Spondylolysis ishoko rinoshandiswa kurondedzera mamiriro ezvinhu apo kune kuora mwoyo kunoputika mune imwe nzvimbo yechipfuva chepona. Iyi nharaunda yemutsara wepelinha, inonzi pars interarticularis, inobatanidza pedyo ne vertebrae mumumwonyi. Apo chiremba anoti iwe (kana mwana wako) ane spondylolysis, vari kutaura kuti uku ndiko kuputsika kwepfungwa (kana kushungurudzika kwemaitiro) mu vertebrae.
Chinokonzera Kushungurudzika Kwezvipembenene Munharaunda
Izvo zvinhu zviviri zvinonyanya kukosha izvo zvinokonzera ngozi-zvinoitika pakugadzirwa kweplondylose. Izvi zvinosanganisira:
- Genetics: Vamwe vanhu vanofanirwa kugadzirwa kwezvinokanganiswa mupfungwa munzvimbo iyi chaiyo yepamusoro. Izvi zvinogona kuva chikonzero chechimiro kana simba refupa, kurongeka kwe vertebrae, yehuwandu hwekukura munguva yehuduku nekuyaruka.
- Mitambo yemitambo: Mimwe mitambo yemitambo inoita kuti kuwanikwa kwepondylolysis kuve nyore, zvikurukuru mitambo inoda kuve nekutengesa (kupfugama kumashure) yemakumbo. Iyi mitambo inosanganisira gymnastics uye diving. Mune vechidiki vari kutambira, spondylolysis inogona kuwanikwa mune vazhinji vanoita 40% yevatori vechikamu vemitambo yakanyanya ngozi.
Zviratidzo zveSpondylolysis
Vakatambi vechidiki vakawanda havana zviratidzo, pasinei nekuwana kutsananguka kwepfungwa kuedzwa kwekufungidzira. Apo vatambi vechidiki vane zviratidzo, zviratidzo zvinowanzosanganisira:
- Kutambudzika kwekudzokera shure (dzimwe nguva kunopinda mumucheka kana muhudyu)
- Pain with extension (bending back) yemutsana
- Tight hamstring muscles
Vana kana vechidiki vanofungidzirwa kuti vane dambudziko rokuputsika mumutsipa wavo vangave vachida mifananidzo yekufungidzira. Mukuedza kuita kuti vasikana vaduku varege kuiswa kune mamwe mazamu aya, chiremba wenyu kurapa anogona kukurudzira kutanga nemishonga isina kutanga kutanga kuona kana yakakosha.
Zvichiitwa kuti mishonga isingabvumirwi nguva dzose inokurudzirwa muzvikamu zvekutanga zvechiitiko ichi, kazhinji kuzvifungidzira zvidzidzo zvakadziviswa pakutanga, uye zvakachengetedzwa kune varwere vasingatsvaki nemishonga isinganzwisisiki.
Kana miedzo ichiitwa, kazhinji x-ray ichava yomuedzo wokutanga wakawanikwa. X-rays inobatsira kuongorora kuenzaniswa kwepamusoro, uye kuva nechokwadi kuti kuputsika kwepfungwa kusina kukonzera matambudziko nehutano hwepelinha. Mimwe miedzo inowanzoshandiswa inosanganisira CT scan, MRIs, uye bone scans.
Spondylolysis inogona kunge isina kukwana, kana inogona kunge inorwadza. Apo mamiriro acho ari maviri (anowanikwa kumativi maviri omupfu) anogona kukonzera chirwere chinonzi spondylolisthesis . Mumamiriro ezvinhu aya, muviri unogona "kumira" mberi kwe vertebrae iri pasi apa. Chikonzero ichi chinoitika ndechokuti zvivako zvakasvibirikana zvinosangana pedyo pedtebrae zvakakuvadzwa kubva pakuputsika kwepfungwa, uye naizvozvo mutsara wepelinha hauna kugadzikana.
Kurapa kweSpondylolysis
Sezvakataurwa, kazhinji kurapwa kunosanganisira matanho asingatauri. Mukudengenyeka kwepakutanga kuputsika uye kushushikana kwepfungwa, pane kuporesa mikana ye spondylolysis. Iko kunonyanya kukosha kwekubudirira kurapwa kwakakwana kwakakwana kubva pamabasa ekuwedzera.
Kuti ave nechokwadi chokuti pfupa rakagadzikana zvakakwana, vamwe vanachiremba vachakurudzira kusungira kuti zvipire simba remafupa akabatwa. Kurapa kwepanyama kunogona kuva nzira inobatsira yekubatsira kuvandudza kufamba uye kuwedzera simba. Mishonga yakadai seNSIADs , anti-inflammatory medication, inogona kubatsira mukudzivirira marwadzo. Mune mamiriro ezvinhu asina kujairika kuvhiyiwa kunofanirwa kugadzirisa kushungurudzika kunokonzera mupfungwa. Kuvhiya kunowanzochengeterwa varwere vanokura slipfuuriro inofambira mberi, kana kuti spondylolisthesis, yemutsara wepelinha.
Sources:
Cavalier R, Herman MJ, Cheung EV, Pizzutillo PD. Spondylolysis uye Spondylolisthesis muvana nevana vaduku: I. Kuziva, Natural History, uye Nonsurgical Management. J Am Acad Orthop Surg. 2006 Jul; 14 (7): 417-24.