Chithandizo cha ma disc a herniated: mankhwala, opareshoni kapena physiotherapy?

Zamkati

• 1. Chithandizo ndi mankhwala
• 2. Thandizo lakuthupi la ma disc a herniated
• 3. Chithandizo chachilengedwe
• 4. Opaleshoni ya disc ya Herniated
• Kodi kuchira kuli bwanji?
• Zizindikiro zakusintha
• Zizindikiro zakukula

Njira yoyamba yothandizira yomwe nthawi zambiri imawonetsedwa pama disc a herniated ndi kugwiritsa ntchito mankhwala oletsa kutupa ndi mankhwala, kuthana ndi ululu ndikuchepetsa zizindikilo zina, monga zovuta kusuntha ziwalo kapena kulira.

Njira zina, monga kutema mphini, Pilates kapena kugwiritsa ntchito tiyi wina, zitha kuthandizanso kuthandizira chithandizo chamankhwala, kuwonjezera mphamvu ya mankhwala ndikuchepetsa kuchepa.

Komabe, monga disc ya herniated ndikusintha komwe kumayambitsa kupsinjika kwa disc komwe kuli pakati pa ma vertebrae, ndikuwatulutsa m'malo mwake, nthawi zina mankhwalawa samakhala okwanira kuti abwezeretse moyo wamunthu, momwemonso, opaleshoni ya disc ya herniated chikuwonetsedwa.

1. Chithandizo ndi mankhwala

Chithandizo chovomerezeka cha ma disc a herniated chimaphatikizapo kugwiritsa ntchito mankhwala, monga:

• Anti-zotupa, monga Ibuprofen, Diclofenac kapena Ketoprofen: kuthandizira kuchepetsa kutupa ndi kupweteka komwe kumayambitsidwa ndi kuponderezana kwa disc ya intervertebral;
• Kupweteka kumachepetsa, zomwe zitha kukhala zofooka, monga Dipyrone kapena Paracetamol, kapena zamphamvu kwambiri, monga Tramadol kapena Codeine: amathandizira kuthetsa ululu komanso kusapeza bwino komwe kumachitika chifukwa cha kupanikizika kwa vertebral disc;
• Opumitsa minofu, monga Cyclobenzaprine kapena Baclofen: kuchepetsa ululu womwe umayambitsidwa ndi kupindika kwa minofu kumbuyo kapena miyendo;
• Mankhwala a anticonvulsant, monga Gabapentina kapena Pregabalina: amagwiritsidwa ntchito, potero, kuti athetse ululu womwe umayambitsidwa ndi kupsinjika kwa mitsempha pafupi ndi chophukacho;
• Jakisoni Corticosteroid mu msana, monga Betamethasone kapena Prednisone: kuchepetsa kutupa pamalo a disc a herniated.

Kugwiritsa ntchito mankhwala oletsa kutupa, ngakhale kukhala ndi zotsatira zabwino makamaka pakumva kupweteka kwa lumbar hernia, sikuyenera kugwiritsidwa ntchito pafupipafupi, chifukwa zimayambitsa zovuta zina, monga kukwiya m'mimba kapena kusintha kwa impso.

Pomwe mungafunike kugwiritsa ntchito mankhwala kwa nthawi yayitali, mankhwala opha ululu, zopumulira minofu kapena ma anticonvulsants, monga adanenera dokotala, ndiye njira zabwino kwambiri.

2. Thandizo lakuthupi la ma disc a herniated

Kuphatikiza pa mankhwalawa, a orthopedist amathanso kulangiza kuzindikira kwa magawo a physiotherapy, komwe masewera olimbitsa thupi amachitidwa ndipo malo amaphunziridwa omwe ndi ofunikira kumaliza chithandizo chamankhwala ndikuchepetsa ululu. Onani zonse momwe herniated disc physiotherapy imagwirira ntchito.

Nthawi yothandizira ndi physiotherapy imadalira mtundu wa chophukacho komanso kukula kwa zizindikilozo, koma zimatha kusiyanasiyana kuyambira mwezi umodzi mpaka miyezi 6, kapena kupitilira apo.

3. Chithandizo chachilengedwe

Pali njira zothetsera ululu womwe umayambitsidwa ndi ma disc a herniated ndimankhwala anyumba, omwe nthawi zina amatha kusintha kapena kuchepetsa kuchuluka kwa mankhwala. Mfundo zazikuluzikulu ndi izi:

• Kutema mphini: Amathandiza kuthetsa ululu pogwiritsa ntchito singano zing'onozing'ono zomwe zimayikidwa m'malo opanikizira kuti zisawononge ululu;
• Ma Pilates: Maimidwe olimbitsa thupi omwe amatambasulidwa mu Pilates amatha kuthandiza kukhazikika kwa disc ya herniated ndikuchepetsa kupweteka. Ndikofunikira kuti makalasi a Pilates achitike ndi wochita masewera olimbitsa thupi;
• Kusisita: ngati itachitidwa ndi akatswiri odziwa bwino ntchito, komanso odziwa kuchiza matenda amtsempha, imatha kuthetsa zizindikilo, chifukwa chakutambasula minofu ndikupumula;
• Zitsamba Zachilengedwe: Zomera zina zitha kugwiritsidwa ntchito popanga pulasitala, zakudya zanyengo kapena kupanga tiyi, monga ma clove, ginger, sinamoni, fennel kapena khungwa la msomali la mphaka, mwachitsanzo, omwe ali ndi zotsutsana ndi zotupa. Phunzirani maphikidwe a tiyi omwe ndi achilengedwe odana ndi zotupa.

Pakati pamavuto, muyenera kupumula kwa maola ochepa, koma nthawi zonse muzisankha kuyenda chifukwa kumachepetsa kuuma kwa minofu ndikuthandizira kuwongolera ululu. Koma ndikofunikira kupewa kuyesayesa kwakukulu monga kuyeretsa, kapena kukweza zinthu zolemetsa chifukwa mwanjira imeneyi msana umatetezedwa kwambiri, kupewa kusuntha kapena mayendedwe omwe angayambitse kutupa.

Onani, muvidiyo yotsatirayi, maupangiri ochokera kwa physiotherapist omwe angathandize kusintha zizindikiritso za herniated disc:

4. Opaleshoni ya disc ya Herniated

Kuchita opareshoni yothandizira ma disc a herniated kumawonetsedwa makamaka ngati ndi mtundu wa extruded kapena sequestered, pomwe sipanakhalepo kusintha kwa zizindikilo pogwiritsa ntchito mankhwala ndi mankhwala, kapena pamene zizindikilozo zachuluka kwambiri mpaka kutha mphamvu ndi kulemala .

Ndondomekoyi imachitikira m'chipinda chogwiritsira ntchito, pansi pa anesthesia, kuchotsa disc kuchokera kumsana wokhudzidwa, ndikudulidwa pang'ono, kutsatiridwa ndi mgwirizano wa mafupa a vertebrae kapena m'malo mwa diski ndi zinthu zopangira. Itha kuchitidwa ndi orthopedist, komanso ndi neurosurgeon, chifukwa imalepheretsa magawo ofunikira amisempha yamtsempha.

Njira ina yochitira opareshoni ndiyo njira ya endoscopy, momwe kuchotsera disc yokhudzidwayo kumachitika kudzera mu chubu chochepa kwambiri cholowetsedwa pakhungu, ndi kamera kumapeto kwake. Ngakhale ndizosavuta, njirayi imachitika nthawi zina, yotulutsidwa ndi dotolo, kutengera zomwe mwakumana nazo komanso komwe msana wakhudzidwa.

Kodi kuchira kuli bwanji?

Pambuyo pochita izi, munthuyo amatha kutulutsidwa pakadutsa masiku awiri kapena awiri, koma ayenera kupumula kunyumba kwa sabata limodzi, akugwira ntchito zosavuta monga chisamaliro chaumwini ndikuyenda mtunda waufupi. Mkanda kapena malaya amafunika milungu iwiri, kupewa kukakamiza malowa ndikupereka chitetezo kwa munthuyo.

Ntchito zambiri, monga kugwira ntchito, zimamasulidwa kale nthawi imeneyi, koma zochitika zathupi zomwe zimafuna khama zimatulutsidwa pakatha mwezi umodzi.

Zizindikiro zakusintha

Zizindikiro zakusintha kwama disc a herniated nthawi zambiri zimawoneka patatha masabata a 3 kuyambira pomwe mankhwala amayamba ndipo zimaphatikizapo kupweteka kocheperako komanso kuchepa kwamavuto osuntha.

Zizindikiro zakukula

Zizindikiro zakukula kwa disc ya herniated zimachitika pafupipafupi ngati mankhwalawa sakugwira ntchito ndipo amaphatikizaponso kuyenda movutikira, kuyimirira kapena kusuntha thupi, komanso kutha kwachisoni chokodza kapena kutuluka, mwachitsanzo.