Chii chinopinda mubudiriro yakabudirira?
Dhairiyiti inonzi herniated in your lumbar spine inogona kurwadza zvikuru. Mashoko akanaka anowanzogadzirisa nekurapa kwakachengetedza, iyo kazhinji inosanganisira kurapwa kwepanyama pamwe chete nemishonga inorwadza uye / kana musikana anozorodza. Kana mishonga isingakundiki yakadai saiyi isinganyatsogoni kuita zvinyengeri, iwe unogona kunge uchikwanisa kuvhara chirwere che steroid .
Pashure pemavhiki masere ekuchengetedza kusina kuvhara kunze kwemigumisiro inogutsa, inogona kuwira kuvhii. Munyaya iyi, discectomy inogona kunge iri yose yaunoda kuti uwane rubatsiro rwauri kutsvaga.
Asi kuvhiyiwa kunovhiyiwa. Sezvo nemhando ipi zvayo yekuita, iwe unoda kunge uine chivimbo chokuti chiremba wako ari kunyatsoteerera mashoko uye ane zvido zvako mupfungwa. Mukudaro, hezvino zvinhu gumi zvaanofanira kuwana zvakanaka.
Pre-Operative MRIs Ndezvakanaka
MRIs inowanzoshandiswa paunenge uchitarisisa kana dhidhi inoratidzika. Asi haisi iyo chete inokosha yekombiyuta iyi. Chiremba wako angangodaro achitaura mafirimu ako sezvaanoongorora maronda ako emusana, disc disc chemistry, chiyero chekushaya simba chiripo mumutsara wako, uye kuziva kana disc yako yekudzivirira iripo kana kuti kwete.
Disc discing is an important character in determining not only the need for surgery, but also for pinning the procedure.
Asi chidzidzo che2008 chakabudiswa mu Journal of Orthopedic Surgery chakawana kuti MRIs inogona kunge isina kuongorora chimiro chekusungirirwa kwema disc kusvika 30 muzana yevarwere vepwere. Vanyori vekudzidza vanokurudzira kubatanidza mafirimu eMRI nedzimwe nzira dzekuongorora asati aita chigumo chekupedzisira chekuti chirwere che disc chinenge chakafanira.
Kutsvaga Kodzero Nzira Yokuvhiya Kwako Inokosha
Iye zvino zvaunoziva chinetso chacho, pamwe nekukura kwayo, chinhu chinotevera kujekesa nechiremba wako ndiyo nzira yekuvhiya inoronga kuita. Muzhinji, microdiscectomy ndiyo yekuvhiyiwa kwechisarudzo kwekombiki yekodhi disc herniation; inozivikanwa nemigumisiro yayo yakanaka mumatambudziko mazhinji. Asi haisi iyo chete yeropa rekuvhiya iripo. Nzira itsva dzinoramba dzichigadziridzwa, uye imwe inogona kunge yakafanira kupa mamiriro ako chaiwo. Mitauro yevhidhiyo yekuvhiya inosanganisira asi haigoneki kuzarura discectomy, chirwere chemalasi, uye sequestrectomy. Uye kana musana wako usina kugadzikana, iwe unogona kutora nzira yakasiyana zvachose zvachose.
Zvinhu zvakawanda zvinoitika pakuenzanisa nzira kune mumwe murwere. Zvichipa izvozvo, iwe ungada kuudza chiremba wako kuti agovere newe kutsvakurudza kwezvokurapa izvo zvakatarisa zvose zviri kuongororwa uye chirongwa chinorongwa chirongwa. Chimwe chidiki chezivo chingangobatsira ndechekuti sei-uye kwenguva yakareba-chiremba wako aive achiita chirwere ichocho.
Is Your Spine Stable Yakawanikidzwa Kuvhiyiwa kweDhi?
Mimwe yemaruva emusana inofambidzana nekomberi kusagadzikana .
Kazhinji, diski inonzi herniated haisi imwe yeizvi, asi zvakanakisa kana chiremba wako achiita basa rakakwana rokukuongorora iwe zvakadaro. Kana zvisina kudaro, unogona kunge uine dambudziko guru-uye rinorwadza.
Kana zviitiko zvekuongorora kwako mumuviri zvakapiwa nachiremba wako hazvina kufanana nezvinoitwa neMRI, chiremba anovhima angangotora matanho ekutonga sarudzo yepumbylolysis. Spondylolysis kudengenyeka mupfungwa mune chikamu chemupinha chinonzi pars interarticularis. Kana kuputsika kwepasiti isingatariswi, inogona kufambira mberi mune imwe nyaya yakazara ye spondylolisthesis, apo imwe musana wechipfupa inofambisa mberi kana shure kwefupa pasi payo.
Chiremba anoudza sei marwadzo ako ari kuuya kubva kubhuku rako uye kwete kugona kwepasipo?
Nokuziva kuti pane mutsara mudziyo kudzvinyirira kunoitika. Maererano nekuongorora kwe 2016 kwakabudiswa muAsia Spine Journal , kazhinji, lumbar disc hisniations inowanzoita kuti pave nechezasi pemudzi. Chiitiko che spondylolysis (iyo inewo zviratidzo) chinowedzera kukonzera chikamu chepamusoro. Chimwe chinhu kunze kwechirevo ichi chechigunwe chinogona kukanganisa zvinhu zvishoma kana iwe une nguva refu yakakonzerwa nekodar disc herniation. Vanyori vekudzidza vanoti rudzi urwu rwemarita anokanganisa hutano hwepamusoro.
Is Sciatica Yako Yakakonzerwa Nechirongwa cheHerniated?
Hedhiated disc ndiyo inowanzoita kuti vanhu vakawanda vataure seSciatica. Muchiitiko ichi, izwi rezvenyanzvi ndiro radiculopathy, zvichiratidza kuti kudzvinyirira kana kushungurudzika kwemutsipa wesiperesi midzi ndiko kunokonzera marwadzo ako.
Asi sciatica inogona kuva nezvimwe zvinokonzera zvinokonzera izvo zvisingabatanidzi nekodhi. Izvi zvinogona kusanganisira piriformis syndrome, ankylosing spondylitis, chikamu chakabatana hypertrophy uye kunyange zvirwere zvimwe mune dzimwe sangano dzomuviri dzinofananidzira zviratidzo zvehudhiculopathy.
Kugadzirisa Kusina-Kusagadzirira uye Kuitevera
Kuita kuti ugadzirire kuti uwane discectomy kana imwe chirwere chinonzi lumbar disc, uchichengetedze wakachengeteka panguva iyo, nekuita kuti zvinhu zvose zvifanane nezvinofanira kuva mushure mekunge zvinosanganisira matanho akawanda uye zvirongwa zvezvechiremba.
Zvose (kana zvimwe) zvezvo zvinogona kuipa.
Isati yaitika, boka rako rechiremba rinokonzera huwandu hwezvidziviridzo zvinosanganisira: Kukuudza nezvezvinetso zvekuvhiya, kutarisa nekutarisa mishonga yako yose inorwadza-ungada kumira kutora zvimwe kana kuti zvose iwe usati wapinda -kukuisa iwe zvakanaka.
Chinotarisa chinotarisa kune rudzi rwezvishandiswa zvinoshandiswa uye nzira iyo inoshandiswa nayo pauri patafura yekushanda. Semuenzaniso, kuunza zvishandiso zvakaswedera pedyo nedikoni, kushanda zvakanyanya, kana kushanda nesimba rakawanda zvinhu zvose zvinogona kutungamirira kumatambudziko.
Zvamunoita mushure mekuvhiyiwa kwacho kunosvika pakuporesa kwako. Kudzokera kubasa zvimwe nekukurumidza kana kuti kwete nokukurumidza kunogona kukukanganisa kupora kwako, sekusakwanisa kuwana mhando yakakodzera yekugadziriswa kwekugadziriswa kana kurapwa kwepanyama.
Zvimwe zvinhu zvinoita mutsauko kuti unogona sei kudzokera shure mukugunzva kwezvinhu zvinosanganisira kuwedzera uremu uye kuzviedza iwe pakarepo zvakaoma mushure mekuvhiyiwa. Chiremba wako anofanira kukurukura zvinhu izvi zvose newe.
Unoita Mubati Wakavhiyiwa Akanaka Here?
Pakutanga kushamwaridzana, zvinenge zvichiita kuti migumisiro yekuvhiya shure-ingave yakanaka kana yakaipa-inokonzerwa nezvinhu zvepanyama. Izvi zvingave zvinhu zvakadai apo kunyorera kwekodhi, ndeipi nzira iri kuitwa, nezvimwe. Asi hutano hwepfungwa, kunyanya kuzvidya mwoyo uye chido chekuwana chikamu chekuita nharaunda pamwe chete. Kunyanya, vanogona kubatsira pamatambudziko ekuvhiya mashoma.
Sezvo kune ruzivo rwechipiri rwunofungidzirwa, mienzaniso inosanganisira kukosha kwekutadza kunobatanidza nekuremara kwako, kana kuva nechikonzero chokusaenda kushanda.
Chiremba wako anogona kukuongorora nokuda kwepfungwa dzepfungwa dzepfungwa nenzira isina kujairika, achivimba nezvakaitika kare nevarwere kuti aone kana izvi zvingave zvingakanganisa zvikamu zvako. Asi vanyori vekutsvakurudza kwakaitwa muna 1998 kwakabudiswa muEuropean Spine Journal vanoti urongwa hunoshanda chete zvishoma kudarika chechina chemazuva. Pane kudaro, vanokurudzira kuti chiremba wako chiremba akupe iwe mhando yemibvunzo yakagadzirwa kuti uzadze-kana Multiphasic Personality Inventory (MMPI) kana Matambudziko uye Kuongorora Chengetedzo (DRAM.)
Chenjerera Nhamba Yakaipa
Nzvimbo dzakawanda dzinonzi lumbar disc herniations dzinotsigirwa pane L4-L5 kana L5-S1 , uye vanachiremba vanowanzogona kunzwisisa mazinga aya muvarwere vavo. Asi anomalies mumatomu dzimwe nguva anoitika uye izvi zvinogona kuita kuti zvive zvakaoma kunyatsotsvaga nzvimbo inoda nzira yacho. Kurumbidzwa kunowanikwa pane dzimwe nzira kunze kweiyi, iyo L1-L4, inogona kunge iri pangozi yakakura yekanganiso iyi, zvakare.
Kana chirwere chako chichiraira chirwere chisina kunaka panguva yokuvhiyiwa, asi unochiziva uye ichienda kune imwe yakakwana, zvinogona kuti mungozi inogona kunge isingakoshi. Asi kana iye akapfuurira ne discectomy panzvimbo yakashata, anozviziva uye angakunyorera iwe, kana kuti inoshandawo pane yakarurama, inogona kutungamirira kumatambudziko ausingave wakambove nawo, zvakadai sekuchinja kwekugadzirisa kana kusagadzikana kwepamuviri. Uye kana kukanganiswa kuchiitwa panzvimbo isina kururama, kusava nekugadzikana kwekufamba kwekutadza kwete zvakagadziriswa kungaguma.
Oops! Zvakaipa
Tenda kana kwete, uye maererano nekudzidza kwe 2017 kubva kuUnited Kingdom, uchiita basa kune rumwe rutivi rwomuviri isingawirirani nejecha (izwi rechirevo rokuti lesion rinoreva dambudziko riripo, uye rinokonzera marwadzo ) ndiyo inonyanya kunyanya kukanganisa nzvimbo yekukanganisa. Uye kunyange zvazvo hutano hwehutano hunyanzvi hwave huri kutarisa nzvimbo isina kunaka uye zvisina kukodzera mapiritsi ekuvhiya kwekanguva, nhamba yezvikanganiso izvi haina kuburuka. Chidzidzo chacho chinoreva kuti kudarika makumi mapfumbamwe nezana makumi maviri nezana ezvakaipa zvisina kukanganisa nzvimbo yepamusoro nekuda kwekuvhiyiwa kwakaitwa pane zvakaipa.
Uye kuongorora kwegore ra2014 kwakawana kuti rutivi rwokuti chirwere chinofanira kuitika kakawanda hachikoshi kubva pamapepa anofamba newe pane rwendo rwekurapa. Izvi zvingava tsamba yekliniki, fomu yako yekubvumirana, kana mamwe magwaro. Iwe unogona kuita kuti zvinhu zvive zvakachengeteka iwe pachako kana iwe uchitarisa iyo inonyanya kukosha mufomu yako yekubvumirana usati waisayina, pamwe chete uchiyeuchidza chiremba wako sezvaanoita manotsi. Chidzidzo chacho chinokurudzirawo kuti mapoka ekuvhiya anoshandisa WHO (World Health Organization) kuongorora kwekuchengetedzwa kwehutano. Maererano nevanyori, urongwa uhwu hwakanyatsoshanda mukuderedza kushandiswa kwakaipa kwepaiti paNHS. Iwe ungabvunza chiremba wako chiremba pamusoro pazvo, zvakare.
Kuratidza nzvimbo ne sharpi imwe imwe nzira inoshandiswa nemapoka ekuvhiya.
Kudzoka Kwemarwadzo Hazvirevi Nguva Dzose Kureva Kuvhiya Kwekuvhara
Chero nokuti iwe une kurwadziwa kumashure hazvireve kuti iwe unoda kuvhiyiwa disc. Zvimwe zvinetso zvingangodaro zvinokonzera marwadzo asingadi kuvhiyiwa.
Zvichida muenzaniso wakaisvonaka ndewekuti zviratidzo zvako zvinokonzerwa nekuchinja kunowedzera mumatokisi ako, chinhu chinowanzogadziriswa nehutano hwepanyama nekurapa.
Ramba Uchiri Nyore
Kuvhiyiwa kwepfungwa ibhizimusi guru mazuva ano, uye chiremba wako angamira kuti abatsire kana akakwanisa kukukurudzira kuti uve nekuvhiyiwa kwakaoma pane kuti uite nyore. Zvechokwadi, maitiro anoshandiswa uye kuoma kwavo kunobva pane zviri kuitika mukati mako, asi kana usinganzwisisi kuongorora kwako, unogona kubvumirana nekurapa kusingakoshi.
Kazhinji, kana uine humwe hutwa hunorwadza kupfuura kurwadziwa kwemakumbo uye / kana kuongorora kwako kunosanganisira Modic endplate kuchinja, iwe unogona kunge uri mubvunzo wekuporesa zvakanyanya nzira dzokuvhiya. Zvimwe zvisingaiti, tsvina yakadzika iri nyore kungoda microdiscectomy.
Taura nokutendeseka nachiremba wako kuti uone zvaunogona kuita.
Shoko Rinobva
Zvakanaka, phew! Icho chakanga chakanyora. Kana musoro wako uri kupera kana iwe uri kunetseka kuti ungapindirana sei mumibvunzo iyo yose munguva pfupi yaunayo mukubvunzurudza kwako kusati kwaitika, iva nechokwadi chekutarisa kana iwe usingakodzeri nzira iyo chiremba wako ari kuratidza, kana kana iwe uchikwanisa kuvhiyiwa zvachose, uchipa mufananidzo wehutano hwako pachako, uye kana chirongwa chacho chiri chakarurama chekudzivirira kwako kamu.
> Sources:
> Geraghly, A., et. al. Kuvhiringidza Kwezvakaipa-Kurutivi Rwenzira Rakakanganiswa Rakanganisa Kwemakore maviri Egore muNational National Health Service Board. J Murefu Sat. Gumiguru 2017
> Grevitt, M., et. al., Ko kuverenga kokutanga kuverenga? Kuenzanisa kwezvipfungwa uye zvepfungwa zvinongororwa nevarwere vepamuviri. Eur Spine J. June 1998.
> Hanchanale, V., et. al. Zvakaipa zvekuvhiya nzvimbo! Tingaimisa sei? Urol Ann. Jan. 2014.
> Morgan, M., MD, Sensitivity uye zvakananga. Radiopaedia.
> Omidi-Kashani, F., et. al. Mazano gumi Anokosha Mukurapa Murefu neLumbar Disc Herniation Asian Spine J. Gumiguru 2016.
> Weiner, B., uye. al., Kururama kweMRI pakuonekwa kweLumbar Disc Containment. J Orthop Surg. Gumiguru 2008.