Ana samun alamar facet tsakanin tsinkayyi na kowane ɓangaren sashin kashin ka. Osteoarthritis zai iya ci gaba a cikin wadannan gidajen abinci kuma ana iya kiran su a matsayin arthropathy ko facet hadin gwiwar osteoarthritis. Koyi game da wannan yanayin kuma abin da za a iya ba da magani.
Bayani
Facet arthropathy ne cututtukan cututtuka wanda ya shafi rinjaye na kashin baya.
A cikin yankin spine inda akwai facet joints, zafi hade da arthritis iya ci gaba.
Ana samun sakonni na facet a bayan baya na kashin baya . Akwai kwayoyi 24 da suke samar da kashin mutum a sama da sacrum (tailbone). Akwai alamomi biyu na facet tsakanin lakabi na kowane ɓangaren kashin baya tare da kashin kashin baya.
Hannun facet da intervertebral diski suna haifar da haɗin haɗin haɗi guda uku tsakanin kewayo. Haɗin haɗin facet yana da nau'i biyu na gyaran kafa tare da guringuntsi a tsakanin su da kuma adadin halayen da ke kewaye da shi. Ruwan haɗin gwaninta yana lubricate gidajen abinci, kamar yadda yanayin yake tare da wasu gidajen abinci irin su gwiwa. Facet joints taimaka ci gaba da daidaito al'ada na vertebrae da iyaka motsi.
Dalilin
Arthritis a cikin facet joints iya ci gaba daga:
- Sanya da hawaye wanda ya rage sararin samaniya tsakanin labaran da ke haddasa facet joints to rub tare
- Raunin baya baya
- Fractures
- Yarda lagaments
- Shirya matsala
Saboda ƙarin damuwa da wadannan yanayi ke haifar da haɗin facet, ɓangaren ɓangaren (wanda aka fi sani da osteophytes) zai iya ci gaba da gyaran gaji zai iya ɓata.
Baya ga raunin da ya faru, facet arthropathy shine yanayin tsufa. Babban dalilin dabarun arthropathy shine cututtuka na kashin baya wanda yake faruwa a rayuwa mai zuwa.
Cutar cututtuka
Raunin shine babban alama da ke hade da faɗar arthropathy. Abin zafi shine yawanci muni bayan barci ko hutawa. Pain da ke hade da faxin arthropathy na iya kara tsanantawa ta hanyar karkatarwa ko kunna baya.
Jinƙan ciwo baya shine mafi yawan ƙarar amma ba'a yaduwa da kafafu ko ƙafafunsa sai dai idan an lalace ta asibiti .
Yadda aka gano shi
Rikodin X, CT scans , da kuma yanayin hoton Magnetic (MRI) za a iya amfani da su don taimakawa wajen gano asalin maganganu. Wata hanya wadda ta fi dacewa ta ƙunshi yin gyare-gyare mai amfani ta hanyar amfani da furotin. Magungunan likita da dye suna allura. Gilashin ya ba da damar likita ya duba wurin sakawa da allura. Idan haɗin gwiwa facet ya zama injected kuma taimakon jinƙai shine sakamakon, wanda zai taimaka wajen tabbatar da ganewar asali na arthropathy.
Conservative Jiyya
Da farko, likita na iya bayar da shawarar lokaci na hutawa a cikin ƙoƙari na kwantar da alamar bayyanar. Yanayi barci da ke matsa lamba daga faxin mahaifa zasu iya bada shawarar, kamar su gogewa barci ko kwanciya a baya tare da gwiwoyi da matashin kai a ƙasa.
Magungunan maganganu na iya yin wajabta ciki har da:
- Tylenol
- Magungunan anti-inflammatory marasa nau'in ƙwayoyin cuta (NSAIDs)
- Musamman shakatawa
- Corticosteroids
Wasu zaɓuɓɓukan magani sun haɗa da:
- Traction
- Ƙarfafawa da wasan motsa jiki
- Ruwa na ruwa
- Magungunan asibiti
M Jiyya
Idan matakan tsaro sun kasa, likita na iya bayar da shawarar waɗannan jiyya:
- Injections na maganin rigakafi ko maganin maganin maganin maganin maganin ƙwayar cuta a cikin facet haɗin gwiwa ko jijiyoyin da suke tafiya zuwa haɗin facet za a iya gwada su.
- Ablation na jijiyoyin sino-vertebral wanda ke lalata jijiyoyi tare da na'urar lantarki na iya zama wani zaɓi.
- Ba'a buƙatar yin amfani da tiyata domin faɗakarwa ta arthropathy, amma zabin yana wanzu.
Zaɓuka Zɓk
Zaɓuɓɓukan zabin da za su bi da maganganun arthropathy sun hada da:
- Facet rhizotomy: Ka cire daya daga cikin jijiyoyin da za su haɗi tare.
- Fusion: Fuse biyu ko fiye da vertebrae don kawar da motsi a cikin facet gidajen abinci. Wasu lokuta an cire kayan haɗin gwiwa a lokacin fusion .
> Sources:
> Firestein, Gary S .; Budd, Ralph; Gabriel, Sherine E; ODell, James R; McInnes, Iain B, Budd RC, Firestein GS, Kelley WN. Kelleys Textbook na Rheumatology . Elsevier Kimiyyar Lafiya; 2012.
> Sanin Injections. Cibiyar Nazarin Ƙwararrun Orthopedic American. https://orthoinfo.aaos.org/en/treatment/spinal-injections/.