Facet Capsulitis
Mphepete ndizomwe zimakhala zovuta komanso zovuta kwambiri ndi mbali zambiri zosuntha. Zinthu zosiyanasiyana zikhoza kuyenda molakwika mulimodzi, komanso pamtundu uliwonse wa chigawocho, kaya m'mimba ya chiberekero, thoracic, lumbar kapena sacral. Zitsanzo za zochitika zambiri zomwe zimakhudzidwa ndi matumbo a msana zimaphatikizapo kutulutsa magazi, kupweteka kwa minofu, kupweteka kwa mitsempha, nyamakazi ya msana.
Ndipo mndandanda ukupitirira.
Vuto limodzi lodziwika bwino limene liripo pamndandandawu ndi facet pamodzi capsulitis. Pachikhalidwe ichi, chithunzithunzi chomwe chimagwirizanitsa chigawochi, chomwe chiri kumbuyo kwa chigawocho, chimatuluka. Tiyeni tizimatula izi pang'ono.
Choyamba, gululo lirilonse likugwirizana.
Chigawo chophatikizana ndi kugwirizana pakati pa zigawo ziwiri zooneka ngati mafupa omwe ali kumbuyo kwa mzere wa msana. Pa mlingo uliwonse (kupatulapo kukhala vertebra yoyamba) kumbuyo kwa mzere wa msana, magawo awiri a mbali, zomwe zimakhala zozizwitsa, zimayenda kumbali yakanja ndi yamanzere.
Pali mbali ziwiri pamwamba pa vertebra, ndi awiri pansi. Chophatikizana chimapangidwa pamene mawonekedwe ochokera pamphupa pansipa akugwirizana ndi imodzi (mbali yomweyo) kuchokera pfupa pomwepo pamwamba pake. Kawirikawiri, pali zigawo zinayi pa msana, ziwiri kumanja, ndi ziwiri kumanzere.
Cholinga cha ziwalo zazing'ono ndizowatsogolera komanso kuchepetsa kusuntha kochuluka, motero kusunga khola la msana ndikuthandizira kupewa kuvulaza.
Makhalidwe amodzi amadziwikanso kuti ziygapophyseal.
Mofanana ndi ziwalo zambiri m'thupi, ziwalo zazing'ono zimayendetsedwa ndi kapule wothandizira. Kapsule amachititsa mbali yofunikira pa ntchito yogwirizana.
Capsulitis ndilo mawu omwe amatanthauza kutupa kwa kapule iliyonse yamatomu, mbali kapena zina. Mwinamwake mtundu wotchuka kwambiri wa capsulitis ndi womatira capsulitis, kapena mapewa ozizira.
Facet Capsule ndi Synovium
Pachigawochi, kapule amadziwika ngati "jenereta yopweteka," zomwe zikutanthauza kuti ndi imodzi mwa mapangidwe angapo omwe amachititsa kuti pakhale ululu wam'mimba komanso / kapena kutayika.
Monga tafotokozera pamwambapa, chigambachi chimapangidwa ndi tizilombo timene timagwirizana. Mkati mwa kapule ndi mgwirizano ndi chida chimene chimabisa synovial madzi. Chida cha synovial ndi madzimadzi onse amatchedwa Synovium.
Ntchito ya synovial yamadzi ndi kuyatsa malo omwe amapangika kuti ziwalo zikhale bwino komanso zopweteka. Mungaganize za synovial fluid monga WD-40 wothandizira.
Monga momwe kachidutswa kake kameneka kamatha kutentha, momwemonso synovium.
Udindo wa Capsule mu Matenda Ogwirizanitsa Matenda
Malingana ndi nkhani ya 2014 yomwe inafalitsidwa m'nyuzipepala yotchedwa Nature Reviews Rheumatology, capsule ndi imodzi mwa zida zingapo zomwe "kulephera" kungayambitse matenda a nyamakazi. Ichi ndi chowonadi ngakhale kuti chiwalo cha mafupa amtunduwu chimamveka bwino ngati mafupa a mitsempha.
Kodi dokotala wanu kapena wodwala wathanzi amadziwa bwanji kuti chigawo chanu chikuphatikizapo capsule? Njira imodzi ndi kuyesa "capsular pattern." Gulu lophatikizana lomwe limaphatikizapo limayamba kutambasula ulusi wa capsule, umene umapweteka komanso kuchepetsa kuyenda. Mwachindunji, ziwalo za kukwera kwa mbali, kusinthasintha ndi kufalikira kumatha kutambasulidwa mu izi.
Madera ena omwe amayamba ndi matenda a nyamakazi amatenga mitsempha, synovium, minofu ndi disc. Olembawo amati disk imayamba kuchepa limodzi ndi gawo limodzi, zomwe zikutanthawuza kuti zigawo ziwiri zoyandikanazo zimakhala zovuta kudwala matenda osokoneza bongo.
Nkhani ya March, 2018 yofalitsidwa ndi StatPearls Publishing inanena kuti ziwalo zapakati zimaphatikizapo magawo 42 peresenti ya ululu wa khosi ndipo mpaka 44 peresenti mu ululu wammbuyo.
Kutupa Capsulitis
Kafukufuku wa kapsulitis amapezeka pamagulu a sacroiliac omwe ali ndi matenda a kutupa nyamakazi monga spondylitis. Pazochitikazi, capsulitis imaonedwa kuti ndi yotupa kwambiri yotupa. Kwa anthu omwe ali ndi spondylitis, MRI pogwiritsira ntchito njira zamakono zambiri ndizofunika kuti mupeze umboni wa capsulitis komanso zina zotupa zotupa.
Mitundu ina ya kutupa kotentha kumaphatikizapo osteitis, enthesitis ndi synovitis. Zonse, kuphatikizapo capsulitis, ndi zizindikiro zoyambirira za sacroiliitis kapena spondylitis . Kusiyanitsa pakati pao kuli pamalo pomwe kutupa. Mwachitsanzo, synovitis ndi kutupa kwazitsulo za synovial mkati mwa mgwirizano, osteitis ndi kutupa kwa fupa, ndi zina zotero.
> Zotsatira:
> Jui Su, D., ndi. al. Arthritis, Facet. StatPearls [Internet]. 2018.
> Gellhorn, A., Katz, J., Suri, P. Osteoarthritis wa msana: zigawo za mbali. Nat Rev Rheumatol. May 7 2014. Kufikira Feb 2016 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4012322/#BX2
> Hermann KGA, Bollow M. Magnetic Resonance Imaging ya Sacroiliitis mwa Odwala ndi Spondyloarthritis: Mgwirizano ndi Anatomy ndi Histology. Fortschr Röntgenstr 2014. https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0033-1350411
> Sudoł-Szopinska1, Iwona, Urbanik, Andrzej. Zithunzi zojambulidwa za ziwalo za sacroiliac ndi msana mkati mwa spondyloarthropathies.