I-internebral hernia yomlomo wesibeleko sisifo esiqhelekileyo, iimpawu zazo zifumaneka rhoqo kubantu abaneminyaka engama-30 ukuya kuma-50. Makhe siqwalasele ngokubanzi iinkcukacha zeziphi izifo kunye nendlela yokuyiqonda.
Iyintoni i-hernia yomkhuhlane wesibeletho?
Ummandla wentsholongwane ngumgangatho ophezulu kwikholam ye-vertebral, equkethe ama-vertebrae asixhenxe. Le nxalenye yomgudu ibonakaliswe ukuhamba okukhulu kwaye, ngexesha elifanayo, inokubakho ubunzima bokulimala kabuhlungu.
Amandla kunye nokuguquguquka komgudu kunikezelwa ngama-disvertebral discs eziphakathi kwe-vertebrae kunye namacwecwe e-fibrocarticular. I-disc intervertebral inamalungu amabini:
- nucleus;
- indandatho.
Ngomsila kukho ukufuduka kweengxube ze-nucleus kunye nokuqhekeka kwendandatho ye-fibrous, ngenxa yoko izimpande zentsholongwane ezisuka kumgca womgcini zixinyiwe. Kukho ukuphulwa kokunikezelwa kweengcambu zentliziyo kunye ne-oksijeni kunye nezondlo, kwaye ukuqhuba kwe-nerve impulse kuyancitshiswa.
Izizathu ze-hernia yomkhuhlane wesibeletho:
- ukunyanga okungekho;
- umgudu womgudu;
- imithwalo engenangqiqo emthonjeni;
- yokuphila;
- iinkqubo ezonakalisayo kwi-vertebrae, njl.
Iimpawu ze-hernia yomkhuhlane wesibeletho
Iimpawu ze-hernia kumlonyeni wesibeletho, njengomthetho, zivela ngokukhawuleza. Ukubonakaliswa kwesi sifo kunokungafani ngokuxhomekeka kwintsimi enentlungu. Iimpawu eziphambili ze-internebral hernia yommandla wesibeleko zilandelayo:
- iintlungu ezingapheliyo, ezibuhlungu entanyeni (ininzi, indawo engasemva komyinge), ekhuphuka ngokutshintsha kunye nemithambeka yentloko, ngokukhwehlela nokukrazula;
- i-irradiation yevalelo ezibuhlungu, apho kukho ukuxhatshazwa kwemisipha kunye nokulungiswa kwesikhonkwane somthi, emagxeni, emagxeni okanye engalo;
- intloko kunye nesisu;
- uxinzelelo lwegazi luya
- kunzima kweminwe ;
- ukuvakalelwa, ukukhathazeka kwesifo kwizandla;
- ukulala nokukhunjulwa kwememori, njl
Ngokukhawuleza iimpawu ze-hernia ye-vertebra yesibeleko zifunyenwe, inkqubo yonyango iya kuba lula. Kodwa ke kufuneka kuthethwe ingqalelo ukuba imiqondiso yekliniki ingentla ingabonwa kwezinye izifo, ngoko ke, ukuze kusetyenziswe ukuxilongwa okuchanekileyo, ukuxilongwa kwezinto ezifunekayo kuyasebenza.
Ukuxilongwa ngeempawu ze-vertebral hernia yomlomo wesibeleko
Indlela eyona ndlela yokufundisa kunye neye-atraumatic yokuxilongwa kwe-hernia ye-intervertebral kwisebe lomlomo wesibeleko i-imagery magnetic resonance imaging (MRI). Ngolu hlobo, ingcali inokufumana ulwazi olunzulu malunga nobukhulu kunye nesakhiwo se-hernia, ukunyuka kwendlela yokuqhubela phambili, ukucima i-hernia ejikeleze izakhiwo ezijikelezayo, ukuhamba kunye nokuhlola imeko yomgudu ngokubanzi.
Ukuchonga i-hernia intervertbral kwintlambo yomlomo ingaphinda isebenzise i- computed tomography (CT). Kodwa ngale ndlela isakhiwo seetyhuse ezithambileyo kwimifanekiso
I-ray-ray kunye neempawu ze-hernia aziqhelwanga ngokukhawuleza kwaye, ngokukodwa, kuphela ukukhuphela ezinye izifo zomgudu. Oku kubangelwa ukuba izibonakaliso ze-radiographic ye-hernia yommandla wesibeleko ayilwazi, kuba I-X-ray ayiyi kuzimisela iimeko eziluhlaza.
Indlela echanekileyo yinkqubo ye-myelogram (uhlobo lwe-X-ray esebenzisa idayi), okukuvumela ukuba ubone ukubethelwa kwentsholongwane, isisu, ukukhula kwamathambo. Umonakalo kwiingcambu zentliziyo ingabonwa yi-electromyography.