Kuphwanyika kwakamwa kosavuta kumakhala kupweteka kwapakati pa vertebra ya msana. Zitha kuchitika m'khosi, m'dera la thoracic kapena m'dera lamtunda. Nkhaniyi ikukhudzana kwambiri ndi mitsempha yosavuta ya khosi pamtambo (mwachitsanzo, khola lachiberekero) komanso limapereka chidziwitso chodziwitsa za zowonongeka ndi mankhwala kumapeto.
Kodi N'chiyani Chimachititsa Kuti Mphungu Yosweka Yang'anike?
Mphuno yamphwayi imakhala yochepa kwambiri kawirikawiri pambuyo pa kupindika kwakukulu (kutsogolo kutsogolo) kwa khosi.
Pakuvulazidwa uku, nuchal ligament, yomwe ili kumbuyo kwa khosi lako, imachotsedwa. Ngakhale kuti nuchal imagwira bwino bwino (imakhala yamphamvu komanso yowonjezereka,) izi sizowona kwa mafupa a m'khosi. Mbali ya kutsogolo kwa matupi a m'mimba mumtundu umakhala ndi zovuta zambiri, zomwe zimawatsitsa. Zotsatira zake ndi zophweka zazing'ono zamphongo kutsogolo kwa fupa, koma palibe zowonongeka zowonongeka kumbuyo.
Kuphwanyika Kwachidule Kumakhala Kolimba Kapena Kosavuta?
Mphuno yamphongo yosavuta nthawi zambiri imagawidwa ngati kuvulala kwa khungu kumutu. Izi zili choncho chifukwa khosi limalowa mkati mwazirombo.
Kuvulala kwamoto ndi mtundu wofala kwambiri wa kuvulala kwa khosi. Kupweteka kwina kwa khosi ndi kupasuka kwadothi ladongo.
Kuphwanyidwa kosavuta kumabwinja kumatengera kuvulala "kokhazikika". Izi zikutanthauza kuti, pamodzi ndi zifukwa zina, mbali yokhayo ya mzere wa msana umakhudzidwa.
(Zaka zaposachedwapa, ochita kafukufuku ndi madokotala ayamba kugwiritsa ntchito Cervical Spine Injury Crisis Severity Score kapena CSISS kuti afotokoze ndi kugawa kufooka kwa khosi kumapeto kwa chikhazikitso mu 4 zikuluzikulu zomwe zimapanga mgulu wa msana. kumbuyo, ndi kumanja ndi kumanzere mbali, yotchedwa "zipilala.")
Mtundu wina wa fracture fracture, moyenera dzina lake "wosakhazikika wedge fracture" amakhudza kuposa mutu umodzi msana "chipilala" ndipo amakumana ndi zina CSISS zoyenera kukhazikika chimodzimodzi. Monga zophulika zazingwe zamphongo, zophulika zosasunthika zamagetsi zimatengedwa kuvulala kwapakati.
Zowonongeka Zowonongeka Kwambiri X-Rays
Mapuloteni ophweka amadziwika bwino pa x-ray ngati atakhala ndi mpweya wochepa kwambiri kutsogolo kwa thupi lopweteka komanso kuwonjezeka kwa mafupa (zomwe zimakhala chifukwa cha kuponderezana.) Mphepete mwa thupi loyang'anitsitsa likhoza kuyang'ana concave chifukwa chomwecho.
Ndipo ndithudi, minofu yanu ndi zida zina zofewa zingakhale zotupa ndi zachifundo (ngakhale izi sizikuwonetsedwa pa x-ray.)
Kuthamanga Kwambiri ndi Matenda a Mitsempha
Kaya ali m'khosi, kumbuyo kwenikweni kapena thoracic, kupweteka kwapakhosi kumakhala chifukwa cha kupwetekedwa mtima, khansa kapena matenda odwala matenda a m'mimba
Kuyambira pafupifupi 700,000 mafupa a mitsempha chaka chilichonse, os teoporosis ndi imene imapangitsa kuti phokoso likhale lophweka, malinga ndi zomwe Babb ndi Carlson akuphunzira ponena kuti "Vertebral compression fractures: mankhwala ndi kuwunika." (Phunziroli linafalitsidwa mu August 2006 magazini ya Journal of the South Dakota State Medical Association .)
Babb ndi Carlson akunena kuti 40 peresenti ya 700,000 pazaka zapakhosi zapakhosi zimakhudza amayi achikulire omwe ali ndi zaka 80.
Pa kafukufuku wophatikizapo amuna achi Sweden omwe ali ndi zaka 69 mpaka 81 omwe adasindikizidwa mu mutu wa Bone 2015, Bone & Joint Journal, Kherad ndi anzawo adapeza kuti 15% mwa ophunzirawo anaphwanyidwa chifukwa cha kuperewera kwa mitsempha ya mfupa ndi matenda a mitsempha. Amuna aja omwe anali ndi ma fracture oposa 3 anali ndi mgwirizano wamphamvu kwambiri.
Chithandizo cha Vertebral Wedge Fracture.
Kutsekemera kwapadera kumatha kuchiritsidwa moyenera ndi kupuma kwa bedi, kuphulika ndi kuphunzitsa mphamvu, komanso, kupweteka. Pamene opaleshoni ikuyenera, kyphoplasty kapena vertebroplasty yowonongeka kaŵirikaŵiri amaperekedwa.
Zonsezi ndi njira zochepa zomwe zimayambitsa senti yachipatala m'derali kuti abwezeretse kutalika kwake ndi mawonekedwe a msana.
> Zotsatira:
> Babb A1, Carlson WO. Kupwetekedwa kwapachipatala: Kutenga ndi kuyesa. SD Med. 2006 Aug.
> Davenport, M., MD, ndi. Al. Mphuno ya Cervical Spine Fracture. Webusaiti ya Masewera. Idasinthidwa komaliza Sept 14, 2014.
> Kherad, M., MD. Chiwerengero ndi zizindikiro za mafupa obwera m'mimba mwa amuna okalamba zimakhudzana ndi mafupa ochepa komanso osteoporosis. Bone & Joint Journal. August 2015
> Vaccaro, A., MD., Zamphepete: Chidziwitso cha Orthopedics. Mosby / Elsivier. Philadelphia. 2005.
> Zehnder SW1, Lenarz CJ, Place HM. Kukhazikika ndi kudalirika kwa dongosolo latsopano la machitidwe opweteka m'mimba mwa msana. Mphepete. September 2009