Herniated Disc Kuvhiya: Chii Chaunotarisira

Zvemukati

• Asati avhiyiwa
• Mhando dzekuvhiyiwa kweiyo herniated disc
• Laminotomy / laminectomy
• Discectomy / microdiscectomy
• Artificial disc kuvhiya
• Musana fusion
• Njodzi uye chii chekutarisira mushure mekuvhiyiwa
• Kudzivirira matambudziko

Zvinokonzera, mhedzisiro, uye kana kuvhiya kuri chaiko

Pakati peimwe yemapfupa ari mumuzongoza wako (iyo vertebrae) pane disc. Aya madhisiki anoita seanopisa anotyisa uye anobatsira kusunga mapfupa ako. Dhizaini yeherniated ndiyo inowedzera kupfuura kapuleti iine iyo uye inopinza mumugwagwa wepelinha. Iwe unogona kunge uine herniated disc chero kupi zvako pamwe nemusana wako, kunyangwe mumutsipa wako, asi zvinowanzoitika muzasi kumashure (lumbar vertebrae).

Iwe unogona kukudziridza herniated disc kubva mukusimudza chimwe chinhu nenzira isiri iyo kana kubva nekukurumidza uchimonyorora musana wako. Zvimwe zvikonzero zvinosanganisira kuwandisa muviri uye kuona kushomeka nekuda kwechirwere kana kuchembera.

Dhizaini yeherniated haigare ichikonzera kurwadziwa kana kusagadzikana, asi kana ikasundira kurwisa tsinga muzasi kwako kumashure, unogona kurwadziwa kumusana kana makumbo (sciatica). Kana herniated disc ikaitika mumutsipa wako, unogona kuve nekurwadziwa mumutsipa wako, mapendekete nemaoko. Kunze kwekutambudzika, disc inonzi herniated inogona kutungamira mukuvava, kurira, uye kushaya simba.

Kuvhiya kunosanganisira musana kazhinji hakukurudzirwi kusvikira waedza dzimwe sarudzo dzese. Izvi zvinogona kusanganisira:

• nonsteroidal anti-inflammatories
• marwadzo anodzora
• kurovedza muviri kana kurapwa kwemuviri
• steroid majekiseni
• zorora

Kana izvi zvikasashanda uye uine marwadzo anoramba aripo ari kukanganisa hupenyu hwako, pane nzira dzakawanda dzekuvhiya.

Asati avhiyiwa

Paunenge uchifunga nezvekuvhiya, ita shuwa kuti iwe unoona wakakodzera musana (orthopedic kana neurosurgical) chiremba, uye uwane rwechipiri pfungwa. Usati warumbidza imwe nzira yekuvhiya pamusoro peimwe, chiremba wako anovhiya anogona kuraira bvunzo dzekufungidzira, dzinogona kusanganisira:

• X-ray: X-ray inogadzira mifananidzo yakajeka ye vertebrae yako uye majoini.
• Computed tomography (CT / CAT scan): Izvi zviyero zvinopa yakadzama mifananidzo yemuzongoza uye zvimiro zvakakomberedza.
• Magnetic resonance imaging (MRI): Iyo MRI inogadzira 3-D mifananidzo yespinal cord uye nerve midzi, pamwe nema discs pachawo.
• Electromyography kana nerve conduction zvidzidzo (EMG / NCS): Aya anoyera mafambiro emagetsi pamwe nemitsipa nemhasuru.

Iyi bvunzo ichabatsira chiremba wako kuti asarudze mhando yakanaka yekuvhiya iwe. Zvimwe zvinhu zvakakosha muchisarudzo zvinosanganisira nzvimbo yedhisiki yake, zera rako, uye hutano hwako hwese.

Mhando dzekuvhiyiwa kweiyo herniated disc

Mushure mekuunganidza ruzivo rwese rwavanogona, chiremba wako anovhiya anogona kukurudzira kumwe kwekuvhiya uku. Mune zvimwe zviitiko, munhu angangoda mubatanidzwa wekuvhiya.

Laminotomy / laminectomy

Mune laminotomy, chiremba anovhiya anovhura mu vertebral arch (lamina) kuti abvise kumanikidza pamitsipa yako midzi. Maitiro aya anoitwa kuburikidza nekacheka kashoma, dzimwe nguva nerubatsiro rwemaikorosikopu. Kana zvichidikanwa, iyo lamina inogona kubviswa. Izvi zvinonzi laminectomy.

Discectomy / microdiscectomy

Discectomy ndiyo inonyanya kuvhiyiwa inoshandiswa kune herniated disc munzvimbo ye lumbar. Mune maitiro aya, chikamu che diski chiri kukonzera kumanikidza kwetsinga yako midzi kubviswa. Mune zvimwe zviitiko, iyo disc yese inobviswa.

Chiremba anovhiya anowana iyo disc kuburikidza neiyo incision kumusana kwako (kana mutsipa). Kana zvichikwanisika, chiremba wako anovhiya anoshandisa kacheche kadiki uye zviridzwa zvakakosha kuti awane mhedzisiro yakafanana. Iyi nyowani, isingadzvinyiriri maitiro inonzi microdiscectomy. Mune zvimwe zviitiko, maitiro aya anogona kuitwa pasipatient hwaro.

Artificial disc kuvhiya

Zvekuvhiya dhisiki rekugadzira, iwe unenge uri pasi peanesthesia yakajairika. Uku kuvhiya kunowanzo shandiswa kune rimwe disc kana dambudziko riri muzasi kumashure. Haisi sarudzo yakanaka kana uine arthritis kana osteoporosis kana kana iro rinopfuura dhisiki rimwe richiratidza kuora.

Kune iyi maitiro, chiremba anovhiya anopinda kuburikidza neicho cheki mudumbu rako. Dhisiki rakakanganiswa rinotsiviwa neyakagadzirwa diski yakagadzirwa kubva mupurasitiki nesimbi. Ungangoda kugara muchipatara kwemazuva mashoma.

Musana fusion

General anesthesia inodiwa kune musana fusion. Mune maitiro aya, maviri kana anopfuura ma vertebrae anosunganidzwa zvachose pamwe chete. Izvi zvinogona kuzadzikiswa nemapfupa emagetsi kubva kune chimwe chikamu chemuviri wako kana kubva kune anopa. Inogona zvakare kusanganisira simbi kana epurasitiki screws uye matanda akagadzirirwa kupa imwezve tsigiro. Izvi zvinogumisa zvachose chikamu ichocho chemuzongoza.

Spinal fusion kazhinji inoda kugara kwechipatara kwemazuva akati wandei.

Njodzi uye chii chekutarisira mushure mekuvhiyiwa

Zvese zvekuvhiya zvine njodzi, kusanganisira hutachiona, kubuda ropa, uye kukuvara kwetsinga. Kana disc racho risina kubviswa, rinogona kuputika zvakare. Kana iwe uchirwara ne degenerative disc chirwere, unogona kukura matambudziko nemamwe ma disc.

Kutevera kuvhiyiwa kwepelinha fusion, imwe huwandu hwekuomarara inotarisirwa. Izvi zvinogona kuve zvechigarire.

Mushure mekuvhiyiwa kwako, iwe unozopihwa yakatarwa madhisheni ekuraira zvine chekuita nenguva yekutangazve chiitiko chakajairwa uye nguva yekutangisa kurovedza muviri. Mune zvimwe zviitiko, kurapwa kwemuviri kunogona kudikanwa. Izvo zvakakosha kuti uteedzere zvinokurudzirwa nachiremba wako.

Vanhu vazhinji vanopora mushe mushure mekuvhiyiwa kwediski, asi kesi yega yega yakasarudzika. Maonero ako ega anoenderana ne:

• ruzivo rwekuvhiyiwa kwako
• chero matambudziko aungave wakasangana nawo
• mamiriro ako ehutano

Kudzivirira matambudziko

Kubatsira kudzivirira ramangwana matambudziko nemusana wako, edza kuchengetedza huremu hune hutano. Nguva dzose shandisa matekiniki ekusimudza akakodzera. Misimba yakasimba yemudumbu uye yekumashure inobatsira kutsigira musana wako, saka ive shuwa yekuzvishandisa nguva dzose. Chiremba wako kana wepanyama anogona kukurudzira kurovedza kwakagadzirirwa icho chinangwa.