Soo Koobid astaamaha infekshinka laf-dhabarka ee kala duwan

Xirmooyinka dilaacyada laf-dhabarka ah 2% ilaa 7% infakshanka muruqyada ee ay keento bakteeriyada, fangaska, iyo, si dhif ah, oo ku dul-noole. Qiyaastii kalabar dhammaan kiisaska caabuqyada laf-dhabarka ah waxay ku yaalliin laf-dhabarka lumbar, waxyar ka badan saddex-meelood meel laf-dhabarka, iyo inta ka hartay laf-dhabarta afka ilmo galeenka.

Infekshinka cajuud

Casninta pinalent Chinal-ka (PS) waxaa badanaa keena infakshanka faafinta, oo leh staphylococcus aureus in ay yihiin kuwa ugu caansan ee laf-dhabarka, iyo raajada aan lahayn xasaasiyad iyo xasaasiyad marxaladaha hore ee cudurka. Koronto MRI waa habka doorashada ee ogaanshaha hore ee cudurada laf-dhabarka; MR MRI wuxuu muujiyaa bararka garaaca laf laf lafta, oo ku saabsan jirrooyinka vertebral, ka-hortagga jirka, bannaanka epidural, iyo / ama unugyo jilicsan oo aan hore u xirneyn meel u dhow xididdada vertebral.

Xusuusin: 

(b) Xaashiyaha dambe ee yar ee L3. Burburinta L3 - L4 Discs oo ku saabsan isbeddelada nasashada ee ku soo dhawaqa sharooyinka ku xiga (fallaadho). 

(c) Sawirka Magnetic ResoNety (MR) Sawirka muujinaya isbeddelada nasashada ee dib-u-dhigga vertebral-ka iyo calaamadaha aan caadiga ahayn ee dhuuxa lafta ku xigta (fallaarta). Unugyada jilicsan ee jilicsan ayaa ah kuwo caan ah oo caan ah oo isbadalo isbadal leh. 

D Xusuusnow in lagu muujiyo marinka kanaalka (fallaarta).

Tiibiida laf-dhabarka

Qaaxada lafdhabarta (TS), infekshanka laf-dhabarka ee aan-nadiifsanayn ee aan fiicnayn ee ay keento cudurka 'mycobacterium poterack', iyo astaamaha sawirka ee kala soocida PS waxaa lagu muujiyey shaxda hoose:

Idaacadaha soo daabaadeeya waxay muujinayaan burburka lafaha, hoos udhaca dhererka diskiga iyo unugyada jilicsan ee aan laheyn ama aan lahayn dacwad-bixin ah unugyada jilicsan ee ku xeeran.

On Mri, in caadiga ah ee T1-ga hoose ee T1-ga hoose iyo xoojinta sector-ka sare ee taxanaha dareeraha dareeraha ah waxay ku lug leeyihiin jidhka dusha sare ee verbbral waxayna ku fidin karaan marinka sunta ah ee loogu talagalay verbbbrae kale, guud ahaan iyada oo aan lagu lug lahayn diskiga.

Qoraallada: 65-jir ah oo lab ah oo leh (a) Achial iyo (b) Lumbars-ka (asterisk) oo leh septal (asterisk) oo leh septal iyo xoojinta derbiga iyo xoojinta derbiga (fallaadhka darbiga (fallaadho cad). Dumisay disk-ka-dhiska oo aan lahayn kor u qaadista weyn. Duradka duradka sawaxaad (fallaar cad). (c) Sawirka dib-u-dhiska ee CT ee L3 illaa S1 vertebral Burburkiisa.

Infekshanka brucella

Brucellosis waa zonamoside adduunka oo dhan oo ay sababaan cudurka bacillus ee xun xun. Waxay badanaa ku lug leedahay laf dhabarta lumbar, gaar ahaan l4.

Cudurku wuxuu ku bilaabmayaa qayb ka mid ah tirada dusha sare ee jirka vertebral ee ah ee disc-ga-ka-hortagga wuxuuna dhaawici karaa kala-goysyada yaryar. Masaafada paravertebbbbbral waxay dhacaan si isdaba joog ah oo ay ka yar yihiin cabirkooda TS. Anatomi-ka vertebral anatomy ayaa wali ah mid aan caadi ahayn.

Xusuusin: Infekshanka Brucella Lumbrom, saliidaha ayaa muujinaya sclerosis-ka lumbar verterbrae, oo si tartiib ah u ah lumbar vertebrae, oo aan caadi ahayn oo u eg xadka dambe ee jirka, iyo samaynta cirifka jirka ee jidhka ugu sarreeya.

Ankylosing spondylitis

Ankylosing spondylitis (sida) waa cudur barar ah oo daba-dheeraada oo inta badan saameeya laf-dhabarka wuxuuna kuu horseedi karaa xanuun daran oo ka soo dhaca laf-dhabarka.

Dhibaatooyin kale oo bukaanno ah oo leh horumarinta cudurka disk ee xadidan, iyo sawirka, oo lagu kala saari karo spondylitis-ka ku xiga hal ama labo verlerosis-ka, iyo aagagga cudurka 'sclerolytic'.

Xusuusin: Bukaan-socodka oo leh ankylosing spondylitis, 44 sano jir ah oo leh dhabarka hoose ee dhabarka hoose iyo dhaqdhaqaaqa xadidan. Sagittal CT ee (a) The The Thocic iyo (B) Lumbar laf-dhabarka laf dhabarta lafdhabarta laf-dhabarka Waxa kale oo jira qolofyo iyo isku-darka lumbar lumbar xindhiqsi fara badan (fallaadho lagu muujiyey). (c) Sawirka ceyrta ee heerka laf-dhabarka ee Lumbrka waxay muujineysaa inuu u qalmo waxyaabaha ka dambeeya iyo kala-goysyada qummanaanta ah (fallaadho).

Cudurka osteomycitis syndrome

Soohdka 'SAPOOSLE' ee waxaa loola jeedaa iskudhafyada muruqyada muruqyada iyo burushka, fiseulosis, osteomyecitia, oo ay ku jiraan kala-goysyada dusha sare ee salka (oo ay ku jiraan kuwa ugu badan ee ku lug leh, oo ay ku xigto lumbar iyo ilmo galeenka laf-dhabarta. Isgoyska ka-hortagga ee diskooyinka is-dhexgalka ah ee diskooyinka dhexgalka ah ama daloolka dabacsan, iyo nudaha jilicsan ee bararka.

Xusuusin: 62-sano jir ah oo la yiraahdo nin leh sappo syndrome. (a) Sagittal T2-Miisiidhka iyo (B) Sawirro sawirro ah L1 ee L1 si weyn ayaa loo soo celiyaa ka dib markii jab jabka duug ah. (c) Achial CT waxay muujineysaa ankylosis ee wadajirka saxda ah ee codka sare (asterisk). (D) Dib-u-dhiska Cilmiko CT-ka CT-ka CT-ka CT waxay muujineysaa geesaha geesaha ah ee roobka sicirka ah (asterisks madow). (e) Sawirka lafaha ee muujinaya radiocer utare labada ay saameeyeen kala goysyada ay saameeyeen (asterisks cad).

Condonsis-la-lahaanshaha laxiriira

Daabacaadda laxiriira ee is-xakamaynta Waxay ku badan tahay lafdhabarta afka ilmo-galeenka waxayna caadiyan soo bandhigtaa cidhiidhiga isbadalka bannaanka, burburka daahfurka, dhimirka cudurka sclerosis, caabuq cusub, caabuqyo lafaha ah, caabuqyo, iyo xoojinta booska.

Xusuusin: osteoporosis balaaran ee lumbar iyo miskaha 'pacly peral'. Burburinta marging-ka anterosuprire ee lumbar 5 vertebrae oo leh hyperplasia hyperplasia ee xudunta (oo ay muujiyeen fallaarta gaduudan). Ku xigta cheerring hyperplasia. Burburinta sacrilia-ka-bidix oo ay weheliyaan dushiisa dambe ee farshaxanka dusha sare ee ilium, lafaha badan ee gudaha ah, oo ay u eg yihiin nabarro jilicsan oo u eg fallaadho buluug ah).

Xusuusin: Waxaa la xoojiyay Mr: Lumbr Luudh 5 jirka Waraaqyo badan oo ah calaamadaha aan caadiga ahayn ayaa lagu arkaa hoos-u-dhaca lumbar-ka 5 iyo sacral 1 iyo screen kala-goysyada hoose, oo leh school yar oo heerkeedu yahay T1WI, iyo xoojinta ayaa lagu arkaa skaanka kobcinta (fallaadho gaduudan). Cudurka jilicsan ee ka adag xadka dambe ee dusha sare ee vertebrae-ka sacrae ayaa la arkay, iyo xoojinta ayaa lagu arkay skaanka la wanaajiyey (fallaarta buluuga ah). Calaamadaha lafaha ee ilium, misigta, sacrum iyo madaxa garabka ee miskaha ma aysan muujin wax caadi ah, oo ah nusqaamaha muruqyada miskaha iyo dibadaba, iyada oo aan laheyn calaamadaha gortan iyo ciriirinta.

Gout laf-dhabarka

Got-ka laf-dhabarka waxaa lagu gartaa dhigaalka kaydinta Monocrystale-ka Monocrystaleine-ka (MUCS) laf-dhabarta. Gogosha laf-dhabarka ayaa inta badan saameysa laf-dhabarka lumbar. Radiographs waxay muujinayaan astaamo aan micno lahayn oo CT si fiican ugu wanaagsan nabaad-guurka lafaha ee wata xarkaha sclerotic. Ciyaaraha MRI waa mid aan micno lahayn.

Fiiro gaar ah Arrotrocentesis waxaa loo baahan yahay si loo xaqiijiyo ogaanshaha cudurka.

NEARPONSOSSONYLIT

Cudurka neurogenic spondylitis (ns), hal abuurka hal abuurka leh, waxay dhacdaa ka dib luminta dareenka iyo xasaasiyadda. Sababta ugu badan ayaa ah dhaawac muruqa laf-dhabarka laf-dhabarka, oo ku xisaabtama 70% kiisaska. Sababaha kale waxaa ka mid ah sonkorowga mellotus, laf-dhabarta xargaha xargaha, iyo ciladaha kale ee neerfaha sida muruqyada kacsan dyrtrophy iyo guillain-Barré syndrome. Sababo la xiriira doorka thoracolagar iyo isgoysyada lumpsacral ee culeyska culeyska, waa bogagga ugu badan ee ku lug leh.

Calaamadaha caadiga ah ee NS waa jajabyada lafaha, is-dhexgalka is-waafajinta iyo iswaafaqla'aanta jidhka jirka ee vertebral, nabaad-guuryo yar yar iyo sidoo kale ilaalinta cufnaanta cufnaanta lafaha, iyo waliba unugyada unugyada jilicsan.

Xusuusin: 58-sano jir ah oo leh lab oo leh laf dhabarta. (a) sagittal iyo (b) Dib-u-dhiska conographic-ka Tomographics-ka Tomographics ayaa muujinaya xididdada lumbar lumbar vertebral iyo nabaad-guurka isku-darka ah ee isku-dhafka ah (fallaadho) oo leh jajabyada lafaha. Burburinta cutubka 'L2-L3' ee 'LOC' oo ballaadhan oo ballaadhan oo ka mid ah booska dhexgalka (asterisk). (c) sagittal iyo (d) XAQIIQOOYINKA T2-Miisaaniyadda ee loo yaqaan 'Magpetic T2-Miitarka' Wax ka beddelka la taaban karo ee ku saabsan laf-dhabarta laf-dhabarta ah ee ka daadanaya l2-l3-l4. Waxa kale oo jira wax ku dhegan unugyada jilicsan ee ka dambeeya oo ka soo baxa geedi socodka lafdhabarta (asterisk).