Ukuba ungomnye wabantu abangama-60-80% abantu abaya kuba neentlungu zentlungu emva koko, unokufumanisa ukuba enye okanye ngaphezulu kweengxoxo zakho zomgulane zixanduva. Intlungu ye-spinal ixhala kubantu abaneengxaki zangemva, ezichaphazela ama-40% amacala.
I-disvertebral disc enye yeenqwanqwa zamagqabi oogqirha kunye neengcibi zentlungu zibiza "i-generator pain". Okubalulekileyo, iintlungu zezixhobo ziindawo emzimbeni apho umsebenzi ongaqhelekanga wemvelo wenza ukuba buhlungu.
Xa kuziwa kwiidiski zamagundane phakathi kwamagciwane , iintlobo ezi-3 ezisemgangathweni zomsebenzi, okanye iintlungu zenzeke, zinokwenzeka.
Ukulimala kweDiski
Okokuqala kwenzeka xa isakhiwo se disc sisengozini evela ngaphandle. Imizekelo eqhelekileyo yalolu hlobo ifaka ukukhutshwa kwe-disc kunye neentsuku zokulila. I-disc ishicilelo yenzeka xa isilwanyana esithambileyo, esinjenge-jelly esiphezulu ngaphakathi kwee-bulge ze-disc okanye ikhefu ngokubambisa kwangaphandle (okwenziwe ngamafayili omzimba.) Ubuhlungu buya kwenzeka ukuba loo nto, ebizwa ngokuba yi-nucleus pulposus, ifika qha ga mshelana kunye (kwaye iyacaphukisa) ingcambu yomgulane. Enye indlela eqhelekileyo abantu bahlaziya iidiski zabo ngokuphakamisa izinto ezinzima kunye nomqolo ojikelezayo (oko kungabi ukuguqa ngamadolo ukuphakamisa) nokuguqula umlenze ngexesha elinye. I-spinal disc herniation ivame ukuvela kubantu abadala abaselula phakathi kweminyaka eyi-18 no-35 xa umxholo wamanzi wediski uphezulu. Iinyembezi zonyaka i-fraying of fiber extern fibers ezijikeleze i-nucleus pulposus.
Ngokutsho kukaDkt. Alexander Vaccaro, uNjingalwazi we-Orthopedic Surgery e-Thomas Jefferson Yunivesithi kunye neRothman Institute yaseFiladelphia, PA, kungekhona kuphela ukuba i- annulus fibrosus iqukethe iifiber fibusus eziqinileyo, kodwa iqukethe i-nerve fibers ekwazi ukuthetha intlungu, kunye . Ezi ntambo ze-nerve ezilungelelanisiweyo zentetho zifumaneka ngaphandle kwidiski.
I-Vaccaro ichaza ukuba iifayili eziqhelekileyo ezinokukwazi ukuhambisa iimpawu zentlungu azifumanekanga ngokukodwa kwi-disc. Kodwa iintlobo zezinto ezikwazi ukuzisa iintlungu. Ezi zinto zibandakanya i-prostaglandin, i-lactic acid, kunye ne-P. kwaye, njengokuba i-discs iyancipha, ithi i-Vaccaro, i-nervous ingrowth iye yabonwa - zombini kwi-fibers yangaphakathi ye-annulus kunye nucleus. I-Vaccaro ibika ukuba oku kukhula komnyoba ophakathi kwidiski ehlahlayo kunokungenisa kakhulu intlungu yakho.
Ukuphazamiseka kweDiski
Uhlobo lwesibini lomsebenzi ongaqhelekanga kwi-disc engakhokelela entlungu ngenxa yeemeko ezibizwa ngokuba yi-disk disruption, okanye i-IDD efutshane. Qaphela ukuba i-IDD ayifani nesifo se-disenerative disad. Nangona isifo se-diserative diserative ngenxa yeenguqu eziqhelekileyo ezinxulumene neminyaka eziqhubekayo emgodini, i-IDD ibandakanya utshintsho lwangaphakathi oluhambelana nokuguqulwa kwe-nucleus pulposus. (Khumbula, i-nucleus pulposus yile nkunkuma efana ne-jelly ephakathi kwidiski.) Olu hlobo oluthile lokuguba lunokuthi luye lwafikelela kwintsimbi ephakathi kwe-annulus ejikeleze i-nucleus. Ngokungafani nokucinywa kwe-disc kunye neengcazi zonyaka-zombini ezikhankanywe ngasentla - utshintsho oluchaphazelekayo lwe-IDD alufikeli iifayili zangaphandle ze-annulus.
Xa unayo i-IDD, idiski yakho ingabonakala iyinto eqhelekileyo ngexesha utshintsho lwenzeka ngaphakathi kwe-nucleus kunye ne-annulus, ngokwemboniselo ka-1986 eyapapashwa kwi- Spine by Crock, kwaye ibikwa kwi-website ye-Physio-pedia.
Ingaba intlungu ye-disc isuka kwimpembelelo yangaphandle okanye utshintsho lwangaphakathi, ubuninzi obuhamba phambili kunye nokubuyela emva kwentsholongwane yakho (ebizwa ngokuba yi-flexion kunye nokwandiswa, ngokulandelanayo) kuya kuzisa intlungu enkulu, ngokweSizer, et. xa befunda ngo-2001 enesihloko esithi, "Abavelisi beentlungu zeLumbar Spine."
- Ezihlobene: I- Discogenic Pain
Sulelo
Isizathu sesithathu isizathu sokuba iidiski zakho zingabangela intlungu. Esi sihloko sininzi ngaphaya kwesi sihloko.
Jonga ugqirha wakho ngokukhawuleza xa unokwenza ukuba uyayikrokra nayiphi na intlungu yentlungu, kodwa ngokukhawuleza ukuba unako ukuba usulelo alukwazi ukukhutshwa ngaphandle kwesizathu.
Imithombo
De Sricker, D., ukuphazamiseka kwengxoxo yangaphakathi. Physiopedia. Kufumaneke ngoMeyi 2015. http://www.physio-pedia.com/Internal_disc_kuphazamiseka.
Fruman, M., MD, MS, kunye. al. Izifo Zengqondo Zesibeleko. Website yeMedscape. Kufumaneka ngoMeyi 2015. http://emedicine.medscape.com/article/305720- uvavanyo olungaphezulu
Simon, J., MD, McAuliffe, M., MD, Shamin, F., MD, Vuong, N., MD, Tahaei, A., MD. I-Discogenic Low Back Pain. I-Phys Med yokuvuselela iklinikhi N Am 2014. Ukufikelela ngoMeyi 2015
I-PS ye-PS, i-Phelps V, i-Azevedo E. Disc enxulumene neengxaki ezingahambelaniyo neengxaki ze-thoracic. Iintlungu. 2001. Kufumaneka ngoMeyi 2015.