DISC DISICCATION - ZVINOKONZERA, ZVIRATIDZO, KUONGORORA UYE KURAPA - PAMPEREDPEOPLENY.COM

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Unofanira Kutarisa

Usapotsa

Kumba Hutano Kukanganisa kurapa Kukanganiswa Kurapa oi-Devika Bandyopadhya Na Devika bandyopadhya Kubvumbi 14, 2019

Disc desiccation inoonekwa sechimwe chikamu chekweguru. Iyo musana unoumbwa nemapfupa anozivikanwa se vertebrae. Pakati peaya ma vertebrae, pane madhiri akazadzwa nemvura. Aya madhisiki anogona kutanga kushanduka madiki uye mashoma kushanduka sezvaanopera mvura mumuviri ^[1] . Nekudaro, kuregererwa kwemadhisiki aya kunoonekwa sehurwere hwakajairika hunokonzereswa nematukisi kupera simba. Izvi zvinoonekwa zvakare neimwe nzira semadhisiki anotanga kudzikira kana kuparara ^[piri] .

Verenga pamusoro kuti uzive zvakawanda nezve disc disiccation, zviratidzo zvayo, zvinokonzera, kuongororwa uye nzira dzekurapa.

Chii chinonzi Disc Disiccation?

Iyo yakaoma, spongy disc, iri pakati peimwe vertebra, inoshanda sekuvhundutsa absorber. Kana madhisiki aya akatanga kupera pasi, inoonekwa sechikamu cheimwe nzira inonzi degenerative disc chirwere.

Disc desiccation inozivikanwa sehosha inoitika nekuda kwekushayiwa mvura kwemvura mumadhisiki ako. Kana ma vertebral discs azere nemvura, inochinja uye yakasimba. Zvisinei, apo munhu anotanga kuchembera, ma disc anotanga kupera mvura zvichikonzera kurasikirwa zvishoma nezvishoma kwemvura yavo. Iyo disc fluid inozotsiviwa ne fibrocartilage (yakaoma fibrous tishu inoumba chikamu chekunze che disc) ^[3] .

Izvi zvinotevera zvikamu zvishanu zvakasiyana zvemuzongoza ^[4] :

1. Cervical musana (mutsipa): Mapfupa manomwe ekutanga ari pamusoro pemutsipa

2. Thoracic musana (pakati kumashure): Iwo mapfupa gumi nemaviri pazasi pemuromo wechibereko

3. Lumbar musana (pasi musana): Aya mapfupa mashanu pazasi pemusana wechipfuva

4. Sacral musana: Aya mapfupa mashanu pazasi penzvimbo yemakumbo.

5. Coccyx: Mapfupa mana ekupedzisira emuzongoza akasanganiswa pamwechete. Izvi zvinotsigira pasi pechiuno.

Dhisiki iri pakati pemitsipa yemumutsipa inodzivirira mapfupa kubva pakukweshana.

Zviratidzo zveDisc Desiccation

Zviratidzo zvakatarwa zvichienderana nenzvimbo yakakanganiswa yemuzongoza. Semuenzaniso, cervical spine disc desiccation inoguma nekurwadziwa kwakanyanya kwemutsipa, nepo lumbar disc desiccation inokonzeresa marwadzo munzvimbo yepazasi yekumashure.

Zviratidzo zve disc discication zvinotevera ^[5] :

Kushaya simba
Kuomarara
Kuderedzwa kana kurwadza kufamba
Chiveve mumakumbo kana tsoka
Kupisa kana kurira kwekunzwa, kunyanya mudunhu rekuseri
Chinja mumabvi uye tsoka tsoka
Sciatica (kurwadziwa kunokonzerwa nekutsamwa kweiyo sciatic nerve)

Zvinokonzera Disc Disciccation

Chikonzero chinowanzoitika cheakaomeswa madiski kukwegura (pfeka uye kubvarura musana wako) ^[6] . Izvi zvinotevera zvimwe zvezvimwe zvikonzero zvekudzikisa disc ^[7] :

Kurera kana kurasikirwa
Njodzi kana kushungurudzika
Dzokororo inofamba inokanganisa musana (sekusimudza zvinhu zvinorema)

Disc Desiccation Kuongorora

Izvo zvese zvinowanzo kutanga nekurwadziwa kwepashure musana. Vazhinji vanhu vanodzidza kuti vane disc deiccation chete mushure mekunge vabvunza chiremba kuti vawane mushonga wekurwadziwa kumusana nguva dzese. Chiremba anotanga kuongororwa neruzivo nezve nhoroondo yezvekurapa yemurwere ichiteverwa nekuongororwa kwemuviri.

Kunze kwekuziva nhoroondo yako yezvokurapa yapfuura, chiremba wako angangodawo kuziva zvinotevera ^[8] :

Chii chinoita kuti kurwadziwa kuve nani
Pakatanga kurwadziwa
Chii chinoita kuti kurwadziwa kwacho kuwedzere
Kakawanda sei kurwadziwa kunoitika
Rudzi rwekurwadziwa
Kana kurwadziwa kuchipenya kune dzimwe nzvimbo dzomuviri

Chiremba aiongorora musana, makumbo nemaoko kuti aone mhando yemarwadzo uye kwairi kupenya. Chiremba aifambisa maoko nemakumbo kuti aone kana paine kuderera kwehuwandu hwekufamba ^[9] . Simba remhasuru dzakasiyana siyana raizoedzwawo pamwe chete nemuyedzo wekutarisa manzwiro mumakumbo uye nekudzika kwetendon reflexes ^[10] . Ruzivo urwu rwese runoshandiswa nachiremba kuti aone disc chaiyo ingangodaro yainge yakanganiswa. Chiremba wako anogona zvakare kukutumira iwe kune imwezve kuyedzwa iyo inogona kusanganisira zvinotevera:

CT scan
X-ray
MRI scan

Iyo X-ray kana scan mhinduro zvaizobatsira chiremba kuti atarise zvakananga kumapfupa uye chimiro chemuzongoza wako. Mifananidzo yacho zvakare inobvumidza chiremba kuti atarise chimiro uye saizi yedhisiki. Dhisiki dzakadhindwa dzinowanzo kuoneka dzakatetepa kana diki. Akadonhedzwa disks haana kunyatsoenderana muchimiro ^{[gumi neimwe]} . Iwo mapfupa airatidzawo imwe huwandu hwekukuvara nekuda kwekukwikwidzana.

Disc Desiccation Kurapa

Kana akaomeswa disks asiri kukonzera chero kwakanyanya kurwadziwa kana kusakanganisa zviitiko zvako zvezuva nezuva, saka hapana chairo kurapwa kuri chaicho kunodikanwa. Zvakangodaro, anotevera ndiwo mimwe mishonga yaunogona kufunga yekurapa madhisiki ane desiccated.

Dzivisa kusagadzikana mamiriro
Shandisa chibooreso kumusana kwako kana uchisimudza zvinhu zvinorema ^[12]
Tevera huremu hutongi ^[13] pamwe nekudzidzira kwepakati kwekuwedzera simba remhasuru dzekumashure.
Tora over-the-counter kana mushonga wepiritsi unodzora pese panodiwa.
Kushandiswa kwemajekiseni e-steroid ^[14] kana anesthetic yemuno kubvisa kuzvimba uye kurwadziwa

Massage Therapy inogona kubatsira kudzikamisa kushungurudzika kunorwadza nekuzorodza mhasuru padhuze neakaremara vertebrae.

Kupindira kwekuvhiya kunogona kudikanwa kana nzira dzataurwa pamusoro idzi dzisingashande.

Izvi zvinotevera zvimwe zveanogona kurapwa maitiro ekurapa madhisiki akaomeswa:

Fusion: Iwo ma vertebrae akakomberedza disiccated disc achabatanidzwa pamwechete ^{[gumi neshanu]} . Izvi zvinogadzirisa musana uye zvinodzivirira kufamba uko kunogona kukuvadza kusagadzikana kana kurwadziwa.

Kururamisa: Iko kusarongeka kwakamonana kwemuzongoza kunogadziriswa kuburikidza nekugadzirisa kunodiwa ^[16] . Izvi zvinogona kudzikamisa marwadzo uye kuwedzera huwandu hwekufamba.

Kudzvinyirira: Iyo yekuwedzera pfupa kana dhisiki zvinhu izvo zvabuda kunze kwenzvimbo zvichabviswa ^[17] . Izvi zvinoitirwa kugadzira nzvimbo yemitsipa yemuzongoza.

Anodyara: Chakagadzirwa discs (aizivikanwawo spacers) ^[18] inoiswa pakati pemitsetse kuitira kumisa mapfupa kuti asakweshane.

Dzimwe nguva zvingaite senge zvakakodzera kuti uenderere mberi nepfungwa yechipiri kana yechitatu usati wafunga nezvekupindira kwekuvhiya kwemadhisiki akaomeswa. Gara uchienda kuna wepelinha nyanzvi uyo anogona kukupa iwe dzese dzakanakisa kurapwa nzira.

Iyo Disc Desiccation Inodzivirirwa?

Kunyangwe nekukwegura, disc disciccation inoita kunge iri pachena. Nekudaro, iwe unogona kutora matanho akakosha kudzora maitiro.

Dzimwe dzenzira dzekudzivirira dzinotevera ^[19] :

Ita nguva dzose kutambanudza maitiro
Sanganisa maitiro akasimbisa ekusimbisa mune ako maitiro
Chengetedza huremu hune hutano kuti usaise kumanikidza kumusana wako
Ramba uine hydrated
Nguva dzose chengetedza yakanaka musana
Dzivisa kuputa (sekusvuta kunogona kukurumidza kushomeka kwema discs ako)

Pane Yekupedzisira Chiziviso ...

Disc desiccation yakajairika uye inogona kutaridzirwa seyakaitika mamiriro ekukwegura. Muzviitiko zvakawanda, kuita mamwe mararamire shanduko pamwe nedanho rekuchengetedza kunogona kubatsira vakweguru kubata uye kudzivirira marwadzo kubva pakuwedzera.

Muchiitiko chekuti hupenyu hwako hwezuva nezuva huri kukanganiswa nekuda kwechirwere ichi bvunza nyanzvi yemuzongoza uyo anokwanisa kuuya nehurongwa hwekurapa hunogona kudzikisa marwadzo uye kuwedzera kufamba kwemazuva ese.

Wona Chinyorwa Mareferenzi

[1]Waxenbaum, J. A., & Futterman, B. (2018). Anatomy, Kudzoka, Intervertebral Discs. InStatPearls [Indaneti]. StatPearls Kudhinda.
[piri]Paajanen, H., Erkintalo, M., Parkkola, R., Salminen, J., & Kormano, M. (1997). Zera-rinotarisana nekuenderana kwekutambudzika kwepashure uye lumbar disc degeneration. Zvivakwa zvekuvhiya kwemapfupa uye kushungurudzika, 116 (1-2), 106-107.
[3]Taher, F., Essig, D., Lebl, D. R., Hughes, A. P., Sama, A. A., Cammisa, F. P., & Girardi, F. P. (2012). Lumbar degenerative disc chirwere: zvazvino uye zvenguva yemberi pfungwa dzekuongorora uye manejimendi. Kufambira mberi mune orthopedics, 2012, 970752.
[4]Nógrádi, A., & Vrbová, G. (2006). Anatomy uye physiology yemuzongoza. InTransplantation yeNeural Tissue muSpinal Cord (map. 1-23). Springer, Boston, MA.
[5]Knezevic, N. N., Mandalia, S., Raasch, J., Knezevic, I., & Candido, K. D. (2017). Kurapa kwekusingaperi kusuruvara kwekushure - nzira nyowani kumusoro. Journal rekurwadziwa kwekutsvaga, 10, 1111-1123.
[6]Smith, L.J, Nerurkar, N. L., Choi, K. S., Harfe, B. D., & Elliott, D. M. (2010). Kugadziriswa uye kumutsiridzwa kweiyo intervertebral disc: zvidzidzo kubva mukuvandudza.Deasease modhi & mashandiro, 4 (1), 31-41.
[7]Feng, Y., Egan, B., & Wang, J. (2016). Genetic Factors muIntervertebral Disc Degeneration Zvipenga nezvirwere, 3 (3), 178-185.
[8]Omidi-Kashani, F., Hejrati, H., & Ariamanesh, S. (2016). Mazano Gumi Akakosha Mukurapa Murwere neLumbar Disc Herniation.Asian spine magazini, 10 (5), 955-963.
[9]Suzuki, A., Daubs, M. D., Hayashi, T., Ruangchainikom, M., Xiong, C., Phan, K.,… Wang, J. C. (2017). Maitiro eCervical Disc Degeneration: Kuongorora kweMagnetic Resonance Kufananidza Kwevanopfuura 1000 Symptomatic Subjects.Global spine magazini, 8 (3), 254-259.
[10]Walker, HK, Horo, W., & Hurst, J. W. (1990). Diplopia - Clinical Maitiro: Iyo Nhoroondo, yePanyama, uye Rabhoritari Bvunzo.
[gumi neimwe]Brinjikji, W., Luetmer, P.H, Comstock, B., Bresnahan, B. W., Chen, L. E., Deyo, R. A.,… Jarvik, J. G. (2014). Kugadziriswa kwemabhuku kuongorora kwekufungidzira maficha ekumusana kwepasina mune asymptomatic populations. AJNR. Magazini yeAmerica yeurouradiadiology, 36 (4), 811-816.
[12]Nicholson, G. P., Ferguson-Pell, M. W., Smith, K., Edgar, M., & Morley, T. (2002). Chiyero chekuyera kwekushandisa musana uye kutevedzera mukurapa kwevechiri kuyaruka idiopathic scoliosis.Studies muhutano hwehunyanzvi uye ruzivo, 91, 372-377.
[13]Belavý, D. L., Quittner, M. J., Ridgers, N., Ling, Y., Connell, D., & Rantalainen, T. (2017). Kumhanya kurovedza muviri kunosimbisa iyo intervertebral disc. Sayenzi nhoroondo, 7, 45975.
[14]Buttermann, G. R. (2004). Mhedzisiro yespinal steroid majekiseni ezvekudzikisira disc chirwere. Iyo Spine Journal, 4 (5), 495-505.
[gumi neshanu]Djurasovic, M., Carreon, L. Y., Crawford III, C.H, Zook, J. D., Bratcher, K. R., & Glassman, S. D. (2012). Iko kukanganisa kwe preoperative MRI kuwanikwa pane lumbar fusion kiriniki mhedzisiro. European Spine Journal, 21 (8), 1616-1623.
[16]Khan, A. N., Jacobsen, H. E., Khan, J., Filippi, C. G., Levine, M., Lehman, R. A., Jr,… Chahine, N. O. (2017). Inflammatory biomarkers ekurwadziwa kwepashure uye disc degeneration: ongororo. Annals yeNew York Academy yeSainzi, 1410 (1), 68-84.
[17]Djurasovic, M., Carreon, L. Y., Crawford III, C.H, Zook, J. D., Bratcher, K. R., & Glassman, S. D. (2012). Iko kukanganisa kwe preoperative MRI kuwanikwa pane lumbar fusion kiriniki mhedzisiro. European Spine Journal, 21 (8), 1616-1623.
[18]Beatty, S. (2018). Isu Tinofanirwa Kutaura nezve Lumbar Yese Disc Replacement .Yepasi rose magazini yekuvhiya musana, 12 (2), 201-240.
[19]Smith, L.J, Nerurkar, N. L., Choi, K. S., Harfe, B. D., & Elliott, D. M. (2010). Kugadziriswa uye kumutsiridzwa kweiyo intervertebral disc: zvidzidzo kubva mukuvandudza.Deasease modhi & mashandiro, 4 (1), 31-41.