Intsimbi ye-Annular iyimpawu ye- discogenic echaphazela umgudu. Ngokuqhelekileyo kwenzeka xa iimbumba ezenza i-hard, ingubo yangaphandle ye-disc intervertebral (ebizwa ngokuthi i-annulus fibrosus) ingaphula okanye ihluke.
I-fissure ye-Annular ikwabizwa ngokuba yiinyembezi zentsimbi, nangona kukho ukungafani phakathi kwamagama amabini. (Oku kuxoxwa ngako ngeenkcukacha ezingezantsi.)
Ukuqhawula kwangasese okanye iAngular Tear - Yintoni egameni?
Qaphela ukuba, "inyembezi yonyaka" ayilona ogqirha bexesha eliqhelekileyo basebenzisa ukuchaza okanye ukuxilonga le meko. Isizathu kukuba igama elithi "ukukrazula" libonisa ukuba uhlobo oluthile lomonakalo lubangela ukuhlukana okanye ukuphuka kwiifayili.
Nangona iinyembezi zonyaka zingenziwa ngenxa yokulimala komntu omnye, ngokugqithiseleyo ukugqithisa kwexesha elide kunye neendwanguzi. Enyanisweni, ininzi yexesha, iinyembezi zibangelwa utshintsho olunxulumene nobudala obuchaphazelekayo olwenzekayo kwi-disc kunye nomthunzi. Ezi ntlobo zenguqu zinakho kwaye zikhokelela ekuhlaleni okuqhubekayo kwezinye iindawo zomgudu womgogodla, ngendlela.
Oku kuthetha ukuba ukugqoka nokukhawulela ngenxa yesohlwayo sonyaka, ngokubanzi, malunga naloo mini nangemihla yokuphila - indlela ohlala ngayo, ukuma, ukuhamba, ukunyuka izitebhisi, njl. ukuthobela ingqalelo, kunye nokwenza umqhubi wecala (ukuthetha njalo.) Xa siyeka ukunikela ingqwalasela endleleni esenza ngayo intshukumo, ngaphantsi kwemikhwa emihle, ekuhambeni kwexesha, unokubeka isigaba sokulila kwexesha.
Ukuba ulungisa imimiselo yakho ukuze ukwazi ukuthintela iinyembezi ezinyakazayo kubonakala njengentaba ukunyuka, ndinento entsha kuwe: Ngomgudu omncinane, ukungahambi kakuhle, ukulungiswa komzimba kunye nokungalingani kwemisipha (ngokuqhelekileyo izinto ezenza izinto ezibuqilileyo, kodwa Iimpawu zonakaliso zogqithiso lwexesha elide) zinokulungiswa ngokukodwa.
Ngamanye amazwi, ukusebenzela ukulungelelanisa okuthe xaxa kunye nokulungelelaniswa komzimba kunokukunceda ukukhusela kunye / okanye ukulawula umngcipheko wakho wokuqhawula okanye ukunqumla. Izinto onokuzama ngazo ezinokukunceda zibandakanye i-yoga, iiklasi ze-Tai Chi okanye i-Pilates, ukuqeqeshwa kwamandla usebenzisa ifomu elungileyo (oko kuyimfuneko, ngaphandle koko ukuqeqeshwa ngamandla kunokuba negalelo ekuncediseni iingxaki kwezinye iimeko) kunye / okanye ukuzama ukuhamba kweendlela ezifana neFeldenkrais, UThomas Hanna Somatics okanye uAlexander Technique.
Indlela eNgqungquthelayo Yengqungquthela eyenzekayo
I-annulus iqulethwe ngamacandelo amaninzi emicimbini elukhuni (izinto ezenziweyo zibizwa ngokuba yi-fibrocartilage) ezijikelezile, ziqulethe kwaye zikhusele i-nucleus epholileyo, ekhoyo ngaphakathi kwidiski. I-nucleus yinto yokuphazamiseka (oku kuthetha ukuba yintlungu yokuphucula, nayo); ixhamla ubunzima bomzimba njengoko ichaphazela umdibaniselwano xa uhleli, ume okanye uhambe. Kwakhona kunceda ukugcina ingqibelelo yendibano ye-intervertebral ngokuxhasa indawo phakathi kweertebra ezimbini ezibandakanya kuyo.
Iingqimba ze- annulus fibrosus zijoliswe ngokukodwa komnye; Ngamanye amagama, baxhamla-bethana njengento yokubonelela nge-scaffolding. Oku kwenza isambatho sangaphandle se-disc siqine kakhulu; Kwakhona kugcina i-nucleus yezinto ezikhoyo eziqulethe ukuvumela i-disk ukuba yenze umsebenzi wayo wokuxhaphaza amajolts kunye nezimbiza ezivela xa uhambisa umlenze wakho.
Kodwa xa kuqhutywe iinyembezi okanye i-annular fissure, amafayili ahlukeneyo okanye ahlulwe endaweni yawo yokufakela kwisithambo esiseduze. Iinyembezi zingabonakala njengekhefu phakathi kweefayili enye okanye ngaphezulu kweziqendu.
Iimpawu zoluhlu lweentlungu okanye i-fissure ye-annular ezingenazo iimpawu kwizinto ezinjengeediski ze- herniated , eziquka intlungu, ukuphazamiseka, ubuthathaka kunye / okanye ukuvakalelwa kombane okuhamba ngomlenze omnye okanye ingalo.
Unyango lweNqununu Yengqungquthela okanye i-Anonymous Fissure
Unyango olulondolozayo lweentlungu okanye i-fissure ye-annular ngokufanelekileyo ngokwaneleyo ukugcina intlungu kunye neminye impawu.
Ezi zonyango zingabandakanya imishanguzo yeentlungu (ngaphaya kwekhayibhile okanye ngemithi) kunye / okanye unyango lomzimba. Uphulo lwonyango lwamaziko lungabandakanya ukuzivocavoca, ukulandelana kunye nokunye.
Ukuba le miqathango ingakwazi ukuyiphulaphula intlungu yakho, ugqirha wakho unokubonisa ukuba i- steroid okanye olunye uhlobo lwesirya, okanye mhlawumbi utyando lwe-spin invasive.
Imithombo:
Fardon, DF, Williams, AL, Dohring, EJ, Murtagh, FR, Rothman, Gabriel, SL, Sze, GK Lumbar idilesi ye-disenclature: iinguqu 2.0: Iingcebiso zemizi yokusebenzisana yoMbutho we-North American Spine, i-American Society of Spine I-Radiology kunye ne-American Society ye-Neuroradiology. I-Spine J. 2014 ngoNovemba 1; 14 (11): 2525-45. i-doi: 10.1016 / j.spinee.2014.04.022. Epub 2014 Apreli 24.
UJones, uJeremy, uGallard, uFrank, uA., Kunye. al. Ukufakela kwangaphambili. Radiopaedia.org iwebhusayithi.
I-Kapandji, IA I-Physiology yamaZiko. Churchill Livingstone. 1974. eNew York.
I-Lumbar Discogenic Pain. Website yePhysiopedia. Fumaneka ngoDisemba 2015