ILumbar Disc Degeneration iNciphisiwe ngoKuthomalalisa

I-decompression inciphisa njani intlungu ye-sciatic nerve kubantu abaninzi abasebenzayo abane-lumbar disc degeneration?

intshayelelo

Iidiski phakathi kwe-vertebrae yomgogodla zisebenza njenge-cushion xa uxinzelelo longezwa emzimbeni. Ezi diski ziyaxinzelelwa xa umzimba ushukuma. Imizimba yethu kunye nemiqolo yethu nayo iguga njengoko sikhula, nto leyo ebangela ukuba idiskhi ye-spinal intervertebral idodobale ngokuhamba kwexesha. Inxalenye yangaphandle ye-spinal disc inokuqhekeka phantsi koxinzelelo, ibangele ukuba inxalenye yangaphakathi ikhuphe kwaye icaphukise iingcambu zentsholongwane yomgogodla. Oku kunokubangela intlungu ye-nerve ye-sciatic, enokuthi ibangele iintlungu ezikhuphayo emilenzeni, ezinqeni, kunye nomqolo ophantsi. Oku kunokubangela imiba yokuhamba kunye nokukhubazeka, okwenza kube nzima kubantu abasebenzayo ukwenza imisebenzi yabo. Unyango olungelulo utyando, olufana ne-traction ekhuselekileyo kunye nethambileyo, lunokunceda ukunciphisa intlungu ye-nerve ye-sciatic ngokunciphisa uxinzelelo kumqolo kunye nokugcina ukuphakama kwediski. Ngokunciphisa ukuqhubela phambili kwe-lumbar disc degeneration, abantu ngabanye banokunciphisa ukuphindaphinda ukutyelela oogqirha babo abaphambili kunye nokuphepha ukukhubazeka. Inqaku lanamhlanje libonelela ngenkcazo ye-lumbar disc degeneration, ukudibanisa kwayo kunye nentlungu ye-nerve ye-sciatic, kunye neenzuzo zokudambisa ekubuyiseleni ukuphakama kwediski kunye nokunciphisa intlungu. Njengoko sisebenza nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwezigulane zethu ukunyanga abantu abafumana intlungu ye-nerve ye-sciatic ehambelana ne-lumbar disc degeneration. Siyabazisa ukuba unyango olungenalo utyando olufana nokunciphisa uxinzelelo lunokunceda ukunciphisa ukuqhubela phambili kwe-lumbar disc degeneration kunye nokunciphisa intlungu ye-nerve ye-sciatic. Kwangaxeshanye, sikwabacacisela ukuba ukongeza i-decompression kwindlela yabo yesiqhelo kunokunciphisa njani iimpawu ezifana neentlungu. Sikhuthaza izigulana zethu ukuba zibuze imibuzo ebalulekileyo ngelixa zifuna imfundo kubaboneleli bethu bezonyango abanxulumene neemeko zabo. UDkt Alex Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli

Lumbar Disc Degeneration Overview

Ngaba sele uqalisile ukuqaphela indlela imilenze yakho, iimpundu kunye neenyawo zakho zihlala zifumana ukuvakalelwa okubangela ukuba kube nzima ukwenza izenzo zemihla ngemihla? Ngaba uziva iintlungu ezingathethekiyo emilenzeni yakho xa umile, emva koko ufumane isiqabu ekuphumleni? Okanye ngaba uyaqaphela ukuba ufumana iintlungu nezihlunu ngenxa yentshukumo eqhelekileyo njengokugoba, ukujija, nokujika emva kokuvuka ekuseni? Abantu abaninzi, ngakumbi abantu abadala abadala abasebenzayo, bafumana le miba ngenxa ye-lumbar disc degeneration. Ngoku i-lumbar disc degeneration ngokuqhelekileyo iyenzeka ngokwemvelo njengoko umzimba uneminyaka yobudala, obangela ukuba i-disc intervertebral igqoke kwaye ichithe rhoqo phantsi koxinzelelo, emva koko iqhekeke kwaye ibangele ukuba i-disc i-herniate. Ekubeni i-disc ye-intervertebral inikezela ngenkxaso yesakhiwo kunye nokutshitshiswa kokutshatyalaliswa kwimithwalo yemishini kwingingqi ye-lumbar, xa izinto eziqhelekileyo okanye ezibuhlungu zenza utshintsho, kunokubangela ukungasebenzi kunye nokungazinzi kwi-lumbar spine. (UMohd Isa et al., 2022)

Xa iidiski ze-intervertebral ziqala ukuqhekeka phantsi koxinzelelo, kunokubangela iimpawu ezinjengeentlungu ezichaphazela iindawo eziphezulu kunye nezantsi. Ukongezelela, i-lumbar disc degeneration ingabangela ukuguquguquka komgogodla ukunciphisa kunye nokunciphisa i-ROM yomqolo (uluhlu lokunyakaza), obangela uxinzelelo olungakumbi kwimisipha ejikelezayo, iigaments kunye nezicubu. I-Lumbar disc degeneration inokuthi ikhuphe iziganeko ukusuka kwi-disc bulging ukuya kwi-nerve root irritation. (Liyew, ngo-2020) Oku kuthetha ukuba xa kukho utshintsho oluphambili oluguquguqukayo kwi-lumbar facet joints kunye nezicubu ezithambileyo ezijikelezayo, kunokubangela ukuba umgudu womgogodla unciphise kwaye ucinezele ingcambu ye-nerve esondeleyo. Ukuza kuthi ga ngoku, kunokukhokelela ekunciphiseni ukuphakama kwe-disc kwaye kukhokelela kwintlungu ye-nerve ye-sciatic.

ILumbar Disc Degeneration eNxulunyaniswe neSciatica

Ngoku i-lumbar disc degeneration iya kudibaniswa njani nentlungu ye-nerve ye-sciatic? Xa i-disc intervertebral ixinzelelwe phantsi koxinzelelo olungafunekiyo, inokuqhekeka ngokuhamba kwexesha kwaye i-herniate iphume kwindawo yayo yasekuqaleni, enokuthi icinezele ingcambu ye-nerve ebangela intlungu ekhuphayo ukuya kwindawo echaphazelekayo ye-muscle. Ekubeni i-nerve ye-sciatic ibekwe kwindawo ye-lumbosacral, ihamba ukusuka phezulu kwimisipha ye-gluteus kwaye ihla ukuya ngasemva kwe-hamstrings kunye namathole. Xa uxinzelelo olungafunekiyo lubangela ukuba i-disc intervertebral i-herniate kwaye iqale ukuchaphazela i-nerve ye-sciatic, ibangela uphawu oluqhelekileyo olubizwa ngokuba yi-lumbar sciatica, apho i-disc ye-herniated icinezela i-nerve ye-sciatic. (Zitouna et al., 2019) Ukuza kuthi ga ngelo xesha, kunokubangela ukuqaqamba, ukudutyulwa kweentlungu emlenzeni, nto leyo eyenza kube nzima kubantu abanemisebenzi enzima ukuba bafumane isiqabu. Ekubeni i-lumbar intervertebral discs inobudlelwane obuhambelanayo kunye nenkqubo ye-nervous system, iingcambu ze-nerve ezijikeleze i-spinal discs zinceda ngokubonelela ngezibonakaliso ze-neuron kwiimisipha ezikufutshane, ezivumela ukuba iingalo, izandla, imilenze kunye neenyawo zihambe. (Bogduk, Tynan, & Wilson, 1981) Nangona kunjalo, xa i-intervertebral discs i-herniated, inokuphazamisa ukubonakaliswa kwe-neuron kwiimisipha kwaye ibangele intlungu ebhekiswe kwiindawo ezisezantsi okanye eziphezulu. Xa oku kusenzeka, abantu abaninzi bakhetha ukufuna unyango.

Iimfihlo zeSciatica zityhiliwe-Ividiyo

Abantu abaninzi abajongana nentlungu ye-sciatic nerve ehambelana ne-lumbar disc degeneration baya kuhlala befumana isiqabu sethutyana sokuqhubeka nomsebenzi wabo nangona bebuhlungu rhoqo. Oku kubangelwa uxinzelelo olungafunekiyo olubangela ukugqithiswa kwe-spinal disc kubangele ukuba bahlambuluke kwaye bacele intlungu kwimimandla ephantsi. Ngexesha elifanayo, iminyaka yobudala kunye nokuguqulwa kwesakhiwo esithobileyo kunobudlelwane obusondeleyo obunokubangela umphumo omkhulu wokusabalalisa uxinzelelo kwi-back back. (Adams, McNally, & Dolan, 1996) Oku kukhokelela ekugqithiseni kweeprofayili ezinobungozi ezifaka isandla kwiintlungu ze-nerve ze-sciatic ezinxulumene ne-lumbar disc degeneration ngenxa yezinto eziqhelekileyo kunye nezibuhlungu. Nangona kunjalo, abantu abaninzi akufuneki bahlushwe ziimpawu ezinjengeentlungu ezinxulumene ne-lumbar disc degeneration njengoko kukho unyango oluninzi lokubuyisela ubude be-disc kunye nokunciphisa iintlungu ze-nerve ye-sciatic. Unyango olungasebenzisi utyando lulungile kubantu abaninzi abafuna ukonelwa kweendleko kwaye lunolwakho kwiintlungu zomntu. (Louis-Sidney et al., 2022) Unyango olungasebenzisiyo olufana nokunyamekela kwe-chiropractic, i-massage kunye nonyango lomzimba, kunye ne-spinal decompression inokunceda abantu abaninzi abane-lumbar disc degeneration ehambelana nentlungu ye-nerve ye-sciatic. Olu nyango lubandakanya ukuguqulwa komatshini kunye nesandla somnqonqo ukuze ulungelelanise umzimba ngaphandle kwe-subluxation ngelixa ubandakanya iindlela ezahlukeneyo zokolula izicubu ezithambileyo kunye nezihlunu ukuqinisa ubude bazo kunye nokunciphisa i-nerve entrapment. Ividiyo engentla icacisa ngakumbi malunga nokuba olu nyango lunokubuyisela njani ukuhamba emzimbeni, ukunciphisa ukuvuvukala, kunye nokunciphisa ukuxinezeleka kwemisipha okubangelwa yi-lumbar disc degeneration ehambelana nentlungu ye-nerve ye-sciatic.

Ukuthotywa koMnqongo Kubuyisela Ukuphakama kweDisc

Ngoku unyango olungenalo utyando olufana nokuchithwa komgogodla lunokunceda ukunciphisa inkqubela ye-lumbar disc degeneration ngokubuyisela ukuphakama kwediski. I-Spinal decompression isebenzisa i-traction ethambileyo kumqolo ukuvumela izondlo eziyimfuneko, ulwelo kunye negazi ukuba liphinde libuyiselwe kumqolo. Iya kwenza ukuba i-disc ye-herniated ibuyele kwindawo yayo yokuqala kwaye ibuyisele kwakhona. (Yu et al., 2022) Ekubeni umqolo kunye nobudala bomzimba ngokwemvelo, ukunyanzeliswa komgogodla kunokubuyisela ukuphakama kwediski ngokudala uxinzelelo olubi lokubuyisela ukuhamba kunye nokwelula imisipha echaphazelekayo ejikeleze umgudu.

Ukunyanzeliswa koMnqongo kunciphisa iintlungu ze-Sciatic Nerve

Ukongezelela, ukunyanzeliswa kunokunceda ukunciphisa intlungu ye-nerve ye-sciatic njengoko inokunceda i-disc ye-herniated ukunciphisa uxinzelelo kwi-nerve ye-sciatic kwaye inokubuyisela ukuhamba emzimbeni. Ukudodobala komqolo kunokuba sisiphumo esihle kubantu abaninzi abasebenzayo njengoko kuvumela abantu ukuba bacinge ngakumbi ngemikhwa yabo eyayingunobangela wentlungu ababeyiva. (Brogger et al., 2018Ngonyango olungasebenzisi utyando olufana noxinzelelo lomqolo, abantu abaninzi banokusebenza ngokufanelekileyo ngelixa besazi malunga nokuba zeziphi izinto ezinegalelo kwiintlungu. Oku ke, kubavumela ukuba bagxininise kwintlalontle yabo kwaye bomeleze iindawo zabo ezibuthathaka ngesicwangciso somntu esiya kubenza bakwazi ukwenza utshintsho oluncinci kubomi babo bemihla ngemihla kwaye bangabi nantlungu emva konyango olulandelelanayo.

Ucaphulo

Adams, MA, McNally, DS, & Dolan, P. (1996). 'Uxinzelelo' lusasazwa ngaphakathi kweediski ze-intervertebral. Imiphumo yobudala kunye nokuncipha. I-Bone Joint Surg Br, 78(6), 965-972. doi.org/10.1302/0301-620x78b6.1287

Bogduk, N., Tynan, W., & Wilson, AS (1981). Ukunikezelwa kwemithambo-luvo kwiidiski ze-lumbar intervertebral discs. J Anat, 132(Pt 1), 39-56. www.ncbi.nlm.nih.gov/pubmed/7275791

www.ncbi.nlm.nih.gov/pmc/articles/PMC1233394/pdf/janat00225-0045.pdf

Brogger, HA, Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Ukusebenza okuthelekisayo kunye nezinto ezibikezelwayo kwisiphumo sotyando kunye nokulawulwa kokungabikho kokuhlinzwa kwe-lumbar spinal stenosis kubantu abadala: iprotocol yophononongo lokuqwalasela. BMJ Open, 8(12), e024949. doi.org/10.1136/bmjopen-2018-024949

Liyew, WA (2020). Iinkcazo zeklinikhi zeLumbar Disc Degeneration kunye neLumbosacral Nerve Lesions. Int J Rheumatol, 2020, 2919625. doi.org/10.1155/2020/2919625

Louis-Sidney, F., Duby, JF, Signate, A., Arfi, S., De Bandt, M., Suzon, B., & Cabre, P. (2022). Unyango lwe-Lumbar Spinal Stenosis: Ngaba uTyando lungcono kunoNyango olungaSebenziyo kwi-Afro-Descendant Populations? Iintsholongwane, 10(12). doi.org/10.3390/biomedicines10123144

Mohd Isa, IL, Teoh, SL, Mohd Nor, NH, & Mokhtar, SA (2022). I-Discogenic Low Back Pain: I-Anatomy, i-Pathophysiology kunye noNyango lwe-Intervertebral Disc Degeneration. Int J Mol Sci, 24(1). doi.org/10.3390/ijms24010208

Yu, P., Mao, F., Chen, J., Ma, X., Dai, Y., Liu, G., Dai, F., & Liu, J. (2022). Iimpawu kunye neendlela ze-resorption kwi-lumbar disc herniation. I-Arthritis Res Ther, 24(1), 205. doi.org/10.1186/s13075-022-02894-8

Zitouna, K., Selmene, MA, Derbel, B., Rekik, S., Drissi, G., & Barsaoui, M. (2019). I-etiology engalindelekanga ye-lumbosciatica. Tunis Med, 97(12), 1415-1418. www.ncbi.nlm.nih.gov/pubmed/32173813

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