Kumbuyo (kuchokera ku Latin backsum) ndi nkhope yakumbuyo ya thupi la munthu yomwe ili pakati pa mapewa ndi matako.

kapangidwe. Kumbuyo kuli ndi mawonekedwe ovuta (1) opangidwa ndi:

• msana pakatikati pake, womwe umapangidwa ndi mafupa 32 mpaka 34 otchedwa vertebrae,
• intervertebral discs yomwe ili pakati pa vertebrae,
• minyewa yomwe imagwirizanitsa vertebrae wina ndi mzake,
• mbali yakumbuyo ya nthiti, yomwe imalumikizidwa ndi msana;
• minofu yambiri, kuphatikizapo minofu yakuya yomwe imagwirizanitsa vertebrae wina ndi mzake ndi minofu yapamwamba,
• minyewa yolumikizira minofu ndi mafupa,
• magazi ndi lymph zotengera,
• wa msana, mbali ya chapakati mantha dongosolo, ili mu msana. (1)

Thandizo ndi gawo loteteza. Msana umapereka kumbuyo udindo wothandizira mutu ndi kuteteza msana.

Udindo pakuyenda komanso momwe mungakhalire. Zigawo zonse zam'mbuyo zimapangitsa kuti zikhale zotheka kusunga kaimidwe ka thunthu ndipo motero kusunga malo oima. Kapangidwe ka msana amalola mayendedwe ambiri monga torsion kayendedwe ka thunthu, kupinda thunthu kapena traction.

Ululu wammbuyo. Zimatanthauzidwa ngati ululu wamtundu womwe umayamba nthawi zambiri mumsana ndipo umakhudza kwambiri magulu a minofu ozungulira. Malingana ndi chiyambi chawo, mitundu itatu ikuluikulu imasiyanitsidwa: kupweteka kwa khosi, kupweteka kwa msana ndi kupweteka kwa msana. Sciatica, yomwe imadziwika ndi ululu woyambira kumunsi kumbuyo ndikupitilira mwendo. Zimakhala zachilendo ndipo zimachitika chifukwa cha kupsinjika kwa mitsempha ya sciatic. Ma pathologies osiyanasiyana akhoza kukhala pa chiyambi cha ululu. (2)

• Degenerative pathologies. Ma pathologies osiyanasiyana angayambitse kuwonongeka kwazinthu zama cell. Nyamakazi ya osteoarthritis imadziwika ndi kuvala kwa cartilage kuteteza mafupa a mafupa. (3) Dothi la herniated limafanana ndi kuthamangitsidwa kumbuyo kwa nyukiliya ya intervertebral disc, ndi kuvala komaliza. Izi zingayambitse kupsinjika kwa msana kapena mitsempha ya sciatic.
• Kusintha kwa msana. Ma deformations osiyanasiyana a mzati amatha kuwoneka. Scoliosis ndi kusamuka kwapakati kwa gawo (4). Kyphosis imayamba ndi kupindika kwakukulu kwa msana pamtunda wa mapewa pamene lordosis imagwirizanitsidwa ndi chipilala chodziwika bwino kumunsi kumbuyo. (4)
• Lumbago ndi kuuma khosi. Ma pathologies awa ndi chifukwa cha kupunduka kapena misozi mu minyewa kapena minofu, yomwe ili motsatana m'dera la lumbar kapena chigawo cha khomo lachiberekero.

Mankhwala osokoneza bongo. Malinga ndi matenda, mankhwala ena akhoza kuperekedwa, kuphatikizapo ochepetsa ululu.

Physiotherapy. Kubwezeretsa msana kumatha kuchitidwa ndi physiotherapy kapena magawo osteopathy.

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

Kufufuza mwakuthupi. Kuzindikira kwa dotolo kumbuyo ndiye gawo loyamba lodziwitsa zachilendo.

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, ofufuza ochokera ku Inserm unit akwanitsa kusintha maselo a adipose stem kukhala maselo omwe angalowe m'malo mwa intervertebral discs. Ntchitoyi ikufuna kukonzanso ma intervertebral discs omwe adawonongeka, zomwe zimayambitsa kupweteka kwa msana. (5)