Amalungu e-facet atholakala phakathi kwe-vertebrae yesigaba ngasinye sekholomu yakho yomgogodla. I-osteoarthritis ingakhula kulezi zingxube futhi ingabizwa ngokuthi i-facet arthropathy noma i-facet joint osteoarthritis. Funda mayelana nalesi simo nokuthi yiziphi izindlela zokwelapha ezingase zinconywe.
Sibutsetelo
I-facet arthropathy i- arthritis ephazamisayo echaphazela ama-facet joints of the spine.
Endaweni yomgogodla lapho kunezinhlangothi zomzimba, ubuhlungu obuhambisana ne-arthritis bungakhula.
Ama-facet joints atholakale ekuthumeni komgogodla . Kukhona ama-vertebrae angu-24 enza isitho somuntu ngaphezu kwe-sacrum (tailbone). Kunezinhlanganisela ezimbili ezinhlangothini phakathi kwama-vertebrae ngayinye ingxenye yomgogodla eduze kolunye umgogodla.
Amajoyina e-facet ne-intervertebral disc akha isakhiwo esihlangene ezintathu phakathi kwama-vertebrae eseduze. Ukuhlanganiswa kwesibalo kunendawo emibili ye-bony ne-cartilage phakathi kwabo ne-capsule yemigqa ewuzungezile. Ama-synovial fluid agcoba amalunga, njengoba kunjalo namanye amalunga afana namadolo. Amalungu e-facet asiza ukulungiswa okujwayelekile kwe-vertebrae nokukhawulela ukunyakaza.
Izimbangela
I-arthritis ezinhlanganisweni zezinhlangothi zingakhula kusuka:
- Gqoka futhi uqede ukuthi kunciphisa isikhala esiphakathi kwama-vertebrae obangela amalunga e-facet ukuze asuse ndawonye
- Ukulimala kwangaphambili emuva
- Ama-Fractures
- Amagundane aqhekekile
- Izinkinga zeDiski
Ngenxa yokucindezeleka okwengeziwe okubangelwa lezi zimo ezithinta izingxenyana ze-facet, i- bone spurs (eyaziwa nangokuthi i-osteophytes) ingahlakulela futhi i-cartilage ingahle ibonakale.
Ngaphandle kokulimala, ubuciko be-arthropathy yisimo sokuguga. Imbangela eyinhloko yezinto ezincane eziphathelene ne-facet arthropathy yi-degeneration engumgogodla eyenzeka esikhathini esizayo ekuphileni.
Izimpawu
Ubuhlungu yilona uphawu oluyinhloko oluhlotshaniswa ne-facet arthropathy. Ubuhlungu buvame kakhulu ngokulandela ukulala noma ukuphumula. Ubuhlungu obuhambisana ne-facet arthropathy bungase bukhuni ngokudubula noma ukuguqula emuva.
Ubuhlungu obuphansi emuva buyisikhalazo esivame kakhulu kodwa akuvami ukukhanya phansi emilenzeni noma emathangeni ngaphandle kokuba kutholakale nesibindi somgogodla .
Indlela Eyaziwa Ngayo
Ama-X ray, ukuhlola kwe-CT , nokufaneka kwe-magnontic resonance (MRI) ingasetshenziswa ukusiza ukuxilonga ukuqina kwe-facet. Enye inqubo ecacile kakhulu ihilela ukwenza umjovo oqondiswayo usebenzisa i-fluoroscope. Imithi kanye nodayi ijojowe. Idayi ivumela udokotela ukuba abuke ukubekwa kwenaliti nomjovo. Uma ukuhlanganiswa kwesibalo kujojowe futhi kutholakala ukuphumula ubuhlungu, lokho kuqinisekisa ukuqinisekisa ukuthi i-facet arthropathy ixilongwa.
I-Conservative Treatments
Ekuqaleni, udokotela angase ancoma isikhathi sokuphumula emzamweni wokunciphisa izimpawu. Izikhundla zokulala ezicindezelayo ezingxenyeni zezinhlangothi zingahle zinconywe, njengokunciphisa ukuze ulale noma ubeke ngemuva kwakho ngamadolo phezulu nomcamelo ngaphansi.
Imithi yomlomo ingahle ibekiwe, kubandakanya:
- I-Tylenol
- Izidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory (NSAIDs)
- Ama-relaxant muscle
- Corticosteroids
Ezinye izinketho zokwelashwa zihlanganisa:
- I-Traction
- Ukuqinisa nokuvivinya umzimba
- Ukwelashwa kwamanzi
- Ukuxhaphaza umgogodla
Ukwelashwa Okudabukisayo
Uma izinyathelo zokuzivikela zingaphumeleli, udokotela wakho angancoma lezi zokwelapha:
- Ukufakelwa kwe-anesthetic noma isifo se-steroid esivumelwaneni sezinhlangothi noma izinzwa eziya ehlangothini lwezinhlamvu zingalingwa.
- I-sinu-vertebral nerve ablation ebhubhisa izinzwa ngamanje kagesi kungenzeka kube yindlela yokukhetha.
- Ukuhlinzwa akudingeki ukuthi kutholakale izidakamizwa, kepha izinketho zikhona.
Izinketho zokuhlinza
Izinketho zokuhlinza ukuphatha izidakamizwa ezincane zihlanganisa:
- I-facet rhizotomy: Susa enye yezinzwa ezithintekayo.
- I-Fusion: Fuse ama-vertebrae amabili noma ngaphezulu ukuqeda ukunyakaza ezinhlanganisweni zezinhlamvu. Ngezinye izikhathi izixhumanisi zezinhlangothi zikhishwa ngesikhathi sokufiphazwa komgogodla .
> Imithombo:
> Firestein, Gary S .; UBudd, uRalph; UGabriyeli, uSherine E; ODell, uJames R; McInnes, Iain B, uBudd RC, Firestein GS, uKelley WN. I-Kelleys Textbook ye-Rheumatology . I-Elsevier Health Sciences; 2012.
> Ukujola komgogodla. I-American Academy Yabahlinzeki Bama-Orthopedic. https://orthoinfo.aaos.org/en/treatment/spinal-injections/.