A neyamenza yi imeko ye-neurological ebonakalayo yintloko ekhuseleyo. Phantse i-12 pesenti yabemi eUnited States ihlupheke kwimigraines. Ezinye iimpawu zingabandakanya: isicongconi, ukuhlanza, ukuthetha nzima, ukunyanzela okanye ukubetha, kunye nokuqonda ukukhanya nokuvakala. Zininzi izinto ezinokubangela i-migraine. Ezi ziquka: uxinzelelo, ukungabikho kokutya okanye ukulala, ukunyuka kokukhanya, ukutshintsha kwe-hormone kwintombi kunye nexhala. Nangona abasebenzi bezempilo bebengayiqondi umthombo oyinyaniso we-migraines, oogqirha be-chiropractic baye bagqiba ukuba ukusetyenziswa kakubi kwamagqabi, okanye ukuxilongwa, kungabandakanywa iintlobo ezahlukeneyo zeentloko. Injongo yale nqaku ilandelayo kukubonisa iziphumo zecala lokukhulelwa okungapheliyo kwe-migraine emva komfazi oneminyaka eyi-72 onomlando we-60 weminyaka ye-migraine intloko fumana unyango lwe-chiropractic.

I-Case of Chronic Migraine Remission emva kokunyamekela kweCrospractic Care

Abstract

• Injongo: Ukubonisa isifundo se-migraine esinesifo esiphuculisayo emva kokunyanga kwe-chiropractic yonyango (CSMT).
• Impawu zonyango: Ityala elinikezelweyo ngumfazi oneminyaka engama-72 ubudala kunye nembali ye-60 yeminyaka yeentloko ze-migraine, ezibandakanya isicaphucaphu, ukuhlanza, i-photophobia, kunye ne-phonophobia.
• Ukungenelela kunye nesiphumo: Umlinganiselo oqhelekileyo we-migraine episodes ngaphambi kokuba unyango luyi-1 ku-2 ngeveki, kubandakanywa isicathulo, ukuhlanza, isithombe-phobia kunye ne-phonophobia; kwaye ubude bemizuzu yesiqhelo ngasinye yi-1 kwiintsuku ze-3. Isigulane saphathwa nge-CSMT. Wachaza zonke iipasiti ezigqitywa emva kwe-CSMT. Isigulane sasinokuqinisekileyo ukuba kwakungekho nenye iinguqulelo zokuphila eza kuba negalelo ekuphuculeni kwakhe. Kwakhona waphawula ukuba ukusebenzisa imithi yakhe kwancitshiswa ngu-100%. Ulandelelwano lwe-7-nyaka luye lwabonisa ukuba umntu wayengakabikho nenye ikhefu le-migraine kwisiqendu.
• Isiphelo: Eli gaba ligxininisa ukuba inxalenye yegulana yezigulane zingaphendula kakuhle kwi-CSMT. Nangona uphando lwamaxwebhu alubonakali ubungqina obunzulu besayensi, kwimeko kunye nezinye izifundo eziqhutywayo, olu pho nonongo lubonisa ukuba uvavanyo lwe-CSMT lufanele lucatshungulwe ngenxa yesifo esingenasiphelo, esingasiphenduliyo se-headaches migraine, ingakumbi ukuba izigulane ze-migraine aziphendulanga kumachiza okanye zikhetha ukusebenzisa olunye unyango iindlela.
• Iingqinisiso zokubhaliweyo: I-Migraine, i-Chiropractic, unyango olusisigxina

Insight of Dr. Alex Jimenez

I-Migraine yimeko exhaphakileyo kwaye ephazamisayo echaphazela malunga neepesenti ze-12 zabemi base-US-Ngaphezu koko, i-migraine ichaphazela abafazi abaninzi kunamadoda. Ngelixa izizathu kunye neempawu zentlungu yentloko ye-migraine zichongiwe, abaninzi abaqeqeshi bezempilo bakholelwa ukuba ukungahambi kakuhle komgogodla, okanye ukunyanzeliswa kwe-subluxation, kunokukhokelela kwiintlobo ezahlukeneyo zeentloko. Ukhathalelo lweChiropractic lusebenzisa uhlengahlengiso lomqolo kunye nokwenziwa ngesandla ukulungisa ngokucokisekileyo ukulungelelaniswa komqolo, ukubuyisela isakhiwo esifanelekileyo kunye nomsebenzi. Ngokutsho kophando olungezantsi, i-chiropractic ingaba yonyango olusebenzayo lwentloko ye-migraine. Ukunyamekela kwe-Chiropractic yindlela yonyango ekhuselekileyo kunye nesebenzayo yonyango kwizigulane ezine-migraine ezifuna indlela yendalo kunye nobuchule bokunciphisa iimpawu zabo ngaphandle kokusetyenziswa kweziyobisi kunye / okanye amayeza.

intshayelelo

I-Migraine ihlala yinto eqhelekileyo kunye neyocuthayo. [1,2] Inesiganeko esilinganiselwayo se-6% kwindoda kunye ne-18% kuma-females. [2] Uphando lwase-Australia lufumene indleko kwi-shishini ukuba iqikelelwe i-750 yezigidi. [3] U-Lipton et al ufumene ukuba i-migraine enye yezizathu eziqhelekileyo zokubonisana nabasebenzi abaqhelekileyo, abachaphazelayo phakathi kwe-12 yezigidi kunye nabantu abayi-18 yezigidi ngonyaka ngamnye e-United States. [4] Iindleko eziqikelelweyo e-United States ziyi-$ 25 billion ezilahlekileyo Umkhiqizo ngenxa ye-156 yeentsuku zomsebenzi wesikhathi esigcwele ulahlekelwa unyaka ngamnye. [5] Ulwazi olutsha luye lwaphakamisa ukuba la manani asekudala asemanje, kodwa nawo angaphantsi, ngenxa yokuba abaninzi abanengxaki abachazi ngxaki yabo ngenxa yehlazo elihle lentlalo [6]

I-Brain Foundation e-Australia ithi i-23% yemindeni iqulethe ubuncinane omnye umntu ogulayo. Phantse bonke abagulayo be-migraine kunye ne-60% yalabo abaneentlobo zesifo sengqondo ezincitsheni zentsebenzo ekunciphiseni kwimisebenzi yentlalo kunye namandla okusebenza. Iindleko ezichanekileyo nezingangqaliyo ze-migraine zodwa ziza kuba malunga ne-1 billion ngonyaka. [3]

IKomidi yokuHlalwa kweNtloko yoMbutho weZizwe eziBaNtloko (IHS) ichaza i-migraines njengento elandelayo: indawo engabandakanyiyo, umgangatho wokupasa, ukulinganisela okanye ukunyaniseka okukhulu, kunye nokwenziwa komsebenzi oqhelekileyo. Ngethuba lobunzima beentloko, umntu kufuneka abe nesicathulo sengqondo kunye / okanye ukuhlanza, photophobia, kunye / okanye i-phonophobia. [7] Ukongezelela, akukho cetyiswa ngembali okanye ngovavanyo lomzimba okanye lwe-neurologic ukuba umntu unentloko yesandla ehlulwe kumaqela I-5 kwi-11 kwinkqubo yabo yokuhlenga. [7] Amaqela e-5 kwi-11 kwinkqubo yokuhlukanisa iquka intloko ehambelana nentlungu, intlupheko yesifo, ingxaki engeyiyo ingxubevange, izinto okanye ukuhoxiswa kwabo, ukusuleleka koxinzelelo, okanye ukuphazamiseka kwe-crane , intamo, amehlo, impumlo, isono, amazinyo, umlomo, okanye ezinye izakhiwo zobuso.

Okunye ukudideka kuhambelana nesici se-�aura� esahlula i-migraine nge-aura (MA) kunye ne-migraine ngaphandle kwe-aura (MW). I-aura idla ngokuba nokuphazamiseka kokubonwa kwehomonym, i-paresthesias kunye/okanye ukuba ndindisholo, ubuthathaka obunye, i-aphasia, okanye ubunzima bokuthetha obungachazwanga.[7] Ezinye ii-migraineurs zichaza i-aura njengento e-opaque, okanye umgca we-zigzag ojikeleze ifu; kwanamatyala okubona izinto ezingekhoyo kuye kwabhalwa. [8] Amagama amatsha e-MA kunye ne-MW athatha indawo yamagama amadala e-classic migraine kunye ne-migraine eqhelekileyo, ngokulandelanayo.

I-criteria ye-IHS yokuxilonga ye-MA (i-1.2) i-3 yile ilandelayo:

• I-1) Impawu enye okanye ngaphezulu echazwe ngokugcwele ebonakalisa i-cortex yecerebral ejolise kuyo kunye / okanye ingxaki yokukhubazeka kwengqondo.
• 2) Ubuncinane uphawu lwe-1 aura lukhula kancane ngaphaya kweminye imizuzu ye-4 okanye i-2 okanye iimpawu ezingaphezulu ezenzeka ngokulandelelana.
• 3) Akukho uphawu lwe-aura luhlala ngaphezu kwemizuzu ye-60.
• 4) Intloko ilandela i-aura ngekhefu lamahhala elingaphantsi kwemizuzu ye-60.

I-Migraine isoloko ingaphenduli unyango. [9] Nangona kunjalo, uphando oluninzi luye lwabonisa ukunciphisa amanqanaba emigraines emva kokunyanga kwe-chiropractic ye-spinal manipulative therapy (CSMT). [10-15]

Eli nqaku liza kuxubusha isigulane esinikeza uM MW kunye nempendulo yakhe emva kwe-CSMT. Ingxubusho iya kubonisa kwakhona imigaqo ethile yokuxilonga i-migraine kunye nezinye iintloko ezichaphazelekayo kwiingcali zonyango, i-osteopaths, okanye ezinye zezempilo.

Ingxelo yeNgxelo

Umfazi omhlophe we-72 oneminyaka engama-61-kg unikwe intloko ye-migraine eyaqala ebuntwaneni (malunga ne-12 yeminyaka ubudala). Isigulane asikwazanga ukuhambelana nantoni na ekuqaleni kwemigraines yakhe, nangona wayekholelwa ukuba kukho imbali yentsapho (uyise) kwimeko. Ngexesha lembali, isigulana sathi sinentloko ye-migraine rhoqo (i-1-2 ngeveki) apho naye wafumana isicaphucaphu, ukuhlanza, i-vertigo, kunye ne-photophobia. Kwakufuneka ayeke imisebenzi yokunciphisa iimpawu, kwaye wayesoloko efuna i-acetaminophen kunye neyeza le-codeine (25 mg) okanye i-sumatriptan succinate yokuthomalalisa iintlungu. Isigulane sasiphinda sithathe i-verapamil (i-calcium ion antagonist, ngenxa ye-hypertension ebalulekileyo), i-calcitriol (i-calcium uptake, i-osteoporosis), i-pnuemenium imihla ngemihla, kunye ne-carbamazipine (i-antiepileptic, i-neurotropic imithi) kabini imihla ngemihla.

Isigulane sichaze ukuba isiqephu esiphakathi sithatha i-1 ukuya kwiintsuku ze-3 kwaye akakwazi ukwenza imisebenzi yokuphila kwansuku zonke ubuncinane beeyure ze-12. Ukongezelela, i-analogue scale scale ebonakalayo ye-episode ye-avareji yayiyi-8.5 ngaphandle kwamanqaku aphezulu anokubakho kwi-10, ehambelana nenkcazo yentlungu "eyoyikekayo". Isigulana siqaphele ukuba uxinzelelo okanye uxinzelelo luya kubangela i-migraine kwaye ukukhanya kunye nengxolo kwandisa imeko yakhe. Wachaza i-migraine njengentlungu ebuhlungu yentloko ehlala kwindawo ye-parietotemporal kwaye yayihlala ishiywe ngasekhohlo.

Isigulane sasinomlando wangaphambili we-pulmonary embolism (iminyaka eyi-2 ngaphambi kokuba unyango) kwaye ube ne-hysterectomy eyingxenye ye-4 iminyaka ngaphambi kokuba unyango. Uye wachaza ukuba une-hypertension elawulwayo. Wayengumhlolokazi onabantwana aba-2, kwaye wayengazange atshaye. Umguli uzame iacupuncture, physiotherapy, unyango lwamazinyo kakhulu, kunye namanye amayeza amaninzi; kodwa akukho nto yayitshintshile iphethini yakhe ye-migraine. Watsho ukuba akazange abe nonyango lwangaphambili lwe-chiropractic. Isigulana saphinda satsho ukuba uye waphathwa yi-neurologist ye-"migraines" kwiminyaka emininzi.

Ekuhloliseni, wafunyanwa ene-senbo-sensitive ne-upper musculature yomlomo kunye nokunciphisa uluhlu lwesincinci phakathi kwe-occiput kunye ne-vertebra yokuqala yomlomo wesibeleko (Occ-C1), kunye neentlungu zokuhamba kunye nokwandisa umlenze wesibeletho. Kwakhona wayencitshiseko enkulu ekuhambeni kwemisipha kunye nokunyuka okuphawulekayo kwi-kyphosis yakhe.

Ukuhlolwa kwengcinezelo yegazi kuye kwabonisa ukuba wayexinzelelekile (178 / 94), apho isigulane sichaza sisiphumo esiqhelekileyo (isigaba se-2 ingozi yokusebenzisa ingozi usebenzisa iKomiti yeSizwe yoLungiso, ukuThengwa, ukuVavanywa kunye noPhando lwe-High Blood Pressure 7).

Ngokusekelwe kwi-IHS Headache Classification Committee kunye neendlela zokuxilonga, isigulane sasinodidi lwe-MW 1.1, olwalubizwa ngokuba yi-common migraine (Itheyibhile 1). Oku kubonakale okwesibini ukuya kwimodareyitha yokungasebenzi kakuhle kwecandelo lomlomo wesibeleko kunye ne-suboccipital ethambileyo kunye ne-paraspinal myofibrosis yomlomo wesibeleko.

Ithebula 1: Ukwahlulelwa kweentloko (iKomiti yoLungisa iNhloko yeHS).

Isigulana sifumene i-CSMT (i-chiropractic �adjustments�) edibeneyo ye-Occ-C1, i-thoracic spine ephezulu (i-T2 nge-T7), kunye ne-hypertonic musculature echaphazelekayo. Izihlunu ze-Hypertonic zakhululwa nge-massage ethambileyo kunye nokwelula. Ikhosi yokuqala yonyango lwe-8 lwenziwa ngokuphindaphindiweyo kabini ngeveki kwiiveki ze-4. Inkqubo yonyango yayiquka ukurekhoda amanqaku amaninzi kwisiqendu ngasinye se-migraine. Oku kubandakanya ukuphindaphindwa, amanqaku abonwayo e-analogue, ubude besiqendu, amayeza, kunye nexesha phambi kokuba babuyele kwimisebenzi yesiqhelo.

Isigulane sichaze ukuphucuka okuphawulekayo emva kokunyanga kwakhe kuqala kwaye saqaphela ukunciphisa ubunzima beentloko nentlungu yentlungu. Oku kwaqhubeka nokunika ingxelo ngesigulane kungekho migraines kwikhosi yokuqala yonyango. Unyango olongezelelweyo lucetyiswa ukuba lwandise uluhlu lwayo lwenkqubela, lwandise ithoni ye-muscle, kwaye lunciphise ukuxhatshazwa kwemisipha ye-suboccipital. Ukongezelela, ukubeka esweni impawu zakhe ze-migraine zaqhubeka. Inkqubo yokonyango kwimizuzu yeeveki ze-8 iqhutywe. Emva kwesigaba esilandelayo sonyango, isigulane sasiqaphele ukunyuka kwentamo, intshukumo engcono, kwaye akukho migraine. Ukongezelela, wayengasetyenzisanga izilumko (i-acetaminophen, i-codeine, kunye ne-sumatriptan succinate) kwaye yaqaphela ukuba akazange ahlasele isisu, ukuhlanza, ifotophobia, okanye i-phonophobia (Ithebula 2). Isigulane saqhubeka sonyango kwii-2 ngeveki kwaye sachaza ukuba, emva kweenyanga ze-6, i-migraine episodes yayilahlekile ngokupheleleyo. Ukongezelela, wayengenasova intlungu yentamo. Uvavanyo alubonakali ntlungu eqhubekayo yokunyakaza kwentamo; nangona kunjalo, ukukhawulelwa kokunyanzeliswa kokunyusa kwiC1-2 inxalenye yesiphakamiso yayisekhona.

Ithebula 2: Icandelo le-1: i-migraine (iKomidi yeCandelo loLungisa iintloko ze-IHS).

Isigulane okwangoku sonyango zonke iiveki ze-4, kwaye akayibizi kwakhona ukubuya kwakhe kwemigudu okanye intlungu yentamo. Isigulane asizange sibone nayiphi na i-migraines ixesha elingaphezulu kwe-7 iminyaka ukususela kwisiqephu sakhe sokugcina, esasisandul 'ukukhawuleza ngaphambi kokufumana unyango lwakhe lokuqala lwe-chiropractic.

ingxoxo

Uphando lwezifundo alufaki amanqanaba aphezulu eenkcukacha zesayensi. Nangona kunjalo, ezinye iimeko zibonisa iziphumo ezibalulekileyo. Ngokomzekelo, amaxesha anomdla (omdala) kunye / okanye izibonakaliso ezinamandla anokugqamisa ukhetho oluthile lwenyango. Nangona uphando lweziganeko ezinjengale, kubakho njalo ukuba iziganeko zixazululwe ngokukhawuleza, kungekho ndlela ephumelelayo kunyango. Icala liboniswe ngokugqithiseleyo inketho yokwenza unyango. Ulandelelwano lwe-7-nyaka luye lwabonisa ukuba umntu wayengakabikho nenye i-migraine isiqendu kweli xesha. Isigulane sasinokuqiniseka ukuba kwakungekho enye iinguqulelo zokuphila eza kuba negalelo ekuphuculeni kwakhe. Kwakhona waphawula ukuba i-migraines yayimile emva kokuqala unyango.

Umlinganiselo oqhelekileyo wemigraines yakhe ngaphambi kokuba unyango luyi 1 ku-2 ngeveki, kunye neepisodes ezazihlala zibandakanya izibilini, ukuhlanza, i-photophobia kunye ne-phonophobia. Ukongezelela, ubude bemizuzu yesiqhelo ngasinye yi-1 kwiintsuku ze-3 ngaphambi kokufumana i-CSMT. Lo mntu uphinde waqaphela ukuba ukusetyenziswa kwamachiza akhe okunciphisa intlungu kwancitshiswa ngu-100% (Itheyibhile 3).

Ithebula 3: Isishwankathelo seenguqu eziphambili kule meko.

I-Migraines yimeko eqhelekileyo kunye neleyo; kodwa ngenxa yokuba bane-etiology engaqinisekanga, ulawulo olufanelekileyo kakhulu lonyango luyinto engacacile. [16] Imodeli ye-etiological yangaphambili echaze izizathu zesisulu ze-migraine, apho iziqendu zibonakala ziqaliswa ukuhla kwegazi ku-cerebrum elandelwa ngu-extracranial vasodilation ngexesha leentloko I-8] Nangona kunjalo, ezinye iimodeli ze-etiological zibonakala zinxulumene nezinguqu zethambo ezinxulumene nezinguqu ze-neurologic kunye nokuphazamiseka kwe-serotonergic. [9] Ngenxa yoko, unyango lwangaphambili lujolise ekuguquleni kwegazi kwi-block ye-blood or serotonin block block. [17]

Uphononongo oluvavanya indima yomqolo wesibeleko kwintloko (oko kukuthi, �cervicogenic headache�) ichazwe kakuhle kwiincwadi. ] Izifundo zangaphambili zalo mbhali zibonise ukunciphisa okubonakalayo kwi-migraines emva kwe-CSMT. (ukuxilongwa okungachanekanga, iimpawu ezihambelanayo, amaqela angalawulekiyo ngokwaneleyo), inqanaba lobungqina linika inkxaso ye-CSMT kunyango lwe-migraine.[18] Nangona kunjalo, oogqirha kufuneka baqaphele ngokugqithiseleyo ukugqithwa kokuxilongwa xa bephonononga uphando lwe-migraine okanye izifundo ze-case malunga nokusebenza kwonyango lwabo. 30-10]

Phakathi kwe-40% kunye ne-66% yezigulane ezine-migraine, ingakumbi abo banokuhlaselwa ngokugqithisileyo okanye ngokuphindaphindiweyo, abafuni uncedo kumgqirha. [29] Phakathi kwabo benzayo, abaninzi abaqhubeki ukutyelela ugqirha. ngenxa yokungahambi kweengqondo ezivela kubagulana kunye nenkolelo yokuba oogqirha abanako ukuphatha kakuhle imithi. Kuphononongo lwe-30 yaseBrithani, i-1999% ye-17 migraineurs ayengazange ayibonane nodokotela ngenxa yokuba bakholelwa ukuba imeko yabo ayiyi kuthathwa ngokungathí sina; kwaye i-9770% ayibonanga ugqirha ngenxa yokuba babekholelwa ukuba imishanguzo ye-migraine yayingasebenzi. [8] Isizathu esingaqhelekanga sokungafuneki ngcebiso yonyango (ekhankanywe yi-30% yezigulane) yayikholwa yizilwanyana ukuba ayifuni ugqirha uluvo lokuba baphathe ukuhlaselwa kwabo.

Icala linikezelwe ukuncedisa oogqirha benza isigqibo esinolwazi kunyango olukhethiweyo lwemigraines. Isiphumo sale meko siyabaluleka ngokumalunga nolunye uphando olugqiba ukuba i-CSMT yonyango olusebenzayo kubantu abathile. Iingcali zingaqwalasela i-CSMT ye-migraine ngokusekelwe kwezi zinto zilandelayo:

• 1) Ukunciphisa ukunyakaza kwentamo engapheliyo.
• 2) Utshintsho kwintambo yomsi weentamo, ukuthungwa, okanye ukuphendula kwiseluleko esisebenzayo kunye nesicaciso.
• I-3) Intsikelelo engavumelekanga yendawo yesigxina.
• 4) Intlungu yentlungu ngaphambi okanye ekuqaleni kwe-migraine.
• 5) Ukusabela kokuqala kwi-CSMT.

Njengazo zonke iingxelo zeemeko, iziphumo zikhawulelwe kwisicelo kubantu abaninzi. Ukwenza isigqibo sokwenza iikliniki kufuneka uqwalaselwe xa usebenzisa ezi ziphumo kwezinye izigulane kunye neemeko zeklinikhi.

isiphelo

Le meko ibonisa ukuba abanye abagulayo abanomdla bangaphendula kakuhle ngeendlela zokunyanga, eziquka i-CSMT. Ngenxa yoko, izigulane ze-migraine ezingakhange zifumane i-CSMT kufuneka zikhuthazwe ukuba ziqwalaselwe ngale nyango kwaye zihlole nayiphi na impendulo. Xa kungekho ziphikisana ne-CSMT, isilingo sokuqala sonyango singagunyaziswa. Ukulandela izikhokelo zonyango ezisekelwe kwiziqinisekiso, oogqirha kufuneka baxoxe nge-CSMT nezigulane ze-migraine njengendlela yokunyanga. [31,32] Izifundo ezilandelayo kufuneka zijongane nale ngxaki kunye nenxaxheba i-CSMT inayo ekulawuleni i-migraine management.

Ukuququmbela, a i-migraine luhlobo olutyhafisayo kunye nolunzulu lwentloko ehlala ihamba kunye nezinye iimpawu ezahlukeneyo. Nangona kungaqondwa kakuhle namhlanje, oogqirha be-chiropractic baye babonisa ukuba ukungahambi kakuhle komgogodla, okanye ukunyanzeliswa kwe-subluxation kunokubangela intloko ye-migraine. Ngokwenqaku elingasentla, ukhathalelo lwe-chiropractic lunokunceda ngokufanelekileyo abantu abaphethwe yintloko ye-migraine. Nangona kunjalo, uphando olongezelelweyo luyafuneka. �Ulwazi olubhekiselele kwiZiko leSizwe loLwazi lweBiotechnology (NCBI). Ububanzi bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngombandela, nceda uzive ukhululekile ukubuza uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .

Ikhutshwe nguDkt. Alex Jimenez

Imixholo eyongezelelweyo: Ubunzima bokubuyisela

Ngokwezibalo, malunga ne-80% yabantu baya kuba neempawu zentlungu emva koko kanye ngexesha lokuphila kwabo. Umqolo obuhlungu isikhalazo esiqhelekileyo esinokubangelwa ngenxa yeemeko ezahlukeneyo kunye / okanye iimeko. Ngokuphindaphindiweyo amaxesha, ukuguqulwa kwemvelo komgudu kunye nomdala kunokubangela intlungu emva. Iidiski zeHerniated kwenzeka xa i-disc, i-gel-like centre ye-disc intervertebral iqhubezela ngeengqungquthela kwijikelezo zayo zangaphandle, ukuxilisa nokucaphukisa izimpande zentliziyo. Iingxoxo ze-Disc zivame ukuqhutyelwa kwi-back back, okanye i-lumbar spine, kodwa nazo zingenzeka kunye nomlenze womlomo wesibeleko okanye intamo. Ukufakelwa kwamathambo afunyenwe kwinqanaba eliphantsi ngenxa yokulimala kunye / okanye imeko ehlaseleyo ingakhokelela kwimpawu ze-sciatica.

ISIQENDU ESIBALULEKILEYO ESIBALULEKILEYO: Unyango lweNhlungu zobuhlungu kwi-El Paso, TX

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