Herniated dhisiki

Iyo herniated (yakatsvedza) diski inoitika kana ese kana chikamu chediski chinomanikidzwa kuburikidza nechikamu chisina kusimba che diski. Izvi zvinogona kumanikidza tsinga dziri padyo kana musana.

Mapfupa (vertebrae) emutsara wesipinha anodzivirira tsinga dzinobuda muuropi uye dzinofamba dzichidzika nemusana wako kugadzira musana. Tsinga midzi midzi hombe tsinga dzinobuda kubva kumuzongoza uye dzinosiya yako yemuzongoza ikholamu pakati peimwe vertebra.

Mapfupa emusana anopatsanurwa nema disks. Aya ma disks anochengetedza musana wepelinha uye anoisa nzvimbo pakati pe vertebrae yako. Iwo ma disks anotendera kufamba pakati pe vertebrae, iyo inoita kuti iwe ukotamire uye usvike.

Iine herniated disk:

• Iyo diski inogona kubva panzvimbo (herniate) kana kuvhurika (kuputika) kubva mukukuvara kana kuomarara. Kana izvi zvikaitika, panogona kuve nekumanikidza kumitsipa yemuzongoza. Izvi zvinogona kutungamira mukurwadziwa, chiveve, kana kushaya simba.
• Iyo yekumashure kumashure (lumbar nzvimbo) yemuzongoza ndiyo inonyanya kuzivikanwa nzvimbo inobatwa neakaserera diski. Mutsipa (cervical) disks ndiyo yechipiri inowanzoitika nzvimbo. Iwo ekumusoro-kusvika-pakati-kumashure (thoracic) disks haawanzo kubatanidzwa.

Iyo herniated disk chikonzero che radiculopathy. Ichi chiitiko chinokanganisa musana tsinga midzi.

Disks dzakatsvedza dzinoitika kazhinji muvarume vepakati nepakati uye vakuru varume, kazhinji mushure mekuita kunetsa. Zvimwe zvinhu zvine njodzi zvinogona kusanganisira:

• Kusimudza zvinhu zvinorema
• Kunyanya kufuta
• Kudzokorora kukombama kana kumonyanisa repazasi musana
• Kugara kana kumira panzvimbo imwechete kwemaawa marefu
• Asina basa mararamiro
• Kusvuta

Marwadzo anowanzoitika kune rumwe rutivi rwemuviri. Zviratidzo zvinosiyana, zvinoenderana nenzvimbo yekukuvara, uye zvinogona kusanganisira zvinotevera:

• Uine disk rakatsvedza muzasi kwako kumashure, unogona kuve nekurwadziwa kwakapinza mune chimwe chikamu chegumbo, chiuno, kana magaro, uye chiveve mune zvimwe zvikamu. Iwe unogona zvakare kunzwa kurwadziwa kana chiveve kumusana kwemhuru kana kutsoka kwetsoka. Gumbo rimwe chete rinogona kunzwa kushaya simba.
• Uine dhisiki rakatsvedza mumutsipa wako, unogona kurwadziwa kana kutamisa mutsipa wako, kurwadziwa kwakadzika padyo kana pamusoro pechipfuva chepafudzi, kana kurwadziwa kunoenda kuruoko rwepamusoro, ruoko rwemberi, neminwe.Iwe unogona zvakare kuve nechiveve pamwe nefudzi rako, gokora, ruoko, uye zvigunwe.

Marwadzo anowanzotanga zvishoma nezvishoma. Zvinogona kuwedzera.

• Mushure mekumira kana kugara
• Husiku
• Pakuhotsira, kukosora, kana kuseka
• Kana uchikotama uchidzokera kumashure kana kufamba kupfuura mayadhi mashoma kana mamita
• Paunenge uchimomesa kana kubata mweya wako, senge paunenge uine ura kufamba

Iwe unogona zvakare kuve neutera mune mamwe mhasuru. Dzimwe nguva, iwe unogona kusazviona kusvikira mupi wako wezvehutano akakuongorora. Mune zvimwe zviitiko, iwe unozoona kuti une nguva yakaoma yekusimudza gumbo kana ruoko, wakamira nezvigunwe kune rimwe divi, uchisvisvina zvine ruoko rumwe rwemaoko ako, kana mamwe matambudziko. Kudzora kwako kwedundira kunogona kurasikirwa.

Marwadzo, chiveve, kana kushaya simba zvinowanzoenda kana kunatsiridza zvakanyanya pamusoro pevhiki kusvika kumwedzi.

Kuongorora kwepanyama uye nhoroondo ingangove iri yekutanga nhanho. Zvichienderana nekwaunenge uine zviratidzo, mupi wako anoongorora mutsipa wako, fudzi, maoko, nemaoko, kana musana wako wezasi, chiuno, makumbo, uye tsoka.

Wako mupi anoongorora:

• Zvekuveve kana kurasikirwa kwekunzwa
• Tsinga dzako dzemumhasuru, dzinogona kunge dzichinonoka kana kushayikwa
• Simba rako remhasuru, iro rinogona kunge risina kusimba
• Chimiro chako, kana nzira iyo musana wako wakakombama
• Kugona kwako kushandura musana wako

Wako mupi anogona zvakare kukubvunza iwe kuti:

• Gara, mira ufambe. Paunenge uchifamba, mupi wako anogona kukukumbira kuti uedze kufamba pazvigunwe zvako uyezve nezvitsitsinho zvako.
• Bend mberi, kumashure, uye padivi.
• Tungamira mutsipa wako kumberi, uchidzokera kumashure uye nedivi.
• Simudza mapepa ako, gokora, ruoko, uye ruoko, uye tarisa simba rako panguva yemabasa aya.

Kurwadziwa kwegumbo kunoitika kana iwe ukagara patafura yekuongorora uye ukasimudza gumbo rako wakasimudza kumusoro kazhinji kunoratidza kutsvedza kwedisiki muzasi kwako kumashure.

Mune kumwe kuyedza, iwe unokotamisa musoro wako kumberi uye kumativi nepo mupi achiisa zvishoma pasi pasi kumanikidza kumusoro kwemusoro wako. Kuwedzera kwekutambudzika kana kupera mukati memuedzo uyu kazhinji chiratidzo chekumanikidza kune tsinga mumutsipa wako.

KUDZIDZISWA KWEMAHARA

Bvunzo dzinoitwa dzinogona kusanganisira:

• Spine MRI kana musana CT inogona kuitwa kuratidza panowanikwa herniated disk padanho remusana.
• Electromyography (EMG) inogona kuitwa kuti itarise chaiyo nerve midzi iyo inosanganisirwa.
• Myelogram inogona kuitwa kuti uone kukura uye nzvimbo yedisk herniation.
• Tsinga conduction velocity bvunzo inogona zvakare kuitwa.
• Mutsipa x-ray inogona kuitwa kutonga kunze zvimwe zvikonzero zvekurwadziwa kumashure kana kwemutsipa. Inogona kutarisa kune hutano hwefupa rako uye zvakare kutarisa kuti yakawanda sei nzvimbo kune yako musana tsinga kuti ubude kunze kwemuzongoza. Nekudaro, hazvigoneke kuongorora herniated disk nemuzongoza x-ray chete.

Mushonga wekutanga wakatsvedza diski inguva pfupi yekuzorora uye kutora mishonga yekurwadziwa. Izvi zvinoteverwa nemushonga wepanyama. Vazhinji vanhu vanotevera aya marapiro vanopora uye vanodzokera kuzvinhu zvakajairwa. Vamwe vanhu vanozoda kurapwa zvakanyanya. Izvi zvinogona kusanganisira steroid majekiseni kana kuvhiyiwa.

MISHONGA

Mishonga inogona kubatsira nekurwadziwa kwako. Wako mupi anogona kupa chero chinotevera:

• NSAID dzekutora kurwadziwa kwenguva refu
• Narcotics kana kurwadziwa kwacho kwakanyanya uye kusingapinduri kune NSAIDs
• Mishonga yekudzikamisa tsinga
• Tsandanyama relaxants kusunungura musana spasms

UPENYU HUCHINJA

Kana iwe uri kufutisa, kudya uye kurovedza muviri kwakakosha zvakanyanya pakuvandudza kurwadziwa shure.

Kurapa kwepanyama kwakakosha kune wese munhu ane chirwere chedisiki. Varapi vanokudzidzisa maitiro ekusimudza zvakanaka, kupfeka, kufamba, uye kuita zvimwe zviitiko. Vanokudzidzisa maitiro ekusimbisa mhasuru dzinobatsira kutsigira musana. Iwe zvakare uchadzidza maitiro ekuwedzera kuchinjika musana wako nemakumbo.

Chengetedza musana wako kumba:

• Deredza basa remazuva mashoma ekutanga. Zvishoma nezvishoma tangazve ako akajairwa zviitiko.
• Dzivisa kusimudza zvinorema kana kumonyorora musana wako kwemavhiki matanhatu ekutanga mushure mekunge kurwadziwa kwatanga.
• Mushure memasvondo maviri kusvika matatu, zvishoma nezvishoma tanga kurovedza muviri zvakare.

Jekiseni

Steroid jekiseni remushonga kumusana munzvimbo yeiyo herniated disk inogona kubatsira kudzora marwadzo kwemwedzi yakati wandei. Aya majekiseni anoderedza kuzvimba kwakakomberedza musana wemusana uye dhisiki uye kubvisa zviratidzo zvakawanda. Izvo hazvigadzirise dambudziko riri pasi uye kurwadziwa kwako kunogona kudzoka mushure memavhiki kana mwedzi. Spinal majekiseni inzira dzekunze.

Kuvhiya

Kuvhiya kunogona kuve sarudzo kana zviratidzo zvako zvikasaenda pamwe nekumwe kurapwa uye nguva.

Kumwe kuvhiya kwakadai diskectomy, inobvisa zvese kana chikamu che diski.

Kurukura nemupi wako kuti ndeapi masarudzo ekurapa akakunakira iwe.

Vanhu vazhinji vanovandudza nekurapwa. Asi iwe unogona kunge uine kurwadziwa kwenguva refu kwenguva refu, kunyangwe mushure mekurapwa.

Zvinogona kutora mwedzi yakati kuti kusvika pagore kana kupfuura kuti udzokere pane zvese zvaunoita usina kurwadziwa kana kumanikidza musana wako. Vanhu vanoshanda mumabasa anosanganisira kurema kusimudza kana musana musana vangangoda kuchinja avo emabasa zviitiko kuti varege kukuvadza musana wavo zvakare.

Muzviitiko zvisingawanzoitika, matambudziko anotevera anogona kuitika:

• Kurwadziwa kwenguva refu kumashure kana kurwadziwa kwegumbo
• Kurasikirwa kwekufamba kana kunzwa mumakumbo kana tsoka
• Kurasikirwa kwematumbo uye basa redundira
• Permanent musana tambo kukuvara (zvisingawanzoitika)

Fonera mupiki wako kana iwe uine:

• Kutambudzika kwakanyanya kumashure uko kusingaendi
• Chero chiveve, kurasikirwa kwekufamba, kushaya simba, kana ura kana bladder shanduko

Kubatsira kudzivirira kukuvara kumashure:

• Shandisa nzira dzakakodzera dzekusimudza.
• Chengetedza huremu hune hutano.
• Ita maekisesaizi ekuchengetedza dumbu rako (musimboti) uye mhasuru dzeshure dzakasimba.
• Ongorora setup yako kubasa. Dzimwe nguva dhesiki rakamira kana kushandura nzvimbo yekomputa yako screen zvinogona kubatsira mamiriro ako.

Wako mupi anogona kupa chirevo chekumashure kubatsira kutsigira musana. Kusunga kunogona kudzivirira kukuvara mune vanhu vanosimudza zvinhu zvinorema pabasa. Asi kushandisa izvi zvishandiso zvakanyanya kunogona kushomeka mhasuru dzinotsigira musana wako uye kuita kuti dambudziko riwedzere.

Lumbar radiculopathy; Remuromo radiculopathy; Herniated intervertebral disk; Yakapetwa intervertebral disk; Yakatsvedza diski; Ruptured disk; Herniated nucleus pulposus: Kutambudzika kwekudzokera shure - herniated disk; LBP - herniated dhisiki; Sciatica - herniated dhisiki; Herniated dhisiki; Disc - herniated

• Skeletal musana
• Sciatic tsinga
• Herniated nucleus pulposus
• Herniated dhisiki kugadzirisa
• Lumbar musana kuvhiya - akateedzana
• Herniated lumbar disk

Gardocki RJ, Paki AL. Degenerative kusagadzikana kweiyo thoracic uye lumbar musana. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 39.

Magee DJ. Lumbar musana. Mune: Magee DJ, ed. Orthopedic Kuongorora Kwemuviri. 6th ed. St Louis, MO: Elsevier Saunders; 2014: chits. 9.

Sudhir A, Perina D. Musculoskeletal kurwadziwa shure. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 47.