Ọ bụrụ na ị nwere ọrịa ogbu na nkwonkwo , o yiri ka ị ga-ata ụta gị niile na ọrịa ahụ. A sị ka e kwuwe, ọ bụ ọrịa na-adịghị ala ala na ihe mgbu na-emetụ n'ahụ bụ isi ihe mgbaàmà. A na-ejikarị ọrịa ogbugbu na-egbu azụ, mana ogbu na nkwonkwo nwere ike imetụta ọkpụkpụ azụ.
Nkwonkwo Na-ejikọta Lumbar na-etinye aka na Spine
Ọrịa ogbu na nkwonkwo nke na-emetụta ọkpụkpụ azụ nwere ike ime ka ihe mgbu na-egbuke egbuke , azụ mgbu, na enwere ike ịmịpụ ọrịa (mgbu nke na-egbukepụ ụkwụ ma ọ bụ ogwe aka) n'ihi mkpesa nke irighiri akwara n'ime ụbụrụ ma ọ bụ mgbọrọgwụ akwara.
Mgbe ọrịa ogbu na nkwonkwo bụ isi iyi nke mgbu azụ, ọ bụ ihe a na-ejikarị eme ka ọkpụkpụ azụ ahụ (mpaghara olu) bụrụ ihe emetụta kama akara azụ thoracolumbar ma ọ bụ nkwonkwo sacroiliac . Ogwu ogwu na-etinye aka na ọrịa ogbu na nkwonkwo na-aputekarị na oria ojoo.
Ọ bụ ọkpụkpụ azụ na-ahụkarị nke na-emetụta ọrịa ogbu na nkwonkwo. Akwụsị nke njikọta nke na-akwado nke mbụ na nke abụọ cervical vertebrae (C1 na C2) nwere ike iduga enweghi ike na ọkwa ahụ nke spine. Ndị ọrịa na-arịa ọrịa ogbu na nkwonkwo kwesịrị ịbụ ndị a na-atụle mgbe nile maka ihe mgbaàmà nke subluxation (dislocation nke anya n'ihu) na spine cervical. Ọ bụrụ na subluxation na-akpata mkpakọ nke eriri afọ, enwere ike ịnwe ihe ịrịba ama nke itinye ogologo traktị (ihe ndị dị n'elu elu igwe), tinyere hyperreflexia (ntụgharị reflexes).
E nwere ụzọ abụọ nwere ike isi kọwaa ntinye aka nke nkwonkwo ụkwụ na nkwonkwo nke ọrịa ogbu na nkwonkwo:
- Mgbatị nke usoro mkpali nke sitere na nkwonkwo neurocentral dị n'akụkụ ebe a chọpụtara (interface n'etiti diski na vertebral ahụ).
- Ọgba aghara oge ochie nke apophyseal (facet) kpatara mbibi ya, nke na-eduga nchịkwa ma ọ bụ subluxation, nke nwere ike ịkpata mkparịta ụka nke mkpụrụ akwụkwọ vertebral, ikpuchi ya, ma ọ bụ imebi nke cartilage diski.
Ejikọtala nkwonkwo nkwonkwo nke ngwongwo nke lumbar na nkwaka na arthritis rheumatoid na oge, nke kachasi na-esote ọmụmụ ihe na post-mortem. N'ime usoro ọgwụgwọ, tupu enwee ike ịchọpụta na itinye aka na spinal lumbar nwere ike ịchọpụta, ihe kpatara ya na-akpata ihe mgbu (dịka, mkparịta ụka mkparịta ụka) ga-achịrị.
Okpokọta Spine Ejikọtara na Ọrịa Ogbu na Ọrịa
Mgbaàmà ndị a na - ejikọtakarị na ọrịa ogbu na nkwonkwo nke ọrịa na - egbuke egbuke na nke a ga - ahụ maka onye ọrịa gụnyere:
- Nkọwa nke mpaghara emetụ nke spine na-akpata obi ụtọ
- Mgbochi na mpaghara nke emetụ ahụ
- Crepitus , karịsịa na mpaghara olu
- Isi ọwụwa nwere ike ime na ọrịa ogbu na nkwonkwo akwara
- Mgbu nke na-ekpuchi otu ma ọ bụ abụọ ogwe aka, indicative nke cervical spinal mgbọrọgwụ mgbọrọgwụ (cervical radiculopathy)
- Mgbu nke na-ekpuchi otu ma ọ bụ abụọ ụkwụ, indicative nke lumbar akwara mgbọrọgwụ itinye aka (lumbar radiculopathy)
- Ịga ije na-esiri ike, nke bụ ihe mgbaàmà nke nrụgide dị ukwuu na eriri afọ
- Tingling, ike nke ogwe aka ma ọ bụ ụkwụ, mgbanwe na nhazi na nhazi nke nwere ike ịbụ ihe ịrịba ama nke akwara azụ
- Nsogbu nke ikiri ụkwụ ma ọ bụ eriri afọ (dịka, incontinence, enweghi ike urinate, ma ọ bụ enweghị ike ịchịkwa obi) nwere ike ịbụ ihe akaebe nke itinye aka na azụ. Nke a chọrọ nlebara ahụ anya ozugbo.
Ọ bụrụ na ọrịa ogbu na nkwonkwo na-akpata mbibi nke nkwonkwo facet na spine, ọnọdụ a maara dị ka spondylolisthesis nwere ike ịmalite. Site na spondylolisthesis, otu mkpụrụedemede dị n'elu na-ese n'ihu gaa n'elu nke ọzọ n'akụkụ obere vertebra. Akwukwo vertebra ahụ nwere ike itinye mgbakwunye na ogwu ma ọ bụ mgbọrọgwụ mgbọrọgwụ ebe ha na-apụ na ọkpụkpụ azụ ma mee ka ụfọdụ nsogbu ndị ahụ e kwuru na mbụ metụtara nrụgide na eriri afọ.
Isi mmalite:
> Ọrịa Ogbu na nkwonkwo nke Na-emetụta Azụ. Ọrịa Ogbu na nkwonkwo. https://www.arthritis.org/about-arthritis/where-it-hurts/back-pain/causes/back-arthritis.php.
> Currier BL, Coblyn J. Cervical Subluxation na Rheumatoid Ọrịa Ogbu na nkwonkwo. Kwalitere ruo ugbu a. http://www.uptodate.com/contents/cervical-subluxation-in-rheumatoid -arthritis.
> PJW ndị a na-adịghị ahụ anya, Maini RN. Ihe ngosi ahụike nke Arthritis Rheumatoid. Kwalitere ruo ugbu a. http://www.uptodate.com/contents/clinical-manifestations-of-rheumatoid -arthritis.