Izinketho zokukhulula ubuhlungu kusuka enkingeni ye-Lumbar Disc
Ukwelashwa kwediski ye-herniated kuncike ezintweni eziningi ezihlanganisa:
- Izimpawu ezitholwa isiguli
- Ubudala besiguli
- Izinga lomsebenzi wesiguli
- Ubukhona bezimpawu ezimbi
Ngokuvamile, ukwelashwa kwe-disc ye-herniated kuqala ngokuzenzekelayo futhi kube nobudlova uma izimpawu ziqhubeka. Ngemuva kokuthola i-disc ye-herniated, ukwelashwa kuvame ukuqala nge:
- Ukuphumula nokuhlelwa komsebenzi
Ukwelashwa kokuqala ukuphumula nokugwema imisebenzi eqinisa izimpawu zakho. Ama-disc amaningi amaningi azoxazulula isikhathi esinikeziwe. Kulezi zimo, kubalulekile ukugwema imisebenzi eqinisa izimpawu zakho. - Izicelo ze-Ice & Heat
Uhlelo lokusebenza lwe-Ice nokushisa lungasiza kakhulu ekunciphiseni izimpawu ezibuhlungu ze-disniation . Ngokusiza ukuphumula imisipha engemuva, izinhlelo zeqhwa nezokushisa zinganciphisa ubuhlungu be-muscle futhi zinikeze ukukhululeka kobuhlungu obukhulu. - Ukwelashwa Kwemvelo
Ukwelashwa ngokomzimba kanye nokuzivocavoca okuyizinto ezingaguquki ngokuqondile akuyikuguqula ngokuqondile i-disc yakhe, kodwa kungakwazi ukuzinzisa imisipha yomgogodla. Lokhu kunomphumela wokunciphisa umthwalo obhekene ne-dis and vertebrae. Imisipha enamandla, enokulinganisela isiza ukulawula umgogodla we- lumbar nokunciphisa ubungozi noma ukulimala emisipha kanye ne-disc. - Imithi Yokulwa Nezivunguvungu
Imithi engaqinisekisiwe yokuvuvukala (i-NSAID) ivame ukushiwo, futhi ngokuvamile iyakusiza ukukhulula ubuhlungu obuhambisana ne-disniation. Ngokuncipha ukuvuvukala , le mithi inganciphisa ingcindezi ethile emithanjeni ecindezelekile. Ama-NSAID kufanele asetshenziswe ngaphansi kokuqondiswa kwedokotela wakho.
- Imithi yama-Oral Steroid
Imithi ye-oral steroid ingaba usizo kakhulu kuziqephu ze-acute (sudden) disc disc. Imithi esetshenziswayo ihlanganisa i-Prednisone ne-Medrol. Njengama-NSAID, la mithi enamandla okulwa nokuvuvukala inciphisa ukuvuvukala nxazonke zezinzwa ezicindezelekile, ngaleyo ndlela zikhulule izimpawu.
- Eminye Imithi
Eminye imithi evame ukusetshenziselwa ihlanganisa izidakamizwa zobuhlungu bezinambuzane kanye neziphumuli ze-muscle. Imithi yokuhlunguphazwa kwezidakamizwa iyasiza kakhulu, ukuphathwa kabuhlungu ngesikhathi esifushane. Ngeshwa, le mithi ingakusiza futhi ingaba umlutha. Kubalulekile ukusebenzisa lezi zikhathi ezimbalwa kuphela. Ama-muscle relaxers asetshenziselwa ukwelapha umsizi wezinsipho zomgogodla ovame ukubonwa nge-disniniations. Ngokuvamile i-spasm ye-muscle ibuhlungu kunokuba ubuhlungu obuvela ku-disc bucindezeleke kwizinzwa. - I-Epidural Steroid Injections
Izifo ze-cortisone zingenziwa ngokuqondile endaweni yokucindezeleka kwemizwa. Njengemithi emilonyeni yokulwa nokuvuvukala, lo mqondo uwukukhulula ukucindezeleka emithanjeni. Uma umjovo usetshenziswa, imithi ihanjiswa endaweni ye- disc , kodwa kunokuba ithathwe ngomlomo futhi uhambe kuwo wonke umzimba wakho.
Ukuhlinzwa kwe-Disc Herniations
Ukwelashwa kwe-disniation ngokuvamile kuqala ngezinyathelo ezilula ezibalwe ngenhla. Kodwa-ke, ukwelapha ukwelashwa kwediski ye-herniated kunganconywa maduzane ngemuva kokulimala uma kukhona ukucindezeleka okukhulu kwesibindi. Izimpawu zobuhlungu nokungaqondakali okwejwayelekile okuvamile akudingi ukungenelela okusheshayo, kodwa iziguli ezinobuthakathaka obukhulu, noma yibuphi ubufakazi be- cauda equina syndrome , noma inkinga eqhubekayo ngokushesha ingadinga ukwelashwa okusheshayo okuphuthumayo.
Ngokuvamile ukuhlinzwa kunconywa uma izinyathelo eziningi eziqaphayo zinganqamuli izimpawu zakho. Ukuhlinzwa kwenziwa ekususeni i-disc ye-herniated bese kukhululeka isikhala emhlabeni wezinzwa ezicindezelekile. Kuye ngobukhulu nendawo ye-disc yakhe, nezinkinga ezihambisanayo (njenge- spinal stenosis , i- arthritis yomgogodla , njll.), Ukuhlinzwa kungenziwa ngamasu amaningana. Ezimweni eziqondile kakhulu, ukuphela kwe-disc okuyi-endoscopic noma okuncane kakhulu kwe-disc ye-herniated kungenzeka. Noma kunjalo, lokhu akukhuthazwa ngaso sonke isikhathi, futhi kwezinye izimo, ukuhlinzwa okubaluleke kakhulu kungadingeka kwenziwe.
Imithombo:
I-Boden, i-SD, ne-al. "Izilinganiso ezingavamile ze-magnetic-resonance ze-lumbar spine ezifundweni ezingenakulinganiswa." Uzophenya "UJ Bone Joint Surg Am. 1990 Mar; 72 (3): 403-8.
I-Mathews HH ne-Long BH "Amasu Amancane Okumangalisa Ukwelashwa Kwe-Intervertebral Disk Herniation" J. Am. I-Acad. I-Ortho. Ukuvakasha, Mashi / Ephreli 2002; 10: 80 - 85.