Spondylolisthesis lumbar waa silbashada laf-dhabarka laf-dhabarta ee qaraabada laf dhabarta oo ka hooseeya oo la jiido inta kale ee laf dhabarta. Saddex nooc oo spondylolisthesis ah ayaa u dhigma saddex sababood oo kala duwan: soo noqnoqda cadaadiska farsamada ee lafdhabarta, osteoarthritis ee kala-goysyada ama cillad la'aanta ku dhasha. Qalliinka qalliinka waxaa lagu talinayaa oo keliya haddii ay dhacdo guuldarro daawaynta ama jiritaanka mootada neerfaha ama cilladaha sfincter.

Qeexida spondylolisthesis

Spondylolisthesis lumbar waa silbashada laf dhabarta lumbar ee hore iyo hoos marka loo eego laf dhabarta wax yar ka hooseeya oo la jiido inta kale ee laf dhabarta. Spondylolisthesis waxay soo bandhigaysaa afar marxaladood oo darnaanta sii kordheysa, marka la eego, dhicitaanka laf dhabarta ee miskaha yar.

Noocyada spondylolisthesis

Waxaa jira saddex nooc oo spondylolisthesis:

• Spondylolisthesis lumbar by lysis isthmic wuxuu saameeyaa 4 ilaa 8% dadweynaha. Waxay ka xigtaa jabka isthmus, buundada lafta oo isku xirta mid ka mid ah vertebrada kan kale. Midka shanaad iyo kan dambe ee laf dhabarta (L5) ayaa inta badan saameeya. Saxanka u dhexeeya labada laf dhabarta waa la jajabiyaa oo hoos u dhigaa dhererka: waxaanu ka hadalnaa cudurka saxanka ee la xidhiidha;
• Spondylolisthesis lumbar-xumada ama osteoarthritis spondylolisthesis waa labaad ee horumarinta osteoarthritis ee kala-goysyada. Laf-dhabarta afraad iyo shanaad ee lumbar inta badan waa la saameeyaa laakiin silbashada guud ahaan aad muhiim uma aha. Saxanka u dhexeeya labada laf dhabarta ayaa daaha oo la jajabiyaa oo hoos u dhiga dhererka, waxaanu markaa ka hadlaynaa cudurka saxanka ee la xidhiidha;
• Spondylolisthesis lumbar dysplastic naadir waa asal lagu dhasho.

Sababaha spondylolisthesis

Si ka soo horjeeda caqiidada caanka ah, lumbar spondylolisthesis by isthmic lysis maaha mid ka mid ah dhaawacyada carruurnimada ama qaan-gaarka, laakiin soo noqnoqda cadaadiska farsamada ee laf-dhabarka, taas oo keenta "jabka daalka" ee isthmus (buundada lafaha ee u dhaxaysa laba vertebrae) .

Spondylolisthesis lumbar-xumada ama spondylolisthesis arthritic waa, sida magacu soo jeediyo, oo ku xiran osteoarthritis ee kala-goysyada.

Spondylolisthesis lumbar dysplastic waa labaad ee cillad-xumada laf dhabarta lumbar ee ugu dambeysa oo leh isthmus aan caadi ahayn

ogaanshaha spondylolisthesis

Raajada laf-dhabarka lumbar waxay u oggolaaneysaa ogaanshaha nooca spondylolisthesis iyo qiimeynta darnaanta iyada oo lagu saleynayo siibitaanka laf dhabarta.

Qiimaynta shucaaca waxaa dhamaystiray:

• Sawirka laf dhabarta lumbar si loo arko jabka isthmus;
• Sawir-qaadista magnetic resonance imaging (MRI) ee laf-dhabarta lumbar waxay u oggolaaneysaa, haddii loo baahdo, muuqaal wanaagsan oo xididka dareemayaasha isku-duuban, falanqaynta isku-duubka fornix dural ama ponytail (qeyb hoose oo ka mid ah duriga oo ay ku jiraan xididdada xididada iyo dareemayaasha dareemayaasha labada addin ee hoose iyo kaadiheysta iyo malawadka) iyo falanqaynta xaaladda saxanka intervertebral ee u dhexeeya labada laf dhabarta;
• Electromyography waxaa loo isticmaalaa in lagu qiimeeyo caafimaadka murqaha iyo unugyada dareemayaasha ee xakameynaya iyaga. Waxa kaliya oo la sameeyaa haddii bukaanku aanu lahayn dhammaan calaamadaha astaamaha spondylolisthesis ama haddii calaamaduhu ay khafiif yihiin.

Dadka ay saameeyeen spondylolisthesis

Spondylolisthesis lumbar by lysis isthmic wuxuu saameeyaa 4 ilaa 8% dadweynaha. Waxaa si joogta ah loogu arkaa cayaartoyda heerka sare ah ee ku hawlan dhaq-dhaqaaqyada u baahan wareegyo isdaba joog ah oo laf dhabarta ah iyo muuqaalo qotoman.

Spondylolisthesis lumbar dysplastic wuxuu inta badan saameeyaa dhalinyarada iyo dhalinyarada.

Waxyaabaha door bida spondylolisthesis

Spondylolisthesis lumbar by lysis isthmic waxaa door biday arrimaha soo socda:

• Dhaqdhaqaaqyada isboortiga ee joogtada ah ee ku lug leh wareegyo isdabajoog ah oo lafdhabarta ah iyo kor u qaadida qaababka sida jimicsiga jimicsiga, qoob ka ciyaarka, ciyaaraha tuurista, wadista ama fardaha;
• Jagooyinka shaqada ee u baahan jiijin hore;
• Sida caadiga ah ee rarka culus ama boorsada dhabarka culus ee carruurta.

Spondylolisthesis lumbar degenerative waxaa door bidi kara:

• Menopause ;
• Osteoporosis

Xanuunka dhabarka hoose

Si fiican loo dulqaadan karo, spondylolisthesis waxaa badanaa lagu ogaadaa si kadis ah qiimeynta raajada ee miskaha ama qaangaarnimada inta lagu jiro xanuunka dhabarka hoose ee ugu horreeya.

Xanuunka dhabarka hooseeya

Mid ka mid ah calaamadaha spondylolisthesis waa xanuunka dhabarka hoose, oo ay ka nafiso booska hore ee caatada ah oo ay uga sii darto booska dhabarka ee caatada ah. Xoogga xanuunka dhabarka hoose wuxuu ku kala duwan yahay dareenka raaxo la'aanta dhabarka hoose ilaa xanuunka fiiqan ee bilawga degdega ah - inta badan ka dib qaadista culeys culus - oo loo yaqaan lumbago.

Sciatica iyo cruralgia

Spondylolisthesis waxay u horseedi kartaa isku-buufin xididka dareemayaasha halkaasoo neerfuhu ka soo baxo lafdhabarta oo uu keeno xanuun hal ama labada lugood. Sciatica iyo cruralgia waa labada wakiil.

Cauda equina syndrome

Spondylolisthesis waxay sababi kartaa cadaadis iyo / ama dhaawac aan laga soo kaban karin oo ku yimaada xididada dareemayaasha ee dural cul de sac. Cudurkan cauda equina syndrome wuxuu keeni karaa xanuunada sfincter, awood la'aan ama calool-istaag dabadheeraad ah oo aan caadi ahayn…

Curyaannimo qayb ah ama dhammaystiran

Spondylolisthesis waxay mas'uul ka noqon kartaa curyaan qayb ahaan - dareenka jilibka oo la sii daayo, awood la'aanta in lagu socdo suulka ama cidhibta cagta, aragtida cagta oo xoqaysa dhulka marka ay socoto ... waxyeelo leh natiijada ugu dambaysa ee curyaannimo buuxda.

Calaamadaha kale

• Claudication neurogenic ama waajibaadka joojinta ka dib safar fog oo gaar ah;
• Paresthesias, ama khalkhal ku yimaada dareenka taabashada, sida kabuubyo ama hindhiso.

Daawaynta daawaynta ayaa lagula talinayaa marka spondylolisthesis ay xanuun badan tahay laakiin calaamad neerfaha lama ogaan karo. Daaweyntani way kala duwan tahay iyadoo ku xiran xanuunka:

• Xanuunada xanuunka sida daaweynta aasaasiga ah ee xanuunka lumbar ee la xidhiidha daawooyinka aan dawooyinka ahayn ee ka hortagga caabuqa (NSAIDs) ee 5 ilaa 7 maalmood haddii ay dhacdo dhibaato;
• Baxnaaninta oo ay ku jiraan jimicsiyo lagu xoojiyo muruqyada caloosha iyo lumbar;
• Haddii ay dhacdo in dhawaan uu dillaaco isthmus ama xanuunka dhabarka hoose ee daran, dhaqdhaqaaq la'aanta kabka Bermuda oo lagu daro bowdada hal dhinac kaliya ayaa lagula talinayaa in laga yareeyo xanuunka.

Haddii ay dhacdo guuldarro daawaynta ama joogitaanka mootada neerfaha ama cilladaha xuubka, qalliinka spondylolisthesis ayaa laga yaabaa in loo baahdo. Waxay ka kooban tahay samaynta arthrodesis ama isku-dhafka dhabta ah ee labada lafdhabarta ee xanuunka leh. Arthrodesis waxaa lala xiriirin karaa laminectomy: qalliinkan wuxuu ka kooban yahay sii deynta neerfaha ciriiriga ah. Faragelintan waxaa lagu samayn karaa si yar oo aan fiicneyn iyadoo la adeegsanayo laba jeexitaan oo yaryar oo yar yar, iyada oo faa'iidada ay leedahay in si weyn loo yareeyo xanuunka dhabarka hoose ee qaliinka.

Qaar ka mid ah taxaddarrada waa in la qaadaa si looga fogaado muuqaalka ama ka sii dara spondylolisthesis:

• Codso la qabsiga shaqada haddii ay dhacdo shaqooyin leh caqabado xooggan: booska hore u janjeera oo soo noqnoqda, qaadista culeysyo culus, iwm.
• Ka fogow dhaqdhaqaaqyada isboortiga ee fidinta sare;
• Ha qaadan boorsooyin culus maalin kasta;
• Ha baabi'in dhaqanka ciyaaraha firaaqada, taas oo liddi ku ah, xoojinta murqaha lumbar iyo caloosha. ;
• Samee la socodka shucaaca shantii sanaba mar.