Slip of Spinal Vertebrae
Spondylolisthesis ndiro shoko rinoshandiswa nevanovhiya vashandi kurondedzera kushanduka kweimwe vertebra pamusoro peumwe. Inogona kukonzerwa nokukwegura kana kudzokorora microtrauma uye ine zviratidzo zvakasiyana-siyana kubva pane zvachose kunorwadziwa uye zviratidzo zvehutano. Iri shoko rinokanganisa rinonzi "spon-dih-low-lis-iwe-sis".
Mavara aya ndiwo mabhokisi akaumbwa nemabhokisi akaiswa pamusoro peumwe achigadzira chikamu chepasipera.
Mhuka imwe neimwe inofanira kuve yakanyatsorongedzwa pane imwe yepamusoro uye pasi. Kana ichionekwa kubva kune rumwe rutivi, ruvara rwepasipini rune ruvara rwechimiro chechimiro chechimiro (ona mufananidzo), asi vertebra imwe neimwe inofanira kuve yakanyatsoiswa pamusoro pe vertebra iri pasi apa.
Mu spondylolisthesis, vertebrae inobva panzvimbo yavo yakatarwa, iyo inowanzotumidzwa se "vertebrae yakatsika." Kazhinji kazhinji, iyi inononoka kufambira mberi.
Zvinokonzera Spondylolisthesis
- Degenerative Spondylolisthesis
Degenerative spondylolisthesis ndiyo inonyanya kukonzera chinokonzera mutsara wemagunha ichikwira kumusoro. Nokufamba kwenguva, kukwegura kunokonzera kukuvadza kwemasumbu emuviri, kusanganisira mapfupa, mafundo, uye mitsipa inobatanidza hutenderedzwa pamwe chete. Kupera mungozi kunogona kukonzera kurasikirwa kwekudzikama kwemutsara wepelinha. Kana chirwere chinoshanduka chinopfuurira kusvika pane imwe nguva apo mitsipa nemajoini hazvigoni kubata nzvimbo yakakodzera yemutsara wepelinha, saka kupera simba spondylolisthesis ndicho chigumisiro.
- Isthmic Spondylolisthesis
Isthmic spondylolisthesis inokonzerwa nechimwe chinokanganisa bony mumutsana chinonzi spondylolysis . Spondylolysis ipfumi yakananga mune imwe yebasa rinokosha pakati pedebrae yomusana. Ichi chiremera chaiyo chinowanzova chikonzero chekudzokororazve microtrauma panguva yehuduku. Mimwe yemitambo inofungidzirwa kuita kuti vana vanyanyogadziriswa pakuita spondylolysis, kusanganisira gymnastics, diving, uye nebhola. Apo spondylolysis inowanikwa kumativi ose emutsara wepelinha pane imwe nzvimbo yakasvibiswa, ruvara rweganda rinogona kukanganisa. Mumamiriro ezvinhu aya, isthmic spondylolisthesis inogona kuva mugumisiro.
Zvimwe zvikonzero zvepondylolisthesis zvinosanganisira kuberekwa kusina kukwana kwepamusoro, tsvina, matumire, nekuvhiya.
Zviratidzo zveSpondylolisthesis
Zviratidzo zve spondylolisthesis zvinogona kunge zvakakomberedzwa kubva kune kutsvaga kunowanikwa kune X-ray (pasina zviratidzo) kumusana kwakakomba nemakumbo omutsipa nekukuvara kwehuipi. Zviitiko zvakawanda zvepondylolisthesis muvana zvinokonzera zviratidzo zvishomanana. Urombo huri shure hunogona kuwanikwa, kunyanya kana uchinge wavhara shure.
Apo mishonga inodonha rwonzi rwepelinha, kana rwonzi rwepelinha pachayo, inopedzeredzwa ne spondylolisthesis, ipapo nerve zviratidzo zvingaguma. Dhiyabhorosi zviratidzo zvinowanzoonekwa zvakafanana nezviratidzo zvinowanikwa ne disc disc . Zviratidzo zvinosanganisira:
- Kurwadziwa kwegumbo
- Kutya kwegetsi-kufanana nezviratidzo zvichifamba pasi petsoka
- Unhu kana kumira mumakumbo netsoka
- Utsi husina simba hwemakumbo
Dzimwe zviratidzo zvinogona kuitika. Kana iwe uchinge uine zviratidzo zvezvinetso nemapfupa kana chirongwa chekuya kana chimwe chinhu chisina kupoteredza mazamu, iwe unofanirwa kuudza chiremba wako pakarepo. Zviratidzo izvi zvingave chiratidzo che cauda equina syndrome uye inogona kunge iri chirwere chekukurumidzira.
Kurapa kweSpondylolisthesis
Kurapa kweplondylolisthesis yakakura, kubva pakucherechedza kusvika pakugadzirisa kugadzirisa kwepamusoro.
Kusarudza chirongwa chakakodzera chekurapa chinonyanya kuenderana nezera remurwere, rudzi rwechirwere, uye zviratidzo zvinoonekwa nemurwere.
Kana chirwere chacho chiri chiduku uye zviratidzo zvinogadziriswa, zvino kurapwa kunowanzowanzove nemishonga isingabatsiri. Muvana, izvi zvinogona kusanganisira mitemo yebasa, sekudzivisa mwana kutora mimwe mitambo.
Apo chidimbu chacho chinonyanya kukosha, pangave neine ngozi yakakwirira yechinetso chiri kufambira mberi, uye chirwere chinogona kukurudzirwa. Mukuwedzera, varwere vane zviratidzo zvekunetseka kwehutano zvinowanzoita kuti chirwere chikurudzirwe.
Mitsipa inogona kuparadzwa zvachose kana pane kuwedzera kwenguva refu kwemutsara.
Sources:
Jones TR naRao RD "Mukuru Isthmic Spondylolisthesis" J. Am. Acad. Orthop. Surgery., October 2009; 17: 609 - 617.
Cavalier R, et al. "Spondylolysis uye Spondylolisthesis muvana nevana vaduku: I. Kuziva, Natural History, uye Nonsurgical Management" J. Am. Acad. Orthop. Surgery., July 2006; 14: 417 - 424.