I-disc ye-intervertebral iyisakhiwo sokwakha umgogodla, noma umgogodla.

Isikhundla. I-disc intervertebral ingeyomgogodla, isakhiwo sethambo esiphakathi kwekhanda nesikhumba. Ukuqala ngaphansi kogebhezi futhi kunabele esifundeni sezitho zangasese, umgogodla wakhiwa ngamathambo angama-33, umgogodla (1). Ama-disc intervertebral ahlelwe phakathi kwama-vertebrae angomakhelwane kodwa angama-23 kuphela ngenombolo ngoba awekho phakathi kwama-vertebrae amabili okuqala wesibeletho, kanye nasezingeni le-sacrum ne-coccyx.

Ukwakheka. I-disc ye-intervertebral iyisakhiwo se-fibrocartilage esihlala phakathi kwezindawo zomzimba zemizimba emibili engomakhelwane. Yakhiwe izingxenye ezimbili (1):

• Indandatho enemicu yisakhiwo somphetho esakhiwa yi-fibro-cartilaginous lamellae efakwa emzimbeni we-vertebral.
• I-nucleus pulposus iyisakhiwo esiphakathi esakha isisindo se-gelatinous, esobala, sokuqina okukhulu, futhi sinamathiselwe kwindandatho enemicu. Ime kahle ngasemuva kwediski.

Ubukhulu bama-disc intervertebral buyahluka ngokuya ngezindawo zawo. Indawo ye-thoracic inama-discs ama-thinnest, ama-3 kuya ku-4 mm ubukhulu. Ama-discs phakathi kwe-vertebrae yomlomo wesibeletho anokuqina okusukela ku-5 kuye ku-6 mm. Isifunda esiyinqwaba sinamadiski e-intervertebral aminyene anesisindo esingu-10 kuye ku-12 mm (1).

Indima yokudonsa okushaqisayo. Ama-discs e-intervertebral asetshenziselwa ukuthola ukushaqeka nokucindezela okuvela emgogodleni (1).

Indima ekuhambeni. Ama-discs e-intervertebral asiza ukudala ukuhamba nokuguquguquka phakathi kwama-vertebrae (2).

Indima ngokubumbana. Indima yama-disc intervertebral ukuhlanganisa umgogodla kanye nama-vertebrae phakathi kwabo (2).

Izifo ezimbili. Kuchazwa njengobuhlungu bendawo obuvela kakhulu emgogodleni, ikakhulukazi kuma-disc intervertebral. Ngokuya ngomsuka wazo, kunezinhlobo ezintathu eziyinhloko ezihlukaniswayo: ubuhlungu bentamo, ubuhlungu beqolo nobuhlungu bomhlane. I-Sciatica, ebonakaliswa ubuhlungu obuqala emhlane ongezansi futhi ifinyelela emlenzeni, nayo ivamile futhi ibangelwa ukucindezelwa kwesibindi se-sciatic. Izifo ezahlukahlukene zingaba umsuka walobu buhlungu. (3)

I-osteoarthritis. Le pathology, ebonakala ngokugqoka uqwanga oluvikela amathambo amajoyinti, ingathinta ngokuphawulekayo i-disc intervertebral (4).

Idiski ye-Herniated. Le pathology ihambelana nokuxoshwa ngemuva kwe-nucleus pulposus yediski ye-intervertebral, ngokugqoka okwakamuva. Lokhu kungaholela ekucindezelweni komgogodla noma emithanjeni ye-sciatic.

Izidakamizwa zokwelapha. Ngokuya ngesifo esitholakele, imishanguzo ethile ingahle inikezwe njengamaphilisi ezinhlungu.

Physiotherapy. Ukuvuselelwa emuva kungenziwa ngokusebenzisa i-physiotherapy noma ama-osteopathy sessions.

Ukwelapha okuhlinzwa. Ngokuya nge-pathology etholakele, ukungenelela kokuhlinzwa kungenziwa ngemuva.

Ukuhlolwa komzimba. Ukuqaphela ukuma emuva ngudokotela kuyisinyathelo sokuqala ekuboneni okungajwayelekile kuma-disc intervertebral.

Ukuhlolwa kwe-Radiological. Ngokuya nge-pathology esolwayo noma efakazelwe, ezinye izivivinyo zingenziwa njenge-X-ray, i-ultrasound, i-CT scan, i-MRI noma i-scintigraphy.

Ishicilelwe ephephabhukwini lesayensi i-Stem Cell, i-athikili iveza ukuthi abacwaningi abavela ku-Inserm unit baphumelele ukuguqula ama-adipose stem cells abe ngamaseli angathatha indawo yama-disc intervertebral. Lokhu kuzokwenza ukuthi kuvuselelwe ama-disc intervertebral agugile, okuyimbangela yezinhlungu ezithile ze-lumbar. (6)