Kumashure (kubva kuLatin backsum) ndiko kuseri kwechiso chemuviri wemunhu chiri pakati pemapfudzi nemagaro.

mamiriro. Kumashure kune chimiro chakaoma (1) chinosanganisira:

• musana uri pakati pawo, pachawo wakagadzirwa ne32 kusvika ku34 mapfupa anonzi vertebrae,
• intervertebral discs yakamira pakati pe vertebrae,
• ligaments inobatanidza vertebrae kune mumwe nemumwe,
• chikamu chekumashure chembabvu, chikamu chakabatanidzwa kumusana;
• mhasuru dzakawanda, kusanganisira mhasuru dzakadzika dzinobatanidza vertebrae kune mumwe nemumwe uye mhasuru dzepamusoro,
• marunda anobatanidza tsandanyama nemapfupa,
• ropa uye lymphatic midziyo,
• yemuzongoza, chikamu chepakati tsinga system, iri mumusana. (1)

Tsigiro uye yekudzivirira basa. Muzongoza unopa musana basa rekutsigira musoro nekudzivirira musana.

Basa mukufamba uye kumira. Zvose zvikamu zvemashure zvinoita kuti zvikwanise kuchengetedza kumira kwe trunk uye nokudaro kuchengetedza nzvimbo yakamira. Chimiro chemusana chinobvumira kufamba kwakawanda senge torsion mafambiro ehunde, kukotama kwehunde kana kunyange kudhonza.

Kutambudzika shure. Inotsanangurwa semarwadzo emunharaunda anotanga kazhinji mumusana uye anowanzokanganisa mapoka emasumbu akaipoteredza. Zvichienderana nekwavanobva, mafomu matatu makuru anosiyaniswa: kurwadziwa kwemutsipa, kurwadziwa shure uye kurwadziwa shure. Sciatica, inoratidzwa nekurwadziwa kunotanga muzasi kumashure uye kuwedzera mugumbo. Izvo zvakajairika uye zvinokonzerwa nekumanikidzwa kwe sciatic nerve. Kusiyana kwepathologies kunogona kuva pamavambo ekurwadziwa uku. (2)

• Degenerative pathologies. Yakasiyana pathologies inogona kutungamirira mukuderera kunofambira mberi kwezvinhu zvemasero. Osteoarthritis inoratidzwa nekupfeka kwecartilage inodzivirira mapfupa emajoini. (3) Iyo herniated disc inoenderana nekudzingwa kuseri kweiyo nucleus ye intervertebral disc, nekupfeka kweiyo yekupedzisira. Izvi zvinogona kukonzera kudzvinyirirwa kwepinal cord kana sciatic nerve.
• Deformation yemuzongoza. Kusiyana kwakasiyana kwekoramu kunogona kuoneka. Scoliosis is a lateral displacement of the column (4). Kyphosis inokura nekukombama kwakanyanya kwemusana pakureba kwepfudzi nepo lordosis ichibatanidzwa neyakaiswa arch muzasi kumashure. (4)
• Lumbago uye mitsipa yakaoma. Aya ma pathologies anokonzerwa nekukanganiswa kana misodzi mumarunda kana mamhasuru, ari zvakateerana munharaunda yelumbar kana munharaunda yekervical.

Zvinodhaka zvinodhaka. Zvichienderana nechirwere, mamwe mishonga inogona kurongerwa, kusanganisira painkillers.

Physiotherapy. Kudzorera shure kunogona kuitwa ne physiotherapy kana osteopathy zvikamu.

Kuvhiya kurapa. Zvichienderana nehutachiona, kupindira kwekuvhiya kunogona kuitwa kumusana.

Kuongorora kwepanyama. Kucherechedzwa kwechiremba kwekuseri kwemashure ndiyo nhanho yekutanga yekuziva zvisina kujairika.

Radiological bvunzo. Zvichienderana nehutachiona hunofungidzirwa kana hunoratidzwa, mimwe bvunzo inogona kuitwa seX-ray, ultrasound, CT scan, MRI kana scintigraphy.

Rakadhindwa mupepanhau resainzi Stem Cell, vaongorori kubva kuInserm unit vakabudirira kushandura adipose stem maseru kuita maseru anogona kutsiva intervertebral discs. Iri basa rine chinangwa chekuvandudza iyo yakasakara intervertebral discs, zvichikonzera mamwe ekurwadziwa kwepazasi. (5)