The annulus fibrosus ndikulumikizana kwakukulu kumene kumapanga gawo lakunja la discvertebral disc. Ntchito yake ndi kuteteza komanso kuteteza zinthu zofewa zomwe zili pakati pa disc. Malo otetezedwawa amatchedwa " core pulpus" . Nucleus pulposus (ndi lonse intervertebral disc ) imatulutsa chidwi kwambiri kwa msana.
Ndalamayi, yomwe imatchedwa yochepa, imakhala ndi mphete zingapo zazing'ono zamtundu wa fibrous cartilage.
Mafali a mbali iliyonse yosiyana ya osungira amatha kuthamanga kumbali yeniyeni mpaka kumagetsi m'mphepete mwake. Kupanga mpweyawu kumapangitsa kuti mphamvu ya annulus fibrosus ikhale yamphamvu, kuti izikwaniritse cholinga chake monga chidebe cha khungu.
Misozi Yokhazikika
Chimodzi chovulaza chodziwika kwa wothandizidwa ndi misozi. Misozi ingakhale yopweteka kapena yosakanikirana. Misozi yambiri nthawi zina imabweretsa ma discs, koma osati nthawi zonse.
Kawirikawiri, misozi imatha kuchiritsidwa mosavuta popanda opaleshoni ; mwa kuyankhula kwina, mankhwala opatsirana, zochita masewera olimbitsa thupi, mankhwala ochiritsira ndi mankhwala akhoza kukhala okwanira kuthetsa zizindikiro zanu.
Nthaŵi zambiri, chithandizo chamankhwala cha intervertebral disc chikuyang'ana pa (kapena kuchotsa zidutswa za) phokoso la pulposus.
Koma posachedwapa, asayansi ndi ogwira ntchito zachipatala akhala akugwira njira zowalimbikitsira ndi / kapena kukonza wothandizira. Malingana ndi nkhani ya March 2009 ya Bron, et.
al. inafalitsidwa mu European Spine Journal, njira yatsopano yowonongeka yomwe imakhudza kukhulupirika kwa nsalu za wogonjetsa zokhazokha kungakhale kofunikira kuti athetsere kukonzanso. Olemba omwe amanena kuti kulimbikitsa ndi kukonzanso chiwongoladzanja angapangitse makamaka kukonzanso kukonza pulusus.
Popanda kukonza ndi kulimbikitsabe, amapitirizabe, kuchulukanso kwa mphamvu ya disc (zomwe ndizofunikira kuti ntchito yodulayo ikhale yosakanizidwa) siingathe kubwezeretsedwa.
Ulendo watsopanowu uli m'ngoyambira, zomwe zikutanthauza pamene mukuyesedwa pa zinyama, mankhwala omwe amagwira ntchito anthu akadali njira. Pakalipano, apa pali Bron, et. mndandanda wa njira zomwe zingathetsere mphamvu ndi kukonza:
Njira Yopangira Opaleshoni Yowonongeka kwa Anulus
Kuthamanga, malinga ndi Bron, et. al. Yapangidwa kuti ikhale ndi nucleus pulposus mu opaleshoni yowonjezeredwa. Koma sichibwezeretsa ulusi wosayeruzika, ndipo sichimasintha kuwonongeka kulikonse. Ofufuza amanena kuti zinthu zambiri zakhala zikugwiritsidwa ntchito panthawi yopaleshoni yomwe imayankha zina mwazo; Mofananamo, amachititsa akatswiri ofufuza zamtsogolo kuti akhale ndi njira zabwino kwambiri.
Annulus Fibrosus Kubadwanso
Kubwezeretsa nsonga za wothandizira, pogwiritsa ntchito makina opanga, ndi njira zina, malinga ndi Bron, et. Al., njira yothetsera vuto kusiyana ndi kusuntha. Vuto ndilo, ndi zovuta kwambiri kwa asayansi kuchoka. Mitundu itatu ya njira zomwe zili m'ntchito ndi: Kupanga maselo a annulus, pogwiritsa ntchito majini ndi zinthu zowonongeka zomwe zimapangitsa mphamvu zowonjezera matrix, ndikuwombera.
Ochita kafukufuku akunena kuti, njira yothetsera kusinthika komwenso idzagwirizanitsa njira zomwe zingathetsere misozi ndi kuyambiranso minofu panthawi yomweyo. Amanenanso kuti njira zamagetsi ndi zowonongeka sizingagwiritsidwe ntchito monga mankhwala ochiritsira okha, koma kuphatikizapo scaffolding.
> Chitsime:
> Bron, JL, ndi. al. Kukonza, Kudzisintha ndi Kudzithandiza Kuchiza kwa Annulus Fibrosus: Zochita ndi Mavuto. Eur Spine J. 2009 Mar; 18