I-Pathology ye-Lumbar Disc Degeneration: Isikhokelo seNgcali

Ngaba ababoneleli bezempilo banokunceda abantu abaninzi abane-lumbar disc degeneration bafumane isiqabu ngonyango lokuthomalalisa umqolo?

intshayelelo

Abantu abaninzi bahlala besenza intshukumo yemihla ngemihla enokuvumela umnqonqo ukuba ugobe, ujije, kwaye ujike ngeendlela ezahlukeneyo ngaphandle kokuziva iintlungu kunye nokungakhululeki. Nangona kunjalo, njengoko umzimba uguga, kunjalo nomgudu, njengoko i-spinal discs iqala inkqubo yendalo yokuncipha. Ekubeni i-spinal discs kwikholamu yomgogodla ithatha ubunzima boxinzelelo oluthe nkqo, izinza iindawo eziphezulu kunye nezisezantsi kwaye inikezela ukunyakaza. Ukuza kuthi ga ngoku, xa abantu abaninzi bebandezeleka ngenxa yokulimala okuhlukahlukeneyo okanye izinto ezisingqongileyo ezenza ukuba i-spinal disc ixinzelelwe, inokukhokelela kwimiba ephantsi ebangela intlungu kunye nokuphazamiseka xa umntu esenza umsebenzi. Kuba iintlungu ezisezantsi zomqolo ziyenye yeengxaki ezintathu ezixhaphakileyo abantu abaninzi kwihlabathi jikelele abaye bajongana nazo, inokuba ngumba wentlalo-qoqosho onokukhokelela kubomi bokukhubazeka kunye nosizi. Iintlungu ezisezantsi zihlala zihambelana ne-disc degeneration, kwaye i-ligaments ejikelezileyo kunye nezicubu ze-muscle zinokuchaphazela iindawo eziphezulu kunye nezantsi. Oku kubangela intlungu ebhekiswe kumaqela ahlukeneyo e-musculoskeletal, ebangela ukuba abantu abaninzi bafune unyango olungenakufikeleleka kuphela kodwa luyasebenza ekunciphiseni intlungu. Inqaku lanamhlanje lijonga i-anatomy ye-disc ye-lumbar, indlela i-disc degeneration ichaphazela ngayo i-lumbar spine, kunye nendlela ukuchithwa kwe-spinal decompression kunokunciphisa i-lumbar disc degeneration ekubangeleni intlungu ephantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezininzi zokunciphisa iimpawu ezinjengeentlungu ezinxulumene ne-lumbar disc degeneration ebangela intlungu ephantsi. Kwakhona siyazisa izigulane zethu ukuba kukho iindlela ezingezona zokuhlinzwa zokunciphisa le miba efana nentlungu ehambelana nokuguqulwa kwe-disc kunye nokubuyisela ukuhamba kwe-lumbar emzimbeni. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana nomqolo ongaphantsi. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

IAnatomy yeLumbar Disc

Ngaba uziva uxinezeleko okanye ukuqina kumqolo wakho ongaphantsi emva kokuvuka ekuseni? Ngaba uziva intlungu ngokukhawuleza okanye ngokuthe ngcembe ekugobeni ukuphakamisa into enzima echaphazela umqolo wakho ongaphantsi? Okanye ngaba uziva intlungu kwindawo enye okanye enye kumqolo wakho obangela intlungu kunye nokungahambi kakuhle kwindawo yakho ye-lumbar spinal? Uninzi lwale miba efana neentlungu zihlala zihambelana nokuncipha kwediski kunye neentlungu ezisezantsi. I-anatomy ye-spinal disc iquka izinto ezintathu ezisebenza kunye kwipatheni ethile ukuxhathisa amandla abekwe kwi-lumbar spine. (UMartin et al., 2002) Ekubeni i-lumbar spine iyona nxalenye enkulu yomqolo, i-spinal disc isekela ubunzima bomzimba ophezulu ngelixa uzinzisa umzimba ophantsi. Nangona kunjalo, i-spinal disc iya kuncipha ngokuhamba kwexesha xa umzimba uguga. Ekubeni ukuwohloka kuyinkqubo yendalo, abantu abaninzi baya kuqala ukuziva beselula, nto leyo enokubangela imiba emininzi ngaphakathi kwi-lumbar spine.

 

Indlela iDisc Degeneration eyichaphazela ngayo iLumbar Spine

 

Xa i-disc degeneration iyenzeka kwi-lumbar spine, i-spinal disc iqala ukunciphisa umthamo, kwaye izondlo ezikhupha i-hydrate kwidiski ziqala ukucima kwaye zixinzelelwe. Xa i-disc degeneration ichaphazela i-lumbar spine, iingcambu ze-nerve ezivela kwinkqubo ephakathi zichaphazelekayo. Banokudibaniswa naliphi na iqela elithile leemeko ze-pathological ezinokucaphukisa iimbilini ezijikelezayo kwaye zivelise iimpawu ezinjengeentlungu. (Bogduk, 1976) Ukuza kuthi ga ngelo xesha, oku kubangela intlungu echazwe kwimilenze ephantsi kunye neentlungu ezikhuphayo kwi-back back. Ngexesha elifanayo, i-glycosphingolipid antibodies isebenze kwi-immune system, ebangela imiphumo yokuvuvukala. (Brisby et al., 2002) Xa abantu bejongene neentlungu ezisezantsi ezinxulumene ne-disc degeneration, abantu abaninzi baya kuziva bevalelekile kwi-back back, ebangela ukuhamba okulinganiselwe kunye nokuqina. Ngexesha elifanayo, i-muscle ejikelezileyo kunye nezicubu ezithambileyo zigqithise kwaye ziqiniswe. I-disc yomgogodla iya kuchaphazela i-nerve fibers ejikeleze umqolo, ekhokelela kwiintlungu ezisezantsi ze-nociceptive. (Coppes et al., 1997) Nangona kunjalo, abantu abaninzi banokufumana unyango olukhoyo lokunciphisa iintlungu ezisezantsi ezihambelana nokunciphisa i-disc.

 

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Isishwankathelo sokuDodobala koMnqonqo-Ividiyo

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Ukunyanzeliswa koMnqonqo kunokunciphisa iLumbar Disc Degeneration

Abantu abaninzi banokufuna unyango olungenalo utyando lokunciphisa iintlungu ezisezantsi ezihambelana nokuguqulwa kwediski njengoko kubiza imali kwaye, ngonyango olulandelelanayo, unokuqalisa ukuziva ngcono. Olunye unyango olungelulo utyando olufana nokuthotywa komnqonqo lunokunceda ukubuyisela amanzi kwi-spinal disc ngokutsalwa kancinci kunye nokukhuthaza ukuphiliswa kwendalo. Ukunyanzeliswa komgogodla kunokuba yincwadana okanye kumatshini, usebenzisa uxinzelelo olubi lokunyusa ukuphakama kwediski. (Vanti et al., 2021) Oku kuvumela abantu abaninzi ukuba beve isiqabu esibafaneleyo kwaye bazive ngcono ekuhambeni kwexesha. Ukunyanzeliswa komgogodla kunokunciphisa ukuchithwa kwe-disc, ukuzinzisa i-lumbar spine, kunye nokunceda ukubuyisela ukuhamba kwe-spinal back to the lower parts. (UDaniel, ngo-2007) Xa abantu abaninzi beqala ukunyamekela imizimba yabo kunye nokunciphisa amathuba okuba neentlungu ezisezantsi ukusuka ekubuyeleni kubangele imiba emininzi ngasemva.

 

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Ucaphulo

Bogduk, N. (1976). I-anatomy ye-lumbar intervertebral disc syndrome. UMedi J Aust, 1(23), 878-881. www.ncbi.nlm.nih.gov/pubmed/135200

Brisby, H., Balague, F., Schafer, D., Sheikhzadeh, A., Lekman, A., Nordin, M., Rydevik, B., & Fredman, P. (2002). I-Glycosphingolipid antibodies kwi-serum kwizigulane ezine-sciatica. Isihlwele (Phila Pa 1976), 27(4), 380-386. doi.org/10.1097/00007632-200202150-00011

Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation yeediski "ezibuhlungu" ze-lumbar. Isihlwele (Phila Pa 1976), 22(20), 2342-2349; ingxoxo 2349-2350. doi.org/10.1097/00007632-199710150-00005

UDaniel, DM (2007). Unyango olungazenzisiyo lonyango lokuthomalalisa umqolo: ngaba uncwadi lwenzululwazi luxhasa amabango asebenzayo awenziwe kumajelo entengiso? Chiropr Osteopat, 15, 7. doi.org/10.1186/1746-1340-15-7

UMartin, MD, Boxell, CM, & Malone, DG (2002). I-Pathophysiology ye-lumbar disc degeneration: ukuhlaziywa kweencwadi. Ukugxila kwe-Neurosurg, 13(2), E1. doi.org/10.3171/foc.2002.13.2.2

Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Ukutsalwa ngokuthe nkqo kwi-lumbar radiculopathy: uphononongo olucwangcisiweyo. Arch Physiother, 11(1), 7. doi.org/10.1186/s40945-021-00102-5

 

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