Uvavanyo lokuThengisa iDiagnostics

Ukujonga ukuxilongwa ziyinxalenye ebalulekileyo ekuhlolweni kweengxaki zentlungu. Kwiminyaka embalwa edluleyo, ukuveliswa kwezinto zobugcisa zobugcisa ngokukhawuleza kwatshintshile kakhulu ukuvavanywa nokunyangwa kwezilwanyana zasemlonyeni. Ukucatshungulwa koxilongo usebenzisa i-CT kunye ne-MRI, phakathi kwezinye, kunceda kwizicwangciso ezinzima kunye nezilwanyana ezingapheliyo. Ukulimala komnxeba kunye nokuxhatshazwa kwezicubu ezincinci kuhlolwa ngokugqithiseleyo ngemifanekiso yamagnetic resonance, okanye i-MRI. Injongo yendiqendu engezantsi kukubonisa ukubaluleka kokuxilongwa kweengcamango kwintlungu yomqolo.

UkuVavanywa koLwaphulo lweCervical Spracture Assessment

Iimpawu zoBuchule

Ngokumalunga ne-5-10% yezigulane ezingenalwazi ezinikezela kwi-ED njengesiphumo sengozi yemoto okanye ukuwa kunobungozi obukhulu kumgca wesibeleko. Uninzi lwentambo yomkhuhlane luvela kumanqanaba amabini: inxalenye yesithathu yenxeba iyenzeka kwinqanaba leC2, kwaye isiqingatha senxeba senzeke kwinqanaba leC6 okanye iC7. Unobungozi obuninzi obunobungozi bomkhuhlane buvela kwinqanaba eliphezulu lomlomo wesibeleko, mhlawumbi kwiqela le-craniocervical C1 okanye i-C2. [1, 2, 3, 4, 5, 6, 7, 8]

Anatomy

I-anatomy evamile yomgudu wesibeletho iqukethe i-7 vertebrae ehlukaniswe ngama-disks e-intervertebral kwaye ihlanganiswe yinkqubo edibeneyo yegigaments. Le mijelo igcina izinto ezizimeleyo ziziphatha njengeyunithi enye. [7]

Jonga umgca wesibeleko njengamakholomu ahlukileyo amathathu: yangaphakathi, phakathi, kunye nasemva. Ikholam yangaphambili iqulethwe yimizila ye-longitudinal longitudinal kunye ne-anterior-third of the bodies of vertebral, i-annulus fibrosus kunye neediski ze-intervertebral. Ikholam ephakathi iqulethwe yithuba elide elingasemva kwesigxina kunye nesithuba sesithathu sesigqeba se-vertebral, i-annulus kunye ne-disversional disc. Ikholam ephezulu equlethe zonke izinto ezinobunzima ezenziwe ngama-pedicles, iinkqubo ezithintanayo, iinkalo ezicacileyo, i-laminae kunye neenkqubo ze-spinous.

I-longitudinal longitudinal ligaments igcina ingqibelelo yesakhiwo yamakholamu angaphakathi naphakathi. Ikholam ephezulu egcinwe ngokulungelelaniswa yinkqubo enzima yinkimbinkimbi, kubandakanywa isakhiwo seLigament complex, i-capsular ligaments, kunye ne-ligamenta flava.

Ukuba ikholomu enye iphazamisekile, ezinye iikholomu zinikeza ukuzinza okwaneleyo ukukhusela ukulimala kwentambo yomgca. Ukuba iikholomu ezimbini ziphazamiseka, umgudu unokuhamba njengamaqela ahlukeneyo ahlukeneyo, okwandisa amathuba okulimala kwentambo yomgogodla.

I-atlas (i-C1) kunye ne-axis (i-C2) ihluke ngokucacileyo ukusuka kwezinye i-vertebrae yomlomo wesibeleko. I-atlas ayikho umzimba we-vertebral; Nangona kunjalo, iqulethwe ngophawu oluphezulu lwangaphambili kunye namacandelo amabini ahloniphekileyo kunye nesigxina esincinci esiphezulu. I-axis iququzelele inkqubo ephikisayo eyenza iifom ze-atlas zomzimba. Inkqubo ye-odontoid iqhutywe ngokulinganisa ngokucacileyo kwimeko engemva kwe-arch yangaphambili yeC1 ngumgudu ojikelezayo, ozinzisa ukudibanisa kwe-atlantoaxial. [9, 7]

Iimpawu zengqungquthela, i-alar kunye neengqamlezo zinikeza ukuzinza okuqhubekayo ngokuvumela ukujikeleza kwekholongo yomgcini; oku kuvimbela ukufuduka kwendawo emveni kwemihlathi ngokumalunga ne-atlas.

Kwizigulane zezilwanyana, umgudu uguquguqukayo, kwaye ngoko ke, umonakalo we-neural kwenzeka kakhulu kunobungozi obuthathaka kwiisigulane esincinci. Ngenxa yolu phawu oluphezulu, iziphumo ezibulalayo zingenzeka ngezinye izihlandlo kunye nokulimala komzimba. Xa kuthelekiswa nabantu abadala, abantwana banemfucrum eyahlukileyo ngenxa yentloko ephezulu, i-vertebrae ayifani ngokupheleleyo, kwaye iigaments zixhomekeke ngokuqinileyo kwiimpahla zethambo ezixubileyo ezingaphezulu, okwenza i-pathophysiology yokulimala kwabantwana ahlukeneyo nakwabantu abadala . [6, 10]

Intamo iqukethe amathambo asixhenxe, okanye i-vertebrae yomlomo wesibeleko, exhasa intloko kwaye idibanise umzimba. Ukuphulwa komlomo wesiqhelo kudla ngokubhekiselele njengentamo ephukile. Izikhuhlane zentambo yomlomo wesiqhelo zivame ukuqhutyelwa ngenxa yengozi okanye ukulimala, ezifana nezingozi zeemoto okanye izingozi zokuhlaselwa. Ukujonga ukuxilonga kuye kwanyusa ukuba ukwazi ukunceda abaqeqeshi bezempilo ukuba baxilonge imiba yempilo yengqondo yomlomo wesibeleko.

UDkt Alex Jimenez DC, i-CCST

Uvavanyo lokulimala

Xa kukhankanywa intlungu yomlomo wesibeleko, ukunyakaza kwentamo kufuneka kuncitshiswe ngexesha lokuthunyelwa kwisiza sokunyanga. Ngokufanelekileyo, izigulane kufuneka zihanjiswe kwi-backboard kunye nekholeji ye-semirigid, intamo igxilile emacaleni entloko kunye ne-sandbags okanye iibhloko ze-foam ezithintekayo ukusuka kwicala ukuya kwicala (ebhodini), ngaphantsi kwebunzi.

Ukuba i-spinal malalignment ichongiwe, faka isigulane kwisithambo samathambo kunye neengcingo ngokukhawuleza ngokusemandleni (kunye nemibalwa embalwa), nangona kungekho bubukho bokulahleka kwegazi. Ukulimala okwenziwe okubandakanyekayo kunye nokusebenza kwabasebenzi abacebisi kubakhokela ukulawula okuqhubekayo.

Beka ityiti enye ububanzi bomunwe ngaphezu kwe-earlobes ngokuhambelana nomngcipheko wangaphandle wokuphicotha. Umcebisi usebenzisa i-tongs ngokulandelelana phantsi kokuvavanya kwe-neurologic kunye ne-radiograph. Unonophelo kufuneka uthathe ngexesha lolawulo lwendlela yokuhamba ngomoya kwizigulane ezinokulimala komlomo. I-intubation encediswa ngevidiyo kufuneka ithathelwe ingqalelo ekunciphiseni ukunyakaza kwentsholongwane yesibeleko ngexesha lomsebenzi wokukhusela umoya. [11, 12, 13, 1]

Ukulimala komnxeba kulungiswa ngokubhekiselele kwiindlela ezininzi zokulimala. Ezi ziquka ukuhamba, ukujikeleza kwendoda, ukwandisa, ukujikeleza-ukujikeleza, ukunyanzela okubonakalayo, ukujikeleza, kunye neendlela ezingaqondakaliyo ezinokubangela ukuphulwa kwezinto ezingahambiyo kunye ne-atlanto-occipital dislocation. [1, 14, 4, 5, 15, 7, 16]

Ukuhlaziywa kwe-Radiographic kuboniswe kule ilandelayo:
[2, 2, 17, 18, 15, 19, 20]

• Izigulane ezibonisa ukulahlekelwa kweengxaki ze-neurologic ezihambelana ne-lesion yentambo
• Izigulane ezine-sensorium ezitshintshileyo ukusuka kwintlungu okanye ukuxhala
• Izigulana ezikhalazayo ngentlungu yentlungu okanye ukunyamezela
• Izigulane ezingenakhalaza ngeentlungu zentlungu okanye ukunyamezela kodwa zineziphumo eziphazamisayo eziphazamisayo

Uchungechunge oluqhelekileyo lweengxaki zenziwe ngeembono ze-5: i-cross-table lateral, i-swimmer's, oblique, i-odontoid, ne-anteroposterior. Ngokumalunga ne-85-90% yengozi yomlomo wesibeleko ibonakala kwimbono yangaphambili, eyenza yona ibe yona mbono efanelekileyo kunokliniki.

Ukufika kwe-multidetector i-computed tomography ifumaneka ngokukhawuleza ekusebenziseni i-radiography ecacileyo kumaziko amaninzi. Iincwadi zakutsha nje zixhasa i-CT njengento evelele ngakumbi kwizinga eliphantsi lokulimala okuphambili kunye nesekondari. [14]

UkuCamngca kweTraracic Traum Imaging

Tomography eComputer

Iziphumo

I-section-axia CT eyenziwe ngokusebenzisa i-algorithm yeethambo yindlela enye ekhethekileyo yokufumana i-fractures ye-thoracic umgudu. Iimpawu eziqhelekileyo ze-CT ze-thoracic umgudu zixabisekileyo ngenxa yokuba i-CT scanners ezininzi zikwazi ukuvelisa imifanekiso engummangaliso ophezulu, nangona ngexesha lovavanyo oluphambili lwezinto ezixinzelelekileyo. [21, 22, 28, 29]

I-CT imifanekiso engezantsi ibonisa iintlobo ezahlukahlukeneyo zokulimala kwamanzi emzimbeni.

Inqanaba lokuphuka kweqhekeza kunye neepesenti yomgudu wokugaya umgogodla uye wahambelana neentlulelo ze-neurologic ezichaphazelekayo. Ulungelelaniso olunzulu lukhoyo phakathi kwephulo le-neurologic kunye nepesenteji yesiginci somgogodla. Okuphakamileyo kwinqanaba lokulimala, enkulu amathuba okuba neurologic deficient. Lo mbutho unxulumene nobuncinane bee-canal kwisantya esiphezulu se-thoracic. Ubunzima bokulahleka kweeurologic azinakulinganiswa.

Kwizigulane ezine-Chance-type fractures, ii-CT izicatshulwa zivame ukubonisa ukuqhaqha kwe-burst-type nge-post-cortex okanye i-retropulsion, kunye ne-CT transaxial CT imifanekiso ibonisa ukulahleka ngokucacileyo kwengcaciso ye-pedicles. [23]

Umlenze osisigxina, ophakathi kwe-vertebrae yomlomo wesibeleko kunye ne-lumbar, unamazinga e-12 vertebrae. I-trap of spinal trauma, kuquka ukulimala kwentambo yomgudu phakathi kwentlambo, ngokubanzi ingaba nzima, nangona kunjalo, unyango olusandul 'ukuqala, ukuxela kwangaphambili ixesha elide. Ngoko ke, ukucinga ngeso lengqondo ukuxilongwa kwe-thoracic spinal trauma kubalulekile. Abaninzi bezonyango bezempilo banokunika izigulane ezi nkonzo.

UDkt Alex Jimenez DC, i-CCST

Udidi lo ku kholosa

Inqanaba lokuzithemba lokuxilongwa kwe-thoracic spin rupture kunye namacandelo e-2-mm axial (okunokwenzeka ngeyunithi ye-CT multisection) inkulu kune-98% kwaye ibikwa ngu-99%.

Ngenxa yokuba i-Axial CT eyenziwa ngesigulane kwindawo yokungathathi hlangothi, ukuphazamiseka kwamathambo kunye neengqungquthela zengqungquthela yomgudu kungabonakali kwiimifanekiso ze-CT njengengxube ye-radiographs.

Iingendawo ezimbi / ezimbi

Iziphumo ezingamanga zingenzeka kwizigulane ezine-node yeSmml, ezingumgubo ongaphakathi ongapheliyo we-disk ye-vertebral in the body of vertical body endplate kunye nokungaphumeleli kwe-fusion ye-vertebral endplate epiphysis, okubangele i-vertebra yesigxina. Ucwaningo lwe-CT olungamanga luya kwenzeka kwiimeko ezinobungozi obungapheliyo kunye ne-osteoporotic epraclate fractures.

Kuye kwaxelwa ukuba phakathi kwezigulane ezixinzelelekileyo eziphethe isifuba kunye / okanye i-CT esiswini, i-fractures of thoracic spine ixelwa rhoqo. Ukuguqulwa kwe-Sagittal yomgudu ofunyenwe kumacandelo amancinci, kunye nokuhlalutya kwe-morphometric usebenzisa abaxhasi be-electronics kukunceda ukufumanisa iziqhekeza ezingenakunqunywa. [25]

Ukuqukumbela, ukuxilongwa kwemifanekiso yokwenzakala komqolo okanye ukwaphuka komnqonqo kubalulekile kuvavanyo kunye nonyango lwezigulane. I-imaging ye-magnetic resonance imaging, okanye i-MRI, iluncedo ekuvavanyeni intambo yomgogodla kunye nokulimala kwezicubu ezithambileyo ngelixa i-computed tomography scanning, okanye i-CT scans, iluncedo ekuvavanyeni ukunyanzeliswa komgogodla okanye ukuphuka komqolo. Ukuqondwa kobugcisa bomfanekiso kuye kwaphucula inkqubela phambili kakhulu kunyango.� Umda wenkcazelo yethu uphelele kwi-chiropractic, ukwenzakala komqolo, kunye neemeko. Ukuxoxa ngalo mbandela, nceda uzive ukhululekile ukubuza uGqr. Jimenez okanye uqhagamshelane nathi apha915-850-0900 .

Ikhutshwe nguDkt. Alex Jimenez

Imixholo eyongezelelweyo: I-Pain Back Pain

Umqolo obuhlunguSesinye sezona zizathu zixhaphakileyo zokukhubazeka kunye neentsuku eziphosiweyo emsebenzini kwihlabathi liphela. Iimpawu ezibuhlungu zangasemva kwisizathu sesibini esiqhelekileyo sokutyelelwa yi-ofisi kagqirha, ngaphezulu kwenani losulelo oluphezulu lokuphefumla. Phantse iipesenti ezingama-80 zabemi baya kufumana iintlungu zangasemva kube kanye ebomini babo. Umqolo sisakhiwo esintsonkothileyo esenziwe ngamathambo, amalungu, iigaments, kunye nezihlunu, phakathi kwezinye izicwili ezithambileyo. Ngenxa yoku, ukwenzakala kunye / okanye iimeko ezixineneyo, ezinje ngedisni, ekugqibeleni unokukhokelela kwiimpawu zentlungu. Ukulimala kwezemidlalo okanye ukulimala kwengozi yeemoto ngokuqhelekileyo kubangelwa yintlungu yokubuhlungu, kodwa ngamanye amaxesha ukuhamba kwezinto ezilula kunokuba neziphumo ezibuhlungu. Ngethamsanqa, ezinye iindlela zokhathalela unyango, ezifana nokunyamekelwa kwe-chiropractic, kunokunceda ukubuyisela intlungu emva kokusetyenziswa kwemilenze kunye nokunyanzeliswa kwemigaqo, ekugqibeleni ukuphucula intlungu.

I-EXTRA EXTRA | INGXELO EBALULEKILEYO: Ukwelashwa kweNeck Pain Pains