Kuti Disi Yenyu Inotama Sei?
Kuwirirana kwakanaka pakati pemisidhari yako uye pedyo nemasipiresi emidzi midzi ndiyo inokosha yekuchengetedza marwadzo shure. Asi kana chikamu (kana zvikamu) zvekodhi yakakonzerwa inopisa, inogona kuwedzera mutsara. Dhiyabhorosi yedhaikirini inonzi herniated, inonzi radiculopathy, inowanzobatana nehutano , uye inosanganisira kurwadziwa, kurira, kupera, kushaya simba uye / kana manzwiro emagetsi anowira pasi.
Isu tose tinoziva kuti kurwadziwa kunorwadza. Zvakangofanana, 4 marudzi e disc disclaimer aripo uye anokonzera zviratidzo.
Disc anatomy yakadai kuti chinhu chinotapira, chinokonzerwa nejelly chiri pakati (chinonzi nucleus pulposus ) chinowanikwa nemagetsi akaoma ari kunze. Ichi chifukidziro chekunze chinonzi annulus fibrosus . Nokufamba kwenguva, gore rinogona kuvhara uye / kana kubvarura, kusiya nucleus uye musana wemagunha midzi kunowedzera kukuvara. Kana izvi zvikaitika, kushamwaridzana kusina kunaka pakati pezvinyorwa zvinonzi herniated uye mutsara wepelin root zvinogona kuitika, izvo zvinogona kutungamirira kurwadziwa uye / kana zviratidzo zvehutano.
Nemhando ipi neipi yekutambiswa kwebhuku iri pasi apa, nheyo yepakati iri mune imwe nhanho yekutamira kune imwe kunze kwe annulus, neine herniation inomiririra yakanyanya kunyanya.
Disc Protrusion
A disc disc inowanikwa apo disc disc nucleus bulges asi haina kuparara. Iyo nucleus inoramba ichiri mukati memusangano we disc.
Disc Prolapse
Apo dhayi inopera inowanikwa, nucleus ichiripo iri mukati mekusunungurwa asi chete nokuti iyo yakadzika midzi inoiisa iyo. (The annulus inoumbwa nezvikamu zvakasiyana zvehutanda zvakatenderedzwa pane diagonal. kona kusvika kune yakasara kumusoro - kana pasi, iyi inogadzira zvigadziriswa uye kutsigirwa kune zvakasarudzwa.)
Disc Extrusion
Ne disc discusion, zvinyoro zvinyorwa zvinosanganisira nucleus inopukunyuka kubva pane diski yakananga kusvika kune nzvimbo iri pedyo epidural asi ichiri kushamwaridzana ne disc. Izvi zvinokonzerwa nekuda kwemisodzi mumagetsi e annular anosiya mukova kubva pane izvo zvinyoro zvishoma zvinogona kufamba.
Sequestered Disc
Mune dare requestered, zvinyorwa kubva kune zvose zvinyorwa uye nucleus zvinozviita kunze kwekadhi zvakakodzera. Dambudziko rinowanzoitika kubva kudiki rakagadziriswa rinoputika mumutsipa wesimbi, zvichiitika nokuti zvidimbu zvinopinda mumutsipa unoshungurudza unoita mutsara wemutsipa mukati. Kazhinji, izwi rokuti "herniated disc" rinoshandiswa kureva dheti rakagadzirwa.
Zvimwe zvinetso zvinokonzerwa nemavhiramu akachengetwa zvinosanganisira myelopathy (kushungurudzika kana kutsamwa kwemutsipa wepelinha) uye / kana cauda equina syndrome (inenge isiri iyo mamiriro ekudzivirira mitsipa kumagumo emutsara wepelinha inomanikidzwa.) Symptoms of cauda equina - leg kurwadziwa kana utera hunowedzera zvishoma nezvishoma, "chikafu amnesia" uye / kana matambudziko nemapfupa kana chikwata - zvinowanzoonekwa sechirwere chinotyisa.)
Kana zvasvika kune zviratidzo zvakasimba zvinosanganiswa ne disquestered discs, inowanzowedzera kuwedzerwa kwezvigadziriswa pamagariro emagetsi nematombo akadzikinurwa iyo inogadzirisa chikonzero.
Nenzira, haisi nguva dzose kukuvadzwa kwekambani chete kunokonzera kushungurudzwa kwezvivako zvehutano; iyo inogona kunge iri kusanganiswa kwekukuvadzwa nechokuputika kunokonzera, zvakare.
Muviri Positioning uye Your Disc Health
Mamiriro ako emuviri angasarudza kuwanda kwekunyanya kuiswa pa disks yako. Izvi zvinonzi intradiscal pressure. Kazhinji kutaura, L5-S1 (yekupedzisira lumbar vertebra uye pamusoro pe sacrum bone kuwirirana) inonyanya kuoma. Ichi ndechokuti vazhinji vechipimo chemuviri wako chinotamiswa ikoko, pamwe pamwe nemutsara uyu chikamu chekuchinja; mune mamwe mazwi, ndiyo iyo lumbar inofambisa kutsvaga munzvimbo ye sacral.
Chidzidzo cheSweden chakaitwa naNachemson neElfstrom chakayera intradiscal kudzvinyirira mu lumbar spine (pasi kumashure) kubva munzvimbo dzakasiyana-siyana. Chidzidzo chacho chakatanga nechinangwa chokuti kana diski ine utano, kupikisa kunowanzogoverwa zvakafanana mumativi ose. Vatsvakurudzi vakazvitora ivo pachavo kuenzanisa uye kuenzanisa kupesana kwekusiyana pakati pekumire (izvo zvakabva zvashanda sechienzanidzo chekuenzanisa) uye zvakasiyana-siyana, kufamba, uye nzvimbo.
Vakaona kuti kufamba kwakaguma nekunetseka kudarika kupfugama uye / kana kukanganisa, uye kupindira kumativi uye kukanganisa kwakaunza kusanyanya kudzvinyirira kudarika kusvetuka, kukohwa uye kuseka.
Iwe unogona kufunga kuti kugara kwakagadzirisa zvakanyanya mukudzidza uku, asi chaizvoizvo mhosva huru yakakotamira mberi, iyo yakaguma nemadhigirii epamusoro ye intradiscal pressure. Vatsvakurudzi vakatsanangura kuti kuwana uku kunotsigira zvavakadana "ergonomic mazano," kureva inowanzodzokororwa "pfugama nemabvi ako uye kwete necheka rako kana iwe ukasimudza chimwe chinhu chakakura kana kuti chinotyisa."
Chidzidzo che2008 chakasimbisa izvi, kuwana kuti kwema-diss ane utano, kugara hakubatsiri kukuvadza kukuru. Muzvokwadi, vanyori vekudzidza ikoko vanoti, kugara uye kumira zvakafanana maererano nehuwandu hwezvinonzi intradiscal zvinokonzera.
Rudzi rwemhando chete yekufambisa iyo vatsvakurudzi vakawana zvichiita kuti zvishoma kudzvinyirira pane kumira zvakarara pasi. Zvinoita sokuti, kutora nzvimbo yeupine (iri pamusana wako) zvichida inokonzera 50% zvishoma intradiscal kudzvinyirira kudarika muongorori wekutaridzirwa kwekumira kwekumira.
> Sources:
> Claus, A., uye. al. Kugara pakatarisana nekumire: Ko intradiscal inokonzera kukanganiswa kwe disc kana kucheka kwepamusoro Paarwa? J Electromyogr Kinesiol. Aug. 2008. https://www.ncbi.nlm.nih.gov/pubmed/17346987
> Magee, David, J. Orthopedic Physical Assessment. 4th Edition. Saunders Elsevier. St. Louis, MO. 2006.
> Fishman, L. naArdman, C., Dzoka Rezve: Nzira Yokugadzirisa Nhamo Yekare uye Sciatica. WW Norton uye Company, New York, London. 1997
> Nachemson, A. uye Elfstrom, G. Intravital Dynamic Pressure Mitezo muDhivi. Almqvist & Wiksell. 1970. Stockholm. http://www.energycenter.com/grav_f/studies_nachemson.pdf