Ngezinye izikhathi asicabangi ngisho ngakho. Cabanga uzama ukuvuka esihlalweni phambi kwe-TV bese uzwa ubuhlungu obuhlabayo obuqala ngemuva bese buyehla emlenzeni... Abantu abaningi bayesaba ngalesi sikhathi, becabanga ukuthi, "Hawu, ingabe enye yamadiski ami iyashelela?" Empeleni, kungenzeka kakhulu. Namuhla, ake sixoxe ngalesi simo esibizwa ngokuthi ' i-Herniated Disc ' noma 'i-Slipped Disc' esihlupha abantu abaningi.

Kusho ukuthini ngempela ukugxuma idiski?

Ukuze siqonde lokhu, ake siqale sifunde kancane ngesakhiwo somgogodla wethu. Umgogodla wethu wakhiwe ngamathambo amancane angu-33 abekwe phezu komunye nomunye. Siwabiza ngokuthi ama-vertebrae . Phakathi kwalawa ma-vertebrae kukhona umcamelo othambile, ofana nojeli. Yilokho esikubiza ngokuthi i-intervertebral disc, noma 'i-disk.'

Umsebenzi oyinhloko wale diski ukusebenza 'njenge-shock absorber' ngokumunca ukushaqeka okuza emgogodleni lapho sigoba emuva naphambili ngokuguquguquka, siphakamisa izinsimbi, futhi sihamba.

Le diski inezendlalelo ezimbili.

1. Ingaphakathi elingaphakathi (i-Nucl EUS Pulposus): Lena yingxenye ethambile, efana nejeli ngaphakathi.

2. Isembozo Sangaphandle (i-Annulus Fibrosus): Lena yindandatho yangaphandle eqinile kancane, enemicu ezungeze ingxenye efana nejeli.

Ngesizathu esithile, isibonelo, lapho uphakamisa imithwalo esindayo ngokuzumayo, ugoba ngendlela engafanele, noma ngenxa yezinguquko ngokuguga, lesi simbozo sangaphandle esinamandla siyadabuka noma siqhekeke, kanye nezinto ezifana nejeli ngaphakathi ziyaphuma. Yilokho esikubiza ngokuthi 'i-herniated disc.' Lezi zinto ezifana nejeli eziphumayo zicindezela umgogodla oseduze noma imizwa ephuma kuwo. Yilapho kuqala khona ubuhlungu obungabekezeleleki, ukungazweli, nezinye izimpawu.

Ingabe i-Herniated Disk ne-Bulging Disk ziyinto efanayo?

Abantu abaningi bayadida lezi zimo ezimbili. Nakuba izimpawu zifana, kunomehluko ocacile phakathi kwalezi ezimbili. Kalula nje, idiski evuvukele yilapho isembozo sangaphandle sediski singadabuki, kodwa sishintsha ngokuguga futhi sivuvukala ngaphandle njengethayi eliphantshiwe. Kudiski ene-herniated , isembozo sangaphandle siyadabuka kanye nojeli ongaphakathi uyavuza.

Ake sibheke lo mehluko etafuleni.

Yiziphi izimpawu eziyinhloko zalokhu?

Ngezinye izikhathi i-herniated disc ingase ingabingeli zimpawu. Kodwa-ke, abantu abaningi baba nezimpawu. Lezi zimpawu zincike ekutheni i-herniated disc ikuphi (emhlane noma entanyeni) nokuthi icindezela kangakanani imithambo yegazi.

Izimpawu ezivamile yilezi:

• Ukuba ndikindiki noma ukuqaqamba: Umuzwa wokuqaqamba engalweni noma emlenzeni lapho inzwa icindezelwa khona futhi iqhubeka.
• Ubuhlungu obubukhali, obuvuthayo: Ungase uzwe ubuhlungu bokudubula, njengokushaqeka kukagesi.
• Ubuthakathaka bemisipha : Ubuthakathaka bemisipha bungase buvele endaweni yobuhlungu. Isibonelo, ubunzima bokuphakamisa umlenze.
• Izimpawu zitholakala ohlangothini olulodwa lomzimba: Esikhathini esiningi, lobu buhlungu kanye nokuba ndikindiki kwenzeka ohlangothini lwesokudla noma lwesobunxele kuphela.

Uma idiski ishelele emhlane ongezansi (Lumbar Spine):

Ubuhlungu bungaqala emhlane budlule ezinqeni, emathangeni, nasezinqeni kuze kufike onyaweni . Lokhu kubizwa nangokuthi 'sciatica'.

Uma idiski entanyeni (umgogodla wesibeletho) ishelele:

Ubuhlungu bungaqala entanyeni buhambe ehlombe buze bufike engalweni naseminweni .

Uma udinga ukubona udokotela ngokushesha!

Nakuba lesi simo ngokuvamile singaphathwa ekhaya, kunezinye izimo lapho kudingeka khona usizo lwezokwelapha ngokushesha. Sibheka lokhu njengezimpawu ezibomvu.

Uma uhlangabezana nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo ngemva kokulimala, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.

• Ubuthakathaka obukhulu engalweni noma emlenzeni .
• Ukuba nomkhuhlane noma ukutheleleka .
• Ukulahlekelwa umuzwa endaweni ye-rectum noma yesitho sangasese sowesifazane.
• Ukungasebenzi kahle kwesinyi noma amathumbu. Lesi yisimo esibi kakhulu.

Izimpawu ezinjengalezi zibonisa ukuthi umgogodla wonakele kakhulu. Ngakho-ke, kubalulekile ukubona udokotela ngaphandle kokuchitha isikhathi .

Udokotela ukuthole kanjani lokhu ngempela?

Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela. Into yokuqala azokwenza ukukuhlola umzimba ngokuphelele.

• Ngikubuza ngobuhlungu.
• Bazocindezela ezindaweni ezibuhlungu emhlane noma entanyeni yakho.
• Uzolaliswa embhedeni bese imilenze noma izingalo zakho zinyakaza ngezindlela ezahlukene.
• Ihlola ukusabela kwamadolo namaqakala.
• Kuhlola amandla emisipha emilenzeni nasezingalweni zakho.
• Ngezinye izikhathi bathi hamba ngezinyawo zakho nangezithende zakho.

Ezimweni eziningi, lesi simo singatholakala ngalokhu kuhlolwa ngokomzimba kuphela. Kodwa-ke, udokotela wakho angase acele ukuhlolwa okuthile ukuze anqume ezinye izimbangela zobuhlungu (isb., ukuphuka noma isimila) noma ukuthola ngqo inzwa ecindezelwayo.

Ukuhlolwa okwengeziwe

• I-X-ray: I-X-ray evamile ngeke ibonise i-disc ene-herniated, kodwa ingahlola ezinye izinkinga emgogodleni, njengokuphuka kwamathambo.
• I-CT scan: Lokhu kunganikeza isithombe esicacile somgogodla nezakhiwo ezizungezile kune-X-ray.
• Ukuskena kwe-MRI:Ukuhlolwa okungcono kakhulu nokunembile kakhulu kokuxilonga i-herniated disc yi-MRI. Ingabona ngokucacile indawo ye-disc, isakhiwo sayo sangaphakathi, nokuthi yimiphi imizwa ecindezelwayo.
• Ukuhlolwa kwe-EMG kanye ne-NCS: Lokhu kuhlolwa kusetshenziselwa ukubona ukuthi kukhona yini umonakalo emithanjeni nokuthi iqine kangakanani. Ku-"Electromyogram (EMG)``, kufakwa idivayisi encane efana nenaliti emisipheni bese kulinganiswa umsebenzi wayo kagesi. Ku-"Nerve Conduction Studies (NCS)``, isignali encane kagesi ithunyelwa emthanjeni bese kulinganiswa isivinini ohamba ngaso. Lokhu kungakutshela ngqo ukuthi kukhona yini umonakalo emithanjeni.

Ingabe lokhu kuzophola? Ngingaphola kanjani ngokushesha?

Yebo, izindaba ezinhle ukuthi kubantu abaningi, isimo se-herniated disc sizozixazulula ngokwaso phakathi kwamasonto ambalwa noma inyanga noma ezimbili. Umzimba unamandla okuziphilisa.

Lezi zinto zizokusiza ukuthi ululame ngokushesha:

1. Ukuphumula: Gwema imisebenzi eyandisa ubuhlungu (ukuphakamisa okunzima, imisebenzi yokuzikhandla umhlane) ngokuphelele. Kodwa-ke, ungalali embhedeni usuku lonke. Imisebenzi elula njengokuhamba ngezinyawo okufushane ilungile.

2. Imithi: Thatha imithi yokubulala izinhlungu kanye nemithi yokulwa nokuvuvukala enikezwe udokotela wakho njengoba kuqondiswe.

3. Ukucindezela okubandayo nokushisayo: Ungafaka amaphakethe eqhwa ukuze unciphise ubuhlungu nokuvuvukala ezinsukwini ezimbili zokuqala. Ngemva kwalokho, kungumqondo omuhle ukufaka ibhodlela lamanzi ashisayo ukuze ukhulule imisipha.

4. Ukwelapha ngokuzivocavoca umzimba: Kubaluleke kakhulu ukwenza izivivinyo zokuqinisa imisipha yangemuva neyesisu ngaphansi kokuqondiswa udokotela wakho wezokwelapha ngokuzivocavoca umzimba, njengoba ekweluleke udokotela wakho. Lokhu kungavimbela futhi lesi simo ukuthi singaphinde sivele esikhathini esizayo. Khumbula, kufanele uvivinye umzimba kuphela uma ubuhlungu buncipha. Uma ubuhlungu bukhula, yeka ngokushesha.

Uma ubuhlungu buqhubeka, udokotela wakho angakunika umjovo we-steroid noma akuthumele kwezinye izindlela zokwelapha. Ukuhlinzwa kucatshangelwa kuphela ezimweni ezimbi kakhulu futhi uma kungekho ezinye izindlela zokwelapha eziye zasiza.