Idiski ye-Herniated

Idiski ye-herniated (eshelelisiwe) yenzeka lapho yonke noma ingxenye yediski iphoqelelwa ngengxenye ebuthakathaka yediski. Lokhu kungabeka ingcindezi emithanjeni eseduze noma emgogodleni.

Amathambo (ama-vertebrae) wekholomu lomgogodla avikela izinzwa eziphuma ebuchosheni futhi zihambe ngomhlane wakho ukwakha umgogodla. Izimpande zemithambo yizinzwa ezinkulu eziphuma entanjeni yomgogodla futhi zishiya ikholomu yakho yomgogodla phakathi kwe-vertebra ngayinye.

Amathambo omgogodla ahlukaniswe amadiski. Lawa madiski aqinisa ikholomu yomgogodla futhi abeke isikhala phakathi kwama-vertebrae akho. Ama-disks avumela ukunyakaza phakathi kwama-vertebrae, okuvumela ukuthi ugobe futhi ufinyelele.

Nge-disk ye-herniated:

• Idiski lingaphuma endaweni (i-herniate) noma livuleke (ekuqhekekeni) ekulimaleni noma kobunzima. Uma lokhu kwenzeka, kungahle kube nengcindezi emithanjeni yomgogodla. Lokhu kungaholela ebuhlungwini, ekubeni ndikindiki, noma ebuthakathakeni.
• Umgogodla ongezansi (indawo eyimbumbulu) yomgogodla indawo evame kakhulu ukuthinteka yidiski eshibhile. Ama-disk entanyeni (wesibeletho) ayindawo yesibili ethinteka kakhulu. Ama-disks aphezulu-kuya-maphakathi (thoracic) awavamile ukubandakanyeka.

Idiski ye-herniated iyimbangela ye-radiculopathy. Lesi yisimo esithinta izimpande zomgogodla.

Ama-disks ashibhile avela kaningi emadodeni aphakathi nendawo nangaphezulu, imvamisa ngemuva komsebenzi okhandlayo. Ezinye izinto ezinobungozi zingafaka:

• Ukuphakamisa izinto ezisindayo
• Ukukhuluphala ngokweqile
• Ukugoba okuphindiwe noma ukusonta umhlane ongezansi
• Ukuhlala noma ukuma endaweni efanayo amahora amade
• Indlela yokuphila engasebenzi
• Ukubhema

Ubuhlungu buvame ukwenzeka ohlangothini olulodwa lomzimba. Izimpawu ziyahlukahluka, kuya ngendawo yokulimala, futhi zingafaka okulandelayo:

• Uma unediski elishelele emhlane ongezansi, ungaba nobuhlungu obucijile engxenyeni eyodwa yomlenze, okhalweni, noma ezinqeni, nokuba ndikindiki kwezinye izingxenye. Ungase futhi uzwe ubuhlungu noma ukuba ndikindiki ngemuva kwethole noma ematheni onyawo. Umlenze ofanayo nawo ungazizwa ubuthakathaka.
• Nge-disk eshibhile entanyeni yakho, ungaba nobuhlungu lapho uhambisa intamo yakho, ubuhlungu obukhulu eduze noma ngaphezulu kwehlombe lehlombe, noma ubuhlungu obudlulela engalweni ephezulu, ingalo, neminwe.Ungaba futhi nokuba ndikindiki ehlombe lakho, endololwaneni, ingalo, neminwe.

Ubuhlungu buvame ukuqala kancane. Kungaba kubi kakhulu:

• Ngemuva kokuma noma ukuhlala
• Ebusuku
• Lapho uthimula, ukhwehlela, noma uhleka
• Lapho uguqa uhlehla noma uhamba ngaphezu kwamayadi noma amamitha ambalwa
• Lapho uhlunga noma ubamba umoya wakho, njengalapho unyakaza amathumbu

Ungaba nobuthakathaka emisipheni ethile. Kwesinye isikhathi, ungahle ungakuqapheli kuze kube yilapho umhlinzeki wakho wezokunakekelwa kwezempilo ekuhlola. Kwezinye izimo, uzobona ukuthi unzima ukuphakamisa umlenze noma ingalo yakho, ume ezinzwaneni zakho ngakolunye uhlangothi, ucindezela uqinise ngesinye sezandla zakho, noma ezinye izinkinga. Isilawuli sakho sesinye singalahleka.

Ubuhlungu, ukuba ndikindiki, noma ubuthakathaka kuvame ukuphela noma kuthuthuke kakhulu emasontweni kuya ezinyangeni.

Ukuhlolwa komzimba ngokucophelela nomlando cishe njalo kuyisinyathelo sokuqala. Ngokuya ngokuthi unezimpawu zini, umhlinzeki wakho uhlola intamo yakho, ihlombe, izingalo, nezandla, noma iqolo, okhalweni, imilenze nezinyawo.

Umhlinzeki wakho uzohlola:

• Ukuze ndikindiki noma ukulahlekelwa umuzwa
• Izimo zakho zemisipha, ezingahamba kancane noma zilahleke
• Amandla akho emisipha, angahle abe buthakathaka
• Ukuma kwakho, noma indlela ijika lakho lomgogodla
• Amandla akho okuguqula umgogodla wakho

Umhlinzeki wakho futhi angakucela ukuthi:

• Hlala, ume, uhambe. Ngenkathi uhamba, umhlinzeki wakho angakucela ukuthi uzame ukuhamba ngezinzwane zakho bese izithende zakho.
• Bend phambili, emuva, futhi eceleni.
• Hambisa intamo yakho phambili, emuva nasemuva.
• Phakamisa amahlombe akho, indololwane, isihlakala, nesandla, bese ubheka amandla akho phakathi nale misebenzi.

Ubuhlungu bomlenze obenzeka lapho uhlala etafuleni lezivivinyo futhi uphakamisa umlenze wakho uqonde phezulu kuvame ukuphakamisa idiski elishibhile emhlane wakho ongezansi.

Kokunye ukuhlolwa, uzogobisa ikhanda lakho phambili nasemaceleni ngenkathi umhlinzeki ebeka ingcindezi encane eyehla phezulu kwekhanda lakho. Ukwanda kobuhlungu noma ukuba ndikindiki phakathi nalesi sivivinyo ngokuvamile kuwuphawu lwengcindezi kunzwa entanyeni yakho.

IZIVIVINYO ZOKUTHOLA

Ukuhlolwa okwenziwe kungafaka:

• I-Spine MRI noma umgogodla we-CT ungenziwa ukukhombisa lapho i-herniated disk icindezela khona emgodini womgogodla.
• I-Electromyography (EMG) ingenziwa ukuthola impande ngqo yezinzwa ehilelekile.
• I-Myelogram ingenziwa ukuthola ubukhulu nendawo yediski herniation.
• Ukuhlolwa kwe-velocity velocity test nakho kungenziwa.
• I-x-ray yomgogodla ingenziwa ukukhipha ezinye izimbangela zobuhlungu emuva noma entanyeni. Kungabheka ukuthi ithambo lakho liphilile kangakanani futhi kubhekwe nokuthi lingakanani igumbi lemithambo yakho yomgogodla ukuphuma entanjeni yomgogodla. Kodwa-ke, akunakwenzeka ukuxilonga idiski ye-herniated nge-x-ray yomgogodla yodwa.

Ukwelashwa kokuqala kwediski eshibhile yisikhathi esifushane sokuphumula nokuthatha imithi yezinhlungu. Lokhu kulandelwa ukwelashwa ngokomzimba. Iningi labantu abalandela lezi zindlela zokwelashwa bayalulama futhi babuyele emisebenzini ejwayelekile. Abanye abantu bazodinga ukuthola ukwelashwa okwengeziwe. Lokhu kungafaka imijovo ye-steroid noma ukuhlinzwa.

IMITHI

Imithi ingakusiza ngobuhlungu bakho. Umhlinzeki wakho anganquma noma yikuphi okulandelayo:

• Ama-NSAID wokulawula ubuhlungu besikhathi eside
• Ama-narcotic uma ubuhlungu bukhulu futhi bungaphenduli kuma-NSAID
• Imithi yokudambisa izinzwa
• Ukuphumula kwemisipha ukukhulula ukuqaqamba emuva

IZINGUQUKO ZOKUPHILA

Uma ukhuluphele ngokweqile, ukudla nokuvivinya umzimba kubaluleke kakhulu ekuthuthukiseni ubuhlungu emuva.

Ukwelashwa ngokomzimba kubalulekile cishe kuwo wonke umuntu onesifo sediski. Abelaphi bazokufundisa ukuthi ungaphakamisa kanjani, ugqoke kanjani, uhambe kanjani, futhi wenze eminye imisebenzi. Zikufundisa ukuthi ungaqinisa kanjani imisipha esiza ukuxhasa umgogodla. Uzofunda nokuthi ungakwandisa kanjani ukuguquguquka emgogodleni nasemilenzeni yakho.

Nakekela umhlane wakho ekhaya:

• Nciphisa umsebenzi ezinsukwini ezimbalwa zokuqala. Qalisa kancane imisebenzi yakho ejwayelekile.
• Gwema ukuphakamisa okunzima noma ukusonteka umqolo wakho emasontweni ayisithupha okuqala ngemuva kokuqala kobuhlungu.
• Ngemuva kwamasonto amabili kuya kwamathathu, kancane kancane qala ukuzivocavoca futhi.

UKUJABULA

Imijovo yemithi ye-steroid emhlane endaweni yediski ye-herniated ingasiza ekulawuleni ubuhlungu izinyanga ezimbalwa. Le mijovo inciphisa ukuvuvukala okuzungeze izinzwa zomgogodla nediski futhi kunciphise izimpawu eziningi. Abayixazululi inkinga eyisisekelo futhi ubuhlungu bakho bungabuya ngemuva kwamasonto noma izinyanga. Imijovo yomgogodla inqubo yokuphulukiswa kweziguli.

UKUHLINZA

Ukuhlinzwa kungaba yindlela ongakhetha kuyo uma izimpawu zakho zingahambi nezinye izindlela zokwelapha nesikhathi.

Okunye ukuhlinzwa okunjalo yi-diskectomy, esusa yonke noma ingxenye yediski.

Xoxa nomhlinzeki wakho ukuthi yiziphi izindlela zokwelashwa ezingcono kakhulu kuwe.

Iningi labantu liyathuthuka ngokwelashwa. Kepha ungaba nobuhlungu besikhathi eside emuva, noma ngabe uselashwa.

Kungathatha izinyanga ezimbalwa ukuya onyakeni noma ngaphezulu ukubuyela kuyo yonke imisebenzi yakho ngaphandle kobuhlungu noma ukucindezela umqolo wakho. Abantu abasebenza emisebenzini ehilela ukuphakamisa okunzima noma ukucindezela emuva bangadinga ukushintsha imisebenzi yabo yomsebenzi ukugwema ukulimaza umqolo wabo futhi.

Ezimweni ezingavamile, izinkinga ezilandelayo zingenzeka:

• Ubuhlungu beqolo besikhathi eside noma ubuhlungu bomlenze
• Ukulahlekelwa ukunyakaza noma ukuzwa emilenzeni noma ezinyaweni
• Ukulahlekelwa umsebenzi wamathumbu nesinye
• Ukulimala unomphela komgogodla (kuyaqabukela)

Shayela umhlinzeki wakho uma une:

• Ubuhlungu obukhulu beqolo obungapheli
• Noma ikuphi ukuphazamiseka, ukulahleka kokuhamba, ubuthakathaka, noma izinguquko zamathumbu noma zesinye

Ukusiza ukuvimbela ukulimala emuva:

• Sebenzisa izindlela ezifanele zokuphakamisa.
• Gcina isisindo esinempilo.
• Zivocavoce ukugcina isisu sakho (umongo) nezicubu zangemuva ziqinile.
• Linganisa ukusetha kwakho emsebenzini. Kwesinye isikhathi ideski lokuma noma ukushintsha indawo yesikrini sekhompyutha yakho kungasiza isimo sakho.

Umhlinzeki wakho angaphakamisa ukubopha emuva ukusiza ukusekela umgogodla. I-brace ingavimbela ukulimala kubantu abaphakamisa izinto ezisindayo emsebenzini. Kodwa ukusebenzisa la madivayisi ngokweqile kunganciphisa imisipha esekela umgogodla wakho futhi yenze inkinga ibe yimbi kakhulu.

I-Lumbar radiculopathy; I-radiculopathy yomlomo wesibeletho; Idiski ye-intervertebral ye-Herniated; Idiski ye-intervertebral edlulisiwe; Idiski eshibhile; Idiski eqhekekile; I-Herniated nucleus pulposus: Ubuhlungu obuphansi emuva - i-disk ye-herniated; I-LBP - idiski ye-herniated; I-disk ye-sciatica - i-herniated disk; Idiski ye-Herniated; Idiski - i-herniated

• Umgogodla wamathambo
• Inzwa yeSciatic
• I-nucleus pulposus ye-Herniated
• Ukulungiswa kwediski ye-Herniated
• Ukuhlinzwa komgogodla weLumbar - uchungechunge
• Idiski ye-lumbar ye-Herniated

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Magee DJ. Umgogodla weLumbar. Ku: Magee DJ, ed. Ukuhlolwa Komzimba Wamathambo. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2014: isahluko 9.

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