Iyo inonzi intervertebral hernia yemucheche yepervical spine chirwere chinowanzojairika, zviratidzo zvaro zvinowanzowanikwa kune vanhu vane makore makumi matatu kusvika ku50. Ngationgororei nekunyatsorondedzera kuti chii ichi chirwere uye kuti chingazviziva sei.
Chii chinonzi hernia chepervical spine?
Muchechi chikamu chikamu chepamusoro chetenderedzwa, iyo inosanganisira zvinomwe zvinonzi vertebrae. Iyi chikamu chepemusoro chinoratidzwa nekufamba kukuru uye, panguva imwe chete, kunetseka kukuru kwekukuvadzwa kunorwadza.
Simba uye kushanduka kwemupfungwa zvinopiwa ne intervertebral discs iri pakati pe vertebrae uye ndeye fibrocarticular plates. The intervertebral disc ine zvikamu zviviri:
- tsvina yekasi;
- ring ring.
Nechipupuriro pane kushanduka kwemukati wepaspus uye kuputika kwemhete ye fibrous, semugumisiro wekuti midzi yemoya inowedzera kubva mumutsipa wepelinha inomanikidzwa. Pane kutyora kwehutano hwemasinga emidzimu ne oxygen uye mishonga, uye kuitisa kwehutano hwepfungwa kunogumirawo.
Zvinokonzera hutachiona hwemuviri wekervical:
- kusarudzo kusina kururama;
- spine trauma;
- kusagadzikana mitoro pamusana;
- mararamiro ehupenyu;
- zvinokonzera kupera mu vertebrae, nezvimwewo.
Zviratidzo zveharia yepervical spine
Zviratidzo zvehavha mumuromo wemumuromo, sekutonga, zvinoitika kamwe kamwe. Zviratidzo zvechirwere zvinogona kusiyanisa zvishoma zvichienderana nehupi humwe hutano hwakatambura. Zviratidzo zvakanyanya zvemukati wepistobral hernia yemudzinza mutsva inotevera:
- kushungurudzika, kurwadziwa kunorwadza mumutsipa (kunyanya, nzvimbo yepashure yenzvimbo), iyo inowedzera nekutendeuka nematope emusoro, nekukwevera nekunyomba;
- kutsamwa kwemanzwiro anorwadza, umo maine kushungurudzika kwemisanganiso uye kururamisa kwebhandi repamusoro, mumapfudzi, mafudzi kana maoko;
- misoro uye chizoro;
- ropa rinokwira;
- kupera kweminwe ;
- kushungurudzika, kushungurudzika kwepfungwa mumaoko;
- kurara nokuyeuka zvinetso, nezvimwewo.
Nokukurumidza zviratidzo zvehutano hwechibereki chepervical vertebra zvinowanikwa, zviri nyore kurapwa kuchave kuripo. Asi zvakare inofanira kuongororwa kuti zviratidzo izvi zvinoratidzwa pamusoro apa zvinogona kuonekwa mune dzimwe zvirwere, saka, kuti zvive nechokwadi chekuongorora, chinangwa chekuongorora chinofanira kuitwa.
Kuongororwa nezviratidzo zvehutachiona hwemucheche
Nzira inonyanya kudzidzisa uye inraumatic yekuongororwa kwepisterbrbral hernia yedhipatimendi yemudumbu inonzi magnetic resonance imaging (MRI). Nenzira iyi, nyanzvi inogona kuwana tsanangudzo yakazara pamusoro pehukuru uye chimiro chemunda wayo, mamiriro ekufambira mberi, kufambisa hupfumi hwakapoteredza zvivako zvakapoteredza, hutachiona hutachiona, uye huongorori mamiriro ehupenzi sezvakazara.
Zivai kuti chirwere chinonzi intervertebral hernia mumutsara wemumuromo chinogonawo kushandisa computed tomography (CT). Asi nenzira iyi shanduko yezvinyama zviduku mumifananidzo
X-ray dzine zviratidzo zvaro zvinowanzoshandiswa uye, kunyanya, kungosiya zvimwe zvirwere zvemupaka. Izvi zvinokonzerwa nekuti zviratidzo zvemashoko emunharaunda yemunharaunda yekervical hazvizive, nokuti iyo X-ray haina kutarisa mamiriro ezvinyoro zvishoma.
Imwe nzira yakajeka ndeye myelogram (inonzi X-ray iri kushandisa dae), iyo inokubvumira kuona kuvhara kwemutsipa, tumarara, kukura kwemapfupa. Kukanganisa kwemidzi dzemawere kunogona kuonekwa ne electromyography.