I-annulus fibrosus yinkqonkqo eqinile eyenza inxalenye yangaphandle ye-disc intervertebral. Umsebenzi wayo uqulethe kwaye ukhusele izinto eziphathekayo eziphakathi kwidiski. Esi sikhungo esithambileyo sibizwa ngokuba yi- nucleus pulposus . I-nucleus pulposus (kunye ne -disc intervertebral disc ) inokuphazamisa umkhosi.
Ingqungquthela, njengoko ibizwa ngokuba mfutshane, iqulethe iindandatho eziliqela ze-cartilage e-fibrous orientation kwi-angle diagonal.
Iifayili zecala ngalinye elihlukileyo lonyaka ogijimayo kwinqanaba elifanelekileyo ukuya kwiibhande kwi-ring eduze kwayo. Ukwakhiwa kwe-scaffolding kwandisa amandla e-annulus fibrosus ngokubanzi, ukuvumela ukuba izalise injongo yayo njengenkonkxa ye-nucleus pulposus.
Iinyembezi zonyaka
Esinye isisindo esiqhelekileyo kwi-annulus yintlungu. Iinyembezi zinokuba zibuhlungu okanye zingabonakali. Iinyembezi zangaphambili zikhokelela ekuqhubeni okanye kwi-disnied discs, kodwa kungekho rhoqo.
Ngokuqhelekileyo, iinyembezi zingaphathwa ngempumelelo ngaphandle kokuhlinzwa ; ngamanye amagama, unyango lomzimba, umzimba, iipilisi ezipheleleyo kunye namayeza anokwanela ukukhulula iimpawu zakho.
Uninzi lwangexesha, unyango lwe-disvertebral disc lugxininiswe kwi-disc intervertebral (okanye ukucima iingcezu) ze-nucleus pulposus.
Kodwa ngoku kutshanje, izazinzulu kunye neekliniki ziye zasebenza ngeendlela zokomeleza kunye / okanye ukulungisa i-annulus. Ngokomxholo we-Matshi ka-2009 ngeBron, kunye.
al. eshicilelwe kwi- European Spine Journal, indlela entsha yokuvuselela ejolise kwingqibelelo yeefayili ze-annulus ngokwayo ingafuneka ukuze kulungiswe ukuhlaziywa kwakhona. Ababhali abathi ukuqinisa nokulungisa i-annulus banokwenyusa kakhulu amandla okulungisa i-nucleus pulposus.
Ngaphandle kokulungiswa kunye nokuqiniswa, ziyaqhubeka, isixa esivamile soxinzelelo lwengxubusho (okuyimfuneko kumsebenzi oyintloko wokukhathala) ayikwazi ukubuyiswa.
Olu lathiso olutsha lusebuntwaneni balo, oko kuthetha ukuba uvavanyo lwezilwanyana, unyango olusebenza kubantu lusekho iindlela. Okwangoku, nantsi iBron, kunye. uludwe lweendlela ezinokubakhombisa ukuqinisa nokulungisa:
Indlela Yokutyelela Ukulungiswa Kwe-Annulus
Ukuhluthwa, ngokweBron, kunye. al. lenzelwe ukuba luqulethe i-nucleus pulposus kwi-diski yokuguqulwa kwengxoxo. Kodwa ayibuyiseli iifayili ezilahlekileyo, kwaye ayiyikuguqula nayiphi na umonakalo. Abaphandi bathi imveliso ethile sele isetyenziswe ngexesha lotyando olujongene nale miba; ngokufanayo, bafuna abaphandi bexesha elizayo ukuba bafikelele kwaye bafezekise iindlela ezisebenzayo.
U-Annulus Fibrosus Ukuhlaziywa kwakhona
Ukuhlaziywa kwakhona kwemibhobho ye-annulus, ngokusebenzisa ubunjineli benyama, ngeendlela ezithile, ngokweBron, et. i., isisombululo esingcono kunokuba suturing. Ingxaki kukuba, kunzima kakhulu izazinzulu ukuba zitshintshe. Iintlobo ezi-3 zobugcisa ezisemisebenzini yilezi: Ukuvelisa iiselulus zeeseli, ukusebenzisa i-gene kunye ne-bio-active factors ezichaphazela ukuveliswa kwemveliso yamatrikhi kunye ne-scaffolding.
Ngokufanelekileyo, abaphandi bathi, icebo lokuvuselelwa kwe-annulus liza kudibanisa ubuchule obuvalayo kunye nokuvuselela izicubu ngexesha elifanayo. Baphinde bathi i-gene kunye namacebo okusebenza azinako ukusetyenziswa njengezonyango ezizimeleyo, kodwa kunokuba zidibane ne-scaffolding.
> Umthombo:
> Bron, JL, kunye. al. Ukulungiswa, Ukuhlaziywa kwakhona nokuNcedisa amayeza ka-Annulus Fibrosus: Impumelelo kunye neMingeni. I-Eur Spine J. 2009 Mar; 18