Ukuphuka komgwaqo okulula kuyinkinga yokucindezela ku-vertebra yomgogodla. Kungenzeka entanyeni, esifundeni se-thoracic noma endaweni ephansi ye-lumbar (ephansi). Lesi sihloko sigxile ikakhulukazi emifantwini elula ehlathini (okungukuthi, umgogodla wesibeletho) kodwa futhi inikeza ulwazi olubanzi mayelana nezimbangela kanye nokwelapha ekugcineni.
Yini Ebangelwa Ukuhlukana Kwemigodi Elula?
Ukuphuka komgogodla okulula emgodini womlomo wesibeletho kwenzeka kaningi emva kokuhamba okunamandla (ukuguqa phambili) kwentamo.
Kule ukulimala, i-ligament ye-nuchal, etholakala ngemuva kwentamo yakho, idonswa. Ngesikhathi i-nuchal ligament ngokwayo ingahle ifane kahle (inamandla kakhulu futhi inkulu,) lokhu akulona iqiniso ngaso sonke isikhathi emathanjeni entanyeni abathintekayo. Ingxenyana yangaphambili yemizimba ye-vertebral entanyeni ithambekele ekuthwaleni umthelela omkhulu, okuyinto okungase iphoqe ngamandla. Umphumela wukuhleka kwekhasi elilula ngaphambili kwethambo, kodwa akukho umonakalo wangempela ozokhuluma ngawo ngemuva.
I-Wedge Simple Fractures - Eqinile noma engazinzile?
Ama-fracture alula kakhulu ajwayele ukuhlukaniswa njengokulimala kwentambo entanyeni. Lokhu kungenxa yokuthi intamo idlulela ekufakeni i-hyperflexion ngesikhathi sesigameko sokugqugquzela.
Ukulimala kwe-Flexion yiyona ndlela ejwayelekile yokulimala kwentamo. Olunye uhlobo lokulimala ekhanda entanyeni ukuphuka kwesibhulodi sobumba.
Ama-fracture alula emaceleni abhekwa njengokulimala "okuzinzile". Lokhu kusho ukuthi, kanye nezinye izindlela, kuphela ingxenye yangaphambili yekholomu yomgogodla ithintekile.
(Eminyakeni yamuva, abacwaningi nodokotela sebeqale ukusebenzisa i-Cervical Spine Injury Score Everity (CSV) noma i-CSISS ukuze bachaze futhi bahlukanise ukulimala okuphansi kwentamo ngezinga lokuzinza ezindaweni ezine eziyinhloko ezakha ikholomu yomgogodla. emuva, nezinhlangothi ezingakwesobunxele, ezibizwa ngokuthi "izinsika.")
Olunye uhlobo lokuhlukana komkhonto, okuthiwa ngokuqondile ngokuthi "ukuphulwa komkhonto ongazinzile" kuthinta ngaphezu kweyodwa ikholomu yomgogodla "insika" futhi uhlangabezana nezinye izinqubo ze-CSISS zokungazinzi kahle. Njengama-fracture alula, ama-fracture angenakulinganiswa ahloselwe ukulimala kwe-floating.
I-X-Rays ye-Wedge elula yokuhlukana
Ama-fracture alula okubonakalayo avela ku-x-ray njengoba ehla ukuphakama phambi komzimba we-vertebral futhi akhula amandla we-bone (okuwumphumela wokucindezela.) Umngcele ongaphambili wegciwane lomzimba ungase ubheke i-concave ngesizathu esifanayo.
Futhi, imisipha yakho nezinye izicubu ezithambile cishe ziyovuvukala futhi zithenda (nakuba lokhu kungabonakali kuma-x ray.)
Ukwandisa ama-Fractures kanye ne-Osteoporosis
Kungakhathaliseki ukuthi entanyeni, emhlane ophansi noma ohlangothini lwe-thoracic, i-vertebral compression fractures ingabangela umonakalo, umdlavuza noma i-osteoporosis
Ehamba phambili ku-700,000 ama-spracture fractures njalo ngonyaka, i- os teoporosis iyimbangela ejwayelekile kakhulu yokuphuka komgqa olula, ngokusho kukaBab and Carlson ocwaningweni olubizwa ngokuthi "i-Vertebral compression fractures: ukwelashwa nokuhlolwa." (Ucwaningo lwanyatheliswa ngo-Agasti 2006 umagazini we -Journal of the South Dakota State Medical Association .)
I-Babb noCarlson bathi ama-40% alawa angama-700,000 ngonyaka odlulayo emgogodini abathinta abesifazane asebekhulile eminyakeni engama-80.
Esikhathini sokucwaninga okubandakanya amadoda aseSweden aphakathi kweminyaka engu-69 kuya ku-81 eyashicilelwa kuyi- Bone & Joint Journal ka-Agasti 2015 , uKherad nabangane bathola ukuthi u-15% wabathintekayo babhekene nokuhlukana kwamagciwane okuhlobene nesibalo samaminerali esincane se-bone and osteoporosis. Lawo madoda ayenamaqembu angaphezu kuka-3 abe nenhlangano eqinile nakakhulu.
Ukwelashwa kwe-Vertebral Wedge Ukuphulwa.
Ukuhlukunyezwa kwama-vertebral kungaphathwa ngendlela efanele ngokuphumula kombhede, ukuqeqesha nokuqina kwamandla, futhi-ke, ukulawula ubuhlungu. Lapho ukuhlinzeka kufanelekile, ngokuvamile i-kyphoplasty noma i-vertebroplasty engaphansi komzimba inikezwa.
Zomi zombili yizinqubo ezingenasidingo ezincane ezethula isitenti sezokwelapha endaweni ukuze kubuyiselwe ukuphakama nokuma kwe-spinal bone.
> Imithombo:
> Babb A1, uCarlson WO. I-vertebral compression fractures: ukwelashwa nokuhlolwa. I-SD Med. 2006 Aug.
> Davenport, M., MD, et. U-Al. Ukuqhekeka kwe-Cervical Spine Fracture. Iwebhusayithi yeMedscape. Kugcine ukubuyekezwa Sept 14, 2014.
> Kherad, M., MD. Inombolo kanye nezici ze-fracture ezivame ukutholakala kwamadoda asebekhulile zihlotshaniswa nesisindo esincane se-bone kanye nesifo se-osteoporosis. I-Bone & Joint Journal. Agasti 2015
> I-Vaccaro, A., MD., Isihluthulelo: Ulwazi Oluyisisekelo kuma-Orthopedics. Mosby / Elsivier. Philadelphia. 2005.
> Zehnder SW1, Lenarz CJ, Indawo HM. Ukuzinza nokuthembeka kwesimiso esisha sokuhlukanisa ukulimala komgogodla ophansi. Isiphetho. September 2009