Ingxoxo ye-Cervical Spondylotic Myelopathy
Ngenkathi ama-hip namadolo asezindaweni ezivame kakhulu ezithinteka yi- osteoarthritis , inqubo efanayo yesifo ingathinta noma yikuphi ukujoyina emzimbeni. Njengoba umgogodla unamalungu amakhulu kakhulu kunoma iyiphi indawo eyodwa (kukhona amajoyina amathathu ngezinga kanye namazinga omgogodla angu-24), akumangazi ukuthi izinguquko zesifo samagciwane zivame kakhulu.
I-arthritis yomgogodla wesibeletho, eyakhiwa izingxenye ezingu-7 zomgogodla osesentanyeni, ivamile kakhulu. Abaningi bachaza ukugqoka nokukhala kwamalunga emgodini wesibeletho njengengxenye yemvelo yokuguga.
UDkt. Boden kanye nosebenza nabo benza isifundo ngabantu abanempilo ngaphandle kobuhlungu bentamo futhi babheka ukuthi bangaki babo ababenombukiso we-MRI wesifo samathambo esibeletho somlomo wesibeletho (owaziwa nangokuthi i- spondylosis ). Kwakukhona ukuthi abantu abangama-25% abangaphansi kweminyaka engama-40, kanti abantu abangaba ngu-60% abaneminyaka engaphezu kwengu-40 babe nobufakazi be-MRI be-arthritis emgodini wabo wesibeletho. Kubalulekile ukukhumbula ukuthi bonke laba babengabantu abangenabo ubuhlungu bentamo. Ucwaningo olufanayo lukaMatsumoto nosebenza nabo luqinisekisile lokhu okutholwe futhi lwabonisa ukuthi abangaphezu kuka-90% wabantu abaneminyaka yobudala engama-50 ngaphandle kobuhlungu bentamo babenezinguquko ze-arthritic emgodini wabo wesibeletho. Uma kulandelwa iminyaka engaphezu kwengu-10, 81% yabonisa ukuthi kunezinguquko ezishisa ukulimaza (okubonisa ukuthi i-arthritis eqhubekayo) ku-MRI.
Lokho lokhu kusitshela ukuthi izinguquko ze-arthritic emgodini womlomo wesibeletho ku- MRI ziyisisekelo esivamile sokujwayelekile, futhi ngokwazo akuyona inkinga. I-subset encane yabantu abanalolu shintsho kwi-MRI, empeleni bayoba nezimpawu ezifana nobuhlungu bezintamo, kanye nezimpawu ezivela ekucindezelweni kwezimpande zesisindo noma umgogodla.
Esinye sezimpikiswano ezingathuthuka ezinsizeni ezithinteka kakhulu yi-arthritis ukucindezelwa okulandelayo komgogodla. Isikhathi sezokwelapha salesi simo uma kwenzeka entanyeni yi-Cervical Spondylotic Myelopathy (CSM).
Ukuze siqonde le nkinga, kufanele siqale ukubuyekezwa okufushane komzimba wesibeletho somlomo wesibeletho. Umgogodla wesibeletho wenziwe ngamacandelo angu-7 noma 'amazinga'. Ingxenye ngayinye inomzimba we-vertebral ngaphambili, exhunywe ku-arch arch ebizwa ngokuthi i-lamina, ejikeleza umgudu wamagogasi. Umzimba ngamunye we-vertebral uxhunywe kulowo ongenhla futhi owodwa ngezansi ngemigqa emibili enzima ebizwa ngokuthi i-longitudinal and posterior longitudinal ligaments. I-lamina nayo ixhunywe kulabo abangenhla nangaphansi nge-ligament efanayo ebizwa nge-ligamentum flavum.
Izinguquko eziguquguqukayo noma izifo zamathambo emgodini obangela umgogodla ziqhuma emgodini womlomo wesibeletho, kanye ne-calcium deposits emigqeni engu-3 echazwe, kanye nokuguqulwa kokulungiswa komgogodla. Lezi zinkinga ezintathu zingashintsha isimo somsele wamagogasi. Noma yikuphi inqubo eyenza umgogodla we-umgogodla omncane unakho ukuholela ekukhoneni kwezintambo zomgogodla. Lapho intambo yomgogodla ikhonjiwe, le nkinga ibizwa ngokuthi i- myelopathy .
Ngakho-ke, igama elithi myelopathy lomlomo wesibeletho libhekisela ekuguquleni kwe-arthritic yomgogodla womlomo wesibeletho okubangela ukuqubuzana komgogodla.
Izimpawu ze-CSM zingaba zihluka kodwa zifaka ubuhlungu bezintamo, ukuphazamiseka kwezandla, ubunzima ngokunyakaza okuhambisanayo kwezandla / iminwe njengokuchofoza ihembe, ukubhala, noma ukusebenzisa amakhibhodi, kanye nokulinganisela okungalungile nokuhamba nobunzima. I-Tendon reflexes, uma ihlolwe udokotela, ingahle ibe yinto engavamile. Umbuzo obalulekile olandelayo wenzani ngokuhamba kwesikhathi kubantu abane-CSM? Ucwaningo lwamanje lubonisa ukuthi endaweni ethile phakathi kwama-20% no-60% wabantu abane-CSM bathuthuka ukuba babe nezimpawu ezimbi.
Ngenxa yalesi sizathu, i-CSM ivame ukucatshangwa njengesiyaluyalu esivame ukuphathwa ngokuhlinzekwa ukuze kuqiniswe umsebenzi we-neurologic futhi kuvimbele ukwehla okuqhubekayo. Isikhathi sokuhlinzwa singacacile, futhi akukho idatha etholakalayo yokuqondisa isinqumo sokuthi singalinda isikhathi esingakanani ukungenela ukuhlinzwa.