Ukuhlinzwa Kwe-Disc Herniated: Ongakulindela

-Delile

• Ngaphambi kokuhlinzwa
• Izinhlobo zokuhlinzwa kwe-disc ye-herniated
• I-Laminotomy / laminectomy
• I-Discectomy / microdiscectomy
• Ukuhlinzwa kwe-disc yokufakelwa
• Ukuhlanganiswa komgogodla
• Izingozi nokuthi yini ongayilindela ngemuva kokuhlinzwa
• Ukuvimbela izinkinga

Izimbangela, imiphumela, nokuthi ukuhlinzwa kulungile

Phakathi kwethambo ngalinye emgogodleni wakho (i-vertebrae) kukhona idiski. Lawa madiski asebenza njengezinciphisi ezishaqisayo futhi asize ukuqinisa amathambo akho. I-disc ye-herniated yileyo edlulela ngaphesheya kwe-capsule equkethe bese ifinyelela emgodini womgogodla. Ungaba ne-disc ye-herniated noma yikuphi lapho uhlangana khona nomgogodla wakho, ngisho nasentanyeni yakho, kodwa kungenzeka kakhulu ukuthi kwenzeke emhlane ongezansi (i-lumbar vertebrae).

Ungahle uhlakulele i-disc ye-herniated kusuka ekuphakamiseni okuthile ngendlela engafanele noma ngokusonteka ngokungazelelwe umgogodla wakho. Ezinye izimbangela zibandakanya ukukhuluphala ngokweqile nokuwohloka ngenxa yezifo noma ukuguga.

I-disc ye-herniated ayibangeli ngaso sonke isikhathi ubuhlungu noma ukungaphatheki kahle, kepha uma iqhubekela emsipheni ongezansi, ungahle ube nobuhlungu emuva noma emilenzeni (sciatica). Uma i-disc ye-herniated ivela entanyeni yakho, ungaba nobuhlungu entanyeni yakho, emahlombe nasezingalweni. Ngaphandle kobuhlungu, i-disc ye-herniated ingaholela ekubeni ndikindiki, ukuncinza nobuthakathaka.

Ukuhlinzwa okubandakanya umgogodla ngokuvamile akunconywa uze uzame zonke ezinye izinketho. Lokhu kungafaka:

• anti-inflammatories ezingezona eze-steroidal
• ukudambisa izinhlungu
• ukuzivocavoca noma ukwelashwa ngokomzimba
• imijovo ye-steroid
• ukuphumula

Uma lokhu kungasebenzi futhi unezinhlungu eziphikelelayo eziphazamisa ikhwalithi yempilo yakho, kunezinketho eziningi zokuhlinzwa.

Ngaphambi kokuhlinzwa

Uma ucabanga ukuhlinzwa, qiniseka ukuthi ubona udokotela ohlinzayo oqeqeshiwe womgogodla (wamathambo noma we-neurosurgical), bese uthola umbono wesibili. Ngaphambi kokuncoma inqubo eyodwa yokuhlinzwa kunenye, udokotela wakho ohlinzayo kungenzeka a-ode ukuhlolwa kwe-imaging, okungafaka:

• I-X-ray: I-X-ray ikhiqiza izithombe ezicacile zama-vertebrae namajoyinti akho.
• I-computed tomography (i-CT / CAT scan): Lezi zikeni zinikeza izithombe eziningiliziwe zomsele womgogodla nezakhiwo ezizungezile.
• I-Magnetic resonance imaging (MRI): I-MRI ikhiqiza izithombe ezi-3-D zomgogodla nezimpande zemizwa, kanye nama-disc ngokwawo.
• I-Electromyography noma i-nerve conduction studies (EMG / NCS): Lokhu kukala imizwa kagesi kanye nezinzwa nemisipha.

Lezi zivivinyo zizosiza udokotela wakho ohlinzayo anqume uhlobo oluhle kakhulu lokuhlinzwa kwakho. Ezinye izinto ezibalulekile esinqumweni zifaka indawo yediski yakho ye-herniated, iminyaka yakho, nempilo yakho yonke.

Izinhlobo zokuhlinzwa kwe-disc ye-herniated

Ngemuva kokuqoqa lonke ulwazi abangaluthola, udokotela wakho ohlinzayo angancoma okunye kwalokhu kuhlinzwa. Kwezinye izimo, umuntu angadinga inhlanganisela yokuhlinzwa.

I-Laminotomy / laminectomy

Ku-laminotomy, udokotela ohlinzayo uvula i-vertebral arch (lamina) ukunciphisa ingcindezi ezimpandeni zakho zezinzwa. Le nqubo yenziwa ngokusikeka okuncane, kwesinye isikhathi kusetshenziswa imakhroskophu. Uma kunesidingo, i-lamina ingasuswa. Lokhu kubizwa nge-laminectomy.

I-Discectomy / microdiscectomy

I-Discectomy ukuhlinzwa okuvame kakhulu okusetshenziselwa i-disc ye-herniated esifundeni se-lumbar. Kule nqubo, ingxenye yediski ebangela ingcindezi empandeni yakho yezinzwa iyasuswa. Kwezinye izimo, yonke i-disc iyasuswa.

Udokotela ohlinzayo uzofinyelela i-disc ngokusebenzisa imbobo emhlane wakho (noma entanyeni). Uma kwenzeka, udokotela wakho ohlinzayo uzosebenzisa ukusika okuncane nezinsimbi ezikhethekile ukufeza imiphumela efanayo. Le nqubo entsha, engahlaseli kangako ibizwa nge-microdiscectomy. Kwezinye izimo, lezi zinqubo zingenziwa ngokwelashwa kweziguli.

Ukuhlinzwa kwe-disc yokufakelwa

Ngokuhlinzwa kwediski lokufakelwa, uzoba ngaphansi kwe-anesthesia ejwayelekile. Lokhu kuhlinza kuvame ukusetshenziselwa i-disc eyodwa lapho inkinga ingemuva engezansi. Akuyona inketho enhle uma une-arthritis noma i-osteoporosis noma lapho i-disc engaphezu kweyodwa ikhombisa ukonakala.

Ngale nqubo, udokotela ohlinzayo ungena ngesicubu esiswini sakho. Idiski elonakele lifakwa endaweni yediski yokufakelwa eyenziwe ngepulasitiki nensimbi. Ungadinga ukuhlala esibhedlela izinsuku ezimbalwa.

Ukuhlanganiswa komgogodla

I-anesthesia ejwayelekile iyadingeka ekuhlanganiseni komgogodla. Kule nqubo, ama-vertebrae amabili noma ngaphezulu ahlanganiswe unomphela ndawonye. Lokhu kungafezwa ngokuhlanganiswa kwamathambo kusuka kwenye ingxenye yomzimba wakho noma kumnikeli. Kungabandakanya nezikulufo zensimbi noma zepulasitiki nezinduku ezenzelwe ukusekela okwengeziwe. Lokhu kuzokhubaza unomphela leyo ngxenye yomgogodla wakho.

Ukuhlanganiswa komgogodla ngokuvamile kudinga ukuhlala esibhedlela izinsuku ezimbalwa.

Izingozi nokuthi yini ongayilindela ngemuva kokuhlinzwa

Konke ukuhlinzwa kunengozi ethile, kufaka phakathi ukutheleleka, ukopha nokonakala kwezinzwa. Uma i-disc ingasuswa, ingaphinde iqhume. Uma uhlushwa isifo se-disc esiwohlokayo, ungahle ube nezinkinga ngamanye ama-disc.

Ngemuva kokuhlinzwa komgogodla, inani elithile lokuqina kulindeleke. Lokhu kungaba unomphela.

Ngemuva kokuhlinzwa kwakho, uzonikezwa iziyalezo ezithile zokukhishwa maqondana nesikhathi sokuqalisa kabusha umsebenzi ojwayelekile nokuthi kufanele uqale nini ukuzivocavoca. Kwezinye izimo, ukwelashwa ngokomzimba kungadingeka. Kubaluleke kakhulu ukulandela izincomo zikadokotela wakho.

Iningi labantu lilulama kahle ngemuva kokuhlinzwa nge-disc, kepha icala ngalinye lihlukile. Umbono wakho ngamunye uncike ku:

• imininingwane yokuhlinzwa kwakho
• noma yiziphi izinkinga okungenzeka uhlangabezane nazo
• isimo sakho sempilo jikelele

Ukuvimbela izinkinga

Ukusiza ukuvimbela izinkinga ezizayo ngomhlane wakho, zama ukugcina isisindo esinempilo. Njalo sebenzisa amasu afanele wokuphakamisa. Izicubu ezinamandla zesisu nangemuva zisiza ukusekela umgogodla wakho, ngakho-ke qiniseka ukuthi uzisebenzisa njalo. Udokotela wakho noma owelapha ngokomzimba angancoma izivivinyo ezenzelwe leyo njongo.