Kodi Zimakhudza Bwanji Mphepete Zam'mimba?
Msana wam'mbuyo waumunthu (kuwonetsa, kuganizira pamene iwe umayimirira) uli ndi makomo 4 akuluakulu. Amagawidwa ndi zigawo monga izi:
- Chiberekero, kapena khosi
- Thoracic, kapena kumtunda ndi kumbuyo
- Lumbar, yomwe ili kumbuyo kwanu ndi
- Mapira anu a sacral, omwe ali pansi pa msana wanu
Malangizo a miyalayi amasintha - wina pambuyo pake. Mbali iyi yomanga imathandizira kupereka zothandizira ndi kuwonjezera thupi lanu pamene mukudutsa tsiku lanu.
Malo oyamba ndi kayendetsedwe monga kukhala, kuimirira, kuyenda, kugwedezeka, kupotoza, kukweza ndi kupindula kwakukulu kwambiri kuchokera kumalo osinthasintha a msana.
Zonse za msana wanu kuchokera pa khosi mpaka kudutsa pansi kwambiri pa lumbar vertebra (yotchedwa L-5) zimakhala pamwamba pa sacrum yanu. Mgwirizano wapansi (L5 - sacrum) umatchedwa mgwirizano wa lumbosacral.
Sakram ndi fupa laling'ono lamphongo lomwe limadulidwa pakati pa mafupa awiri a mchiuno kumbuyo kuti athandize kukhazikika, komanso kuchepetsa, katundu wa msana wanu pamene ukupita ku thupi lanu la pansi. Zimatero pogawa kulemera kwa msana wanu m'mimba mwapafupi ndi kumapeto (ie, ntchafu zanu, mawondo, miyendo yochepa, zibowo ndi mapazi.)
Ndipo mtundu wa lumbosacral, malinga ndi Renee Calliet, MD ndi wolemba, uli ndi zigawo 5 za lumbar, kuphatikizapo limodzi la L5-sacrum yothandizira kwambiri. "Gawo" ndilo mgwirizano wamkati ; mwa kuyankhula kwina, ilo liri ndi chapamwamba chamthambo wamphongo ndi pansi pamthambo fupa ndi disc pakati pa awiri.
(Chigawo chilichonse cha msana womwe umagwirizana ndi mapepala omwe ali pamwambapa ali ndi chiwerengero cha zigawo zina.)
Mng'oma wa Lumbosacral Unafotokozedwa
Chifukwa chakuti msana wanu wonse umakhala pamwamba pa fupa la sacrum, mbali ya sacrum imapanga mlingo wa msana uliwonse.
Monga momwe mungaganizire, kulemera kwa thupi lanu kumatuluka msana, kupyolera mu L5 vertebra kupita ku sacrum.
Mbali ya pamwamba ya sacrum bone (yotchedwa sacral base) ikhoza kukhala, yowonjezera, yochuluka kapena yopanda kanthu, ndi malo okhala pakati.
Monga chithandizo chothandizira msana, ndiye kuti chigawo ichi cha sacral chimayesa kuchuluka kwa lumbar, thoracic ndi makola a chiberekero. Mwa kuyankhula kwina, kuyambira pa maziko (pamwamba pa sacrum) ndikukwera msana, mbali imodzi imapanga wina. Ndipotu, sacral gawo la mgwirizano wa lumbosacral ndizodziwika bwino monga sacral base .
Mng'oma wa Lumbosacral ndi Spondylolisthesis
Matenda amodzi a msana omwe amapezeka palimodzi la L5-sacrum amatchedwa spondylolisthesis, kapena kutsogolo kutsogolo kwa fupa, pamwamba pake. Chikhalidwe ichi chimakhudza achinyamata ndi achikulire mofanana, ngakhale mwa mitundu yosiyanasiyana. Pamene ali wachinyamata, amayamba ngati kuvulala kumalo aang'ono kumbuyo kwa msana wotchedwa masewera omwe othamanga omwe maseĊµera amafunika kubwereza kusuntha kwa msana. M'kupita kwa nthawi, kuvulaza kwapachikulire kungapangitse kukhala spondylolysis ndipo potsirizira pake kafukufuku wamagulu. Kwa anthu achikulire, spondylolysis ndi spondylolisthesis zimayambitsidwa ndi kusintha kosasintha kwa msana.
Hosoe ndi Ohmori, mu phunziro lawo lotchedwa "Zochitika Zopangika zomwe Predispose the Fifth Lumbar Vertebra Zotchedwa," yomwe inatuluka mu March 2008 ya The Journal of the Bone and Joint Surgery, inanena kuti mwa zina, tebulo la sacral, monga iwo amatcha (lomwe limatanthawuza mbali ya pamwamba ya sacrum bone komwe msana ukukhala) inali yogwirizana ndi chiwerengero chapamwamba cha spondylolisthesis.
Zofanana : Retrolithesis ndi mitundu 2 ya Spondylolisthesis
Zotsatira:
Calliet, R., MD, Mafanizo Othandizira Kugwiritsa Ntchito Anatomy pa Njira ya Musculoskeletal System. American Medical Association Press. USA. 2004.
H. Hosoe, Hl, Ohmori, K. Zinthu Zopangika zomwe zimalemba Pachisanu Lumbar Vertebra kuti Zisike. The Journal of the Bone and Joint Surgery. March 2008 http://www.boneandjoint.org.uk/content/jbjsbr/90-B/3/356.full.pdf