Ko hono tuʻa, toeén KomuúʻOku ui ʻeni ko e tuʻa, fakafuofuaʻiá faʻu pe ʻo e vértebras, ʻa e ongo tisi mo e méfilosiliva. Ngaueúko ha founga ia ʻo e fetuʻutakí.ón ki he ʻuto, ʻo eñʻoku ʻave mo maʻu mai ʻo fakafou ʻi heéM Séfilosiliva.
ʻI he taimi ʻoku hoko ai ha laveaón ʻi he méLoto filosiliva ko e tafe ʻa e fakamatalaón mei he taimi ko ia. Ko e kiʻi mālōlō ko ʻení ʻi he ngaahi fakahinohino ki he ongo nimá, fakaʻehiʻehi mei he vaʻé mo e ngaahi konga kehe ʻo e sinóá ʻUnuakiʻi ʻa e tokotahá, mānava (ʻi ha ngaahi meʻa ʻe niʻihi) pea obstructs pe taʻofi ha faʻahinga ongo.óLomiʻi ʻa e.
Ngaahi konga ʻo hono tuʻá
- Fakamāloó / C 1-7
- ToaáCica / T 1 – 12
- Lumbar / L 1-5
- Houalotu Sākalamēnití
- KokaíGea
Ko e méKo e filosiliva ko ha kofukofu ia ʻo eéngaahi selo ʻo e neave mo e filo ʻoku fakapipiki ki lalo mei he ʻuto ki he tafaʻaki ki lalo. Ko e méFilosiliva dula fakafuofuaʻiá Maluʻi ʻe ha faʻahinga túHui nel faʻu ʻo E VéʻOkuán fakamavaheʻi ʻe membranes ui ko e ngaahi foʻi tisi. Ko e meheka ʻa e ʻUtoíKo hañʻI he ʻuluaki feituʻu, ko eéʻUhila ʻi heéM Séfilosiliva, fai ha fakahinohino ki he ongo vaʻé, ongo nima mo e ngaahi ángaahi tafaʻaki ʻo e sinó.
Ko e vértebras
ʻOku ʻi ai 33 vértebras ʻoku ne faʻu ʻa e faʻunga ʻo e ngaahi hui ʻo e tuʻa, ʻi hono fakatahaʻi ʻo e fainolo ke faʻu ʻa e tailbone.
Ngaahi Tisi
V takitahaéRTEBRA FAKAFUOFUAʻIá fakamavaheʻi ʻe ha meʻa ʻoku molu, naʻe ui ko ha tisi, ngaue ko iaúHange ha kiʻi taʻaʻofiín mo ha sitapa ʻi he taimi tatau. ʻOku nau matuʻuaki ʻa tuʻa, ʻI loto, ʻoku ʻi ai haʻanau LíQuido MáS mota pani ʻaupito-Type, ʻE tangutu ʻa e ngaahi foʻi tisiúʻI he vahaʻa ʻo e v takitahaéRTEBRA. Fakakaukau kiate kinautolu ko e neumáTicos ki he ngaahi meʻaleleóTafaʻaki fakalielia, fonu ʻi ha mota pani ʻaupito matolu. ʻI he taimi ʻoku lele ai hoʻo kaa ʻi ha pothole, Ko e NeumáʻOku tokoni ʻa e ulapapeni Tico ke mahino ʻa e angi. Meimei tatau pē, taimi kotoa pē ʻoku tau ngāue aí, ʻOku liliu ʻa e ngaahi foʻi tisi ʻi he tuʻa ʻo e tuʻa ʻi heʻenau fekauʻaki.ón mo e ngaungaue. Hangē ko e ngaahi fale lahi ʻi he sinó, ʻoku lahi e ngaahi meʻa ʻoku ngāue ʻaki ʻi he ngaahi tisi. ʻOku nau ʻohovale absorbers, fakafehokotaki mo maluʻi ʻa e ngaahi hui ne faʻá.
ANATOMÍKi he ÓKE
Cervical tuʻa
ʻOku ʻi ai ha hui ʻe fitu pe véCervical rtebrae. Ko e ngaahi hui cervical ʻokuán DesignñKe fakaʻata ʻa e flexibilities,ón, Extensión, mo e mioʻi ʻo e ʻulú. Ko e ngaahi m ʻeniás siʻisiʻiñKo e toenga ʻo eás vértebras, haohaoaí fakaʻata ke lahi ange ʻa e ngaungaue.
V takitahaéCervical rtebra ʻoku ʻi ai ha konga ʻe ua, Ko ha sino mo ha ʻaleso maluʻión ki he méfilosiliva naʻe ui ko e ʻaleso neural. V takitahaéRtebra fakamatalaʻi ʻaki ʻa e konga ki ʻolunga mo lalo.
Kolomu ToaáCica
ʻI he vahefonuaón fatafata, Ko e Kolomu ʻo ToaáCica attaches ki he ngaahi hui vakavaka. ʻOku ʻi ai 12 véRtebras ʻi he vahefonuaón toaáCica.
Ko e Kanali filosiliva ʻi he vahefonuaón toaáʻOku toe lahi ange ʻa e CICAás siʻisiʻiñpe ko e áNgaahi feituʻu Cervical pe lumbar. ʻOku ʻai ʻe he meʻa ni ʻa e méFilosiliva ʻi he toa-souniáʻOku tuʻu fakatuʻutamaki ange ʻa e CICA kapau ʻoku ʻi ai ha fracture.
Ko e ngaue ʻoku hoko ʻi he kolomu toaáʻOku CICA pe Rotationalón. ʻOku taʻofi ʻe he ngaahi hui vakavaka ʻa e flexón ki he tafaʻaki. Ko ha kiʻi meʻa siʻiñʻOku hoko ʻa e lahi ʻo e ngaue ʻi flexión Laka Ki Muʻa mo Fakaholomuiás.
Kōlomu Lumbosacral
Ko e véʻOku lahi ʻa e vertebrae Lumbar, fālahi mo matolu. ʻOku ʻi ai ha toko nima véLumbar tuʻa Rtebras. Ko e véLumbar M RtebraáS maʻulalo, L5, fakamatalaʻi mahino mo e hui sacral, pea attaches ʻa e sacrum ki he pelvis.
ʻOku bending ki muʻa ʻa e ngaahi tefitoʻi ngaue ʻo e tafaʻaki ki lalo.ás. ʻIkai ngata aiéʻOku hoko ʻa e Flexionón tafaʻaki.
NEUROANATOMY
Hange ko hono vahevahe ʻo e tuʻa ki he ngaahi feituʻu: fakaʻofoʻofa ʻo e ʻ, ToaáCica mo e lumbar, toeén ʻoku fai ʻe he méfilosiliva. Fanga puaka takitahaóN ʻo e MéʻOku vahevahe ʻa e filosiliva ki Neurol ngaahi kongaóPauíFICOS.
Ko e méʻOku vahevahe ʻa e afo Cervical filosiliva ki ha tuʻunga ʻe valu. ʻOku tokoni ʻa e tuʻunga takitaha ki he ngaahi ngaue kehekehe ʻi he kia mo e ongo nima. ʻOku ʻave tatau pe ʻa e sino sensations mei he kili mo e ngaahi konga kehe ʻo e sino mei he kia, uma mo e nima ki he ʻuto.
ʻI he vahefonuaón toaáM Neural Neural Métokoni ki he filosiliva ki he múfatafata scus ʻi he manavaón mo e tale. Ko e vahefonua ko ʻenióN fokién ʻoku ʻi ai e ngaahi neave ʻi he founga tailiiliáTico.
ʻI he lumbosacral Zone, Ko e méʻOku fekauʻaki ʻa e filosiliva mo e ngaahi neave mo e vaʻe, pelvis mo e loto mo e viku. Ko e sensations ʻo e vaʻe, ongo vaʻé, ʻOku fakahu ʻa e pelvis mo e kete maʻulalo ange ʻi heés ʻo e ngaahi neave mo e mélumbosacral filosiliva ki ha ngaahi konga lalahi ange pea, ʻI he fakaʻosí, ki he ʻutó.
VíMoveuveu ʻi he manavasiʻi
ʻOku lahi ʻa e víKo e ngaahi nunuʻa ʻo e manavasiʻi ʻoku ne ʻave ʻa eñMei ʻolunga ki he takele ʻo e méfilosiliva. ʻOku ʻomi ʻe hanau niʻihi ha sensationsóMei he kilí ki he ngaahi konga kehe ʻo e sinó. ʻOku ʻomi ʻe he niʻihi kehe ha ongoón mei he ngaahi fale máHange ko e óngaahi ʻokani ʻi he kete, pelvis pe niʻihi kehe áNgaahi Tafaʻaki. ʻOku ʻave ʻe he ngaahi neave keheñMei he ʻutó ki he sinó. Pea ʻoku ngaue ʻa e niʻihi kehe ʻi he tuʻunga ʻo e méFilosiliva mo e ngaueúʻo hange ko e ngaahi meʻa ʻoku fai ʻi he founga feʻaveʻaki.ón ʻo eñki he.
VíSensory Sensory Sensory Sensor
Sensations mei he sino, hangē ko e ʻea velá, Falanisēípe, mamahí, pea ala ki ai, ʻoku ʻave ia ʻi he kili mo e ngaahi konga kehe ʻo e sino ki he ʻuto. Ko e ngaahi v ko ʻeniíKo e meʻa ʻeni ʻoku nau ui ko e VíSensory Sensory Sensory Sensor.
Ko hoʻo maʻu pe kinautoluñKi he Méfilosiliva, ʻoku fakafolau atuíKi he ʻuto. ʻOku ʻoatu ha faʻahinga sensations kehekehe ʻe ha faʻahinga sensations kehekehe.íhaohaoa, ngaahi uiuiʻí “Ngaahi Fakaloloaʻi”. Ko e monu ʻoku ne ʻave ʻa e sensations ʻo e mamahi mo e mafana ki he ʻuto ʻokuán ʻi he vaeuaʻanga malie ʻo e méfilosiliva. ʻOku ui ʻa e ngaahi fakaloloaʻi ko ʻení “SpinotaláMuscovites”. ʻOku toʻo ʻe he monu kehe ʻa e ongoóFika ʻo e LakangáóN & mama lomiʻi. ʻOku ʻave ʻa e ngaahi ongo ko ʻeni ʻo e neave ʻi he tafaʻaki ki mui ʻo e méfilosiliva.
VíManavasiʻi autóNomas
Ko e faʻahinga neave makehe ʻe taha ko e ngaahi neave.óNomos. Aut e neaveóʻOku vahevahe ʻa e Nomos ki ha faʻahinga ʻe ua: Ko e Simp neaveáTicos mo ParasimpsáTicos.
Ko e founga manavasiʻi ʻa e AutóʻOku takiekina ʻe Nomo ʻa e ngaahi ʻekitiviti taʻefakakounaʻi hange ko e múʻAsi ʻa e lotoón, pea mo e GLsándulas ʻoku ne tukuange ha homouni pau. Puleʻi e polokalama Cardiovascular, digestive mo e manava.
ʻOku ngaue ʻa e ngaahi polokalama ko ʻeni ʻi ha founga fakalukufua “Taʻefakakounaʻi”. Ko e ngaue ʻa eóT h tefitoʻi founga manavasiʻióKo e Nomo ke tauhi ha ʻatakai ʻoku ʻi loto ʻi he sino. Ko e LotóóN mo e ngaahi ipu totoíʻOku puleʻi ʻa e neos ʻe he founga tailiili.óNome.
Ko e Simp neaveáʻOku tokoni ʻa e kote ke mapuleʻi ʻa e malohi.ón Arterial ngaahi tuʻunga moʻui ʻo makatuʻunga ʻi he ngaahi fie maʻu ʻa e FíSicas fakamalohiʻi ʻa e sino. ʻIkai ngata aié∙ Tokoni ke mapuleʻi e tuʻo lahi ʻo e katiíKo ʻeni. Ko e Simp neaveáTicos, ʻi he taimi ʻoku fakaʻaiʻai aí, ʻAi ʻa e lotoóN ʻe lava ʻe Más ráKole.
Ko e Simp neaveáTicos
Ko e Simp neaveáʻI he ngaahi meʻa kehe, ʻoku nau fakatupu, Ko e constrictionón ʻo e ngaahi ipu totoíneos ʻi he sino kotoa. ʻI he taimi ʻoku hoko ai ʻení, ʻa e lahi ʻo e toto ʻoku fakafoki ki he lotoón tupulaki. ʻOku tupulaki ʻa e ngaahi ola ko ʻenián ko e presión arterial. ʻOku kau ʻi he ngaahi ola kehe ʻa e tupulaki ʻa e tautaʻa.ómo fakatupulaki e ʻitangofua pe ongoʻi ʻo eóLoto-hohaʻa.
ʻI he taimi ʻoku ʻi ai ha lesión ʻi he méfilosiliva, ʻi ʻolunga pe ʻi ʻolunga ʻi he tuʻunga T6 ʻo e ngaahi neave simpáTicos ʻi lalo he lesión disconnect mei he ngaahi neave ʻi ʻolunga. Ko e ngaahi meʻa ko ʻeniúNgaue he taimi pe ko iaáʻI he taimi pe ko ia ʻi PeluíKuo ʻosi e ʻohovale ʻa e hui.
Ha faʻahinga meʻa pe ʻoku ne fakaʻaiʻai ʻa e simp neaveáTe ne lava ʻo ʻai ke nau longomoʻui. Ko e ʻekitiviti ko ʻeni ʻo e ngaahi neaveáʻOku ui ʻeni ko auton dysreflexiaóMaʻuʻanga Fakamatala.
Parasimp neaveáTicos
Parasimp neaveáTicos ngaueúʻI he founga fehangahangai mo e ngaahi neave simp, ko e fehangahangai ia ʻo eáTicos. ʻOku fakahehema ʻa e ngaahi neave ko ʻeni ke dilate ʻa e ngaahi ipu totoíneos pea mamalie hifo ʻa e vave ʻo e mafu.ón. Ko e neave ʻa e máʻoku mahuʻinga hono toʻotoʻo e ʻū filo parasimpáKo e vagus ki he neave ko e neave vagus. ʻOku toʻo ʻe he neave ko ʻeni ʻa eñAles ParasimpáKi he lotóón ke fakasiʻisiʻi e tuʻo lahi ʻo e katiíKo ʻeni. ʻOku fekauʻaki e ngaahi neave kehe mo e ngaahi ipu totoíneos ʻo e óʻōkani ʻo e keté mo e kilí.
Parasimp neaveáTicos tuʻu hake mei ha toko ua áNgaahi Tafaʻaki:
Ki he). Ko e filo ʻoku ne innervate ʻa e óʻŌkani ʻo e keté, Ko e Lotóón, ʻOku kamata ʻa e maʻamaʻa mo e kili ʻi ʻolunga ʻi he kongaloto ʻi he tuʻunga ʻo e ʻuto mo e méFilosiliva maʻolunga ʻaupito.
B). Ko e ngaahi neave ʻoku ne innervate ʻa e óNgaahi ʻokani ʻoku ola lelei, ʻoku kamata ʻa e pelvis mo e vaʻe ʻi he tuʻunga ʻo e sacrum, pe ko e takele ʻo e méfilosiliva.
Hiliés ʻo ha lesióN ʻo e Méfilosiliva, Ko e Parasimp neaveáʻOku kamata ia ʻi he ʻutoúKO HA NGAUE, naʻa mo e lolotonga ʻo e konga fakaʻohovale ʻo e filosiliva. ʻI he taimi ʻoku hoko ai ʻa e dysreflexia, Ko e Parasimp neaveáTicos feinga ke mapuleʻi ʻa e ráFakautuutu e faingataʻáóArterial ʻesiti ʻaki hono fakasiʻisiʻi e lotoón.
