I-arthritis yinkinga eqhelekileyo yomlenze womlenze ongakhokelela kwimpawu ezahlukeneyo. I-Lumbar spine arthritis ibonakala ngokugqithiseleyo kwizigulane ezinde kodwa zingabonwa kuwo onke amaqela. Izigulane ezisemngciphekweni ophezulu wokuphuhlisa i-lumbar spine arthritis ziquka:
- Izigulane ezindala
- Abantu ngabanye
- Abasebenzi abakhulu
- Abo babenokulimala kwangaphambili emgodini
I-arthritis ye-lumbar spine yinkinga eyenzeka kumajoyina axhuma inxalenye nganye yomqolo okanye i-vertebrae. Ii-vertebrae zidibene kwiindawo ezintathu. Ngaphambi kwentambo yomgogodla, i-vertebrae ihlukaniswe yintambo yomgcini. Emva komtya womthambo, ama-vertebrae axhunyiwe ngamacandelo amabini amancinci abizwa ngokuba yi-facet joints. Ezi zidibaniso zeembambano , kunye ne-disc spin, vumela ukuhamba komgudu kubandakanya ukuguqa phambili, ukuguqula umqolo wakho, okanye ukuguquka kwamacala.
Uhlobo oluqhelekileyo lwe-arthritis ukuba lwenzeke emthonjeni luyi-osteoarthritis okanye i-arthritis. Xa i-osteoarthritis ivela emthonjeni, oogqirha babhekisela kule nto njenge- spondylosis . Xa izixungu zomgulane ziba yi-arthritic, ukuhamba kwintlambo kuya kuba buhlungu kwaye inzima. I-Lumbar spine arthritis ibonwa rhoqo kunye nezinye izimo zomgudu eziquka:
- Ukukhutshwa kweDis
Njengoko iinxalenye zomzimba ziphelelwa ziimeko ze-arthritic zomgudu, i-disc nayo inokugqithisa ngaphezu kwexesha. I-facet i-arthritis isoloko ihamba kunye ne-dis dis disease ye-lumbar spine.
- IStinal Stenosis
I-spinal stenosis iphinda ibonakale kwizigulane ezine-arthritis. Njengoko i-arthritis iqhubela phambili, iimbulunga zinyanyiswa, zikhokelela kwiimpawu zesisu somsipha. Ezi zimpawu zingabandakanywa intlungu yomlenze, ukuxinwa, ukubetha, nokuhamba nzima.
Izibonakaliso ze-Spinal Arthritis
I-arthritis ye-lumbar spine ibangele ibangele ubunzima kunye nentlungu ephantsi.
Izigulane zihlala zibona ukuba umva wazo ziba nzima ngokusa kusasa emva kokuphuma ebhedeni kwaye zikhulule ngaphezu kwexesha lemihla. Iimpawu zisoloko ziba zibi nangomsebenzi omude okanye obunzima.
Xa i-lumbar facet i-arthritis edibeneyo ibuhlungu, amanxeba enza i-bone spurs, izicubu zinyuka kwi-inflammation, kunye neentsholongwane ezijikeleze ezi zihlanganiso zinokubanjelwa. Le yimeko ebizwa ngokuba yi-spinal stenosis, esoloko ibonakala kwizigulane ezine-arthritis i-lumbar. Ezi zi gulane zihlala zifumana iimpawu eziqhelekileyo zentsholongwane yesisu.
I-Lumbar Spine Treatment Arthritis
Unyango lwe-lumbar spine arthritis incike kwiimpawu ezibangelwa isigulane. Unyango luqala rhoqo ngamanyathelo alula kwaye lubandakanyeka ngakumbi xa izigulane zifumani ukukhululeka ngala ma nyathelo alula.
Ezinye zezonyango ezikhoyo kwi-lumbar spine arthritis ziquka:
- Ulungiso lwenyama
Ulwaphulo oluthile lusetyenziselwa ukuqinisa imisipha yesigxina se-lumbar. Ngokuxhasa ngokubhetele umgudu ngemisipha enamandla, umthwalo omncinci ubeka kwiindawo zokudibanisa. Ngaphandle kwezigulane ezifanelekileyo kunye nezisebenzayo, izihlunu ezijikeleze umgudu zingasomelezwa ngakumbi ukunciphisa iimpawu. - Ukuhla ukusinda
Ukulahlekelwa isisindo kuwumsebenzi onzima kwizigulane ezinamalungu amanxiba. Nangona kunjalo, ukulahlekelwa ngumlinganiselo omncinci kubambeka isinyathelo esaneleyo sokunciphisa intlungu. Ngokususa iipounds ezili-10 okanye ngaphezulu, izihlanganisi zenkalo ziya kuxhasa ubuncinane bomthwalo, kwaye intlungu inokukhutshwa ngokwaneleyo.
- Imithi echasayo
Amachiza anqabisayo anganciphisa inani lokuvuvukala malunga nama-arthritic joints. Ngokunciphisa ukuphendula okuvuthayo, intlungu iyancitshiswa. Soloko usebenzisa amayeza anxamnye nokutshaya phantsi kolawulo lugqirha wakho. - Izicelo ze-Ice & Heat
Izicelo ze-Ice kunye nokushisa ziyakwazi ukusebenza kakuhle ekunciphiseni ubuhlungu emva. Izigulane zivame ukufumana ukuba ukushisa kusebenza kakhulu ngaphambi kokuba umsebenzi "ukhulule" umgudu, kwaye i-ice isetyenziswe kakuhle emva kwemisebenzi enzima. - Unyango lweChiropractic
Iingcali zogqirha zonyango ukulungelelanisa umlenze, ngokuqhelekileyo ngenkqubo ebizwa ngokuba yonyango. Ezi zonyango aziguquli ukulungelelaniswa komgudu , kodwa zinokubonelela ngokukhululeka kwentlungu. Ngokuqhelekileyo ukuxhamla okwethutyana, kodwa unyango lwe-chiropractic lugqirha olufanelekileyo lokuqwalasela ngethuba le-arthritis.
- Ezinye unyango
Ezinye iindlela zonyango zibandakanya ukwenziwa kwe-acupuncture, massage , i- magnet, unyango lwezilwanyana kunye nabanye . Akungabazeki ukuba izigulane ezininzi zifumana uxolo olukhulu kulezi zifo zonyango. Nangona uphando lwezenzululwazi alukwazi ukuxhasa ezi zonyango, ezininzi zinemiphumo emibini yecala kwaye ziyeza unyango ukuba zizame. - Injected Epidural
Iijoyi ze-epidural yindlela yokuphatha i-steroid ibethe iindawo zogqirha. I-Cortisone yonyango elinamandla lokuchasa . Ukusebenzisa inaliti kuvumela ukuba imithi ihanjiswe ngqo kwindawo yonyama. Kwizigulane ezine-arthritis zendibaniselwano esisodwa, i-injection echanekileyo, ebizwa ngokuba yi-facet ye-facet injection joint, ingenziwa. - Ugqirha lwe-Spinal Fusion
I-fusion fine yindlela yokucwangcisa esetyenziselwa ukuqeda ukunyakaza phakathi kwama-vertebrae adibeneyo. Xa zonke ezinye iindlela zonyango zihluleka ukubonelela ukuphulukiswa kweempawu, u-fusion fins kungaba yindlela efanelekileyo yokunyanga kwe-arthritis enamandla.
Imithombo:
I-Hilibrand kunye neNandi "I-lumbar stenosis: Ukuxilongwa kunye nolawulo" J. Am. Acad. IOrn. Ugqirha., Julayi 1999; 7: 239 - 249.
UHN Herkowitz kunye no-KS Sidhu "I-Lumbar Spine Fusion kwiNyango yeeMeko eziThatywayo: Iingcaciso ezikhoyo kunye neengcebiso" J. Am. Acad. IOrn. Ugqirha, ngoMeyi 1995; 3: 123 - 135.
Shen FH, et al. "Ulawulo lwezonyango lwe-Acute and Chronic Chronic Back Pain" J. Am. Acad. IOrn. Ugqirha, Agasti 2006; 14: 477 - 487.