Chidutswa chaulere, chomwe chimadziwikanso ndi sequestered disc, ndi mtundu umodzi wa diseni ya herniated yomwe chidutswa chimachoka ku chimango chachikulu. Pambuyo pokhapokha, chidutswa chomwecho chimatha, ndipo chimachokera, chokwera kapena chokwera, chimachititsa zizindikiro kapena zochitika pa msinkhu wosiyana kwambiri wa msana.
Zizindikiro, zomwe zimatchedwa radiculopathy , zimachokera ku kugwirizana pakati pa chidutswa chaulere ndi mizu ya msana , ngati izi zikuchitika pamene kusuta kwayamba kumapezeka, kapena pamtunda umene chigawochi chimasunthira.
Dothi la herniated limayamba chifukwa chosowa kapena kupuma kwa makina akumtundu wa msana umene nthawi zambiri umakhala ndi madzi ofewa omwe amawopsya mkati mwake. Izi zimatchedwa "core pulposus". Pamene utsi umang'amba, nucleus pulposus ikhoza kutuluka, kapena kutulukamo.
Pali mitundu yosiyanasiyana ya disc , ndipo imayenderana ndi kukula kwa nucleus pulposus pamene imachokera pakati pa disc. Mitundu iyi, kapena magawo, imatulutsidwa, yomwe imadziwikanso kuti ikuwombera, imatuluka, imatulutsidwa ndipo imayikidwa. Kuphatikizidwa kumatchedwanso chidutswa chaulere.
Mofanana ndi chidziwitso china chilichonse, zizindikiro za radiculopathy zomwe zimayambitsidwa ndi chidutswa chaulere chikhoza kupezeka pamapeto amodzi. Malo a chidutswa chaulere amatsimikizira zomwe zochitika zam'tsogolo zimatsimikizira. Ngati chidutswa chaulere chiri m'kati mwa khosi lanu, mukhoza kukhala ndi zizindikiro mdzanja limodzi. Ngati uli m'mbuyo, mutha kukhala ndi zizindikiro pamlendo umodzi.
Zizindikiro zimaphatikizapo kupweteka komanso zovuta zokhudzana ndi mitsempha monga zikhomo ndi singano, kutentha ndi / kapena kugwedezeka kwa magetsi. Zizindikiro zina zomwe zingatheke zimaphatikizapo kufooka kwa mwendo komanso / kapena kufooka.
Chithandizo
Ngati lingaliro la disk sequestered likukuthandizani kuti muthamangire ndikupeza opaleshoni yam'mbuyo, zingakhale zoyenera kuti mudziwe kuti chisamaliro chodziletsa, chomwe chimakhala ndi mankhwala ndi mankhwala, chingakuthandizeni kuti mupeze bwino.
Kafukufuku wochepa wa 2002 adapeza kuti mankhwala osagwiritsa ntchito opangira ma disniested, makamaka omwe asungidwa, akhoza kukhala odabwitsa kwambiri.
Oposa 75 peresenti ya ophunzira makumi awiri ndi awiri mu phunziroli, mosasamala kanthu za mtundu wa herniation omwe anali nawo, adafotokoza zotsatira zabwino popanda kugwiritsa ntchito opaleshoni. Kwa ambiri mwa odwala khumi ndi anayi omwe ali ndi mtundu wa sequestered herniation, zidutswa zosamukasamuka zinatheratu palimodzi. Ndipo kwa ophunzira otsala omwe ali ndi ma disquentiered sequestered, ma CRS amavumbulutsira mozama muzitsulo zazikulu zapadera.
Kufufuza kwa 2017 kofalitsidwa mu nyuzipepala ya Pain Physician sikungotsimikiziranso zomwe apeza pamaphunzirowa komanso kumapereka zomwe iwo akunena kuti ndizodziwika bwino - kuti 66.66% ya ma discuteni akuyambiranso. Kubwezeretsanso kumachitika pamene matupi a thupi omwe amakumana ndi zidutswa zaulere zimatulutsa zinthu zomwe zimaphwanya tizidutswa. Zowonongeka zowonongeka, m'kupita kwa nthawi, zimatenganso thupi.
Kuyenda njira yowonongeka kungakuthandizeni kupeĊµa kupanikizika ndi kusatsimikizika kwa njira yowonongeka, kumbukirani kuti zingatenge nthawi yaitali kuti muthetse kupweteka kwakukulu ndi kuchepa kwa zizindikiro.
Ngati muli ndi disk sequestered, ndipo mukuganiza kuti mupite njira yosamalirira, mungakhale ndi mwayi.
Izi zili choncho chifukwa kuti kupita patsogolo kwa herniation ndiko, ndiye kuti chidziwitso chidzapitirirabe.
Kafukufuku wofalitsidwa m'magazini ya February 2015 ya Clinical Rehabilitatio n apeza kuti mitundu yonse ya extrusion ndi sequestration herniation ili ndi mwayi wapamwamba wosungunuka mosasintha kusiyana ndi ma bulges ndi protrusions. Phunziroli linapezanso kuti poyerekeza ndi kuphulika, kutulutsa, kutulutsa, kutuluka kwapadera - mwa kuyankhula kwina, zigawo zonse zopita patsogolo za disk - zigawo zopanda pake ndi disquestered disc ali ndi mwayi waukulu wa kukhululukidwa kwathunthu ndi kuthetsa vutoli.
Ndipo potsiriza, opaleshoni yapamwamba ya diski yowonongeka ya herniated siingagwiritsidwe ntchito pa diski yanu yopangidwa. Kupeza kagawo kameneka kapena kachidutswa ka zizindikiro zanu kungakhale kovuta kwambiri kwa dokotala wanu, koma osachepera awiri njira zosavuta, discectomy, ndi chemonucleolysis, azindikiritsidwa ndi akatswiri monga, mwabwino, osagwira ntchito, zoipa.
Nkhani ya mu October 2016 ya Asian Spine Journal imachenjeza ochita opaleshoni kuti ngakhale opaleshoni ya laser ili bwino chifukwa cha vuto losavuta la ma discs, sizitsimikiziridwa ndi ma disquestered discs. Ndipo ngati muli ndi vuto lakumbuyo lomwe limapangitsa msana wanu kusasunthika, olembawo amati, opaleshoni ya laser, mwina si yabwino kusankha njira, ngakhale zosavuta.
> Zotsatira:
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> Chiu, C. et. al. Mpata wa kusinthika kwadzidzidzi kwa disk lumbar herniated: ndondomeko yowonongeka. Chipatala cha Clinic. Feb. 2015.
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> Omidi-Kashani, F., et. al. Malangizo 10 Ofunika Kwambiri Pothana ndi Woleza Mtima ndi Lumbar Disc Herniation. Asia Spine Journal. Oct 2016
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> Zhong, M., ndi. al. Kuchuluka kwa Kukonzekera Kwapadera kwa Lumbar Disc Herniation: Meta-Analysis. Pain Physician. Jan-Feb. 2017