Amalungu e-facet afumaneka phakathi kweertebrae kwicandelo ngalinye lomqolo wakho womgcini. I-Osteoarthritis inokuphuhliswa kwezi ngxube kwaye ingabizwa ngokuba yi-facet arthropathy okanye i-facet joint osteoarthritis. Funda malunga nale meko kwaye zingaphi unyango oluya kunconywa.
Sibanzi
I-facet i-arthropathy isifo se-arthritis esichaphazelayo esichaphazela amaqhezu e-facet of the spine.
Kwiindawo zomgudu apho kukho izixhamlwana, iintlungu ezinxulumene ne-arthritis ziyakhula.
Amalungu e-facet atholakala kwi-posterior of the spine . Kukho i-vertebrae engama-24 eyenza umsi womntu ngaphezu kwesikramsi (tailbone). Kukho amanqanaba amabini phakathi kwama-vertebrae yecandelo ngalinye lomgca ecaleni lomgca.
Iintlobo zamacandelo kunye ne-disc intervertebral ifom i-complex-joint joint between vertebrae. Ikhonkco edibeneyo inezibini ezimbini ze-bony kunye ne-cartilage phakathi kwabo kunye ne-capsule yegigaments ejikelezile. I-Synovial fluid iyayigcisa amanxeba, njengoko kunjalo nangamanye amajoyina afana neendolo. Amalungu e-facet anceda ukugcina ulungelelwaniso oluqhelekileyo lwe-vertebrae kunye nokunciphisa ukunyakaza.
Izizathu
I-arthritis kumalungu angamaqumrhu angakhula ukusuka:
- Gqoka kunye nokukhawuleza okunciphisa isikhala phakathi kwe-vertebrae ebangela ukuba izixube ze-facet zixubane kunye
- Ukulimala kwangaphambili kwangemva
- Izahlulo
- Iintambo eziqhekekileyo
- Iingxaki zeDiski
Ngenxa yoxinzelelo olongezelelweyo olubangelwa ezi meko ezichaphazela amaqela, i- bone spurs (eyaziwa nangokuthi i-osteophytes) ingahlakulela kwaye i-cartilage ingahlakala.
Ngaphandle kokulimala, i-facet i-arthropathy yimeko yokuguga. Isizathu esiyinqobo senkcenkceshe ye-facet isifo sokuphefumula komgogodla oqhelekileyo kwimpilo kamva.
Iimpawu
Ubunzima bubona uphawu oluphambili oluhambelana ne-facet hythropathy. Intlungu ibuhlungu kakhulu emva kokulala okanye ukuphumla. Ubunzima obunxulumene ne-facet arthropathy inokukhushulwa ngokuguqula okanye ukuguquka.
Iintlungu ezisezantsi ziso isikhalazo esisoloko sisoloko sifaka kodwa asiqhelekanga phantsi emilenzeni okanye emathangeni ngaphandle kokuba i- spinal stenosis ibandakanyeke.
Indlela echongwa ngayo
I-X-ray, i- CT , kunye ne -imagery magnetic resonance (MRI) isenokusetyenziswa ukukunceda ukuxilonga i-facet hythropathy. Enye inqubo ebhekiselele ngakumbi ibandakanya ukwenza injection ekhokelwayo usebenzisa i-fluoroscope. Iyeza kunye nedayi zijojowe. Idayi ivumela ugqirha ukuba abukele ukufakwa kwealiti kunye nejoza. Ukuba i-facet edibeneyo injected and relief relief isiphumo, esiya kuqinisekisa ukuxilongwa kwe-facet arthropathy.
Unyango lwe-Conservative
Ekuqaleni, ugqirha unokucebisa ixesha lokuphumla emzameni wokunciphisa iimpawu. Izikhundla zokulala ezithatha uxinzelelo kumalungu angamaqumrhu angacetyiswa, njengokuncengela ukulala okanye ukulala emhlane wakho ngamadolo kunye nomlotha ngaphantsi.
Amachiza omlomo angaqulunqwa kuquka:
- Tylenol
- Izidakamizwa ezichasene nezidakamizwa (nonsteroidal anti-inflammatory (NSAIDs)
- Ukuzihlaziya kwemizimba
- Corticosteroids
Ezinye iindlela zonyango ziquka:
- Utyando
- Ukuqinisa nokusebenzisa umzimba
- Unyango lwamanzi
- Ukunyanzeliswa kwamanzi
Unyango
Ukuba amanyathelo okulondoloza ahluleki, ugqirha wakho unokucetyisa le zonyango:
- Izilwanyana ze-anesthetic okanye i-steroid yeyeza kwi-joint joint okanye neentsholongwane eziya kwi-joint joint zingazama.
- I-sinu-vertebral nerve ablation ephazamisa iimbulunga ngogesi kagesi kunokukhethwa.
- Ukuvuthwa akunakudliwa ngokukhawuleza kwi-facet i-arthropathy, kodwa kukho okukhethwa kukho.
Izinketho zokuphanda
Okukhethwa kwindlela yokuphanda ukunyanga i-facet hythropathy kubandakanya:
- I-facet rhizotomy: Yenza enye yeentsholongwane eziya kwi-facet joint.
- Fusion: Fuse i-vertebrae ezimbini okanye ngaphezulu ukuphelisa ukunyakaza kwiintlobo zamaqela. Ngamanye amaxesha amanqanaba omzimba athatyathwa ngexesha lokunyuka komgudu .
> Imithombo:
> Firestein, uGary S; Budd, uRalph; UGabriel, uSherine E; ODell, uJames R; McInnes, Iain B, uBudd RC, Firestein GS, uKelley WN. I-Kelleys Bookbook yeRheumatology . I-Elsevier zeSayensi zezeMpilo; 2012.
> Izigulane zesisu. I-American Academy ye-Orthopedic Surgeons. https://orthoinfo.aaos.org/en/treatment/spinal-injections/.