I-Chronic Back Vertebrogenic Pain kunye ne-Vertebral Endplates

Uphando lufumanisile I-vertebrogenic chronic back back pain inokubangelwa ngu i-lumbar vertebral endplate Utshintsho olubandakanya i nervertebral nerve kwaye ayinxulumananga nediskhi. Isizathu esisisiseko sentlungu ephantsi engapheliyo kunokuba nzima kakhulu ukuxilonga. Iidiski ze-intervertebral ngumrhanelwa oqhelekileyo, kodwa xa unyango olunxulumene ne-disc lungathomalali intlungu, ingxaki yengcambu inokuba yenye into. Abaphandi baphonononga indawo engahoywayo kunye ne-vertebral endplates yimbangela ye-vertebrogenic low back pain.

Uphando lufumanise ukuba zikho ii-nerve ezingakumbi kwii-vertebral endplates Kunakwi-discs discs. I-nerve ezingakumbi zingathetha amandla aphezulu / ukunyuka kwentlungu. Njengazo ezinye iindawo ze umqolo onje ngee-disc kunye nokudibana, i-vertebral endplates nayo inokuwohloka, ikwandisa umngcipheko wentlungu.

I-Vertebral Endplates kunye ne-Basivertebral Nerve

I-vertebral endplates umgca ophezulu nezantsi nganye i-vertebral body. La ngamathambo ajikelezileyo, atyhafileyo, anzima ubunzima bomqolo. I-vertebral endplates yenziwa iyakwazi okanye ithambo le-spongy kunye nokusebenza njengomqobo phakathi kwe-disc nganye kunye ne-vertebrae.

I-back back / lumbar spine ithatha ubunzima kakhulu. Oko kunokuba sisixa esikhulu soxinzelelo kwizakhiwo ezisezantsi ngasemva. Izibambiso zibekwe phakathi kwe idiski evaliweyo (cushioned disc / s) kunye ne-hard bony vertebral body ukuzenza Umngcipheko wokuwohloka komonakalo kunye nerve ukufaka isandla kwiintlungu ezisezantsi ezingapheliyo. Izixhobo zokugqibela kunye nemizimba yanyango inento yenethiwekhi ye imithambo-luvo yangaphakathi.

Imithambo ye-Intraosseous ihlala ngaphakathi kwithambo.

I-basivertebral nerve (i-BVN) yinzwa ye-intraosseous ejikeleza imizimba ye-vertebral. Le nzwa yondla kwithambo ngalinye lomqolo ngasemva komzimba we-vertebral kwaye emva koko imasebe aphuma kunye nemithambo-luvo ukuya phezulu kunye nezantsi kwe-vertebral endplates. Uphando luye lwabonisa ukuba nangona ezi mithambo-luvo zingaphakathi kwethambo zinokuthumela iimpawu zentlungu kwi-endplate ye-vertebral eyonakeleyo enokubangela intlungu ephantsi ye-vertebrogenic. Yiyo loo nto sele idityaniswa kutsha nje njengesizathu esinokubakho ubuhlungu obungapheliyo.

Intlungu ebuhlungu emgogodleni iye yadityaniswa ne discs eziye zonakala. A ugqirha, i-chiropractor / ingcali yomgogodla ibhekisa kule njengentlungu ye-discogenic. Kodwa ngophando olutsha, ukuqonda umsebenzi I-vertebral endplates kunye ne-BVN yokudlala kwiimvakalelo zentlungu sele iqatshelwe kwaye kulapho igama elithi intlungu ye-vertebrogenic lisuka khona. Ukuba ugqirha ufumanisa ukuba i-endplates isenokuba ngumthombo weentlungu zakho ezisezantsi ezingezantsi, banokusebenzisa eli gama.

I-Vertebral Endplate Pain Diagnosis

Njengoninzi lweemeko zentlungu zangasemva ezifumanisa ukuba i-vertebral endplate pain isenokuba ngumceli mngeni. Oku kungenxa yokuba isifo imifanekiso yokuskena ayithathi monakalo ophakathi ukuya kophakathi. A umgangatho wokuhlelwa waziwa njengeenguqu zoModic inceda ogqirha ukuba babone intlungu ye-vertebrogenic.

Utshintsho lweModic okanye i-MC ziindawo bonakala kwi-MRI ekuboniseni ukulimala kwamathambo edibene neentlungu ezisezantsi zangasemva. Igama livela kugqirha ukuba Bacwangcisa ngo-1988, uGqirha Michael Modic. Utshintsho lweModic lunceda ogqirha kunye neengcali zespine zibone kwaye ziqonde unxibelelwano phakathi komonakalo wesiphelo sendawo esibuhlungu kunye nentlungu ephantsi engapheliyo.

Zimbini iintlobo ezichongiweyo bonisa unxibelelwano phakathi Umonakalo ongapheliyo we-vertebral endplate kunye nentlungu ephantsi engapheliyo:

chwetheza 1

Olu hlobo lubonisa a�uphuhliso� kwiinqanawa ze-vertebral body, ezibandakanya:

• Ukuvutha
• I-Edema, ingqokelela yokugcwala okungaphezulu
• Beka iinguqu njengesiqhekeza okanye uqhekeza / s kwisiphelo sendlela

chwetheza 2

Olu hlobo lutyhila utshintsho kumongo wethambo iidipozithi zamafutha ethathe indawo ye ummongo wethambo.

Ukuba i-MRI ye-lumbar ibonisa iNqanaba loku-1 okanye udidi lwesi-2, ugqirha unokucebisa isicwangciso sonyango esingaquki:

• Ulungiso lwenyama
• Chiropractic
• Amachiza
• ukuphulula umzimba womntu ngobunono
• Ukwenza i-Acupuncture

Ezi zinokusetyenziswa ngokudibeneyo kunye nokukhathalelwa kwengcali yomgogodla ukulungisa iingxaki kunye nentlungu. Nangona kunjalo, ukuba Intlungu ayidambisi okanye inciphise ngonyango lokuthambisaUgqirha unokucebisa i Inkqubo yokuphuma.

Ukunyanga i-Vertebral Endplate Pain

Olu khetho lonyango luyaziwa ngokuba yi I-Intracept� Inkqubo yokukhupha iNerve ye-Intraosseous ejongene nentlungu ye-BVN nerve kwaye yinkqubo encinci.

Abagqatswa kule nkqubo bahlala benelungelo lokudibana noku kulandelayo:

• Umntu ngamnye uneengxaki zentlungu ephantsi engapheliyo kangangeenyanga ezintandathu
• Intlungu ayiphungulwanga / inyibilikisile okungenani iinyanga ezi-6 zokukhathalelwa
• Imiboniso ye-MRI Uhlobo lwe-1 okanye Uhlobo lohlobo 2 lweenguquezidibanisa iimpawu ze-vertebrogenic low back pain

Inkqubo isebenzisa ifloroscopy okanye ividiyo ye-x-ray. A ityhubhu ecekeceke ebizwa ngokuba i-cannula ifakwe kwi I-vertebral pedicle. Isiseko sentsika sisakhiwo esiphuma ngasemva kwe i-vertebra. Imigudu ye-cannula indlela yayo eya kwi-nervertebral nerve. Ugqirha ke uyaqhuba Umvelisi weRadiofrequency ye-Intracept kwindlela ye-nerve kwaye iziqhulo yonakalisa / isusa naziphi na izithintelo kwi-nerve ngoncedo lwe-generator frequency. Kuba oko Inkqubo engeneleli inokwenziwa kwiklinikhi yokuphuma ngaphandle, ivumela isigulana ukuba sigoduke ngosuku olunye.

Isixhobo / isixhobo esisetyenzisiweyo kwinkqubo asiyofakwa emgogodleni. Iyasuswa yakuba inkqubo yenziwe.

Ukulindela ukuba ixesha lokuphumla kwentlungu liza kuhlala ixesha elingakanani kuxhomekeke:

• Ubungakanani bemeko
• Unyango lwangasemva komzimba
• Uhlobo lomsebenzi
• idayethi
• Lolonga

Olunye uphononongo lubonise izibonelelo eziya ihlala iminyaka emibini.

UkubaUnyango lwenyango alusebenzanga ubuncinci isithandathu iinyanga zithetha nodokotela wakho ukufakwa kwe-nervertebral nerve kwi-vertebrogenic chronic back back pain. Kukho umngcipheko kunye nezibonelelo zombini ezi kufuneka zixoxwe ngokunzulu.

Endplate okanye Disc kunye Root unobangela

Iidiski ezi-intervertebral zihlala ziba zezona zinto zixhaphakileyo zentlungu ephantsi. Kodwa zisenokungabi ngunobangela wentlungu yomqolo. Uphando ngakumbi luyaqhubeka nendima edlalwa zii-vertebral endplates eziyidlalayo kwimpilo yomqolo. Njengabaguli abaninzi bafunyanwa kwangoko iziphumo ezingcono zexesha elide ziya kulandela.

Zenza ntoni iiChiropractors kwaye kutheni bezenza

Izibonelelo zeNCBI