Thandizo la Herniated Disc

Zosankha Zothandizira Kumva Kuchokera Kuvuto Lumbar Disc

Kuchiza kwa disk wa herniated kumadalira pa zinthu zingapo kuphatikizapo:

• Zizindikiro zomwe wodwalayo amapeza
• Zaka za wodwala
• Zochita za wodwalayo
• Kukhalapo kwa zizindikiro zowonjezereka

Kawirikawiri, mankhwala a sheniated disk amayamba mwachidwi ndipo amakhala okwiya ngati zizindikiro zikupitirirabe. Pambuyo pozindikira kuti ali ndi kachilombo ka herniated, kawirikawiri mankhwala amayamba ndi:

• Kupuma ndi Kusintha kwa Ntchito
  Chithandizo choyamba ndi kupuma ndi kupewa zinthu zomwe zimapangitsa kuti zizindikiro zanu ziwonjezere. Zambiri zomwe amatsutsa zidzathetsa nthawi yopatsidwa. Pazochitikazi, nkofunika kupeŵa zinthu zomwe zikulitsa zizindikiro zanu.
• Mapulogalamu a Chida ndi Kutentha
  Chida ndi kutentha kwa madzi kungathandize kwambiri kuthetsa zizindikiro zowawa za disk . Pothandizira kupumula minofu ya kumbuyo, ayezi ndi zotentha zimatha kuchepetsa kupweteka kwa minofu ndikupumula kupweteka kwakukulu.
• Thandizo la Thupi
  Mankhwala opatsirana komanso machitidwe olimbitsa thupi sagwiritsa ntchito mwachindunji chida cha herniated, koma amatha kuimitsa minofu ya m'mimba. Izi zimakhala ndi zotsatira zochepetsera katundu wothandizidwa ndi disc ndi vertebrae. Makhalidwe amphamvu, olimbitsa thupi amathandiza kuchepetsa mphulupulu ndi kuchepetsa chiopsezo kapena kuvulala kwa mitsempha ndi diski.
• Mankhwala Oletsa Kupweteka
  Mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) amatchulidwa kawirikawiri, ndipo nthawi zambiri amathandiza kupweteka komwe kumayambitsidwa ndi disc. Mwa kuchepetsa kutupa , mankhwalawa amatha kupanikizika ndi mavuto ena pa mitsempha yothandizidwa. NSAID ziyenera kugwiritsidwa ntchito poyang'anira dokotala wanu.

• Mankhwala a Oral Steroid
  Mankhwala a oral steroid angakhale othandiza kwambiri m'magulu ovuta (mwadzidzidzi) disc herniation. Mankhwala ogwiritsidwa ntchito monga Prednisone ndi Medrol. Monga NSAID, mankhwala amphamvu otsutsa-kutupa amachepetsa kutupa kuzungulira mitsempha yowonjezereka, potero amathetsa zizindikiro.

• Mankhwala Ena
  Mankhwala ena omwe amagwiritsidwa ntchito nthawi zambiri amagwiritsa ntchito mankhwala opweteka a mankhwala osokoneza bongo. Mankhwala osokoneza bongo amathandiza kwambiri, kusamalira ululu wafupipafupi. Mwamwayi, mankhwalawa angakuchititseni kugona ndipo mukhoza kumwa mankhwala. Ndikofunika kugwiritsa ntchito izi kwa nthawi yochepa chabe. Zosakaniza za mitsempha zimagwiritsidwa ntchito pochizira minofu ya msana kamodzi kawirikawiri. Nthawi zambiri minofu imakhala yoipa kwambiri kusiyana ndi ululu wochokera ku disc umene ukupweteka m'mitsempha.
• Epidural Steroid Injections
  Mankhwala a cortisone angaperekedwe mwachindunji kumalo osokoneza mitsempha. Monga mankhwala opatsirana odzitamandira, lingaliro ndi kuthetsa vutoli pamatenda. Pamene jekeseni ikugwiritsidwa ntchito, mankhwala amaperekedwa kumalo a disc herniation , osati kumatengedwa pamlomo ndi kuyenda m'thupi lanu lonse.

Kuchita Opaleshoni Zokambirana

Chithandizo cha disney herniation chimayamba ndi zosavuta zomwe zalembedwa pamwambapa. Komabe, chithandizo cha opaleshoni cha disni herniated chingalimbikitsidwe mwamsanga pokhapweteka ngati pali vuto lalikulu la mitsempha. Zizindikiro za zowawa ndi zosaoneka kawirikawiri sizimasowa mwamsanga, koma odwala omwe ali ndi zofooka zazikulu, umboni uliwonse wa matenda a cauda equina , kapena vuto lofulumira kwambiri angafunike kuchipatala mwamsanga.

Kaŵirikaŵiri opaleshoni imalimbikitsidwa ngati zowonjezereka zowononga sizikuchotsa zizindikiro zanu. Kuchita opaleshoni kumachitidwa kuti chotsani diski ya herniated ndikumasula malo kuzungulira mitsempha yowonjezereka. Malingana ndi kukula kwake ndi malo a disney yake, ndi mavuto omwe amagwirizana nawo (monga msana stenosis , nyamakazi yamtsempha , etc.), opaleshoni ikhoza kuchitidwa ndi njira zingapo. Milandu yowongoka kwambiri, yokhazikika kapena yosakanikirana kwambiri ya disni herniated ikhoza kukhala kotheka. Komabe, izi sizikulimbikitsidwa nthawi zonse, ndipo nthawi zina, opaleshoni yofunika kwambiri iyenera kuchitidwa.

_Zotsatira:

_{Boden, SD, ndi al. "Maginito osadziwika bwino a magnetic-resonance a mndandanda wa lumbar msinkhu m'magawo osadziwika bwino. Ofufuza omwe akufuna kudzafufuza" J Bone Joint Surg Am. 1990 Mar; 72 (3): 403-8.}

_{Mathews HH ndi Long BH "Njira Zomwe Zidakali Zopangira Chithandizo cha Intervertebral Disk Herniation" J. Am. Acad. Ortho. Kukonza., March / April 2002; 10: 80 - 85.}