Ingabe une-herniated disc emhlane wakho? (I-Herniated Disk / I-Slipped Disk) Ake sixoxe ngalokhu ngokuningiliziwe!

Ingabe ngezinye izikhathi uzizwa sengathi izingalo nemilenze yakho akusasebenzi ngenxa yobuhlungu bomhlane noma ubuhlungu bentamo? Ngezikhathi ezinjalo, ungase ucabange, "O, yini inkinga ngami?" Ngokuvamile, imbangela yalezi zimpawu yisimo esibizwa ngokuthi 'i-herniated disk', esizokhuluma ngaso namuhla. Abanye abantu babiza lokhu ngokuthi 'i-slipped disk'. Ngakho ake sibheke kalula ukuthi kuyini lokhu, kungani kwenzeka, ukuthi ungakugwema kanjani, nokuthi kufanele ufune nini iseluleko sezokwelapha.

Iyini idiski ye-herniated? (Iyini idiski ye-Herniated?)

Kalula nje, umgogodla wakho wakhiwe yinqwaba yamathambo amancane abekwe phezu komunye nomunye. Siwabiza ngokuthi ama-vertebrae. Ngakho-ke uma une-vertebrae eyodwa phezu komunye, kukhona ingxenye ethambile, ethambile phakathi kwalezi ezimbili esebenza njenge-shock absorber. Yilokhu esikubiza ngokuthi i-disk. Njengoba nje ama-shock absorber emotweni emunca ama-shock, le disk igcina futhi ivikele umgogodla wakho uma ugoba, uphakamisa, noma uhamba. Cabanga ngale disk njenge-donut egcwele i-jelly. Iyigobolondo eliqinile ngaphandle, kanye nengxenye ethambile, efana ne-jelly ngaphakathi. Ngokuhamba kwesikhathi, mhlawumbe ngenxa yokuma kabi noma ingozi engazelelwe, ingxenye engaphandle eqinile yale disc ingaqhuma noma ibe buthaka. Bese ingxenye ethambile, efana ne-jelly ngaphakathi kwayo iphuma. Yilokho esikubiza ngokuthi i-"Herniated Disk" noma i-"Bulging Disk" noma i-"Ruptured Disk". Idiski ephuma kanje iqala ukucindezela umgogodla noma imizwa ephuma kuwo. Yilapho uqala khona ukuzwa izimpawu ezifana nobuhlungu, ukungazweli, kanye nobuthakathaka obungaba khona ezithweni zakho. Nakuba lesi simo singase senzeke noma kuphi emgogodleni, sivame kakhulu emhlane ongezansi (esiwubiza ngokuthi "umgogodla we-lumbar") kanye nasentanyeni (ebizwa ngokuthi "umgogodla wesibeletho"). Akwenzeki kaningi engxenyeni ephezulu nephakathi yomhlane ("umgogodla wesifuba"). Kunezindaba ezinhle. Kwabaningi, lesi simo siyaphela ngaphandle kokuhlinzwa, ngokwelashwa okulula. Kodwa-ke, uma izimpawu ziqhubeka isikhathi esingaphezu kwamasonto ambalwa, kufanele nakanjani ubone udokotela.

Ziyini izimpawu ze-Herniated Disk?

Izimpawu zediski elihlungiwe zingahluka kumuntu nomuntu, futhi ziyahlukahluka kuye ngokuthi idiski lihlungiwe kuphi.

Idiski ye-herniated emhlane ongezansi (i-Herniated Lumbar Disk)

Uma idiski emhlane ongezansi ivuvukala, ivame ukubangela ubuhlungu be-sciatica . Lobu ubuhlungu obuhlabayo, obuhlabayo obungaphuma ohlangothini olulodwa lomlenze, kusukela esinqeni kuya phansi emlenzeni, futhi ngezinye izikhathi kuya onyaweni. Ngaphezu kwalokho, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu obuphansi emhlane.
• Ukuba ndikindiki noma ukulahlekelwa umuzwa emilenzeni kanye/noma ezinyaweni.
• Ubuthakathaka bemisipha .

Idiski Yesibeletho Ene-Herniated

Uma idiski phakathi kwamathambo entanyeni iqhuma, izimpawu ezifana nalezi:

• Ubuhlungu entanyeni, ikakhulukazi emhlane nasemaceleni entamo.
• Ukuba ndikindiki noma ukulahlekelwa umuzwa ezandleni.
• Ubuhlungu phakathi noma eduze kwamahlombe.
• Ubuhlungu obuvela ehlombe, engalweni, futhi ngezinye izikhathi bungene eminweni.
• Ubuhlungu buyanda lapho ugoba noma uphendula intamo.

Kungani idiski iqhuma kanje? (Izimbangela zediski ene-Herniated)

Njengoba sishilo ngaphambili, idiski inengaphakathi elifana nejeli kanye nesembozo sangaphandle esiqinile. Ngokuhamba kwesikhathi, noma ngezinye izizathu, lesi sembozo sangaphandle singaba buthaka futhi siqhume. Bese ingaphakathi elithambile liphuma ngokuqhuma. Ingxenye ephuma kanjena yiyo ecindezela imizwa. Kunezizathu eziningana zokuthi kungani lokhu kwenzeka:

• Ukuguga : Njengoba siguga, amadiski ethu alahlekelwa umswakama, ome, futhi alahlekelwe ukuguquguquka. Lokhu kuwenza abe sengozini enkulu yokulimala.
• Izingozi: Ukuwa ngokuzumayo noma ukushaywa kanzima kungalimaza idiski. Cabanga ukuthi uphakamisa into esindayo ngokuzumayo bese ujika umhlane wakho. Lokhu kungenzeka futhi.
• Ukuma okubi okuvamile: Uma usebenza ugobile njalo, uma uphakamisa izinsimbi ngaphandle kokusebenzisa umhlane wakho kahle, noma uma uziphakamisa ngendlela engafanele, lezi zinto zingalimaza ama-disc uma zenzeka njalo.
• Ukuphakamisa izinsimbi ngendlela engafanele: Abantu abaningi baphakamisa izinsimbi ngokugoba umhlane wabo. Lokhu akulona iqiniso. Kufanele uphakamise izinsimbi ngokugoba amadolo akho bese ugcina umhlane wakho uqondile.

Ubani osengozini enkulu yalokhu? (Izici Eziyingozi Zediski Eshelelayo)

Abanye abantu banamathuba amaningi okuthola lesi simo. Ake sibone ukuthi bangobani:

• Abantu abaneminyaka ephakathi kuka-30 no-50: Leli qembu leminyaka yilona elinamathuba amaningi okubhekana nalesi simo.
• Amadoda: Amadoda anamathuba aphindwe kabili okuba nalesi simo kunabesifazane.
• Umlando womndeni : Uma othile emndenini wakho eke waba nalesi simo, nawe usengozini yokuba naso.
• Ukubhema : Abantu ababhemayo banciphise ukuphakelwa kwegazi kuma-disc abo, okungabaqeda amandla.
• Ukuhlala endaweni efanayo isikhathi eside kakhulu: Lokhu kubaluleke kakhulu kulabo abasebenza emahhovisi futhi abachitha isikhathi esiningi phambi kwekhompyutha.
• Ukukhuluphala ngokweqile noma ukukhuluphala :Njengoba isisindo somzimba sikhula, kuba nokucindezeleka okukhulu emhlane ongezansi.
• Isifo Sikashukela : Le ngozi iphakeme nakubantu abanesifo sikashukela.
• Abantu abanezinkinga ezithile zezicubu ezixhumene nabo bangase babe sengozini.

Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa kwe-Herniated Disc)

Uma ubona udokotela, bazoqala bakubuze ngezimpawu zakho. Bese bezokwenza ukuhlolwa ngokomzimba. Phakathi nalesi sikhathi, bazohlola izindawo zakho zobuhlungu, ukusabela kwemisipha yakho, ukuthi imisipha yakho izizwa kanjani, kanye namandla emisipha yakho. Bangase benze nokuhlolwa okubizwa ngokuthi i-Straight Leg Raise Test . Lokhu kuhlolwa kuhilela ukuthi ulale embhedeni futhi ucelwe ukuthi uphakamise umlenze owodwa uqonde phezulu. Uma uzwa ubuhlungu phansi emlenzeni wakho lapho wenza lokhu, kungaba uphawu lokuthi une-herniated disc. Ngaphezu kwalokho, ukuhlolwa kwezinzwa kungenziwa. Bangase benze nokuhlolwa okufana nalokhu ukuqinisekisa ukuxilongwa:

• Ukuskena kwe-Magnetic Resonance Imaging (MRI).
• Ama-X-ray.
• I-Computed Tomography (CT) scan.
• I-Myelogram.
• I-Electromyogram (EMG).
• Ucwaningo lokuqhutshwa kwemizwa.

Khumbula, akuwona wonke umuntu okudingeka enze zonke lezi zivivinyo. Izivivinyo ozenzayo zizoncika ezimpawini zakho kanye nesiphetho sikadokotela wakho.

Yiziphi ezinye izindlela zokwelapha ubuhlungu be-Herniated Disk ekhaya?

Ezimweni eziningi, ubuhlungu obubangelwa yidiski ehlungiwe buzoncipha kancane kancane ngokuhamba kwesikhathi. Ungenza okulandelayo ukulawula ubuhlungu kuze kube yilapho idiski iphola:

• Ukuphumula: Uma ubuhlungu bukhulu, phumula usuku olulodwa kuya kwezintathu. Kodwa ungahlali embhedeni isikhathi eside kakhulu. Ukwenza kanjalo kungenza umzimba wakho uqine futhi kwenze ubuhlungu bube bubi nakakhulu uma uvuka.
• Thatha umuthi wokuqeda ubuhlungu: Ungathatha umuthi wokuqeda ubuhlungu otholakala ngaphandle kwemithi kadokotela njenge-ibuprofen noma i-acetaminophen, ongawuthola ekhemisi. Kodwa kungcono ukubuza udokotela wakho.
• Ukucindezela okushisayo noma okubandayo: Faka ibhodlela lamanzi ashisayo noma iphakethe leqhwa endaweni yobuhlungu. Abanye abantu bathanda ukushisa, abanye abantu bathanda ukubanda. Khetha okukulungele.

Yiziphi izindlela zokwelapha ze-Herniated Disk?

Uma lezi zindlela zokwelapha zasekhaya zingabuqedi ubuhlungu, udokotela wakho angase asikisele ezinye izindlela zokwelapha.

• Imithi: Udokotela wakho angase akunike imithi enamandla yokudambisa izinhlungu, imithi yokulwa nokuvuvukala, noma imithi yokukhulula imisipha.
• Ukwelashwa Komzimba: Udokotela wezifo zomzimba uzokufundisa ukuthi ungazivivinya kanjani izivivinyo ezinganciphisa ingcindezi ezinzwa zakho. Lezi zivivinyo zizosiza ekuphumuzeni imisipha eqinile futhi zithuthukise ukujikeleza kwegazi.
• Imijovo Yomgogodla: Okubizwa nangokuthi i-epidural noma i-nerve block, lokhu kuhilela ukujova umuthi we-steroid ngqo endaweni yomgogodla obangela ubuhlungu. Lokhu kungasiza ekunciphiseni ubuhlungu nokuvuvukala.

Kungadingeka Nini Ukuhlinzwa?

Into engcono kakhulu ukuthi abantu abayisishiyagalolunye kwabayishumi bangaba ngcono ngaphandle kokuhlinzwa ngezinye izindlela zokwelapha. Kodwa-ke, uma zonke ezinye izindlela zokwelapha zingabuqedi ubuhlungu futhi kuningi kakhulu ukwenza imisebenzi yansuku zonke, udokotela wakho angase acabangele ukuhlinzwa. Akuvamile kakhulu, uma i-herniated disc inkulu, ingalimaza imizwa elawula isinyi noma amathumbu. Kulesi simo, ukuhlinzwa okuphuthumayo kungadingeka. Kwezinye izimo, ukuhlinzwa kuyindlela yokugcina. Umgomo oyinhloko wokuhlinzwa ukunciphisa ingcindezi kulezo zinzwa. Lokhu kubizwa ngokuthi ukuhlinzwa kokunciphisa ukucindezeleka komgogodla. Ukuhlinzwa okuvamile kakhulu yi -microdiskectomy . Lokhu ukuhlinzwa komgogodla okungenasidingo lapho i-herniated disc isuswa khona ngokusika okuncane kakhulu kusetshenziswa i-microscope kanye nezinsimbi ezincane. Kukhona nezinye izinketho zokuhlinzwa:

• Ukususwa kwediski
• I-Laminotomy
• Ukuhlinzwa kwe-Laminectomy
• Ukuhlinzwa kwediski yokwenziwa
• Ukuhlanganiswa komgogodla

Ungakuvimbela Kanjani I-Herniated Disc?

Ngezinye izikhathi kunzima ukuvimbela lokhu. Kodwa-ke, kunezinto esingazenza ukuze sinciphise ingozi:

• Phakamisa izisindo ngendlela efanele: Ungaphakamisi izisindo ngokugoba umhlane wakho. Goba amadolo akho, gcina umhlane wakho uqondile, bese uphakamisa ngemilenze yakho. Prakthiza amasu okuphakamisa izisindo afanele.
• Gcina isisindo esinempilo: Njengoba isisindo somzimba sanda, kufakwa ingcindezi engadingekile emgogodleni.
• Gcina ukuma okuhle: Prakthiza ukugcina umhlane wakho uqondile lapho uhamba, uhleli, umile, futhi ulele.
• Ukuzelula: Ikakhulukazi uma usebenza uhleli isikhathi eside, vuka welule umzimba wakho okungenani kanye ngehora.
• Gwema ukugqoka izithende eziphakeme: Ukugqoka lezi zinhlobo zezicathulo kungabangela ukungalingani komgogodla.
• Vivinya umzimba njalo: Yenza izivivinyo eziqinisa umhlane wakho kanye nemisipha yesisu. Lokhu kunikeza ukusekelwa okuhle komgogodla wakho.
• Gwema ukubhema: Ukubhema kwenza ama-disc abe buthaka futhi kuwenze alimale kalula. Uma kungenzeka, yeka ukubhema.

Kuthatha isikhathi esingakanani ukululama? (Isikhathi Sokululama)

Kwabaningi abantu, lobu buhlungu buzophola phakathi nenyanga, kungaba ngokwabo noma ngokwelashwa okulula. Ngaphandle kwalokho, bona udokotela. Abanye abantu bangadinga ukwelashwa okwengeziwe, mhlawumbe imijovo noma ukuhlinzwa.

Ingabe kuzoba kubi nakakhulu uma kungelashwa?

Yebo, lesi simo singaba sibi kakhulu uma singelashwa. Ikakhulukazi uma uqhubeka nokwenza izinto ezibangele lesi simo (isibonelo, ukuphakamisa izinsimbi ngendlela engafanele). Lokhu kungaholela ebuhlungwini obungapheli, ukulahlekelwa ukulawula noma ukuzwa endaweni ethintekile. Uma izimpawu zingathuthuki ngemva kwamasonto angu-4-6 okwelashwa okujwayelekile, qiniseka ukuthi ubona udokotela.

Isikhathi esingcono kakhulu sokubona udokotela? (Ukubona udokotela nini)

Ekuqaleni, ungase ukwazi ukuthola impumuzo ebuhlungwini ekhaya. Kodwa-ke, kufanele nakanjani ubone udokotela ezimweni ezinjengalezi:

• Uma ungakwazi ukwenza imisebenzi yakho yansuku zonke ngenxa yobuhlungu (isib., uma kunzima ukuya emsebenzini).
• Uma izimpawu zingathuthuki ngemva kwamasonto angu-4-6.
• Uma izimpawu ziba zimbi kakhulu.
• Uma unesimo lapho ungakwazi ukulawula umchamo noma indle yakho. (Lesi yisimo esiphuthumayo!)
• Uma uzwa ubuhlungu, ukuphelelwa yimizwa, noma ubuthakathaka ezingalweni zakho, emilenzeni, ezintendeni, noma ezinyaweni.
• Sukuma, uma kunzima ukuhamba.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela wakho? (Imibuzo okufanele uyibuze udokotela wakho)

Uma uya kudokotela, ungakhohlwa ukubuza imibuzo efana nale:

• Kufanele ngiphumule isikhathi esingakanani?
• Kufanele ngihambe ibanga elingakanani futhi hlobo luni lwemisebenzi okufanele ngiyenze?
• Yimaphi amaphilisi obuhlungu okufanele ngiwasebenzise?
• Ingabe i-ice noma i-hot compress ingcono kimi?
• (Uma ucabanga ngokuhlinzwa) Yiziphi izinketho zokuhlinzwa enginazo?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba futhi ukhathazekile lapho idiski iqhuma. Kodwa-ke, ungahlali embhedeni. Ukwenza kanjalo kungenza imisipha yakho iqine futhi kwenze kube buhlungu kakhulu ukuvuka. Yenza izivivinyo ezilula kanye nokwelula njengoba udokotela wakho encoma. Iningi labantu lithola impumuzo phakathi namasonto ambalwa ngezinto ezilula njengemithi yokunciphisa izinhlungu ethengiswa ngaphandle kwemithi kadokotela. Kodwa-ke, uma uzwa ubuhlungu obukhulu, ukungakhululeki, noma ubunzima bokulawula isinyi sakho, ungakushayi indiva. Funa usizo lwezokwelapha ngokushesha. Impilo yakho ibaluleke kakhulu kuwe!