Polankhula za spondylolysis ndi spondylolisthesis mwachizolowezi pali kukaikira za iwo, pali anthu amene sadziwa kusiyanitsa izi. M'malo mwake, awa ndi ma pathologies awiri omwe amalumikizana pafupipafupi., ndipo nthawi zambiri zimakhudza dera la lumbosacral. Spondylolisthesis ndi kutsetsereka kwa vertebra imodzi pamwamba pa inzake, kawirikawiri patsogolo.
Izi zitha kutsagana ndi spondylolysis, chomwe chiri chilema cha mgwirizano kapena kuthyoka kwa gawo la vertebra ya chifukwa chofooketsa, kubadwa kapena kupwetekedwa mtima komwe kumayambitsa kusakhazikika. Pamene kusamuka kumapezeka chifukwa ndi spondylolisthesis popanda spondylolysis, ziyenera kukhala, mwa nthawi zonse, ku zovuta zowonongeka.
Ilo limayankhula za spondylosis pamene pali kusweka kwa lamina ya vertebra. Anthu ena amabadwa ndi vuto limeneli; ndipo ena amakula chifukwa cha kupsinjika komwe minyewa yawo imapirira pochita masewera omwe msana umatambasulidwa ndikuzungulira mwadzidzidzi.; kapena chifukwa pali kuvulala kwachindunji.
Mlozera
Zoyambitsa
The spondylolysis zingayambitsidwe ndi vuto lobadwa nalo msana, zomwe nthawi zambiri zimawonekera zaka zingapo pambuyo pa kubadwa; pachimake msana zoopsa; matenda osachiritsika msana; kapena kukulitsa msana kwanthawi yayitali komwe kwachitika chifukwa cha masewera ena.
Ilo limayankhula za spondylolisthesis pamene pali kusamuka kwa vertebra polemekeza wapansi. Kuvulala kumeneku kungayambitsidwe ndi spondylosis yogwirizana; kapena chifukwa cha interapophyseal osteoarthritis, popanda kukhala kofunikira kuti pakhale kupuma.
Zimachitika pakati pa fupa lachisanu la chigawo cha lumbar, mu otchedwa lumbar vertebra, ndi fupa loyamba m'dera la sacral (chiuno). Nthawi zambiri zimachitika chifukwa cha vuto lobadwa m'dera lino la msana kapena kuvulala mwadzidzidzi, ndi kuvulala kwakukulu. akhoza kusiyanitsidwa mitundu iwiri ya spondylolisthesis, zotsatirazi ndi chiyani:
- Anterolisthesis. Pamenepa vertebra yapamwamba imapita patsogolo pa vertebra yapansi.
- Retrolisthesis. Zimachitika pamene vertebra yapamwamba imatsetsereka kumbuyo kumunsi kwa vertebra.
Zizindikiro
Spondylosis sikuyenera kuwonetsa zizindikiro, popeza titha kupeza zochitika zomwe zimasweka popanda kusamutsidwa. Nthawi yomwe pali kusamutsidwa ndi pamene zizindikiro zimayamba kuwonekera.
Mwanjira ina iliyonse, Ziyenera kuganiziridwa kuti zizindikiro za spondylolisthesis zimadalira momwe chotupacho chimapezeka., kutha kugawa ndi kusiyanitsa zotsatirazi madigiri:
- Digiri 1. Kusamuka kuchepera 25%.
- Digiri 2. kusamuka pakati pa a 25 ndi a 50%.
- Digiri 3. kusamuka pakati pa a 50 ndi a 75%.
- Digiri 4. Kusamuka kwakukulu kuposa 75%.
Mwambiri, Maphunziro 1 ndi 2 Nthawi zambiri samayambitsa kupweteka kwa msana kapena lumbago; pamene pali kusamuka kwakukulu, monga mu madigiri 3 ndi 4, ndizotheka kuyambitsa a kupsinjika kwamanjenje kapena sciatica, zomwe zimayambitsa:
- Kukhazikika
- Kuvuta kwa minofu
- Kukoma mtima m'dera la vertebra yovulala
- Ululu, dzanzi kapena kumva kuwawa m'ntchafu ndi matako
- kufooka kwa mwendo
Tratamiento de la espondilolistesis
Chithandizo cha spondylolysis ndi spondylolisthesis chidzadalira kwambiri kusuntha kwa vertebral ndi mlingo wa izi.. Nthawi zambiri, anthu amakhala bwino powona osteopath kapena physiotherapist; ndikutsatira malingaliro awo otambasula ndi kulimbikitsa masewera olimbitsa thupi tsiku ndi tsiku.
Pokhapokha pazovuta kwambiri, momwe muli kupsyinjika kwakukulu kwa mitsempha, opareshoni imafunika kuphatikiza vertebrae. M'zochitika zina, mankhwala otsatirawa amasankhidwa:
Kugwiritsa ntchito ayezi kapena kutentha
Njira imodzi yothandizira spondylolisthesis ndi spondylolysis ndiyo kugwiritsa ntchito njira yomwe imakhala yothandiza kwambiri pothana ndi mavuto osiyanasiyana., uli bwanji kugwiritsa ntchito ayezi kapena kutentha, zomwe zimagwiritsidwa ntchito pochepetsa kupweteka komweko.
Mwambiri, Ndibwino kuti mugwiritse ntchito ayezi kuti muchepetse ululu kapena kusamva bwino mutangomaliza ntchito yomwe ululuwo wayamba.. Kutentha kumalimbikitsidwa., kwa mbali yanu, kumasuka bwino minofu kulimbikitsa mpweya ndi malo machiritso. Sichiyenera kugwiritsidwa ntchito kwa nthawi yoposa nthawi 15-20 mphindi mosalekeza.
Physiotherapy
Ndikoyeneranso kugwiritsa ntchito mankhwala omwe ali othandiza komanso olondola ngati physiotherapy. Pankhaniyi, elongation tikulimbikitsidwa., kuyambira ndi kutambasula kwa hamstring ndikupita patsogolo pakapita nthawi.
kuphatikiza apo, chisamaliro chapadera chiyenera kuperekedwa kuti atambasule hamstrings kawiri tsiku lililonse kuti athetse kupsinjika m'munsi kumbuyo. Katswiriyu adzasanthula vuto lililonse kuti apange pulogalamu yochita masewera olimbitsa thupi yomwe ili pansi paulamuliro ndipo imatha kuwonjezeka pang'onopang'ono pakapita nthawi..
Kutembenukira kwa akatswiri ndi njira yabwino mumitundu yonseyi., popeza idzatha kuyesa vuto lililonse makamaka ndikupanga chithandizo cha physiotherapy chomwe chingakhale choyenera kwambiri kuti wodwalayo athe kuthetsa vuto lawo mwamsanga komanso mogwira mtima kwambiri..
kusamalira pamanja
Njira yachitatu yothandizira spondylolisthesis ndiyo kugwiritsa ntchito kusamalira pamanja, komwe ntchito ya physiotherapists idzadaliridwa komanso osteopaths ndi akatswiri ena azaumoyo omwe amaphunzitsidwa moyenerera.. Kupyolera mu njira iyi kudzakhala kotheka kuchepetsa ululu mwa kulimbikitsa olowa ululu wa kukanika.
Muyenera kudziwa kuti zaka zikupita ndipo nthawi ikupita, mapindikidwe a lordotic ndi omveka, zomwe zimapangitsa kukhala kofunikira kuchita chithandizo cha physiotherapy komanso kuchita masewera olimbitsa thupi tsiku ndi tsiku, realizar estiramientos y mantener una higiene postural adecuada.