Kodi muli ndi herniated disc kumbuyo kwanu? (Herniated Disk / Slipped Disk) Tiyeni tikambirane izi mwatsatanetsatane!

Kodi nthawi zina mumamva ngati manja ndi miyendo yanu yachita dzanzi chifukwa cha kupweteka kwa msana kapena kupweteka kwa khosi? Nthawi zina, mungaganize kuti, "O, vuto langa ndi chiyani?" Nthawi zambiri, chomwe chimayambitsa zizindikirozi ndi vuto lotchedwa 'herniated disk', lomwe tikambirana lero. Anthu ena amatchanso 'slipped disk'. Tiyeni tiwone mosavuta izi, chifukwa chake zimachitika, momwe mungapewere, komanso nthawi yomwe muyenera kufunsa upangiri kwa dokotala.

Kodi diski ya herniated ndi chiyani? (Kodi diski ya herniated ndi chiyani?)

Mwachidule, msana wanu umapangidwa ndi mafupa ang'onoang'ono omwe ali pamwamba pa wina ndi mnzake. Timawatcha mafupa awa. Chifukwa chake mukakhala ndi vertebra imodzi pamwamba pa inzake, pali gawo lofewa, lokongola pakati pa awiriwa lomwe limagwira ntchito ngati choletsa kugwedezeka. Ichi ndi chomwe timatcha disk. Monga momwe zoletsa kugwedezeka m'galimoto zimayamwira kugwedezeka, disk iyi imateteza ndikuteteza msana wanu mukapinda, kukweza, kapena kuyenda. Ganizirani disk iyi ngati donut yodzaza ndi jelly. Ndi chipolopolo cholimba kunja, ndi gawo lofewa, longa jelly mkati. Pakapita nthawi, mwina chifukwa cha kaimidwe koyipa kapena ngozi yadzidzidzi, gawo lolimba lakunja la disk iyi likhoza kuphulika kapena kufooka. Kenako gawo lofewa, longa jelly mkati mwake limatuluka. Ndicho chomwe timatcha ``Herniated Disk'' kapena ``Bulging Disk'' kapena ``Ruptured Disk''. Disc yomwe imatuluka motere imayamba kukankhira chingwe cha msana kapena mitsempha yomwe imatulukamo. Pamenepo ndi pomwe mumayamba kuwona zizindikiro monga kupweteka, dzanzi, komanso kufooka kwa miyendo yanu. Ngakhale vutoli likhoza kuchitika kulikonse mu msana, limapezeka kwambiri m'munsi mwa msana (komwe timatcha "msana wa lumbar") ndi pakhosi (komwe kumatchedwa "msana wa chiberekero"). Sizimachitika kawirikawiri kumtunda ndi pakati pa msana ("msana wa pachifuwa"). Pali nkhani yabwino. Kwa anthu ambiri, vutoli limatha popanda opaleshoni, ndi mankhwala osavuta. Komabe, ngati zizindikiro zikupitirira kwa milungu yoposa ingapo, muyenera kuwona dokotala.

Kodi zizindikiro za diski ya herniated ndi ziti?

Zizindikiro za disc ya herniated zimatha kusiyana malinga ndi munthu, komanso zimasiyana malinga ndi komwe disc ya herniated.

Disiki ya herniated m'munsi mwa msana (Herniated Lumbar Disk)

Pamene diski ya m'munsi mwa msana ikufufuma, nthawi zambiri imayambitsa ululu wa sciatica . Uwu ndi ululu wakuthwa, wobaya womwe ungatulukire mbali imodzi ya mwendo, kuyambira thako pansi pa mwendo, ndipo nthawi zina mpaka ku phazi. Kuphatikiza apo, mutha kuwona zizindikiro monga:

• Kupweteka kwa msana.
• Kusamva bwino kapena kutaya kumva m'miyendo ndi/kapena m'mapazi.
• Kufooka kwa minofu .

Chivundikiro cha Khomo la M'chiberekero cha Herniated

Pamene diski pakati pa vertebrae m'khosi ituluka, zizindikiro monga:

• Kupweteka pakhosi, makamaka kumbuyo ndi m'mbali mwa khosi.
• Kusamva bwino kapena kutaya kumva m'manja.
• Ululu pakati kapena kuzungulira mapewa.
• Ululu womwe umatuluka m'mapewa, m'manja, ndipo nthawi zina m'zala.
• Ululu umawonjezeka mukapindika kapena kutembenuza khosi.

Nchifukwa chiyani disc imatuluka motere? (Zifukwa za diski ya herniated)

Monga tanenera kale, diski ili ndi mkati ngati jelly komanso chophimba chakunja cholimba. Pakapita nthawi, kapena pazifukwa zina, chophimba chakunja ichi chikhoza kufooka ndikuphulika. Kenako mkati wofewa umatuluka kudzera mu kuphulikako. Gawo lomwe limatuluka motere ndi lomwe limakankhira mitsempha. Pali zifukwa zingapo zomwe izi zimachitikira:

• Ukalamba : Pamene tikukalamba, ma disc athu amataya chinyezi, amauma, ndipo amataya kusinthasintha. Izi zimapangitsa kuti awonongeke mosavuta.
• Ngozi: Kugwa mwadzidzidzi kapena kugunda mwamphamvu kungawononge diski. Tangoganizani kuti mwadzidzidzi mwanyamula chinthu cholemera ndikupotoza msana wanu. Izi n'zothekanso.
• Kusakhazikika bwino: Ngati mumagwira ntchito mukuwerama nthawi zonse, ngati mukweza zolemera popanda kugwiritsa ntchito msana wanu bwino, kapena ngati mukuzikweza molakwika, zinthuzi zitha kuwononga ma disc ngati zimachitika pafupipafupi.
• Kukweza zolemera molakwika: Anthu ambiri amakweza zolemera popinda msana. Izi si zoona. Muyenera kukweza zolemera popinda mawondo anu ndikusunga msana wanu wowongoka.

Ndani ali pachiwopsezo chachikulu cha izi? (Zinthu Zoopsa za Diski Yotsetsereka)

Anthu ena ali ndi mwayi waukulu wopeza vutoli. Tiyeni tiwone omwe ali:

• Anthu azaka zapakati pa 30 ndi 50: Gulu la zaka limeneli ndilo lomwe lingakhale ndi vutoli kwambiri.
• Amuna: Amuna ali ndi mwayi wowirikiza kawiri wa matendawa poyerekeza ndi akazi.
• Mbiri ya banja : Ngati wina m'banja mwanu wakhala ndi vutoli, inunso muli pachiwopsezo chotenga matendawa.
• Kusuta : Anthu omwe amasuta amakhala ndi magazi ochepa omwe amalowa m'ma disc awo, zomwe zingawafooketse.
• Kukhala pamalo omwewo kwa nthawi yayitali: Izi ndizofunikira kwambiri kwa iwo omwe amagwira ntchito m'maofesi ndipo amakhala nthawi yayitali akuyang'ana kompyuta.
• Kunenepa kwambiri kapena kunenepa kwambiri :Pamene thupi likulemera, msana umapanikizika kwambiri.
• Matenda a shuga : Chiwopsezochi chimakhala chachikulu kwa anthu omwe ali ndi matenda a shuga.
• Anthu omwe ali ndi matenda enaake olumikizana ndi minofu nawonso ali pachiwopsezo.

Kodi dokotala amazindikira bwanji izi? (Kuzindikira Chivundikiro cha Herniated)

Mukapita kwa dokotala, adzakufunsani kaye za zizindikiro zanu. Kenako adzakuyesani thupi. Panthawiyi, adzayang'ana malo omwe mukumva kupweteka, momwe minofu yanu imagwirira ntchito, momwe minofu yanu imamvera, komanso mphamvu ya minofu yanu. Akhozanso kuchita mayeso otchedwa Straight Leg Raise Test . Mayesowa amakukhudzani mukugona pabedi ndikupemphedwa kuti mukweze mwendo umodzi molunjika mmwamba. Ngati mukumva kupweteka pansi pa mwendo wanu mukachita izi, zitha kukhala chizindikiro chakuti muli ndi herniated disc. Kuphatikiza apo, mayeso a mitsempha angachitike. Akhozanso kuchita mayeso ngati awa kuti atsimikizire matendawa:

• Kujambula kwa Magnetic Resonance (MRI).
• X-ray.
• Kujambula kwa CT (Computed Tomography).
• Myelogram.
• Electromyogram (EMG).
• Kuphunzira za kayendedwe ka mitsempha.

Kumbukirani kuti si aliyense amene ayenera kuyesedwa zonsezi. Mayeso omwe mumachita adzadalira zizindikiro zanu komanso zomwe dokotala wanu watsimikiza.

Kodi ndi mankhwala ati a kunyumba omwe angathandize pa ululu wa diski ya herniated?

Nthawi zambiri, ululu womwe umabwera chifukwa cha herniated disc umachepa pang'onopang'ono pakapita nthawi. Mutha kuchita izi kuti muchepetse ululuwo mpaka disc itachira:

• Kupuma: Ngati ululu uli waukulu, pumulani kwa tsiku limodzi kapena atatu. Koma musakhale pabedi kwa nthawi yayitali. Kuchita zimenezi kungapangitse thupi lanu kuuma komanso kupweteka kwambiri mukadzuka.
• Imwani mankhwala ochepetsa ululu: Mutha kumwa mankhwala ochepetsa ululu omwe mumawagula popanda kugula monga ibuprofen kapena acetaminophen, omwe mungawapeze ku pharmacy. Koma ndi bwino kufunsa dokotala wanu.
• Kupopera kotentha kapena kozizira: Pakani botolo la madzi otentha kapena paketi ya ayezi pamalo opweteka. Anthu ena amakonda kutentha, ena amakonda kuzizira. Sankhani zomwe zikukusangalatsani.

Kodi mankhwala a Herniated Disk ndi ati?

Ngati mankhwala ochizira kunyumba awa sachepetsa ululu, dokotala wanu angakupatseni mankhwala ena.

• Mankhwala: Dokotala wanu angakulembereni mankhwala amphamvu ochepetsa ululu, oletsa kutupa, kapena ochepetsa minofu.
• Kuchiza ndi Thupi: Katswiri wa thupi adzakuphunzitsani momwe mungachitire masewera olimbitsa thupi omwe angachepetse kupanikizika kwa mitsempha yanu. Masewera olimbitsa thupi awa adzakuthandizani kupumula minofu yolimba ndikuwonjezera kuyenda kwa magazi.
• Jakisoni wa Msana: Umatchedwanso kuti epidural kapena nerve block, izi zimaphatikizapo kubaya mankhwala a steroid mwachindunji m'dera la msana lomwe limayambitsa ululu. Izi zingathandize kuchepetsa ululu ndi kutupa.

Kodi Opaleshoni Ingafunike Liti?

Chabwino kwambiri n'chakuti anthu asanu ndi anayi mwa khumi akhoza kuchira popanda opaleshoni pogwiritsa ntchito njira zina. Komabe, ngati njira zina zonse sizichepetsa ululu ndipo zimakhala zovuta kuchita zinthu za tsiku ndi tsiku, dokotala wanu angaganizire za opaleshoni. Nthawi zambiri, ngati disc ya herniated ndi yayikulu, imatha kuwononga mitsempha yomwe imalamulira chikhodzodzo kapena matumbo. Pankhaniyi, opaleshoni yadzidzidzi ingakhale yofunikira. Nthawi zina, opaleshoni ndi njira yomaliza. Cholinga chachikulu cha opaleshoni ndikuchepetsa kupsinjika kwa mitsempha imeneyo. Izi zimatchedwa opaleshoni yochepetsa kupsinjika kwa msana. Opaleshoni yofala kwambiri ndi microdiskectomy . Iyi ndi opaleshoni ya msana yomwe imachotsa disc ya herniated kudzera mu kudula pang'ono kwambiri pogwiritsa ntchito maikulosikopu ndi zida zazing'ono. Palinso njira zina zochitira opaleshoni:

• Kuchotsa Diskectomy
• Laminotomy
• Kuchotsa Laminectomy
• Opaleshoni ya disk yopangidwa
• Kusakanikirana kwa msana

Kodi mungapewe bwanji diski ya herniated?

Nthawi zina zimakhala zovuta kupewa izi. Komabe, pali zinthu zomwe tingachite kuti tichepetse chiopsezo:

• Kwezani zolemera moyenera: Musakweze zolemera mwa kuweramitsa msana wanu. Pindani mawondo anu, sungani msana wanu mowongoka, ndipo nyamulani ndi miyendo yanu. Chitani njira zoyenera zokwezera zolemera.
• Sungani kulemera kwabwino: Pamene kulemera kwa thupi kukukwera, kupanikizika kosafunikira kumayikidwa pamsana.
• Khalani ndi kaimidwe kabwino: Yesetsani kusunga msana wanu mowongoka mukamayenda, mutakhala, mukuyimirira, komanso mukugona.
• Kutambasula: Makamaka ngati mumagwira ntchito mutakhala pansi kwa nthawi yayitali, imirirani ndikutambasula thupi lanu osachepera kamodzi pa ola limodzi.
• Pewani kuvala nsapato zazitali: Kuvala nsapato zamtunduwu kungayambitse kusayenda bwino kwa msana.
• Kuchita masewera olimbitsa thupi nthawi zonse: Chitani masewera olimbitsa thupi omwe amalimbitsa minofu ya msana ndi m'mimba. Izi zimathandiza kwambiri msana wanu.
• Pewani kusuta: Kusuta kumafooketsa ma disc ndipo kumawapangitsa kuwonongeka mosavuta. Ngati n'kotheka, siyani kusuta.

Zimatenga nthawi yayitali bwanji kuti munthu achire? (Nthawi Yochira)

Kwa anthu ambiri, ululu uwu umatha mkati mwa mwezi umodzi, kaya wokha kapena ndi chithandizo chosavuta chamankhwala. Apo ayi, pitani kwa dokotala. Anthu ena angafunike chithandizo chowonjezera, mwina jakisoni kapena opaleshoni.

Kodi zidzaipiraipira ngati sizikuthandizidwa?

Inde, vutoli likhoza kuipiraipira ngati silinachiritsidwe. Makamaka ngati mupitiriza kuchita zinthu zomwe zinayambitsa vutoli (monga kunyamula zolemera molakwika). Izi zingayambitse kupweteka kosatha, kulephera kudziletsa kapena kumva m'dera lomwe lakhudzidwalo. Ngati zizindikiro sizikusintha patatha milungu 4-6 ya chithandizo chokhazikika, onetsetsani kuti mwaonana ndi dokotala.

Kodi nthawi yabwino yokaonana ndi dokotala ndi iti? (Nthawi yabwino yokaonana ndi dokotala)

Poyamba, mutha kupeza mpumulo ku ululu kunyumba. Komabe, muyenera kuwona dokotala ngati muli ndi izi:

• Ngati simungathe kuchita ntchito zanu za tsiku ndi tsiku chifukwa cha ululu (monga, ngati n'kovuta kupita kuntchito).
• Ngati zizindikiro sizikuyenda bwino patatha milungu 4-6.
• Ngati zizindikiro zikuipiraipira.
• Ngati muli ndi vuto lomwe simungathe kulamulira mkodzo wanu kapena ndowe zanu. (Izi ndi zadzidzidzi!)
• Ngati mukumva dzanzi, kutaya kumva, kapena kufooka m'manja, miyendo, zikhatho, kapena mapazi.
• Imirirani, ngati n'kovuta kuyenda.

Kodi ndi mafunso otani ofunika kufunsa dokotala wanu? (Mafunso Oyenera Kufunsa Dokotala Wanu)

Mukapita kwa dokotala, musaiwale kufunsa mafunso ngati awa:

• Ndiyenera kupuma nthawi yayitali bwanji?
• Kodi ndiyenera kuyenda mtunda wotani ndipo ndi zinthu zotani zomwe ndiyenera kuchita?
• Ndi mankhwala ati ochepetsa ululu omwe ndiyenera kumwa?
• Kodi compress yotentha kapena ayezi ndi yabwino kwa ine?
• (Ngati mukuganiza zochita opaleshoni) Kodi ndi njira ziti zochitira opaleshoni zomwe ndili nazo?

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Ndizachibadwa kumva mantha komanso nkhawa disc ikatuluka. Komabe, musakhale pabedi. Kuchita zimenezi kungapangitse minofu yanu kuuma ndikupangitsa kuti kudzuka kukhale kowawa kwambiri. Chitani masewera olimbitsa thupi opepuka komanso kutambasula monga momwe dokotala wanu akulangizira. Anthu ambiri amapeza mpumulo mkati mwa milungu ingapo ndi zinthu zosavuta monga mankhwala ochepetsa ululu omwe amaperekedwa kwa dokotala. Komabe, ngati mukumva kupweteka kwambiri, dzanzi, kapena kuvutika kulamulira chikhodzodzo chanu, musanyalanyaze. Pitani kuchipatala nthawi yomweyo. Thanzi lanu ndi lofunika kwambiri kwa inu!