Diski ea Herniated

Diski ea herniated (e thellelitsoeng) e etsahala ha disk eohle kapa karolo e 'ngoe ea disk e qobelloa ka karolo e fokolang ea disk. Sena se ka beha khatello methapong e haufinyane kapa mokokotlong.

Masapo a mokokotlo a sireletsa methapo e tsoang bokong ebe e tsamaea mokokotlong oa hao ho etsa mokokotlo. Metso ea methapo ke methapo e meholo e tsoang mokokotlong mme e siea mokokotlo oa mokokotlo lipakeng tsa vertebra ka 'ngoe.

Masapo a mokokotlo a arotsoe ke li-disk. Li-disk tsena li sutumetsa mokokotlo oa mokokotlo ebe li beha sebaka lipakeng tsa li-vertebrae tsa hau. Disks li lumella motsamao lipakeng tsa lesapo la mokokotlo, le u lumellang ho koba le ho fihlela.

Ka disk ea herniated:

• Disk e ka tloha sebakeng (herniate) kapa ea buleha (ho phatloha) ho tsoa kotsi kapa khatello. Ha sena se etsahala, ho ka ba le khatello methapong ea mokokotlo. Sena se ka lebisa ho bohloko, ho ba shohlo, kapa bofokoli.
• Karolo e ka morao e ka morao (ea lumbar) ea mokokotlo ke sebaka se tloaelehileng haholo se anngoeng ke disk e thellelitsoeng. Li-disk tsa molala (cervical) ke sebaka sa bobeli se amehang haholo. Li-disk tsa holimo ho ea bohareng ba morao (thoracic) ha li amehe hangata.

Diski ea herniated ke sesosa sa radiculopathy. Ena ke boemo bo amang methapo ea methapo ea mokokotlo.

Disks tse thellelitsoeng li etsahala khafetsa ho banna ba lilemong tse bohareng le ho feta, hangata kamora ho ikoetlisa ka thata. Mabaka a mang a kotsi a ka kenyelletsa:

• Ho phahamisa lintho tse boima
• Ho ba motenya haholo
• Ho koba kapa ho sotha mokokotlo o ka tlase
• Ho lula kapa ho ema boemong bo le bong bakeng sa lihora tse telele
• Mokhoa o sa sebetseng oa bophelo
• Ho tsuba

Hangata bohloko bo hlaha ka lehlakoreng le leng la 'mele. Matšoao a fapana, ho latela sebaka sa kotsi, mme e ka kenyelletsa tse latelang:

• Ka disk e thellisitsoeng mokokotlong oa hau o ka tlase, o kanna oa ba le mahlaba a hlabang karolong e le 'ngoe ea leoto, letheka, kapa lethekeng, le ho ba bohlasoa likarolong tse ling. U kanna oa utloa bohloko kapa ho shoeloa ke mokokotlo oa namane kapa bohato ba leoto. Leoto le tšoanang le lona le ka ikutloa le fokola.
• Ka disk e kentsoeng molaleng oa hau, u ka ba le bohloko ha u tsamaisa molala, bohloko bo tebileng haufi kapa lehetleng, kapa bohloko bo fetelang letsohong le kaholimo, letsoho le menoana.U ka ba le ho hloka kutlo mahetleng a hao, setsoe, letsoho le menoana.

Hangata bohloko bo qala butle butle. E kanna ea mpefala:

• Kamora ho ema kapa ho lula
• Bosiu
• Ha u thimola, u khohlela kapa u tšeha
• Ha o khumamela morao kapa o tsamaea ho feta limithara tse seng kae kapa limithara
• Ha u phefumoloha kapa u phefumoloha, joalo ka ha u tsamaea ka mantle

U kanna oa ba le bofokoli mesifeng e meng. Ka linako tse ling, u kanna oa se e hlokomele ho fihlela mofani oa tlhokomelo ea bophelo a u hlahloba. Maemong a mang, u tla hlokomela hore u thatafalloa ke ho phahamisa leoto kapa letsoho, u eme ka menoana ka lehlakoreng le leng, u pepeta ka thata ka letsoho le leng, kapa mathata a mang. Taolo ea senya ea hau e ka lahleha.

Bohloko, ho ba shohlo, kapa bofokoli hangata bo ea fela kapa bo ntlafale haholo ho feta libeke ho isa likhoeling.

Tlhahlobo e hlokolosi ea 'mele le nalane hangata e le mohato oa pele. Ho ipapisitse le moo u nang le matšoao, mofani oa hau o hlahloba molala oa hao, lehetla, matsoho le matsoho, kapa mokokotlo oa hao o ka tlase, letheka, maoto le maoto.

Mofani oa hau o tla hlahloba:

• Bakeng sa ho shoeloa kapa ho felloa ke maikutlo
• Maikutlo a hau a mesifa, a ka liehang kapa a lahleha
• Matla a hau a mesifa, a ka fokolang
• Boemo ba hau, kapa tsela eo mokokotlo oa hau o kobehileng ka eona
• Bokhoni ba hau ba ho fetola mokokotlo oa mokokotlo

Mofani oa hau a ka boela au kopa ho:

• Lula, ema, 'me u tsamaee. Ha u ntse u tsamaea, mofani oa hau a ka u kopa hore u leke ho tsamaea ka menoana ea hau ebe u latela lirethe tsa hau.
• Koba pele, morao le ka thoko.
• Tsamaisetsa molala pele, morao le ka thoko.
• Phahamisa mahetla, setsoe, letsoho le letsoho, 'me u lekole matla a hau nakong ea mesebetsi ena.

Bohloko ba leoto bo hlahang ha o lula tafoleng ea tlhatlhobo mme o phahamisa leoto la hao le otlolohile hangata e fana ka maikutlo a disk e thelletsoeng mokokotlong oa hau.

Tekong e 'ngoe, o tla koba hlooho ea hau le mahlakoreng ha mofani oa thepa a beha khatello e tlase tlase hloohong ea hau. Ho eketsa bohloko kapa ho ba shohlo nakong ea tlhahlobo ena hangata ke sesupo sa khatello ea methapo ea molala molaleng oa hau.

LITEKO TS'ELISO

Liteko tse entsoeng li ka kenyelletsa:

• Spine MRI kapa lesapo la mokokotlo CT li ka etsoa ho bonts'a moo disk ea herniated e hatellang mokokotlong oa mokokotlo.
• Electromyography (EMG) e kanna ea etsoa ho tseba hantle hore na methapo ea methapo e amehang.
• Myelogram e ka etsoa ho fumana boholo le sebaka sa disk herniation.
• Teko ea velocity ea methapo le eona e ka etsoa.
• X-ray ea mokokotlo e ka etsoa ho felisa lisosa tse ling tsa bohloko ba morao kapa ba molala. E ka sheba hore na lesapo la hau le phetse hantle hakae hape ea sheba hore na ho na le sebaka se kae bakeng sa methapo ea hau ea mokokotlo ho tsoa mokokotlong. Leha ho le joalo, ho ke ke ha khoneha ho fumana disk ea herniated ka x-ray ea mokokotlo feela.

Kalafo ea pele ea disk e thellisitsoeng ke nako e khuts'oane ea ho phomola le ho noa meriana ea bohloko. Sena se lateloa ke kalafo ea 'mele. Batho ba bangata ba latelang liphekolo tsena baa fola ebe ba khutlela mesebetsing e tloaelehileng. Batho ba bang ba tla hloka kalafo e ngata. Sena se ka kenyelletsa liente tsa steroid kapa ho buuoa.

MERIANA

Meriana e ka u thusa ho utloa bohloko. Mofani oa hau a ka fana ka efe kapa efe ea tse latelang:

• Li-NSAID bakeng sa taolo ea bohloko ba nako e telele
• Lithethefatsi haeba bohloko bo le boima 'me bo sa arabele li-NSAID
• Meriana ea ho khutsisa methapo
• Li-relaxation tsa mesifa ho imolla li-spasms tsa morao

BOPHELO BOPHELO

Haeba o nonne haholo, lijo le boikoetliso li bohlokoa haholo bakeng sa ho ntlafatsa bohloko ba morao.

Phekolo ea 'mele e bohlokoa ho hoo e batlang e le motho e mong le e mong ea nang le lefu la disk. Lingaka li tla u ruta mokhoa oa ho phahamisa, ho apara, ho tsamaea le ho etsa mesebetsi e meng hantle. Li u ruta mokhoa oa ho matlafatsa mesifa e thusang ho tšehetsa mokokotlo. Hape o tla ithuta ho eketsa maemo le mokokotlong le maotong.

Hlokomela mokokotlo oa hau hae:

• Fokotsa tšebetso matsatsing a seng makae a pele. Butle-butle qala mesebetsi ea hau e tloaelehileng.
• Qoba ho phahamisa boima kapa ho sotha mokokotlo oa hau bakeng sa libeke tse 6 tse qalang kamora hore bohloko bo qale.
• Kamora libeke tse 2 ho isa ho tse 3, butle-butle qala ho ikoetlisa hape.

LIEKETSO

Liente tsa moriana oa steroid ka mokokotlong sebakeng sa herniated disk li ka thusa ho laola bohloko ka likhoeli tse 'maloa. Liente tsena li fokotsa ho ruruha ho potoloha methapo ea mokokotlo le disk le ho imolla matšoao a mangata. Ha li rarolle bothata bo ka tlase mme bohloko ba hau bo ka khutla kamora libeke kapa likhoeli. Liente tsa mokokotlo ke mokhoa oa kantle ho bakuli.

HO SEBETSA

Ho buuoa e kanna ea ba khetho haeba matšoao a hau a sa fele ka kalafo le nako e ngoe.

E 'ngoe ea liopereishene tse joalo ke diskectomy, e ntšang disk kaofela kapa karolo ea eona.

Buisana le mofani oa hau hore na ke likhetho life tse u loketseng kalafo.

Batho ba bangata ba ntlafatsa ka kalafo. Empa o kanna oa ba le bohloko ba mokokotlo ba nako e telele, leha o se o fumane kalafo.

Ho ka nka likhoeli tse 'maloa ho isa selemo kapa ho feta ho khutlela mesebetsing eohle ea hau ntle le ho ba le bohloko kapa ho mokokotsa mokokotlo. Batho ba sebetsang mesebetsing e amanang le ho phahamisa boima kapa khatello ea mokokotlo ba ka hloka ho fetola mesebetsi ea bona ea mosebetsi ho qoba ho lematsa mokokotlo oa bona hape.

Maemong a sa tloaelehang, mathata a latelang a ka hlaha:

• Bohloko ba mokokotlo ba nako e telele kapa bohloko ba leoto
• Ho lahleheloa ke motsamao kapa ho ikutloa maotong kapa maotong
• Ho lahleheloa ke mosebetsi oa mala le senya
• Kotsi e sa feleng ea mokokotlo oa mokokotlo (e sa tloaelehang haholo)

Bitsa mofani oa hau haeba u na le:

• Bohloko bo bohloko ba morao bo sa foleng
• Bofokoli bofe kapa bofe, ho lahleheloa ke motsamao, bofokoli, kapa liphetoho tsa mala kapa senya

Ho thusa ho thibela kotsi ea morao:

• Sebelisa mekhoa e nepahetseng ea ho phahamisa.
• Boloka boima ba 'mele bo phetseng hantle.
• Etsa boikoetliso ho boloka mpa ea hao (mokokotlo) le mesifa ea morao e le matla.
• Lekola seta ea hau mosebetsing. Ka linako tse ling tafole e emeng kapa ho fetola sebaka sa komporo ea hau ea komporo ho ka thusa boemo ba hau.

Mofani oa hau a ka fana ka tlhahiso ea mokokotlo oa morao ho thusa ho tšehetsa mokokotlo. Letsoha le ka thibela likotsi ho batho ba phahamisang lintho tse boima mosebetsing. Empa ho sebelisa lisebelisoa tsena haholo ho ka fokolisa mesifa e tšehetsang mokokotlo oa hau mme ea mpefatsa bothata.

Radiculopathy ea Lumbar; Radiculopathy ea mokokotlo; Herniated intervertebral disk; Disk e fetisitsoeng ea intervertebral; Disk e thellelitsoeng; Disk e phatlohileng; Herniated nucleus pulposus: Mahlaba a tlase morao - disk ea herniated; LBP - disk ea herniated; Sciatica - disk ea herniated; Disk ea Herniated; Disc - herniated

• Mokokotlo oa masapo
• Metsing ea sciatic
• Herniated nucleus pulposus
• Ho lokisa disk ea Herniated
• Lumbar opereishene ea mokokotlo - letoto la lihlooho
• Lumbar disk ea Herniated

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Magee DJ. Lumbar mokokotlo. Ka: Magee DJ, ed. Tlhahlobo ea 'mele ea Orthopedic. La 6th. St Louis, MO: Elsevier Saunders; 2014: khaolo ea 9.

Sudhir A, Perina D.Mosculoskeletal bohloko ba morao. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 47.