Kusinthasintha kophatikizana kophatikiza
Mgwirizano wa intervertebral umaphatikizapo chigwirizano cha ma votibrae awiri. Izi zimayendetsa kayendetsedwe ka msana. Madokotala ochita opaleshoni, madokotala, akatswiri a msana komanso akatswiri a zamoyo zamakono amasonyeza kuti gululi limagwirizana ndi "gawo loyenda."
Zokambirana za mafupa awiri a msana wamphongo zomwe zimakhudzidwa pakupanga mgwirizano wamagetsi ndi thupi loyang'anizana (gawo loyang'ana kutsogolo) ndi chigoba chakumbuyo (gawo lakumbuyo).
Pakati pa matupi ozungulira, kutsogolo kumaperekedwa ndi kupezeka kwa intervertebral discs. Pakati pa mabwalo ozungulira, kayendetsedwe kake kamasankhidwa ndikukakamizidwa ndi zigawo zing'onozing'ono.
Dongosolo la intervertebral nthawi zambiri limakhala malo opwetekedwa, ndipo zinthu zingapo zikhoza kukhalapo. Zina, monga a disniyated disk, nthawi zambiri zimakhala zovulaza, pamene zina, ngati matenda otupa, zimakhala zokhudzana ndi ukalamba.
Phunzirani zambiri za mitundu yosiyanasiyana ya ululu wa ululu: Njira zitatu Zomwe Mungagwiritsire Ntchito Ma Discs Angakuchititsani Kupweteka
Kusunthira kumbali zonse (kutsogolo, kumbuyo, kumbali ndi kumbali) kumapezeka pamagulu ambiri otsekemera. Mitsempha yopangidwa ndi magulu amphamvu kwambiri othandizira mitsempha yothandizira imathandizira kukhazikitsa mapangidwe opatsirana pogwiritsira ntchito kuthamanga ndi kuthandizira kulemera kwake. Mankhwala ena omwe amadziwika ngati mbali, omwe ali kumbuyo kwa chigawochi, amathandiza kukhazikika msana.
Kusakanikirana kwa msana ndi Intervertebral Joint
Kuchita opaleshoni yamtsempha, monga momwe dzina limatchulira, ndi njira yomwe imasokoneza zigawo ziwiri kapena zingapo zotsutsana. Nthawi zina fusions amachitidwa limodzi ndi discecto wanga , pomwe nthawi zina discectomy imaperekedwa yokha.
Kusakanikirana kwa msana kumachitika kawiri pa "gawo loyendayenda," mwachitsanzo, kuphatikizapo umodzi wotsutsana.
Kuchita opaleshoni ya Scoliosis ndi chitsanzo chabwino cha ichi (ngakhale kuti sichoncho chokha.) Cholinga cha opaleshoni ya scoliosis ndi kuchepetsa kukula kwa mpikisano mndandanda wa vertebrae.
Pakati pa mitundu yambiri ya opaleshoni ya msana, kupweteka kwa msana ndi kumene kumaperekedwa - makamaka, kutchedwa fumbal (low back) fusion. Ndilofala kwambiri, Ndipotu, ochita kafukufuku apanga ntchito yofufuzira kuti n'zotheka bwanji. Ena amanena kuti opaleshoni imeneyi imaperekedwa nthawi ndi pamene siili kofunika, ndipo sizimapangitsa kuti pakhale kupweteka kwabwino komanso / kapena kusintha kwa thupi kwa odwala.
Mwachitsanzo, Rick Deyo, et. al. mu phunziro lawo, "Kugonjetsa kupweteka kwakumbuyo kwanthawi yaitali: nthawi yobwerera?" yomwe inalembedwa mu Journal of the American Board of Family Medicine, yotuluka mu Januari ndi February, yonena za mayesero anayi omwe anapeza kuti ali ndi matenda osokoneza ubongo chifukwa cha matenda osokoneza bongo ndipo palibe sciatica yomwe inapindulitsa pang'ono.
Olembawo akunena kuti ngakhale kuti panalibe chifukwa chenicheni chimene chiyenera kuchitiranso kuti maginito ambiri apitirire, ntchito yawo inagwedeza 220% pakati pa zaka za 1990 ndi 2001 ku United States. Akuti izi zikukwera mofulumira mu 1996, pamene khola lopangidwira, lomwe linali mtundu watsopano wogwiritsa ntchito panthawiyo, linavomerezedwa ndi FDA.
Ofufuzawo akuganiza kuti chivomerezochi cha FDA chimalimbikitsa kuwonjezeka kwa njira.
Ndipo potsiriza olemba akunena kuti panthawiyi, Medicare imanena kuti opaleshoni ya msana inakwera ndi 40%, ndipo kuwonjezeka kwa 70% muyeso yonse ya opaleshoni ya spinal, ndi 100% implants (monga fusion cage.)
Chitsime:
Deyo, RA, Mirza, SK, Turner, JA, Martin, BI Kuwonjezera kupweteka kwakumbuyo: nthawi yobwerera? J Am Board Fam Med. Jan - Feb 2009.