The spondylolisthesis, ndi mawu owopsa poyang'ana koyamba, koma zomwe muyenera kuchita ndikugawaniza 4 magawo: es – pon – dilo – listesis. Kotero sikovuta kulitchula.
Ichi ndichifukwa chake matenda awa nthawi zambiri amafupikitsidwa ngati "listsis". Komanso sizovuta kumvetsetsa ngati mukuganiza kuti mawuwa amachokera ku mizu yachi Greek.: espóndilo significa “vertebra” y listesis significa “deslizarse”.
spondylolisthesis zimachitika pamene vertebra imodzi imadumphira patsogolo pa vertebra pansipa.
Nthawi zambiri, izi zimachitika m'munsi kumbuyo (zona lumbar), popeza ndi gawo la msana wa msana womwe umathandizira kulemera kwakukulu ndipo umatenga kuchuluka kwa kukakamiza kolowera..
Mwanjira ina, la columna lumbar tiene que moverse un poco (kutembenukira mbali zosiyanasiyana) ndi kulemera kwa thupi.
Nthawi zina, kuphatikiza kumeneku kungapangitse kupsinjika kwakukulu pa vertebrae kotero kuti imodzi mwa izo imazembera kutsogolo.
Zochitika zina zimakupangitsani kuti mutengeke kwambiri ndi spondylolisthesis. ochita masewera olimbitsa thupi, osewera mpira, ndi zonyamulira zolemera zonse zimayika kupanikizika kwakukulu ndi kulemera pamisana yawo yapansi.
Ganizirani za akatswiri ochita masewera olimbitsa thupi komanso malo omwe amaika thupi lawo: amapinda pakati chammbuyo, kuti chinthu choopsa chomwe chingakhale chovulaza ku vertebral.
Amapindikanso mumlengalenga mwachangu akamagunda kenako amagwera pansi., kuyamwa mphamvu kudzera m'miyendo yanu ndi kumunsi kumbuyo.
Kusuntha kumeneku kumapangitsa kuti msana ukhale wopanikizika kwambiri ndipo spondylolisthesis imatha kuchitika chifukwa cha kupsinjika kobwerezabwereza komanso kupsinjika..
Madokotala atero 5 magiredi osiyanasiyana kuyeza spondylolisthesis, malingana ndi mtunda umene vertebra yatsetsekera kutsogolo.
Durante tu cita con el médico es posible que le escuches hablar de “un grado de espondilolistesis”. Chinachake chomwe mungachipeze pambuyo pake.
Mlozera
Zizindikiro ndi mayeso kuti muzindikire spondylolisthesis
Ndizovuta kudziwa ngati wina ali ndi spondylolisthesis, chifukwa simungakhale ndi zizindikiro kapena ululu wosweka - monga momwe anthu ambiri amachitira.
Spondylolisthesis nthawi zambiri imapezeka pamene mayesero akuchitidwa chinthu china ndi dokotala kapena radiologist, amazindikira kuti vertebra ikuwoneka ikuchoka pa filimu ya x-ray.
X-ray ndi njira yabwino yodziwira spondylolisthesis. pa x-ray, mwina kuyimirira, kutengedwa mbali, ndi pamene dokotala akhoza kuona mbali, zomwe zikuwonetsa bwino kutsetsereka.
Ponena za radiograph yapamwamba, mukhoza kuona kuti msana wina watuluka msana. Muvi umaloza ku spondylolisthesis.
Dokotala wanu akhozanso kuyitanitsa X-ray ya oblique. Oblique amatanthauza kuti x-ray imatengedwa pakona kuchokera kumbuyo, malingaliro omwe angathandize dokotala kuwona filimuyo, mbali za articular, ndi zigawo za interarticular.
Kuti mudziwe ngati spondylolisthesis yanu ndi yosakhazikika komanso yamafoni, dokotala wanu angakufunseni kuti muchite kukankhira-ups ndi kukankha-ups kuwonedwa kuchokera kumbali. Izi zimatchedwanso lateral flexion view..
A flexion radiograph imatengedwa ndi wodwalayo akutsamira patsogolo; X-ray yowonjezera imatengedwa mukawerama chammbuyo.
Kuti mukhale ndi chitsimikizo china cha spondylolisthesis, wodwalayo angafunikire kukayezetsa CT scan.
Ngati vertebra yomwe yasamutsidwa ikukankhira pa mitsempha, dokotala akhoza kuyitanitsa myelogram. mu mayeso awa, utoto wapadera umafunika, amene amabayidwa kumalo ozungulira minyewa yomwe ili m’thumba kuti utotowo ulowe m’thumbalo (izo zisanachitike, m'derali adzakhala anesthetized.).
Kenako X-ray kapena CT scan ikhoza kuchitidwa.. Chotsatiracho chidzapereka mwatsatanetsatane chithunzi cha anatomical cha msana, makamaka mafupa, zomwe zingathandize dokotala wanu kuzindikira zolakwika zilizonse.
Mbali ina ya ulendo wa dokotala wanu idzaphatikizapo kuyezetsa thupi ndi minyewa.. Pa mayeso a thupi, dokotala wanu adzaganizira kaimidwe, osiyanasiyana kuyenda (momwe mafupa ena amatha kuyenda bwino komanso kutalika kwake), ndi mkhalidwe wathupi, kuyang'ana kusuntha kulikonse komwe kumayambitsa kupweteka.
Dokotala adzamva msana wanu, poganizira kupindika kwanu, mndandanda, ndi kumva kukangana kwa minofu. Spondylolisthesis ikhoza kukupangitsani kuyenda mosadziwika bwino, choncho dokotala azikuyang'anirani mukuyenda.
Pa nthawi ya minyewa mayeso, katswiri wa msana adzayesa malingaliro anu, mphamvu ya minofu, ndi kusintha kwina kwa mitsempha, komanso kufalikira kwa ululu (ndiko kunena, ngati iye kupweteka kwa msana kupita ku ziwalo zina za thupi lanu).
Mayeso akuthupi ndi amisala apatsa dokotala malingaliro abwino amomwe vertebra yomwe yasamutsidwa ikukhudzira thupi lanu ndi moyo wanu..
slip madigiri
Kugwiritsa ntchito lateral radiographs, dokotala ayenerere spondylolisthesis wanu. Pogwiritsa ntchito sikelo yoyambira ndi "Giredi I" ndikupita ku "Grade V" amafotokoza momwe vertebra yanu idadumphira patsogolo..
Gulu I ndi slide ochepera 25 %.
Gulu II ndi slide 25 % al 50 %.
Gulu III ndi slide 50 % al 75 %.
Gulu IV ndi slide 75 % al 100 %.
Grado V ndi ya vertebra yomwe yagwa kuchokera kumunsi kwa vertebra. (Ndilo vuto lalikulu la spondylolisthesis, yomwe ili ndi dzina lake: spondyloptosis)
