Fitaʻi ʻi he ʻAhoʻaho: Ko e ngaahi ʻUhinga, ngaahi Fakatātaa, Fakamoʻoni mo e Ngaahi Founga Fakafaitoʻo
Ko e hā ʻa e Fītaki ʻi he Gola?
Ko e fītaki ʻi he gola, ko e faingataʻa fakafaitoʻo ʻoku hoko ʻi he taimi ʻoku hū atu ai ʻa e konga loto ʻo e ngaahi disiki ʻoku ʻi he vahaʻa ʻo e ngaahi hui (nucleus pulposus) mei heʻene feituʻu mo fakapikopiko ki he ngaahi sino sino ʻoku ofi, ʻoku ne fakatupu ha ngaahi palopalema pea ʻe lava ke ne fakatupulekina ʻa e lelei ʻo e moʻui. ʻOku masani ke fakahoko ʻi he ngaahi meʻa hange ko e tauhi mamafa, ngaahi ngaue fakavavevave, ngaahi faingataʻa pe nofo noa ʻi ha taimi loloa. ʻOku lava ke hoko ʻi he kau talavou mo e kakai motuʻa, ka ʻoku lahi taha ʻi he kakai ʻi he vahaʻa taʻu 20-40. ʻOku toe mafai foki ke uesia ʻe he ngaahi meʻa hange ko e founga moʻui, ngaahi meʻa ʻoku ʻi he koloá mo e ngaahi meʻa genetic.
ʻE Fēfē ʻene Hoko ʻo e Fītaki ʻi he Gola?
Ko e hui ʻo e sino tangata, ko e konga mahuʻinga ia ʻoku ne tokoni ke tuʻuloa mo ne fakahoko e ngaahi ngaue. ʻI he vahaʻa ʻo e ngaahi hui ʻe 7 ʻi he gola, ʻoku ʻi ai ʻa e ngaahi disiki ʻoku ʻi ai ha konga malū mo elastic. Ko e konga loto ʻo e disiki (nucleus pulposus) ʻoku ʻi loto ʻi ha funga mālohi (anulus fibrosus). Kapau ʻe mamahi ʻa e faikehekehe ko ʻení, ʻe lava ke hū atu ʻa e konga loto ki tuʻa pea fakapikopiko ki he ngaahi sino, ʻoku ne fakatupu ha ngaahi palopalema kehekehe.
Ko e hā ʻa e ngaahi ʻuhinga ʻo e Fītaki ʻi he Gola?
ʻOku lahi e ngaahi meʻa ʻoku ne fakatupu ʻa e fītaki ʻi he gola. Ko e ngaahi ʻuhinga lahi taha:
Ngāue fakavavevave, ngaahi faingataʻa pe ngaahi palopalema
Nofo noa ʻi ha taimi loloa mo e ngaahi anga nofo hala
Tauhi mamafa pe ngaahi ngaue fakafaitoʻo lahi
Ko e disiki ʻoku mole ʻene vai ʻi he taʻu pea mole ʻene malū (degeneration)
Fakamoʻoni sigareti
Ngāue loloa ʻi he komipiuta pe telefoni poto
Ko e ngaahi uesia kovi ʻo e fakamamahi ʻi he ngaahi hui
ʻI he famili ʻoku ʻi ai ha hisitolia ʻo e mahaki tatau, ko e genetic predisposition
Hange ko e ngaahi ngaue ʻoku fiemaʻu ke nofo loloa ʻi he tēpile, ngaahi ngaue ʻi ʻapi, pe kau taʻimamani, ʻoku lahi ange ke hoko ai ʻa e fītaki ʻi he gola.
Ko e ngaahi liliu ʻoku hoko ʻi he taʻu, ʻe lava ke vave ange ai ʻa e mole ʻo e lelei ʻo e disiki pea fakatupu ha fītaki chronic. ʻI he fītaki ʻoku hoko fakavavevave ʻi he taimi ʻo ha palopalema, ʻoku vave mo mahino ange ʻa e ngaahi fakaʻilonga.
Ko e hā ʻa e ngaahi Fakaʻilonga ʻo e Fītaki ʻi he Gola?
ʻOku kehekehe ʻa e ngaahi fakaʻilonga ʻo e fītaki ʻi he gola ʻi he māʻolunga ʻo e ngaahi fakaʻilonga mo e sinilá ʻoku uesia. Ko e ngaahi fakaʻilonga lahi taha:
Fakamamahi ʻi he gola, tau, tuʻasila mo e nima
Fakaʻuhinga, fakapikopiko, pe mole ʻo e ongo ʻi he nima pe toʻukupu
Vaivai ʻa e ngaahi hui, tautautefito ʻi he nima pe ngaahi matimati
Mole ʻo e reflex pe siʻisiʻi ʻa e tali ʻo e reflex
Fakamamahi ʻi he ʻulu, pe liliu ʻi he ʻulu
ʻI he ngaahi tuʻunga siʻisiʻi, mole ʻo e balance, fakamamahi ʻi he talingá pe siʻisiʻi ʻa e nima
ʻI he niʻihi, ʻoku lahi ange ʻa e mamahi ʻi he taimi ʻo e hu, mafatua pe ngaue fakavavevave. Ko e sinilá ʻoku uesia ʻe fakahā pe fe ʻi he nima mo e toʻukupu ʻoku hoko ai ʻa e mole ʻo e ongo pe ngaue.
Kapu ʻe ʻikai ke faitoʻo mo ʻoku hoko atu ʻa e mahaki, ʻe lava ke hoko ha mole lahi ʻo e ongo pe paralysis ʻo e hui, ko ia ʻoku mahuʻinga ke ʻave vave ki he toketā kapau ʻe hā mai ʻa e ngaahi fakaʻilonga.
Ngaahi Fakaʻilonga ʻi he Sinilá ʻoku Fesiliaki mo e Fītaki ʻi he Gola
Fakatatau ki he māʻolunga ʻoku fakapikopiko ai ʻa e fītaki, ʻe lava ke hoko ha ngaahi fakaʻilonga kehekehe ʻi he ngaahi sinilá kehekehe:
C2: Fakamamahi ʻi he ʻulu, ongo ʻi he mata mo e talingá
C3, C4: Fakamamahi siʻisiʻi mo spasimi ʻo e hui ʻi he gola, tau mo tuʻasila
C5: Fakamamahi ʻi he gola mo e tau, mole ʻo e ongo ʻi he nima ʻi ʻolunga mo e tau, vaivai ʻa e hui
C6: Mole ʻo e ongo mo vaivai ʻi he taha ʻo e tau, nima mo e nima ʻi lalo, siʻisiʻi ʻa e reflex ʻo e nima
C7: Mole ʻo e ongo ʻi he nima ʻi muʻa mo e matimati lotoloto, mole ʻo e triceps reflex
C8-T1: Mole ʻo e ongo ʻi he nima mo e konga lotoloto ʻo e nima ʻi muʻa, faingataʻa ʻi he ngaue ʻo e matimati
ʻE Fēfē ʻe Fakahā ai ʻa e Fītaki ʻi he Gola?
ʻI he fakahā ʻo e fītaki ʻi he gola, ʻoku kamata ʻaki ha sivi fakafaitoʻo fakalahi mo e vakai ki he ngaahi fakaʻilonga. ʻOku mahuʻinga ʻa e feituʻu ʻoku fakamamahi ai, taimi kamata, māʻolunga mo e ngaahi fakaʻilonga neurological. Ko e ngaahi sivi laboratory ʻoku siʻisiʻi hono tokoni, ka ʻoku mahuʻinga ʻa e ngaahi sivi radiological:
Röntgen (X-ray): ʻOku fakahā ai ʻa e faikehekehe ʻo e hui mo e ngaahi liliu degeneration.
Bilgisayarlı Tomografi (BT): ʻOku tokoni ki he vakai ki he ngaahi faikehekehe ʻo e hui mo e ngaahi liliu ʻo e disiki.
Manyetik Rezonans Görüntüleme (MRI): ʻOku ne ʻomi ʻa e fakamatala lahi taha ki he ngaahi konga malū, fītaki ʻo e disiki mo e māʻolunga ʻo e uesia ʻo e sinilá; ko e founga mahuʻinga taha ki he fakahā ʻo e fītaki ʻi he gola.
Elektromiyografi (EMG) mo e ngaahi sivi ʻo e fetuʻutaki ʻo e sinilá: ʻOku ne fakahā ʻa e ngaahi palopalema ʻi he fetuʻutaki ʻuhila ʻo e sinilá, tautautefito ki he fakahā ʻo e sinilá ʻoku uesia.
ʻE lava ke kole foki ʻa e toketā ki ha ngaahi sivi ke vakai kapau ʻoku ʻi lalo ha mahaki rheumatic, tumo pe infection.
Ngaahi Founga Faitoʻo ki he Fītaki ʻi he Gola
Ko e taumuʻa ʻo e faitoʻo ki he fītaki ʻi he gola, ke fakasiʻisiʻi ʻa e ngaahi fakaʻilonga ʻo e mahaki, fakasiʻisiʻi ʻa e fakapikopiko ʻo e sinilá pea fakalahi ʻa e lelei ʻo e moʻui. ʻOku fakahoko ʻa e faitoʻo ʻi he founga fakataautaha, fakatatau ki he māʻolunga mo e founga ʻo e mahaki. Ko e ngaahi founga ʻoku ʻikai ke ʻi ai ha fakamate fakafaitoʻo ʻoku fili ʻi muʻa:
Akó mo e ngaahi fakahinohino ki he founga moʻui: Fai ha tuʻunga lelei mo ha feituʻu ngāue lelei, ʻaloʻi e tauhi mamafa mo e ngaahi ngaue ʻoku fakapikopiko ai ʻa e gola.
Faitoʻo fakafizikale mo e ngaahi polokalama exercise: Ngaahi exercise ke fakakakato ʻa e ngaahi hui ʻi he gola, fakalahi ʻa e malū mo e circulation. Ka ʻoku fiemaʻu ke fai ʻi he vakai ʻa e specialist.
Fakafou ʻi he mafana pe momoko: ʻE lava ke tokoni ki he fakasiʻisiʻi ʻo e mamahi mo e spasimi ʻo e hui.
Faitoʻo mamahi mo e ngaahi faitoʻo ke fakavaivai ʻa e hui: Fakatatau ki he prescription.
Spinal injection: ʻI he ngaahi tuʻunga mamahi lahi, ʻe lava ke fai ha injection ʻo e cortisone ki he sinilá pe epidural, ke fakasiʻisiʻi ʻa e edema mo e inflammatory response.
Fakamoʻoni boyunluk: ʻI he taimi akut, ʻe lava ke tokoni ʻi ha taimi nounou, ka ʻoku ʻikai ke fakahoko ʻi ha taimi loloa.
Ko e fakamate fakafaitoʻo ʻoku fakakaukau ki ai pē ʻi he ngaahi tuʻunga lahi ʻo e fakapikopiko ʻo e sinilá, vaivai ʻa e hui pe ʻikai ke tali ki he ngaahi faitoʻo kehe. ʻI he fakamate, ʻoku toʻo ʻa e konga ʻo e disiki ʻoku fakapikopiko ki he sinilá. ʻI he ngaahi tuʻunga kehekehe, ʻe lava ke fakahoko ha disiki prosthesis pe ngaahi founga fakamate ke fakalahi ʻa e feituʻu.
Ko e hā ʻa e ngaahi tuʻunga ʻoku fiemaʻu ai ha Fakamate ki he Fītaki ʻi he Gola?
ʻOku ʻikai ke fiemaʻu ha fakamate ki he fītaki ʻi he gola ki he kakai kotoa. Ka ʻi he ngaahi tuʻunga ko ʻení, ʻe lava ke fakahoko ha fakamate:
Vaivai lahi ʻo e hui mo e mole lahi ʻo e ongo ʻoku hoko atu
Mamahi ʻoku ʻikai ke tali ki he ngaahi faitoʻo kehe pea fakangatangata lahi ʻa e moʻui
Fakapikopiko lahi ʻo e sinilá pe maumau ʻo e hui
Maumau ʻo e pule ki he bladder pe intestine
ʻOku vakai fakataautaha ki he tuʻunga ʻo e mahaki ʻo e tokotaha kotoa, pea fili ʻa e faitoʻo totonu taha.
Ko e hā ʻa e ngaahi Founga ʻoku Tokoni ki he Fītaki ʻi he Gola?
ʻOku lava ke tokoni ki he faitoʻo ʻo e fītaki ʻi he gola ʻi he ngaahi founga kehekehe:
Faitoʻo fakafizikale mo e exercise fakataautaha ʻi he vakai ʻa e specialist
Faitoʻo ke fakavaivai ʻa e hui, faitoʻo mamahi mo e anti-inflammatory kapau ʻoku fiemaʻu
Fakafou ʻi he mafana pe momoko
Massage pe chiropractic ʻi he vakai ʻa e toketā
Fili ha pillow totonu mo e ngaahi liliu ʻi he moʻui ke tokoni ki he tuʻunga ʻo e gola
Ko e konga mahuʻinga taha ke manatuʻi, ke feʻiloaki mo ha toketā fakafaitoʻo kimuʻa pea ke kamata ha faitoʻo pe polokalama exercise. Kapau ʻe fai ʻi ha founga ʻikai totonu, ʻe lava ke lahi ange ʻa e ngaahi fakaʻilonga, ko ia ʻoku fiemaʻu ke maʻu ha vakai ʻa e specialist.
Ngaahi Fehuʻi ʻoku Fai Laumālie
1. Ko e fītaki ʻi he gola ʻoku lahi ange ʻi ai?
ʻOku lava ke hoko ʻa e fītaki ʻi he gola ʻi he kau talavou mo e kakai motuʻa. Tautautefito ki he kakai ʻoku ngāue ʻi he tēpile, tauhi mamafa mo nofo noa ʻi ha taimi loloa, ʻoku lahi ange ʻa e hoko.
2. Ko e hā ʻa e ngaahi fakaʻilonga ʻoku fakahā ai ʻa e fītaki ʻi he gola?
Fakamamahi ʻoku hū ki he gola, tau pe nima, fakaʻuhinga, fakapikopiko, vaivai ʻa e hui ʻi he nima, siʻisiʻi ʻa e reflex mo e liliu ʻi he ʻulu ʻi he ngaahi tuʻunga siʻisiʻi, ʻe lava ke fakaʻilonga ia ʻo e fītaki ʻi he gola.
3. Ko e founga lelei taha ki he fakatokanga ko e hā?
Ko e fakatātā fakamisini (MRI) ko e founga lelei taha mo e totonu ki hono fakatokanga ʻo e fītā ʻi he ʻuaí.
4. ʻOku malu lelei ʻa e ngaahi ngāue fakakakato ki he tokotaha kotoa pē?
ʻOku ʻikai ke totonu ʻa e polokalama ngāue fakakakato kotoa ki he tokotaha kotoa pē. Ko kinautolu ʻoku maʻu ha fītā ʻi he ʻuaí, ʻoku totonu ke ngāue ʻi he polokalama ʻoku fakahā ʻe he toketā pea mo e tokanga ʻa e fakamālohi sino.
5. ʻOku lelei ʻa e masaki ki he fītā ʻi he ʻuaí?
ʻAia ʻoku totonu ʻa e founga, ʻe lava ke tokoni ki hono fakasiʻisiʻi ʻo e fakapikopiko ʻo e kakano mo e mamahi. Ka ʻi ha ngaahi tuʻunga, ʻe ʻikai ke fakahā ʻa e masaki; ke fakapapauʻi hono totonu, ʻoku totonu ke fehuʻi ki ho toketā.
6. ʻE malava ke mole pē ʻa e fītā ʻi he ʻuaí?
ʻI he ngaahi tuʻunga mamalie mo e kamata, ʻe lava ke fakasiʻisiʻi ʻa e ngaahi faitotonu ʻaki ha malōlō mo e ngāue fakakakato. Ka ʻi he ngaahi tuʻunga lahi mo e ngaahi faitotonu neulōsikolōsikale, ʻe fiemaʻu ha tokanga fakafaitoʻo.
7. ʻOku fiemaʻu ke fai ha fakamālohi sino?
Koeʻuhi ko e tokolahi ʻo e kakai fītā ʻi he ʻuaí ʻoku lava ke moʻui ʻi he ngaahi founga ʻikai fakamālohi sino. ʻOku fakahā pē ʻa e fakamālohi sino ʻi he ngaahi tuʻunga lahi pea ʻoku ʻikai tali ʻa e ngaahi founga kehe.
8. ʻOku fakatuʻutāmaki ʻa e ngaue ʻi he taimi loloa ʻo e toʻoʻua ʻi he ʻuaí?
ʻIo, ʻoku lava ke fakatupu ha vaivai ʻi he kakano ʻi he taimi loloa ʻo e ngaue. ʻOku totonu ke ngaueʻi ʻa e toʻoʻua ʻi he taimi nounou pē pea ʻi he tokanga ʻa e toketā.
9. ʻOku fakaʻolunga ʻa e ngaue ʻi he komipiuta mo e telefoni ki he fītā ʻi he ʻuaí?
ʻOku ʻikai lelei ʻa e tuʻunga mo e nofo loloa ʻoku ʻikai totonu, ʻoku ne fakatupulaki ʻa e mamahi ʻi he kakano mo e ngaahi disiki ʻo fakatupulaki ai ʻa e faingamālie fītā.
10. ʻE toe hoko ʻa e fītā ʻi he ʻuaí?
ʻIo, tautefito ki he taimi ʻoku ʻikai tokanga ki he ngaahi meʻa fakaʻatā mo ʻikai liliu ʻa e founga moʻui.
11. Ko e hā e ngaahi faitoʻo ʻoku ngaueʻaki ki hono fakafaitoʻo ʻo e fītā ʻi he ʻuaí?
ʻOku ʻiloa ʻaki ʻa e faitoʻo mamahi, faitoʻo fakavaivai kakano mo e faitoʻo fakafakamamahi. ʻOku totonu ke ngaueʻi ʻa e faitoʻo ʻi he tokanga ʻa e toketā.
12. Ko e hā e ngaahi tuʻunga ʻoku totonu ke feʻiloaki ai ki he toketā?
Kapu ʻoku ke maʻu ha mamahi, mamahi ʻikai toe ongoʻi pe mole mālohi, pe ʻoku lahi ange ho ngaahi faitotonu, ʻoku totonu ke ʻave vave ki ha taha ngaue fakafaitoʻo.
Ngaahi Konga Fakatotolo
Kautaha Moʻui ʻo Māmani (WHO): “Ngaahi Tuʻunga Fakaʻeloto mo e Kakano”
Kautaha Niurolōsia ʻAmelika (AAN): Ngaahi Takiekina ki he Cervical Radiculopathy
Kautaha ʻEulope ki he ʻOsipaini (EuroSpine): Ngaahi Fakatonutonu ki he Fītā Disiki ʻi he ʻuaí
Kautaha ʻAmelika ʻo e Kau Faitoʻo FakaʻOsipaini (AAOS): Mamahi ʻi he ʻuaí mo e Mahaki Disiki ʻi he ʻuaí
Mayo Clinic: “Fītā Disiki”
New England Journal of Medicine: “Cervical Radiculopathy”