Intlungu ebuhlungu ngokukhawuleza idla ngokubangelwa yidiski ye-herniated.I-disc ye-intervertebral yi-buffer phakathi kwe-vertebrae kwaye ithwale umthwalo onzima kwiminyaka.Xa ziba brittle kwaye zaphuka, iinxalenye zethishu zinokuncamathela ngaphandle kwaye zicinezele kwi-nerve okanye umgudu womgogodla.Oku kunokubangela iintlungu eziqatha.I-lumbar spine ngokukodwa ihlala ichaphazelekayo.I-disc ye-herniated ngokuqhelekileyo iyancipha ngokwayo kunye nenkxaso yentlungu kunye neyeza ezichasayo, kodwa kwiimeko ezinzima kakhulu, utyando luyimfuneko.
I-lumbar disc herniation akufanele isetyenziswe kwi-sit-ups kwifom ebonisiweyo: Xa usenza i-sit-up, yonke i-spine igoba phambili.I-flexion ephambili yomqolo ikwicandelo le-thoracic.Ukuba umzimba ophezulu uphakanyiselwe phezulu, amandla okucheba aya kuba kufutshane nomzimba we-vertebral ophantsi.Ukuba kukho ingxaki ye-intervertebral disc herniation, amandla okucheba ngasemva aya kubangela ukuba i-disc intervertebral ibuyele umva.phumela ngaphandle.
Kwakhona kukho ingxaki eqhelekileyo yokuthwala izinto ezinzima, kwaye kufuneka uhlawule ngokukodwa kwi-posture yakho.Kungcono ukuguqa ngamadolo kwaye ulungelelanise isinqe sakho, njengoko kuboniswe kumzobo.Imilenze ethe tye igoba kwaye uthobe intloko yakho ukuphakamisa izinto ezinzima.Amandla okucheba kwidiski ye-lumbar intervertebral inkulu kakhulu.Ngaphambili, i-disc intervertebral iqhuma ngasemva, ukugoba ixesha elide, okanye ezinye izizathu (ezifana nesinqe esixhonywe emoyeni, i-thoracic spine exhomekeke esihlalweni) ibangela ukuba umzimba we-vertebral ugobe phambili, oya kubangela ukuba i-disc intervertebral iqhube. ngasemva, kwaye ekugqibeleni kukhokelela kwi-herniation.Okwangoku, uninzi lweziphumo zophando lwasekhaya nakwamanye amazwe zibonisa ukuba ukuguquka rhoqo okanye ngokukhawuleza kunye nokujikeleza komzimba kuyona nto iphambili ekhokelela kwi-lumbar disc herniation.
I-Lumbar intervertebral disc herniation ngokubanzi ayifuni utyando olukhawulezileyo.Kufuneka uqale wenze ukubuyisela kwisimo sangaphambili ngenkuthalo ukubona ukuba iimpawu zinokukhululeka na.Ngokuqhelekileyo, i-lumbar disc herniation ingaba ne-prognosis enhle emva kwexesha lokubuyisela ngokufanelekileyo.
Ngotyando, le miqathango ilandelayo kufuneka ifezekiswe
1 Unyango olungasebenzisi utyando alusebenzi okanye luyaphinda, kwaye iimpawu zinzima kwaye zichaphazela umsebenzi kunye nobomi.
2. Iimpawu zokulimala kwe-nerve zicacile, zibanzi, kwaye ziqhubeka ziwohloka.Kukrokreka ukuba kukho ukuphulwa okupheleleyo kwe-annulus fibrosus ye-disc intervertebral kunye neengcezu ze-nucleus pulposus ziphuma kwi-canal yomgogodla.
3 I-Central lumbar disc herniation kunye nokungasebenzi kakuhle kwamathumbu kunye nesinyi.
4 Idityaniswe ne-lumbar spinal stenosis ebonakalayo.
Kukho iintlobo ezininzi zotyando lwe-lumbar spine:
1. Utyando oluqhelekileyo lwesiqhelo:
Utyando oluqhelekileyo oluvulekileyo lubandakanya: i-laminectomy epheleleyo, i-hemilaminectomy, utyando lwe-disc ye-transabdominal, i-vertebral fusion, njl.Ngenxa yokunciphisa indawo ekhethekileyo ye-physiological of the lumbar vertebra, utyando lutshabalalisa isakhiwo esiqhelekileyo se-physiological of the lumbar vertebrae, okubangelwa ukulimala okukhulu kokuhlinzwa, okulula ukubangela ukungazinzi kwe-postoperative ye-lumbar spine, i-postoperative scar tissue adhesion, kunye nothotho lweziphumo ezibi ezifana nokwenzakala ngengozi kweengcambu zemithambo-luvo ngexesha lotyando.Ngoko ke uninzi lwezigulana zoyika utyando, indlela yokuphepha ukusabela okubi okungentla okubangelwa lutyando?Oku bekusoloko kuyingxaki enkulu kuluntu lwezonyango.
2. Utyando oluncinci lwe-intervertebral disc
Ukuze ugweme ingxaki enkulu yokulimala kokuhlinzwa okuvulekileyo okuqhelekileyo kunye nokunciphisa umngcipheko wotyando kunye nokuvela kweengxaki, i-microsurgery kunye ne-arthroscopic incedise utyando lwe-lumbar intervertebral disc lunciphisa umonakalo kumathambo kunye namalungu aqhelekileyo ngexesha lokusebenza, kodwa utyando oluncinci luyi-invasive. ukusebenza, kodwa ikwanengozi kunye neengxaki.Enye ingxaki enkulu kukuba emva kokuba intsimi yotyando ibe yincinci, kunzima ukucoceka kunye nokususa ngokupheleleyo i-nucleus pulposus ye-disc ye-lumbar intervertebral egulayo, eyandisa umngcipheko wotyando olungaphumeleli.
3. Ukusikwa kwePercutaneous kunye nokufunxa:
Kwizigulane ezine-lumbar disc herniation, ezininzi zeediski ze-herniated zibangelwa ukunyuka kwengcinezelo ngaphakathi kwediski.I-Percutaneous puncture kunye ne-suction inokunciphisa kakhulu uxinzelelo lwe-intradiscal kunye nokunciphisa umxholo we-disc ye-herniated, ngaloo ndlela ukunciphisa okanye ukuphelisa iimpawu zokunyanzeliswa kwe-nerve nge-protrusion.Inzuzo yale ndlela kukuba ngexesha lokusebenza,tyena umonakalo uncinci, kodwa ukungonakali kukuba umsebenzi ugxile kakhulu kwi-decompression, esebenzayo kwi-intervertebral disc herniation.
Umphumo wentlungu ye-vertebroplasty ibonakala, ngokuqhelekileyo kwiiyure ze-24, intshukumo elula yomzimba inokuqaliswa kwakhona, kwaye amayeza eentlungu angancitshiswa okanye ayeke.Kukho imingxuma emincinci kwi-osteoporotic vertebral body, kunye ne-bone glue ingazalisa le mingxuma encinci, ukwenzela ukuba uqinise umzimba we-vertebral kunye nokunciphisa ukuphindaphinda kokuphuka.
Ziziphi iingenelo ze-vertebroplasty?
Inciphisa kakhulu umngcipheko weengxaki ezifana ne-hypostatic pneumonia ebangelwa ukuphumla kwexesha elide lokulala.
Iindlela zonyango ezilondolozayo ze-vertebral body fractures ziquka ukuphumla kombhede, ukufakwa, ukubethelwa kwe-splint, njl. Iingxaki ezifana nosulelo lwemiphunga okanye lomchamo lusenokwenzeka ngenxa yokuphumla ixesha elide ebhedini.Kwaye kwiiyure ze-2 emva kwe-vertebroplasty, izigulane zinokuphuma ebhedini kwaye zihambe, ngaloo ndlela zinciphisa kakhulu umngcipheko weengxaki ezifana ne-hypostatic pneumonia ebangelwa ukuphumla kwebhedi ixesha elide.
Inokunciphisa kakhulu umthamo wamayeza eentlungu.
I-Vertebroplasty inesiphumo esicacileyo sokuphelisa iintlungu, ezinokunciphisa kakhulu umthamo wamayeza eentlungu, kwaye ezinye izigulana zisenokungabonakali.
Ukwenzakala okuncinci kwisigulane
I-Vertebroplasty ifuna kuphela i-pinhole-ubungakanani obuncinci bokusikeka kwaye phantse akukhopha;ukusetyenziswa kwe-anesthesia yendawo igwema imingcipheko eyahlukeneyo yotyando lwe-anesthesia jikelele, kwaye ixesha lokusebenza lifutshane, umsebenzi awubuhlungu, kwaye intlungu iyancipha ngokukhawuleza emva kokuhlinzwa.Kwizigulane ezineminyaka ephakathi kunye nabadala, i-vertebroplasty lukhetho oluhle kakhulu.
Ixesha lokuposa: Sep-29-2022