Cuando nos referimos a Tisi ʻoku fonu estamos haciendo referencia a lo que se conoce como Tisi protrusion. ʻOku kau heni ʻa e lahi ʻo e sila fibrous ʻoku ne fatongia ʻaki hono takatakaiʻi ʻo e intervertebral Tisi. ʻOku kehe ʻeni mei he herniated Tisi ʻi he ʻoku kau ai ʻa e konga ki tuʻa ʻo e nucleus pulposus ʻi ha fissure ʻoku tuʻu ʻi he sila fibrous ʻo e Tisi.
ʻI he foungá ni, Te tau lava ʻo talanoa ki he faikehekehe ʻo e hernia mo e protrusion ko e foʻi moʻoni ko ia kuo ʻi ai ha hu ki tuʻa mei he kanotohi pe ko hono faʻu pe ʻo e sila ʻo ʻikai hu ki tuʻa mei he kanotohi. ʻI he ngaahi meʻa kimui ni, ko e taimi ia te tau lea ai ʻo kau ki he protrusion pe Tisi ʻoku fonu.
Ko e fakakaukau ʻeni, Pea ʻi he taimi ʻe niʻihi ʻoku ʻikai faingofua ke sio ʻi ha MRI kapau kuo hoko ʻeni. ʻI he ʻuhinga ko ʻení., ʻi ha ngaahi meʻa ʻe niʻihi, ʻOku fakakaukau ha kau toketa ʻe niʻihi kapau ʻoku ʻi ai ha fakavaʻe lahi ange ʻo e resonance ʻi he vertex ʻoku lau ia ko ha protrusion; pea kapau ʻoku falahi pe lahi ange ʻa e tokoni ʻi he fakavaʻe, ʻE talanoa ia ki ha hernia.
Ífakahokohoko fakamotuʻalea
Founga ʻoku hoko ai ha Tisi bulge
ʻI he ngaahi tuʻunga angamaheni, ʻOku hoko ʻa e tisi ko ha founga angamaheni ʻoku ne fakatupu ha niʻihi ʻo e ngaahi filo ʻoku hoko ko e konga ʻo hono sila fibrous, vayan mole fano afo mo e fakafepaki; pea te ne lava foki ʻo ʻai ke nau holomui pe mavahe ʻi he taimi pē ko iá.. ʻI he taimi ʻoku hoko ai ʻení, ʻE lava ke hu mai ha konga ʻo hono gelatinous ʻoku tuʻu ʻi he Tisi ki tuʻa pea fakatupu ai ha Tisi ʻoku fonu.
ʻI he ngaahi meʻa ʻe niʻihi, ʻE lava ke mahulu hake ʻa e malohi ʻoku faingataʻaʻia ʻi he loto Tisi ʻi he ivi fakafepaki ʻo e filo ʻo e sila fibrous, ko e konga ko ia mo ha konga ʻo e Tisi protrudes pe herniates. Koeʻuhi ko e nucleus pulposus ʻoku gelatinous meʻa ʻi loto, ʻi he momeniti ʻoku laka ai ki muʻa ʻa e tuʻa, ʻOku fakahehema ʻa e Tisi ke sio ki he founga ʻoku ngaʻunu ai ʻi he tafaʻaki ʻe taha, ki mui, Ko ia ʻoku hoko ʻa e meʻa tatau ʻi he taimi ʻoku hoko ai ʻi he founga kehe.. ʻOku siʻisiʻi ange ʻa e fakafepaki ʻa e tafaʻaki ki mui ʻo e sila fibrous ʻi he tuʻunga ʻi muʻa, ʻi heʻene manifi ange, ko ia es más frecuente que el abombamiento discal aparezca en la parte trasera del disco.
ʻI he founga ni, Ko e tukunga angamaheni taha ʻoku hoko ai ha herniated Tisi ko e taimi ʻoku falala hangatonu ai ʻa e mahaki ki muʻa mo hono ongo vaʻe., ʻi he taimi ʻoku ke toʻo ai ho mamafa pea tuʻu ki ʻolunga, fakatupulaki ʻa e malohi kae ʻoua kuo laka hake ʻa e ivi fakafepaki ʻo e sila fibrous pea hoko ʻa e herniated Tisi.
Neongo ia, Tuʻunga ko ʻení, Neongo ko e meʻa angamaheni taha ia, ka ʻoku ʻikai ko e lahi taha; Pea ko e lahi taha ʻo e ngaahi meʻa ʻoku hernias ʻoku fai ia ʻe ha founga ʻo e tui mamalie ʻa e sila fibrous; pea ʻi he ngaahi meʻa siʻi ʻoku ʻi ai ha fakatupu ʻe taha ki he palopalema ko ʻeni.
ʻOku kehekehe ʻa e mamatea hono ngaahi meʻa kehe ʻoku ne fakasiʻisiʻi ʻa e malohi ʻoku poupouʻi ʻe he Tisi., y que trabajan para evitar que se produzca un Tisi ʻoku fonu, ʻi heʻenau puke ʻa e kavenga.
Ngaahi moʻoniʻi meʻa ʻoku ne fakatupulaki ʻa e malava ke faingataʻaʻia ʻi ha herniated pe bulging Tisi
ʻOku ʻi ai ha ngaahi moʻoniʻi meʻa kehekehe te ne lava ʻo fakatupulaki ʻa e malava ke herniated pe protruding Tisi, ʻo hangē pē ko kinautolú, ʻi he niʻihi kehé, Ko e ngaahi meʻa ʻeni:
- Maʻu musculature ʻoku fuʻu vaivai.
- Tangutu ʻi ha taimi loloa, tautautefito kapau ko ha taha ʻoku ʻikai ke ne fakaʻaongaʻi, ko ʻeku ʻuhinga, ʻa ia ʻoku sedentary, ʻi he fakavaveʻi ange ʻa e uoua ko ʻeni atrophy; pe ʻi hono ohi mai ʻo e ngaahi tuʻunga ʻoku fai ai ʻe he konga anterior ʻo e vertebra ha kavenga lahi ange ʻi he posterior, ʻi he fakahehema ʻi ha ngaahi houa lahi.
- Ko e moʻulaloa ki he tetetete ʻoku ne uesia ʻa e sino, ʻa ia ʻoku angamaheni ʻaki ʻi he kakai ʻoku nau fakaʻuli palau pe ngaahi misini lalahi kehe; Pea ʻe lava ʻe he meʻa ni ʻo ʻai ke faingofua ange hono toʻo e filo ʻo e sila fibrous.
- Otro de los factores que pueden provocarlo son algunos afa, ʻa ia ʻe lava ke fakafehokotaki ki he fakafepaki maʻulalo ange ʻa e sila fibrous.
Ngaahi fakaʻilonga ʻo e Tisi
ʻOku ʻi ai ha ngaahi meʻa ʻi loto pe nucleus pulposus ʻo e Tisi ʻoku ne fakamataliliʻi ʻa e ngaahi neave. ʻI he ngaahi tukunga angamaheni ʻoku ʻikai ke ʻi ai ha ngaahi neave ʻi he loto Tisi, ko ia naʻe ʻikai lava ʻe he ngaahi meʻa ko ʻeni ʻo fakatupu ha ʻitangofua ki he neave. ʻOku faʻa ʻi ai ha ngaahi neave ʻi hono konga ki tuʻa ʻo e sila pea tautautefito ʻi he ngaahi konga lateral ʻo e holisi posterior.
ʻI he meʻa ko ia ʻoku hoko ʻa e hernia ʻi ha feituʻu ʻoku ʻikai ke ʻi ai ha ngaahi neave ʻo e sila fibrous pea ʻoku siʻisiʻi hono leʻo koeʻuhi ke ʻoua naʻa compress ʻa e aka ʻo e neave, ʻikai lava ke fakatupu ha ongoʻi taʻefiemālie pe mamahi. Sin embargo en el caso de que tenga lugar en una zona en la que hay nervios, ʻE fakafiefia kiate kinautolu ʻa e ngaahi meʻa ʻoku ʻi he hernia pea ʻe fakatupu ʻe he meʻa ni ʻa e ngaahi fakaʻilonga ko ʻeni::
- Mamahi ʻi mui, en la zona lumbar o cervical, dependiendo del lugar en el que haya tenido lugar la hernia. Este estará desencadenado por la rotura de la envuelta fibrosa y por la contractura que refleja la musculatura.
- Dolor irradiado, al brazo en el caso de protusiones o abombamiento discal o hernias cervicales, y en el caso de la pierna en el caso de las lumbares. Este dolor viene dado por la liberación de los nervios de unas sustancias que provocan la inflamación del disco, la raíz nerviosa y los tejidos blancos de la zona, Makehe mei hono faitoʻi fakatupu ʻita ki he aka ʻo e neave. Pea tatau ai pe pe ʻoku lahi feʻunga ʻa e lahi ʻo e protrusion pe hernia pe ko e niumonia pupula mahuʻinga feʻunga, Te ne lava foki ʻo fakatupu ha mahino ki he aka ʻo e neave. Kapau ʻoku fakasiʻisiʻi ʻa e sensory ʻo e ngaahi neave, ʻe faingataʻaʻia ʻa e mamahi., ʻe lava ke hoko fakataha ia mo ha liliu pe mole ʻa e ongo ʻi he feituʻu ʻoku tanaki ai ʻe heʻene ongoʻingofua ʻa e neave. Kapau ʻoku fakasiʻisiʻi ha neave, ʻOku fakasiʻisiʻi ʻa e malohi ʻo e kulupu uoua innervated ʻe he neave ko ia.