Idan kana da cututtuka na rheumatoid , ana ganin halitta za ta zargi duk abin da kake fama da cutar. Bayan haka, cutar ciwon daji ce da ciwon haɗin gwiwa shine ainihin alama. Abun ciwon baya yafi haɗuwa da osteoarthritis, amma arthritis na rheumatoid zai iya shafar kashin baya.
Cervical Versus Lumbar Kungiyar Spine
Rheumatoid arthritis wanda ke rinjayar da kashin baya zai iya haifar da ciwon wuyansa, ciwon baya, kuma za'a iya samun radiculopathy (zafi da yake nunawa ga kafafu ko makamai) saboda matsawa na jijiyoyi a cikin lakabi ko kuma asalinsu.
Lokacin da arthritis na rheumatoid shine tushen ciwon baya, ya fi dacewa don ƙwaƙwalwar ƙwayar mahaifa (yankin wuyansa) da za a shafa maimakon magungunan thoracolumbar ko zauren sacroiliac . Citical spine hannu tare da arthritis rheumatoid yakan auku tare da cutar ci gaba.
Wannan shi ne kashin daji wanda yake da yawa a cikin rheumatoid arthritis. Laxity na ligaments da ke goyan baya ga digiri na farko da na biyu (C1 da C2) zai iya haifar da rashin daidaito a wannan matakin na kashin baya. Magunguna da cututtuka na rheumatoid ya kamata a gwada su a hankali don bayyanar cututtuka na subluxation (rarrabawar rarraba) a cikin kwakwalwan mahaifa. Idan subluxation yana haifar da matsalolin igiya, za'a iya samun alamomin dogon lokaci (maɗauran motoci na sama), ciki har da hyperreflexia (ƙwararraye masu karɓa).
Akwai hanyoyi guda biyu da zasu iya bayyana shigar da abubuwan da ke tsakanin magungunan kwakwalwa a cikin cututtuka na rheumatoid:
- Ƙarar daɗaɗɗen tsarin ƙwayar ƙwayoyin cuta daga wasu gidajen da ke kusa da shi a cikin sassan binciken binciken (ƙwaƙwalwar ajiya tsakanin diski da kuma jikin mutum).
- Gwanin daji na nakasassu wanda ya samo asali daga apophyseal (facet) lalata haɗuwa, wanda ke haifar da laushi da lalacewa, wanda zai iya haifar da ƙananan ƙwayoyin maganin ƙwaƙwalwar ƙwayoyin cuta, ƙwaƙwalwar layi, ko ƙin ƙwayar fayafai.
Yin amfani da sassan facet na lumbar spine da cututtuka an danganta su zuwa arthritis na rheumatoid a wani lokaci, mafi yawa bin nazarin bayanan da bayanan bayanan. A cikin aikin ƙwaƙwalwa, kafin a iya bincikar ƙwayar launi na lumbar, zamu iya magance matsalolin ciwo mai tsanani (misali, ƙwayar maganin ƙwaƙwalwa).
Abun Hulɗar Cikin Spine Aboki Tare da Ritumatoid Arthritis
Kwayar cututtukan da ake danganta da cutar arthritis a cikin kashin baya kuma wanda zai iya ganewa ga marasa lafiya sun hada da:
- Sakamakon layin da ya shafi abin da ya shafa ya haifar da tausayi
- Stiffness a yankin da aka shafa na kashin baya
- Crepitus , musamman a yankin wuyan
- Ciwon kai na iya faruwa tare da maganin arthritis na mahaifa
- Ra'ayin da ke nunawa ɗaya ko biyu makamai, alamar magungunan ƙwayar magungunan ƙwayoyi (cervical radiculopathy)
- Pain da ke nunawa daya ko biyu kafafu, alamar lumbar jijiya tushen hannu (lumbar radiculopathy)
- Wuyar tafiya, wanda shine alamar matsa lamba mai yawa a kan igiya
- Tingling, rauni na makamai ko ƙafafu, canje-canje ga daidaituwa da daidaituwa waɗanda zasu iya zama alamun ƙaddamar da ƙwayar katako
- Matsalar da ƙuƙwalwar ƙwayar zuciya ko mafitar mafitsara (misali, rashin kuskuren, rashin iyawa don urinate, ko rashin iyawa don kula da jinjin) na iya zama wata alamar ƙwaƙwalwar layi. Wannan yana buƙatar gaggawa gaggawa.
Idan cututtukan rheumatoid yana haifar da lalata haɗin facet a cikin kashin baya, yanayin da ake kira spondylolisthesis na iya bunkasa. Tare da spondylolisthesis, wani babba na sama yana zugawa gaba a saman na gaba kusa da ƙananan ƙananan hanyoyi. Cikakken sigin na iya sanya ƙarin matsa lamba a kan kashin baya ko kuma tushen asalinsu inda suka fita daga kashin baya kuma suka haifar da wasu matsalolin da aka ambata da suka hada da matsa lamba a kan kashin baya.
Sources:
> Arthritis da cututtuka da suka shafi Maida baya. Ƙungiyar Arthritis. https://www.arthritis.org/about-arthritis/where-it-hurts/back-pain/causes/back-arthritis.php.
> Currier BL, Coblyn J. Cervical Subluxation a Rheumatoid Arthritis. Na zamani. http://www.uptodate.com/contents/cervical-subluxation-in-rheumatoid-arthritis.
> Ma'aikata PJW, Maini RN. Magunguna na Rheumatoid Arthritis. Na zamani. http://www.uptodate.com/contents/clinical-manifestations-of-rheumatoid-arthritis.