Ukukhipha i-disc kuyinto ukulimala okuvamile lapho ukushaqeka okwehliswa kwezinsimbi ezinjengezintambo ezitholakala phakathi kwamathambo omgogodla oseduze (okubizwa ngokuthi i-intervertebral dis space space) iyahamba, noma idluliselwe, idlule kule ndawo evamile.
Nakuba i-disc ye-disc ingathinta cishe noma yiliphi izinga lomgogodla, livame ukutholakala emhlane ophansi. Lokhu kungenxa yokuthi umgogodla we-lumbar uvame ukuthwala iningi lomzimba wesisindo somzimba njengoba udluliselwa kusuka ekhanda phansi ngokusebenzisa umgogodla. Njengalokhu, izakhiwo ezakha emuva-kuhlanganise ne-discs - zibeka engozini ekulimazeni.
Nakhu okudingeka ukwazi mayelana nokukhishwa kwe-disc.
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I-Disc Herniation ichazweUma i-disc ishicilelwe, i-fibers yangaphandle ye- spinal disks ukuthi, uma iqinile, iqukethe impahla ekhanyayo yokuklaqeka, ukuphuka. Lezi fiber zangaphandle zibizwa ngokuthi i-annulus fibrosus; i-liquid yangaphakathi ibizwa ngokuthi i- nucleus pulposus .) Kuye ngokuthi izinga le-disc yakho liphihliwe kangakanani, ezinye zezikhungo zamanzi ziyakwazi ukuphunyuka bese zihlala ezimpandeni zomgogodla, zidale izimpawu.
Isimo esaziwa ngokuthi inyembezi yonyaka ingenye indlela amafayili e-annulus fibrosus angase alahleke ngayo, futhi (ngokuhamba kwesikhathi) kungenzeka ibe yindawo yokuphuma kwento ye-nucleus. Izinyembezi eziningi zivame ukubangelwa ukugqoka nokukhala, ikakhulukazi uma ukuphosa okuncane kunesici; ukulimala kungenye imbangela.
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I-Disc Herniation IzimpawuUma i-nucleus pulposus impahla ephunyuka esakhiweni se-dis disc ihlangana nomsuka womuthi , cishe uzozwa ubuhlungu obuningi. Ungase uthole ezinye izimpawu, kufaka phakathi ukuphazamiseka, ubuthakathaka, noma ukushaywa amandla kagesi noma ukuzwakala komsindo okuhamba phansi umlenze noma ingalo eyodwa.
Uma lezi zibonakaliso - ezibangelwa ukuxilongwa , i-aka yesifo semisipha yomgogodla - idala izimpawu emilenzeni, abantu bavame ukuyibiza ngokuthi i- sciatica .
Izimpawu ze-disc ze-Herniated zingashintsha ngokwezinga lomgogodla eliqinisa umonakalo. Kodwa-ke, ngokuvamile, uzothola izimpawu eziningi noma ngaphezulu, njengoba kuchaziwe ngenhla.
Izimpawu eziqhamukayo, ezenzeka kakhulu eduze komgogodla, zibangelwa izimpawu ezithinta enye yezinhlelo zakho zokusebenza?
Impendulo isekelwe ekutheni umzimba unesifo. Igatsha lesishukela sezinzwa zomgogodla kusuka endaweni yaso ngaphandle komgogodla womgogodla ophakathi komgogodla ube yizinzwa ezincane nezincane ezihamba kuwo wonke umzimba. Isimpande ngasinye se-nerve sihlotshaniswa nendawo ethile yomzimba, futhi izinzwa ezivela kulowo nalowo zithinta indawo yazo kuphela. Lezi zindawo zibizwa ngokuthi i- dermatomes yokudluliswa kwesifo sezinzwa, kanye nama- myotomes wokudlulisa isisindo sezimoto, noma ukunyakaza, izimpucuko.
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Ingabe usengozini ye-Disc Herniation?I-Disc herniation ivame ukuvela ngokungekho emcimbini othize njengokulimala noma ukulimala, kodwa kunalokho kusukela ngosuku nosuku uphila impilo yakho. Izinto eziziwayo zokuphila ezingase ziphakame ingozi yakho yokwehla zibandakanya ukubhema, ukukhuluphala, ukungahambi kahle, nokuba nomsebenzi wokuhlala phansi njengomshayeli weloli noma umsebenzi wehhovisi, noma unomsebenzi wezisebenzi zomsebenzi odinga ukunyakaza okuphindaphindiwe komgogodla wakho.
Uma ukulimala kungabangela i-disc ye-herniated, kungenzeka ukuthi unesimo esisontekile emthonjeni, noma ngenxa yokuthi umthelela wawuphoqelele ngokungazelelwe ube yinkinga enkulu (okuyinto ukuhamba phambili kwekholomu yomgogodla.)
Ubudala budlala indima ebalulekile engozini yomuntu yokukhipha i-disc, futhi. Njengoba sikhula, sivame ukubuthelela izinguquko ezishisayo ezingxenyeni zethu zomgogodla, okungaholela ezinyembezini nasezintweni zokuqeda. Ngokuthakazelisayo, isifundo se-2002 eshicilelwe ku- Surgical Neurology sathola ukuthi indawo ye-disc ishintsho njengoba abantu bekhula. Lapho izinkomba eziningi kubantu abasha zenzeka ezingeni eliphansi, njengoba zikhula, zivame ukuphazamisa phezulu emgodleni, ngokusho kocwaningo.
Ama-discs afana nokuma uma ekhula, okusho ukuthi asebekhulile nabasebekhulile, okuncane kungase kushiywe i-nucleus esithambile, ye-liquid ukuze ihlambuluke (njengokulimala kanzima.) Ucwaningo lwe-2012 olushicilelwe eBritish Journal of Neurosurgery lithole ukuthi lukhulu i-disc iphinda, enye yezinyathelo ezine ze-herniation, ukuba ingavamile kubantu abakhulile.
Esikhundleni sokuncenga, abantu asebekhulile bavame ukuthola ama-discs ahlaselayo kanye nobuhlungu be-discogenic .
Futhi ukholwe noma cha, ubulili bakho bungathonya ingozi yakho yalokhu kulimala, nabantu abanengozini kakhulu kunabesifazane.
Ngaphandle kwezinto ezibalulwe ngenhla, izinkinga zomgogodla zangaphambili ezikhona, ikakhulukazi ama-disk bulging kanye nokulimala kwe-whiplash, zingase ziphakanyiswe ngaphambili.
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Ukuthola i-Disc HerniatedNjengezinkinga eziningi zomgogodla, ukuhlolisisa i-disc ye-herniated kuhilela umlando wezezokwelapha, lapho uzocelwa ukuthi uchaze izimpawu zakho ngokuningiliziwe, nokuhlola ngokomzimba. Odokotela abaningi bahlela eyodwa noma ngaphezulu izivivinyo zokuhlola izithombe ezifana ne-MRI, izivivinyo zokuqhuba izinzwa nezinye, kanye nokunye.
Ukuze uthole noma yikuphi ukulimala kwesibindi, okungase kubangele ukukhipha isitifiketi, udokotela wakho cishe uzovivinya izinzwa kulelo dermatome ngayinye (echazwe ngenhla).
Ngokukhomba izimpawu eziphathelene nokucindezela kanye / noma ukucasuka kwezimpande zomgogodla, okungukuthi, ubuhlungu, ukuzwa kwamandla kagesi, ubuthakathaka kanye / noma ukuphazamiseka okwehla umlenze owodwa noma ingalo - kudemeni ethile - udokotela wakho angakwazi ukulandelela lezo zimpawu izimpande ezithile zomgogodla noma izimpande ezithintekayo. Lokhu ngokuvamile ukuthi ukuxilongwa kwe-disc herniation kwenziwa kanjani.
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I-Disc Herniation TreatmentNakuba ukuhlinzeka nge- discectomy kuvame ukuphumelela ekunciphiseni ubuhlungu besifo, ukulinda ngosizo lwezokwelapha kungase kube enye indlela. Lokhu kusebenza kwabanye abantu ngoba ngokuhamba kwesikhathi, izinto ezivela ku-disk ziphunyuka umzimba.
Xhumana nodokotela wakho ukuze anqume indlela engcono yokwelapha.
Imithi yokwelapha ye-lumbar disniated disc ingabandakanya ukuphumula; ukuthatha imithi yobuhlungu, imithi yokuphumula kanye / noma imithi elwa nokuvuvukala ; ukuba nomjovo we- epidural steroid ; kanye / noma ukwelashwa ngokomzimba. Umgomo wokuphathwa kwezokwelapha (isiqephu sezidakamizwa ohlelweni olungelapheki lwezokwelapha) kanye nokwelapha ngokomzimba ukunciphisa ubuhlungu. Ukwelashwa ngokomzimba kungasiza futhi ukwandise ikhono lakho lokusebenza nokuvimbela ukulimala okuqhubekayo.
Khumbula ukuthi ukuya ekwelapheni okungokwenyama akuyona isipiliyoni esiyingxenye yakho. Ngesikhathi uhlelo lwakho lwezokwelapha lungase lube nezinhlobo ezahlukene zezindlela, ukwenza uhlelo lwakho lokuzivocavoca ekhaya njengoba kuqondiswe kuyisihluthulelo sokuthola imiphumela engcono kakhulu. Lokho kusho, inhlanganisela yezokwelapha - kunokuba kugxilwe ngohlobo olulodwa nje - lingasiza ukusheshisa ukutakula.
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I-Disc Herniation SurgeryUma uzama ukwelashwa ngokomzimba amaviki angu-6 kepha ungatholi ukuphumula kobuhlungu nokusebenza ngokomzimba okudingayo, kungase kube yisikhathi sokucabangela ukuhlinzwa kwangemva. Ngokujwayelekile, i-discectomy noma i-discectomy enomswakama womgogodla yenzelwe isilwane.
Ukuthuthuka kwezobuchwepheshe bezempilo kuye kwaholela ekuthuthukiseni ukuhlinzekwa kwezimpande ezincane (MIS.) Izinzuzo ze-MIS zibandakanya imibono encane kanye nezikhathi zokuphulukisa ngokushesha. (Ukufakela okuncane kunakho ukuhumusha ekutheleleni okuncane).
Futhi, ngokusho kwabalobi be-2017 ukubuyekezwa okuhlelekile, inzuzo enkulu enkulu ye-MIS yezinhlinzeko ezidinga ukuzithengisa kalula.
Yikuphi okufanele ukhethe?
Leso sinqumo senziwa ngokubambisana nodokotela wakho, kodwa ukubuyekezwa okukhulunywe ngenhla kuqhathanisa nobufakazi boMbili kokubili nokuvula ukuhlinzwa komgogodla ukuphendula lo mbuzo kuphela. Abacwaningi bathola ukuthi ubufakazi obuhle kakhulu bekhwalithi abuzange buhlinzekele ukuhlinzwa okungavamile kokuhlinzwa okuvulekile, futhi lokhu kwakuyiqiniso kokubili izintamo nezinqubo ezincane ezingemuva.
Kodwa ukubuyekezwa kwe-2014 Cochrane Back Group okwaqhathanisa i-MIS nokuhlinzwa kwangokwenkolo yangokwemvelo - le nkathi yezimpawu zokukhipha izintambo ezisezingeni eliphansi kuphela - lithole ukuthi i-MIS ayikwazi ukukhulula ubuhlungu bomlenze kanye / noma ubuhlungu obuphansi be-back emuva kanye nokuhlinzwa kwendabuko. Lokhu kubuyekezwa kutholakale neminye imizamo embalwa yokubuyiselwa kabusha ngokuhlinzwa okwenziwe umgogodla. Ukungafani komphumela phakathi kwalezi zinhlobo ezimbili zokuhlinzwa kwakuncane, noma kunjalo.
> Umthombo
> Abadabukisayo, uR. R. Lumbar bahlukumeza: izinga landa ngokukhula. Surg Neurol. Sept. 2002. https://www.ncbi.nlm.nih.gov/pubmed/12480218
> I-Disc Herniation. I-Physiopedia iwebhusayithi. https://www.physio-pedia.com/Disc_Herniation
> I-Rasouli MR, i-discectomy encane encane emelene ne-microdiscectomy / discectomy evuliwe ye-disc lumbar disc herniation. I-Cochrane Database Syst Rev. Sept 2014. https://www.ncbi.nlm.nih.gov/pubmed/25184502
> Werndle MC, acute disc herniation asebekhulile. Br J Neurosurg. April 2012 https://www.ncbi.nlm.nih.gov/pubmed/22077584