Nthawi zina sitiganizira n’komwe za izi. Tangoganizani kuyesa kudzuka pampando patsogolo pa TV ndikumva kupweteka kwambiri komwe kumayamba kumbuyo ndikutsika mwendo... Anthu ambiri amaopa panthawiyi, akuganiza kuti, "O, kodi imodzi mwa ma disc anga ikugwa?" Ndipotu, n’zotheka kwambiri. Lero, tiyeni tikambirane za vuto ili lotchedwa ' Herniated Disc ' kapena 'Slipped Disc' lomwe limavutitsa anthu ambiri.
Kodi kudumpha diski kumatanthauza chiyani kwenikweni?
Kuti timvetse izi, choyamba tiyeni tiphunzire pang'ono za kapangidwe ka msana wathu. Msana wathu umapangidwa ndi mafupa ang'onoang'ono 33 omwe amaikidwa pamwamba pa wina ndi mnzake. Timatcha mafupa awa kuti vertebrae . Pakati pa mafupa onsewa pali khushoni yofewa, yofanana ndi jelly. Ndicho chimene timachitcha intervertebral disc, kapena 'disk.'
Ntchito yaikulu ya diski iyi ndi kugwira ntchito ngati 'choletsa kugwedezeka' mwa kunyamula kugwedezeka komwe kumabwera kumsana tikamawerama mosinthasintha, kunyamula zolemera, ndikuyenda.
Disiki iyi ili ndi zigawo ziwiri.
1. Pakati pa thupi (Nucl EUS Pulposus): Ili ndi gawo lofewa, longa jelly mkati.
2. Chivundikiro Chakunja (Annulus Fibrosus): Ichi ndi mphete yakunja yolimba pang'ono, yokhala ndi ulusi wozungulira gawo longa jelly.
Pazifukwa zina, mwachitsanzo, mukanyamula katundu wolemera mwadzidzidzi, mukupindika molakwika, kapena chifukwa cha kusintha kwa ukalamba, chophimba champhamvu ichi chakunja chimang'ambika kapena kusweka, ndipo mkati mwake mumatuluka zinthu ngati jelly. Ndicho chimene timachitcha 'herniated disc.' Zinthu ngati jelly izi zimakankhira chingwe cha msana chapafupi kapena mitsempha yomwe imatulukamo. Pamenepo ndi pamene ululu wosapiririka, dzanzi, ndi zizindikiro zina zimayamba.
Kodi Disk ya Herniated ndi Disk Yotupa ndi chinthu chimodzi?
Anthu ambiri amasokoneza matenda awiriwa. Ngakhale zizindikiro zake ndi zofanana, pali kusiyana kwakukulu pakati pa awiriwa. Mwachidule, diski yotupa ndi pamene chophimba chakunja cha diski siching'ambika, koma chimasintha ndi ukalamba ndipo chimatupa kunja ngati tayala lophwanyika. Mu diski ya herniated , chophimba chakunja chimasweka ndipo jelly mkati mwake imatuluka.
Tiyeni tiwone kusiyana kumeneku patebulo.
| Mbali | Diski Yokhala ndi Herniated | Disiki Yotupa |
|---|---|---|
| Chifukwa | Kawirikawiri zimachitika chifukwa cha ngozi kapena kunyamula katundu wolemera. | Kawirikawiri ndi kuwonongeka pang'onopang'ono komwe kumachitika ndi ukalamba. |
| Kodi chimachitika ndi chiyani pa diski? | Mng'alu kapena dzenje limaonekera m'chikwama chakunja ndipo gawo la jelly limatuluka. | Disiki yokha imatuluka popanda kung'amba chivundikirocho. |
| Zotsatira | Kawirikawiri zimakhudza diski imodzi. | Ma disk angapo amatha kukhudzidwa nthawi imodzi. |
| Zaka zofala kwambiri | Pakati pa zaka 30-50 (zofala kwambiri mwa amuna). | Kawirikawiri zimachitika munthu akakwanitsa zaka 40. |
Kodi zizindikiro zazikulu za izi ndi ziti?
Nthawi zina chimbale chofewa sichingayambitse zizindikiro zilizonse. Komabe, anthu ambiri amakhala ndi zizindikiro. Zizindikirozi zimadalira komwe chimbale chofewa chili (kumbuyo kapena pakhosi) komanso momwe chikukankhira mitsempha.
Zizindikiro zodziwika bwino ndi izi:
- Kusanza kapena kunjenjemera: Kumva kunjenjemera m'dzanja kapena mwendo kumene mitsempha imapindika komanso pamene ikuyenda.
- Ululu woopsa komanso woyaka: Mutha kumva ululu wowombera, monga kugwedezeka ndi magetsi.
- Kufooka kwa minofu : Kufooka kwa minofu kungachitike m'dera lomwe ululu umakhalapo. Mwachitsanzo, kuvutika kukweza mwendo.
- Zizindikiro zake zimakhala mbali imodzi yokha ya thupi: Nthawi zambiri, ululu ndi dzanzi izi zimachitika mbali yakumanja kapena yakumanzere yokha.
Ngati diski yagwera m'munsi mwa msana (Lumbar Spine):
Ululuwu ukhoza kuyambira kumbuyo ndikuyenda m'matako, m'ntchafu, ndi m'matako mpaka kumapazi . Izi zimatchedwanso 'sciatica'.
Ngati diski m'khosi (msana wa pachibelekero) yatsika:
Ululu ukhoza kuyamba pakhosi ndikuyenda pansi pa phewa mpaka ku dzanja ndi zala .
Chofunika kwambiri ndichakuti ululuwu ukhoza kuwonjezeka mukamatsokomola, kuyetsemula, kapena ngakhale mutakhala pansi, chifukwa mitsempha yotsekeka imapanikizika kwambiri panthawiyo.
Pamene mukufunika kupita kwa dokotala mwachangu!
Ngakhale kuti vutoli nthawi zambiri limatha kuthetsedwa kunyumba, pali nthawi zina zomwe zimafunika thandizo lachipatala mwachangu. Timaona izi ngati zizindikiro zodziwika bwino.
Ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi mutavulala, pitani ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi nthawi yomweyo.
- Kufooka kwakukulu m'dzanja kapena mwendo .
- Kukhala ndi malungo kapena matenda .
- Kutaya kumverera mu rectum kapena malo oberekera.
- Kusagwira bwino ntchito kwa chikhodzodzo kapena matumbo. Ili ndi vuto lalikulu kwambiri.
Zizindikiro ngati izi zimasonyeza kuti msana ukuwonongeka kwambiri. Chifukwa chake, ndikofunikira kuonana ndi dokotala popanda kuwononga nthawi .
Kodi dokotala amapeza bwanji izi?
Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikuonana ndi dokotala. Chinthu choyamba chimene angachite ndikukupimitsani thupi mokwanira.
- Ndikukufunsani za ululu.
- Adzakankhira malo opweteka kumbuyo kapena pakhosi panu.
- Mudzalamulidwa kugona pabedi ndipo miyendo kapena manja anu adzasunthika mbali zosiyanasiyana.
- Amayesa mawondo ndi akakolo.
- Imayesa mphamvu ya minofu ya miyendo ndi manja anu.
- Nthawi zina amanena kuti yendani pansi pa mapazi anu ndi pa zidendene zanu.
Nthawi zambiri, vutoli lingathe kuzindikirika ndi kuyezetsa thupi kokha. Komabe, dokotala wanu angakupatseni mayeso ena kuti apeze zifukwa zina zomwe zimayambitsa ululu (monga kusweka kwa mafupa kapena chotupa) kapena kuti adziwe mitsempha yeniyeni yomwe ikumenyedwa.
Mayeso ena
- X-ray: X-ray yabwinobwino siidzawonetsa chimbale cha herniated, koma imatha kuwona mavuto ena pamsana, monga kusweka kwa mafupa.
- Kujambula kwa CT: Izi zingapereke chithunzi chomveka bwino cha msana ndi kapangidwe kozungulira kuposa X-ray.
- Kujambula kwa MRI:Mayeso abwino komanso olondola kwambiri odziwira disc ya herniated ndi MRI. Imatha kuwona bwino komwe kuli disc, kapangidwe kake kamkati, komanso mitsempha yomwe ikukakamizidwa.
- Mayeso a EMG ndi NCS: Mayesowa amagwiritsidwa ntchito kuona ngati pali kuwonongeka kwa mitsempha komanso momwe ilili yolimba. Mu ``Electromyogram (EMG)``, chipangizo chaching'ono chonga singano chimayikidwa mu minofu ndipo ntchito yake yamagetsi imayesedwa. Mu ``Nerve Conduction Studies (NCS)``, chizindikiro chaching'ono chamagetsi chimatumizidwa ku mitsempha ndipo liwiro lomwe imayenda limayesedwa. Izi zitha kudziwa bwino ngati pali kuwonongeka kwa mitsempha.
Kodi izi zidzachira? Ndingachire bwanji mwachangu?
Inde, nkhani yabwino ndi yakuti kwa anthu ambiri, vuto la herniated disc limatha lokha mkati mwa milungu ingapo kapena mwezi umodzi kapena iwiri. Thupi lili ndi mphamvu yodzichiritsa lokha.
Zinthu izi zidzakuthandizani kuchira msanga:
1. Kupuma: Pewani kuchita zinthu zomwe zimawonjezera ululu (kunyamula zinthu zolemera, kuchita zinthu zolimbitsa msana) kotheratu. Komabe, musakhale pabedi tsiku lonse. Zochita zosavuta monga kuyenda pang'ono n'zabwino.
2. Mankhwala: Imwani mankhwala ochepetsa ululu ndi mankhwala oletsa kutupa omwe dokotala wanu wakupatsani monga momwe mwalangizidwira.
3. Ma compress ozizira komanso otentha: Mutha kugwiritsa ntchito ma pack a ayezi kuti muchepetse ululu ndi kutupa kwa masiku awiri oyamba. Pambuyo pake, ndi bwino kugwiritsa ntchito botolo la madzi otentha kuti muchepetse minofu.
4. Physiotherapy: Ndikofunikira kwambiri kuchita masewera olimbitsa thupi kuti mulimbikitse minofu ya msana ndi m'mimba motsogozedwa ndi katswiri wa physiotherapy, monga momwe dokotala wanu walangizira. Izi zingathandizenso kuti vutoli lisabwererenso mtsogolo. Kumbukirani, muyenera kuchita masewera olimbitsa thupi pokhapokha ngati ululu wachepa. Ngati ululu ukuwonjezeka, siyani nthawi yomweyo.
Ngati ululu ukupitirira, dokotala wanu angakupatseni jakisoni wa steroid kapena kukutumizirani ku mankhwala ena. Opaleshoni imaganiziridwa kokha pazochitika zovuta kwambiri komanso ngati palibe mankhwala ena omwe athandiza.
Uthenga Wopita Nawo Kunyumba
- 'Herniated disk' ndi pamene chophimba chakunja cha spinal disc chimang'ambika, zomwe zimapangitsa kuti zinthu zonga jelly mkati mwake zituluke ndikukankhira mitsempha.
- Zizindikiro zazikulu ndi kupweteka kwambiri, dzanzi, ndi kufooka kwa minofu kumbuyo, khosi, mkono, kapena mwendo.
- Matenda ambiri amatha mkati mwa milungu ingapo kapena miyezi ingapo ndi kupuma, mankhwala, ndi chithandizo cha thupi.
- Chofunika: Ngati mukukumana ndi zizindikiro monga kusadziletsa, kutaya kumverera m'malo oberekera, ndi zina zotero, ndi zadzidzidzi. Pitani ku Dipatimenti Yodzidzimutsa ya Chipatala (ETU) nthawi yomweyo.
- Nthawi zonse funsani dokotala wanu kuti akupatseni chithandizo choyenera komanso njira yolondola yochizira matenda. Pewani kupanga zisankho mongoganizira chabe.











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