I-Arthritis Emgodleni - I-Spondylosis Yesibeletho

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Sibutsetelo se-Cervical Spondylosis ne-Arthritis yeMeck

Ukuguga kungenakugwemeka futhi kuyofika ukugqoka nokugqabuka kumalunga omgogodla. Ngenkathi ungenakuyeka ukugqoka nokuphumula okwenzekayo, unganciphisa izinga lapho likhula khona. Lesi sihloko sichaza i-spondylosis yomlomo wesibeletho, isimo esingase siphume ekushintsheni okuguqukayo emathanjeni nasezintweni entanyeni yakho.

Amagama angaphansi kwezobuchwepheshe zalesi simo yi-osteoarthritis yentamo, noma isifo se- disenerative disc entanyeni.

Ngokuvamile, i-arthritis yentamo iqala ukubonisa cishe eminyakeni engama-40 ubudala, futhi iqhubeka njengoba iminyaka ihlanganisa. Lokho kusho ukuthi amadoda athambekele ekuhlakuleleni i-cervical spondylosis esemncane kunabesifazane. I-spondylosis yomlomo wesibeletho ingabangela ukuxoshwa komzimba ; Empeleni, isimo esivamile kakhulu entanyeni esingathinta umgogodla.

I-Arthritis - I-Neck Nezinguquko Zayo

I-arthritis entanyeni iqala ngama-osteophyte - aka bone spurs - afomane emzimbeni we-vertebral .

I-bone spurs yindlela impendulo yomzimba yokugqoka nokudiliza. Emgogodleni bakhonza ngenhloso, basiza ukwandisa indawo yokuhlangana futhi basakaze isisindo kuso ngokulinganayo.

Inkinga ukuthi, ithambo lithemba futhi lingabangela ubuhlungu lapho bebeka ukucindezelwa emisipha yomgogodla , kanye / noma umgogodla. Ukucindezela kungabangela ukugandeleka, ubuthakathaka ngisho nokungaziphathi kahle kwamathumbu noma isisu (okugcineni okubhekwa njengesimo esiphuthumayo sezokwelapha.)

Bheka ngenhla ukuze uthole isithombe se-arthritis yentamo, nangaphansi, kanye namakhasi alandelayo, ukuze uthole ulwazi oluthe xaxa mayelana nezimpawu nemithi.

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Izingozi Ze-Arthritis Emgodini

Ubudala

I-Amercian Academy ye-Orthopedic Surgerons ithi inkulu enkulu engozini ye-spondylosis yomlomo wesibeletho ingokuqala, ikakhulukazi, iminyaka. Ukuqala phakathi kweminyaka yobudala (nokuqhubeka,) bathi, isifo samathambo entanyeni yisimo esijwayelekile kakhulu.

I-Genetics

Ngemuva kweminyaka yobudala, isici esikhulu esilandelayo sengozi yizakhi zofuzo. I-arthritis entanyeni (njengezinye izinhlobo zezinkinga zomgogodla), ingaqhutshwa emindenini. Uma ingqimba yakho yomgogodla kanye / noma i-intervertebral foramen ngokwemvelo ngokwemvelo, ingozi yakho yezinkinga zezinguquko eziguqukayo kungenzeka ibe ngaphezulu. Ngomsele omncane ongasemgogodleni, intambo yomgogodla - isakhiwo esibucayi kakhulu esithumela imizwa ebuchosheni nokunyakaza imiyalo esuka ebuchosheni kuya emisipha - inesikhala esincane sokulingana ngaphakathi kwekholomu yethambo elihlala kulo. Ukuxhumana phakathi kwentambo kanye nekholomu kungacasula ikholomu futhi kubangele izimpawu.

Ukubhema

Ukubhema kunomthelela kwisifo se-disenerative, kanti futhi kuyinto engozini yokwelashwa kwe-neck.

Izinkinga Zezingqondo Zengqondo

Ukucindezeleka nokukhathazeka yizici ezingozini ezingokwengqondo ze-arthritis entanyeni.

Umsebenzi Wakho Wansuku zonke

Okulandelayo, ake sikhulume ngomsebenzi wakho. I-AAOS ithi uma umsebenzi wakho uhilela ukuphindaphinda kaningi futhi / noma umsebenzi okwenzeka ngenhla kwekhanda lakho, ingozi yakho ingabuye ibe ngaphezulu. Ukucindezeleka kanye / noma ukukhathazeka yizinto ezibangela ingozi yengqondo.

I-Trauma

Futhi ekugcineni, ukuhlukumezeka, ukukhathazeka okuphindaphindiwe ngokuphindaphindiwe, kwandisa ingozi yakho ye-spondylosis yomlomo wesibeletho. Lokho kusho ukuthi inqwaba ye-arthritis yentamo ayitholakali ngengozi.

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Izimpawu Eziza Ne-Arthritis Emkhunjini

Ngokuvamile, umthombo wezinhlungu ze-arthritis yentamo awuqondakali kahle umphakathi wezokwelapha. Eqinisweni, kungenzeka nakanjani ukuthi ungenayo izimpawu nhlobo!

Imikhono Nezihloko Zezinhloko

Uma izimpawu zenzeka, ubuhlungu bezintamo eziphakathi komzimba (okuthiwa i- cervicalgia ) nokuqina kubonakala kuyinto evamile kakhulu. Futhi abantu abangaba ngu-1/3 abane-arthritis yentamo banamakhanda, ngokuvamile atholakala endaweni ephansi ebizwa nge-sub-occiptial. Ngisho noma ubuhlungu bezintamo nokuqina kunabantu abaningi abane-arthritis entanyeni, ngezinye izikhathi ikhanda lizoshaya ezinye izimpawu.

I-Radiculopathy kanye nezimpawu ze-Myelopathy

Ngaphezu kwalokho, i-radiuclopathy, iqoqo lezimpawu ezibangelwa izimpande zomgogodla ezicasuliwe noma ezicindezelekile, zingase zihambisane ne-cervical spondylosis. Lezi zihlanganisa izikhonkwane nezinaliti, ubuhlungu, ukuphazamiseka kanye / noma ubuthakathaka obuwela phansi ingalo eyodwa (nesandla.) Ukuzwa kwamandla kagesi kungase kwenzeke.

Ngokufanayo, isifo sengqondo somzimba, esibangelwa ukucasuka kwamathishu akho omgogodla, kungenye imvelaphi yezimpawu zamathambo ezintanyeni.

Kodwa ngokungafani ne-radiculopathy, i-myelopathy ijwayele ukuza kancane kancane ngokuhamba kwesikhathi, futhi ingaziveza ezinhlobonhlobo zezinhlobo zempawu. Yimbangela evamile yezikhonkwane nezinaliti. Ngaphezu kwalokho, uma izimpawu ziphakama ukusuka phezulu entanyeni yakho (C-3 kuya ku-5), ungase uzwe nesifo esibizwa nge "numb, izandla ezihlukumezayo," lapho ukubhala nemisebenzi efana neyinkinga. Imilenze yakho ingathinteka futhi.

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Ukubona i-Spondylosis yamaCervical nge-Flexibility Test and X-Rays

Njengezinqubo eziningi zezintambo nezindlebe, udokotela wakho uzoqoqa ulwazi mayelana ne-arthritis yentamo yakho ngokuthatha umlando nokwenza ukuhlolwa ngokomzimba.

I-MRI ye-Neck Arthritis

Futhi uma kuziwa kuma-imaging (okungukuthi, ama-x-rays, i-MRI, i-CT yokuhlola nokunye okunjalo) izinga legolide yi-MRI, ikakhulukazi ekunqumeni umthombo wezibonakaliso zesibindi njengobuhlungu, izikhonkwane kanye nezinaliti, ukuphazamiseka noma ubuthakathaka kuya phansi ingalo. Isizathu siwukuthi, i-MRI ingasiza udokotela wakho ukuba angaboni amathambo akho kuphela, kodwa nezicubu zakho ezithambile nezinzwa. Kungamsiza ukuba alinganise ngokunembile ukuthi isikhala esingakapheli sishiywe ezindaweni ezihlala ezindlini, okuyi-canal yakho yomgogodla kanye ne-intervertebral foramen.

I-X-ray ye-Neck Arthritis

Ama-X-rays asetshenziselwa uma ehlonza i-arthritis entanyeni, njengoba avumela udokotela wakho ukuba acabange ngendlela ukuguqulwa komgogodla wakho, kuhlanganise nanoma yiliphi uhlobo lwe-spondylolisthesis, noma ukuthungatha phambili kwe-vertebra, kunomthelela emgodini we-canal stenosis. (I-stinalosis yamagciwane iyindlela eqhubekela phambili ye-osteoarthritis.)

Uma ungenayo izimpawu zesibindi, ungadinga kuphela i-x ray. Amandla we-x-ray yikhono layo lokukhombisa ukuthi kwenzekani ngamathambo, ngakho-ke esikhundleni sezinhlungu noma ezinye izimpawu, unomunye angase aqaphele udokotela wakho ezintweni ezifana nokunciphisa endaweni yakho yediski, i-bone spurs, ukulahlekelwa kwendonga yentamo, i-hypertrophy ehlangene, kanye nanoma yikuphi ukwehla kwamandla emgogodla wakho womgogodla (njengoba kushiwo ngenhla.) Kungamsiza futhi ukuba ahlukanise i-spondylosis yomlomo wesibeletho kubantu asebekhulile njengobumnene, obuningi noma obunzima.

I-CT Scans ye-Meck Arthritis

Ukuskena kwe-CT (ukuskena kwe-CAT) kungenye ukuhlolwa kwesithombe sokuhlola okuvame ukunikezwa abantu abane-spondylosis yomlomo wesibeletho. Ukuskena kwe-CT kufana ne-x-ray ngaphandle kokuthi kuthatha izithombe eziningi ngaphakathi ngaphakathi komzimba, futhi uzibeka ndawonye ukubonisa ingxenye yesigcawu sendawo. Ikhwalithi yesithombe ingcono kunaleyo ye-x ray, engavumela udokotela wakho ukuba afunde kangcono umgudu wakho wokugulisa umgogodla, i-neural foramen, nanoma yikuphi ushintsho emathanjeni akho okwenzeke kusukela ku-CT yokugcina.

I-myelography isetshenziselwa ukubona ngeso lengqondo izimpande zakho zezinzwa; yilapho umgogodla uphahla khona ukuze ube nemisipha yomgogodla. Kukhona futhi i-CT myelography eyenziwa ngabanye abahlinzayo ngoba kucatshangwa ukuthi banemiphumela ephansi yamanga (kuqhathaniswa nemyelography.) I-CT myelography isetshenziswe kaningi uma ukuhlinzwa kuhilelekile, ngokungahambisani nokuqala kokuhlolwa noma ukuxilongwa okungaqondakali.

Isifundo sokuqhutshwa kwemizwa

Futhi ekugcineni, olunye uhlobo lokuhlolwa odokotela abasebenzisa ukuxilonga (noma ukuqinisekisa ukuxilongwa kwe-radiculopathy) isifundo sokuqhutshwa kwesisindo.

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I-Arthritis Emkhunjini - Ukwelashwa

Udokotela wakho oyinhloko wokunakekelwa noma u-internist jikelele angakwazi ukuhlinzeka ngemithi yokwelashwa kwesibeletho sakho somlomo wesibeletho. Lokho kusho ukuthi iningi lokudluliselwa kuchwepheshe lenziwa yintamo ye-arthritis. Ukudluliselwa kwezidakamizwa ze-rheumatologists, izazi zezinzwa, kanye namathambo ohlinzeka ngamathambo ngokuvamile.

Kodwa ukuhlinzwa akuvamile ukuhlinzekwa nge-neck arthritis. Kunalokho, ukunakekelwa okuqaphayo (bheka ngezansi ukuthola ulwazi oluthe xaxa) kungakusiza ukulawula ubuhlungu bese unciphisa ukuqhubeka kwesifo.

Izimpawu ongase udinge ukuhlinzwa zifaka ubuhlungu obunzima noma obungenakwenzeka ukulawula, kanye / noma izinkinga zesisindo, isibonelo, izikhonkwane nezinaliti noma ezinye izinzwa zikagesi, ukuphazamiseka kanye / noma ubuthakathaka phansi kwesandla esisodwa) ukuthi ngokuhamba kwesikhathi kuqhubeka nokubi kakhulu.

Uma udinga ukuhlinzwa, ungase ubheke i- laminectomy , eyaziwa ngokuthi ukuhlinzwa kwe-decompression.

Ukwelashwa Kwemvelo Ye-Arthritis Emgodini

Uma izimpawu zakho zinomnene noma zilinganisela, futhi uma ungenayo izinkinga zesifo sezinzwa eziqhubekayo, ungadinga ukunakekelwa okuqaphayo kuphela. Lokhu kungafaka phakathi okukodwa noma ngaphezulu kwalokhu okulandelayo:

• · Izidakamizwa ezingavimba ukuvuvukala (ama-NSAID) afaka i-aspirin, i-naproxen noma ibuprofen ukusiza ukunciphisa ukuvuvukala nokukhulula ubuhlungu.
• Ama-analgesics, afana ne-acetaminophen (i-Tylenol) yokuphumula ubuhlungu kuphela.
• Amagciwane e-Corticosteroid ukuphatha ubuhlungu obukhiphayo nokunciphisa ukuvuvukala.
• · Imithi yokuvikela imiphungu yesikhashana.
• · Ukuvimbela kodwa hhayi ukuqeda umsebenzi womzimba.
• · Ikholomu yesibeletho yokusekela nokuqiniswa phakathi nenkathi yokuphulukisa.
• · Ukuzivocavoca futhi, njengoba kushiwo ngenhla ukwelashwa ngokomzimba.

Ukudluliselwa kwezigulane zomzimba kwenziwa ngokunakekelwa okuqaphayo okungaqondaniswa nezimpawu zakho nesimo sakho.

_Umthombo:

> AAOS. I-Spondylosis yesibeletho (i-Arthritis ye-Neck.) I-OrthInfo. I-American Academy ye-Orthopedic Surgeons iwebhusayithi. Agasti 2015.
_{Rana, S., MD, et. al. Ukuxilongwa Nokuphathwa Kwethulo Lomtholampilo Lomlomo Wesibeletho. Iwebhusayithi yeMedscape. Kugcine ukubuyekezwa: Aug 2015.}