Ukucinezelwa koqhekeko lwasemva

Ukunyanzeliswa kwemiqolo yangemva kuphukile i-vertebrae. I-Vertebrae ngamathambo omqolo.

I-Osteoporosis yeyona nto ixhaphakileyo kolu hlobo lwaphuka. I-Osteoporosis sisifo apho amathambo esiba buthathaka. Kwiimeko ezininzi, ithambo liphulukana ne-calcium kunye nezinye izimbiwa kunye nobudala. Ezinye izizathu zinokubandakanya:

• Umothuko ngasemva
• Amathumba aqala kwithambo okanye asasazeka kwithambo ukusuka kwenye indawo
• Izidumba eziqala emqolo, ezinjenge-myeloma ezininzi

Ukuba neentlobo ezininzi ze-vertebrae kunokukhokelela kwi-kyphosis. Oku kukugoba okunje ngomqolo.

Ukuqhekeka koxinzelelo kunokuvela ngesiquphe. Oku kunokubangela iintlungu eziqatha.

• Intlungu ixhaphake kakhulu embindini okanye kumqolo osezantsi. Inokuvakala nangapha nangapha komqolo.
• Intlungu ibukhali kwaye "ifana nemela." Ubuhlungu bunokukhubaza, kwaye kuthathe iiveki ukuya kwiinyanga ukuba zihambe.

Ukucinezeleka kokuqhekeka ngenxa ye-osteoporosis kunokubangela ukuba kungabikho zimpawu ekuqaleni. Rhoqo, zifunyanwa xa i-x-ray yomqolo yenziwe ngezinye izizathu. Ngokuhamba kwexesha, ezi mpawu zilandelayo zinokwenzeka:

• Umqolo obuhlungu oqala kancinci, kwaye uye uba mandundu ngokuhamba, kodwa awuva xa uphumla
• Ukuphulukana nokuphakama, kangangeesentimitha ezi-6 (15 iisentimitha) ngaphezulu kwexesha
• I-stooped-over posture, okanye i-kyphosis, ekwabizwa ngokuba yi-dowager's hump

Uxinzelelo kwintambo yomgogodla ekuzingeleni ngaphezulu kokuma kunokuthi, kwiimeko ezinqabileyo, kubangele:

• Ubumdaka
• Ukulinganisa
• Ubuthathaka
• Kunzima ukuhamba
• Ukuphulukana nolawulo lwesisu okanye isinyi

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba. Oku kungabonisa:

• I-humpback, okanye i-kyphosis
• Ukuthantamisa ngaphezulu kwethambo lomqolo ochaphazelekayo okanye amathambo

I-x-ray yomqolo inokubonisa ubuncinci i-vertebra emfutshane ecinezelweyo emfutshane kunezinye i-vertebrae.

Olunye uvavanyo olunokwenziwa:

• Uvavanyo lokuxinana kwethambo ukuvavanya i-osteoporosis
• Iskena se-CT okanye se-MRI, ukuba kukho inkxalabo yokuba ukwaphuka kubangelwe sisisu okanye ukwenzakala okukhulu (njengokuwa okanye ingozi yemoto)

Uninzi lweefactures zoxinzelelo lubonwa kubantu abadala abane-osteoporosis. Ezi ziqhekeza kaninzi azibangeli ukwenzakala kwithambo lomqolo. Imeko ihlala iphathwa ngamayeza kunye nezongezo zekhalsiyam ukunqanda ukwaphuka okuqhubekayo.

Ubuhlungu bunokunyangwa nge:

• Iyeza leentlungu
• Ukuphumla kwebhedi

Olunye unyango lunokubandakanya:

• Ukubuyela umva, kodwa ezi zinokuthi ziwenze buthathaka amathambo kwaye zonyuse umngcipheko wokophuka okungakumbi
• Unyango lomzimba ukuphucula intshukumo kunye namandla ejikeleze umqolo
• Iyeza elibizwa ngokuba yi-calcitonin ukunceda ukudambisa iintlungu zethambo

Utyando lunokwenziwa ukuba unentlungu kwaye ikhubaza iintlungu ngaphezulu kweenyanga ezi-2 ezingangqinelani nolunye unyango. Utyando lunokubandakanya:

• Ibhaluni kyphoplasty
• Umgangatho ophakamileyo
• Ukuhlanganiswa komqolo

Olunye utyando lunokwenziwa ukususa ithambo ukuba ukwaphuka kungenxa yethumba.

Emva kotyando unokufuna:

• I-brace yeeveki ezi-6 ukuya kwezi-10 ukuba ukwaphuka ngenxa yokwenzakala.
• Olunye utyando lokudibanisa amathambo omqolo kunye okanye ukunciphisa uxinzelelo kwimithambo-luvo.

Uninzi loxinzelelo lokuqhekeka ngenxa yokulimala ukuphilisa kwiiveki ezi-8 ukuya kwezi-10 ngokuphumla, ukunxiba izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana kunye namayeza entlungu. Nangona kunjalo, ukuchacha kungathatha ixesha elide ukuba kwenziwe utyando.

Ukuqhekeka ngenxa ye-osteoporosis kuhlala kungabi buhlungu xa uphumle kunye neyeza zentlungu. Ezinye iziqhekeza, nangona kunjalo, zingakhokelela kwintlungu yexesha elide (engapheliyo) kunye nokukhubazeka.

Amayeza okunyanga i-osteoporosis anokunceda ekuthinteleni ukwaphuka kwexesha elizayo. Nangona kunjalo, amayeza awunakubuyisa umonakalo osele wenzekile.

Ukuqunjelwa kokuqhekeka okubangelwa ngamathumba, isiphumo sixhomekeke kuhlobo lwethumba elibandakanyekayo. Izidumba ezibandakanya umqolo zibandakanya:

• Umhlaza webele
• Umhlaza wemiphunga
• KwiLymphoma
• Umhlaza wedlala lobudoda
• I-myeloma eninzi
• IHemangioma

Iingxaki zinokubandakanya:

• Ukusilela kwamathambo ukudibanisa emva kotyando
• Ukubuyela umva
• Intambo yomqolo okanye uxinzelelo lweengcambu

Fowunela umnikezeli wakho ukuba:

• Unentlungu emva kwaye ucinga ukuba unokuba noxinzelelo lwengcinezelo.
• Iimpawu zakho ziya zisiba mbi, okanye unengxaki yokulawula isinyi kunye nokusebenza kwamathumbu.

Ukuthatha amanyathelo okuthintela nokunyanga i-osteoporosis yeyona ndlela isebenzayo yokuthintela uxinzelelo okanye ukungoneli kukophuka. Ukufumana umthambo oqhelekileyo wokuthwala umthwalo (njengokuhamba) kunokukunceda ungaphulukani nethambo.

Kuya kufuneka uhlalutye uxinzelelo lwamathambo akho rhoqo, ngakumbi kwabasetyhini abasemva kwemasopaopausal. Kuya kufuneka uphinde uhlolwe rhoqo ukuba unembali yosapho ye-osteoporosis okanye i-compression fractures.

Ukuqhekeka kwe-Vertebral; Osteoporosis - ucinezelo ukwaphuka

• Ukuqhekeka koxinzelelo

UCosman F, de Beur SJ, LeBoff MS, et al. Isikhokelo sikagqirha kuthintelo kunye nonyango lwe-osteoporosis. Osteoporos Int. Ngo-2014; 25 (10): 2359-2381. IINKCUKACHA: 25182228 www.ncbi.nlm.nih.gov/pubmed/25182228.

Savage JW, kunye noAnderson PA. I-osteoporotic spinal fractures. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ii-eds. Uxinzelelo lwamathambo: iNzululwazi esisiseko, uLawulo, kunye noKwakha ngokutsha. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 35.

Waldman SD. Ukunyanzeliswa kwe-vertebral compression fracture. Ku: Waldman SD, ed. IiAtlas zeSyndromes zobuhlungu obuqhelekileyo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 73.

Ifayile kaWilliam KD. Ukuqhekeka, ukususwa, kunye nokuqhekeka komsipha womqolo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13.IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 41.