Bhuku rakaoma rinoputsika nderekudengenyeka kwepfungwa mumusanabra wemusanabra. Inogona kuitika mumutsipa, munharaunda ye thoracic kana kuti lumbar (pasi yakadzika). Ichi chinyorwa chinonyanya kutaura nezvemhemberero dzisina kukwana mumutsipa (kureva,, cervical spine) asiwo inopa humwe ruzivo rwezvemigumisiro uye mishonga pakupedzisira.
Chii Chinokonzera Nyore Yakasakara Yakaputsika?
Kushanda kwekodha kunenge kuri nyore mumutsara wekervical kunowanikwa kazhinji kacho mushure mekukanda simba kwepamberi (kupfugama mberi) kwehuro.
Mukukuvara uku, nuchal ligament, iyo iri kumashure kwehuro mako, inotorwa. Nepo nuchal inogadzirisa pachayo inogona kufamba zvakanaka (yakasimba kwazvo uye yakazara,) izvi hazvirevi nguva dzose pamapfupa emutsipa. Mucheto wekutanga wemitumbi yemumutsipa mumutsipa inotakura kutakura kwehuipi, iyo inogona kuvamanikidza nesimba. Chigumisiro chakanaka chikafu chinoputika pamberi pefupa, asi hapana chimiro chaicho chekutaura pamusoro.
Simple Wedge Fractures - Yakasimba kana Isingachinji?
Mhemberero dzakatarisa dzemakumbo dzinowanzorongerwa sekukuvadzwa kwekaruvara kumutsipa. Ichi ndechokuti mutsipa unofamba uine mafungiro ekufungidzira panguva yechiitiko chinokurudzira.
Kukuvara kwekutsvaga ndiyo inowanzovhiringidzika pamutsipa. Imwe rudzi rwekuvhiringidzika kunobata pamutsipa kuputsika kwepombi yevhu.
Zviratidzo zvisingabviri zvinoputika zvinonzi "zvakasimba" kukuvara. Izvi zvinoreva kuti, pamwe chete nedzimwe nzira, chete chikamu chepakutanga chemutsara wepelinha chinoshandiswa.
(Mumakore achangobva kupfuura, vatsvakurudzi navanachiremba vakatanga kushandisa Cervical Spine Kukuvadza Severity Score kana CSISS kutsanangura uye kuisa mararamiro ekudzivirira kwemutsipa nechiyero chekugadzikana mune 4 nharaunda huru dzinoumba chikamu chepasipera.Nzvimbo idzi dziri mberi, kumashure, uye kurudyi uye kuruboshwe mativi, anonzi "mbiru.")
Imwe mhando yekuparara kwemakumbo, yakakodzera kunzi "kusagadzikana kwemakumbo" kunokanganisa kupfuura imwe yemutsara we "pillar" uye inosangana nedzimwe nzira dzeCSISS dzekushaya kusimba. Kungofanana nemakumbo emakumbo akareruka, kusagadzikana kwemakumbo emakumbo kunoonekwa sekukuvara kwebwe.
Simple Wedge Fracture X-Rays
Zvimwe zviri nyore wedge fractures zvinoratidzika pa-x-ray sezvo zvishoma nezvishoma zvakasara pakatarisana nemuviri wepamusoro uye kuwedzerwa kwemafupa (izvo zvinokonzerwa nekumanikidzwa.) Mucheto wakatarwa wemuviri wemhuka unogonawo kutarisa concave nokuda kwechikonzero chimwe chete.
Uye zvechokwadi, mishonga yako nezvimwe zvinyoro zvinyoro zvingangodaro zvinyunguduka uye zvinyoro (kunyange izvi zvisingaratidzi pa x-ray.)
Wedzera Fractures uye Osteoporosis
Chero mumutsipa, pasi kumashure kana thoracic, vertebral compression fractures inogona kuva chikonzero chekutambudzika, kenza kana osteoporosis
Kutungamira kunenge mazana manomwe emakumbo ekuputika kwemapapiro gore roga roga, os teoporosis ndiyo inonyanya kukonzera kukanganiswa kwekodha, maererano neBabb naCarlson mukudzidza kwavo kunonzi "Vertebral compression fractures: kurapa uye kuongorora." (Chidzidzo chakabudiswa muna August 2006 nyaya yeThe Journal of the South Dakota State Medical Association .)
Babb naCarlson vanoti 40 muzana yezvi 700,000 gore negore zvinokonzera maronda zvinokanganisa vakadzi vakwegura vanopfuura makore makumi masere.
Mune chidzidzo chinosanganisira varume vechiSweden vane makore 69 kusvika kune makumi mana akabudiswa mumagazini yaAgas 2015 2015 yeThe Bone & Joint Journal, Kherad neshamwari vakawana 15% yevatori vechikamu vakave nekuputsika kweputika kwakabatanidzwa nechepfupa remaminetsi emaminetsi uye osteoporosis. Varume avo avo vaiva nezviputi zvinopfuura zvitatu zvaiva nesangano rakasimba.
Vertebral Wedge Fracture Treatment.
Vertebral compression fractures inogona kurapwa zvichienderana nemubhedha wezororo, kubhaira uye kudzidzisa simba, uye, zvechokwadi, kurwadziwa kwekutambudzika. Apo kuvhiyiwa kwakakodzera, kyphoplasty kana verterbroplasty inowanzopiwa inowanzopiwa.
Zvose izvi zvishoma nezvishoma zvinoparadzanisa nzira dzinotanga simenti yezvokurapa munharaunda yekudzorera kukwirira uye maitiro emupfupa.
> Sources:
> Babb A1, Carlson WO. Vertebral compression fractures: kurapa uye kuongorora. SD Med. 2006 Aug.
> Davenport, M., MD, uye. Al. Cervical Spine Fracture. Medscape webusaiti yepaiti. Yakapedzisira kushandurwa Sept 14, 2014.
> Kherad, M., MD. Nhamba uye maitiro ehuwandu hwemafuro evanhu vakwegura vanobatanidzwa nechepasi pfupa mashoma uye osteoporosis. The Bone & Joint Journal. August 2015
> Vaccaro, A., MD., Mupaka: Zivo Yakawanda muOrpopedics. Mosby / Elsivier. Philadelphia. 2005.
> Zehnder SW1, Lenarz CJ, Isa HM. Teachability uye kuvimbika kwechimwe chikwata chechirongwa chechidiki chepervical injured spinal. Wakapona. Svondo 2009