Intervertebral Joint Definition
Nhengo ye intervertebral inosanganisira inoshanda yezvikamu zviviri zviri pedyo vertebrae. Aya mauniti anobatsira kufamba kwepamusoro. Nyanzvi dzechiremba, vanachiremba, nyanzvi dzepasi uye nyanzvi dzezvinyorwa zvinotarisa zvinopindirana nekubatana ne "chikamu chekufamba."
Mhedziso yemisangano yemapoka maviri emasipinha anobatanidzwa mukuumba musangano wepinderebral isiri muviri wechipfuva (chikamu chepamberi) uye vertebral arch (chikamu chekare).
Pakati pezvinyama zvekuvhenekera, kukandira kunowanikwa nekuvapo kwe intervertebral discs. Pakati pezvinyorwa zvemazamu, sangano racho rinoshandiswa uye rinomanikidzwa nezvikamu zviduku.
Iyo intervertebral disc inowanzova nzvimbo yekurwadziwa, uye mamiriro mazhinji emitemo angangowanikwa ipapo. Zvimwe, kufanana nekadhi, zvinowanzokonzerwa nekukuvadza, asi vamwe, sekuderera kwechirwere chetachiona, vanowanzoenderana nekwekwegura.
Dzidza zvakawanda pamusoro pemhando dzakasiyana-siyana dzekutambura kwepabonde: 3 Nzira Dzavo Dzako Dzinogona Kukukonzera Urwadziwa
Kufamba mumativi ose (mberi, kumashure, kurutivi rwemberi uye kuputika) kunowanikwa kune dzakawanda intervertebral joints mumutsana. Migira yakagadzirwa nemakumbo akaoma e-fibrous emakumbo anobatana anobatsira kugadzirisa masangano ekuputika mukati mekutenderera uye kutsigira chikamu panguva yekurema. Mimwe majozi anozivikanwa sezvikamu, zviri kumashure kwechinyorwa, kubatsira kusimbisa musana, pamwe chete.
Spinal Fusion uye Intervertebral Joint
Kurapa kwepine fusion, sezvinoratidzwa nezita racho, inzira inoputirana maviri kana kupfuura mamwe mapindi ezvinyorwa pamwe chete. Dzimwe nguva kushungurudzwa kunoitwa pamwe chete ne discecto yangu , asi pane dzimwe nguva discectomy inopiwa ndoga.
Simba remusana rinowanzoitwa pane "imwechete yezvikamu," kureva kuti pane rimwe divi rinopindirana rinosanganiswa.
Chikoro chekuvhiya muenzaniso wakanaka weizvi (asi chokwadi haisi iye chete.) Chinangwa chekuvhiya kwechiriosis ndiko kuderedza kuenzana kwekushandura mune zvakatevedzana zve vertebrae.
Pakati pemhando dzakawanda dzokuvhiya musana, mushonga wepelinha ndiyo inowanzopiwa - uye kunyanya, lumbar (low back) fusion. Izvo zvakapararira, Mukati, vatsvakurudzi vakatora basa rekuongorora kushanda kwayo. Vamwe vanofunga kuti kuvhiyiwa uku kunopiwa apo uye kwaasina kudikanwa, uye hakuiti nguva dzose kunotungamirira mukurwadziwa uye / kana kuvandudzwa kwepanyama mune varwere.
Somuenzaniso, Rick Deyo, et. al. mukudzidza kwavo, "Kuwedzera kukunda kurwadziwa kusingaperi: nguva yokudzokera shure?" iyo yakabudiswa muJanuary-February nyaya ye Journal of the American Board of Family Medicine inorondedzera pamusoro pemakirini mana emakiriniki akaongororwa akawana musana wenyuchi kuti asave nechirwere chetachiona uye pasina sciatica yakabatsira zvishoma.
Vanyori vanotaura kuti kunyange zvazvo pakanga pasina chikonzero chaicho chakaita kuti mamwe magwenzi emusana aifanira kuitwa, kushandiswa kwavo kwakasimudza 220% pakati pemakore ekuma 1990 ne1200 muUnited States. Vanoti izvi zvinomuka zvakakurumidza muna 1996, apo fusion cage, iyo yakanga iri mhando itsva yezviridzwa panguva iyoyo, yakagamuchirwa neDFA.
Vatsvakurudzi vanofungidzira kuti chibvumirano ichi che FDA chinowedzera kuwedzera kwemitemo.
Uye pakupedzisira vanyori vanoti munguva iyi, Medicare inoti chirwere chepamuviri chakakwira ne40%, uye kuwedzera kwe70% muhuwandu hwepenjini yepine fusion chirwere, uye 100% muzviplants (zvakadai se fusion cage.)
Kunobva:
Deyo, RA, Mirza, SK, Turner, JA, Martin, BI Kunyanya kuwedzera kurwadziwa kusingaperi: nguva yekudzokera shure? J I Bhodi Fam Med. Jan - Feb 2009.