Kana iwe uri mumwe wevanhu 60-80% avo vanenge vachida kurwadziwa kurwadziwa, iwe unogona kuwana kuti imwe kana kupfuura yako yemaspinal discs inotarisirwa. Kutambudzika kwepabonde kunowanzoonekwa kune vanhu vane matambudziko shure, anokwana anenge 40% emhosva.
Iyo intervertebral disc ndeimwe yezvipembenene zvepamusoro dzemakumbo madzishe uye zvinorwadza nyanzvi dzinoshevedza "marwadzo generator." Chaizvoizvo, kurwadziwa kwejini generator inzvimbo mumuviri umo kusakanganisika kwepanyama kunobatsira kurwadziwa.
Apo zvinouya kumusana wepaginal intervertebral discs semarwadzo generator, 3 mikuru mizhinji yebasa risina kujairika, kana kurwadziwa generator, zvinobvira.
Disc Injury
Ikutanga inowanikwa apo dhikanhi rekukuvara rakakuvara kubva kunze. Mienzaniso yekare yeiyi inosanganisira disc herniation uye annular misodzi. A disc discing inowanzoitika apo doro rakaderera, rakafanana nejelly riri mukati mukati mehurukuro dzema disc kana kuti rinoputika nechokubuda kunze kusunga (iyo inogadzirwa nemagetsi anokonzera.) Kurwadziwa kunogona kuitika kana icho icho, chinonzi nucleus pulposus, chinopinda kusangana na (uye kunotsamwisa) musana wemutsipa midzi. Imwe nzira inowanzoitwa nevanhu vanokonzera tsvina dzavo ndeyokusimudza zvinhu zvakakomba nechepamusoro-soro (kureva kusapfugama namabvi kusimudza) nekupinza musana panguva imwe chete. Mharapara disc heniation inowanzoitika kuvanhu vakuru vaduku pakati pemakore gumi nemasere kusvika makumi matatu apo mvura yehutachikiti ichiri yakakwirira. Chinhu chinonyanya kusvimha ndechekuputika kwekunze kwemagetsi anokonzera iyo nucleus pulposus.
Maererano naDr. Alexander Vaccaro, Purofesa weOrpotherapy Surgery kuT. Thomas Jefferson University uye Rothman Institute muPhiladelphia, PA, kwete chete iyo annulus fibrosus inoumba yakasimba inogadzirisa mavara, asi ine nerve fibers inokwanisa kutaura marwadzo, pamwe chete . Izvi zvinogadziriswa-makagetsi emagetsi anowanikwa kune kunze kwerukisi.
Vaccaro inotaura kuti nhubu dzemazuva ose dzinokwanisa kutumira zviratidzo zvinorwadza hazvina kuwanikwa zvakanyanya mu disc. Asi zvinhu zvakasiyana-siyana zvinogona kuunza kurwadziwa. Zvinhu izvi zvinosanganisira prostaglandin, lactic acid, uye p. P. Uye, sezvo ma discs ari kuderera, anodaro Vaccaro, nerve ingrowth yakaonekwa - zvose mukati-mavara akawanda e annulus uye mumusara. Vaccaro inoshuma kuti huwandu huno huno hunoita huri mukati mehutori huri kuwedzera hunogona kuwedzera kukurwa kwako.
Disc Dis Disruption
Rudzi rwechipiri rwechiito chisina kujairika mu diski chinogona kutungamirira mukurwadziwa chinobva pamamiriro ezvinhu anozivikanwa sekuti mukati disc disruption, kana IDD kwenguva pfupi. Cherechedza kuti IDD haina kufanana nehutachiona hwehutachiona. Kunyange zvazvo chirwere chinotapira chinokonzerwa nehutachiona chinokonzerwa nekuchinja kwemazuva akaenzana kwemazera anoramba ari mumupfupa, IDD inosanganisira kuchinja kwemukati kunobatanidzwa nekuderera kweiyo nucleus pulposus. (Yeuka, nucleus pulposus ndiyo iyo inonzi soft jelly-like substance iri pakati pe diski.) Chimiro ichi chekuderera chinogona kuwedzera kusvika mukati-kati mefivha yehuputi inopoteredza nucleus. Kusiyana nekutengesa tambo uye annular misodzi - zvose zvataurwa pamusoro - Dhi-yakasangana nehupenyu husina kuchinja haisviki kune fibhi dzokunze dzegore.
Paunenge uine IDD, dhayi yako inogona kuratidzika seyakasununguka apo kuchinja kuri kuitika mukati memukati uye annulus, maererano neshoko rakabudiswa muna 1986 muna Spine na Crock, uye rakataurwa nePhysio-pedia website.
Pasinei nokuti marwadzo ako ehurukuro anobva kunze kwekunze kana kuchinja kwemukati, zvichida mberi nekudzokera kumashure kwepamusoro pako (kureva kuruka uye kuwedzerwa, zvichienderana) kunounza kurwadziwa kukuru, maererano naSizer, et et. al mune yavo yekudzidza 2001 yakanzi "Pain Generators yeLumbar Spine."
- Zvakafanana: Discogenic Pain
Kurwara
Chikonzero chetatu chikonzero chekuti disk yako inogona kukonzera marwadzo. Nyaya iyi inonyanya kudarika nyaya iyi.
Ona chiremba wako pakarepo kana uchikwanisa kana iwe uchifungidzira chero rudzi rwekutambudzika kwepabonde, asi iwe pakarepo kana iwe uchigona kana utachiona husingagoni kuonekwa sechikonzero.
Sources
De Sricker, D., Kuvhara mukati mukati. Physiopedia. Yakasvika May 2015. http://www.physio-pedia.com/Internal_disc_disruption.
Fruman, M., MD, MS, uye. al. Cervical Disc Disease. Medscape webusaiti yepaiti. Yakasvika muna May 2015. http://emedicine.medscape.com/article/305720-overview
Simon, J., MD, McAuliffe, M., MD, Shamin, F., MD, Vuong, N., MD, Tahaei, A., MD. Discogenic Low Back Pain. Phys Med Rehabil Clin N Am 2014. Yakasvika May 2015
Sizer PS, Phelps V, Azevedo E. Disc. Pain Pract. 2001. Yakasvika muna May 2015.