Ukulawula iFacet Hypertrophy Pain: Isikhokelo

I-Facet hypertrophy sisifo esinganyangekiyo, esingapheliyo esichaphazela i-facet joints kumqolo. Ngaba ukuqaphela iimpawu, uncedo ekuxilongeni, kunye nonyango?

I-Facet Hypertrophy

I-facet hypertrophy ibangela ukuba amalungu e-facet kumqolo akhule. Zifumaneka apho i-vertebrae idibana khona ngasemva kwe-vertebrae eyenza umqolo. La malungu azinzisa umqolo xa ujija kwaye ugoba. Iziphumo ze-Hypertrophy xa umonakalo uguqa i-cartilage ekhupha amathambo adibana kwindawo. Oku kunokubandakanya:

• Ukuguga
• Nxibela ukuyikrazula
• Arthritis
• Ezinye izifo ezidibeneyo zingonakalisa amalungu e-facet.

Ukuvuvukala, ukukhula kwamathambo amatsha, kunye ne-bone spurs kunokwenzeka njengoko i-joint izama ukulungisa i-cartilage eyonakele. Ukuvuvukala kunye nokukhula kwamathambo amatsha kunokunciphisa umgudu womgogodla kwaye kucinezele imithambo-luvo ejikelezileyo, kubangele iintlungu kunye nezinye iimpawu zokuziva. Esi sigulo asinyangeki kwaye siba mandundu ekuhambeni kwexesha. Injongo yonyango kukulawula iimpawu zentlungu kunye nokucothisa inkqubela yesifo.

iintlobo

I-facet hypertrophy inokuchazwa njenge icala elinye nelinye.

• Unilateral - intlungu ivakala kwicala elinye.
• Amacala amabini - iintlungu zivakala kumacala omabini

Kwezi ndawo zilandelayo: (Romain Perolat et al., 2018)

• Iintonga
• Amacala e-groin
• Amathanga

iimpawu

Iimpawu zinokuba noluhlu olubanzi lokuqina, ukusuka kwintlungu engapheliyo ukuya kwintlungu engapheliyo, ekhubazayo. Indawo yeempawu ixhomekeke kwilungu elichaphazelekayo kunye nemithambo-luvo ebandakanyekayo, Ubuhlungu bubonakalisa xa amajoyina awandisiweyo kunye nokukhula kwamathambo amatsha kucinezela iimbilini ezikufutshane. Isiphumo sikhokelela kumonakalo wemithambo-luvo kunye nezi mpawu zilandelayo: (Weill Cornell Medicine Brain & Spine Centre. 2023) (Imisedare yaseSinayi. 2022)

• Ukuqina, ngakumbi xa uphakama okanye uphuma esihlalweni.
• Ukungakwazi ukuma nkqo xa uhamba.
• Ukungakwazi ukujonga phezulu ngasekhohlo okanye ngasekunene ngaphandle kokuguqula umzimba wonke.
• Uluhlu oluncitshisiweyo lokunyakaza kunye nokuhamba.
• Ukuba ndindisholo okanye ukuntyiloza kwezikhonkwane kunye neenaliti.
• Iimfucu zamathambo
• Ubuthakathaka obuthathaka
• Iintlungu ezivuthayo

Ezi mpawu zilandelayo zithe ngqo kwindawo yelungu elichaphazelekayo (Weill Cornell Medicine Brain & Spine Centre. 2023) (Imisedare yaseSinayi. 2022)

• Ukukhupha iintlungu ezivela kwilungu elichaphazelekayo ukuya kwiimpundu, ezinqeni, kunye nethanga eliphezulu xa i-joint / s echaphazelekayo iphantsi komqolo.
• Ukukhupha iintlungu ezivela kwilungu elichaphazelekayo kwigxalaba, intamo, kunye nomva wentloko xa i-joint / s echaphazelekayo iphezulu kumqolo.
• Intloko xa umdibaniso ochaphazelekayo usentanyeni.

Izizathu

Unobangela oqhelekileyo ngu ukuwohloka okunxulumene nobudala yamalungu, ebizwa spondylosis. Uphando lubonisa ukuba ngaphezu kwe-80% yabantu abaneminyaka engama-40 okanye ngaphezulu banobungqina be-radiologic be-spondylosis, nangona bengenazo iimpawu. (KwiYunivesithi yaseToledo Medical Centre. ND) Ezi meko zilandelayo zinokunyusa umngcipheko we-facet hypertrophy (Weill Cornell Medicine Brain & Spine Centre. 2023)

• Ukuma okungenampilo
• Ukugqithisa okanye ukugqithisa
• Indlela yokuphila
• Ukwenzakala okanye ukwenzakala kumqolo
• Iimeko ezivuthayo ezifana ne-rheumatoid arthritis okanye i-ankylosing spondylitis
• Osteoarthritis
• I-genetic predisposition kwimeko

Ukuqondwa

Ukuxilongwa kunokuba ngumngeni xa intamo okanye intlungu ye-back back isikhalazo esikhulu, njengoko iimpawu ziyakwazi ukulinganisa iimeko ezifana ne-sciatica kwi-disc ye-herniated okanye i-hip arthritis. (Weill Cornell Medicine Brain & Spine Centre. 2023)

• Umboneleli wezempilo uya kuqhuba uviwo olupheleleyo lomzimba, imbali yonyango, kunye nengxoxo yeempawu.
• Njengenxalenye yoviwo, abantu ngabanye banokucelwa ukuba bahambe kwiindawo ezibangela intlungu kwaye babonise apho intlungu ikhona khona. (Weill Cornell Medicine Brain & Spine Centre. 2023)
• Iimvavanyo zemifanekiso zingabonisa umonakalo obonakalayo kunye nokuvuvukala kunye / okanye ukunceda ukulawula ezinye iingozi okanye iimeko ezinokubangela iimpawu. (Romain Perolat et al., 2018) (Weill Cornell Medicine Brain & Spine Centre. 2023)

1. I-CT ihlola nge-myelogram okanye ngaphandle kwayo - ukusetyenziswa kwedayi echaseneyo kwindawo ejikeleze intambo yomgogodla.
2. MRI
3. X-reyi kunye okanye ngaphandle myelogram

Uxilongo luqinisekiswa ngokutofa ibloko yokuxilonga ebandakanya ukunikezela ngesitofu sokuthomalalisa, ngamanye amaxesha ngesichasi sokudumba esifana ne-cortisone, kwilungu okanye kwimithambo-luvo ekufutshane nelungu elichaphazelekayo. Iinaliti ezimbini zinikezelwa ngamaxesha ahlukeneyo ukuqinisekisa umphumo. (Romain Perolat et al., 2018)

• Ukuba ukukhululeka ngokukhawuleza kuphucula emva kwesitofu ngasinye, i-facet joint iqinisekiswa njengomthombo weempawu zentlungu.
• Ukuba ibhloko ayinciphisi intlungu, i-facet joint ayiyena umthombo weempawu zentlungu. (Brigham kunye neSibhedlele sabasetyhini. 2023)

impatho

Alukho unyango lwe-facet hypertrophy.
Injongo yonyango kukwenza iintlungu zilawuleke ngakumbi.
Unyango olulondolozayo ludla ngokuphumelela ekwenzeni umahluko.

Unyango lwe-Conservative

Unyango lokuqala lubandakanya ukusebenzisa amayeza alondolozayo (Romain Perolat et al., 2018)

• Ukunyanga kwamayeza
• Unyango lomzimba ukomeleza imisipha engundoqo kunye nomqolo.
• Ukuzivocavoca okujoliswe kuko ukunceda ukugcina ukuguquguquka.
• Uhlengahlengiso lweChiropractic ukulungelelanisa umqolo.
• Ukuqeqeshwa kokuma okunempilo.
• Ukuthotywa komatshini ongenzi utyando.
• Ukujija ukuzinzisa umqolo
• Ukwenza i-Acupuncture
• I-Nonsteroidal anti-inflammatory - i-aspirin, ibuprofen, kunye ne-naproxen.
• Iziphumlisi zemisipha - i-cyclobenzaprine okanye i-metaxalone.
• Isitofu se-steroid kumalungu e-facet.
• I-injection ye-platelet-rich plasma / PRP kumalungu.

Isebe eliphakathi okanye iBhlokhi yeFacet

• Ibhloko yesebe eliphakathi litofa i-anesthetic yendawo kufuphi nemithambo-luvo yangaphakathi edibanisa kwilungu elivuthayo.
• Imithambo-luvo ephakathi yimithambo-luvo encinci ngaphandle kwendawo edibeneyo kufutshane nemithambo-luvo ehambisa imiqondiso kunye nezinye iimpembelelo kwingqondo.
• I-facet block itofa iyeza ngaphandle kwendawo edibeneyo kufuphi ne-nerve ebonelela ngokudibeneyo ebizwa ngokuba yi-medial branch.

I-neurolysis

I-neurolysis, eyaziwa ngokuba yi-rhizotomy okanye i-neurotomy, yinkqubo etshabalalisa i-nerve fibers echaphazelekayo ukukhulula intlungu, ukunciphisa ukukhubazeka, kunye nokunciphisa imfuno ye-analgesics. Olu nyango lunokuthomalalisa iintlungu kangangeenyanga ezintandathu ukuya kwezili-12 de imithambo-luvo ihlaziyeke, apho unyango olongezelelekileyo lunokuba yimfuneko. (UMatthew Smuck et al., 2012) I-neurolysis inokwenziwa kusetyenziswa enye yezi ndlela zilandelayo (Romain Perolat et al., 2018)

• I-Radiofrequency ablation RFA – ukusetyenziswa kobushushu ngokusebenzisa irediyo frequency.
• Cryoneurolysis -ukusetyenziswa kwamaqondo okushisa abandayo kwi-nerve ekujoliswe kuyo.
• I-neurolysis yemichiza – ukusebenzisa iikhemikhali, njengendibaniselwano yephenol kunye notywala.
• Ukuqhawula imithambo-luvo ngesixhobo sotyando.

Ukuhlinzwa

Xa ilungu elinye okanye ngaphezulu lonakele kakhulu, lisenokungasebenzi kwaye libe buhlungu. Utyando lunokucetyiswa xa iimpawu zingancitshiswanga ngamanye amayeza. (UAli Fahir Ozer, et al., 2015)

Prognosis

I-Facet hypertrophy yimeko engapheliyo eqhubekayo kunye nobudala kwaye ayichaphazeli ixesha lokuphila. (Weill Cornell Medicine Brain & Spine Centre. 2023) Esi sifo asinyangeki, kodwa iimpawu zinokulawuleka ngonyango olululo

• Umboneleli wezempilo unokunceda ukuphuhlisa isicwangciso sonyango ngokusekelwe kubungakanani kunye nendawo yokudibanisa echaphazelekayo.
• Ukuxilongwa kwangoko kunye nonyango lunokunceda abantu ukuba bafumane ezona ziphumo zibalaseleyo.

Ukugcina indlela yokuphila esebenzayo kunye nobunzima obunempilo kunokunceda ukuthintela uxinzelelo olongezelelweyo lwamalungu. Abantu banokucetyiswa ukuba benze umthambo wokuzolula rhoqo kunye nokomeleza ukuthoba ukuvuvukala, ukunciphisa uxinzelelo, kunye nokuphucula impilo yonke.

Unyango lwe-Facet Syndrome

Ucaphulo

Perolat, R., Kastler, A., Nicot, B., Pellat, JM, Tahon, F., Attye, A., Heck, O., Boubagra, K., Grand, S., & Krainik, A. ( 2018). I-facet joint syndrome: ukusuka ekuxilongweni ukuya kulawulo lokungenelela. Ukuqonda kwimifanekiso, 9(5), 773–789. doi.org/10.1007/s13244-018-0638-x

Weill Cornell Medicine Brain & Spine Centre. (2023). Iimpawu ze-facet syndrome.

Imisedare yaseSinayi. (2022). Iimpawu zesifo esidibeneyo.

KwiYunivesithi yaseToledo Medical Centre. (ND). Spondylosis.

Weill Cornell Medicine Brain & Spine Centre. (2023). I-facet syndrome.

Weill Cornell Medicine Brain & Spine Centre. (2023). Ukuxilongwa kunye nokunyanga i-facet syndrome.

Brigham kunye neSibhedlele sabasetyhini. (2023). Ubuso kunye neebhloko zesebe ezingaphakathi.

Smuck, M., Crisostomo, RA, Trivedi, K., & Agrawal, D. (2012). Impumelelo ye-neurotomy ye-medial yokuqala kunye nokuphindaphindiweyo ye-neurotomy ye-zygapophysial joint joint: uphononongo olucwangcisiweyo. PM & R : ijenali yokulimala, umsebenzi, kunye nokuvuselelwa, i-4 (9), i-686-692. doi.org/10.1016/j.pmrj.2012.06.007

Ozer, AF, Suzer, T., Sasani, M., Oktenoglu, T., Cezayirli, P., Marandi, HJ, & Erbulut, DU (2015). Ukulungiswa kwe-facet elula kunye nenkqubo ye-pedicular eguqukayo: Inqaku lobugcisa kunye nochungechunge lwamatyala. Ijenali ye-craniovertebral junction & spine, 6 (2), 65-68. doi.org/10.4103/0974-8237.156049