Kusvikira 74.6 muzana yehutachiona hwepamusoro kumashure ekuroreswa kwepasera kunokundikana kupedza zvachose marwadzo, maererano nekuongorora kwe 2016 kwakabudiswa mune yakabudiswa mu Journal of Pain Research.
Unotenda kana kwete, pane zita rezvechiremba chechi-chakakundikana kumashure ekuvhiya shure. FBSS sezvinowanzonzi kudikanwa, inoreva kurwadziwa kunoramba kuchiita mushure mekuvhiyiwa shure. Urombo hunogona kuva mumusana wako, mumakumbo ako, kana maviri.
FBSS ine tsanangudzo isina kufanira, uye sezvamuchaona, inogona kukurumidza kuva yakaoma.
Mamwe mazita ekukundikana kwezvekuvhiyiwa shure kwechirwere anosanganisira: Post-lumbar chirwere chirwere, post-laminectomy syndrome, yakakundikana shure syndrome, uye post operative persistent syndrome. (Syndrome inoungana zviratidzo nezviratidzo).
Ndezvipi Zvokuvhiya Zvakare Zvinogona Kukupa Usakundikana Kare Syndrome?
Kunyange zvazvo kukundikana kumashure ekuvhiya kumashure kunogona kubva pamhando ipi zvayo yokuvhiya kumashure, inowanzosanganisira laminectomy uye discectomy. Laminectomy, iyo inozivikanwawo sokudengenyeka, ndiyo nzira iyo chikamu chebony ringanamatira kumashure kwe vertebra inobviswa kuitira nzvimbo yemitsipa kuti ipfuure isingaiti. Laminectomy inowanzoshandiswa pakushandisa zviratidzo zvepinini stenosis.
Mune discectomy, fragments dze disc a herniated dzinobviswa kubva mumupendero wako. Kubvisa zvidhi zvinogona kubatsira kubvumira musana wemagunha. Izvi ndezvokuti zvidimbu zvinowanzotarisa "nyika" pamusana wemasipundu midzi , inovatsamwisa uye inowanzokonzera marwadzo pamwe nezvimwe zviratidzo.
Chimwe chikonzero nei laminectomy uye discectomy ine huwandu hwekukundikana kunogona kunge ine chokuita nekuti iyi mishonga yepelinha yakazara ndeyeye inowanzopiwa varwere.
Chii Chinoitika Pashure Kokuvhiya Kwakakundikana?
Zvakanyatsoitika kune vanhu vane chirwere chekare chinopera "chinokundikana?" Zvinosuruvarisa, mufananidzo wacho unogona kuora; Izvi ndezvokuti hapana chirwere chaiyo cheFBSS.
Chiremba wako angaratidza kuti ane chirwere chepiri, icho chinonzi chirongwa chekuvandudzwa , asi, chokwadi, izvi zvinowanikwa pane zvinhu zvakawanda kusanganisira rudzi rwekuvhiya kwawakanga uine pakutanga, rudzi rwekutambudzika kwaunozoita mushure mokunge zvimwe. Uye kana chirongwa chekuvhiya chisina kubvisa zviratidzo zvako, chiremba wako angakukurudzira iwe kuti uende kune imwe nzira inoparadza.
Nenzira, pakati pe13 kubva muzana uye 35 kubva muzana yevanhu vanozovhiyiwa zvakare vanozovhiyiwazve, maererano neshoko re2016 rakataurwa pamusoro apa.
Kudzokorora kunoratidza kuti kurapwa kwakapetwa hakusi kungokonzera kukweresa kwepamusoro kwezvokurapa asi sezvo nzira imwe neimwe inotevera ichiitwa, matanho emigumisiro inogutsa inopera.
Pane mamwe mashoko akanaka mune izvi zvose, kunyange zvakadaro. Vanhu vazhinji vanowana chirwere chepiri uye chechitatu vanozivisa kuti zviitiko zvinotevera zvinoshanda zvakanaka-marwadzo avo nezvimwe zviratidzo zvinopera, uye misana yavo inonzwa yakanaka seyo itsva.
Asi vanhu vakakundikana kumashure ekuvhiya shure avo vakawana mavhivhi ekudzokorora akawanda pasina zvishoma kana kuti hapana kubudirira kunowanzotorwa kurwadziwa kunorwadza. Muchiitiko ichi, chirwere chemarwadzo uye neuromodulation -iyo inosanganisira iyo yakagadzirwa musipinha tsvimbo stimulator, kana, kazhinji sechisarudzo chekupedzisira, kurwadziwa kwakagadziriswa (zvinodhaka) pombi-inowanzoedzwa, pamwe nekurovedza muviri, kushandiswa kwemazuva ose, uye kugadzirisa mafungiro therapy.
Kudzidza nzira yekugadzirisa marwadzo zuva rega roga unyanzvi hukuru hwakagadziridzwa iwe uri mu chirongwa chekutarisira marwadzo .
Kushandiswa kwekuiswa kwepasina tsvimbo yekusimudzira masangano kwekutambudzika kwekurwa kunoputika mumhizha ikozvino. Yakatanga pakati pezana remakore rechi20, inoshanda chaizvo sechikamu cherongwa hwehutano hwehutambudziro hunotevera kuvhiyiwa shure. Izvo zvinorwadza zvinowanzovhiringidza marwadzo emishu, kunyanya, radiculopathy, uye marwadzo kubva mukuvhiringidzika kwemuviri (anonzi nocioceptive).
Iye zvino zvaunoziva zvishoma nezvekukundikana kwezvekurapa chirwere chekuvhiya, ungangodaro unofunga kuti chii chinoitika "pasi pehood" kuitira kutaura; mune mamwe mazwi, sei iwe uchinge urwadziwa mushure mekuvhiyiwa?
Hazvifaniri here kuvhiyiwa kunoderedza marwadzo ako?
Kushandiswa Kwakasununguka Kubva Syndrome Zvinokonzera
Kazhinji kutaura, kukundikana kumashure kunorwadziwa kunorwa kunogona kunzwisiswa sekuitika panguva imwe yezvikamu zvitatu: Chikamu chekugadzirira, chikamu chemuchina chekushandisa, uye chikamu chekupedzisira-chirwere.
Chirongwa cheGurongwa
Chirongwa chekugadzirira chinosanganisira zvinhu zvakadai sekuti: Iwe wakanga uri mukana wakanaka wekuvhiyiwa pakutanga here?
Kana musana wako usina kugadzikana kunyange usati wambovhiyiwa unova sarudzo (kureva panguva iyo iwe uri kuita denderedzwa kutaura nevanyanzvi, vanachiremba uye dzimwe nhengo dzeboka rekurapa muedza kuongorora zviri kuitika,) kuvhiyiwa kumashure zvichida kwete nokuda kwenyu.
Kana marwadzo ako asina kukonzerwa nezvinhu zvinoshandiswa semasikirini akadai, zvakare, iwe unogona kunge usati uri mukana wakanaka wokuvhiya. Utano hunowira mune izvi hunosanganisira zvinetso zvemagetsi zvakadai sechirwere cheshuga, pamwe chete nematambudziko (ropa mudziyo) matambudziko, mavairasi uye matumire.
Chiitiko chekare chiri chimwe chikonzero iwe unogona kubviswa kubva pakuberekera shure, pasinei nekurwadziwa kwako.
Uye pakupedzisira, kana, pamwe nemakumbo ako kana kurwadziwa shure, iwe unewo kuora mwoyo, kuzvidya mwoyo kana zvimwe zvinetso zvepfungwa, unogona kunge uri pangozi yakanyanya yekukundikana kwekurapa chirwere chekare. (Chimwe chinhu chaunofanira kufungisisa usati wasarudza kuenderera mberi nenzira iyo).
Panguva Yechipupuriro Chakudzokera
Chikamu chechipiri cheFBSS chinokonzera-icho chinoitika iwe uri patafura yekushanda-chinosanganisira zvinhu zvakadai sechiremba chirwere uye rudzi rwekuvhiya iwe uri (kunyanya sezvo rinoratidzira kurudzi kana kuoma kwezviratidzo zveFBSS zvinoitika gare gare).
Ndezvipi zvezvikanganiso zvinogona kuitwa nachiremba wega apo iwe uri "pasi?" Anogona kushanda panzvimbo yakashata, kana kuti chikamu chakaipa chemuviri wako. Kana kuti angangodarika kana kuti pasi pasi, zvinoreva kuti anobvisa zvimwe zvishoma kana zvishoma zvidzinza.
Kana iye achishanda, izvi dzimwe nguva zvinotorwa sechisimba, uye zvinogona kutungamirira kumutsipa wepasipo kusina kusimba kusati kwavapo kusati kwavhiyiwa. Kana iye ari pasi pekushanda, angakundikana kubvisa zvimwe kana zvinhu zvose izvo zvinokonzera marwadzo ako (anonzi "marwadzo generator").
Uye shoko renyevero. Kana iwe wakasarudza kuita zvishoma nezvishoma nzira inoshandiswa yakadai se microdiscectomy-zvichida nekuti wakaudzwa kuti zvingava nyore kwauri pane tsika yakasununguka yakazara-yako FBSS zviratidzo (kana ukazviwana) zvingasava nyore. Kunyange zvazvo vamwe muhutano vasingabvumirani, nyanzvi dzakawanda dzepasi dzinofunga kuti kuva nehuwandu husina kuitika hunoti hazvirevi kuti FBSS ichava munyoro, zvakare. Kutaura zvazviri, Journal of Pain Research runyarudzo runotaurwa pamusoro pechinyorwa chino inoti hapasina nzira dzokuvhiya iyo, kana dzichishandiswa, dzichavimbisa kuti FBSS haina kuitika.
Chikamu chechitatu apo FBSS inokonzerwa inowanikwa kamwe chete kana nzira yacho yaitwa. Inonzi post-operative, boka iri rehutano rinogona kuva chero chinhu kubva kune utachiona, maronda kana mahematomas kuti adzokerezve kuvhara, kudzika kwemisimba, nezvimwe zvakawanda. Heino mhando shomanana yezvinhu zvinogona kukonzera marwadzo mushure mekunge uropi hwekuvhara.
- Kurwara. Chidzidzo che 2016 chakaedza kuziva kuti chii chakaita kuti vanhu vadzokere zvakare muchipatara chakawana hutachiona kuti ndiyo inowanzosangana nematambudziko.
- Pseudoarthrosis, ndiro izwi rinowanzoshandiswa kuputsika kwefupa risingaporese. A pseudoarthrosis mushure mekuvhiyiwa kwepamusoro kunowanzobatana nehutano hwepelin fusion uye inoratidza kukanganisa kwemafupa kufambisa nenzira yavanofanirwa.
- Epidural fibrosis ishoko rezvokurapa rine fancy rechivara chemavara chinopoteredza mutsara wemutsipa. Izvo zvinowanzoitika shure kwekuvhiyiwa shure.
- Kuchinja mumararamiro ako uye / kana muviri biomechanics kunogona kutungamirira kumusana wemvura kusina kugadzikana , sacroiliac joint disinction , foraminal stenosis (kureva, kuvhara kwe "masango" kune rumwe rutivi rwomukati mutsva inopfuura). Kuchinja kwakadaro kwakadaro kunogona kuwedzera kuwedzera kune dzimwe nzvimbo yemapfupa emumumapfu kune vamwe, zvichiita kuti zvimwe zvinetso zvive mumashure gare gare. Zvechokwadi, kana izvi zvikaitika, unogona kuona kuti kurwadziwa nezvinetso zvakakutungamirira iwe kuti utsvake chirwere kudzoka.
- Tsvina yakasvibiswa inokonzera mishonga yepasimus, musungo wechirwere nezvimwe.
- Kuchinja mune yako myofascial tissue (myofascia inoreva kuwirirana kwechifukidzo chakavhara misungo inobatsira muviri kuchengetedza maitiro ayo uye kuvimbika) kunogona kukonzera marwadzo anorwadza anogona kuve nyore kuvhiringidzwa ne radiculopathy. (Radiculopathy inoreva marwadzo uye manzwiro emagetsi, uyewo kushaya simba uye kushaya simba kunogona kuwira pasi petsoka apo musana wemagunha midzi anotsamwiswa kana kushungurudzwa.Vanhu vazhinji vanodana iyi " sciatica ").
Myofascial change inogona kuitika pedyo neutenbral level inoshandiswa pamusoro, kunyanya mumasumbu anobuda mukati. - Nzira yako yekudzokera-shure-shure inogona kuvhiringidzika mushure mekuvhiyiwa shure, uyezve, kumira kwako nekubatana kwako sezvaunofamba nezvemabasa ako ezuva nezuva angashandurwa.
Nguva Yemberi yeFBSS
Kusvikira munguva ichangopfuura (2016), kushandiswa kwemashoko, "kukundikana kumashure ekuvhiya shure" kwakaratidza kuti marwadzo, zviratidzo uye / kana matambudziko matsva ezvehutano mushure mekuvhiyiwa kwepfungwa yaiva mhosva yechiremba chiremba. Sezvaunogona kuona kubva kumusoro, izvo dzimwe nguva ndezvechokwadi, asi kazhinji pane zvimwe zvikonzero zveFBSS.
Imhizha iyi ikozvino iri kuwedzera sezvo inotsvaka kubvumirana pane tsanangudzo itsva yeFBSS. Izvi zvinosanganisira, pakati pezvimwe zvinhu, zvinogona kugadziridzwa zvakare nemamiriro ezvinhu pamwe nekuuya nemutauro unonyanya kufunga (chii chaunofanira kuita chinotevera) uye chirwere chechiremba-kupomera mhosva.
> Kwakabva:
> Blond S., Mertens P., David R., Roulaud M., Rigoard P. Kubva "Mechanical" kusvika ku "Neuropathic" Dambudziko Rekurwa muFBSS Patients. Kugadziriswa Kwakarongwa Kubva pazvinhu Zvinotungamirira ku Chronification yeMarwadzo Chikamu C). Neurochirurgie. March 2015. https://www.ncbi.nlm.nih.gov/pubmed/25596973
> Blond S., David R., Mertens P. Pathophysiological Charactering Back Back Pain Generators mu Kusakundikana Kwokuvhiya Syndrome (Chikamu B). Neurochirurgie. March 2015. https://www.ncbi.nlm.nih.gov/pubmed/25456443
> Bordoni B., Marelli F. Yakakundikana Chirwere Chirwere Chirwere: Ongororo uye Mutsva Pfungwa. J Pain Res. Jan 2016. https://www.ncbi.nlm.nih.gov/pubmed/26834497
> Durand G., Girodon J., Debiais F. Kurapa Kwekurapa Kwekushaya Kwakaita Kuvhiya Syndrome muEurope: Kuongorora Maitiro uye Kurapwa Zvirongwa. Neurochirurgie. March 2015 https://www.ncbi.nlm.nih.gov/pubmed/25676909.
> Rigoard P., Desai M., Taylor R. Kushevedza Kwekupera Kwakaitwa Syndrome: Chii chiri muZita? A Proposal to Replace "FBSS" ne "POPS" Neurochirurgie. March 2015. https://www.ncbi.nlm.nih.gov/pubmed/25665773.