Bayani na Facet Joints da Facet Joint Pain

Tsaya tsakanin maƙwabtaka da ƙauyuka, haɗin facet suna samar da ginshiƙan asali tare da mutunci. Suna yin haka ta hanyar yin aiki tare domin jagorantar da kuma kulawa a cikin ƙungiyoyi na kowa da kashin baya kamar:

A wasu kalmomi, alamar facet za ta ci gaba da juya baya daga juyawa, daɗawa da yawa, da kuma sauran motsi.

Abubuwan da ke cikin facet kuma suna taimakawa wajen hana jigilar kalma daga ɓoye gaba ɗaya (wanda ake kira spondylolisthesis).

Gidan facet yana samuwa a bayan gabobi na vertebrae kuma yin aiki a matsayin hanyar jagora ko filin jirgin kasa lokacin da kake motsa jikin ka. Kowane nau'i na takalma suna haɗuwa da juna ta hanyar nau'i biyu na facet joints, biyu sama da biyu a kasa. Kowace haɗin gwiwar ya ƙunshi wani tsari mai laushi na ƙasa wanda ake kira tsari na kasa da kasa, wanda ya fito ne daga vertebra a sama, da kuma gaba ɗaya, wanda ake kira tsari mafi girma, wanda ya zo daga vertebra da ke ƙasa. Gidan ɗakin kwana na waɗannan matakai yana taɓawa da kuma kullun juna. Tare da taimakon yawan jingina, wannan shine yadda mutum 26 kasusuwa kasuwa suke haɗi tare don yin shafi. Sannan facet joints kuma samar da zaman lafiya ga spine.

Hannun facet suna da siffar, girman su da kuma daidaita su bisa ga yanki na kashin da suke da shi.

Wadannan bambance-bambance suna nufin wasu wurare na kashin baya suna da sauƙi fiye da wasu.

Facet gidajen a cikin wuyansa an daidaita don motsi a duk hanyoyi. A cikin babba da tsakiyar baya, ana kiransa spine thoracic, fuskoki suna kusantar da su ta hanyar da za su sauƙaƙe adadin juyawa (juyawa da juyawa), amma kasancewar kabarinka yana iyaka wannan motsi.

A cikin yankin lumbar , facet joints suna fuskanta juna, wanda, ba kamar layin thoracic ba, yana da iyakacin iyakokinka don juya (juya) baya baya.

Hadin facet shine haɗin ginin synovial, wanda ke nufin an rufe shi da wani matashi mai suturwa. An yi amfani da matsurar mai suna madogarar haɗin gwiwa.

Damage zuwa facet joints yana daya dalili dalili na ciwon daji na ciwon spine. Binciken da aka yi a shekara ta 2004 a cikin BMC Cutar Musculoskeletal ya kimanta mutane 500 tare da ciwon baya ba tare da wasu ba, kuma ya gano cewa facets suna da alhakin 55% na lokuta. Biyu daga cikin matsalolin da suka fi dacewa wadanda ke haifar da haɗin gwiwa sun hada da osteoarthritis da whiplash .

Facet Joint Hypertrophy da Arthritis

Kasusuwan facets suna da layi tare da guringuntsi, wanda ke kwantar da haɗin gwiwa. Osteoarthritis na kashin baya yana faruwa a lokacin da guringuntsi ke fitarwa, wanda ya haifar da kashi a kan kashi kashi na facet haɗin gwiwa.

Osteoarthritis da / ko cutar cututtukan degenerative sune yanayin lalacewa da-haɗari wanda zai haifar da samuwar osteophytes (kashi-kashi) da / ko don haɗakar da haɗin gwiwa (karaɗa da kumburi na haɗin facet). Yayin da wannan canjin yanayin ya canzawa a cikin kashin baya, yanayin a cikin canal da / ko neuroforamen na iya zama ƙuntata.

Ƙuntatawa, wanda ake kira stenosis , zai iya haifar da haushin kacin ku, da / ko gadon jinin ku , kuma ya haifar da bayyanar cututtuka na rashin tausayi da / ko rashin jinƙai (cututtuka na jin zafi da cututtuka na jijiyoyin da ke sauka da hannu ko kafa) .

Ɗaya muhimmiyar mahimmanci don hanawa ko sarrafa waɗannan yanayi shine yin aiki akai-akai. Motsa jiki yana ƙaruwa da sassaucin zuciya, wanda zai taimakawa rage rashin ƙarfi. Har ila yau, yana ƙarfafa ƙuƙwalwarka wanda zai iya kare facet da sauran sassan kashin baya. Tabbas, ya kamata ka tambayi likitanka don tsarin lafiyar cikakke don yanayin haɗin gwiwa naka.

Whiplash da Facet Joint Pain

Facet ciwo bayan mota mota ba sabon abu. Binciken biyu da Barnsley yayi da Ubangiji a tsakiyar shekarun 1990s kuma an buga su a Spine sun sami hanyar ciwon kwakwalwa don zama na kowa, idan ba shine mafi yawan al'ada ba, alama ce ga mutanen dake fama da wumblash. Irin wannan nau'in haɗin gwiwa yana iya jin kamar tausayi na tsoka a kowane gefen tsakiyar tsakiyar spine. (Wannan shi ne wurin da gidajen keɓaɓɓun facet suke.)

Idan ka shiga cikin hatsarin motsa jiki ko wani mummunan rauni wanda aka sanya kashin ka a kan whiplash, don Allah ga likitanka. Samun wani rauni mai raunin daji da aka yi masa da kuma bi da wuri yana da mahimmanci don kaucewa yanayin ciwo mai tsanani wanda zai iya wuce shekaru kuma ya karɓe ka daga rayuwarka.

Facet Injections

Ana amfani da injections zuwa duka zane-zane da kuma bi da haɗin gwiwa. Ɗaya daga cikin irin wannan allurar da ake kira ɓangaren reshe na tsakiya yana ɗauke da wasu a matsayin hanyar da kawai za ta iya bayyana idan cutar ta lalacewa ta haifar da lalacewar haɗin gwiwa. Dandanku zai yi amfani da rigakafi na gida a yankin. Idan wannan zai taimaka maka ciwo, zai iya gwada ku tare da matsala ta hanyar haɗin gwiwa. Binciken binciken likita na 2008 da aka wallafa a likitan Likita wanda ya dubi amfani da ƙwayoyin reshe na ciki don ganowa da kuma magance matsalar ta'aziyya ya sami shaida mai zurfi na taimako da dogon lokaci. Duk da haka, yin amfani da irin waɗannan injections yana da iyakancewa akan ƙaddamarwa cewa jinƙanka yana fitowa daga faɗin facet.

An yi amfani da allurar da aka sani da lakabi na rediyo na radiofrequency wanda aka ba shi don jin dadi na tsawon lokaci. Har ila yau, ana kiran labaran RF, irin wannan injection yana cike da sashin kwayar jijiyar da ke cikin facet hadin gwiwa, ta kashe shi. Manufar ita ce don toshe kowane siginar annoba daga sashin facet, amma shaida na asibiti cewa wannan aiki na hakika yana da iyakancewa kaɗan.

Yawancin lokaci, an ba da allurar rigakafi kawai bayan da kayi kokarin makonni hudu zuwa shida na magungunan mazan jiya tare da kadan ko babu nasara.

Hanyar Kwayoyi don Facet Facet

Doctors da kuma anatomists sau da yawa suna magana zuwa ga facet joints a matsayin zygapophysial joints. To, idan kun ga wannan lokacin a cikin rahoton ku na asibiti ko ganewar asali, ku san cewa tana nufin alamar facet a bayan bayanan kashin baya.

Sources:

Atluri S, Datta S, Falco FJ, Lee M. Binciken na yau da kullum na mai amfani da bincike da kuma ilimin likita na maganganu na haɗin gwiwa na thoracic. Likita mai zafi. 2008 Sep-Oct; 11 (5): 611-29. http://www.ncbi.nlm.nih.gov/pubmed/18850026

Boswell MV, Colson JD, Sehgal N, Dunbar EE, Effar R. Wani nazari mai mahimmanci game da maganganun warkewa na haɗin gwiwa a cikin ciwo na ciwon zuciya. Likita mai zafi. 2007 Janairu: 10 (1): 229-53. http://www.ncbi.nlm.nih.gov/pubmed/17256032

Kuhlman KA. Jigilar motsi na tsofaffi. Arch Phys Med Rehabil. 1993 Oktoba; 74 (10): 1071-9. http://www.ncbi.nlm.nih.gov/pubmed/8215859

Lord SM, Barnsley L, Wallis BJ, McDonald GJ, Bogduk N. Yankin haɓakaccen launi na mitar rediyo don ciwon kwari na zygapophyseal na mahaifa. N Engl J Med. Dec 5 1996; 335 (23): 1721-6. http://www.ncbi.nlm.nih.gov/pubmed/8855458

Lord SM, Barnsley L, Wallis BJ, Bogduk N. Chronic ciwon zygapophysial mahaifa bayan whiplash. Nazarin nazarin yawancin wuri. Spine (Phila Pa 1976). 1996 Aug 1; 21 (15): 1737-44; tattaunawa 1744-5. http://www.ncbi.nlm.nih.gov/pubmed/8855458

Manchikanti L, Boswell MV, Singh V, Pampati V, Damron KS, Beyer CD. Yanayi na yau da kullum na ciwon haɗin gwiwa a cikin ciwon ƙwayar cutar ta jiki, thoracic, da yankunan lumbar. BMC Musculoskelet Disord. Mayu 28 2004; 5: 15. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC441387/

UW Medicine. Orthopedics da Medicine Medicine. Aiki da Arthritis. UW Medicine website. http://www.orthop.washington.edu/PatientCare/OurServices/Arthritis/Articles/ExerciseandArthritis.aspx An sabunta: Talata, Janairu 26, 2010.

Windsor, R. MD. et. al. Citical Facet Syndrome. Medscape. Bayanin karshe: Mayu 24, 2011. http://emedicine.medscape.com/article/93924-overview#a0199