Lokacin da diski na kashin baya ya lalace, gel mai laushi na ciki a cikin diski zai iya shiga cikin canal na kashin baya. Ana kiran wannan a matsayin diski mai ɓarna ko diski mai lalacewa.
Hernia shine sakamakon lalacewa na waje da wuyar murfin intervertebral, samar da fasa a cikinsa, ta inda wasu sassauƙan abun ciki na ciki ke barin sararin diski.
Ciwon kai na intervertebral shine yanayin da aka matsa tsakiyar ɓangaren diski na intervertebral a cikin canal na kashin baya.
Da zarar a cikin canal na kashin baya, diski na herniated yana sanya matsin lamba akan jijiya, haifar da zafi yana haskakawa jijiyar da ke haifar da sciatica ko kafafu (idan akwai wani lumbar disc herniation) ko a hannu (idan aka yi la'akari da ɓacin rai na mahaifa).
Fihirisa
Menene diski herniated?
Hay sharuddan daban-daban da aka yi amfani da shi don bayyana cututtukan cututtuka na kashin baya da kuma haɗin gwiwa, como “hernia discal”, “nervio pellizcado” y “hernia de disco”, kuma duk likitoci suna amfani da su daban.
Abin takaici, ƙwararrun kiwon lafiya sun yi rashin jituwa kan takamaiman ma'anar kowane ɗayan waɗannan sharuɗɗan, kuma marasa lafiya za su iya yin takaici lokacin da suka koyi cewa ganewar asali na su yana nufin kalmomi daban-daban.
Akwai sharuddan musanya iri-iri (diski herniated, karyewar diski, diski herniated, fitowar diski, cututtuka na kashin baya, baki faifai) wanda zai iya kara rudani.
Maimakon damuwa game da kalmar da aka yi amfani da ita, Yana da ƙarin taimako ga majiyyata don samun fahintar fahimta game da ingantaccen ganewar asali na likita.
The likita bincike ya gano ainihin dalilin ciwon baya na majiyyaci, ciwon kafa da sauran alamomi. Kwararren likita yana ƙayyade dalilin ciwon mara lafiya ta hanyar:
- Binciken tarihin likitancin majiyyaci
- Cikakken gwajin jiki
- Gwajin bincike ɗaya ko fiye (in an bukata)
C5 C6 disc herniation shine fashewar zoben fibrous a cikin diski a matakin na biyar da na shida na mahaifa..
wannan bangare (C5-C6) wuri ne na kowa don bayyanar cututtukan intervertebral hernia a cikin kashin mahaifa. Babban dalilin wannan bayyanar shine tsufa, ko da yake a wasu lokuta, c5 c6 diski herniation na iya zama saboda rauni, motsa jiki mai tsanani, salon rayuwa na yau da kullun, a tsaye matsayi, da dai sauransu.
C5 C6 Fayilolin Maganin Ciki
Hernia a cikin sashin C5-C6 yana nuna alamun bayyanar cututtuka masu zuwa: rauni a cikin biceps da tsokoki extensor. Ciwon, numbness da tingling sensations na iya haskakawa zuwa hannu.
Alamomin diski na C5 C6 na iya haɗawa: zafi, taurin kai da iyakacin motsi a wuyansa; haka kuma ciwon kai, dizziness da hawan jini.
Ƙunƙarar ƙwanƙwasa na L5 S1 diski shine sakamakon tsarin lalacewa na kashin baya. (osteocondrosis). Hernias a cikin wannan yanki na kashin baya suna da yawa., saboda yankin lumbosacral yana ƙarƙashin mafi girman damuwa kuma yana cikin motsi akai-akai.
l5 S1 hernia an fi sani da dorsal ko ta baya, saboda yana komawa zuwa canal na kashin baya. L5 S1 yana nuna ainihin wurin hernia, tsakanin kashi na biyar na lumbar vertebra da farkon sacral vertebra.
Wannan hernia yana da haɗari sosai saboda an kai shi zuwa canal na kashin baya kuma yana iya lalata tsarin tsarin kashin baya., llamada “cola de caballo”, wanda sakamakon zai iya zama quite m.
Alamomin L5 S1 Dorsal Disc Herniation
Alamar asibiti ta farko ta l5 S1 hernia, dake cikin haɗin gwiwa na lumbosacral, shine bayyanuwar ciwon baya.
Na farko, zafi yana faruwa ne daga matsanancin motsa jiki, sannan ta hanyar motsi da jujjuyawar jiki. a ci-gaba lokuta, ciwo ciwo yana bayyana a hutawa.
Wannan ciwo yana ƙara karuwa tare da motsi na kwatsam, misali lokacin tari ko lankwasawa ko karkatar da jiki. Rashin jin daɗi na iya kaiwa zuwa gindi da sacrum yankin. Wannan shi ne saboda kumburin hernia yana damfara nama da ke kewaye da shi kuma yana rushe tsarin jiki na sashin kashin baya..
Wannan yana haifar da tashin hankali na tsoka, mikawa zuwa gefen protrusion hernia ko zuwa yankin lumbar.
Idan hernia ta danna kan jijiyar kashin baya, bayyanar cututtuka na jijiyoyi suna bayyana. Tushen tushen jijiya yana haifar da kumburi a cikin yankin kumburin hernia da kumburin nama mai laushi.
La hernia de disco L4 – L5 es comúnmente conocida como hernia lumbar, saboda yana faruwa mafi yawan lokuta tsakanin kashin baya na 4 zuwa 5. Waɗannan fayafai biyu na ƙarshe na kashin baya na lumbar sun fito musamman, saboda wannan yanki ne ke ɗaukar kaya a tsaye, turawa da murzawa a baya. Saboda haka, akwai ƙarin haɗarin hernia a wannan wuri..
Síntomas de la hernia lumbar del disco L4 – L5
Alamar alama ta lumbar hernia ita ce sciatica.. tare da sciatica, da zafi yana haskakawa daga kugu zuwa ƙafa ɗaya ko biyu kuma wani lokacin, har zuwa ƙafafu. Ciwon baya sau da yawa ba shi da faɗi fiye da ciwon ƙafa.
Mafi tsananin zafi a cikin kafa yana faruwa lokacin tafiya, tsaya ko zauna. Wani lokaci ciwon yana tare da raguwa da ƙumburi a cikin kafa ko ƙafa. Marasa lafiya na iya samun ciwon tsoka a baya ko kafa. Hakanan suna iya jin raunin tsoka a ƙafafunsu.
a lokuta masu tsanani, kumburin ƙafar ƙafa ko rashin kula da fitsari da bayan gida yana tasowa.
Abubuwa biyu na ciwo: pinched jijiya vs ciwon diski
A cikin gano dalilin ciwon mara lafiya, Akwai nau'ikan matsalolin diski gaba ɗaya guda biyu waɗanda likitoci ke amfani da su:
tsunkule jijiya
Lokacin da majiyyaci yana da alamun bayyanar cututtuka, faifan kanta ba mai zafi ba ne, amma fa diski ya zube, "Tunkowa ko huda" jijiya.
Wannan yana haifar da ciwo da ake kira tushen zafi, yana haifar da ciwo wanda za'a iya komawa zuwa wasu sassan jiki, kamar wadanda daga baya baya zuwa kafa, ko daga wuya har zuwa hannu.
Ciwon ƙafafu daga jijiyar da aka ƙulla ana kwatanta shi azaman sciatica..
Wannan radicular zafi ake kira da herniated disc.. Sauran abubuwan gama gari na jijiyar tsinke na iya haɗawa da kashin baya da kasusuwa masu tasowa daga cututtukan cututtuka na kashin baya.
zafin diski
Lokacin da majiyyaci yana da faifan ɓarkewar bayyanar cututtuka (Menene ke haifar da ciwon baya da/ko ciwon ƙafa?), shine sararin da ya mamaye faifan kanta, abin da ke da zafi da kuma tushen ciwon. Ana kiran irin wannan ciwon sau da yawa dolar axial.
Duk waɗannan yanayi biyu na sama na iya faruwa a cikin kashin mahaifa, thoracic ko lumbar. Yana son zama gama gari a cikin ƙananan baya, domin shi ne wurin da ya dauki nauyin nauyi da karfi a kowace rana.
Hay que tener en cuenta que todos los términos – hernia de disco, tsunkule jijiya, diski herniated, da dai sauransu., koma zuwa binciken radiyo da aka gani akan CT scan ko MRI.
Ko da yake waɗannan sakamakon suna da mahimmanci, ba su da mahimmanci wajen ƙayyade dalilin ciwon kamar yadda takamaiman alamun marasa lafiya da sakamakon binciken likita na jiki..
Black diski a cikin kashin baya
Bakar fayafai cuta ce inda lalacewar fayafai ke faruwa, inda jijiyoyi na jijiyoyi zasu iya shiga cikin tsakiya pulposus kuma suna haifar da ciwo mai yawa. An ba da wannan sunan saboda a cikin MRI ana lura da hernia a matsayin baƙar fata., tun lokacin da ya lalace diski ya ƙunshi ruwa kaɗan.
Kwararrun kiwon lafiya wani lokaci suna amfani da kalmomi daban-daban don komawa ga cututtukan da ke da alaƙa da fayafai masu ɓarna.. baki faifai, yage diski, faifan da aka raba, rushewar faifai, fitowar diski, Cututtukan fayafai da fashe fage suna daga cikin sunayen da ake amfani da su wanda wasu lokuta kan haifar da rudani.
Binciken diski na herniated
ganewar asibiti (también conocido como un “diagnóstico clínico”) yana mai da hankali kan tantance dalilin ciwon baya, ciwon wuya ko wasu alamun majiyyaci.
Akwai matakai uku don isa ga ganewar asibiti na faifan herniated:
- The binciken jiki. Dangane da alamun mara lafiya, jarrabawar jiki na iya haɗawa da ɗaya ko fiye daga cikin gwaje-gwaje masu zuwa:
- The aikin jijiya a wasu sassan kafa ko hannu, lokacin gwada wurare daban-daban tare da guduma reflex, kadan ko babu amsa mai yiwuwa nuni ga tushen jijiya da aka danne. Hakanan za'a iya yin gwajin jin daɗi, yin amfani da zafi da sanyi don sanin yadda tushen jijiya ke amsa irin waɗannan abubuwan.
- The karfin tsoka. Don samun ƙarin fahimtar ko tushen jijiya na kashin baya yana matsawa ta hanyar diski na herniated, likita zai yi yuwuwar yin gwajin jijiya don tantance ƙarfin tsoka. Likitan kuma yana iya tambayar majiyyaci ya tuɓe rigar don ya ga tsokar, a duk kanta akwai ciwon tsoka, girgiza ko motsi mara kyau.
Ciwo tare da palpation ko motsi. Palpating wasu sifofi na iya ba da ra'ayin abin da ke haifar da ciwo da gaske. Misali:
- The ciwon haɗin gwiwa sacroiliac akan palpation na iya nuna cewa mai haƙuri yana da raunin haɗin gwiwa na sacroiliac.
- lokacin da yake akwai zafi lokacin daidaita kafa na iya zama nuni ga jijiyar tsinke.
- The zafi tare da matsa lamba a kan ƙananan baya na iya nuna ciwo daga diski mai lalacewa.
Binciken takamaiman alamun bayyanar
Cikakken bita na bayyanar cututtuka, ya haɗa da wurin zafi, bayanin yadda ciwon ke ji, kuma idan wasu ayyuka, matsayi ko jiyya suna sa ciwon ya ji daɗi ko mafi muni.
Binciken tarihin likita
Cikakken tarihin likita yana da mahimmanci don yin sarauta (gane shi) wasu yanayi mai yuwuwa wanda zai iya haifar da ciwon mara lafiya. Tarihin ya ƙunshi bayanai kamar matsalolin lafiya masu maimaitawa, abubuwan da suka gabata, magungunan da suka gabata da tiyata, ciki har da halayen ƙwayoyi.
gwaje-gwajen bincike
Bayan samar da ra'ayi game da dalilin ciwon mara lafiya, Ana iya ba da umarnin gwajin gwaji don tabbatar da matsalar diski na kashin baya da/ko don samun ƙarin bayani, kamar wurin wurin diski mai rauni da kuma tushen jijiya da aka yanke.
Gwajin bincike na iya haɗawa da:
TAC – tomografía axial computarizada (TAC)
Suna aiki tare da x-ray, amma tare da kwamfuta zaka iya shirya hoton a cikin sassan giciye don samun ƙarin cikakkun bayanai na kashin baya.
Hoto Resonance Magnetic (IRM)
Yana ba wa likitocin asibiti damar tantance jijiyoyi na kashin baya da na jiki, gami da daidaita diski, tsawo, hydration da siffatawa.
MRI ba ganewar asibiti bane. Sakamakon gwaji a kan MRI ko wasu jarrabawa ba a cikin kansu ba ne da ganewar asali cewa diski na herniated yana samuwa. Manya da yawa 30 suna da wasu matakan matsalolin diski, amma kaɗan ne za su sami ciwo mai alaƙa da wannan.
A takaice, Sakamakon gwajin jiki na mai haƙuri da bayyanar cututtuka dole ne su dace da MRI ko wasu gwaje-gwaje na gwaji don isa daidaitaccen ganewar asali na likita.
Sai kawai a iya shirin na ingantaccen magani ga mai haƙuri, kamar yadda ya shafi maganin jijiyar da ke fama da diski herniated, ciwon diski daga cututtukan diski na degenerative, ko wani yanayi.
zane-zane
Ko an yi la'akari da tiyata don rage zafin diski, Wasu likitoci na iya ba da shawarar yin hoto don tabbatar da fayafai da ya shafa. a cikin wannan gwaji, ana allurar rini na x-ray a cikin diski, tare da imani cewa mai haƙuri yana fama da ciwon diski (degenerative disc cuta) ko matsakaicin matsakaicin allura ya sake haifar da ciwo na al'ada. Wannan gwajin yana da cece-kuce game da ko jarrabawa ce mai inganci ko a'a., daidai, kuma da yawa likitoci ba sa amfani da discography, sai dai a yanayi na musamman.
Duban kashi
X-ray baya bayyana faifan herniated, Don haka, ba a amfani da wannan ganewar asali. Duk da haka, x-ray na iya gano wasu abubuwan da ke haifar da ciwo, misali cututtuka, ciwace-ciwace, ci gaban kashi, rarrabuwar kawuna ko karaya.
myelography
A cikin myelography, ana shigar da kwayoyin launin launi a cikin canal na kashin baya., don bayyana kasancewar diski na diski da sauran matsaloli a cikin canal na kashin baya. Duk da haka, Hotunan da aka samu ba su da inganci, dalilin da ya sa myelography don ganewar asali na intervertebral hernia da wuya amfani.
electromyography (EMG) da kuma nazarin tafiyar da jijiya
Waɗannan gwaje-gwajen suna auna ƙarfin motsin wutar lantarki da wani jijiyoyi ke ɗauka kuma suna taimakawa gano wace jijiya ta lalace kuma a ina..
Akwai da yawa hanyoyin da za a cire herniated diski., tsakanin su: Don zama, endoscopic da microsurgical cire. Amma akwai kuma wasu fasahohin da ake amfani da hanyoyin zamani mafi ƙanƙanta., ciki har da sanyi plasma nucleoplasty, hydroplastic da intraosseous blockage.
Ayyukan da za a cire diski na herniated yana nufin gyarawa da kuma maido da ƙwanƙwasa ƙwanƙwasa wanda aka kora daga diski na intervertebral ta hanyar karya annulus fibrosus..
Ko da yake kawar da hernia yana zama mafi aminci kuma ƙasa da rauni ga mai haƙuri, akwai kasada. Bari mu ga menene wannan game da:
Hatsari na aikin tiyata na herniated.
Sakamakon da rikitarwa bayan duk wani aikin tiyata don cire hernia intervertebral shine:
- Kumburi na diski mai rauni
- Kamuwa da cuta
- rauni tushen jijiya
- rashin haquri mai yiwuwa
- Hadarin fashewar kashin baya da zubar ruwan cerebrospinal
- ci gaban zub da jini
Hakanan akwai haɗarin hernia mai maimaitawa ko haɓakawa a wasu sassan kashin baya.. Abin da ya sa ya kamata a yanke shawarar tiyata kawai bayan cikakken nazarin majiyyaci..
Lumbar disc herniation rehabilitation
Bayan aikin diski herniation, dole ne majiyyaci ya bi ta tsawon lokacin gyarawa. Tsawon lokacin wannan lokacin ya dogara da halaye na mai haƙuri da tsananin cutar. (girman hernia, sashin kashin da aka sarrafa, da dai sauransu.).
A lokacin gyarawa, hanyoyin kamar:
- Maganin jiki
- hirudoterapia (maganin leshi)
- girgiza kalaman far
- Acupuncture
- Magnetic Laser far
- Electrostimulation na tsokoki na kashin baya
Babban makasudin gyarawa shine don dawo da motsi na kashin baya. Hanyoyin gyaran gyare-gyare ya kamata su mayar da aikin tsoka na yau da kullum da kuma rage zafi. Menene ƙari, a lokacin gyarawa, an inganta lafiyar majiyyaci gabaɗaya.
lumbar disc herniation motsa jiki
Ana buƙatar motsa jiki don ƙarfafa tsokoki na baya, amma kafin aiwatar da waɗannan ayyukan, tuntuɓi likitan jijiyoyin ku kuma da zaran za ku iya yin su, kuna buƙatar farawa.
Ana yin motsa jiki na diski na lumbar a kwance ko a kan dukkan ƙafafu huɗu. Matsayin tsaye ko wurin zama yana wakiltar ƙarin kaya kuma bai kamata a yi shi tare da hernia na kashin baya ba, kamar yadda kaya na tsaye zai iya kara tsananta lamarin.
Hakanan ana haɗa hanyoyin miƙewa daban-daban. Misali, za ku iya shimfiɗa kashin baya a rataye a kan mashaya, nauyin kafafu ya isa ya shimfiɗa kashin baya a hankali.
Sannan, Bari mu ga abin da motsa jiki zai iya kuma ya kamata a yi. Ba zai buƙaci ƙarin kayan aiki ba, sai dai tagumi.
karkarwa guiwa
Kwance akan darduma a bayana, hannaye a bayan kai da kafafu sun durƙusa a gwiwoyi, kafa wani kwana na 90 digiri. Matsar da gwiwoyinku zuwa gefe, har zuwa madaidaicin iyaka.
Kasance a wannan matsayi don 5-10 seconds. Muna sake ɗagawa zuwa matsayi na farawa kuma mu rage zuwa wancan gefe.
mik'e bayanki. Ka ɗaga ƙashin ƙugu har sai wani kusurwa ya kasance tsakanin jikinka da ƙafafu. Yi ƙoƙarin kada dugadugan ku daga ƙasa, don kada kafafu su rataye a cikin iska. Maimaita 10 sau a kowace hanya.
Mikewa da daidaitawa
Don yin wannan motsa jiki mun zama 2 extremities: kafa (gwiwa) da hannu a bangarorin jiki.
Mun fara da cat matsayi da farko (a duk hudu). Mikewa kafa daya baya da kishiyar hannu bi da bi, gaba. Riƙe don 10 seconds a cikin wannan matsayi kuma canza gefe. Maimaita 5 sau.
Bakan gizo ko cat motsa jiki
tsaya akan dukkan kafafu hudu, da kai da hannaye. Ya kamata dabino su fuskanci gaba. Kai kasa, yayin da kuke jingina bayanku, har sai kun sami matsayi na baka, daga kai zuwa kashin wutsiya.
Komawa wurin farawa a hankali. Muna yin 10 bakan gizo yana maimaitawa.
Ayyukan motsa jiki na kashin baya tare da labarun lumbar diski sun bambanta da cewa yana da sauƙi don isar da ka'idodin su fiye da lissafin su duka.. Mun yi bayani kaɗan kawai na duk zaɓuɓɓukan da ke akwai.
Abu mafi mahimmanci shine ƙarfafa tsokoki a hankali, don kada a sami sakamako mara kyau. Daidaituwa yana ba da tabbataccen sakamako. Idan kun ci gaba da shiga cikin wata guda, za ku ji daɗi.
