Uma ungomunye waba-60-80% wabantu abazobe bezwa ubuhlungu emuva kwesikhathi, ungathola ukuthi eyodwa noma ngaphezulu yama-spinal discs anesibopho. Ubuhlungu be-spinal disc buvamile kubantu abanezinkinga zangemuva, okuthinta amacala angu-40%.
I-disc intervertebral ingenye yezinhlaka zomgogodla odokotela nodokotela bezinhlungu okuthiwa "ama-generator obuhlungu." Ngokuyinhloko, ama-generator ezibuhlungu abezindawo emzimbeni lapho umsebenzi ongavamile wezinto eziphilayo uzenza ubuhlungu bube khona.
Uma kuziwa kuma- discs intervertebral umgogodla njengama-generator obuhlungu, izinhlobo eziyinhloko zemisebenzi engavamile, noma ama-generator obuhlungu, kungenzeka.
Ukulimala kwe-Disc
Okokuqala kwenzeka uma isakhiwo se-disk silimala ngaphandle. Izibonelo zakudala zalolu hlobo zifaka ukukhishwa kwe-disc kanye nezinyembezi zonyaka. I-disc ye-disc iyenzeka lapho isisetshenziswa esithambile, esine-jelly esitholakala ngaphakathi kwe-disc bulges noma ephuka ngaphakathi kokubopha okuqinile okungaphandle (okwenziwe ngamafayili anamandla.) Ubuhlungu bungenzeka uma leyo nto, ebizwa ngokuthi i-nucleus pulposus, ingena uxhumane no (futhi ucasula) impande yomgogodla. Enye indlela evamile abantu bazinzisa ama-diski abo ngokuphakamisa izinto ezinzima ngomgogodla (okungukuthi akusikho ukuguqa ngamadolo ukuze uphakamise) futhi uphazamise umgogodla ngesikhathi esisodwa. Ukuvuthwa kwe-spinal disniation ngokuvamile kwenzeka kubantu abadala abancane abaneminyaka engama-18 no-35 lapho okuqukethwe kwamanzi kwediski kusenhla. Izinyembezi ezinyakazayo ukukhwabanisa kwezintambo zangaphandle ezinzima ezizungeze i-nucleus pulposus.
Ngokusho kukaDkt. Alexander Vaccaro, uProfesa Wokuhlinzwa Ngama-Orthopedic ku-Thomas Jefferson University naseRothman Institute ePhiladelphia, PA, hhayi nje kuphela ukuthi i- annulus fibrosus iqukethe izintambo ezinamandla ezixhunyiwe, kodwa iqukethe i-nerve fibers ekwazi ukukhuluma ubuhlungu, . Lezi zinkimbinkimbi zemisipha ezikhulumisana zitholakala ngaphandle kwe-disc.
I-Vaccaro iphawula ukuthi izintambo ezijwayelekile zomzimba ezikwazi ukudlulisela izibonakaliso zobuhlungu azitholakalanga ngokujulile ku-disc. Kodwa izinto ezihlukahlukene ezikwazi ukuletha ubuhlungu. Lezi zinto zihlanganisa i-prostaglandins, i-lactic acid, ne-P. Futhi, njengoba ama-discs ehlehliswayo, kusho i-Vaccaro, i-nerve ingrowth eye yabonwa - kokubili ngaphakathi kwezingxenyeni zangaphakathi zonyaka kanye nucleus. I-Vaccaro ibika ukuthi lokhu kukhudlwana kwesibindi esisodwa ngaphakathi kwerekhodi ehlazayo kungase kwengeze kakhulu ebuhlungu bakho.
Ukuphazanyiswa kweDiski
Uhlobo lwesibili lomsebenzi ongavamile ku-disc ongaholela ebuhlungu ngenxa yesimo esiyaziwa ngokuthi ukuphazanyiswa kwangaphakathi kwe-dis, noma i-IDD okwesikhashana. Qaphela ukuthi i-IDD ayifani nesifo se-diserative degenerative. Ngenkathi isifo se-diserative esiyingozi ngenxa yenguquko evamile ehlobene neminyaka eqhubekayo emgodleni, i-IDD ihilela izinguquko zangaphakathi ezihambisana nokuwohloka kwe-nucleus pulposus. (Khumbula ukuthi i-nucleus pulposus yilezi zitho ezincane ezifana ne-jelly eziphakathi nendawo yediski.) Loluhlobo oluthile lokuguguzwa lungadluliselwa emagqumeni angaphakathi ngaphakathi kwe-annulus ejikeleze i-nucleus. Ngokungafani nokushaywa kwe-disc kanye nezinyembezi ezingasenhla - kokubili okukhulunywe ngenhla - Izinguquko ezihlobene nokuguqulwa kwe-ID azifinyeleli emicimbini yangaphandle yonyaka.
Uma une-IDD, i-disc yakho ingase ibonakale ejwayelekile uma izinguquko zenzeka ngaphakathi kwe-nucleus ne-annulus, ngokwemibhalo yango-1986 eyanyatheliswa ku- Spine by Crock, futhi ibike nge-Physio-pedia iwebhusayithi.
Kungakhathaliseki ukuthi ubuhlungu be-disc yakho buvela emithonjeni yangaphandle noma ushintsho lwangaphakathi, kungenzeka ukuthi ukuhamba phambili komgogodla wakho (okubizwa nge-flexion nokwandisa, ngokulandelana) kuzoletha ubuhlungu obukhulu kakhulu, ngokusho kwe-Sizer, et. al in study yabo 2001 enesihloko esithi, "Pain Generators of the Lumbar Spine."
- Okuhlobene: Ubuhlungu be-Discogenic
Ukutheleleka
Isizathu sesithathu isizathu sokuthi ama-discs akho angabangela ubuhlungu ukutheleleka. Lesi sihloko singaphezu kwezinga lale ngxenye.
Bheka udokotela wakho ngokushesha uma usolula noma yiluphi uhlobo lobuhlungu be-disc, kodwa ngokushesha uma kungenzeka uma ukutheleleka kungenakuqalwa njengesizathu.
Imithombo
De Sricker, D., ukuphazamiseka kwengxoxo yangaphakathi. I-Physiopedia. Kufinyelelwe ngo-May 2015. http://www.physio-pedia.com/Internal_disc_disruption.
Fruman, M., MD, MS, et. al. Izifo Zama Disc Cervical. Iwebhusayithi yeMedscape. Kufinyelelwe ngo-May 2015. http://emedicine.medscape.com/article/305720- ukubukwa kokubukwa
Simon, J., MD, McAuliffe, M., MD, Shamin, F., MD, Vuong, N., MD, Tahaei, A., MD. Inhlungu Emuva Ye-Discogenic. I-Phys Med Rehabil Clin N Am 2014. Itholakala ngo-May 2015
I-Sizer PS, uPhelps V, i-Azevedo E. Disc ehlobene nokukhathazeka okuhlobene ne-disc okungenayo i-thoracic umgogodla. I-Pain Pract. 2001. Kufinyelelwe kuMeyi 2015.