Yintoni i-Spondylolisthesis?
I-Spondylolisthe iyenzeka xa i-vertebra isuka kwindawo ehambelana ne-vertebra phantsi kwayo. Le ntshukumo ingaba i-anteriolithesis okanye i- retrolithesis.
Ezihlobene: Iintlobo ezimbini ze-Spondylolisthesis
Ngubani osemngciphekweni we-Spondylolisthesis?
Abantwana ababandakanyekayo kwimidlalo efana ne-gymnastics kunye ne-diving bafumana iziganeko eziphezulu ze-spondylolisthesis.
Le midlalo kunye neminye imidlalo ibeka uxinzelelo olukhulu emva, ngokukodwa ukuhamba kwe- hyperextension (ukuguqula umva) .
I-Spondylolisthesis nayo ivela kubantu abadala emva kweminyaka engama-40, ngenxa yokuguga .
Izizathu zeSpondylolisthesis
I-Spondylolysis yiyona nto ibangela kakhulu ispondylolisthesis. Le nto iqala ngokusuka kwingxaki kwingingqi yendibano eyaziwa ngokuba yi-pars. Ngokuhamba kwexesha, ingakumbi ukuba ingaphathwa, ukulimala okanye i-defect kungakhula ibe yi-spondylolysis. Emva kokuba i-slippage ivela, i-spondylolysis iba yi-spondylolisthesis. I-Genetics ngezinye izihlandlo ibeka abantu kwisiphene sokuqala, kodwa kungekho rhoqo; oku kuthiwa yi-dysplastic spondylolisthesis.
Ezinye izimbangela ziquka ukuguqulwa okanye ukuguqulwa kwamathambo emgodini, umonakalo, okanye isifo seethambo ezifana nesisu.
AmaBanga eSpondylolisthesis
I-Spondylolisthesis ilinganiswa kumabakala (i-degrees) ye-slippage. Kukho amabakala angama-4., Ngalinye limele ama-25%.
Ngoko, umzekelo, ukuba isigulane sinokulinganiswa ukuba sibe ne-Grade 2 Spondylolisthesis, oku kuthetha ukuba i-vertebra yesi-2 esondeleyo igcina u-50% uqhagamshelana.
AmaBanga aqikelelwa ngokuthatha i-X-Ray.
Ezinye iinkqubo zokuxilonga, ezifana ne-CT scans okanye i-MRIs zingasetyenziselwa ukuchonga umonakalo kumathambo ajikelezileyo.
Unyango lweSpondylolisthesis:
I-Spondylolisthesis iphathwa ngokubhekiselele kwiBakala. Kwiibakala 1 no-2, unyango olulondolozayo, kuquka ulwaphulo lomzimba, uqeqesho lwamakhaya, ulula kunye nokusetyenziswa kwe-brace kaninzi kunikwa. Ngaba ezi ngempumelelo?
Uhlolo olusisiseko lwe-2003 olupapashwe kwiphephancwadi lwe- Manual Therapy lufumene ukuba ukungenelela okunyanzelekileyo okunikezelwayo okanye kwintsebenziswano kunye nezinye iindlela zonyango, kunokuthi kunciphise intlungu ephantsi. Ngaphandle koko, abaphandi bathi, abanalo ulwazi olwaneleyo lokunika ulwazi malunga noko kusebenzayo noko kungenjalo.
Ukuhamba ngokukhawuleza kweminyaka engama-10 kamva, kunye nokuphononongwa ngokuchanekileyo, kwakhona kwanyatheliswa kwiNyango Yonyango , yabika ukuba akukho nto ingavunyelwene ngayo nokuba ngaba unonophelo olungabasebenzi (imizekelo yokunganyangekiyo iquka unyango lwamayeza kunye nemichiza) yasebenza ngakumbi kunokufumana utyando. Kodwa ngaphambi kokuba ukhange ukutyelela i-neurosurgeon, qwa lasela ukuba izifundo ekuhlaziyweni, ngokubhaliweyo kubalobi, zinemiqathango ethile.
Idibeneyo: Ngaba ukubhekisela kwi-Neurosurgeon kuthetha ngokugqithisileyo ukuvuthwa kwangaphambili?
AmaBanga aPhakamileyo aseSpondylolistes angadinga ukutyunjwa kwe-fusion, kodwa olu unyango alukwazi ukusebenza. Ukuhlaziywa okucwangcisiweyo okuqhutywe yi-Cochrane Database kufumene ukuba iziphumo zophando ezihlola uphando (kunye nezinye iindlela zonyango) ze-spondylolisthesis ziphikisana.
Ngenxa yoko, abaphandi baphetha ukuba ezinye iinkalo zokuhlinzwa zingabanceda, ngelixa abanye bebuzwa. Baye bathi ezinye izifundo ezikulo mxholo ziyadingeka.
Ezihlobene: Ukuguqulwa kwe-Spondylolistase Treatment
Imithombo:
UGaret M, iPhalamende likaReiman, uMathers J, uSyvava J. Unyango olungasebenziyo kwi-londar spondylolysis kunye ne-spondylolisthesis: ukuhlolwa okucwangcisiweyo. Ezempilo zezeMpilo 2013. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0062554/
McNeely ML, Torrance G, Magee D J. Ukuphononongwa ngokuchanekileyo kwe-physiotherapy ye-spondylolysis kunye ne-spondylolisthesis. Unyango lwe-Manual 2003. Ufikeleleke: Feb 2016. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0020737/
Spondylolisthesis. KwiWebhsayithi yeMithi. Kufumaneka ngomhla wama-Dec 3 2013. http://www.medicinenet.com/spondylolisthesis/article.htm
Spondylolisthesis. Health PubMed. Ku fi kelele: Feb. 2016.
Uphando lwe-lumbar spondylosis. I-Cochrane Database yeeNkqubo eziPhezulu: IiNkcazo zoLwimi oluNxweme (Intanethi). 2008. Kufumaneka: Feb. 2016. "> Http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010999/