Ugqirha lwe-Disc Herniated: Yintoni onokuyilindela

Umxholo

• Phambi kotyando
• Iindidi zotyando kwidiski ye-herniated
• I-Laminotomy / laminectomy
• I-Discectomy / microdiscectomy
• Utyando lwediski eyenziweyo
• Ukuhlanganiswa komqolo
• Iingozi kunye nento onokuyilindela emva kotyando
• Ukuthintela iingxaki

Oonobangela, iziphumo, kwaye xa utyando lulungile

Phakathi kwethambo ngalinye kumqolo wakho (i-vertebrae) yidiski. Ezi diski zisebenza njengezinto ezothusayo kwaye zinceda ukuqinisa amathambo akho. I-disc ye-herniated yile eqhubeka ngaphaya kwecapsule enayo kwaye ityhalela kumjelo womqolo. Unokuba ne-disc ye-herniated naphi na ecaleni komqolo wakho, nkqu nasentanyeni yakho, kodwa kunokwenzeka ukuba yenzeke kumqolo ongezantsi (i-lumbar vertebrae).

Unokuphuhlisa i-disc ye-herniated ukusuka ekuphakamiseni into ngendlela engalunganga okanye ngokukhawuleza ujike umqolo wakho. Ezinye izizathu zibandakanya ukutyeba kakhulu kunye nokufumana ukonakala ngenxa yezifo okanye ukwaluphala.

I-disc ye-herniated ayisoloko ibangela iintlungu okanye ukungonwabi, kodwa ukuba ityhala ngokuchasene ne-nerve kumqolo wakho osezantsi, unokuba nentlungu ngasemva okanye emilenzeni (sciatica). Ukuba i-disc ye-herniated ivela entanyeni yakho, unokuba nentlungu entanyeni yakho, emagxeni nakwiingalo. Ngaphandle kwentlungu, idiski ye-herniated inokukhokelela kubuchwephesha, ukurhawuzelela, kunye nobuthathaka.

Utyando olubandakanya umqolo ngokwesiqhelo alukhuthazwa de ube uzame zonke ezinye iindlela. Oku kunokubandakanya:

• anti-inflammatories ezingasebenziyo
• iintlungu ziyadambisa
• umthambo okanye unyango lomzimba
• inaliti steroid
• phumla

Ukuba ezi azisebenzi kwaye uneentlungu ezingapheliyo eziphazamisa umgangatho wobomi bakho, kukho iindlela ezininzi zotyando.

Phambi kotyando

Xa ucinga ngokuhlinzwa, qiniseka ukuba ubona ugqirha oqeqeshiweyo (orthopedic or neurosurgical), kwaye ufumane uluvo lwesibini. Ngaphambi kokucebisa enye inkqubo yotyando ngaphezulu kwenye, ugqirha wakho uya kuthi aodole iimvavanyo zokucinga, ezinokubandakanya:

• IX-reyi: IX-reyi ivelisa imifanekiso ecacileyo yomqolo kunye namalungu akho.
• Itomography ebunjiweyo (i-CT / CAT scan): Ezi skena zibonelela ngemifanekiso eneenkcukacha zomjelo womqolo kunye nolwakhiwo olungqongileyo.
• Imagnetic resonance imaging (MRI): I-MRI ivelisa imifanekiso emi-3-D yomqolo kunye neengcambu zemithambo-luvo, kunye neediski ngokwazo.
• I-Electromyography okanye izifundo zokuqhutywa kwemithambo-luvo (EMG / NCS): Le milinganiselo yeempembelelo zombane ecaleni kwemithambo-luvo kunye nezihlunu.

Olu vavanyo luya kunceda ugqirha wakho wotyando anqume olona hlobo lonyango olululo. Ezinye izinto ezibalulekileyo kwisigqibo zibandakanya indawo yediski yakho ye-herniated, iminyaka yakho, kunye nempilo yakho iyonke.

Iindidi zotyando kwidiski ye-herniated

Emva kokuqokelela lonke ulwazi abanalo, ugqirha wakho ugqirha unokucebisa olunye kolu tyando. Ngamanye amaxesha, umntu unokufuna indibaniselwano yotyando.

I-Laminotomy / laminectomy

Kwi-laminotomy, ugqirha wotyando wenza ukuvulwa kwi-vertebral arch (lamina) yokunciphisa uxinzelelo kwiingcambu zakho zemithambo-luvo. Le nkqubo yenziwa ngokusikwa okuncinci, ngamanye amaxesha ngoncedo lwe-microscope. Ukuba kuyimfuneko, i-lamina ingasuswa. Oku kubizwa ngokuba yi-laminectomy.

I-Discectomy / microdiscectomy

I-Discectomy lolona tyando luqhelekileyo lusetyenziselwa idiski ye-herniated kwingingqi ye-lumbar. Kule nkqubo, isahlulo sediski esibangela uxinzelelo kwingcambu yakho ye-nerve siyasuswa. Ngamanye amaxesha, yonke idiski iyasuswa.

Ugqirha uya kufikelela kwidiski ngokuqengqeleka kumqolo wakho (okanye entanyeni). Xa kunokwenzeka, ugqirha wakho osebenzisa ugqirha uya kusebenzisa ukusikwa okuncinci kunye nezixhobo ezizodwa ukufezekisa iziphumo ezifanayo. Le nkqubo intsha, ingena gwenxa ibizwa ngokuba yi-microdiscectomy. Ngamanye amaxesha, ezi nkqubo zinokwenziwa ngaphandle kwesigulana.

Utyando lwediski eyenziweyo

Utyando lwediski eyenziweyo, uya kuba phantsi kwe-anesthesia ngokubanzi. Olu tyando luhlala lusetyenziselwa idiski enye xa ingxaki ikumqolo osezantsi. Ayisiyonto ilungileyo ukuba une-arthritis okanye i-osteoporosis okanye xa idiski engaphezulu kwesinye ibonisa ukonakala.

Kule nkqubo, ugqirha wotyando ungena ngaphakathi kwisisu sakho. Idiski eyonakeleyo ithathe indawo yediski eyenziweyo eyenziwe ngeplastiki nentsimbi. Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa.

Ukuhlanganiswa komqolo

I-anesthesia ngokubanzi iyadingeka ukuze kudityaniswe umqolo. Kule nkqubo, ii-vertebrae ezimbini okanye nangaphezulu zidityaniswe ngokusisigxina kunye. Oku kunokufezekiswa ngokufakwa kwethambo kwelinye ilungu lomzimba wakho okanye kumnikeli. Inokubandakanya izikhonkwane zentsimbi okanye zeplastiki kunye neerandi eziyilelwe ukubonelela ngenkxaso eyongezelelweyo. Oku kuyakususa unaphakade isigxina somqolo wakho.

Ukuhlanganiswa komgogodla kufuna ukuhlala esibhedlele iintsuku ezininzi.

Iingozi kunye nento onokuyilindela emva kotyando

Lonke utyando lunomngcipheko othile, kubandakanya usulelo, ukopha, kunye nokonzakala kwemithambo-luvo. Ukuba idiski ayisuswanga, inokuphinda iqhume kwakhona. Ukuba unesifo sediski eguqulwayo, unokufumana iingxaki ngezinye iidiski.

Ukulandela utyando lwe-fusion spinal, isixa esithile sokuqina kulindeleke. Oku kunokuba sisigxina.

Emva kotyando lwakho, uya kunikwa imiyalelo ethile yokukhutshwa malunga nexesha lokuphinda uqale umsebenzi oqhelekileyo kunye nokuba uqale nini ukuzilolonga. Ngamanye amaxesha, unyango lwasemzimbeni lunokufuneka. Kubaluleke kakhulu ukulandela iingcebiso zikagqirha wakho.

Uninzi lwabantu luphulukana kakuhle emva kotyando lwediski, kodwa imeko nganye yahlukile. Umbono wakho uxhomekeke ku:

• iinkcukacha zotyando lwakho
• naziphi na iingxaki osenokuba ukhe waqubisana nazo
• imeko yakho yempilo ngokubanzi

Ukuthintela iingxaki

Ukunceda ukuthintela iingxaki zexesha elizayo ngomqolo wakho, zama ukugcina ubunzima obusempilweni. Soloko usebenzisa iindlela ezifanelekileyo zokuphakamisa. Isisu esomeleleyo kunye nezihlunu zangasemva zinceda ukuxhasa umqolo wakho, ke qiniseka ukuba uzisebenzisa rhoqo. Ugqirha wakho okanye ingcali yonyango inokucebisa ngemithambo eyilelwe loo njongo.