Spondylolysis kalma ce da aka yi amfani dasu don bayyana yanayin inda akwai damuwa a cikin wani yanki na kashin kashin baya. Wannan yankin na kashin baya, wanda ake kira pars interarticularis, ya haɗu da ƙananan kwakwalwa a cikin kashin baya. Lokacin da likita ya ce ku (ko yaronku) yana da haɓaka, suna cewa wannan ƙyama ne (ko maganin tashin hankali) a cikin vertebrae.
Dalili na Raunin Matsala a cikin Spine
Wadannan su ne tushen farko guda biyu wadanda ke da haɗarin haɗari don ci gaban spondyloysis. Wadannan sun haɗa da:
- Genetics: Wasu mutane suna tsinkaya don ci gaba da raguwa a cikin wannan wuri na kashin su. Wannan yana iya haifar da siffar ko ƙarfin kashi, jigon kalma, na yawan girma a lokacin yaro da yaro.
- Ayyukan Wasannin Wasanni: Wasu ayyukan wasanni na musamman sun tabbatar da gano yiwuwar samuwa sosai, musamman wasanni da ke buƙatar ɗaukar murfin kan gaba (ƙoshin baya) na kashin lumbar. Wadannan wasanni sun haɗa da gymnastics da ruwa. A cikin waɗannan 'yan wasa na matasa, za a iya samuwa a cikin kashi 40 cikin dari na masu halartar wasanni masu haɗari.
Alamomin Spondylolysis
Yawancin 'yan wasan matasa ba su da alamun wariyar launin fata, duk da rashin ganewar damuwa akan gwajin hoto. Lokacin da matasa 'yan wasan suna da alamun bayyanar, alamun sunaye sun hada da:
- Raunin ciwo (wani lokaci yana haskakawa cikin buttock ko cinya)
- Pain tare da tsawo (ba da baya) na kashin baya
- Ƙungiya mai ƙwanƙwasawa
Yara ko matasa masu tsammanin cewa suna raunana a cikin kashin su na iya buƙatar gwajin hoto. Don ƙoƙarin rage girman tallan marasa lafiya don shayarwa daga wasu gwaje-gwaje, likitanka na likita zai iya bayar da shawarar farawa tare da jiyya na farko da suka fara gani idan suna da tasiri.
Idan aka ba da wannan magungunan marasa lafiya ne a koyaushe ana bada shawara a farkon matakan wannan yanayin, sau da yawa ana yin gwaje-gwaje na hotunan farko, kuma an ajiye su ga marasa lafiya wanda basu inganta tare da maganin sauƙi.
Idan ana yin gwaje-gwaje, yawancin hasken rana zai zama gwajin farko da aka samu. Hanyoyin X suna da amfani don tantance jingina ta kashin baya, da kuma tabbatar da rikicewar rikicewa ba ya haifar da wani matsala tare da halayen kwakwalwa ba. Sauran gwaje-gwaje da yawa ana amfani da su sun hada da CT scans, MRIs, da ƙusar ƙashi.
Spondylolysis zai iya zama asymptomatic, ko yana iya zama mai zafi sosai. Lokacin da yanayin yake da dangantaka (yana faruwa a bangarorin biyu na spine) zai iya haifar da yanayin da ake kira spondylolisthesis . A cikin wannan yanayin, jikin kwayar halitta zai iya "slip" a gaba akan labaran tsaye a ƙasa. Dalilin da ya faru shi ne cewa al'ada da ke haɗuwa da kwakwalwa ta kusa suna lalacewa daga raguwa da ƙyama, sabili da haka layin kashin baya ya zama m.
Jiyya na Spondylolysis
Kamar yadda aka ambata, mafi yawancin lokuta magani yana kunshe da matakan marasa amfani. A farkon damuwa da damuwa da halayen haɓaka, akwai yiwuwar warkaswa don samuwa. Babban mahimmanci na maganin nasara shine hutawa mai kyau daga ayyukan da ke ci gaba.
Don tabbatar da cewa kashin ya isasshe shi, wasu likitoci zasu bada shawara ga takalmin gyare-gyare don iyakance dakarun a kan kashi wanda ya kamu. Jiki na jiki zai iya zama mahimman amfani don taimakawa inganta motsi da ƙarfafawa. Magunguna irin su NSIADs , magunguna masu ƙwayoyin cuta, suna iya taimakawa wajen kawar da ciwo. Sai dai a cikin yanayi na daban ba aikin tiyata ne da zai buƙaci gyaran ƙyama a cikin kashin baya. An yi amfani da tiyata musamman ga marasa lafiya waɗanda suka inganta slip, ko spondylolisthesis, na kashin baya.
Sources:
Cavalier R, Herman MJ, Cheung EV, Pizzutillo PD. Spondylolysis da Spondylolisthesis a Yara da Matasa: I. Bincike, Tarihin Halitta, da Gudanarwa Management. J Am Acad Orthop Surg. 2006 Yuli; 14 (7): 417-24.