Ukuqhaqhaza nokukhipha ama-disc, ngenkathi kungeyona into efanayo, kukhona emndenini ofanayo wezinkinga zomgogodla. Lokhu ukulimala kuhlobene nobuqotho bemisipha yakho yomgogodla; le migomo ibhekisela ekuthumeni kwangaphandle kwezinto ezinothile, ezinjenge-jelly ezivame ukuhlala phakathi kwediski. Kwezinye izimo, i-nucleus, njengoba le nsizwa ibizwa, ibalekela ngisho nendawo yokugcina i-disk ngokuphelele.
Umehluko ngokwemibandela ikakhulukazi udaba lwezinga. Ngezinye izikhathi i-dis "iqhuma" konke ngesikhathi esisodwa; ngezinye izikhathi, ngokwesibonelo, ezimweni eziningi zokulimala okuncane ngaphandle kwe-disc noma yokuhlobene neminyaka kanye nezinye izinguquko zokugulisa umgogodla, i-nucleus izohlala iqinile ngaphakathi kwesakhiwo se-disc, kodwa izobe isuka kude.
Empeleni, odokotela basebenzisa amagama ukuchaza isigaba noma uhlobo lokufuduka. Lezi zinhlobo ezintathu eziyinhloko yizi:
- I-Prolapse, okuyisisekelo se-disc enamandla. Ngalolu hlobo, i-nucleus ingabonwa kwi-MRI njengoba iphuma phakathi kwamathambo omgogodla ngqo ngenhla nangaphansi. Kodwa izingxenyana zangaphandle ze-disc, ezenziwe ngamasongo amaningana wezintambo ezinzima ezinamandla ngokwanele ukuze ubambe i-nucleus in ahlale engaqondile.
- I-Extrusion, lapho, ngenxa yokukhala kwezintambo zangaphandle ezinzima (izakhiwo ezibalwe ngenhla) ezinye ze-nucleus ziyakwazi ukuphunyuka, kodwa ihlala ixhunywe engxenyeni ephakathi kwe-disc.
- Ukuthungwa kwempahla, okunye okubizwa ngokuthi i-disc herniated noma, ngokwemibandela yesendlalelo, i-disc ehlisiwe, kwenzeka lapho ezinye noma zonke izinyunyana zingapheli kuphela, kodwa zixhunyiwe kwi-disc, futhi.
Ukukhwabanisa nokukhishwa kwama-discs, kanye nama-disk extruded, kungenzeka kunoma yiziphi izifunda ezintathu eziyinhloko zomgogodla.
Ngamanye amazwi, lokhu kulimala kwenzeka entanyeni, phezulu noma ephakathi nangemuva ephansi. Aziphazamisi izifunda ze-sacral noma ze-coccyx ngoba azikho ama-disc intervertebral lapho.
Izimpawu Zengxoxo Ehlanjululwe
Ngendlela, iqiniso lokuthi unezinye lezi zimele akusho ukuthi uzothola izimpawu. Kodwa ngokuvamile uzokwenza. Uma kwenzeka i-diski eshiyiwe (ie, disc , i- herniated disc ,) ngokuvamile ivela lapho izicubu ze-disc ezixoshiwe zithinta impande yomgogodla .
Izimpawu ezihlobene ne-disc esezansi zibizwa ngokuthi i-radiculopathy. Emuva ophansi, lezi zimpawu zivame ukubizwa ngokuthi i- sciatica , kodwa i-sciatica empeleni iyigama elivamile elingasho ukuthi kanjani, i-disc yenza ubuhlungu nezinye izinkinga. Izimpawu ze-Radiculopathy zifaka ubuhlungu, ukuphazamiseka, ubuthakathaka, kanye / noma izinzwa kagesi ezifana nezikhonkwane nezinaliti, ukushisa noma ukushaqeka, okwehla umlenze owodwa noma ingalo eyodwa (kuye ngokuthi indawo yengozi.)
Iningi lezinkomba ze-diski zenzeke endaweni "ye-posteriolateral", okuyi-inhlanganisela yangemuva nohlangothi; ukunyakaza okwenzayo uma uqhubeka lolu hlobo lokulimala cishe kuyoba yisici esinqumayo sokuthi yiliphi uhlangothi oluhlangenwe nakho lokuhlushwa, ngakho-ke ukuthi yisiphi isitho esithola izimpawu ze-radiculopathy.
I-disc ye-herniated ephansi emuva ngezinye izikhathi ibangela ubuhlungu, ukuphazanyiswa kanye / noma ukuphazamiseka emathunjini noma isambiso, noma kungabangela ukuba imilenze yakho ifinyelele kancane kancane. Lezi izimpawu zesimo esibi kakhulu esibizwa ngokuthi i-cauda equina syndrome. I-Cauda equina izimpawu kufanele ziphathwe njengesimo esiphuthumayo sezokwelapha. Uma uhlangabezana nanoma yimuphi wabo, shayela udokotela wakho noma uye ekamelweni eliphuthumayo ngokushesha.
> Umthombo:
> MD Bheka. I-Herniated Intervertebral Disk. Elsivier. Julayi 2010. http://www.mdconsult.com/das/pdxmd/body/215814010-2/1040215818?type=med&eid=9-u1.0_1_1mt_1014932&printing=true#Abanikezeli
> Michele C. Battié, PhD., Et. al. Isifundo se-Twin Spine: Imikhawulo ekubukeni kokushintsha kokunciphisa i-disc. I-Spine Journal. Aug. 2009. http://www.thespinejournalonline.com/article/S1529-9430(08)01440-X/abstract
> Slipped disk: Sibutsetelo. I-PubMed Health. Okthoba 2014. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072656/