Ukugula okunzulu okunjalo, njengoko ukufuduka kwe-vertebrae ye-lumbar spine (spondylolisthesis), inokwenzeka nanini na. Kukho iindlela ezimbini zokufuduka, ngokuxhomekeke kwisikhokelo sokufuduka kwe-vertebral: i-retroolisthesis (ukuhamba ngokufudukayo) kunye ne-ventrolisthesis (ukuhamba ngokuhamba phambili), nangona kunjalo, ukuchithwa kunokuba nzima. Kwixesha elide isigulo asikwazi ukuzibonakalisa (ukufikelela kwiminyaka emininzi), kodwa inkqubo yokugulisa isifo iqhubeka kwaye ihlala ibangela iingxaki.
Izizathu zokufuduka kweertebrae zommandla
Makhe sibhale iimeko, enye okanye ngaphezulu kwayo ingayikhupha le pathology:
- ukuxhatshazwa komgudu (ukuchithwa, ukunyangwa, njl njl);
- ukungabikho komntwana ongaphantsi kokuzalwa komnquba kwiphondo lumbar;
- utshintsho olusenokuba lukhuni kunye nobunzima bomgudu;
- ukungenelelo ngoncedo lomgudu;
- izidumbu zeemisipha ezide;
- ukunyanzelisa umzimba (ngokuqhelekileyo kuhlanganiswa nokuphakamisa izisindo);
- iwa ngasemva;
- ukubuthathaka kwezihlunu zeparavertebral;
- utshintsho olubukhali kwiqondo lokushisa, njl
Ukufuduka kwe-diagnostic 5, kunye ne-vertebrae yesithili se-lumbar, i-tk. yile ndawo ebonakalayo kwaye ikhuselekileyo. Kule meko, ukufuduswa kwe-vertebra yesihlanu yommandla we-lumbar kukhokelela ekuqhekekeni kwe-pedicle (ukubunjwa okudibanisa umzimba we-vertebral kwi-joint joints).
Iimpawu zokufuduka kweertebrae zommandla
I-pathology iqala ukubonakalisa ngokwazo iimpawu ezilandelayo:
- ubuhlungu obuncinane, ubuhlungu beendawo ezikwimimandla, luqiniswe ngenxa yokunyakaza okusebenzayo kunye nemithwalo kunye nokunika imilenze;
- ukwehla kwimiqulu yokunyusa kunye nokunyanzelisa okuhambisana ne-spasm ye-corset ye-muscular.
Njengoko inkqubela phambili ibonakala impawu:
- Ubuninzi bokungqinelana kwendawo ye-lesion, efunyanwa ngethuba lokubamba;
- intlungu eyongeziweyo kwingingqi ye-lumbar
- ukukhawuleka okuphawulekayo kokuhamba;
- buthathaka;
- utshintsho lwe-posture, gait;
- ukungasebenzi kwamalungu angaphakathi (urino-genital, izifo zesisu);
- imisipha yomsipha emilenzeni;
- ukuphazamiseka kunye nokuvuvukala kwemilenze, intlungu emadolweni, izilwanyana ezinamahlombe kunye namaqhosha;
- ukuphuculwa kokuhamba, ukunyanzeliswa kweenyawo xa uhamba, utyhawula;
- ukulahlekelwa kweentlungu.
Iimpembelelo zokufuduka kwe-vertebra ye-lumbar:
- ukunciphisa umgca womgudu;
- ukunyanzeliswa kwamagatsha enesifo;
- ukuguqulwa kwekholam yomgca;
- i-intervertebral hernia, njl
Ukunyangwa kwe-lumbar vertebrae ukufuduka
Kule ntsholongwane, ngokuxhomekeka kubukhulu beenkqubo, unyango olusisigxina okanye unyango lunokumiselwa. Unyango olulondolozayo lusekelwe kule miqathango yonyango alandelayo:
- Ukusetyenziswa kwamachiza: izidakamizwa ezingezange-inflammatory (non-steroidal anti-inflammatory) ngaphakathi (ngaphakathi, ngaphandle), i-muscle relaxants, i-glucocorticosteroids ngendlela ye-injections (eneentlungu ezinzima), i-chondroprotectors, iivithamini.
- Ukwelashwa kwe-physicotherapeutic: ukuxilwa kwe-back back of the muscle,
unyango olushushu, i-electrophoresis, unyango lwe-ultrasound, unyango lwamatye, njl njl - Umtsalane wokugulisa intambo, unyango olusesikweni, i-reflexotherapy.
- Ukunyanga kwamayeza okomeleza imisipha.
- Ukugqoka i-corset, ukunciphisa umthwalo kwindawo yesebe.
Kwiimeko ezibuhlungu zokufuduka kwe-vertebrae ye-lumbar spine, umsebenzi uhlose ukuzinzisa umlenze nokunciphisa uxinzelelo lweentlungu. Impumelelo yindlela yokugqirha ye-vertbral plasty, kwaye ukususwa kwe-vertebra kunye nobunzima bomzimba obuninzi kunokwenziwa.