The Basics of Spinal Instability

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Mutsipa Wakadzikama

Mutsipa Wakadzikama

Kugadzikana kwepamuviri uye kusagadzikana kwepamuviri kunokonzerwa nemashoko akadzingwa kune zvakawanda, kunyanya mumakiriniki erehab uye nzvimbo dzekudzidzisa. Pashure pemakirasi maviri ePirate, unogona kufunga kuti kushaya kwako kwepamuviri kwakagadzikana pachinzvimbo chako chepfudzi uye / kana kuti simba rako rekutanga uye mushure mushure ndei.

Asi iyo inongova chikamu chemufananidzo. Kugadzikana kwepamuviri kunogona kuenzana kune imwe, maviri kana matatu "pasi-sangano" iyo inokanganisa musana wako - nguva yose. Izvi ndezvekuti: muromo wepelinha nemagetsi ayo, chirwere chenyu chendangara, chinotungamirira kufamba kwepelinha uye, hongu, mitsipa yako, iyo inofambisa musana. Kana imwe yeizvi zvinyorwa ichitsvaira, taura kubva pakuderera kwemazera, fractures, iatrogenic kukuvara, kana kunyange zviremera zvepelinha (ichi chisina kukwana, urongwa humwe humwe humwe hutsika hunofanira kubhadhara. Kuvhiringidzika kunokonzera kunogona kutungamirira kune uye kusagadzikana mupfungwa, izvo zvingangodaro zvine matambudziko kutakura uremu hwaro, kwete kureva uremu hwekunze kwemutoro iwe unowedzera nokutora vana, kutora zvinhu zviri mukati uye zvakadaro.

Cherechedza kuti kugadzikana kwepamuviri kunogona sei kuva nemigumisiro yenhamba ipi zvayo inogona kuipa. Izvi zvinoreva kuti nzira yekurapa kana kuigadzirisa iyo inogona kunge yakasiyana, zvichienderana nehupi hutsika-huno hunovhiringidzika uye chii chaizvo chiri kuitika nayo. Kuwana kuongororwa kwepelinha kugadzikana kunobva pane zviratidzo zvinowoneka (zvinhu zvinogona kuyerwa kana kutsanangurwa zvakajeka) uye zviratidzo (chiitiko chako chekuzviisa pasi, chinogona kusanganisira marwadzo, mamwe manzwiro nezvimwe zvinhu zvaunoona pamusoro penzira iyo inodzoka shure kwako).

Ngatitorei imwe nhepfenyuro pachedu uye tinzwisise kuti inoita sei musana wako uine utano uye husina marwadzo nekupa kumutsipa wemusana.

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Spinal Column uye LIgaments

Spinal Column

Kukuvadza kana kukuvadza kumutsipa wako wespinha ndicho chikonzero chinowanzovhiringidza chepasipo kusagadzikana maererano neByely, et. al. munyaya yavo, "Clinical Instability yeLumbar Spine: Kuziva uye Kupindira." Mutsara wepasipinha chirongwa chakaoma, zvinoreva kuti kune nzira dzakawanda dzingakonzera matambudziko mumamiriro ezvinhu aya. Chimbofunga izvi:

Mutsara wepelinha inotevedzana nemapfupa makumi maviri nemakumi matatu anopindira ane diski pakati. Chikamu chepamberi chinoumbwa nemitumbi yakadzika yemakumbo neyekusimudzira mabhuku mukati. Mumashure (ezvinyorwa zvakawanda) ndeyendarira yemapfupa. Icho mukati mechindori chiri chakavhara, zvichibvumira rwonzi rwomukona - chiyiro chikuru chepakati yako yenyoka - kupfuura. Pamusoro nepamusoro penderedzwa yebony (kumativi ose) inowedzera nzvimbo dzinonzi nzira, iyo inotaura nematauriro kubva kune vertebrae iri pedyo. Nzvimbo idzi dzinopindira dzinosungirirwa nhengo dzezvikamu. Sezvakazara, zvikamu zvepadhesi zvinobatsira kuunza kuvimbika kumusana uye kufamba kwayo.

Zvakanaka, uye. al. taura kuti mutsara wako wec-sub-system inogona kuchinjwa - uye naizvozvo inogona kuva iyo inokonzera kusagadzikana - kana chimwe cheizvi chinotevera chichioneka kubva kuongororwa mutsva:

X-Rays:

• Rimwe kana mamwe mabhii akashandura (kureva achifambidzana) maererano nefupa kumusoro kana pasi (spondylolisthesis.)
• Kuwedzereka kwepakati kana kuwedzerwa, kazhinji kunogadzirwa nehutachiwana hwechirwere chechirwere, uye izvo zvinogona kukonzera kukonzera.
• Bhubu rinoputika pamucheto wepamberi wegungwa rinonzi vertebral body (inonzi traction spur .)

MRI

• Kukwidzika kwepamusoro mahara mumatokisi ako.

CT SCANS

• Kusvetwa kwema 1mm pane zvikamu zvako zvepamusoro paunenge uchinyengedza musana wako.
• Kuenzanisa kusvika kukura zvakanyanya (pamutemo weMRI asi yakabatana nechepasi rinodzvinyirira discography test.)

Mharapara Ligamende

Sezvo kurema kwaro kunosanganisira, mishonga inoputira iyo inobata uye inotsigira zvinyorwa zvepadhesi zvinogona kuva rakasviba. Pavanenge vachiita, vanotanga kufamba-famba-uye naizvozvo kusagadzikana - mumutsara wako. Pakati pezvinokonzera zvinokonzerwa ne capsular ligament laxity iri disc herniation, spondylosis, zvinetso zve whiplash nezvimwe.

Yakafanana: Chii chinonzi Vertebral End Plate?

_Sources:

_{Zvakanaka, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Clinical Instability yeLumbar Spine: Kuziva uye Kupindira. Practice Orthopedic Practice. Bhuku 18. Yakasvika muna Jan 2016.}

_{Carragee, E., et. al. Kuderedza-kushandiswa kwakanakisisa Discography mune zvidzidzo zvisinganzwisisiki zvechirwere chinorwadza chinorwadza. Simba (Phila Pa 1976). 2006 Mar 1; 31 (5): 505-9.}

_{Steilen, D., Hauser, R., Woldin, B., Sawyer, S. Chronic Neck Pain: Kuita Kuwirirana Pakati peCapsular Ligament Laxity uye Cervical Instability. Vhura Orthop J. J.; 8: 326-345.}

_{Stemper, BD, Yoganandan, N., Pintal, FA, Rao, RD, Anterior longitudinal kukuvadzwa kwemakumbo mujaplash zvinogona kutungamirira kusagadzikana kwechiberekero. Med Eng Phys. 2006 Jul;}

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Mitsipa yemupfu

Muscles, Active Active Seal System

Misungo ndiyo injini dzinotungamirira musana wako. Chikamu chebasa ravo chinosanganisira kupa kuoma uye kugadzikana, pamwe chete.

Mharapara kusagadzikana kunogona kuva mugumisiro wekutadzisa kana kukuvadza kumisungo inotsigira musana, zvakadai se multifidus kana mudumbu mutsva. Ultrasound inogona kuratidza kudengenyeka (iyo chiratidzo chekusava nesimba) kwepakadzika yemasipire, mushure mekuti electormyography (EMG) inowanzoshandiswa kugona kushanduka kwemasumbu.

Dzidza zvakawanda nezvemashure ako kumashure:

• Paraspinal Muscles
• Extrinsic Back Muscles
• Nzvimbo yepamusoro yeChipfuva cheMushure
• Mvura Yakadzika yeInrinsic Back Muscles
• Deep Back Rotator Muscle

_Kunobva:

_{Zvakanaka, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Clinical Instability yeLumbar Spine: Kuziva uye Kupindira. Practice Orthopedic Practice. Bhuku 18. Yakasvika muna Jan 2016.}

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Nervous System

The Neural Control Spinal Subsystem

Chechitatu yepasipini sub system iyo inokurudzira kugadzikana ndiyo hurongwa hwekutya. Nenzira yehutano inokonzerwa kugamuchira mharidzo pamusoro pechigaro chemapfupa emupfupa uye colonho uye yekuita kuti mafungiro aende. Aya maitiro anoendeswa kumisungo, achivaisa kuti vabvumirane. Tsvina yechisimba inosimbisa masimba emusana uye inopa kugadzikana.

Saka kana mishonga yako iri kunonoka kubvumirana kana ichiita nenzira isina kukodzera, ungave uine kuvhiringidzwa kweiyo neural control sub-system. Izvi zvinhu zviviri zvinogona kuonekwa neEEMG test. Izvi zvinokanganisa zvinogona kuchinja maitiro emusana, izvo zvinogona kuonekwa neziso rakarovedzwa (kana nemushandi wemagetsi).

Kuipa kwehutachiona mu-neural control sub-system kunogonawo kuonekwa nehutachiona hwekutengesa kudzidza (NCS). ICNS inowanzoitwa pamwe neEEMG kuti ione kushungurudzika kwemasumbu kana kuora.

Apo inouya kusvika pazviri, iwe haugoni kunyengedza kunze kwepasiprosystem system kubva kune imwe, ichiti Biely, et. al. Pane kudaro, kukanganisika kwekliniki inonyatsoshanda yakawanda-system. Vanotaura kuti vamwe varwere vanokura nzira dzekutarisana (dzakadai sekuvandudza mafambiro matsva emashonga anoshandiswa anotora basa rekusimudzira) asi vamwe vasingaiti. I "vasiri-copers," sezvavari Biely, et. al. vanoidza kuti vanowanzouya nezviratidzo uye zviratidzo zvepasipo kusagadzikana.

_Kunobva:

_{Zvakanaka, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Clinical Instability yeLumbar Spine: Kuziva uye Kupindira. Practice Orthopedic Practice. Bhuku 18. Yakasvika muna Jan 2016.}