Iziphumo Zokuthotywa kweNqanaba kwi-Intradiscal Pressure

Ngaba iimpembelelo ze-vertebral decompression ziyakwazi ukukhulula abantu abaneediski ze-herniated kunye nokunciphisa uxinzelelo lwe-intradiscal kumqolo?

intshayelelo

Umsebenzi ophambili womqolo kukugcina uxinzelelo oluthe nkqo lomzimba ngaphandle kokuziva iintlungu okanye ukungakhululeki, ngakumbi xa umntu eshukuma. I-spinal discs iphakathi kwamalungu omgogodla, ayinto ephazamisayo xa uxinzelelo luphunyezwa xa umntu ephethe into enzima. Ikholamu yomgogodla nayo inentambo yomgogodla kunye neengcambu zemithambo-luvo ezisasazwe kwicandelo ngalinye kwaye zineempawu zeengcambu zemithambo-luvo ukuba zidluliselwe ngapha nangapha ukusuka kwimisipha ukuya kwingqondo ukuze yenze umsebenzi wayo. Nangona kunjalo, njengoko umzimba ukhula, kunjalo nomnqonqo, njengoko abantu abaninzi behlala besongeza uxinzelelo olungafunekiyo kwimiqolo yabo ngokwenza izinto eziqhelekileyo kunye nokuphuhlisa ukuphazamiseka kwe-musculoskeletal. Ngelo xesha, i-spinal discs nayo iyachaphazeleka njengoko uxinzelelo olungafunekiyo lubacinezela rhoqo, lubangela ukuba baqhekeze kwaye bakhuphe ngaphandle kwendawo yabo. Ukuza kuthi ga ngoku, i-disc ye-herniated ikhulisa iingcambu ze-nerve spinal, ezikhokelela kwiimpawu ezinjengeentlungu ezichaphazela umzimba ophezulu nangaphantsi. Xa oku kusenzeka, abantu abaninzi baya kuqala ukuva iintlungu ze-musculoskeletal kwaye babangele ukugqithiswa kweeprofayili zomngcipheko ezibangela ukuba imizimba yabo ingahambi kakuhle. Nangona kunjalo, unyango olungenalo utyando lunokuphunyezwa njengenxalenye yemihla ngemihla kubantu abajongene neediski ze-herniated ukunciphisa uxinzelelo lwe-intradiscal kwimisipha echaphazelekayo kumzimba ophezulu nangaphantsi kunye nokubuyisela ukusebenza komzimba. Inqaku lanamhlanje lijolise ekubeni kutheni i-disc ye-herniated ichaphazela abantu abaninzi kunye nendlela i-vertebral traction inokunciphisa ngayo uxinzelelo lwe-intradiscal emgodleni ngelixa ukhulula inkqubo ye-musculoskeletal. Ukongezelela, sisebenza ngesandla kunye nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwesigulane sethu ukunciphisa uxinzelelo lwe-intradiscal oluhambelana neediski ze-herniated. Siyabazisa kwakhona ukuba unyango lwe-vertebral traction (ukuchithwa komgogodla) lunokunceda ukunciphisa iimpawu ezinjengeentlungu ezinxulumene neediski ze-herniated kunye nokubonelela ngokukhululeka emzimbeni. Sikhuthaza izigulana zethu ukuba zibuze imibuzo enzulu ngelixa zifuna imfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga nemiba yabo efana neentlungu. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yemfundo. isikhanyeli

Kutheni i-Herniated Disc ichaphazela abantu?

Ngaba wena okanye abathandekayo bakho ujongene neentlungu ze-muscle okanye ubunzima emhlane wabo, intamo, okanye amahlombe emva kokuthwala / ukuphakamisa into enzima? Ngaba uziva ukuba ndindisholo okanye ukuntyiloza ezandleni zakho, emilenzeni, okanye ezinyaweni emva kosuku olude emva komsebenzi? Okanye ngaba uhlala ujongene nokuqina kwemisipha kunye nokuqina kwamalungu emva kosuku olude lomsebenzi? Ngexesha elithile ebomini babo, wonke umntu uye wajongana neentlungu ezichaphazela iziphelo zabo eziphezulu nangaphantsi, ezikhokelela kwiidiski ze-herniated kwindawo ephezulu, ephakathi, okanye ephantsi yomqolo. Njengoko kuchaziwe ngaphambili, umzimba kunye nomqolo yobudala ngokwemvelo, okukhokelela ekuphuhlisweni kweediski ze-herniated kumqolo. I-Disc herniation iyenzeka xa i-nucleus pulposus (i-disc layer yangaphakathi) iqala ukuqhekeza i-annulus fibrosus ebuthakathaka (i-disc yangaphandle) kwaye icinezele ingcambu ye-nerve ejikelezayo, ekhokelela kwiprofayili yomngcipheko ogqithisayo kwiindawo eziphezulu kunye nezisezantsi zomzimba. (UGe et al., 2019) I-Disc herniation iphuhliswa xa umgudu uhamba ngokuchithwa kwendalo, okubangela ukuba bachaphazeleke ngakumbi kwi-microtears. Xa abantu beqala ukwenza imisebenzi eqhelekileyo efana nokuphakamisa okanye ukuthwala izinto ezinzima, kunokuphucula ukuqhubela phambili, okukhokelela kukuphazamiseka kwe-musculoskeletal. Ukongezelela, ukuguqulwa komgogodla ohambelana ne-disc herniation kunokubangela iimpendulo ezivuthayo xa i-disc ephumayo ixinzelela iingcambu ze-nerve, ezibangela ukuba iimpawu zentlungu kunye ne-numbness ukuya phezulu nangaphantsi. (UCunha et al., 2018)

Kutheni i-discs ye-herniated ibangela iimpendulo ezivuthayo kwiingcambu ze-nerve ezicinezelekileyo ezibangela iimpawu ezinjengeentlungu kumzimba ophezulu nangaphantsi? Ewe, xa abaninzi abantu beva intlungu ehambelana neediski ze-herniated, bakholelwa ukuba bajongene neentlungu eziphezulu okanye ezisezantsi, kuxhomekeke apho i-disc ye-herniated ikhona. Oku kubangela iimpawu zentlungu ezibhekiselele apho intlungu ibonwa kwindawo enye kunesayithi apho intlungu ivela khona. Ngokuzenzekelayo, xa abantu besenza iintshukumo eziphindaphindiweyo ezinxulumene neediski ze-herniated zinokubangela ukuba ingcambu ye-nerve esondeleyo ixinzelelwe, nto leyo eyenza ukuba izihlunu ezijikelezileyo, iigaments, kunye nezicubu ezithambileyo zibe buhlungu. (Blamoutier, 2019) Intlungu ephuhliswayo kwiidiski ze-herniated inokunciphisa umgangatho wobomi bomntu kwaye ibenze baphoswe kwiziganeko ezibalulekileyo zobomi.

Disc Herniation Overview-Ividiyo

Izinto ezininzi ezinxulumene ne-disc ye-herniated zingakhokelela ekuphuhlisweni kwayo kwaye zivela kwi-mild to serious kuxhomekeke apho i-disc i-herniated. Ekubeni i-spine kunye ne-spinal disc iyancipha ngokuhamba kwexesha ngokwemvelo, inokubangela ukuba i-disc iqhekeze kwaye ikhuphe amanzi. Oku kubangela ukunyakaza okuthintelweyo, ukuphuhliswa kwentamo, umva, kunye neentlungu zegxalaba, ukuncipha kwamandla emisipha kwiindawo ezinqamlekileyo, kunye ne-numbness. (UJin et al., 2023) Ezi zezinye iziphumo xa iidiski ze-herniated zingaphathwa ngokukhawuleza. Ngethamsanqa kukho unyango olungelulo utyando lokunciphisa iimpawu ezinjengeentlungu ezinxulumene neediski ze-herniated kunye nokunceda ukunciphisa uxinzelelo lwe-intradiscal kumqolo ngelixa ubuyisela ukuhamba komgogodla kunye namandla emisipha. Ukunyanzeliswa komgogodla, ukunakekelwa kwe-chiropractic, unyango lwe-massage, kunye nonyango lomzimba lunyango oluthile olungelulo utyando olunokunceda ukunciphisa iidiski ze-herniated kunye neempawu ezinxulumene nazo. Unyango olungazenzisiyo lunokunceda ukutsala i-disc ye-herniated kwingcambu ye-nerve compressed ngokusebenzisa i-manual kunye ne-mechanical manipulation kwaye iyibuyisele kwindawo yayo yokuqala. Ukongezelela, unyango olungenalo utyando lunokuba yinxalenye yempilo yemihla ngemihla kunye nokuphila kakuhle kunye nezinye iindlela zonyango zokunciphisa iimpawu ezinjengeentlungu ezinxulumene neediski ze-herniated kunye nokunceda ukubuyisela ukuhamba komgudu. Ividiyo engentla ichaza izizathu, izinto, kunye neempawu ezinxulumene neediski ze-herniated kunye nendlela ezi zonyango ezinokunciphisa intlungu.

Iimpembelelo zeTraction yeVertebral kwiDisc Herniation

Unyango olungasebenzisiyo olufana ne-vertebral decompression lunokubonelela ngembono efanelekileyo xa kunciphisa imiphumo yeediski ze-herniated. Ukunyanzeliswa kwe-Vertical or spinal decompression kunokunceda ukunciphisa ingxaki ekhoyo ehambelana neediski ze-herniated ngokunciphisa intlungu kunye noxinzelelo lwe-intradiscal kwizakhiwo ezibalulekileyo zomqolo. (URamos noMartin, ngo-1994) Ukongezelela, i-vertebral decompression isebenzisa i-traction emnene ukukhulula intlungu ye-nerve ehambelana neediski ze-herniated. Inceda ukunciphisa amandla oxinzelelo kwi-spinal discs echaphazelekayo, ukunciphisa ukunyanzeliswa kwe-nerve ngokwandisa ubude bediski kumqolo. (Wang et al., 2022)

Ukunyanzeliswa koMnqongo Ukunciphisa uxinzelelo lwe-Intradiscal

Ngokuchithwa kwe-spinal decompression kubandakanywa ukunciphisa imiphumo yeediski ze-herniated, abantu ngabanye baboshwe kumatshini wokutsalwa kwindawo ephantsi. Baya kuziva ukutsalwa koomatshini kwimiqolo yabo njengoko i-disc ye-herniated ibuyela kwindawo yayo yokuqala kunye nokuphakama kwe-spinal disc. (Ewe et al., 2019) Oku kuvumela uxinzelelo olubi olusuka kwi-traction ukunyusa ukuhamba kwegazi lomzimba kwizondlo kunye ne-fluids ukubuyisela kwakhona iidiski ngelixa uvumela inkqubo yokuphulukisa yendalo yomzimba ukukhaba kwi-gear epheleleyo. (I-Choi et al., 2022) Emva kweeseshoni ezimbalwa ezilandelelanayo kunye ne-spinal decompression, abantu abaninzi baya kuqaphela ukuba intlungu entanyeni yabo, emva, kunye namagxa baye bancipha kwaye banokubuyela kwimisebenzi yabo yemihla ngemihla. Ukunyanzeliswa komgogodla kuvumela umntu ukuba abuyisele impilo kunye nokuphila kakuhle ngelixa ebakhumbuza ukuba bakhumbule ngakumbi ukuba zeziphi izinto ezithile ezinokubangela ukuba intlungu ibuyele kumqolo. Ngokuqaphela ngakumbi into echaphazela umzimba womntu, banezixhobo zokuqhubeka nohambo lwabo lwempilo kunye nokuba sempilweni.

Ucaphulo

Blamoutier, A. (2019). Ukunyanzeliswa kweengcambu zeNerve nge-lumbar disc herniation: ukufunyanwa kweFransi? I-Orthop Traumatol Surg Res, 105(2), 335-338. doi.org/10.1016/j.otsr.2018.10.025

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki, 2022, 6343837. doi.org/10.1155/2022/6343837

Cunha, C., Silva, AJ, Pereira, P., Vaz, R., Goncalves, RM, & Barbosa, MA (2018). Impendulo yokuvuvukala kwi-regression of lumbar disc herniation. I-Arthritis Res Ther, 20(1), 251. doi.org/10.1186/s13075-018-1743-4

Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Ingxelo yeNgxelo kunye noPhononongo loNcwadi. Clin Interv Ukuguga, 14, 2295-2299. doi.org/10.2147/CIA.S228717

Jin, YZ, Zhao, B., Zhao, XF, Lu, XD, Fan, ZF, Wang, CJ, Qi, DT, Wang, XN, Zhou, RT, & Zhao, YB (2023). I-Lumbar Intradural Disc Herniation Ebangelwa Ukulimala: Ingxelo yeNgxelo kunye noPhononongo loNcwadi. Unyango lwe-Orthopedic, 15(6), 1694-1701. doi.org/10.1111/os.13723

Owu, H., Choi, S., Lee, S., Choi, J., & Lee, K. (2019). Iimpembelelo zendlela yokuphazamiseka kwe-flexion kunye ne-drop technique kwi-angle yokunyusa umlenze ochanekileyo kunye nokuphakama kwe-disc intervertebral yezigulane ezine-disc intervertebral disc. Ijenali yoNyango lwezeMpilo, 31(8), 666-669. doi.org/10.1589/jpts.31.666

Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350

Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Ukusebenza kweKlinikhi ye-Mechanical Traction njenge-Physical Therapy ye-Lumbar Disc Herniation: Uhlalutyo lwe-Meta. Iindlela zeMathematika zeKhompyutha Med, 2022, 5670303. doi.org/10.1155/2022/5670303

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