Pafupifupi 40 peresenti ya kupweteka kwa msana kumagwirizana ndi vuto limodzi kapena zina zambiri za intervertebral discs. Ngati muli ndi khosi lopweteka kapena ululu wam'mimba, koma mulibe disc, mungakhale ndi ululu wosokonezeka.
Kupweteka kwa discogenic kumaganizidwa kuti kumachitika potsutsana ndi kutaya kwa diski, momwe zinthu zomwe zimagwiritsira ntchito diskizi zimakhala zikuchepa pang'onopang'ono.
Koma vuto ndi lakuti, kutaya ma diski sikumapweteka nthawi zonse, ndipo akatswiri sayenera kufotokoza ubale umenewu mokwanira.
Zimayambitsa
Chiphunzitsochi chimapita kuti ululu wa discogenic umachitika pamene mitsempha yotenga mitsempha yomwe ili kunja kwa chiwonongeko imakwiyitsa.
Kutupa kapena zochitika zina mu disk zingakwiyitse izi zokhudzana ndi mitsempha. Mwachitsanzo, ngati mankhwala opweteka omwe amatha kutulutsa mitsempha kumalo amtundu wakunja, kung'ambika kungakhale chifukwa cha ululu wanu. Kuvulaza kotereku kumatchedwa kusokonezeka kwa mkati, kapena IDD.
Genetics amathandiza kwambiri popanga ululu wa discogenic. Genetics ikhoza kusinthira mankhwala opangidwa ndi ma diski, ndipo ikhoza kubweretsa kusintha kwa thupi m'thupi. Zotsatira zake n'zakuti ma disk amauma mofulumira kuposa momwe amachitira, zomwe zimawathandiza kukhala osakwanitsa kugwira ntchito ya msana. Kenaka, tsiku ndi tsiku tsiku ndi tsiku zimakhala zovunda ndipo zimapangitsa kuti pakhale malo amodzi kapena ang'onoang'ono mu diski, kuonjezera chiopsezo cholira.
Zowonongeka pamphepete mwa vertebra pafupi ndi diski zikhoza kuchitika. Izi zimatulutsa mankhwala opweteka ndipo zimapangitsa kuti liwiro lifike poipa.
Kuphatikizana ndi majini, zifukwa zamagulu komanso zakudya zimapangitsanso ululu wosadziwika.
Zowopsa
Ululu wa discogenic umachitika nthawi zambiri pakati pa okalamba ndi okalamba.
(Mavuto aululu kwa achinyamata nthawi zambiri amakhala ochepa chifukwa amatenga madzi ambiri m'mabuku awo.)
Zizindikiro
Chizindikiro chachikulu cha ululu wa discogenic ndi ululu wopweteka umene sukutanthauza mwendo kapena mkono wanu ndipo sungagwirizane ndi kuchepa kwa kugwiritsa ntchito miyendo yanu.
Pansi kumapeto, kupweteka kumakhala kovuta pamene msana wanu waumirizidwa: Zochita monga kukhala, kugwedeza, kutsokomola ndi kupopera zimakonda kubweretsa, pamene kugona kumachepetsa kuthetsa. Mwina pangakhale ululu kapena zowawa zina kumbuyo kwa ntchafu kapena katundu wanu, koma osati m'munsi mwendo wanu.
Mu khosi, pangakhale ululu mukatembenukira kapena kupukusa mutu wanu. Ululu ukhoza kuwonjezereka ngati iwe umagwira mutu wako mu malo amodzi motalika kwambiri. Nthawi zina zimakhala zopweteka kwambiri m'mutu. N'zotheka kumva ululu kapena zowawa zina pansi.
Kudziwa
MRI imagwiritsidwa ntchito poyesa kumva ululu wa discogenic. A discogram angagwiritsidwenso ntchito, koma izi ndizovuta pa zifukwa zingapo. Choyamba, izo zimayambitsa zopweteka mwachangu ndikukufunsani kuti muyese kuchuluka kwa msinkhu wa VAS . Sikuti kokha mtundu wa mayesero uli ndi zofunikira, koma ndizovomerezeka, komanso (mukufotokozera zomwe mumamva).
Zokambirana zimagwiritsidwa ntchito kutsimikizira kuti ululu umachokera ku disc kapena discs. Koma ochita kafukufuku ambiri apeza kuti chifukwa cha chidziwitso cha chidziwitsocho, chikhoza kubweretsa zotsatira zonyenga , makamaka ngati mulibe zopweteka zambiri, muli ndi vuto la maganizo kapena mukuwopa ululu.
Monga tafotokozera pamwambapa mukhoza kukhala ndi ululu kapena zowawa zina pansi pa mkono kapena mwendo. Izi zimatchedwa zizindikiro zodabwitsa. Koma radiculopathy ndi ululu discogenic si matenda omwewo. Monga radiculopathy, ululu wa discogenic amachokera ku mkwiyo wa misempha.
Kusiyana kwake ndikuti radiculopathy imakhudza mizu ya msana , pamene ululu wa discogenic umapweteketsa mitsempha yomwe ili mkati mwa mphete za kunja.
(The annulus ndi yovuta fibrous chivundikiro cha intervertebral disc . Lili ndi kuteteza malo apakatikati a pulposus.)
Zingakhale zovuta kwa dokotala kuti adziwe kusiyana pakati pa zinthu ziwirizi pamene akugwira ntchito. Komatu kusiyana kumeneku kumapangitsa kusiyana pakati pa chithandizo chomwe mukuchilandira.
Njira ina yodziwira ndi yotchedwa McKenzie Method. Izi zimaphatikizapo kafukufuku wamaphunziro kuti mupeze kayendedwe kamene kamachepetsa kupweteka ndikuonjezera kuyenda kwanu. Njira ya McKenzie imagwiritsidwanso ntchito monga chithandizo.
Chithandizo
Zowawa za discogenic nthawi zambiri zimadutsa paokha, kapena zikhoza kubwera ndi kupita. Chisamaliro chodziletsa ndi choyamba chithandizo choyambirira chimene chayesedwa. Zingaphatikizepo kuchepetsa kupweteka ndi anti-inflammatories , pogwiritsa ntchito ayezi ndi / kapena kutentha ndi mankhwala. Thandizo la thupi lingakhale ndi zochitika zammbuyo, kutsekemera ndi mankhwala ena. Jekeseni ikhoza kuthandizira kuthetsa ululu ndikukupangitsani kukhala omasuka.
Pamene opaleshoni ikupita, kawirikawiri sikofunikira. Koma ngati muli ndi ululu wopweteka kwa miyezi itatu kapena motalika ndipo / kapena kukhala ndi kusagwedezeka kwa msana, izo zingakhale zosankha. Funsani dokotala wanu za zomwe mungasankhe.
Kuchita opaleshoni yochepa kwambiri ya msana yotchedwa IDET (Intradiscal Electrothermal Therapy) ikuwoneka kuti ikudalira ululu wa discogenic. Kuchita opaleshoniyi kumapangitsa kuti misozi ikhale yolumikizika pamodzi ndi kutha kwa mitsempha kufa. Ndikumapeto kwa mitsempha yakufa, simudzatha kumva ululu wa discogenic. Maphunziro angapo apang'ono okha achitika pa IDET kuyambira June 2010, koma zotsatira zake zinali zabwino. Anthu ambiri amafotokoza mpumulo waukulu komanso zotsatira zochepa zochokera ku IDET.
Opaleshoni yowonjezereka ya ululu wa discogenic ndi kusakanikirana kwa msana . Komabe, kugwiritsa ntchito kwake ndiko kutsutsana ndipo sikuti kumapereka mpumulo nthawi zonse. Ku US, chiwerengero cha opaleshoni ya msana chimawonjezeka kuyambira kumayambiriro kwa zaka za m'ma 1990, ndipo ndondomeko ya deta imasonyeza kuti ambiri safunikira. Kutaya magazi ndi mbali ya ukalamba, koma izi sizikutanthauza kuti mumayenera kupweteka kwa msana. Onetsetsani kuti mufufuze zosankha zanu, kuphatikizapo othandizira zaumoyo wanu, ndikumagwira ntchito ndi dokotala wanu wosankhidwa kuti mudziwe zoyenera kuchita kwa inu .
Zotsatira:
Ahmed, AU. MD, MPH., Lower Back Pain: Kukambitsirana Kwachidule. NeuroNews. Zapezeka: June 2010.
Bogduk, N., MD Lumbar Ululu Wokambirana: Chikhalidwe cha Art Review. Kupweteka kwa mankhwala. Oxford University Press. http://painmedicine.oxfordjournals.org/content/14/6/813.long
Cluett, J. MD. Ululu Wokhumudwitsa Woyamba. About.com. Zapezeka: June 2010. http://orthopedics.about.com/od/backneck/a/discpain.htm
U Washington Cohort Phunziro la Chithandizo cha Ululu Wammbuyo Wopweteka. http://depts.washington.edu/ccor/studies/disco.shtml Kupezeka: June 2010.
Windsor, RE, MD. Cervical Discogenic Pain Syndrome: Chithandizo ndi Mankhwala. eMedicine. http://emedicine.medscape.com/article/93761-kuthandizira Kupezeka: June 2010.
Zang, Y., Tuan-mao, G, Xiong, G, Shi-xun, W. Kuchiza matenda opweteka kwambiri. International Journal of Biological Sciences. 2009; 5 (7). Zapezeka: June 2010.