Cuando nos referimos a puʻupuʻu diski estamos haciendo referencia a lo que se conoce como hoʻokuʻu diski. Aia kēia i ka bulging o ka envelope fibrous i kuleana no ka hoʻopuni ʻana i ka disc intervertebral.. He ʻokoʻa kēia mai kahi disc herniated i ka mea hope he puka o kahi ʻāpana o ka nucleus pulposus ma o kahi māwae i loaʻa i loko o ka envelop fibrous o ka disc..
Pela, hiki iā mākou ke kamaʻilio e pili ana i ka ʻokoʻa ma waena o ka hernia a me ka protrusion ma ke ʻano he leakage o ka ʻike a i ʻole ka deformation o ka envelopp me ka ʻole o ka leakage o ka ʻike.. I kēia hihia hope loa ʻo ia ka manawa e kamaʻilio ai mākou no ka protrusion a i ʻole puʻupuʻu diski.
ʻO kēia ka manaʻo, a ʻo ia i kekahi manawa ʻaʻole hiki ke maʻalahi ke ʻike ma kahi MRI inā ua hana kēia. No keia kumu, i kekahi mau hihia, Manaʻo kekahi mau kauka inā ʻoi aku ka laulā o ka deformation i ʻike ʻia i ka resonance ma mua o ka vertex, ua manaʻo ʻia he protrusion.; a ina ua like ka laula a oi aku paha ke kumu, e kamaʻilio ana e pili ana i kahi hernia.
Papa kuhikuhi
Pehea ka puka ʻana o kahi diski puʻupuʻu
Ma lalo o nā kūlana maʻamau, Hoʻokomo ʻia ka ʻaʻahu diski i kahi kaʻina hana maʻamau e hoʻoulu ai i kekahi o nā fibers i ʻāpana o kāna envelope fibrous, vayan lilo ka elasticity a me ke kū'ē; a hiki ke hoʻihoʻi a hoʻokaʻawale paha lākou. Ke hiki mai keia, hiki ke puka iwaho kekahi hapa o kona mau gelatinous i loko o ka diski a no laila ke kumu a puʻupuʻu diski.
I kekahi mau hihia, ʻO ke kaomi i loko o ka diski hiki ke ʻoi aku ma mua o ka hiki ke kūʻē o nā fibers o ka envelop fibrous, no laila ʻo kēlā ʻāpana a me kahi hapa o ka disc bulges a herniates. No ka mea, he gelatinous ka nucleus pulposus, ke hili ka iwi kuamoo imua, ke nānā aku nei ka disk e like me ka neʻe ʻana ma ka ʻaoʻao ʻē aʻe, i hope, pela ka mea like ke hana ia ma ke ano. ʻOi aku ka liʻiliʻi o ka pale ʻana o ke kua o ka pahu fibrous ma mua o ka mua, oiai ua oi aku ka maikai, no laila es más frecuente que el abombamiento discal aparezca en la parte trasera del disco.
Ma keia ano, ʻO ke kūlana maʻamau i loaʻa ai kahi disc herniated i ka wā e hilinaʻi ai ka mea maʻi i mua me ko lākou mau wāwae i waho., ke hāpai ʻoe i ke kaumaha ma kou mau lima a kū i luna, e hoʻonui ana i ke kaomi a hiki i ka nui o ke kūpaʻa o ka envelope fibrous i ʻōlelo ʻia ma mua a hiki i ka herniation disc..
Eia naʻe, keia kulana, ʻOiai ʻo ia ka mea maʻamau, ʻaʻole ia ka mea pinepine; a ʻo ia i ka hapanui o nā hihia e hāʻawi ʻia nā hernias ma ke kaʻina hana o ka ʻaʻahu mālie ʻana o ka envelope fibrous.; a i kekahi mau hihia aia hoʻokahi kumu no kēia pilikia.
Aia nā ʻano hana muscular like ʻole e hōʻemi i ke kaomi i kākoʻo ʻia e ka diski., y que trabajan para evitar que se produzca un puʻupuʻu diski, no ka mea, hoʻopaʻa lākou i ka ukana.
Nā mea e hoʻonui ai i ka hiki ke loaʻa i kahi disc herniated a bulging
Aia nā kumu like'ole e hiki ai ke ho'onui i ka likelika o ka herniated a protruding disc., e like me lakou, mawaena o na mea e ae, o keia:
- ʻO ka loaʻa ʻana o ka musculature i nāwaliwali loa.
- Noho lōʻihi, ʻoi aku paha inā he kanaka hoʻoikaika ʻole, ʻo ia hoʻi, ka mea noho noho, ʻoiai ʻo kēia ka mea e hoʻolalelale ai i ka atrophy ʻiʻo; a i ʻole ka hoʻokomo ʻana i nā kūlana kahi e kākoʻo ai ka ʻaoʻao mua o ka vertebra i kahi ukana ʻoi aku ka nui ma mua o ka ʻaoʻao hope, no ka makemake ana no na hora he nui.
- Hoʻopili ʻia i nā haʻalulu e pili ana i ke kino, ka mea maʻamau i ka poʻe e hoʻokele i nā traktor a i ʻole nā mīkini ʻoihana ʻē aʻe; a ʻo ia ka mea e maʻalahi ai ka uhae ʻana o nā ʻili o ka envelopp.
- Otro de los factores que pueden provocarlo son algunos genes, hiki ke hoʻopili ʻia i kahi pale haʻahaʻa o ka envelope fibrous.
ʻO nā hōʻailona o kahi diski puʻupuʻu
Aia i loko a i ʻole nucleus pulposus o ka diski nā mea e hoʻonāukiuki i nā aʻalolo. Ma lalo o nā kūlana maʻamau ʻaʻohe aʻalolo i loko o ka diski., i hiki ole ai i keia mau mea ke hoeha i na aalolo. Ma keʻano laulā, aia nā aʻalolo ma kona ʻaoʻao waho loa o ia envelop a ʻoi loa ma nā ʻaoʻao ʻaoʻao o ka paia hope..
Inā loaʻa ka hernia ma kahi wahi me ka ʻole o nā aʻalolo o ka envelope fibrous a liʻiliʻi kona leo i ʻole e hoʻopaʻa i ke aʻa aʻa., ʻaʻole hiki ke hōʻeha a ʻeha paha. Sin embargo en el caso de que tenga lugar en una zona en la que hay nervios, ʻO nā mea i loko o ka hernia e hoʻonāuki iā lākou aʻo ia ke kumu o kēia mau hōʻailona:
- ʻeha hope, i loko o ka lumbar a i ʻole ka cervical area, ma muli o kahi i loaʻa ai ka hernia. Hoʻomaka ʻia kēia ma muli o ka haki ʻana o ka envelope fibrous a me ka contracture e hōʻike ana i ka musculature..
- ʻehaʻeha, i ka lima i ka hihia o ka protrusions a disc bulging a cervical hernias, a ma ka hihia o ka wāwae i ka hihia o ka lumbar. ʻO kēia ʻeha ma muli o ka hoʻokuʻu ʻia ʻana o nā aʻalolo o kekahi mau mea e hoʻoulu ai i ka mumū o ka disc., ke aʻa aʻalolo a me nā ʻiʻo keʻokeʻo o ia wahi, ma waho aʻe o ka hoʻonāukiuki ʻana i ke aʻa aʻalolo., hiki ke alakaʻi i ka hoʻomaopopo ʻana i ke aʻa aʻalolo. Inā hoʻopili ʻia nā aʻalolo koʻikoʻi, e ʻeha ka ʻeha., hiki ke hana pū me ka hoʻololi ʻana a i ʻole ka nalowale o ka naʻau ma ka wahi nona ka naʻau e lawe ai i kēlā aʻalolo.. Inā hoʻopili ʻia kahi aʻalolo kaʻa, ua emi ka ikaika o ka puʻupuʻu ʻiʻo i loko o ia aʻalolo.