I-Arthritis Yokugaya, i-Spondylosis noma i-Facet Joint Syndrome
Uma uqhubeka iminyaka, ikakhulukazi uma ubeke umonakalo ngemuva noma ababili endleleni, ungase ulungele isimo esaziwayo se-facet joint hypertrophy. I-hypertrophy ezinhlangothini zakho zezinhlangothi zihlotshaniswa nesifo samagciwane omgogodla, futhi njenge-arthritis yomgogodla, ngokuvamile iyenzeka njengemiphumela yobudala, ukugqoka nokukhala, ukuma okuncane kanye / noma ukulimala kuyahluma.
Ukugqoka Okuhlobene Okudala nokulila kwama-Facet Joints
Amalungu e-facet angamalungu e-synovial, okusho ukuthi afike aphelele nge- capsule ezungezile kanye nomthamo wangaphakathi wokugcoba.
Lolu hlobo lwesakhiwo lunezici ezijwayelekile ezihlangene zokugcoba kalula futhi ngokushelela, futhi mhlawumbe okubaluleke kakhulu, ubuhlungu bukhululekile.
Kodwa izingxenyana zezici zijwayele ukugqoka nokugqwala, ikakhulukazi njengoba sikhula. Empeleni, akunakugwemeka. Ngenkathi kungezona zonke izimo zokuhlukunyezwa okuhlobene nokugqoka nezinyembezi kuzoveza ubuhlungu noma ezinye izibonakaliso, ukukhubazeka kukhula, okungenani ngezinga elithile, kunoma ubani okhulile ngokwanele. Futhi kungase kuqale intsha, futhi.
Ngakho izindaba ezinhle ukuthi izingxube ezibuhlungu ezingezansi azikwenziwe, ngisho noma uhlala ema-90s nangaphezulu.
Lokho kusho ukuthi ingozi yokubuhlungu nokunciphisa umzimba kunqunywa khona. Ngaphezu kwalokho, kukhona okungenzeka ukuthi "umjikelezo ononya" wokuguquka okuqhubekayo Lokhu kungase kwenzeke lapho ukugqoka nokuphumula kuphazamisa ukukhishwa okuphakathi kwezibhamu ezimbili ezihlangene ze-facet joint, ekugcineni ekushiye ngethambo emathanjeni othintana phakathi nenkathi yomgogodla. Njengoba izingxenye ezimbili ze-bony ze-joint zixubana ngomunye nomunye, indawo iyavutha.
Ukuvuvukala kokuhlanganiswa kwesici akukona nje ukuhumusha ubuhlungu, kodwa kungashukumisa ukukhula kwamathambo nokuthuthukiswa kwe-bones spur. Le nqubo inamagama amaningi: i-Spondylosis, i-arthritis yomgogodla, nesifo se-joint syndrome.
Ithemba elisha elibekwe ngaphansi kwesifo se-facet joint syndrome lingase libe mkhulu kunelokuqala eliyishintshayo.
Uma lokhu kwenzeka, lesi simo sisuka ekuthiwa yi-facet syndrome ehlangene kuya kwi-facet joint hypertrophy. Noma kunjalo, noma kunjalo, usasabizwa ngokuthi i-spondylosis, eliyigama elibhekisela kunoma yiluphi uhlobo lokuguguleka emgodleni, kanye / noma isifo samagciwane esibelethweni.
I-Facet Joint Related Radiculopathy Yomlomo
Izinhlanganisela zezinhlangothi ziseduze kakhulu ne- intervertebral foramina , okuyizona "izimbobo" ezihlangothini zomgogodla lapho izimpande zomgogodla zidlulela khona kuzo zonke izingxenye zomzimba.
Ukwandiswa okuhambisana ne-facet hypertrophy ehlangene kungangena futhi kwanciphise ama-foramen. Kulolu cala, umuthi wezinzwa kungenzeka ukuthi "ungene" ethanjeni elibekiwe ngesikhathi senqubo ye-arthritic echazwe ngenhla, okuholela ekubonisweni kwe-radiculopathy yomlomo wesibeletho. I-radiculopathy yomlomo wesibeletho iqoqo lezibonakaliso nezimpawu ezihlobene nokucindezelwa kwezimpande zomgogodla entanyeni. Izimpawu zingafaka ubuhlungu kanye / noma izinzwa zikagesi ezihamba phansi ingalo eyodwa.
Ama-facet Joints ayinhloko ekuqiniseni umgogodla
I- facet iyazihlanganisa , engamajoyini okuthiwa yi-zygapopsese, okuthiwa yi-joints angled ehlangothini lwendandatho ye-bony engemuva kwemizimba ye- vertebral .
Amalungu e-facet asiza ekuqiniseni ukuhamba komgogodla wakho.
I-angle yabo kanye nokuphakama kwediski ye-intervertebral etholakala endaweni efanayo yomgogodla inquma imingcele yokunyakaza okuvunyelwe kuleyo ngxenye. Lokhu kusho ukuthi esifundeni ngasinye (okungukuthi, umlomo womlomo wesibeletho, noma intamo, thoracic, noma ngaphezulu nangemuva, emuva noma emuva) inani lokuguquguquka futhi isiqondiso lapho ungathatha khona umgogodla wakho uhlukile.
Isibonelo, emgodini womlomo wesibeletho ama-joints angama-angled angama-degree angu-45, futhi avumela ukunyakaza kuzo zonke izinkomba.
Esikhathini sesifuba, esivumelana nezindawo zakho ezingenhla nangaphakathi, izingxenyana zezingqinamba zinezingcingo ezingaba ngu-60 degrees.
Lokhu kuvumela ukugoqa okuhlangene nokuguquka, kodwa akukho ukujika noma ukunwetshwa.
Futhi ekugcineni, emgodleni we-lumbar, ama-facet joints afakwe engxenyeni engama-90 degree (cishe) evumela ukuqhuma phambili komhlane noma phambili. Lokhu, ngokungeziwe noma kunokuba imisipha eminyene kakhulu ingabangela ukuhluleka okuphansi emuva.
Ucwaningo olwenziwa ngo-2017 lwanyathelisa iphephandaba i- World Neurosurgery lithola ukuthi ama-angles angama-joint e-lumbar ayenokuthi angakunqanda ngaphambi kokungahlali komgogodla, ikakhulukazi isimo esaziwa ngokuthi i- spondylolisthesis ye- isthmic.
Ukwelashwa Kwamajoyini Akho Obuhlungu Bama-facet
Uma ngabe i-facet yakho ihlanganisa hypertrophy ibangela ubuhlungu noma ukukhubazeka emzimbeni, ungase uzibuze mayelana nokwelashwa. Abantu abaningi benza kahle ngokuhamba umzila ogcinayo kuphela. Lokhu kuhilela ukubona umhlinzeki wenyama, ukwenza imiyalelo ekhethiwe nsuku zonke nokuthuthukisa imikhuba emihle yokuzimela. Uma ukuhlinzwa kudingekile, kungase kube nje ukusiza ukukhulula ubuhlungu ngokubhubhisa ukuphela kwezinzwa ezincane ezisezinhlangothini zakho zezinhlangothi.
> Imithombo:
> Caridi, John, M., MD, Pumberger, Matthais, MD Hughes, Alexander, P., MD I-Radiculopathy ye-Cervical: Ukubuyekeza. Isibhedlela Sezincwadi Ezikhethekile Zokuhlinza. 2011. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192889/
> Eroglu, A., et. al. Umsebenzi Wezici ze-Facet Angle Joint ekuthuthukiseni i-Spondylolisthesis ye-Isthmic kuma-Young Male Patients with L5-S1 Spondylolisthesis Isthmic. Agasti 2017. https://www.unboundmedicine.com/medline/citation/28549642/The_Role_of_the_Features_of_Facet_Joint_Angle_in_the_Development_of_Isthmic_Spondylolisthesis_in_Young_Male_Patients_with_L5-S1_Isthmic_I-Spondylolisthesis.
> Mullin, Jeffrey, Shedid, Daniel, Benzel, Edward. Sibutsetelo se-Cervical Spondylosis Pathophysicology ne-Biomechanics. I-World Spinal Column Journal. September 2011. http://wscjournal.org/pdf/pdf_WSCJ_62.pdf