Kuba abantu abane-osteoporosis okanye i-osteopenia, ukukhula akulula. Izi ngxaki ezihambelana nazo, ezibonakaliswa ngamathambo anqabileyo kunye nobuthakathaka, ngokuqhelekileyo zikhokelela ekugqibeleni i-vertebral compression fractures-okanye ukubeka ngaphezulu, i-bone breaks in vertebrae.
Enyanisweni, i-International Osteoporosis Foundation ithi i-osteoporosis ibangela ukuphuka kwesinye (nokuba nayiphi na uhlobo) nganye imizuzwana emithathu.
Ngubani ochaphazelekayo yintengo yongcipheko echaphazelekayo ngenxa ye-osteoporosis okanye i-osteopenia? Uninzi lwabafazi abakhulu nabadala (nangona abantu besengozini, ngokunjalo.) Uphando olwenziwa ngo-2012 olupapashwe yiNcwadi yePermanente yabona ukuba malunga nama-25% kubo bonke abafazi be-postmenopausal bafumana ixesha elithile lokufa komgudu ngexesha lokuphila kwabo.
Ukuba ungumfazi oneminyaka engama-50 kwaye uhlala nesifo, unokufumana ithuba eli-1 kwi-3 lokugcina ukukhulelwa komgudu, ngokutsho kwe-International Foundation ye-Osteoporosis. Ngaphezulu, unako ukuphinda uphule kwakhona kwixesha elizayo.
Ngaphandle kwentlungu (emva kwexesha elifutshane elidlulayo kunye nexesha elide elingakonakaliyo) ukuphuka kwe-vertebral kungabangela ukukhubazeka komgudu, ukukhubazeka okanye ukunciphisa amandla okuqhuba imisebenzi yakho yemihla ngemihla, ukunciphisa izinga lobomi kunye neendleko zonyango eziphezulu.
Inkqubo yokuhlaziya i-meta, eyapapashwa ngo-2017, ibika ukuba i-vertebral fractures ihlala ilandeleka emva kokuwa kwephambi komqolo wamagxa.
I-Vertebral Compress Fractures
I-vertebral compress fractures ivela ngokuqhelekileyo xa inxalenye yangaphambili yomzimba wesipelingi (ebizwa ngokuba ngumzimba we-vertebral kwaye uxoxwa ngayo ngezantsi apha) -kuba naziphi na izizathu - ayikwazi ukuxhasa umthwalo wesihlwele. Nangona i-osteoporosis okanye i-osteopenia eneminyaka yobudala idlala indima enkulu ekuqaleni kokuphulwa komgogodla (ingakumbi xa kuthethwa inani lamatyala kubemi ngokubanzi) nezinye izizathu zikhona.
Ezi zingabandakanya ukulimala emgodini, kunye nezifo ezonakalisa ithambo (umzekelo, umhlaza okanye usulelo.)
Izibonakaliso zentlungu yokugulisa umthambo zibandakanya iintlungu ezibuhlungu, eziba nzima xa uphumla. Ummandla osondele kwenzakalo unokuba nethenda kwinqanaba, ngokunjalo. Unakho ukufumana ukuxilongwa kwe-radiculopathy, okanye inzwa enxulumene neentliziyo (kunye neentlungu, eqinisweni) ezantsi komlenze omnye okanye ingalo, nangona le mpawu yeempawu ayifumaneki kwiimeko zokukhulelwa komgogodla. Ubuhlungu buya kwenzeka xa ugoba okanye uphazamisa umlenze wakho.
Ukuqhaqhaqhaqhaqhaqhaqha qho kubangelwa ukulahlekelwa kwemilinganiselo ye-vertebral, nokubuyisela loo mphakamo yinjongo yokuhlinzwa ngokuqhelekileyo eyenziwe kule nzakalo. Ukulahleka kokuphakama ngokuqhelekileyo ngenxa yokuhlengahlengwa kwephambi lomthambo womthambo, oko kukuthi, umzimba womzimba we-vertebral, kwimoya ye-wedge, eyenzeka ukuba yenzeke ngenxa yokuwa. (Indandatho yebony edibeneyo kumqolo we-vertebral body ihlala ingagqithwanga, nangona kunjalo.)
Qonda i-Vertebral Body
Njengoko kukhankanywe ngasentla, ukugqithwa komgudu wokugqithisa umgudu kukuchaphazela kakhulu umzimba we-vertebral. Umzimba we-vertebral uyona nto inkulu kunomzimba wesipelini, kwaye uqukethe isahluko sangaphakathi se-vertebra, esithetha ukuba sisekho ngaphambili, ngokubhekiselele kwindandatho yebony eqhotyoshelwe kuyo.
Ukususela kumbono ongasemva, phambili komzimba we-vertebral uyasondela kumzimba wakho, ngelixa ibhondi yebony isondele kwimva.
Umzimba we-vertebral ujwayele ukujongwa njenge-cylinder emfutshane. Ngokwesiqhelo, amathambo omgudu ongenakonakaliswa, le nto ijikeleza kancane, kuxhomekeke ekubeni ingafumaneka kwintliziyo yomlomo (intamo) kunye nendawo okanye ngasentla okanye kwimimandla engumlenze. (Kwakhona kunjalo nakwezinye iindawo ze-vertebra; umzekelo, iinkqubo ezinomsila emva kwe-vertebrae yesibeleko zixhomekeke kunezo zengqumbo.)
Imizimba ye-vertebral kwi-lumbar spine yinyame, inamandla kwaye yakhiwe ngokuthe tye kunezona zinyango ze-thoracic kunye neentsholongwane.
Oku kuhambelana nokuvelisa ubunzima obufunekayo be-vertebrae ye-lumbar xa kuthelekiswa ne-thoracic kunye neentloba, ezifumaneka ngaphezu kwazo.
Amalungu omzimba omzimba womgca womgudu omnye komnye ukudala ikholam ye-vertebral . Imizimba ye-vertebral inokunceda ukubonelela ngenkxaso ebalulekileyo yokuhlala, ukuma, ukuhamba kunye nezinye izinto. Phakathi kwamalungu e-vertebral yi- disvertebral diss , ukubonelela nokunyanyiswa.
Amalungu omzimba anikezela (ngokudibene nezinye iindawo ze-vertebra) imida yeendawo apho umgudu womgudu uhamba khona, kunye neentambo zokugqithisa eziphuma emthonjeni endleleni yazo zonke iindawo zomzimba.
Unyango lwe-Vertebral Compression Fractures
Amanyango okuphulwa kwamathambo omzimba aquka ukunyamekela nokunyamekela. Ezi zimbini ezenziwa ngokugqithiseleyo ibhaluni i-kyphoplasty kunye ne-vertebroplasty nganye. Zombini iinkqubo zizama ukubuyisela ukuphakama okulahlekileyo kwithambo elaliwayo. I-Conservative, eno-non-careless care, ingaba nokuphumla kombhede, imishanguzo, igqoke i-back brace kunye / okanye unyango lomzimba. Ukuba uhamba ngendlela ekhuselekileyo, yazi ukuba ukuqinisa umlenze wakho kuyakuba yinxalenye ebalulekileyo yonyango lwakho.
Umthombo:
I-Alexandru, i-DMD, ngoko, ukuVavanya kwe-WMD kunye noLawulo lwe-Vertebral Compression Fractures Perm J. 2012 Ukuwa; 16 (4): 46-51.
> Kan, S., Yuan, Z, Chen, L., Sun, J., Ning, G., Feng, S. Yiyiphi enye ingcono kwi-osteoporotic vertebral compression fractures: ibhaluni kyphoplasty, i-vertebroplasty okanye i-non-opticy treatment? Iprotocol yokufunda ye-beta ye-BESesian network meta-analysis. Jan. 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5253565/
> Abasetyhini abangaphezu kwama-50 baya kuba nama-Fracture ye-osteoporotic, njengokuba abantu baya kwenza. Iinkcukacha kunye neenkcukacha. Iwebhusayithi ye-Osteoporosis Foundation. https://www.iofbonehealth.org/facts-statistics