukwa cha kupweteka kwa msana kwa anthu achikulire. Monga momwe dzina limasonyezera, hyperkyphosis ndi kupweteka kumene kyphotic kumapeto kwa msana wa thoracic (yomwe ili kumtunda ndi kumbuyo kwenikweni) imakhala yowonjezera kapena yowonjezereka.
Kukhazikitsidwa kwa Disc
Kukhazikitsidwa kwa nyumba zam'mimba sikungapeweke pamene tikukula. Zitha kuchitika muzipangizo zomwe zimapanga msana wanu, kuphatikizapo ma disk, mafupa, ziwalo, mitsempha, minofu, mitsempha ndi zina zambiri. Nthaŵi zambiri, chithandizo chopanda kupaleshoni chingachepetse ululu kumbuyo kwanu ndikuwonjezera kuchitidwa kwanu.
Komabe, nthawi zina njira zowonongeka zimalephera ndipo dokotala wanu angayambe opaleshoni. Izi ndizowona makamaka ngati muli ndi ululu woopsa kapena / kapena ululu wosaneneka kapena ululu wanu chifukwa cha radiculopathy (zizindikiro monga sciatica zomwe zimayambitsidwa ndi mitsempha ya msana) kapena myelopathy (zizindikiro za kusokonezeka kapena kupanikizika kwa msana).
Kukhazikitsidwa m'magulu a msana ndi mtundu wamba wa msana ndipo nthawi zambiri mtunduwu umayamba. Kuperewera kwa magulu a msana kungayambitse kusintha kwina m'madera ena a msana.
Kutaya magazi sikuli kwenikweni matenda a msana, koma kufotokozera mkhalidwe wa "miyendo" yododometsa. Malingana ndi Arthritis Foundation, pafupifupi onse omwe ali ndi zaka makumi asanu ndi awiri (60) ali ndi vuto lochepa la diski (monga momwe amasonyezera ndi MRIs.) Koma si onse omwe adzamva ululu.
Ngati ma disk akugwa kwathunthu, Arthritis Foundation ikupitirizabe, mbali yomwe imakhala kumbuyo kwa msana ingayambane, zomwe zimayambitsa zizindikiro za osteoarthritis, makamaka kupweteka, ndi kuuma.
Zinthu zomwe zimayambitsa kusokonezeka kwa ubongo zimaphatikizapo kuyanika kosapeŵeka komwe kungabwere ndi zaka. Kuyanika kumachepetsa mphamvu ya disc kuti imve zodabwitsa. Ma discs ali ndi magazi ambiri, omwe amatanthauza kamodzi akawonongeka, kuchiritsa kuli kovuta kwambiri. Mphamvu ya machiritso yochepa ya ma diski nthawi zambiri imayamba ndi / kapena kupititsa patsogolo kuwonongeka kumene kumatsogolera ku msana.
Mwina chifukwa chofala kwambiri cha kupweteka kwapweteka kwanthawi yaitali, kutaya kwa diski kungatenge mitundu yosiyanasiyana. Nthaŵi zambiri, chisokonezo cha mkati mwa disk (IDD) ndicho chomwe chimayambitsa vuto. Kusokonezeka kwa ma discs ndi dzina lina la kuvulazidwa kosalekeza kwapadera, kugwa kwa diski ndi / kapena kusokonekera kwa disk, popanda kusinthana ndi mawonekedwe a diski (monga kuwonedwa kuchokera kunja) ndipo palibe kusintha kwa chigoba cha vertebral. IDD ndi chipatala chokha. Mwa kuyankhula kwina, sizili zofanana ndi matenda osokoneza ubongo kapena a disney.
Kupweteka kwadzidzidzi ndi dzina loperekedwa ku ululu wochokera kwa IDD.
Zizindikiro za Kupititsa patsogolo Ma Discs
Zizindikiro zowonongeka ma diski zimayamba kuchitika kumene kuwonongeka kuli. Zizindikiro zingakhale ndi ululu (wofatsa mpaka woopsa) umene umapweteka mukakhala pansi, kukweza, kupindika kapena kupotoza. Ululu ukhoza kubwera ndikuyenda bwino pamene muthamangitsa thupi lanu. Kuwongolera, kufooka ndi / kapena kufooka kwa mwendo (ngati vuto la lumbar disc degeneration) lomwe limaphatikizapo ululu likhoza kusonyeza kuwonongeka kwa mizu imodzi ya mitsempha .
Madokotala amagawaniza mtundu wa ululu wokhudzana ndi msana wam'mimba m'magulu anayi. Kupweteka kwa axial ndi ululu umene umapezeka mkati ndi kuzungulira mzere wa msana. Kupweteka kwa mankhwala kumapweteka komanso zizindikiro zina zomwe zimachokera ku mizu ya msana. Myelopathy imatanthauza kupweteka ndi zizindikiro zina zokhudzana ndi kuwonongeka kwa msana wa msana (zitsanzo za zizindikiro za myelopathy zimaphatikizapo kuyanjana kapena mavuto, komanso mavuto omwe amatha chifukwa cha mimba kapena chikhodzodzo). Zizindikiro za myelopathy zimakhala zovuta kwambiri m'chilengedwe kusiyana ndi zizindikiro zomwe zimagwirizana ndi radiculopathy kapena zomwe zimangokhala pamtambo wa axial.
Matenda opatsirana pogonana (DDD) ndi okhudza kupweteka kwambiri ku diski komanso palibe china. Amapezeka ngati dokotala wanu sangapeze chifukwa china, kupatulapo dothi lokha, kuti afotokoze kupezeka kwa ululu wanu. Kuti mufike ku DDD diagnosis (kuphatikizapo matenda osiyanasiyana a m'mimba) dokotala wanu angagwiritse ntchito mbiri yachipatala, kuyeza thupi komanso mwinamwake MRI. Mayesero ena omwe amathandiza kutsimikizira madandaulo a dokotala anu angaphatikizepo maulendo a x-ray ndi / kapena otsutsa.
Kuchiza kwa Kukhazikitsa Zolinga
Malingana ndi chithandizo chamankhwala, chisamaliro chodziwika bwino chokwanira chokwanira chikukwanira kuti athetse zizindikiro. Kusamalira mwachidwi kaŵirikaŵiri kumaphatikizapo mankhwala opatsirana, pulogalamu yamaphunziro a panyumba, kukhalabe olimbikitsa m'mikhalidwe yolekerera, mankhwala opweteka komanso mwina jekeseni wa m'mimba. Ngati ululu ukupitirizabe, ndizoopsa kwambiri, kapena ngati zizindikiro za myelopathy (zotchulidwa pamwamba) zikutsutsana ndi matumbo anu ndi / kapena chikhodzodzo, dokotala wanu angapangire opaleshoni.
Kuphatikizana ndi kuchepetsa ululu, kupambana kwa chithandizo cha kutaya ma diski kumayesedwa ndi luso lanu lakugwira ntchito m'moyo wanu wa tsiku ndi tsiku-zinthu monga kuyenda, kuima, kukhala ndi kukweza zinthu popanda zopweteka, kukhala ndi moyo wokhudzana ndi chikhalidwe chokhala ndi chilolezo chochepa , kuyenda bwino ndi kulankhula zambiri zokhudzana ndi momwe mukuyendetsera bwino komanso / kapena machiritso kuchokera kusinthika kosokonezeka m'mabuku anu.
Mitsempha ya m'mimba ndi Stinal Stenosis
Kutaya magazi nthawi zambiri kumayambitsa matenda a mafupa a m'magazi omwe ali kumbuyo kwa msana (zigawo zofanana.) Pogwiritsa ntchito hypertrophy ndi mapangidwe a spurs, kukhudzana ndi fupa-fupa chifukwa cha kusintha kwa msana chifukwa cha kugwa kwa kugwa zingayambitse kupweteka ndi kutupa m'magulu. Kukula kosaoneka bwino kwa mafupa (kusintha kwa thupi) kumasintha mawonekedwe a vertebrae ndipo ukhoza kugwedeza pamapanga ndi mabowo omwe ali mkati ndi kuzungulira mzere wa msana. Izi zikachitika, msana wam'mimba ndi / kapena mitsempha ya msana umatha kukwiya pamene amadziwana ndi spurs.
Matenda a osteoarthritis ndi matenda opitirirabe, koma mukhoza kuthandiza kuchepetsa kugwira ntchito mwakhama ndi dokotala wanu. Zochita zomwe akukupatsani kuti muzichita panyumba ndizofunikira kwambiri kuti muyambe kuyendetsa bwino. Mwinamwake, iwo angalimbikitse chitukuko chosinthika, minofu yolimbikitsana ndi ayi-kapena zochepa zolimbitsa thupi ngati madzi.
Koma pamene matendawa akufalikira zingayambitse msana wam'mimba. Mphepete mwa mitsempha ndi yopapatiza malo omwe mitsempha ndi ndodo zimayendamo, yomwe imatha kumayendetsa msana ndi intervertebral foramen. Mitundu iŵiri ya stenosis mumsana ndi pakati pa kanal ndi toaminal stenosis.
Chizindikiro choyambirira cha msana wam'mimba ndi chitsimikizo cha mphuno chomwe chimapweteka pa kuyenda ndi kuimirira, zomwe zimakhala zamasulidwa mukakhala pansi kapena kugona. Zizindikiro zina zimaphatikizapo radiculopathy kapena ululu ndi zizindikiro za mitsempha zomwe zimakhudza dzanja limodzi kapena mwendo ndi mizere yowonjezereka. Zokwanira zamtsempha zamtsempha, zomwe zimagwiritsidwa ntchito ndi liwu la flavum, zikhoza kuwonjezerapo chinthu chotsutsana, motero kuwonjezera kukhumudwitsa kwa mizu ya msana ndi / kapena msana.
Mofanana ndi mitundu yambiri ya kuchepa kwa msana, kupumula kupweteka ndi kuwonjezeka kwa ntchito kungathe kupezeka mosamala. Dokotala wanu angapereke mankhwala othandiza ndi mankhwala oletsa kupweteka. Ngati zizindikiro zikupitirirabe, akhoza kukuwuzani kwa dokotala wa opaleshoni chifukwa cha kusokoneza maganizo. Cholinga cha opaleshoni yowonongeka yowonjezereka ndikulitsa malo osungunuka. Zimanenedwa kuti ndondomekoyi imathandizira anthu kuti ayende patali ndikuyimira nthawi yayitali ndi zovuta. Ngati msana wanu suli wosasunthika, dokotala wanu angapangenso fuselo. Izi zingaphatikizepo kutenga mfupa m'chuuno mwako ndikuyiyika mumsana wanu kapena kuyika zida zitsulo monga zikopa ndi ndodo.
Chitsime:
American Academy of Orthopedic Surgeons. Osteoporosis ndi Spinal Fractures-OrthoInfo Web Page. http://orthoinfo.aaos.org/topic.cfm?topic=A00538.
Arthritis Foundation. Matenda a Disagenerative Disc. Arthritis Foundation. http://www.arthritis.org/about-arthritis/types/degenerative-disc-disease/
Colby, S., Ortman, J. The Baby Boom Cohort ku United States: 2012 mpaka 2060. May 2014. https://www.census.gov/prod/2014pubs/p25-1141.pdf
Kanter, AMD, Asthagiri, AMD, Shaffrey, CMD Kukalamba Kwambiri: Mavuto ndi Njira Zowonongeka. The Contress of Neurological surgery webusaitiyi. 2007. https://www.cns.org/sites/default/files/clinical_neuro/chapter3_1.pdf