Ubuhlungu bomhlane? Idiski ene-Herniated? Ake sithole ukuthi iyini ngempela (i-Herniated Disk)

Wake waba nobuhlungu obukhulu obuzwakala sengathi ukushaqeka kukagesi kwehla emhlane wakho lapho ugoba ukuze uqoqe into esindayo? Noma wake wezwa ubuhlungu obukhulu entanyeni yakho okwenze kwaba nzima ukujika ikhanda lakho noma umuzwa wokucasuka okwehla engalweni yakho lapho uvuka ekuseni okokuqala? Iningi lethu selike laba nalokhu okungenani kanye empilweni yethu. Esikhathini esiningi, sikubiza ngokuthi "ukuklwebheka komgogodla" noma "idiski elishelelayo." Ngakho-ke namuhla sizokhuluma ngesimo esithinta wonke umuntu, ngokwezokwelapha esibizwa ngokuthi "i-Herniated Disk". Ungakhathazeki, lokhu akuyingozi njengoba ucabanga. Ake sifinyelele emnyombweni wakho, kalula nangokunembile.

Kalula nje, iyini i-herniated disc?

Cabanga ngomgogodla wakho njengeqembu lamathambo amancane (esiwabiza ngokuthi 'ama-vertebrae') abekwe phezu komunye nomunye. Ukuze uvimbele la mathambo ukuthi angagudlani, njengezinto 'ezinciphisa ukushaqeka' emotweni, kunezicamelo ezizungezile, ezifana nomatrasi phakathi kwamathambo. Lezi yizo esizibiza ngokuthi 'ama-disk'. Lawa ma-disk asivumela ukuthi sigobe phambili, emuva, futhi sijike kalula.

Le diski ifana nedonathi enojamu kuyo. Inegobolondo langaphandle eliqinile kanye nengxenye yangaphakathi ethambile efana nejeli. Ngokuhamba kwesikhathi, njengoba siguga, ngenxa yokuma okubi okuphindaphindiwe noma ingozi engazelelwe, ingxenye yangaphandle eqinile yale diski ingaba buthaka futhi kungakheka umfantu omncane. Ngemuva kwalokho ingxenye efana nejeli ngaphakathi ingaphuma kulowo mfantu. Yingakho siyibiza ngokuthi `(Herniated Disk)` noma `(ruptured disk)`. Phakathi kwethu, lokhu kwaziwa ngokuthi `slipped disk` noma "slipped disc".

Ingxenye yediski ephuma kanje icindezela umgogodla oseduze kanye nemizwa ephuma kuwo. Yilapho siqala khona ukuzwa izimpawu ezifana nobuhlungu, ukungazweli, kanye nobuthakathaka ngezinye izikhathi ezithweni zethu zomzimba.

Nakuba lesi simo singavela noma kuphi emgogodleni, sivame ukubonakala emhlane ongezansi (umgogodla we-lumbar) kanye nasentanyeni (umgogodla wesibeletho). Singavamile kakhulu emgogodleni wesifuba.

Ingabe nginayo i-herniated disc? Ziyini izimpawu?

Izimpawu zincike ekutheni idiski ivuvukala kuphi emgogodleni. Ake sibheke ukuthi izizwa kanjani ezindaweni ezimbili eziyinhloko.

Kungani lokhu kwenzeka? Izimbangela kanye nezici eziyingozi

Njengoba sixoxile ngaphambili, isizathu esiyinhloko ukuthi i-casing yangaphandle yediski ibuthakathaka, okubangele ukuthi into efana nejeli ngaphakathi ivuze. Kunezici eziningana ezingathinta lokhu.

Izizathu eziyinhloko:

• Ukuguga: Njengoba siguga, okuqukethwe kwamanzi kumadiski ethu kuncipha, okwenza ome kancane futhi angaguquguquki kakhulu. Lokhu kuwenza abe namathuba amaningi okuqhekeka ngisho noma kuthinteka kancane.
• Izingozi: Ukushaywa kanzima emgogodleni, njengokuwa ngokuzumayo noma ingozi yemoto, kungalimaza idiski.
• Ukuma kabi: Ukusebenza umhlane wakho ugobile isikhathi eside, ukuphakamisa izinsimbi ngendlela engafanele, njll. kungandisa kancane kancane ingcindezi kuma-disc futhi kubangele umonakalo. Cabanga ngomuntu osebenza ehhovisi amahora amaningi umhlane wakhe ugobile. Abantu abanjalo basengozini enkulu.
• Ukuphakamisa izinsimbi ezisindayo: Ukuphakamisa izinsimbi ezisindayo ngesikhathi esisodwa ngaphandle kwesimo esifanele kuyimbangela yale nkinga kubantu abaningi. Isibonelo, lokhu kungenzeka uma ugoba umhlane wakho ukuze uphakamise into efana nesilinda segesi noma ibhakede lamanzi.

Izici Zengozi:

• Ubudala: Lesi simo sivame ukwenzeka kubantu abaneminyaka ephakathi kuka-30 no-50.
• Ubulili: Amadoda anamathuba aphindwe kabili okuthola lesi simo kunabesifazane.
• Ukubhema:Ukubhema kunciphisa ukutholakala kwegazi kuma-disc, okungawenza buthaka ngokushesha futhi kulimaze.
• Isisindo esiningi: Njengoba isisindo somzimba sikhula, ingcindezi kuma-disc, ikakhulukazi emhlane ongezansi, iyanda.
• Ufuzo: Uma othile emndenini wakho enalezi zimo, ungase ube namathuba amaningi okuba nazo.
• Umsebenzi: Abantu abasebenza kanzima ngokomzimba, abaphakamisa izinsimbi ezisindayo, abashayela njalo, noma abahlala endaweni efanayo basengozini enkulu.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela onezimpawu ezinjengalezi, into yokuqala azokwenza ukukubuza imibuzo nokuhlola umzimba wakho.

• Ukuhlolwa komzimba: Udokotela uzohlola izindawo zakho zobuhlungu, amandla emisipha, ukusabela komzimba, kanye nendlela isikhumba sakho esizizwa ngayo.
• Ukuhlolwa Kokuphakamisa Umlenze Oqondile: Kulesi sivivinyo, wenziwa ulale embhedeni bese umlenze ohlangothini olubuhlungu uphakanyiswa uqonde phezulu ngaphandle kokugoba idolo. Uma ubuhlungu buhamba phansi emlenzeni lapho wenza lokhu, kungaba uphawu lwe-herniated disc.

Ngemva kwalezi zivivinyo, udokotela angase ancome ezinye izivivinyo eziningana ukuqinisekisa isimo nokuhlola ubukhulu bomonakalo.

• I-MRI scan (Magnetic Resonance Imaging): Lena yindlela engcono kakhulu yokubona ngokucacile isimo sediski nokuthi ngabe kukhona yini ukucindezelwa kwemizwa.
• I-X-ray: I-X-ray ayikwazi ukukhombisa idiski, kodwa ingasiza ekuhloleni ezinye izinkinga ngamathambo, njengediski ehlungiwe.
• I-CT scan (i-Computed Tomography): Lokhu kungaveza nezithombe ezinemininingwane zomgogodla nezicubu ezizungezile.
• Ucwaningo lwe-EMG kanye ne-Nerve Conduction: Lokhu kuhlolwa kusiza ukukala izinga lomonakalo ezinzwa kanye nendlela izimpawu ezihamba ngayo kuzo.

Yiziphi izindlela zokwelapha? Ingabe kukhona izinto engingazenza ekhaya?

Lokhu kuyinto ebaluleke kakhulu. Abantu abangu-9 kwabayi-10 abane-herniated disc bayalulama ngaphandle kokuhlinzwa, ngokwelashwa okulula. Ngakho-ke asikho isizathu sokwesaba.

Izinto ongazenza ekhaya ezigabeni zokuqala:

• Phumula: Uma ubuhlungu bukhulu kakhulu , phumula usuku olulodwa noma ezintathu. Kodwa ungahlali embhedeni isikhathi eside. Ukwenza kanjalo kungaqinisa imisipha futhi kwenze ubuhlungu bube bubi kakhulu. Zama ukwenza imisebenzi emincane yansuku zonke ngangokunokwenzeka.
• Iziqeda-zinhlungu: Ungacela udokotela wakho ukuthi akunike umuthi wokuqeda-zinhlungu njenge-ibuprofen noma i-acetaminophen.
• Ukuthosa okubandayo noma okushisayo:Ukufaka iphakethe leqhwa emisipheni phakathi nezinsuku ezimbili zokuqala zobuhlungu kungasiza ekunciphiseni ukuvuvukala nobuhlungu. Ngemva kwezinsuku ezimbili noma ezintathu, ukufaka ibhodlela lamanzi ashisayo noma isikhwama samanzi ashisayo emisipheni kuzophumula futhi kunciphise ubuhlungu.

Ukwelashwa kwezokwelapha:

Uma ubuhlungu bungapheli ngemva kwamasonto ambalwa okwelashwa ekhaya, udokotela wakho angase ancome lolu hlobo lokwelashwa.

• Imithi: Kungase kunikezwe imithi yokunciphisa ubuhlungu noma imithi yokukhulula imisipha ukuze kuncishiswe ubuhlungu nokuvuvukala.
• Ukwelashwa Komzimba: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Udokotela wezokwelapha umzimba uzokufundisa ukuzivocavoca okukhethekile kanye nokulula okuzoqinisa imisipha yakho yasemhlane neyesisu futhi kunciphise ingcindezi emithanjeni yakho.
• Imijovo Yomgogodla: Uma ubuhlungu bukhulu, umjovo oqukethe i-steroid ebizwa ngokuthi i-`epidural` noma i-`nerve block` unikezwa ngqo endaweni yobuhlungu emgogodleni. Lokhu kunganciphisa ubuhlungu nokuvuvukala ngokushesha.

Kunini lapho kudingeka khona ukuhlinzwa?

Kodwa-ke, uma ubuhlungu bungapheli ngemva kwezinyanga zokwelashwa okunye, uma ubuhlungu bukwenza kungenzeki ukwenza imisebenzi yansuku zonke, noma uma ubuthakathaka emalungeni bukhula, udokotela angase acabangele ukuhlinzwa.

Akuvamile kakhulu, idiski enkulu ye-herniated ingacindezela imizwa elawula ukuchama kanye nokuphuma kwendle. Uma lokhu kuholela ekulahlekelweni ukulawula isinyi noma amathumbu, kuyisimo esiphuthumayo. Kufanele uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha. Lokhu kungadinga ukuhlinzwa okuphuthumayo.

Ukuhlinzwa okuvamile okwenziwa njengamanje ukuhlinzwa okuncane okubizwa ngokuthi "i-microdiskectomy." Kulokhu, kwenziwa ukusikwa okuncane futhi, kusetshenziswa i-microscope namathuluzi amancane, kususwa ingxenye yediski evelele kuphela.

Ungazivikela kanjani kulesi simo? Ukuvimbela kungcono kakhulu!

Kunezinto eziningi ongazenza ukuze ugweme lesi simo esibuhlungu.

Yiziphi izikhathi ezibaluleke kakhulu zokuya kudokotela?

Nakuba ungaqala ngokwelashwa ekhaya, ezimweni ezinjengalezi, kufanele nakanjani ubonane nodokotela.

• Uma ungakwazi ukwenza imisebenzi yakho yansuku zonke (isib. ukuya emsebenzini) ngenxa yobuhlungu.
• Uma kungekho ukuthuthuka kwezimpawu ngemva kwamasonto amane noma ayisithupha.
• Uma izimpawu ziba zimbi kakhulu.
• Uma unesifo sokungezwani komzimba, ukuqaqamba, noma ubuthakathaka obukhulayo ezingalweni zakho, emilenzeni, ezintendeni zezandla, noma ezinyaweni.
• Uma unenkinga yokuma noma yokuhamba.
• Isikhathi sokuya esibhedlela ngokushesha: Ukungakwazi ukulawula umchamo noma indle. Lesi yisimo esiphuthumayo.