Spondylolisthesis

Spondylolisthesis mamiriro ezvinhu mune iyo pfupa (vertebra) mumuzongoza inoenda kumberi ichibva panzvimbo chaiyo ichienda kune pfupa pazasi payo.

Muvana, spondylolisthesis inowanzoitika pakati pechishanu pfupa muzasi kumashure (lumbar vertebra) uye yekutanga pfupa mune iyo sacrum (pelvis) nzvimbo. Inowanzoitika nekuda kwekuremara kwekuzvarwa munzvimbo iyoyo yemuzongoza kana kukuvara kamwe kamwe (trauma yakaoma).

Muvanhu vakuru, chinonyanya kukonzeresa kupfeka zvisina kujairika patiketeti nemapfupa, senge arthritis. Mamiriro acho anonyanya kubata vanhu vanopfuura makore makumi mashanu ekuberekwa. Inowanzoitika kune vakadzi kupfuura varume.

Chirwere chepfupa uye kutsemuka kunogona kukonzera spondylolisthesis. Mimwe mitambo yemitambo, yakadai sejimnastiki, kusimudza uremu, uye nhabvu, inosimbisa zvakanyanya mapfupa ari muzasi kumashure. Vanodawo kuti mutambi wacho agare achitambanudza (hyperextend) musana. Izvi zvinogona kutungamira mukushushikana kwepfungwa kune rimwe kana mativi ese e vertebra. Kutsemuka kwekushushikana kunogona kukonzera kuti pfupa remusana rishaye simba uye ribve panzvimbo.

Zviratidzo zve spondylolisthesis zvinogona kusiyana kubva pakunyoro kusvika pakukomba. Munhu ane spondylolisthesis anogona kunge asina zviratidzo. Vana vanogona kusaratidza zviratidzo kusvikira vasvitsa makore gumi nemasere.

Mamiriro acho anogona kutungamira mukuwedzera lordosis (inonziwo swayback). Mumatanho ekupedzisira, zvinogona kukonzeresa kyphosis (roundback) sezvo iyo yepamusoro musana inowira kubva pasi pezasi.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kumusoro kurwadziwa kwepashure
• Tsinga yemhasuru (yakasimba hamstring mhasuru)
• Marwadzo, chiveve, kana kugwinha muzvidya nemagaro
• Kuomarara
• Unyoro munzvimbo ye vertebra iyo isiri panzvimbo
• Kushaya simba mumakumbo

Anokuchengetedza hutano anokuongorora uye anzwe musana wako. Iwe uchakumbirwa kusimudza gumbo rako wakananga pamberi pako. Izvi zvinogona kusagadzikana kana kurwadza.

X-ray yemuzongoza inogona kuratidza kana bhonzo mumuzongoza risina nzvimbo kana kutyoka.

CT scan kana MRI scan yemuzongoza inogona kuratidza kana paine chero kuderera kwepamuviri canal.

Kurapa kunoenderana nekuti zvakanyanya sei vertebra yashanduka kubva panzvimbo. Vanhu vazhinji vanova nani nekurovedza muviri kunotambanudza nekusimbisa mhasuru dzeshure.

Kana iko kuchinja kusiri kwakanyanya, unogona kutamba mitambo yakawanda kana pasina marwadzo. Kazhinji yenguva, iwe unogona zvishoma nezvishoma kutangazve zviitiko.

Iwe unogona kukumbirwa kudzivirira kusangana nemitambo kana kuchinja zviitiko kudzivirira musana wako kubva pakuwedzeredzwa.

Iwe unenge uine yekutevera x-mwenje kuona kuti dambudziko harisi kuramba richiwedzera.

Wako mupi anogona zvakare kukurudzira:

• Yekuseri brace kudzora musana kufamba
• Mishonga yemarwadzo (inotorwa nemuromo kana kujowa kumashure)
• Kurapa kwepanyama

Kuvhiya kunogona kudikanwa kuti ubatanidze iwo akachinjika ma vertebrae kana iwe uine:

• Kurwadziwa kwakanyanya kusingaite nani nekurapwa
• Kuchinja kwakakomba kwepfupa remuzongoza
• Kushaya simba kwemhasuru mune rimwe kana makumbo ako ese ari maviri
• Dambudziko nekudzora ura hwako uye dundira

Iko kune mukana wekukuvara kwetsinga nekuvhiya kwakadai. Nekudaro, mhedzisiro yacho inogona kubudirira kwazvo.

Exercises uye shanduko mune chiitiko zvinobatsira kune vanhu vazhinji vane hunyoro spondylolisthesis.

Kana kufamba kwakanyanya kukaitika, mapfupa anogona kutanga kutsikirira tsinga. Kuvhiya kunogona kudikanwa kugadzirisa mamiriro acho.

Zvimwe zvinonetsa zvinogona kusanganisira:

• Yenguva refu (isingaperi) kurwadziwa shure
• Utachiona
• Yechinguva kana yekusingaperi kukuvara kwemusana musana midzi, izvo zvinogona kukonzera manzwiro shanduko, kushaya simba, kana kuremara kwemakumbo
• Zvakaoma kudzora ura hwako uye dundira
• Arthritis inokura pamusoro peyero yekutsvedza

Fonera mupiki wako kana:

• Musana unoita kunge une curve yakaoma
• Iwe une kurwadziwa musana kana kuomarara kusingaendi
• Une marwadzo muzvidya nemagaro asingaendi
• Une chiveve uye kushaya simba mumakumbo

Kutambudzika kwakadzoka shure - spondylolisthesis; LBP - spondylolisthesis; Kurwadziwa kweLumbar - spondylolisthesis; Degenerative musana - spondylolisthesis

Porter AST. Spondylolisthesis. Mu: Giangarra CE, Manske RC, eds. Clinical Orthopedic Rehabilitation: Chikwata Nzira. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 80.

Williams KD. Spondylolisthesis. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chitsiko 40.