Opaleshoni ya Herniated Disc: Zomwe Muyenera Kuyembekezera

Zamkati

• Asanachite opaleshoni
• Mitundu ya opaleshoni ya disc ya herniated
• Laminotomy / laminectomy
• Discectomy / microdiscectomy
• Opaleshoni ya disc
• Kusakanikirana kwa msana
• Zowopsa ndi zomwe mungayembekezere mutachitidwa opaleshoni
• Kupewa mavuto

Zomwe zimayambitsa, zovuta, komanso pomwe opaleshoni ndiyolondola

Pakati pa mafupa onse mumsana wanu (ma vertebrae) pali disc. Zimbalezi zimakhala ngati zoyamwa komanso zimathandizira kutsitsa mafupa anu. Dothi la herniated ndi lomwe limapitilira kapisozi wokhala nalo ndikukankhira mumtsinje wamtsempha. Mutha kukhala ndi disc ya herniated kulikonse pamsana panu, ngakhale m'khosi mwanu, koma ndizotheka kuti zimachitika kumbuyo kwenikweni (lumbar vertebrae).

Mutha kukhala ndi disc ya herniated potukula chinthu china molakwika kapena mwadzidzidzi kupotoza msana wanu. Zina mwazinthu zimaphatikizapo kunenepa kwambiri komanso kuchepa mphamvu chifukwa cha matenda kapena ukalamba.

Dothi la herniated silimayambitsa kupweteka kapena kusowa mtendere nthawi zonse, koma ngati likukankhira motsutsana ndi mitsempha m'munsi mwanu, mutha kukhala ndi ululu kumbuyo kapena miyendo (sciatica). Ngati disc ya herniated imapezeka m'khosi mwanu, mutha kukhala ndi ululu m'khosi, m'mapewa, ndi mikono. Kuphatikiza pa ululu, disc ya herniated imatha kubweretsa dzanzi, kumva kulira, komanso kufooka.

Kuchita opaleshoni yokhudza msana nthawi zambiri sikulimbikitsidwa mpaka mutayesa njira zina zonse. Izi zingaphatikizepo:

• anti-anti-inflammatories
• amachepetsa ululu
• kuchita masewera olimbitsa thupi kapena kulimbitsa thupi
• jakisoni wa steroid
• kupumula

Ngati izi sizikugwira ntchito ndipo mukumva kupweteka kosalekeza komwe kumakusokonezani moyo wanu, pali njira zingapo zopangira opaleshoni.

Asanachite opaleshoni

Mukamaganiza zopanga opareshoni, onetsetsani kuti mwawona oyenerera msana (orthopedic or neurosurgical), ndikupeza lingaliro lachiwiri. Musanavomereze kuchitidwa opaleshoni ina, dokotala wanu amatha kuyitanitsa kuyerekezera kujambula, komwe kungaphatikizepo:

• X-ray: X-ray imapanga zithunzi zomveka bwino za mafupa anu opindika ndi mafupa.
• Computed tomography (CT / CAT scan): Zithunzi izi zimapereka chithunzi chatsatanetsatane cha ngalande ya msana ndi zomuzungulira.
• Kujambula kwamaginito (MRI): MRI imapanga zithunzi za 3-D za msana ndi mizu ya mitsempha, komanso ma disc okha.
• Electromyography kapena maphunziro a mitsempha (EMG / NCS): Izi zimayeza mphamvu zamagetsi pamitsempha ndi minofu.

Mayesowa athandiza dokotala wanu kuti azindikire mtundu wabwino wa opareshoni kwa inu. Zina mwazofunikira pachisankhochi ndi monga komwe kuli disc yanu ya herniated, msinkhu wanu, ndi thanzi lanu lonse.

Mitundu ya opaleshoni ya disc ya herniated

Mukatha kusonkhanitsa zambiri zomwe angathe, dotolo wanu angakulimbikitseni imodzi mwama opaleshoniwa. Nthawi zina, munthu angafunike kuchitidwa maopaleshoni angapo.

Laminotomy / laminectomy

Pogwiritsa ntchito laminotomy, dokotalayo amatsegula chingwe cham'mimba (lamina) kuti athane ndi mizu yanu. Njirayi imachitika pang'ambe pang'ono, nthawi zina pogwiritsa ntchito microscope. Ngati ndi kotheka, lamina ikhoza kuchotsedwa. Izi zimatchedwa laminectomy.

Discectomy / microdiscectomy

Discectomy ndi opaleshoni yofala kwambiri yomwe imagwiritsidwa ntchito pa disc ya herniated mdera lumbar. Pochita izi, gawo la disc lomwe likuyambitsa kukakamiza pamizu yanu yamitsempha limachotsedwa. Nthawi zina, chimbale chonse chimachotsedwa.

Dokotalayo amatha kulowa pa diskiyo pobowola msana (kapena m'khosi). Ngati kuli kotheka, dokotalayo amagwiritsa ntchito tinthu tating'onoting'ono komanso zida zapadera kuti akwaniritse zomwezo. Njira yatsopanoyi, yocheperako imatchedwa microdiscectomy. Nthawi zina, njirazi zitha kuchitidwa mwachipatala.

Opaleshoni ya disc

Pochita ma disc opangira ma disc, mudzakhala pansi pa anesthesia wamba. Kuchita opaleshoniyi nthawi zambiri kumagwiritsidwa ntchito pa disc imodzi vuto likakhala kumbuyo kwenikweni. Si njira yabwino ngati muli ndi nyamakazi kapena kufooka kwa mafupa kapena ngati disc yopitilira imodzi ikuwonetsa kuchepa.

Pochita izi, dokotalayo amalowa m'mimba mwanu. Diski yowonongeka imalowetsedwa ndi chimbale chopangira chopangidwa ndi pulasitiki ndi chitsulo. Mungafunike kukhala mchipatala masiku angapo.

Kusakanikirana kwa msana

Mankhwala ochititsa dzanzi amafunika kuti msana usakanikirane. Pochita izi, ma vertebrae awiri kapena kupitilira apo amaphatikizana kwathunthu. Izi zitha kutheka ndi zolumikizira mafupa kuchokera mbali ina ya thupi lanu kapena kuchokera kwa wopereka. Zitha kuphatikizaponso zomangira zachitsulo kapena zapulasitiki ndi ndodo zopangira zowonjezera. Izi zidzasokoneza gawo lanu la msana kwamuyaya.

Kuphatikizika kwa msana nthawi zambiri kumafuna kukhala kuchipatala masiku angapo.

Zowopsa ndi zomwe mungayembekezere mutachitidwa opaleshoni

Opaleshoni yonse ili ndi chiopsezo, kuphatikiza matenda, magazi, ndi kuwonongeka kwa mitsempha. Ngati disc sichichotsedwa, imathanso kuphulika. Ngati mukudwala matenda osokoneza bongo, mutha kukhala ndi mavuto ndi ma disc ena.

Pambuyo pochita opaleshoni ya msana, kuuma kwina kumayembekezereka. Izi zitha kukhala zachikhalire.

Pambuyo pa opareshoni yanu, mudzapatsidwa malangizo okhudza nthawi yoyambiranso nthawi yoyenera kuchita masewera olimbitsa thupi. Nthawi zina, chithandizo chamankhwala chitha kukhala chofunikira. Ndikofunika kutsatira malangizo a dokotala.

Anthu ambiri amachira bwino atachitidwa ma disc, koma mchitidwe uliwonse ndi wapadera. Lingaliro lanu limadalira:

• tsatanetsatane wa opaleshoni yanu
• zovuta zilizonse zomwe mwina mwakumana nazo
• thanzi lanu

Kupewa mavuto

Pofuna kupewa mavuto amtsogolo ndi msana wanu, yesetsani kukhala athanzi. Nthawi zonse mugwiritse ntchito njira zoyenera kukweza. Minofu yamphamvu yam'mimba ndi kumbuyo imathandizira msana wanu, chifukwa chake onetsetsani kuti mumachita masewera olimbitsa thupi pafupipafupi. Dokotala wanu kapena wothandizira thupi angakulimbikitseni machitidwe omwe apangidwa kuti akwaniritse izi.