Ukwelashwa i-herniated disc ikakhulukazi kuhilela ukugxila ukuphumula, ukulahla ukuziphatha okuyingozi emhlane nokuthatha izidakamizwa ukukhulula ubuhlungu nokunciphisa ukuvuvukala. Ezimweni eziningi, lezi zinyathelo zanele ukunciphisa izimpawu nokuphulukisa i-disc herniated. Eqinisweni, cishe ama-60% abantu abathintekile asabela kahle kulokhu kwelashwa evikini elingu-1, kanye nama-90% esikhathini esingaphansi kwamaviki angu-6. I ukuhlinzwa ayidingeki.

Phumula ngemuva

Le ukuphumula kombhede kungaba usizo usuku olungu-1 noma 2 esiphezulu esigabeni sobuhlungu obukhulu. Nokho kuyancomeka ukungakweluleki lokhu kuphumula kudlule usuku olungu-1 noma ezi-2 futhi uqalise kabusha imisebenzi yako ngokushesha okukhulu. Ukungenzi lutho nokuthula kungabangelai-atrophy futhiimisipha yangemuva ebuthaka futhi unciphise ukuhamba okuvamile kwamalunga omgogodla we-lumbar.

The Izikhundla ezisekela kangcono i-lumbar spine yilezi:

• elele ngohlangothi, amadolo aguqa, umcamelo ngaphansi kwekhanda nomunye phakathi kwamadolo (abesifazane abakhulelwe bangakwazi ukwengeza umcamelo ngaphansi kwesisu sabo);
• elala ngomhlane, ngaphandle komcamelo ngaphansi kwekhanda, ngomcamelo owodwa noma ngaphezulu ngaphansi kwamadolo kanye nethawula eligoqiwe noma umcamelo omncane endaweni ephansi yomhlane.

Ezinsukwini ezimbalwa zokuqala, izicelo zeqhwa emgogodleni, eduze ne-hernia, kusiza ukunciphisa ubuhlungu (kodwa hhayi ukuvuvukala, kufakwe ngokujulile kakhulu). Kamuva, kunconywa ukuthi kusetshenziswe ukushisa noma ugeze ngamanzi ashisayo.

izidakamizwa

Ukulawula ubuhlungu besikhashana esikhathini esifushane (ngokuvamile izinsuku ezingu-7 kuya kwezingu-10, ngezikhathi ezithile amaviki angu-2 kuya kwangu-3, ​​kodwa akuvamile kakhulu), izidakamizwa zivame ukuthathwa. ama-analgesics (i-acetaminophen: iTylenol® noma i-acetylsalicylic acid: i-Aspirin®), anti-inflammatory (njenge-ibuprofen: Advil®, Motrin®, isibonelo) noma iziphumuli zemisipha (Robaxacet®). Uma ubuhlungu bukhulu futhi buphikelela, udokotela angase anikeze amaphilisi ezinhlungu anamandla njengama-narcotics, noma amanani aphezulu emithi elwa nokuvuvukala.

Amanothi. Kubalulekile ukuthi abesifazane abakhulelwe bonana nodokotela wabo ngaphambi kokuthatha noma yimiphi yale mithi.

Izidakamizwa ngomjovo. Ukuze unqobe ubuhlungu obuqhubekayo, imijovo ye-epidural ye-corticosteroids nomaama-analgesics ngezinye izikhathi zinqunywa. THE'i-injection d'enzymes (i-chymopapain) ku-disc intervertebral nayo ingenziwa. Ama-enzyme abhubhisa ingxenye ephumayo yediski ecindezela inzwa, ivimbele ukuhlinzwa. Ngakolunye uhlangothi, ama-enzyme avame ukusetshenziswa kancane ngoba angabangela ukungezwani okukhulu komzimba.

Physiotherapy

Uma izimpawu sezidambile, udokotela angase anikeze izikhathi zokwelashwa ukulungiswa ukuze kusheshiswe ukuphulukiswa okuphelele. Lezi ikakhulukazi izivivinyo ezithuthukisa ukuma, ziqinise imisipha yangemuva nesisu futhi zenze umzimba ube nezimo.

ukuhlinzwa

The imithi yokuhlinzwa zisetshenziswa uma ubuhlungu buqhubeka futhi bukhathaza, uma kukhona ubuthakathaka obuqhubekayo bemisipha engalweni, emlenzeni, ezinzwaneni, njll., noma uma unezimpawu ezinzima kakhulu.

Ukuhlinzwa kususa ingcindezi eyenziwa yi-intervertebral disc ezimpandeni zemizwa. Kusetshenziswa amasu ahlukene. I i-discectomy iqukethe ukususa ngokuphelele noma ingxenye ye-intervertebral disc. Lokhu kuhlinza kungenziwa futhi nge-laparoscopically: yiyona i-microdiscectomy. Le nqubo engavamile kakhulu idinga ukusika okuncane kuphela esikhumbeni. Isetshenziswa kakhulu e-United States, kodwa isencane eQuebec. Izinhlobo ezi-2 zokuhlinzwa zinikeza imiphumela efanayo.

Ukuhlinzwa kuhilela ezinye izingozi : uthole ukutheleleka, limaza inzwa, ube nezibazi ze-fibrous, noma ubeke ingcindezi kwamanye ama-vertebrae.