Herniated disc: ndi chiyani, mitundu, zizindikiro ndi chithandizo
Zamkati
- Mitundu ya ma disc a herniated
- Zizindikiro za Disc Herniated
- Momwe Kuzindikira Kumapangidwira
- Zomwe zimayambitsa ma disc a herniated
- Mankhwala a Disc Herniated
- Dothi la Herniated ali ndi pakati
Dothi la Herniated limadziwika ndikutulutsa kwa intervertebral disc, komwe kumatha kubweretsa zizindikiritso monga kupweteka kwa msana komanso kutentha kapena kutentha. Nthawi zambiri mumakhala msana wam'mimba komanso msana, ndipo chithandizo chake chitha kuchitidwa ndi mankhwala, physiotherapy kapena opaleshoni, ndipo, kutengera kulimba kwake, amatha kuchiritsidwa kwathunthu.
Dothi la Herniated limatha kugawidwa malinga ndi dera la msana lomwe limakhudza, chifukwa chake, lingakhale:
- Dothi lachiberekero la Herniated: limakhudza dera la khosi;
- Herniated thoracic disc: imakhudza dera lakumbuyo;
- Lumbar disc herniation: imakhudza dera lotsika kumbuyo.
Diski ya vertebral disc ndi mawonekedwe a fibrocartilage omwe amateteza kuti asalumikizane mwachindunji pakati pa vertebra imodzi ndi ina, komanso kuti athetse zovuta zomwe zimapangidwa ndi zidendene, mwachitsanzo. Chifukwa chake, kuvulala kwa disc, kapena discopathy, monga matendawa amadziwikanso, kumawononga magwiridwe antchito a vertebral disc palokha ndikupitilizabe pazinthu zina zofunika za msana, monga mizu ya mitsempha kapena msana.
Mitundu ya ma disc a herniated
Mitundu ya ma disc a herniated
Kuyamba kwa kuvulala kwa disc kumatha kuchitika ngati munthuyo alibe mawonekedwe abwino, amakweza thupi popanda kupindika ndipo samamwa za 2 malita amadzi patsiku. Poterepa, ngakhale sanapange chophukacho, chimbale chawonongeka kale, sichikhala ndi makulidwe ochepa, komabe chimakhalabe ndi mawonekedwe ake oyamba: chowulungika. Ngati munthu sangasinthe mayendedwe ake komanso moyo wake mzaka zingapo, atha kukhala ndi disc ya herniated.
Hernia imachitika pamene khungu la vertebral limataya mawonekedwe ake oyambilira, kutha kukhala chowulungika, ndikupanga zotupa, zomwe zimakhala ngati 'dontho', lomwe limatha kupitilira pamizu ya mitsempha, mwachitsanzo. Chifukwa chake, mitundu itatu yama disc a herniated omwe alipo ndi awa:
- Dothi lotulutsa herniated: ndi mtundu wofala kwambiri, pomwe phata la disc limakhalabe lolimba, koma mawonekedwe a chowulungika atayika kale;
- Kutulutsa kwachinsinsi: disk disk ikapunduka, ndikupanga 'dontho';
- Matenda a herniated disc: pomwe pachimake pakuwonongeka kwambiri ndipo chitha kugawanika magawo awiri.
Munthu atha kukhala ndi disc ya herniated yopitilira imodzi ndipo imatha kukulirakulira pakapita nthawi. Nthawi zambiri munthu akangokhala ndi chimbudzi chosowa madzi m'thupi, amakhala alibe zizindikilo ndipo amangodziwa ngati ali ndi sikani ya MRI pazifukwa zina zilizonse. Zizindikiro zimawonekera kwambiri nthawi yomwe nthenda yawonjezeka ndipo ili pafupi kutuluka.
Hernia iyenera kusankhidwabe malinga ndi malo ake enieni, omwe atha kukhala postero kapena poseral postero. Diseral postero herniated disc imatha kukanikiza mitsempha yoyambitsa kumva kuwawa, kufooka kapena kutayika kwamphamvu m'manja kapena mwendo, koma pakakhala chimbudzi cham'mbuyo cham'mbuyo, malo opanikizika ndi msana wam'mimba motero munthuyo amatha kupereka izi mwa mikono kapena miyendo yonse, mwachitsanzo.
Zizindikiro za Disc Herniated
Chizindikiro chachikulu cha disc ya herniated ndikumva kuwawa kwambiri pomwe imapezeka, koma itha kupanganso izi:
Dothi lachiberekero la Herniated | Lumbar disc herniation |
Khosi kapena kupweteka kwa khosi | Kuchepetsa kupweteka kwa msana |
Zovuta kusuntha khosi lanu kapena kukweza manja anu | Zovuta kusuntha, kupindika, kudzuka kapena kugona pabedi, mwachitsanzo |
Pakhoza kukhala kumverera kufooka, dzanzi kapena kumva kulasalasa mu dzanja limodzi, chigongono, dzanja kapena zala | Kumva dzanzi mu glutes, ndi / kapena miyendo, kumbuyo, kutsogolo kapena mkati mwa mwendo umodzi |
--- | Kutentha kwamtundu wanjira yaminyewa yomwe imachokera msana mpaka kumapazi |
Kupweteka kwa disc ya herniated nthawi zambiri kumakulirakulira ndikungoyenda ndipo kumatha kukulirakulira ndikukhosomola, kuseka ndipo kumatha kukulirakulira pamene munthuyo atuluka kapena kutuluka, komwe kumatha kuwoneka mwadzidzidzi kapena kukulirakulira pakapita nthawi.
Momwe Kuzindikira Kumapangidwira
Kupezeka kwa ma disc a herniated kumatha kupangidwa pounikira zizindikiro komanso kuwunika kwakuthupi, koma zitha kutsimikizidwanso ndi mayeso, monga computed tomography kapena magnetic resonance imaging, yomwe imayesa kuyesa disc, makulidwe ake, malo enieni a chophukacho ndi mtundu wa hernia womwe munthu ali nawo.
Kuyeza kwa X-ray sikuwonetsa bwino chophukacho, koma kungakhale kokwanira kuwonetsa kulumikizana kwa msana ndi umphumphu kapena kuwonongeka kwa mafupa am'mimba motero, nthawi zina adokotala amapempha X-ray ndipo chifukwa cha izi , Amafunsa resonance kapena tomography kuti awone kuuma kwake.
Potsimikizira kuti pali disc imodzi kapena zingapo za herniated, adokotala amatha kuwonetsa chithandizo chomwe chitha kuchitidwa ndi physiotherapy, Pilates, RPG, osteopathy, kapena opaleshoni. Nthawi zambiri, opaleshoni ndiyo njira yomaliza yamankhwala, yosungidwa m'malo omwe munthu sawonetsa kusintha kwa zizindikilo ndi mitundu ina ya chithandizo, kwa miyezi yopitilira 6.
Zomwe zimayambitsa ma disc a herniated
Choyambitsa chachikulu cha ma disc a herniated ndimakhalidwe osakhazikika tsiku ndi tsiku, komanso kuti munthu samasamala akamakweza ndikunyamula zinthu zolemetsa kwambiri. Chifukwa chake, ndizofala kwa anthu omwe amagwira ntchito ngati openta, ojambula, ogwira ntchito zapakhomo, oyendetsa ndi omanga, kuti apange disc disc kapena ma herniated disc, azaka pafupifupi 40.
Pafupifupi zaka 10 asanapeze disc ya herniated sizachilendo kuti munthuyo adakumana kale ndi zowawa monga kupweteka kwa msana komwe sikuchepera mwachangu. Ichi ndi chimodzi mwazizindikiro zoyambirira zomwe thupi limatulutsa, koma zimanyalanyazidwa, mpaka nthenda ya msana iwoneke.
Zina mwazinthu zomwe zimalimbikitsa kukhazikitsidwa kwa chophukacho ndi ukalamba, kunenepa kwambiri komanso kulimbikira mokwanira, chifukwa chake, kuti chithandizo chitheke ndikofunikira kuthetsa zonsezi.
Mankhwala a Disc Herniated
Chithandizocho chikachitika moyenera, zizindikirazo zimatha kutha pasanathe miyezi 1 kapena 3, koma munthu aliyense amayankha mosiyanasiyana kuchipatala, chifukwa chake nthawi zina nthawi yayitali imatha. Kuti muthandizidwe bwino ndikofunikira kudziwa komwe kuli hernia ndi mtundu wake. Mtundu wofala kwambiri, womwe ndi disc protrusion, ungachiritsidwe ndi:
- Kugwiritsa ntchito mankhwala opha ululu ndi mankhwala oletsa kutupa omwe adalangizidwa ndi dokotala;
- Physiotherapy magawo okhala ndi zida, zolimbitsa thupi ndi zolimbitsa thupi;
- Osteopathy yomwe imakhala ndikuphwanya msana ndikuwonetsanso mafupa ndi ziwalo zonse;
- Zochita monga RPG, hydrotherapy kapena Pilates motsogozedwa ndi physiotherapist.
Pomwe akuchiritsidwa ndikulimbikitsidwa kuti munthuyo azikhala kutali ndi zomwe zayambitsa chophukacho, osachita khama komanso osachita zolimbitsa thupi zilizonse.
Onani izi ndi maupangiri ena muvidiyo yotsatirayi:
Kuchita ma disc a Herniated kumawonetsedwa ngati munthuyo ali ndi disc yotulutsa kapena yotulutsa magazi ndipo chithandizo chamankhwala sichimakwanira kuti muchepetse zizindikiritsozo ndikukhala ndi moyo wabwino.
Dothi la Herniated ali ndi pakati
Mzimayi yemwe wapezeka kale ndi herniated disc asanakhale ndi pakati ayenera kudziwa kuti nthawi yapakati mimba herniated disc imatha kukulirakulira, ndikupangitsa kupweteka kwakumbuyo komwe kumatha kudalira mizu ya mitsempha, monga sciatic nerve. Mitsempha ya sciatic ikakhudzidwa, mayiyo amamva kupweteka kumbuyo, matako kapena kumbuyo kwa ntchafu.
Izi zimachitika chifukwa panthawi yomwe mayi ali ndi pakati, progesterone imabweretsa kuwonjezeka kwa mitsempha yonse mthupi, ndipo popeza msanawo umakhalanso ndi minyewa, imayamba kutanuka ndipo pamapeto pake imalola vertebra kukha pang'ono, yomwe imatha kukulitsa kapena kuyambitsa herniated chimbale.
Pakati pa mimba, sayenera kumwa mankhwala ena kupatula paracetamol, chifukwa chake ngati mayi ali ndi ululu wammbuyo kapena waminyewa, ayenera kupumula atagona, miyendo yake ili pampando kapena pilo, mwachitsanzo. Kuyika compress yotentha pamalopo kumathandizanso kuthetsa vutoli. Dziwani zoopsa za mwana, momwe njira yoberekera ndi chithandizo cha ma disc a herniated ali ndi pakati.