Ese hari igihe ujya ugira ububabare buhoraho bw'umugongo cyangwa ijosi, bujyana no kugira ibinya cyangwa gucika intege mu maguru yawe? Mu bihe nk'ibyo, ushobora kwibaza uti “Ni iki kirimo kumbaho?” Ibi bimenyetso bikunze guterwa n'indwara turimo kuganiraho uyu munsi: ‘herniated disque’ (Herniated Disk), izwi kandi nka ‘slipped disque’ (Slipped Disk). Reka turebere hamwe iyi ndwara mu by'ukuri, impamvu ibaho, uburyo bwo kuyirinda, n'igihe ugomba gushaka inama z'abaganga b'inzobere.
Disiki ya Herniated ni iki?
Mu magambo make, umugongo wawe ugizwe n'uruhererekane rw'amagufwa mato, afatanye hejuru y'andi, twita vertebrae `(vertebrae)`. Hagati y'aya magufwa, hari umusego woroshye, umeze nk'urushundura ukora nk'umusego usanzwe. Ibi nibyo twita disiki `(disiki)`. Kimwe n'uko ibyuma bigabanya impanuka by'imodoka bigabanya ingaruka mbi, izi disiki zirinda umugongo wawe iyo ugonze, uterura, ugenda, cyangwa wiruka, bikingira urwego rwose rw'umugongo wawe.
Tekereza ku gice cy'umugongo wawe nk'agace gato kuzuyemo jeli. Gifite impeta ikomeye kandi ifite uturemangingo irinda hagati yoroshye, isa n'ijeli. Uko igihe kigenda gihita, bitewe no kwangirika bisanzwe, imiterere mibi, cyangwa imvune itunguranye, iki gishishwa cy'inyuma gikomeye gishobora gucika intege cyangwa gucika. Iyo ibi bibaye, jeli yoroshye imbere irasohoka. Ibi ni byo twita disiki ya herniated `(Herniated Disk)`, disiki ibyimbye `(Bulging Disk)`, cyangwa disiki yacitse `(Ruptured Disk)`.
Iyo iyi jeli y'imbere isohotse, ishobora gukandagira ku mugongo uri hafi aho `(umugongo)` cyangwa imitsi y'umugongo `(imitsi y'umugongo)` iwukuramo. Uku gukanda imitsi ni byo bitera ububabare, ibinya, gucika intege, cyangwa intege nke mu maboko cyangwa amaguru yawe.
Nubwo gucika kw'imitsi bishobora kugaragara ahantu hose ku ruti rw'umugongo wawe, akenshi biba mu mugongo wo hasi (uzwi nka `(uruti rw'umugongo rwo ku ruti rw'umugongo)`) no mu ijosi (`(uruti rw'umugongo rwo ku ruti ...
Hari inkuru nziza: abantu benshi bakira disiki ya herniated bakoresheje uburyo bwo kuvura busanzwe kandi butarimo kubagwa. Ariko, niba ibimenyetso byawe bikomeje mu byumweru birenga bike, ni ngombwa kugisha inama umuganga w’inzobere mu by’ubuzima.
Ni ibihe bimenyetso bisanzwe?
Ibimenyetso bya disiki ya herniated biratandukanye cyane bitewe n'aho disiki iherereye ndetse niba iri gukanda imitsi.
Niba disiki ya Herniated iri mu mugongo wawe wo hasi (Lumbar Spine)
Disiki yo mu mugongo wo hasi itera sciatica '(sciatica)' . Ubu bubabare bukabije, butangira mu matako yawe bukamanuka ukuguru kumwe, rimwe na rimwe bukagera ku kirenge cyawe. Bushobora kumva nk'aho umuntu akubiswe n'amashanyarazi cyangwa agakubitwa nk'urushinge. Ibindi bimenyetso birimo:
- Kubabara umugongo wo hasi.
- Kubabara, gucika intege, cyangwa kubura ibyiyumvo mu maguru yawe cyangwa ibirenge.
- Intege nke z'imitsi ku kuguru kwafashwe.
Niba Disiki ya Herniated iri mu ijosi ryawe (umugongo w'inkondo y'umura)
Iyo disiki iguteye ibara ry'umukara mu ijosi, ushobora kugira ibimenyetso bikurikira:
- Kubabara mu ijosi, cyane cyane inyuma no ku mpande z'ijosi.
- Kubabara, gucika intege, cyangwa kubura ibyiyumvo mu maboko cyangwa mu biganza byawe.
- Ububabare hafi cyangwa hagati y'amaboko y'urutugu rwawe.
- Ububabare bugera ku rutugu rwawe, ku kuboko, ndetse rimwe na rimwe bukagera no ku ntoki zawe.
- Ububabare bwiyongera iyo uhindukiza cyangwa ugonda ijosi.
Ni iki gitera Disiki kugira Herniate?
Nkuko byavuzwe mbere, uruti rw'umugongo wawe rufite igikonoshwa gikomeye cyo hanze n'igice cyo hagati cyoroshye kimeze nk'umusemburo. Uko igihe kigenda gihita, cyangwa bitewe no gukururwa gutunguranye, iki gikonoshwa cyo hanze gishobora gucika intege cyangwa gucika, bigatuma igice cyo hagati cyoroshye gisohoka kandi kigakanda imitsi yawe. Hari ibintu byinshi bigira uruhare muri iki kibazo:
- Gusaza karemano:Uko tugenda dukura, utubuto tw’umugongo wacu dutakaza amazi buhoro buhoro, bigatuma twumuka, tudahinduka cyane, kandi turushaho gucika.
- Impanuka cyangwa Ihungabana Ritunguranye: Gugwa, gukubitwa bitunguranye, cyangwa guterura ikintu kiremereye mu buryo butunguranye bishobora guhita bigutera umutwaro mwinshi ku mugongo, bigatuma disiki icika.
- Imiterere mibi no Gusubiramo Imitsi: Guhora ugongamye, uzunguruka, cyangwa uhumye igihe kirekire bishobora gushyira umugongo wawe ku gitutu kidahagije, bigatuma disiki yawe igabanuka uko igihe kigenda gihita.
- Uburyo Butari bwo bwo Guterura : Abantu benshi bapfukama bava mu kibuno kugira ngo baterure ibintu biremereye. Ahubwo, ugomba guhora upfukamye amavi yawe kandi ugashyira umugongo wawe ugororotse kugira ngo amaguru yawe abe ari yo aterura ibintu biremereye.
Ni nde uri mu kaga gakomeye ko guterwa na disiki yangiritse?
Amahitamo amwe n'amwe y'imibereho hamwe n'ibintu by'ibinyabuzima bishobora kongera ibyago byo kurwara disiki ya herniated:
- Abantu bari hagati y'imyaka 30 na 50: Iki kigero cy'imyaka kiba gifite igipimo kinini cy'indwara ya herniated diss bitewe no kwangirika kwa diss mu gihe gito hamwe n'imibereho isanzwe.
- Igitsina: Abagabo bafite amahirwe hafi kabiri yo kurwara disiki ya herniated ugereranyije n'abagore.
- Amateka y'umuryango : Genetics igira uruhare; niba umuvandimwe wawe wa hafi yari afite disiki ya herniated, ushobora kuba ufite imiterere yayo.
- Kunywa itabi : Nikotine igabanya urujya n'uruza rw'amaraso mu ruti rw'umugongo, bigatuma amasasu yumuka kandi agashira vuba.
- Ubuzima bwo kuruhuka: Kumara igihe kirekire wicaye, cyane cyane iyo ufite imyanya mibi mu kazi ko mu biro, bitera umuhangayiko mwinshi ku mugongo wawe wo hasi.
- Umubyibuho ukabije cyangwa kwiyongera ibiro : Kwitwara ibiro byinshi bitera umutwaro n'igitutu ku mitsi yo hasi y'umugongo wawe.
- Diyabete `( Diabete Mellitus)`: Abantu barwaye diyabete bafite ibyago byinshi byo kurwara ibibazo by'umugongo bitewe n'impinduka mu mikorere y'umubiri.
- Indwara zimwe na zimwe z’ingingo zihuza `(indwara y’ingingo zihuza ``)` zishobora gutuma imiterere y’ingingo yawe igabanuka.
Ni gute Abaganga Basuzuma Disiki ya Herniated?
Iyo ugiye kwa muganga, bazatangira bagukurikiranye bagukurikiranye amateka y’ubuzima bwawe, bakakubwira ibimenyetso byawe. Hanyuma, bazagusuzuma neza. Ibi bikubiyemo kugenzura imbaraga z’imitsi yawe, imbaraga z’imitsi, urwego rw’imikorere y’umubiri wawe, n’uko wumva umeze neza nko gukorakoraho gato cyangwa gukubitwa.
Bashobora kandi gukora ikizamini cyo kuzamura amaguru agororotse . Muri iki kizamini, uzaryama wubitse umugongo, maze muganga wawe azamura ukuguru kwawe witonze. Niba wumva ububabare bumanuka munsi y'ivi mu gihe cyo kugenda, ni ikimenyetso gikomeye cy'uko disiki ya herniated ikandagira ku mitsi.
Uretse isuzuma ryimbitse ry’imitsi (isuzuma ry’imitsi)`, muganga wawe ashobora gutegeka ko hakorwa ibizamini byo gusuzuma indwara kugira ngo amenye neza ikibazo. Ibi bishobora kuba birimo:
- Isuzuma rya Magnetic Resonance `(Isuzuma rya Magnetic Resonance – MRI)`.
- Imirasire ya X (X-rays)` kugira ngo hatabaho izindi mpamvu zishobora gutera ububabare bw'umugongo, nko kuvunika amagufwa.
- Isuzuma rya Tomografia ya Komputa `(Tomografia ya Komputa – CT)`.
- Myelogram `(Myelogram)`.
- Electromyogram `(Electromyogram – EMG)`.
- Inyigo y'uburyo imitsi ikora `(Inyigo y'uburyo imitsi ikora)`.
Wibuke ko atari buri wese ukeneye ibi bipimo byose. Muganga wawe azagena uburyo bwo gusuzuma bukwiriye kuri wewe hashingiwe ku bimenyetso byawe byihariye n'ibisubizo by'ibizamini by'umubiri.
Uburyo bwiza bwo kuvura ububabare bwo mu rugo bwa Herniated Disc
Kenshi na kenshi, ububabare bukabije buturuka kuri disiki ya herniated buzagenda bushira buhoro buhoro uko igihe kigenda gihita. Mu gihe umubiri wawe ukize, ushobora kwihanganira ububabare ukoresheje izi ngamba zoroshye zo mu rugo:
- Hindura ibikorwa byawe: Niba ububabare bukabije, ruhuka umunsi umwe cyangwa itatu. Ariko, irinde kuryama igihe kirekire mu buriri. Kumara igihe kirekire udakora bishobora gutuma imitsi yawe ikomera kandi ububabare bukongera iyo ugerageje kwimuka.
- Koresha imiti igabanya ububabare idakoreshejwe na muganga: Imiti idatangwa na muganga nka ibuprofen `(ibuprofen)` cyangwa acetaminophen `(acetaminophen)` ishobora gufasha kugabanya ububabare no kugabanya ububabare. Ni byiza kugisha inama muganga mbere yo gutangira imiti iyo ari yo yose.
- Koresha uburyo bwo kuvura bushyushye cyangwa bukonje: Koresha agapaki k'urubura kugira ngo ugabanye ububabare bukabije kandi ugabanye ububyimbirwe, cyangwa ushyireho agakoresho gashyushya kugira ngo worohereze imitsi ifata imitsi cyane kandi ikunze kubabara. Hitamo uburyo ubwo aribwo bwose buguha ihumure ryinshi.
Ubuvuzi bw'umwuga
Niba imiti yo mu rugo idahagije, muganga wawe ashobora kukugira inama yo kuvura indwara zihariye:
- Imiti yanditswe na muganga: Muganga wawe ashobora kuguha imiti igabanya ububabare ikomeye, imiti idakoresha steroide igabanya ububabare `(irwanya ububabare)`, cyangwa imiti igabanya ububabare `(igabanya ububabare)` kugira ngo igabanye ububabare bukomeye.
- Ubuvuzi bw'umubiri: Umuvuzi w'umubiri w'inzobere (umuvuzi w'umubiri) ashobora gutegura gahunda yihariye yo gukora imyitozo ngororamubiri kugira ngo aruhure imitsi yawe, akomeze umutima wawe, yongere ubushobozi bwo koroherwa no gutembera neza kw'amaraso kugira ngo yihutishe gukira.
- Inshinge zo mu Mugongo: Zikunze kwitwa inshinge za epidural steroid `(epidural)` cyangwa imitsi `(imitsi ifunganye)`, izi zikubiyemo gutera umuti wa corticosteroid `(steroid)` mu mwanya ukikije imitsi yo mu ruti rw'umugongo wawe kugira ngo ugabanye ububabare n'ububyimbirwe bikomeye.
Ni ryari kubagwa bigirwa inama?
Ukuri guhumuriza ni uko abantu bagera ku icyenda kuri icumi bakira disiki ya herniated batabanje kubagwa. Ariko, niba uburyo bwo kwirinda indwara zandura budatanga ubutabazi nyuma y'ibyumweru byinshi, kandi ububabare bukabangamira cyane imirimo yawe ya buri munsi, kubagwa (kubagwa) bishobora kwitabwaho.
Mu bihe bidasanzwe kandi byihutirwa, disiki nini ya herniated ishobora gukanda imitsi igenzura uruhago rwawe cyangwa amara. Iyo ubuze uburyo bwo kugenzura uruhago cyangwa amara, iki ni ikibazo cyihutirwa cy’ubuvuzi gisaba ko urubagwa vuba kugira ngo hirindwe kwangirika burundu. Bitabaye ibyo, kubagwa mu buryo bwo guhitamo ubusanzwe ni uburyo bwa nyuma bwo kugabanya umuvuduko w’imitsi udashira, inzira izwi nka "spinal decompression surgery" (kubaga mu mugongo)).
Uburyo bwo kubaga bukunze gukoreshwa cyane ni uguca uruti rw'umugongo (microdiskectomy) . Ubu ni uburyo bwo kubaga uruti rw'umugongo (minimally invasive medical spine surgery) aho umuganga ubaga agabanya gato agakoresha mikorosikopi kugira ngo akureho gusa igice cy'urutirigongo kirimo gikanda ku mitsi.
Andi mahitamo yo kubaga arimo:
- Gukuraho Discoctoire `(Discectomy)`
- Laminotomie `(Laminotomie)`
- Kubaga Laminectomy `(Kubaga Laminectomy)`
- Gusimbuza Disiki y'Ubukorano `(Kubagwa kwa Disiki y'Ubukorano)`
- Guhuza Uruti rw'Umugongo `(Guhuza Uruti rw'Umugongo)`
Ni gute wakwirinda Disiki ya Herniated?
Nubwo hari impamvu zimwe na zimwe (nk'imiterere y'uturemangingo cyangwa gusaza karemano) zidashoboka kwirindwa, ushobora kugabanya cyane ibyago byawe ufata ingamba zo kwirinda:
- Itoze guterura mu buryo bwizewe: Ntukigere unama uhereye mu rukenyerero kugira ngo uterure ibintu. Ahubwo, komera amavi yawe, ukomeze umugongo wawe ugororotse, kandi ushyire imbaraga ku guterura ukoresheje imitsi ikomeye y'amaguru yawe.
- Komeza kugira ibiro byiza:Uburemere bwinshi bw'umubiri bwongera imbaraga mu miterere y'umugongo wawe wo hasi, bikongera umuvuduko ku ma disiki yawe.
- Komeza Ugire Igihagararo Gikwiye: Ibande ku kugumisha umugongo wawe ugororotse, waba wicaye, uhagaze, ugenda cyangwa usinziriye.
- Fata ikiruhuko cyo kunanura imitsi: Niba ukora akazi ko ku meza, haguruka, uzenguruke, kandi urambure umubiri wawe nibura rimwe mu isaha.
- Irinde inkweto ndende: Kwambara inkweto ndende bihindura aho imbaraga z'umugongo wawe zigarukira, bishobora gutuma umugongo wawe uhora ugororotse.
- Imyitozo ngororamubiri buri gihe: Ibande ku gukomeza imitsi yo mu nda n'umugongo. Imitsi ikomeye yo mu nda n'umugongo itanga ubufasha bwiza ku mugongo wawe.
- Reka kunywa itabi: Kubera ko kunywa itabi bibuza amaraso gutembera neza mu ruti rw'umugongo, kureka itabi ni kimwe mu bintu byiza ushobora gukora kugira ngo ubirinde.
Gukira bifata igihe kingana iki?
Ku bantu benshi, ububabare bukomeye buzagenda neza mu kwezi kumwe hakoreshejwe uburyo bwo kwirinda indwara, bwo mu rugo cyangwa ubuvuzi bw'ibanze. Niba utabonye impinduka muri iki gihe, hamagara muganga wawe. Hari abantu bashobora gukenera uburyo buhanitse bwo kuvurwa, guterwa inshinge zihariye zo mu ruti rw'umugongo, cyangwa kubagwa kugira ngo bakire neza.
Ese indwara izarushaho kuba mbi nidavurwa?
Yego, kwirengagiza ibimenyetso cyangwa gukomeza ingeso zateye imvune (nk'uburyo bwo guterura nabi) bishobora gutuma iyo ndwara irushaho gukomera. Ibi bishobora gutera ububabare budakira '(ububabare budakira)' cyangwa kwangirika kw'imitsi burundu, bigatera kubura ibyiyumvo no kugenzura urugingo rwangiritse. Niba ibimenyetso byawe bidatangiye kumera neza nyuma y'ibyumweru 4 kugeza kuri 6 by'ubuvuzi busanzwe, ni ngombwa gushaka isuzuma rya muganga.
Ni ryari ugomba kwihutira kwivuza?
Nubwo akenshi ushobora kwihanganira ububabare buke uri mu rugo, nyamuneka hamagara muganga ako kanya niba uhuye na kimwe muri ibi bikurikira:
- Ububabare burakabije cyane ku buryo butuma udakora imirimo ya buri munsi cyangwa ngo ujye ku kazi.
- Ibimenyetso byawe ntibiba bikiri byiza nyuma y'ibyumweru 4 kugeza kuri 6.
- Ibimenyetso byawe bigenda birushaho kwiyongera.
- Uhura n'ikibazo gitunguranye cyo kubura uburyo bwo kugenzura amara cyangwa uruhago. (Iki ni ikibazo cyihutirwa cy'ubuvuzi!)
- Ugenda ugira ibinya, intege nke, cyangwa ubura ibyiyumvo mu maboko yawe, amaguru, amaboko, cyangwa ibirenge.
- Ufite ingorane zikomeye zo guhagarara cyangwa kugenda.
Ibibazo by'ingenzi ugomba kubaza muganga wawe
Iyo ugiye kwa muganga wawe, ntutindiganye kubaza ibi bibazo by'ingenzi kugira ngo usobanukirwe neza gahunda yawe yo kwita ku barwayi:
- Nkwiye guhindura ibikorwa byanjye cyangwa kuruhuka igihe kingana iki?
- Ese hari imyitozo ngororamubiri cyangwa imyitozo ngororamubiri runaka ngomba kwirinda?
- Ni iyihe miti igabanya ububabare yizewe kandi ikora neza ku ndwara yanjye?
- Ese nkwiye gukoresha uburyo bwo kuvura urubura cyangwa uburyo bwo kuvura ubushyuhe ku bubabare bwanjye?
- (Niba kubagwa birimo kuganirwaho) Ni izihe ngaruka n'inyungu zo kubagwa kwanjye?
Ubutumwa bwacu bwo kujyana mu rugo kuri wewe
Ni ibisanzwe kumva uhangayitse kandi utinya kwimuka iyo urimo kuvura disiki ifite urubavu. Ariko, irinde kuguma mu buriri bwawe. Kudakora cyane bizakomera imitsi yawe kandi bikongere ububabare iyo ugerageje guhaguruka. Ahubwo, kora ibikorwa byoroshye nk'uko bigenzurwa n'umuganga wawe. Ku bantu benshi, gukoresha imiti igabanya ububabare itangwa na muganga n'imyitozo yoroshye bizaguha ihumure rikomeye mu byumweru bike. Ibyo bivuzwe, ntuzigere wirengagiza ububabare bukomeye, ibinya bihoraho, cyangwa impinduka mu mikorere y'amara/igisebe. Shaka ubuvuzi bwihuse niba ibi bimenyetso bikubuza kumererwa neza. Ubuzima bw'umugongo wawe burakwiye kurindwa!
