Ciki na mahaifa

Myelopathy na mahaifa kalma ne na tasirin jijiya a cikin wuya.

Myelopathy yana nuna rauni ko cuta na kashin baya, kuma ƙwayar mahaifa tana nuna cewa muna magana ne akan ɗayan jijiyar vertebrae bakwai (C1-C7).

Bayyanar cututtuka za su bambanta dangane da inda cutar take gefe. Myelopia na mahaifa yana faruwa yayin da muke da ƙuntataccen (stenosis) na canal na kashin baya wanda ke haifar da rashin aiki na kashin baya - wannan yawanci ne saboda cututtukan da ake samu na haihuwa ko kuma yanayin lalacewa.

Na ƙarshen shi ne saboda spondylosis, kuma ana kiranta yanayin sau da yawa na mahaifa spondylotic myelopathy, a takaice zuwa CSM. Idan kun san cewa kuna da madaidaicin yanayin jijiya a cikin wuya to kuna buƙatar ɗaukar shi da mahimmanci kuma fara aiki tare da aiki da ƙarfafa horo tuni. Yana da mahimmanci a taƙaita ci gaba da ɓarna.

Anan akwai bidiyon horarwa guda biyu tare da shawarwari don motsa jiki waɗanda zasu iya taimaka muku ƙarfafa wuyan ku da kafadu.

BATSA: Biyar Tufafi 5 Akan Stiff Neck

Neckarin wuyan motsi na iya haɗawa da ingantaccen aikin tsoka da haɓaka wurare dabam dabam na jini. Wannan bi da bi na iya sauƙaƙa tsokoki na hankali kuma rage zafin wuya. Latsa ƙasa don ganin darussan.

Kasance tare da danginmu kuma kayi subscribe na tashar mu ta YouTube don nasihu na motsa jiki kyauta, shirye-shiryen motsa jiki da ilimin kiwon lafiya. Barka!

Bidiyo: ngarfafa Motsa don uldersaunun tare da Sauƙi

Don ƙarfafa wuyansa, kuna buƙatar ƙarfafa ƙarfafa kafaɗa da ruwan wukake. Waɗannan su ne dandamali don kyakkyawan wuyan aiki da daidaitaccen wuyan wuya. Raunuka, kafaɗun da aka zagayo a zahiri zai sa matsayin wuyan ya ci gaba - kuma don haka ya sanya matsin lamba a kan jijiyoyin cikin cikin wuyan jijiyar wuyan kanta. Yakamata a gudanar da shirin motsa jiki sau biyu zuwa hudu a mako don sakamako mafi kyau.

Shin kun ji daɗin bidiyon? Idan ka yi amfani da su, da gaske za mu yi godiya da ka yi rijista ga tasharmu ta YouTube da kuma ba mu babban abin tallata kafafen sada zumunta. Yana nufin abubuwa da yawa garemu. Babban godiya!

Bayanin hoto na MRI wanda ke nuna misalin spondylotic myelopathy na mahaifa: A cikin hoto zamu iya ganin matsawa na mahaifa wanda ya haifar da matsin lamba daga diski na intanet.

Dalilin Cervical Spondylotic Myelopathy

Dalili na zahiri na ƙwaƙwalwa na mahaifa shine matsa lamba na kashin baya. Matsakaicin diamita na kashin baya canal a cikin wuyan wuyansa vertebrae, wanda kuma aka sani da intervertebral foramina (IVF) ya kamata ya faɗi akan 17 - 18 mm.

Lokacin da aka matsa zuwa kunkuntar fiye da 14 mm, alamun myelopathic za su ci gaba. da kashin baya a cikin wuya shine matsakaici na 10 mmkuma shine lokacin da wannan igiyar kashin tayi samun sarari sarari a cikin kashin kashin baya mu samu bayyanar cututtuka na myelopathic.

Bayyanar cututtuka na mahaifa spondylotic myelopathy

Alamomin halayyar ƙwayar ƙwayar mahaifa ya ƙunshi daidaituwa da daidaituwa, ƙarancin ƙwarewar motsi, rauni, ɗumbin jiki da kuma matsewar lokaci-lokaci. Jin zafi galibi alama ce, amma yana da mahimmanci a tuna cewa ba lallai ba ne ciwo a cikin CSM - wanda yakan haifar da saurin ganewar asali. A cikin tsofaffin marasa lafiya, galibi ana ganin lalacewar gait da aikin hannu.

Yana da mahimmanci a tuna cewa duk da cewa cutar sankarar mahaifa wani yanayi ne da ke shafar wuya, zai iya haifar da sakamakon binciken neuron na sama da na kasa.

Abubuwan da aka saba da su a cikin gwajin asibiti

Marasa lafiya tare da CSM yawanci suna da alamun cututtukan neuron babba, amma kuma suna iya samun ƙananan alamun alamun motar.

rauni: Mafi yawan lokuta mafi yawan tabbas a cikin makamai.

Gait: A yadda aka saba stused, m tafiya.

hauhawar jini: Toneara sautin tsoka koda da motsi mai motsi.

hyperreflexia: Asedara matsanancin matsayi na ƙarshe.

Cincin clock: Sannu-sannu a idon kafa na iya haifar da motsa ƙwanƙwasa cikin idon kafa.

Babinski haruffa: Fadada babban yatsan kafa yayin gwada tafin kafa tare da takamaiman gwajin Babinski.

Hankalin Hoffman: Yin yatsun yatsun waje na yatsa a yatsan tsakiya ko yatsan zobe yana bada canji cikin yatsa ko goshin hannu.

Alamar tserewa ta ingeran wasan: Fingeran yatsan yatsa kai tsaye shiga cikin juyawa saboda ƙarancin tsokoki cikin hannuwa.

Cervical spondylotic myelopathy yanayin ci gaba ne

CSM yanayi ne mai ci gaba, mai narkewa wanda zai lalace a hankali. Zai yiwu a yi tiyata idan yanayin ya tsananta har matsin lamba a kan kashin ya zama mai yawa. Yin aiki na iya ƙunsar rikici ko tsauri.

Wannan shi ne ainihin abin da ya sa yana da mahimmanci don yin aiki da ƙarfi don ƙarfafa wuyan wuyansa da kuma tsarin tallafawa haɗin gwiwa (kafadu da na baya).

Me zan iya yi har ma da tsoka da ciwon haɗin gwiwa?

1. Babban motsa jiki, takamaiman aikin motsa jiki, shimfiɗa kai da aiki ana bada shawarar, amma ku kasance cikin iyakar zafin. Lokaci biyu a rana na mintuna 20 zuwa 40 suna da kyau ga jiki da jijiyoyin wuya.

2. Trigger point / tausa kwallaye muna bada shawara mai karfi - sun zo cikin girma daban-daban don haka zaku iya bugawa sosai har ma a duk sassan jikin mutum. Babu wani taimakon kai da ya fi wannan kyau! Muna ba da shawarar mai zuwa (danna hoton da ke ƙasa) - wanda yake cikakke saiti na maki 5 na wasan / tausa a cikin girma dabam:

3. Training: Takamaiman horo tare da dabarun horo na abokan adawa daban-daban (kamar su wannan cikakke saitin 6 na saurin juriya) zai iya taimaka maka horar da ƙarfi da aiki. Horo na Knit sau da yawa ya ƙunshi ƙarin takamaiman horo, wanda bi da bi na iya haifar da ingantaccen rigakafin rauni da rage ciwo.

4. Jin kai na Jin zafi - Sanyaya: Halittun iska samfuri ne na halitta wanda zai iya kawar da jin zafi ta hanyar kwantar da yankin a hankali. Ana ba da shawarar sanyaya musamman lokacin da zafin ya yi ciwo sosai. Idan sun kwantar da hankalinsu to ana bada magani don zafi - saboda haka yana da kyau a sami sanyi da dumin dumin.

5. Taimako Mai Rauni - Zafi: Arfafa tsokoki mai ɗorawa na iya ƙara yawan jini da rage zafi. Muna bada shawara masu zuwa reusable gas / sanyi mai gas (latsa nan don ƙarin karantawa game da shi) - wanda za'a iya amfani dashi duka biyu don sanyaya (ana iya daskarewa) da kuma dumama (ana iya mai da wuta a cikin microwave).

Abubuwan da aka ba da shawarar don sauƙin ciwo don tsoka da haɗin gwiwa

Halittun iska (Cold / cryotherapy)

Nasihun zurfafa nazarin nutsewa:

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2. Bernhardt M, Hynes RA, Blume HW, Farin AA 3rd. Myelopathy na mahaifa spondylotic. J Bone Joint Surg [Am] 1993; 75-A: 119-28.

3. Conaty JP, Mongan ES. Fitar mahaifa a cikin cututtukan cututtukan fata. J Bone Joint Surg [Am] 1981; 63-A: 1218-27.

4. Goel A, Laheri V. Re: Harms J, Melcher P. Fihirisar C1-C2 tare da sikirin polyaxial da gyaran sanda. kashin baya2002; 27: 1589-90.

5. Irvine DH, Foster JB, Newell DJ, Klukvin BN. Rashin ƙwayar spondylosis na mahaifa a cikin wani babban aiki. Lancet1965; 14: 1089-92.

6. Daga cikin JH. Rheumatoid arthritis na kashin baya na mahaifa. J Rheumatol 1974; 1: 319-42.

7. Woiciechowsky C, Thomale UW, Kroppenstedt SN. Degenerative spondylolisthesis na kashin baya na mahaifa: alamu da dabarun tiyata dangane da ci gaban cuta. Eur Spine J 2004; 13: 680-4.

8. Eismont FJ, Clifford S, Goldberg M, Green B. Girman canjin sagittal na mahaifa a rauni na kashin baya. kashin baya 1984; 9: 663-6.

9. Narayanan N. Cire fasalin na baya na mahaifa: bita. Mayar da hankali Neurosurg 2002; 13: ECP1.

10. Nurick A. A pathogenesis na kashin baya cuta hade da mahaifa spondylosis. Brain 1972; 95: 87-100

11. Ranawat CS, O'Leary P, Pellicci P, et al. Fushin na kashin baya na cututtukan fata na rheumatoid. J Bone Joint Surg [Am]1979; 61-A: 1003-10.

12. Latsa BD, Mink JH, Turner RM, Rothman BJ. Dosearancin metrizamide na kashin baya wanda aka kirkiri tomography a cikin asibitoci. J Kwamfuta Taimakawa Tomogr 1987; 10: 817-21.

13. Lin EL, Lieu V, Halevi L, Shamie AN, Wang JC. Abubuwan da ke tattare da steroid na steroid don herniations na Symptomatic Disc. J Jirgin Harshen Spinal Disord 2006; 19: 183-6.

14.  Scardino FB, Rocha LP, Barcelos ACES, Rotta JM, Botelho RV. Shin akwai fa'ida ga aiki a kan marasa lafiya (da ke kan gado ko a keken hannu) tare da ciwanin ƙwayar spondylotic myelopathy na mahaifa? Eur Spine J 2010; 19: 699-705.

15.  Gallie mu. Yankewa da fashewar kashin baya. Am J Surg 1939; 46: 495-9.

16.  Brooks AL, Jenkins EB. Atlanto-axial arthrodesis ta hanyar matsi na sifa J Bone Joint Surg [Am]1978; 60-A: 279-84.

17.  Girma D. Gyaran dunƙule na Atlantoa (dabarar Magerl). Rev Orp Traumatol 2008; 52: 243-9.

18.  Harms J, Melcher RP. Steraranci C1 - C2 fushin tare da sikelin-axial poly da gyaran sanda. Spine (Phila Pa 1976)2001; 26: 2467-71.

19.  Farashin NM. Gyara C2 na gaba ta amfani da haɗin biyu, ƙetaren ɗamarar karatun C2: jerin lambobi da bayanin kula. J Jirgin Harshen Spinal Disord 2004; 17: 158-62.

20.  Southwick WO, Robinson RA. Yin tiyata ya kusanci gawarwakin jiki a cikin yankunan mahaifa da lumbar. J Bone da hadin gwiwa Surg [Am] 1957; 39-A: 631-44.

21.  Williams KE, Paul R, Dewan Y. Sakamakon aiki na ƙwaƙwalwar ƙwaƙwalwa a cikin mahaifa spondylotic myelopathy. J Orthop na Indiya 2009; 43: 205-9.

22.  Wu JC, Liu L, Chen YC, et al. Arfin tsohuwar madaidaiciya a cikin kashin mahaifa: cikakken nazari ne na shekaru 11 na ƙasa. Mayar da hankali Neurosurg 2011; 30: E5

23.  Dimar JR II, Bratcher KR, Brock DC, et al. Abinda aka buɗe a cikin laminoplasty a matsayin magani ga myelopathy na mahaifa a cikin marasa lafiya 104. Ni J Orthop 2009; 38: 123-8.

24.  Matsuda Y, Shibata T, Oki S, et al. Sakamakon aikin tiyata na ƙwayar cuta na mahaifa a cikin marasa lafiya fiye da shekaru 75 da haihuwa. kashin baya 1999; 24: 529-34.