Kuongororwa kwezvirwere zvinopisa zvepamusoro

Chinhu chokutanga nekurwadziwa mumutsara wemusana wemunhu kunobvunzwa pamusoro pekuti ari kutambura uye chii, mumaonero ake, chakabatana nezvinoitika. Mashoko aya anowanikwa anonzi anozvimiririra, sezvo ihwo inobva kune murwere pachake. Nokudaro, ruzivo rwakadaro runofanira kutsigirwa nechinangwa chinowanikwa pamwe nekubatsirwa kwemarudzi akasiyana-siyana ekurapa kurapwa.

Nzira iri nyore uye yakanakisisa ndeyekuita zviito zvishoma zvishoma kune murwere, zvakadai sokufamba, matsipe, squats, nezvimwe (unhu hwavo hunoenderana nokuti munhu wacho anorwadziwa sei) uye nyaya yakafanana pamusoro pekunzwa kwemukati. Uyezve chiremba anoenderera mberi kunzwa zvakare, achiedza kuziva dambudziko racho: foci yemarwadzo, kuzvimba, kuora mwoyo, nezvimwewo. Panguva imwechete, anoongorora mamiriro ezvinhu akasiyana-siyana emasumbu, achiedza kuziva zviratidzo zveatrophy. Iva nechokwadi chekutarisa mafungiro, pamwe nekunzwisisika kwezvikamu zvemuviri wemuviri, kunyanya minwe (nekuda kweizvi, zvigunwe zvishoma zvinoshandiswa, izvo murwere anofanirwa kunzwa). Dzimwe nguva mashoko akaunganidzwa nenzira iyi akakwana kuongorora uye kutanga utano. Zvisinei, kazhinji zvidzidzo zvinowanikwa zvinoshandiswa nekushandiswa kwezvigadzirwa zvemishonga chaiyo. Kuziva sei zvirwere zvinoputika zvemupaka, dzidza munyaya yenyaya inoti "Kuziva zvirwere zvinoputika zvepamusoro."

Munhu anonyanya kurwara anotanga kutumirwa kumhepo. Zvisinei, kwete nguva dzose kushandiswa kwemichina ye-X-ray kunokodzera kuongororwa kwezvirwere zvinopisa zvepamusoro. Saka, kana iwe uchinetseka kurwadziwa kwakanyanya mumucheto wezasi (lumbago), iyo nzira ye fluoroscopy, zvichida, hapana chichaita. Dzimwe nzira dzekuongorora hutachiona (dzakadai semagenetic resonance imaging uye computed tomography) hazvisi nguva dzose dzinoshanda. Kazhinji vanongoratidza chete kuti intervertebral disc yakapera. Mukati mawo, chiitiko ichi hachikwanisi kuonekwa sechikonzero chematambudziko, sezvazvinowanzoonekwa muvanhu vasina kunyunyutira marwadzo kumashure. Kushandisa magnetic resonance imaging inobvumira chiremba kuti aongorore kuwanda kwekukuvadza kune mitsipa yakakura uye intervertebral discs, pamwe nekuona matanho ekukuvadzwa, tumarara, foci yehutachiona uye nedzimwe nzvimbo dzine dambudziko. Computer tomography uye misiyano yakakura iri mukana wekuwana mamiriro matatu-dimensional, iyo inobatsira chaizvo kugadzirisa kukwana uye kubudirira kwekuongororwa. Kunyanya pakudzidza kwemupaka uye kuongororwa kwezvirwere zvinopisa zvepamusoro ndeye nzira dzakadai sokuwana-uye myelography, iyo inobvumira kuongororwa kwakajeka kwehurumende umo mabhuku e-intervertebral aripo. Mukunyora myelography, chinhu chakasiyana-siyana chakasiyana-siyana chinopinda mumugwagwa unoratidzika wemurwere, uyo unotarisa kumativi ose emutsara wemutsipa uye nemitsipa inobva pairi. Tichionga izvi, mufananidzo we-X-ray unoratidzika zvakajeka nzvimbo idzodzo apo mishonga isingagoni kuora mwoyo ne-disverted intervertebral disc (iyo inonzi "disney hernia"). Discography inopesana nedzimwe nzira inotsanangurwa mune kuti chinhu chakasiyana chinoshandiswa zvakananga mu intervertebral disc: kana yakakanganiswa, mishonga inozununguka munzvimbo yakapoteredza, iyo inobva yangotarisa pamusoro pe X-ray.

Nokuda kwekuongorora masumbu uye kurwara kwakakwana kwezvirwere zvepamusoro, pane nzira, uye nzira yekushandisa kwayo inonzi "electromyography". Iko yakagadzirirwa kuyera kusina simba kwemagetsi kunowanzoitika mumisungo. Uchishandisa ruzivo urwu, zvinobvira kuona kuti kufema, tumarara, nezvimwe. Nekubatsira kwe electromyography, mamiriro emitsipa, kunyanya kukurumidza kwekufamba kwechiratidzo chegetsi pamwe chete navo, inoongororwawo. Kazhinji iyi nzira inoshandiswa pamanzwiro evanhu ekushaya simba kana kushaya simba mumakumbo, izvo zvinogona kukonzerwa nekuparara kwehutachiona hwemitsipa (somuenzaniso, semugumisiro wokunyanya kushandiswa kwebhuku rinonzi vertebral disc). Electromyography inoitwa mumatanho maviri. Pakutanga, tsinga dzakatetepa dzinopindirwa mumisungo yemunhu, iyo iyo inoshandiswa magetsi inoshandiswa. Nenzira iyi zvinokwanisika kuwana chifananidzo pane chinyorwa chechigadzirwa chakakosha-an oscilloscope. Muchikamu chechipiri, magetsi anoshandiswa kune ganda iro rinoshandiswa nemagetsi. Basa rechiremba nderekuongorora kuti kukurumidza kunetseka kweropa kunokwanisa kuitungamirira sei. Pasinei nekusava nechokwadi kwekubatsira kwekusiyanisa nzira dzakasiyana-siyana, munhu anofanira kungwarira navo, kubva panguva uye mushure mekudzidza kunorwadza kunogona kuwedzerwa zvikuru. Iye zvino tava kuziva kuongorora zvirwere zvinopisa zvemupona.