Kwabantu abane-osteoporosis noma i-osteopenia, ukukhula akulula. Lezi zifo ezihlobene nazo, ezibonakala ngamathambo amancane futhi abuthakathaka, ngokuvamile ziholela ekuqotheni kwe-vertebral fractures - noma ukubeka kalula, ukuphuza amathambo emilenzeni yomgogodla.
Eqinisweni, i-International Osteoporosis Foundation ithi i-osteoporosis ibangela ukuphuka kwesinye (kwanoma yiluphi uhlobo) njalo ngemizuzwana emithathu.
Ubani obathinteka kakhulu yizifo ezihlobene nokuhlukunyezwa okubangelwa yi-osteoporosis noma i-osteopenia? Ngokuyinhloko abesifazane abadala futhi asebekhulile (nakuba abantu besengozini, futhi.) Ucwaningo lwe-2012 olwanyatheliswa yi- Journal Permanente lathola ukuthi cishe amaphesenti angu-25 kuwo wonke ama-postmenopausal abesifazane abhekana nokuphazamiseka komgogodla isikhathi esithile empilweni yabo.
Uma ungowesifazane oneminyaka engama-50 futhi uhlala nezifo, une-1 ku-3 ithuba lokugcina ukuphazamiseka komgogodla, ngokusho kwe-International Foundation of Osteoporosis. Futhi, kungenzeka ukuthi uphinde uphuke esikhathini esizayo.
Kanye nobuhlungu besikhathi emuva (kokubili isikhathi esifushane sishaya futhi sihlale sikhathele isikhathi eside) ukwehlukana komzimba kungabangela ukukhubazeka komgogodla, ukukhubazeka noma ukwehlisa ikhono lokufeza imisebenzi yakho yansuku zonke, ukunciphisa izinga lokuphila kanye nezindleko zezempilo eziphakeme.
I-meta-analytical protocol, eyanyatheliswa ngo-2017, ibika ukuthi ama-vertebral fractures avame ukuvela ngemva kokuwa kwephambi kololongo lomgogodla.
I-Vertebral Compression Fractures
I-vertebral compression fractures ngokuvamile ivela lapho ingxenye yangaphambili yomuthi wesipelingi (ebizwa ngokuthi umzimba we-vertebral futhi ixoxwa ngokuningiliziwe ngezansi) -ngakhathaliseki ukuthi kungani - ayikwazi ukusekela umthwalo womgogodla. Ngenkathi i-osteoporosis ehlobene neminyaka noma i-osteopenia ivame ukudlala indima enkulu ekuqaliseni ukuphazamiseka komgogodla (ikakhulu lapho kucatshangelwa inani lamacala emphakathini jikelele) nezinye izimbangela zikhona.
Lezi zingabandakanya ukulimala emgodleni, kanye nezifo ezithinteka amathambo (isibonelo, umdlavuza noma ukutheleleka.)
Izimpawu zokuphulwa komzimba wokugulisa umgogodla zihlanganisa ubuhlungu obunzima obubuhlungu obunzima obuya emuva uma uphumula. Indawo eseduze nendawo yokulimala ingaba ithenda ekuthinteni, futhi. Ungase ube nesifo se-radiculopathy, noma izinzwa ezihlobene ne-nerve (kanye nokubuhlungu, okuyiqiniso) okwehla umlenze noma ingalo, nakuba lesi simiso sezimpawu singavamile uma kwenzeka ukuphuka komgogodla. Ubuhlungu bungenzeka uma uguqa noma uphazamisa umgogodla wakho.
Ukuhlukunyezwa kwama-fractures kuvame ukuholela ekulahlekelweni kokuphakama kwe-vertebral, nokubuyisela lokho kuphakama umgomo wokuhlinzwa okwenzelwe lokhu kulimala. Ukulahlekelwa ukuphakama ngokuvamile kubangelwa ukuhlelwa kabusha kwethambo lomgogodla, okungukuthi, umzimba we-vertebral, ekujuleni komgqa, okuvame ukwenzeka njengomphumela wokuwa. (Indandatho yebony ehlanganiswe ngemuva komzimba we-vertebral ihlala inganqamuki, noma kunjalo.)
Qonda umzimba we-Vertebral
Njengoba kukhulunywe ngenhla, ukuhlukumeza komgogodla kuphazamisa kakhulu umzimba we-vertebral. Umzimba we-vertebral yiyona ingxenye enkulu kunazo zonke zethambo lomgogodla, futhi uqukethe ingxenye yangaphakathi ye-vertebra, okusho ukuthi itholakala ngaphambili, ngokuhambisana nesendandatho sebony ehlanganiswe kuso.
Kusuka kombono ohlangothini, phambili komzimba we-vertebral usondele eduze komzimba wakho, ngenkathi indandatho yebony isondela ngemuva.
Umzimba we-vertebral ngokuvamile uhlotshaniswa njenge-cylinder emfushane. Ngokwejwayelekile, amathambo omgogodla angenalutho, lesi simo se-cylindrical siyashintsha kancane, kuncike ekutheni sitholakala emtholampilo (entanyeni) thoracic (phakathi nendawo / noma ngaphezulu) noma ezindaweni ezingenalutho zomgogodla. (Okufanayo nakwezinye izingxenye ze-vertebra; ngokwesibonelo, izinqubo ze-spinous ngemuva kwe-vertebrae yomlomo wesibeletho ziyancipha kakhulu kunezinye izigqoko ze-lumbar.)
Imizimba ye-vertebral in the lumbar spine yinkimbinkimbi, inamandla futhi yakhiwa ngokuqondile kunama-vertebrae we-thoracic kanye nomlomo wesibeletho.
Lokhu kungenzeka kuhlobene nesisindo esengeziwe esidingekayo se-vertebrae ye-lumbar uma kuqhathaniswa ne-thoracic nomlomo wesibeletho, ezitholakala ngaphezu kwazo.
Imizimba ye-vertebral ye-spine stack phezulu komunye nomunye ukudala ikholomu ye-vertebral . Imizimba ye-vertebral isiza ukunikeza ukwesekwa okubalulekile kokuhlala, ukuma, ukuhamba nezinye izinyathelo. Phakathi kwemizimba ye-vertebral yi- discs intervertebral , ukuhlinzekela ukuxoshwa nokukhathazeka.
Imizimba ye-vertebral iphinde inikeze (ngokuhlanganiswa nezinye izingxenye ze-vertebra) imingcele yezikhala lapho umgogodla uhamba khona, kanye nezinzwa zomuthi eziphuma emgodleni endleleni yazo zonke izingxenye zomzimba.
Ukwelashwa kwe-Vertebral Compression Fractures
Amathrekhi amathanjeni aphukile asemaphandleni ahlanganisa ukuhlinzwa nokunakekelwa okuqaphayo. Ukuhlinzwa okuvame kakhulu kunikezwa ibhaluni i-kyphoplasty ne-vertebroplasty ene-percutaneous. Zombili izinqubo zizama ukubuyisela ukuphakama okulahlekile kumathambo ahlakazekile. Ukuqapha, ukuhlinzekwa okungenakekelwa kwe-aka, kungahle kube nokuphumula kombhede, imithi, ukugqoka i-back brace kanye / noma ukwelashwa ngokomzimba. Uma uhamba ngomzila oqaphayo, yazi ukuthi ukuqinisa umgogodla wakho kuyoba yingxenye ebalulekile yokwelapha kwakho.
Umthombo:
I-Alexandru, i-DMD, Ngakho-ke, ukuhlolwa kwe-WMD nokuphathwa kwe-Vertebral Compression Fractures Perm J. 2012; 16 (4): 46-51.
> Kan, S., Yuan, Z., Chen, L., Sun, J., Ning, G., Feng, S. Yikuphi okungcono ukuhlukunyezwa kwe-osteoporotic vertebral fractures: ibhaluni kyphoplasty, i-vertebroplasty noma i-non-surgical treatment? Inqubo yokutadisha yenethiwekhi ye-network ye-Bayesian meta-analysis. Jan. 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5253565/
> Abesifazane abangaphezu kuka-50 bayothola i-osteoporotic Fractures, njengabantu abazokwenza. Amaqiniso nezibalo. Iwebhusayithi ye-International Osteoporosis Foundation. https://www.iofbonehealth.org/facts-statistics