Kutulutsa ma disc (bulging): ndi chiyani, zizindikilo ndi momwe muyenera kuchitira

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Momwe matendawa amapangidwira
• Momwe mankhwalawa amachitikira

Kutulutsa kwa disc, komwe kumadziwikanso kuti disc bulging, kumakhala ndi kusunthika kwa disc ya gelatin yomwe ili pakati pa vertebrae, kulowera kumtunda kwa msana, kuyambitsa kukakamiza kwa mitsempha ndikubweretsa kuwonekera kwa zizindikilo monga kupweteka, kusapeza bwino komanso zovuta kuyenda. Diski ya intervertebral imagwira ntchito yolimbitsa zomwe zimakhudza ma vertebrae ndikuthandizira kutsetsereka pakati pawo, kukulolani kuti muziyenda mosavutikira.

Nthawi zambiri, chithandizochi chimakhala ndi masewera olimbitsa thupi, physiotherapy kapena kumwa mankhwala osokoneza bongo, ndipo pamavuto akulu, kuchitidwa opaleshoni kumafunika.

Vutoli, ngati silikuchiritsidwa bwino, limatha kubweretsa disc yovuta kwambiri, momwe katsamba kamkati kakhoza kutulutsidwa mu disc. Dziwani mitundu yonse ya ma disc a herniated ndi zizindikilo zofala kwambiri.

Zizindikiro zazikulu

Zizindikiro zomwe zimachitika chifukwa cha kutuluka kwa msana ndi:

• Ululu m'dera lomwe lakhudzidwa;
• Kuchepetsa chidwi chamiyendo pafupi ndi dera;
• Kutengeka kwamanja m'manja kapena m'miyendo;
• Kutaya mphamvu mu minofu ya dera lomwe lakhudzidwa.

Zizindikirozi zimatha kukulira pang'onopang'ono, chifukwa chake, anthu ena amatha kutenga nthawi yayitali kuti apite kuchipatala. Komabe, kusintha kulikonse pakumverera kapena mphamvu pamiyendo iliyonse, kaya mikono kapena miyendo, iyenera kuyesedwa ndi dokotala nthawi zonse, chifukwa zitha kuwonetsa vuto lamitsempha m'derali.

Zomwe zingayambitse

Kawirikawiri, kutuluka kwa disk kumachitika chifukwa cha kuvala kwa dera lakunja la disc, zomwe zimachitika munthu akamakalamba, koma zimatha kuchitika mwa achinyamata, ndimayendedwe ena, monga kukweza zinthu zolemetsa, mwachitsanzo.

Kuphatikiza apo, anthu onenepa kwambiri, ofooka kapena amangokhala chete ali pachiwopsezo chachikulu chovutika ndi vutoli.

Momwe matendawa amapangidwira

Nthawi zambiri, dokotalayo amawunika kuti adziwe komwe kuli ululu, ndipo atha kugwiritsa ntchito njira zina zowunikira, monga ma X-rays, computed tomography kapena imaging resonance imaging, mwachitsanzo.

Momwe mankhwalawa amachitikira

Chithandizocho chimadalira kuuma kwa kutulutsa kwa disc, dera lomwe limachitikira komanso kusapeza bwino komwe kumachitika, komwe kumatha kuchitidwa ndi masewera olimbitsa thupi, kulimbitsa thupi kapena kumwa mankhwala a analgesic.

Ngati chithandizo chomwe achita sichikwanira kuthana ndi mavuto, adotolo amalimbikitsa mankhwala amphamvu monga opumira minofu kuti athetse vuto la minofu ndi ma opioid, gabapentin kapena duloxetine, kuti athetse ululu.

Dokotala atha kulimbikitsanso kuchitidwa opaleshoni, ngati zizindikirazo sizikusintha kapena ngati disc ya bulging ikusokoneza ntchito ya minofu. Nthawi zambiri, opareshoni imakhala ndikuchotsa gawo lomwe lawonongeka la disc ndipo, pakavuta kwambiri, chimbalecho chitha kusinthidwa ndi pakhosi kapena adotolo angasankhe kuphatikiza ma vertebrae awiri pakati pa disc bulging.

Onerani vidiyo yotsatirayi ndikuphunzira momwe mungapewere kapena kukonza chimbale cha herniated: