Kodi chimachitika bwanji mu njira yodula njira yabwino?
Dothi la herniated mu msana wanu wamphongo lingakhale lopweteka kwambiri. Uthenga wabwino nthawi zambiri umatsimikiza ndi mankhwala osamalitsa, omwe nthawi zambiri amakhala ndi mankhwala ophatikizana ndi mankhwala opweteka komanso / kapena osokonezeka. Ngati mankhwala osalimbikitsa monga awa sakuchita mwatsatanetsatane, mungathe kupewa opaleshoni ndi jekeseni ya steroid .
Pambuyo pa masabata asanu ndi limodzi opanda chisamaliro chosasokoneza popanda zotsatira zokhutiritsa, zikhoza kuchitika opaleshoni. Pankhani iyi, discectomy ikhoza kukhala zonse zomwe mukufunikira kuti mukwaniritse chithandizo chimene mukufuna.
Koma opaleshoni ndi opaleshoni. Mofanana ndi mtundu uliwonse wa ndondomeko, mukufuna kukhala otsimikiza kuti dokotala akuyang'ana mwatsatanetsatane ndipo amakufunirani zabwino. Ngati zili choncho, pano pali zinthu 10 zomwe ayenera kuchita.
Zomwe Zimagwira Ntchito Zoyamba Zimakhala Zabwino
MAIsiti amagwiritsidwa ntchito nthaŵi zambiri pozindikira ngati ndondomeko ya disk ikufunika. Koma sikofunika kokha kachipangizoka. Dokotala wanu angayambe kutchula mafilimu anu pamene akuyang'ana mmene mumayendera msana, chidziwitso cha chidziwitso, kukula kwa msana wanu, ndi kudziwa ngati deta yanu ikupezeka kapena ayi.
Chidekero cha disc ndi chikhalidwe chofunikira pakuzindikira osati kufunikira kodza opaleshoni, koma ndikuwonetseratu njira yoyenera.
Koma kafukufuku wa 2008 wofalitsidwa mu Journal of Orthopedic Surgery anapeza kuti MRIs ingawononge mosamalitsa chikhalidwe cha contain container mpaka 30 peresenti ya odwala msana. Olemba mabuku akulimbikitsana kuphatikiza mafilimu a MRI ndi njira zina zothandizira asanatsimikizire ngati opaleshoni ya disc ikuyenera.
Kupeza Njira Yoyenera Yopaleshoni kwa Inu Ndikofunika
Tsopano kuti mudziwe vutoli, kuphatikizapo kuchuluka kwake, chinthu chotsatira kuti mudziwe bwino ndi dokotala ndi njira yopaleshoni imene akukonzekera. Kawirikawiri, microdiscectomy ndi opaleshoni ya kusankha kwa lumbar disc herniation; Zimadziwika chifukwa cha zotsatira zake zabwino nthawi zambiri. Koma si mtundu wokhawo wa opaleshoni ya disc womwe ulipo. Njira zatsopano zikupangidwira, ndipo wina angakhale woyenera kupatsidwa mkhalidwe wanu. Mitundu ya opaleshoni ya disc imaphatikizapo koma siyi yokwanira kutsegula discectomy, opaleshoni ya msana, ndi sequestrectomy. Ndipo ngati msana wanu sungakhazikika, mungafunike njira zosiyana kwathunthu.
Zinthu zambiri zimagwirizana ndi ndondomeko kwa wodwala. Chifukwa cha zimenezi, mungafunse dokotala wanu kuti adziŵe nawo kafukufuku wa zachipatala zomwe zawunika momwe mukudziwira komanso njira yopangira opaleshoni. Chidziwitso china chomwe chingakhale chothandiza ndi nthawi zingati-komanso dokotala wanu akuchita opaleshoni imeneyi kwa nthawi yayitali bwanji.
Kodi Mtengo Wanu Wamtali Ndi Wokwanira Wopereka Opaleshoni?
Mitundu ina ya msana ikuphatikizidwa ndi kusasunthika .
Kawirikawiri, disk ya herniated si imodzi mwa izi, koma ndibwino ngati dokotala wanu akuchita ntchito yeniyeni yakuyesa iwe. Apo ayi, mukhoza kuika vuto lalikulu kwambiri-ndikumva kupweteka kwambiri.
Ngati zotsatira za mayeso anu operekedwa ndi dokotala wanu sizigwirizana ndi zomwe MRI ikuwonetsa, dokotala wa opaleshoni wodabwitsa akhoza kutenga njira zowonongera lumbar spondylolysis. Spondylolysis ndi kupweteka kwa maganizo m'thupi la msana wam'mimba wotchedwa pars interarticularis. Ngati kupweteka kwa mapiritsi sikunatengedwe, kungapitirize kukhala ndi vuto la spondylolisthesis, pomwe mfupa imodzi imayenda kutsogolo kapena kumbuyo kwa fupa pansi pake.
Kodi dokotala wa opaleshoni amauza bwanji ululu wanu akubwera kuchokera ku diski yanu osati kugwedezeka kwa msana?
Podziwa komwe kuli mizu ya mitsempha yothandizirayi ikuchitika. Malinga ndi kafukufuku wa 2016 wofalitsidwa mu Asian Spine Journal , kawirikawiri, zolemba zamakono zimakonda kukhudza gawo la pansi. Nkhani ya spondylolysis (yomwe imakhalanso ndi zizindikiro) imawombera pamtunda. Chinthu chimodzi chosiyana ndi lamulo ili la thumb lokha lomwe lingasokoneze zinthu pang'ono ngati muli ndi lumbar discnniation. Olemba owerenga amati mtundu uwu wa herniation umakhudza mitsempha yapamwamba ya mitsempha.
Kodi Sciatica Yanu Imayambitsa Kachilombo ka Herniated?
Mankhwala a Herniated ndi omwe amachititsa anthu ambiri kutchula kuti sciatica. Pachifukwa ichi, mawu akuti luso ndi radiologypathy, kusonyeza kuti kupanikizika kapena kukhumudwa kwa mitsempha ya msana wam'mimba ndimene zimayambitsa kupweteka kwanu.
Koma sciatica ikhoza kukhala ndi zifukwa zingapo zomwe zingayambitse zomwe sizigwirizana ndi disk ya herniated. Izi zingaphatikizepo matenda a piriformis, ankylosing spondylitis, chiwalo chophatikizana pamodzi ndi matenda ena mu machitidwe ena a thupi omwe amatsanzira zizindikiro za radiculopathy.
Kukonzekera Kwaulere ndi Kutsatira
Kukonzekera discectomy kapena opaleshoni yina ya lumbar, kukupulumutsani panthawiyi, ndikuonetsetsa kuti zonse ziyenera kuchitika pambuyo pochita masitepe angapo komanso njira zamankhwala.
Mmodzi (kapena zambiri) wa iwo akhoza kupita molakwika.
Musanayambe ndondomekoyi, gulu lanu la opaleshoni limayambitsa njira zosiyanasiyana zotetezera kuphatikizapo: Kukudziwitsani za mavuto omwe mungachite opaleshoni, kufufuza ndi kuyang'anira mankhwala anu onse opweteka-mungafunikire kuimitsa ena kapena musanapite -kuyika malo abwino.
Cholinga chimayang'ana mtundu wa zipangizo zomwe zimagwiritsidwa ntchito komanso momwe zimagwiritsidwira ntchito panthawiyi. Mwachitsanzo, kubweretsa zipangizo zamakono pafupi ndi diski, kugwira ntchito mofulumira, kapena kugwira ntchito ndi mphamvu zambiri ndizo zonse zomwe zingayambitse mavuto.
Chimene mumachita pambuyo pa opaleshoniyi kuchiza machiritso anu. Kubwereranso kuntchito mwamsanga kapena posachedwa kungakulepheretseni kuchira, popeza kuti simungapeze njira yabwino yothetsera vutoli kapena mankhwala.
Zinthu zina zomwe zimapangitsa kuti mutha kubwereranso ku zinthu zowonjezereka ndikuphatikizapo kulemera komanso kudziyesera kwambiri mwamsanga mutangotha opaleshoni. Dokotala wanu ayenera kukambirana zonsezi ndi inu.
Kodi Mumapanga Wokonza Opaleshoni Wabwino?
Poyamba, zimawoneka kuti zotsatira za opaleshoni yam'mbuyo-kaya zabwino kapena zoipa-zimachokera ku zinthu zakuthupi. Izi zikhoza kukhala zinthu ngati malo a disk, ndi njira yotani, komanso zambiri. Koma nkhawa za umoyo, makamaka nkhawa ndi chilakolako chopeza masewera ena. Makamaka, amathandizira ku zotsatira zoperekera zopaleshoni.
Ponena za phindu lachiwiri, zitsanzo zimaphatikizapo kufunika kolakwitsa kuyanjana ndi chilema chako, kapena kukhala ndi chifukwa cholephera kugwira ntchito.
Dokotala wanu angakufunseni chifukwa cha zovuta zamaganizo mwadzidzidzi, kudalira zomwe akumana nazo kale ndi odwala kuti aone ngati izi zingakhudze zotsatira zanu. Koma olemba a kafukufuku wa 1998 omwe anafalitsidwa mu European Spine Journal amati njirayi imangogwira ntchito pang'ono chabe pa theka la nthawi. M'malo mwake, amalimbikitsa dokotala wanu kuti akupatseni pepala lofunsidwa bwino lomwe limakonzekera-kaya Multiphasic Personality Inventory (MMPI) kapena Mavuto a Kufufuza ndi Kuopsya (DRAM).
Samalani ndi mlingo woyipa
Zambiri zogwiritsira ntchito mankhwalawa zimakhala zogwirizana ndi L4-L5 kapena L5-S1 , ndipo madokotala opaleshoni amatha kuzindikira maulendo awo odwala. Koma nthawi zina zimakhala zovuta kwambiri ndipo izi zimapangitsa kuti zikhale zovuta kuti mupeze malo omwe akufunikanso. Zizindikiro zomwe zimachitika pazinthu zina osati izi, zomwe ndi L1-L4, zingakhalenso pazifukwa zambiri zolakwikazi, komanso.
Ngati dokotala wanu akuwonetsa mlingo woyipa pamene akuchitidwa opaleshoni, koma amachizindikira ndikufika pamlingo woyenera, zingatheke kuti kuwonongeka kungakhale kochepa. Koma ngati akupitirira ndi discectomy pa mlingo woyipa, amazindikira ndipo amakuperekani, kapena amagwira ntchito pamlingo wolondola, zingayambitse mavuto amene simungakhale nawo, monga kusintha kwazomwe mukukhalira kapena kusagwedera kwa msana. Ndipo ngati kusakanikirana kunkachitika pamalo olakwika, kusowa kosatha kwa kuyenda popanda chotsatira kungabweretse.
Eya! Zolakwika
Khulupirirani kapena ayi, ndipo malinga ndi phunziro la 2017 lochokera ku United Kingdom, mukuchita opaleshoni kumbali ya thupi lomwe silikugwirizana ndi zilonda (mawu akuti lesion amatanthauza vuto limene muli nalo, ndipo limapweteka ) ndilo mtundu wolakwika wa malo osayenera. Ndipo ngakhale kuti thanzi labwino la akatswiri akhala akulankhula zolakwika zolakwika ndi malo olakwika kwa kanthawi, chiwerengero cha zolakwazi sizinafike. Phunziroli likunena kuti zopitirira 72 peresenti ya zolakwika zosatsekedwa za siteti zinayambika chifukwa cha opaleshoni yochitidwa pa mbali yolakwika.
Ndipo kafukufuku wa 2014 adapeza kuti mbali yomwe opaleshoniyi iyenera kuchitika nthawi zambiri imasowa pa mapepala omwe amayenda nanu paulendo wanu wa zamankhwala. Izi zikhoza kukhala kalata yamakalata, mawonekedwe anu obvomerezeka, kapena malemba ena. Mukhoza kupanga zinthu zosavuta kwenikweni ngati mukuyang'ana mfundo zovutayi mu fomu yanu yobvomerezani musanati muisinthe, komanso kumbukirani dokotala wanu pamene akulemba. Phunziroli limalimbikitsanso kuti magulu opanga opaleshoni amagwiritsa ntchito WHO (World Health Organization) mndandanda wa zowonongeka. Malinga ndi olemba, mndandanda umenewu wakhala wogwira ntchito kwambiri pochepetsa opaleshoni yolakwika pa tsamba pa NHS. Mukhoza kufunsa dokotala wanu opaleshoni za izo, komanso.
Njira ina imene amagwiritsira ntchito opaleshoni ndi yodabwitsa kwambiri.
Kubwerera Kumbuyo Sikutanthauza Kuchita Opaleshoni Nthawizonse
Chifukwa chakuti muli ndi kupweteka kumbuyo sikukutanthauza kuti mukufunikira opaleshoni ya disc. Mavuto ena angakhale akupweteka omwe safuna opaleshoni.
Mwina chitsanzo chabwino kwambiri ndi chakuti matendawa amayamba chifukwa cha kusintha kwazomwe mumatulutsa anu, zomwe zimagwirizana ndi mankhwala komanso chithandizo chamankhwala.
Khalani Osavuta
Kuchita opaleshoni yapansi ndi bizinesi yaikulu masiku ano, ndipo dokotala wanu akhoza kuyima kuti apindule ngati atha kukupangitsani kuti mukhale opaleshoni yovuta osati yosavuta. Inde, njira zomwe amagwiritsa ntchito komanso zovuta zomwe zimadalira zimadalira zomwe zikuchitika mu diski yanu, koma ngati simukumvetsetsa zomwe mukupeza, mukhoza kuvomereza chithandizo chosafunikira.
Kawirikawiri, ngati muli ndi ululu wambiri kuposa kupweteka kwa mwendo ndipo / kapena kuti mukupezapo zikuphatikizapo kusintha kwa Modic, mukhoza kukhala wodzitetezera kuti muwathandize kwambiri opaleshoni. Popanda kutero, njira yowonongeka yosavuta imangofunika microdiscectomy.
Lankhulani moona mtima ndi dokotala wanu kuti muone zomwe mungachite.
Mawu Ochokera
Chabwino, phew! Imeneyi inali mndandanda. Ngati mutu wanu ukuzungunuka kapena mukuganiza momwe mungagwirizane ndi mafunso onsewa mu nthawi yochepa yomwe muli nayo maulendo anu opita opaleshoni, onetsetsani kuti muyankhe ngati muli oyenerera momwe dokotala akukufotokozera, kapena ngati muli woyenerera opaleshoni, perekani chithunzi chanu chaumoyo, ndipo ngati njirayi ndi yoyenera kuti muwonongeke.
> Zotsatira:
> Geraghly, A., ndi. al. Kuchita kwa Opaleshoni Yopanda Cholakwika Lembani Zolakwitsa Zaka Zaka Zaka ziwiri mu Bungwe Lokha Loyamba la Utumiki. J Odwala Sat. Oct. 2017
> Grevitt, M., ndi. al., Kodi mumawona mawonekedwe oyambirira? Kufanizitsa kuyerekezera maganizo ndi maganizo a odwala m'mimba. Eur Spine J. June 1998.
> Hanchanale, V., ndi. al. Kuchitidwa opaleshoni kolakwika! Tingawaletse bwanji? Urol Ann. Jan. 2014.
> Morgan, M., MD, Sensitivity ndi zinazake. Radiopaedia.
> Omidi-Kashani, F., et. al. Malangizo 10 Ofunika Kwambiri Pothana ndi Woleza Mtima ndi Lumbar Disc Herniation J. J. Spine J. Oct. 2016.
> Kupangira, B., ndi. al., Chilungamo cha MRI pakupeza Lumbar Disc Containment. J Orthop Surg. Oct. 2008.