Inowanikwa pakati pevavakidzani vevavakidzani, zvibatanidzwa zvepadhesi zvinopa muromo wepelinha nekuvimbika. Vanoita izvi nekuita pamwe chete kuti vatungamirire uye vachengetedze kutenderera kunowanzoita mutsara inoita se:
- kuruka
- kuwedzera
- kupera kwekufamba
- kudzvinyirira
- kushandura (kutenderera)
Mune mamwe mazwi, zvikamu zvepakati zvicharamba zvichiita kuti musana wacho usati wanyanyisa kure, uchiwedzeredza zvakanyanya, uye zvimwe zvakanyanyisa kufamba.
Nhengo dzemajoka dzinobatsirawo kudzivirira vertebra kuti isapfuurire kune iri pasi payo (inonzi spondylolisthesis.)
Nhengo dzezvikamu dziri mushure memiviri ye vertebrae uye vanoita sorudzi rwenzira yekufambisa kana gwara regwagwa paunotamisa trunk yako. Munhu mumwe nomumwe akabatanidzwa kune mumwe nomumwe nemapoka maviri ezvinyorwa, maviri kumusoro uye maviri pasi apa. Chikamu chimwe nechimwe chakabatanidzwa chinoumbwa nehutachiona hwepasi hunonzi hutsika hwepamusoro, hunobva kune vertebra iri kumusoro, uye nepamusoro ekujekesa imwe, inonzi yakanakisisa inogadzirwa, inobva kune vertebra iri pasi apa. Nzvimbo dzakadzika dzezvibvumirano zvinobata uye dzinopesana. Nekubatsira kwemiganhu yakawanda, izvi ndizvo zvakaita munhu wemapfupa emumumvuri anosangana pamwe chete kuti aite korona. Izvo zvikamu zvehutano zvinopawo kugadzikana kumutsana.
Nhengo dzechikamu dzakagadzirwa, dzakakura uye dzinotungamirirwa zvakasiyana maererano nenzvimbo yepamusoro yepasana iyo iripo.
Kusiyana uku kunoreva kuti dzimwe nzvimbo dzepamusoro dzakasununguka zvakanyanya kupfuura dzimwe.
Nhengo dzepamusoro mumutsipa dzinofanirwa kutenderera kumativi ose. Muchikamu chepamusoro nepakati pekumucheto, chinonzi thoracic spine, mativi akadzungaira nenzira yakadaro iyo inofambisa huwandu hwakawanda hwekutenderera (kutendeuka nekugadzirisa), asi kuvapo kwembambo yako yembambo kunogumira kufamba.
Munharaunda yechiparadzi , zvikamu zvepandeti zvinotarisana, izvo, kusiyana nematauriro emagetsi, zvinowedzera kukanganisa kukwanisa kwako kuchinja (kushandura) pasi yako pasi.
Chinhu chakabatanidzwa chibatanidzwa che synovial, zvinoreva kuti rakapoteredzwa ne capsule yakagadzirwa nemagetsi. Iyo capsule inonyatsotumidzwa zita rokuti facet joint capsule.
Kukuvadza kwezvikamu zvomuviri ndeimwe chikonzero chinowanzoita chisingaperi chisingarwadzi. A 2004 kuBCC Musculoskeletal Disorders yakarongedza vanhu mazana 500 vane marwadzo asingadzoki shure uye vakaona kuti zvikamu izvi zvaive nemhosva ye55% yezviitiko. Matambudziko maviri anowanzokonzera hutano hutano hwakasanganisira maosteoarthritis uye whiplash .
Facet Joint Hypertrophy uye Arthritis
Mapfupa emakona acho akabatanidzwa nekatetilage, iyo inonamatira mubatanidzwa. Osteoarthritis yemutsana inoitika apo katekete inopera, zvichiita kuti pfupa rive pfupa rekutaurirana kwechidimbu chakabatanidzwa.
Osteoarthritis uye / kana chirwere chinoputika chinokonzera kupfeka-uye-kusvimha mamiriro ezvinhu anogona kutungamirira pakuumbwa kweasteophytes (bone spurs) uye / kana kuti chibatanidza hutachiona hwehutachiona (kukura nekufugama kwechibatanidza). Sezvo izvi zvisingagadziri zvichishandurwa mumharapara zvinenge zvichiitika, nzvimbo munharaunda yeperminal uye / kana neuroforamen inogona kuderedzwa.
Iyo yakaderera, iyo inonzi stenosis , inogona kukonzera kutsamwa kwemutsipa wako wepelinha, uye / kana musana wako wespinha midzi , uye zvinokonzera zviratidzo zvemyelopathy uye / kana radiculopathy (radiculopathy inowanzonzwa sekurwadziwa uye zviratidzo zvehutano zvinowira pasi kana ruoko kana gumbo) .
Imwe nzira inokosha yekudzivirira kana kugadzirisa mitemo iyi ndeyokushandisa nguva dzose. Kuita muviri kunowedzera kuwedzera kwemusana, iyo inobatsira kuderedza kuoma. Inowedzerawo musimba mako izvo zvingangozvidzivirira chikamu uye zvimwe zvikamu zvepamuviri. Zvechokwadi, iwe unofanira kubvunza chiremba wako kuti ave nechirongwa chakazara chekurapa kwechikwata chako chakabatana nemamiriro ezvinhu.
Whiplash uye Facet Joint Pain
Kushungurudzika kwemaziso mushure mekuitika kwemazizi yemotokari hachisi chinhu chisingawanzoitiki Zvidzidzo zviviri zvakaitwa naBalsley naIshe pakati pemakore ekuma1990 uye zvakabudiswa muSpine zvakawana chikamu chisina kuwirirana marwadzo akabatana kuti ave akajairika, kana isiri iyo yakajairika, chiratidzo kune vanhu vakambosangana nechisimba. Icho chimiro chechikamu chinorwadza pamwe chete chinogona kunzwa sechisimba chemasuru kune rumwe rutivi rwepakati pepamusoro. (Ndiyo apo mapepa ezvinyorwa aripo.)
Kana iwe wakanga uchibatanidzwa mumotokari yemotokari kana chero humwe hutambudziro uko musana wako wakanga uri pasi pekuputika, tapota ona chiremba wako. Kuwana urombo hwepasipera kukuvara kuongororwa uye kurapwa nguva isipi chinhu chikuru chekudzivirira chirwere chisingaperi chisingatore makore uye kukubira iwe hupenyu hwako.
Facet Injections
Injection inoshandiswa kuti zvose zvirwere uye zvirwere zvepabonde. Imwe jekisi yakadaro inonzi miviri yebazi yebazi inotarirwa nevamwe seyo chete nzira yakananga yekuudza kana marwadzo ako epamusoro anokonzerwa nekukuvadza kune chikwata chakabatanidzwa. Chiremba wako achakuvadza hutano hwekunzvimbo munzvimbo iyoyo. Kana izvozvo zvichibvisa marwadzo ako, anogona kukuongorora iwe nechinetso chakakonzera chinetso. Mutsva wekuongorora kwezvokurapa muna 2008 wakabudiswa muna Pain Physician wakatarisa kubatsira kwemashure mabazi ekuvhara kwekutarisa nekurapa marwadzo ezvinyorwa akawana uchapupu huwandu hwehupenyu hurefu uye hurefu kwenguva refu. Kunyange zvakadaro, kushandiswa kwejekesheni yakadaro kunowanzova kwakakwana kusimbisa kuti marwadzo ako zvechokwadi anobva kune zvikamu zvepadhesi.
Injozi inozivikanwa seyerofrequency medial branch neurotomy inowanzopiwa rubatsiro rwemazuva mazhinji. Iyo inonziwo RF neurotomy, urudzi urwu rwejisi rinopisa bazi remukati remutsara unoenda kune chidimbu chekubatana, kuchichiuraya. Pfungwa iyi ndeyekuvhara chero zviratidzo zvinorwadza zvinouya kubva pachikamu chakabatanidzwa, asi hutano hwechipatara kuti izvi chaizvoizvo zvinoshanda zvinosuruvarisa zvishoma.
Kazhinji, jekiseni rekurwadziwa kwepfungwa inopiwa chete mushure mokunge maedza vhiki ina kusvika matanhatu yekurapa kwekuchengetedza nekunaka kana kusabudirira.
The Medical Way To Say Facet
Vanachiremba uye anatomist vanowanzotaurira zvikamu zvepaduku sezvipindiro zygapophysial. Saka kana iwe ukaona izwi iri mumugariro wako wekuchipatara kana kuti kuongorora, ziva kuti rinoreva zvikamu zvepadhesi kumashure kwemutsara wepelinha.
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