Yikholwa okanye akunjalo, ngo-2056 kuya kuba nabaninzi abakhulileyo kunabantwana ngokubalo lwabantu base-US. Enyanisweni, abantu abadala bekhulile. Ubalo lwabalinganisela ukuba ngo-2029 isihlwele esingaphezu kwe-65 siya kubandakanya i-20% yabemi bonke.
Kwaye njengoko senzala, kunjalo na zethu iintsiba. Nangona kukho iimeko ezinokubuyiselwa ezingenakuhlangabezana nazo wena okanye ozithandayo, eziqhelekileyo ezi ziqhelekileyo zihambelana ne- osteoporosis kunye nezinguqu ezonakalisayo ezichaphazela ii-disc kunye nezinye izakhiwo.
I-Spinal Fractures kunye ne-Hyperkyphosis
Ukuba uneminyaka engama-70 kwaye ungaphezu kwe-70, ungazi ukuba intlungu kunye nokuphazamiseka kwesifo se-osteoporotic. Ngokuqhelekileyo phakathi kweentsana ze-baby boomers kunye nezizukulwana ezangezizukulwana, i-osteoporosis-related related spin (okanye olunye uhlobo) ukuphuka kungabangela ukuba uhlale uhlungu intlungu. Ukuphazamiseka kunokuchaphazela imisebenzi yakho yansuku zonke kwaye kunokuchaphazela umvakalelo okanye ubudlelwane bakho.
Iintlobo ze-vertebral fractures yindlela eqhelekileyo yeentlobo ze-osteoporotic fractures. Ngamanye amaxesha ubuhlungu beentlungu ezibangelwa ukuphuka kwe-vertebral kufanana neempawu zezinye izifo okanye izimo. Yile nto yokucinga ngokubalulekayo kubalulekile.Izame njenge-X-rays, i- MRIs , okanye i- CT izicatshulwa zinokukunceda ukuvavanya ukunyanzeliswa kunye nokuqhaqha. Ukongezelela, uvavanyo lwexinzelelo lweethambo lunokukuxelela ngokuqinisekileyo ukuba une-osteoporosis. I-bone biopsies isetyenziselwa ukuqinisekisa i-osteoporosis.
I-osteoporosis yintlupheko yesifo esichaphazela ngakumbi abasetyhini abasetyhini.
Xa unesifo se-osteoporosis, ithambo lakho liyehla ngokukhawuleza kunokuba lwakhiwe kwakhona. Ubunzima bomzimba bunamaprotheni, kunye ne-calcium yamaminerali kunye ne-phosphorus.
Iziza ngenxa ye-osteoporosis ziyakwenzeka emva kwexinzelelo, kodwa zinokuthi zenzeke ngaphandle kwesizathu esibonakalayo.
Kodwa iindaba ezilungileyo kukuba uninzi lweziganeko zentsholongwane yokugqithisa (uhlobo oluqhelekileyo) luphucula kwisithuba seenyanga ezintathu kungekho naluphi unyango, ngokutsho kwe-American Academy ye-Orthopedic Surgeons. I-Academy ibonisa ukuba uthathe amanyathelo alula xa uphilisa , njengokusetyenziswa okuncinci kweeyeza zentlungu kunye nokuthatha ixesha lokuphumla njengoko kuyimfuneko.
Ugqirha wakho unokumisela isikhonkco sokuba unxibe, ngokunjalo.
Uphando lweeNtshontsho
Malunga nekota-ye-osteoporosis iifracture cases ayiphenduli kakuhle kwiinkathalo zokunakekela, njengonyango lomzimba, unyango okanye ukulinda nje. Ngoko ukuba intlungu yakho inzima kwaye ayikuphuculanga ngokunyamekela, kuya kuba yithuba lokuqwalasela ukuhlinzwa. Xoxa ngeenketho zakho kunye nogqirha wakho ukuqinisekisa.
Iindidi ezimbini zeenkqubo zivame ukusetyenziswa ngokugulisa i- spinal fractures: i- vertebroplasty ne-kyphoplasty. Zomibini zincinci kwaye ziya kukuvumela ukuba ufumane ngokukhawuleza kwaye kulula. Ziquka ukufaka isamente kwisithambo sakho ukuze uncedise, kwaye kwezinye iimeko, ukubuyisela ukuphakama kwe-vertebra.
Hyperkyphosis
Iimfucu ze-vertebral zihlala zikhokelela kwisimo sokumisa esibizwa ngokuba yi- hyperkyphosis , eyaziwa ngokuba yi-hyperkyphosis enxulumene neminyaka. Nangona i-hyperkyphosis ingabangelwa yizinto ezininzi malunga nesithathu sexesha, ziyimiphumo yokugaya emgodini kubantu abadala. Njengoko igama libonisa, i-hyperkyphosis yinto ephosakeleyo apho i-curly kyphotic ejikelezayo kwisigxathu se-thoracic (esisezindaweni zakho eziphezulu kunye nasemzantsi) ziba zigqithise okanye zinyanyiswa.
Ukukhutshwa kweDis
Ukuhlaziywa kwamathambo omgudu kungenakukhunjulwa njengoko sineminyaka yobudala. Kungenzeka nakweyiphi na isakhiwo esenza umva wakho, kubandakanywa iidiski, amathambo, amajoyina, iigaments, imisipha, imizwa kunye nokunye. Uninzi lwexesha, unyango olungenakucwangcisa lunokuphucula intlungu emva kwakho kwaye ukwandise ukusebenza kwakho ngokomzimba.
Ngamanye amaxesha, ngezinye iindlela, iindlela zokuzikhusela ziyahluleka kwaye ugqirha wakho unokubonisa ukuhlinzwa. Oku kunyanisekileyo xa unesifo esibi kunye / okanye esingenakuphikelela okanye intlungu yakho ngenxa ye-radiculopathy (iimpawu ezinjenge-sciatica ezibangelwa yintsholongwane engumlingo wesisu) okanye i-myelopathy (iimpawu ezibangelwa ukuphazanyiswa okanye ukunyanzeliswa kwintambo yomthambo).
Ukuhlengahlengiswa kwimiqolo yomgudu yindlela eqhelekileyo yokuguqulwa komgogodla kwaye ngokuphindaphindiweyo uhlobo lokuqala lokuphuhlisa. Ukuhlaziya iidiski zomgogodla kungakhokelela ekutshintsheni okutshatyalazayo kwezinye iindawo zomgudu, ngokunjalo.
Ukuchithwa kwe-Disc akuyona ingcali yesifo somgulane, kodwa kunokuba kuchazwe imeko yolu xhatshazo "imithwalo." Ngokwe-Arthritis Foundation, phantse wonke umntu oneminyaka engama-60 ubuncinane ukuhlaselwa kwenkunkuma (njengoko kuboniswe yi-MRIs.) Kodwa akubona bonke baya kuziva intlungu.
Ukuba iidiski ziyawa ngokupheleleyo, i-Arthritis Foundation iyaqhubeka, i-facet joints in the back of the spine ingaqala ukuxubana komnye nomnye, ekhokelela kwiimpawu ze-osteoarthritis, intlungu kunye nokuqina.
Izinto ezibangela ukuguqulwa kwe-disc ziquka ukumeka okungenakukuphepha okuza kunye nobudala. Ukucima kunciphisa ikhono le-disk yokufumana ukutshatyalaliswa. Iidiski zinegalelo elingaphantsi kwegazi, oku kuthetha ukuba sele limele, ukuphilisa kunzima kakhulu. Esi sikhulu sokuphulukiswa kwamadiski ngokuqhelekileyo oko kuqala kunye / okanye ukuqhubela phambili inkqubo yokutshabalalisa ekhokelela ekuhlaleni komgudu.
Mhlawumbi imbangela eqhelekileyo yeentlungu ezingapheliyo zentlungu, i-disc degeneration ingathatha iifom ezininzi. Uninzi lwexesha, ukuphazanyiswa kwangaphakathi kwidiski (IDD) kuyingcambu yengxaki. Ukuphazanyiswa kwangaphakathi kwidiski yenye igama lokulimala kwintlungu yonyaka, ukuwa kwetaxi kunye / okanye ukusilela komatshini wediski, kungekho tshintsho ehambayo kunye nombono we-disc (njengoko ibonwa ngaphandle) kwaye akukho tshintsho kwi-endplate ye-vertebral. I-IDD yinkampani yeklinikhi yonke yayo. Ngamanye amagama, akufani ne-disenative dis dis disease okanye i-disnied disc.
Intlungu ye-Discogenic igama elinikwe intlungu ebuhlungu kwi-IDD.
Iimpawu zokuhlaziya iiDisk
Iimpawu zokuhlaziya iidiski zivame ukuvela apho umonakalo ukhona khona. Iimpawu zingabandakanya ubuhlungu (obunzima kunzima) obubuhlungu xa uhleli, uphakamise, ugobe okanye uphawule. Intlungu ifike kwaye ihambe ibe ngcono xa uhambisa umzimba wakho. Ubungqina, ubuthakathaka kunye / okanye ubunzima bomlenze (kwimeko ye-lumbar disc degeneration) ehamba kunye nentlungu ingabonakalisa umonakalo omnye okanye ngaphezulu kweengcambu zesisu .
Oogqirha bahlula iintlobo zentlungu ehambelana nokuguqulwa kwemigqomo kwiintlobo ezine. Intlungu ye-Axial intlungu eyenzekayo nakwienxa yomqolo wesipelini. I-Radiculopathy intlungu kunye nezinye iimpawu ezivela kwintsipho engumlingo wesisu. I-Myelopathy ibhekisela kubuhlungu kunye nezinye iimpawu ezihambelana nomonakalo kwintambo yomgogodla (imizekelo yezibonakaliso zezilwanyana zibandakanya imiba yokulungelelanisa okanye iindleko, kunye neengxaki zobunzima okanye iingxaki zesisu). Izibonakaliso ze-Myelopathy ziba zimeko ezinzulu kunempawu ezihambelana ne-radiculopathy okanye ezo ziphantsi komgudu we-axial.
Isifo se-disgenerative disdenerative (DDD) sinxulumene nentlungu ngokuthe ngqo kwi-disc kwaye akukho nto. Kufunyaniswa ukuba ugqirha wakho akafumananga nasiphi isizathu, ngaphandle kwediski ngokwayo, ukuchaza ubukho bakho buhlungu. Ukufika kwi-DDD ukuxilongwa (kwakunye nokuxilongwa kwezinye iindidi ezinengxaki yomgulane) ugqirha wakho uya kusebenzisa imbali yonyango, ukuhlolwa ngokomzimba kunye nokuba yi-MRI. Ezinye iimvavanyo ezikunceda ukuqinisekisa ukuba ugqirha wakho ugqirha ungabandakanya i-x-ray kunye / okanye i-discography yenkonzo.
Unyango lwe-Degenerating Discs
Ngokubhekiselele kwonyango, ngokuqhelekileyo ukunakekelwa okulondolozayo kuyanele ukunciphisa iimpawu. Unonophelo lwengqondo oluqhelekileyo luhlala lubandakanya unyango lomzimba, kwiprogram yokuzivocavoca ekhaya, ukuhlala esebenzayo kwimida ebekezelelekayo, amayeza enzantlungu kunye neentlobo zezilonda zomhlaza. Ukuba intlungu iqhubeka, inzima kakhulu, okanye ukuba izibonakaliso ze-myelopathy (ezikhankanywe ngasentla) ziphazamisa isilonda sakho kunye / okanye ukusebenza kwesikhumba, ugqirha wakho unokubonisa ukuhlinzwa.
Kanye kunye nokunciphisa intlungu, impumelelo yonyango yokudambisa iidiski ilinganiswa ngamandla akho okusebenza kwimpilo yakho yemihla ngemihla-izinto ezifana nokukwazi ukuhamba, ukuma, ukuhlala nokuphakamisa izinto ngaphandle kwentlungu, ukwazi ukubandakanya ubomi bentlalo kunye nomda , uhamba ngokukhululekile kwaye uthethe ngokubanzi malunga nendlela olawula ngayo kunye / okanye ukuphilisa ekutshintsheni okutshintshayo kwiidiski zakho.
I-Spinal Arthritis kunye neStinal Stenosis
Ukuchithwa kwe-disc ngokuqhelekileyo kukhokelela kwi-osteoarthritis kumajoyina atholakala emhlane (umququzeleli womzimba.) Kunye ne-hypertrophy kunye nokubunjwa kwe-spurs, uxhumano lwe-bone-on-bone olubangelwa kukutshintshwa kwendlela yokuguqula umgudu ngenxa yokuwa kwebala kunokubangela ubuhlungu kunye nokuvuvukala kwiinkalo. Ukukhula okungavamile kwamathambo (i-facet hypertrophy ehlangeneyo) utshintshe umlo we-vertebrae kwaye unokuthi udibanise kwiindawo kunye nemingxuma ephakathi nangaphakathi kwekholam yomgcini. Xa kwenzeka le, intambo yomgogodla kunye / okanye iingcambu zesisu zomgulane ziyakucasulwa njengoko zidibanisa nezihlunu.
I-Osteoarthritis yisifo esiqhubekayo, kodwa unokukunciphisa ngokusebenza ngokunyanisekileyo kunye nogqirha kunye nodokotela. Ukuzivocavoca abakunikezelayo ekhaya kukubaluleke kakhulu ekulawuleni izinga lokuqhubela phambili. Inokwenzeka ukuba, baya kuncoma ukuphucula ukulungelelaniswa, ukuqiniswa kwemisipha kunye no-okanye umthwalo ophantsi wokuzilolonga njengama-aquatics.
Kodwa xa eso sifo sibuhlungu singakhokelela kwisisu somgulane. I-spinal stenosis yinkcenkcazo yeendawo ezihamba ngayo kunye neentambo zokuhamba, okuyi-canal yomgudu kunye ne-intervertebral foramen. Iintlobo ezimbini ze-stenosis emgodini ziphakathi kwe-canal kunye ne-foraminal stenosis.
Uphawu lweklasini lwe-spinal stenosis yi-neurogenic claudication enentlungu ekuhambeni nasekumi, okuhlala kukhululekile xa uhleli okanye ulala. Ezinye iimpawu zibandakanya i- radiculopathy okanye intlungu kunye neempawu zesibindi ezichaphazela ingalo enye okanye umlenze kunye nemigqa eqinisiweyo. Iimpawu zomthambo ezincinci, ngokugqithiseleyo i-ligament flavum, inokongeza kwinto yokudibanisa, ngokongeza ukongezela kwintsipho yakho yomgudu kunye / okanye intambo yomgudu.
Njengoko zininzi nezinye iintlobo zeemeko zentlambo ephazamisayo, ukukhululeka kwentlungu kunye nokusebenza ngokunyuka kungenziwa ngokubanzi ngokunyamekela. Ugqirha wakho angamisela unyango olwenziweyo kunye neyeza ezichasayo. Ukuba iimpawu ziyaqhubeka, unokukuthumela kumgqirha ogqithiseleyo. Injongo yocwaningo lokubuyisela ukuxinwa kwempahla kukunyusa iindawo ezifakiwe. Kuthiwa le nqubo yokubuyisela inceda abantu bahambe phambili kwaye bajonge ixesha elide kunye neentlungu ezincinci. Ukuba umgudu wakho awuzinzile, ugqirha wakho ungaphinda aqhube ummandla. Oku kungabandakanya ukuthatha amathambo kwi-hip yakho kwaye uyibeke kwisigodlo sakho okanye ukufakelwa kweengcezu zetsimbi ezifana nezikhonkwane kunye neentonga.
Umthombo:
I-American Academy ye-Orthopedic Surgeons. I-Osteoporosis ne-Spinal Fractures-I-Web Page ye-OrthoInfo. http://orthoinfo.aaos.org/topic.cfm?topic=A00538.
Arthritis Foundation. Izifo zeDis Degenerative. Arthritis Foundation. http://www.arthritis.org/about-arthritis/types/degenerative-disc-disease/
Colby, S., Ortman, J. I-Baby Boom Cohort e-United States: 2012 ukuya ku-2060. Meyi 2014. https://www.census.gov/prod/2014pubs/p25-1141.pdf
I-Kanter, i-AMD, i-Asthagiri, i-AMD, i-Shaffrey, i-CMD igugu lokuguga: Iingxaki kunye neendlela ezikhulayo. I-Contress ye-Inurological website yezilwanyana. 2007. https://www.cns.org/sites/default/files/clinical_neuro/chapter3_1.pdf