Yazi izimpawu zalesi simo esingathi sína
Iziguli eziningi ezinezinhlungu zasemuva, ubuhlungu bomlenze, noma ubuthakathaka bemisipha engezansi ezitholakalayo zithola i-disc herniated. Uma i-disc ishicilelwe, i-cushion ehlezi phakathi kwe-vertebra yomgogodla iphelelwe ngaphandle kwesimo sayo esivamile. I-disc ye-herniated ayengeke ibe yinkinga uma kwakungeyona yezinzwa zomgogodla ezisondelene kakhulu nalezi zingxoxo zokuxoshwa.
Ama-Discinal Discs
I-diski ye-spinal iyinhlanzi encane ehlezi phakathi kwe-vertebra ngayinye yomgogodla. Le diski yomgogodla iba nzima nakakhulu ngeminyaka. Ngomuntu omncane, i-dis is soft and elastic, kodwa njengezinye izakhiwo emzimbeni, i-diski kancane kancane ilahlekelwa ukuqina kwayo futhi isengozini yokulimala. Eqinisweni, ngisho nabantu ngabanye abaneminyaka engama-20 ubudala, i-MRIs ivame ukubonisa ubufakazi bokuqala bokulahleka kwe-disc
Njengoba i-disc yomgogodla iba yinkimbinkimbi encane, ingahle ihlukane. Lapho i-disc ihlukana, ingxenye yengxoxo yomgogodla igxuma ngaphandle komngcele wayo ovamile - lokhu kubizwa ngokuthi i-disc herniated. Lapho ama-disc avela emkhatsini we-vertebrae, imisipha yomgogodla nomthambo womgogodla ungagonywa. Ngokuvamile kukhona isikhala esincane esiseduze nomgogodla nemisipha yomgogodla, kodwa uma i-disc ye-herniated eyanele isuswa ngaphandle, lezi zakhiwo zingacindezelwa.
Izimpawu ze-Disc Herniated
Uma i- disc ye- herniated igxuma futhi iqhuma, izinzwa zingase zikhonjiwe.
I-disc ye-herniated ingase ivele ngokuzumayo emcimbini njengokuwa noma ingozi noma ingase ivele kancane kancane ngokuhlunga okuphindaphindiwe komgogodla. Ngokuvamile abantu abathola i-disc herniated kakade bane- stenosis yomgogodla , inkinga ebangela ukunciphisa isikhala eduze komgogodla nemisipha yomgogodla .
Uma i-disc ye-herniated ivela, isikhala sezinzwa sisinciphisa futhi ukucasuka kwemiphumela yesibindi.
Uma intambo yomgogodla noma izinzwa zomgogodla zicindezelwa, zingase zingasebenzi kahle, futhi zithumele izimpawu ezingavamile kusuka ebuchosheni. Lokhu kusho ukuthi izibonakaliso ezingavamile zingadluliselwa emithanjeni ecindezelekile, noma izimpawu zingase zingadluli nhlobo. Izimpawu ezivamile ze-disc herniated zihlanganisa:
- Ukushiswa kwe-Electric Shock
Ukucindezela emanzini kungabangela ukuzwa okungavamile, okuvame ukuhlangenwe nakho njengobuhlungu bokushisa kagesi. Uma ukucindezela kwenzeka endaweni yesigqila (intamo), ukushaqeka kwehla kwezingalo zakho, lapho ukucindezela kusezindaweni eziphansi ( emuva ), ukushaqeka kwehla imilenze yakho. - Ukulinganisa nobunzima
Iziguli zivame ukuba nezinzwa ezingavamile ezifana nokugunda, ukuphazamiseka, noma izikhonkwane nezinaliti. Lezi zimpawu zingase zihlangane esifundeni esifanayo njengokuzwela kokugabha kagesi okubuhlungu. - Isisindo sobuthakathaka
Ngenxa yokucasuka kwemizwa, izibonakaliso ezivela ebuchosheni zingase ziphazanyiswe ezibangela ubuthakathaka bomzimba. Ukucasuka kwemizwa kungabuye kuvivinywe ngokuhlolisisa i-reflexes. - Izinkinga ze-Bowel noma Inkinga
Lezi zimpawu zibalulekile ngoba kungaba isibonakaliso se- cauda equina syndrome , isimo esingaba khona esivela ku-disc yakhe. Lokhu kuyiphuthumayo kwezokwelapha, futhi kufanele ubone udokotela wakho ngokushesha uma unenkinga yokuchama, ukuhamba kwemfuyo, noma uma unamazinyo ezithombeni zakho zofuzo.
Zonke lezi zimpawu zibangelwa ukucasuka kwesibindi kusukela ku-disc yakhe. Ngokuphazamisa indlela okushiwo ngayo isignali kusuka ebuchosheni bakho kuze kube sekupheleni kwakho futhi ubuyele ebuchosheni, zonke lezi zimpawu zingabangelwa i-disc ye-herniated ecindezelayo.
Ukuthola i-Disc Herniated
Ngokuvamile, udokotela wakho angenza ukuxilongwa kwe-disc yakhe ye-herniated ngokuhlolwa okuphelele ngokomzimba. Ngokuhlola ukuzwa, amandla emisipha, nokuziphendulela, udokotela wakho angasungula ukuxilongwa kwe-disc yakhe.
I-MRI isetshenziselwa ukusiza ekuhloleni i-disc yakhe.
Kubaluleke kakhulu ukuthi iziguli ziqonde ukuthi i-MRI iyasiza kuphela lapho isetshenziselwa ngokubambisana nokuthola okuhlolwe. Kuyinto evamile ukuba i-MRI ye-lumbar spine ibe nokungajwayelekile, ikakhulukazi njengoba abantu bekhula. Iziguli ezineminyaka yawo-20 zingase ziqale ukuba nezimpawu zokugqoka i-disc, njenge- disc bulge . Lolu hlobo lokungajwayelekile lungalindelwa kuma-MRIs weziguli ezineminyaka engu-40 no-50. Isizathu sokuthi udokotela wakho angeke akhathazeke ngemiphumela ethile ye-MRI ephawulwe yilase-radiologist.
Ukwenza i-disc ye-herniated ixilongwe, futhi ukuza nehlelo lokulashwa kuxhomeke ezimpawu ezitholwa isiguli, ukutholakala kokuhlolwa ngokomzimba, kanye nemiphumela yezifundo ze-imaging. Kuphela uma lolu lwazi luhlanganiswa kuphela uhlelo olungcono lwezokwelapha lungacatshangelwa.
Ukwelashwa kwengxaki yeDiski
Ukwelashwa kwe-disc lumbar herniated kuzoxhomekeka ezimpawu zakho ezithile, ubude bezimpawu, nokubikezelwa kwesimo. Ngenkathi abantu abaningi beqala ngemithi elula kuqala, kunezimo ezithile lapho ukuhlinzwa komgogodla kungadingeka khona. Ngakho-ke, ukucacisa ukwelashwa okufanele kakhulu, kubalulekile ukuba uhlolwe udokotela wakho.
Imithombo:
> Mathews HH kanye neB Long BH "Amasu Amancane Okumangalisa Ukwelashwa Kwe-Intervertebral Disk Herniation" J. Am. I-Acad. I-Ortho. Ukuvakasha, Mashi / Ephreli 2002; 10: 80 - 85.