Mphuno ya Mphindi Kawirikawiri Yowonekera M'maseŵera Achinyamata
Spondylolysis ndi kuvulaza mopitirira muyezo komwe kudandaula mobwerezabwereza kudera laling'ono la fupa la vertebra , lotchedwa pars interarticularis, limayambitsa kupasuka. Mkhalidwewu nthawi zambiri umagwirizanitsidwa ndi masewera olimbirana monga masewera olimbitsa thupi, mpira wa mpira, mpira, komanso ngakhale kuvina kovuta kumene msana umatsitsimutsa mobwerezabwereza, umabwerera mmbuyo, ndipo umasinthasintha.
Pars Interarticularis ndi Chikhalidwe cha Mthethe
Vertebra ya kumapeto kwa msana kuti apereke ndondomeko ya msana wamtendere ndi kuchepetsa kuyendayenda. Kuloledwa kumapezeka pamagulu a mbali . Izi ndizomwe zimayambitsa mafupa kuchokera kumbuyo kwa vertebra iliyonse ngati mapiko, kulowerera imodzi kupita kumtsinje kumayenda kapena kusinthasintha. Munthu akayamba kutsogolo, mbali zake zimagawanika; pamene munthuyo agwedezeka, ziwalo zimabwera palimodzi ndikulepheretsa kusuntha.
The pars interacticularis ndi malo a fupa lomwe liri pakati pa mfundo (pamene zigawo zimagwirizana) ndi mzere wa vertebra wotchedwa lamina.
Mavuto a Spondylolysis
Spondylolysis imapezeka pakati pa anayi ndi asanu ndi limodzi peresenti ya anthu a ku America, makamaka ochita masewera othamanga. Amuna achichepere ali ndi mwayi wambiri wopeza spondylolysis kusiyana ndi atsikana achichepere, atsikana achichepere amakhala ndi mwayi wambiri wopeza spondylolisthesis , zomwe zimachitika kuti vertebra ipite patsogolo pomwepo.
Spondylolysis imawonekera kwambiri mwa anthu omwe ali ndi kupitirira koyambirira kwa msana, wotchedwa lordosis . Kulemera kwambiri kungathandizenso pamene kumapangitsa kuti zigawo zowonjezera zikhale zovuta.
Ngakhale kuti ukalamba sichikugwirizana ndi spondylolysis, ndi spondylolisthesis ngati kuwonongeka pang'ono kwa fupa fupa kwambiri kumaonjezera chiwopsezo cha kugwedeza.
Zizindikiro ndi Kuzindikira
Zizindikiro za spondylolysis zimapweteketsa m'mbuyo kupweteka kwapweteka zomwe zimapweteka ndi ntchito, makamaka poima kapena kusokoneza msana. Anthu omwe ali ndi spondylolysis amakhalanso ndi mitsempha yolimba chifukwa chokhala ndi mphuno zomwe zimapweteka kumbuyo ndikusintha khalidwe la munthu.
Ululu ukhoza kukhala wowongoka kapena wotchulidwa ndi kumverera kumbuyo, miyendo, mapewa, kapena matako. Spondylolysis ingayambitsenso zizindikilo zopweteka koma kumakhala ndi zitsimikizo ndi zofooketsa za minofu, kuuma, kapena zochepa.
Spondylolysis nthawi zambiri amapezeka ndi zojambula zojambula monga computed tomography (CT) kapena zithunzi za maginito zojambulidwa (MRI) . Chifukwa pars interarticularis ili pambali ya oblique, nthawi zambiri zimakhala zovuta kuwona ndi X ray.
Chithandizo
Kusanthula msanga ndikofunika kwambiri kuti mutha kuchiza spondylolysis. Pomwe zikunenedwa, madokotala nthawi zina amagawanika pa njira yoyenera ya chithandizo.
Nthaŵi zambiri, madokotala amavomereza njira yowonongeka yokhudza kugwiritsidwa ntchito kwa mitsempha yam'mbuyo ndi mankhwala opatsirana kumalimbitsa minofu ndi kuchepetsa lordosis. Ndi njira yochepetsetsa yomwe ingakuwonetseni kwa kanthawi koma nthawi zambiri imabweretsa zotsatira zabwino kwa odwala.
Mafupa akuluakulu kapena omwe amalephera kuchiza angapangidwe ndi mphamvu ya magetsi kapena amafuna opaleshoni ya m'mimba monga lumbar fusion .
> Zotsatira:
> Hirpari, K.; Butler, J ;; Dolan, R. et al. "Njira Zopanda Kuchita Zopangira Chizindikiro cha Kervical Spondylosis." Kupita Patsogolo kwa Orthopedic. 2012; 2012: 294857. DOI: 10.1155 / 2012/294857.
> Middleton, K. ndi Nsomba, D. "Lumbar spondylosis: mauthenga azachipatala ndi njira zamankhwala." Curr Rev Musculoskelet Med. 2009; 2 (2): 94-104. DOI: 10.1007 / s12178-009-9051-x.