I-disc ye-disc isingozi esivakalayo apho ukutshitshiswa kwezakhiwo ezinjenge-spinal bones (ezibizwa ngokuba yi-disc intervertebral space) zifuduka, okanye zihanjiswe, zidlulileyo kule ndawo eqhelekileyo.
Nangona i-disc ye-disc isingathintela phantse nawuphi na umgca we-spinal, itholakala rhoqo kwindawo ephantsi. Oku kungenxa yokuba i-lumbar spine iyakuthwala ubuninzi bomzimba wesisindo somzimba njengoko idlulisa ukusuka entloko ukuya ngaphantsi komgudu. Ngaloo ndlela, izakhiwo ezenza i-back back-including the discs - zengozini yokulimala.
Nantsi oku kufuneka ukwazi malunga nokuhlaliswa kwe-disc.
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I-Disc Herniation ichazweXa i-disc ishicilelo ivela, iifayili zangaphandle ze- spinal disks zithi, xa zinyanzele, ziqulethe izinto eziphazamisayo zamanzi, eziqhekekileyo. Ezi fiber zangaphandle zibizwa ngokuba yi-annulus fibrosus; I-liquid yangaphakathi ibizwa ngokuba yi- nucleus pulposus .) Ngokuxhomekeka kwinqanaba le-diski yakho, i-centre yangasese ingabaleka kwaye ifike kumhlaba we-spinal nerve root, ebangela iimpawu.
Imeko eyaziwa njenge- tearular annings yindlela enye iifayili ye-annulus fibrosus inokuphazamiseka, kwaye (ekuhambeni kwexesha) mhlawumbi iya kuvela kwindawo yokuphuma kwento ye-nucleus. Iinyembezi zonyaka zidla ngokuba kubangele nokugqabhuka, ngakumbi xa iimeko ezimbi ziyimpumelelo; ukulimala ngenye imbangela.
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IiNkcukacha zoHlelo lweCandeloXa i-nucleus pulposus impahla ephunyuka kwi-disc structure efanele idibanisa neengcambu zentsimbi , uya kuziva uninzi intlungu. Unokufumana ezinye iimpawu ngokunjalo, kubandakanywa ukuphazamiseka, ubuthathaka, okanye ukutshitshiswa kombane okanye ukuvakala komsindo ohamba phantsi komlenze omnye okanye ingalo.
Xa ezi zimpawu - ezibangelwa i- radiculopathy , izifo ze-spinal nerve root - zibangela iimpawu kwimilenze, abantu bahlala bebizela ngokuba yi- sciatica .
Iimpawu ze-disc ze-Herniated ziyahlukahluka ngokwemigca yomgcini ogcina umonakalo. Ngokubanzi, kunjalo, uya kuba neempawu ezininzi okanye ngaphezulu, njengoko kuchaziwe ngasentla.
Iimpawu ezigqithiseleyo, ezenzeka ngokusondeleyo kwintambo yomgogodla, zibangele iimpawu ezichaphazela esinye sezixhobo zakho?
Impendulo isekelwe kwi-anatomy yeentsholongwane. Isebe leengcambu zengcambu ezisuka kwindawo yazo ukusuka kwintambo yomgca we-spinal waya kumancinci amancinane kunye amancinci ahamba kuwo wonke umzimba. Ingcambu nganye yentsholongwane iyahambelana nommandla othile, kwaye iimbilini ezivela nganye zichaphazela kuphela indawo yazo. Ezi ndawo zibizwa ngokuba yi- dermatomes yokudlulisa i-nerve ye-sensation, kunye ne- myotomes yokudlulisa i-nerve ye-motor, okanye ukunyakaza, iimpembelelo.
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Ngaba usemngciphekweni we-Disc Herniation?Ukuqhawula i-Disc ngokuvamile kuvela malunga nesiganeko esithile esinokulimala okanye ukukhathazeka, kodwa kunokuba usuka kwimini nangemini uhlala ubomi bakho. Imiba eyaziwayo yokuphila engabangela umngcipheko wokuhlambalaza kubandakanya ukutshaya, ukukhuluphala, ukunyamekela, nokuba nomsebenzi onokuhlala njengomqhubi weloli okanye umsebenzi weeofisi, okanye unomsebenzi wezandla zomsebenzi ofuna ukunyakaza ngokuphindaphindiweyo komlenze wakho.
Xa ukulimala kungabangela i-disc ye-herniated, mhlawumbi ngenxa yokuba unesimo esonteleyo kwimpembelelo, okanye ngenxa yokuba impembelelo inyanzelekile ngokukhawuleza ibe yintlambo engapheliyo (oko kukujikeleza kwikholamu yomgcini.)
Ubudala budlala indima enkulu kumngcipheko we-disc shed, ngokunjalo. Njengoko sikhula, sivame ukuqokelela utshintsho olunefuthe kwizakhiwo zomgudu wethu, ezinokukhokelela kwiinyembezi zonyaka kunye nokucoca. Kuyathakazelisa ukuba uphando olwenziwe ngo-2002 olupapashwe kwi- Surgical Neurology lufumene ukuba indawo ye-disc ishintsho xa abantu bekhula. Apho abaninzi abantu abancinci beza kubakho emva, nangokweminyaka yobudala, bahlala bekhupha phezulu kwintsipho, ngokutsho kwesifundo.
Iidiski ziyakuthi zomeke njengoko zikhula, oko kuthetha ukuba abantu abadala kunye nabadala, ininzi ingase ishiywe kwi-nucleus ye-softy (injengeyingozi eyingozi.) Uphando olwenziwa ngo-2012 olupapashwe kwiBritish Journal of Neurosurgery lufumene ukuba i-disc incela, enye yezigaba ezine ze-herniation, ukuba ingabonakali kubantu abakhulileyo.
Esikhundleni sokuhlanjululwa, abantu abadala bavame ukufumana iidiski eziphazamisayo kunye nentlungu ye-discogenic .
Yaye uyakholelwa okanye ayikho, ubulili bakho buchaphazela umngcipheko wakho wokulimala, kunye nabasetyhini abangaphezu kwabasetyhini.
Ngaphandle kwezinto ezichazwe ngentla ngasentla, iingxaki zengqumbo zangaphambili ezikhoyo, ngokukodwa iingcingo ezinobunzima kunye nokulimala kwe-whiplash, zinokuthi ziphakanyiswe.
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Ukuchonga i-Disc HerniatedNjengokuba kuninzi lweengxaki zentlambo, ukuxilongwa kwidiski ye-herniated kubandakanya imbali yonyango, ngexesha apho uya kucelwa ukuba uchaze iimpawu zakho ngokubanzi, kunye nokuhlolwa ngokomzimba. Oogqirha abaninzi banokuhlola omnye okanye ngaphezulu kweemvavanyo zokucinga zengqondo ezifana ne-MRI, iimvavanyo zokunyanga kwamathambo kunye nabanye, ngokunjalo.
Ukufumanisa nayiphi na umonakalo wesondlo, onokubangelwa kwi-disc ye-disc, ugqirha wakho uya kuhlolisisa ukuvalelwa kwinqumama ngalinye (ichazwe ngasentla).
Ngokuchonga iimpawu ezinxulumene noxinzelelo kunye / okanye ukucaphuka komngcambu womgcini wesisu, oko kukuthi, intlungu, ukuvakala kombane, ubuthathaka kunye / okanye ukuphazamiseka okuhla komlenze omnye okanye ingalo - kwidermmatic ethile - ugqirha wakho unokukwazi ukulandelela loo mpawu ingcambu yomthambo womthambo okanye iingcambu ezichaphazelekayo. Ngokuqhelekileyo indlela yokuxilongwa kwe-disc ishicilelwe.
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I-Disc Herniation TreatmentNangona utyando lwe- discectomy luvame ukuphumelela ekunciphiseni ubuhlungu obuvela kwi-herniation, ukulinda ngosizo lwonyango lwangokwenyama lunokukhetha. Oku kusebenza kwabanye abantu kuba ngaphezu kwexesha, impahla yecucleus ephunyuka kwi-disc iyabuyiselwa ngumzimba.
Xhumana nogqirha wakho ukufumana indlela engcono yokonyango kuwe.
Unyango olulondolozo lwengqondo lwe-disc lniar herniated ingabandakanya ukuphumla; ukuthatha imithi yeentlungu, ukuphucula imisipha kunye / okanye imithi echasayo ; ijoyi ye-epidural steroid ; kunye / okanye unyango lomzimba. Injongo yolawulo lwezonyango (isiqwenga seziyobisi kwisicwangciso sengonyango esingenasicatshulwa) kwaye unyango lomzimba kukunciphisa intlungu. Ulwaphulo lwezonyango luyakunceda ukwandisa amandla akho okusebenza nokukhusela ukulimala okungakumbi.
Gcina ukhumbule ukuba ukuya kwipilisi yonyango akuyonto ehlelwa yinto yakho. Nangona icebo lonyango lwenu lingaba neqela leendlela ezahlukeneyo, ukwenza inkqubo yohambo lwakho lwasekhaya njengoko ulandelelweyo kukubalulekileyo ekufumaneni iziphumo ezingcono. Oko kwathiwa, ukuhlanganiswa kweendlela zokwelapha - kunokugxininisa kulunye uhlobo-kunokunceda ukukhawuleza ukubuyiswa kwakho.
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I-Disc Herniation SurgeryUkuba uzama unyango lomzimba kwiiveki ezingama-6 kodwa ungenakufumana ukukhululeka kwentlungu kunye nokusebenza ngokomzimba, kuya kuba yithuba lokuqwalasela ukuhlinzwa. Ngokuqhelekileyo, mhlawumbi i-discectomy okanye i-discectomy ene- spinal fusion yenziwe ngokunyusa.
Ukuqhubela phambili kwi-teknoloji yezobugcisa kuye kwabangela ukuphuculwa kwe-spin invasive spine operation (MIS.) Inzuzo ye-MIS ifaka iincinci ezincinane kunye namaxesha okuphulukisa ngokukhawuleza. (Ukuncitshiswa okuncinci kunokutshintshela kwizifo ezincinci.)
Kwaye, ngokubhekiselele kubhali be-2017 ukuphononongwa ngokuchanekileyo, inzuzo enkulu enkulu ye-MIS kubagqirha abanobugqwetha ukukhululeka kokuthengisa.
Nguwuphi omele ukhethe?
Esi sigqibo senziwe ngokubambisana kunye nogqirha wakho, kodwa ukuhlaziywa okukhankanywe ngentla kuthelekise ubungqina bobabini be-MIS kwaye uvula ukuhlinzwa komgudu ukuphendula lo mbuzo. Abaphandi bafumanisa ukuba ubungqina obunobulunga bobuchule abuzange buxhase ubuncinane bokuhlinzwa okwenziwe ngokugqithisa ngokuvulekileyo, kwaye oku kwakuyinyaniso kwintamo kunye neenkqubo eziphantsi.
Kodwa uhlolo lwe-Cochrane Back Group lwango-2014 olufanisa i-MIS kunye nokuhlinzwa kwangasemva kweminyaka - eli xesha lokukhutshwa kweempawu zokuhlamba kwiindawo eziphantsi kuphela - zifumene ukuba i-MIS ayinakunciphisa intlungu yesigxina kunye / okanye intlungu ye-back back kanye kunye nokuhlinzwa komdabu. Olu hlalutyo lufumene nemiphumo encinane yokuphindaphinda kwakhona kunye nokuhlinzwa okungaphantsi kweminye. Ukwahluke komphumo phakathi kwezi zimbini iintlobo zokuhlinzwa kwakuncinane, nangona kunjalo.
> Umthombo
> Abadambisayo, uR. Surgery Neurol. Sept. 2002. https://www.ncbi.nlm.nih.gov/pubmed/12480218
> I-Disc Herniation. Website yePhysiopedia. https://www.physio-pedia.com/Disc_Herniation
> I-Rasouli MR, i-discectomy encinci ye-minimally versus microdiscectomy / discectomy evulekileyo ye-disc laticar disniation. Cochrane Database Syst Rev. Sept 2014. https://www.ncbi.nlm.nih.gov/pubmed/25184502
> Werndle MC, i-disc ye-disc ngokucacileyo kwi-asebekhulile. Br J Neurosurg. Epreli 2012 https://www.ncbi.nlm.nih.gov/pubmed/22077584