Likarolo tsa likarolo li fumaneha pakeng tsa li-vertebrae tsa karolo e 'ngoe le e' ngoe ea mohala oa hau oa mokokotlo. Li-osteoarthritis li ka hlaha ka manonyeletso ana 'me li ka bitsoa "facet arthropathy" kapa "facet joint osteoarthritis". Ithute ka boemo bona le hore na mekhoa ea phekolo e ka buelloa joang.
Kakaretso
Bothata ba ho ruruha ha ramatiki ke lefu la ramatiki le senyehang le amang marang-rang a mokokotlo.
Sebakeng sa mokokotlo moo ho nang le likarolo tsa karoloana, bohloko bo amanang le ramatiki bo ka ba teng.
Litho tsa mahlo li fumanoa ka mor'a boemo ba mokokotlo . Ho na le li-vertebrae tse 24 tse etsang molala oa motho ka holim'a sacrum (tailbone). Ho na le likarolo tse peli pakeng tsa li-vertebrae tsa karolo e 'ngoe le e' ngoe ea mokokotlo lehlakoreng la mokokotlo.
Sehlopha se kopaneng le disvertebral disc se theha meralo e meraro e kopaneng pakeng tsa li-vertebrae tse haufi. Sehlopha se kopantsoeng se na le libaka tse peli tsa bonyane le lefufuru pakeng tsa tsona le capsule ea li-ligamente tse potolohileng eona. Motsoako oa synovial o tlotsa manonyeletso, joalo ka ha ho le joalo ka manonyeletso a mang a kang lengole. Litho tsa setho sa motsoako li thusa ho boloka tsela e tloaelehileng ea ho lumellana le li-vertebrae le ho fokotsa ho tsamaea.
Lisosa
Ramatiki e likarolong tsa likarolo li ka hlaha ho tloha ho:
- Apara le ho tabola ho fokotsa sebaka pakeng tsa li-vertebrae tse bakang likarolo tsa likarolo ho kopanya hammoho
- Kotsi e fetileng ea morao
- Fractures
- Melao e senyehileng
- Mathata a li-disc
Ka lebaka la khatello e eketsehileng e bakoang ke maemo ana a amang likarolo tsa liphatsa tsa lefutso , bone spurs (eo hape e tsejoang e le li-osteophyte) e ka hōla 'me lefuba le ka senyeha.
Ntle le ka lebaka la likotsi, bothata ba ho ruruha ha motsoako ke boemo ba botsofali. Ntho e ka sehloohong e etsang hore motho a be le bothata ba ho ba le bothata ba ho ba le motsoako ke mokokotlo oa mokokotlo o tloaelehileng bophelong ba morao-rao.
Matšoao
Bohloko ke letšoao le ka sehloohong le amanang le tšebetso ea ho ruruha ha matla. Bohloko bo tloaelehile haholo ka mor'a ho robala kapa phomolo. Bohloko bo tsamaisanang le bothata bo bongata bo feteletseng bo ka 'na ba mpefala ka ho sotha kapa ho khutlela morao.
Bothata ba ho khutlela morao ke boipelaetso bo tloaelehileng ka ho fetisisa empa ha bo tloaelehile ho khanyetsa maotong kapa menyako ntle le haeba mokokotlo oa stinosis o ameha.
Kamoo e Tsejoang kateng
Li-X-rays, CT le lisebelisoa tsa mahlaseli a motlakase (MRI) li ka sebelisoa ho thusa ho hlahloba hore na ho na le matla a mangata a ho ruruha. Mokhoa o mong o tobileng o akarelletsa ho etsa ente e tataisoang ho sebelisa fluoroscope. Meriana le dae lia kenngoa. Lebala le lumella ngaka hore e bone ho behoa ha nale le jelo. Haeba setho se kopantsoeng se kenngoa ka lejoe le phomolo ea bohloko ke phello, e sebetsang ho netefatsa hore lefu lena le na le bothata bo bongata.
Litlhare tsa Tlhokomelo
Qalong, ngaka e ka 'na ea khothaletsa nako ea phomolo e le ho leka ho fokotsa matšoao. Likarolo tsa boroko tse qobelloang ke likarolo tsa likarolo li ka 'na tsa khothaletsoa, tse kang ho khomarela ho robala kapa ho robala ka morao ka mangole le mojaro ka tlase.
Meriana ea molomo e ka 'na ea fuoa litaelo tse akarelletsang:
- Tylenol
- Lithethefatsi tse sa thibeleng ho ruruha (NSAIDs)
- Li-relaxation tsa mesifa
- Corticosteroids
Mefuta e meng ea phekolo e kenyeletsa:
- Traction
- Ho ikoetlisa le ho ikoetlisa
- Phekolo ea metsi
- Matšoao a mokokotlo
Kalafo ea Ts'oaetso
Haeba mehato ea ho itšireletsa e hlōleha, ngaka ea hau e ka 'na ea nkhothaletsa kalafo ena:
- Likokoana-hloko tsa moriana o bolaeang likokoana-hloko kapa moriana oa steroid tse nang le metsoako kapa methapo e tsamaeang le setho se kopantsoeng li ka lekoa.
- Sinu-vertebral methapo ea methapo e senyang methapo ea motlakase e ka ba khetho.
- Ha ho hlokahale hore ho buuoa ka bongata bakeng sa ho ba le bothata ba ho ba le bothata bo bongata ba tlhaho, empa ho na le mefuta e mengata.
Khetho ea ho buoa
Mokhoa oa ho buoa oa ho phekola lefu lena le akarelletsa:
- Tšoaetso ea rhizotomy: Etsa se seng sa methapo e tsamaeang sechabeng.
- Fusion: Fuse li-vertebrae tse peli kapa ho feta ho felisa ho tsamaea ka likarolo tsa lihlopha. Ka linako tse ling likarolo tsa likarolo li tlosoa nakong ea mokokotlo oa mokokotlo .
> Mehloli:
> Firestein, Gary S .; Budd, Ralph; Gabriel, Sherine E; ODell, James R; McInnes, Iain B, Budd RC, Firestein GS, Kelley WN. Kelleys Textbook ea Rheumatology . Litsebi tsa bophelo bo botle ba Elsevier; 2012.
> Likokoana-hloko tsa mokokotlo. Setsebi se bitsoang American Academy of Orthopedic Surgeons. https://orthoinfo.aaos.org/en/treatment/spinal-injections/.