Idiski yeHerniated

Idiski ye-herniated (ityibilike) yenzeka xa yonke okanye inxenye yediski inyanzelwa ngenxalenye ebuthathaka yediski. Oku kunokubeka uxinzelelo kwimithambo ekufuphi okanye kumqolo womqolo.

Amathambo (i-vertebrae) yomqolo womqolo ukhusela imithambo-luvo ephuma ebuchotsheni kwaye ihambe ngomqolo wakho ukuze yenze umnqonqo. Iingcambu zemithambo-luvo yimithambo-luvo emikhulu ephuma kumthambo womqolo kwaye ishiye ikholamu yakho yomqolo phakathi kwe-vertebra nganye.

Amathambo omqolo ahlukaniswe ziidiski. Ezi disks zibamba ikholamu yomgogodla kwaye zibeka indawo phakathi kwe-vertebrae yakho. Iidiski zivumela ukuhamba phakathi kwe-vertebrae, ekuvumela ukuba ugobe kwaye ufikelele.

Nge disk yediski:

• Idiski inokuhamba endaweni (i-herniate) okanye ivuleke (ukwaphuka) kukonzakala okanye kuxinzelelo. Xa oku kusenzeka, kunokuba noxinzelelo kwimithambo-luvo yomqolo. Oku kunokukhokelela kwintlungu, ukuphazamiseka, okanye ubuthathaka.
• Umqolo ongezantsi (indawo ye-lumbar) yomqolo yeyona ndawo ixhaphakileyo ichaphazeleka yidiski ethe tyibilizi. Iidiski zentamo (yomlomo wesibeleko) yindawo yesibini echaphazeleka kakhulu. Iidiski ezingasentla ukuya embindini (thoracic) kunqabile ukuba zibandakanyeke.

Idiski ye-herniated ngunobangela we-radiculopathy. Le yimeko echaphazela iingcambu zomgogodla.

Iidiski ezihanjisiweyo zenzeka rhoqo kumadoda aphakathi kunye namadoda amadala, ngesiqhelo emva komsebenzi onzima. Eminye imingcipheko inokubandakanya:

• Ukuphakamisa izinto ezinzima
• Ukutyeba kakhulu
• Ukuphinda-phinda ukugoba okanye ukujija umva ongezantsi
• Ukuhlala okanye ukuma kwindawo enye iiyure ezinde
• Ukungasebenzi
• Ukutshaya

Iintlungu zihlala zenzeka kwicala elinye lomzimba. Iimpawu ziyahluka, kuxhomekeke kwindawo yokwenzakala, kwaye inokubandakanya oku kulandelayo:

• Xa unediski ethe tyaba kumqolo ongezantsi, unokuba neentlungu ezibukhali kwinxalenye enye yomlenze, inyonga, okanye iimpundu, kunye nokuba ndindisholo kwezinye iindawo. Unokuziva iintlungu okanye ubundindisholo ngasemva kwethole okanye inyawo. Umlenze ofanayo unokuziva ubuthathaka.
• Xa unediski emtyibilizi entanyeni yakho, unokuba nentlungu xa uhambisa intamo yakho, iintlungu ezinzulu kufutshane okanye ngaphezulu kwegxalaba, okanye iintlungu eziya kwingalo, ingalo kunye neminwe ephezulu.Unokuba nobudenge egxalabeni lakho, ingqiniba, ingalo, kunye neminwe.

Intlungu ihlala iqala kancinci. Inokuba mbi:

• Emva kokuma okanye ukuhlala
• Ebusuku
• Xa uthimla, ukhohlela okanye uhleka
• Xa uguqa umva okanye uhamba ngaphezu kweeyadi okanye iimitha ezimbalwa
• Xa uxinizela okanye ubambe umphefumlo wakho, njengaxa ushukuma

Unokuba nobuthathaka kwiimisipha ezithile. Ngamanye amaxesha, unokungayiboni de umboneleli wakho wezempilo akuvavanye. Ngamanye amaxesha uya kuqaphela ukuba unengxaki yokuphakamisa umlenze okanye ingalo yakho, ume ezinzwaneni zakho kwelinye icala, ucinezela ngokuqinileyo ngesandla sakho, okanye ezinye iingxaki. Ulawulo lwakho lwesinyi lunokulahleka.

Intlungu, ukuphazamiseka, okanye ubuthathaka zihlala zihamba okanye ziphucula kakhulu kwiiveki ukuya kwiinyanga.

Uvavanyo olumanyeneyo lomzimba kunye nembali phantse linyathelo lokuqala. Kuxhomekeka apho uneempawu khona, umboneleli wakho uvavanya intamo yakho, igxalaba, iingalo kunye nezandla, okanye umqolo wakho ongezantsi, iinyonga, imilenze kunye neenyawo.

Umboneleli wakho uya kujonga:

• Ukuba ndindisholo okanye ukulahleka kwemvakalelo
• Ingqondo yakho yemisipha, enokuthi icothe okanye ilahleke
• Amandla akho emisipha, anokuba buthathaka
• Ukuma kwakho, okanye indlela ujika ngayo umqolo wakho
• Ukukwazi kwakho ukutshintsha umqolo wakho

Umboneleli wakho unokucela kwakhona ukuba:

• Hlala, ume, uhambe. Ngelixa uhamba, umboneleli wakho unokucela ukuba uzame ukuhamba kwiinzwane zakho kunye nezithende zakho.
• Bend phambili, ngasemva, kwaye kwicala.
• Hambisa intamo yakho phambili, ubuye umva, kwaye ujonge ecaleni.
• Phakamisa amagxa akho, ingqiniba, isihlahla, isandla, kunye nesandla, kwaye ujonge amandla akho ngexesha lale misebenzi.

Intlungu yomlenze eyenzeka xa uhleli etafileni yovavanyo kwaye uphakamise umlenze ngokuthe nkqo uhlala ucebisa idiski etyibilikileyo kumqolo ongezantsi.

Kolunye uvavanyo, uya kugobisa intloko yakho uye emacaleni ngelixa umboneleli ebeka uxinzelelo olusezantsi ngaphezulu kwentloko yakho. Ukonyusa iintlungu okanye ukuba ndindisholo ngeli xesha lovavanyo kuhlala kungumqondiso woxinzelelo kwithambo lentamo.

IIMVAVANYO ZOPHANDO

Uvavanyo olwenziwe lunokubandakanya:

• I-Spine MRI okanye i-CT ye-spine ingenziwa ukubonisa apho idiski ye-herniated icinezela kumjelo womqolo.
• I-Electromyography (EMG) inokwenziwa ukumisela ngqo ingcambu ye-nerve ebandakanyekayo.
• I-Myelogram inokwenziwa ukumisela ubungakanani kunye nendawo yediski herniation.
• Uvavanyo lokuhamba kwesantya lunokwenziwa.
• I-x-ray ye-Spine inokwenziwa ukulawula ezinye izizathu zentlungu yangemva okanye yentamo. Ingakhangela ukuba ithambo lakho lisempilweni kangakanani kwaye ujonge nokuba lingakanani igumbi elinalo kwimithambo-luvo yakho yomqolo ukuze uphume ngaphandle kwethambo lomqolo. Nangona kunjalo, akunakwenzeka ukuba ufumane i-disk ye-herniated nge-x-ray yodwa.

Unyango lokuqala lwediski elityibilikileyo lixesha elifutshane lokuphumla kunye nokuthatha amayeza entlungu. Oku kulandelwa lunyango lomzimba. Uninzi lwabantu olulandela olu nyango luyabuya kwaye lubuyela kwimisebenzi yesiqhelo. Abanye abantu baya kufuna unyango olungaphezulu. Oku kunokubandakanya inaliti ye-steroid okanye utyando.

AMAYEZA

Amayeza anokunceda kwintlungu yakho. Umboneleli wakho unokumisela nayiphi na kwezi zilandelayo:

• Ii-NSAID zolawulo lweentlungu zexesha elide
• I-Narcotic ukuba iintlungu zinzima kwaye aziphenduli kwii-NSAID
• Amayeza okuzolisa imithambo-luvo
• Ukuphumla kwezihlunu ukunciphisa izihlunu ezingasemva

UTSHINTSHO KWIMPILO

Ukuba utyebe kakhulu, ukutya kunye nokuzilolonga kubaluleke kakhulu ekuphuculeni iintlungu ezisemva.

Unyango lomzimba lubalulekile phantse kuye wonke umntu onesifo sediski. Iingcali zonyango ziya kukufundisa indlela yokuphakamisa ngokufanelekileyo, ukunxiba, ukuhamba kunye nokwenza eminye imisebenzi. Bafundisa indlela yokomeleza izihlunu ezinceda ukuxhasa umqolo. Uya kufunda kwakhona indlela yokunyusa ukuguquguquka kumqolo nakwimilenze yakho.

Khathalela umqolo wakho ekhaya:

• Ukunciphisa umsebenzi kwiintsuku ezimbalwa zokuqala. Cotha ukuqala kwakhona imisebenzi yakho yesiqhelo.
• Gwema ukuphakamisa okunzima okanye ukujija umqolo wakho kwiiveki zokuqala ezi-6 emva kokuba intlungu iqale.
• Emva kweeveki ezi-2 ukuya kwezi-3, ngokuthe ngcembe qalisa ukuzilolonga kwakhona.

UKUHLOLA

Inaliti yeyeza ye-Steroid ngasemva kwindawo yediski ye-herniated inokunceda ukulawula iintlungu kwiinyanga ezininzi. Ezi zitofu zinciphisa ukudumba okujikeleze imithambo-luvo yomqolo kunye nediski kunye nokunciphisa iimpawu ezininzi. Abasombululi ingxaki esisiseko kwaye iintlungu zakho zinokubuya emva kweeveki okanye iinyanga. Inaliti yomqolo yinkqubo yezigulana ezingalaliswayo.

UKUGQIBELA

Ugqirha lunokukhetha ukuba iimpawu zakho azihambi nolunye unyango kunye nexesha.

Olunye lolo tyando yi diskectomy, esusa yonke okanye inxenye yediski.

Xoxa nomboneleli wakho ukuba loluphi ukhetho lonyango olulungele wena.

Uninzi lwabantu luphucula ngonyango. Kodwa unokuba nentlungu yexesha elide, nasemva konyango.

Kungathatha iinyanga ezininzi ukuya kunyaka okanye nangaphezulu ukubuyela kuyo yonke imisebenzi yakho ngaphandle kokuba ube neentlungu okanye uxinzelele umqolo wakho. Abantu abasebenza kwimisebenzi ebandakanya ukuphakamisa okunzima okanye ukubuyela umva kusenokufuneka batshintshe imisebenzi yabo ukunqanda ukwenzakalisa umqolo wabo kwakhona.

Kwiimeko ezinqabileyo, ezi ngxaki zilandelayo zinokwenzeka:

• Iintlungu zomqolo zexesha elide okanye iintlungu zomlenze
• Ukuphulukana nentshukumo okanye uvakalelo emilenzeni okanye ezinyaweni
• Ukuphulukana nomsebenzi wamathumbu kunye nesinyi
• Ukulimala komgogodla ngokusisigxina (kunqabile kakhulu)

Fowunela umnikezeli wakho ukuba unayo:

• Intlungu ebuhlungu emva engapheliyo
• Naluphi na ukuphazamiseka, ukulahleka kokuhamba, ubuthathaka, okanye isilwanyana okanye utshintsho lwe-bladder

Ukunceda ukuthintela ukwenzakala emva:

• Sebenzisa iindlela ezifanelekileyo zokuphakamisa.
• Gcina ubunzima obusempilweni.
• Yenza imithambo yokugcina isisu sakho (esisiseko) kunye nezihlunu zangasemva zomelele.
• Vavanya ukuseta kwakho emsebenzini. Ngamanye amaxesha idesika emileyo okanye ukutshintsha indawo ekhompyuter yakho inokunceda imeko yakho.

Umboneleli wakho unokucebisa ukubuyela umva ukunceda ukuxhasa umqolo. Izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana zinokuthintela ukwenzakala kwabantu abaphakamisa izinto ezinzima emsebenzini. Kodwa ukusebenzisa ezi zixhobo kakhulu kunokwenza buthathaka izihlunu ezixhasa umqolo wakho kwaye yenze ingxaki ibe mandundu.

I-lumbar radiculopathy; I-radiculopathy yomlomo wesibeleko; Idiski ye-intervertebral yediski; Idiski ye-intervertebral eqhutyiweyo; Idiski eshiyiweyo; Idiski egqabhukileyo; I-nucleus pulposus ye-Herniated: Intlungu ebuyela umva-idiski ye-herniated; I-LBP - idiski ye-herniated; Sciatica - idiski ye-herniated; Idiski yeHerniated; Idiski-ifunyenwe

• Umqolo womqolo
• Inzululwazi yesayensi
• I-nucleus pulposus yenyani
• Ukulungiswa kwediski yeHerniated
• Uqhaqho lomqolo waseLumbar- uthotho
• Idiski ye-lumbar yediski

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UMagee DJ. Umqolo weLumbar. Ku: Magee DJ, ed. Uvavanyo lwe-Orthopedic Physical. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; 2014: isahluko 9.

ISudhir A, uPerina D.Iintlungu zangasemva zemisipha. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 47.