Ulwahlulo oludibeneyo lwamaqela
Umdibaniso we-intervertebral uqukethe iseyunithi yomsebenzi wee-vertebrae ezimbini ezikufutshane. Ezi nqununu ziququzelela ukuhamba komgudu. Ugqirha, oogqirha, iingcali zentlambo kunye neengcali ze-biomechanic zibhekiselele kwi-intervertbral joining "yecandelo lesinyathelo."
Iingongoma zendibano zamathambo omzimba ochaphazelekayo ekubandakanyeni umdibaniso we-intervertebral ngumzimba we-vertebral (isahlulo sangaphambili) kunye ne-vertebral arch (inxalenye engemuva).
Phakathi kwamalungu e-vertebral, ukukhwabanisa kubonelelwa kubukho bama discs interbrate. Phakathi kweendawo zokungqongqo, ukunyakaza kuququzelelwe kwaye kuqiniswe ngamanyathelo amancinci.
I-disvertebral disc ngokuqhelekileyo isayithi yentlungu, kunye neemeko ezinokuthi zenzeke khona. Abanye, njenge-disnied diski, ngokuqhelekileyo ngenxa yokulimala, kanti ezinye, ezinjengeesifo se-diserative degenerative, zihlala zihambelana nenkqubo yokuguga.
Funda kabanzi malunga neentlobo ezahlukeneyo zentlungu ye-disc: Iindlela ezintathu Iingxoxo Zakho Zingakubangela Ubunzima
Ukuhamba kuzo zonke iinjongo (phambili, emva, ecaleni kwicala kunye nokuphambana) kwenzeka kwiindawo ezininzi zokuphazamisa umgudu. Izigulane ezenziwe ngamaqela asebenzayo ezinamaqhina ezinxibelelwano ezincedisayo zikunceda ukuzinzisa ukudibanisa i-intervertebral ngexesha lokunyakaza kunye nenkxaso yekholam ngexesha lokunyuka kwesisindo. Amanye amajoyina eyaziwayo njengezixhobo, ezisekupheleni kwikholam, unceda ukuzinzisa umlenze, ngokunjalo.
I-Spinal Fusion kunye ne-Intervertebral Joint
Utyando lwe-spinal fusion, njengoko igama libonisa, yinkqubo eyenza idibaniselwano ezimbini okanye ngaphezulu ze-intervertebral. Ngamanye amaxesha ukuxubana kwenzelwa kunye ne- discecto yam , ngelixa ngamanye amaxesha i-discectomy inikwa yodwa.
Ubuncwane bomgudu budla ngokuphindaphindiweyo kwiqela elithile "inyulo," okungukuthi ngaphezulu kwesinye isangqa se-intervertebral senziwa.
Ukutyunjwa kwe-Scoliosis ngumzekelo omhle wale (nangona ngokuqinisekileyo akuyena kuphela.) Injongo yokuhlinzwa ngonyango kukunciphisa izinga lokujikeleza kwichungechunge le-vertebrae elisondeleyo.
Phakathi kweentlobo ezininzi zokuhlinzwa komgudu, ukuhluma komgogodla kukugqithiselwa ngokuqhelekileyo-kwaye ngokukodwa, i-lumbar (ephantsi kwe-fusion). Kuxhaphake kakhulu, Enyanisweni, abaphandi baye bathatha umsebenzi wokuvavanya ukusebenza kwayo. Abanye bacinga ukuba olu uphando lunikezwa nini kwaye apho lungabalulekanga khona, kwaye akusoloko lukhokelela ekuncediseni ubuhlungu kunye / okanye ukuphucula ukusebenza kwezigulane.
Umzekelo, uRick Deyo, kunye. al. ekufundeni kwabo, "Ukunyamezela intlungu engapheliyo: ixesha lokubuya?" eyapapashwa kwiphepha likaJanuwari noFebruwari yeNgxelo ye-American Board ye-Family Medicine ingxelo kwiimvavanyo ezine zonyango ezingafumanekiyo ezifumene isifo somnxeba kwisifo se-diserative diserative kwaye akukho sciatica inika inzuzo encinane.
Ababhali bavakalisa ukuba nangona kwakungekho isizathu esona sokuba kutheni ukuqhutyelwa kwamagqabi amaninzi, ukusetyenziswa kwabo kwakusasaza u-220% phakathi kweminyaka ka-1990 no-2001 e-United States. Bathi oku kuphakama ngokukhawuleza ngo-1996, xa i-fusion cage, eyayihlobo olutsha lwezoxhobo ngaleso sikhathi, yavunywa yi-FDA.
Abaphandi bacacisa ukuba ukuvunyelwa kwe-FDA kuhambelana nokunyuka kwenkqubo.
Kwaye ekugqibeleni abalobi bathi ngeli xesha, ama-Medicare amabango okutyunjwa kwamagciwane aphakanyiswe ngama-40%, okwenyuka ngama-70% kwindleko yokuhlinzwa ye-spinal fusion, kunye ne-100% kwiimplants (njenge-cusion fage.)
Umthombo:
UDeyo, RA, Mirza, SK, Turner, JA, uMartin, BI Ukugqithisa ubuhlungu obungapheliyo: ixesha lokubuya? J I iBhodi Fam Med. Jan-Feb 2009.