Ubukele i-TV futhi usuzovuka, bese ubuhlungu obukhulu bushaya umgogodla wakho njengombani. Noma uzwa 'ukuchofoza' emhlane wakho njengoba uthatha isikhwama sokudla phansi, futhi kusukela lapho kuqhubeke, uzwa ubuhlungu obukwenza ungakwazi ukunyakaza. Wake waba nakho yini lokhu? Abantu abaningi bakubiza ngokuthi "idiski eshelelayo." Ngokwezokwelapha, lesi simo sibizwa ngokuthi idiski ye-herniated . Ake sibheke ukuthi iyini ngempela, kungani yenzeka, nokuthi yini engenziwa ngakho.
Kalula nje, iyini i-disc ye-herniated?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngomgogodla wethu. Umgogodla wethu wakhiwe ngamathambo amancane angu-24 abizwa ngokuthi ama-vertebrae, abekwe phezu komunye nomunye. Phakathi kwala mathambo, njengesithambisi esithambile emotweni, kukhona umcamelo othambile obizwa ngokuthi i-intervertebral disc.
Le disk inezingxenye ezimbili:
1. Ingxenye yangaphakathi: Ithambile kakhulu njengejeli. Lokhu kubizwa ngokuthi `(Nucl EUS Pulposus)`.
2. Ingxenye engaphandle: Lesi yisici esiqinile nesiqinile esizungeze ijeli. Lokhu kubizwa ngokuthi i-``Annulus Fibrosus```.
Idiski ehlungiwe yilapho, ngesizathu esithile (isibonelo, ingozi, ukuphakamisa into esindayo), isembozo sangaphandle esiqinile sediski sidabuka kanye nejeli ngaphakathi liphuma. Cabanga ngakho njengokucindezela idonathi egcwele ujamu bese ijeli lichitheka. Lapho ijeli ephumayo icindezela umgogodla oseduze noma imizwa ephuma kuyo, izimpawu ezifana nobuhlungu obungabekezeleleki, ukungazweli, kanye nobuthakathaka ziqala ukuvela.
Ingabe 'i-Herniated Disk' kanye 'ne-Bulging Disk' ziyizinto ezimbili ezihlukene?
Yebo, kunomehluko omncane phakathi kwalezi zimo ezimbili. Nakuba abantu abaningi bephambanisa lezi zimo ezimbili, imbangela nendlela ezenzeka ngayo zihlukile. Izimpawu zingafana kakhulu.
Kalula nje, kudiski elihlungiwe, idiski limboza izinyembezi bese kuvela ijeli. Kudiski elivuvukele, idiski ayidabuki, kodwa iyacandeka ngenxa yokuguga noma ezinye izizathu, bese iphuma ngokuphelele.
Ake siwuqonde kahle lo mehluko kusukela kuthebula elingezansi.
| Incazelo | Idiski Ene-Herniated | Idiski Ekhukhumele |
|---|---|---|
| Isizathu | Ngokuvamile kubangelwa ingozi noma ukucindezeleka okukhulu. | Isimo esiwohlokayo esenzeka kancane kancane njengoba umuntu ekhula. |
| Kwenzeka kanjani | Isembozo sangaphandle sediski siyadabuka, bese ijeli elingaphakathi lichitheka. | Idiski ithambile futhi iphuma ngokuphelele (akukho ukudabuka). |
| Inani lamadiski athintekile | Ngokuvamile kuthinta idiski eyodwa ngesikhathi. | Amadiski amaningi angathinteka ngesikhathi esisodwa. |
| Iminyaka evamile kakhulu | Phakathi kweminyaka engama-30-50 (ivame kakhulu phakathi kwabesilisa). | Kuvame kakhulu ngemva kweminyaka engama-40. |
Ziyini izimpawu zalokhu?
Ngezinye izikhathi i-herniated disc ingaba nezimpawu . Kodwa-ke, kaningi, izimpawu zizovela. Lezi zimpawu zincike endaweni ye-herniated disc kanye nobukhulu bokucindezelwa kwemizwa.
Izimpawu ezivamile yilezi:
- Ubuhlungu obubukhali, obuvuthayo, noma obufana nogesi.
- Ukuba ndikindiki noma ukuqaqamba endaweni yobuhlungu kanye nengalo noma umlenze ohambisana nayo.
- Ubuthakathaka bemisipha endaweni yobuhlungu.
- Ngokuvamile lezi zimpawu zivela ohlangothini olulodwa lomzimba.
Kuye ngokuthi ubuhlungu bukuphi
- Umgogodla Wethambo: Lolu uhlobo oluvame kakhulu lobuhlungu bomgogodla . Ubuhlungu buqala emhlane ongezansi,Ingakhipha ukukhanya phansi ezinqeni, phansi ngemuva kwethanga, futhi ngezinye izikhathi kuze kufike onyaweni. Kuzwakala njengokushaqeka kukagesi . Siphinde sibize lobu buhlungu ngokuthi 'Sciatica'.
- Entanyeni (Umgogodla Womlomo Wesibeletho): Ubuhlungu bungase buqale entanyeni busakazeke ehlombe kuye engalweni, futhi ngezinye izikhathi bufinyelele eminweni .
Lobuhlungu buyanda lapho usebenza, umile, uhleli, ikakhulukazi lapho ukhwehlela noma uthimula. Lokhu kungenxa yokuthi ingcindezi emsipheni ocindezelwe iyanda ngaleso sikhathi. Ubuhlungu buvame ukuncipha kancane uma uphumula.
Izimpawu Eziphuthumayo
Nakuba lesi simo singaphathwa ekhaya, uma unezinye zezimpawu ezilandelayo, zingase zibe izimpawu zesimo esiphuthumayo . Ezimweni ezinjalo, kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ubuhlungu engalweni noma emlenzeni, okuhambisana nobuthakathaka obukhulu kuleyo ndawo.
- Ukuba nomkhuhlane noma ukutheleleka.
- Ukulahlekelwa umuzwa endaweni yesitho sangasese noma eduze kwendunu.
- Ukungakwazi ukulawula ukusebenza kwamathumbu noma kwesinye (ukungasebenzi kahle kwesinyi noma kwamathumbu).
Lezi zingaba izimpawu zomonakalo omkhulu emgogodleni, ngakho ungalokothi uzishaye indiva.
Ukuthola kanjani lokhu, Dokotela?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela.
1. Ukuhlolwa Komzimba
Okokuqala, udokotela uzokubuza ngobuhlungu bakho bese ekuxilonga. Phakathi nalokhu kuhlolwa,
- Bacindezela ezindaweni ezibuhlungu zomhlane noma entanyeni.
- Uzotshelwa ukuthi ulale embhedeni wenze izinto ezifana nokuqondisa imilenze yakho nokuyigoba.
- Ihlola ukusebenza kwezinzwa (reflexes) edolweni nasemaqakaleni.
- Kuvivinywa amandla emisipha ezingalweni nasemilenzeni.
- Ubatshela ukuthi bahambe ngezithende zabo nezinzwane.
Ezimweni eziningi, lesi sifo singahlolwa ngokunembile ngalokhu kuhlolwa ngokomzimba.
2. Ezinye izivivinyo uma kudingeka
Ngezinye izikhathi, udokotela wakho angase ancome ukuhlolwa okwengeziwe ukuze anqume ezinye izimo zezokwelapha noma ukuthola ukuthi iyiphi inzwa ecindezelwayo.
- I-X-ray: Idiski ye-herniated ayikwazi ukubonwa ku-X-ray evamile, kodwa ingasiza ekunqumeni ukuthi ubuhlungu bubangelwa yini esinye isizathu, njengokuphuka noma isimila.
- I-MRI Scan: `(Magnetic Resonance Imaging)` isivivinyo esisebenzisa insimu yamagnetic ukukhiqiza izithombe ezicacile ze-3D zomgogodla nama-disc. Lena yindlela engcono kakhulu yokubona ngqo ukuthi i-disc ye-herniated ikuphi nokuthi imiphi imizwa ecindezelwayo.
- I-CT Scan:I-Computerized Tomography (CT) iyindlela edala izithombe zomgogodla ezihlanganisa izingxenye ezahlukene ngokuqoqa inani elikhulu le-X-ray.
- I-EMG/NCS: `(Izifundo ze-Electromyogram kanye ne-Nerve Conduction)` ziyizivivinyo ezisetshenziselwa ukuthola ukuthi i-nerve yonakele noma ithukuthele. Lokhu kuhilela ukuthumela izimpawu zikagesi ezincane kakhulu emisipheni nasezinzwa kanye nokulinganisa umsebenzi wazo.
Kuzothatha isikhathi esingakanani ukuphulukiswa? Yiziphi izindlela zokwelapha?
Nakuba lokhu kungase kuzwakale kusabisa, izindaba ezinhle ukuthi izifo eziningi ze-herniated disc ziyaphola zodwa phakathi kwamasonto noma izinyanga ezimbalwa, ngaphandle kokudinga ukuhlinzwa.
Izinto ongazenza ukuze ululame ngokushesha:
1. Ukuphumula: Gwema izinto ezandisa ubuhlungu, njengokuphakamisa izinsimbi, ukugoba, nokuhlala endaweni efanayo isikhathi eside.
2. Imithi: Ungaphuza imithi yobuhlungu kanye nemithi yokulwa nokuvuvukala njengoba udokotela wakho ekuyalele.
3. Amaphakethe abandayo nashisayo: Amaphakethe eqhwa alungele ukunciphisa ubuhlungu nokuvuvukala ezinsukwini ezimbili zokuqala. Ngemva kwezinsuku ezimbili, ungasebenzisa amaphakethe ashisayo ukuze uphumuze imisipha.
4. Ukwelashwa Komzimba: Uma ubuhlungu sebuphelile, udokotela wakho uzokudlulisela kudokotela wezokwelapha ngokomzimba. Ukuzivocavoca okuqinisa imisipha yomhlane nesisu futhi okukufundisa ukuma kahle kungasiza ekuvimbeleni lesi simo ukuthi singaphinde sibuye.
Kuphela uma lezi zindlela zokwelapha ezilula zinganikezi impumuzo, udokotela angase ancome imijovo ye-steroid noma, okungavamile kakhulu, ukuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Uma ubuhlungu obungazelelwe, obukhulu emhlane noma entanyeni obuhambisana nobuhlungu bokudubula noma bokushisa obuphuma engalweni/emlenzeni wakho, kungaba yidiski ehlungiwe.
- Ngokuvamile, lesi simo siyaphela ngokuphelele ngokuphumula, imithi elula yokubulala izinhlungu, kanye nokwelashwa ngokomzimba.
- Uma uzwa ubuhlungu emilenzeni/ezingalweni zakho, ulahlekelwa ukulawula amathumbu/amathumbu, noma ulahlekelwa umuzwa endaweni yakho yokuzala, lezi yizimo eziphuthumayo futhi kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Njalo bonana nodokotela ukuze uthole iseluleko nokwelashwa okufanele, kunokuba uzihlole ngokubheka ku-inthanethi.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho