I-Osteoarthritis inokuchaphazela nayiphi na inxalenye emzimbeni, kuquka umgudu. I-osteoarthritis yomgudu ivela xa kukho ukungonakaliswa kwidiski phakathi kwama-vertebrae. Ukuxilongwa kwangaphambili kunye nonyango kunceda abantu abane-osteoarthritis yomgudu ukulawula iimpawu zabo.
Isizathu se-Spine Osteoarthritis
Ukutshatyalaliswa kwidiski phakathi kwe-vertebrae yomgudu kungabangelwa ngu:
- ukuphazamiseka ngokuphindaphindiweyo emgodini ngenxa yeengozi, ukulimala kwezemidlalo, imisebenzi yomsebenzi, okanye ukungahambi kakuhle
- Ukuguga kwemithambo yomthambo kuqala xa umntu e-30s
- ukugqithisa okanye ukukhuluphala, okubeka umthwalo onzima kumalungu athathaka okomzimba
- Imbali yentsapho ye-osteoarthritis, ingakumbi yomgudu
- ubudlelwane nezinye izifo ezinjenge- rheumatoid arthritis , igciwane, isifo sikashukela , kunye nezifo
I-osteoarthritis ephambili yomgudu, isizathu asiyazi kwaye ngokuqhelekileyo kubangelwa ukuguga. Xa isazi saziwa (oko kukuthi, ukulimala, ezinye izifo, ukukhuluphala), kubhekiselwa njenge-osteoarthritis yesibini yomgudu.
Ukuxilongwa kwe-Spine Osteoarthritis
Nasiphi isigulane esineentlungu eziqhubekayo eziqhubekayo ngaphezu kweeveki ezimbini kufuneka zidibane nodokotela. Ukuxilongwa kwe-osteoarthritis yomgudu kuya kulandela:
- imbali yonyango
- uvavanyo lweempawu
- uvavanyo lomzimba
- ii-ray okanye ezinye izifundo zengcamango zomgudu
- ezinye iimvavanyo (ezifana nokuhlolwa kwegazi, i-bone scans, i-MRIs) ingalelwe ukuba zilawulwe ezinye iimeko
I-ray-ray kuphela ayinikezeli ulwazi olwaneleyo ukuba yilona kuphela ithuluzi lokuxilonga elisetyenzisiweyo. Uninzi lwabantu abangaphezu kweminyaka engama-60 ubudala lunokutshintshwa kwintsholongwane kwintlambo yesantya ye-osteoarthritis, kodwa abangaphezu kwama-80 ekhulwini abo abahluphekanga okanye ubunzima emgodini.
Inkqubo yokuxilonga ibaluleke gqitha xa izigulane zinempawu kwaye ugqirha uyakwazi ukulandelela isizathu seziphumo. Ukuxilongwa ngokuchanekileyo kuyadingeka ukuba unyango olufanelekileyo luqale.
Iimpawu ze-Osteoarthritis
Ukutshatyalaliswa kweediski phakathi kwe-vertebrae yomgudu ngokuqhelekileyo kuvela ngokukhawuleza kwaye kukhokelela ekunciphiseni kwezikhala phakathi kwe-vertebrae. Amathambo atshabalalisa okanye ama- osteophyte akhula. Njengokuba amathambo eqala ekugqibeleni amathambo, amaqumrhu e - facet (awaziwa ngokuba ngama-vertebral joints) atshabalala kwaye kukho ukuhlakala okuhlangeneyo okuqhubekayo. Umphezulu wamalungu angama-joint ahlanganiswe ne-articular cartilage. Izimpawu eziphumo zibandakanya:
- intlungu emhlane okanye emlonyeni
- ubunzima bomgudu
- ukulahleka kokuguquguquka komgudu
I-osteoarthritis inokuvela kwintsholongwane (entanyeni), i-thoracic (emva emva), okanye i-lumbar (emzantsi) kwimimandla yomgudu. Ngentlungu ye-osteoarthritis yomlomo wesibeleko, iintlungu zentanyeni zingadlulela kwihlombe okanye phantsi kwesinye seengalo. I-osteophytes kwingingqi yomlomo wesibeleko inokubangela ukunyanzeliswa kwesibindi kunye nobuthathaka kwiingalo. Iintlungu ze-Osteoarthritis kwindawo yesigxina somgudu zivame ukucaphukisa ngokuhamba ngokuhamba phambili kunye ne-hyperextension.
I-osteoarthritis yendawo eselungileyo yomgudu ibonakaliswe ukuqina kosa kusasa (malunga nemizuzu engama-30) kwaye ngokuqhelekileyo kubandakanye i-vertebrae engaphezu kweyodwa. Iimpawu zingaphaya emva komsebenzi, ukunyakaza okuphindaphindiweyo kunye nokuhlala ixesha elide. Intlungu yokubuyela emva ingaba yinkinga ephindaphindiweyo.
Unyango lwe-Osteoarthritis
Kukho unyango olungagqirha kunye nophenyo lwe-osteoarthritis:
- amayeza kuquka ii-NSAID , i- acetaminophen , kunye nee- analgesics ze-opioid
- ulungiso lwenyama
- ukusetyenziswa
- ukuhla ukusinda
- ukushisa okanye unyango olubandayo
- unyango lwamanzi
- ukusila
- TENS
- bracing
Uninzi lwabantu abaneengxaki ze-diserative degenerative aludingi ukuhlinzwa.
Isigulana esisodwa kwezi zithathu sifuna ukuhlinzwa, ngelixa zibini zintathu zincedwa unyango olulondolozo. Ukuba imilinganiselo yokugcinwa kwexesha elidlulileyo iphela emva kwexesha, ukhetho olukhoyo luquka i-lumbar laminectomy, i-discectomy kunye ne-spinal fusion.
Imithombo:
Ukuqonda i-Osteoarthritis ye-Spine. Spine-health.com. 6/7/2005.
I-Spondylosis (i-Spinal Osteoarthritis). SpineUniverse. Fi kelelwa ngo 9/8/2007.
I-Lumbar Isifo seDis. eOrthopod. Kufike ngomhla we-9/6/2007.