A disc disc is a common injection in which the shock absorbing cushion-like structures that are located between adjacent spinal bones (known as the intervertebral disc space) inotama, kana kuti inotama, inopfuura nzvimbo iyi yakakwana.
Kunyange zvazvo tsvina inogona kukanganisa chero ipi zvayo yepamuviri, inowanzowanikwa munzvimbo yakaderera. Izvi ndezvokuti lumbar spine inotakura kutakura kwechiremera chemuviri sezvo ichifambisa kubva kubva kumusoro zvichidzika mumutsana. Sezvo zvakadaro, zvivakwa zvinoumba pasi-zvakasanganisira mabhuku-zvinotambura kukuvara.
Hezvino izvo zvaunoda kuziva nezve disc disclaimer.
1 -
Disc Herniation KunotsanangurwaApo tsvina yekudzivirira inowanzoitika, micheka yekunze yemupinha inofungidzira iyo, kana yakanyatsogadzikana, inosanganisira zvinhu zvinotyisa zvinotyisa, zvinoputika. Iyi fiber yekunze inonzi annulus fibrosus; iyo mukati memvura inonzi inonzi nucleus pulposus .) Zvichienderana nehuwandu hwekuti diski yako inoridzirwa sei, imwe yemvura inogona kupukunyuka uye inosvika pamutsipa wesiperesi, zvichiita zviratidzo.
Mamiriro ezvinhu anozivikanwa segore rinosvimha misodzi ndeimwe nzira iyo michina ye annulus fibrosus inogona kuora, uye (nokufamba kwenguva) inogona kuitika munzvimbo yekubuda kwezvinhu zvisikwa. Anonyanya kusvimha misodzi inowanzokonzerwa nokupfeka uye kusvimha, kunyanya kana kushaya mamiriro ekunze kunobatsirawo; kukanganisa chimwe chikonzero.
2 -
Disc Herniation SymptomsApo nucleus pulposus zvinhu izvo zvinopukunyuka kubva pakudzikidzika zvakanaka zvakanaka zvinosangana nemutsipa mukati , iwe unganzwa uchinzwa marwadzo akawanda. Iwe unogona kuwana dzimwe zviratidzo zvakare, kusanganisira kupera simba, kushaya simba, kana kushamiswa kwegetsi kana kutinhira kunofamba kunoenda pasi petsoka kana ruoko.
Apo zviratidzo izvi - izvo zvinokonzerwa ne radiculopathy , aka chirwere chepelinha midzi-inokonzera zviratidzo mumakumbo, vanhu vanowanzovaidza sciatica .
Zviratidzo zveHyniated disc zvinogona kusiyanana maererano nepamusoro pemusana wemvura unosimbisa kukanganisa. Muzhinji, kunyange zvakadaro, iwe unogona kunge uine imwe kana kupfuura zvimwe zviratidzo , sezvinotsanangurwa pamusoro apa.
Ndezvipi zviratidzo zvakanyanya, izvo zvinoitika zvakanyanya pedyo nemutsipa wepelinha, zvinoguma zviratidzo zvinosvibisa chimwe chezvipfeko zvako?
Mhinduro yacho inobva pane zvinoitika mumatope. Mutsara wesimbi mizimbe yebazi kubva panzvimbo yavo kunze kwechepakati pepakati pemutsara wemukona kusvika mumatare maduku uye maduku anoenda mumuviri wose. Mutsipa wega wega unobatanidza neimwe nzvimbo yemuviri, uye mitsipa inobva kune imwe neimwe inobata nzvimbo yavo chete. Iyi nharaunda dzinonzi dermatomes yehutachiona hutachiona hwekunzwa, uye myotomes nokuda kwehutachiona hwemajini , kana kufamba, mafungiro.
3 -
Iwe uri panjodzi yeDistern Herniation here?Disc heniation kazhinji inouya pamusoro pekubva kune chimwe chiitiko sekukuvadzwa kana kushungurudzika, asi pane kubva pazuva uye masikati nzira iyo iwe unorarama hupenyu hwako. Zvizivikanwa zvehupenyu izvo zvinogona kukonzera njodzi yako yekusangana kunosanganisira kusvuta, kuneta, kusava nemafungiro, uye kuva nebasa rekugara pasi semutyairi wemotokari kana mushandi wehofisi, kana kuva nebasa rebasa rebasa rinoda kudzokorora kufamba kwepamusoro pako.
Kana kukuvara kunokonzera tsvina yakarongeka, zvingave nokuti wakanga uri mune chinokanganisa pamusana pekugadzirisa, kana kuti kukosha kwakakumanikidza iwe kamwe-kamwe kuva mucheche wakanyanya (iyo iri kutenderera mberi kwemutsara wespinha.)
Zera rinonyanya kuita basa guru mudambudziko rekudzidzira kudzika, pamwe chete. Sezvatinokura, tinowanzowedzera kuchinja kunogadzirisa mumagariro edu emumumvuri, izvo zvinogona kutungamirira kumwedzi misodzi uye kubvisa. Zvinofadza kuti chidzidzo che2002 chakabudiswa muAvhimeri Neurology chakawana kuti nzvimbo ye diski inoshanduka kana vanhu vachikura. Ikoko kunonyanya kukonzerwa nevaduku kunowanikwa munzvimbo yakaderera, nezera rinowedzera, vanowanzokonzera zvakakwirira mumutsara, zvichienderana nekudzidza.
Zvidzidzo zvakare zvinowanzooma kana dzichikura, zvinorehwa kune vakwegura uye vakwegura, zvishoma zvingasara kubva mumvura yakanyorova, inoshandiswa mumvura kuti inyeke (sekukuvadza kwakanyanya.) A 2012 kuongorora kwakabudiswa muBritain Journal yeNeurosurgery yakawana kuti yakaoma tsvina inopera, imwe yezvikamu zvina zvehuni, kuti ive isina kuwanikwa muvanhu vakura.
Panzvimbo yekuita mhuka, vanhu vakwegura vanowanzotadza kuisa dhayi uye kurwadziwa kukuru .
Uye uchitenda kana kwete, hutano hwako hunoita hutambudzi hwekukuvara uku, uye varume vari pangozi kupfuura vakadzi.
Kunze kwezvinhu zvinotaurwa pamusoro pezvipingamupinyi, zvinetso zvekare zvekare zvaive zviripo, kunyanya mabhuku e-bulging uye kukuvara kwechiplash, zvingasimudzawo zvinokurudzira iwe nokuda kwekudzivirira.
4 -
Kuongorora Hurukuro yeHerniatedSezvo nehuwandu hwezvinetso zvepfungwa, kuongororwa kwedhairin herniated kunosanganisira nhoroondo yezvokurapa, panguva iyo iwe uchabvunzwa kurondedzera zviratidzo zvako zvakadzama, uye kuongorora muviri. Vanachiremba vakawanda vanorayira imwe kana kupfuura zvirwere zvekufungidzira zvekufungidzira zvakadai seMRI, mitsara yekudzivirira nerve uye vamwe, pamwe chete.
Kuti uone chero kushungurudzika kwehutano, izvo zvingaguma kubva pakudzika tsvina, chiremba wako angangodaro aedzesera manzwiro pane imwe dermatome (yakatsanangurwa pamusoro).
Nokuziva zviratidzo zvine chokuita nekudzvinyirira uye / kana kukanganiswa kwemutsipa weperminal root, kureva, marwadzo, manzwiro emagetsi, kushaya simba uye / kana kushaya simba kunowira pasi rimwe gumbo kana ruoko-mune imwe dermatome chaiyo - chiremba wako anogona kutevera zviratidzo izvozvo zvakare iyo chaiyo yomupfupa wesimbi midzi kana midzi inoshandiswa. Izvi zvinowanzoita kuti kuongororwa kwe disc disclaimer kunoitwa.
5 -
Disc Herniation TreatmentKunyange zvazvo chirwere chinonzi discectomy chinowanzobudirira pakugadzirisa marwadzo kubva kumusana, kuchimirira kunze kuburikidza nekurapa kwepanyama kunogona kuva imwe sarudzo. Izvi zvinoshanda kune vamwe vanhu nokuti nokufamba kwenguva, nucleus nyaya inopukunyuka kubva pa disc inobviswa nemuviri.
Taura nechiremba wako kuti uone nzira yakanakisisa yekurapa iwe.
Kuchengetedzwa kwekuchengetedza kwekodhi yekambani inogona kuisa zororo; kutora mishonga inorwadza, musikana vanozorodza uye / kana anti-inflammatory medication ; ane chirwere chepidural steroid ; uye / kana chirwere chepanyama. Chinangwa chekurapa (chigadzirwa chemishonga muchirongwa chisina kupirisa) uye kurapa kwepanyama ndiko kuderedza marwadzo. Kurapa kwepanyama kunogona kubatsirawo kuwedzera mano ako ekushanda uye kudzivirira kuwedzera kukuvara.
Ramba uchifunga kuti kuenda kuchipatara kwete chiitiko chekusaziva pane zvako. Kunyange zvazvo urongwa hwako hwekurapa hungava nehuwandu hwemhando dzakasiyana, kuita purogiramu yako yekuita zvekumba sezvaunorayirirwa ndiyo inokosha yekuwana mhinduro dzakanakisisa dzinogoneka. Izvozvo zvakati, kusanganiswa kwerapi - pane kungotarisa pamhando imwe chete - inogona kukurumidza kukurumidza kugadzirisa.
6 -
Disc Herniation SurgeryKana ukaedza kurapwa kwemaviri kwemavhiki masere asi hauna kugadziriswa marwadzo uye kushanda muviri iwe unoda, zvingava nguva yekufunga nezvekuvhiya zvakare. Kazhinji, zvimwe discectomy kana discectomy nepinal fusion yakagadzirwa nokuda kwekudzivirira.
Kufambira mberi muhutano hwehutano hwakakonzera kukurudzirwa kwechidiki chekuvhiya kwepenjini (MIS.) Kubatsira kweMIS kunosanganisira kutora zviduku uye nguva yekuporesa nokukurumidza. (Zviduku zviduku zvinogona kushandura kune zvishoma zvirwere.)
Uye, maererano nevanyori vekuongorora kwe 2017 kwakarongeka, rimwe ruzivo rwakakura rweMIS kune vanoita chiremba vanokurudzira kusununguka kwekutengesa.
Ndeipi yaunofanira kusarudza?
Icho chisarudzo chinoitwa zvakanakisisa mukubatsirana nachiremba wako, asi kubvunzurudzwa kunotaurwa pamusoro apa kuchienzanisa uchapupu hweMIS mbiri uye kuvhurwa kwepenjere kuzarura mubvunzo uyu chete. Vatsvakurudzi vakaona kuti humwe uchapupu huri nani hwakanga hwusina kutsigira chirwere chisingaoneki pakuvhiyiwa pachena, uye ichi chaiva chechokwadi pamutsipa uye pasi kumashure kumashure.
Asi gore re2012 Cochrane Back Group rakazivawo ruchifananidza MIS nekugadzirwa kwekare kare - panguva ino yekutora zviratidzo zvekudzivirira mumashure ari pasi chete - yakawana kuti MIS haikwanise kubvisa marwadzo emakumbo uye / kana kurwadziwa kwepamusoro kwepamusoro pamwe chete nekuvhiyiwa kwetsika. Kuongorora uku kwakawanawo zvimwe zvingangoita zve rehospitalization uye zvishoma nezvishoma kuvhiringidzika kwepfungwa. Mhedzisiro yakasiyana pakati pemhando mbiri dzekuvhiya yaiva duku, kunyange zvakadaro.
> Source
> Vanokuvadza, R. Lumbar dambudziko rekudzivirira: nhamba inowedzera nezera. Surgery Neurol. Sept. 2002. https://www.ncbi.nlm.nih.gov/pubmed/12480218
> Disc Herniation. Physiopedia website. https://www.physio-pedia.com/Disc_Herniation
> Rasouli MR, Minimally invasive discectomy versus microdiscectomy / open discectomy for symptomatic lumbar disc herniation. Cochrane Database Syst Rev. Sept 2014. https://www.ncbi.nlm.nih.gov/pubmed/25184502
> Werndle MC, Acute disc herniation kune vakwegura. Br J Neurosurg. April 2012 https://www.ncbi.nlm.nih.gov/pubmed/22077584