Phantse i-40% yazo zonke iintlungu ezingapheliyo zintlungu zihlobene neengxaki kwidibansi enye okanye ngaphezulu. Ukuba unentliziyo engapheliyo okanye intlungu ephantsi, kodwa unayo i-disc, ungabi nobuhlungu be-discogenic.
Iintlungu ze-discogenic zicingelwa ukuba zenzeke ngobudlelwane nohlaziyo lwe-disc, imeko apho izinto eziphathekayo kunye neekhemikhali zediski ziphantsi.
Kodwa ingxaki kukuba, ukuguqula iidiski akuyi kubangela ukuba buhlungu, kwaye iingcali azikachazi lo buhlobo.
Izizathu
Iingcamango zenzeka ukuba intlungu ye-discogenic iyenzeka xa ama-receptor receptors esecaleni elingaphandle le-annulus ecasulwa.
Ukuvuvukala okanye ezinye iimeko kwi-disc zingacasula lezi zithotho zamathambo. Ngokomzekelo, ukuba iikhemikhali ezivuthayo ezivela kwiinyembezi zonyaka zifikelela kwiimbilini ezingxenyeni zangaphandle zonyaka, iinyembezi zingabangela imbandezelo yakho ye-discogenic. Olu hlobo lokulimala lubizwa ngokuba yi-disk disruption, okanye i-IDD.
I-Genetics ingaba negalelo ekubunzeni intlungu ye-discogenic. I-Genetics ingenza utshintsho lwamakhemikhali e-disks, kwaye lunokuzisela utshintsho olumzimba kumzimba. Isiphumo kukuba ii-discs zomile ngokukhawuleza kunezona ziqhelekileyo, ezibenza ukuba bancinci abanokukwazi ukuthwala umthwalo wamagqabi ngokulinganayo. Emva koko, eziqhelekileyo iintsuku zonke zigugu kwaye zigqabhule zibeka uxinzelelo kwiindawo enye okanye ezimbalwa kwiidiski, ukwandisa umngcipheko wezinyembezi zonyaka.
Ukulimala kumda we vertebra ecaleni kwidiski kuya kwenzeka. Oku kukhupha iikhemikhali ezivuthayo kunye nokwandisa isivinini apho i-disk iyancipha.
Ngokubambisana ne-genetics, izinto ezinomsoco kunye nezixhobo zingenza negalelo lentlungu ye-discogenic.
Izinto zobungozi
Intlungu ye-discogenic iyenzeka ngokuqhelekileyo kubantu abadala kunye nabantu abadala.
(Iingxaki zeengxoxo kubantu abancinci ngokuqhelekileyo bancitshiswe kwi-disc ye-disc ngoba abantu abancinci banamanzi amaninzi kwiidiski zabo.)
Iimpawu
Iimpawu eziphambili zentlungu ye-discogenic yintlungu e-achy engayibhekisi emlenzeni okanye ingalo yakho kwaye ayinxulumene nokunciphisa amandla okusebenzisa izitho zakho.
Kwixesha eliphantsi, intlungu idla ngokugqithiseleyo xa umgudu wakho ucinezelekile: Imisebenzi efana nokuhlala, ukuguqa, ukukhwehlela kunye nokunyundela kudla ukuyihambisa, ngelixa ulala phantsi kuyanciphisa. Kukho intlungu okanye ezinye iintlungu eziya emlenzeni wakho okanye kwisithambiso sakho, kodwa kungekhona kumlenze wakho osezantsi.
Eentanyeni, kunokuba neentlungu xa ujika okanye ujikeleza intloko yakho. Intlungu ingaba yimbi xa ubeka intloko yakho kwindawo enye kakhulu. Ngezinye iinkqubo ama-muscle spasms ahamba neentlungu ze-discogenic entanyeni. Kunokwenzeka ukuba ubuhlungu okanye ezinye iimvakalelo phantsi kweengalo yakho, ngokunjalo.
Ukuxilongwa
I- MRI isoloko isetyenziselwa ukuxilonga ubuhlungu be-discogenic. I- discogram ingasetyenziselwa, kodwa lo luvavanyo lokuphikisana ngezizathu ezininzi. Okokuqala, kubangela ukuba ubuhlungu bubuhlungu kwaye bucele ukuba ulinganise ubungakanani kwizinga le- VAS . Uluhlobo lovavanyo alunalo kuphela oluchaphazelekayo, kodwa luyazithoba, kunye (ubika oko uvakalelwayo).
Iingxoxo zisetyenziselwa ukuqinisekisa ngokuqinisekileyo ukuba intlungu ivela kwi-disc ethile okanye kwiidiski. Kodwa ininzi yabaphandi baye bafumanisa ukuba ngenxa yokuzimela kwe-discogram, kunokuvelisa iziphumo ezingamanga , ngokukodwa ukuba ungeyintlungu eninzi, unesifo sengqondo okanye uyika intlungu.
Njengoko kukhankanywe ngasentla ungase ube nentlungu okanye ezinye iimvakalelo phantsi kweengalo okanye umlenze wakho. Ezi zibizwa ngokuba yimpawu ezixakekayo. Kodwa i-radiculopathy kunye nentlungu ye-discogenic ayiyona ingxaki efanayo. Njenge-radiculopathy, intlungu ye-discogenic ibangelwa kukucaphuka kwamathambo.
Ukwahlukana kukuba i-radiculopathy ichaphazela iingcambu zesisu zomgudu , ngelixa intlungu ye-discogenic ikhupha iimbilini ezisezindongeni zangaphandle zonyaka .
(I-annulus iyigqubuthelo esinzima se- disc intervertebral . Iqulethe kwaye ikhusela i-nucleus pulposus).
Kungaba nzima ukuba ugqirha ukuba ahlule phakathi kwezi zimbini iimeko xa esebenza ukuxilongwa. Kanti ukuhlukana kuya kwenza umehluko kwonyango olulwamkelayo.
Enye indlela yokuxilongwa kuthiwa yi-McKenzie Method. Oku kubandakanya ukuhlolwa komqulu ukufumana ukunyakaza okunciphisa intlungu kunye nokwandisa uluhlu lwakho lokunyakaza . Indlela yeMcKenzie isetyenziswe njengonyango.
Unyango
Iintlungu ze-discogenic zihlala zithela ngokwazo, okanye ziza kwaye zihambe. Ukunyamekela kokunyamekela ngokuqhelekileyo kubakho uhlobo lokuqala lolwaphulo oluzama. Ingabandakanya ukulawula intlungu ngokuchasene nezigulane , usebenzisa i- ice kunye / okanye ukushisa kunye nokonyango. Iyeza lonyango lingaba nemisebenzi yokubuyela emva, ukulandelelana kunye nezinye izibonelelo. Isijojo sinokukunceda ukuphazamisa intlungu kwaye kukuncedise ngakumbi.
Ekugqibeleni ukuhlinzwa kuhamba, ngokuqhelekileyo akuyimfuneko. Kodwa ukuba unentlungu engapheliyo kwiinyanga ezi-3 okanye ngaphezulu kwaye / okanye unokungazinzi komgudu, unokukhetha. Buza ugqirha wakho malunga nokukhetha kwakho.
Utyando olusisigxina lomgudu olubizwa ngokuba yi-IDET (I-Intradiscal Therapy). Oku kutyalwa kwe-cauterizes (i-heats) iimbombo ze-annulus ukwenzela ukuba iinyembezi zidibanise kunye kunye nokuphela kwezibilini ziyafa. Ngokupheliswa kwentsholongwane yokufa, awuyi kukwazi ukuva ubuhlungu be-discogenic. Izifundo ezimbalwa kuphela ezenziwe kwi-IDET ngoJuni 2010, kodwa iziphumo zilungile. Uninzi lwabantu lubonisa ukukhululeka kwentlungu kwaye bambalwa, ukuba kukho na, iziphumo ezimbi ezivela kwi-IDET.
Utyando oluqhelekileyo lweentlungu ze-discogenic u- fusion fusion . Nangona kunjalo, ukusetyenziswa kwayo kuxabana kwaye akusoloko kunika inkxaso. E-US, inani lokuhlinzwa okwenziwe ngogqirha liye laphakama ukususela ekuqaleni kwee-1990, kwaye ukuphononongwa kwedatha kubonisa ngokucacileyo ukuba amaninzi ayimfuneko. Ukuchithwa kwe-Disc yinxalenye yokuguga, kodwa oku akuthethi ngokuthe ngqo ukuba udinga umfudu we-spinal xa intlungu ibonakala. Qiniseka ukuba uphando ngeendlela ozikhethayo, kubandakanywa nababoneleli bezempilo, kwaye usebenze nodokotela wakho okhethiweyo ukuba ufumane inkqubo engcono kakhulu yezenzo kuwe .
Imithombo:
Ahmed, AU. MD, i-MPH., I-Down Back Pain: Uhlolo olufutshane. NeuroNews. Kufikeleleke: ngoJuni 2010.
I-Bogduk, N., i-Lumbar I-Discogenic Pain: I-State of Art Review. Uphulo lweMpilo. I-Oxford University Press. http://painmedicine.oxfordjournals.org/content/14/6/813.long
Cluett, J. MD. I-Discogenic Back Pain. About.com. Kufumaneka: ngoJuni 2010. http://orthopedics.about.com/od/backneck/a/discpain.htm
U-Washington Cohor Study of Treatment of Discogenic Back Pain. http://depts.washington.edu/ccor/studies/disco.shtml Kufumaneke: ngoJuni 2010.
Windsor, RE, MD. I-Syndrome ye-Cervical Discogenic Pain Syndrome: unyango kunye neMithi. eMedicine. http://emedicine.medscape.com/article/93761- Ukunyanzeliswa kufumaneka: ngoJuni 2010.
Zang, Y., Tuan-mao, G, Xiong, G, Shi-xun, W. Ukuxilongwa kwezonyango kwiintlungu ezisezantsi ze-discogenic. I-International Journal ye-Biological Sciences. 2009; 5 (7). Kufikeleleke: ngoJuni 2010.