Spondylolysis ndeyemupfupa iyo inonyanya kubata majaini vechidiki vanoita mitambo inoda kudzokorora kudengenyeka uye kutenderera-kureva kuvhara nekuputika-kwepamusoro. Zvinonyanya kukosha kwekuchema uye kusvimha misodzi.
Spondylolysis inotanga nekunetseka kuputika mune imwe nzvimbo yemapfupa kumashure kwe vertebra inonzi pars interarticularis. Kana kushungurudzika kwepfungwa / spondylolysis kuchibvumirwa kuipa, zvinogona kuguma nemamiriro ezvinhu akafanana anozivikanwa sepondylolisthesis.
Mu spondylolisthesis, pfupa rinobuda kubva panzvimbo uye rinoramba risina kugadzikana.
Kubhadhara, Kutora uye Kuyevedza
Kunyanya kuongororwa uye kurapwa chinhu chinokosha pakudzoka muchiito kana une spondylolysis. Mishonga inowanzosanganisira nguva yekuzorora inopera pakati pemavhiki maviri nemwedzi mitanhatu, ichiputira kuti ibatsire kuderedza kumira (lumbar lordosis) inobatanidza nekusava nekusimba uye / kana mushure mekugadzikana kwemaitiro.
Kana kurwadziwa shure kunopfuurira kudarika mwedzi mitanhatu, chiremba wemwana wako angaratidza kuvhiyiwa.
Takataura naDkt. Lyle Micheli, chiremba wezvechiremba uye Mutevedzeri weMasipirini emitambo yeBoston Children's Hospital, uyewo Clinical Professor weOrpard Medical School paHarvard Medical School. Dr. Micheli anoshanda muhutano hwakasiyana neU.S. Rugby Football Foundation, US. Ratidza Skating neBoston Marathon.
PaChipatara Chevana muBoston, anoti, vazhinji varwere vari kuyaruka uye vechidiki vane ruzivo rwakanyanya mumutambo mumwe chete.
Ikoko, varwere vari panze kwevhiki dzinenge 4 kusvika ku6 kana kusvika apo kurwadziwa kwavo, kunyanya kana vachiwedzera mutsara, kwaenda. Munguva iyo masvondo 4 kusvika ku6, kwemaawa makumi maviri nemaviri masikati, varwere vanopfeka bhande rinodzivirira kuwedzera kwepamusoro. Iko kusungira kunobatsira kuderedza simbase yemakumbo emakumbo uye kunobatsira mafupa munzvimbo yekukuvara-kureva
the pars-to heal. Uyewo munguva ino, varwere vanoenda kuchipatara kuti vabatsire kusimbisa misumbu inochengetedza musana kubva pakugadzirisa uye kukudziridza kushanduka kwemisimba yepadvic pasi.
Zvinosuruvarisa kuti mutambi wacho, basa rinogadziriswa rakaiswa pavari munguva yekurapa uye chikamu chekurapa kwekukuvara uku kunogona kutaridzika kune mutambi wechidiki kunyange zvinorwadza kupfuura kuipa kwayo pachako. Kunyange zvakadaro, basa iri panguva ino rinongopedzisira richiratidza maitiro ekurapa kwepanyama, mabhasikoro uye mamwe maruva ekubhururuka. Chinhu chipi nechipi chinowedzera mupfungwa hachidzivirirwa.
Mushure memasvondo mana kusvika ku6, murwere ane spondylolysis anoongororwazve nokuda kwepinini uye kugwiswa kwehurombo. Kana kurwadziwa kuchiripo, kupfeka kwechikafu uye chirongwa chepanyama chinowedzera.
Mumwedzi mina, kuporesa zvakare kuongororwa, nguva ino kuburikidza nekuongorora uye CT scan. Panguva ino, chiremba ari kutarisa kuona kana uye uye sei pfupa rakanyatsoponeswa. Kana mitsva yeruzhinji inoratidza bony union yepars, uye / kana kana mutambi wacho asina kurwadziwa, mutambi wacho anobva abvumidzwa kuti adzokere mitambo yakakwana. Iye kana iye anogona zvakare kutanga zvishoma nezvishoma kubvumira kuenda kwechishongo.
Painenge uchipfeka bhande uye kuita maitiro ekurapisa muviri kazhinji kunokwana kuporesa spondylolysis uye kubvumira mutambi kudzoka zvakakwana kumitambo, Micheli anondiudza.
Asi munenge 22% yematambudziko, mamwe maitiro ekurapa anodiwa. Imwe nzira itsva iyo inogona kubatsira kuporesa pfupa rinokurudzira magetsi, anodaro.
Zvidzidzo zvakaitwa naMichel nevamwe vanokuratidza kuti kukurumidza kwekusimudzira magetsi kunogona kubatsira kuderedza marwadzo uye kuporesa kuputsika pa pars. Asi maererano nekuongorora kwe 2016, muenzaniso wekukura (nhamba yevarwere vanobatanidzwa mukudzidza) yakanga isingakwanisi kubvumira kuti mhedzisiro yakajeka iswedwe; Nokuda kweizvi, vanyori vanoongorora vanorega kubudisa zviitiko zvekusara kwevanhu pamwe nespondylolysis.
Lumbar Fusion
Pakupedzisira kurapwa kusarudzo kunovhiyiwa kunogadzirisa musana wemvura, kazhinji kuve kwekukanganiswa kwekwenyama .
Izvi zvinoedzwa chete mushure mokunge maitiro ose ekuchengetedza maitiro anoratidza kuti haabatsiri. Mushure mekuvhiyiwa, varwere vanoiswa muchando kana kuti kubata kwemwedzi mitatu, zvichida kusvika kumwedzi 6, uye vanorayirwa kuti vasamboita mitambo yegore mushure mekuvhiyiwa.
Uye kana iwe uchitamba mitambo yemitambo, iwe hauna vimbiso yekudzoka kusango nguva dzose mushure mekuvhiyiwa uku.
Sources:
> AAOS. Spondylolysis uye Spondylolisthesis. OrthoInfo website.
> Fellander-Tsai L, Micheli L. Kurapa kwepondylolysis nekunze kwekusimudzira magetsi: mushumo wematambudziko maviri. Clin J Sports Med 1998.
> Sonne-Holm, S., Jacobsen, S., Rovsing, HC, Monrad, H., & Gebuhr, P. Lumbar spondylolysis: hupenyu hwakareba hune simba hunoita? Muchinjikwa kuongororwa kwevanhu vakuru 4141. Eur Spine J, Nov 22 2006.
> Lawrence K., Elser T., Stromberg R. Lumbar spondylolysis mumutambo wechidiki. Phys Ther Sport. July 2016.
> Micheli, LMD, Curtis, C. Kushungurudza Fractures muSpine uye Sacrum. Clin Sports Med 25 (2006).