Yini engena kwinqubo ye-disc ephumelelayo?
I-disc ye-herniated e-lumbar spine ingaba buhlungu kakhulu. Izindaba ezinhle zivame ukuxazululwa ngezokwelashwa, okuvame ukuqukethe ukwelapha ngokomzimba ngokuhambisana nemithi yokwelashwa kanye / noma ukuphumula kwemisipha. Uma ukwelapha okungenasidingo njengalezi akukwenzi ngokugcwele ukukhohlisa, ungase ukwazi ukugwema ukuhlinzwa ngomjovo we- steroid .
Ngemuva kwamasonto ayisithupha kokunakekelwa okungenasidingo ngaphandle kwemiphumela eyanelisayo, kungase kube khona ukuhlinzwa. Kulesi simo, i-discectomy ingaba yikho konke okudingayo ukuze uzuze ukukhulula okufunayo.
Kodwa ukuhlinzwa kungukuhlinzwa. Njenganoma yiluphi uhlobo lwenqubo, cishe ufuna ukuzizwa uqiniseka ukuthi udokotela wakho uyakunaka imininingwane futhi uyathanda kakhulu engqondweni yakho. Kuleso simo, zikhona izinto ezingu-10 okufanele azithole kahle.
I-MRIs yangaphambi kokusebenza iyinto enhle
Ama-MRIs avame ukusetshenziswa lapho kunquma ukuthi inqubo yediski iyadingeka yini. Kodwa akulona kuphela inani lebuchwepheshe. Udokotela wakho ohlinzayo cishe uzobhekisela kumafilimu akho njengoba ehlola isisu sakho somgogodla, i-disc chemistry, i-degree of degeneration ekhona emgodini wakho, futhi unqume ukuthi ngabe i-disc yakho ishicilelwe noma cha.
I-Disc containment iyisici esibalulekile ekunqumeni hhayi kuphela isidingo sokuhlinzwa, kodwa futhi nokukhomba ukuthi inqubo efanele.
Kodwa isifundo se-2008 esanyatheliswa kuyi- Journal of Surgery Orthopedic sathola ukuthi i-MRIs ingase ihlole isimo se-containment sokungahambisani kahle ngamaphesenti angama-30 weziguli zogogasi. Ababhali bokutadisha batusa ukuhlanganisa amafilimu e-MRI nezinye izindlela zokuxilonga ngaphambi kokwenza ukuzimisela kokugcina ukuthi ngabe ukuhlinzwa kwe-disc kuyadingeka yini.
Ukuthola Inqubo Yokuhlinzekela Efanele Yakho Kuyisisekelo
Manje ukuthi uyazi ukuthi inkinga iyini, kanye nobukhulu bayo, into elandelayo ezocaca ngodokotela wakho yinkqubo yokuhlinza ohlela ukuyisebenzisa. Ngokuvamile, i-microdiscectomy iyindlela yokuhlinzwa yokukhetha i-lumbar disc herniation; liyaziwa ngemiphumela yalo emihle ezimweni eziningi. Kodwa akulona uhlobo olulodwa lwe-disc ukuhlinzwa etholakalayo. Izinqubo ezintsha zithuthukiswa njalo, kanti omunye angase afaneleke kakhulu kunikezwe isimo sakho esithile. Izinhlobo zokuhlinza i-disc zifaka kodwa azikhawulelwe ekuvulekeni i-discectomy, ukuhlinzwa kwe-laser spine, ne-sequestrectomy. Futhi uma umgogodla wakho ungahlali, ungadinga inqubo ehluke ngokuphelele.
Izici eziningi zithinta inqubo yesiguli ngasinye. Ngenxa yokuthi, ungase ufune ukubuza udokotela wakho ohlinzayo ukuba ahlanganyele nawe ucwaningo lwezokwelapha oluye lwabheka kokubili ukuxilongwa kwakho nenqubo yokuhlinzekwa ehlongozwayo. Olunye ulwazi oluthile olungase luwusizo ukuthi kungakanani-futhi isikhathi esingakanani-udokotela wakho ohlinzayo uye wenza lolo hlelo oluthile lokuhlinzwa.
Ingabe Isiteji Sakho Esiqinile Sanele Ukuhlinza I-Disc?
Ezinye izimo zomgogodla zihambisana nokungahlali kwekholomu.
Ngokuvamile, i-disc ye-herniated ayiyona enye yalezi zinto, kodwa kungcono uma udokotela wakho ohlinzayo enza umsebenzi omuhle wokukuhlola noma kunjalo. Uma kungenjalo, ungase ubungoze inkinga enkulu kakhulu-futhi ubuhlungu obukhulu.
Uma imiphumela yokuhlola kwakho ngokomzimba inikezwa udokotela wakho ayihambisani nalokho okuboniswa yi-MRI, udokotela ohlinzayo othakazelisayo cishe uzothatha izinyathelo zokuqondisa i-lumbar spondylolysis. I-Spondylolysis ukuphuka kokucindezeleka engxenyeni yethambo lomgogodla elibizwa nge-pars interarticularis. Uma ukuphazamiseka kwamaphasitiki kungaphathwa, kungase kuqhubekele esimweni esiphezulu se-spondylolisthesis, lapho elinye linye lesifuba lihamba phambili noma libuyele ithambo ngaphansi kwalo.
Udokotela ohlinzayo utshela kanjani ubuhlungu bakho buvela kwidiski yakho hhayi ukungaqiniseki komgogodla?
Ngokukhomba ukuthi izimpande zenzeni ziphikisana. Ngokwesifundo se-2016 eshicilelwe kuyi- Asian Spine Journal , ngokuvamile, ukuxoshwa kwama-lumbar kuye kwathinta ingxenye engezansi yempande. Isimo se-spondylolysis (esinezibonakaliso) sivame ukucindezela ingxenye engenhla. Okungafani nalesi simiso sesithupha esingase sidibanise izinto kancane uma une-lumbar disniation yangaphambili. Ababhali bokutadisha bathi lolu hlobo lwe-herniation luthinta izimpande ezisenhla.
Ingabe i-Sciatica Yakho Ngempela Ibangelwa I-Disc Herniated?
I-disc ye-Herniated iyimbangela evamile yalokho abantu abaningi abakubiza ngokuthi i-sciatica. Kulesi simo, igama lobuchwepheshe lingu-radiculopathy, okubonisa ukuthi ukucindezela noma ukucasula impande yomgogodla yilokho okubangelwa ubuhlungu bakho.
Kodwa i-sciatica ingaba nezinye izimbangela ezingabangela ukuthi azihlobene ne-disc herniated. Lezi zingabandakanya i-piriformis syndrome, i-ankylosing spondylitis, i-hypertrophy ehlangene nezifo ezithile nakwezinye izifo zomzimba ezilingisa izimpawu ze-radiculopathy.
Ukulungiswa Kokungalungi Nokulandelela
Ukukulungela i- discectomy noma enye ukuhlinzwa kwe-lumbar, ukugcina uphephile ngesikhathi senqubo, futhi uqinisekise ukuthi konke kufanele kube ngemuva kokuthi kuhileleke izinyathelo eziningana nezinqubo zezokwelapha.
Noma yimuphi (noma ngaphezulu) wawo angase ahambe kahle.
Ngaphambi kwenqubo, ithimba lakho lokuhlinza libhekene nezinyathelo eziningi zokuphepha ezihlanganisa: Ukukwazisa ngezinkinga ezingase zibe khona zokuhlinzwa, ukuqapha nokuphatha yonke imithi yakho yobuhlungu-kungase kudingeke ume ukuthatha ezinye noma zonke ngaphambi kokuba ungene -kukubeka ngokuphepha.
Ukugxila kuphendulela kuhlobo lwemishini esetshenzisiwe nendlela ephathwa ngayo ngenkathi usendlini yokusebenza. Isibonelo, ukuletha izinsimbi zokusondeza kakhulu eduze ne-disc, ukusebenza ngokushesha kakhulu, noma ukusebenza ngamandla amakhulu yizo zonke izinto ezingabangela izinkinga.
Okwenzayo emva kokuhlinzwa kubalulekile ekuphulukiseni kwakho. Ukubuyela emsebenzini ngokushesha noma kungekudala okwanele kungathinta ukutakula kwakho, njengoba kungase kungatholi uhlobo olufanele lokuvuselelwa kokuthunyelwa komzimba noma ukwelashwa ngokomzimba.
Ezinye izinto ezenza umehluko wokuthi ungabuyela kanjani ekujuleni kwezinto zihlanganisa ukuthola isisindo nokuzikhandla kakhulu ngemva nje kokuhlinzwa. Udokotela wakho kufanele akhulume nazo zonke lezi zici nawe.
Ingabe Ukhetha Umbuzo Wokuhlinza Omuhle?
Ekuqaleni kobuhlungu, kubonakala sengathi imiphumela yokuhlinzwa emuva-kungakhathaliseki ukuthi ihle noma imbi-ibangelwa izici ezingokwenyama. Lezi zingase zibe izinto ezinjengokuthi ukukhishwa kwe-disc, yimuphi inqubo eyenziwa, nokuningi. Kodwa izinkinga zempilo yengqondo, ukukhathazeka ngokukhethekile kanye nesifiso sokuzuza inselelo yesibili. Ngokuyinhloko, zingabamba iqhaza emiphumeleni yokuhlinzwa empofu.
Ngokuqondene nokuzuza okwesikhashana, izibonelo zifaka isidingo sokukhulula unecala oluhlobene nokukhubazeka kwakho, noma unesizathu sokungasebenzi.
Udokotela wakho ohlinzayo angakuhlola ngezinkinga ezingezansi ezingokwengqondo ngendlela engavamile, ukuthembela ekuhlangenwe nakho kwakhe okudlule neziguli ukunquma ukuthi lokhu kungase kuthinte imiphumela yakho. Kodwa abalobi besifundo se-1998 eshicilelwe e- European Spine Journal bathi leli qhinga lisebenza kuphela nje kancane kancane kwekota. Esikhundleni salokho, batusa ukuthi udokotela wakho ohlinzayo akunike umbuzo wemibuzo owenzelwe ngokukhethekile-noma i-Multiphasic Personality Inventory (MMPI) noma i-Distress and Risk Assessment Method (i-DRAM.)
Qaphela izinga elingalungile
Izingcingo eziningi ze-lumbar zisekelwe ku-L4-L5 noma ku- L5-S1 , futhi odokotela abahlinzayo ngokuvamile bakwazi ukuqonda lawo mazinga ezigulini zabo. Kodwana ngezinye iinkhathi ukungapheleli kwe-anatomy kwenzeka begodu lokhu kungenza kube nzima nakakhulu ukuthola indawo edinga inqubo. Ukuziqhenya okwenzeka emazingeni angaphandle kwalawa, okungukuthi uL1-L4, kungase kube nengozini enkulu yale mphutha, kanye.
Uma udokotela wakho ohlinzayo eveza izinga elingalungile ngesikhathi sokuhlinzwa, kodwa uyayibona bese efika ezingeni elifanele, kungenzeka ukuthi umonakalo ungase ube mncane. Kodwa uma eqhubeka ne-discectomy ezingeni elingalungile, uyayiqaphela futhi ikusekele, noma ibuye isebenze ezingeni elifanele, ingaholela ezinkingeni ongeke ube nazo, njengokushintsha kwesimo sokuguga noma ukungaqiniseki komgogodla. Futhi uma ukuhlanganiswa kwenziwa endaweni engafanele, ukuntuleka okungapheli kokuhamba ngaphandle kokuqinisekiswa kungaholela.
Eshu! Okungalungile
Yikholelwa noma cha, futhi ngokusho kwesifundo se-2017 esivela e-United Kingdom, senza umsebenzi ohlangothini lomzimba ongahlotshaniswa nesilonda (i-termon lesi sigama sisho inkinga onayo, futhi obangela ubuhlungu ) yilona uhlobo oluvame kakhulu lwephutha lesayithi elingalungile. Futhi noma ngabe ochwepheshe bezokwelapha bezobuchwephesha bebelokhu bebhekene namaphutha okusebenza okungahambi kahle futhi okungahambi kahle okwesikhashana, inani lala maphutha alizange lihle. Ucwaningo luthi amaphesenti angaphezu kuka-72 amaphutha we-site angalungile ngenxa yokuhlinzwa okwenziwe eceleni.
Futhi isifundo se-2014 sathola ukuthi ohlangothini lo msebenzi wokuhlinzwa kumele luvame ukulahleka emaphepheni ahamba nawe ohambweni lwakho lwezokwelapha. Lokhu kungase kube incwadi yemitholampilo, ifomu yakho yokuvuma, noma eminye imibhalo. Ungenza izinto zivikeleke kancane uma ubheka lolu lwazi olubucayi efomini lakho lokuvuma ngaphambi kokuba ulisayine, futhi ukhumbuze udokotela wakho njengoba enza amanothi akhe. Ucwaningo lubonisa ukuthi amaqembu okuhlinza asebenzisa i-WHO (World Health Organization) uhlu lokuhlola lokuphepha. Ngokusho kwabalobi, lolu hlu luhlolile kakhulu ekunciphiseni ukuhlinzwa okungalungile kwendawo ku-NHS. Ungase ubuze ohlinzayo wakho ngalokhu, futhi.
Ukumaka indawo nge-sharpi kungenye indlela yokusebenzisa amaqembu okuhlinzeka.
Ubuhlungu Bokubuyela Ebusuku Akusho Ngaso sonke isikhathi Ukuhlinza Ukuhlinzwa
Ngenxa yokuthi unezinhlungu emuva akusho ukuthi udinga ukuhlinzwa kwe-disc. Ezinye izinkinga zingase zibe ngaphansi kobuhlungu obungadingi ukuhlinzwa.
Mhlawumbe isibonelo esihle kakhulu uma ngabe izimpawu zakho zibangelwa izinguquko ezishisayo ezinkampanini zakho, isimo esivamile esingase siphumelele ngelashwa lomzimba kanye nokuphathwa kwezokwelapha.
Qhubeka Kulula
Ukuhlinzekwa ngesivinini yibhizinisi elikhulu kulezi zinsuku, futhi udokotela wakho angama ukuzuza uma ekwazi ukukukholisa ukuthi ube nokuhlinzwa okuyinkimbinkimbi esikhundleni sokulula. Yiqiniso, amasu asetshenzisiwe nokubunzima kwawo kuxhomeke kulokho okwenzekayo kwi-disc yakho, kodwa uma ungaqondi ukuthi uhlolwe kanjani, ungavuma ukwelashwa okungadingekile.
Ngokuvamile, uma ubuhlungu obuningi bokubuhlungu kunomlenze futhi / noma ukuxilongwa kwakho kuhlanganisa izinguquko zokuguqula i- Modic , ungase ube ngumuntu ozokhethwa ngezinqubo zokuhlinza ngokujulile. Uma kungenjalo, i-disc ye-disc elula ingadinga kuphela i-microdiscectomy.
Khuluma ngobuqotho nodokotela wakho ukuhlola okukhethwa kukho.
Izwi elivela
Yebo, phew! Lokho kwakungelona uhlu. Uma ikhanda lakho livulekile noma uzibuza ukuthi ungafanelana kanjani nayo yonke leyo mibuzo ngesikhathi esifushane onokubonisana kwakho kwangaphambi kokuhlinzwa, qiniseka ukuthi uzobhekana nokuthi ungumuntu ofanele yini kunqubo osebenza ngayo udokotela wakho, noma uma ufanelekile ukuhlinzekwa nhlobo, unikezwe isithombe sakho sezempilo somuntu siqu, futhi uma inqubo yileyo efanele yokulimala kwakho okuthile.
> Imithombo:
> Geraghly, A., et. al. Isigameko soHlelo Lokungalungi Lokungalungile Uhlu Lokungena Kweminyaka Engu-2 Ebhokisini Elilodwa LezeMpilo YezeMpilo. J Isiguli Sat. Okthoba 2017
> Grevitt, M., et. I-al., Ingabe ukubalwa kuqala kokubalwa? Ukuqhathaniswa kokuhlola okuzithobayo nokwengqondo kwengqondo yeziguli zomgogodla. I-Eur Spine J. June 1998.
> Hanchanale, V., et. al. Ukuhlinzwa okungalungile kwesayithi! Singakuyeka kanjani? Urol Ann. Jan. 2014.
> Morgan, M., MD, ukuzwela nokucacisa. Radiopaedia.
> Omidi-Kashani, F., et. al. Amathiphu ayishumi abalulekile ekuphatheni isiguli ngeLumbar Disc Herniation Asian Spine J. Okthoba 2016.
> Weiner, B., et. al., Ukuchithwa kwe-MRI ekutholeni i-Lumbar Disc Containment. J Orthop Surg. Okthoba 2008.