I-arthritis kwi-Neck - i-Cervical Spondylosis

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Ubume be-Cervical Spondylosis kunye neArthritis yeNeck

Ukuguga kuphephe kwaye kwaye kuza kuza kunye nokugqabhuka kwiindawo zomqolo. Nangona ungeke ubeke ukugqoka kunye nokukhawuleza ukuba kwenzeke, unganciphisa izinga eliya kulo. Eli nqaku lichaza i-spondylosis yomlomo wesibeleko, imeko eyovela ekutshintsheni okwenyukayo emathanjeni kunye ne-disks entanyeni yakho.

Amagama angaphantsi kwezobuchwepheshe kule meko i-osteoarthritis yentamo, okanye i- disenative dis disative disease entanyeni.

Ngokuqhelekileyo, intlungu ye-arthritis iqala ukubonakalisa malunga neminyaka engama-40 ubudala, kwaye iyaqhubeka njengoko iminyaka ihamba. Oko kwathiwa, amadoda athambekele ekuhlaleni i-cervical spondylosis esemncinane kunabesifazane. I-spervylosis yomlomo wesibeleko inokubangela ukuba i- myelopathy ; Enyanisweni, yimeko eqhelekileyo yentamo engathintela intambo yomgogodla.

IArthritis - I-Neck neenguqu zayo

I-arthritis entanyeni iqala ngee-osteophyte-aka bone spurs-leyo ifom kwiimpawu ze- vertebral .

I-Bone spurs yindlela impendulo yomzimba yokugqoka kunye nokulila. Ngomsi womlenze bakhonza injongo, bancedisa ukwandisa ummandla wokubambisana kunye nokusabalalisa ubunzima kuwo ngokulinganayo.

Ingxaki kukuba, i-bone spurs ingakhokelela kwiintlungu xa zibeka uxinzelelo kwimisipha yomgudu , kunye / okanye intambo yomthambo. Uxinzelelo lunokubangela ukuba unxweme, unobuthathaka kunye nokungaziphathi kwamabilini okanye i-bladder (ekugqibeleni oko kuthathwa njengongxamiseko lwezonyango.)

Jonga ngasentla umfanekiso wesifo samathambo, nangaphantsi, kwakunye namaphepha alandelayo, ngolwazi olunzulu malunga neempawu kunye neyeza.

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Iingxaki zobungozi beArthritis kwiNeck

Ubudala

I-Amercian Academy ye-Orthopedic Surgerons ithi inkulu enkulu yengozi ye-colervic spondylosis, ngowokuqala, iminyaka. Ukuqala phakathi kweminyaka yobudala (kunye nokuqhubeka,) bathi, isifo samathambo entanyeni yimeko eqhelekileyo.

Genetics

Emva kobudala, enye ingozi enkulu elandelayo ingu-genetics. I-arthritis entanyeni (njengezinye iintlobo zeengxaki zentlambo), inokusebenza kwiintsapho. Ukuba umgudu wakho womgudu kunye / okanye i-intervertebral foramen ngokwemveli ngokwemvelo ubude buncinane, umngcipheko weengxaki zeenguqu ezinokuguquka zingaba ziphezulu. Ngomgca omncinci womgcini, umgca wesipelini - isakhiwo esibucayi kakhulu esichazela iimvakalelo kwiingqondo kunye nokunyakaza imiyalelo evela kwingqondo kuya kwiimisipha - inendawo engaphantsi yokulingana ngaphakathi kwikholam yeli bonela. Uqhagamshelwano phakathi kwentambo kunye nekholomu kunokuthukuthelisa ikholam kwaye kubangele iimpawu.

Ukutshaya

Ukubhema kunika isandla kwisifo se-diserative degenerative, kunye nenye into ebangela ingozi yomzimba we-arthritis.

Izinto Zengozi Zengqondo

Ukuxinezeleka kunye nokuxhalaba kukubangelwa yimiba engozini ye-arthritis entanyeni.

Umsebenzi wakho wemihla ngemihla

Emva koko, makhe sithethe ngomsebenzi wakho. I-AAOS ithi xa umsebenzi wakho ubandakanya ukunyakaza kokunyakaza okuphindaphindiweyo kunye / okanye umsebenzi oyenzeka ngaphezu kwentloko yakho, ingozi yakho inokuphinde ibe phezulu. Ukuxinezeleka kunye / okanye uxhalaba yizinto ezibangelwa ingozi yengqondo.

I ngxaki

Kwaye ekugqibeleni, ukuxhwaleka, ngokugqithiseleyo ukunyamekela, kukhulisa umngcipheko wesibeletho somlomo wesibeleko. Oko kwathiwa, ininzi ye-arthritis yentamo ayilungelelaniso.

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Iimpawu eziza ngeArthritis kwiNeck

Ngokuqhelekileyo, intlungu yentlungu ye-arthritis ayiqondwa kakuhle ngorhulumente wezonyango. Enyanisweni, kunokwenzeka ukuba ungenayo impawu nonke!

Ikhonkco kunye neentloko zeMpawu

Xa kuvela iimpawu, iintlungu zentamo ephakathi (ebizwa ngokuba yi- cervicalgia ) kunye nokuqina kubonakala kuninzi kakhulu. Kwaye malunga ne-1/3 yabantu abaneentamo ze-arthritis zentamo, zihlala zikhona kwi-skull ephantsi (ebizwa ngokuba yi-sub-occiptial). Nangona intlungu yentamo kunye nokuqina kuxhaphake kakhulu kubantu abane-arthritis entanyeni, ngamanye amaxesha iintloko ziya kuxolisa ezinye iimpawu.

I-Radiculopathy kunye neempawu zeMyelopathy

Ngaphezu koko, i-radiuclopathy, iqoqo leempawu ezibangelwa yinkcenkceshe yomgudu oyicatshukileyo okanye ecinezelekileyo, inokuhamba kunye ne-cervical spondylosis. Ezi zibandakanya izikhonkwane kunye neenaliti, intlungu, ukuphazamiseka kunye / okanye ubuthathaka behla ingalo enye (kunye nesandla.) Ukuvakalelwa kombane kunokwenzeka, ngokunjalo.

Ngokufanayo, i-myelopathy, ebangelwa ukucaphuka komzimba wakho wesisu, ngumnye umthombo wesifo se-arthritis.

Kodwa ngokungafani ne-radiculopathy, i-myelopathy ihlala ihamba ngokukhawuleza emva kwexesha, kwaye ikwazi ukuzibonakalisa kwiindidi ezahlukahlukeneyo zempawu. Yinto eqhelekileyo yezikhonkwane kunye neenaliti. Ukongeza, ukuba iimpawu zivela phezulu phezulu entanyeni yakho (C-3 ukuya ku-5), unako ukufumana isifo esibizwa ngokuba yi "numb, izandla ezinzima," apho kubhala ingxaki kunye nemisebenzi efanayo.

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Ukuchonga i-Cervical Spondylosis kunye novavanyo lwe-Flexibility kunye nee-X-ray

Njengokuba uninzi lweenkqubo zentlupheko kunye ne-back diagnostic, ugqirha wakho uya kubutha ulwazi malunga nentamo yesifo samathambo ngokuthatha imbali kunye nokuhlola.

I-MRI yeNeck Arthritis

Kwaye xa kuziwa kwi-imaging (oko kukuthi, i-x-ray, i-MRI, i-CT kunye nokufana noko) imilinganiselo yegolide yi-MRI, ngokukodwa ekuqaliseni umthombo weempawu zesibindi ezinjengeentlungu, izikhonkwane kunye neenaliti, ukugqithisa okanye ubuthathaka buhla ingalo. Isizathu kukuba, i-MRI inokukunceda ugqirha wakho ukuba angaboni nje amathambo akho kuphela, kodwa kunye nezicubu zakho ezithambileyo kunye neentsimbi. Inokumnceda ukuba aqikelele ngokuchanekileyo ukuba isithuba esingasigxininisi sishiywe kwiindawo ezikhuselekileyo zendlu, okuyi-canal yakho yomgudu kunye ne-intervertebral foramen.

X-Rays for Neck Arthritis

I-X-ray iyasetyenziswa xa ufumanisa i-arthritis entanyeni, njengoko avumela ugqirha wakho ukuba acinge ngendlela ukulungelelanisa ngayo umthambo wakho, kuquka naluphi na uhlobo lwe-spondylolisthesis, okanye ukuthungatha phambili kwe-vertebra, kuncedisa kwi-stalosis yengqungquthela. (I-spinal stenosis yindlela eqhubela phambili ye-osteoarthritis.)

Ukuba awunayo impawu yesifo, ungadinga kuphela i-x ray. Amandla e-x-ray yindlela yokubonisa ukuba kwenzekani ngamathambo, ngako-ke endaweni yenhlungu okanye ezinye iimpawu, ukuba omnye unokuluphaphazela ugqirha wakho kwizinto ezifana nokunciphisa kwindawo yakho yediski, ukuxhamla amathambo, ukulahleka kwentambo yomlomo, i-hypertrophy, kunye nanoma yiyiphi inciphiso emanzini omninzi (njengokuba kuchazwe ngasentla.) Inokumnceda ukuba ahlukanise i-spondylosis yomlomo wesibeleko kubantu abakhulileyo njengobumnene, obunokulinganisela okanye obunzima.

CT Scans for Neck Arthritis

I-CT scan (ukuskena kwe-CAT) yinto enye yokuvavanya ukuhlola i-imaging edlalwa kubantu abane-spondylosis yomlomo wesibeleko. I-CT scan ifana ne-x-ray ngaphandle kokuba ithatha imifanekiso emininzi yangaphakathi yomzimba, kwaye ibabeka ndawonye ukuze ibonise isigaba esiphambeneyo sendawo. Umgangatho womfanekiso ungcono kunokuba i-x ray, enokuvumela ugqirha wakho ukuba afunde kangcono umgudu wakho womgogodla, i-neural foramen, kunye naluphi na utshintsho kumathambo akho okwenziwe ukususela kwi-CT yokugqibela.

I-Myelography isetyenziselwa ukujonga ngentsingiselo yakho yeengcambu; Le yilapho intambo yomgogodla ifaka ukuba ibe yimisipha yomgudu. Kukho ne-CT myelography eyenziwa ngabanye abalingcali kuba kucatshulwa ukuba baneempembelelo ezingaphantsi (ezifaniswa nemilegraphy.) I-CT myelography isetyenziswe rhoqo xa unyango lubandakanyeka, ngokuchasene nexesha lokuqala okanye ukuxilongwa.

Isifundo sokuPhathwa kweMigudu

Kwaye, ekugqibeleni, olunye uhlobo lovavanyo oogqirha basebenzise ukuxilonga (okanye ukuqinisekisa ukuxilongwa kwe-radiospathy).

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IArthritis kwiNeck - Treatment

Ugqirha wakho oyintloko ugqirha okanye u-internist jikelele unokukwazi ukubonelela unyango lwe-spondylosis yakho yomlomo. Oko kwathiwa, abaninzi banokudluliselwa kwingcali kwi-arthritis yentamo. Ukudluliselwa kwii-rheumatologist, i-neurologists, kunye nama-orthopedic okanye neuro-surgeons ziqhelekileyo.

Kodwa utyando lugqithiselwa ngokuqhelekileyo ngenxa yesifo samathambo. Endaweni yoko, ukunakekelwa okugcinayo (jonga apha ngezantsi ngolwazi olungaphezulu) kunokukunceda ulawule intlungu kwaye uphucule ukuqhubeka kwesifo.

Izibonakaliso onokuzifuna utyando lubandakanya intlungu enzima okanye engenakwenzeka ukulawula, kunye / okanye iingxaki zentliziyo, umzekelo, izikhonkwane kunye neenaliti okanye ezinye iimbono zombane, ukugada kunye / okanye ubuthathaka phantsi kwengalo enye) kangangokuba ixesha elidlulayo liqhubeka libi kakhulu.

Ukuba udinga ukuhlinzwa, unokuba ukhangela i- laminectomy , eyaziwa nangokuthi utyando lwe-compression.

Ulwaphulo lweMpilo kwiArthritis kwiNeck

Ukuba iimpawu zakho zincinci okanye ziphakathi, kwaye ukuba unayo inkathazo yengcinezelo, ungadinga kuphela ukunakekelwa okugcinayo. Oku kunokubandakanya enye okanye ngaphezulu kwezi zinto zilandelayo:

• · Izidakamizwa ezichasene nezidakamizwa (NonSA) ezibandakanya izidakamizwa (i-NSAID) kuquka i-aspirin, i-naproxen okanye i-ibuprofen ukunceda ukunciphisa ukuvuvukala nokunciphisa intlungu.
• Ama-Analgesics, afana ne-acetaminophen (iTylenol) ngenxa yokuphulukana nentlungu kuphela.
• Ii-injection ze-Corticosteroid ukunyanga iintlungu kunye nokunciphisa ukuvuvukala.
• · Iimpawu zentlungu yokunceda intlungu yesikhashana.
• · Ukukhawulelana kodwa kungabikho umsebenzi wokusebenza.
• · Ikhola yomlomo wesibeleko ukuxhasa nokuzinza ngexesha lokuphilisa.
• · Ukuzivocavoca kwaye, njengoko kuchaziwe ngasentla kunyango.

Ukudluliselwa kwiingcali zomzimba zenzelwe ukunakekelwa okuzinzileyo ezinokukhangela iimpawu zakho kunye nemeko.

_Umthombo:

> AAOS. I-Cervical Spondylosis (iArthritis yeNeck.) OrthInfo. I-American Academy ye-Orthopedic Surgeons iwebhusayithi. Agasti 2015.
_{Rana, S., MD, kunye. al. Ukuxilongwa kunye noLawulo lweCervical Spondylosis Clinical Presentation. Website yeMedscape. Ukuhlaziywa kokugqibela: Aug 2015.}