Vertebral end plate ndiro nzvimbo-iyo inoshumira se-interface-pakati pe intervertebral disc nefupa (remuviri wechechi) pasi. Pakutanga kuongorora, zvingaita sokuti iwe sepamuti yekuguma hauna kunyatsofupa mapfupa, uye kwete chizere chetikiti, asi kusanganiswa kwemaviri.
Uye iwe unogona kuva wakarurama. Maererano nenyaya inoti "Basa reVertebral End Plate muKutambudzika Kwakadzoka," mugumo wepachipu unotinhira wekateti uye pfupa rinokonzera kuparadzana pakati pehurukuro yakawanda uye yakaoma vertebra.
Mukuderera, musana unotakura mutoro wakawanda uye unotungamirirwa nesimba guru rekufamba. I-discs, kune rumwe rutivi, inoshaya mumidziyo yeropa. Sezvo mutauriri wepakati pakati pemadziro maviri, mapepa ekupedzisira anopomerwa pamwe nekuve nesimba kuti abatsire kudzivirira kuparara uye kuve nokushingaira kubatsira mishonga inoputika pakati pemasero ari mu diski uye capillaries mufupa, Lotz, et. al say.
Mahwendefa ekupedzisira ndiwo angangodaro anonyanya kunetseka munzvimbo yeodhi uye anononoka kukuvara kana akaomeswa. Kana izvi zvikaitika, zvinogona kuwedzera basa rekukurukurirana pakati pezvokuvhiringidza zvinhu zviri mu disc uye nemidziyo yeropa iri mumapfupa emarara. Nzvimbo yakagadziriswa yakagadziriswa, Lotz, uye vamwe vanotsvakurudza vanoti, vanogona kupa nzvimbo yekugadzirisa marasha emarara inosanganisira kuwedzera mishonga inokanganisa kufamba, kuchinja munzvimbo, (kureva, maitiro emagetsi) uyewo kumakemikari anopisa.
Kuguma Plate Kuparadza paMRI
Dambudziko nderokuti, rudzi urwu rwekusagadziriswa kwekupedzisira kweplate kunogona kuva kwakaoma kuona nekuongororwa kwekufungidzira zvidzidzo zvakadai seMRI.
Nokuda kwechikonzero ichi, Lotz, Fields, uye Liebenberg vanoti kunyange zvazvo kusagadziriswa kwekupera kweplate kunogona kuva chikonzero chemarwadzo asingagumi kwenguva refu, vanachiremba vangangodaro havazvifungi kana vachiongorora varwere vavo.
Maererano naNyenyen, Poiraudeau, uye Rannou, MRI inokwanisa kuona kuchinja kwepfupa refupa yeplate yekupedzisira iyo inogona kubatanidza nehutachiona hwechirwere chetachiona uye chirwere chisingaperi chisingarware.
Izvi zvinonzi Madic changes. Vatsvakurudzi vanofunga kuti kuchinja kwakadaro kungave kwakabatana nekuputika kwemukati, uye kuratidza kuti kuchinja kweModic kunogona kuva chigadzirisheni chekuona hukama pakati pemafupa kuchinja nekurwa mune dzimwe mhando dzevarwere vane kurwadziwa kwepamusoro. Izvi, zvakare, zvinogona kuita kuti zvinyorwa zvekare zvive zvakare.
Sources:
Hadjipavlou, AG, Tzermiadianos, MN, Bogduk, N., Zindrick, MR Review Article. The pathophysiology of disc disceneration: A Critical Review. Journal of Bone & Joint Surgery. Gumiguru 2008.
Lotz, JC, Fields, AJ, Liebenberg, EC Basa reVertebral End Plate muKubva Kwakadzoka Kwepasi Global Spine J. 2013 Jun; 3 (3): 153-164.
Nguyen C., Poiraudeau S., Rannou F. Vertebral subchondral bone. Osteoporos Int. 2012 Dec.
Simba, Clifford, R., III, MD Cartilagenous End Plate ye Intervertebral Disc. Yakagadziridzwa Kupera April 2013.