Arthritis idambudziko rinowanzoitika mumakumbo emakumbo anokwanisa kutungamirira kune zviratidzo zvakawanda zvakasiyana. Lumbar spine arthritis inowanzoonekwa muvatana vakwegura asi inogona kuonekwa mumazera ese. Varwere avo vari pangozi yakakura yekudzidzira lumbar spine arthritis vanosanganisira:
- Vakuru vakwegura
- Vanhu vakaoma
- Vashandi vane simba
- Vaya vane kukuvara kwakapfuura kumusana
Arthritis ye lumbar spine chinetso chinowanikwa muzvibatanidza zvinosangana imwe neimwe yepelinha kana vertebrae. Mavara acho akabatanidzwa munzvimbo nhatu. Pamberi pemutsipa wepelinha, vertebrae inoparadzaniswa nemukati-wakafanana nemaspinal disc. Pasi pemutsara wepelinha, vertebrae inobatana nemaviri maviri mazita anonzi facet joints. Izvo zvikamu zvepaduku , pamwe chete nemusana wepelinha, inobvumira kufamba kwepamusoro kusanganisira mberi kupfugama, kuvhara shure kwako, kana kumativi ekubhururuka.
Chirwere chetachiona chinowanzoitika kune imwe musana ndeye osteoarthritis kana kupfeka-uye-kubvisa arthritis. Apo osteoarthritis inowanikwa mumutsana, vanachiremba vanotaura izvi se spondylosis . Apo mazamu emumumumvuya anova arthritic, kufamba kwepemusoro kunorwadza uye kwakaoma. Lumbar spine arthritis inowanzoonekwa pamwe chete nedzimwe maruva emvura zvinosanganisira:
- Disc Degeneration
Sezvo chikwata chinosangana chichibuda mumararita echirwere, dhayi rinogona kupera nguva. Facet arthritis inowanzoenda pamwe nehutachiona hwechirwere chepumbwe.
- Spinal Stenosis
Spinal stenosis inowanzoonekwa kune varwere vane lumbar spine arthritis. Sezvo arthritis ichifambira mberi, nerve inova pinched, zvichiita kuti zviratidzo zvepinini stenosis. Zviratidzo izvi zvinogona kusanganisira kurwadziwa kwemakumbo, kupera simba, kurira, uye kuoma kufamba.
Zviratidzo zveSpinal Arthritis
Arthritis yecumbar spine kazhinji inokonzera kuoma nekurwadziwa muzasi.
Varwere vanowanzocherechedza musana wavo unonyanya kuoma mangwanani-ngwanani mushure mokubuda pamubhedha uye unogona kusunungura pamusoro pezuva rezuva. Zviratidzo zvinowanzowedzera kuwedzera nekuita kwenguva yakareba kana kunetsa.
Apo imwe nhengo yemakumbo inobatanidza arthritis inowedzera, majoini anoumba mapfupa emapfupa, maronda anowedzera kubva kuvhuvhuta, uye mitsipa yakapoteredza majoini aya inogona kudonhedzwa. Uyu ndiwo mamiriro ezvinhu anonzi spinal stenosis, anowanzoonekwa muvarwere vane lumbar arthritis. Varwere ava vanowanzoona zviratidzo zvinowanzoonekwa zvepinini stenosis.
Lumbar Spine Arthritis Treatment
Kurapa kwe lumbar spine arthritis kunobva zviratidzo zvinowanikwa nemurwere. Mishonga nguva dzose inotanga nezviyero zviri nyore uye inowanzobatanidzwa kana varwere vasingagoni kuwana zororo nematanho aya akareruka.
Mimwe yemishonga inowanikwa ku lumbar spine arthritis inosanganisira:
- Therapy Therapy
Chirwere chepanyama chinoshandiswa kusimbisa musimba wekambaruru. Nekunatsigira zviri nani musana nemasimba akasimba, zvishoma zvemutoro zvinowanikwa pazvikamu zvehutano. Kunyangwe mune varwere vane kukodzera uye vanoshingaira, misumbu inopoteredza musana inogona kusimbiswa zvakare kuti kuderedza zviratidzo. - Kuonda
Kurasikirwa uremu ibasa rakaoma kune varwere vane majoka akapera. Zvisinei, kurasikirwa kunyange huwandu hwehuwandu hunowanzoita danho rakakwana rekudzivirira marwadzo. Nokubvisa kunyange makirogiramu gumi kana kupfuura, zvikamu zvepadhesi zvichatsigira zvishoma pane mutoro, uye kurwadziwa kunogona kugadziriswa zvakakwana.
- Anti-Inflammatory Medication
Anti-inflammatory medication inogona kuderedza chiyero chekuvhiringidza kumativi ese arthritic. Nokuderedza kupisa kwekupindura, marwadzo anowanzoderedzwa. Nguva dzose shandisa mishonga inopesana nekuputira pasi pekutarisira kwachiremba wako. - Ice & Heat Applications
Ice uye kupisa zvinoshanda zvinogona kuva zvakakosha pakuderedza marwadzo kumashure. Varwere kazhinji vanoona kuti kupisa kunonyanya kushanda kusati kwaitwa "kusunungura" mutsara, uye ice inoshandiswa zvakanakisa mushure mekuita mabasa anonetsa. - Chiropractic Treatment
Chiropractors anobata kurongeka kwepasepa, kazhinji nekugadzirisa kunonzi kushandiswa. Iko kurapwa hakugadziri kutenderera kwemusana , asi kunogona kupa hurombo hwakanaka hwekutambudzika. Kazhinji kuregererwa kwechinguva, asi chirwere chechiropractic chirongwa chinonzwisisika chokufungisisa panguva yekurwisa-lumbar arthritis.
- Alternative Treatments
Zvimwe zvirwere zvinosanganisira kupora, kushambadza , magnet therapy , mishonga yemasikirwo , uye vamwe . Hapana mubvunzo kuti varwere vakawanda vanowana zororo rakakura kubva kumarudzi aya emishonga. Kunyange zvazvo zvidzidzo zvesayenzi zvakashaya kutsigira idzi kurapa, vazhinji vane zvishoma zvingava nemigumisiro yechirwere uye zvinorapwa zvinonzwisisika kuedza. - Epidural Injections
Epidural injections inzira yekupa steroid kupoteredza nzvimbo yeArthritis. Cortisone isimba rinopesana nekuputira . Kushandisa nenyuchi kunobvumira mishonga kuti iendeswe zvakanaka munzvimbo yeArthritis. Mune varwere vane arthritis yechinhu chimwe chete chakabatanidzwa, chirwere chinonyanya kujeka, chinonzi chisarudzo chekusarudza chijojo chakabatanidzwa, chinogona kuitwa. - Spinal Fusion Surgery
Simba fusion ndiyo nzira yekuvhiya inoshandiswa kugadzirisa kufamba pakati pemiti yakabatana. Apo dzimwe mishonga dzose dzinokundikana kupa ruzivo rwezviratidzo, ruvara rwemapapiro runogona kuva rungarudzo yakanaka yekurapa kwechiremera chakasimba cheArthritis.
Sources:
AS Hilibrand uye N Rand "Degenerative lumbar stenosis: kuongororwa uye kutungamirirwa" J. Am. Acad. Ortho. Surgery., Jul 1999; 7: 239 - 249.
HN Herkowitz uye KS Sidhu "Lumbar Spine Fusion muKurapwa Kwezvakaitika Zvokuita: Zviratidzo Zvinoenderana Nemazano" J. Am. Acad. Ortho. Surgery., May 1995; 3: 123 - 135.
Shen FH, et al. "Nonsurgical Management of Acute uye Chronic Chronic Back Pain" J. Am. Acad. Ortho. Surgery., August 2006; 14: 477 - 487.