The intervertebral disc ndi chomangira cha msana, kapena msana.

malo. The intervertebral disc ndi ya msana, fupa lomwe lili pakati pa mutu ndi pelvis. Kuyambira pansi pa chigaza ndikukafika kudera la pelvic, msanawo umapangidwa ndi mafupa 33, vertebrae (1). Mitsempha ya intervertebral imakonzedwa pakati pa vertebrae yoyandikana nayo koma ndi 23 yokha chifukwa palibe pakati pa vertebrae ziwiri zoyambirira za khomo lachiberekero, komanso pamtunda wa sacrum ndi coccyx.

kapangidwe. The intervertebral disc ndi mawonekedwe a fibrocartilage omwe amakhala pakati pa malo ozungulira a matupi awiri oyandikana nawo. Ili ndi magawo awiri (1):

• Mphete ya fibrous ndi mawonekedwe ozungulira omwe amapangidwa ndi fibro-cartilaginous lamellae kulowa m'matupi a vertebral.
• The nucleus pulposus ndi gawo lapakati lomwe limapanga gelatinous mass, transparent, of elasticity kwambiri, ndipo amamangiriridwa ku mphete ya fibrous. Imayikidwa kumbuyo kwa disc.

Makulidwe a intervertebral discs amasiyana malinga ndi malo awo. Dera la thoracic lili ndi ma discs thinnest, 3 mpaka 4 mm wandiweyani. Ma discs pakati pa vertebrae ya khomo lachiberekero amakhala ndi makulidwe kuyambira 5 mpaka 6 mm. Dera la lumbar lili ndi ma intervertebral discs okhuthala kwambiri omwe amatalika 10 mpaka 12 mm (1).

Ntchito yochotsa mantha. Ma intervertebral discs amagwiritsidwa ntchito kuti azitha kugwedezeka ndi kupanikizika kuchokera ku msana (1).

Udindo mu kuyenda. Ma disc intervertebral amathandiza kupanga kuyenda ndi kusinthasintha pakati pa vertebrae (2).

Udindo mu mgwirizano. Ntchito ya intervertebral discs ndikuphatikiza msana ndi vertebrae pakati pawo (2).

Matenda awiri. Zimatanthauzidwa ngati ululu wamtundu womwe umachokera nthawi zambiri msana, makamaka mu intervertebral discs. Malingana ndi chiyambi chawo, mitundu itatu ikuluikulu imasiyanitsidwa: kupweteka kwa khosi, kupweteka kwa msana ndi kupweteka kwa msana. Sciatica, yomwe imadziwika ndi ululu kuyambira m'munsi kumbuyo ndikupita ku mwendo, imakhalanso yofala ndipo imayamba chifukwa cha kupanikizika kwa mitsempha ya sciatic. Ma pathologies osiyanasiyana akhoza kukhala pa chiyambi cha ululu. (3)

Osteoarthritis. Matendawa, omwe amadziwika ndi kuvala kwa cartilage kuteteza mafupa a mafupa, amatha kukhudza kwambiri intervertebral disc (4).

Herniated disc. Matendawa amafanana ndi kuthamangitsidwa kumbuyo kwa nucleus pulposus ya intervertebral disc, ndi kuvala komaliza. Izi zingayambitse kupsinjika kwa msana kapena mitsempha ya sciatic.

Mankhwala osokoneza bongo. Kutengera ndi matenda omwe apezeka, mankhwala ena amatha kuperekedwa ngati oletsa ululu.

Physiotherapy. Kubwezeretsa msana kumatha kuchitika kudzera mu physiotherapy kapena magawo osteopathy.

Chithandizo cha opaleshoni. Malingana ndi matenda omwe amapezeka, opaleshoni ikhoza kuchitidwa kumbuyo.

Kufufuza mwakuthupi. Kuyang'ana kwa kaimidwe ka msana ndi dokotala ndi sitepe yoyamba pozindikira zachilendo mu intervertebral discs.

Kuyezetsa magazi. Kutengera matenda omwe akukayikiridwa kapena kutsimikiziridwa, mayeso owonjezera atha kuchitidwa monga X-ray, ultrasound, CT scan, MRI kapena scintigraphy.

Lofalitsidwa mu nyuzipepala ya sayansi yotchedwa Stem Cell, nkhani imasonyeza kuti ofufuza ochokera ku Inserm unit akwanitsa kusintha ma cell adipose stem kukhala maselo omwe angalowe m'malo mwa intervertebral discs. Izi zipangitsa kuti zitheke kukonzanso ma intervertebral discs omwe adawonongeka, omwe ndi omwe amayambitsa ululu wina wa m'chiuno. (6)