Abantu abaningi ezweni lakithi bake babhekana nobuhlungu bomhlane ngesikhathi esithile empilweni yabo. Eqinisweni, abantu abayisishiyagalombili kwabayishumi bake babhekana nalokhu. Kodwa isikhathi esiningi, lobu buhlungu buyaphela ezinsukwini ezimbalwa, isonto noma amabili. Kodwa uma ubuhlungu bakho bomhlane buqhubeka amasonto noma izinyanga ngaphandle kokuncipha, ungase uzibuze, "O, ingabe kuzodingeka ngihlinzwe nami?" Ake sixoxe ngalokhu namuhla.
Le 'diski' ihlobene kanjani nobuhlungu bomhlane?
Kunezimbangela eziningi zobuhlungu emhlane. Kodwa imbangela evame kakhulu izinkinga 'ze-disc' ezinjengo-raber phakathi kwamathambo ethu omgogodla. Cabanga ngala ma-disc 'njengezinto ezinciphisa ukushaqeka' emotweni. Amunca ingcindezi emhlane wethu lapho sihamba, sigijima, noma siphakamisa izinto ezisindayo, evikela umgogodla wethu.
Ngakho-ke, le disk ingaba nezinkinga eziningana.
Kalula nje, le diski inegobolondo langaphandle eliqinile kanye negobolondo langaphakathi elithambile, elifana nejeli. Ngezinye izikhathi, uma kukhona ukudabuka okuncane kuleli gobolondo langaphandle, ingxenye efana nejeli ingaphuma icindezele emsipheni oseduze. Yilokhu esikubiza ngokuthi " idiski eshelelayo ." Odokotela babiza lesi simo ngokuthi idiski ye-herniated .
Uma idiski ephuma ngale ndlela icindezela i-sciatic nerve yakho, ungase uzwe ubuhlungu obukhulu obuqala emhlane wakho bese buhamba phansi ezinqeni zakho bese buya phansi emlenzeni wakho. Yilokhu abantu abaningi abakubiza ngokuthi 'ubuhlungu be-sciatica.'
Ngaphezu kwalokho, njengoba iminyaka ikhula, lawa ma-disc angaguga. Lokhu sikubiza ngokuthi "ukuwohloka". Ngemuva kwalokho awasakwazi ukunikeza ukwesekwa okuhle emgogodleni njengakuqala.
Ingabe yonke inkinga yomhlane idinga ukuhlinzwa?
Cha, cha! Lena yinto ebaluleke kakhulu okudingeka uyazi. Ngisho noma idiski ine-herniated, ivame ukwelashwa ngaphandle kokuhlinzwa.
Ngisho nodokotela abahlinza izinzwa bathi "phakathi kuka-80% no-85% weziguli ezine-herniated disc zizolulama ngaphandle kokuhlinzwa ngokuhamba kwesikhathi."
Udokotela wakho uzoqala ngokuzama ukwelashwa okungadingi ukuhlinzwa.
- Imithi yokulwa nokuvuvukala: Imithi enikezwa ukunciphisa ubuhlungu nokuvuvukala.
- Ukwelashwa Komzimba : Ukuzivocavoca okuqinisa imisipha ezungeze umgogodla futhi kukufundise indlela yokunakekela kahle umgogodla.
- Imijovo ye-steroid:Umjovo endaweni lapho inzwa icindezelwe khona. Lokhu kunciphisa kakhulu ubuhlungu nokuvuvukala.
- Ukuphumula nokubekezela: Kubaluleke kakhulu ukuthola ukuphumula nokunikeza ukwelashwa isikhathi sokululama.
Ngakho-ke kufanele ucabange nini ngokuhlinzwa?
Uma ubulokhu uthatha ezinye izindlela zokwelapha (imithi, ukwelashwa ngokomzimba) cishe amasonto ayi-6 kuya kwayi-12 futhi ubuhlungu bungakapheli, khona-ke udokotela wakho uzocabangela ukuhlinzwa.
Kodwa-ke, kwezinye izimo, ukuhlinzwa kungadingeka ngokushesha. Qaphela lezi zimpawu:
- Uma ubuhlungu obuzwayo bukhulu kakhulu ukuthi ungabubekezelela .
- Uma imisipha yakho yangemuva ibuthakathaka kangangokuthi awukwazi ngisho nokuhamba kahle .
- Okubaluleke kakhulu: Uma unesimo lapho ungakwazi ukulawula umchamo noma indle yakho ngoba idiski icindezela imizwa, lokhu kuyisimo esiphuthumayo. Uma lokhu kwenzeka , kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha .
Ngezikhathi ezinjengalezi, udokotela wakho uzo-oda ukuhlolwa okufana ne-X-ray, i-MRI scan, noma i-CT scan ukuze abone ukuthi kwenzekani ngaphakathi komgogodla wakho.
Yiziphi izinhlobo zokuhlinzwa ezenziwa kuma-spinal disc?
Kunezindlela ezingaphezu kweyodwa zokulungisa inkinga yediski. Uhlobo lokuhlinzwa ozolwenza luzoncika ekutheni idiski yakho yonakele kangakanani. Ake sibheke izindlela eziyinhloko.
| Inkinga | Ukuhlinzwa kanye Nendlela Yakho |
|---|---|
| Idiski Ehlutshiwe/Eshelelayo | Ukuhlinzwa kwalokhu kubizwa ngokuthi i-microdiscectomy . Lokhu kuhilela ukususa kuphela ingxenye yediski ecindezela inzwa. Indlela yendabuko: Kwenziwa ukusika okuncane, okungaba yi-intshi ubude, imisipha idonswa ohlangothini olulodwa, bese kususwa ingxenye yediski ecindezela inzwa. Okungahlaseli Kancane: Kwenziwa ukusika okuncane kakhulu, bese kufakwa amathuluzi akhethekile (ama-dilator) ngokusebenzisa ukusika ngaphandle kokusikwa kwemisipha, bese kususwa ingxenye yediski. Le ndlela inesikhathi sokululama esisheshayo. |
| I-Degenerated Disk kanye ne-Arthritis | Njengoba sikhula, ama-disc ayawohloka futhi i-arthritis ikhula emalungeni omgogodla, izindlela zemizwa emgogodleni ziyancipha. Odokotela bakubiza lokhu ngokuthi i-stenosis . Okwenziwayo: Ukuhlinzwa kuhilela ukususa ithambo elengeziwe nokwandisa indlela yezinzwa. Ngezinye izikhathi, kubekwa izikhala phakathi kwamathambo ukuze kuqiniswe umgogodla, noma kuhlanganiswa amathambo amaningana ndawonye. Lokhu kubizwa ngokuthi i-spinal fusion . |
Izwi mayelana nokushintsha idiski...
Kukhona nokuhlinzwa okuthatha indawo yediski ngokuphelele. Kodwa-ke, lokhu akusathandwa njengoba kwakunjalo ngaphambili. Isizathu ukuthi kusenemibuzo mayelana nokuthi kusebenza kangakanani, futhi ezinye izinkampani zomshuwalense azikhokhi ngisho nokuyikhokhela. Lokhu kuvame ukufaneleka kuphela uma inkinga yediski ivela isencane (cishe eminyakeni engama-20-30 ubudala).
Yini ongayilindela ngemva kokuhlinzwa?
Uma uhlinzwe i-microdiscectomy, ngokuvamile ungaya ekhaya ngalolo suku. Kodwa-ke, uma uhlinzwa njengokuhlanganiswa komgogodla, kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili.
Ukuhlinzwa ngakunye kunengozi encane, kodwa lokhu ngokuvamile kuyindlela yokuhlinzwa ephephile kakhulu. Ngezinye izikhathi, kungaba nokudabuka okuncane olwelwesini oluzungeze umgogodla, okubangela ukuphuma koketshezi. Lokhu kungabangela ikhanda elibuhlungu. Kodwa akukubi kakhulu futhi kungelashwa futhi kwelapheke kalula.
Lokhu kuhlinzwa kuphumelele kakhulu. Odokotela bathi "ama-98% eziguli ezihlinzwe azidingi ukuhlinzwa futhi endaweni efanayo." Lokho kusho ukuthi ubuhlungu buyaphela.
Ukwelashwa ngokomzimba kuyadingeka ngempela ngemva kokuhlinzwa.
Ukululama ngemva kokuhlinzwa kwe-microdiscectomy kuyashesha kakhulu. Ungahamba ngezinsuku ezimbalwa. Kodwa-ke, kufanele ugweme ukuphakamisa okunzima kanye nokuzivocavoca okunzima emasontweni okuqala angu-4-6 ukuze ugweme ukulimala kabusha.
Abanye odokotela bathumela iziguli ohlelweni olubizwa ngokuthi "isikole sangemuva." Bakufundisa ukuthi ugobe kanjani, uphakamise izinsimbi, futhi wenze izivivinyo zokuqinisa imisipha ezungeze umhlane wakho ngaphandle kokulimaza umhlane wakho. Ngoba uma wenza izinto ezifanayo owazenza ngaphambi kokuhlinzwa, cishe uzophinde ulimele umhlane wakho.
Uma une-spinal fusion, kuzodingeka wenze ukwelashwa ngokomzimba isikhathi eside. Ngokuvamile ungabuyela emisebenzini yakho evamile zingakapheli izinyanga ezingu-2-3.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu bomhlane buvame kakhulu. Abantu abangu-80-85% bangalulama kubo ngaphandle kokuhlinzwa, ngezinto ezifana nemithi kanye nokwelashwa ngokomzimba.
- Okokuqala, kufanele uzame ukwelashwa okungeyona eyokuhlinzwa okungenani izinyanga ezingu-2-3.
- Uma uzwa ubuhlungu obungabekezeleleki, ubuthakathaka emilenzeni yakho, noma ikakhulukazi uma unenkinga yokulawula umchamo/indle yakho, bona udokotela ngokushesha.
- Uma kudingeka ukuhlinzwa, ukuhlinzwa okufana nokususwa kwe-microdiscectomy noma ukuhlanganiswa komgogodla kuyaphumelela kakhulu.
- Ukuze ululame ngokugcwele ngemva kokuhlinzwa, kubalulekile ukulandela imiyalelo kadokotela nokwenza ukwelashwa ngokomzimba ngendlela efanele.
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