Apo spinal disc inoderera, iyo gel yakapfava yemukati mu diski inogona kupinda mukati memuzongoza. Izvi zvinonzi herniated disc kana herniated disc.
Iyo hernia mhedzisiro yekupfeka kwekunze uye kwakaoma kavha ye intervertebral disc, kuita mutswe mairi, kuburikidza iyo zvimwe zvemukati zvakapfava zvemukati zvinosiya dhisiki nzvimbo.
Intervertebral herniation inzvimbo umo chikamu chepakati che intervertebral disc chinomanikidzwa mumutsara wepinini.
Kamwe mukati memugero wemusana, iyo herniated disc inoisa kumanikidza patsinga, kukonzera marwadzo anopenya pasi tsinga inoenda kune sciatica kana makumbo (kana paine lumbar disc herniation) kana paruoko (kana cervical disc herniation).
Index
Chii chinonzi herniated disc?
Hay mazwi akawanda akasiyana inoshandiswa kurondedzera spinal disc pathology uye kurwadziwa kwakabatana, como “hernia discal”, “nervio pellizcado” y “hernia de disco”, uye ose anoshandiswa zvakasiyana navanachiremba.
Sezvineiwo, vashandi vezvehutano havabvumirani pamusoro petsanangudzo chaiyo yechero ipi yeaya mazwi, uye varwere vanogona kuvhiringidzika pavanodzidza kuti kuongororwa kwavo kunoreva mazwi akasiyana.
Kune akasiyana mazwi anochinjika (herniated disc, dhisiki rakaputsika, herniated disc, disc protrusion, spinal disc chirwere, black disk) izvo zvinogona kuwedzera kuvhiringidzika.
Pane kunetseka nezve izwi rinoshandiswa, Zvinonyanya kubatsira kuti varwere vawane kunzwisisa kwakajeka kweiyo kuongororwa kwezvokurapa kwakarurama.
The chirwere chekurapa inozivisa chikonzero chaicho chekurwadziwa kwemusana kwemurwere, kurwadziwa kwemakumbo uye zvimwe zviratidzo. Nyanzvi yezvokurapa inosarudza chikonzero chekurwadziwa kwemurwere kuburikidza:
- Ongororo yenhoroondo yekurapa kwemurwere
- Kuongororwa kwemuviri kwakakwana
- Imwe kana yakawanda yekuongorora bvunzo (kana zvichidiwa)
Iyo C5 C6 disc herniation ndiko kuputika kwemhete yefibrous mu disc pamwero wechishanu uye wechitanhatu cervical vertebrae..
chikamu ichi (C5-C6) inzvimbo yakajairika yekuonekwa kwe intervertebral hernia mumutsipa wekervical. Chikonzero chikuru chekuonekwa uku kukwegura, kunyange mune zvimwe zviitiko, c5 c6 disc herniation inogona kukonzerwa nekushungurudzika, kurovedza muviri kwakanyanya, mararamiro enguva dzose, static postures, etc.
C5 C6 Disc Herniation Zviratidzo
Hernia muchikamu cheC5-C6 inoratidzwa nekupa zviratidzo zvinotevera: kushaya simba mubiceps uye wrist extensor tsandanyama. Marwadzo acho, chiveve uye kunzwa kurira kunogona kupenya paruoko.
Zviratidzo zveC5 C6 herniated disc zvinogonawo kusanganisira: kurwadziwa, kuoma uye zvishoma kufamba mumutsipa; pamwe chete nemusoro, dzungu uye high blood pressure.
Iyo dorsal herniation yeL5 S1 disc imhedzisiro yekuderera kweiyo musana. (osteocondrosis). Hernias munzvimbo iyi yemuzongoza yakajairika., nekuti iyo lumbosacral dunhu iri pasi pekunetseka kukuru uye inogara ichifamba.
L5 S1 hernia inowanzozivikanwa sedorsal kana posterior hernia, nekuti inodzokera kumusana. L5 S1 inoratidza nzvimbo chaiyo yehernia, pakati pechishanu lumbar vertebra uye yekutanga sacral vertebra.
Iyi hernia ine njodzi nekuti inonangana kumusana uye inogona kukuvadza maitiro emuzongoza., llamada “cola de caballo”, mhedzisiro yavo inogona kunge isingafadzi.
Zviratidzo zveL5 S1 Dorsal Disc Herniation
Chiratidzo chekutanga chekiriniki chel5 S1 hernia, iri munharaunda ye lumbosacral, ndiko kuratidzwa kwe kurwadziwa kwepazasi.
Chekutanga, kurwadziwa kunoitika kubva pakushanda kwakasimba kwemuviri, zvino nekufamba uye kutenderera kwemuviri. mune advanced kesi, pain syndrome inoratidzika pakuzorora.
Kurwadza uku kunowedzera kuwedzera nekufamba kamwe kamwe, semuenzaniso pakukosora kana kukotama kana kumonyorora muviri. Kusagadzikana kunogona kuwedzera kusvika kumagadziko uye nzvimbo ye sacrum. Izvi zvinodaro nekuti hernia bulge inodzvanya matishu akatenderedza uye inovhiringa chimiro cheanatomical chemuzongoza..
Izvi zvinokonzeresa kusagadzikana kwetsandanyama, ichienda kudivi rehernia protrusion kana kunharaunda yelumbar.
Kana hernia ikatsikirira tsinga yemuzongoza, zviratidzo zvetsinga zvinoonekwa. Nerve mudzi compression inokonzera kuzvimba munzvimbo yehernia bulge uye nyoro kuzvimba kwenyama.
La hernia de disco L4 – L5 es comúnmente conocida como hernia lumbar, nekuti inowanzoitika pakati pe4th uye 5th vertebrae. Aya madhisiki maviri ekupedzisira e lumbar spine anomira zvakanyanya, nekuti inzvimbo iyi inotakura mutoro wakatwasuka, ma push-ups nekumonyorora kumusana. Naizvozvo, kune njodzi yakawedzera ye hernia munzvimbo ino..
Síntomas de la hernia lumbar del disco L4 – L5
Chiratidzo chechiratidzo che lumbar hernia ndeye sciatica.. pamwe sciatica, the marwadzo anopenya kubva muchiuno kusvika kune rimwe kana makumbo ose uye dzimwe nguva, pasi kusvika kutsoka. Marwadzo ekudzokera shure kazhinji haatauri kudarika kurwadziwa kwemakumbo.
Kurwadziwa kwakanyanya mugumbo kunoitika kana uchifamba, kumira kana kugara. Dzimwe nguva kurwadziwa kunoperekedzwa nechiveve uye kurira mugumbo kana tsoka. Varwere vanogona kusangana nemhasuru kumashure kana gumbo. Vanogonawo kunzwa mhasuru dzisina simba mumakumbo avo.
mumatambudziko akaoma, tsoka paresis kana kurasikirwa kwekutonga pamusoro weti uye tsvina inokura.
Zvikonzero zviviri zvemarwadzo: pinched nerve vs disc kurwadziwa
Mukuziva chikonzero chekurwadziwa kwemurwere, Kune maviri akajairwa marudzi epinal disc matambudziko anoshandiswa nemachiremba:
pinched nerve
Kana murwere ane symptomatic disc herniation, disc pachayo hairwadzi, asi zviri nani kuti disc iparare, “kubaya kana kubaya” tsinga.
Izvi zvinoburitsa marwadzo anonzi kurwadziwa kwemidzi, kutungamirira kumarwadzo anogona kuendeswa kune dzimwe nhengo dzomuviri, sevaya vanobva kuzasi kusvika kugumbo, kana kubva pamutsipa zvichidzika kuruoko.
Kurwadza kwemakumbo kubva kune pinched nerve inowanzotsanangurwa se sciatica..
Uku kurwadziwa kwakanyanya kunonzi herniated disc.. Zvimwe zvinowanzoitika zvepinched nerve zvinogona kusanganisira musana stenosis uye bone spurs kubva kumusana wearthritis.
disc kurwadziwa
Kana murwere ane symptomatic degenerated disc (Chii chinokonzera kurwadziwa shure uye / kana kurwadziwa kwemakumbo?), ndiyo nzvimbo inopinda disk pachayo, chii chinorwadza uye chitubu chemarwadzo. Mhando iyi yemarwadzo inowanzonzi dolor axial.
Zvose zviri pamusoro apa zvinogona kuitika mumutsipa wekervical, musana kana lumbar. Inowanzova yakawanda muzasi kumashure, nekuti inzvimbo inotakura huremu hukuru uye simba zuva nezuva.
Hay que tener en cuenta que todos los términos – hernia de disco, pinched nerve, herniated disc, etc., tarisa kune zvakawanikwa zveradiological zvinoonekwa paCT scan kana MRI.
Kunyangwe mhedzisiro iyi yakakosha, hazvina kukosha pakusarudza chinokonzera marwadzo sezviratidzo zvemurwere uye migumisiro yekuongorora kwechiremba kwemuviri..
Black disc mumuzongoza
Iyo dema disc ndiyo pathology apo kuderera kweiyo vertebral discs kunoitika, uko magumo etsinga anogona kuwedzera munucleus pulposus uye kukonzera marwadzo akawanda. Inopiwa zita iroro nokuti muMRI hernia inoonekwa sechinhu chitema., kubva kune disc yakaderera ine mvura shoma.
Nyanzvi dzezvehutano dzimwe nguva dzinoshandisa mazwi akasiyana kutaura kune pathologies inosanganiswa nemadhisiki eherniated.. black disk, dhisiki rakabvaruka, displaced disk, dhisiki rakadonha, disc protrusion, disc chirwere uye ruptured disc ndiwo mamwe emazita anoshandiswa anogona kukonzera nyonganiso dzimwe nguva.
Kuongororwa kweiyo herniated disc
kuongororwa kwechiremba (también conocido como un “diagnóstico clínico”) inotarisa pakuona chikonzero chemarwadzo ekudzokera shure, kurwadziwa kwemutsipa kana zvimwe zviratidzo zvemurwere.
Pane matanho matatu ekusvika pakuongororwa kwekliniki ye disc herniated:
- The kuongorora muviri. Zvichienderana nezviratidzo zvemurwere, bvunzo yemuviri inogona kusanganisira imwe kana yakawanda yeinotevera bvunzo:
- The tsinga basa mune dzimwe nzvimbo dzegumbo kana ruoko, pakuedza nzvimbo dzakasiyana nesando reflex, kuita kushoma kana kusavapo kungangoratidza tsinga yakamanikidzwa. Sensory miedzo inogonawo kuitwa, kushandisa kupisa uye kutonhora kuona kuti tsinga midzi inoita sei kune zvinokurudzira zvakadaro.
- The tsandanyama simba. Kuti uwane kunzwisisa zviri nani kana musana wetsinga midzi inomanikidzwa ne disc herniated, chiremba angangoita ongororo yetsinga kuti aongorore simba remhasuru. Chiremba angakumbirawo murwere kuti akurure hembe kuti aone mhasuru, pese pachayo pane tsandanyama atrophy, kukwenya kana kufamba kusina kujairika.
Marwadzo ane palpation kana kufamba. Palpating zvimwe zvimiro zvinogona kupa pfungwa yeicho chiri kunyanya kurwadza. Semuyenzaniso:
- The sacroiliac joint kurwadziwa pa palpation inogona kuratidza kuti murwere ane sacroiliac joint dysfunction.
- kana iripo kurwadziwa kana kutwasanudza gumbo inogona kunge iri chiratidzo chepinched nerve.
- The kurwadziwa nekumanikidza kuzasi inogona kuratidza kurwadziwa kubva kune yakaora disc.
Ongororo yezviratidzo zvakananga
Kuongorora kwakakwana kwezviratidzo, inosanganisira nzvimbo yemarwadzo, tsananguro yekuti marwadzo anonzwa sei, uye kana mamwe mabasa, zvinzvimbo kana marapirwo anoita kuti marwadzo anzwe zviri nani kana zvakanyanya.
Ongororo yenhoroondo yezvekurapa
Nhoroondo yezvehutano yakakwana inokosha kuti irege kubuda (muzivise iye) zvimwe zvinogona kuitika zvinogona kukonzera murwere kurwadziwa. Nhoroondo inosanganisira ruzivo rwakadai sematambudziko ehutano anowanzoitika, zvirwere zvakapfuura, kurapwa uye kuvhiyiwa kwekare, kusanganisira maitiro ezvinodhaka.
kuongororwa kwekuongorora
Mushure mekugadzira maonero pamusoro pechikonzero chekurwadziwa kwemurwere, chirwere chekuongorora chirwere chinogona kurairwa kuti chisimbise dambudziko repinal disc uye / kana kuwana mamwe mashoko, senge nzvimbo ye disc herniated uye incised nerve midzi.
Miedzo yekuongorora inogona kusanganisira:
TAC – tomografía axial computarizada (TAC)
Vanoshanda ne x-rays, asi nekombuta unogona kugadzirisa mufananidzo muzvikamu zvakachinjika kuti uwane rumwe ruzivo rwemuzongoza.
Magnetic Resonance Imaging (IRM)
Inobvumira varapi kuongorora kwakajeka uye kwakaringana kwetsinga dzemusana uye anatomy, kusanganisira disc alignment, kureba, hydration uye kuumba.
MRI haisi kuongororwa kwechiremba. Migumisiro yekuedza paMRI kana imwe bvunzo haisi iyo pachayo kuongororwa kuti herniated disc iripo. Vanhu vakura vakawanda 30 vane imwe nhanho yematambudziko edhisiki, asi vashoma vachave nemarwadzo ane chekuita neizvi.
Muchidimbu, kuongororwa kwemuviri kwemurwere uye zviratidzo zvinofanirwa kuenderana neMRI kana zvimwe zviwanikwa zvekuedzwa kuti zvisvike pakuongororwa kwekurapa kwakaringana..
Ipapo chete ndipo panogona kuita chirongwa che kurapa kunoshanda kumurwere, sezvo zvinosanganisira kurapwa kwetsinga inobatwa ne disc herniated, disc kurwadziwa kubva degenerative disc chirwere, kana chimwe chimiro.
discogram
Kana kuvhiyiwa kunofungidzirwa kuti kunobvisa marwadzo e disc, vamwe vanachiremba vanogona kukurudzira discography kuitira kusimbisa iyo yakakanganiswa disc. mumuedzo uyu, x-ray dhayi inopinzwa mu disc, nekutenda kuti murwere ari kurwadziwa ne disc disc (degenerative disc chirwere) kunyangwe iyo jekiseni yekusiyanisa svikiro inodzoreredza kurwadziwa kwakajairika. Muedzo uyu une gakava rekuti ibvunzo here kana kuti kwete., chaiyo, uye vanachiremba vakawanda havashandisi discography, kunze kwemamiriro ezvinhu akasiyana.
Bone scan
X-ray hairatidze disc herniated, Saka, isingashandiswe pakuongororwa uku. Zvakadaro, x-ray inogona kududzira zvimwe zvikonzero zvekurwadziwa, semuenzaniso zvirwere, mapundu, mapfupa kukura, vertebral dislocation kana vertebral fractures.
myelography
Mune myelography, nyaya yemavara inounzwa mumugero wemusana., kuratidza kuvapo kwe disc herniation uye mamwe matambudziko mumusana wepelinha. Zvakadaro, mifananidzo yakawanikwa ndeyehurombo, nei myelography yekuongororwa kwe intervertebral hernia isingawanzoshandiswa.
electromyography (EMG) uye chidzidzo chekufamba kwetsinga
Iyi bvunzo inoyera kusimba kwesimba remagetsi rinofambiswa neimwe tsinga uye kubatsira kuona kuti tsinga yakakuvadzwa ndeipi uye kupi..
Pane nzira dzakawanda kubvisa herniated disc., pakati pavo: Kuva, endoscopic uye microsurgical kubviswa. Asi kunewo mamwe matekiniki apo nzira dzemazuvano dzinopinda zvishoma dzinoshandiswa., kusanganisira inotonhora plasma nucleoplasty, hydroplastic uye intraosseous blockage.
Kuvhiya kwekubvisa herniated disc kune chinangwa chekugadzirisa uye kudzorera pulpal nucleus yakabviswa kubva kune intervertebral disc nekuputsa annulus fibrosus..
Kunyangwe kubvisa hernia kuri kuve kwakachengeteka uye kushoma kushungurudza kumurwere, kune njodzi. Ngationei kuti izvi ndezvei:
Njodzi dzekuvhiya herniated disc.
Migumisiro uye zvinetso mushure mekupindira kwekuvhiya kubvisa intervertebral hernia ndeye:
- Kuzvimba kweakakuvara disc
- Utachiona
- nerve root trauma
- incontinence zvichibvira
- Ngozi yekutsemuka kwemusana uye cerebrospinal fluid leak
- kukura kwekubuda ropa
Panewo njodzi yekuti hernia idzokorore kana kukura mune dzimwe nzvimbo dzemusana.. Ndicho chikonzero chisarudzo chekuvhiyiwa chinofanira kuitwa chete mushure mekuongorora kwakakwana kwemurwere..
Lumbar disc herniation rehabilitation
Mushure mekuita disc herniation, murwere anofanira kupinda munguva yekuvandudzwa. Nguva yenguva iyi inobva pane maitiro emurwere uye kuoma kwechirwere. (saizi yehernia, chikamu chemuzongoza wakashandiswa, etc.).
Panguva yekudzorera, nzira dzakadai se:
- Kurapa muviri
- hirudoterapia (kurapwa kwe leech)
- shock wave therapy
- Acupuncture
- magnetic laser therapy
- Electrostimulation yemuzongoza tsandanyama
Chinangwa chikuru chekugadzirisa ndechekudzorera kufamba kwemusana. Nzira dzekudzorera dzinofanira kudzoreredza kushanda kwemasuru uye kubvisa marwadzo. Chii chimwe, panguva yekuvandudza, hutano huzhinji hwemurwere hunovandudzwa.
lumbar disc herniation maitiro
Maekisesaizi anodiwa kusimbisa musana, asi usati wadzidzira mabasa aya, bvunza chiremba wetsinga dzako uye nekukurumidza paunokwanisa kuzviita, unofanira kutanga.
Lumbar disc herniation exercises inoitwa yakarara pasi kana pamakumbo mana. Kumira kana kugara chinzvimbo chinomiririra mumwe mutoro uye hazvifanirwe kuitwa ne spinal hernia, sezvo mutoro wakatwasuka unogona kuwedzera mamiriro acho ezvinhu.
Nzira dzakasiyana-siyana dzekuzvitambanudza dzinosanganiswawo. Semuyenzaniso, unogona kutambanudza musana wako wakarembera pabhawa, uremu hwemakumbo hwakakwana kutambanudza musana zvishoma nezvishoma.
Zvadaro, Ngationei pazasi kuti maekisesaizi anogona uye anofanira kuitwa. Hazvizodi chero mimwe michina, kunze kwegumbo.
achimonya mabvi
Ndakarara pagumbeze nemusana, maoko ari seri kwemusoro nemakumbo akakotama pamabvi, kugadzira kona ye 90 madhigirii. Fambisa mabvi ako parutivi, kusvika pamuganho wakanaka.
Ramba uri pachinzvimbo ichi 5-10 seconds. Isu tinosimudza zvakare kunzvimbo yekutanga uye tinodzika kune rumwe rutivi.
chengetedza musana wako. Simudza pelvis yako kusvika pakona pakati pemuviri wako nemakumbo. Edza kusasimudza zvitsitsinho zvako kubva pasi, kuitira kuti makumbo arege kurembera mumhepo. Dzokorora 10 nguva munzira imwe neimwe.
Tambanudza uye kuenzanisa
Kuti tiite chiitwa ichi tinova 2 magumo: gumbo (ibvi) uye ruoko kumativi akasiyana emuviri.
Tinotanga nechinzvimbo chekati pakutanga (pamakumbo mana). Tambanudza gumbo rimwe kumashure uye ruoko rwakatarisana zvakateerana, mberi. Batisisa 10 masekonzi munzvimbo iyi uye shandura rutivi. Dzokorora 5 nguva.
Muraravungu kana katsi kurovedza muviri
mirai namakumbo mana, nemusoro nemaoko zvakatwasuka. Matinji anofanira kunge akatarisa mberi. Musoro pasi, paunozembera musana wako, kusvikira wawana nzvimbo yeuta, kubva kumusoro kusvika kumuswe.
Dzokera kunzvimbo yekutanga zvishoma nezvishoma. Tinoita 10 murarabungu unodzokorora.
Maekisesaizi emuzongoza ane lumbar disc herniation akasiyana zvekuti zviri nyore kuburitsa misimboti yavo pane kunyora ese.. Isu takatsanangura chikamu chidiki chete chezvose zviripo sarudzo.
Chinhu chinonyanya kukosha ndechekusimbiswa zvishoma nezvishoma kwemisumbu, kuitira kuti pasava nemigumisiro yakaipa. Consistency inopa mhinduro dzakavimbiswa. Kana iwe uchigara uchitora chikamu mumwedzi, uchanzwa zviri nani.
