Ifumane phakathi kwe-vertebrae engumakhelwane, amaqumrhu e-facet ahlinzekela umgca wokugcina umgca. Benza oku ngokubambisana ngokubambisana ukuze bakhokele kwaye bahlale bejonga ukunyakaza okuqhelekileyo umlenze wenza oku:
- ukuhamba
- ukwandiswa
- ukuhamba
- i-hyperextension
- ukujikeleza (ukujikeleza)
Ngamanye amagama, amaqumrhu omzimba aya kugcina umgudu wokuguquka kakhulu, ukwandisa kakhulu, kunye nokunye ukunyakaza okunyanzelekileyo.
Amalungu e-facet anokunceda ukuthintela i-vertebra ukuba ihambe phambili ngaphantsi kwayo (ebizwa ngokuba yi-spondylolisthesis.)
Amacandelo amacandelo atholakala emva kwemizimba ye-vertebrae kwaye enza njengendlela yomzila wesitimela okanye umzila womzila xa ususa i-trunk yakho. I-vertebrae yomntu ngamnye ixhunyelelana komnye nomnye ngamacandelwana amacandelo e-facet, amabini angentla kunye nezantsi ngaphantsi. Umdibaniso ngamnye ohlangeneyo uqulethwe ngumgangatho ophantsi obizwa ngokuba yi-inferior articular process, ephuma kwi-vertebra ngasentla, kunye ne-uptelling one, ebizwa ngokuba yinkqubo ephezulu ye-articular, evela kwi-vertebra engezantsi. Iindawo eziplatiweyo zezi nkqubo zichaphazela kwaye zidibene. Ngoxa uncedwa ngamagundane amaninzi, le yindlela umzimba womntu omalunga nawo angamalungu angama-26 axhulumana ngayo ukuze enze ikholomu. Amacandelo amacandelo anokubonelela nokuzinza emgodini.
Amacandelo amacandelo afakwe, aphezulu kwaye ahlolisiswa ngokuthe ngqo ngokumalunga nommandla womlanjana.
Ezi ntlukwano zithetha ukuba ezinye iinkalo zomgudu zendalo ziguquguqukayo kunezinye.
Amalungu entloko entanyeni afakwe ukuhamba kuzo zonke iinkalo. Kwinqanaba eliphezulu nangasemva, elibizwa ngokuba yimpembe, iintlobo zineengcungcutheko ngendlela enokuthi ziququzelele ixabiso elihle lokujikeleza (ukujika nokuguquka), kodwa ubukho bentambo yakho yokukhawulela ukuhamba.
Endaweni yendawo engqameneyo , iindawo ezihlangeneyo zijongana, okungafani nezicwangciso ze-thoracic, zinciphisa ukukwazi ukujikeleza.
Isibambano esibambiseneyo sihlangene ne-synovial, oku kuthetha ukuba idibene ne-capsule eyenziwe ngeethambo ezixhumeneyo. I-capsule ibizwa ngokufanelekileyo ngokuthi i-capsule ehlangeneyo ye-facet.
Ukulimala kwiintlobo zesinye isinye sezizathu eziqhelekileyo zentlungu engapheliyo. Uvavanyo lwe-2004 kwi- BMC Musculoskeletal Disorders luvandlakanywe ngabantu abangama-500 abaneentlungu ezingezizo ezithile kwaye bafumanisa ukuba ii-facto zinoxanduva lwama-55% ale matyala. Ezi zimbini zeengxaki eziqhelekileyo ezibangela intlungu edibeneyo ye-facet ziquka i-osteoarthritis kunye ne- whiplash .
I-Facet Hypertrophy kunye neArthritis
Amathambo eembalo ahlanganiswe ne-cartilage, ekhupha idibeneyo. I-osteoarthritis yomgudu iyenzeka xa i-cartilage iphuma, iphumela ekutheni ithambo lilandelelanise.
I-Osteoarthritis kunye / okanye i-diserative dis disative disease ziimeko zokugqoka kunye neengcazo ezingakhokelela ekubunzeni i-osteophyte (i-bone spurs) kunye / okanye kwi-facet joint hypertrophy (ukukhulisa kunye nokuvuvukala kwe-facet joint). Njengoko ezi tshintsho zitshintshileyo emgodini zenzeka, isikhala emgodini womgogodla kunye / okanye i-neuroforamen ingancinci.
Ukunciphisa, okubizwa ngokuba yi- stenosis , kunokubangela ukucaphuka komgca wakho womgudu, kunye / okanye zakho iingcambu zesisu zomgulane , kwaye zibangele iimpawu ze-myelopathy kunye / okanye i- radiculopathy (i-radiculopathy ivakalelwa kukuba intlungu kunye nempawu zentlungu ehla phantsi kwengalo okanye umlenze) .
Enye indlela ebalulekileyo yokukhusela okanye yokulawula le miqathango kukusebenzisa rhoqo. Ukuzivocavoca kwandisa ukuguquguquka komgudu, oku kunceda ukunciphisa ukuqina. Kwakhona iqinisa imisipha yakho eya kuthi ikhusele i-facet kunye namanye amalunga omgudu. Ngokuqinisekileyo, kufuneka ucele ugqirha wakho kwisicwangciso esipheleleyo sonyango kwiimeko zakho ezidibeneyo.
I-Whiplash ne-Facet Paint Pain
Intlungu yesifo emva kwengozi yemoto ayiqhelekanga. Izifundo ezimbini ezenziwe nguBarnsley kunye neNkosi phakathi kwee-1990 kwaye zanyatheliswa kwi- Spine zathola intlungu edibeneyo ye-facet ibe yinto eqhelekileyo, ukuba ayilona eqhelekileyo, impawu kubantu abaye bafumana i-whiplash. Olu hlobo lweentlungu ezidibeneyo zintlungu zingabonakala ngathi zintlungu zesisindo kwicala lomgca. (Yilapho i-joint joints are located.)
Ukuba uye wabandakanyeka engozini yemoto okanye nayiphina ingozi apho umgudu wakho uphantsi kwe-whiplash, nceda ubone ugqirha wakho. Ukufumana ukulimala kancinci kwintlambo ihlolwe kwaye iphathwa ngokukhawuleza kuyisisitshixo sokukhusela imeko yokuhlunguzeka okungapheliyo kwaye inokubamba umgangatho wobomi.
Izifo
Izigulane zisetyenziselwa ukuxilonga nokuphatha intlungu edibeneyo. Elinye injenji ebizwa ngokuba yinqanaba legatsha eliphakathi lithathwa njengabanye njengendlela ecacileyo kuphela yokuxelela ukuba intlungu yakho yesibindi ibangelwa ngumonakalo kwi-facet joint. Ugqirha wakho uza kufaka i- anesthetic yendawo kwindawo leyo. Ukuba oko kukhulula intlungu yakho, unokukuxilonga ngeengxaki ezidibeneyo. Uphononongo olwenziwe ngo-2008 lwezifundo zonyango olushicilelwe kwi- Pain Physician ekhangelelanisa uluncedo lwezibonda zesebe zokuxilonga nokuphathwa kweentlungu ezithe zafumana ubungqina obunokulinganisela kokuncediswa kwexesha elide nelifutshane. Sekunjalo, ukusetyenziswa kwezijojo ezinjalo kuncitshiswa ukuba kuqinisekiswe ukuba intlungu yakho ivela ngokwenene kumalungu e-facet.
Injoza eyaziwa njenge-radiofrequency medial branch neurotomy isoloko inikwa inkululeko yesikhashana. Kwakhona kuthiwa yi-RF neurotomy, olu hlobo lwesirya lugcuba isebe eliphakathi lentsholongwane eliya kwi-facet ehlangeneyo, elitshabalalisa. Ingcamango kukuvimba nayiphi na imiqondiso yesifo esivela kwi-facet edibeneyo, kodwa ubungqina beklinikhi ukuba le nto isebenza ngelona ilanga lucacisiwe.
Ngokuqhelekileyo, umjovo weentlungu zinikwa kuphela emva kokuba uzame ezine kwiiveki ezintandathu zonyango olulondolozo oluncinane okanye aluphumelelanga.
Iindlela zonyango zokuthetha i-facet
Oogqirha kunye nama-anatomists bavame ukubhekisela kumacandelo ezinjengezakhi zygapophysis. Ngoko xa ubona eli gama kwingxelo yakho yekliniki okanye uxilongo, yazi ukuba ibhekisela kumalungu e-facet ngasemva kwekholam yomgcini.
Imithombo:
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UW. IiOdropics kunye neMicrosoft Medicine. Ukuzivocavoca kunye neArthritis. IweW Medicine iwebhusayithi. http://www.orthop.washington.edu/PatientCare/OurServices/Arthritis/Articles/ExerciseandArthritis.aspx Kuhlaziywa ngokutsha: NgoLwesibili, ngoJanuwari 26, 2010.
Windsor, R. MD. et. al. Isifo seCervical Syndrome. Medscape. Ukuhlaziywa kokugqibela: Meyi 24, 2011. http://emedicine.medscape.com/article/93924-overview#a0199