Ngaba uyazi ngale sakhiwo simangalisayo entanyeni yakho? (Umqolo wesibeleko) Masithethe!

Ngaba wakha wazibuza ukuba intamo yakho ibaluleke kangakanani, kwaye iyilwe ngendlela emangalisayo kangakanani? Khawucinge nje, ukugcina intloko yakho ithe tye, ukujonga-jonga, ukujonga phezulu, ukujonga ezantsi, ukunqwala intloko yakho ukuze uthi "ewe", ukushukumisa intloko yakho ukusuka kwelinye icala ukuya kwelinye ukuze uthi "hayi"... konke oku kuncediswa yile sakhiwo sintsonkothileyo entanyeni yakho. Namhlanje siza kuthetha ngenxalenye ephezulu yomqolo wakho, eyaziwa ngokwezonyango njengomqolo wesibeleko . Ifana nommangaliso wobunjineli womzimba wethu!

Yintoni umqolo wesibeleko?

Ngamafutshane, inxalenye yomqolo wakho entanyeni yakho ibizwa ngokuba ngumqolo wesibeleko. Yenziwe ngamathambo amancinci asixhenxe abekwe phezu komnye. La mathambo abizwa ngokuba yi-vertebrae . Anenombolo C1 ukuya ku-C7.

Cinga ngayo njengenqaba yeebhloko zokudlala, kodwa iyinkimbinkimbi kakhulu kwaye inamandla ngakumbi.

Ezimbini zokuqala kwezi zisixhenxe zethambo lomqolo (C1 kunye neC2) zikhethekile kancinci.

• C1 vertebra: Oku kukwabizwa ngokuba yiAtlas . Uyakhumbula iAtlas evela kwiintsomi zamaGrike, ngubani owayephethe ihlabathi emagxeni akhe? Njengaye, eli thambo linceda ekuphakamiseni intloko yakho. Limile njengendandatho, njengenkxaso ezantsi kwentloko yakho.
• I-C2 vertebra: Oku kubizwa ngokuba yi-Axis . Kulapho i-C1 atlas ijikeleza khona. Xa ushukumisa intloko yakho ukusuka kwelinye icala ukuya kwelinye ukuze uthi "hayi," i-atlas ibonakala ngathi iyajika kule axis. Ayimangalisi na?

La mathambo omqolo, ukusuka kwi-C1 ukuya kwi-C7, adityaniswe ngasemva ngamalunga akhethekileyo abizwa ngokuba zii-facet joints . La malungu akuvumela ukuba ugobe intamo yakho phambili, ngasemva, kwaye uyijike ukusuka kwelinye icala ukuya kwelinye.

Kukho izihlunu ezininzi, imithambo-luvo, imisipha, kunye nemisipha ejikeleze le vertebra yomlomo wesibeleko. Kwakhona, xa i-vertebra enye iphezu kwenye, kukho into ebizwa ngokuba yi-intervertebral discs phakathi kwazo. Ezi zifana nee-shock absorbers emotweni. Oko kukuthi, ziyafunxa ukungcangcazela okuza entanyeni kwaye kuthintele i-vertebrae ukuba ingabethelani.

Enye into ebalulekileyo kukuba emqolweni wakho wonke, ukusuka entanyeni ukuya ezantsi, embindini kukho umthambo womqolo . Lo mthambo womqolo yiwo othwala imiyalezo esuka engqondweni ukuya emzimbeni wonke, kwaye imiyalezo evela emzimbeni ibuyela engqondweni. Ifana nendlela ephambili yolwazi emzimbeni wethu.

Zithini imisebenzi ephambili yamathambo omqolo wesibeleko?

Nangona ingabonakala incinci, inkonzo enikezelwa ngamathambo omqolo wesibeleko inkulu kakhulu.

1. Ukukhusela intambo yomqolo: Njengoko besitshilo ngaphambili, intambo yomqolo idlula kumqolo. Kukho umngxuma omkhulu phakathi kwethambo ngalinye lomqolo, obizwa ngokuba yi-vertebral foramen.Xa zonke ezi mingxunya zidibana, zenza ityhubhu. Intambo yomqolo idlula kuloo tyhubhu. Ngoko ke, amathambo omqolo wesibeleko akhusela kakuhle inxalenye yomqolo entanyeni.

2. Ixhasa intloko kwaye ivumela intshukumo: Intloko eqhelekileyo inobunzima obuphakathi kweekhilogram ezili-10 ukuya kwezili-13 (malunga ne-4.5 kunye ne-6 kg). Obu bunzima buxhaswa yi-vertebrae yomlomo wesibeleko. Ayipheleli apho, kodwa ungayigoba intamo yakho phambili (i-flexion) , ngasemva (ulwandiso) , uyijike ukusuka kwelinye icala ukuya kwelinye (ukujikeleza) , okanye uyigobe ecaleni ukuze indlebe yakho ichukumise igxalaba lakho (i-lateral flexion) . Le nxalenye inceda kuyo yonke le nto.

3. Ukubonelela ngendlela ekhuselekileyo yokungena kwemithambo yegazi ethwala igazi ebuchotsheni: Kukho imingxunya emincinci kwithambo lomqolo wesibeleko ukusuka kwi-C1 ukuya kwi-C6. Ngale mingxunya, imithambo yegazi ebizwa ngokuba yi-vertebral arteries ithwala igazi ebuchotsheni. Le yeyona ndawo yomqolo wonke enemingxunya emathanjeni ukuze imithambo yegazi idlule kuyo.

Cinga ngentamo yakho njengendawo exakekileyo yokuhlangana. Kwelinye icala, intloko yakho iphakanyisiwe, kwelinye icala, ithwala imiyalezo ebalulekileyo kunye negazi ukuya engqondweni, konke oku ngelixa ikhusela!

Zeziphi ezinye izicubu ezithambileyo ezibalulekileyo ezijikeleze umqolo wesibeleko?

Ayizizo kuphela ii-vertebrae, kodwa nezinye izinto ezininzi zinxulumene nale nkqubo.

Izihlunu

Kukho izihlunu ezibalulekileyo ezinceda ekushukumeni nasekuzinzeni kwentamo:

• I-Sternocleidomastoid: Le yimisipha eqala ngasemva kwendlebe iye ngaphambili kwentamo kumacala omabini entamo. Yiyo esebenzayo xa ujika intloko yakho ukusuka kwelinye icala ukuya kwelinye kwaye uphakamisa isilevu sakho.
• I-Trapezius: Ezi zihlunu zimbini ezizinxantathu. Zihamba ukusuka ezantsi kwekhakayi, ziye entanyeni, zijikeleze umqolo wesifuba, zize zinamathele kwiincakuba zamagxa. Zinceda ekuphakamiseni intloko phezulu, zigobe intamo ngasemva, zijike intloko ziye ngasekunene nasekhohlo, kwaye ziphakamise amagxa kancinci.
• I-Levator scapulae: Esi sihlunu sinamathele kwi-vertebrae yokuqala emine yomlomo wesibeleko kunye nomphezulu we-blade yehlombe. Inceda ukuphakamisa i-blade yehlombe, ukugoba intloko ecaleni, nokujika intloko.
• I-Erector spinae: Eli liqela lemisipha enceda ukugcina ukuma nkqo, ukujikelezisa intamo, nokuyigoba ngasemva.
• Ii-flexors ezinzulu zomlomo wesibeleko: Ezi zihamba ngaphambili komqolo wesibeleko. Zinceda ukugoba intamo phambili nokuzinzisa umqolo wesibeleko.
• Izihlunu ze-suboccipital: Ezi zizihlunu ezine. Zidibanisa umphezulu we-vertebrae yomlomo wesibeleko nesiseko se-skull. Zinceda ekuthambekeni nasekujikeni intloko ngasemva.

Iiligamenti

Iiligamenti zifana neebhanti ezidibanisa amathambo kunye nezinceda ukugcina umqolo wesibeleko uzinzile. Kukho iiligamenti ezintathu eziphambili:

• I-anterior longitudinal ligament: Le isuka kwisiseko sekhakhayi iye ezantsi ngaphambili kwe-cervical vertebrae. Iyolula xa intamo igobile ngasemva.
• I-posterior longitudinal ligament: Le iqala kwi-C2 vertebra ize ihambe ngasemva kwe-cervical vertebrae. Iyolula xa intamo igobile phambili.
• I-Ligamentum flava: Le ligament igubungela umqolo ongaphakathi we-vertebra nganye, ecaleni kwendlela yomqolo. Ikhusela umqolo emqolo.

Iidiski ze-Intervertebral

Njengoko besitshilo ngaphambili, ezi "zii-shock absorber cushions" phakathi kwamathambo omqolo. Kukho ama-disc amathandathu phakathi kwamathambo omqolo osixhenxe womlomo wesibeleko. Afunxa uxinzelelo kunye noxinzelelo oluya entanyeni, kwaye akwakunceda ukugoba nokujika intamo yakho lula xa usenza imisebenzi.

Imiva

Iiperi ezisibhozo zemithambo-luvo zivela phakathi kweperi nganye yethambo lomqolo wesibeleko ngokusebenzisa imingxuma emincinci (i-foramen). Ezi zibizwa ngokuba yi-C1 ukuya kwi-C8. Ezi mithambo-luvo zilawula intshukumo yemisipha entanyeni, egxalabeni, engalweni, nasesandleni, kunye nokubonelela ngemvakalelo kwezo ndawo.

• Imithambo-luvo ye-C1, C2, C3: Lawula intshukumo yentloko nentamo uye phambili, umva, kwaye ujikeleze intloko nentamo. Imithambo-luvo ye-C2 inika imvakalelo entloko, kwaye imithambo-luvo ye-C3 inika imvakalelo emacaleni obuso nasemva kwentloko.
• I-C4 nerve: Ilawula intshukumo yokunyuka kwegxalaba. Ikwayenye yemithambo-luvo elawula i-diaphragm, ekuncedayo ukuphefumla. I-C4 inika imvakalelo kwiindawo ezithile zentamo, amagxa, kunye neengalo ezingaphezulu.
• I-C5 nerve: Ilawula izihlunu ze-deltoid kunye ne-biceps yegxalaba. Inika imvakalelo ukusuka phezulu kwengalo ephezulu ukuya engqinibeni.
• I-C6 nerve: Ilawula izihlunu ze-extensor zesandla, ikwabandakanyeka ekulawuleni i-biceps. Inika imvakalelo kwicala lengalo nelesithupha sesandla.
• I-C7 nerve: Ilawula i-triceps kunye nemisipha yesandla egobileyo. Inika imvakalelo ngasemva kwengalo ukuya kumnwe ophakathi.
• I-C8 nerve: Ilawula isandla. Inika imvakalelo kwicala lomnwe omncinci wesandla kunye nengalo.

Umqolo

Le yinqwaba yezicubu zemithambo-luvo ezisuka kwinxalenye esezantsi yobuchopho zehla ziye emzimbeni. Kungale ntambo yomqolo apho imiyalezo idluliselwa khona phakathi kwengqondo nezihlunu ebesithethe ngazo ngaphambili.

Ziziphi izifo ezinokwenzeka kumqolo wesibeleko?

Ngaba iingxaki zingavela kwisakhiwo esintsonkothileyo kangaka? Ewe, izifo ezahlukeneyo zinokuvela kumqolo wesibeleko, kwizicubu ezithambileyo ezijikeleze wona, nakwimithambo-luvo. Musa ukoyika, kubalulekile ukuzazi ezi zinto.

• I-Cervical Radiculopathy: Imeko ebangelwa kukucinezelwa kwengcambu yemithambo-luvo yi-cervical vertebra. Ukuba ndindisholo, ukuphelelwa zimvakalelo, ubuthathaka, kunye nentlungu kunokwenzeka. Ezi mpawu zinokuphelela entanyeni okanye zidlulele engalweni yonke, esandleni, nakwiminwe. Oku kunokubangelaIkwabizwa ngokuba yi-pinched nerve.
• Intlungu yentamo: Le yingxaki eqhelekileyo kubantu abaninzi. Intlungu yentamo inokubangelwa ziingxaki ezahlukeneyo kunye neemeko. Izifo eziwohlokayo (umz., i-osteoarthritis , i-spinal stenosis , i-herniated disc , i-pinched nerve), i-whiplash, uxinzelelo, ukuzilolonga ngokomzimba, ukuma kakubi, ii-tumor, ii-cysts, i-bone spurs, i-meningitis , i-rheumatoid arthritis , kunye nomhlaza zonke zinokubangela intlungu yentamo.
• Isifo seDiski esiwohlokayo seSibeleko: Ukuwohloka kweediski "ezithatha umfutho" kwithambo lomqolo lomlomo wesibeleko.
• I-Herniated Disc: Ukukrazuka okanye ukuvuza kwidiski phakathi kwamathambo omqolo.
• Ii-Osteophytes zoMzimba / iiBone spurs: Ukukhula kwamathambo angaphezulu kuyo nayiphi na i-vertebrae ye-cervical ezisixhenxe.
• I-Cervical Spondylosis: Ikwabizwa ngokuba yi-"neck arthritis," oku kukonakala kancinci kancinci kwe-vertebrae kunye namalungu kumqolo wesibeleko njengoko iminyaka ikhula.
• Ukulimala kweNtambo yoMgogodla woMlomo: Ukonakala kwethambo lomqolo lomlomo wesibeleko. Olu kulimala ludla ngokubangelwa kukubethwa ngequbuliso nangogonyamelo.
• Ukuqhekeka komqolo wesibeleko: Ukuqhekeka komqolo. Umntu one- osteoporosis unokufumana ukwaphuka-ukuqhekeka ngenxa yokwenzakala okuncinci, okufana nokuqhekeka koxinzelelo, ukuqhekeka komqolo, okanye ingozi yemoto okanye ukuwa ukusuka kwindawo ephakamileyo.
• I-Cervical Spondylotic Myelopathy: Uxinzelelo kumqolo kummandla womlomo wesibeleko. Eyona nto ibangela oku kukonakala kwamathambo omqolo, okuyi-osteoarthritis.
• I-Cervical Stenosis: Ukuncitshiswa komjelo womgogodla kummandla womlomo wesibeleko. Xa indawo inciphile, umthambo womgogodla okanye imithambo-luvo ephuma kuwo inokucinezelwa okanye icinezelwe.
• Ii-Tumors zoMgogodla woMlomo kunye noMhlaza: Ukukhula kwezicubu okungaqhelekanga ngaphakathi komqolo. Ezi zinokuba zingezizo zomhlaza (ezingeyongozi) okanye ezibangela umhlaza (eziyingozi).
• I-Meningitis: Usulelo lwe-meninges, isigqubuthelo esikhuselayo esijikeleze ingqondo kunye nomqolo.
• I-Osteomyelitis: Usulelo lwebhaktiriya okanye lwefungus emathanjeni, kule meko i-vertebrae yomqolo. Ukuba ayinyangwa, i-vertebrae ingafa.

Zifunyaniswa njani ezi zifo?

Ukuba unengxaki yentamo, ugqirha wakho uza kuqala akubuze ngembali yakho yezonyango, amayeza owasebenzisayo, akubuze ngeempawu zakho, akuhlole ngokwasemzimbeni, aze emva koko akuyalele naluphi na uvavanyo olufunekayo kunye nophando lwemifanekiso.

Oku kungabandakanya:

• I-CT scan (i-Computed Tomography (CT) scan): Oku kusebenzisa i-X-rays kunye nekhompyutha ukuthatha "iziqwenga" ezincinci kakhulu zendawo ehlolwayo. Ingajonga imilo, ubungakanani, umxholo womjelo womgogodla, kunye namathambo ajikelezileyo. Inokunceda ekufumaneni izinto ezifana ne-bone spurs, i-osteophytes, i-bone fusion, kunye nokutshatyalaliswa kwamathambo okubangelwa lusulelo okanye iithumba.
• Iskeni se-MRI (Magnetic Resonance Imaging (MRI): Esi skeni sisebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukuvelisa imifanekiso eneenkcukacha. Singakwazi ukubona iingxaki zomthambo womqolo kunye nemithambo-luvo ephuma emgogodleni, njengokubola komqolo, idiski etyibilikayo (idiski eqhekekileyo), usulelo, kunye neethumba.
• Ii-X-reyi: Zisebenzisa ubungakanani obuncinci bemitha ukufota amathambo kunye nezicubu ezithambileyo. Zinokujonga ukwaphuka, iingxaki zamalungu, ukungahambi kakuhle komqolo, kunye nesifo samathambo.
• Izifundo ze-Electromyogram (EMG) kunye ne-Nerve Conduction: I-EMG ivavanya impilo kunye nokusebenza kwemithambo-luvo kunye nemisipha. Uphononongo lwe-nerve conduction lulinganisa ukuba i-electrical impulse ihamba ngokukhawuleza kangakanani kwi-nerve. Ezi mvavanyo zinokunceda ekuqinisekiseni ukuba kukho umonakalo wemithambo-luvo kunye nendawo apho i-nerve icinezelwe khona.
• I-Myelogram: Olu vavanyo lokujonga imifanekiso luhlola ubudlelwane phakathi kwe-vertebrae kunye ne-vertebrae, i-spinal cord, kunye nomda wemithambo-luvo ephuma kwi-spinal cord. Ingabonisa ukuba into ethile, efana ne-tumor, i-bone spur, okanye i-herniated disc, icinezela i-spinal cord, i-nerve, okanye iingcambu ze-nerve, nto leyo ebangela intlungu, ukungabi nanto, okanye ubuthathaka.

Ziziphi iindlela zonyango lweengxaki zomqolo wesibeleko?

Kukho unyango olungenalo utyando nolwenziwayo kwiingxaki ezininzi zomqolo wesibeleko. Indlela yonyango oyikhethayo iya kuxhomekeka kwisizathu semeko kunye nobunzima bayo.

Zithini iindlela zonyango ezingasebenzisi utyando?

Ukuba intlungu yentamo ayibangelwanga yingozi okanye sisisu, ugqirha wakho angacebisa kuqala unyango olungenakungenelela kakhulu.

• Phumla.
• I-ice okanye i-hot compress.
• Ikhola yomlomo wesibeleko ethambileyo: Ikhola ixhasa intamo kwaye ithintela intshukumo.
• Ukuphepha imisebenzi yomzimba enzima okanye ebangela ukuba isifo sibe mandundu.
• Ulungiso lwenyama.
• Amayeza: Iziphumzi zemisipha, iintlungu zokuphelisa iintlungu (umz. i-paracetamol), kunye neyeza zokulwa nokudumba (umz. i-ibuprofen, i-naproxen).
• Iinaliti ze-steroid:Kukho iintlobo ezimbini ze-steroid injections ezinokuqwalaselwa xa kufikwa kwiintlungu zentamo kunye/okanye zengalo. I-cervical epidural block yileyo apho i-steroid injection ifakwa kwindawo ejikeleze umqolo (indawo ye-epidural). I-cervical facet joint block yileyo apho i-steroid ifakwa kwi-capsule ye-small facet joint evumela i-vertebrae ukuba ihambe.
• Ukuvalwa kwesebe lezonyango kunye nokususwa kwe-radiofrequency: Olu nyango luqwalaselwa kwezinye iimeko zentlungu engapheliyo yentamo. Okokuqala, kufakwa i-anesthetic yendawo kwi-nerve edibanisa ne-facet joint yomqolo. Ukuba intlungu yakho iyancipha, inyathelo elilandelayo kukuzinzisa intlungu. Oku kwenziwa ngokonakalisa i-nerve ngendlela ebizwa ngokuba yi-radiofrequency ablation. Ukunciphisa intlungu kuhlala iinyanga. Ukuba i-nerve iphinda ikhule, intlungu inokubuya.

Ndingazi njani ukuba ndifanelekile utyando lomqolo wesibeleko?

Ungafaneleka utyando ukuba:

• Ukuba ezinye iindlela zonyango aziboneleli ngoncedo.
• Ukuba iimpawu zakho ezinxulumene nomqolo wakho, iingalo kunye/okanye imilenze ziya ziba mandundu.
• Ukuba uphilile ngokwaneleyo ukuba ungatyandwa.

Ziziphi iindlela zotyando ezinokwenziwa kwiimeko zomqolo wesibeleko?

Kukho iindlela ezininzi zotyando ezisetyenziswa rhoqo:

Utyando Lokunciphisa Uxinzelelo Lomqolo Wesibeleko

Eli ligama eliqhelekileyo. Liquka iinkqubo ezahlukeneyo ezisetyenziselwa ukunciphisa iimpawu ezibangelwa luxinzelelo (ukucinezelwa) kwiingcambu zomthambo womqolo okanye kwimithambo-luvo.

• Utyando lokususa inxalenye yediski ukuze kuncitshiswe uxinzelelo kwiingcambu zemithambo-luvo ezikufutshane.
• Utyando lwe-laminotomy okanye i-laminectomy yomlomo wesibeleko: Kule nkqubo, ugqirha ususa inxalenye encinci ye-bone arch (i-lamina) yomjelo womgogodla. Kwi-laminotomy, kususwa inxalenye encinci ye-lamina. Kwi-laminectomy, kususwa yonke i-lamina, kunye nayo nayiphi na i-bone growths, iziqwenga zediski, kunye ne-ligaments etyebileyo, ukuba kuyimfuneko. Ukususa i-lamina kwandisa indawo kumjelo womgogodla kwaye kunciphisa uxinzelelo.
• Utyando lwe-cervical foraminotomy okanye i-foraminectomy: Zombini ezi nkqubo zenziwa ukwandisa imingxuma apho iingcambu zemithambo-luvo ziphuma khona kumqolo. Ithambo elithile liyasuswa kuloo ndawo. Kwi-foraminectomy, kususwa ithambo elininzi.
• Utyando lokukhupha ithambo lomqolo: Kolu tyando, ugqirha ususa umzimba womqolo (inxalenye enkulu engaphambili yethambo lomqolo) kunye nediski ukuze kuncitshiswe uxinzelelo kumqolo. Ngamanye amaxesha, amathambo omqolo ayadityaniswa ukuze kuzinziswe amathambo omqolo womqolo.

Utyando Lokutshintshwa Kwediski Yomlomo Wesibeleko

Oku kuquka ukususa idiski yomlomo wesibeleko enesifo nokuyifaka endaweni yayo idiski yokwenziwa. Oku kudla ngokwenziwa ukuze kunyangwe ukuwohloka kwediski yomlomo wesibeleko.

Ukudibana koMgogodla woMbeleko

Le yindlela yotyando edibanisa ngokusisigxina i-vertebrae yomlomo wesibeleko enye okanye ezingaphezulu. Oku kuphelisa ukushukuma phakathi kwe-vertebrae.

Ukuvuselelwa koMbane okuSebenzayo koKwenzakala koMgogodla

Le nkqubo isebenzisa ii-electrical impulses ezincinci ukuze isebenze izihlunu ezithile kunye nemithambo-luvo, ibuyisela ukusebenza kwezihlunu zomzimba ophezulu ezilawulwa yimithambo-luvo yomlomo wesibeleko.

Ngaba kunokwenzeka ukuba kwenziwe utyando lomqolo wesibeleko olungenamsebenzi kangako?

Thetha nogqirha wakho. Kwiimeko ezininzi, utyando lomqolo olungenamsebenzi lunokwenziwa. Endaweni yokwenza umsikelo omkhulu eluswini njengakwindlela eqhelekileyo yokuvula, utyando olungenamsebenzi lwenziwa ngokusebenzisa umsikelo omnye okanye ngaphezulu. Ngenxa yokuba le nkqubo yenziwa ngokusikwa okuncinci, akukho monakalo mkhulu kwimisipha nakwizicubu ezithambileyo kunakwisikrwelo esinye eside.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ngoku uyazi okuninzi ngalo mqolo womlomo wesibeleko omangalisayo entanyeni yakho.

Ngamafutshane, umqolo wakho wesibeleko ngummandla wentamo yomqolo wakho. Wenziwe ngamathambo okuqala asixhenxe (C1-C7). Uqulethe iidiski zakho ze-intervertebral, i-spinal cord, kunye nemithambo-luvo, imisipha, imisipha, kunye ne-ligaments.

Oku kuxhasa ubunzima bentloko yakho, kukunceda ukuba ushukumise intloko yakho kwiindlela ezahlukeneyo, kwaye kukhusela umqolo wakho. Nangona iimeko ezininzi zinokuchaphazela oku, ngethamsanqa, kukho iindlela ezininzi zonyango olungenalo utyando notyando olufumanekayo ukunyanga ezi meko.

Ukuba kukho nakuphi na ukungakhululeki okanye iintlungu entanyeni yakho, kungcono ukubona ugqirha ukuze akunike icebiso kunokuyityeshela. Hlala usempilweni!

Umqolo Wesibeleko, Intlungu Yentamo, Umqolo, Intambo Yomqolo, I-Neurology, I-Vertebrae