Ngozi dzeSpinal Fusion dzeDegenerative Disc Disease

Uri Mungozi Yekare Chikamu Kuvandudzwa?

Kana uri kutarisa chirwere chepelinus fusion nokuda kwechirwere chinoderedza kana zvimwe dambudziko, unogona kunge uri panjodzi yeAIDS. ASD inopfupika kune imwe nzvimbo yakasara inopera, kana kuwedzera kupfeka uye kubvarura pamakumbo emumumvuri kumusoro uye pasi peharaunda yekusanganiswa. Heano zvinhu zvishanu zvinowanzoisa njodzi dzeAIDS.

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Chikonzero Chekuvhiya Kwako Kare

Zvichienderana nehutachiona hunotungamirira kuvhidhiyo yako kumashure , unogona kunge uri pangozi yeAIDS .

Dr. John Toerge, chiremba weosteopathic, purofesa wezvokurapa paGeorgetown University, uye Murapi Mukuru weNational Rehabilitation Hospital yeMusculoskeletal Institute, anoti vanhu vanowanikwa musipinha fusion nokuda kwehutachiona hwechirwere zvirwere zviri kuwedzera ngozi yeAIDS. Toerge anoti izvi ndezvokuti kuora kwave kutotanga mumatunhu ari kumusoro nepamusoro penzvimbo yedambudziko, kunyange iwe ungasave wakacherechedza zviratidzo. Kazhinji, chiremba chiremba haaiti futi iyo iri pedyo, anowedzera.

Toerge inotaura kuti varwere vane arthritis yakaoma vanogonawo kunge vari pangozi yeAIDS. "Vanhu ava vane zvishoma zvigadzirwa zvinogona kuderedza ngozi," anotsanangura kudaro. "Nokuderedza simba rekusimba, varwere vane arthritis yakakura vane nzvimbo shoma yekukanganisa, uye saizvozvo, vanowanzoita kuti vawedzere kupera mumutsara."

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Age Your

Iyo yakawanda yakagamuchirwa kuti zera rinoita basa rinokosha munjodzi yeAIDS.

Apo patinenge takura, mapepa edu anowanzosvibisa, izvo zvinoomesa pfungwa yokuti kuseri kwekare kunokonzera ASD. Kutaura zvazviri, chidzidzo che1999 pamusoro pengozi yeADD mumutsipa, yakaitwa naHilibrand uye yakabudiswa mu Journal of Bone uye Joint Surgery , yakawana kuti kupera kwemahedheni kunoratidzwa mumavhidhiyo (akafanana naMMIs uye CT scans) yaiva imwe yepamusoro njodzi dzeAIDS.

"Nhoroondo yepanyama yekuchinja kwechigunha mumutsana ndeyekusiyana kwekugadzirisa paunenge uchiona chinokonzera ASD," anodaro Dr. Frank P. Cammisa, Chief of Spinal Surgical Service paChipatara Chekuvhiyiwa Kukuru muNew York. "Kana izvi zvikaitika zvave zvichiitika mumutsipa wako, vangave varipo (kana vanogona kukura) munzvimbo dzinopfuura imwe, kana pasina kana kuvhiyiwa."

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Nzvimbo yeIndaneti yekuvhiya kwako

Mutsipa wako unopesana nemakumbo, ayo anokubatsira kuti uenzanise sezvaunofamba. Aya mazamu akaparadzana munzvimbo: Neck ( cervical ), kumusoro uye kumashure ( thoracic ), pasi kumashure ( lumbar ), uye munzvimbo ye sacral . Kana kuvhiyiwa kwako kuchiitika apo imwe yemhete inoshandura ichienda kune inotevera - somuenzaniso, apo thoracic inova lumbar (T12-L1) - njodzi yako yeAIDS ingave yakareba.

Toerge inodana nzvimbo idzi dzinoshanduka "mafambiro anoshanda anoshanda." Anoti kushungurudzika pamagariro ekushanda zvikamu zvinowanzova nezvinetso gare gare. Izvi, nokuti, anoti, kufanana kwakadaro kunogona kukonzera kuwedzerwa mutoro kune dzimwe nzvimbo dzakapoteredza intervertebral joints, iyo inogona kuwedzera dambudziko reAIDS, pamwe nechemberi chechirwere chirwere.

Hilibrand kudzidza yakataurwa pamusoro apa yakaona kuti njodzi yeAASD yakasiyana maererano nechinzvimbo chekukanganiswa. Vatsvakurudzi vakatsanangura maC5-C6 neC6-7 mazinga (aya ndiwo maoko maviri akadzika pasi- katikati mumutsipa wako) sekuisa njodzi huru kune imwe nzvimbo mumutsipa wekutsvaira kusati yaonekwa pachena mumafirimu. Izvi zvikamu zviviri zvinofamba, kana mazinga, zvakaswedera pedyo kana pamasangano anofambisa mafambiro akataurwa naDkt Toerge.

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Kureba kweFusion

Munowanzo, njodzi yako yeAIDS yakakwirira kana mamwe mazinga akabatanidzwa.

Dr. Cammisa anoti zvinetso zvepamuviri zvinoda kuti fusion yakareba (yakawanda mazinga akanganiswe) inowedzera kune ngozi kune ASD. Scoliosis muenzaniso weizvi. Cammisa anotsanangura kana iwe wakabatanidzwa kubva paT4-L4 (iyo yakakura yezvikamu zvekufambisa, kana kuti mazamu ekupindira, ayo anotarisa kubva pakati pebhokisi rako kusvika pasi pebhomba rako) kururamisa scoliosis, zvinogona kunge mumakore Ndichakudziridza ASD paT4-5 uye L5-S1. (T4-5 uye L5-S1 ndiwo mapoka ekufambisa ari pamusoro apa uye pasi peT4 uye L4, zvakafanana.)

Bhuku re 2016 rekuongorora uye meta-inodhindwa yakabudiswa mumagazini yeCliniical Spine Surgery fusion urefu ndiyo chinhu chikuru chinobatanidza nechepakati chekupera kwechikamu uye zvirwere. Vanyori vanoratidza kuti kuderedza kuwanda kwemazinga akanganiswa kungava sarudzo iri nani kudarika kushandura kuti kusanganiswa kwaitwa sei.

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Mamiriro Okutanga Kare uye MuKupera Kwako Kare

Zvaunofunga, pamwe nekuenzaniswa kwemafupa ako panguva yekuvhiyiwa, zvinogona kuchinja njodzi yako yeAIDS. Kana iwe uine kyphosis panguva yekusanganiswa, iwe unogona kunge uchinge uchinetseka pamasangano ako. Izvi zvinogona kutungamirira kumarwadzo pamwe nekuchinja kwekuchinja kunoratidza kuratidza kweADD. Icho chinogonawo kutungamirira kumusana weArthritis pazvikamu zvomuviri.

Zvinyorwa zviviri zvemashure zvakasanganiswa zvakabatana nekuvandudzwa kwekugadziriswa kwemasana emvura uye ASD yakabatana. Kana maitiro ako akangoita kuti mapepa ako akanganiswe zvakare (anonzi pelvic retroversion) panguva yekuvhiyiwa, mitsipa yakakunakira iwe yakarurama inogona kuneta nyore nyore gare gare. Nokufamba kwenguva, izvi zvinogona kutungamirira mukurwadziwa uye kuchinja kunoshanduka munzvimbo iyoyo yomukona.

Chikona che sacrum yako panguva yokuvhiya chinopesana, zvakare. Kazhinji, musoro we sacrum unofambisa mberi (sezvinoita mapepa, akakurukurwa pamusoro). Kana yako sacrum inowanikwa yakananga kana iri pedyo nepamusoro pemazuva ekuvhiya (izvo zvingave zvakanaka kana mapepa ako akadzingwa), njodzi yako yeAIDS ingawedzera.

Uye pakupedzisira, iwe une mberi kwekugadzirisa musoro here? Kana zvakadaro, uye iwe unenge uine musana wepelinha, njodzi yako yeAIDS ingawedzera zvakare.

Kunyange zvazvo dzimwe dzenyaya idzi dzichigona uye dzinofanira kutarirwa nechiremba wako chirwere panguva yekugadzirisa, yeuka kuti unounza hukama hwako newe kumatafura ekushanda.

Kune vazhinji vedu, kutsvaga kuunganidza maitiro pamusoro penguva; kune vamwe, icho chikamu chemuumbi wedu. Kana iwe kyphosis, mberi musoro, sacral angle, uye / kana pelvic tilt nyaya dzakasununguka dzakagadziriswa hazvivakwi mumapfupa ako (uye mune zvimwe zviitiko, kunyange kana zviri izvo), uchiona chiremba wepanyama purogiramu yezvidzidzo zvekugara usati wambovhiyiwa inogona kukubatsira kuti udzikise dzimwe dzengozi yako yeAIDS.

"Kusarudzwa kwakanyatsosarudzwa kuti uite kuti nzvimbo dzive nengozi zvinogona kubatsira zvikuru kuderedza zviratidzo zvako," Toerge anowedzera.

_Sources:

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_{Lee, CK Inokurumidza kupera kwechikamu chakatarisana ne lumbar fusion.Spine (Phila Pa 1976). 1988 Mar; 13 (3): 375-7.}

_{Levin, et. al. Chikamu Chiri Kuwedzera Kuvandudzwa Pashure peSpinal Fusion yeDeGenerative Disc Disease. Bulletin ye NYU Hospital ye Joint Diseases 2007; 65 (1): 29-36}

_{Schlegel JD, et. al. Lumbar motion sect pathology iri pedyo ne thoracolumbar, lumbar, uye lumbosacral fusions. Simba (Phila Pa 1976). 1996 Apr 15; 21 (8): 970-81.}

_{Toerge, J. DO, Chiremba Mutungamiri Musculoskeletal Institute National Rehabilitation Hospital, Washington, DC. Email Hurukuro. Jan 2012.}

_{Zhang, C., et. al. Chikamu Chiri Kuwedzera Kuvandudzwa Kunoenderana Nezvirwere Mushure meLumbar Tsvina Fusion yeDenergenerative Pathology: Kurongeka Kwakarongeka Nekutsvaga Meta-Zvinyorwa. Clin Spine Surg. Feb 2016 http://www.ncbi.nlm.nih.gov/pubmed/26836484}