Likhatello tsa khatello ea mokokotlo

Likhatello tsa khatello ea mokokotlo li robehile masapo a mokokotlo. Vertebrae ke masapo a mokokotlo.

Lefu la ho fokola ha masapo ke sesosa se atileng haholo sa ho robeha ha mofuta ona. Lefu la ho fokola ha masapo ke lefu leo ​​ho lona masapo a senyehang habonolo. Maemong a mangata, lesapo le lahleheloa ke calcium le liminerale tse ling ka botsofali. Lisosa tse ling li ka kenyelletsa:

• Trauma ka morao
• Lihlahala tse qalileng masapong kapa tse namelang masapong ho tsoa kae kapa kae
• Lihlahala tse qalang mokokotlong, joalo ka myeloma e mengata

Ho ba le likheo tse ngata tsa mokokotlo ho ka lebisa ho kyphosis. Hona ke ho kobeha ha lesapo la mokokotlo.

Ho robeha ha khatello ea maikutlo ho ka hlaha ka tšohanyetso. Sena se ka baka bohloko bo boholo ba mokokotlo.

• Bohloko bo utluoa haholo bohareng le mokokotlong o tlase. E ka boela ea utluoa ka mahlakoreng kapa ka pele ho mokokotlo.
• Bohloko bo bohale ebile bo "tšoana le thipa." Bohloko bo ka holofatsa, mme ho nka libeke ho isa ho likhoeli ho fela.

Ho robeha ha khatello ea maikutlo ka lebaka la lefu la masapo ho ka baka matšoao qalong. Hangata, li fumanoa ha x-ray ea mokokotlo e etsoa ka mabaka a mang. Ha nako e ntse e ea, matšoao a latelang a ka hlaha:

• Bohloko ba morao bo qalang butle, mme bo mpefala ha o tsamaea, empa ha bo utloe ha o phomotse
• Ho lahleheloa ke bophahamo, boholo ba lisenthimithara tse 6 ka nako
• Boemo bo inameng, kapa kyphosis, e boetseng e bitsoang hump ea dowager

Khatello ea mokokotlo oa mokokotlo o tsoang maemong a sa tloaelehang e ka baka:

• Boikitlaetso
• Ho benya
• Bofokoli
• Ho thata ho tsamaea
• Ho lahleheloa ke taolo ea mala kapa senya

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Sena se ka bontša:

• Mokokotlo, kapa kyphosis
• Bonolo holim'a masapo kapa masapo a mokokotlo a amehileng

X-ray ea mokokotlo e ka bonts'a bonyane 1 vertebra e petelitsoeng e khuts'oane ho feta tse ling tsa vertebrae.

Liteko tse ling tse ka etsoang:

• Tlhahlobo ea masapo a masapo ho lekola lefu la masapo
• Tlhatlhobo ea CT kapa ea MRI, haeba ho na le ngongoreho ea hore ho robeha ho bakiloe ke hlahala kapa ts'itiso e matla (joalo ka ho oa kapa kotsi ea koloi)

Mefuta e mengata ea khatello ea maikutlo e bonoa ho batho ba baholo ba nang le lefu la masapo. Hangata ho robeha hona ha ho bake kotsi mokokotlong. Boemo bona hangata bo phekoloa ka litlhare le litlatsetso tsa calcium ho thibela ho robeha ho eketsehileng.

Bohloko bo ka phekoloa ka:

• Meriana ea bohloko
• Phomolo ea bethe

Mefuta e meng ea kalafo e ka kenyelletsa:

• Li-brace tsa morao, empa tsena li ka fokolisa masapo le ho eketsa kotsi ea ho robeha ho hoholo
• Phekolo ea 'mele ho ntlafatsa motsamao le matla ho potoloha mokokotlo
• Moriana o bitsoang calcitonin ho thusa ho kokobetsa bohloko ba masapo

Ho ka etsoa opereishene haeba u na le mahlaba a bohloko le a holofatsang nako e fetang likhoeli tse 2 e sa ntlafoleng ka kalafo tse ling. Phekolo e ka kenyelletsa:

• Balloon kyphoplasty
• Vertebroplasty
• Fusion ea mokokotlo

Ho ka etsoa opereishene e 'ngoe ho tlosa masapo haeba ho robeha ho bakoa ke hlahala.

Kamora ho buuoa u ka hloka:

• Boima ba 'mele bakeng sa libeke tse 6 ho isa ho tse 10 haeba ho robeha ho bakoa ke kotsi.
• Ho buuoa ka bongata ho kopanya masapo a mokokotlo hammoho kapa ho imolla khatello ea methapo.

Matšoenyeho a mangata a khatello ea maikutlo a bakoang ke ho lemala a folisa libekeng tse 8 ho isa ho tse 10 ka phomolo, ho roala lieta, le meriana ea bohloko. Leha ho le joalo, ho hlaphoheloa ho ka nka nako e telele haholo haeba ho etsoa opereishene.

Ho robeha ha pelo ka lebaka la lefu la ho fokola ha masapo hangata ha ho utloise bohloko ha motho a phomola kapa a utloa bohloko. Ho robeha ho hong, leha ho le joalo, ho ka lebisa ho bohloko ba nako e telele (bo sa foleng) le bokooa.

Meriana ea ho phekola lefu la masapo e ka thusa ho thibela ho robeha ha nako e tlang. Leha ho le joalo, meriana e ke ke ea etsolla tšenyo e seng e etsahetse.

Bakeng sa ho robeha ha khatello ea maikutlo ho bakoang ke lihlahala, sephetho se latela mofuta oa hlahala e amehang. Lihlahala tse amanang le mokokotlo li kenyelletsa:

• Kankere ea matsoele
• Kankere ea matšoafo
• Lymphoma
• Kankere ea senya
• Myeloma e mengata
• Hemangioma

Mathata a ka kenyelletsa:

• Ho hloleha ha masapo ho tsoaka kamora ho buuoa
• Mokokotlo
• Mokokotlo oa mokokotlo kapa khatello ea methapo ea methapo

Bitsa mofani oa hau haeba:

• U na le bohloko ba morao 'me u nahana hore u ka ba le khatello ea khatello ea maikutlo.
• Matšoao a hau a ntse a mpefala, kapa u na le mathata a ho laola senya le 'mele.

Ho nka mehato ea ho thibela le ho phekola lefu la masapo ke tsela e atlehang ka ho fetesisa ea ho thibela khatello ea maikutlo kapa ho se lekane. Ho ikoetlisa kamehla (joalo ka ho tsamaea) ho ka u thusa ho qoba ho lahleheloa ke masapo.

U lokela hape ho hlahlojoa ke masapo a hao nako le nako, haholo-holo ho basali ba kamorao ho ho ilela khoeli. U lokela hape ho hlahlojoa khafetsa haeba u na le nalane ea lelapa ea lefu la masapo kapa ho robeha ha khatello ea maikutlo.

Khatello ea Vertebral e robeha; Osteoporosis - ho robeha ha khatello ea maikutlo

• Ho robeha ha khatello ea maikutlo

Cosman F, de Beur SJ, LeBoff MS, le al. Tataiso ea ngaka ea thibelo le kalafo ea lefu la masapo. Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 www.ncbi.nlm.nih.gov/pubmed/25182228.

Savage JW, Anderson PA. Ho robeha ha mokokotlo oa masapo. Ka: Browner BD, Jupiter JB, Krettek C, Anderson PA, bahlophisi. Skeletal Trauma: Saense ea Motheo, Tsamaiso le Kaho ea Bocha. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 35.

Waldman SD. Ho robeha ha mokokotlo oa mokokotlo oa mokokotlo. Ka: Waldman SD, e hlophisitsoeng. Atlas of Common Pain Syndromes. La 4 ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 73.

Williams KD. Ho robeha, ho senyeha, le ho robeha ha mokokotlo. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed.Philadelphia, PA: Elsevier; 2017: khaolo ea 41.