Kukurukurirana kweCervical Spondylotic Myelopathy
Kunyange zvazvo zviputi zvechiuno uye mabvi zviri nzvimbo dzakawanda kwazvo dzinobatwa ne osteoarthritis , chirwere chakafanana ichocho chinogona kukanganisa nhengo ipi zvayo mumuviri. Sezvo musana wechipfuva uine mazamu epamusoro pane imwe nzvimbo (pane nhengo gumi nematanhatu pamwero uye nemasero makumi maviri nemasere), hazvishamisi kuti mararamiro ekuchinja kwepamusoro akafanana.
Arthritis yecervical spine, iyo inoumbwa nezvikamu zvinomwe zvemupendero uri mumutsipa, zvakajairika. Vakawanda vanotsanangura kupfeka uye kubvaruka kwezvibatanidzi mumucheto wepachiviri semugove wepanyama yekukwegura.
Dr. Boden nevamwe vaaishanda navo vakaita chidzidzo chevanhu vane utano vasina kurwadziwa kwemutsipa uye vakatarisa kuti vangani vavo vaiva nehupupuri hweMRI hwekervical spine arthritis (inozivikanwawo seplondylosis ). Zvakaitika kuti vanhu 25 muzana vari pasi pemakore makumi mana, uye vanenge 60% yevanhu vanopfuura makore makumi mana vane MRI uchapupu hweArthritis mumutsipa wavo wekervical. Zvakakosha kuyeuka kuti vose ava vaiva vanhu vasina kurwadziwa kwemutsipa. Chimwe chidzidzo chakafanana naMatsumoto uye vashandi pamwe navo vakatsigira izvi zvakawanikwa uye vakaratidza kuti vanopfuura 90% yevanhu vanosvika makore makumi mashanu vasina marwadzo emutsipa vaine arthritic inoshanduka mumutsipa wavo wekervical. Pakaitwa makore anopfuura makumi mapfumbamwe nemasere (81%) zvakaratidza kuwedzera kukura kwekuchinja (kuratidza kufambira mberi kweArthritis) kuMRI.
Izvi zvinotitaurira kuti arthritic inoshandiswa mumuromo wechikwereti mushure meMRI inonyanya kushandiswa kwemazuva ose, uye pachavo haisi dambudziko. Chinyorwa chiduku chevanhu vane mararamiro aya paMRI, chichava nezviratidzo zvakadai sekurwadziwa kwemutsipa, uyewo zviratidzo kubva mukudzvinyirira kwemasinga emutsipa kana musipinha.
Chimwe chezvinhu zvinogona kuitika mumaperembudzi ane hutachiwana hwehutachiona hunokonzerwa nekugadzirisa kwemutsara. Izwi rechiremba chechiitiko ichi apo chinoitika mumutsipa ndiCervical Spondylotic Myelopathy (CSM).
Kuti tinyatsonzwisisa dambudziko iri, tinofanira kutanga tava nekudzokorora kwenguva pfupi nezvemaitiro emucheto wepervical. Mhemberero yemumuromo wechigadzirwa yakagadzirwa nezvikamu 7 kana 'mazinga'. Chikamu chimwe nechimwe chine muviri wechipfuva mberi, wakabatanidzwa kune bony arch inonzi lamina, iyo inopoteredza chirwere chemusana. Mhuka imwe neimwe inobatanidzwa kune imwe iri pamusoro uye imwe iri pasi nemiti miviri yakaoma inonzi anterior uye posterior longitudinal ligaments. Izvo marina anobatanidzwa kune avo vari kumusoro uye pasi pasi nemirairo yakafanana inonzi ligamentum flavum.
Dhigenerative kana arthritic inoshandiswa mumusana unoita kuti bony inoputika mumutsipa wekervical, pamwe chete ne calcium inowanikwa mumagetsi matatu anorondedzerwa, uye kuchinja kuenderana kwepamusoro. Iyi nhatu nhatu dzinogona kuchinja maitiro emugwagwa wepinini. Chero nzira ipi zvayo inoita kuti chirwere chemusana chechipembenene chive nechikwanisa kutungamirira kupinching yemutsara wesipinha. Apo rwonzi rwepelinha ruchirwa, iyi mamiriro anonzi myelopathy .
Nokudaro, shoko rokuti cervical spondylotic myelopathy rinoreva kuchinja kweArthritic yepervical spine iyo inokonzera kuvhara kwemutsara.
Zviratidzo zveSMM zvinogona kushanduka asi zvinosanganisira kurwadziwa kwemutsipa, kushaya simba kwemaoko, kuoma nekufambirana kunoenderana nemaoko kana nezvigunwe zvakadai sokukanda shati, kunyora, kana kushandisa machobhoards, uyewo kushaya mari yakaoma uye kuoma kufamba. Tendon reflexes, kana ichiedzwa nachiremba, inogonawo kuva isina kukodzera. Mubvunzo unotevera unokosha ndezvipi zvinoitika pane nguva kuvanhu vane CSM? Ongororo yezvino inoratidza kuti pane imwe nzvimbo pakati pe20% ne60% yevanhu vane CSM vanofambira mberi kuti vave nehuwandu hwezviratidzo.
Nokuda kwechikonzero ichi, CSM inowanzofungidzirwa sechirwere chinowanzobatwa nekuvhiyiwa kuitira kuti chigadzikane neurologic basa uye kudzivirira kuderera kuderera. Nguva yekuvhiya haina kunyatsojeka, uye hapana deta inowanikwa kutungamira chisarudzo chenguva yakareba sei yekumirira kupindira kwokuvhiya.