Indlela i-Disc Nucleus ihamba ngayo
Ukusebenzisana okunempilo phakathi kwama-discs akho kanye nezimpande eziseduze zomgogodla kuyisihluthulelo sokugcina ubuhlungu emuva. Kodwa uma ingxenye (noma izingxenye) ze-disc ezihlaselwe i-disc, zingase zicindezeleke. Izimpawu ze-disc ye-herniated, okuthiwa i-radiculopathy, ngokuvamile zihlobene ne-nerve , futhi zihlanganisa ubuhlungu, ukugubha, ukugubha, ubuthakathaka kanye / noma imizwa kagesi ewela phansi umlenze owodwa.
Sonke siyazi ukuthi ubuhlungu bubuhlungu. Ngokufanayo, izinhlobo ezine ze-disniation zikhona futhi zibangela izimpawu.
I-Disc anatomy injalo ukuthi into elula, efana ne-jelly ephakathi nendawo (ebizwa ngokuthi i- nucleus pulposus ) iqukethe izintambo ezinzima ezingaphandle. Lesi simbozo sangaphandle sibizwa ngokuthi i- annulus fibrosus . Ngokuhamba kwesikhathi, i-annulus ingagula futhi / noma ichithe, ishiya i-nucleus kanye nemisipha yomgogodla ebangelwa ukulimala. Uma kwenzeka lokhu, ukuxhumana okungahambi kahle phakathi kwezinto eziphathekayo ze-disc ne-spinal nerve izimpande zingase zenzeke, ezingabangela ubuhlungu kanye / noma izimpawu zesisindo.
Ngolunye uhlobo lokuphazanyiswa kwe diski okubalulwe ngezansi, i-nucleus ephakathi isesiteji esithile sokufuduka esiya ngaphandle kwe-annulus, ne-herniation emele inguqulo edlulele kakhulu.
I-Disc Protrusion
Ukukhishwa kwe-disk kwenzeka lapho i-disc nucleus bulges kodwa ingaphuli. I-nucleus ihlala ikhona ngaphakathi kwesakhiwo se-disc.
I-Dislapse ye-Disc
Uma i-disk iqhubeka, i-nucleus isengaphakathi kwe-annulus kodwa kuphela ngenxa yokuthi ama-fibre angaphandle ayigcine. (I-annulus yenziwe ngamakhethi amaningana amafayili aqondiswe ku-diagonal. i-angle kuya ungqimba olungenhla - noma ngezansi; lo mklamo uhlinzeka ngokukhipha kanye nokwesekwa kwisakhiwo sonke.)
I-Extrusion ye-Disc
Nge-extrusion ye-disk, impahla elula ehlanganisa i-nucleus ibalekela isakhiwo se-disk kuya esikhaleni esiseduze se-epidural kodwa isaxhunyiwe ku-disc. Lokhu kungenzeka ngenxa yezinyembezi ezinhlobonhlobo zomhlaba ezishiya ukuvula lapho izinto ezilula zikwazi ukugeleza.
I-Disc sequestered
Endabeni ye-disk sequestered, izingcezu ezivela kokubili i-annulus ne-nucleus zenza ngaphandle kwediski efanele. Inkinga ejwayelekile kunazo zonke ezibangelwa i-disk sequestered yinkimbinkimbi yomgogodla ecasulayo, eyenzeka ngoba lezi zingxenyana zingena emthonjeni wezinzwa ezibucayi owenza izimpande zomgogodla. Ngokuvamile, igama elithi "i-disc yakhe" lisetshenziselwa ukubhekisela kwidiski eline-sequestered.
Ezinye izinkinga ezivela kuma-disk sequestered zihlanganisa i-myelopathy (ukucindezela noma ukucasula komgogodla) kanye / noma i-cauda equina syndrome (isimo esingavamile lapho izinzwa ezivelele ekugcineni komgogodla zicindezelwa. Izimpawu ze-cauda equina - leg ubuhlungu noma ubuthakathaka obuqhubeka bubi nakakhulu, "amnesia ye-saddle" kanye / noma izinkinga ngesibilini noma isambiso - ngokuvamile kubhekwa njengokuphuthumayo kwezokwelapha.)
Uma kuziwa ekuhloleni kwezimpawu ezihambisana nama-discs aphethwe, kuvame ukuthi izinga lokucindezelwa elibekelwe ezakhiweni zezinzwa ngeziqephu ezikhululekile okuyisici esinqumayo.
Ngendlela, akuyona njalo ukulimala kwe-disc kuphela okudala ukucindezelwa kwezakhi zezinzwa; kungaba ukuhlanganiswa kokulimala nokuvuvukala okuphumela, kanjalo.
Ukubeka Positioning ne-Health yakho ye-Disc
Isikhundla somzimba wakho singanquma ukuthi ingcindezi ibeka kanjani kuma-discs akho. Lokhu kubizwa ngokuthi ingcindezi ye-intradiscal. Ngokuvamile, i-L5-S1 (yokugcina i-lumbar vertebra kanye ne-top sacrum bone interconnection) ithola ingcindezi enkulu. Lokhu kungenxa yokuthi iningi lesisindo somzimba wakho sidluliselwa lapho, kanye nalesi sigaba somgogodla indawo yokuguqula; Ngamanye amazwi, yilapho i-lumbar transine transition ibe khona endaweni ye-sacral.
Ucwaningo lwesiSweden olwenziwa ngu-Nachemson no-Elfstrom lucindezelwe ingcindezi ye-intradiscal ku-lumbar spine (ephansi emuva) kusuka ezikhundleni ezihlukahlukene. Ucwaningo luqale ngokuqiniseka ukuthi uma i-disc iphilile, ukucindezela kuvame ukuhanjiswa ngokulinganayo kuwo wonke umhlaba. Abacwaningi bazibonele bona baqhathanise begodu baqhathanise ukuphambana kokucindezela hlangana nokuma (okwakusesebenza njengenani elifananako) begodu nokuhluka kwezinto ezihlukahlukeneko, ukuphatha, kanye nezikhundla.
Bathola ukuthi ukuhamba kuholele ekucindezelekeni okuncane kunokuba ukugoqa ohlangothini kanye / noma ukuguqulwa, nokuguqa okuhlangene nokudubula kuholele ekucindezelekeni okungaphansi kunokugxuma, ukukhwehlela nokuhleka.
Ungase ucabange ukuthi ukuhlala kutholakale amamaki kunazo zonke kulolu cwaningo, kodwa empeleni isicuku esikhulu kunazo zonke sasihamba phambili, okwakubangela amazinga aphezulu kakhulu we-intradiscal pressure. Abacwaningi bathi lokhu kutholakala kusekela lokho ababekubiza ngokuthi "iseluleko se-ergonomic," okungukuthi ngokuphindaphindiwe "ukugoqa ngamadolo akho hhayi ngemhlane wakho uma uphakamisa into enzima noma enamandla."
Ucwaningo lwango-2008 luqinisekisile lokhu, ukuthola lokho kuma-discs enempilo, ukuhlala kungenzi umonakalo omkhulu. Eqinisweni, abalobi baleso sifundo bathi, ukuhlala nokuma kuqhathaniswa ngokwezinga elingakanani lokucindezelwa kwe-intradiscal.
Uhlobo olulodwa lokusebenza abacwaningi abathola olutholakala ekucindezelekeni okungaphansi kunokuma belele phansi. Ngokusobala, ukucabanga ukuthi isikhundla se-supine (esivela emhlane wakho) cishe sinciphisa ingcindezi ye-intradiscal engama-50% kunomthamo wokubhekisela komphenyi wokuma.
> Imithombo:
> Claus, A., et. al. Ukuhlala ngokumelene nokuma: ingabe ingcindezi ye-intradiscal idala ukuguqulwa kwe-disc noma ubuhlungu obuphansi? J Electromyogr Kinesiol. Aug. 2008. https://www.ncbi.nlm.nih.gov/pubmed/17346987
> Magee, David, J. Orthopedic Physical Assessment. I-4th Edition. Saunders Elsevier. St. Louis, MO. 2006.
> Fishman, L. no-Ardman, C., Ubuhlungu Bokubuyela Emuva: Indlela Yokuxazulula Ubuhlungu Bokubuyela Emuva ne-Sciatica. I-WW Norton neNkampani, eNew York, eLondon. 1997
> I-Nachemson, i-A. ne-Elfstrom, i-G. Intravital Dynamic Pressure Measurements in Discs. I-Almqvist ne-Wiksell. 1970. Stockholm. http://www.energycenter.com/grav_f/studies_nachemson.pdf