I-Spondylolysis yigama elisetshenziselwa ukuchaza isimo lapho kunenkinga yokucindezeleka esifundeni esithile sekholomu lomgogodla. Lesi sigaba sekholomu yomgogodla, okuthiwa i-pars interarticularis, ixhuma ama-vertebrae eseduze emgodini. Uma udokotela ethi (noma ingane yakho) ine-spondylolysis, bathi lokhu kuphazamiseka kokucindezeleka (noma ukusabela kokucindezeleka) ku-vertebrae.
Isizathu Sokucindezeleka Kwezingcindezi Esihlahleni
Lezi yimithombo emibili eyinhloko engabangela ingozi yokuthuthukiswa kwe-spondyloysis. Lokhu kufaka:
- Izakhi zofuzo: Abanye abantu baxhomeke ekwakhiweni kwezinkinga zokucindezeleka kule ndawo ethile yomgogodla wazo. Lokhu kungaba umphumela wesimo noma amandla amathambo, ukulungiswa kwe-vertebrae, ngesilinganiso sokukhula ngesikhathi sobuntwana nokukhula.
- Imisebenzi yezemidlalo: Imisebenzi ethile yemidlalo ethile eyenza ukuthi ukutholakala kwe-spondylolysis kunamathuba amaningi, ikakhulukazi ezemidlalo ezidinga ukuxoshwa kwesikhumba (ukuguqula emuva) kwesikhala somlenze. Le midlalo ihlanganisa ukuvocavoca nokudilika. Kulaba badlali abagijimi bezingane, i-spondylolysis ingatholakala kulabo abangabangu-40% abathintekayo kulezi zindawo ezingozi kakhulu.
Izimpawu ze-Spondylolysis
Abagijimi abaningi abasha abanakho izimpawu, naphezu kokuthola ukuphazamiseka kwengcindezi ekuhloleni izithombe. Lapho abagijimi abasha benempawu, izimpawu ezivame kakhulu zihlanganisa:
- Ubuhlungu obuphansi emuva (ngezinye izikhathi buya emthonjeni noma emthangeni)
- Ubuhlungu ngokunwetshwa (ukuguqa emuva) komgogodla
- Imisipha ye-hamstring enamandla
Izingane noma intsha ecatshangelwa ukuthi ihlukunyezwe emgodini wayo ingadinga ukuhlolwa kwe-imaging. Ngomzamo wokunciphisa ukutholakala kweziguli ezincane emisebeni yezinye izivivinyo, udokotela wakho ongaphakamisa angancoma ukuthi aqale ngezinqubo ezilula ukuze abone ukuthi ziyasebenza yini.
Njengoba kunikezwe ukuthi imithi engavumelekile ihlale iphakanyiswa ezinyathelweni zakuqala zalesi simo, ngokuvamile ukuhlolwa kwe-imaging kuvinjelwe ekuqaleni, futhi kulondolozwe iziguli ezingathuthuki ngezokwelapha ezilula.
Uma kuhlolwa kwenziwa, ngokuvamile x-ray izoba ukuhlolwa kokuqala okutholiwe. I-X-ray iyasiza ukuhlola ukulungiswa komgogodla, futhi kuqinisekiswe ukuthi ukuphazamiseka kwengcindezi akuzange kubangele izinkinga ngokulinganisa umgogodla. Okunye ukuhlolwa okuvame ukusetshenziselwa kufaka phakathi ukuhlola kwe-CT, i-MRIs, ne-bone scans.
I-spondylolysis ingaba yinkimbinkimbi, noma ingaba buhlungu kakhulu. Uma lesi simo sisendaweni embili (senziwa ezinhlangothini zombili zomgogodla) singabangela isimo esibizwa ngokuthi i- spondylolisthesis . Kule nkinga, umzimba we-vertebral "ungasakaza" phambili phezu kwama-vertebrae ngezansi. Isizathu salokhu kwenzeka ukuthi izakhiwo ezijwayelekile ezixhuma ama-vertebrae azungezile zonakaliswe ukuhlukunyezwa kokucindezeleka, ngakho-ke ikholomu lomgogodla lungazinzile.
Ukwelashwa kwe-Spondylolysis
Njengoba kukhulunywe, ukwelashwa kaningi ngokuvamile kunezinyathelo ezingenasidingo. Ekuhlukumezeni kokuqala kokucindezeleka nokucindezeleka, kukhona ukuphulukiswa okungenzeka kwe-spondylolysis. Isici esibucayi sokwelashwa okuphumelelayo ukuphumula okwanele emisebenzini ekhulayo.
Ukuze kuqinisekiswe ukuthi ithambo liphumule ngokwanele, abanye odokotela bayasikhuthaza ukuthi kube nomthelela wokunciphisa amandla emathanjeni athintekile. Ukwelapha ngokomzimba kungaba yindlela ewusizo yokusiza ukuthuthukisa ukuhamba nokukhulisa amandla. Imithi efana ne- NSIAD , imithi elwa nokuvuvukala, ingasiza ekunciphiseni ubuhlungu. Izimo ezingavamile kuphela ukuhlinzwa okudingekayo ukulungisa ukucindezeleka kokucindezeleka emgodini. Ukuhlinzwa kuvame ukugcinwa iziguli ezakha isilayidi esithuthukayo, noma i-spondylolisthesis, yekholomu yomgogodla.
Imithombo:
UCavalier R, Herman MJ, Cheung EV, Pizzutillo PD. I-Spondylolysis ne-Spondylolisthesis ku-Children and Adolescents: I. Ukuxilongwa, Umlando Wezemvelo, Nokuphathwa Kwezinguquko. J Am Acad Orthop Surg. 2006 Jul; 14 (7): 417-24.