I-Spinal Arthritis, iSpondylosis okanye i-Facet Joint Syndrome
Ukuba uqhubeka kwiminyaka, ingakumbi ukuba uncedise umonakalo okanye emva kweendlela ezimbini, unokuba ulungele imeko eyaziwayo ye-hypertrophy. I-Hypertrophy ezinxulumaneni zakho zihambelana nomzimba wesifo somgudu, kunye nesifo sesifuba somgudu, ngokuqhelekileyo senziwa njengempembelelo yobudala, ukugqoka kunye nokugqabhuka, ukunyameka kunye nokulimala.
Ubudala obubandakanya ukuGqoka kunye neNyembezi yamaQumrhu e-Facet
Amalungu angama-joint angama-synovial joints, oku kuthetha ukuba beza bazaliswa kunye ne- capsule ejikelezayo kunye ne-self-lubricating capacity.
Olu hlobo lwesakhiwo lwenza ukuba udidi oluqhelekileyo, olusempilweni oludibeneyo ludibanise ngokulula kwaye ngokubhekiselele, kwaye mhlawumbi lubaluleke kakhulu, intlungu ekhululekile.
Kodwa izixhamlwano zincinci ziyakwazi ukugqoka kunye nokugqabhuka, ingakumbi njengoko sikhula. Enyanisweni, akunakwenzeka. Ngelixa zonke iziganeko zokutshatyalaliswa kunye nokuhluthwa kweentyantyambo ziza kubangela intlungu okanye ezinye iimpawu, ukuguqulwa kwamanzi kukhula, ubuncinane ngandlela-thile, kunoma ubani okhulayo ngokwaneleyo. Yaye inokuqala intsha, nayo.
Ngoko iindaba ezilungileyo kukuba amaqabane amacandelo angenakunikwa, nangona uhlala kwisithuba sakho sama-90 kunye nangaphezulu.
Oko kwathiwa, umngcipheko weentlungu kunye nokukhawulelwa ngokomzimba kugqitywa khona. Ngaphezu koko, kukho amandla 'omjikelezo onobungozi' wokuguqulwa okuqhubekayo Oku kungenzeka kwenzeka xa ukugqithisa nokugqabhuka kuphazamisa ukukhutshwa okuphakathi kweendawo zombini ezixhamliweyo ze-facet ezihlangeneyo, ekugqibeleni zikushiye ithambo elithintana naye ngexesha lentsholongwane. Njengoko izibini zombini zebony ezixubileyo kunye nomnye, loo ndawo iyabaleka.
Ukuvuvukala kwe-facet edibeneyo kungekhona nje ukuguqulela intlungu, kodwa kunokukhuthaza ukukhula kwamathambo kunye nokuphuhlisa amathambo. Le nkqubo inamagama amaninzi: i-Spondylosis, i-arthritis yomgudu, kunye nesifo se-joint joint.
Isitsha esitsha esabekwe phantsi kwimeko ye-facet syndrome inokuba yinto ephezulu kunokuba i-original itshintshe.
Xa oko kwenzeka, imeko ihamba ekuthiwa yi-facet syndrome edibeneyo kwi-facet hypertrophy. Naluphi na uhlobo, nangona kunjalo, lusebizwa ngokuba yi-spondylosis, eli gama elibhekiselele kunoma yiluphi udidi lokuguguzwa kwintsipho, kunye / okanye i-arthritis yomgogodla.
I-facet Idibeneyo edibanisene ne-Radiculopathy yomlomo wesibeleko
Amalungu amacandelo asondelene kakhulu ne- interambrbral foramina , eyiyo "imingxuma" ngapha nangapha kwintsipho apho izimpande zengqondo yomdaka zidlulisela kuzo zonke iindawo zomzimba.
Ukwandiswa okuhambelana ne-facet hypertrophy edibeneyo inokungena kunye nokunciphisa i-foramen. Kule meko, i-nerve material ingase "iqhube" kwithambo ebekwe phantsi ngexesha le-arthritic echazwe ngasentla, elikhokelela kwiimpawu ze-radiculopathy yomlomo wesibeleko. I-radiculopathy yomlomo wesibeleko iqoqo leempawu kunye neempawu ezinxulumene nokunyanzeliswa kwengcambu yomgulane entanyeni. Iimpawu zingabandakanya intlungu kunye / okanye iimvakalelo zombane ezihamba ngaphantsi kwengalo.
Amacandelo e-Facet ayimfuneko ekuzinzileyo
Iziqu ezizibandakanya ngokwazo, ezithethwa ngezobuchwephesha ezibizwa ngokuba yi-zygapopsese, zihlangene kunye neengqungquthela zengqungquthela ezisecaleni lesigodlo se-bony esemva kwamalungu omzimba .
Amalungu angama-facet anceda ukuzinzisa ukuhamba komgudu wakho.
I-angle yabo kunye nokuphakama kwidiski ye-intervertebral efumaneka kwindawo enye yomgudu inquma iiparameter zentshukumo ezivunyelwe kuloo ngxube. Oku kuthetha ukuba kummandla ngamnye (okt, inzala yomlomo, okanye intamo, thoracic, okanye phezulu nangemuva, kunye ne-lumbar, okanye ngasemva) umlinganiselo wokuguquguquka kunye nesalathiso onokuyithatha umqolo wakho.
Ngokomzekelo, kwintsholongwane yesibeleko isilumko seengqungquthela sineengqungquthela ezingama-45, kwaye sivumela ukunyakaza kuzo zonke iinkalo.
Kwimimandla yecala, ehambelana neendawo zakho eziphezulu nakwizinga eliphakathi, ama-facet joints are angled at about 60 degrees.
Le mvume iguqa icala kunye nokuphazamisa, kodwa akukho ukujika okanye ukongezwa.
Kwaye ekugqibeleni, kwi-lumbar spine, i-joint joints are positioned at 90 degree degree (malunga) ukuvumela ukuphela okanye ukuguqulwa komqolo. Oku, ukongezelela okanye kunokuba izihlunu ezinzima kakhulu zinokufaka isandla ekungeniki
Ucwaningo olwenziwa ngo-2017 olupapashwe kwiphephancwadi ye- World Neurosurgery luthi i-lumbar facet edibeneyo i-angles yinto yokuba ikwazi ukukulahla ngaphambi kokuba uhlalise umqolo, ngokukodwa imeko eyaziwa ngokuba yi- spondylolisthesis ye- isthm.
Unyango lweeNgxowanxu zakho ezibuhlungu
Ukuba i-facet yakho inxulumene ne-hypertrophy ibangela ubuhlungu okanye ukhubaze, ungase uzibuze ngonyango. Abantu abaninzi benza kakuhle ngokuhamba kwindlela ekhuselekileyo kuphela. Oku kubandakanya ukubona umphathiswa wenyama, ukwenza imiyalelo emiselweyo imihla ngemihla kunye nokuphucula ukuziphatha okulungileyo. Ukuba ukuhlinzwa kuyadingeka, kunokukunceda kuphela ukukhulula intlungu ngokutshabalalisa iincinci ezincinci eziphezu kwamalungu akho.
> Imithombo:
> Caridi, John, M., MD, Pumberger, Matthais, MD Hughes, Alexander, P., MD I-Radiculopathi: Uhlolo lokuhlaziya. Isibhedlele seNgcaciso yokuKuPhepha. 2011. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192889/
> Eroglu, A., kunye. al. Indima yeeMpawu ze-Facet I-Angle Joint in the Development of Spondylolisthesis ye-Isthmic kwi-Young Male Patients with L5-S1 Spondylolisthesis ye-Isthmic. Agasti 2017. https://www.unboundmedicine.com/medline/citation/28549642/The_Role_of_the_Features_of_Facet_Joint_Angle_in_the_Development_of_Isthmic_Spondylolisthesis_in_Young_Male_Patients_with_L5-S1_Isthmic_Spondylolisthesis.
> Mullin, Jeffrey, Shedid, Daniel, Benzel, Edward. Ubume be-Cervical Spondylosis Pathophysicology kunye ne-Biomechanics. Umbhalo weHlabathi yeNgqungquthela yomhlaba. NgoSeptemba 2011. http://wscjournal.org/pdf/pdf_WSCJ_62.pdf