Spondylolysis a me Spondylolisthesis: He aha lākou a pehea e mālama ai

Anter

• Nā hōʻailona nui a me nā ʻōuli
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau
• Āhea a pehea e hana ʻia ai ka physiotherapy

ʻO Spondylolysis kahi kūlana kahi i loaʻa ai kahi haki liʻiliʻi o ka vertebra i ka iwi kuamoo, kahi e hiki ai ke asymptomat a i ʻole e ala aʻe i kahi spondylolisthesis, ʻo ia ka wā e 'heʻe ai ka vertebra' i hope, deforming the spine, hiki ke kaomi ma ke aʻalolo a kumu i nā ʻōuli e like me ke kua i hope a me ka paʻakikī e neʻe.

ʻAʻole kūlike kēia kūlana me kahi diski herniated, no ka mea ma ka hernia e hoʻopili wale ʻia ka diski, ke kaomi ʻia. I kēia mau hihia, hoʻokahi (a ʻoi paha) ʻōiwi vertebrae 'paheʻe i hope', ma muli o ka haki o ka vertebral pedicle a ma hope iki o ka intervertebral disc pū kekahi me kēia neʻe, e hoʻi i hope, e hōʻeha i ka ʻeha o ke kua a me ke kaniʻuhū. Eia nō naʻe, i kekahi mau manawa hiki ke loaʻa kahi spondylolisthesis me kahi diski herniated i ka manawa like.

ʻOi aku ka maʻamau o ka spondylolysis a me ka spondylolisthesis i loko o ka cervical a me nā lumbar, akā hiki iā lākou ke hoʻopili i ka iwi kuamoo. Hiki ke hoʻokō ʻia ka hoʻōla kūpaʻa me ke kahakaha e hoʻonohonoho hou i ka iwi kuamoo i kona wahi maoli, akā lawa paha nā lapaʻau ʻana me nā lāʻau a me ka hoʻōla kino e hōʻoluʻolu ai i ka ʻeha.

Nā hōʻailona nui a me nā ʻōuli

ʻO Spondylolysis ke kaʻina mua o ka ʻeha o ke kuamoʻo a, no laila, ʻaʻole paha e hana i nā ʻōuli, ʻike ʻia ʻole ʻia i ka hana ʻana i kahi X-ray ninaninau a tomography o ke kua, no ka laʻana.

Ke hoʻokumu ʻia ka spondylolisthesis, e ʻoi aku ka koʻikoʻi o ke kūlana a me nā ʻōuli e like me:

• ʻEha ʻeha nui, ma nā wahi i hoʻopili ʻia: lalo o ka ʻaoʻao hoʻi a ʻāʻī paha;
• Ka paʻakikī e hana nei i nā neʻe, me ka hele wāwae a me ka hoʻomaʻamaʻa ʻana i ka hoʻoikaika kino.
• Hiki ke hoʻomālamalama ka ʻeha haʻahaʻa i ka puʻupuʻu a i ʻole nā ​​wāwae, ke ʻano he sciatica;
• ʻO ke kani ʻana i ka lima, i ka hihia o ka spondylolisthesis ʻeha a me nā wāwae, i ka hihia o ka lumbar spondylolisthesis.

Hana ʻia ke kuhi o ka spondylolisthesis ma o kahi MRI e hōʻike ana i ke kūlana kikoʻī o ka intervertebral disc. Hana pinepine ʻia ke kuhi ma hope o ka makahiki 48, me nā wahine e hoʻopilikia nui ʻia.

Nā kumu kūpono

ʻO nā kumu maʻamau o ka spondylolysis a me ka spondylolisthesis:

• Malformation iwi kuamoʻo: loli lākou i ke kūlana o ke kuamoʻo e kū mai ka wā hānau a kōkua i ka neʻe ʻana o kahi vertebra i ka wā ʻōpio ke hana i nā gymnastics artistic a rhythmic paha, e laʻa me.
• Nā hahau a me nā hōʻeha i ka iwi kuamoʻo: hiki ke hoʻowalewale i ka vertebrae o ka iwikuamoʻo, keu hoʻi i nā ulia kalaka;
• Nā maʻi o ka iwi kuamoʻo a iwi paha: nā maʻi e like me ka osteoporosis hiki ke hoʻonui i ka hopena o ka hoʻoneʻe ʻana o kahi vertebra, kahi ʻano maʻamau o ka ʻelemakule.

ʻOi aku ka maʻamau o ka spondylolysis a me ka spondylolisthesis i nā lumbar a me nā cer servical, e ʻeha ai ka ʻāʻī a i ʻole ka ʻāʻī. Hiki ke hoʻopau ʻia ʻo Spondylolisthesis ke koʻikoʻi ia a ʻaʻole lawe nā lapaʻau i ka ʻeha e manaʻo ʻia, a laila e hoʻomaha paha ke kanaka.

Pehea e hana ai i ka lāʻau

Hoʻololi ka mālama ʻana no spondylolysis a spondylolisthesis e like me ka nui o nā ʻōuli a me ke kēkelē o ka neʻe ʻana o ka vertebra, i hiki ke ʻokoʻa mai 1 a 4, a hiki ke hana ʻia me nā lāʻau anti-inflammatory, relaxant muscle a analgesics paha, akā ʻo ia pū kekahi. pono e hana i ka acupuncture a me ka physiotherapy, a ke lawa ʻole kekahi o kēia mau koho no ka ʻeha o ka ʻeha, hōʻike ʻia ke ʻoki. Hoʻohana ʻia ka lole komo i ka wā i hala, akā ʻaʻole ia e koi ʻia e nā kauka.

I ke kumu o ka spondylolysis e koi ʻia e lawe iā Paracetamol, kahi mea maikaʻi i ka kaohi ʻana i ka ʻeha. I ke kumu o ka spondylolisthesis, ke he 1 wale a 2 paha ka hoʻololi, a no laila, hana wale ʻia ka lapaʻau me:

• Hoʻohana o nā lāʻau anti-inflammatory, e like me Ibuprofen a i ʻole Naproxen: hoʻemi i ka mumū o nā diski o ka vertebrae, ka hoʻomaha ʻana i ka ʻeha a me ka hōʻoluʻolu ʻole.
• Nā inikua Corticosteroid, e like me Dexa-citoneurin a i ʻole Hydrocortisone: hoʻopili pololei ʻia lākou i ka pūnaewele vertebrae i hoʻoneʻe ʻia e hōʻoluʻolu koke ai i ka mumū. Pono lākou e hana ma waena o 3 a 5 mau lāʻau, i kēlā me kēia 5 mau lā.

ʻO ke kīʻaha, e hoʻoikaika i ka vertebra a i ʻole decompress i ke aʻalolo, hana wale ʻia ia i nā hihia o ka papa 3 a i ʻole 4, kahi hiki ʻole ke kaohi i nā ʻōuli wale nō me ka lāʻau a me ka physiotherapy, no ka laʻana.

Āhea a pehea e hana ʻia ai ka physiotherapy

ʻO nā kau Physiotherapy no ka spondylolysis a me ka spondylolisthesis e kōkua i ka hoʻopiha ʻana i ka lāʻau me nā lāʻau lapaʻau, e ʻae ana e hōʻoluʻolu koke i ka ʻeha a hoʻemi i ka pono no nā ʻoi loa.

I loko o nā kau physiotherapy e hana ʻia nā hana e hoʻonui ai i ke kūpaʻa o ka iwi kuamoʻo a hoʻonui i ka ikaika o nā mākala o ka ʻōpū, e hoʻemi ana i ka neʻe ʻana o ka vertebrae, e kōkua ana i ka hōʻemi ʻana o ka mumū a, no laila, e hoʻomaha ai i ka ʻeha.

ʻO nā pono uila no ke kōkua ʻana i ka ʻeha, nā hana hoʻomaʻamaʻa manual, nā hoʻoikaika paʻa lumbar, ka hoʻoikaika ʻana o ka ʻōpū, ke kīloi ʻana i nā hamia tibia ma ke kua o nā wāwae. A ʻo RPG, Pilates Clinical a me nā hana Hydrokinesiotherapy, no ka laʻana, hiki ke paipai ʻia.