I-Spondylolysis ligama elisetyenziselwa ukuchaza imeko apho kukho ukuphazamiseka kwengcinezelo kwingingqi ethile yomqolo wesipelini. Lo mmandla wekholam yomgcini, obizwa ngokuba yi-pars interarticularis, udibanisa i-vertebrae ecaleni kwintsipho. Xa ugqirha ekutshilo (okanye umntwana wakho) unesipondylolysis, bethetha oku kuphazamiseka kwengxaki (okanye ukuphendulwa kwengcinezelo) kwi-vertebrae.
Isisombululo seNkxalabo yeeNgxowankulu kwi-Spine
Ezi zinto zimbini ziseko ezisemngciphekweni ekuphuhliseni i-spondylocysi. Ezi ziquka:
- I-Genetics: Abanye abantu baxhomekeke ekuphuhlisweni kweengxaki zexinzelelo kule ndawo ethile. Oku kungaba ngumphumo wesimo okanye amandla esithambo, ukulungelelaniswa kwe-vertebrae, kwinqanaba lokukhula ngexesha lobuncinci kunye nobutsha.
- Imisebenzi yezemidlalo: Imisebenzi ethile yemidlalo eyenza ukufumana ispondylolysis inokwenzeka, ngokukodwa kwimidlalo efuna i-hyperextension (iguqa ngasemva) ye-lumbar spine. Le midlalo ibandakanya i-gymnastics ne-diving. Kulo mdlali osemtsha, i-spondylolysis inokufumaneka kwi-40% yabathathi-nxaxheba bezemidlalo ebungozi.
Iimpawu zeSpondylolysis
Abadlali abaninzi abasemagqabini abanalo iimpawu, nangona befumene ukuphazamiseka kwengcinezelo kwiimvavanyo zokucinga. Xa abadlali abaselula benempawu, iimpawu eziqhelekileyo ziquka:
- Intlungu ebuhlungu emva (ngamanye amaxesha ihamba ngombala okanye intamo)
- Ubuhlungu kunye nokwandiswa (ukuguqa emva) kwintsipho
- Iimpawu ezinamahlunu
Abantwana okanye abaselula abakhankanywe ukuba banokuphelelwa uxinzelelo emgodini wabo bangadinga iimvavanyo zengqondo. Ngomgudu wokunciphisa ukugqithiswa kwezigulane ezincinane ukuya kwiimitha ezivela kwezinye zezi mvavanyo, ugqirha wakho unokunyanga ukuqala ngeyeza ezilula ukuqala ukuba ubone ukuba ziyasebenza.
Ngenxa yokuba izigulana ezingenakuvakalayo zihlala zinconywa kumanyathelo okuqala kwesi sifo, ngokuqhelekileyo iimvavanyo zengqondo zivaliwe ekuqaleni, kwaye zigcinwe kwizigulane ezingaphuculanga ngezokwelapha ezilula.
Xa iimvavanyo zenziwa, ngokuqhelekileyo ii-ray ziya kuba luvavanyo lokuqala olufunyenweyo. I-ray-ray iyakunceda ukuhlola ukulungelelaniswa komgudu, kwaye ukuqinisekisa ukuphazamiseka kwengcinezelo akuzange kubangele nayiphi na ingxaki ngokulungelelaniswa komgudu. Ezinye iimvavanyo ezivame ukusetyenziswa ziquka i-CT scans, i-MRIs, kunye neengxowa zethambo.
I-Spondylolysis ingabonakali, okanye inokuba nzima kakhulu. Xa imeko ihamba ngokubanzi (ivela kumacala omabini omqolo) ingabangela imeko ebizwa ngokuba yi- spondylolisthesis . Kule meko, umzimba we-vertebral "ungashenxisa" phambili kwi-vertebrae ngezansi. Isizathu sokuba oku kwenzekayo kukuba izakhiwo eziqhelekileyo ezidibanisa i-vertebrae ezikufutshane ziwonakaliswe ukuphazamiseka kwengcinezelo, kwaye ngoko ikholonda lomgcini-mgcini lungaqiniseki.
Unyango lweSpondylolysis
Njengoko kuthethwe, utywala oluninzi luhlala lunamanyathelo angenayo. Kwiintlungu zengcinezelo yokuxinwa kunye nokunyanzeliswa kwengqondo, kukho ukuphulukiswa kwamandla okwenza i-spondylolysis. Inxalenye ebalulekileyo yonyango oluyimpumelelo ukuphumla okwaneleyo kwimisebenzi eyenza ukunyusa.
Ukuze kuqinisekiswe ukuba ithambo liphumle ngokwaneleyo, abanye oogqirha baya kuncoma i-brace ukukhawulela umkhosi kwithambo elichaphazelekayo. Iyeza lonyango lingaba luncedo ekuncedeni ukuphucula ukuhamba nokunyusa amandla. Imithi efana ne- NSIAD , imishanguzo echasayo, ingaba luncedo ekunciphiseni ubuhlungu. Kuphela kwiimeko ezingavamile ukuhlinzwa kufuneka kulungiswe ukuphazamiseka kwengxaki emgodini. Ugqirha lugcinwa kwizigulana eziphuhlisa isiliphu esiphuthumayo, okanye iplondylolisthesis, yomqolo wesipelini.
Imithombo:
I-Cavalier R, uHerman MJ, uKeung EV, uPizzutillo PD. I-Spondylolysis kunye ne-Spondylolisthesis kwi-Children and Adolescents: I. Ukuxilongwa, iMbali yeNdalo kunye noLawulo lwezonyango. J Am Acad Orthop Surgery. 2006 Julayi; 14 (7): 417-24.