Cishe u-40% wabo bonke ubuhlungu obungapheli bomgogodla buhlobene nenkinga kwelinye noma ngaphezulu kwama-disc intervertebral. Uma unezintamo ezingapheli noma ubuhlungu obungemuva, kodwa awunayo i-disc yakhe, ungase ube nobuhlungu obukhulu.
Ubuhlungu be-discogenic bucatshangelwa ukuthi buba khona ebuhlotsheni bokunciphisa i-disc, isimo lapho izakhiwo zomzimba nezamakhemikhali ze-diski ziwohloka kancane.
Kodwa inkinga iwukuthi, ukuguqulwa kwama-disc akubanga neze ubuhlungu, futhi ochwepheshe abasazochaza lobu buhlobo ngokugcwele.
Izimbangela
Le ncazelo ithi ubuhlungu be-discogenic buba khona lapho ama-receptor receptors atholakale engxenyeni yangaphandle ye-annulus ecasulwa.
Ukuvuvukala noma ezinye izimo ku-disc kungacasula lezi zitholampilo zezinzwa. Isibonelo, uma amakhemikhali avuthayo avela ezinyangeni zonyaka angena emanzini engxenyeni yangaphandle yonyaka, izinyembezi zingase zibe imbangela yobuhlungu bakho be-discogenic. Lolu hlobo lokulimala lubizwa ngokuthi ukuphazamiseka kwangaphakathi kwe-dis, noma i-IDD.
I-Genetics cishe idlala indima ekusungulweni kobuhlungu be-discogenic. Izakhi zofuzo zingashintsha ukwakhiwa kwamakhemikhali ama-discs, futhi zingase zenze izinguquko zemetrikhi emzimbeni. Umphumela wukuthi ama-discs aphumile ngokushesha kunokuvamile, okwenza kube lula ukuthi bakwazi ukuphatha umthambo wobuchopho ngendlela efanayo. Khona-ke, evamile nsuku zonke ukugqoka nokudiliza kugcizelela ingcindezi eyodwa noma ezimbalwa ezindaweni ezincane, okwandisa ingozi yezinyembezi zonyaka.
Ukulimala ekugcineni kwe-vertebra eduze kwe-disc nakho kungenzeka. Lokhu kukhishwa amakhemikhali okuvuthayo futhi kwandisa ijubane lapho ama-discs ehlehla khona.
Ngokuhambisana nezakhi zofuzo, izici zokudla okunomsoco nezindlela ezingase zenzeke zingase zenze nokuba nobuhlungu be-discogenic.
Izingozi Zezingozi
Ubuhlungu be-discogenic buvame kakhulu kubantu abakudala nabadala.
(Izinkinga zeDiski kubantu abasha ngokuvamile zikhawulelwe ukuxoshwa ngoba abantu abasha banamanzi amaningi kuma-discs abo.)
Izimpawu
Isici esiyinhloko sobuhlungu be-discogenic buhlungu obubuhlungu obungabhekisi emlenzeni wakho noma engalweni futhi aluhlosiwe nokunciphisa amandla okusebenzisa izitho zakho.
Emhlane ophansi, ubuhlungu buvame kakhulu uma umgogodla wakho ucindezelekile: Imisebenzi efana nokuhlala, ukugoba, ukukhwehlela nokukhipha ukuvama ukuvame ukuyihambisa, ngenkathi ulele phansi ijwayele ukuyikhulula. Kungase kube nobuhlungu noma ezinye izinzwa ezise ngemuva kwethanga lakho noma isithandwa sakho, kodwa hhayi emlenzeni wakho ophansi.
Entanyeni, kungase kube nobuhlungu uma uvula noma ugoqa ikhanda lakho. Ubuhlungu bungase bubi nakakhulu uma ubamba ikhanda lakho endaweni eyodwa kakhulu. Ngezinye izikhathi ama-muscle spasms ahamba nobuhlungu be-discogenic entanyeni. Kungenzeka ukuthi uzwe ubuhlungu noma ezinye izinzwa phansi.
Ukuxilongwa
I- MRI ivame ukusetshenziselwa ukuxilonga ubuhlungu be-discogenic. I- discogram ingase isetshenziswe futhi, kodwa lokhu kuyisivivinyo esinokuphikisana ngezizathu eziningana. Okokuqala, idala ubuhlungu ngokuzithandela futhi ikucele ukuba ulinganise ukuqina kwesilinganiso se-VAS . Akulona nje ukuthi lolu hlobo lokuhlolwa lunomthelela wokuziphatha, kodwa luyazithoba, futhi (ubika lokho ozizwayo).
Izingxoxo zisetshenziselwa ukuqinisekisa ukuthi ubuhlungu buvela kwi-disc ethize noma ama-disc. Kodwa iningi labacwaningi lithole ukuthi ngenxa yemvelo ehlukumezayo ye-discogram, ingaveza imiphumela emibi , ikakhulukazi uma ungekho ubuhlungu obukhulu, unesifo sengqondo noma usaba ubuhlungu.
Njengoba kushiwo ngenhla ungase ube nobuhlungu noma ezinye izinzwa phansi kwesandla noma umlenze. Lezi zibizwa ngokuthi izimpawu ezivamile. Kodwa i-radiculopathy nobuhlungu be-discogenic akuyona ingozi efanayo. Njenge-radiculopathy, ubuhlungu be-discogenic bubangelwa ukucasuka kwemizwa.
Umehluko wukuthi i-radiculopathy ithinta izimpande zesisu somgogodla , kuyilapho ubuhlungu be-discogenic buvuthisa izinzwa ezisezindongeni zangaphandle zonyaka.
(I-annulus iyisembozo esinzima se- disc intervertebral . Iqukethe futhi ivikela i-nucleus pulposus ephakathi nendawo.)
Kungaba nzima ukuba udokotela ahlukanise phakathi kwalezi zimo ezimbili lapho esebenza ngokuxilongwa. Kodwa umehluko uzokwenza umehluko empilweni oyitholayo.
Enye indlela yokuxilongwa ibizwa ngokuthi iMcKenzie Method. Lokhu kuhilela ukuhlolwa kwebhuku ukuze uthole ukunyakaza okunciphisa ubuhlungu nokwandisa uhla lwakho lokuhamba. I-McKenzie Method isetshenziselwa ukwelashwa.
Ukwelapha
Ubuhlungu be-discogenic buvame ukwehla ngokwakho, noma buya futhi buhambe. Ukunakekelwa kokugcinwa kwemvelo ngokuvamile kuyindlela yokuqala yokwelashwa okuvivinywe. Kungase kuhlanganise ukulawula ubuhlungu ngokumelene nezidakamizwa , usebenzisa i- ice kanye / noma ukushisa nokwelapha ngokomzimba. Ukwelashwa ngokomzimba kungase kube nokuzivocavoca emuva, ukulandelana kanye nezinye izifo. Umjovo ungasiza ukuphelisa ubuhlungu futhi ukwenze ukhululeke ngokwengeziwe.
Njengoba kuqhubeka ukuhlinzwa, ngokuvamile akudingekile. Kodwa uma ubuhlungu obukhungathekisayo izinyanga ezintathu noma ngaphezulu futhi / noma unokukhubazeka komgogodla, kungase kube okukhethwa kukho. Buza udokotela wakho mayelana nezinketho zakho.
Ukuhlinzekwa komgogodla okuncane okungavamile okubizwa ngokuthi i-IDET (I-Intradiscal Therapy Electrothermal Therapy) kubheka ukwethenjelwa ubuhlungu be-discogenic. Lokhu kuhlinzwa kubangela (ukushisa) imicu ye-annulus ukuze izinyembezi zihlangane ndawonye futhi ukuphela kwezinzwa kufe. Njengoba iziphetho zezinzwa zifile, ngeke ukwazi ukuzwa ubuhlungu be-discogenic. Izifundo ezincane ezimbalwa kuphela ezenziwe ku-IDET kusukela ngo-June 2010, kodwa imiphumela yayisihle. Iningi labantu libika ukuphumula okukhulu kobuhlungu kanye nemiphumela emibi, uma ikhona, imiphumela emibi evela ku-IDET.
Ukuhlinzwa okuvame kakhulu ukuhlunguzwa kwe-discogenic kungumfutho we- spinal . Kodwa-ke, ukusetshenziswa kwayo kuxabana futhi akusizi ngaso sonke isikhathi ukukhululeka. E-US, inani lezinhlinzeko zempepho liye lakhula kusukela ekuqaleni kwawo-1990, futhi ukubuyekezwa kwedatha kusikisela ngokuqinile ukuthi eziningi azidingekile. Ukuhlukunyezwa kwe-disc kuyingxenye yokuguga, kodwa lokhu akusho ukuthi uzodinga ukufiphaza komgogodla uma ubuhlungu bubonakala. Qinisekisa ukuthi ucwaninga okukhethwa kukho, kuhlanganise nabahlinzeki bakho bokunakekelwa kwezempilo, futhi usebenze nodokotela wakho okhethiwe ukuze anqume indlela engcono kakhulu yokwenza ngayo .
Imithombo:
Ahmed, AU. MD, MPH., Pain Low Back: Ukubukeza Okufushane. I-NeuroNews. Kufinyelelwe: Juni 2010.
I-Bogduk, N., i-MD Lumbar Inhlungu Yokuzivocavoca: Isimo Sobuciko Bezobuciko. Imithi Yezinhlungu. I-Oxford University Press. http://painmedicine.oxfordjournals.org/content/14/6/813.long
Cluett, J. MD. Ubuhlungu bokubuyela emuva kwe-Discogenic. Mayelana.com. Kufinyelelwe: Juni 2010. http://orthopedics.about.com/od/backneck/a/discpain.htm
U-Washington Cohort Study for Treatment of Discogenic Back Pain. http://depts.washington.edu/ccor/studies/disco.shtml Kufinyelelwe: June 2010.
I-Windsor, RE, MD. I-Cervical Discogenic Pain Syndrome: Ukwelashwa Nemithi. eMedicine. http://emedicine.medscape.com/article/93761- Ukususwa Kufinyelelekile: June 2010.
Zang, Y., Tuan-mao, G, Xiong, G, Shi-xun, W. Ukuxilongwa ngemithi yezinhlungu ezibuhlungu ze-discogenic. I-International Journal ye-Biological Sciences. 2009; 5 (7). Kufinyelelwe: Juni 2010.