I-fragment yamahhala, eyaziwa nangokuthi i-disk sequestered, uhlobo olulodwa lwediski e-herniated lapho ucezu luphumula khona esakhiweni esikhulu. Uma ihlukanisiwe, i-fragment ehlanganisiwe ingakwazi ukunyuka noma phansi, idale izimpawu noma izimpendulo ezingeni elihlukile lomgogodla.
Izimpawu, ezibizwa ngokuthi i- radiculopathy , ngokuvamile zibangelwa ukuxhumana phakathi kwe-fragment yamahhala kanye nezimpande zomgogodla , kungakhathaliseki ukuthi lokhu kwenzeka lapho kuqala ukukhipha (ukusuka kwi-disk main) kuqala, noma ezingeni leli fragment lihamba ngayo.
I-disc ye-herniated ibangelwa ukukhwabanisa noma ukwephulwa kwezingxenyeni zangaphandle ze-disc umthambo ngokuvamile oqukethe into elula yokukhipha amanzi ngaphakathi kwe-disc. Lezi zinto zibizwa ngokuthi i-nucleus pulposus. Lapho izintambo zikhahlela, i-nucleus pulposus ingase iqhume, noma iphume.
Kunezinhlobo eziningana ze-disc ye-herniated , futhi zihambisana nokuthuthuka okungenzeka kwe-nucleus pulposus njengoba kwenza indlela yokuphuma ngaphakathi kwidiski. Lezi zinhlobo, noma izigaba, zivaliwe, okubizwa nangokuthi i-bulging, iqhubekile, ixhunyiwe iphinde ilandelwe. I-Sequestered nayo ibizwa ngokuthi i-fragment yamahhala.
Njenganoma yikuphi i-disni ye-herniated, izimpawu ze-radiculopathy ezibangelwa i-fragment yamahhala zingabonakala emkhawulweni owodwa. Indawo ye-fragment yamahhala inquma ukuthi yiziphi izimpawu ezenzeka ekugcineni. Uma i-fragment yamahhala isendaweni yakho entanyeni, cishe uzothola izimpawu esandleni esisodwa. Uma kungasekho emuva kwakho, cishe uzothola izimpawu emlenzeni owodwa.
Izimpawu zingafaka ubuhlungu kanye nezinzwa ezihlobene nezinzwa ezifana nezikhonkwane nezinaliti, ukuvutha kanye / noma ukushuswa kagesi. Ezinye izibonakaliso ezingenzeka kungenzeka zihlanganisa ubuthakathaka bomlenze kanye / noma ukuphazamiseka.
Ukwelapha
Uma umcabango we-disk sequestered ukwenza ufune ukuphuthuma uphinde uthole ukuhlinzwa emuva, kungase kuqala ukuba ukwazi ukuthi ukunakekelwa okuqaphayo, okuvame ukuqukethe imithi kanye nokwelapha ngokomzimba, kungakusiza ukuba ululame ngokugcwele.
Ucwaningo oluthile luka-2002 lwathola ukuthi ukwelapha okungewona ukwelashwa kwama-discnial, ikakhulukazi labo abaye bahlaselwa, kungase kube yimpumelelo enkulu.
Amaphesenti angaba ngu-75 kwabahlanganyeli abangamashumi amabili nambili esifundweni, kungakhathaliseki ukuthi bahlobo luni lwe-herniation ababenalo, babike imiphumela emihle ngaphandle kokuhlinzwa. Kuzo zonke iziguli eziyishumi nesishiyagalombili ezinezinhlobo zokuhlelwa kohlobo oluhlelekile, iziqephu ezifudukayo zanyamalala ngokuphelele. Futhi kulabo ababambe iqhaza abacwaninga ngama-disk sequestered, i-MRIs yembula ngokucacile ukuthi iyancipha emazingeni angama-free fragment.
Ucwaningo lwe-2017 olwanyatheliswa emaphepheni we- Pain Physician alugcini nje ngokufakazela lokho okufundwayo kodwa lubuye lubike lokho abakusho njengento eyaziwayo - ukuthi ama-66.66% wezinhlawulo ze-disniation aphikisana ngokuzenzakalelayo. Ukulungiswa kabusha kwenzeka uma izicubu zomzimba ezihlangana nezingcezu zamahhala zifaka izinto ezikhishwa ngamakhemikhali. Izinto eziphukile phansi ze-disc, ngokuhamba kwesikhathi, ziphinde zithathwe ngumzimba.
Ngesikhathi uhamba umzila oqaphayo kungakusiza ukuba ugweme ukucindezeleka nokungaqiniseki kwenqubo encane, khumbula ukuthi kungathatha isikhathi eside ukuze uthole ukukhululeka okukhulu kobuhlungu nokuhlushwa kwesifo.
Uma une-disk sequestered, futhi ucabanga ngokuhamba ngendlela yokunakekelwa kokuzimela, ungase ube nenhlanhla.
Lokhu kungenxa yokuthi okuqhubekayo ukuqhutshwa kwe-herniation, kungenzeka ukuthi i-diski izokhipha ngokuzenzakalelayo.
Ucwaningo olunyatheliswa enkampanini kaFebruwari 2015 ye- Rehabilitatio yeMitholampilo yathola ukuthi kokubili izinhlobo zokulunywa kwe-extrusion kanye ne-sequestration zinezikhundla eziphakeme kakhulu zokuhlelwa kabusha okungafani kunama-bulge ama-disc kanye nama-protrusions. Ucwaningo luphinde lwathola ukuthi uma kuqhathaniswa nokuqhaqhaqhaza, ukuqhuma, ukudlulisa ama-diskipsed discs - ngamanye amagama, zonke izigaba zokuqhubeka zokuhlukaniswa kwe-diskniation - izingcezu zamahhala kanye ne-disc sequestered zinamathuba aphezulu okuxoxwa okuphelele nokuxazulula isimo.
Futhi ekugcineni, ukuhlinzekwa okujwayelekile kwidiski elula ye-herniated kungase kungasebenzi kwi-disk yakho ehlanganisiwe. Akukhona nje ukuthi ukutholakala kwesiqeshana samahhala noma izingcezu ezibhekene nezimpawu zakho kungaba inselelo enkulu kumhlinzeki wakho wokuhlinza, kodwa okungenani izinqubo ezimbili ezingenayo, i-discectomy ngayinye, ne-chemonucleolysis, ziye zabonwa ochwepheshe njengoba, ngokusemandleni, engasebenzi, kodwa, nakakhulu, kungenzeka kuyingozi.
I-athikili emagazini ka-Okthoba 2016 we- Asian Spine Journal uxwayisa odokotela abahlinzayo ukuthi ngenkathi ukuhlinzeka nge-laser disc kuhle kwenkinga engavumelani yamachashazi akhethiwe, akukhuthazwa kuma-discs aphethwe yi-sequestered. Futhi uma unenkinga yangemuva yangemva emuva eyenza umgogodla wakho ungahlali, abalobi bathi, ukuhlinza laser kuyinto, mhlawumbe hhayi ukukhetha okuhle izinqubo, ngisho for herniation elula.
> Imithombo:
> Ahn, S., et. al. Ukuqhathaniswa kwemiphumela yomtholampilo kanye nezinguquko zemvelo zemvelo phakathi kwama-disniation ahlukanisiwe aphakathi nendawo enkulu. Yonsei Med J. June 2002.
> Chiu, C. et. al. Amathuba okuguqulwa okuzenzakalelayo kwe-disc lumbar herniated: ukubuyekezwa okuhlelekile. I-Clin Rehabil. Feb. 2015.
> Lee, J., et. al. Inkambo Yesikhathi Eside Kuzo Iziguli Zokuvuselela I-Lumbar Disc kanye Nezici Zokubikezela Ezihambisana ne-Disc Resorption. I-Evid Based Based Complement Alternat Med ngoJulayi 2017.
> Omidi-Kashani, F., et. al. Amathiphu ayishumi abalulekile ekuphatheni isiguli nge-Lumbar Disc Herniation. I-Asian Spine Journal. Okthoba 2016
> Stadnick, M., MD. Isiqeshana se-Disc Free. I-MRI Web Clinic. Jan 2004.
> Zhong, M., et. al. Ukukhubazeka kokuvuselelwa okungajwayelekile kwe-Lumbar Disc Herniation: I-Meta-Analysis. Udokotela Wezinhlungu. Jan-Feb. 2017