Umlobi: Roger Morrison
Usuku Lokudalwa: 5 Usepthemba 2021
Ukuvuselela Usuku: 17 Unovemba 2024
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I-disc ye-Herniated ibonakala ngokuqhuma kwe-disc ye-intervertebral, engaholela ezimpawu ezifana nobuhlungu beqolo nokuzwa okuvuthayo noma ukuphazamiseka. Kuvame kakhulu emgogodleni wesibeletho nomgogodla we-lumbar, kanti ukwelashwa kwayo kungenziwa ngemithi, i-physiotherapy noma ukuhlinzwa, futhi, ngokuya ngobukhulu bayo, kungalapheka ngokuphelele.

I-disc ye-Herniated ingahlukaniswa ngokusho kwesifunda somgogodla esithinta ngakho-ke, kungaba:

  • I-disc ye-Herniated yomlomo wesibeletho: ithinta indawo yentamo;
  • I-disc ye-thoracic ye-herniated: ithinta isifunda esiphakathi nendawo;
  • I-Lumbar disc herniation: ithinta indawo engezansi engemuva.

I-vertebral disc iyisakhiwo se-fibrocartilage esikhonza ukugwema ukuxhumana okuqondile phakathi kwe-vertebra eyodwa nenye, nokuvikela umthelela owenziwe izithende, isibonelo. Ngakho-ke, ukulimala kwe-disc, noma i-discopathy, njengoba lesi simo saziwa kanjalo, kuphazamisa ukusebenza kwe-vertebral disc uqobo futhi kusacindezela ezinye izakhiwo ezibalulekile zomgogodla, njengempande yezinzwa noma umgogodla.


Izinhlobo zama-discs we-herniated

Izinhlobo zama-discs we-herniated

Ukuqala kokulimala kwe-disc kungenzeka lapho umuntu engenakho ukuma okuhle, ephakamisa izinsimbi ngaphandle kokuguqa ngamadolo futhi engaphuzi cishe amalitha amabili amanzi ngosuku. Kulokhu, yize ingenzanga i-hernia, i-disc isivele ilimele, inokuqina okuncane, kepha isalokhu igcina ukwakheka kwayo kwangempela: i-oval. Uma umuntu engathuthukisi ukuma kwakhe nokuphila kwakhe eminyakeni embalwa, mhlawumbe uzokwakha i-disc ye-herniated.

I-Hernia yenzeka lapho i-vertebral disc ilahlekelwa ukwakheka kwayo kwasekuqaleni, iyeka ukuba yi-oval, yakha ukuqhuma, okuluhlobo 'lokudonsa', olungacindezela impande ye-sciatic nerve, ngokwesibonelo. Ngakho-ke, izinhlobo ezi-3 zama-discs we-herniated akhona yilezi:

  • Idiski ye-herniated ekhishwe: luhlobo oluvame kakhulu, lapho i-nucleus yediski ihlala ingashintshi, kepha sekukhona ukulahleka kohlobo lwe-oval;
  • Ukukhishwa kwe-disc okwengeziwe: lapho ingqikithi yediski ikhubazekile, kwakheka 'ukwehla';
  • Ukukhishwa kwe-disc ye-Herniated: lapho ingqikithi ilimele kabi futhi ingahlukaniswa kabili.
I-posterolateral protruding disc herniation

Umuntu angaba nediski ye-herniated engaphezu kweyodwa futhi ingakhuphuka ngamandla ngokuhamba kwesikhathi. Imvamisa lapho umuntu enediski engenamanzi kuphela, abanazo izimpawu futhi bathola kuphela ukuthi bane-MRI scan nganoma yisiphi esinye isizathu. Izimpawu zivame ukuvela lapho i-hernia isiye yanda futhi isisesigabeni sokungena.


I-hernia kusafanele ihlukaniswe ngokuya ngendawo yayo ngqo, okungaba yi-postero noma i-lateral postero. I-lateral postero herniated disc ingacindezela emthanjeni obangela ukuzwa okushoshozelayo, ubuthakathaka noma ukulahleka kwemizwa engalweni noma emlenzeni, kepha uma kune-disc ngemuva kwe-herniated, isifunda esicindezelwe intambo yomgogodla ngakho-ke umuntu angaletha lezi zimpawu kuzo zombili izingalo noma imilenze, isibonelo.

Izimpawu ze-Disc Herniated

Uphawu oluyinhloko lwe-disc ye-herniated ubuhlungu obukhulu lapho itholakala khona, kepha futhi lungaveza lezi zimpawu ezilandelayo:

I-disc yomlomo wesibeletho ye-HerniatedI-Lumbar disc herniation
Ubuhlungu bentamo noma bentamoUbuhlungu obuphansi emuva
Kunzima ukuhambisa intamo yakho noma ukuphakamisa izingaloKunzima ukunyakaza, ukugoba, ukuvuka noma ukuvula umbhede, isibonelo
Kungaba nomuzwa wobuthakathaka, ukuba ndikindiki noma ukuncinza engalweni eyodwa, endololwaneni, esandleni noma eminweniUkuzwela kobuntofontofo kuma-glutes, kanye / noma emilenzeni, ngemuva, ngaphambili noma ngaphakathi komunye wemilenze
---Ukuzwa okuvuthayo endleleni ye-nerve ye-sciatic esukela emgogodleni iye ezinyaweni

Ubuhlungu be-disc ye-herniated buvame ukuba nzima ngokuhamba futhi bungakhuliswa ukukhwehlela, ukuhleka futhi kungadlulela lapho umuntu echama noma ephuma, okungabonakala ngokuzumayo noma kubi ngokuhamba kwesikhathi.


Ukuxilongwa Kwenziwa Kanjani

Ukuxilongwa kwama-discs we-herniated kungenziwa ngokubheka izimpawu nokuhlolwa komzimba, kepha futhi kungaqinisekiswa ngezivivinyo, njenge-computed tomography noma i-magnetic resonance imaging, esebenza ukuhlola i-disc, ubukhulu bayo, indawo eqondile ye-hernia nokuthi hlobo luni lwe-hernia umuntu analo.

Ukuhlolwa kwe-X-ray akubonisi ngokusobala i-hernia, kepha kunganele ukukhombisa ukuqondanisa komgogodla nobuqotho noma ukubhujiswa kwamathambo omgogodla ngakho-ke, kwesinye isikhathi udokotela uqale acele i-X-ray futhi ngomphumela walokhu , icela i-resonance noma i-tomography ukuhlola ubunzima.

Lapho eqinisekisa ukuthi kukhona idiski elilodwa noma amaningi e-herniated, udokotela angakhombisa ukwelashwa okungenziwa nge-physiotherapy, Pilates, RPG, osteopathy, noma ukuhlinzwa. Imvamisa, ukuhlinzwa kuyindlela yokugcina yokwelashwa, ebekelwe amacala lapho umuntu engakhombisi ukuthuthuka kwezimpawu nezinye izindlela zokwelashwa, isikhathi esingaphezu kwezinyanga eziyisithupha.

Yini ebangela amadiski e-herniated

Imbangela enkulu yama-discs we-herniated ukungahambi kahle nsuku zonke, nokuthi umuntu akaqapheli lapho ephakamisa futhi ephethe izinto ezinzima kakhulu. Ngakho-ke, kujwayelekile ukuthi abantu abasebenza njengezinceku, abadwebi, abasebenzi basezindlini, abashayeli nabakhi bamatshe, bahlakulele i-discopathy noma ama-discs e-herniated, cishe aneminyaka engama-40 ubudala.

Cishe eminyakeni eyishumi ngaphambi kokuthola i-disc ye-herniated kujwayelekile ukuthi lowo muntu abe nezimpawu ezifana nobuhlungu beqolo obungapheli ngokushesha. Lesi ngesinye sezibonakaliso zokuqala zokuxwayisa ezikhishwa ngumzimba, kepha lokho kuvame ukunganakwa, kuze kuvele i-hernia esemgogodleni.

Ezinye izinto ezithanda ukufakwa kwe-hernia ukuguga, isisindo eseqile nokuzikhandla okunganele emzimbeni, ngakho-ke, ukuze ukwelashwa kuphumelele kubalulekile ukuqeda zonke lezi zinto.

Ukwelashwa Kwe-Disc Herniated

Lapho ukwelashwa kwenziwa ngendlela efanele, izimpawu zinganyamalala kungakapheli izinyanga ezi-1 kuye kwezi-3, kepha umuntu ngamunye uphendula ngendlela ehlukile ekwelashweni, ngakho-ke, kwezinye izimo le nkathi ingaba yinde. Ukuze uphumelele ukwelashwa kubalulekile ukwazi indawo ngqo ye-hernia nokuthi hlobo luni lwayo. Uhlobo oluvame kakhulu, okuyi-disc protrusion, lungaphathwa nge:

  • Ukusetshenziswa kwamaphilisi ezinhlungu nemithi elwa nokuvuvukala ebekwe ngudokotela;
  • Amaseshini e-Physiotherapy anemishini, ukunweba nokwelula umzimba;
  • I-osteopathy equkethe ukuqhekeka komgogodla nokuqondisa kabusha wonke amathambo namalunga;
  • Ukuzivocavoca okufana ne-RPG, i-hydrotherapy noma i-Pilates eqondiswa yi-physiotherapist.

Ngesikhathi sokwelashwa kunconywa ukuthi umuntu angahlali kude nezinto ezibangele i-hernia, angenzi imizamo futhi angenzi noma yiluphi uhlobo lomsebenzi wokuzivocavoca umzimba.

Bheka lawa namanye amathiphu kuvidiyo elandelayo:

Ukuhlinzwa kwe-disc ye-Herniated kuboniswa lapho umuntu enediski ekhishwe noma ehlukanisiwe futhi ukwelashwa kwemitholampilo kanye ne-physiotherapeutic bekunganele ukwehlisa izimpawu nokuthuthukisa ikhwalithi yempilo yomuntu.

I-disc ye-Herniated lapho ukhulelwe

Owesifazane osethole i-herniated disc ngaphambi kokukhulelwa kufanele azi ukuthi ngesikhathi sokukhulelwa i-disc ye-herniated ingaba yimbi, ibangele izinhlungu ezibuhlungu emuva ezingacindezela ezimpandeni zemizwa, njenge-sciatic nerve. Lapho kuthinteka imizwa ye-sciatic, owesifazane uzwa ubuhlungu emhlane, ezinqeni noma ngemuva kwethanga.

Lokhu kwenzeka ngoba ngesikhathi sokukhulelwa, iprogesterone iholela ekwandeni kokuxegisa kwayo yonke imisipha emzimbeni, futhi njengoba umgogodla nawo unemigudu, ayaqina futhi agcina evumela i-vertebra ukukhipha kancane, okungakhulisa noma kubangele i-herniated idiski.

Ngesikhathi sokukhulelwa, ayikho imishanguzo okufanele iphuzwe ngaphandle kwe-paracetamol, ngakho-ke uma owesifazane enezinhlungu emuva noma ebusheni, kufanele aphumule elele phansi, imilenze yakhe ilele phezu komqamelo noma umqamelo, isibonelo. Ukubeka i-compress efudumele esizeni sobuhlungu nakho kungakudambisa lokhu kungakhululeki. Zazi izingozi zengane, zinjani izinketho zokubeletha nokwelashwa kwama-disc herniated ekukhulelweni.

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