Osteoarthritis inogona kukanganisa nhengo ipi zvayo mumuviri, kusanganisira musana. Osteoarthritis yepempa inoitika apo kune kuora kwema discs pakati pemiti yemitete. Kunyanya kuongororwa uye kurapwa kunobatsira vanhu vane osteoarthritis yemusana kugadzirisa zviratidzo zvavo.
Cause of Spine Osteoarthritis
Kuora kweiyo ma diski pakati pemiti yepamusoro inogona kukonzerwa ne:
- kudzokorora kunetseka kusvika kumucheto kubva pangozi, mitambo yemitambo, mabasa ebasa, kana kushaya mamiriro mashoma
- kukwegura kwemasimba emumunwe kubva pakutanga kana munhu ari mumakore makumi matatu
- kuwandisa kana kuora muviri, izvo zvinowedzera mutoro pamakumbo anorema kuwanda semusana
- nhoroondo yemhuri ye osteoarthritis, zvikurukuru yemutsara
- kushamwaridzana nezvimwe zvirwere zvakadai se rheumatoid arthritis , gout, chirwere cheshuga , uye zvirwere
Nepakutanga osteoarthritis yemukona, chikonzero chacho hachizivikanwe uye chinowanzotaurwa kuti kukwegura. Kana chinokonzera ichizivikanwa (kureva, kukuvadza, zvimwe zvirwere, kuneta), inonzi inonzi osteoarthritis yechipiri yemutsana.
Kuongororwa kweSpine Osteoarthritis
Chero chero murwere ane kurwadziwa kwepfungwa kunopfuurira kwevhiki dzinopfuura mbiri anofanira kubvunza chiremba. Kuongororwa kweasteoarthritis yemutsana kuchazotevera:
- nhoroondo yezvokurapa
- kuongorora kwezviratidzo
- kunyatsoongorora
- x-rays kana zvimwe zvidzidzo zvekufungidzira zvepamusoro
- mamwe mimwe miedzo (yakadai sekuongororwa kweropa, bone scans, MRIs) inogona kurairwa kutonga kunze kwemamwe mamiriro
X-rays chete haabvumiri ruzivo rwakakwana kuti ihwo chete hutachiwana hunoshandiswa hunoshandiswa. Vanhu vazhinji vane makore anodarika makumi matanhatu vane hutachiona hunochinja muhutano hwehutano hwehasteoarthritis, asi vanopfuura 80 muzana vavo havasi kurwadziwa kana kuoma mumutsipa.
Kuongorora chirongwa ichi chinonyanya kukoshesa apo varwere vane zviratidzo uye chiremba anokwanisa kutarisa pasi chikonzero chezviratidzo izvozvo. Chirwere chakarurama chinodiwa chinoda kurapwa kwakakodzera kunotanga.
Zviratidzo zveSpine Osteoarthritis
Kuora kweiyo dhiyabhorosi pakati pemiti yepamusoro yepamusoro kazhinji inowanzoitika zvishoma nezvishoma uye inotungamirira kuderedza nzvimbo dzepakati pemagetsi. Mabhesi anoputika kana maosteophyte anowanzobudirira. Sezvo pfupa rinotanga pakupedzisira richidonha pfupa, zvinyorwa zvomuviri (zvinowanzonziwo seganda rekudzivirira) zvinopisa uye kune huwandu hwekuwedzera huri pamwe chete. Pasi pezvikamu zvepadhesi zvakaputirwa nechetitirati. Zviratidzo izvo zvinoguma zvinosanganisira:
- kurwadziwa mushure kana musana
- kuoma kwemutsipa
- kurasikirwa kwechimiro muhutano
Osteoarthritis inogona kuitika mumuviri wemutsipa (mutsi), thoracic (pakati-kumashure), kana kuti nhengo dzemuzasi (kumashure) kumashure. Nechipical osteoarthritis, kurwadziwa kwemutsipa kunogona kupenya mufudzi kana pasi kweimwe maoko. Osteophytes munharaunda yedzinza inogona kukonzera kushungurudzika kwehutano nekushaya simba mumaoko. Mavanga eOsteoarthritis munharaunda yemumhino yepamusoro inowanzokonzerwa nekufamba kwekufamba kwemawere uye kutengesa.
Osteoarthritis yechipfuva chemukati wemukaka inoratidzirwa nekuoma kwemangwanani (kwemaminitsi makumi matatu) uye kazhinji inosanganisira zvinopfuura vertebrae imwechete. Zviratidzo zvinogona kukuvadza mushure mekuita basa, kudzokororazve, uye kugara kwenguva yakareba. Kurwadziwa shure kunogona kuva dambudziko rinoramba richiitika.
Kurapa Kwepine Osteoarthritis
Kune mishonga isingashandisi uye yekuvhiya yepastaarthritis yomumapapiro:
- mishonga inosanganisira NSAIDs , acetaminophen , uye analgesics opioid
- physically therapy
- kurovedza muviri
- kuonda
- kupisa kana kutonhora
- mvura therapy
- massage
- TENS
- bracing
Vanhu vakawanda vane matambudziko ekuderedza dambudziko havadi kuvhiyiwa.
Mumwe chete kubva kune vatatu varwere anoda kuvhiyiwa, asi vaviri vevatatu vanobatsirwa nemishonga inogadziriswa. Kana maitiro anochengetedza akakundikana mushure mechinguva, nguva yekuvhiya iripo kusanganisira lumbar laminectomy, discectomy uye spinal fusion.
Sources:
Kunzwisisa Osteoarthritis yeChinze. Spine-health.com. 6/7/2005.
Spondylosis (Spinal Osteoarthritis). SpineUniverse. Yakasvika 9/8/2007.
Lumbar Degenerative Disc Disease. eOrthopod. Yakasvika 9/6/2007.