Kodi kupweteka kwa msana wanu kumabwera chifukwa cha ukalamba? Tiyeni tikambirane za matenda a Degenerative Disk!

Kodi mumamvanso kuuma komanso kuuma mukadzuka pabedi m'mawa? Kodi mumamva kupweteka kumbuyo mukadzuka mutakhala pansi kwakanthawi? Kapena zimakhala zovuta kutembenuza khosi lanu kapena kuyenda? Ambiri aife timaganiza kuti mtundu uwu wa ululu ndi chinthu chachibadwa chomwe chimachitika tikamakalamba. Ndipotu, ndi zoona kuti matupi athu amasintha ndi ukalamba. Koma lero tikambirana za chifukwa chachipatala chomwe chingayambitse ululuwu. Ndicho kuwonongeka kwa ma disc a intervertebral , kapena `Degenerative Disk Disease` .

Kodi matenda a Degenerative Disk ndi chiyani kwenikweni?

Ngakhale dzinalo limati "matenda," kwenikweni si matenda. Mwachidule, ndi vuto lomwe limachitika pamene ma disc pakati pa vertebrae mu msana wanu amawonongeka mukakalamba. Ganizirani za msana wanu ngati gulu la mafupa ang'onoang'ono (vertebrae) omwe ali pamwamba pa wina ndi mnzake. Kuti mafupawa asakhudzene, pali thaulo pakati pake. Timatcha ma disc awa ma spinal discs .

Ma diski amenewa ali ngati 'zotengera kugwedezeka' m'galimoto. Amayamwa kupsinjika kwa msana wathu tikamathamanga, kulumpha, kupindika, kapena kunyamula zolemera, ndipo amateteza msana wathu. Pamene tikukalamba, n'zachibadwa kuti ma diski amenewa azitha kutha ndi kuuma. Izi zimachitika kwa aliyense pamlingo winawake.

Vuto limayamba pamene pilo iyi yatha. Kenako mafupa a msana amayamba kukandana. Izi ndi zomwe zimayambitsa ululu. Sikuti zokhazo, komanso vutoli lingayambitse mavuto ena.

Ndi gawo liti la msana lomwe limakhudzidwa kwambiri ndi vutoli?

Vutoli limakhudza kwambiri magawo awiri a msana: msana wathu wapansi ndi khosi lathu.

• Matenda a Lumbar Degenerative Disk: Mitsempha isanu ya msana (L1 mpaka L5) ndi yomwe imalemera kwambiri m'thupi. Chifukwa chake, chiopsezo cha ma disc m'derali ndi chachikulu. Ndipotu, 90% ya vutoli imanenedwa m'munsi mwa msana. Ichi chikhoza kukhala chifukwa chomwe mukumva kupweteka kwa msana komwe kumatuluka m'miyendo yanu.
• Matenda a Chiberekero Chosagwira Ntchito: Matendawa amapezeka pamene ma disc pakati pa mafupa asanu ndi awiri a msana m'khosi mwathu akutha. Ululu ukasintha khosi mmwamba, pansi, komanso m'mbali, komanso dzanzi m'manja, zimachitika pamene ma disc m'derali akutha.
• Matenda a Multilevel Degenerative Disk: Nthawi zina, ma disk angapo, kutanthauza ma disc omwe ali m'khosi ndi m'munsi mwa msana, amatha kufooka nthawi imodzi. Kenako timatcha vuto la `Multilevel`.

Kodi zizindikiro za vutoli ndi ziti?

Zizindikiro zazikulu komanso zodziwika bwino ndi kupweteka kwa msana ndi kupweteka kwa khosi . Ululu uwu ukhoza kumvedwa mosiyanasiyana ndi munthu aliyense.

• Ululu ukhoza kubwera ndi kutha . Ukhoza kukhala kwa milungu kapena miyezi, kenako n’kutha.
• Ululu ukhoza kuonekera kuyambira pansi pa msana mpaka m'matako ndi miyendo .
• Ululu umawonjezeka mukakhala pansi, mukamawerama patsogolo, kapena mukamanyamula chinthu cholemera .
• Kwa anthu ena, ululu umachepa akamayenda kapena kuyimirira.

Kodi ululu uwu umamveka bwanji?

N’chifukwa chiyani ma disc amenewa amavala? Kodi zifukwa zake ndi ziti?

Monga tanenera kale, chifukwa chachikulu ndi ukalamba . Koma tiyeni tiwone zomwe zimachitika ku ma disc awa akamakalamba.

1. Kuuma kwa ma disc: Gawo lapakati la ma disc athu a msana lili ngati jelly. Nthawi zambiri ndi madzi. Pamene tikukalamba, kuchuluka kwa madzi mu jelly iyi kumachepa mwachibadwa. Monga momwe siponji imachepera ikauma, ma disc awa nawonso amachepa ndikuchepa. Kenako mphamvu yawo yogwira ntchito ngati 'shock absorber' imachepa.

2. Kung'ambika kapena kusweka kwa ma disc:Ngozi zazing'ono, kaimidwe koipa, ndi kunyamula zinthu zolemera m'moyo watsiku ndi tsiku zingayambitse misozi yaying'ono kunja kwa ma disc awa. Misozi imeneyi nthawi zambiri imakhala pafupi ndi mitsempha. Ichi ndichifukwa chake ngakhale misozi yaying'ono ingayambitse ululu. Nthawi zina, ngati misoziyi ikukula ndipo khoma lakunja la disc liphulika, jelly yomwe ili mkati imatha kutuluka ndikukankhira mitsempha. Timatcha iyi kuti 'Herniated disc'.

Zinthu zomwe zimawonjezera chiopsezo cha vutoli

Ngakhale kuti ukalamba ndiye chifukwa chachikulu, zinthu zina zimatha kufulumizitsa kuwonongeka kwa ma disc awa ndikuwonjezera chiopsezo cha kupweteka.

• Ngozi: Ngozi monga kugwa zimatha kuwononga ma disc.
• Kunenepa Kwambiri: Pamene kulemera kwa thupi kukukwera, kupanikizika kwa msana kumawonjezeka, zomwe zingapangitse kuti ma disc azitha kutha msanga.
• Jenda: Akazi ndi omwe ali ndi mwayi waukulu wokumana ndi zizindikirozi kuposa amuna.
• Kusuta: Kusuta kumachepetsa magazi omwe amalowa m'ma disc, zomwe zimapangitsa kuti ziume komanso ziwonongeke mwachangu.
• Ntchito zolimbitsa thupi: Anthu omwe amagwira ntchito zomwe zimafuna kunyamula zinthu zolemera nthawi zambiri kapena kupsinjika msana amakhala pachiwopsezo chachikulu.

Kodi dokotala amazindikira bwanji vutoli?

Mukapita kwa dokotala chifukwa cha ululu wa msana, iye adzakufunsani kaye za zizindikiro zanu. Mwachitsanzo:

• Kodi ululu unayamba liti?
• Kodi mukumva ululu kuti?
• Ndi zinthu ziti zomwe zimapangitsa kuti ululuwo ukhale woipa kwambiri?
• Kodi n’chiyani chimathandiza kuchepetsa ululu?
• Kodi panali ngozi iliyonse ululu usanayambe?
• Kodi pali zizindikiro zina, monga dzanzi kapena kufooka kwa miyendo, pamodzi ndi ululu?
• Kodi mungayende mtunda wotani kamodzi kokha?

Kenako, dokotala adzakuyang'anirani. Panthawiyi, ntchito ya mitsempha yanu (monga kugogoda bondo lanu ndi nyundo yosinthika), malo opweteka (pokanikiza mbali zina za msana wanu), ndi mphamvu ya minofu zingayesedwe.

Kodi mankhwala ochizira izi ndi otani?

Anthu ambiri amaganiza kuti ngati ali ndi ululu wa msana, adzafunika opaleshoni. Koma si zoona. Anthu ambiri amatha kupeza mpumulo ndi mankhwala osagwiritsa ntchito opaleshoni. Dokotala amayesa kaye kuwatumiza ku mankhwala otere.

Mankhwala Osagwiritsa Ntchito Opaleshoni

• Kuchiza ndi Thupi: Uwu ndi chithandizo chofunikira kwambiri. Maseŵera olimbitsa thupi omwe amalimbitsa minofu ya msana ndi m'mimba, komanso masewera olimbitsa thupi otambasula motsogozedwa ndi katswiri wodziwa bwino ntchito ya thupi, angathandize kuchepetsa ululu kwambiri.
• Mankhwala: Dokotala angakupatseni mankhwala ochepetsa ululu ndi oletsa kutupa monga NSAIDs, paracetamol, mankhwala opweteka a mitsempha, kapena ma steroids.
• Jakisoni wa steroid: Ngati ululu uli waukulu, jakisoni wa steroid mu mitsempha ya msana, ma disc, kapena malo olumikizirana mafupa angachepetse kutupa ndi ululu.
• Radiofrequency Neurotomy: Izi zimaphatikizapo kugwiritsa ntchito mafunde amagetsi kuti athetse mitsempha yomwe imanyamula ululu kupita ku ubongo. Izi zimathandizanso kuchepetsa ululu.

Zinthu zomwe mungachite kunyumba

• Maseŵero Olimbitsa Thupi: Mukhoza kulimbitsa minofu yanu ya msana pochita masewera olimbitsa thupi osakhudza kwambiri thupi, monga kusambira ndi kuyenda.
• Chithandizo chotentha ndi chozizira: Kupaka botolo la madzi otentha kapena paketi ya ayezi kwa mphindi 10-15 kungathandize kuchepetsa ululu ndi kutupa. Muthanso kusintha ziwirizi.
• Kutambasula: Kuchita masewera olimbitsa thupi pang'onopang'ono monga yoga tsiku lonse kungathandize kukonza kaimidwe ka thupi ndikuchepetsa kuuma.

Opaleshoni

Dokotala angalimbikitse opaleshoni pokhapokha ngati chithandizo chosagwiritsa ntchito opaleshoni sichikupereka mpumulo uliwonse, ngati ululu ukupitirira, komanso ngati pali zizindikiro monga dzanzi m'miyendo.

Pali mitundu ingapo yayikulu ya opaleshoni. Izi zikuphatikizapo `Diskectomy` (kuchotsa gawo la diski), `Laminectomy` (kuchotsa gawo la vertebra kuti mitsempha ilowe), ndi `Spinal fusion` (kulumikiza vertebrae ziwiri kapena zingapo pamodzi kuti zikhazikike). Dokotala wanu adzasankha opaleshoni yomwe ili yoyenera kwa inu.

Kodi vutoli lingalephereke kuti lisaipireipire?

Inde, mungathedi. Kusintha pang'ono moyo wanu kungachepetse kuwonongeka kwa ma disc awa ndikuthandizira kuchepetsa ululu.

• Khalani ndi kulemera koyenera thupi lanu.
• Ngati mukusuta, siyani lero.
• Kuchita masewera olimbitsa thupi nthawi zonse, makamaka masewera olimbitsa thupi omwe amalimbitsa minofu ya msana ndi m'mimba.
• Khalani ndi kaimidwe koyenera. Khalani wowongoka msana wanu mukakhala pansi, mutaimirira, komanso mukamanyamula zolemera.
• Samalani mukanyamula zolemera. Kwezani zolemera ndi mawondo anu opindika ndipo msana wanu wowongoka.
• Musamakhale pamalo omwewo kwa nthawi yayitali. Ngati mumagwira ntchito muofesi, imirirani ndikuyenda pafupifupi theka la ola lililonse.

Ululu wammbuyo, ululu wa khosi, vertebrae, matenda a disk osachiritsika sinhala, ululu wammbuyo sinhala, spinal disk