Inenge 40% yezvese zvisingaperi zvinorwadza mupfungwa zvinokonzerwa nechinetso mune imwe kana kupfuura intervertebral discs. Kana uine mutsipa usingagumi kana urombo huri shure, asi iwe hauna dhianated disk, unogona kunge uine marwadzo anogunun'una.
Hurukuro inogadziriswa inofungidzirwa kuti inowanikwa muhukama nekuderedzwa kwe disc, mamiriro ezvinhu umo maviri nemakemikari ayo e diski anowedzera kuwedzera.
Asi dambudziko nderokuti, kuderedza dhayi hakuiti nguva dzose kukonzera kurwadziwa, uye nyanzvi hachiri kutsanangura hukama uhwu zvakakwana.
Zvinokonzera
Nheyo yacho inofamba kuti kurwadziwa kwe discogenic kunoitika apo nerve yekugamuchira inowanikwa kune imwe nzvimbo yekunze yakatsamwa.
Kuvhiringidzika kana mamwe mamiriro ari mu diski kunogona kuvhiringidza nharo idzi dzomugumisiro. Semuenzaniso, kana kupisa kwemakemikari kubva kune imwe nguva kusvimha misodzi kunosvika kumitsipa kune chikamu chekunze kwegore, kusvimha kunogona kunge kuri kukonzera kurwadziwa kwako kunonzwisisika. Iko rudzi rwekukuvara kunonzi inonzi disc disc disruption, kana IDD.
Genetics inogona kuita basa mukuumbwa kwekurwadziwa kwe discogenic. Genetics inogona kushandura makemikari ye diski, uye inogona kuunza kushandiswa kwemagetsi mumuviri. Chigumisiro ndechokuti ma discs akaoma nokukurumidza kudarika zvinowanzoitika, izvo zvinoita kuti vasaderedze kukwanisa kutakura mutoro wemusana wemvura zvakafanana. Zvadaro, zvinowanzoitwa zuva rega rega kupfeka uye kubvarura zvinomanikidzira imwe kana zvishoma zvishomanana mu diski, zvichiwedzera dambudziko rekuchema kwegore.
Kukuvadza kusvika kumucheto we vertebra pedo ne disc kunogonawo kuitika. Izvi zvinosunungura makemikari anovhiringidza uye inowedzera kasi iyo dhidhi inopera.
Pamwe pamwe nemagetsi, chikafu chekudya uye magetsi zvinogonawo kuita kuti pave nekurwadziwa kukuru.
Risk Factors
Hurukuro inogadziriswa inowanzoitika kakawanda pakati pevanhu vakwegura uye vakwegura.
(Dambudziko reDisheni kuvanhu vaduku kazhinji haigoni kubvisa hutano nokuti vanhu vaduku vane mvura yakawanda mumabhuku avo.)
Zviratidzo
Chiratidzo chikuru chekurwadziwa kwe discogenic chirwere chinopera chisingatauri muhudyu kana ruoko uye hachibatanidzi nekunonoka kwekushandisa masimbi ako.
Munharaunda yakaderera, marwadzo anowedzera kuwedzera kana musana wako wakanyanyiswa: Mabasa akaita sekugara, kupfugama, kukwezva uye kuchenesa kunowedzera kuunza, paanovata pasi kunowedzera kuibvisa. Panogona kunge kune marwadzo kana mamwe manzwiro achienda kumashure kwehudyu yako kana kuti mombe yako, asi kwete mumutsipa wako wezasi.
Mumutsipa, pangave nekurwadziwa kana iwe uchidzoka kana uchidzora musoro wako. Zvinorwadza zvinogona kuwedzera kana iwe uine musoro wako mune imwe nzvimbo kwenguva refu. Tsvina dzemuviri dzimwe nguva dzinopinda kurwadziwa kukuru mumutsipa. Zvinoita kuti uwane marwadzo kana mamwe manzwiro pasi pasi, zvakare.
Kuziva
MRI inowanzoshandiswa kuongororwa marwadzo ekukurukurirana. A discogram inogonawo kushandiswa, asi iyi inopikisana nezvikonzero zvakawanda. Chokutanga, inokonzera kurwadziwa nekukuvadza uye inokukumbira kuti uone kukosha kwezinga reVAS . Hazvirevi chete kuti rudzi urwu rwemuedzo runobatsira, asi rwunozviisa pasi, zvakare (iwe uri kureva zvauri kunzwa).
Hurukuro dzinoshandiswa kusimbisa kusimbisa kuti marwadzo anomuka kubva pane disc kana disc disc. Asi vatsvakurudzi vanoverengeka vakawana kuti nekuda kwehupenyu hwekutenderera kwekutaurirana, hunogona kupa mhinduro dzakaipa- kunyanya kana iwe usiri mumarwadzo mazhinji, iwe unoshaya mupfungwa kana unotya kurwadziwa.
Sezvambotaurwa pamusoro apa unogona kuva nemarwadzo kana mamwe manzwiro pasi pasi kana ruoko rwako. Izvozvo zvinonzi zvirevo zvinoshamisa. Asi radiculopathy uye kurwadziwa kwe discogenic haisi chirwere chakafanana. Kungofanana ne-radiculopathy, kurwadziwa kwekutaurirana kunokonzerwa nekutsamwa kwemitsipa.
Musiyano ndeyekuti radiculopathy inokanganisa musana wemasipundu midzi , apo kurwadziwa kwe discogenic kunovhiringidza mitsipa iri mune zvindori zvekunze zve annulus .
(The annulus is the tough fibrous cover of the intervertebral disc.Iyo ine uye inochengetedza nucleus pulpusus iri mukati.)
Zvinogona kuva zvakaoma kuti chiremba aparadzanise pakati pemamiriro maviri aya paanenge achishanda kuongorora. Asi kusiyana kwacho kuchaita musiyano mukurapa kwaunogamuchira.
Imwe nzira yekuongorora ndiyo inonzi McKenzie Method. Izvi zvinosanganisira kuongorora kwekutsvaga kutsvaga kufamba kunoita kuderedza marwadzo uye kuwedzera mararamiro ako. The McKenzie Method inoshandiswawo semishonga.
Kurapa
Hurukuro inogadziriswa kakawanda inowedzera payo pachayo, kana inogona kuuya uye inoenda. Kuchengetedza kwekuchengetedza kwekuchengetedza kazhinji kunowanzo rudzi rwekutanga rwekurapa kunoedzwa. Inogona kusanganisira kudzora marwadzo ne -anti-inflammatories , uchishandisa ice uye / kana kupisa uye kurapa kwepanyama. Kurapa kwepanyama kunogona kunge kune maitiro ekudzoka shure, kutengesa uye mamwe marapirwo. Ijojo inogona kubatsira kubvisa marwadzo uye kukuita kuti uwedzere kufara.
Sezvo kurevhiya kuchienda kunoenda, kazhinji hazvisi kudiwa. Asi kana uine marwadzo anokanganisa kwemwedzi mitatu kana yakapfuura uye / kana kuti une musikana usingaverengeki, inogona kunge iri sarudzo. Kumbira chiremba wako pamusoro pezvaunogona kuita.
Chimwe chirwere chinoputika chisina kuchena chinonzi "IDET" (Intradiscal Electrothermal Therapy) chinotarisira kuvimbisa kurwadziwa kwe discogenic. Izvi zvinoshandiswa cauterizes (inopisa) mafibisi ezvinyorwa kuitira kuti kubvaruka kunamate pamwechete uye kuguma kwehutano kufa. Nekuguma kwehutano kufa, hauzokwanisi kunzwa zvakare kurwadziwa kwe discogenic zvakare. Zvishoma zvidzidzo zvishomanana zvakaitwa paDETET munaJune 2010, asi zvikamu zvaive zvakanaka. Vanhu vazhinji vanorondedzera kuponeswa kukuru kwepamusoro uye vashomanana, kana pane, migumisiro yechirwere kubva kuDIDET.
Kuvhiyiwa kunowanzoitirwa kurwadziwa kwe discogenic kunonzi spinal fusion . Zvisinei, kushandiswa kwaro kunopesana uye haisi nguva dzose kupa rubatsiro. MuUnited States, nhamba yekuvhiyiwa kwepfungwa yakagadzirwa yave ichikwira kubva kumavambo ekuma1990, uye kuongorora kwekutsvaga kwakanyatsoratidza kuti vazhinji havadi. Kuora kwechirwere chikamu chekukwegura, asi izvi hazvirevi kuti iwe unoda spinal fusion apo kurwadziwa kunoratidzika. Iva nechokwadi chekutsvakurudza zvaunogona kuita, kusanganisira vatapi vako vehutano, uye ushande pamwe neshamwari yako yakasarudzwa kuti uone nzira yakanakisisa yekuita iwe .
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Cluett, J. MD. Discogenic Back Pain. About.com. Yakasvika: June 2010. http://orthopedics.about.com/od/backneck/a/discpain.htm
U Washington Cohort Kudzidza Kurapwa Kwekurwadziwa Kwakare Kwembuyo. http://depts.washington.edu/ccor/studies/disco.shtml Akawana: June 2010.
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