Yintoni eya kwinkqubo yerhwebo ephumelelayo?
I-disc ye-herniated kwi-lumbar spine ingaba buhlungu kakhulu. Iindaba ezilungileyo zihlala zixazulula unyango olulondolozayo, oluqhelekileyo luquka unyango oluthile oludibeneyo kunye neyeza kunye ne-muscle relaxers. Ukuba unyango olungenasiphene njengalezi aluyi kuyenza ngokuqinileyo, usenokukwazi ukuphepha ugonywa nge- injection steroid .
Emva kweeveki ezintandathu zokunyamekela okungenasiphelo ngaphandle kwemiphumo eyanelisayo, kunokuhlaselwa kutyando. Kule meko, i-discectomy ingaba yiyo yonke into oyifunayo ukufezekisa ukuphumula okufunayo.
Kodwa utyando lugqirha. Njengoko naluphi na uhlobo lwenkqubo, mhlawumbi ufuna ukuzithemba ukuba ugqirha wakho uyakhathalela iinkcukacha kwaye unomdla wakho engqondweni. Kwimeko apho, zizinto ezili-10 ezifanele ukuba zilungele.
Ii-MRIs zangaphambi kokusebenza Ziyinto enhle
Ii- MRIs zihlala zisetyenziswa xa zichonga ukuba kufuneka i-disc inkqubo. Kodwa akuyilo kuphela ixabiso le teknoloji. Udokotela wakho ogqirha uya kubhekisela kwiifilimu zakho njengoko evavanya umthambo wakho wesisu, i-disc chemistry, iqondo lokungcoliswa okwangoku emgodleni wakho, kwaye uqinisekise ukuba i-disc yakho yokuhlamba iqulethwe okanye ayikho.
I-Disc containment yinto ebalulekileyo ekunqumeni nje kuphela isidingo sokuhlinzwa, kodwa kunye nokupakisha inkqubo efanelekileyo.
Kodwa uphando olwenziwe ngo-2008 kwi- Journal of Orthopedic Surgery lwafumanisa ukuba i-MRIs ingayifumana ngokuchanekileyo isimo sokukhupha i-disc ukuya kwi-30 ekhulwini yezigulana zomgudu. Ababhali bokufunda batusa ukuhlanganisa iifrimu ze-MRI kunye nezinye iindlela zokuxilonga ngaphambi kokuba wenze isigqibo sokugqibela malunga nokuba utyando lwe-disc lufanelekile.
Ukufumanisa Inkqubo Efanelekileyo Yokutyikitya Kukho Eyona Ncoko
Ngoku ukuba uyazi ukuba yintoni ingxaki, kunye nobukhulu balo, into elandelayo ukuba icaciswe malunga nogqirha wakho yinkqubo yokucwangcisa uceba ukwenza. Ngokuqhelekileyo, i-microdiscectomy yindlela yokuzikhethela ukukhetha i-disc lniar; yaziwa ngeziphumo zayo ezihle kwiimeko ezininzi. Kodwa akuyena kuphela uhlobo lotyando lwe-disc olukhoyo. Iinkqubo ezintsha ziya kuphuhliswa ngokuqhubekayo, kwaye enye inokulungiswa ngakumbi inikezelwa imeko ethile. Iintlobo zee-disgeries zibandakanya kodwa azikhawulelwanga ukuvula i-discectomy, ukuhlinzwa kwe-laser spine kunye ne-sequestrectomy. Yaye ukuba umgudu wakho ungagqibekanga, unokufuna inkqubo ehlukileyo ngokupheleleyo.
Zininzi izinto ezihambelana nenkqubo kumguli ngamnye. Ngenxa yoko, unokuba ufuna ukucela udokotela wakho ogqithisi ukuba ahlanganyele nawe uphando lwezophando oluye lwajonga kokubili ukuxilongwa kwakho kunye nenkqubo ephuculwayo yokuhlinzwa. Enye ibinzana yolwazi enokuba luncedo ngolo hlobo kangakanani-kwaye ixesha elide-ugqirha wakho usebenze lolo hlobo lonyango.
Ingaba Ukholo Lwakho Lwezandla Uluncedo Olwenziwe Ngophengululo Lwezondo?
Ezinye izimo zomgudu zihamba kunye nokungazinzi kwekholomu.
Ngokuqhelekileyo, i-disc ye-herniated ayikho enye yalezi zinto, kodwa kulunge ukuba ugqirha wakho wenza umsebenzi oqinileyo wokuvavanya nawe. Ngaphandle koko, unokuba usengozini ingxaki enkulu-kunye nentlungu.
Ukuba iziphumo zoviwo lwakho lomzimba olunikezelwa ngugqirha wakho aluhambelani noko iMRI ibonisa, unogqirha onobuqili uya kuthatha amanyathelo ekulawuleni i-lumbar spondylolysis. I-Spondylolysis yintlungu yokuphazamiseka kwengxenyana ethile kwintsipho yomthambo obizwa ngokuba yi-pars interarticularis. Xa i-pars fracture ayiphathwe, inokuthi iqhubele phambili kwimeko egcweleyo ye-spondylolisthesis, apho enye ithambo lomthumbu lihamba phambili okanye libuya kwithambo elingezantsi.
Ugqirha uthetha njani intlungu yakho evela kwi-diski yakho kwaye kungekhona ukungazinzi komgudu?
Ngokuchonga apho kukho ingcambu yomngcipheko ukuqhubezela. Ngokwe-2016 uphando olushicilelwe kwi- Asian Spine Journal , ngokuqhelekileyo, i-lumbar disc ikhethiweyo inokuchaphazela inxalenye engaphantsi kwengcambu. Umzekelo we-spondylolysis (obuye unempawu) uyancipha inxalenye engaphezulu. Ngaphandle kwelo mgaqo wesohlwayo onokungadibanisa izinto ezincinane ukuba unayo i-lumbar disc. Ababhali bokufunda bathi lolu hlobo lwe-herniation luchaphazela ingcambu yomgca.
Ngaba I-Sciatica Yakho Yenzelwe Ngokwenza I-Disc Herniated?
I-disc ye-Herniated yimbangela eqhelekileyo yento abantu abaninzi ababhekisela kuyo njenge-sciatica. Kule meko, i-term yezobugcisa yi-radiculopathy, ebonisa ukuba ukunyanzeliswa okanye ukucaphuka komngcambu womgcini wesisu kumbangela intlungu yakho.
Kodwa i-sciatica inokubangela ezinye izizathu ezinobangela ezingahambelani ne-disniedated disc. Ezi zibandakanya i-piriformis syndrome, i-spondylitis e-ankylosing, i-hypertrophy ehlangeneyo kunye nezifo ezithile kwezinye izicwangciso zomzimba ezifanisa iimpawu ze-radiculopathy.
Ukulungiswa kweMisake-Free kunye nokulandela
Ukukulungele ukungaxilwanga okanye olunye utyando lwe-disc lumbar, ukugcina ukhuselekile ngexesha lenkqubo, kwaye uqinisekise ukuba yonke into ifanele ibe emva kokuba inyaniso ibandakanya amanyathelo amaninzi kunye neenkqubo zonyango.
Naliphi na (okanye ngaphezulu) lingahambi kakuhle.
Ngaphambi kwenkqubo, iqela lakho logqirha lijongene nenani leendlela zokukhupha ezibandakanya: Ukukwazisa ngeziganeko ezinokuthi utyunjwe, ukubeka iliso nokulawula zonke iilwimi zakho zentlungu-unokufuna ukuyeka ukuthatha ezinye okanye zonke ngaphambi kokuba ungene -kukubeka ngokukhuselekileyo.
Ugxininiso luya kuhlobo lwezixhobo ezisetyenzisiweyo kunye nendlela ephathwa ngayo ngelixa usebenza kwitheyibhile yokusebenza. Ngokomzekelo, ukuzisa izixhobo zokuvuthwa zisondele kwi-disc, ukusebenza ngokukhawuleza, okanye ukusebenza ngamandla amaninzi zonke izinto ezinokubangela iingxaki.
Yintoni oyenzayo emva kokuba utyando lubalulekileyo ekuphulukisweni kwakho. Ukubuyela emsebenzini ngokukhawuleza okanye kungekudala kungakuchaphazela ukubuyiswa kwakho, njengoko kungenako ukufumana uhlobo olulungileyo lokubuyiswa kwenkqubo emva kwendlela okanye ukunyangwa komzimba.
Ezinye izinto ezenza umehluko kwindlela onokubuyela ngayo kwi-swing of things ziquka ukuzuza isisindo kwaye uzikhandla kakhulu emva nje kokuhlinzwa. Ugqirha wakho kufuneka axubushe zonke ezi zinto kunye nawe.
Ngaba Ukhetha Umviwa Ophandayo?
Ekuqalekeni, kubonakala ngathi iziphumo zokuhlinzwa kwangaphambili-nokuba zilungileyo okanye zimbi-zibangelwa zizinto zomzimba. Ezi zizinto ezinjengeyiphi i-disc yokuhlamba, yintoni inkqubo eyenziweyo, kunye nokunye. Kodwa imiba yempilo yengqondo, ukhathazeka ngokukodwa kunye nomnqweno wokufumana inqanaba lokudlala kwinqanaba. Ingakumbi, banokufaka isandla kwiimpembelelo eziphene.
Ngokubhekiselele kwingeniso yesibini, imizekelo ibandakanya imfuneko yokukhulula isohlwayo ehambelana nokukhubazeka kwakho, okanye ube nesizathu sokungahambi emsebenzini.
Udokotela wakho ogqirha unokukuvavanya ngenxa yeengxaki zengqondo ngendlela engafanelekanga, ukuthembela kumava akhe adlulileyo kunye nezigulane ukufumanisa ukuba ezi zinto ziyakuchukumisa iziphumo zakho. Kodwa abalobi be-1998 yophando epapashwe kwi- European Spine Journal bathi icebo lisebenza kuphela nje ngekota engaphezulu kwekota. Kunoko, bancoma ukuba ugqirha wakho unike i-questionnaire eyenzelwe ngokukhethekileyo ukuzalisa-nokuba yi-Multiphasic Personality Inventory (MMPI) okanye i-Distress kunye neNkqubo yokuHlola ingozi (i-DRAM.)
Qaphela iNqanaba elingalunganga
Uninzi lwe-lumbar disniations lugcinwa kwi-L4-L5 okanye i- L5-S1 , kwaye oogqirha baqhele ukukwazi ukuqonda loo mazinga kwizigulane zabo. Kodwa ngezinye iinkqubo ukungaziphathi kakuhle kwi-anatomy kwenzeka kwaye oku kunokwenza kube nzima ngakumbi ukufumana indawo efuna inkqubo. Izibilini ezenzeka kumanqanaba angaphandle kwezi, ezibizwa ngokuthi i-L1-L4, zinokuthi zibe yingozi enkulu kule mpazamo, ngokunjalo.
Ukuba ugqirha wakho ugqirha inqanaba elingalunganga ngexesha lotyando, kodwa uyayifumana kwaye afike kwizinga elichanekileyo, kunokwenzeka ukuba umonakalo ungancinci. Kodwa ukuba uyaqhubeka kunye ne-discectomy kwizinga elingalunganga, uyayigqiba kwaye uyakunqumla, okanye iphinde isebenze kwizinga elichanekileyo, kunokukhokelela kwiingxaki ongeke ube nazo, njengokuba utshintsho olubi okanye ukungazinzi komgudu. Kwaye ukuba i-fusion yenziwa kwindawo engafanelekanga, ukungahambi ngokusisigxina kokuhamba ngaphandle kokuqinisekiswa kunokubangela.
Ewe! Ngendawo engalunganga
Yikholelwa okanye awukho, kwaye ngokutsho kwesifundo se-2017 esivela kwi-United Kingdom, ukwenza umsebenzi ohlangothini lomzimba ongahambelananga nesilonda (igama lesion libhekisela kwingxaki onayo, kwaye ibangela intlungu ) luhlobo oluqhelekileyo lwesiphene sendawo engalunganga. Kwaye nangona iingcali zokunakekelwa kwezempilo zijongene neendawo ezingalunganga kunye neephene zokuhlinzwa ezingekho phantsi kwexesha elithile, inani lezi mpazamo alizange lihla. Uphononongo lubonisa ukuba ngaphezu kweepesenti ezingama-72 zeziphoso zeendawo ezingafaneleki ngenxa yokuhlinzwa okwenziwe kwicala elingalunganga.
Kwaye uvavanyo lwango-2014 lufumene ukuba kwicala lotyando kufuneka lwenzeke ngokuqhelekileyo lungekho kumaphepha ahamba kunye nawe ohambweni lwakho lwezokwelapha. Le nto inokuba yileta yeklinikhi, ifomu yakho yemvume, okanye amanye amaxwebhu. Unokwenza izinto zibe zikhuselekileyo kangako xa ukhangele le ngcaciso ebalulekileyo kwifomu yakho yokuvuma ngaphambi kokuba uyisayine, kunye nokukhumbuza ugqirha wakho njengoko ewenza amanqaku akhe. Uphando luye lwaqinisekisa ukuba amaqela okugqeba asebenzisa i-WHO (World Health Organization) uluhlu lokuhlola ukhuseleko. Ngokwababhali, olu luhlu lokutshekisha luye lwasebenza kakhulu ekunciphiseni ukuhlinzwa okungalunganga kwindawo ye-NHS. Unokubuza ugqirha wakho malunga naloo nto, ngokunjalo.
Ukumakisha indawo kunye ne-sharpi enye yindlela yokusebenzisa amaqela aphambili.
Ubunzima Bokubuyela Ngayo Asoloko Esho Ukukhutshwa Kwezondo
Ngenxa yokuba unentlungu engemuva ayithethi ukuba udinga ukuhlinzwa ngediski. Ezinye iingxaki zingaphantsi kweentlungu ezingadingi ukuhlinzwa.
Mhlawumbi umzekelo omhle kukuba ukuba iimpawu zakho zibangelwa utshintsho olusenokuba lukhuni kwiidiski zakho, imeko eqhelekileyo engasombulula ngonyango lwangokwenyama kunye nolawulo lwezokwelapha.
Gcina kulula
Utyando lwezityalo lushishino olukhulu kule mihla, kwaye ugqirha wakho unokuma ekuncedeni ukuba unako ukukunceda ukuba ube nobunzima obuyinkimbinkimbi kunokuba ulula. Ngokuqinisekileyo, iindlela ezisetyenzisiweyo kunye nokuxakeka kwazo kuxhomekeke kwinto eyenzekayo kwi-disc yakho, kodwa ukuba awuyiqondi into yakho yokuxilonga, unokuvuma ukuba unyango olungenasidingo.
Ngokuqhelekileyo, ukuba unentlungu ebuhlungu emva kokuba ubuhlungu bomlenze kunye / okanye ukuxilongwa kwakho kuququka utshintsho lweModic , unokuba ngumviwa wokufumana iinkqubo ezinzulu zokupasa. Ngaphandle koko, i-disc ye-disniation elula ifuna kuphela i-microdiscectomy.
Thetha ngokunyanisekileyo nogqirha wakho ukuvavanya okukhethwa kukho.
ILizwi
Ewe, phew! Kwakukho uluhlu. Ukuba intloko yakho ijikelezayo okanye uyazibuza ukuba ungayifumana njani kuyo yonke loo mibuzo ngexesha elifutshane elikuyo ekucebiseni kwakho kwangaphambi kokuhlinzwa, qiniseka ukuba udibanise ukuba okanye ungayilungele inkqubo eyenziwa ngugqirha wakho, okanye ukuba unelungelo lotyando, nilinike umfanekiso wakho wempilo, kwaye ukuba inkqubo leyo ilungile kwi-disk yakho yokulimala.
> Imithombo:
> Geraghly, A., et. al. Isiganeko soPhulo oluPhambeneyo-Uluhlu lweZiphulo zoPhulo lweeNyanga ezi-2 kwiBhodi yeeNkonzo zeSizwe zezeMpilo. J Umonde uSat. Oktobha 2017
> Grevitt, M., et. al., Ngaba ukuqala kokubala kubalwa? Ukuthelekiswa kovavanyo lokuzithoba kunye neengqondo zezigulana zomgulane. Eur Spine J. NgoJuni 1998.
> Hanchanale, V., kunye. al. Ukuhlinzwa okungalunganga kwendawo! Sinokuwuyeka njani? Urol Ann. Jan. 2014.
> Morgan, M., MD, Ukuqonda nokucaca. Radiopaedia.
> Omidi-Kashani, F., kunye. al. Iingcebiso Ezilishumi Ezibalulekileyo Ekuphatheni Umonde ngeLumbar Disc Herniation I-Asian Spine J. Oktobha 2016.
> Weiner, B., kunye. al., Ukuchaneka kwe-MRI ekufumaneni i-Lumbar Disc Containment. J Orthop Surg. Oktobha 2008.