Ali pakati pa vertebrae yoyandikana nawo, zigawo zapachiwalo zimapereka ndondomeko ya msana ndi umphumphu. Amagwira ntchitoyi pothandizana kuti azitsogolere ndikusunga kayendetsedwe ka msana, monga:
- phokoso
- kutambasula
- kupindika kwapambuyo
- kusokoneza maganizo
- kupotoza (kusinthasintha)
Mwa kuyankhula kwina, ziwalo zimathandiza kuti msanawo usasunthike kwambiri, kubwereranso mobwerezabwereza, ndi kusuntha kwina kwakukulu.
Mapepala ammimba amathandizanso kuteteza vertebra kuti isapitirire patsogolo pake (yotchedwa spondylolisthesis).
Makhalidwe apamtima ali pamtunda wa vertebrae ndipo amachita ngati sitima yapamtunda kapena sitima yapamtunda pamene mumasuntha thunthu lanu. Mipukutu yaumwini imalumikizana wina ndi mzake ndi awiri awiri, pamwambapa ndi awiri pansipa. Chigawo chilichonse chimaphatikizapo kutsika kwapansi komwe kumatchedwa kuti low-articular process, yomwe imachokera ku vertebra pamwamba, ndi kupititsa patsogolo, yotchedwa njira yopambana, yomwe imachokera ku vertebra pansipa. Malo okwera azinthuzi amakhudza ndikugwirana. Mothandizidwa ndi mitsempha yambiri, umu ndi momwe mafupa a msana 26 amagwirira pamodzi kuti apange khola. Makhalidwe apamtima amathandizanso kuti msanawo ukhale wolimba.
Makhalidwe a chigawochi ndi ofanana, kukula kwake komanso mosiyana ndi malingana ndi dera la msana.
Kusiyanasiyana uku kumatanthauza kuti mbali zina za msana zimakhala zosavuta kusintha kuposa zina.
Makhalidwe a m'khosi amasinthidwa kuti ayendetse mbali zonse. Kumtunda ndi kumbuyo, kumatchedwa thoracic msana, ziwalo zimayendetsedwa m'njira yoti ziwone bwino kwambiri (kutembenuka ndi kupotoza), koma kukhalapo kwa nthiti yako kumachepetsa kusuntha.
Kumalo ozungulira, mbalizi zimayang'anizana, zomwe mosiyana ndi ziwalo za thoracic, zimachepetsa mphamvu yanu yosinthasintha (kupotoza) kumbuyo kwanu.
Chophatikizirachi ndi mgwirizano wa synovial, umene umatanthauza kuti uli mkati mwa kapule wopangidwa ndi ziwalo zomangiriza. Kapsuleyo imatchulidwa moyenerera kuti capetule yothandizira.
Kuwonongeka kwa ziwalo zapachiwalo ndi chifukwa chimodzi chodziwika cha kupweteka kwa msana. Kafukufuku wa 2004 mu BMC Musculoskeletal Disorders anafufuza anthu 500 omwe sanadziwe kuti anali ndi ululu wam'mbuyo ndipo anapeza kuti zigawozi zinali ndi 55%. Mavuto awiri omwe amachititsa kuti thupi likhale lopweteka, limaphatikizapo osteoarthritis ndi whiplash .
Matenda a Hypertrophy ndi Arthritis
Mafupa a zigawozo ali ndi kadoti, yomwe imamangiriza. Osteoarthritis wa msana umachitika pamene khungu limatuluka, ndipo mafupa amatha kufotokozera mafupa a mbaliyo.
Matenda a osteoarthritis ndi / kapena matenda osokoneza maganizo amatha kuvala ndi kuvundula zomwe zingayambitse kupanga bone (spurs) ndi / kapena mbali ina ya hypertrophy (kutambasula ndi kutupa kwa mbaliyi). Pamene zowonongeka zimasintha mu msana, danga mumtsinje wam'mimba ndi / kapena neuroforamen ikhoza kuchepetsedwa.
Kutsekemera, kotchedwa stenosis , kungapangitse kuti msana wako usakwiyitse, komanso / kapena mitsempha ya msana , ndipo amachititsa zizindikiro za myelopathy ndi / kapena radiculopathy (radiculopathy nthawi zambiri imamva ngati ululu ndi zizindikiro za mitsempha zomwe zimadutsa mkono kapena mwendo) .
Njira imodzi yofunika yothetsera kapena kusamalira izi ndizochita nthawi zonse. Kuchita masewera olimbitsa thupi kumawonjezera msinkhu wambiri, zomwe zimathandiza kuchepetsa kuuma. Zimathandizanso minofu yanu yomwe ingateteze mbaliyi ndi ziwalo zina zam'mimba. Inde, muyenera kupempha dokotala wanu kuti akwaniritse dongosolo lonse la mankhwala anu.
Whiplash ndi Facet Paint Paint
Zovuta zapambuyo pangozi ya galimoto si zachilendo. Maphunziro aŵiri a Barnsley ndi Ambuye pakati pa zaka za m'ma 1990 ndipo adafalitsidwa mu Spine adapeza kupweteka kwapadera kwachidziwitso kukhala chizindikiro chofala, ngati sichoncho, mwa anthu omwe adakumana ndi chikwapu. Mtundu uwu umamva kupweteka kwapadera kumbali zonse za msana. (Ndipamene ziwalo za mbali zimapezeka.)
Ngati mwakhala mukugwiridwa ndi ngozi ya galimoto kapena vuto lina lililonse limene msana wanu umakhala ndi chikwapu, chonde onani dokotala wanu. Kuvulala koopsa kwa msana kuyang'anitsitsa ndi kuchiritsidwa msanga ndicho chofunikira kwambiri kuti muteteze vuto lopweteka lomwe lingakhalepo zaka zambiri ndikukulanda umoyo wanu.
Zilonda za m'thupi
Majekeseni amagwiritsidwa ntchito kuti apeze matenda ndi kupweteka. Mmodzi mwa jekeseni woterewu womwe umatchedwa nthambi yamkati yamkati imatengedwa ndi ena ngati njira yeniyeni yodziwira ngati ululu wanu wamtsempha umayambitsa kuwonongeka kwa gawoli. Dokotala wanu adzalowetsamo kupweteka kwa malo komweko. Ngati zimenezi zimachepetsa ululu wanu, akhoza kukudziwani kuti muli ndi vuto limodzi. Kupenda kwa 2008 kwa kafukufuku wa zachipatala wofalitsidwa mu Pain Physician yomwe inkawunikira kufunika kwa maofesi apakati omwe amatha kupeza ndi kuthana ndi kupweteka kwapadera kunapezedwa umboni wokwanira wa mpumulo wautali ndi waufupi. Komabe, kugwiritsidwa ntchito kwa jekeseni koteroko kumangokhala kochepa kuti kutsimikizire kuti ululu wanu umachokera ku zigawo zina.
Jekeseni wotchedwa radiofrequency medial branch neurotomy kawirikawiri amaperekedwa chifukwa cha kupuma kwa nthawi yaitali. Amatchedwanso RF neurotomy, jekeseni uwu umatentha nthambi yapakati ya mitsempha yomwe imapita ku chipinda chophatikizana, kuichotsa. Lingaliro ndikutsekereza chizindikiro chilichonse chopweteka chomwe chimachokera ku gawoli, koma umboni wosonyeza kuti izi zikugwira ntchito mwatsoka ndi zochepa.
Kawirikawiri, jekeseni ya kupweteka kwapadera imaperekedwa kokha mutayesa masabata anayi mpaka asanu ndi limodzi a mankhwala osamalidwa bwino kapena osapindula.
Njira Yachidwi Yoti Yankhulane
Madokotala ndi anatomists nthawi zambiri amatchula ziwalo za ziwalo monga zygapopsisial joints. Kotero ngati muwona mawu awa mu lipoti lanu lachipatala kapena mukudziwitsani, dziwani kuti limatanthawuza zigawo za m'mbuyo pamutu wa msana.
Zotsatira:
Atluri S, Datta S, Falco FJ, Lee M. Zomwe zimagwiritsidwa ntchito pofufuza za matendawa komanso njira zothandizira odwala. Pain Physician. 2008 Sep-Oct; 11 (5): 611-29. http://www.ncbi.nlm.nih.gov/pubmed/18850026
Boswell MV, Colson JD, Sehgal N, Dunbar EE, Epter R. Kuwonetseratu njira zothandizira njira zothandizira odwala m'mimba. Pain Physician. 2007 Jan; 10 (1): 229-53. http://www.ncbi.nlm.nih.gov/pubmed/17256032
Kuhlman KA. Mchitidwe wa chiberekero mwa okalamba. Arch Phys Med Rehabil. 1993 Oct; 74 (10): 1071-9. http://www.ncbi.nlm.nih.gov/pubmed/8215859
Ambuye SM, Barnsley L, Wallis BJ, McDonald GJ, Bogduk N. Opatsirana pogwiritsa ntchito mafilimu omwe amatha kupweteketsa matenda a chiberekero a zygapophyseal. N Engl J Med. Dec 5 1996; 335 (23): 1721-6. http://www.ncbi.nlm.nih.gov/pubmed/8855458
Lord SM, Barnsley L, Wallis BJ, Bogduk N. Matenda a chiberekero a zygapophysial omwe amatha kupwetekedwa pamutu pambuyo pake. Phunziro lofala kwambiri lokhala ndi malo. Mpaka (Phila Pa 1976). 1996 Aug 1; 21 (15): 1737-44; kukambirana 1744-5. http://www.ncbi.nlm.nih.gov/pubmed/8855458
Manchikanti L, Boswell MV, Singh V, Pampati V, Damron KS, Beyer CD. Kuchulukanso kwa mliri wa ululu wodwala m'mimba mwakayakaya za m'mimba, ziwalo zam'mimba, ndi zinyumba. Matenda a BMC Musculoskelet. May 28 2004; 5:15. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC441387/
UW Mankhwala. Mankhwala a Orthopedics ndi Masewera. Kuchita Zochita ndi Arthritis. Webusaiti ya UW Medicine. http://www.orthop.washington.edu/PatientCare/OurServices/Arthritis/Articles/ExerciseandArthritis.aspx Kutsirizidwa: Lachiwiri, January 26, 2010.
Windsor, R. MD. ndi. al. Matenda a Cervical Facet Syndrome. Kusaka. Ndasinthidwa komaliza: May 24, 2011. http://emedicine.medscape.com/article/93924-overview#a0199