Ubuhlungu obungalindelekile emuva ngokuvamile bubangelwa i-disc herniated.I-intervertebral disc iyisivimbeli phakathi kwama-vertebrae futhi ithwale umthwalo osindayo phakathi neminyaka.Lapho ziba brittle futhi ziphuka, izingxenye zezicubu zingaphuma futhi zicindezele emthanjeni noma kumsele womgogodla.Lokhu kungabangela ubuhlungu obukhulu.I-lumbar spine ikakhulukazi ivame ukuthinteka.I-disc ye-herniated ngokuvamile iyancipha ngokwayo ngokusekela ubuhlungu nemithi elwa nokuvuvukala, kodwa ezimweni ezinzima kakhulu, ukuhlinzwa kuyadingeka.
I-lumbar disc herniation akufanele isetshenziselwe ukuhlala-ups ngendlela ebonisiwe: Uma wenza i-sit-up, wonke umgogodla ugoba phambili.I-flexion eyinhloko yomgogodla isengxenyeni ye-thoracic.Uma umzimba ongaphezulu uphakanyiswa phezulu, amandla e-shear azoba seduze nomzimba we-vertebral ophansi.Uma kunenkinga ye-intervertebral disc herniation, amandla okugunda emuva azokwenza ukuthi i-intervertebral disc ibuyele emuva.phumela ngaphandle.
Kukhona futhi inkinga evamile yokuthwala izinto ezinzima, futhi udinga ukunaka ngokukhethekile ukuma kwakho.Kungcono ukuguqa ngamadolo futhi uqondise ukhalo lwakho, njengoba kuboniswe emfanekisweni.Imilenze eqondile igoba bese ugobisa ikhanda lakho ukuze uphakamise izinto ezinzima.Amandla e-shear ku-lumbar intervertebral disc makhulu kakhulu.Ngaphambili, i-intervertebral disc iqhuma emuva, ukugoba isikhathi eside, noma ezinye izizathu (njengokhalo olulenga emoyeni, umgogodla we-thoracic oncike esihlalweni) ubangela ukuba umzimba we-vertebral ugobe phambili, okuzokwenza ukuthi i-intervertebral disc iqhume. emuva, futhi ekugcineni kuholele ku-herniation.Njengamanje, imiphumela eminingi yocwaningo lwasekhaya nezangaphandle ibonisa ukuthi ukuguquguquka okuvamile noma okungazelelwe nokujikeleza komzimba kuyisici esiyinhloko esiholela ku-lumbar disc herniation.
I-Lumbar intervertebral disc herniation ngokuvamile ayidingi ukuhlinzwa ngokushesha.Kufanele uqale ngokukhuthala ukubuyisela esimweni ukuze ubone ukuthi izimpawu zingadamba yini.Ngokuvamile, i-lumbar disc herniation ingaba ne-prognosis enhle ngemva kwesikhathi sokuvuselela okuhlelekile.
Ukuze kuhlinzwe, kufanele kuhlangatshezwane nemibandela elandelayo
1 Ukwelashwa okungahlinzeki akusebenzi noma kuyaphinda, futhi izimpawu zinzima futhi zithinta umsebenzi nempilo.
2. Izimpawu zokulimala kwezinzwa zisobala, zibanzi, futhi ziqhubeka nokuwohloka.Kusolwa ukuthi kukhona ukuphuka okuphelele kwe-annulus fibrosus ye-disc intervertebral kanye nezingcezu ze-nucleus pulposus ziphumela emgodini womgogodla.
3 I-Central lumbar disc herniation enokungasebenzi kahle kwamathumbu nesinye.
4 Kuhlanganiswe ne-lumbar spinal stenosis esobala.
Kunezinhlobo eziningana zokuhlinzwa komgogodla we-lumbar:
1. Ukuhlinzwa okuvulekile okujwayelekile:
Ukuhlinzwa okuvamile okuvulekile kuhlanganisa: i-laminectomy ephelele, i-hemilaminectomy, ukuhlinzwa kwe-disc transabdominal, i-vertebral fusion, njll. Inhloso yokuhlinzwa ukukhipha ngokuqondile i-nucleus pulposus ye-lumbar intervertebral disc egulayo futhi ukhulule ukucindezelwa kwezimpande ze-nerve ukufeza inhloso yokwelashwa.Ngenxa yomkhawulo wesimo esikhethekile somzimba we-lumbar vertebra, ukuhlinzwa kubhubhisa isakhiwo esivamile somzimba we-lumbar vertebrae, okuholela ekulimazeni okukhulu kokuhlinzwa, okulula ukubangela ukungazinzi kwangemva kokuhlinzwa komgogodla we-lumbar, ukunamathela kwezicubu ezibomvu ngemuva kokuhlinzwa, kanye nochungechunge lokusabela okubi njengokulimala kwezimpande zenzwa ngengozi phakathi nokuhlinzwa.Ngakho-ke iziguli eziningi ziyesaba ukuhlinzwa, indlela yokugwema ukusabela okubi okungenhla okubangelwa ukuhlinzwa?Lokhu bekulokhu kuyindida enkulu emphakathini wezokwelapha.
2. Ukuhlinzwa okungenasidingo okuncane kwe-intervertebral disc
Ukuze ugweme inkinga enkulu yokulimala kokuhlinzwa okuvamile okuvulekile futhi kuncishiswe ingozi yokuhlinzwa kanye nokuvela kwezinkinga, ukuhlinzwa kwe-microsurgery kanye ne-arthroscopic kusiza ukuhlinzwa kwe-lumbar intervertebral disc kunciphisa umonakalo emathanjeni avamile namalunga ngesikhathi sokusebenza, kodwa ukuhlinzwa okuncane okungenasidingo kuyindlela yokuhlinzwa. ukusebenza, kodwa futhi kunezingozi kanye nezinkinga.Enye inkinga enkulu ukuthi ngemva kokuba insimu yokuhlinza iba mncane, kunzima ukuhlanzeka nokususa ngokuphelele i-nucleus pulposus ye-lumbar intervertebral disc egulayo, okwandisa ingozi yokuhlinzwa okungaphumeleli.
3. Ukusika nokumuncwa nge-Percutaneous:
Ezigulini ezine-lumbar disc herniation, ama-disc amaningi e-herniated abangelwa ukucindezelwa okwandayo ngaphakathi kwe-disc.I-Percutaneous puncture kanye nokumunca kunganciphisa kakhulu ukucindezela kwe-intradiscal futhi kunciphise okuqukethwe kwe-disc ye-herniated, ngaleyo ndlela kunciphise noma kuqede izimpawu zokucindezelwa kwezinzwa nge-protrusion.Inzuzo yale ndlela ukuthi ngesikhathi sokusebenza,tyena umonakalo mncane, kodwa okubi ukuthi ukusebenza ngokuyinhloko kugxile ekunciphiseni, okusebenza ngempumelelo ku-intervertebral disc herniation.
Umphumela wokunciphisa ubuhlungu be-vertebroplasty uyabonakala, ngokuvamile phakathi kwamahora angu-24, ukunyakaza okulula komzimba kungaqalwa kabusha, futhi imithi yobuhlungu ingancishiswa noma imiswe.Kunezimbobo eziningi ezincane emzimbeni we-osteoporotic vertebral, futhi i-bone glue ingagcwalisa lezi zimbobo ezincane, ukuze kuqiniswe umzimba we-vertebral nokunciphisa ukuphindaphinda kokuphuka.
Yiziphi izinzuzo ze-vertebroplasty?
Inciphisa kakhulu ingozi yezinkinga ezifana ne-hypostatic pneumonia ebangelwa ukuphumula kombhede isikhathi eside.
Izindlela zokwelapha zendabuko zokuphulwa komzimba we-vertebral fractures zihlanganisa ukuphumula kombhede, ukupulasitela, ukugoqa kwe-splint, njll. Kodwa-ke, inani elikhulu leziguli lihlushwa izinkinga ezifana ne-kyphosis, ubuhlungu obuphansi emuva, i-sciatica, i-osteoporosis ethuthukisiwe, i-fracture union ebambezelekile noma i-nonnunion, njll. . Izinkinga ezifana nezifo zamaphaphu noma zomchamo zingase zenzeke ngenxa yokuphumula kombhede isikhathi eside.Futhi amahora angu-2 ngemva kwe-vertebroplasty, iziguli zingakwazi ukuphuma embhedeni futhi zihambe, ngaleyo ndlela zinciphise kakhulu ingozi yezinkinga ezifana ne-hypostatic pneumonia ebangelwa ukuphumula kombhede isikhathi eside.
Inganciphisa kakhulu inani lemithi yobuhlungu.
I-Vertebroplasty inomphumela osobala wokudambisa izinhlungu, onganciphisa kakhulu inani lemithi yezinhlungu, futhi ezinye iziguli zingase zingabi nezimpawu.
Ukuhlukumezeka okuncane esigulini
I-Vertebroplasty idinga kuphela ukusika okuncane okungena usayizi wephinikhodi ngaphandle kokopha;ukusetshenziswa kwe-anesthesia yendawo kugwema izingozi ezihlukahlukene zokuhlinzwa okujwayelekile kwe-anesthesia, futhi isikhathi sokusebenza sifushane, ukuhlinzwa akubuhlungu, futhi ubuhlungu buyakhululwa ngokushesha ngemva kokuhlinzwa.Ezigulini ezineminyaka ephakathi kanye nasebekhulile, i-vertebroplasty iyisinqumo esihle kakhulu.
Isikhathi sokuthumela: Sep-29-2022