Ukholwe noma cha, ngo-2056 kuzoba nezakhamuzi eziphakeme kunabantwana ngokusho kwabantu base-US. Ngempela, ukuguga kuyanda. I-Census iphinda ilinganise ukuthi ngo-2029 isixuku esingaphezu kuka-65 sizoba nengxenye engu-20% yabantu bonke.
Futhi njengoba sisekhulile, kunjalo nezimpande zethu. Nakuba kunezimo eziningi ezingase zibuyele emuva lapho wena noma othandekayo bakho bangabhekana nazo, okuvame kakhulu kulezi zivame ukuhlobene ne- osteoporosis nezinguquko ezishintshashintshayo ezithinta ama-disc kanye nezinye izakhiwo.
Ama-Fractures omgogodla ne-Hyperkyphosis
Uma ungowesifazane futhi ungaphezu kuka-70, kungenzeka wazi ubuhlungu nokuphazamiseka kokuphulwa kwe-osteoporotic. Ejwayelekile phakathi kwama-baby boomers kanye nezizukulwane ezidala, ukuguqulwa kwe-osteoporosis (noma uhlobo oluthile) lokuphuka kungaholela ekuhluphekeni okuphindaphindiwe njalo. Ukungahambi kahle kungathinta imisebenzi yakho yansuku zonke futhi kube nomthelela omubi emizweni yakho noma ebuhlotsheni bakho.
I-vertebral fractures yiyona ndlela ejwayelekile kunazo zonke ze-osteoporotic fractures. Ngezinye izikhathi ubuhlungu bomhlane obubangelwa ukuqubuka komzimba kuhlunga izimpawu zezinye izifo noma izimo. Yingakho ukucabanga ngeso lengqondo kubalulekile.Izivivinyo ezinjenge-X-rays, MRIs , noma izikrini ze-CT zingasiza ekuhloleni ukuhlukumeza nokugubha. Ngaphezu kwalokho, ukuhlolwa kwamathambo kungakutshela ngokuqinisekile uma une-osteoporosis. I-bone biopsies nayo isetshenziselwa ukuqinisekiswa kwe-osteoporosis.
I-osteoporosis iyisifo samathambo esithinta ikakhulukazi abesifazane basemaphoyiseni.
Uma une-osteoporosis, i-bone mass yakho iyancipha ngokushesha kunokwakhiwa kabusha. I-bone mass yakhiwa amaprotheni, kanye namaminerali calcium ne-phosphorus.
Ama-fractures ngenxa ye-osteoporosis ingenzeka ngemva kokuhlukumezeka, kodwa futhi angavela ngaphandle kwesizathu esizwakalayo.
Nokho, izindaba ezinhle ukuthi izimo eziningi ze-vertebral compression fractures (uhlobo oluvame kakhulu) zithuthuka zingakapheli izinyanga ezintathu ngaphandle kokwelashwa nhlobo, ngokusho kwe-American Academy of Orthopedic Surgeons.I-Academy ikhombisa ukuthatha izinyathelo ezilula ngenkathi uphulukiswa , njengokusetshenziswa okulinganiselwe kwemithi yobuhlungu nokuthatha isikhathi sokuphumula njengoba kudingeka.
Udokotela wakho angase anikeze i-brace ukuthi ugqoke, futhi.
Ukwelashwa Kwezinhlanzi Zomgogodla
Cishe ingxenye eyodwa kwekota yezinkinga zokuphuka kwe-osteoporosis ayiphenduli kahle ekunakekelweni okungenasidingo, njengokwelashwa ngokomzimba, imithi, noma ukulinda nje. Ngakho-ke uma ubuhlungu bakho bukhulu futhi kungabi ngcono ngezinyathelo zokuzivikela, kungase kube yisikhathi sokucubungula ukuhlinzwa. Xoxa ngezinketho zakho nodokotela wakho ukuze uqiniseke.
Izinhlobo ezimbili zezinqubo zivame ukusetshenziselwa ukwelapha iziphuzo zomgogodla: i- vertebroplasty ne-kyphoplasty. Zomi zombili zihlasela kancane futhi cishe zizokuvumela ukuba uphinde ululame ngokushesha futhi kalula. Zifaka ukufaka insimbi emathanjeni akho ukuze usize ukuyilungisa, futhi kwezinye izimo, ukubuyisela ukuphakama kwe-vertebra.
Hyperkyphosis
Ama-fractures ama-vertebral ngokuvamile aholela esimweni sokumiswa okuthiwa i- hyperkyphosis , eyaziwa nangokuthi i-hyperkyphosis ephathelene neminyaka. Ngenkathi i-hyperkyphosis ingabangelwa izinto eziningana cishe okwesithathu kwaleso sikhathi, zingumphumela wokuphuka komgogodla kubantu asebekhulile. Njengoba igama liphakamisa, i-hyperkyphosis yinto yokukhubazeka lapho ijika le-kyphotic evamile emgodleni we-thoracic (elisezindaweni zakho ezingenhla nangasemuva) liba ngokweqile noma ligxiliwe.
Ukukhishwa kweDiski
Ukwenziwa kabusha kwezinhlaka zomgogodla kungenakuvinjelwa njengoba sikhula. Kungenzeka kunoma yiziphi izakhiwo ezakha ngemuva kwakho, kufaka phakathi ama-discs, amathambo, amalunga, imigudu, imisipha, izinzwa nokuningi. Esikhathini esiningi, ukwelashwa okungeyona ukuhlinzwa kunganciphisa ubuhlungu emhlane wakho futhi kwandise ukusebenza kwakho ngokomzimba.
Ngezinye izikhathi, izindlela zokuzigcina zihluleka futhi udokotela wakho angase akhombise ukuhlinzwa. Lokhu kuyiqiniso ikakhulukazi uma unesihlungu esinzima noma / noma esingenakuphikisana noma ubuhlungu bakho bubangelwa yi-radiculopathy (izimpawu ezifana ne-sciatica ezibangelwa izimpande zomgogodla ezicasuliwe) noma imyelopathy (izimpawu ezibangelwa ukuphazanyiswa noma ukucindezelwa emthonjeni womgogodla).
Ukuguqulwa kwama-discs umgogodla uhlobo oluvame kakhulu lokuguqulwa komgogodla futhi ngokuvamile luhlobo lokuqala lokuthuthukisa. Ukwehliswa kwemisipha yomgogodla kungaholela ekuguquleni okuguqukayo kwezinye izingxenye zomgogodla, kanye.
Ukuhlukunyezwa kwe-Disc akuyona isifo sofuba, kodwa kunalokho kuchazwa isimo salokhu kokumangalisa "imithwalo." Ngokusho kwe-Arthritis Foundation, cishe wonke umuntu oneminyaka engaphezu kwengu-60 kunenani lokuncipha kwensimbi (njengoba kuboniswe yi-MRIs.) Kodwa akubona bonke abazozwa ubuhlungu.
Uma ama-discs ewa phansi ngokuphelele, i-Arthritis Foundation iyaqhubeka, izingxenyana zezinhlangothi ezingemuva komgogodla zingase ziqale ukuxubana, ziholele ekuboniseni izimpawu ze-osteoarthritis, ubuhlungu obukhulu nokuqina.
Izinto ezenza ukuguqulwa kwe-disc zihlanganisa ukuma okungenakugwemeka okuza nobudala. Ukumisa kunciphisa ikhono le-disc lokuthola ukushaqeka. Ama-discs ayenawo ama-blood supply, okusho ukuthi uma bedalwe, ukuphulukiswa kunzima kakhulu. Lokhu kumandla okuphulukiswa okulinganiselwe kwama-disc ngokuvamile kuvame futhi / noma kugcizelela inqubo yokuwohloka okuholela ekuguquleni komgogodla.
Mhlawumbe imbangela evamile kakhulu yobuhlungu obungapheli obuya emuva, ukuhlukunyezwa kwe-disc kungathatha izinhlobo eziningi. Esikhathini esiningi, ukuphazamiseka kwangaphakathi kwe-dis (IDD) kungumsuka wenkinga. Ukuphazanyiswa kwe-disc yangaphakathi kungenye igama lokulimala kwesikhumba sangasese, ukuwa kwe-disc kanye / noma ukwehluleka kwemishini yediski, kungabi nezinguquko ezihambisana nokuma kwidiski (njengoba kubhekwa ngaphandle) futhi akukho ukushintshwa kokugcina kwe-vertebral. I-IDD iyinkampani yemitholampilo yonke yayo. Ngamanye amazwi, akufani nesifo se-disenerative disc noma i-disc herniated.
Ubuhlungu be-discogenic yigama elinikezwe ubuhlungu obubangelwa i-IDD.
Izimpawu Zokuhlaziya Amarekhodi
Izimpawu zokudonswa kwama-disk zivame ukwenzeka lapho umonakalo ukhona khona. Izimpawu zingafaka ubuhlungu (obunzima kuya obukhulu) obubuhlungu uma uhlala, uphakamise, ugobe noma uphenduke. Ubuhlungu bungase buze futhi bube ngcono uma uhambisa umzimba wakho. Ubunzima, ukuthambisa kanye / noma umlenze obuthakathaka (uma kwenzeka ukuguqulwa kwe-lumbar disc) okuhambisana nosizi kungabonisa ukulimala komuthi owodwa noma ngaphezulu wezimpande zomgogodla .
Odokotela bahlukanisa izinhlobo zobuhlungu ezihlobene nokwehla komgogodla ngezigaba ezine. Ubuhlungu be-axial ubuhlungu obuba khona nasemaphethelweni emgodini wesibeletho. I-Radiculopathy ubuhlungu kanye nezinye izimpawu ezivela ezimpandeni zesisu somgogodla. I-myelopathy ibhekisela ebuhlungu kanye nezinye izimpawu ezihlobene nomonakalo emthonjeni womgogodla (izibonelo zezibonakaliso zesifo somzimba zibandakanya izinkinga zokusebenzisana noma izinkinga, kanye nezinkinga zesibindi noma inkinga). Izimpawu ze-myelopathy zivame ukuba yingozi nakakhulu kunempawu ezihlobene ne-radiculopathy noma lezo ezilinganiselwe emgodleni we-axial.
Isifo socansi (DDD) sifana nobuhlungu obuhlobene ngqo ne-disc futhi akukho okunye okunye. Kutholakala ukuthi uma udokotela wakho engakwazi ukuthola isizathu, ngaphandle kwediski ngokwalo, ukuchaza ukuthi ubuhlungu bakho bukhona. Ukuze ufinyelele ekuxilongweni kwe-DDD (kanye nokuxilongwa kwezinye izinhlobo eziningi zezinkinga zomgogodla) udokotela wakho cishe uzosebenzisa umlando wezokwelapha, ukuhlolwa ngokomzimba kanye ne-MRI. Okunye ukuhlolwa okusiza ukuqinisekisa izikhalazo zodokotela wakho kungabandakanya i-ray ray kanye / noma ukucasula i-discography.
Ukwelashwa Kokuhlaziya Ama-Discs
Ngokuqondene nokwelapha, ngokuvamile ukunakekelwa okulondoloziwe kunokwanele ukuphulukisa izimpawu. Ukunakekelwa kokugcinwa kwemvelo ngokuvamile kuhlanganisa ukwelapha ngokomzimba, ohlelweni lokuzivocavoca ekhaya, ukuhlala usebenza ngaphakathi kwemingcele ebekezelelekayo, imithi yokwelashwa kanye nokujola umgogodla. Uma ubuhlungu buqhubeka, buhlungu kakhulu, noma uma izimpawu ze-myelopathy (okukhulunywe ngenhla) ziphazamisa isithumba sakho kanye / noma ukusebenza kwesikhumba, udokotela wakho angase aphakamise ukuhlinzwa.
Kanye nokunciphisa ubuhlungu, ukuphumelela kokwelashwa kwama-discs ahlaziyekayo kulinganiswa amandla akho okusebenza empilweni yakho yansuku zonke-izinto ezifana nokukwazi ukuhamba, ukuma, ukuhlala nokuphakamisa izinto ngaphandle kobuhlungu, ukwazi ukuhlanganyela empilweni yomphakathi nomkhawulo obuncane , uhamba kahle futhi ukhulume ngokuningi ngokuqondene nokuphatha kahle futhi / noma ukuphulukiswa ekushintsheni okuguqukayo kumarekhodi wakho.
I-Arthritis yomgogodla kanye nesifo sokugaya komzimba
Ukuhlukunyezwa kwe-Disc ngokuvamile kuholela ekuhloleni kwe-osteoarthritis emajoyini atholakala ngemuva komgogodla (izingxenyana zezinhlangothi.) Ngokuhambisana ne-hypertrophy nokubunjwa kwe-spurs, uxhumano lwe-bone-on-bone oluphumela ekushintsheni kokulungiswa komgogodla ngenxa yokuwa kwe-disc kungabangela ubuhlungu nokuvuvukala ezicini. Ukukhula okungavamile kwamathambo (i-facet joint hypertrophy) kuguqula isimo se-vertebrae yakho futhi kungangena ezindaweni nezimbobo ezikulo nangaseduze kwekholomu yomgogodla. Uma kwenzeka lokhu, intambo yomgogodla kanye / noma izimpande zesikhumba somgogodla zingase zithukuthele njengoba zihlangana no-spurs.
I-osteoarthritis yisifo esiqhubekayo, kodwa ungasiza ekunciphiseni ngokusebenza ngobuqotho nodokotela nodokotela wakho. Ukuzivocavoca abakunikeza ukuthi ukwenze ekhaya kubaluleke kakhulu ekuphatheni izinga lokuqhubekela phambili. Mhlawumbe, bazobe batusa ukuthuthukiswa kokuguquguquka, ukuqinisa imisipha kanye no- noma ukuvivinya umzimba okuncane njengama-aquatics.
Kodwa uma lesi sifo sibonakala singase sikholele ekuguleni kwesisu. I-stenosis yomgogodla ukululaza kwezikhala lapho kuhamba khona izinzwa nezintambo, okungukuthi umgogodla womgogodla kanye ne-intervertebral foramen. Izinhlobo ezimbili ze-stenosis emgodleni ziyi-Canal kanye ne-foraminal stenosis.
Isibonakaliso se-classical stenosis ye-spinal is a claudication neurogenic okuyinto ebuhlungu ekuhambeni nasekumi, okuvame ukukhululeka uma uhlala noma ulala phansi. Ezinye izimpawu zihlanganisa ukuxilonga noma ubuhlungu kanye nezimpawu zesibindi ezithinta ingalo eyodwa noma umlenze kanye nemigqa eqinisiwe. Amagundane omgogodla aqinile, ikakhulukazi i-ligament flavum, anganezela kwisici sokungenelela, ngaleyo ndlela enezela ekucaseni kumcibisholo wakho womgogodla kanye / noma intambo yomgogodla.
Njengazo zonke izinhlobo eziningi zezimo zomgogodla eziguguzayo, ukukhululeka kobuhlungu nokusebenza okukhulayo kungafinyelelwa ngokunakekelwa ngokucophelela. Udokotela wakho angase anikeze ukwelapha ngokomzimba nemithi elwa nokuvuvukala. Uma izimpawu kufanele ziqhubeke, ingase ikudlulisele kudokotela ohlinzayo ngokudambisa. Inhloso yokuhlinzwa okubuyiselwa emuva ekukhuliseni ukukhulisa izikhala ezifakiwe. Kuthiwa ukuthi le nqubo emuva isiza abantu ukuba bahambe phambili futhi bahlale isikhathi eside isikhathi sinokukhathazeka okuncane. Uma umgogodla wakho ungahlali kahle, udokotela wakho ohlinzayo angase afakaze indawo. Lokhu kungabandakanya ukuthatha isifuba esikhwameni sakho bese uyibeka emgodleni wakho noma ukufakwa kwesitshalo sezinto zensimbi ezifana nezikrini nezintambo.
Umthombo:
I-American Academy Yabahlinzeki Bama-Orthopedic. I-Osteoporosis ne-Spinal Fractures-I-Web Page Ye-OrthoInfo. http://orthoinfo.aaos.org/topic.cfm?topic=A00538.
I-Arthritis Foundation. Izifo Zama Disc Degenerative. I-Arthritis Foundation. http://www.arthritis.org/about-arthritis/types/degenerative-disc-disease/
Colby, S., Ortman, J. I Baby Boom Cohort e-United States: 2012 kuya ku-2060. Meyi 2014. https://www.census.gov/prod/2014pubs/p25-1141.pdf
I-Kanter, i-AMD, i-Asthagiri, i-AMD, i-Shaffrey, i-CMD i-Aging Spine: Izinselele kanye Nezinqubo Zokuvusa. I-Contress ye-Surgeon website. 2007. https://www.cns.org/sites/default/files/clinical_neuro/chapter3_1.pdf