Izinketho zokuncedisa ubuhlungu obuvela kwingxaki yeLumbar Disc
Ukunyangwa kwidiski ye-herniated kuxhomekeke kwizinto eziliqela eziquka:
- Iimpawu ezifunyanwa ngumguli
- Ubudala besigulane
- Umgangatho womsebenzi wesigulane
- Ubuninzi beempawu ezibuhlungu
Uninzi lwamaxesha amaninzi, unyango lwe-disc herniated luqala ngokuzenzekelayo kwaye luba namandla xa iimpawu ziqhubeka. Emva kokuvavanya i-disney ye-herniated, unyango luqala ngoku:
- Ukuphumla nokuguqulwa komsebenzi
Unyango lokuqala luya kugcina kwaye luphephe imisebenzi eyenza iimpawu zakho zibe nzima. Uninzi lwee-disc loniations liza kulungiswa lixesha. Kule meko, kubalulekile ukuphepha imisebenzi eyenza iimpawu zakho zibe nzima. - Izicelo ze-Ice & Heat
Isicelo se-Ice kunye nokushisa kunokuba luncedo kakhulu ekunciphiseni iimpawu ezibuhlungu ze-disc . Ngokuncedisa ukuphucula izihlunu zangemuva, i-ice kunye nezicelo zokufudumala zinganciphisa i- muscle spasm kwaye zibonelele ukukhululeka kwentlungu. - Ulungiso lwenyama
Ukwelapha okwenyama kunye nokuzimela kwe-lumbar ukuzinzisa akuyikuguqula ngqo i-disni heated, kodwa kunokuzinzisa imisipha yomzimba. Oku kunempembelelo yokunciphisa umthwalo owenziwe yi-disc ne-vertebrae. Izithambo ezinamandla, ezinokulinganisela kakuhle zinceda ukulawula i- lumbar spine nokunciphisa umngcipheko okanye ukulimala kwiisiti kunye ne-disc. - Imithi echasayo
Imithi yokungafuni ukunyanga (i-NSAID) imiselwe ngokuqhelekileyo, kwaye isoloko isinceda ukukhulula intlungu edibene ne-disc. Ngokunciphisa ukuvuvukala , la mayeza angakunciphisa uxinzelelo oluthile kwiimbilini ezixinzelelweyo. Ii-SAs kufuneka zisetyenziswe phantsi kolawulo lugqirha.
- Oral Steroid Medication
Amayeza omlomo we-oral steroid angakunceda kakhulu kwiziqwenga ze-acute (ngokukhawuleza). Amachiza asetyenziswayo afaka iPrednisone kunye neMedrol. Njengama-NSAID, le miyeza enamandla yokulwa nokuvuvukala inciphisa ukuvuvukala malunga neentsholongwane ezixinzelelekileyo, ngaloo ndlela iyanciphisa iimpawu.
- Amanye amayeza
Amanye amayeza aqhelekileyo asetyenziswa aquka imithi yeentlungu zentlungu kunye nama-relaxation muscle. Iimpawu zonyango ezixakayo zinobuchule luncedo kakhulu, ukuphathwa kweentlungu zangexesha elifutshane. Ngelishwa, la mayeza angenza ulele kwaye unokuba ngumlutha. Kubalulekile ukusebenzisa le mizuzu emfutshane nje. Ukuzihlaziya izidumbu zisetyenziselwa ukuphatha i-spasm ye-spinal muscle idla ngokubonwa ngee-disc. Ngokuqhelekileyo i-spasm ye-muscle ibubi ngaphezu kweentlungu ezisuka kwidiski ecinezelayo. - I-Epidural Steroid Injections
Izigulane ze-cortisone zingalawulwa ngokuthe ngqo kwindawo yokunyanzeliswa kwemizwa. Njengamachiza omlomo olwaphulo-mthetho, le ngcamango ikunciphisa ukunyanzeliswa kwiimbilini. Xa isalathisi isetyenziswe, iyeza linikezelwa kwindawo yokukhishwa kweelayi , kunokuba ithathwe ngomlomo kunye nokuhamba kuwo wonke umzimba wakho.
Ugqirha lweeDiski zokuHlola
Ukunyangwa kwe-disc yokuqhafaza ngokuqhelekileyo kuqala ngamanyathelo alula apha ngentla. Nangona kunjalo, unyango lwe-disc heniated unokucetyiswa kungekudala emva kokulimala ukuba kukho ukunyanzeliswa kweentlungu ezinkulu. Iimpawu zentlungu kunye nokungaqhelekanga kwemiba ngokuqhelekileyo akufuneki ukungenelela kwangangoko, kodwa izigulane ezinobuthakathaka obunzima, naluphi na ubungqina bentetho ye-equina syndrome , okanye ingxaki eqhubekayo ngokukhawuleza inokufuna unyango olongezelelekileyo unyango.
Ngokuqhelekileyo utyando luyacetyiswa ukuba amanyathelo amaninzi angayilunganga iimpawu zakho. Ugqirha lwenziwe ukuze ususe i-disc ye-herniated kwaye ukhulule isikhala malunga neentsimbi ezixinzezelekileyo. Ngokuxhomekeka kubukhulu kunye nendawo yengxoxo ye-herniated, kunye neengxaki ezinxulumene (ezifana nesisu somgogodla , isifo somgulane , njl njl.), Ukuhlinzwa kungenziwa ngamacandelo amaninzi. Kwiimeko ezichanekileyo, i-endoscopic okanye i-discscopic disc ye-disc ye-herniated inokwenzeka. Nangona kunjalo, oku akusoloko kucetyiswa, kwaye kwezinye iimeko, ukuhlinzwa okubalulekileyo kunokufuna ukuba kwenziwe.
Imithombo:
Boden, SD, kunye al. "Izicatshulwa ezingavamile ze-magnesium-resonance ze-lumbar spine kwizifundo ezingafaniyo." Uphando olulindelekileyo "J Bone Joint Surg Am. 1990 Mar; 72 (3): 403-8.
I-Mathews HH ne-Long BH "Iinkqubo eziNcinci eziMandla zoNyango lwe-Intervertebral Disk Herniation" J. Am. Acad. IOrn. Ugqirha., Matshi / uEpreli 2002; 10: 80 - 85.