Yazi iimpawu zalo mqathango onzima
Izigulane ezininzi ezineentlungu zentlungu, intlungu yomlenze, okanye ubuthathaka bemisipha engezantsi zifunyaniswa ngediski ye-herniated. Xa i-disc ishicilelo yenzeka, umkhombisi ohlala phakathi kwe-vertebra yomgulane uphunye ngaphandle kwesimo sakhe esifanelekileyo. I-disni ye-herniated ayiyi kuba yingxaki ukuba kwakungengenxa yamagulane omgulane osondele kakhulu kumda wale disc disc.
Iingxoxo Zomqolo
I-disin spin iyisitampu esithambileyo ehleli phakathi kwe-vertebra nganye yomgudu. Le diski yomgudu iyanzima ngakumbi. Ngomntu omncinci, i-diski ithambile kwaye i-elastic, kodwa njengezinye izakhiwo emzimbeni, i-disk iyancipha i-elasticity kwaye isengozini yokulimala. Enyanisweni, nangabantu ngabanye kwiminyaka yabo-20, ii-MRI zidla ngokubonisa ubungqina bokuqala bokuhlaselwa kwediski
Njengoko i-disc yomthambo iba yincinci encinci, iyakhula. Xa i-disc iphuka, inxalenye yecala lomgudu liphuma ngaphandle komda walo oqhelekileyo - oku kubizwa ngokuba yi-disc. Xa i-disc ye-herniated iphuma phakathi kwe-vertebrae, imisipha yomgogodla kunye nentambo yomgogodla inokubanjelwa. Ngokuqhelekileyo isikhala esincinci malunga nomgudu womgogodla kunye nemisipha yomgudu, kodwa xa kunokwakho okwaneleyo kwidiski ye-herniated ikhutshwe ngaphandle kwendawo, ke ezi zakhiwo zingacinwa.
Iimpawu zeDiskhi yeHerniated
Xa i- disc ye- herniated iphuka kwaye ikhupha, iimbulunga zingaphantsi.
I-disni ye-herniated ingenzeka ngokukhawuleza kwisiganeko ezifana nokuwa okanye ingozi okanye inokwenzeka ngokukhawuleza ngokunyanzeliswa kwakhona komlenze. Ngokuqhelekileyo abantu abafumana idiski ye-herniated sele benesifo sokuguliswa kwesipelini , ingxaki ebangela ukunciphisa isikhala esiphantsi komgca womgudu kunye nemigudu yomgogodla .
Xa i-disc ye-herniated ivela, isikhala seentsholongwane siyancipha ngakumbi, kunye nefuthe lemiphumo yesibindi.
Xa intambo yomgulane okanye amagulane omgogodla unyanzelekile, angase asebenze ngokufanelekileyo, aze athumele iimpawu ezingavumelekanga kuye nakubomi. Oku kuthetha ukuba izibonakaliso ezingavamile zingadlulelwa kwiimbilini ezixinzelelweyo, okanye iimpawu ezingenakugqitywa nonke. Izimpawu eziqhelekileyo zediski ye-herniated ziquka:
- Umnyuzi woMbane
Uxinzelelo kwi-nerve ingabangela iimvakalelo ezingavamile, eziqhelekileyo njengezibuhlungu zogesi. Xa uxinzelelo luvela kwingingqi yomlomo wesibeleko, iintlungu ziyahla phantsi kweengalo zakho, xa uxinzelelo lusemgodini we-lumbar ( umgangatho ophantsi ), ukutshatyalaliswa kwehla imilenze yakho. - Ukulinganisa noBungqina
Izigulane zivame ukuvakalelwa ngendlela engavamile, njengokugubungela, ukugada, okanye izikhonkwane kunye neenaliti. Ezi zimpawu zinokuthi zibe namava kummandla ofanayo kunye nokukhathazeka kwamandla kagesi. - Ubuthathaka obuthathaka
Ngenxa yomsindo wesifo, iimpawu ezisuka ebuchosheni zingaphazamiseka zibangele ubuthathaka bomzimba. Ukuvutha komsindo kungabuye kuhlolwe ngokuhlolisisa i-reflexes. - Iingxaki zesisu okanye i-Bladder Problems
Ezi zimpawu zibalulekile kuba kungaba ngumqondiso we- cauda syndrome , imeko enokuthi ivela kwi-disc yakhe. Le ngxakeko yonyango, kwaye kufuneka ubone ugqirha wakho ngokukhawuleza ukuba unengxaki yokutshiza, ukunyuka kwesibilini, okanye ukuba unqabile kwizitho zomzimba zakho.
Zonke ezi zibonakaliso zibangelwa ukucaphuka kwentsholongwane kwi-disc ye-herniated. Ngokuphazamisa indlela apho iimpawu zisithunyelwa kusuka kwingqondo yakho ukuya kwimida yakho kwaye ubuyela ebuchosheni, zonke ezi zibonakaliswa ngediski ye-herniated icinezelekile.
Ukuxilongwa kweDiskhi yeHerniated
Ngokuqhelekileyo, ugqirha wakho unokukwazi ukuxilongwa kwidiski ye-herniated ngokuhlolwa ngokusemgangathweni. Ngokuvavanya, ukuqina kwemisipha, kunye neengcamango, ugqirha wakho unokukwazi ukuseka ukuxilongwa kwidiski ye-herniated.
I-MRI isetyenziswa ngokuqhelekileyo ekuncedeni ukuxilongwa kwidiski ye-herniated.
Kubalulekile ukuba izigulane ziqonde ukuba i-MRI iluncedo kuphela xa isetyenziswe ngokubambisana neziphumo zoviwo. Kuyinto eqhelekileyo ukuba i-MRI ye-lumbar spine ibe nokungaqhelekanga, ngokukodwa njengabantu abadala. Izigulana ezingama-20s ziqala ukufumana iimpawu zengubo ye-disc, njenge- disc bulge . Olu hlobo lokungaqhelekanga luya kulindelwa kwi-MRIs yezigulane ezingama-40s kunye nama-50s. Esi sizathu sokuba ugqirha wakho angenakukhathazeka ngemifutho ethile ye-MRI ephawulwe ngu-radiologist.
Ukwenza ukuxilongwa kwidiski ye-herniated, kwaye ukuza ngesicwangciso sonyango kuxhomekeka kwiimpawu ezibangelwa isigulane, ukufunyaniswa kweemviwo, kunye neziphumo zophando lweemifanekiso. Kuphela nje ukuba olu lwazi luhlanganiswa luyakucingelwa.
Unyango lweNgxaki yeDiski
Utyando lwe-disc lumbar i-herniated disc luya kuxhomekeka kwiimpawu zakho ezithile, ubude beempawu kunye nokuchaswa kwimeko. Nangona abaninzi abantu beqala ngezokwelapha ezilula kuqala, kukho iimeko apho utyando lwasemlonyeni lunokufuneka. Ngoko ke, ukufumanisa unyango olufanelekileyo, kubalulekile ukuba uhlolwe ngugqirha wakho.
Imithombo:
> Mathews HH kunye neB Long BH "Iinkqubo eziNcinci eziNyango zokuNyango lweDiskritry Disk Herniation" J. Am. Acad. IOrn. Ugqirha., Matshi / uEpreli 2002; 10: 80 - 85.