Ukucindezela ukuqhekeka emuva

Ukucindezelwa kokuqhekeka emuva kunama-vertebrae aphukile. IVertebrae ngamathambo omgogodla.

I-osteoporosis iyimbangela evame kakhulu yalolu hlobo lokuphuka. I-osteoporosis yisifo lapho amathambo eba buthakathaka khona. Ezimweni eziningi, ithambo lilahlekelwa i-calcium namanye amaminerali ngobudala. Ezinye izimbangela zingafaka:

• Ukuhlukumezeka emuva
• Izimila ezaqala ethanjeni noma zasakazekela ethanjeni zisuka kwenye indawo
• Izicubu eziqala emgogodleni, njenge-myeloma eminingi

Ukuba nokuqhekeka okuningi kwama-vertebrae kungaholela ku-kyphosis. Lokhu kugobeka komgogodla okufana ne-hump.

Ukuphuka kokucindezela kungenzeka ngokuzumayo. Lokhu kungadala ubuhlungu obukhulu beqolo.

• Ubuhlungu buvame ukuzwakala phakathi noma emgogodleni ophansi. Kungabuye kuzwakale ezinhlangothini noma ngaphambili komgogodla.
• Izinhlungu zibukhali futhi "zifana nommese." Ubuhlungu bungakhubaza, futhi kuthathe amasonto kuya ezinyangeni ukusuka.

Ukuphuka kokucindezelwa ngenxa ye-osteoporosis kungadala izimpawu ekuqaleni. Imvamisa, ziyatholakala lapho ama-x-ray womgogodla enziwa ezinye izizathu. Ngokuhamba kwesikhathi, izimpawu ezilandelayo zingavela:

• Ubuhlungu beqolo obuqala kancane, futhi buba bukhulu ngokuhamba, kepha abuzwa lapho uphumula
• Ukulahleka kokuphakama, okungama-intshi ayi-6 (amasentimitha ayi-15) ngokuhamba kwesikhathi
• Ukuma okugoqiwe, noma i-kyphosis, ebizwa nangokuthi i-hump ye-dowager

Ukucindezelwa kwentambo yomgogodla kusuka ekuzingeleni ngokweqile kungabangela, ezimweni ezingavamile, ukuthi:

• Ubudikadika
• Ukulinganisa
• Ubuthakathaka
• Kunzima ukuhamba
• Ukulahlekelwa ukulawula kwesisu noma kwesinye

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba. Lokhu kungakhombisa:

• I-humpback, noma i-kyphosis
• Ubumnene ngaphezu kwethambo lomgogodla noma amathambo athintekile

I-x-ray yomgogodla ingakhombisa okungenani i-vertebra eyodwa ecindezelweyo emfushane kunamanye amathambo.

Olunye uvivinyo olungenziwa:

• Ukuhlolwa kwesisindo samathambo ukuhlola i-osteoporosis
• Ukuskena i-CT noma i-MRI, uma kunokukhathazeka ngokuthi ukuphuka kubangelwa isimila noma ukuhlukumezeka okukhulu (njengokuwa noma ingozi yemoto)

Ukuphuka okuningi kokucindezelwa kubonakala kubantu asebekhulile abane-osteoporosis. Lezi zaphuka kaningi azibangeli ukulimala komgogodla. Isimo sivame ukuphathwa ngemithi nezithako ze-calcium ukuvimbela ukuqhuma okuqhubekayo.

Ubuhlungu bungaphathwa nge:

• Umuthi wezinhlungu
• Ukuphumula kombhede

Ezinye izindlela zokwelashwa zingafaka:

• Ama-brace emuva, kepha lokhu kungathuthukisa amathambo futhi kwandise ubungozi bokuqhekeka okuningi
• Ukwelashwa ngokomzimba ukuthuthukisa ukunyakaza namandla azungeze umgogodla
• Umuthi obizwa nge-calcitonin wokusiza ukuqeda izinhlungu zethambo

Ukuhlinzwa kungenziwa uma unezinhlungu ezinzima nezikhubaza izinyanga ezingaphezu kwezingu-2 ezingabi ngcono nezinye izindlela zokwelapha. Ukuhlinzwa kungafaka:

• Ibhaluni kyphoplasty
• Umgogodla
• Ukuhlanganiswa komgogodla

Okunye ukuhlinzwa kungenziwa ukususa ithambo uma ukuphuka kungenxa yesimila.

Ngemuva kokuhlinzwa ungadinga:

• I-brace yamaviki ayisithupha kuya kwayishumi uma ukuphuka kubangelwa ukulimala.
• Ukuhlinzwa okwengeziwe ukujoyina amathambo omgogodla ndawonye noma ukukhulula ingcindezi emsipheni.

Ukuphuka kokucindezelwa okuningi ngenxa yokulimala kuyaphola emavikini ayisishiyagalombili kuya kwayishumi ngokuphumula, ukugqoka izicathulo ezihlanganiswe ngensimbi noma umkaki, kanye nemithi yezinhlungu. Kodwa-ke, ukululama kungathatha isikhathi eside uma kwenziwa ukuhlinzwa.

Ukwephuka ngenxa yamathambo kuvame ukuba buhlungu kakhulu ngemithi yokuphumula nobuhlungu. Okunye ukuphuka, kungaholela ezinhlungwini zesikhathi eside (ezingapheli) nokukhubazeka.

Imithi yokwelapha i-osteoporosis ingasiza ekuvikeleni ukuqhekeka kwesikhathi esizayo. Kodwa-ke, imithi ayinakuguqula umonakalo osuvele wenzekile.

Ngokuqhekeka kokucindezelwa okubangelwa izicubu, umphumela uncike ohlotsheni lwesimila esithintekayo. Izicubu ezibandakanya umgogodla zifaka:

• Umdlavuza webele
• Umdlavuza wamaphaphu
• I-Lymphoma
• Umdlavuza wendlala yesinye
• I-myeloma eminingi
• IHemangioma

Izinkinga zingafaka:

• Ukwehluleka kwamathambo ukuxubana ngemuva kokuhlinzwa
• I-Humpback
• Intambo yomgogodla noma ukucindezelwa kwezimpande zemizwa

Shayela umhlinzeki wakho uma:

• Unezinhlungu emuva futhi ucabanga ukuthi ungahle ube nokuphuka kokucindezela.
• Izimpawu zakho ziya ngokuya ziba zimbi, noma unenkinga yokulawula isinye nokusebenza kwamathumbu akho.

Ukuthatha izinyathelo zokuvimbela nokwelapha ukukhumuzeka kwamathambo kuyindlela ephumelela kunazo zonke yokuvimbela ukuqhekeka noma ukungakwazi ukwelashwa. Ukuvivinya umzimba njalo (njengokuhamba) kungakusiza ugweme ukulahleka kwethambo.

Kufanele futhi ukuthi kuhlolwe amathambo akho ngezikhathi ezithile, ikakhulukazi kwabesifazane abangemuva kokuya esikhathini. Kufanele futhi uhlolwe kaningi uma unomlando womndeni we-osteoporosis noma i-compression fractures.

Ukuqhekeka kwe-Vertebral fractures; I-osteoporosis - ukuphuka kokucindezela

• Ukuphuka kokucindezela

UCosman F, de Beur SJ, LeBoff MS, et al. Umhlahlandlela womtholampilo wokuvimbela nokwelashwa kwe-osteoporosis. Osteoporos Int. 2014; 25 (10): 2359-2381. I-PMID: 25182228 www.ncbi.nlm.nih.gov/pubmed/25182228.

USavage JW, noAnderson PA. Ukuqhekeka komgogodla we-osteoporotic. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 35.

I-Waldman SD. Ukuqhekeka kwe-vertebral compression fracture. Ku: Waldman SD, ed. I-Atlas yama-Syndromes obuhlungu obujwayelekile. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 73.

UWilliam KD. Ukwephuka, ukuhlukaniswa, nokuhlukaniswa komgogodla. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13.IPhiladelphia, PA: Elsevier; I-2017: isahluko 41.