Ọwara kpụrụ juxtaposition nke efu akụkụ nke vertebrae, spinal kanaal nwere ọgidigi azụ na irighiri akwara. Mgbe ụfọdụ ọ na-ebelata, na-akpata mkpakọ nke usoro akwara ozi.

Ọkpụkpụ azụ, ma ọ bụ ọkpụkpụ azụ, bụ nchịkọta nke 33 vertebrae: 7 cervical vertebrae, 12 dorsal (ma ọ bụ thoracic) vertebrae, 5 lumbar vertebrae, sacrum nke 5 fused vertebrae na n'ikpeazụ coccyx nke 4 vertebrae. A na-ejikọta vertebrae site na diski vertebral.

Vertebra nke ọ bụla nwere n'azụ ya mgbaba, ma ọ bụ orifice. Juxtapped n'elu ibe ha, ndị a vertebral arches na-etolite a ọwara: ọ bụ spinal kanaal, nke a na-akpọkwa ọwara azụ, nke nwere eriri azụ na irighiri akwara na etiti ya.

Ọkpụkpụ azụ ahụ na-esi na nke mbụ cervical vertebra ruo na nke abụọ lumbar vertebra. Ọ na-ejedebe na ọkwa nke abụọ lumbar vertebra na sac dural nke nwere moto na mgbọrọgwụ akwara nke ụkwụ na eriri afo na rectal sphincters. A na-akpọ ebe a ọdụ ọdụ.

Ọwara azụ azụ na-akwado ma na-echebe ọkpụkpụ azụ azụ. N'ime oghere a nke ọkpụkpụ azụ azụ na-emepụta, ọkpụkpụ azụ azụ na-echebe site na meninges dị iche iche: dura mater, arachnoid na pia mater.

Ọwa mmiri dị warara ma ọ bụ stenosis canal lumbar

N'ime ụfọdụ ndị mmadụ, n'ihi akwa na akwa eke (osteoarthritis), enwere mbelata nke dayameta nke ọkpụkpụ azụ azụ na ọkwa nke lumbar vertebrae, ya bụ, na azụ azụ, n'elu sacrum. Dị ka nkwonkwo niile nke ahụ mmadụ, nkwonkwo nke vertebrae bụ n'ezie na-arịa ọrịa ogbu na nkwonkwo nke nwere ike iduga nrụrụ ha site na ịgbatị capsule nkwonkwo na-emebi ọwa mmiri. Ọwa mmiri nke lumbar, nke na-adịkarị n'ụdị triangular, ga-ewerekwa ọdịdị T dị warara, ma ọ bụ ọbụna bụrụ nkewa dị mfe. Mgbe ahụ, anyị na-ekwu maka ọwa mmiri dị warara, nke na-eme ka ọkpụkpụ lumbar dị warara na nkwụsị nke ọkpụkpụ ọkpụkpụ ọkpụkpụ. Ọkpụkpụ ahụ nwere ike imetụta naanị vertebrae lumbar L4 / L5, ebe ọwa mmiri adịlarị, na ala, dị warara, ma ọ bụ n'ọnọdụ nke nnukwu stenosis, ala ndị ọzọ vertebral (L3 / L4, L2 / L3 ma ọ bụ ọbụna L1 / L2).

Nke a na-akpata mkpakọ nke irighiri akwara na ọwa mmiri nke na-akpata mgbu na-akọwakarị dị ka "ọkụ" na azụ azụ, na irradiation na buttocks na ụkwụ (neurogenic claudication).

Ihe mgbu ndị a nwere mkpamkpa nke na-akawanye njọ site na ịga ije ma ọ bụ mgbe ogologo oge guzoro. Ọ na-ada mbà mgbe ọ na-ezu ike, mgbe ụfọdụ na-enye ohere ka ọ ghara ịda mbà ma ọ bụ ndanda (paresthesia).

Mgbe ụfọdụ, ọwara lumbar a dị warara site n'ọmụmụ. A na-akpọ nke a ọwa mmiri dị warara nke usoro iwu.

Ọrịa Cauda equina

Ọrịa cauda equina na-ezo aka n'ọgba aghara na-eme n'oge mkpakọ nke mgbọrọgwụ akwara dị na azụ azụ, na mpaghara a na-akpọ cauda equina. Mgbọrọgwụ akwara na moto na mmetụta nke ụkwụ na eriri afo na akụkụ rectal sphincters na-agbakọ, mgbu, mmetụta uche, moto na ọrịa genitosphincteric na-apụta mgbe ahụ.

Ọkpụkpụ akwara lumbar

Usoro ọgwụgwọ nke mbụ bụ ọgwụ na nchekwa: analgesics, ọgwụ mgbochi mkpali, mmezigharị, ọbụna corset ma ọ bụ infiltration.

N'ihe banyere ọdịda ọgwụgwọ ọgwụ ọjọọ, na mgbe ihe mgbu na-aghọ nke na-agwụ ike kwa ụbọchị ma ọ bụ ọkpụkpụ ọkpụkpụ nke lumbar na-eduga na sciatica na-akpụ akpụ, na ọkpụkpụ ụkwụ ma ọ bụ ọrịa urinary, a ga-enye ịwa ahụ. A ga-emezi laminectomy ma ọ bụ ọkpụkpụ azụ azụ, ọrụ nke gụnyere iwepụ lamina vertebral (akụkụ azụ nke vertebral) iji mee ka ọkpụkpụ azụ azụ nke stenosis gbakọrọ. Enwere ike iji otu ọkwa ma ọ bụ karịa.

Ọrịa Cauda equina

Ọrịa Cauda Equina bụ ihe mberede ahụike chọrọ ọgwụgwọ ngwa ngwa iji gbanarị nsonazụ siri ike. Enwere ike ịnye ọgwụgwọ Corticosteroid iji belata mgbu tupu ịwa ahụ akwara. Nke a na-achọ imebi mgbọrọgwụ akwara, ma ọ bụ site na mwepụ nke uka nke na-akpakọ ya ( diski herniated ọtụtụ mgbe, ọ na-adịkarịghị etuto), ma ọ bụ site na laminectomy.

Iji chọpụta stenosis nke ọkpụkpụ azụ, a na-eji CT scan ma ọ bụ MRI mee akụkụ obe nke ọkpụkpụ azụ. Ihe onyonyo a ga-egosi ọkpụkpụ vertebral gbagoro agbagoro na-efu nke ọwara azụ azụ.

Nyocha ụlọ ọgwụ na-eme ka o kwe omume ịme nchọpụta mbụ nke ọrịa cauda equina, nke MRI mere ngwa ngwa kwadoro.