Mokokotlo oa mokokotlo ke sebaka sa moloko oa lesapo o tloaelehileng o tsejoang e le molala. E entsoe ka vertebrae e supileng, e 'ngoe le e' ngoe e boleloang ke 'C,' e tsamaisitsoeng ka nomoro e khethollang. Nomoro e bontša boemo ba mokokotlo oa mokokotlo oo ho oona vertebra e leng teng. Mokokotlo oa mokokotlo o atisa ho bitsoa C-spine ka nakoana. Mohlala oa li-vertebra tsa thobalano tse rehelang likopano ke li-vertebra tsa bosupa tsa bosupa.
E bitsoa C7, kapa C-7.
Curve ea sefate sa mokokotlo
Sebaka se seng le se seng sa mokokotlo se na le sekhahla. Li-spinal curves li kena ka tsela e 'ngoe (ha li shebile' mele ho lehlakoreng le leng.) Mokokotlo oa mokokotlo o na le tloaelehileng ea lordosis e bolelang ho tloha ka lehlakoreng le leng, lekhalo le lebisitsoe ka pele ho 'mele. Lumbar spine le eona e na le e tloaelehileng lordosis, ha mokokotlo oa mokokotlo le sacrum o na le li-kyphoses tse tloaelehileng. Karumo ea kyphotic ke e 'ngoe e lebisitsoeng ka morao ea' mele ha u sheba 'mele o lehlakore.
Likotsi
Likotsi tsa mokokotlo oa mokokotlo li etsa hore lipapali li be bonolo ho isa bophelong bo fetohang kapa bo bolaeang, 'me li na le mabaka a mangata a ka' nang a baka. Hangata bothata bo le bong ka molala oa hau bo tla akarelletsa tse ling tse ling. Lebaka ke hobane ha u lematsa mokokotlo, mahlaseli a bonolo a sebakeng seo a ka 'na a ameha hape. Ka mohlala, diski ea herniated ea mokokotlo oa mokokotlo o ka lebisa maqhubu a molala le mahetleng, 'me whiplash e ka fella ka limela tsa mokokotlo tse silafalitsoeng.
Ho tloha molala oa molala ho ea ho mesifa le mesifa ea li-ligament, boholo ba likotsi tsa mokokotlo oa mokokotlo ke liphatho tse bonolo feela. Likotsi tsa ' mele tse bonolo li atisa ho phela habonolo ho folisa le ho hlaphoheloa hobane hangata ha li hloke ho buuoa. Ho e-na le hoo, mokhoa o itseng oa phekolo o ka u thusa hore u tlohele kotsi. Empa haeba, ka mor'a libeke tse 6 tsa phekolo ea meriana, matšoao a hau a ntse a tsoela pele, ngaka ea hau e ka 'na ea fana ka tlhahiso ea hore e entsoe (e ka' na ea e-ba le mokokotlo oa mokokotlo) ho thusa ho imolla bohloko.
Empa mefuta e itseng ea likotsi tsa mokokotlo oa mokokotlo e ka ba kotsi haholo. Tsena li fractures, dislocations, le mokokotlo oa mokokotlo oa mokokotlo. Sehlopha sa IV ligament sprains kapa mathata a mesifa le tsona li nkoa e le tsa bohlokoa. Likotsi tse ling tsa mokokotlo oa mokokotlo li kenyelletsa lihlahisoa tsa herniated, li-stroke tsa Grade III, le li-sprains, li-sting le tse chesang (hangata kotsi ea lipapali ke ea nakoana empa e ka ba matla, e hlokang bongaka.)
Bafuputsi ba tsoang United Kingdom ba ile ba hlahloba lenane le leholo la litlaleho tsa bakuli (ba fetang 250 000) ba ileng ba ba le mahlomola a maholo ho fumana hore na ba bangata ba bona ba ts'epile likotsi tsa mokokotlo oa mokokotlo. Ba ile ba ithuta hore tekanyo ea likotsi tsa c-spine e ne e le 3.5%; kaha e ne e le monna, ea lilemo li 35 kapa ho feta, ha a ntse a e-na le likheo tse bohloko tsa sefahleho, o ne a e-na le mekhoa e kotsi ea kotsi, a theolela khatello ea mali ea systolic le / kapa theolelo ea Glasgow Coma Score e ile ea eketsa kotsi.
'Me qetellong, mokokotlo oa mokokotlo o ka hlahisa liphetoho tse senyehang tse ka lebisang ho ramatiki le stenosis. Hangata liphetoho tsena, empa eseng kamehla, li amana le botsofali.
Lisebelisoa:
Hasler R., Exadaktylos A., Bouamra O., Benneker L., Clancy M., Sieber R., Zimmermann H., Lecky F. Epidemiology le li-predictors tsa likotsi tsa mokokotlo oa mokokotlo ho bakuli ba bangata ba nang le khatello ea kelello: thuto e ngata ea lihlopha. J Trauma Bophelo bo Botle bo Botle. April 2012. http://www.ncbi.nlm.nih.gov/pubmed/22491614