Ukuqhaqha kwamanzi okulula kukuqhekeka kwintlanzi emlanjeni. Iyakwenzeka entanyeni, kwingingqi ye-thoracic okanye kwi-lumbar (kwindawo ephantsi). Eli nqaku lijolise ngokukodwa kwiintlobo ezilula zomcaka entanyeni (oko kukuthi, umlenze wesibeletho) kodwa unika nolwazi oluthe ngqo malunga nezizathu kunye nokunyanga ekupheleni.
Yintoni Ebangelwa Ukuqhekeka Kwentambo Elula?
Ukuqhekeka komda olula kumkhuhlane wesibeleko kwenzeka ngokuqhelekileyo emva kokugqithisa ngamandla (phambili ukuguqa) entanyeni.
Kule ngozi, i-ligament ye-nuchal, efumaneka emqaleni kwentamo yakho, iyasuswa. Nangona i-nuchal ligament ngokwayo ihamba kakuhle (inamandla kakhulu kwaye inkulu,) oku akusoloko kuyinyaniso yamathambo entamo. Inxalenye yangaphambili yamalungu e-vertebral entanyeni ithambekele ekuthwaleni i-impact of impact, leyo leyo ingabanyanzelisa ngamandla. Isiphumo siphulaphulo elula phambi kwethambo, kodwa akukho monakalo wangempela ukuthetha ngasemva.
Ukuqhafaza okulula okululayo - Ukuzinza okanye ukungaqiniseki?
Ukuqhekeka okulula kwamacandelo ngokuqhelekileyo kukwahlula njengengozi yokuhamba ngeenyawo entanyeni. Oku kungenxa yokuba intamo ishukunyiswa kwi-hyperflexion ngexesha le-inciting inciting.
Ukulimala kweFlexion yindlela eqhelekileyo yokulimala kwentamo. Olunye uhlobo lokulimala kwintanyeni entanyeni yintsimbi yomdaka.
Ukuqhaqha okulula kumacangco kubhekwa "ukuzinza" kwingozi. Oku kuthetha ukuba, kunye nezinye iinkqubo, kuphela inxalenye yangaphambili yomqolo womgcini ochaphazelekayo.
(Kwiminyaka yakutshanje, abaphandi kunye noogqirha baqalise ukusebenzisa iCapeical Spine Injury Score-Gravity Score okanye i-CSISS ukuchaza nokuhlengahlengisa ukulimala kwentamo emfutshane ngokwezinga lokuzinza kwiindawo ezine eziphambili ezenza umqolo wamagxa. ngasemva, kunye nekhohlo kunye nekhohlo, ebizwa ngokuthi "iintsika.")
Olunye uhlobo lokuqhaqha umda, olubizwa ngokuthi "ukungafihlakiyo kwintsimbi" luchaphazela ngaphezu komnye umgca wesikhotho "insika" kwaye ihlangabezana nezinye iimpawu ze-CSISS zokungazinzi kakuhle. Njengamaqhekeza amancinci alula, iindawo ezinqabileyo ezinqabileyo zithathwa njengengozi yokulimala.
I-X-Rays yeFracture Fracture
Ukuqhafaza okulula kwimibala kubonakala kwi-x-ray njengokuba kuncipha ukuphakama phambi komzimba we-vertebral kunye nokwanda kweethambo (oko kubangelwa ukunyanzeliswa.) Umda wangaphambili womzimba we-vertebral ungabonakala udibanisa ngesizathu esifanayo.
Kwaye ke, izihlunu zakho nezinye izicubu ezithambileyo ziyakwazi ukuvuvukala kwaye zithenda (nangona oku kungabonakali kwi x-ray.)
Ukwandisa amaFracture kunye ne-Osteoporosis
Enoba entanyeni, ephantsi okanye e-thoracic, i-vertebral compression fractures inokubangelwa yintlungu, umhlaza okanye i-osteoporosis
Ukuqala ukuya kuma-700,000 eminqwenqeni yomkhuhlane minyaka yonke, i- os teoporosis yimbangela eqhelekileyo yokuchithwa kwe-wedge elula, ngo-Babb noCarson kwisifundo sabo esithi "I-Vertebral compression fractures: unyango nokuvavanya." (Uphando lwapapashwa ngo-Agasti 2006 umcimbi weNcwadana ye-South Dakota Medical Medical Association .)
UBhab kunye noCarlson bathi i-40% yala ma-700,000 minyaka yonke i-spinal fractures ithintela abafazi asebekhulile ngaphaya kweminyaka eyi-80.
Kwiphando elibandakanya amadoda aseSweden aneminyaka eyi-69 ukuya ku-81 eyapapashwa kwiphepha le-Agasti 2015 le -Bone & Joint Journal, i- Kherad kunye nabahlobo bafumene i-15% yabathathi-nxaxheba ababenokuphuka kwe-vertebral edibene ne-low fat mineral strength and osteoporosis. La madoda ayenamaqela angaphezu kwe-3 ayenombutho onamandla ngakumbi.
I-Vertebral Wedge Fracture Treatment.
Ukuphulwa kwe-vertebral compression fractures inokuphathwa ngenyameko ngokuphumla kombhede, ukuxhamla kunye nokuqeqesha amandla, kwaye ke, ukulawula ubuhlungu. Xa utyando lufanelekileyo, i-kyphoplasty okanye i-vertebroplasty nganye yenziwa ngokubanzi.
Zomibini ziinkqubo ezincinci zokungena kwizityalo ezenza utyalo lwezokwelapha endaweni ukuze ubuyisele ubude kunye nomlo wesifo somgogodla.
> Imithombo:
> Babb A1, uCarlson WO. Iingxaki zokunyanzelisa i-Vertebral: unyango novavanyo. SD Med. 2006 uAgasti.
> Davenport, M., MD, kunye. Al. Ukuqhekeka kwesisu somlomo wesibeleko. Website yeMedscape. Kugqitywe ukuhlaziywa ngo-Septemba 14, 2014.
> Kherad, M., MD. Inombolo kunye neempawu zentsholongwane ezithintekayo kwiindawo zamadoda asebekhulile zidibaniswa nesiswini esiphantsi se-bone kunye ne-osteoporosis. I-Bone & Joint Journal. Agasti 2015
> I-Vaccaro, A., MD., Isiqulatho: Ulwazi olunzulu kwi-Orthopedics. Mosby / Elsivier. Philadelphia. 2005.
> Zehnder SW1, uLenarz CJ, Beka HM. Ukunyameka nokuthembeka kwenkqubo entsha yokuhlengahlengiswa kwenzakaliso engaphantsi komlomo. Isihlwele. Septemba 2009