Chipangizo chotchedwa vertebral end plate ndi malo omwe amagwiritsidwa ntchito mofanana-pakati pa intervertebral disc ndi fupa (la thupi lozungulira ). Poyamba kuganizira, zingakuwone ngati mukukonda mbale yopuma, osati fupa lonse, osati mthunzi wonse, koma kuphatikizapo awiriwo.
Ndipo iwe ukhoza kukhala wolondola. Malinga ndi nkhani yakuti "Udindo wa Vertebral End Plate mu Low Back Pain," mbale yomaliza imakhala ndi khungu la mafupa komanso fupa lomwe limapangitsa kusiyana pakati pa dothi losavuta kumva ndi lala lotchedwa vertebra.
Pansi kumbuyo, msana umanyamula katundu wambiri ndipo umakhala ndi mphamvu zamphamvu zoyendayenda. Ma discs, komano, akusowa mitsempha ya magazi. Monga gawo lapakati pakati pa ziwiri, mbale zotsiriza zimakhala ndi mphamvu zothandizira kupewa kutuluka kwa phokoso komanso kukhala ndi phokoso lothandiza kuti zakudya zitheke pakati pa maselo mu diski ndi capillaries mu fupa, Lotz, et. akuti.
Mapulogalamu otsiriza mwina ndi otetezeka kwambiri m'kati mwa ma diski ndipo amawonongeka mosavuta akamaumirizidwa. Izi zikachitika, zikhoza kuonjezera zokambirana pakati pa kutupa zinthu zomwe zili mu disc ndi mitsempha ya m'magazi. Lotz, komanso othandizira ena amanena kuti, akhoza kupereka malo odzola mafupa omwe amachititsa kuti mitsempha yambiri ikhale yovuta, kusintha kwa malo, (mwachitsanzo, zochititsa chidwi) komanso mankhwala osokoneza bongo.
Chipatso Chomaliza Chimawononga MRI
Vuto ndilo, mtundu uwu wa kuwonongeka kwa mapulogalamu a mapeto angakhale ovuta kuwunika ndi mayesero ojambula ojambula monga MRI.
Pachifukwa ichi, Lotz, Fields, ndi Liebenberg amanena kuti ngakhale kuti mapulogalamu otsekemera osapangidwe angakhale osokoneza kwambiri, madokotala mwina samayesa kwambiri pofufuza odwala awo.
Malingana ndi Nguyen, Poiraudeau, ndi Rannou, MRI ikhoza kuzindikira kusintha kwa fupa la mapeto lomwe limatha kukhala ndi matenda osokoneza maganizo komanso ululu wopweteka kwambiri .
Izi zimatchedwa kusintha kwa Modic. Ofufuzawo amanena kuti kusintha koteroko kungakhale kofanana ndi kutupa kwapakhomo, ndipo zimasonyeza kuti kusintha kwa Modic kungakhale chinthu chodziwikiratu pozindikira kugwirizana pakati pa mafupa osintha ndi kupweteka mwa mitundu ina ya odwala omwe akuvutika kwambiri. Izi, zowonjezera, zikhoza kuyambitsa zovuta zowonjezera zowonjezera.
Zotsatira:
Hadjipavlou, AG, Tzermiadianos, MN, Bogduk, N., Zindrick, MR. Pathophysiology ya disc disceneration: A Review Critical. Journal of Bone & Joint Surgery. October 2008.
Lotz, JC, Fields, AJ, Liebenberg, EC Udindo wa Vertebral End Plate mu Low Back Pain Global Spine J. 2013 Jun; 3 (3): 153-164.
Nguyen C., Poiraudeau S., Rannou F. Vertebral subchondral bone. Osteoporos Int. 2012 Dec.
Wopanda, Clifford, R., III, MD Mapulogalamu Otsitsa Mapulogalamu Opangira Opaleshoni. Ndasinthidwa komaliza April 2013.