Diski ya Herniated

Diski ya herniated (yoterera) imachitika pomwe chimbale chonse kapena gawo limodzi limakakamizidwa kudutsa gawo lofooka la disk. Izi zitha kukakamiza mitsempha yapafupi kapena msana.

Mafupa (vertebrae) am'magazi amateteza mitsempha yomwe imatuluka muubongo ndikuyenda kumbuyo kwanu kuti ipange msana. Mizu yamitsempha ndi mitsempha yayikulu yomwe imatuluka mumtsempha ndikusiya gawo lanu la msana pakati pa vertebra iliyonse.

Mafupa a msana amalekanitsidwa ndi ma disks. Ma disks awa amathamangitsa gawo la msana ndikuyika malo pakati pama vertebrae anu. Ma disks amalola kuyenda pakati pa ma vertebrae, omwe amakupatsani mwayi kuti mufike ndikufikira.

Ndi herniated disk:

• Diski imatha kuchoka pamalo (herniate) kapena kutseguka (kuvulala) kuvulala kapena kupsinjika. Izi zikachitika, pakhoza kukhala zovuta pamitsempha ya msana. Izi zitha kubweretsa kuwawa, dzanzi, kapena kufooka.
• Msana wam'munsi (lumbar) wa msana ndi malo omwe anthu ambiri amakhudzidwa ndi disk. Ma disk a khosi (khomo lachiberekero) ndi omwe ali m'dera lachiwiri lomwe limakhudzidwa kwambiri. Ma disks apamwamba mpaka pakati (thoracic) samachita nawo kawirikawiri.

Diski ya herniated ndi chifukwa cha radiculopathy. Izi ndizomwe zimakhudza mizu ya mitsempha ya msana.

Ma disks otayika amapezeka nthawi zambiri mwa amuna azaka zapakati komanso achikulire, nthawi zambiri pambuyo povutikira. Zina mwaziwopsezo zingaphatikizepo:

• Kukweza zinthu zolemera
• Kukhala wonenepa kwambiri
• Kubwereza mobwerezabwereza kapena kupotoza kumbuyo kumbuyo
• Kukhala pansi kapena kuyimirira pamalo omwewo kwa maola ambiri
• Moyo wopanda ntchito
• Kusuta

Kupweteka kumachitika nthawi zambiri mbali imodzi ya thupi. Zizindikiro zimasiyanasiyana, kutengera malo ovulala, ndipo atha kukhala ndi izi:

• Ndi diski yotayika kumapeto kwanu, mumatha kumva kupweteka kwambiri mbali imodzi ya mwendo, chiuno, kapena matako, komanso kufooka kwina. Muthanso kumva kupweteka kapena kufooka kumbuyo kwa ng'ombe kapena phazi. Mwendo womwewo amathanso kufooka.
• Ndikutulutsa disk m'khosi mwako, ukhoza kukhala ndi ululu ukamayendetsa khosi, kupweteka kwambiri pafupi kapena paphewa, kapena ululu wopita kumtunda, mkono, ndi zala.Muthanso kukhala ndi dzanzi paphewa, chigongono, mkono, ndi zala.

Ululu nthawi zambiri umayamba pang'onopang'ono. Zingathe kuipiraipira:

• Pambuyo poyimirira kapena kukhala
• Usiku
• Tikamayetsemula, kutsokomola, kapena kuseka
• Mukamaweramira kumbuyo kapena kuyenda mopitilira mayendedwe angapo kapena mita
• Mukapanikizika kapena kupuma, monga kukhala ndi matumbo

Mwinanso mungakhale ndi zofooka mu minofu ina. Nthawi zina, mwina simungazindikire mpaka wothandizira zaumoyo wanu atakuyesani. Nthawi zina, mudzawona kuti mukuvutika kukweza mwendo kapena mkono wanu, kuyimirira pazala zanu mbali imodzi, kufinya mwamphamvu ndi dzanja lanu limodzi, kapena mavuto ena. Chikhodzodzo chanu chitha kutayika.

Kupweteka, dzanzi, kapena kufooka nthawi zambiri kumatha kapena kumakula bwino pakadutsa milungu ingapo mpaka miyezi.

Kuyezetsa thupi mosamalitsa komanso mbiri nthawi zambiri amakhala gawo loyamba. Kutengera komwe muli ndi zisonyezo, wothandizira wanu amayesa khosi lanu, phewa, mikono, ndi manja, kapena msana, m'chiuno, miyendo, ndi mapazi.

Wopereka wanu adzawona:

• Kwa dzanzi kapena kutaya kumverera
• Maganizo anu am'mimba, omwe amatha pang'onopang'ono kapena akusowa
• Mphamvu ya minyewa yanu, yomwe imafooka
• Kukhazikika kwanu, kapena momwe msana wanu umakhotera
• Kutha kwanu kusinthasintha msana wanu

Wopezayo akhoza kukupemphani kuti:

• Khalani, imani, ndikuyenda. Mukamayenda, omwe amakupatsani akhoza kukufunsani kuti muyesere kuyenda ndi zala zanu kenako zidendene.
• Bwerani kutsogolo, kumbuyo, ndi chammbali.
• Sungani khosi lanu kutsogolo, kumbuyo, ndi chammbali.
• Kwezani mapewa anu, chigongono, dzanja, ndi dzanja, kuti muwone mphamvu zanu pantchitozi.

Kupweteka kwa mwendo komwe kumachitika mukakhala pa tebulo loyeserera ndikukweza mwendo wanu molunjika nthawi zambiri kumapereka chiwonetsero chazithunzi m'munsi mwanu.

Muyeso lina, muweramitsa mutu wanu kutsogolo ndi mbali pamene woperekayo akuyika pang'ono kutsikira pamwamba pamutu panu. Kuchulukitsa kupweteka kapena kufooka pakamayesedwe kameneka nthawi zambiri kumakhala chizindikiro chapanikizika pamitsempha m'khosi mwanu.

KUYESEDWA KWAMBIRI

Mayeso omwe adachitika atha kukhala:

• Spine MRI kapena msana CT itha kuchitidwa kuti iwonetse komwe diski ya herniated ikukakamira ngalande ya msana.
• Electromyography (EMG) itha kuchitidwa kuti izindikire mizu yeniyeni yomwe imakhudzidwa.
• Myelogram itha kuchitidwa kuti mudziwe kukula ndi malo a disk herniation.
• Kuyesa kwa ma velocity mayendedwe amathanso kuchitidwa.
• X-ray yamtsempha imatha kuchitidwa kuti ithetse zina zomwe zimayambitsa kupweteka kwakumbuyo kapena khosi. Ikhoza kuyang'ana momwe fupa lanu lilili labwino komanso kuyang'ana malo ochulukirapo kuti mitsempha yanu ya msana ituluke kunja kwa msana. Komabe, sikutheka kupeza disk ya herniated ndi x-ray ya msana yokha.

Chithandizo choyamba cha diski yomwe yatuluka ndi nthawi yopuma yochepa ndikumwa mankhwala opweteka. Izi zimatsatiridwa ndi chithandizo chamankhwala. Anthu ambiri omwe amatsatira mankhwalawa amachira ndikubwerera kuzinthu zachilendo. Anthu ena adzafunika kuthandizidwa kwambiri. Izi zitha kuphatikizira jakisoni wa steroid kapena opaleshoni.

MANKHWALA

Mankhwala angakuthandizeni ndi ululu wanu. Wothandizira anu akhoza kukupatsani izi:

• NSAID za kupweteka kwa nthawi yaitali
• Mankhwala osokoneza bongo ngati kupweteka kuli kwakukulu ndipo sakuyankha ma NSAID
• Mankhwala otonthoza mitsempha
• Zotulutsa minofu kuti muchepetse msana

ZINTHU ZIMASINTHA

Ngati mukulemera kwambiri, kudya ndi kuchita masewera olimbitsa thupi ndikofunikira kwambiri pakuthandizira kupweteka kwakumbuyo.

Thandizo lakuthupi ndilofunika kwa pafupifupi aliyense amene ali ndi matenda a disk. Othandizira akuphunzitsani momwe mungakwezere moyenera, kavalidwe, kuyenda, ndi kuchita zina. Amakuphunzitsani momwe mungalimbitsire minofu yomwe imathandizira kuthandizira msana. Muphunziranso momwe mungakulitsire kusinthasintha kwa msana ndi miyendo yanu.

Samalani kumbuyo kwanu kunyumba:

• Chepetsani ntchito masiku oyamba. Pewani pang'onopang'ono zochitika zanu zachizolowezi.
• Pewani kunyamula mwamphamvu kapena kupotoza msana kwa milungu isanu ndi umodzi yoyambirira ululu ukayamba.
• Pambuyo pa milungu iwiri kapena itatu, pang'ono ndi pang'ono yambani kuyambiranso.

Jekeseni

Majekeseni a mankhwala a Steroid kumbuyo kwa disk ya herniated angathandize kuchepetsa ululu kwa miyezi ingapo. Majakisoniwa amachepetsa kutupa mozungulira msana ndi disk ndikumachepetsa zizindikilo zambiri. Samathetsa vutoli ndipo kupweteka kwanu kumatha kubwerera pambuyo pa milungu kapena miyezi. Majekeseni a msana ndi njira yopita kuchipatala.

KUGWIDWA

Kuchita opaleshoni kungakhale kotheka ngati zizindikiro zanu sizingathe ndi mankhwala ena ndi nthawi.

Opaleshoni imodzi yotere ndi diskectomy, yomwe imachotsa chimbale chonse kapena gawo lake.

Kambiranani ndi omwe akukupatsani chithandizo chomwe mungachite bwino.

Anthu ambiri amachita bwino akamalandira chithandizo chamankhwala. Koma mutha kukhala ndi ululu wammbuyo wanthawi yayitali, ngakhale mutalandira chithandizo.

Zitha kutenga miyezi ingapo chaka chimodzi kapena kupitilira kuti mubwerere kuzochita zanu zonse osamva kuwawa kapena kupindika msana. Anthu omwe amagwira ntchito zomwe zimakhudza kukweza kwambiri kapena kupsinjika kumbuyo angafunike kusintha ntchito zawo kuti asavulaze msana wawo.

Nthawi zambiri, mavuto otsatirawa akhoza kuchitika:

• Kupweteka kwakumbuyo kwakanthawi kapena kupweteka kwa mwendo
• Kutaya kuyenda kapena kumva m'miyendo kapena m'mapazi
• Kutaya ntchito kwa matumbo ndi chikhodzodzo
• Kuvulala kosatha kwa msana (kosowa kwambiri)

Itanani omwe akukuthandizani ngati muli ndi:

• Kupweteka kwambiri kumbuyo komwe sikutha
• Kufooka kulikonse, kusayenda, kufooka, kapena kusintha kwa matumbo kapena chikhodzodzo

Kuthandiza kupewa kuvulala msana:

• Gwiritsani ntchito njira zoyenera zokweza.
• Pitirizani kulemera bwino.
• Chitani masewera olimbitsa thupi kuti mukhale ndi mimba yam'mimba (yamkati) yamphamvu komanso yam'mbuyo.
• Unikani dongosolo lanu pantchito. Nthawi zina desiki yoyimirira kapena kusintha komwe kompyuta yanu ingakhudze kungakuthandizeni.

Wothandizira anu atha kupereka lingaliro lakumbuyo kuti muthandizire kuthandizira msana. Cholimba chingalepheretse kuvulala kwa anthu omwe akweza zinthu zolemera kuntchito. Koma kugwiritsa ntchito kwambiri zida izi kumatha kufooketsa minofu yomwe imathandizira msana wanu ndikuwonjezera vuto.

Lumbar radiculopathy; Chiberekero cha radiculopathy; Diski yamatenda ya herniated; Kutulutsa intervertebral disk; Diski yotayika; Diski yotumphuka; Herniated nucleus pulposus: Kupweteka kochepa kumbuyo - disk ya herniated; LBP - disk ya herniated; Sciatica - disk ya herniated; Disk ya herniated; Chimbale - herniated

• Mafupa msana
• Mitsempha ya sciatic
• Msuzi wa Herniated pulposus
• Kukonza disk kwa Herniated
• Lumbar opaleshoni ya msana - mndandanda
• Lumbar disk ya Herniated

Gardocki RJ, Park AL. Matenda osachiritsika a thoracic ndi lumbar msana. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 39.

Magee DJ. Lumbar msana. Mu: Magee DJ, mkonzi. Kuwunika Kwa Mafupa. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2014: chaputala 9.

Sudhir A, Perina D.Misculoskeletal ululu wammbuyo. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 47.