Isidumbu sikaSchmorl: izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu zeNode yeSchmorl
• Izimbangela zeNode yeSchmorl
• Ingabe i-nodule kaSchmorl iyelapheka?

I-Schmorl nodule, ebizwa nangokuthi i-Schmorl hernia, iqukethe i-disc ye-herniated eyenzeka ngaphakathi kwe-vertebra. Imvamisa itholakala kuskena se-MRI noma ukuskena umgogodla, futhi akusiyona imbangela yokukhathazeka ngaso sonke isikhathi ngoba ayibangeli ubuhlungu, ezimweni eziningi, noma kunoma yikuphi okunye ukuguqulwa.

Lolu hlobo lwe-hernia luvame kakhulu ekugcineni komgogodla we-thoracic nokuqala komgogodla we-lumbar, njengaphakathi kwe-L5 ne-S1, etholakala kakhulu kubantu abaneminyaka engaphezu kwengu-45 ubudala, kepha ayisiyingozi, futhi ayikhombisi womdlavuza.

Izimpawu zeNode yeSchmorl

I-Schmorl nodule ingenzeka emgogodleni ophilile, kungabikho zimpawu ezikhona, ngakho-ke lapho umuntu enza ukuhlolwa komgogodla ngokuveza izinhlungu emuva futhi ethola ukuthi i-nodule, umuntu kufanele aqhubeke nokufuna ezinye izinguquko ezibangela ubuhlungu bomgogodla. ayizibangeli izimpawu, ayisiyingozi, futhi ayisona isizathu sokukhathazeka.

Kodwa-ke, yize kuvame kakhulu, lapho i-nodule yakha ngokuzumayo, ngokwesibonelo, engozini yomgwaqo, ingadala ukuvuvukala okuncane kwendawo, kubangele ubuhlungu emgogodleni.

Ezimweni eziningi, i-Schmorl nodule ayibangeli ubuhlungu futhi itholakala kuphela ngezivivinyo. Kodwa-ke, lapho i-herniation ithinta inzwa, kungahle kube nobuhlungu obuphansi emuva, noma kunjalo lesi simo asivamile.

Izimbangela zeNode yeSchmorl

Izimbangela azaziwa ngokugcwele kepha kunemibono ekhombisa ukuthi i-Schmorl nodule ingadalwa yi:

• Ukulimala okukhulu komthelela njengasesimweni sengozi yesithuthuthu noma lapho umuntu ewa kuqala ngokushaya ikhanda phansi,
• Ukuhlukumezeka okuphindaphindiwe, lapho umuntu ovame ukuphakamisa izinto ezisindayo ngaphezu kwekhanda lakhe;
• Izifo eziguquguqukayo ze-vertebral disc;
• Ngenxa yezifo njenge-osteomalacia, hyperparathyroidism, isifo sikaPaget, izifo, umdlavuza noma i-osteoporosis;
• Ukusabela kwesistimu yomzimba, eqala ukusebenza kudiski, lapho ingaphakathi kwe-vertebra;
• Ukuguqulwa kofuzo ngesikhathi ukwakheka kwama-vertebrae ngesikhathi sokukhulelwa.

Isivivinyo esihle kakhulu sokubona lesi sigaxa i-MRI scan futhi ekuvumela ukuthi ubone ukuthi kukhona yini ukuvuvukala okusizungezile, okukhombisa isigaxa sakamuva futhi esivuvukele. Lapho isigaxa sesakhiwe kudala futhi kune-calcification ezungezile, kungenzeka ukuthi sizobonwa kwi-x-ray, lapho-ke kungavami ukubangela ubuhlungu.

Ingabe i-nodule kaSchmorl iyelapheka?

Ukwelashwa kuyadingeka kuphela lapho izimpawu zikhona. Kulokhu, umuntu kufanele azi ukuthi yini ebangela izimpawu, njengokucindezeleka kwemisipha, ezinye izinhlobo zama-discs e-herniated, i-osteoporosis, i-osteomalacia, i-hyperparathyroidism, isifo sikaPaget, izifo kanye nomdlavuza, isibonelo. Ukwelashwa kungenziwa ngama-analgesics wokuqeda izinhlungu, ukusetshenziswa kwama-anti-inflammatories kanye nokwelashwa ngokomzimba. Lapho kunezinye izinguquko ezibalulekile emgogodleni, udokotela wamathambo angakhombisa isidingo futhi ahlinzwe ukuze kufinywe amathambo omgogodla amabili, ngokwesibonelo.