I-vertebral end plate iyindawo-eqinisweni isebenza njenge-interface-phakathi kwe- disc intervertebral kanye nethambo (lomzimba we-vertebral) ngaphansi. Uma uqala ukucubungula, kungase kubonakale sengathi uthanda ipuleti yokuphela akusikho ithambo ngokugcwele, hhayi ukuqothulwa ngokugcwele, kodwa inhlanganisela yale mibini.
Futhi kungenzeka ukuthi ulungile. Ngokwalesi sihloko esithi "Indima Ye-Vertebral End Plate e-Low Back Pain," ukuphela kweplate kube ne-bilayer ye-cartilage ne-bone eyenza ukuhlukaniswa phakathi kwe-diskiable disc ne-vertebra eqinile.
Emhlane ophansi, umgogodla unomthwalo omkhulu futhi uncike emandleni amakhulu okunyakaza. I-disks, ngakolunye uhlangothi, ayitholakali emithanjeni yegazi. Njengomuthi ophakathi phakathi kokubili, amapuleti wokugcina akhokhiswa kokubili ukuthi unamandla okusiza ekuvimbeleni ukuphuka kwe-vertebral futhi ephazamisekile ukusiza izakhi ezigeleza phakathi kwamaseli ku-disc namapillari ethambo, i-Lotz, et. kusho.
Amapuleti wokuphela mhlawumbe ayindawo engcupheni kakhulu yama-discs futhi awonakele kalula uma ecindezelwe. Uma lokhu kwenzeka, kungase kwandise umsebenzi wokuxhumana phakathi kwezinto ezivuthayo ezise-disc kanye nemithambo yegazi esetshenziseni lomthambo. I-plate yokuphela ewonakele, i-Lotz, kanye nabacwaningi abalingana nabo bathi, banganikeza isayithi lomnkantsha we-bone osebenzayo ohlanganisa ukwandisa izinzwa ezithinta ukunyakaza, izinguquko ezikhundleni, (okungukuthi, isisusa somshini) kanye nokunye okwenziwe ngamakhemikhali.
Ukuqeda ukulimala kwe-MRI
Inkinga iwukuthi, lolu hlobo lomonakalo wokuphela kwekhabethe olungaphephile lungase lube nzima ukuluhlola nokuhlola ukuhlola izithombe ezifana ne-MRI.
Ngenxa yalesi sizathu, i-Lotz, Fields, ne-Liebenberg bathi ngisho noma umonakalo wokuphela komgwaqo ongenakulungiswa ungaba umthombo wezinhlungu ezingapheli ezinqolobaneni, odokotela mhlawumbe abakuboni kakhulu uma behlola iziguli zabo.
Ngokusho ngu Nguyen, Poiraudeau, noRannou, i-MRI ingakwazi ukuthola izinguquko emgqeni wamathambo weplate yokuphela okungase ihlotshwe nesifo se-disc degenerative kanye nobuhlungu obungapheli obuya emuva .
Lezi zibizwa ngokuthi izinguquko ze-Modic. Abacwaningi basho ukuthi izinguquko ezinjalo zingase zihlobene nokuvuvukala kwendawo, futhi ziphakamise ukuthi ushintsho lwe-Modic lungaba yi-biomarker yokukhomba ukuxhumana phakathi kwezinguquko zamathambo nobuhlungu kwezinye izinhlobo zeziguli ezinezinhlungu eziphansi. Lokhu, futhi, kungase kube lula ukulungisa okunye okuhloswe emuva kwezokwelapha.
Imithombo:
Hadjipavlou, AG, Tzermiadianos, MN, Bogduk, N., Zindrick, MR Isihloko sokubukeza. I-pathophysiology ye-dis degeneration: Ukubuyekeza Okubalulekile. I-Journal of Bone & Joint Surgery. Okthoba 2008.
I-Lotz, JC, Fields, AJ, Liebenberg, EC Imisebenzi Ye-Vertebral End Plate e-Low Low Pain Global Spine J. 2013 Jun; 3 (3): 153-164.
Nguyen C., Poiraudeau S., i-Rannou F. Vertebral ithambo lesigqila. Ama-osteoporos Int. 2012 Dec.
I-Wheff, i-Clifford, i-R., III, i-MD, i-Cartilagenous End Plate ye-Intervertebral Disc. Kugcine ukubuyekezwa ngo-Ephreli 2013.