I-Slip ye-vertebrae yama-spinal
I-Spondylolisthesis yilo gama elenza abahlinzayo basebenzise ukuchaza ukufuduka kwe- vertebra eyodwa phezulu kwesinye. Kungabangelwa ukuguga noma ukuphindaphindiwe kwe-microtrauma futhi kunezinhlobonhlobo zamabonakaliso avela kunoma yikuphi ukuhlupheka nobuhlungu bezinzwa. Leli gama elididekayo libizwa ngokuthi "spon-dih-low-lis-you-sis".
Ama-vertebrae amathanga afana nebhokisi ahlanganiswe ngaphezu komunye enza ikholomu lomgogodla.
I-vertebra ngayinye kufanele ifakwe kahle kuleyo engenhla nangezansi. Uma ubhekwa ohlangothini, ikholomu yomgogodla inomvuthwandaba ojwayelekile ohlotshiswe nguS (bheka isithombe), kodwa i-vertebra ngayinye kufanele ibeke kahle phezu kwe-vertebra engezansi.
E-spondylolisthesis, ama-vertebrae asuka esimweni sabo esivamile, isimo esivame ukubhekwa ngokuthi "i-vertebrae ehlisiwe." Ngokuvamile, lokhu yisimo esithuthuka kancane kancane.
Izimbangela ze-Spondylolisthesis
- I- Spondylolisthesis eguqukayo
I-spondylolisthesis ehlukumezayo yimbangela ejwayelekile kunazo zonke yamagundane omgogodla awela phezulu komunye nomunye. Ngokuhamba kwesikhathi, ukuguga kubangela ukulimala kwezicubu zomzimba, kufaka phakathi amathambo, amalunga, kanye nemigqa ehlanganisa ikholomu ye-vertebral ndawonye. Ukulimala okungapheli kungaholela ekulahlekelweni kokuzinza kocingo lomgogodla. Uma izinguquko eziguqukayo ziqhubekela phambili iphuzu lapho imigqa namalungu angakwazi ukubamba isikhundla esifanele sekholomu yomgogodla, khona-ke isipondylolisthe esiphelile yimbangela.
- Spondylolisthesis ye-Isthmic
I-spondylolisthe ye-Isthmic ingenxa yesici esithile se-bony emgodleni okuthiwa i- spondylolysis . I-Spondylolysis iyisici esithile esixhumanweni esisodwa esibalulekile phakathi kwe-vertebrae yomgogodla eseduze. Lesi siphambeko esithile sivame kakhulu umphumela wokuphindaphindiwe kwe-microtrauma ebuntwaneni. Ezinye zezemidlalo kucatshangwa ukuthi zenze izingane zibe lula kakhulu ekuthuthukiseni i-spondylolysis, kuhlanganise nokuzivocavoca, ukugibela, kanye nebhola. Lapho i-spondylolysis ivela ezinhlangothini zombili zomkholomu wesiphaphethi kwelinye izinga, ikholomu ye-vertebral ingalahleka. Kulezi zimo, i-spondylolisthesis ye-isthm ingaba umphumela.
Ezinye izimbangela ze-spondylolisthesis zihlanganisa ukungavamile kokuzalwa komgogodla, ukulimala, izicubu, nezinqubo zokuhlinzwa.
Izimpawu ze-Spondylolisthesis
Izimpawu ze-spondylolisthesis zingaba phakathi kokuthola okungahle kwenzeke ku-X-ray (akukho zibonakaliso) ebuhlungu obukhulu emuva nasemlenzeni onomonakalo wezinzwa. Amacala amaningi e-spondylolisthesis ezinganeni abangela izimpawu ezimbalwa. Ukuphulukiswa komhlane okungapheli kungatholakala, ikakhulukazi uma uvala emuva.
Lapho izinzwa eziphuma emthonjeni womgogodla, noma intambo yomgogodla ngokwawo, iphoyinwe yi-spondylolisthesis, khona-ke izimpawu zesisindo zingabangela. Izimpawu zesisindo ezivamile ezibonwayo zifana nezimpawu ezibonwe nge -disc yakhe . Izimpawu zifaka:
- Ubuhlungu bomlenze
- Izimpawu ezinjengezimpawu zokugesi zihamba phansi emlenzeni
- Ubumbulu noma ukugubha emilenzeni nasezinyaweni
- Ubuthakathaka bemisipha yemilenze
Ezinye izimpawu zingenzeka. Uma uhlangabezana nanoma yiziphi izimpawu zezinkinga ngesilonda noma umsebenzi wesinye noma noma yikuphi ukuphazamiseka okuzungeze izitho zangasese, kufanele uqaphele udokotela wakho ngokushesha. Lezi zimpawu zingase zibe uphawu lwe- cauda equina syndrome futhi kungase kube ukuphuthumayo kwezokwelapha.
Ukwelashwa kwe-Spondylolisthesis
Ukwelashwa kwe-spondylolisthesis kufana, kusukela ekubonweni kuya ekuqiniseni okuhlinzekwa ngogwayi.
Ukunquma uhlelo olufanele lokulashwa kuncike kakhulu ekuguleni kwesiguli, uhlobo lwesiguli, kanye nezimpawu ezitholwa isiguli.
Uma isilayidi sincane futhi izimpawu zikwazi ukuphathwa, khona-ke ukwelashwa kuvamise ukwelashwa okungavamile. Ezinganeni, lokhu kungabandakanya imikhawulo yomsebenzi, njengokungavimbela ingane ukuba iqhaza kwezinye zezemidlalo.
Uma isilayidi sibaluleke kakhulu, kungase kube khona ingozi ephakeme yenkinga eqhubekayo, futhi ukuhlinzwa kunganconywa. Ngaphezu kwalokho, iziguli ezinezibonakaliso zokucindezeleka kwesifo sezinzwa zingase zibe nokuhlinzwa okuphakanyisiwe.
Amagundane angaphazamiseka unomphela uma kukhona ukucindezela isikhathi eside sezinzwa.
Imithombo:
Jones TR no Rao RD "Spondylolisthesis Ye-Adult Isthmic" J. Am. I-Acad. I-Orthop. Ngo-Okthoba 2009; 17: 609 - 617.
UCavalier R, et al. "I-Spondylolysis ne-Spondylolisthesis ku-Children and Adolescents: I. Ukuxilongwa, Umlando Wezemvelo, Nokuphathwa Kwezinguquko" J. Am. I-Acad. I-Orthop. Ukuhlinzwa, ngoJulayi 2006; 14: 417 - 424.