IziLigamente zesikhathi eside, i-Ligament Nuchae nokuningi
Umgogodla unezinhlamvu eziningi ezisiza ukubopha ikholomu yonke. Lezi zihlanganisa ukuxhuma amathambo ngamanye ndawonye, futhi basiza ukwakha ama- intervertebral joints .
Amagundane omgogodla nawo ahlinzeka ukuzinza kukholomu. Benza lokhu ngokunciphisa izinga lokunyakaza endaweni ehambelana nendawo yabo. Isibonelo, i-ligament yakho ye-longitudinal yangaphakathi (bheka ngezansi ngemininingwane) itholakale phambi kwemizimba yakho ye-vertebral.
Uma uphindela emuva, kukuvimbela ukuba uhambe kakhulu.
Izinkinga ezivamile ezithinta amagundane omgogodla.
Njengoba sikhula, izigxobo zethu zingase zibe ngaphansi kokuqina, isimo esibizwa ngokuthi i-hypertrophy. I-hypertrophy ingabangela izimpawu ezifana nobuhlungu obuhlobene ne-nerve . I-hypertrophy ingakhula phambili, ibe yi-ossification, noma inzima ye-ligament (s). I-Ossification ingandisa izimpawu zesibindi, okungase kuhlanganise ukucindezela noma ukucasula umgogodla (obizwa nge-myelopathy). Kuye ngezici eziningana, izigxobo zomgogasi ezinzima zinganciphisa ukuthuthukiswa kwesisu somgogodla .
Abacwaningi abavela eMtholampilo Wase-Spine we-Good Samaritan Hospital eLos Angeles balinganisela ukuthi abantu abangu-25% abanezimpawu zesifo sengqondo sokuthi, njengoba sixoxisane ngenhla ngenhla ngokuphathelene nokucasuka noma ukucindezelwa komgogodla, bonisa izimpawu ze-OPLL. (I-OPLL imele ukuqhutshwa kwesimo se-posterior longitudinal.) Bheka ngezansi ukuze uthole ulwazi oluthe xaxa emgqeni we-longitudinal posterior.)
Uma kwenzeka uhlangabezana nosizi emgodini wakho (isibonelo, kusuka ku- whiplash ), kungenzeka ukulimaza imigqa yakho. Uma ukulimala kwi-ligament yakho (s) kunzima ngokwanele, kungabangela ukungaqiniseki komgogodla. Ukukhubazeka kungachazwa ukuthi uma amathambo nemigqa ehlanganisa ama-intervertebral joints (owaziwa nangokuthi ama-vertebral segments ) asakwazi ukugcina ukulungiswa okujwayelekile lapho kufanele bathwale umthwalo.
Ukukhubazeka kungenza ukulimala kokuqala kwenzeke nakakhulu, futhi kunjalo, kubangele ubuhlungu. Kungase futhi kuholele ekuqotheni komgogodla. Amagamente alimala aholela ekutheni ukungahlaliseki komgogodla kungadinga ukuhlinzwa.
Ngezansi uhlu lwemigqa esemqoka ethinta ukuhamba kwekholomu ye-vertebral, kanye nezindawo zabo kanye "nemisebenzi" yabo, okungukuthi, isiqondiso emkhawulweni wokunyuka ngokweqile.
I-Ligament Yase-Anterior Longitudinal
I-longitudinal ligament yangaphambili iyinhlangano eqinile kakhulu yezincubu ezixhumene nayo - zonke izigameko zenziwa ngezinye izinhlobo zezicubu ezixhumene - ezivela e-vertebra yakho yokuqala (i-atlas) nangaphambili kwesisekelo se-skull yakho ngaphambili kwe- sacrum yakho. Itholakala engxenyeni engaphambili yamagciwane we-vertebral. Leligamenta ibuye igxume, kumuntu ngamunye, ibe ngamafayili amancane ahamba phakathi kwe-vertebrae, bese efaka phambi kwe- disc . Ngale ndlela, i-longitudinal ligament yangaphakathi ihlinzeka ukwesekwa kuma-discs.
I-longitudinal ligament yangaphambili iyakwehlisa ukunwetshwa kabusha, okuyinto nje isenzo sokubuyisela emuva. Nguyena kuphela umgogodla we-spinal ovimbela ukwandiswa. Okuhlobene: Iyini umzimba we- vertebral ?
I-posterior longitudinal ligament:
Njengengxube ye-longitudinal yangaphakathi, i-posterior longitudinal ligament iqala ngemuva kwesimiso (khumbulani, yilokho okuyisisekelo se-skull yakho), futhi iyaqhubeka nayo yonke i-sacrum.
Futhi njenge-ligament longitudinal yangaphakathi, ama-posterior agxilisa amafayili amancane awela ezinxenyeni ze-intervertebral, futhi agcina, ngalesi sikhathi, ngemuva kwe-disc.
Umehluko omkhulu phakathi kwe-longitudinal longitudinal ligaments, futhi owodwa ocacisa ukuthi yikuphi ukuqondisa okuhambayo i-ligament imingcele, indawo: I-longitudinal longitudinal ligament (PLL) ehamba phambili ekhona emgodini ongasemgogodleni ngemuva kwamagciwane we-vertebral. I-anterior (YONKE) itholakala ngaphambili kwezidumbu (futhi hhayi emgodini womgogodla). I-PLL nayo iphansi futhi ibuthakathaka kunabo bonke.
I-posterior longitudinal ligament ibeka umkhawulo we-spinal crossxion (ie ukuqhubekela phambili).
I-Ligamentum Flavum
I-ligament flavum ihamba ngokuqondile ukusuka e-axis vertebra (khumbula ukuthi ithambo lesibili entanyeni) ku-sacrum. Ikhona phakathi kwe- laminae ye-vertebra. Ezingeni ngalinye le-vertebral, i-fibers ivela emlonyeni omkhulu (igama eliphakeme libhekisela endaweni engenhla, ngokukhuluma) futhi uxhumane nomthamo ongaphansi (ie lamina ngezansi). I-ligamentum flavum ibeka umkhawulo we-spinal crossxion (ukuqhubekela phambili), ikakhulukazi ukuqhuma okuphazamisayo. Lo msebenzi wenza i-ligamentum flavum ivikele ama-disc wakho ekulimazeni.
Igama elithi ligamentum flavum lisho "ligament eliphuzi". I-ligamentum flavum yenziwa nge-(pale) ephuzi enemibala ehlanganisiwe enemibala. Lezi zicubu zifana nohlobo lwezicubu ezixhumayo ezihlanganisa nezinye izigulane zomgogodla, ngaphandle kokuthi kunezinga elincane kulokhu. Ikhwalithi ye-ligamentum flavum isiza ukugcina amagundane omgogodla ngesikhathi sokunyakaza futhi usiza i-trunk ekuqondeni ngemuva kokuhamba phambili.
AmaLigamenti aphezulu kanye ne-Interspinous
Imigqa engaphezulu neyi-interspinous kokubili inciphisa i-croxion (phambili ukuguqa).
Kutholakale emuva, i-ligament ephakeme kakhulu iyintambo eqinile njengezicubu ezixhuma amathiphu ezinqubo ze-spray kusukela ku-sacrum yakho kuze kufike ku-C7 (okungaziwa ngokuthi i-base entanyeni). Ngaphambi kwentamo, ihlangana ne-ligamente nuchae.
Amagundane angaphakathi ahlanganisa yonke inqubo ye-spinous. I-ligand interspinous iqala emgodini wenqubo ye-spinous, lapho iphuma khona emthanjeni wethambo elihle ngemuva komzimba we-vertebra yayo, futhi idlulisela yonke indlela eya esikhwameni. Izicubu ezixhumeneyo ezihlanganisa inqubo ye-interspinous zibuthakathaka kakhulu kunezo eziphezulu.
I-Ligamentum Nuchae
Eyaziwa nangokuthi i-ligament ye-nuchal, le ligament itholakala ngemuva kwentamo yakho. Ihlangana ne-ligament ephezulu, njengoba sixoxe ngakho, yilolu cord eside, oluqinile oluxhumanisa amathiphu amaningi (okusho ukuthi i-lumbar ne-thoracic) yezinqubo zakho ze-spinous.
I-ligamentum nuchae iphuma ezindaweni ezimbili noma eduze nangemva kwe-skull yakho futhi idlulise kuzo zonke izinqubo ze-colervical (neck) spinous.
I-ligamentum nuchae inamandla kakhulu. Kwezinye izindawo kunzima ngokwanele ukuthatha ithanga, ngaleyo ndlela kunikezwa amasayithi okunamathiselwe emisipha yentamo ehlala ezindaweni lapho izinqubo zomlomo wesibeletho zingakabi isikhathi eside ukuze zifinyelele emisipha. Lona indawo ephakathi kuka-C3 no-C5.
I-Intertransverse Ligament
I-intertransverse ligaments iphuma kumuntu ophakeme (khumbula, okuphakeme kunakho okusho ngenhla engaphezulu, ukukhuluma okuhambisanayo) inqubo eguquguqukayo ye-vertebra kwinqubo eguquguqukayo ye-vertebra engezansi. I-intertransverse ligaments ixhuma lezi zinqubo ndawonye futhi isiza ukukhawulela isenzo sokugoba okuhlangene (i- lateral flexion ). Bakha uhlobo lwemingcele emkhatsini wezidumbu eziphambili kanye namasongo e-bony ngemuva kwe-vertebrae.
Ngokuphathelene namandla we-intertransverse ligament, entanyeni, iqukethe izintambo ezihlakazekile zezicubu ezixhunyiwe; endaweni ephansi emuva, kakhulu, mncane kakhulu. Esikhathini sendawo ye-thoracic (emaphakathi), i-intertransverse ligaments iyindima futhi ifaka ngaphezulu.
Okuhlobene: Umfanekiso Wezinqubo Zomuncu Nezingxenyeni Ezingxenyeni Ze-Spinal Bone Elilodwa
Manje uyazi i-ligament yakho ye-ABCs. Lezi yizitho zomgogodla ezithinta konke noma okungenani izingxenye ezinkulu zomgogodla. Ezinye izigulane zomgogodla ziqondile endaweni enjengentamo noma i-sacrum nama- sacroiliac . Ngizomboza labo abasezihlokweni ezihlukene. Ngicabanga ukuthi i-ABCs yamagundane omgogodla akwanele ukuba angene esimweni esisodwa, akunjalo?
Imithombo:
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