Iyini iFissure Yengqayizivele?
I-fissure yonyaka isimiso esithinta ama-disk intervertebral. Esikhathini esiningi inkinga iyabangelwa izinguquko ezishintshayo emgodini, kufaka phakathi ukomelwa okuhlobene neminyaka kusukela kuma-discs, kodwa kungenziwa futhi ngenxa yengozi.
Funda i-Anatomy yakho: i- Annulus Fibrosis
UDkt. Jacob Amrani we-website ye-Spine Doctor wabika ukuthi ukuhlolwa okukodwa kwathola ukuthi ama-fissures abe khona cishe kuwo wonke ama-disk ahlahliwe, kanti omunye uthole okungenani ukufiphaza okuncane ukuba abe khona kunoma yikuphi i-MRI ebonisa ukuthi i-disc ayidonsa amanzi.
Ku-fissure yangasese engxenyeni yangaphandle ye-disc, eyenziwe ngamagagasi aqinile ahlelwe ezingxenyeni ezigxile, aqala ukuphahlazeka, aphule noma ahlukaniswe namathambo ahlanganiswe kuwo.
Okuhlobene: Iyini Inyembezi Yengqayizivele?
Ingabe Ubuhlungu Bokuqala Bokudabuka?
Nakuba i-fissure yonyaka ingabangela ubuhlungu, akuhlali njalo. Eqinisweni, isifundo esenziwe nguBrankki, et.al. eyanyatheliswa kuyi- American Journal of Neuroradiology ngo-Ephreli 2015 ithole ukuthi ukuwohloka komzimba kungabonakala "engxenyeni enkulu" ye-MRIs yomgogodla yabantu abangazange babike izimpawu. Abacwaningi baphinde bathola ukuthi omdala isiguli, okungcono ukuthi ukuguqulwa komgogodla okweqile kubonakala kumafilimu abo.
Ungase ucabange nge-fissure yansuku zonke njengokulahlekelwa ubuqotho embukisweni wangaphandle we-spinal disc. Akuyona isimiso, kodwa kungaholela kumuntu uma okuqukethwe okungaphakathi kwidiski kudlula phakathi kwegebe eyenziwe ngokuhlukaniswa kwezintambo, bese uqala ukucindezela emthonjeni oseduze osondelene nomgogodla.
Kulokhu ungase uzwe ubuhlungu, izikhonkwane nezinaliti, ukuzwa kwamandla kagesi noma ubuzwa obuthakathaka noma obunzima bokuwela phansi umlenze owodwa (ngokuvamile obizwa ngokuthi i-sciatica,) noma phansi kwesandla esisodwa.
Okuhlobene: Amathiphu amahlanu wokuvimbela ukuqina kwesisu
Izinqubo Zokuqapha Zengqayizivele
Ukuthola i-fisile ye-fissure ehlongozwayo kuhilela umlando wezokwelapha, ukuhlolwa ngokomzimba nokuhlolwa kokuhlola.
(Udokotela wakho angase anikeze imithi yezinhlungu kanye nokwelashwa ngokomzimba ngaphambi kokuzama ukuhlolwa)
Ngokuqondene nalezi zivivinyo ziyahamba, zingabandakanya i-ray ray, i-MRI, i-CT scan kanye / noma i-discography, kufaka phakathi i-discography yenhlamba lapho idayisi yokuphambene ifakwe khona ngenhloso yokwenza ubuhlungu bakho. Uma uzizwa ubuhlungu endaweni lapho idayi igwetshiwe khona, udokotela wakho angase aqinisekise i-fissure yonyaka Ngemuva kwe-discography yakho evusa inkanuko, kungase kube nezinye izivivinyo ukuze uqhubekele phambili futhi uchaze indawo ethintekile.
Okuhlobene: Mayelana Nezivivinyo ze-Discogram
Ukwelashwa kwe-Annular Fissure
I-Bao-Gan Peng ibika ku-athikili yakhe yendaba ka-2013 ye- World Journal of Orthopedics , enesihloko esithi "I-Pathophysiology, ukuxilongwa kanye nokwelashwa kwezinhlungu ezibuhlungu ze-discogenic," ukuthi kunokungavumelani okuncane phakathi kodokotela nodokotela ngokuqondene nendlela engcono kakhulu yokwelapha i-fissure .
Abanye odokotela bavame ukubeka imithi yokuhlunguphaza kanye nokuphumula kwemisipha, nakuba, umbhali uthi, "ubufakazi bokusebenza kwabo akuphoqeleli." Uthi nakuba ukwelashwa okuqhubekayo njengokwelashwa ngokomzimba, ukuphathwa komgogodla (ngokujwayelekile ukulungiswa kwe-chiropractic) futhi esikoleni emuva wasebenzisa okuningi, ucwaningo aluzange lucacise ukuthi lezi zindlela zokwelapha ziyasiza yini ekusebenzeni isikhathi eside kwezimpawu.
Ukuze abuyele emuva, ubika ngezifundo ezitholile indlela kaMcKenzie (ngokuyinhloko uhlelo lokusebenzisa umzimba olwenziwe ngumhlengikazi osetshenziselwa igama lonke amashumi eminyaka) lusebenza kangcono kunokulungiswa komgogodla we-lumbar, futhi okulingana nokuzivocavoca okuphansi kokuqinisa emuva.
Imithombo:
U-Amrani, J. Disc Tear (I-Teal Annular) Iwebhusayithi ye-Doctor ye-Spine. Ifinyelele ngo-Dec 2015.
I-Bao-Gan Peng. I-Pathophysiology, ukuxilongwa, kanye nokwelashwa kwe-discogenic low pain back. Izwe J Orthop. 2013 Apr 18; 4 (2): 42-52.
Brinjiki, W., Luetmer, PH, Comstock, B. Bresnahan, BW, Chen, LE Deyo, RA, Halabi, S., Turner, JA, Avins, AL, James, K., Wald, JT, Kallmes, DF, Jarvik, JG Ukubuyekezwa kwezincwadi zesistimu izici ze-imaging zokuguqulwa komgogodla ezindaweni ezingabonakali.AJNR Am J Neuroradiol. 2015 Ngo-Apr; 36 (4): 811-6. doi: 10.3174 / ajnr.A4173.