Izincazelo ezihlangene ze-Intervertebral
Umhlanganiso we-intervertebral uhlanganisa iyunithi yokusebenza yama-vertebrae amabili eduze. Lezi zinyunithi zihambisa ukuhamba komgogodla. Odokotela abahlinzayo, odokotela, ochwepheshe be-spine kanye nochwepheshe be-biomechanic babhekisela ekuhlanganyeleni kwe-intervertebral aa "ingxenye yokunyakaza."
Amaphoyinti omhlangano wamathambo amabili omgogodla abandakanyekayo ekwenzeni i-joint intervertebral yimizimba ye-vertebral (ingxenye engaphambili) kanye ne-vertebral arch (ingxenye engemuva).
Phakathi kwemizimba ye-vertebral, ukuxoshwa kunikezwa ukutholakala kwama-disc intervertebral. Phakathi kwama-vertebral arches, ukunyakaza kuhlinzekwa futhi kunqunywe ngamalungu amancane.
I-disc intervertebral ngokuvamile iyisayithi lobuhlungu, kanti kunezimo eziningi ezingase zibe khona lapho. Ezinye, njenge-disni herniated, ngokuvamile zibangelwa ukulimala, kanti ezinye, njengezifo ze-disc degenerative, zivame ukuhlobene nenqubo yokuguga.
Funda kabanzi mayelana nezinhlobo ezihlukahlukene zobuhlungu be-disc: Izindlela ezingu-3 Izindleko Zakho Zingase Zikhombise Ubuhlungu
Ukuhamba kuzo zonke izinkomba (phambili, emuva, ngakwesokunene nokuphikisana) kwenzeka ezinhlanganisweni eziningi ze-intervertebral emgodleni. Izigameko ezenziwe ngamagundane amazinyo ezinamandla ezixhumene nezicubu ezihlangene zisiza ukuqiniswa kwamalungu okuxhumana phakathi kokunyakaza nokusekela ikholomu ngesikhathi sesisindo. Amanye amalunga eyaziwa njengezici, ezitholakala ngemuva kwekholomu, usizo luzinzile umgogodla, futhi.
I-Spinal Fusion ne-Intervertebral Joint
Ukuhlinzekwa kokugaya umgogodla, njengoba igama lisikisela, kuyinkqubo eqhuma amalunga amabili noma ngaphezulu e-intervertebral ndawonye. Ngezinye izikhathi ukuxuba kwenziwa kanye ne- discecto yami , kanti ngezinye izikhathi i-discectomy inikezwa yedwa.
Ukuhlanganiswa komgogodla kuvame ukuqhutshwa ezingxenyeni ezingaphezu kweyodwa "ingxenye yokunyakaza," okungukuthi ukuhlanganiswa okungaphezu kweyodwa kwe-intervertebral kufakwa.
Ukuhlinzwa kwe-Scoliosis yisibonelo esihle salokhu (nakuba ngokuqinisekile akuyona eyedwa kuphela.) Inhloso yokuhlinzeka nge-scoliosis ukunciphisa izinga lokujikeleza ochungechungeni lwe-vertebrae eseduze.
Phakathi kwezinhlobo eziningi zokuhlinza umgogodla, ukuhlanganiswa komgogodla kutholakala kakhulu - futhi ikakhulukazi, i-lumbar (low back fusion). Kuyinto evamile, Empeleni, abacwaningi baye bathatha umsebenzi wokuhlola ukusebenza kwawo. Abanye baphetha ngokuthi lokhu kuhlinzwa kunikezwa nini futhi kuphi lapho kungadingekile, futhi akusikho njalo kuholele ekusizeni ubuhlungu kanye / noma ukusebenza ngcono ngokomzimba kuziguli.
Isibonelo, uRick Deyo, et. al. ekutadisheni kwabo, "Ukubhebhethekisa ubuhlungu obungapheli emuva: isikhathi sokubuyela emuva?" eyanyatheliswa kuyi-January-February ngo-January we- Journal of the American Board of Family Medicine ukubika ngezilingo ezine zomtholampilo ezitholakale zathola umfutho we-spinal for degenerative dis disease ngaphandle kwe-sciatica eyanikeza inzuzo encane.
Ababhali bayasho lokhu nakuba kungenasizathu sangempela sokuthi kungani ukuqhutshwa komgogodla okwedlulele kufanele kwenziwe, ukusetshenziswa kwabo kwasakazela u-220% phakathi kweminyaka ka-1990 no-2001 e-United States. Bathi lokhu kwenyuka ngokushesha ngo-1996, lapho i-fusion cage, okuyinto uhlobo olusha lwe-instrumentation ngaleso sikhathi, yamukelwa yi-FDA.
Abacwaningi bacacisa ukuthi lokhu kuvunyelwa kwe-FDA kuncike ukwanda kwezinqubo.
Futhi ekugcineni abalobi bathi ngaleso sikhathi, i-Medicare ithi ukuhlinzwa komgogodla kwenyuka ngama-40%, okwenyuka ngo-70% kuzo zonke izilinganiso zokuhlinzwa zomgogodla we-spinal, kanye nama-100% ezimpilweni (njenge-fusion cage.)
Umthombo:
UDeyo, RA, Mirza, SK, Turner, JA, Martin, BI Ukudlula ubuhlungu obungapheli emuva: isikhathi sokubuyela emuva? J Am Board Fam Med. Jan - Feb 2009.