Spondylolysis wani yanayi ne wanda yafi rinjaye 'yan wasa na matasa wadanda ke wasa wasanni da ake buƙatar saurin hawan jini da juyawa-watau magoya da karkatarwa-na spine. Gaskiya shi ne ciwo da rauni.
Spondylolysis farawa tare da raunin danniya a cikin karamin yanki na kashi a baya na vertebra da ake kira pars interarticularis. Idan damuwa da raguwa / spondylolysis ya yarda ya tsananta, zai iya haifar da wani yanayin da ake kira spondylolisthesis.
A cikin spondylolisthesis, kashi yana fita daga wuri kuma ya zama m.
Bracing, Matsayin da Harkokin Kasuwanci
Sakamakon ganewar asali da kuma maganin farko shine mahimmanci don dawowa cikin aikin lokacin da kake da cikakkiyar sanarwa. Jiyya kullum ya ƙunshi lokacin hutawa wanda zai kasance a tsakanin makonni 2 da watanni 6, ƙarfafa takalmin don taimakawa wajen rage girman matsayi (lumbar lordosis) wanda ke hade da yanayin rashin zaman lafiya da / ko ƙaddarar cututtuka.
Idan ciwon ciwon ya ci gaba da wuce watanni 6, likitan yaron na iya bayar da shawarar tiyata.
Mun yi magana da Dokta Lyle Micheli, likita mai kula da ilmin likita da kuma Daraktan Cibiyar Nazarin Wasannin Wasanni a asibitin Boston, da kuma Farfesa Farfesa na Orthopedic Surgery a Harvard Medical School. Dokta Micheli yana aiki da nau'o'in haɓaka da kungiyar kwallon kafa ta Rugby ta Amurka, da kuma hotunan wasan kwaikwayon Amurka da kuma Marathon na Boston.
A asibitin yara a Boston, ya ce, mafi yawan marasa lafiya sune matasa da kuma matasan da suka horar da su a akalla wasanni daya.
A can, marasa lafiya suna cikin sidelines na kimanin makonni 4 zuwa 6 ko har sai jin zafi, musamman lokacin da suka shimfiɗa kashin baya, ya tafi. A lokacin makonni 4 zuwa 6, na tsawon sa'o'i 23 a kowace rana, marasa lafiya suna yin takalmin gyare-gyaren da zai hana tsawo daga cikin kashin baya. Abun takalmin yana taimakawa wajen rage lordosis daga spine lumbar kuma yana taimakawa kashi a cikin wani rauni-watau
da suma-don warkar. Har ila yau, a wannan lokacin, marasa lafiya suna zuwa farfadowa na jiki don taimakawa wajen karfafa ƙwayar da ke riƙe da kashin baya daga haɗakarwa da kuma samar da sassaucin ƙwayar ƙwallon ƙwallon ƙwallon.
Abin takaici ga mahalarta, iyakokin aikin da aka sanya a kansu a lokacin warkar da maganin wannan rauni zai iya nuna wa matasa 'yan wasan ma fiye da raunin da ya faru da kansa. Duk da haka, aiki a wannan lokacin yana iyakance ga motsa jiki, aikin motsa jiki na kima da wasu shagunan ruwa. Duk abin da ya shimfiɗa kashin baya ya kauce masa.
Bayan makonni 4 zuwa 6, mai yin haƙuri tare da spondylolysis an sake gwada shi don maganin cututtuka da kuma digiri na ciwo. Idan ciwo ya kasance har yanzu, sanyaya da takalmin gyare-gyare da motsa jiki na motsa jiki na ci gaba.
A cikin watanni 4, an sake gwadawa, a wannan lokacin ta hanyar gwaji da kuma CT scan. A wannan batu, likita yana kallo don ganin ko kuma yayinda kasusuwa a guraren ya warke. Idan gwajin gwajin ya nuna ƙungiya mai zaman lafiya na kullun, kuma / ko kuma idan mai wasan ba shi da jin dadi, to an baiwa 'yan wasan damar dawo da wasanni. Ta ko kuma ya iya fara sannu-sannu barin sintin takalmin.
Duk da yake sanye da takalmin gyare-gyare da yin aikin motsa jiki yana da yawa don warkar da hanzari da kuma ba da izinin mai neman dawowa zuwa wasanni, Micheli ya sanar da ni.
Amma a cikin kimanin kashi 22 cikin dari na shari'ar, ana bukatar sauran yanayin gyaran maganin. Wani sabon tsari wanda zai iya taimakawa wajen warkar da kashin shi ne motsi na lantarki, in ji shi.
Nazarin da Micheli da sauransu suka yi sun nuna cewa motsi na lantarki na waje zai iya taimakawa wajen rage ciwo da kuma warkar da cututtuka a fadin. Amma a cewar wani bita na 2016, yawan samfurin (yawan marasa lafiya da suke aiki a cikin binciken) yayi ƙananan ƙananan don ba da damar ƙaddamar da ƙaddamarwa ta ƙarshe; saboda haka, mawallafin mawallafa sun ƙi yin la'akari da sakamakon da aka samu ga yawancin jama'a tare da ladabi.
Lumbar Fusion
Yanayin magungunan ƙarshe shine tiyata don tabbatar da ƙuƙwalwar jini , gaba ɗaya a fuska na lumbar .
Ana gwada wannan ne kawai bayan duk hanyoyin kulawa na rikitarwa sun tabbatar da m. Bayan an tilastawa, an saka marasa lafiya a simintin gyare-gyare ko takalmin gyaran kafa don akalla watanni 3, watakila har zuwa watanni 6, kuma an umurce su kada su yi wasanni ba har tsawon shekara guda bayan tiyata.
Kuma idan kun yi wasa da wasanni na wasanni, ba ku da tabbacin dawowa filin bayan duk wannan aikin.
Sources:
> AAOS. Spondylolysis da Spondylolisthesis. Yanar gizo OrthoInfo.
> Fellander-Tsai L, Micheli L. Jiyya na ƙwaƙwalwa tare da motsi na lantarki na waje: rahotanni na lambobi biyu. Clin J Sports Med 1998.
> Sonne-Holm, S., Jacobsen, S., Rovsing, HC, Monrad, H., & Gebuhr, P. Lumbar spondylolysis: yanayin rayuwa mai tsauri? Nazarin giciye na 4141. Eur Spine J, Nov 22 2006.
> Lawrence K., Elser T., Stromberg R. Lumbar ya kasance a cikin 'yan wasan matasa. Phys Ther Sport. Yuli 2016.
> Micheli, LMD, Curtis, C. Matsalar Cris a cikin Spine da Sacrum. Clin Sports Med 25 (2006).