Mphuno yotchedwa traction, yomwe imadziwikanso kuti traction osteophytes kapena osteophytes yopanda malire ndiyo mafupa a mafupa omwe amapanga pafupi ndi mapepala otsirizira, malinga ndi webusaitiyi, Radiopedia. Radiopedia amati izi zimapangidwira pa x-ray pafupifupi mamita awiri mpaka 3 kutalika kwa mapepala.
Pamene zotupa zotsekemera zimakhala zochepa, zimayamba kugwirizanitsa ndi matenda otha mphamvu, makamaka matenda osokoneza ubongo ndi / kapena spondylosis.
Zikhoza kusonyeza kusakhazikika kwa msana, Radiopedia akuti. Zabwino, et. al. m'nkhani yawo yomwe ili ndi mutu wakuti, "Clinical Instability of the Lumbar Spine: Kuzindikira ndi Kulowerera," yofalitsidwa mu Vol 18 yotchedwa Orthopedic Practice inatchula traction spurs ngati chimodzi mwa zizindikiro pa x-ray zomwe zingasonyeze kuti sizinasinthe muzinthu zothandizira (zomwe ili ndi ndondomeko yanu ya msana ndi mitsempha yake) ya msana wanu. FYI, pali zinthu zitatu zomwe zimayendera pansi, ndipo zimagwirizana kuti zikhazikike msana.
Radiopedia imanenanso kuti ziphuphu zazikulu zopanda malire nthawi zambiri zimakhala chifukwa cha kusakanikirana pakati pa zopanda malire ndi mwina kumbali kapena kumbali yopanda malire kuchokera kumbali yoyandikana nayo .
Kuthamanga kotereku kungasonyeze kuti zotupa zimagwira ntchito.
Kodi Mitsinje ya Spurs Imatiphunzitsanji Zomwe Zimapangidwira M'madzi ndi Spondylosis?
Matenda a mitsempha ndi ochepa kwambiri a mitundu iŵiri yomwe imakhala pamtunda wotsirizira.
Chomwe chimakhala chosiyana kwambiri ndi chifuwa cha mitsempha. Mphuno zonse zimakhala ndi minofu yofanana ndipo zimachitika mofanana.
Kuti mumvetse bwino kusintha kwasintha kwa msana, Kasai, et. Al., anawonekeranso pafupifupi 3000 odwala x-ray. Odwala onse mu phunziroli anali a zaka zoposa 60.
Ofufuzawo anasamala kwambiri kutsogolo (kutchedwa kutsogolo) kwa matupi ozungulira. Kuphunzira kwawo kunasindikizidwa mu 2009 mu BMC Musculoskeletal Disorders m'nkhani yakuti, "Kuwongolera maonekedwe a anterior lumbar vertebral osteophytes."
Ofufuzawa anapeza mapiritsi 14,250 a traction ndipo amawaika m'magulu 6 mogwirizana ndi njira yomwe mafinya amaonjezera (pafupi ndi tsamba lapafupi la intervertebral disc). Apa pali kusiyana kwa magulu:
- Gulu A linalibe osteophytes.
- Gulu B, zowonjezera zowonjezera kupita ku diski yapafupi. Kuchokera kumbali ndikuwoneka ngati mawonekedwe ngati akulozera disvertebral disc.
- Mu Gulu C, gulu la osteophyte lapamwamba / laling'ono linanenedwa kwa wina ndi mzache kotero kuti anapanga mlatho wathunthu wa fupa pambali yawo yogawanika.
- Mu Gulu D, awiri apamwamba / apansi a m'magazi amatsutsana. Mwa kuyankhula kwina, pamwamba pamwamba ndi kumunsi pansi.
- Mu Gulu E, osteophytes ankayenda mofanana ndi mizere yapamwamba ndi ya pansi pa bolodi la disc / vertebral.
- Ndipo mu Gulu la F anali chidutswa chosiyana. Ofufuzirawo anawatcha kuti mafupa otchedwa "osteophytes" m'gulu lino "osasunthika."
Mafupa a nyamakazi omwe ankawoneka kawirikawiri anali pamphepete mwa lumbar ku L1-2 ndi L2-3. Mapangidwe apadera (mwachitsanzo, zofanana ndi magulu monga momwe tafotokozera pamwambapa) zomwe zimagwirizanitsidwa m'magulu awa anali gulu la B - mitsempha ya osteophyte yomwe ikulozera ku diski yapafupi, ndi kutsogolo kwakukulu ndi kutsogolo kumunsi. Koma mafinya omwe anali pansi pamsana (L3-4, L4-5, ndi L5-S1) anali a gulu la D D, pamodzi ndi spurs omwe amachokera ku diski yawo yapafupi (ie m'mphepete mwa pamwamba ndi m'mphepete mwake pansi.)
Ngakhale malangizo amtundu wa osteophyte ndi mtundu umenewo ungakhale kusiyana kwa dokotala wanu, kafukufuku wamtundu uwu amathandiza madokotala kuti afotokoze momwe fupa limapangidwira mu msana, ndi kuti mudziwe zambiri za njira yochepetsera.
Kwenikweni, kuwonjezeka kwa thupi kapena kusinthasintha pakati pa matupi a m'mimba a pamphepete mwa msana kumapangitsa kuti phokoso likhale lopweteka pamtunda, zomwe zimachititsa kuti mafupa asinthe. Kuchokera apa, mawonekedwe a osteophytes. Zina zomwe zimayambitsa matendawa zimaphatikizapo kutsekemera kwa mlengalenga komanso / kapena annulus fibrosus ya disc. (Annulus fibrosus ndi chivundikiro cholimba cha intervertebral disc.)
> Zotsatira:
> Holland, M. Osati m'mphepete mwa nyamakazi. Webusaiti ya Radiopaedia.org.
> Kasai, Y., Kawakita, E., Sakakibara, T., Akeda, K., Uchida, A. Kuwongolera mapangidwe amtundu wa anterior wumbar vertebral osteophytes. Matenda a BMC Musculoskeletal. 2009.
> Bwino >, S., PT, DPT, OCS, MTC, Smith, S., PT, PhD., > Silfes >, S., PT Ph.D. Kusamalidwa kwachipatala cha Lumbar Spine: Kuzindikira ndi Kupewera. Zochita za Orthopedic Vol. 18.