Ukwelashwa kwama-discs e-herniated: umuthi, ukuhlinzwa noma i-physiotherapy?

-Delile

• 1. Ukwelashwa ngemithi
• 2. Ukwelashwa ngokomzimba kwama-disc herniated
• 3. Ukwelashwa kwemvelo
• 4. Herniated disc ukuhlinzwa
• Lulama kanjani
• Izimpawu zokuthuthuka
• Izimpawu zokuwohloka

Indlela yokuqala yokwelashwa evame ukukhonjiswa kuma-discs e-herniated ukusetshenziswa kwemithi elwa nokuvuvukala kanye nokwelashwa ngokomzimba, ukudambisa izinhlungu nokunciphisa ezinye izimpawu, njengobunzima bokuhambisa izitho noma ukuhayiza.

Okunye okunye ongakhetha kukho, okufana nokukhopa umuntu, i-Pilates noma ukusetshenziswa kwetiye ezithile, nakho kungasiza ukugcwalisa ukwelashwa, kuthuthukise umthelela wemithi futhi kuqhubeke nokunciphisa ukungakhululeki.

Kodwa-ke, njengoba i-disc ye-herniated inguquko ebangela ukucindezelwa kwediski eliphakathi kwe-vertebrae, ukuyikhipha endaweni yayo, kwesinye isikhathi lezi zindlela zokwelapha azanele ukubuyisela ikhwalithi yempilo yomuntu, lapho-ke, ukuhlinzwa kwe-disc ye-herniated kukhonjisiwe.

1. Ukwelashwa ngemithi

Ukwelashwa okunconyiwe kwama-discs we-herniated kubandakanya ukusetshenziswa kwemithi, efana nale:

• Ama-anti-inflammatories, njenge-Ibuprofen, i-Diclofenac noma i-Ketoprofen: usizo lokunciphisa ukuvuvukala nobuhlungu obubangelwa ukucindezelwa kwe-disc intervertebral;
• Ukudambisa izinhlungu, okungahle kube buthakathaka, njengeDipyrone noma iParacetamol, noma okunamandla kakhulu, njengeTramadol noma iCodeine: zisiza ukuqeda ubuhlungu nokungaphatheki kahle okubangelwa ukucindezelwa kwe-vertebral disc;
• Ukuphumula kwemisipha, njengeCyclobenzaprine noma iBaclofen: ukunciphisa izinhlungu ezibangelwa ukuqhuma kwemisipha ngemuva noma emilenzeni;
• Amakhambi we-Anticonvulsant, njengeGabapentina noma iPregabalina: kuyasetshenziswa, kulokhu, ukukhulula ubuhlungu obubangelwa ukucindezelwa kwemizwa esondelene ne-hernia;
• Imijovo ye-Corticosteroid emgogodleni, njenge-Betamethasone noma i-Prednisone: ukunciphisa ukuvuvukala kusiza sediski ye-herniated.

Ukusetshenziswa kwamakhambi okulwa nokuvuvukala, yize kunomphumela omuhle ikakhulukazi ekuhlaselweni ubuhlungu be-lumbar hernia, akufanele kusetshenziswe kaningi, ngoba kubangela imiphumela emibi eminingi, njengokucasuka kwesisu noma ukusebenza kwezinso okushintshiwe.

Ezimweni lapho udinga ukusebenzisa umuthi isikhathi eside, amaphilisi ezinhlungu, izidambisi zemisipha noma ama-anticonvulsants, njengoba kushiwo ngudokotela wakho, yizona zindlela ezingcono kakhulu.

2. Ukwelashwa ngokomzimba kwama-disc herniated

Ngaphezu kwemithi, udokotela wamathambo angabuye eluleke ukugcwaliseka kwamaseshini e-physiotherapy, lapho kwenziwa khona izivivinyo kanye nezikhundla ezibalulekile ukuqedela ukwelashwa ngemithi nokunciphisa izinhlungu. Bona konke mayelana nokuthi i-herniated disc physiotherapy isebenza kanjani.

Isikhathi sokwelashwa nge-physiotherapy sincike ohlotsheni lwe-hernia nokuqina kwezimpawu eziveziwe, kepha kungahluka kusuka enyangeni e-1 kuye ezinyangeni eziyisithupha, noma ngaphezulu.

3. Ukwelashwa kwemvelo

Kunezindlela zokuqeda ubuhlungu obubangelwa ama-discs we-herniated ngezindlela zokwelashwa kwasekhaya, okungenzeka, kwezinye izimo, ukushintsha noma ukunciphisa umthamo wemithi. Okuyinhloko yilezi:

• Ukuthoma: kusiza ukuqeda ubuhlungu kusetshenziswa izinaliti ezincane ezifakwe ezindaweni zokucindezela ukuvusa isenzo se-analgesic;
• Ama-Pilates: Ukuzivocavoca komzimba nokwelula okwenziwa kuma-Pilates kungasiza ekuqiniseni i-disc ye-herniated futhi kwehlise nobuhlungu. Kubalulekile ukuthi amakilasi ama-Pilates enziwe ngumelaphi womzimba;
• Ukubhucungwa: uma kwenziwa ochwepheshe abaqeqeshiwe, futhi abanolwazi ekwelapheni izifo zomgogodla, kungakhulula izimpawu, ngenxa yokwelula imisipha nokuphumula;
• Amakhambi Emvelo: ezinye izitshalo zingasetshenziselwa ukwenza ama-plaster, ukudla kwesizini noma ukwenza itiye, njengama-clove, ujinja, isinamoni, i-fennel noma i-nail bark yezikhonkwane, ngokwesibonelo, ezinesenzo sokulwa nokuvuvukala. Funda izindlela zokupheka zetiye ezinhle kakhulu zemithi elwa nokuvuvukala.

Ngezikhathi zobunzima, kufanele uphumule amahora ambalwa, kepha ngaso sonke isikhathi uncamela ukunyakaza ngoba kunciphisa ukuqina kwemisipha futhi kusize ekulawuleni izinhlungu. Kepha kubalulekile ukugwema ukwenza imizamo emikhulu njengokuhlanza, noma ukuphakamisa izinto ezisindayo ngoba ngale ndlela umgogodla uvikeleke kakhulu, ugweme ukukhohlisa noma ukunyakaza okungadala ukuthi ukuvuvukala kube kubi kakhulu.

Bona, kuvidiyo elandelayo, amathiphu avela kuchwepheshe we-physiotherapist angasiza ekuthuthukiseni izimpawu ze-disc ze-herniated:

4. Herniated disc ukuhlinzwa

Ukuhlinzwa ukwelapha ama-discs e-herniated kuboniswa ikakhulu uma kunguhlobo olukhishiwe noma oluhlukanisiwe, lapho kungabanga khona ukuthuthuka kwezimpawu ngokusetshenziswa kwemithi kanye nokwelashwa ngokomzimba, noma lapho izimpawu zishubile kangangoba zidala amandla nokukhubazeka .

Inqubo yenziwa egumbini lokuhlinza, ngaphansi kwe-anesthesia ejwayelekile, kususwa idiski emgogodleni othintekile, ngokusikeka okuncane, kulandelwe ukuhlanganiswa kwama-vertebrae noma ukufaka i-disc ngento yokufakelwa. Kungenziwa ngudokotela wamathambo, kepha futhi yi-neurosurgeon, njengoba iphazamisa izingxenye ezibalulekile zesistimu yezinzwa zomgogodla.

Enye indlela yokuhlinzwa inqubo ye-endoscopy, lapho ukususwa kwe-disc ethintekile kwenziwa ngeshubhu elincanyana elifakwa esikhunjeni, nekhamera engqeni. Yize kulula, lolu hlobo lwenqubo lwenziwa ezimweni ezithile, ezikhishwe udokotela ohlinzayo, kuya ngesipiliyoni sakho nendawo yomgogodla othintekile.

Lulama kanjani

Ngemuva kwenqubo, umuntu angakhishwa ezinsukwini ezi-1 noma ezi-2, kepha kufanele aphumule ekhaya isonto elilodwa, enze imisebenzi elula njengokuzinakekela nokuhamba amabanga amafushane. Umgexo noma ibhantshi kungadingeka amasonto ama-2, ukugwema ukuphoqa indawo nokunikeza ukuphepha kumuntu.

Imisebenzi eminingi, njengokusebenza, isivele ikhishiwe ngemuva kwalesi sikhathi, kepha imisebenzi yomzimba edinga umzamo ikhishwa ngemuva kwenyanga engu-1.

Izimpawu zokuthuthuka

Izimpawu zokuthuthuka kuma-discs we-herniated zivame ukuvela cishe emavikini ama-3 ngemuva kokuqala kokwelashwa futhi kufaka phakathi ubuhlungu obuncishisiwe kanye nobunzima obuncishisiwe bokuhamba kwezitho.

Izimpawu zokuwohloka

Izimpawu zokuwohloka kwe-disc ye-herniated zivame kakhulu lapho ukwelashwa kungasebenzi futhi kufaka phakathi ukuhamba kanzima, ukuma noma ukuhambisa umzimba, kanye nokulahlekelwa ukuzwela ukukhipha noma ukuphuma, ngokwesibonelo.