Chikamu cheSpine Inonyanya Kuvhiringidza Kukuvadza
L5-S1 ishoko rinoshandiswa kurondedzera chikamu chemupendero chinosanganisira vertebra yekupedzisira yekumucheto kwezasi (inonzi L5) uye nhatu dzakaita sechinyorwa-kamwe pasi iyo inoziva sacrum. Iyo sacrum inoumbwa nemapfupa mashanu ayo S1 ari kumusoro.
Iwe unogona kufunga nezveL5-S1 senzvimbo chaiyo iyo inonzi lumbar spine inoguma uye sacral spine inotanga. Nhengo iyo inovabatanidza inonzi inonzi lumbosacral.
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Maitiro eLumbar Spine uye SacrumMhumbu wemunhu ine mafupa makumi matatu makumi matatu nemashanu (24) ayo ayo chete makumi maviri nemasere anoshandiswa zvizere. Izvo zvakaputsika kuva zvikamu kubva kumusoro kusvikira muswe, sezvinotevera:
- Cervical spine (mutsi) nemapfupa manomwe kubva C1 kusvika C7
- Mutsara wepakati (pakati-kumashure) ane bone 12 kubva T1 kusvika T12
- Lumbar spine (pasi pasi) nemapfupa mashanu kubva pa11 kusvika ku55
- Chifukidzo chine mapfupa mashanu kubva kuS1 kusvika kuS5
- Coccyx region (tailbone) ine mapfupa mana kubva kuC1 kusvika kuC4
Nepo vanhu vakawanda vanofunga kufunga nezve sacrum sefupa rimwe chete, rinonyanya kuve nemapfupa mashanu evanhu anotanga kufambisa nguva pfupi mushure mekuberekwa uye vacharamba vachidaro kusvikira vanyatsopindirwa nevanenge vava nemakore makumi matatu.
Izvo zvinoshandawo kumapfupa ecoccyx anotaurwa (anotamira) pakuberekwa asi angave akabatanidzwa kana kuti akafanana-akabatanidzwa nevakuru.
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Chikonzero nei L5-S1 IchikoshaMutsara wepelinha ndiro chimiro chemuviri chinotibvumira kuti tire zvakasimba uye tinyengedze uye tinamate kuti tishandure chinzvimbo chemuviri, kumashure, uye mutsipa. Iko kuvhara kwepamusoro ndiko kunokoshawo kune ngozi.
Mumutsipa uye muzasi, musana wemagunha unofamba mberi kana usina nzvimbo, asi maziso e-thoracic uye sacral anoputika mune zvakasiyana
Icho chiri pamusana weL5-S1 kuti mutoro wemiviri unochinja kutungamira kubva mberi (lumbar) kurwisana kuenda shure (sacral) curve. Icho chiri pamisangano iyi inopesana nezvinetso zvinowedzera kushungurudzwa kwekubatana semakore ekupedzisira kana kukuvadzwa.
Nemhaka yeizvi, L5-S1 imwe yezvikamu zviviri zvakajairika zvekuvhiya kumashure (pamwe neL4-L5).
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The L5-S1 uye SpondylolisthesisSangano reL5-S1 inzvimbo yakajairika yekukuvadza kunonzi spondylolisthesis . Spondylolisthesis inoreva vertebra yakaenderera mberi ichienderana nefupa pakarepo pasi payo.
Nyaya yakakurumbira inonzi isthmic spondylolisthesis iyo inotanga nekaputsika kadiki mu pars interarticularis (sangano refupa rinobatanidza majoini epamusoro).
Kunyange zvazvo kuputsika kunowanzoitika kana munhu achiri muduku (asati ava nemakore manomwe), zviratidzo hazviwanzokura kusvikira munhu mukuru. Kuchechera kwemupaka mushure mekukura kwevanhu vakuru kunogona kupfuurira kuwedzera mamiriro acho ezvinhu.
Spondylolisthesis inobata sangano reL5-S1 nekuda kwekona re sacrum pachayo. Panzvimbo pokuva yakananga kune pasi, S1 inoratidzika pasi uye mberi uye kumusoro. Kakawanda, vanhu vane tsvina yakawanda vachamhanyira njodzi yakanyanya ye spondylolisthesis.
Spondylolisthesis inowanzobatwa nemishandisirwo asina kuvhiya akadai semishonga inorwadza, kupisa uye / kana kushandiswa kwechando, chirwere chepanyama, kana epidural steroid injections.
Kunyange zvazvo chirwere chepelinha chirwere chinogona kushanda mukurapa spondylolisthesis, zvinoda nguva yakawanda yekudzosa uye hazviwanzofungi kusvikira munhu akundikana kuwana ruzivo kubva kune dzimwe nzira dzisiri dzokuvhiya kwemwedzi mitanhatu.
> Sources:
> Cloete, E .; Battin, M .; Immam, F. et. al. "Ossification yemitumbi yepalral vertebral muineonates inoberekwa masvondo makumi maviri namasere makumi matatu nemana ekuberekwa kwemakore uye kukodzera kwayo kumusana wemaspine ultrasonography." Am J Perinatol. 2013; 30 (6): 519-22. DOI: 10.1055 / s-0032-1329186.
> DeVine, J .; Schenk-Kisser, J .; uye Skelly, A. "Zvimwe zvinokonzerwa nehutachiona hwepondylolisthesis: kuongorora kwakarongeka." Evid Based Spine Care J. 2012; 3 (2): 25-34 .. DOI: 10.1055 / s-0031-1298615.