UkuNcitshiswa kweMechanical engekhoyo kunye nokulungiswa kweeDiscs zeHerniated

Kubantu abaneediski ze-herniated, i-decompression engeyiyo yokuhlinzwa ithelekisa njani nokuhlinzwa kwendabuko ukulungisa umqolo?

intshayelelo

Xa abantu abaninzi beqala ukongeza uxinzelelo olungeyomfuneko kwimiqolo yabo, oko kunokukhokelela kwiziphumo eziyingozi kumqolo wabo. Umqolo ngumqolo womzimba, ovumela ukuba amacandelo angaphezulu nangaphantsi ahambise kwaye azinzise ubunzima be-axial overload ngaphandle kokuba umntu azive intlungu okanye ukungahambi kakuhle. Isakhiwo somgogodla sijikelezwe yimisipha, izicubu ezithambileyo, iigaments, iingcambu zemithambo-luvo, kunye namalungu axhasa umqolo. Phakathi kwamalungu e-spinal facet kunye nesakhiwo ziidiski ezisicaba ezithatha ukothuka kunye noxinzelelo kwi-axial overload. Nangona kunjalo, xa uxinzelelo olungafunekiyo luqala ukucinezela i-disc, kunokukhokelela ekuphuhlisweni kwe-herniation. Ngokuxhomekeke kwindawo, inokubangela iimpawu ezinjengeentlungu ezifana neentlungu ezisezantsi kunye nentamo okanye i-sciatica. Ngamanye amaxesha, i-disc ye-herniated ingaba ngenxa yokutshatyalaliswa kwendalo, apho ukuphakama kwe-spinal disc kuncipha, kwaye kunokuqhekeka phantsi koxinzelelo, okukhokelela kwi-disc dehydration, oku, ukuza kuthi ga ngoku, kubangela imiba yomgogodla kubantu abaninzi, becinga ukuba bafumana intlungu echazwe. kwiindawo ezahlukeneyo zomzimba. Ngokuzenzekelayo, abantu abaninzi banokufumana uncedo abalufunayo ngonyango olungelulo utyando ukubuyisela ubude bediski kunye nokulungisa iidiski ze-herniated. Inqaku lanamhlanje lijolise kwimiphumo ye-casing ye-discs ye-herniated kunye nendlela ukuchithwa komgogodla, uhlobo lonyango olungenalo utyando, lunokunceda ukunciphisa iimpawu ezinjengeentlungu ezinxulumene neediski ze-herniated. Ukongezelela, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukunciphisa intlungu ye-disc ye-herniated, ebangela imiba emininzi ye-musculoskeletal. Siyabazisa kwakhona ukuba unyango olungelulo utyando lunokunceda ukunciphisa iimpawu ezibhekiselele kwiintlungu ezinxulumene neediski ze-herniated kunye nokubuyisela ukuphakama kwediski kwimiqolo yabo. Sikhuthaza izigulana zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga neentlungu zabo ezithunyelwayo ezihambelana neediski ze-herniated. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yemfundo. isikhanyeli

Ukutshintsha kweziphumo zeediski zeHerniated

Ngaba uye wafumana intlungu engafunekiyo kwiindawo zakho eziphezulu kunye nezisezantsi emva kosuku olude lomsebenzi? Kuthekani ngokuva intlungu ngaphakathi kwimiqolo yakho ebangela iimpawu zokuba ndindisholo okanye ukubetha kwezandla zakho, iinyawo, okanye imilenze? Okanye ngaba ujongene neentlungu ezibuhlungu ezisezantsi ezichaphazela amandla akho okusebenza? Abantu abaninzi abaqapheli ukuba iimpawu ezinjengeentlungu abazifumanayo azikho phantsi, intamo, okanye iintlungu zamagxa, kodwa zihambelana neediski ze-herniated kwimiqolo yazo. Iidiski ze-Herniated xa i-nucleus pulposus (inxalenye yediski yangaphakathi) iqala ukuphuma kwindawo yayo yokuqala ukusuka kwindawo ye-intervertebral. (Dydyk, Ngnitewe Massa, & Mesfin, 2023) Iidiski ze-Herniated zingenye yezizathu eziqhelekileyo zentlungu ephantsi, kwaye kaninzi, abantu abaninzi baya kukhumbula oko kubangele i-herniation kumqolo wabo.

Ezinye zeempembelelo ezikhokelela kwi-disc herniation kukuba abantu abaninzi baya kuthwala izinto ezinzima rhoqo ukusuka kwenye indawo ukuya kwenye, kwaye ubunzima obuguqukayo bunokubangela ukuba i-disc igxininiswe ngokuqhubekayo kwaye ngaloo ndlela iholele kwi-herniation. Ukongezelela, xa i-disc intervertebral iqala ukubonisa iimpawu zokuqina, inokubangela ukunyakaza okungaqhelekanga komgogodla. (Haughton, Lim, & An, 1999) Oku kubangela ukuba utshintsho lwe-morphologic ngaphakathi kwe-disc intervertebral kwaye lubangele ukuba luphelelwe ngamanzi. I-chondroitin sulfation ye-proteoglycan kwi-disc ihamba ngeenguqu kwi-disc ngokwayo, kwaye xa ukuchithwa kuhambelana neediski ze-herniated, kunokukhokelela ekuphazamisekeni kwe-musculoskeletal. (UHutton et al., 1997)

Unobangela Wentlungu-Ividiyo

Xa utshintsho oluphazamisayo luqala ukuchaphazela iidiski ze-intervertebral, kunokukhokelela ekulahlekeni kokuphakama kwe-intervertebral, ukubonakaliswa kweentlungu ezingaqhelekanga, kunye ne-nerve root entrapment ehambelana nokuphazamiseka kwediski. (Milette et al., 1999) Oku kubangela umphumo we-cascading njengoko i-annulus yangaphandle ye-spinal disc iqhekezwe okanye ikhutshwe, ibangela intlungu kumqolo. Xa i-annulus yangaphandle ye-spinal disc iqala ukuba ne-nerve ingrowth kwiidiski ezichaphazelekayo, ezikhokelela kubantu abajongene neengxaki ze-musculoskeletal ezinxulumene nentlungu. (Freemont et al., 1997) Abantu abaninzi baya kufuna unyango olungelulo utyando xa befumana unyango lokunciphisa intlungu ebangelwa ziidiski ze-herniated ngenxa yeendleko-zokusebenza kunye nendlela ekhuselekileyo ngayo kumqolo wabo. Ukunyamekela kwe-Chiropractic, unyango lwe-massage, ukunyanzeliswa komgogodla, kunye nonyango lwe-traction lukhona unyango olunokuthi lusetyenziswe kwisicwangciso somntu siqu, esibandakanya unyango lonyango ukunciphisa nayiphi na intlungu umntu ajongene nayo. Ividiyo ichaza indlela olu nyango lunokusebenzisa ngayo imigaqo yokusebenza kakuhle ukuze kuchongwe apho intlungu ikhoyo kwaye iphathe nayiphi na imiba yezempilo kunye naziphi na izizathu ezinokuthi zibangele.

Ukunciphisa uMnqongo Ukunciphisa i-Herniated Disc

Ngokumalunga nonyango olungelulo utyando lokunciphisa iidiski ze-herniated, ukunyanzeliswa komgogodla kunokuncedisa ukunciphisa intlungu echaphazela ukuhamba komgudu. Ukutshatyalaliswa komgogodla usebenzisa i-mechanical traction ukuze ululaze ngobunono umqolo kwaye uvumele i-disc ye-herniated ukuba ibuyele kwindawo yayo yokuqala. Ukunyanzeliswa komgogodla kubandakanya uxinzelelo olubi, olunceda izondlo zokwandisa izinto zokuvuselela i-disc. (I-Choi et al., 2022) Oku kuvumela ukuba i-facet joints kunye ne-nerve eyongeziweyo ibe noxinzelelo oluncitshisiweyo kunye nokuphakama kwendawo yediski. Ngexesha elifanayo, ukunyanzeliswa komgogodla kunokudibaniswa kunye nonyango lomzimba ukunciphisa iimpawu ezinjengeentlungu ezinxulumene neediski ze-herniated kunye nokubonelela ngemiphumo enenzuzo. (U-Amjad et al., ngo-2022) Ezinye zezinto eziluncedo ezinxulumene noxinzelelo lomqolo ziquka:

• Ukuphucula intlungu kwiindawo eziphezulu kunye nezantsi
• Uluhlu lwentshukumo yomqolo
• Ukunyamezela kwemisipha kubuyiselwe
• I-ROM edibeneyo ibuyiselwe

Xa abantu abaninzi bekhumbula ngakumbi indlela izinto ezahlukeneyo ezibangela ngayo imiba yomgogodla, banokwenza utshintsho oluncinci lwesiqhelo kubomi babo bemihla ngemihla, kwaye oko kunokunciphisa amathuba okuba intlungu ibuyele. Oku kubavumela ukuba bonwabe ngokupheleleyo ubomi kwaye baqhubeke nohambo lwabo lwempilo kunye nokuba sempilweni.

Ucaphulo

Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Imiphumo yonyango lwe-decompression non-surgeon ukongeza kunyango oluqhelekileyo lomzimba kwiintlungu, uluhlu lokunyakaza, ukunyamezela, ukukhubazeka okusebenzayo kunye nomgangatho wobomi ngokubhekiselele kunyango oluqhelekileyo lomzimba yedwa kwizigulane ezine-radiculopathy lumbar; ulingo olulawulwa ngokungakhethiyo. I-BMC Musculoskelet Disord, 23(1), 255. doi.org/10.1186/s12891-022-05196-x

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, P.-B. (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

Dydyk, AM, Ngnitewe Massa, R., & Mesfin, FB (2023). I-Disc Herniation. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28722852

Freemont, AJ, Peacock, TE, Goupille, P., Hoyland, JA, O'Brien, J., & Jayson, MI (1997). I-Nerve ingrowth kwi-disc intervertebral egulayo kwiintlungu ezingapheliyo emva. Lancet, 350(9072), 178-181. doi.org/10.1016/s0140-6736(97)02135-1

Haughton, VM, Lim, TH, & An, H. (1999). Ukubonakala kwediski ye-Intervertebral ehambelana nokuqina kwamacandelo e-lumbar spinal motion. AJNR Am J Neuroradiol, 20(6), 1161-1165. www.ncbi.nlm.nih.gov/pubmed/10445464

www.ajnr.org/content/ajnr/20/6/1161.full.pdf

Hutton, WC, Elmer, WA, Boden, SD, Horton, WC, & Carr, K. (1997). Uhlalutyo lwe-chondroitin sulfate kwiidiski ze-lumbar intervertebral kumanqanaba amabini ahlukeneyo okunciphisa njengoko kuhlolwe yi-discogram. Ijenali yeZiphazamiso zoMnqonqo, 10(1), 47-54. www.ncbi.nlm.nih.gov/pubmed/9041496

Milette, PC, Fontaine, S., Lepanto, L., Cardinal, E., & Breton, G. (1999). Ukwahlula i-lumbar disc protrusions, i-disc bulges, kunye ne-discs ene-contour eqhelekileyo kodwa isignali engaqhelekanga. Iimaging resonance yemagnethi kunye nediscographic corelations. Isihlwele (Phila Pa 1976), 24(1), 44-53. doi.org/10.1097/00007632-199901010-00011

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