Chii chinonzi Herniated Disk? Zviratidzo, Zvinokonzera, & Kurapa

Herniated disk inoitika kana pakati, pevhu rakaita sejeli re disk yemuzamu ikadzvinya kuburikidza nekuputsika kwekunze kwayo kwakasimba. Funga nezvazvo sejeli ichibuda kubva mu donati kana wakamanikidza zvakanyanya.

Iyi chirwere chakajairika kwazvo uye chinotapura mamirioni evanhu gore rega rega. Kunyangwe zvingakonzera kusagadzikana kukuru, nhau dzakanaka ndedzekuti mazhinji herniated disks anoporesa ega nekuchengetedza kwakakodzera ne nguva.

Chii chinonzi herniated disk?

Musana wako une madiski 23 anoshanda semapillow pakati pe vertebrae (mapfupa emusana). Disk imwe neimwe ine mhete yakasimba inonzi annulus uye pakati pevhu rakaita sejeli rinonzi nucleus.

Kana mhete yekunze ikagadzira kuchema kana nzvimbo isina simba, zvinhu zvekunze zvinogona kubuda kunze kana kubuda. Izvi zvinoita izvo vanachiremba vanoti herniated, slipped, kana ruptured disk.

Zvinhu zvakasvibiswa zvinogona kudzvanya pane tsinga dziri pedyo, zvichikonzera kurwadziwa, kushaya kunzwa, kana kushaya simba. Zvisinei, vanhu vazhinji vane herniated disks pasina zviratidzo zvachose.

Ndeapi zviratidzo zve herniated disk?

Zviratidzo zve herniated disk zvakasiyana zvakanyanya zvichienderana nekuti disk iri kupi uye kana iri kudzvanya pane tsinga. Vamwe vanhu havaoni zviratidzo, nepo vamwe vachinzwa kusagadzikana kukuru.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Kurwadziwa kwakasimba, kunobaya kunofamba pasi pegumbo rako (sciatica) kana ruoko
• Kushaya kunzwa kana kupfava munzvimbo yakabatwa
• Kushaya simba kwemhasuru mugumbo rako, tsoka, ruoko, kana ruoko
• Kupisa kana kurwadziwa kwakanyanya kumusana wako kana mutsipa
• Kurwadziwa kunowedzera kana wakagara, wakakotama, kana kukosora
• Kushomeka kwemusana wako kana mutsipa

Zviratidzo zvisingawanzoitika asi zvakakomba zvinosanganisira kushaya simba kwakanyanya mumakumbo ese ari maviri, kurasikirwa nekudzora kwemabladder kana matumbo, kana kurwadziwa kwakasimba kwakangoitika kamwe kamwe. Aya maratidzo anoda rubatsiro rwekurapa nekukurumidza.

Nzvimbo ye herniated disk yako inotsanangura kwaunozonzwa zviratidzo. Herniations dzemusana wepasi kazhinji dzinokonzera kurwadziwa kwemukati, nepo herniations dzemutsipa kazhinji dzinotapura maoko ako nemaoko.

Ndeapi marudzi e herniated disks?

Herniated disks inoratidzirwa nenhamba yadzo pamusana wako uye huwandu hwe herniation. Kunzwisisa musiyano uyu kunogona kukubatsira kutaurirana nenyanzvi yako yekurapa.

Nenhamba, herniated disks inoitika munzvimbo huru nhatu:

• Lumbar herniated disks (musana wepasi) - yakajairika kwazvo, ichikanganisa anenge 90% yezviitiko
• Cervical herniated disks (mutsipa) - yechipiri yakajairika
• Thoracic herniated disks (pakati pemusana) - isingawanzoitika asi inogona kuva yakakomba zvikuru

Nekukomba, vanachiremba vanotsanangura herniations se:

• Disk bulge - disk inobuda asi inoramba iri mukati memhete yekunze
• Disk protrusion - zvimwe zvinhu zvekunze zvinoputsika asi zvinoramba zvakabatana
• Disk extrusion - zvinhu zvekunze zvinoputsika uye zvinoparadzana nedisk
• Sequestration - zvidimbu zve disk zvinhu zvinoputsika zvachose

Mhando imwe neimwe inogona kukonzera nhanho dzakasiyana dzezviratidzo, kunyangwe kukomba hakugare kwakafanana nekuti unonzwa kurwadziwa kwakadini.

Chii chinokonzera herniated disk?

Herniated disks inokura kuburikidza nekubatanidzwa kwekuora kwemuviri nekukwegura uye zvinokonzera zvakakosha. Madiski ako anorasikirwa nemvura uye kunyanyisa sezvaunokura, zvichiita kuti zvive nyore kuputsika.

Zvinhu zvakati wandei zvinogona kuita kuti disk herniation iitike:

• Kuora kwe disk nekukwegura (chinokonzera chakajairika kwazvo)
• Kusimudza zvinorema kamwe kamwe uchishandisa nzira isina kunaka
• Kukotama kana kutenderera paunenge uchisimudza
• Kuakuvadzwa kwakasimba kubva pakudonhera kana tsaona
• Kushomeka kwenguva refu kubva kubasa kana mitambo
• Kutaura kwakanyanya kunodzvanya madiski emusana

Dzimwe nguva, zvirwere zvisingawanzoitika zvemajini zvinogona kuita kuti madiski ako ave nyore ku herniation. Izvi zvinosanganisira zvirwere zve connective tissue kana zvikanganiso zvemusana zvakawanikwa.

Muzviitiko zvakawanda, hapana chikonzero chimwe chete chinogona kuzivikanwa. Disk yako ingave yakanga ichisimba zvishoma nezvishoma kusvika kufamba kwakapusa sekukosora kana kukotama kunokonzera herniation yekupedzisira.

Rini unofanira kuona chiremba we herniated disk?

Unofanira kubata nyanzvi yako yekurapa kana kurwadziwa kwemusana kana mutsipa kukanganisa mabasa ako ezuva nezuva kana kukagara kwemazuva mashoma. Kuongororwa pakutanga kunogona kudzivirira zvikanganiso uye kukubatsira kupora nekukurumidza.

Tsvaga rubatsiro rwekurapa nezviratidzo izvi:

• Kurwadziwa kunofamba pasi paruoko rwako kana gumbo
• Kushaya kunzwa, kupfava, kana kushaya simba mumagumo ako
• Kurwadziwa kunowedzera kunyangwe wakazorora uye mishonga isina kunyorwa
• Kukanganisika kuita mabasa akajairika
• Kurara kwakanganiswa nekuda kwekurwadziwa

Tora rubatsiro rwekurapa nekukurumidza kana ukaona izvi:

• Kurasikirwa nekudzora kwemabladder kana matumbo
• Kushaya simba kwakawanda mumakumbo ese ari maviri
• Kushaya kunzwa mu groin yako kana mukati memakumbo
• Kurwadziwa kwakasimba kunouya kamwe kamwe

Aya maratidzo ekukurumidza, kunyangwe asingawanzoitika, anogona kuratidza kudzvanywa kwetsinga kwakakomba kunoda kurapwa nekukurumidza kudzivirira kukuvara kwenguva refu.

Ndeapi njodzi dze herniated disk?

Kunzwisisa njodzi dzako kunogona kukubatsira kutora matanho ekudzivirira hutano hwemusana wako. Zvimwe zvinhu zvaunogona kudzora, nepo zvimwe zviri chikamu chehupenyu.

Zera ndiro njodzi huru yausingakwanisi kuchinja. Mazhinji herniated disks anoitika pakati pemakore makumi matatu nemakumi mashanu, apo madiski anotanga kurasikirwa nekukwanisa asi vanhu vachiri kushanda zvakanyanya.

Njodzi dzinodzorwa dzinosanganisira:

• Kurema kwemuviri kunodzvanya musana wako
• Kusvuta, kunoderedza oksijeni kumadisks uye kunokurumidza kuora
• Kushomeka kwemhuka mumabasa ezuva nezuva
• Kushaya kurovedza muviri kunogara kwenguva refu kunokonzera mhasuru dzisina simba
• Mabasa anoda kusimudza zvinorema, kukotama, kana kutenderera
• Mitambo ine simba rakawanda kana mabasa

Njodzi dzisingadzorwi dzinosanganisira:

• Kuwanikwa kwemajini kune matambudziko e disk
• Murume (njodzi yakakwirira zvishoma)
• Kukuvara kwemusana kare
• Mabasa akati wandei ane kushanda kwenguva refu kwemusana

Kuva nenjodzi hazvirevi kuti uchave ne herniated disk. Vanhu vazhinji vane njodzi dzakawanda havazombovi nematambudziko, nepo vamwe vane njodzi shoma vachiva nadzo.

Ndeapi matambudziko anogona kuitika e herniated disk?

Mazhinji herniated disks anoporesa pasina matambudziko akakomba, asi zvakakosha kunzwisisa zvinogona kuitika kana chirwere chacho chakaipisisa kana chisina kurapwa. Kuziva pakutanga kunobatsira kudzivirira matambudziko aya.

Matambudziko akajairika anogona kukura anosanganisira:

• Kurwadziwa kwenguva refu kunogara kwemwedzi kana makore
• Kukuvara kwenguva refu kwetsinga kunokonzera kushaya simba kwenguva refu
• Kurasikirwa nekunzwa munzvimbo dzakabatwa
• Kukanganisika kufamba kana kuita mabasa emhasuru diki
• Herniation inodzokororwa yediski imwechete kana dziri pedyo

Matambudziko asingawanzoitika asi akakomba anosanganisira:

• Cauda equina syndrome - kudzvanywa kwetsinga midzi kunokonzera kurasikirwa nekudzora kwemabladder/matumbo
• Kurasikirwa kwakakwana kwesimba remhasuru mumagumo akabatwa
• Saddle anesthesia - kushaya kunzwa munzvimbo dzainogona kubata sadhu
• Kukanganisika kwenguva refu kwetsinga

Aya matambudziko akakomba haawanzoitika uye kazhinji anogona kudzivirirwa nekurapwa kwakakodzera. Vanhu vazhinji vanopora zvizere kana zvakapetwa kubva ku herniated disk yavo nekutarisirwa kwakakodzera.

Herniated disk inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira herniated disks zvachose, kunyanya dzakabatana nezera, unogona kuderedza njodzi yako zvakanyanya kuburikidza nekusarudza mararamiro ane hutano. Kudzivirira kunotarisa pakuchengetedza musana wako wakasimba uye unonyanyisa.

Nzira huru dzekudzivirira dzinosanganisira:

• Kuchengetedza uremu hwakanaka kuderedza kudzvanya kwemusana
• Kurovedza muviri nguva dzose kusimbisa mhasuru dzemukati nekumusana
• Kushandisa nzira dzakanaka dzekusimudza - kotama magaro ako, kwete musana wako
• Kuchengetedza hunhu hwakanaka paunenge wakagara uye wakamira
• Kusiya kusvuta kuvandudza hutano hwe disk
• Kutora zororo kazhinji kubva pakagara kwenguva refu
• Kurara pamataresi anobatsira

Kudzivirira kubasa kunosanganisira:

• Kushandisa fenicha ye ergonomic uye michina
• Kutora zororo rekutambanudza kazhinji
• Kuwana rubatsiro nekusimudza zvinorema
• Kudzivisa kufamba kwenguva refu kwakapetwa

Kunyangwe matanho aya asingakwanisi kuvimbiswa kuti hauzombovi ne herniated disk, anovandudza hutano hwemusana wako uye anoderedza njodzi yako yese.

Herniated disk inoziviswa sei?

Chiremba wako anotanga nehurukuro yakakwana yezviratidzo zvako uye bvunzo yemuviri. Iyi kuongororwa kwekutanga kazhinji inopa ruzivo rwakakwana kuita kuongororwa kwekutanga.

Panguva yebvunzo yemuviri, chiremba wako acharayira reflexes yako, simba remhasuru, kukwanisa kufamba, uye kunzwa. Vanogona kuita bvunzo dzakakosha senge kukukumbira kuti urware uye usimudze gumbo rako kuona kana richigadzira kurwadziwa kwako.

Bvunzo dze mifananidzo kazhinji dzinoda kusimbisa kuongororwa:

• X-rays - inoratidza hunhu hwepfupa asi kwete zvinhu zvinyoro senge madiski
• MRI - inopa mifananidzo yakadzama ye madiski, tsinga, nezvinhu zvakapoteredza
• CT scan - inobatsira kana MRI isingaitike kana kuti kuona mifananidzo yepfupa yakadzama
• Myelogram - CT chaiyo kana MRI ine dye yekuenzanisira yezviitiko zvakaoma

Bvunzo dzimwe dzakawanda dzezviitiko zvakaoma dzinogona kusanganisira:

• Electromyography (EMG) - inoyerera simba remagetsi mumhasuru
• Nerve conduction studies - inoyerera zvakanaka tsinga dzinotumira zviratidzo
• Diskography - kuiswa kwe dye yekuenzanisira zvakananga mu madiski

Chiremba wako acharonga bvunzo dzakakodzera zvichienderana nezviratidzo zvako uye kuwana kwekuongorora.

Kurapa kwe herniated disk ndekupi?

Kurapa kwe herniated disks kazhinji kunotanga zvishoma nezvishoma uye kunova kukuru kana zvichidiwa. Vanhu vazhinji vanovandudza zvakanyanya nekurapa kusina kuvhiya kwemavhiki 6-12.

Kurapa kwekutanga kwakapfava kunosanganisira:

• Kuzorora uye kuchinja mabasa (dzivisa mabasa anokonzera kurwadziwa)
• Mishonga yekurwadziwa isina kunyorwa senge ibuprofen kana acetaminophen
• Ice therapy kwemaawa makumi maviri nemana ekutanga, wobva washandisa kupisa
• Kuwedzera kwakapfava uye kufamba sezvinobvumidzwa
• Physical therapy kusimbisa mhasuru dzinotsigira

Kana kurapwa kwakapfava kukasa kubatsira mushure memavhiki 6-8, chiremba wako anogona kukurudzira izvi:

• Mishonga yekurwadziwa yakanyorwa kana mishonga yekusunungura mhasuru
• Epidural steroid injections kuderedza kuzvimba
• Physical therapy nzira dzakakosha
• Chiropractic care (ne mvumo yekurapa)
• Acupuncture yekudzora kurwadziwa

Kuopereta kunofungwa chete kana:

• Kurapwa kwakapfava kukundikana mushure memwedzi 3-6
• Une zviratidzo zvakakomba zve tsinga
• Uine kushaya simba kwakawanda
• Zviratidzo zvekukurumidza senge cauda equina syndrome zvinoitika

Sarudzo dzekuopereta dzinosanganisira microdiskectomy, laminectomy, kana muzviitiko zvisingawanzoitika, disk replacement. Nyanzvi yako yekuopereta ichakurukura sarudzo yakanakisa yenzvimbo yako chaiyo.

Nzira yekutarisira herniated disk pamba?

Kutarisira kumba kunotamba basa rinokosha mukupora kwako kubva ku herniated disk. Kusanganiswa kwakakodzera kwezororo, basa, uye kutarisira kwako kunogona kukurumidza kuporesa kwako.

Nzira dzekudzora kurwadziwa dzaunogona kuedza pamba dzinosanganisira:

• Isa ice kwemaminitsi 15-20 kakawanda pazuva mumaawa makumi maviri nemana ekutanga
• Chinja ku kupisa mushure mekuzvimba kwekutanga kwapfuura
• Tora mishonga yekurwisa kuzvimba isina kunyorwa sezvakaratidzwa
• Shingairira mapillow paunenge uchirara kuchengetedza musana wako wakarurama
• Ita maekisesaizi ekutambanudza akapfava sezvakakurudzirwa nenhamba yako yekurapa

Kuchinja basa kwakakoshawo:

• Dzivisa kugara kwenguva refu, kunyanya muzvigaro zvinyoro
• Tora zororo rekutambanudza kazhinji zuva rese
• Dzivisa kusimudza zvinorema, kukotama, kana kufamba kwakapetwa
• Kurara padivi rako ne pillow pakati pemakumbo ako
• Wedzera basa zvishoma nezvishoma sezvo kurwadziwa kuchivandudza

Yeuka kuti kuzorora kwakakwana mubhedha kwemazuva anopfuura 1-2 kunogona kudzikisira kupora kwako. Kufamba kwakapfava nekudzoka zvishoma nezvishoma kumabasa akajairika kazhinji kunobatsira kupfuura kusaita chinhu zvachose.

Unofanira kugadzirira sei kuenda kuchiremba?

Kugadzirira kuenda kuchiremba kunobatsira kuve nechokwadi chekuti unowana kuongororwa kwakanyanya uye chirongwa chekurapa chakakodzera. Kugadzirira kwakanaka kunoponesa nguva uye kunobatsira chiremba wako kunzwisisa mamiriro ako zviri nani.

Usati waenda kuchiremba, nyora izvi:

• Zviratidzo zvako zvakavamba rini uye waitei
• Tsananguro yakadzama yekurwadziwa kwako (nzvimbo, kukomba, hunhu)
• Chii chinoita kuti zviratidzo zvako zvive nani kana zvakaipa
• Mishonga yese uye zvinowedzerwa zvauri kutora
• Kukuvara kwemusana kare kana kurapwa
• Nzira iyo zviratidzo zvinokanganisa mabasa ako ezuva nezuva

Uye uunze izvi:

• Rondedzero yemishonga yese iripo
• Zvinyorwa zvepuraimari zvekurapa zvine chekuita nematambudziko emusana
• Makadhi einishuwarenzi uye zvinhu zvekutsanangura
• Chero bvunzo dzemifananidzo dzawaona kare
• Rondedzero yakanyorwa yemibvunzo yechiremba wako

Mibvunzo yakanaka yekubvunza inosanganisira kuti kupora kunotora nguva yakareba sei, mabasa aunofanira kudzivisa, kana ungadzokera kubasa rini, uye zviratidzo zveiyi zvinoda kutarisirwa nekukurumidza.

Chii chinonyanya kukosha nezve herniated disks?

Chinhu chinonyanya kukosha kunzwisisa nezve herniated disks ndechekuti zvinorapika kwazvo, uye vanhu vazhinji vanopora zvakanaka nekutarisirwa kwakakodzera. Kunyangwe kurwadziwa kungave kwakasimba uye kunotyisa, iyi chirwere haina kazhinji kukonzera kukuvara kwenguva refu.

Nguva kazhinji ndiyo shamwari yako yakanakisa mukuporesa. Mazhinji herniated disks anovandudza zvakanyanya mukati memavhiki 6-12 nekurapwa kwakapfava, uye vanhu vazhinji vanodzokera kumabasa avo ese akajairika.

Kuita kwako kwakanyanya mukurapa kunoita musiyano mukuru. Kutevera mazano enyanzvi yako yekurapa, kuramba uchiita zvakanyanya sezvinobvira, uye kuchengetedza pfungwa yakanaka zvese zvinoita kuti zvibudirire zviratidze.

Usanetseka kutsvaga rubatsiro kana uri kurwisana nezviratidzo. Kurapwa pakutanga kazhinji kunotungamira pakupora nekukurumidza uye kunobatsira kudzivirira matambudziko. Nenhanho yakakodzera, unogona kudzokera kuhupenyu hwako zvizere.

Mibvunzo inobvunzwa kazhinji nezve herniated disks

Herniated disk inogona kuporesa ega here?

Hungu, mazhinji herniated disks anogona kuporesa ega kana akapa nguva yakakwana. Muviri wako une nzira dzekuporesa dzinogona kudzoreredza herniated disk zvinhu uye kuderedza kuzvimba kutenderedza tsinga dzakabatwa.

Kudzidza kunoratidza kuti 80-90% yevanhu vane herniated disks vanovandudza zvakanyanya mukati memavhiki 6-12 pasina kuvhiya. Zvisinei, izvi hazvirevi kuti unofanira kuregeredza zviratidzo kana kudzivisa kurapwa - kutarisirwa kwakakodzera kunogona kukurumidza kuporesa uye kudzivirira matambudziko.

Zvinotora nguva yakareba sei kuti herniated disk iporese?

Nguva yekuporesa inosiyana zvakanyanya kubva kumunhu kune mumwe, asi vanhu vazhinji vanoona kuvandudzwa kukuru mukati memavhiki 6-12 ekurapwa kwakapfava. Vamwe vanhu vanonzwa zvakanaka mumavhiki mashoma, nepo vamwe vachigona kutora mwedzi yakati wandei.

Zvinhu zvinoita kuti nguva yekuporesa iite zvinosanganisira zera rako, hutano hwese, saizi nenzvimbo ye herniation, uye kuti unotevera sei mazano ekurapa. Kuramba uchiita zvakanyanya mukati memiganho yako uye kutevera mazano enyanzvi yako yekurapa kazhinji kunotungamira pakupora nekukurumidza.

Zvakachengeteka here kurovedza muviri ne herniated disk?

Hungu, kurovedza muviri kwakapfava kazhinji kunobatsira uye kazhinji kunokurudzirwa pakupora kwe herniated disk. Chinhu chikuru ndechekusarudza maekisesaizi akakodzera uye kudzivisa kufamba kunowedzera zviratidzo zvako.

Kufamba, kushambira, uye maekisesaizi chaiwo ekutambanudza kazhinji anenge akachengeteka uye anobatsira. Zvisinei, unofanira kudzivisa mabasa ane simba rakawanda, kusimudza zvinorema, uye maekisesaizi anosanganisira kukotama kana kutenderera kusvika zviratidzo zvako zvavandudza. Gara uchibvunza nyanzvi yako yekurapa usati watanga chero chirongwa chekurovedza muviri.

Ndichada kuvhiya here ne herniated disk yangu?

Vanhu vazhinji vane herniated disks havadi kuvhiya. Anenge 5-10% yevanhu vane herniated disks vanopedzisira vachida kurapwa kuvhiya.

Kuopereta kazhinji kunofungwa chete kana kurapwa kwakapfava kukundikana mushure memwedzi yakati wandei, une zviratidzo zvakakomba zve tsinga, kana ukawana matambudziko ekukurumidza senge kurasikirwa nekudzora kwemabladder. Kunyangwe zvakadaro, kuvhiya kazhinji kunobatsira kwazvo kana zvichidiwa.

Herniated disks inogona kudzoka here mushure mekurapwa?

Kunyangwe zvichibvira kuti herniated disks idzoke, kutora matanho akakodzera ekudzivirira kunoderedza njodzi iyi zvakanyanya. Vamwe vanhu vanoona herniation yediski imwechete kana herniation ye disks dziri pedyo.

Unogona kuderedza njodzi yekudzoka nekugara uine uremu hwakanaka, kurovedza muviri nguva dzose kusimbisa mhasuru dzemukati, kushandisa nzira dzakanaka dzekusimudza, uye kudzivisa mabasa anodzvanya musana wako zvakanyanya. Vanhu vazhinji vanopora kubva ku herniated disk havazombovi neimwezve.