Yiyiphi i-Flexible Annular?
I-fissure ye-annular yimeko echaphazela ii-discs intervertebral. Inkoliso yexesha ixesha i-fissure ibangelwa utshintsho olusitshintshayo kwintlambo, kubandakanywa ukutywa kwamanani kwiidiski, kodwa kungeniswa ngengozi.
Funda i-Anatomy yakho: Annulus Fibrosis
UDkt. Jacob Amrani wewebhusayithi yeDokotela wezantlanzi wachaza ukuba uphando oluthile lufumene iifisithi zokuba zikho kuzo zonke iidiski ezilahlekileyo, kwaye enye yabona ubuncinane bodwa into encinci ukuba ibekho kuyo nayiphi na imithi ebonisa ukuba i-diski ayidalwe.
Kwi-crack annular engaphandle kwidiski, eyenziwe ngamagqabi aqinileyo ahlelwe kwiindawo ezigxininisiweyo, aqala ukuphahlazeka, aphule okanye ahluke kwithambo apho adibene khona.
Idibeneyo: Iyintoni iAngularly Tear?
Ingaba Intlungu Yobunzima Yomsundu?
Nangona i-frying annular ingabangela intlungu, ayisoloko yenza njalo. Enyanisweni, isifundo esenziwa nguBrankki, et.al. epapashwe kwiphepha lika-Apreli 2015 le- American Journal ye-Neuroradiology yafumanisa ukuba ukuchithwa kwamanzi kubonakala "kwindawo ephakamileyo" ye-MRIs yomgudu wabantu abangazange baxelele iimpawu. Abaphandi bafumanisa ukuba umntu okhulile isiguli, ingakumbi ukuguqulwa kwamagqabi okuguqulwa kwamagqabi kubonakala kwiifilimu zabo.
Unokucinga ngentshukumo ye-annular njengokulahlekelwa kwengqibelelo kwisigqubuthelo sangaphandle se-spinal disc. Akusiyo i-herniation, kodwa inokukhokelela kumnye ukuba iziqu zangaphakathi ze-diski zihamba kwi-gap eyenziwa ngokuhlukana kweefayili, kwaye uqale ucinezele kwiingcambu zomlenze osondeleyo.
Kule meko unokuba uzive ubuhlungu, izikhonkwane kunye neenaliti, ukuvakalelwa kombane okanye ubunzima obuthathaka okanye ukuphazamiseka kwehla emlenzeni omnye (odla ngokubizwa ngokuba yi-sciatica,) okanye phantsi kwesandla esinye.
Idibeneyo: Iingcebiso ezi-5 zokukhusela iStinal Stenosis
Iinkqubo zeNgcaciso zoLwazi lweNkcazo
Ukufumana i-annular fissure diagnosti ibandakanya imbali yonyango, uvavanyo lomzimba kunye novavanyo lokuxilonga.
(Ugqirha wakho unokuyalela iyeza zentlungu kunye noyonyango ngaphambi kokuba uzame iimvavanyo)
Ukufikelela kwezi zivivinyo, zingabandakanya i-x-ray, i-MRI, i-CT kunye ne-discography, kuquka ukucatshulwa kwee-discography apho idayisi eyahlukileyo ijojowe ngenjongo yokwenza intlungu yakho. Ukuba uvakalelwa intlungu kwindawo apho idayi ijojowe, ugqirha wakho unokuqinisekisa isiqulatho sonyaka emva kwe-discography yakho echukumisayo, kunokukho nezinye iimvavanyo ukuqhubela phambili nokuchaza indawo echaphazelekayo.
Idibeneyo: Mayelana neeNzululwazi ze-Discogram
Unyango lwe-Annular Fissure
U-Bao-Gan Peng ubika kwingxelo yakhe ngo-2013 umxholo we- World Journal of Orthopedics , onesihloko esithi "Pathophysiology, ukuxilongwa kunye nokunyangwa kweentlungu ezisezantsi ze-discogenic," ukuba akukho mbono oluncinane phakathi koogqirha kunye nabagqirha njengendlela engcono yokuphatha i-fissure .
Abanye oogqirha bahlala bebeka imithi yeentlungu kunye nama-muscle relaxers, nangona, umbhali uthi, "ubungqina bokusebenza kwabo akunyanzelekanga." Uthi nangona unyango olulondolozo olunjengokwenyama, ukuguqulwa komgudu (ngokuqhelekileyo ukulungiswa kwetropractic) esetyenzisiweyo kakhulu, uphando alukwazanga ukuba ezi zonyango zisebenzisekile ukuxothwa kwexesha elide.
Kwiindawo ezincinci zokukhupha, ubika ngeengcaphephe ezifumene indlela yeMcKenzie (ngokukodwa inkqubo yovavanyo lwezonyango ephuhliswe ngumgqirha owenziwe lonke igama elidlulileyo kwiminyaka emininzi) lisebenza kancinci ngaphezu kohlengahlengiso lwentambo, kwaye lilingana nemisebenzi ephantsi yokuqinisa imva.
Imithombo:
U-Amrani, J. Disc Tear (i-Annular Tear) Iwebhusayithi yeDokotela yecala. Fumaneka ngoDisemba 2015.
Bao-Gan Peng. I-Pathophysiology, ukuxilongwa, kunye nonyango lwentlungu ephantsi ye-discogenic. Hlabathi J Orthop. 2013 ngoMatshi 18; 4 (2): 42-52.
Brinjiki, W., Luetmer, PH, Comstock, B. Bresnahan, BW, Chen, LE Deyo, RA, Halabi, S., Turner, JA, Avins, AL, James, K., Wald, JT, Kallmes, DF, Jarvik, JG Ukuphononongwa ngolu hlobo lwencwadi lweempawu zobuncwane bokugaya emgodini kwiindawo ezingabonakaliyo.AJNR Am J Neuroradiol. 2015 Ngo-Apr; 36 (4): 811-6. i-doi: 10.3174 / ajnr.A4173.