Disiki Yavunitse

Menya amakuru arambuye kuri Mohamad Bydon, M.D.

Mu bihe byinshi, disiki yamanutse iba iterwa no kwambara no gukura, ikintu kizwi nka degeneration ya disiki uko ugenda ukura. Disiki zawe zigenda zigira ubushobozi buke bwo kugira igisubizo kandi zibasirwa cyane no gusaduka no gucika. Abantu benshi ntibashobora kumenya icyateye disiki yabo guhindagurika. Bishobora kubaho ukoresha imitsi y'umugongo aho gukoresha imitsi y'amaguru n'imikaya kugira ngo uzamure igikoresho kiremereye. Cyangwa kubera guhindukira nabi. Ibyo bivuze ko hari ibindi bintu bitari ubwiza bwawe bishobora kongera ibyago byo kugira disiki yamanutse. Kuba ufite ibiro byinshi byongera umuvuduko ku disiki zo mu mugongo wawe. Bamwe bashobora kuba barazwe mu buryo bw'umurage kugira disiki ihindagurika. Gukora akazi gakomeye cyane, no kunywa itabi bishobora kugabanya umwuka ugera kuri disiki yawe, bigatuma isaza vuba.

Umuganga wawe azashobora kumenya niba ufite disiki yamanutse akoresheje isuzuma ngaruka mbere, akabaza amateka yawe y'ubuzima. Ashobora kukubwira ko ugoshe hasi, uhindukire amaguru yawe mu myanya itandukanye. Ashobora kandi kugenzura imikorere yawe, imbaraga z'imitsi, ubushobozi bwo kugenda, kureba niba ushobora kumva ikintu gito, guhindagurika kw'umusego. Niba umuganga wawe atekereza ko undi mubabaro utera ububabare cyangwa ukeneye kureba imiyoboro y'imitsi igira ingaruka ku disiki yamanutse, ashobora gutegeka kimwe cyangwa byinshi muri ibi bikurikira; X-ray, CT scan, MRI, gake cyane myelogram. Ikipe yawe y'abaganga ishobora gukora ikizamini cy'imitsi nka nerve conduction study cyangwa EMG kugira ngo ifashe kumenya aho imiyoboro y'imitsi yangiritse.

Akenshi, kwita ku myanya yawe, no gufata imiti igabanya ububabare bigabanya ibimenyetso ku bantu benshi. Imiti igabanya ububabare iboneka mu maduka nka acetaminophen, ibuprofen, naproxen ni amahitamo meza yo kugabanya ububabare buke cyangwa buringaniye. Niba ububabare bwawe bukomeye, umuganga wawe ashobora kugutegeka inshinge ya cortisone cyangwa imiti igabanya imitsi. Mu bihe bitoroshye, opioids zishobora kwandikwa mu gihe gito igihe ibindi bisubizo bitakora. Ubuvuzi bw'umubiri bushobora kandi gufasha gucunga ububabare hamwe n'imyanya, imikino yo kwicara, n'imyitozo ngororamubiri igizwe no kugabanya ibibazo biterwa na disiki yamanutse. Abantu bake bafite disiki yamanutse bakeneye kubagwa, ariko iyo bibaye ngombwa, ababagisha bashobora gukora icyo bita diskectomy. Ibi bishobora gukorwa mu buryo butagira ikibazo cyangwa mu buryo buto. Igice cyamanutse cya disiki gikurwaho. Rimwe na rimwe mu bihe byo kudakomera kw'umugongo, inshinge y'igitugu irakenewe aho imikaya ihurirwa hamwe n'ibikoresho by'icyuma. Mu bihe bitoroshye, umubagisha ashobora gushyira disiki y'ikiganza kugira ngo asimbuze iyamanutse.

• Kubabara mu kuboko cyangwa mu kirenge. Niba disiki yawe yavunitse iri mu mugongo wawe wo hasi, uzasanga ubabara mu mugongo wawe wo hasi, mu kibuno, mu rwengero no mu gatsina. Ushobora kubabara no mu gice cy'ikirenge cyawe.

Kuri disiki yavunitse mu ijosi ryawe, uzasanga ubabara cyane mu rutugu rwawe no mu kuboko. Ubwo bubabare bushobora kujya mu kuboko cyangwa mu kirenge igihe usinziriye, ukinyujije cyangwa ugiye mu myanya runaka. Ububabare busobanurwa kenshi nk'ubuca cyangwa ubushya.

• Ubuzimu cyangwa gukuna. Abantu bafite disiki yavunitse bakunze kugira ubuzimu cyangwa gukuna mu gice cy'umubiri gikorerwa n'imitsi yafashwe.
• Intege nke. Imitsi ikorerwa n'imitsi yafashwe igenda igenda igenda. Ibi bishobora gutuma ujugunuka cyangwa bigatuma udashobora gufata cyangwa gufata ibintu.

Kubabara mu kuboko cyangwa mu kirenge. Niba disiki yawe yavunitse iri mu mugongo wawe wo hasi, uzasanga ubabara mu mugongo wawe wo hasi, mu kibuno, mu rwengero no mu gatsina. Ushobora kubabara no mu gice cy'ikirenge cyawe.

Kuri disiki yavunitse mu ijosi ryawe, uzasanga ubabara cyane mu rutugu rwawe no mu kuboko. Ubwo bubabare bushobora kujya mu kuboko cyangwa mu kirenge igihe usinziriye, ukinyujije cyangwa ugiye mu myanya runaka. Ububabare busobanurwa kenshi nk'ubuca cyangwa ubushya.

Ushobora kugira disiki yavunitse nta bimenyetso. Ushobora kutamenya ko uyifite keretse igaragaye ku ifoto y'umugongo.

Niba ububabare bw'umutwe cyangwa umugongo bugana ku kuboko cyangwa ku kirenge, cyangwa se ukaba unafite ubugufi, ukuniga cyangwa intege nke, shaka ubufasha bw'abaganga.

Hernia ya disiki ikunze kuba ishingiye ku gukura kw'umubiri buhoro buhoro, kwambara no gukura kw'imyaka bise disk degeneration. Uko abantu bakura, disiki zigenda zigira ubushobozi buke bwo kugenda neza kandi zikunda gusenyuka cyangwa gucika, nubwo ari impinduka ntoya cyangwa guhindukira. Abantu benshi ntibashobora kugaragaza icyateye hernia ya disiki yabo. Rimwe na rimwe, gukoresha imitsi y'umugongo aho gukoresha imitsi y'amaguru n'imikaya yo kuzamura ibintu biremereye bishobora gutera hernia ya disiki. Guhindukira no gutambamira mu gihe uzamura bishobora kandi gutera hernia ya disiki. Gake, ibyabaye nk'ugwa cyangwa igikomere inyuma ni byo biterwa.

'Factors that can increase the risk of a herniated disk include:': 'Ibintu bishobora kongera ibyago byo kwangirika kwa disiki harimo:', 'Weight.': "Urugero rw'umubyibuho ukabije.", 'Excess body weight causes extra stress on the disks in the lower back.': "Urubyibuho rukabije rwatuma disiki zo mu mugongo w'epfo zikorerwaho cyane.", 'Occupation.': 'Akazi.', 'People with physically demanding jobs have a greater risk of back problems.': "Abantu bakora imirimo ikomeye cyane ku mubiri bafite ibyago byinshi byo kugira ibibazo by'umugongo.", 'Repetitive lifting, pulling, pushing, bending sideways and twisting also can increase the risk of a herniated disk.': 'Guhora utwara ibintu, kubikura, kubisunika, kwigunga, no guhindukira bishobora kongera ibyago byo kwangirika kwa disiki.', 'Genetics.': 'Uburanga.', 'Some people inherit a predisposition to developing a herniated disk.': 'Bamwe baragira uburwayi bwo kwangirika kwa disiki.', 'Smoking.': 'Itabi.', "It's thought that smoking lessens the oxygen supply to disks, causing them to break down more quickly.": 'Bizwi ko itabi rigabanya umwuka ugera kuri disiki, bityo zigakora nabi vuba.', 'Frequent driving.': 'Gutwara imodoka kenshi.', 'Being seated for long periods combined with the vibration from a motor vehicle engine can put pressure on the spine.': "Kwicara igihe kirekire hamwe n'ibitotora by'imodoka bishobora gushyira umuvuduko ku mugongo.", 'Being sedentary.': 'Ubute.', 'Regular exercise can help prevent a herniated disk.': 'Gukora siporo buri gihe bishobora kugufasha kwirinda kwangirika kwa disiki.'

"Hagati gato y'ibitugu byawe, umugongo wawe urangirira.Icyakomeza kwinjira mu muyoboro w'umugongo ni agatsiko k'imizi y'imijyana miremire isa n'umurizo w'ifarashi, yitwa cauda equina. Gake, herniation ya disiki ishobora gukanda umuyoboro wose w'umugongo, harimo imijyana yose ya cauda equina. Mu bihe bitoroshye, kubagwa byihutirwa bishobora kuba bikenewe kugira ngo birinde intege nke cyangwa ubumuga buhoraho. Shaka ubuvuzi bwihuse niba ufite: Ibimenyetso birushaho kuba bibi. Uburibwe, kubabara cyangwa intege nke bishobora kwiyongera ku buryo biguhungabanya ibikorwa byawe bya buri munsi.\nAkagera cyangwa guhindagurika k'umwijima. Cauda equina syndrome ishobora gutera kudafata neza inkari cyangwa kugira ikibazo cyo kwinjira inkari nubwo ufite umwijima wuzuye.\nAnesthesia y'igitambaro. Iyi mpinduka yo kubura ubwenge ikora ku bice byakora ku gitambaro - imvi imvi, inyuma y'amaguru n'agace kari hafi y'umuyoboro w'inyuma."

Uburyo bwo kwirinda herniated disk, ni ibi bikurikira:

• Koga. Gukomeza imikaya y'igituza biha umugongo imbaraga n'uburinganire.
• Reka kunywa itabi. Irinde gukoresha ibicuruzwa byose by'itabi. Edward Markle yari yabuze icyo akora. Nubwo yari amaze igihe avurirwa n'abaganga, Edward avuga ko ububabare buterwa na herniated discs ebyiri bwari bukabije kandi budashira. Ntashoboraga kwicara cyangwa kugenda adafite ububabare. Yarararagaga hasi, amasaha abiri mu ijoro. Yari afite impungenge nyinshi ku bijyanye n'ejo hazaza. Ati: "Byatumye ubuzima bwanjye bugabanuka hafi ya zeru," ati: "Sinashoboraga kwimuka. Sinashoboraga gusohoka. Sinashoboraga kubona uburyo bwo…

Umuganga w’ubwonko, Dr. Mohamad Bydon, arasubiza ibibazo bikunze kubaho cyane ku birebana n’igituntu cy’umutwe. Ibitotsi n’umunaniro byombi bishobora gutera ububabare. Ibitotsi ni igihe umubiri wivugurura. Igihe gikwiye cyo kuryama, hamwe n’ikiraro cyiza cy’ibitotsi, ni ingenzi cyane mu guhangana n’ububabare neza. Umunaniro nawo ushobora kongera ububabare. Guhangana n’umunaniro neza no kubikora mu buryo bukwiye ni ingenzi cyane mu guhangana n’ububabare. Uburwayi bw’amagufa mu ijosi no mu mugongo ni ikibazo gisanzwe. Bizwi nko kwambara no gukura cyangwa indwara y’amagufa. Biteza ububabare mu mugongo no mu ijosi. Ububabare bw’umugongo ni impamvu ya mbere yo kubonana na muganga, ububabare bw’ijosi ni impamvu ya gatatu yo kubonana na muganga. Mu buzima bwacu, 80% muri twe tuzagira ububabare bw’umugongo bukomeye ku buryo busaba ubuvuzi. Uburwayi bw’amagufa ntiburashobora guhagarara, nta muti w’uburwayi bw’amagufa, ariko bushobora guhangana kandi bugakira. Gukomeza imitsi y’inda ni ingenzi cyane. Kugumana ibiro byiza ni ingenzi cyane. Kubaka imbaraga, imyitozo idakora, ibyo byose ni ibintu by’ingenzi cyane mu gufasha guhangana no kuvura uburwayi bw’amagufa. Ni ingenzi gufatanya n’itsinda ryanyu ry’abaganga kugira ngo mugere ku musaruro mwiza w’ubuzima bwanyu. Uburyo bwiza bwo kubikora ni ukumenya neza uburwayi bwawe. Twakuguhaye amakuru menshi uyu munsi azakwemerera gukorana na muganga wawe n’itsinda rye ry’abaganga. Ntiwite kuvuga itsinda ryanyu ry’abaganga ibibazo ushobora kugira. Kumenya amakuru byose bigira itandukaniro. Turagushimira igihe cyawe kandi tubifuriza ibyiza. Mu isuzuma ngaruka mbere, umuhanga mu buvuzi azagenzura umugongo wawe kugira ngo arebe niba hari ububabare. Ushobora gusabwa kuryama utuje no kugerageza kugendagenda amaguru yawe mu myanya itandukanye kugira ngo ufashe kumenya icyateye ububabare bwawe. Muganga wawe ashobora kandi gukora isuzuma ry’imitsi kugira ngo arebe: - Imiterere. - Imbaraga z’imitsi. - Ubushobozi bwo kugenda. - Ubushobozi bwo kumva ibintu byoroheje, ibikomere cyangwa guhindagurika. Mu bihe byinshi by’igituntu cy’umutwe, isuzuma ngaruka mbere n’amateka y’ubuzima ni byo byose bikenewe kugira ngo hamenyekane indwara. Niba umuhanga mu buvuzi akekereza ko hari ikindi kibazo cyangwa akeneye kureba imitsi ikozweho, ushobora kugira ibizamini bimwe muri ibi bikurikira. - Amafoto ya X-rays. Amafoto ya X-rays asanzwe ntabona igituntu cy’umutwe, ariko ashobora guhakana izindi mpamvu z’ububabare bw’umugongo. Amafoto ya X-rays ashobora kwerekana ubwandu, ikinyabutabire, ibibazo byo guhuza umugongo cyangwa igufwa ryamenetse. - CT scan. CT scanner ifata amafoto ya X-rays aturuka mu mpande zitandukanye. Ayo mashusho ahurizwa hamwe kugira ngo hakorwe amashusho y’umugongo n’ibintu bimukikije. - MRI. Amashusho y’amajwi n’ikinyabutabire gikomeye cy’amabuye y’ubushuhe bikoreshejwe kugira ngo hakorwe amashusho y’imbere y’umubiri. Iki kizami gishobora gukoreshwa kugira ngo hamenyekane aho igituntu cy’umutwe kiri n’ibintu byakozweho. Isuzuma ry’imitsi n’amashusho ya electromyograms (EMGs) bipima neza uko impinduka z’amashanyarazi zikora ku mitsi. Ibi bishobora gufasha kumenya aho imitsi yangiritse. - Isuzuma ry’imitsi. Iki kizami kipima impinduka z’amashanyarazi y’imitsi n’imikorere yayo mu mitsi n’imitsi binyuze mu bipimo byashyizwe ku ruhu. Icyo cyigisho kipima impinduka z’amashanyarazi mu bimenyetso by’imitsi iyo umuriro muto unyura mu mitsi. - Electromyogram (EMG). Mu gihe cya EMG, muganga ashyira igipimo cy’umutwe mu ruhu mu mitsi itandukanye. Iki kizami kiramasha amashanyarazi y’imitsi iyo yifashe n’iyo ari mu kiruhuko.