Ingabe ngezinye izikhathi uzwa ubuhlungu obuqhubekayo emhlane noma entanyeni, obuhambisana nokungezwani noma ukuqaqamba kwezitho zakho? Ngezikhathi ezinjalo, ungase uzibuze ngokwemvelo ukuthi, “Kwenzekani kimi?” Lezi zimpawu zivame ukubangelwa yisimo esixoxa ngaso namuhla: ‘i-herniated disc’ (i-Herniated Disk), evame ukubizwa ngokuthi ‘i-slipped disc’ (i-Slipped Disk). Ake sibheke ukuthi lesi simo siyini ngempela, kungani senzeka, ukuthi singasivimbela kanjani, nokuthi kufanele ufune nini iseluleko sochwepheshe bezokwelapha.
Iyini i-Herniated Disc?
Kalula nje, umgogodla wakho wakhiwe uchungechunge lwamathambo amancane, abekwe phezu komunye nomunye, esiwabiza ngokuthi ama-vertebrae `(vertebrae)`. Phakathi kwala ma-vertebrae, kukhona umcamelo othambile, onjengerabha osebenza njenge-shock absorber yemvelo. Yilokhu esikubiza ngokuthi i-disc `(disk)`. Njengoba nje ama-shock absorber emoto ehlisa imithelela ebuhlungu, la ma-disc avikela umgogodla wakho lapho ugoba, uphakamisa, uhamba, noma ugijima, evikela yonke ikholomu yakho yomgogodla.
Cabanga ngediski yakho yomgogodla njengedonathi encane egcwele ijeli. Inendandatho yangaphandle eqinile, enemicu evikela isikhungo esithambile, esifana nejeli. Ngokuhamba kwesikhathi, ngenxa yokuguga kwemvelo, ukuma okungekuhle, noma ukulimala okungazelelwe, leli gobolondo langaphandle eliqinile lingaba buthaka noma lidabuke. Uma lokhu kwenzeka, ijeli ethambile ngaphakathi iyaphuma. Lokhu yilokho esikubiza ngokuthi idiski ye-herniated `(Herniated Disk)`, idiski evuvukele `(Bulging Disk)`, noma idiski evuvukile `(Ruptured Disk)`.
Uma le jeli yangaphakathi ivuza, ingacindezela intambo yomgogodla eseduze `(intambo yomgogodla)` noma imithambo yomgogodla `(imithambo yomgogodla)` ehlukana nayo. Lokhu kucindezela kwemizwa yikho okubangela ubuhlungu, ukungazweli, ukuqaqamba, noma ubuthakathaka ezingalweni noma emilenzeni yakho.
Nakuba i-herniation ingenzeka noma kuphi emgogodleni wakho, ivame ukwenzeka emhlane ongezansi (owaziwa ngokuthi `(umgogodla we-lumbar)`) kanye nentamo (`(umgogodla wesibeletho)`). Akuvamile kakhulu emhlane ongaphezulu nophakathi (umgogodla wesifuba)`.
Kunezindaba ezinhle: abantu abaningi bayalulama e-herniated disc ngokwelashwa okulondolozayo, okungekona ukuhlinzwa. Kodwa-ke, uma izimpawu zakho ziqhubeka isikhathi esingaphezu kwamasonto ambalwa, kubalulekile ukubonisana nochwepheshe wezempilo.
Yiziphi Izimpawu Ezivamile?
Izimpawu zediski ye-herniated ziyahlukahluka kakhulu kuye ngokuthi idiski ikuphi nokuthi icindezela yini imithambo.
Uma i-Herniated Disc isemuva wakho ongezansi (umgogodla we-Lumbar)
I-disc ye-herniated emhlane ongezansi ivame ukubangela i-sciatica `(sciatica)` . Lobu ubuhlungu obubukhali, obuqala ezinqeni zakho bese buhamba ngomlenze owodwa, ngezinye izikhathi bufinyelele onyaweni lwakho. Bungazwakala njengokushaqeka kukagesi noma ukubhobozwa okubukhali okufana nenaliti. Ezinye izimpawu zifaka:
- Ubuhlungu obuphansi emhlane.
- Ukuba ndikindiki, ukuqaqamba, noma ukulahlekelwa umuzwa emilenzeni kanye/noma ezinyaweni zakho.
- Ubuthakathaka bemisipha emlenzeni othintekile.
Uma i-Herniated Disc isentanyeni yakho (umgogodla wesibeletho)
Uma i-disc iqhuma entanyeni yakho, ungase ube nezimpawu ezilandelayo:
- Ubuhlungu entanyeni, ikakhulukazi emhlane nasemaceleni entanyeni.
- Ukuba ndikindiki, ukuqaqamba, noma ukulahlekelwa umuzwa ezingalweni noma ezandleni zakho.
- Ubuhlungu eduze noma phakathi kwamahlombe akho.
- Ubuhlungu obuvela ehlombe lakho, engalweni, futhi ngezinye izikhathi bungene eminweni yakho.
- Ubuhlungu obandayo lapho ujika noma ugoba intamo yakho.
Yini Ebangela I-Disc Ukuba I-Herniate?
Njengoba kushiwo ngaphambili, ama-disc akho omgogodla anegobolondo langaphandle eliqinile kanye nesikhungo esithambile esifana nejeli. Ngokuhamba kwesikhathi, noma ngenxa yokucindezeleka okungazelelwe, leli gobolondo langaphandle lingaba buthaka noma lidabuke, okuvumela isikhungo esithambile ukuba siphume futhi sicindezele imizwa yakho. Kunezici eziningana ezibangela lesi simo:
- Ukuguga Kwemvelo:Njengoba sikhula, ama-spinal disc ethu alahlekelwa kancane kancane amanzi, okwenza ome, angaguquguquki, futhi athambekele kakhulu ekudabukeni.
- Izingozi noma Ukulimala Okungazelelwe: Ukuwa, ukushaywa ngokuzumayo, noma ukuphakamisa into esindayo ngendlela engafanele kungakucindezela kakhulu emhlane wakho ngokushesha, okubangela ukuba idiski iqhume.
- Ukuma Okubi Nokucindezeleka Okuphindaphindayo: Ukugoba njalo, ukusonta, noma ukugoba isikhathi eside kungabeka ingcindezi engalingani emgogodleni wakho, kwenze ama-disc akho abe buthaka ngokuhamba kwesikhathi.
- Amasu Okuphakamisa Angafanele: Abantu abaningi bagoba kusukela okhalweni lwabo ukuze baphakamise izinto ezisindayo. Kunalokho, kufanele njalo ugobe amadolo akho futhi ugcine umhlane wakho uqondile ukuze imilenze yakho iphakamise izinto ezisindayo.
Ubani Osengozini Kakhulu Yokuthola I-Slipped Disc?
Izindlela ezithile zokuphila kanye nezici zezinto eziphilayo zingandisa ingozi yakho yokuthola i-herniated disc:
- Abantu abaneminyaka engu-30 kuya kwengu-50: Leli qembu leminyaka libhekene nezinga eliphezulu kakhulu lama-disc e-herniated ngenxa yokuwohloka kwama-disc okuqala kanye nendlela yokuphila esebenzayo.
- Ubulili: Amadoda cishe aphindwe kabili amathuba okuba ne-herniated disc uma kuqhathaniswa nabesifazane.
- Umlando Womndeni : Izakhi zofuzo zidlala indima; uma isihlobo esiseduze besine-herniated disc, ungase ube nesifo sofuzo.
- Ukubhema : I-Nicotine inciphisa ukugeleza kwegazi kuma-disc omgogodla, isheshise ukoma kwama-disc kanye nokuwohloka kwawo.
- Indlela Yokuphila Yokuhlala Phansi: Ukuchitha isikhathi eside uhleli phansi, ikakhulukazi uma usesimweni esingesihle emsebenzini wasehhovisi, kubeka ukucindezeleka okukhulu emhlane wakho ongezansi.
- Ukukhuluphala ngokweqile noma ukukhuluphala : Ukuthwala isisindo somzimba esengeziwe kubeka ubunzima kanye nengcindezi eyengeziwe kuma-disc omhlane wakho ongezansi.
- Isifo Sikashukela ( Isifo Sikashukela)`: Abantu abanesifo sikashukela basengozini enkulu yokuba nezinkinga zomgogodla ngenxa yezinguquko ze-metabolic.
- Izinkinga ezithile zezicubu ezixhumeneyo `(Isifo sezicubu ezixhumeneyo)` zinganciphisa ubuqotho besakhiwo samadiski akho.
Odokotela Bayixilonga Kanjani I-Herniated Disc?
Uma ubonana nodokotela, bazoqala ngokuthatha umlando wezokwelapha onemininingwane bese bexoxa ngezimpawu zakho. Okulandelayo, bazokwenza ukuhlolwa okujulile ngokomzimba. Lokhu kuvame ukuhilela ukuhlola ukusabela kwakho, amandla emisipha, ububanzi bokunyakaza, kanye nokuthi uzizwa kahle kangakanani imizwa efana nokuthinta okuncane noma ukubhoboza.
Bangase futhi benze Ukuhlolwa Kokuphakamisa Umlenze Oqondile . Phakathi nalolu vivinyo, uzolala phansi ngomhlane wakho, kanti udokotela wakho uzophakamisa umlenze wakho kancane kancane. Uma uzwa ubuhlungu buphuma phansi komlenze wakho ngaphansi kwedolo phakathi nalolu hambo, kuyisibonakaliso esinamandla sediski ehlungiwe ecindezelweni lomthambo.
Ngaphezu kokuhlolwa okuningiliziwe kwezinzwa `(ukuhlolwa kwezinzwa)`, udokotela wakho angase acele ukuhlolwa kwesithombe sokuxilonga ukuze athole inkinga. Lokhu kungafaka:
- Ukuthwebula Ukubuka Okune-Magnetic `(Ukuthwebula Ukubuka Okune-Magnetic – MRI)`.
- Ama-X-ray `(ama-X-ray)` ukuze kukhishwe ezinye izimbangela ezingaba khona zobuhlungu bomhlane, njengokuphuka kwamathambo.
- I-Computed Tomography `(I-Computed Tomography – CT)` iskeni.
- I-Myelogram `(Myelogram)`.
- I-Electromyogram `(I-Electromyogram – EMG)`.
- Ucwaningo lokuqhutshwa kwemizwa `(Ucwaningo lokuqhutshwa kwemizwa)`.
Khumbula, akuwona wonke umuntu odinga zonke lezi zivivinyo. Udokotela wakho uzonquma ukuthi iyiphi indlela yokuxilonga engcono kakhulu kuwe ngokusekelwe ezimpawini zakho ezithile kanye nemiphumela yokuhlolwa komzimba.
Izindlela Zokwelapha Ezisebenzayo Zasekhaya Zokuphatha Ubuhlungu Be-Herniated Disc
Ezimweni eziningi, ubuhlungu obubukhali obuvela kudiski ye-herniated buzophela kancane kancane ngokuhamba kwesikhathi. Ngesikhathi umzimba wakho ululama, ungakwazi ukuphatha ukungakhululeki ngalezi zindlela ezilula ekhaya:
- Shintsha Umsebenzi Wakho: Uma ubuhlungu bukhulu, phumula usuku olulodwa kuya kwezintathu. Kodwa-ke, gwema ukuphumula embhedeni isikhathi eside. Ukuhlala ungenzi lutho isikhathi eside kungaqinisa imisipha yakho futhi empeleni kube kubi kakhulu lapho uzama ukunyakaza.
- Sebenzisa Izidambisi-zinhlungu Ezithengiswa Ngaphandle Kokuthenga: Imithi enganikezwanga ngodokotela efana ne-ibuprofen `(ibuprofen)` noma i-acetaminophen `(acetaminophen)` ingasiza ekunciphiseni ukuvuvukala nokunciphisa ubuhlungu. Kuhlale kuwukuhlakanipha ukubonisana nodokotela wakho ngaphambi kokuqala noma yimuphi umuthi.
- Sebenzisa Ukwelashwa Okushisayo Noma Okubandayo: Sebenzisa iphakethe leqhwa ukuze unciphise ubuhlungu obukhulu futhi unciphise ukuvuvukala, noma ufake i-heating pad ukuze ukhulule imisipha eqinile, evame ukuqaqamba. Khetha noma iyiphi indlela ekunikeza impumuzo enkulu.
Ukwelashwa Kochwepheshe Kwezokwelapha
Uma izindlela zokwelapha zasekhaya ezilondolozayo zinganele, udokotela wakho angancoma izindlela zokwelapha ezikhethekile kakhulu:
- Imithi Kadokotela: Udokotela wakho angase akunike imithi enamandla yokunciphisa izinhlungu, imithi engeyona eye-steroidal yokulwa nokuvuvukala `(anti-inflammatory)`, noma imithi yokukhulula imisipha `(muscle relaxant)` ukuze kuncishiswe ukuqaqamba okukhulu.
- Ukwelashwa Komzimba: Uchwepheshe wezokwelapha ngokomzimba (uchwepheshe wezokwelapha ngokomzimba) angaklama uhlelo lokuzivocavoca oluqondene nawe ukuze anciphise izinzwa zakho, aqinise ingaphakathi lakho, athuthukise ukuguquguquka, futhi athuthukise ukujikeleza kwegazi ukuze asheshise ukuphulukiswa.
- Imijovo Yomgogodla: Ngokuvamile ibizwa ngokuthi imijovo ye-epidural steroid `(epidural)` noma ama-nerve blocks `(nerve block)`, lokhu kuhilela ukujova umuthi we-corticosteroid `(steroid)` ngqo endaweni ezungeze imithambo yakho yomgogodla ukuze kuncishiswe ubuhlungu obukhulu nokuvuvukala ngokushesha.
Kunconywa Nini Ukuhlinzwa?
Iqiniso eliduduzayo ukuthi cishe abantu abayisishiyagalolunye kwabayishumi bayalulama ediskini elihlungiwe ngaphandle kokudinga ukuhlinzwa. Kodwa-ke, uma izinketho zokugcina zingakuniki impumuzo ngemva kwamasonto ambalwa, futhi ubuhlungu buphazamisa kakhulu imisebenzi yakho yansuku zonke, ukuhlinzwa `(ukuhlinzwa)` kungacatshangelwa.
Ezimweni ezingavamile neziphuthumayo, idiski enkulu ye-herniated ingacindezela imizwa elawula isinye noma amathumbu akho. Uma uhlangabezana nokulahlekelwa ukulawula isinye noma amathumbu, lokhu kuyisimo esiphuthumayo sezokwelapha esidinga ukususwa kokuhlinzwa ngokushesha ukuze kuvinjelwe umonakalo ohlala njalo. Ngaphandle kwalokho, ukuhlinzwa okukhethwayo ngokuvamile kuyindlela yokugcina yokunciphisa ukucindezeleka kwemizwa okuqhubekayo, inqubo eyaziwa ngokuthi ukuhlinzwa kokususa ukucindezeleka komgogodla `(ukuhlinzwa kokususa ukucindezeleka komgogodla)`.
Inqubo yokuhlinzwa evame kakhulu i- microdiscectomy `(microdiskectomy)` . Lokhu ukuhlinzwa komgogodla okungavamile `(ukuhlinzwa komgogodla okungavamile)` lapho udokotela ohlinzayo enza khona i-incision encane futhi asebenzise i-microscope ukususa kuphela ingxenye evelele yediski ecindezela inzwa.
Ezinye izinketho zokuhlinzwa zifaka:
- Ukususwa kwe-Discectomy `(Ukususwa kwe-Disk)`
- I-Laminotomy `(I-Laminotomy)`
- Ukuhlinzwa kweLaminectomy `(Ukuhlinzwa kweLaminectomy)`
- Ukufakwa Kwediski Yokwenziwa `(Ukuhlinzwa Kwediski Yokwenziwa)`
- Ukuhlanganiswa Komgogodla `(Ukuhlanganiswa Komgogodla)`
Ungakuvimbela Kanjani I-Herniated Disc?
Nakuba ezinye izimbangela (njengokuthambekela kwezakhi zofuzo noma ukuguga ngokwemvelo) zingenakugwenywa, unganciphisa kakhulu ingozi yakho ngokuthatha izinyathelo zokuzivikela:
- Zijwayeze Ukuphakamisa Ngokuphepha: Ungalokothi ugobe kusukela okhalweni ukuze uphakamise izinto. Kunalokho, goba amadolo akho, gcina umgogodla wakho uqondile, bese uqinisa ukuphakamisa usebenzisa imisipha yakho yemilenze eqinile.
- Gcina Isisindo Esinempilo:Isisindo somzimba esiningi sinezela ukucindezeleka kwesakhiwo emhlane wakho ongezansi, okwandisa ingcindezi kuma-disc akho.
- Gcina Ukuma Okuhle: Gxila ekugcineni umgogodla wakho uqondene kahle kungakhathaliseki ukuthi uhleli, umile, uhamba, noma ulele.
- Thatha Ikhefu Lokwelula Imisipha: Uma usebenza edeskini, sukuma, hambahamba, bese welula umzimba wakho okungenani kanye ngehora.
- Gwema Izithende Eziphakeme: Ukugqoka izithende eziphakeme kushintsha indawo yakho yamandla adonsela phansi, okungaphazamisa ukuhlangana kwemvelo komgogodla wakho.
- Ukuzivocavoca Njalo: Gxila ekuqiniseni imisipha yakho yangaphakathi neyangemuva. Imisipha eqinile yesisu neyangemuva inikeza ukusekelwa okuhle kakhulu komgogodla wakho.
- Yeka Ukubhema: Njengoba ukubhema kuvimbela ukugeleza kwegazi okubalulekile kuma-spinal disc akho, ukuyeka ukubhema kungenye yezinto ezinhle kakhulu ongayenza ukuze uwavikele.
Kuthatha Isikhathi Esingakanani Ukululama?
Kwabaningi abantu, ubuhlungu obukhulu buzothuthuka kakhulu phakathi nenyanga kusetshenziswa izindlela zokulondoloza, zasekhaya noma ukwelashwa okuyisisekelo. Uma ungaboni ukuthuthuka phakathi nalesi sikhathi, xhumana nodokotela wakho. Abanye abantu bangadinga ukwelashwa okuthuthukisiwe, imijovo yomgogodla ekhethekile, noma izinketho zokuhlinzwa ukuze baphulukiswe ngokuphelele.
Ingabe Isimo Sizoba Sibi Kakhulu Uma Singelashwa?
Yebo, ukunganaki izimpawu noma ukuqhubeka nemikhuba ebangele ukulimala (njengokuphakamisa okungafanele) kungabangela isimo sibe sibi kakhulu. Lokhu kungabangela ubuhlungu obungapheli '(ubuhlungu obungapheli)' noma ukulimala kwemizwa okuhlala njalo, okuholela ekulahlekelweni umuzwa nokulawula esithweni esithintekile. Uma izimpawu zakho zingaqali ukuthuthuka ngemva kwamasonto amane kuya kwayisithupha okwelashwa okulondolozayo, kubalulekile ukufuna ukuhlolwa kwezokwelapha.
Kufanele Ufune Nini Ukunakekelwa Kwezokwelapha Ngokushesha?
Nakuba ungakwazi ukuphatha ukungakhululeki okuncane ekhaya, sicela uxhumane nodokotela ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:
- Ubuhlungu bukhulu kangangokuthi bukuvimbela ekwenzeni imisebenzi yansuku zonke noma ukuya emsebenzini.
- Izimpawu zakho azithuthuki ngemva kwamasonto amane kuya kwayisithupha.
- Izimpawu zakho ziya ngokuya ziba zimbi kakhulu.
- Uhlangabezana nokulahlekelwa ngokuzumayo ukulawula amathumbu noma esinyeni. (Lesi yisimo esiphuthumayo sezokwelapha!)
- Uzwa ukungabi namandla okuqhubekayo, ubuthakathaka, noma ukulahlekelwa umuzwa ezingalweni zakho, emilenzeni, ezandleni, noma ezinyaweni.
- Unenkinga enkulu yokuma noma ukuhamba.
Imibuzo Ebalulekile Okufanele Uyibuze Udokotela Wakho
Uma uvakashela udokotela wakho, ungangabazi ukubuza le mibuzo ebalulekile ukuze uqonde kangcono uhlelo lwakho lokunakekelwa:
- Kufanele ngishintshe isikhathi esingakanani umsebenzi wami noma ukuphumula kwami?
- Ingabe kukhona ukuvivinya umzimba noma imisebenzi ethile yomzimba okufanele ngiyigweme?
- Yimiphi imithi yokuqeda ubuhlungu ephephile futhi esebenza kahle kakhulu esimweni sami?
- Ingabe kufanele ngisebenzise i-ice therapy noma i-heat therapy ngenxa yobuhlungu bami?
- (Uma kuxoxwa ngokuhlinzwa) Yiziphi izingozi nezinzuzo zezinketho zami zokuhlinzwa?
Umyalezo Wethu Wokuyisa Ekhaya
Kungokwemvelo ngokuphelele ukuzizwa ukhathazekile futhi wesaba ukunyakaza lapho ubhekene ne-herniated disc. Kodwa-ke, gwema ukuhlala uvaleleke embhedeni wakho. Ukungenzi lutho isikhathi eside kuzoqinisa imisipha yakho futhi kukhulise ubuhlungu bakho uma uzama ukuvuka. Esikhundleni salokho, yenza ukwelula okulula kanye nokunyakaza okuthambile njengoba kuqondiswa umhlinzeki wakho wezempilo. Kwabaningi abantu, inhlanganisela yemithi yokunciphisa ubuhlungu ngaphandle kwemithi kanye nomsebenzi omnene kuzoletha impumuzo enkulu phakathi namasonto ambalwa. Lokho kusho ukuthi, ungalokothi ungazinaki ubuhlungu obukhulu, ukungazweli okuqhubekayo, noma izinguquko ekulawuleni amathumbu/isinyi. Funa usizo lwezokwelapha ngokushesha uma kuvela lezi zimpawu eziyisixwayiso. Impilo yakho yomgogodla ifanele ukuvikelwa ngokuphelele!
