Kuchiza kwa herniated disc makamaka kumakhudza kulunjika zina, kusiya makhalidwe owopsa kwa nsana ndi kutenga Mankhwala kuthetsa ululu ndi kuchepetsa kutupa. Nthawi zambiri, izi ndizokwanira kuchepetsa zizindikiro ndikuchiritsa diski ya herniated. M'malo mwake, pafupifupi 60% ya anthu omwe akhudzidwa amalabadira chithandizochi mu sabata limodzi, ndi 1% pasanathe milungu isanu ndi umodzi. The opaleshoni sichifunikira kawirikawiri.

Pumulani kumbuyo

Le kupumula kwa bedi zitha kukhala zothandiza kwa 1 tsiku kapena 2 pazipita mu gawo la ululu wowawa kwambiri. Komabe ndikwabwino kusatalikitsa mpumulowu kupyola tsiku limodzi kapena 1 ndikuyambiranso ntchito zake posachedwa. Kusachitapo kanthu ndi kukhala chete kungayambitsekulephera ndikufooka minofu ya msana ndi kusokoneza kuyenda kwabwino kwa mafupa a lumbar msana.

The malo zomwe zimathandizira bwino msana wa lumbar ndi:

• atagona chammbali, mawondo amapindika, pilo pansi pamutu ndi wina pakati pa mawondo (amayi oyembekezera akhoza kuwonjezera pilo pansi pa mimba yawo);
• atagona chagada, wopanda mtsamiro pansi pamutu, wokhala ndi mtsamiro umodzi kapena zingapo pansi pa mawondo ndi chopukutira chopukutira kapena kashishi kakang'ono m'dzenje la m'munsi.

M'masiku oyambirira, ntchito za ayezi pa msana, pafupi ndi chophukacho, kuthandiza kuchepetsa ululu (koma osati kutupa, anagona mozama kwambiri). Pambuyo pake, amalangizidwa kuti agwiritse ntchito kutentha kapena kusamba madzi otentha.

Mankhwala

Kuti muchepetse kupweteka kwakanthawi kwakanthawi kochepa (nthawi zambiri masiku 7 mpaka 10, nthawi zina 2 mpaka masabata a 3, koma kawirikawiri), mankhwala amatengedwa. mankhwala opha ululu (acetaminophen: Tylenol® kapena acetylsalicylic acid: Aspirin®), Anti-yotupa (monga ibuprofen: Advil®, Motrin®, mwachitsanzo) kapena minofu yopumula (Robaxacet). Ngati ululuwo ndi waukulu komanso wosalekeza, dokotala akhoza kupereka mankhwala opha ululu amphamvu kwambiri monga mankhwala osokoneza bongo, kapena mankhwala oletsa kutupa.

Mfundo. Ndikofunika kuti amayi apakati funsani dokotala musanamwe mankhwala aliwonsewa.

Mankhwala ndi jekeseni. Kuthana ndi ululu wosalekeza, jakisoni wa epidural wa corticosteroids kapenamankhwala opha ululu nthawi zina amalembedwa. THE'jakisoni wa enzymes (chymopapain) mu intervertebral disc ingathenso kuchitidwa. Ma enzymes amawononga gawo lotuluka la diski lomwe limakanikiza minyewa, kupewa opaleshoni. Kumbali inayi, ma enzymes amakonda kugwiritsidwa ntchito mochepera chifukwa amatha kuyambitsa kuyabwa kwambiri.

Physiotherapy

Zizindikiro zikachepa, dokotala atha kulembera magawo a kusintha kuti afulumizitse machiritso athunthu. Izi makamaka ndizochita masewera olimbitsa thupi omwe amawongolera kaimidwe, kulimbitsa minofu ya msana ndi pamimba komanso kuti thupi likhale losavuta.

opaleshoni

The mankhwala opangira opaleshoni amagwiritsidwa ntchito ngati ululu ukupitirira ndipo ndi wovuta, ngati pali kufooka kwa minofu kosalekeza pa mkono, mwendo, chala, ndi zina zotero, kapena ngati muli ndi zizindikiro zoopsa kwambiri.

Opaleshoni imachotsa kupanikizika komwe intervertebral disc imapanga pamizu ya mitsempha. Njira zosiyanasiyana zimagwiritsidwa ntchito. The discectomy imakhala ndi kuchotsa kwathunthu kapena pang'ono diski ya intervertebral. Opaleshoni imeneyi ingathenso kuchitidwa laparoscopically: ndi microdiscectomy. Njira yocheperako imeneyi imafunikira kung'amba pang'ono pakhungu. Amagwiritsidwa ntchito kwambiri ku United States, koma akadali ochepa ku Quebec. Mitundu iwiri ya maopaleshoni imapereka zotsatira zofanana.

Opaleshoniyi imakhudzanso zoopsa zina : kutenga matenda, kuvulaza mitsempha, kukhala ndi zipsera za fibrous, kapena kuika maganizo pa minyewa ina.