Slip of vertebrae
I-Spondylolisthesis ligama elenza ukuba oogqirha basebenzise ukuchaza ukufuduka kwe- vertebra enye phezulu kwesinye. Ingabangela ukuguga okanye ukuphindaphindiweyo kwe-microtrauma kwaye ininzi yeempawu ezingabikho kuzo zonke iintlungu neempawu zesifo. Igama elididekayo libizwa ngokuthi "spon-dih-low-lis-you-sis".
I-vertebrae ngamathambo afana nebhokisi ahlanganiswe phezulu phezulu omnye wenza umqolo wesipelini.
I-vertebra nganye imele ifakwe ngokufanelekileyo kwilapha ngasentla nangezantsi. Xa ubonwa ngapha nangapha, ikholam yomgcini inomlenze oqhelekileyo owuhlobo lwe-S (jonga umfanekiso), kodwa i-vertebra nganye kufuneka ibekwe kakuhle kwi-vertebra engezantsi.
Kwi-spondylolisthesis, i-vertebrae isuka kwindawo yabo eqhelekileyo, imeko edla ngokubizwa ngokuthi "i-vertebrae". Ngokuqhelekileyo, le meko ihamba kancane.
Izizathu zeSpondylolisthesis
- I- Spondylolisthesis ehlaziyo
I-spondylolisthesis ehlaziyileyo iyona nto ibangela kakhulu imigca yamagqabi igxotha phezulu. Ngexesha elide, ukuguga kubangele ukulimala kwiisisu zomzimba, kubandakanywa amathambo, amajoyina kunye nemigama edibanisa ikholam ye-vertebral ndawonye. Umonakalo ongapheliyo unokukhokelela ekulahlekelweni kokuzinza kwendawo yomgcini. Ukuba ukuguqulwa kwesimo soguquko kuqhubela phambili kwinqanaba xa iigaments kunye namalungu angenakukwazi ukubeka isikhundla esifanelekileyo sekholongo yomgcini, ngoko-spondylolisthesis ephazamisayo isiphumo.
- Spondylolisthesis ye-Isthmic
I-spondylolisthesis ye-Isthm ngenxa ye-bony defect in the spine eyayibizwa nge- spondylolysis . I-Spondylolysis iyisiphako esithile kwisixhumanisi esisodwa esibalulekileyo phakathi kwe-vertebrae yomqolo. Esi siphene sisona siqhelekileyo sisiphumo sokuphindaphindiweyo kwe-microtrauma ebuntwaneni. Ezinye iimidlalo zicingelwa ukuba zenze ukuba abantwana banomdla wokuphuhlisa i-spondylolysis, kubandakanya i-gymnastics, diving, kunye nebhola. Xa i-spondylolysis ivela emacaleni omabini omqolo wesipelini kwinqanaba elithile, ikholomu ye-vertebral ingalahleka. Kule meko, i-spondylolisthesis yesistim ingaba ngumphumo.
Ezinye izimbangela ze-spondylolisthesis ziquka ukungaqhelekanga kokuzalwa komzimba, umonakalo, izicubu, kunye neenkqubo zokugqirha.
Iimpawu zeSpondylolist
Iimpawu ze-spondylolisthesis zinokubanzi-ukusuka kwi-X-ray engabonakaliyo (akukho zibonakaliso) ukuya kwintlungu emva nasemlenzeni kunye nomonakalo wesondlo. Amaninzi amaninzi e-spondylolisthesis kubantwana abangela iimpawu ezimbalwa. Iintlungu zentlungu ezingapheliyo zifumaneka, ngakumbi xa zibuyisela umva.
Xa iimbilini eziphuma emthonjeni womgogodla, okanye intambo yomgogodla ngokwawo, iphoswe yi-spondylolisthesis, ngoko impawu zentlungu zingabangela. Izimpawu zomzimba zesibindi ezibonakalayo zifana neempawu ezibonwa ngediski ye-herniated . Iimpawu ziquka:
- Intlungu yomlenze
- Ukutshatyalaliswa kwamandla njengempawu ezihamba emlenzeni
- Ubungqina okanye ukubetha emilenzeni nasezinyaweni
- Ubuthakathaka obunzima bemilenze
Ezinye iimpawu zenzeka. Ukuba unayo nayiphi na impawu zeengxaki kwi-balm or function clover okanye nayiphi na inqabileyo malunga nezo zofuzo, kufuneka uqaphele ugqirha wakho ngokukhawuleza. Ezi zibonakaliso zingabonakalisa uphawu lwe- cauda syndrome kwaye lunokuba yimeko engxamisekileyo yonyango.
Unyango lwe-Spondylolisthesis
Unyango lwe-spondylolisthesis lubanzi, ukusuka ekugqibeleni ukuya kuzinzileyo.
Ukuqulunqa isicwangciso sochanelo esifanelekileyo kuncike kakhulu kwiminyaka yesigulane, uhlobo lwesimboli, kunye neempawu ezibangelwa isigulane.
Ukuba isilayidi sincinci kwaye iimpawu zilawulwa, ngoko unyango luvame ukufumana unyango olungapheliyo. Kubantwana, oku kungabandakanya imithintelo yomsebenzi, njengokubamba umntwana ekuthatheni inxaxheba kwimidlalo ethile.
Xa i-slip ibaluleke kakhulu, kunokukho umngcipheko ophezulu wenkinga eqhubekayo, kwaye utyando lunokucetyiswa. Ukongezelela, izigulane ezineempawu zokunyanzeliswa kweentlungu ziyakuthi zenze utyando.
Amagulane angakonakaliswa ngokusisigxina ukuba kukho ukunyanzeliswa kwexesha elide.
Imithombo:
UJohn TR noRao RD "I-Spondylolisthesis ye-Isthmic yabantu abadala" J. Am. Acad. IOrpop. Ukupheka, Oktobha 2009; 17: 609 - 617.
Cavalier R, et al. "I-Spondylolysis kunye ne-Spondylolist e-Children and Adolescents: I. Ukuxilongwa, iMbali yeNdalo kunye noLawulo lwezonyango" J. Am. Acad. IOrpop. Ugqirha, ngoJulayi 2006; 14: 417 - 424.