Mphuno yamtunduwu ndi mtundu wa discogenic umene umakhudza msana. Kaŵirikaŵiri zimachitika pamene ulusi wopangidwa ndi cholimba, chophimba kunja kwa intervertebral disc (wotchedwa annulus fibrosus) mwina amathyola kapena kupatukana.
Kuphwanya kwachinsinsi kumatchedwanso kutulutsa misozi, ngakhale kuti pali kusiyana pakati pa mawu awiriwa. (Izi zikufotokozedwa mwatsatanetsatane m'munsimu.)
Zosakanizidwa Zakale kapena Zomwe Zidula - Ziri Dzina?
Zindikirani kuti, "nthawi yowonongeka" si nthawi yomwe madokotala amagwiritsa ntchito kufotokoza kapena kuzindikira matendawa. Chifukwa chake ndi chakuti mawu akuti "kubwetsa" amasonyeza kuti mtundu wina wa zoopsa zimayambitsa kupatukana kapena kutuluka mu ulusi.
Ngakhale kulira kosalekeza kungakhale chifukwa cha chovulala chimodzi, kaŵirikaŵiri kuvala kwanthaŵi yaitali ndi chokhumudwitsa. Ndipotu, nthawi zambiri, misonzi imachokera ku kusintha kwachikulire komwe kumachitika mu disc ndi msana. Zosinthazi zimatha ndipo zimapangitsa kuti zisawonongeke m'madera ena a mzere wa msana, mwa njira.
Izi zikutanthauza kuti kuvala ndi kugwedeza ngati chifukwa cha chisokonezo chakale ndi, mochulukirapo, za tsiku lomwelo ndi tsiku zomwe zimakhala zamoyo - momwe mumakhalira, kuyima, kuyenda, kukwera masitepe, ndi zina zotero - kuti mutha kumvetsera, komanso kuti mupange woyendetsa galimoto (polankhula). Tikasiya kuyang'anitsitsa njira imene timayendera, zocheperapo zizoloŵezi zabwino zingathe kukhazikitsa nthawi yowonongeka.
Ngati mukukonza zizoloŵezi zanu kuti muteteze misozi yowonongeka ikuwoneka ngati phiri kuti mukwere, ndikukhala wabwino kwa inu: Ndiyesetsa mwakhama, kutayika bwino, kutengera thupi ndi kusalinganizana (makamaka zinthu zopanda nzeru, koma zizoloŵezi zowonongeka kwa msana) zingathe kukonzedweratu.
Mwa kuyankhula kwina, kuyesetsa kuti mukhale oyenerera komanso kugwirizana kwa thupi kumakuthandizani kupewa ndi / kapena kusamalira chiopsezo chanu chokhalitsa. Zinthu zomwe mungayese zomwe zingakuthandizeni ziphatikizapo yoga, maphunziro a Tai Chi kapena Pilates, maphunziro amphamvu pogwiritsa ntchito mawonekedwe abwino (omwe ndi ofunikira, kupatulapo mphamvu zothandizira zikhoza kuthandizira kuthetsa vuto la msana nthawi zina) ndi / kapena kuyesa njira zophunzitsira monga Feldenkrais, Thomas Hanna Somatics kapena Alexander Technique.
Mmene Kuwomba Kwambiri Kumayambira
Chombocho chimakhala ndi zigawo zingapo zamagetsi zolimba (zomwe amapangidwa zimatchedwa fibrocartilage) zomwe zilipo, zimakhala ndi kuteteza khungu lofewa, lomwe lili mkati mwa disc. Pakati pake ndi chinthu chodabwitsa (chomwe chimatanthauza kupweteka, komanso); imadula thupi kulemera kwake pamene zimakhudza mgwirizano ukakhala, kuima kapena kusunthira. Zimathandizanso kusunga umphumphu wa mgwirizano wophatikizapo pogwiritsa ntchito malo omwe ali pakati pa vertebra yomwe ikuphatikizapo.
Zigawo za annulus fibrosus zimayendetsedwa mosamalitsa kwa wina ndi mzake; Mwa kuyankhula kwina, iwo amawongolera-kuthandizana wina ndi mzake monga kupereka chowombera. Izi zimapangitsa kuti chivundikiro cha diski chikhale cholimba kwambiri; imathandizanso kuti pulogalamuyi ikhale ndi mphamvu yotha kuti ntchitoyo ikhale yogwedeza mitsempha ndi mitsuko yomwe imayambira mukasuntha msana.
Koma pakakhala zozizwitsa zomwe zimachitika, zimakhala zosiyana kapena zimachoka pamalo omwe amaikidwa pamtunda wapafupi. Misozi imatha kuonanso ngati kuswa kudutsa m'magulu a limodzi kapena zingapo.
Zisonyezero zosiyana ndi zizindikiro zosiyana siyana ndi zofanana ndi ma disni , zomwe zimaphatikizapo kupweteka, kufooka, kufooka ndi / kapena kumagetsi komwe kumayenda pansi mwendo kapena mkono.
Kuchiza kwa Kuyambula Kwamodzi Kokha Kapena Kulimbana Kwambiri
Chithandizo chodziŵika bwino chokhalitsa kapena kupweteka nthawi zambiri chimakhala chokwanira kuti zisamve ululu ndi zizindikiro zina.
Mankhwalawa angaphatikizepo mankhwala opweteka (pambali pa mankhwala kapena mankhwala) ndi / kapena mankhwala opatsirana. Kuchiza mankhwala kungaphatikizepo masewero olimbitsa thupi, kuyendetsa ndi zina zambiri.
Ngati izi zingalepheretse kupweteka kwanu, dokotala wanu akhoza kutchula steroid kapena mtundu wina wa jekeseni, kapena mwina opaleshoni ya msana.
Zotsatira:
Fardon, DF, Williams, AL, Dohring, EJ, Murtagh, FR, Rothman, Gabriel, SL, Sze, GK Lumbar dzina lachidule: version 2.0: Zopereka za magulu anchito ogwirizana a North American Spine Society, American Society of Spine Radiology ndi American Society of Neuroradiology. Spine J. 2014 Nov 1; 14 (11): 2525-45. lembani: 10.1016 / j.spinee.2014.04.022. Epub 2014 Apr 24.
Jones, Jeremy, Gallard, Frank, A., ndi. al. Zowonongeka kosawerengeka. Webusaiti ya Radiopaedia.org.
Kapandji, IA The Physiology of the Joints. Churchill Livingstone. 1974. New York.
Lumbar Discogenic Pain. Physiopedia website. Idakwanira Dec 2015