Ukuphuka komshini wokudutshulwa kwesikhumba kungukuhlukunyezwa kokuvuswa , ngokuvuswa okubhekisela kokudonsa noma ukuqothula okuthile okungazelelwe. Ukuhlukunyezwa kwezivunguvungu ngokuvamile kubangelwa ukugqithisa ngokweqile, ngokungazelelwe kwemisipha ehlanganiswe nezinqubo ze-spinous. (Isibonelo somsila onjalo yi-trapezius.) Lokhu okuyingqayizivele, okunamandla, ukukhwabanisa kungahle kwenzeke emisebenzini ethile yokuklabalaza; ngakho-ke, igama.
Uma kwenzeka ukuphuka kwefostile yomdaka, ikhefu eliholela emotweni yenqubo ye-spinous ye-one (noma ngaphezulu) i-vertebrae e-spine phezulu. Ngokuvamile, yi-C6, C7, kanye / noma ama-T1 amazinga athintekayo, kodwa lokhu kulimala kungenzeka kwezinye izindawo zomgogodla wesibeletho noma ngaphezulu kwe-thoracic umgogodla. Ukuhlukana kwama-craveler kungenziwa ezingeni elilodwa lomgogodla, nakuba lokhu kungavamile.
Ubani engozini
Ezamanje amazwe asezimboni, ukwehlukana kwezinqubo ezivuthayo zomlomo wesibeletho ngokuvamile kubangelwa umthelela oqondile noma ukuhlukumezeka kwenqubo ephazamisayo (spinous process), kuyilapho lo muntu eguquguquka entanyeni yakhe. Ngenxa yalesi sizathu, azikho izici ezingozini zokukhuluma ngazo (ngaphandle kokuthi kuzimo ezenza ube yingozi kulolu hlobo lomthelela).
Lokho kuthiwa, ekuqaleni kwekhulu lama-20, ukuphuka kwesibhudo sebumba kwakuvame phakathi kwabasebenzi futhi owaziwayo odokotela. Lokhu kungenxa yokuthi emuva ngosuku (lwe-Industrial Age) kwakuyinto evamile yokulimala emsebenzini okubambe iqhaza kwabasebenzi ababenemithwalo yemithwalo yemithwalo esindayo ngokuphindaphindiwe.
Kodwa manje ukuthi sisezinkathini zobuchwepheshe, imishini, isofthiwe, kanye nezinhlelo zokusebenza, ikakhulukazi emphakathini waseNtshonalanga, zithathele umsebenzi omkhulu onzima. Ngakho-ke odokotela kanye nabanye ochwepheshe be-spine cishe baye balikhohlwa ngokuqhekeka kwesibhamu se-clay. Ngenxa yalokhu, kungenzeka ukuthi ukuhlukunyezwa kwefosholo yomdaka kubangelwa ubuhlungu bentamo yakho ngesikhathi sokuxilongwa.
Uma kwenzeke ngeqhwa ledimu noma idizadi futhi ubona udokotela wakho ngobuhlungu bentamo, mhlawumbe umqondo omuhle ukukhuluma ngalezi zinto kuye. Ukwenza kanjalo kungamxwayisa ukuthi kungenzeka ukuthi ukuphuka kwesibhulodi sebumba, futhi kukusindise isikhathi kanye nezindleko ezama ukuthola ukuthi kwenzekani ngentamo yakho.
Okufanele Uyenze Ngezinhlungu
Ukugqoka ikholomu yomlomo wesibeletho nokuvimbela ukunyakaza kwentamo yakho izinyanga ezimbalwa kungase kusize ubuhlungu. Ngokuvamile, azikho izimpawu zesifo (isib. Izinsizi nezinaliti, ukushuswa kagesi, ukuvutha kanye / noma ubuhlungu obuwela phansi ingalo eyodwa kuphela) ehambisana nokuphuka kwesibhulodi sobumba.
Kungakhathaliseki ukuthi kwenzeka kanjani, uma uhlangabezana nanoma yiluphi uhlobo losizi noma umthelela entanyeni yakho , kufanele ubone udokotela wakho ngokushesha.
Imithombo:
I-Akhaddar A1, i-Mandour C2. Amaphutha e-Cervicothoracic ama-clay-shoveler (aphuma ku-C6 kuya ku-T9 vertebrae). I-Af Af Med J. 2013 Dec 2; 16: 128. doi: 10.11604 / pamj.2013.16.128.3531. eCollection 2013.
I-F1 enhle kakhulu, i-Gaucher A. Ukuphuka kwe-Clay-shoveler. Ukucindezeleka ukuphazamiseka kwezinqubo eziphansi zomlomo wesibeletho kanye ne-thoracic spinous. Rev Rhum Engl Ed. 1998 Oct; 65 (10): 575-82.