Ukwelapha okunzima okunjalo, njengoba ukufuduka kwe-vertebrae ye-lumbar spine (spondylolisthesis), kungenzeka nganoma yisiphi isikhathi. Kunezinhlobo ezimbili zokuhamba, ngokuya ngokuqondiswa kwe-vertebral displacement: i-retroolisthesis (ukuhamba emuva emuva) nokuphuma kwe-ventrol (phambili ukuhamba), noma kunjalo, ukuguqulwa kungaba nzima kakhulu. Isikhathi eside isiguli asikwazi ukuziveza (kuze kube seminyaka eminingana), kodwa inqubo ye-pathological iqhubeka njalo futhi idala izinkinga.
Izimbangela zokuthutha ama-vertebrae esifundeni se-lumbar
Ake sibhale izici, eyodwa noma eziningi zazo ezingabangela lesi sifo:
- ukuhlukunyezwa komgogodla (ukuhlukanisa, ukulimaza, njll);
- ukungabikho kokuzalwa kwangasese komgogodla esifundeni se-lumbar;
- Izinguquko ezishintshayo kanye nezesifo se-dystrophic somgogodla;
- ukungenelela kokuhlinzwa emgodleni;
- ukuphazamiseka kwemisipha ende;
- ukuzama ngokweqile ngokomzimba (okuvame ukuhambisana nokuphakamisa izisindo);
- iwa ngemuva;
- ukubuthakathaka kwemisipha ye-paravertebral;
- izinguquko ezibukhali ekushiseni, njll.
I-displacement eyayijwayele ukutholakala 5, kanye nama-vertebrae angu-4 esifundeni se-lumbar, tk. yileli sayithi elivezwe kakhulu futhi lisengozini. Kulesi simo, ukufuduka kwe-vertebra yesihlanu yesifunda se-lumbar kuholela ekuqhekekeni kwe-pedicle yayo (ukwakheka okuxhuma umzimba we-vertebral kuya ezingxenyeni zezinhlangothi).
Izimpawu zokufuduka kwe-vertebrae yesifunda se-lumbar
I-pathology iqala ukuzibonakalisa ngezimpawu ezilandelayo:
- ubuhlungu obuncane, obuyingqayizivele esifundeni se-lumbar, buqiniswe ngenxa yokunyakaza okusebenzayo nemithwalo nokunikeza imilenze;
- ukwehla kwendwangu yokunyakaza okusebenzayo nokuzihambela okuhambisana ne-spasm ye-corset yemisipha.
Njengoba ukubonakala kuvela izimpawu ezinjalo:
- Ukuba khona kwe-protrusion okuqhubekayo endaweni yesilonda, etholakala ngesikhathi sokulunywa;
- ubuhlungu obuningi esifundeni esilungile
- umkhawulo obalulekile wokuhamba;
- ubuthakathaka jikelele;
- ukuguqulwa kwe-posture, i-gait;
- ukungasebenzi kwamalungu angaphakathi (ukuhlukunyezwa kwamagciwane, ukuhlukunyezwa kwamathumbu);
- imisipha yomzimba emilenzeni;
- ukubopha futhi ukuvuvukala kwemilenze, ubuhlungu emadolweni, amajoyini wezinyosi kanye nezinyawo;
- ukuhamba kancane, ukuguquguquka kwezinyawo uma uhamba, ugoqa;
- ukulahlekelwa ukuzwa kwezinyawo.
Imiphumela yokuthutha kwe-vertebra lumbar:
- ukumbalwa komgogodla wesipelingi;
- ukucindezeleka kwamagatsha ezinzwa;
- ukuguqulwa kwekholomu yomgogodla;
- i-intervertebral hernia, njll.
Ukwelashwa kwe-lumbar vertebrae ukufuduka
Kule ndawo yokukhubazeka, kuye ngokuthi ubuchopho bube bunzima kangakanani, ukwelashwa okulindelekile noma okuhlinzekwayo kungenziwa. Imithi yokwelapha isekelwe kulezi zindlela zokwelapha ezilandelayo:
- Ukusetshenziswa kwemithi: izidakamizwa ezingekho-steroidal anti-inflammatory (ngaphakathi, ngaphandle), iziphumuli ze-muscle, i-glucocorticosteroids ngendlela yamajojo (ngezinhlungu ezinzima), ama-chondroprotectors, amavithamini.
- Ukwelashwa kwe-Physiotherapeutic: ukujula okujulile ngemuva kwemisipha,
ukwelashwa okushisa, i-electrophoresis, ukwelashwa kwe-ultrasound, ukwelashwa kwedaka, njll. - Ukuhlukunyezwa kwentambo yomgogodla, ukwelapha okuwusizo, reflexotherapy.
- Izindlela zokwelapha zokuqinisa imisipha.
- Ukugqoke i-corset, ukunciphisa umthwalo endaweni yesimanga.
Ezimweni ezimbi zokufuduka kwe-vertebrae ye-lumbar spine, ukuhlinzwa kuhloswe ekuqiniseni umgogodla nokunciphisa ukucindezeleka kokuphela kwezinzwa. Ukuphumelela yiyona ndlela yokuhlinza ye-vertebral plasty, futhi ukususwa kwe-vertebra kanye nesisindo somswakama obuningi nakho kungenziwa.