Aia nā ʻano like ʻole o nā ʻeha disc e alakaʻi i nā ʻeha hope.. Laulaha, ʻO ka hapa nui o lākou he huahana o kahi kaʻina degenerative.
ʻO nā disc herniated a i ʻole osteochondrosis he mau hiʻohiʻona o ka hōʻeha ʻana i ka wā. I kēia lā pono mākou e kamaʻilio e pili ana i kekahi o lākou: ka hoʻokuʻi ʻana o ka disc a i ʻole ka puka ʻana.
Papa kuhikuhi
Disco intervertebral
E hoʻomaopopo i ke ʻano o ka disc bulge, Pono e hoʻomaopopo mua i ka hoʻokumu ʻana o ka disc.. ʻO nā diski nā hale i loaʻa ma waena o ka vertebrae.. ʻO kāna hana ka mālama ʻana iā ia., a me ka pale ʻana i nā aʻalolo e puka mai ana ma waena o ia a me nā ami o ia wahi. He ʻekolu ʻāpana ka diski: ka nucleus pulposus, ka annular fibrous nucleus a me ka intervertebral disc.
ʻO nā kaula i hana ʻia i ke apo e pōʻino i ka manawa ma lalo o ka mana o ke kaomi ʻana i ke kuamoʻo.. ʻO kēia ke kumu o ka dehydration a hiki i nā waimaka liʻiliʻi, ʻike ʻia he disc fissures.
Ke hoʻomau kēia kūlana i ka manawa, ʻaʻole hiki ke hana hou i nā ʻili.
hoʻokuʻu diski
Hoʻomaka ka puʻupuʻu disc i ka wā e hoʻomaka ai ka hoʻoheheʻe ʻana a me ka puʻupuʻu ma muli o kēia mau koʻikoʻi.. ke nawaliwali, ʻino ka ʻōpū o ka pulp a hoʻolei i hope, e hoʻopōʻino ai ke ʻano o ka disc.
Nā hōʻailona
E like me ke kaʻina degenerative i loko o ka iwi kuamoʻo, ʻO nā disks puʻupuʻu e pili pinepine i ka poʻe i ʻoi aku ma mua 40 makahiki. He mea maʻamau nō hoʻi ke ʻike ʻole ʻia nā hōʻailona.
Eia naʻe, i ka wā e puka ai ka puʻupuʻu ma kahi e hele ai ke aʻalolo, hiki ke hōʻeha hope. ʻO ka mea maʻamau ka ʻeha cervical a lumbar paha ma muli o kahi o ka lesion..
'O ka ma'amau ka 'eha ma lalo o ka lima ke ku'eku'e ka ku'eku'e wāwae a ma lalo o ka wāwae i ka pae pūhaka.. Inā hoʻopili ka ʻeha i kekahi mau aʻalolo, hiki ke alakaʻi i ka nalowale o ka manaʻo a i ʻole ka nalowale o ka ikaika.
Lapaʻau
Laulaha, ʻO ka hapa nui o nā hihia o ka mumū disc e hoʻomaikaʻi maikaʻi me ka lāʻau lapaʻau, ka hoʻoikaika kino a me ka hoʻoikaika kino.
I nā hihia kahi e hoʻoholo ai ka mea lapaʻau e pono ke ʻoki, ʻO ka microsurgical excision ka hana maʻamau no kēia maʻi.
Pehea ka ʻokoʻa ʻana o ka disc bulging me kahi disc herniated??
ʻO kēia kekahi o nā nīnau i nīnau pinepine ʻia. ʻO ka ʻokoʻa nui ma ka hana o ka nucleus pulposus. I ka wā e hoʻoneʻe ai ka mea colloidal a hoʻololi i ka capsule, he puʻupuʻu.
Eia naʻe, i ka wā e naha ai kēia pū a haʻalele ka mea i loko o ka nucleus i kona wahi, ʻo ia ka wā e loaʻa ai kahi disc herniated.
Aia ma ka ʻaoʻao convex o ka disc he ʻāpana ʻāpana o nā fibers i loko o ka disc e hiki ai i ka nucleus ke neʻe i loko o ka māwae., ke kumu o ka nucleus pulposus (protoea). He asymptomatic paha kahi puʻupuʻu disc, akā, hiki nō hoʻi ke alakaʻi i ka hōʻemi ʻana o nā ala ma o nā aʻalolo a i ʻole ka iwi kuamoʻo. Hiki i ke kanaka ke loaʻa i ka ʻeha nui i hui pū ʻia me nā ʻiʻo ʻiʻo a me nā neuralgia ma ka wahi a i ʻole ma nā lima a me nā wāwae..
ʻO ka disc bulge kahi mea liʻiliʻi liʻiliʻi lumbar disc herniation ma muli o ka degeneration disc.
Inā ʻoi aku ka nui o ka haki ʻana o nā fiber ma waho o ka disc, hiki ke alakaʻi i kahi kipaku hapa o ka nucleus. Kapa ʻia kēia kaʻina hana herniated disc.. ʻO ka mea maʻamau he lumbar hernias ma waena o L4-L5 a me L5-S1, a me nā pūpū ma waena o C5-C6 a me C6-C7.
Hiki i kahi diski herniated ke hoʻokau i ke kaomi ma luna o kekahi mau hale o ka ʻōnaehana nūnū a hoʻoulu i ka ʻeha e hoʻomālamalama i ka ʻaoʻao lalo a i luna paha. (etiology). ʻAʻole pili ka nui o ka hernia bulge i nā hōʻailona o ka mea maʻi.
E ʻike ʻia ka bulge a me ka hernia ma o ka moʻolelo olakino o ka mea maʻi, ka nānā kino a me ka hoʻohana ʻana i nā hoʻokolohua kiʻi diagnostic, e like me ka nuclear magnetic resonance (MRI). Pono e hoʻomaopopo ʻia ʻaʻole pili mau ke ʻano o kahi bulge a hernia ma ke kiʻi kiʻi i ke ʻano o nā hōʻailona. (4) (5). ʻO kēia nā hana physiological o ka ʻelemakule a me ka degeneration ʻaʻole e alakaʻi mau i nā hōʻailona. No laila, ʻAʻole pono e hoʻokumu ʻia ka ʻike ma nā hoʻokolohua kiʻi akā ma nā hōʻailona lapaʻau, kahi mau hōʻailona neurologic holomua.
Hoʻomaʻamaʻa i ka disc pathology
ʻO ka mālama ʻana he conservative maʻamau, akā, ʻaʻole hiki iā mākou ke poina e hiki ke lilo ka lāʻau lapaʻau i ke ʻoki a me ka pilikia.
Paipai wale ʻia ke ʻoki ʻana ke nalowale ka manaʻo a i ʻole ka mana o ka wahi i hoʻopilikia ʻia, ʻoiai inā hōʻike ka MRI i kahi hernia e hoʻouka i ke aʻalolo a me ka lewa
maikaʻi ka electromagnetic (Degenerating Akua Kinh Mark). Ma muli o ka nui o ka pōʻino, pono paha ka lapaʻau ʻana ma ka ʻāpana ʻeha inā ʻaʻole maikaʻi ka mālama conservative. e like me ka ʻeha, pono mākou e neʻe mau mai ka hoʻomaʻamaʻa liʻiliʻi i ka lāʻau invasive.
No ka ʻeha i hoʻoulu ʻia e ke aʻalolo, ka hoʻohana ʻana i nā corticosteroids a me ka huaora B (kaumaha a like paha, nā ʻōlelo kuhikuhi a me nā ʻōlelo lapaʻau wale nō))
E pili ana i ka hoʻihoʻi ʻana i ka mālama ʻana i nā disc herniated a moku paha, pono e hana i nā ʻenehana mobilization, hoʻopaʻapaʻa ʻiʻo, nā hoʻomaʻamaʻa kūikawā e hoʻihoʻi i nā kaʻa a hoʻomalu i ka ʻiʻo no ka ʻāina i hoʻopilikia ʻia, Nā lāʻau lapaʻau noʻonoʻo, hoʻomaha holomua, ka lōʻihi a me ka neurodic mobilization. me keia mau lapaau ana, hoʻomaikaʻi ka mea maʻi i ka ʻeha o ka nele o ke ola a hoʻomaikaʻi i kona ʻano o ke ola. Pono ka lapaʻau e mahalo mau i ka ʻeha a me ka holomua, a me ka hoʻi ʻana i ka hana kino.
ʻO ka hope loa, Pono e hana ʻia ka lāʻau ʻokiʻoki inā loaʻa ka hoʻololi ʻana o ke aʻalolo a i ʻole ka maikaʻi ʻole o nā lāʻau mua. Eia naʻe, ʻAʻole i hōʻike ka hoʻomaʻamaʻa ʻokiʻoki i ka ʻoi aku ka maikaʻi a me ka hoʻomaikaʻi ʻana i nā hōʻailona ma mua o nā mana, inā mahalo mākou i ka wā lōʻihi, pono mākou i kahi mea hōʻeha ʻeha nui kahi i hana ʻia ai kahi hale ʻokiʻoki maikaʻi (2).