Inkqubo ye-Odontoid, aka, i-Dens
Inkqubo ye-odontoid, eyaziwa nangokuthi iindidi, iphezulu yecala elivela kwinqanaba eliphambili leziko le-vertebra ye-axis. (I-axis ngowona-2 ophezulu wesithambo somthambo.)
I-atlas yithambo lokuqala lentamo yakho; ihleli phezulu kwi-axis. (Ikhreyiti ihleli phezulu kwi-atlas.) Iiprojekthi zemijondolo zibe yindawo ephakathi kwi-atlas, kwaye yile ndlela amathambo e-atlantoaxial (i-atlanto ehambelana ne-atlas, kunye ne-axial ehambelana ne-bone axis).
Ngokungafani namanye amaninzi omlingo womthambo, i-atlas ayinalo umzimba we- vertebral . Esikhundleni saloo nto, ndijonge njengendandatho leyo (njengoko kuchazwe ngasentla,) ingene ngaphakathi kwinqanaba, kwaye yintoni leyo ihamba ngayo. Eli lungiselelo livumela inkululeko enkulu yokuhamba phakathi kwentlangano, i-vertebra yokuqala (i-atlas), kunye ne-vertebra yesi-2 (i-axis). Enyanisweni, intlangano ye-atlantoaxial yinkqubo yeselula (kunye neyona nto inzima kakhulu) ehlangeneyo.
Inkqubo ye-odontoid inikeza iphuzu le-point-ebizwa ngokuba yi-axis ye-motion-ejikelezileyo apho i-gaqa kunye ne-vertebra yokuqala yomlomo (i-atlas) ijikeleza, ijika kunye / okanye ijika (le nto iyinto efanayo.) Ngoko xa kuziwa ekuphenduleni yakho intloko ukuze ubone emva kwakho, okanye ipaki efana, unako, ngokukhululekileyo, mbulela amanani akho. Imisipha kunye namanye amalunga entanyeni athatha indima ngokunjalo, kodwa le nyathelo enxulumene phakathi kwe-kkull, i-vertebra yokuqala neyesibini inikezela ukuba i-mechanics engezantsi ijikeleze.
Ukulimala kwiNkqubo ye-Odontoid: Isexwayiso - Ezi Ziyingozi kakhulu
Inani elenzakalayo linokuchaphazela iimitha, kuquka ukuhlukunyezwa okuqhubezela phezulu kwekhayi phantsi, okungathi kubangele ukuba imitshini iqhutywe kwingqondo. Oku kuya kubangela ukufa.
Ukuxininisa okanye ukulimala kwiigaments ezibamba ukuhamba kwe-atlantoaxial joint in check iyakunqanda imitha, ivumele ukuba iphazamise umlenze wesibeleko.
Oku kungabangela ukukhubazeka.
Ukufuduka phakathi kwe-atlas kunye ne-axis. Oku kuyingozi kakhulu, inobungozi obungabonakaliyo ukuba ubuncinane buya kubonakalisa intambo yomgudu wakho. Ukutshatyalaliswa kukulimala kwe-hyperflexion.
Ezinye iintlobo zokulimala kwegilament zibandakanya uxinzelelo okanye ukululalisa oku kunokubangela ukunyakaza okugqithiseleyo kwi-jointlanxial joint.
Yaye imitha ingahlulwa, mhlawumbi kwinqanaba eliphezulu, kwisiseko sayo kwi-axis okanye kumzimba we-axis. Iingcangca zicingelwa ukuba yinto yokulimala; maxa wambi bahamba kunye nokunye amaxesha. Xa ukuchithwa kuhambisane nokuqhekeka, iziphumo zomgca wakho womgudu ohleliyo zingcono kunokuba zenzeke phakathi kwe-atlas kunye ne-axis kuphela.
Ngokwe-2005 uphando olushicilelwe kwiphepha lokulimala , i-fragrance fractures yenza i-20% yazo yonke i-fractures. Ezinye iintlobo zeentambo zentamo zibandakanya, kodwa azikhawulelwanga ku: ukuphulwa kwefostile kunye nokwaphuka komda .
Ababhali be-2013 epapashwe kwiphephancwadi, iiKliniki , balinganise ukuba iziganeko zenzakalo ziba ngaphantsi, phakathi kwe-5% ne-15%.
Njengoko kukhankanywe ngasentla, imithwalo yefractures ihlukaniswe ngokuphakama kwayo, nto leyo ingayichaza ukuxela kwangaphambili kunye nokunyanga unyango lokulimala.
- Uhlobo I: Ukwaphuka kweyona nxalenye yeyona nxalenye (inkqubo.).
- Uhlobo II: Ukwaphulwa kwinqanaba leentente.
- Uhlobo lwe-III: Ukuqhekeka okuvela kumzimba we-axis phantsi kweengqungquthela.
Utyando lunokuthatha ifom yokuhlinzwa okanye ukugqoka i-brace. Yona, kunjalo, kukulungele ukubonisana nengcali yakho yesipili xa usenza isigqibo sokuba wenze ntoni malunga nokulimala kwemibhobho, njengolu lubi oluyinkimbinkimbi kwindawo enqabileyo.
Ukuphila kunye nokulimala kwezinto
Ukulimala kwimibhobho kunokuguqula kakhulu ubomi bakho. U-Yu unokufuneka atshintshe ebomini kwisihlalo sabakhubazekile ngobusuku, umzekelo. Ukuba ungathanda ukufunda okungakumbi malunga nendlela abantu abajamelana ngayo nale nzakala kwimpilo yabo yemihla, (kunye nokukhala kakuhle ngelixa ulapho) funda incwadi ethi Body Body Broken nguLynne Greenberg.
Umthombo:
IIshii T, Mukai Y, Hosono N, Sakaura H, Fujii R, Nakajima Y, Tamura S, Sugamoto K, Yoshikawa H. Iimpawu zesigxina se-colonial sebaxial in rotation in vivo uhlalutyo lwesithathu. Isihlwele (Phila Pa 1976). 2004 Umhla we-15; 29 (24): 2826-31.
> Marcon, kunye. al., Iziqhekeza zomlomo wesibeletho. Iikliniki. Novemba 2013. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812556/
> Ochoa, et. al. Ulawulo lophando oluthile lwentsimbi. Ukulimala. Julayi 2005. https://www.ncbi.nlm.nih.gov/pubmed/15993118