Iyini i-Spondylolisthesis?

by U-Anne Asher, i-CPT

Iyini i-Spondylolisthesis?

I-spondylolisthesis ivela lapho i-vertebra ishiya indawo eseduze ne-vertebra ngaphansi kwayo. Le-slippage ingaba i-anteriolithesis noma i- retrolithesis.

Okuhlobene: Izinhlobo ezimbili ze-Spondylolisthesis

Ngubani osemngciphekweni we-spondylolisthesis?

Izingane ezithintekayo ezemidlalo ezifana nokuzivocavoca kanye nokudilika zinomphumela ophezulu we-spondylolisthesis.

Lezi zemiidlalo nezinye izinto zibeka ukucindezeleka okukhulu ngemuva, ikakhulukazi ukuhamba kwe- hyperextension (ukuguqula emuva) .

I-Spondylolisthesis iyenzeka nakubantu abadala emva kweminyaka engama-40, ngenxa yokwehla .

Izimbangela ze-Spondylolisthesis

I -spondylolysis iyimbangela evamile kakhulu ye-spondylolisthesis. Lokhu ususally iqala ngenkinga endaweni ehlanganisiwe eyaziwa ngokuthi i-pars. Ngokuhamba kwesikhathi, ikakhulukazi uma ingelashwa, ukulimala noma ukukhubazeka kwamaphilisi kungathuthuka ibe yi-spondylolysis. Uma isisindo sitholakala, i-spondylolysis iba isipondylolisthesis. Ngezinye izikhathi izakhi zofuzo zibeka abantu phambili ekufeni okungenakuqala, kepha hhayi ngaso sonke isikhathi; lokhu kuthiwa i-spondylolisthesis ye-dysplastic.

Ezinye izimbangela zihlanganisa ukuguqulwa kwesifo sokuguga noma isifo se-arthritic emgodini, ukuthungathwa, noma isifo sefu njengesihlungu.

Amabanga we-Spondylolisthesis

I-Spondylolisthesis ibalwa ngamamaki (ama-degree) we-slippage. Kunamamaki angu-4., Ngalinye limelela ama-25%.

Ngakho-ke, isibonelo, uma isiguli sibalwa ukuba sibe ne-Grade 2 Spondylolisthesis, lokhu kusho ukuthi i-vertebra engu-2 eseduzane igcina uxhumano olungama-50% komunye nomunye.

Amabanga alinganiswa ngokuthatha umbono ohlangothini lwe-X-Ray.

Ezinye izindlela zokuxilonga, ezifana nokuhlola kwe-CT noma i-MRIs zingase zisetshenziselwe ukunquma umonakalo wezicubu ezungezile.

Ukwelashwa kwe-Spondylolisthesis:

I-Spondylolisthesis iphathwa ngokulandela iBanga. Emabangeni 1 no-2, ukwelashwa okulindelekile, kuhlanganise nokwelashwa ngokomzimba, umzimba wokuzivocavoca, ukwelula nokusetshenziswa kwe-brace kuvame ukunikezwa. Ingabe lezi ziphumelela?

Ukubuyekezwa okuhlelwe ngo-2003 okushicilelwe encwadini ethi Therapy Therapy kutholakale ukuthi ukungenelela okukhethekile okuhlinzekwa ngokuzivocavoca okunikezwa yedwa noma okuhambisana nezinye izindlela zokwelapha, kungase kukhululeke ubuhlungu obuphansi obuya emuva. Ngaphandle kwalokhu, abacwaningi bathi, abanalo ulwazi oluthe xaxa lokunikeza lokho okusebenzayo nokungenzani.

Ngokushesha ngokushesha eminyakeni engu-10 kamuva, futhi enye yokubuyekezwa okuhlelekile, futhi eyanyatheliswa ku- Manual Therapy , yabika ukuthi akukho ukuvumelana okungafinyelelwa ukuthi ukukhathazeka okungasebenzi (izibonelo zokwelashwa okungasebenziyo zihlanganisa ukwelapha ngokomzimba kanye nemithi) kwakuphumelela kakhulu kunokuthola ukuhlinzwa. Kodwa ngaphambi kokuba usheshe ukuvakashela i-neurosurgeon, cabanga ukuthi izifundo ezibukezwayo, ngokusho kwabalobi, zinezinombolo eziningi.

Okuhlobene: Ingabe Ukudluliselwa Kwa-Neurosurgeon Kusho Ngokuqondile Ukuhlinzwa Kwangemva?

Amabanga aphakeme e-Spondylolisthesis angadinga ukuhlinzekwa kwe-fusion, kodwa lokhu ukwelashwa kungase kungasebenzi. Ukubuyekezwa okuhlelekile okwenziwa yiDatabase yaseChchrane kwathola ukuthi imiphumela yezifundo ezihlola ukuhlinzwa (nezinye izifo) ze-spondylolisthesis ziphikisana.

Ngenxa yalokho, abacwaningi baphetha ngokuthi ezinye izici zokuhlinzwa zingasiza, kuyilapho ezinye zibuzwa. Baphinde bathi izifundo eziningi kule ndaba ziyadingeka.

Okuhlobene: Ukuguqulwa kwe-Spondylolisthesis Treatment

_Imithombo:

_{UGaret M, iPhalamende likaReiman, uMathers J, uSyvava J. Ukwelashwa okungasebenzi ngaphandle kwe-spondylolysis lumbar kanye ne-spondylolisthesis: ukubuyekezwa okuhlelekile.} _{Ezemidlalo zezemidlalo 2013. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0062554/}

_{McNeely ML, Torrance G, Magee D J. Ukubuyekezwa okuhlelekile kwe-physiotherapy ye-spondylolysis ne-spondylolisthesis.} _{I-Manual Therapy 2003. Ifinyelelwe: Feb 2016. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0020737/}

_{I-Spondylolisthesis.} _{Iwebhusayithi ye-MedicineNet.} _{Ifinyelelwe ngo-Dec 3 2013. http://www.medicinenet.com/spondylolisthesis/article.htm}

_{I-Spondylolisthesis.} _{I-PubMed Health.} _{Kufinyelelwe: Feb. 2016.}

_{Ukwelashwa kwe-spondylosis ye-lumbar ekhubazekayo.} _{I-Cochrane Database Yezibuyekezo Ezihleliwe: Izinhlawulo Zolwazi Oluphansi [I-intanethi].} _{2008. Kufinyelelwe: Feb. 2016. "> Http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010999/}