Ingxoxo yeCervical Spondylotic Myelopathy
Nangona i-hip kunye namadolo asemadolweni ziindawo eziqhelekileyo ezichaphazelekayo yi- osteoarthritis , inkqubo efanayo yesifo inokuchaphazela nayiphi na inxalenye yomzimba. Ekubeni umgudu unomxinano ophezulu kunamaphi na indawo (kunamaqela amathathu kumgangatho kunye namazinga angama-24 omqolo), akumangalisi ukuba ukuguqulwa kwamathambo okusemthonjeni kuyaqhelekileyo.
I-arthritis yomlomo wesibeleko, equlethwe ngamacandelo ama-7 omgudu osentanyeni, iyinto eqhelekileyo. Abaninzi bachaza ukunxiba kunye nokugqabhuka kwamalungu kwi-throat collar as part of the process of aging.
UDkt. Boden kunye noogxa basebenze isifundo sabantu abanempilo bengenabuhlungu bentamo baze babone ukuba bangaphi babo ababenobungqina bemi-IRM ye-colervical arthritis (eyaziwa ngokuba yi- spondylosis ). Kwaye kwaba ngama-25% abantu abangaphantsi kweminyaka engama-40, kwaye malunga nama-60% abantu abangaphezu kweminyaka engama-40 babenobungqina be-MRI be-arthritis kwi-collar's collar. Kubalulekile ukukhumbula ukuba bonke aba bantu babengenabuhlungu bentamo. Ucwaningo olulinganayo lukaMatsumoto kunye noogxa baqinisekisile ezi ziphumo kwaye babonisa ukuba abangaphezulu kwama-90% abantu abaphakathi kweminyaka engama-50 engenazo iintlungu zentamo babenokuguqulwa kwamathambo kwiintsholongwane zabo zomlomo. Xa ilandelwa ngaphezu kweminyaka eyi-10, i-81% yabonisa ukuguqulwa kokuguqulwa komonakalo (okubonisa i-arthritis eqhubekayo) kwi-MRI.
Oko oku kusitshelisa ukuba utshintsho lweempawu kwi- MRI yomgudu wesibeleko kwi- MRI luyinto ebonakalayo yintsholongwane yesiqhelo, kwaye ngokwabo ayinayo ingxaki. I-subset encinci yabantu abanolu tshintsho kwi-MRI, ziya kuba neempawu ezinjengeentlungu zentamo, kunye neempawu ezivela kwingcinezelo yeengcambu zomlenze okanye intambo yomgogodla.
Enye yemibandela enokuthi ikhule kwimiphunga echaphazeleka kakhulu yi-arthritis yinkcenkcesha yecala lomgca. Ixesha lonyango le meko xa lwenzeka entanyeni yiCervical Spondylotic Myelopathy (CSM).
Ukuze siqonde le ngxaki, simele siqale ukuhlaziywa okufutshane malunga nesimo somgudu womlomo wesibeleko. Umgudu wesibeleko wenziwe ngamacandelo ama-7 okanye 'amanqanaba'. Icandelo ngalinye linomzimba we-vertebral ngaphambili, ixhunywe kwi-arch arch ebizwa ngokuthi i-lamina, ejikeleze umgca womgudu. Umzimba ngamnye we-vertebral uqhagamshelwe kumnye ungentla kwaye omnye ungaphantsi ngeemigomentshini ezinzima ezibizwa ngokuba yi-longitudinal postitudinal ligaments. I-lamina nayo idibaniswe nalapha ngasentla nangezantsi nge-ligament efanayo ebizwa ngokuba yi-ligamentum flavum.
Ukuguqulwa kwamanzi okanye ukuguqulwa kwamathambo kwi-spine kubangela ukuba i-bony iqhube emgodini wesibeleko, kunye ne-calcium deposits kwi-3 ligaments echazwe, kunye nokutshintshwa kokulungelelanisa umgudu. Le miba emithathu inokutshintsha ukuma komgudu wamagxa. Naliphi na inkqubo eyenza umgca wecala lomgudu unako ukukhokelela ekutyineni kwintambo yomgogodla. Xa intambo yomgulane iphosiwe, le meko ibizwa ngokuba yi- myelopathy .
Ngaloo ndlela, igama elithi myelopathy lentsholongwane yesibeleko libhekisela kwiinguqu ze-arthritic zomkhuhlane wesibeletho ezibangelwa ukuxubha kwentambo yomgogodla.
Iimpawu ze-CSM zinokuthi ziguquke kodwa ziquka iintlungu zentamo, ukutyhafa kwezandla, ubunzima ngokuhamba kwezandla / iminwe efana nokukhangela i-shirt, ukubhala, okanye ukusebenzisa iibhola, kunye nokuhamba kakuhle kunye nobunzima bokuhamba. I-Tendon reflexes, xa ihlolwe ngugqirha, ingaba yinto engavamile. Umbuzo obalulekileyo obalulekileyo owenzekayo malunga nexesha kubantu abane-CSM? Uphando lwangoku lubonisa ukuba kwindawo ethile phakathi kwama-20% kunye nama-60% abantu abane-CSM nkqubela ukuba babe neempawu ezibuhlungu.
Ngenxa yeso sizathu, i-CSM idla ngokucatshulwa njengengxaki ephathwa ngokuhlinzwa ukuze kuzinze umsebenzi we-neurologic kwaye ukhusele ukuhla. Isikhathi sokuhlinzwa singacacile, kwaye akukho datha ekhoyo ukukhokela isigqibo sokuba lilinde ixesha elingakanani ukungenelela ngoncedo.