Anthu ambiri m'dziko lathu adakumanapo ndi ululu wa msana nthawi ina m'miyoyo yawo. Ndipotu, anthu asanu ndi atatu mwa khumi adakumanapo ndi izi. Koma nthawi zambiri, ululuwu umatha mkati mwa masiku ochepa, sabata imodzi kapena awiri. Koma ngati ululu wanu wa msana ukupitirira kwa milungu kapena miyezi osachepa, mwina mukudzifunsa kuti, "O, kodi inenso ndiyenera kuchitidwa opaleshoni?" Tiyeni tikambirane za izi lero.
Kodi 'disk' iyi ikugwirizana bwanji ndi kupweteka kwa msana?
Pali zifukwa zambiri zomwe zimayambitsa kupweteka kwa msana. Koma chifukwa chofala kwambiri ndi mavuto a 'ma disc' a rabara pakati pa mafupa athu a msana. Taganizirani ma disc awa ngati 'omwe amayamwa magazi' m'galimoto. Amayamwa kupsinjika kwa msana wathu tikamayenda, kuthamanga, kapena kunyamula zinthu zolemera, kuteteza msana wathu.
Chifukwa chake, disk iyi ikhoza kukhala ndi mavuto ambiri.
Mwachidule, diski iyi ili ndi chipolopolo chakunja cholimba komanso chipolopolo chamkati chofewa ngati jelly. Nthawi zina, ngati pali kung'ambika pang'ono mu chipolopolo chakunja ichi, gawo lofanana ndi jelly lingatuluke ndikukankhira mitsempha yapafupi. Ichi ndi chomwe timachitcha " diski yotsetsereka ." Madokotala amatcha vutoli kuti diski ya herniated .
Ngati diski yomwe imatuluka motere ikakankhira mitsempha yanu ya sciatic, mutha kumva ululu waukulu womwe umayamba kumbuyo kwanu ndikuyenda pansi pa matako anu ndi pansi pa mwendo wanu. Izi ndi zomwe anthu ambiri amatcha 'ululu wa sciatica.'
Kuphatikiza apo, ndi ukalamba, ma disc awa amatha kutha. Timatcha izi kuti "zowonongeka". Kenako sangathenso kupereka chithandizo chabwino ku msana monga kale.
Kodi vuto lililonse la msana limafuna opaleshoni?
Ayi, ayi ndithu! Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kudziwa. Ngakhale disc itakhala ndi herniated, nthawi zambiri imatha kuchiritsidwa popanda opaleshoni.
Ngakhale madokotala a opaleshoni ya mitsempha amanena kuti "pakati pa 80% ndi 85% ya odwala omwe ali ndi herniated disc adzachira popanda opaleshoni pakapita nthawi."
Dokotala wanu nthawi zambiri amayesa kaye chithandizo chosagwiritsa ntchito opaleshoni.
- Mankhwala oletsa kutupa: Mankhwala operekedwa kuti achepetse ululu ndi kutupa.
- Kuchiza Thupi : Maseŵero olimbitsa thupi omwe amalimbitsa minofu yozungulira msana ndikukuphunzitsani momwe mungasamalire bwino msana.
- Jakisoni wa steroid:Jakisoni m'dera lomwe mitsempha yakhudzidwa. Izi zimachepetsa kwambiri ululu ndi kutupa.
- Kupuma ndi kuleza mtima: Ndikofunikira kwambiri kupuma pang'ono ndikupatsa chithandizo nthawi kuti achire.
Ndiye kodi muyenera kuganizira liti za opaleshoni?
Ngati mwakhala mukumwa mankhwala ena (mankhwala, physiotherapy) kwa milungu pafupifupi 6 mpaka 12 ndipo ululu sunathe, ndiye kuti dokotala wanu adzaganiza zochita opaleshoni.
Komabe, nthawi zina opaleshoni ingafunike msanga. Dziwani bwino zizindikiro izi:
- Ngati ululu womwe mukukumana nawo ndi woopsa kwambiri moti simungathe kuupirira .
- Ngati minofu yanu yamsana ndi yofooka kwambiri moti simungathe kuyenda bwino .
- Chofunika kwambiri: Ngati muli ndi vuto lomwe simungathe kulamulira mkodzo wanu kapena ndowe chifukwa diski ikukankhira mitsempha, izi ndi zadzidzidzi. Ngati izi zitachitika , muyenera kupita ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala nthawi yomweyo .
Dokotala wanu adzayitanitsa mayeso monga X-ray, MRI scan, kapena CT scan kuti awone zomwe zikuchitika mkati mwa msana wanu panthawiyi.
Kodi ndi mitundu iti ya opaleshoni yomwe imachitidwa pa ma disc a msana?
Pali njira zingapo zothetsera vuto la disc. Mtundu wa opaleshoni yomwe mudzachite idzadalira kuchuluka kwa kuwonongeka kwa disc yanu. Tiyeni tiwone njira zazikulu.
| Vutolo | Opaleshoni ndi Njira Yake |
|---|---|
| Disiki Yotsetsereka/Yopindika | Opaleshoni ya izi imatchedwa microdiscectomy . Izi zimaphatikizapo kuchotsa chidutswa cha disc chomwe chikukankhira mitsempha. Njira yachikhalidwe: Kudula pang'ono kumapangidwa, pafupifupi inchi imodzi, minofu imakokedwa kumbali imodzi, ndipo gawo la diski lomwe likukanikiza mitsempha limachotsedwa. Chosavulaza kwambiri: Chocheka chaching'ono kwambiri chimapangidwa, ndipo zida zapadera (zowonjezera) zimayikidwa kudzera mu chochekacho popanda kudula minofu, ndipo chidutswa cha disc chimachotsedwa. Njirayi imachira mwachangu. |
| Matenda a Diski Osasinthika & Matenda a Nyamakazi | Pamene tikukalamba, ma disc amachepa ndipo nyamakazi imakula m'malo olumikizirana mafupa a msana, njira za mitsempha ya msana zimachepa. Madokotala amatcha izi kukhala stenosis . Chomwe chimachitika: Opaleshoni imaphatikizapo kuchotsa fupa lowonjezera ndikukulitsa njira ya mitsempha. Nthawi zina, malo olumikizirana amayikidwa pakati pa vertebrae kuti msana ukhazikike, kapena vertebrae zingapo zimagwirizanitsidwa pamodzi. Izi zimatchedwa spinal fusion . |
Mawu onena za kusintha ma disk...
Palinso opaleshoni yomwe imalowa m'malo mwa disc. Komabe, izi sizikudziwika bwino monga kale. Chifukwa chake n'chakuti pakadali mafunso okhudza momwe zimagwirira ntchito, ndipo makampani ena a inshuwalansi salipira ngakhale. Izi nthawi zambiri zimakhala zoyenera pokhapokha ngati vuto la disc likuchitika ali aang'ono (pafupifupi zaka 20-30).
Kodi mungayembekezere chiyani mutachita opaleshoni?
Ngati mwachitidwa opaleshoni ya microdiscectomy, nthawi zambiri mumatha kupita kunyumba tsiku lomwelo. Komabe, ngati mwachitidwa opaleshoni monga spinal fusion, muyenera kukhala m'chipatala kwa tsiku limodzi kapena awiri.
Opaleshoni iliyonse imakhala ndi chiopsezo chochepa, koma nthawi zambiri awa ndi opaleshoni yotetezeka kwambiri. Nthawi zina, pakhoza kukhala kung'ambika pang'ono mu nembanemba yozungulira msana, zomwe zimapangitsa kuti madzi azituluka. Izi zingayambitse mutu. Koma sizowopsa ndipo zimatha kuchiritsidwa mosavuta.
Maopaleshoni amenewa ndi opambana kwambiri. Madokotala amati "98% ya odwala omwe adachitidwa opaleshoni safunikanso kuchitidwa opaleshoni ina pamalo omwewo." Izi zikutanthauza kuti ululu umatha.
Kuchiza thupi ndikofunikira kwambiri pambuyo pa opaleshoni.
Kuchira pambuyo pa opaleshoni ya microdiscectomy kumachitika mwachangu kwambiri. Mutha kuyenda m'masiku ochepa. Komabe, muyenera kupewa kunyamula zinthu zolemera komanso kuchita masewera olimbitsa thupi kwa milungu 4-6 yoyambirira kuti mupewe kuvulalanso.
Madokotala ena amatumiza odwala ku pulogalamu yotchedwa "sukulu yakumbuyo." Amakuphunzitsani momwe mungaweramire, kunyamula zolemera, komanso kuchita masewera olimbitsa thupi kuti mulimbikitse minofu yozungulira msana wanu popanda kuvulaza msana wanu. Chifukwa ngati muchita zomwezo zomwe munkachita musanachite opaleshoni, mumakhala ndi mwayi wovulala msana wanu kachiwiri.
Ngati muli ndi vuto la msana, muyenera kuchita physiotherapy kwa nthawi yayitali. Nthawi zambiri mutha kubwerera ku zochita zanu zachizolowezi mkati mwa miyezi iwiri kapena itatu.
Uthenga Wopita Nawo Kunyumba
- Kupweteka kwa msana n'kofala kwambiri. Anthu 80-85% amatha kuchira popanda opaleshoni, pogwiritsa ntchito zinthu monga mankhwala ndi physiotherapy.
- Choyamba, muyenera kuyesa mankhwala osagwiritsa ntchito opaleshoni kwa miyezi yosachepera 2-3.
- Ngati mukumva kupweteka kosapiririka, kufooka kwa miyendo yanu, kapena makamaka ngati mukuvutika kulamulira mkodzo/ndowe zanu, pitani kwa dokotala nthawi yomweyo.
- Ngati opaleshoni ndi yofunika, opaleshoni monga microdiscectomy kapena spinal fusion ndi yopambana kwambiri.
- Kuti munthu achire bwino atachitidwa opaleshoni, ndikofunikira kutsatira malangizo a dokotala ndikuchita bwino physiotherapy.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment