Ithinta Kanjani Amakhodi Wakho Emgogodla?
Umgogodla wokumiswa komuntu (ukubona ngeso lengqondo, cabanga uma usukuma ukhona) unamakhondo amane amakhulu. Zibalwa ngezifunda ezinjengalezi:
- Umlomo wesibeletho, noma intamo
- I-Thoracic, noma indawo engenhla nengaphakathi
- I-Lumbar, okuyi-back your back and
- Ijika lakho le-sacral, elisendaweni yomgogodla wakho
Izikhombisi-ndlela zala ma curve zihlukile - eyodwa ngokulandelana. Lesi sici sokwakhiwa sisiza ukuhlinzeka kokubili ukusekela nokulinganisela emzimbeni wakho njengoba uhamba ngosuku lwakho.
Izikhundla ezivamile kanye nokunyakaza okufana nokuhlala, ukuma, ukuhamba, ukuguqa, ukuguqula, ukuphakamisa nokuzuza okukhulu kakhulu kulezi zindlela ezihamba emgodini.
Ingqikithi yomgogodla wakho entanyeni wehla ngaphesheya kwe-vertebra engqimba kakhulu (ebizwa ngokuthi i-L-5) ihlala phezulu kwe-sacrum yakho. Isihlanganisi esingezansi (L5 - sacrum) sibizwa ngokuthi ukuhlanganiswa kwe-lumbosacral.
I-sacrum yithemba elincane elithathwa phakathi kwamathambo amabili ase-hip emuva ukuze kusize ukuzinza, kanye nokunciphisa, umthwalo womgogodla wakho njengoba udlulisela emzimbeni wakho ophansi. Lokhu kwenza ngokusakaza isisindo somgogodla wakho kulo lonke i-pelvis kanye nomkhawulo ophansi (ie izithanga zakho, amadolo, imilenze ephansi, izinyawo nezinyawo.)
Futhi umgudu we-lumbosacral, ngokusho kukaRenee Calliet, MD kanye nomlobi, uqukethe izingxenye ezinhlanu ze-lumbar, kuhlanganise nalowo ohlangene kakhulu we-L5-sacrum ohlangene. "Ingxenye" ngokuyinhloko ihlangene le- intervertebral ; Ngamanye amazwi, iqukethe ithambo elingaphezulu lomgogodla kanye nethambo eliphansi eliseceleni lomgogodla ophethe i-disc phakathi kwalababili.
(Isigaba ngasinye somgogodla ohambisana nemigqa ohlwini olungenhla sinombalo othize wezingxenye.)
I-Lumbosacral Angle ichazwe
Ngenxa yokuthi wonke umgogodla uhlezi phezu kwalesi sifuba senyama, i-angle ye-sacrum inquma izinga ngalinye lemigqa yesipelingi.
Njengoba ungacabanga, isisindo sokudluliswa komzimba wakho emgodleni, ngokusebenzisa i-vertebra ye-L5 kuya kwi-sacrum.
I-angle ye-sacrum bone (ebizwa nge-sacral base) ingaba, ngokukhulumisana, ephakeme noma ephansi, nezindawo eziphakathi.
Njengesizinda sokusekela umgogodla, ngaleyo ndlela, le ngqamuzana ye-sacral inquma inani le-lumbar, i-thoracic kanye nemigqa yomlomo wesibeletho. Ngamanye amazwi, ukuqala esisekelo (phezulu kwe-sacrum) nokukhuphuka umgogodla, i-angle eyodwa inquma enye. Eqinisweni, ingxenye ye-sacral yenhlanganisela ye-lumbosacral iyaziwa ngokuthi yi-sacral base .
I-Lumbosacral Angle ne-Spondylolisthesis
Inkinga eyodwa ejwayelekile yomgogodla eyenzekayo ehlangene ne-L5-sacrum ibizwa ngokuthi i-spondylolisthesis, noma i-slippage phambili yethambo eliphezulu, elihlobene nephansi. Lesi simo sithinta abancane nabadala ngokufanayo, nakuba behlukene ngezindlela. Lapho usemusha, uqala ukulimala endaweni encane ngemuva komgogodla owaziwa ngokuthi i-pars kubagijimi abadinga imishini yokuphindaphinda imfucuza. Ngokuhamba kwesikhathi, ukulimala kwama-pars kungakhula ibe yi-spondylolysis futhi ekugcineni i-spondylolisthesis. Kubantu asebekhulile, i-spondylolysis ne-spondylolisthesis kubangelwa izinguquko eziguqukayo emgodini.
UHosoe no-Ohmori, ocwaningweni lwabo olunesihloko esinesihloko esithi "Izinto Ezingenzeka Zenza I-Lumbar Vertebra I-Slip," eyanyatheliswa ngo-March 2008, i-Journal of the Bone and Joint Surgery, yabika ukuthi phakathi kwezinye izinto, "ukuthatha" okukhulu itafula le-sacral, njengoba liyibiza ngokuthi (elibhekisela engxenyeni ye-sacrum bone lapho umgogodla uhlala khona) yayihlotshaniswa nesibalo esiphezulu se-spondylolisthesis.
Okuhlobene: I- Retrolithesis nezinhlobo ezimbili ze-Spondylolisthesis
Imithombo:
UCalliet, R., MD, Umhlahlandlela Ofaniswayo Wokusetshenziswa Kwe-Anatomy Yomsebenzi We-Musculoskeletal. I-American Medical Association Press. E-USA. 2004.
H. Hosoe, Hl, Ohmori, K. Izingosi ezingenzeka ezifake i-Vertibra yesihlanu Lumbar ku-Slip. I-Journal of the Bone and Joint Surgery. Mashi 2008 http://www.boneandjoint.org.uk/content/jbjsbr/90-B/3/356.full.pdf