Kumanikidza kutsemuka kwemusana

Kumanikidza kutsemuka kwemashure kwakatyoka vertebrae. Vertebrae ndiwo mapfupa emuzongoza.

Osteoporosis ndiyo inonyanya kukonzeresa mhando iyi yekutyoka. Osteoporosis chirwere umo mapfupa anova asina kusimba. Muzviitiko zvakawanda, pfupa rinorasikirwa necalcium uye mamwe mamineral ane zera. Zvimwe zvikonzero zvinogona kusanganisira:

• Kushungurudzika kumashure
• Mamota akatanga mupfupa kana kupararira kufupa kubva kune imwe nzvimbo
• Mamota anotanga musana, senge akawanda myeloma

Kuve nekuputsika kwakawanda kweiyo vertebrae kunogona kutungamira ku kyphosis. Uku hump-kunge kupindika kwemuzongoza.

Kudzvinyirira kutsemuka kunogona kuitika kamwe kamwe. Izvi zvinogona kukonzera kurwadziwa kwakanyanya kumashure.

• Iko kurwadziwa kunowanzo kunzwika pakati kana pasi musana. Inogona zvakare kunzwika pamativi kana kumberi kwemuzongoza.
• Iko kurwadziwa kwakapinza uye "banga-kunge." Marwadzo anogona kuremadza, uye kutora mavhiki kusvika kumwedzi kuti aende.

Kumanikidza kutsemuka nekuda kweosteoporosis kunogona kukonzeresa zviratidzo pakutanga. Kazhinji, ivo vanoonekwa kana x-ray yemuzongoza ichiitwa kune zvimwe zvikonzero. Nekufamba kwenguva, zvinotevera zviratidzo zvinogona kuitika:

• Kushungurudzika kumashure kunotanga zvishoma nezvishoma, uye kunowedzera nekufamba, asi hakunzwike pakuzorora
• Kurasikirwa kwekureba, zvakaringana se6 inches (15 masentimita) nekufamba kwenguva
• Akakotama-pamusoro pekumira, kana kyphosis, inonziwo hump ye dowager

Kudzvinyirira pamutsipa wepelinha kubva kuvharirwa pamusoro pekumira kunogona, mune zvisingawanzoitika zviitiko, kukonzera:

• Unhu
• Kuchenjerera
• Kushaya simba
• Kunetsa kufamba
• Kurasikirwa kwekudzora ura kana dundira

Mutapi wako wezvehutano achaita bvunzo dzepanyama. Izvi zvinogona kuratidza:

• Humbback, kana kyphosis
• Unyoro pamusoro peiyo yakakanganiswa musana bhonzo kana mapfupa

Iyo musana x-ray inogona kuratidza kanenge 1 yakamanikidzwa vertebra ipfupi pane imwe vertebrae.

Mimwe bvunzo inogona kuitwa:

• Chiyero chepfupa chekuyera kuongorora osteoporosis
• CT kana MRI scan, kana paine kunetsekana kuti kutyorwa kwakakonzerwa netumarara kana kushungurudzika kwakanyanya (senge kudonha kana tsaona yemotokari)

Yakawanda yekumanikidza kuputsika kunoonekwa kune vanhu vakuru vane osteoporosis. Izvi zvakapunzika kazhinji hazvikonzere kukuvara kumuzongoza. Mamiriro acho anowanzo kurapwa nemishonga uye macalcium ekuwedzera kudzivirira mamwe kutsemuka.

Marwadzo anogona kurapwa ne:

• Mushonga wemarwadzo
• Zororo remubhedha

Mimwe mishonga inogona kusanganisira:

• Kudzoka mabhureki, asi izvi zvinogona kuwedzera kushayisa simba mapfupa uye nekuwedzera njodzi yekuwedzera kutsemuka
• Kurapa kwepanyama kugadzirisa kufamba uye simba kutenderedza musana
• Mushonga unonzi calcitonin kubatsira kubvisa marwadzo epfupa

Kuvhiya kunogona kuitwa kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara. Kuvhiya kunogona kusanganisira:

• Bhaluni kyphoplasty
• Vertebroplasty
• Musana fusion

Kumwe kuvhiya kunogona kuitwa kubvisa pfupa kana kutyora kuri kukonzerwa nebundu.

Mushure mekuvhiyiwa ungangoda:

• Kusunga kwemasvondo matanhatu kusvika gumi kana kutyora kwacho kwaikonzerwa nekukuvara.
• Kakawanda kuvhiyiwa kujoina mapfupa emusana pamwe chete kana kubvisa kushushikana pane tsinga.

Kakawanda kumanikidza kuputsika nekuda kwekukuvara kupora mumavhiki masere kusvika gumi nekuzorora, kupfeka kwesimbi, uye mishonga yekurwadziwa. Nekudaro, kupora kunogona kutora nguva yakareba kana kuvhiya kwaitwa.

Kutsemuka nekuda kweosteoporosis kunowanzo kuve kunorwadza nekuzorora uye nemarwadzo ekurapa. Kumwe kupunzika, zvakadaro, kunogona kutungamira kune kwenguva refu (kusingaperi) kurwadziwa uye kuremara.

Mishonga yekurapa osteoporosis inogona kubatsira kudzivirira kutsemuka mune ramangwana. Nekudaro, mishonga haigone kudzorera kukuvara kwakatoitika.

Zvekumanikidza kutsemuka kunokonzerwa nemamota, mhedzisiro inoenderana nerudzi rwebundu rinobatanidzwa. Mamota anosanganisira musana anosanganisira:

• Gomarara repazamu
• Kenza yemapapu
• Lymphoma
• Kenza yeprostate
• Akawanda myeloma
• Hemangioma

Zvinetso zvinogona kusanganisira:

• Kukundikana kwemapfupa kusanganisa mushure mekuvhiyiwa
• Humpback
• Spinal cord kana nerve midzi kudzvinyirira

Fonera mupiki wako kana:

• Iwe une kurwadziwa shure uye iwe unofunga iwe unogona kunge uine compression kupunzika
• Zviratidzo zvako zviri kuramba zvichiwedzera, kana iwe uine matambudziko ekudzora rako redundiro uye ura basa.

Kutora matanho ekudzivirira nekubata osteoporosis ndiyo nzira inoshanda kwazvo yekudzivirira kumanikidza kana kusakwana kwemitsara. Kugara uchiita zvekutakura (sekufamba) kunogona kubatsira kuti usarasikirwe nefupa.

Iwe unofanirwa zvakare kuve neyakawandisa mapfupa ako kuongororwa nguva nenguva, kunyanya kune vakadzi vari post-menopausal. Iwe unofanirwa zvakare kuve nekuwongorora kazhinji kana uine nhoroondo yemhuri ye osteoporosis kana compression fractures.

Vertebral compression kuputsika; Osteoporosis - kupwanya kuputsika

• Kukanganiswa kuputsika

Cosman F, de Beur SJ, LeBoff MS, uye al. Chiremba wezvekiriniki ekudzivirira uye kurapwa kweosteoporosis. Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 www.ncbi.nlm.nih.gov/pubmed/25182228.

Savage JW, Anderson PA. Osteoporotic musana kutsemuka. Mune: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, uye Kuvakazve. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 35.

Waldman SD. Thoracic vertebral compression kuputsika. Mune: Waldman SD, ed. Atlas yeChinhu Pain Syndromes. 4th ed. Philadelphia, PA: Elsevier; 2019: chits. 73.

Williams KD. Kutsemuka, kutsemuka, uye kutsemuka-kutsemuka kwemuzongoza. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed.Philadelphia, PA: Elsevier; 2017: chits. 41.