I-Facet Capsulitis
Umgogodla uyisakhiwo esiyinkimbinkimbi nesesimweni esinamalungu amaningi ashukumisayo. Izinto ezihlukahlukene zingahamba kahle kunoma iyiphi enye yezingcezu, nakuzo zonke izilinganiso zekholomu, kungakhathaliseki ukuthi zikhona emkhakheni wesibeletho, we-thoracic, we-lumbar noma we-sacral. Izibonelo zezimo eziningi ezithintekayo ezithinta izakhi zomgogodla zihlanganisa ukukhipha i-diski, ukucindezeleka kwemisipha, i-ligament sprain, i-arthritis yomgogodla.
Futhi uhlu luqhubeka.
Enye inkinga encane eyatholwa ngokuvamile ekhona kulolu hlu yi-facet joint capsulitis. Kule nkinga, i-capsule yesikhumba ehlangene ehambisana nombuthano wesici, esitholakala ngemuva kwekholomu, iyashisa. Ake sivale lokhu kancane.
Okokuqala, i-facet yegama elihlangene.
Ukuhlanganiswa kwesici kungukubambisana phakathi kwamaphesenti amabili e-square okwenziwe ngethambo atholakala ngemuva kwekholomu lomgogodla. Kuzo zonke izinga (ngaphandle kokuthi yi-vertebra yokuqala) ngemuva kwekholomu lomgogodla, ama-pair of facets, okuyizinto ezibonakalayo, ezivela ezinhlangothini zokunene nezesobunxele.
Kukhona izigaba ezimbili ezingxenyeni eziphezulu ze-vertebra ngayinye, futhi neyodwa ngaphansi. Ukuhlanganiswa kwesici kwenziwa lapho ukubonakala okuvela ethanjeni elingezansi kuhambisana nenye (ngakwesinye icala) kusuka etheni eduze kwalo. Ngokuvamile, kunezinhlanganisela ezine zezinhlangothi ezingeni lomgogodla, ezimbili ngakwesokudla, futhi ezimbili ngakwesobunxele.
Inhloso yezihlanganisi zezinhlangothi kokubili ukuqondisa nokunciphisa ukunyakaza okudlulele, ngaleyo ndlela kugcinwe isisindo somgogodla futhi kusize ukuvimbela ukulimala.
Amalungu e-facet ayaziwa nangokuthi ama-zygapopseseal.
Njengamajoyina amaningi emzimbeni, ama-facet joints azungezwe i-capsule yama-tissue capsule. I-capsule idlala indima ebalulekile emisebenzini yokuhamba ngokuhlanganyela.
I-Capsulitis yigama elisho ukuvuvukala kwanoma iyiphi i-capsule, i-facet noma enye indlela. Mhlawumbe uhlobo oludume kakhulu lwe-capsulitis luhambisana ne-capsulitis, noma ihlombe elifriziwe.
I-Capet Capsule ne-Synovium
Esihlanganisweni sesibambisene, i-capsule yaziwa ngokuthi "i-generator yobuhlungu," okusho ukuthi ingenye yezakhiwo eziningana ezakha ukuhlanganiswa kwesici okungenzeka kube nesibopho sokubuhlungu emuva futhi / noma ukungasebenzi.
Njengoba kukhulunywe ngenhla, i-capsule ye-facet yenziwe ngezicubu ezinama-fibrous ezihambisana nomzimba wonke. Ngaphakathi kwe-capsule nokuhlanganiswa yimbani efihla uketshezi lwe-synovial. Umshini we-synovial kanye nomswakama ubizwa ngokuthi i-synovium.
Umsebenzi we-synovial fluid ukugcoba ukuphakama kwamalungu ukuze ukunyakaza kungenzeke kahle futhi kungenabuhlungu. Ungase ucabange nge-synovial fluid njengoba i-WD-40 ye-joint.
Njengoba nje i-capsule ehlangene ingasetshenziswa, ngakho-ke i-synovium ingaba khona.
Umsebenzi we-Capsule ku-Facet Joint Arthritis
Ngokwe-athikili ka-2014 eshicilelwe encwadini ethi Nature Reviews Rheumatology, i -capsule ingenye yezakhiwo eziningana "ukungaphumeleli" okungabangela isifo se-arthritis. Lokhu kuyiqiniso nakuba isifo samathambo esihlangene siqondakala kakhulu njengesimo se-bone ne-cartilage.
Udokotela wakho noma uchwepheshe wezinto ezibonakalayo wazi kanjani uma i-capsule yakho ehlangene ivuliwe? Enye indlela ukuhlola "iphethini ye-capsular". Isihlanganisi esivuthayo sivame ukwelula izintambo ze-capsule, okubangela ubuhlungu kanye nokuhamba komkhawulo. Ngokukodwa, ukunyakaza okuhlangene, ukujikeleza nokwandisa kudlulile ngaphezulu kwalesi simo.
Ezinye izindawo ezithintekayo yi-facet arthritis zihlanganisa izigulane, i-synovium, imisipha ne-disc. Abalobi bathi i-disk iyancipha kanye ne-facet joint, okusho ukuthi lezi zakhiwo ezimbili eziseduze zithinteka ngasinye kwisifo se-disenerative.
I-Mashi ka-Mashi, 2018 eyanyatheliswa yi-StatPearls Publishing ibike ukuthi ama-facet joints ahileleke ku-42% wezinhlungu zentamo futhi kube ngamaphesenti angu-44 kubuhlungu obuya emuva.
Capsulitis evuthayo
I-Capsulitis ivame ukutholakala ezinhlangothini ze-sacroiliac zabantu abanesifo sokuguquka kwamathambo njenge-spondylitis. Kulezi zimo, i-capsulitis ibhekwa njengesilonda esivuvukalayo. Kubantu abane-spondylitis, i-MRI esebenzisa amasu amaningi akhethiwe ngokuvamile kubalulekile ukuthola ubufakazi be-capsulitis kanye nezinye izilonda ezivuvukalayo.
Ezinye izinhlobo zokuvuvukala okusebenzayo zihlanganisa i-osteitis, i-enthesitis ne-synovitis. Konke, kufaka phakathi i-capsulitis, yizibonakaliso zokuqala ze-sacroiliitis noma i- spondylitis . Umehluko phakathi kwabo ulele endaweni yokuvuvukala. Isibonelo, i-synovitis ukuvuvukala kwendwangu ye-synovial ngaphakathi kokubambisana, i-osteitis ukuvuvukala kwethambo, njalonjalo.
> Imithombo:
> Jui Su, D., et. al. I-arthritis, i-Facet. I-StatPearls [I-intanethi]. 2018.
> Gellhorn, A., Katz, J., Suri, P. Osteoarthritis yomgogodla: ama-facet joints. Nat Rev Rheumatol. Ngo-Meyi 7 2014. Kufinyelelwe ngo-Feb 2016 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4012322/#BX2
> Hermann KGA, Bollow M. Magnetic Resonance Imaging of Sacroiliitis in Iziguli nge Spondyloarthritis: Ukuhlangana nge Anatomy and Histology. I-Fortschr Röntgenstr 2014. https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0033-1350411
> Sudoł-Szopinska1, Iwona, i-Urbanik, ne-Andrzej. Ukuzibona kwezithombe zamagxiliac kanye nomgogodla ohambweni lwe-spondyloarthropathies.