Ka wehewehe o ka disc herniated

A 'ōnia 'o ia ka puka 'ana o kekahi okana a i 'ole kekahi hapa o ka okana (ka mea pinepine, ka 'ōpū) mai kona kulana ma'amau. A 'ōleʻa palaka ʻo ia ka puka ʻana o kahi ʻāpana o ka disc intervertebral.

Ma waena o kēlā me kēia o ka 24 movable vertebrae o ka spine he wehewehe intervertebral i hana ʻia me kahi ʻano fibrous a paʻa i loaʻa kahi nucleus gelatinous (e nānā i ke kiʻikuhi). Hāʻawi kēia mau diski i ka maʻalahi i ke kolamu a lilo i mea hoʻopuʻi i ka hopena o ka hopena. Hana ʻia kahi disc herniated i ka wā e nāwaliwali ai ka disc, māwae, a haki paha a hū kekahi hapa o ka nucleus gelatinous.

Lumbar disc herniation: ka herniation maʻamau

ʻOiai ka 'ōleʻa palaka hiki ke hoʻopili i kekahi wahi o ka iwi kuamoʻo, ʻo ka hapa nui o nā disc herniated e loaʻa i ka iho lalo, ma ka ʻāpana lumbar. I kēia hihia, hiki i ka hernia ke hana i ka ʻeha hope haʻahaʻa. Inā hoʻokomo ka hernia i kekahi o nā aʻa o ke aʻalolo sciatic, hiki ke hele pū me ka ʻeha ma ka wāwae hoʻokahi: ʻo sciatica kēia. Hiki i ka hernia ke hele me ka ʻike ʻole ʻia; ʻO kēia ka mea maʻamau inā ʻaʻole ia e hoʻopaʻa i kahi aʻa aʻalolo.

ʻO wai ka mea i hoʻopili ʻia?

La 'ōleʻa palaka pili nui i na kanaka kahiko 35 ke 55. na kanaka ʻoi aku ka nui o ka loaʻa ʻana o ka herniated disc ma mua o nā wahine, no ka mea, koi lākou i ko lākou ikaika kino ma o kā lākou ʻoihana a i ʻole haʻuki.

He paʻakikī ke nānā i ka laha o ka herniated disc no ka mea ʻaʻole ʻike ʻia kekahi. Hōʻike ka ʻikepili o kēia manawa he 1 i loko o 50 mau kānaka i loaʻa iā ia i kekahi manawa a i ʻole.

Nā kumu

• La ka degeneration nā disc intervertebral, e maloʻo me kamakahiki. Nalo ke kuamoʻo i kona leo, elasticity a me ke kiʻekiʻe.
• A hana hikiwawe ma ke kūlana maikaʻi ʻole, e like me ka hāpai ʻana i kahi haʻahaʻa kaumaha ma kahi kūlana torsion.
• ʻO ke koena o kaumaha a me ka hāpai keiki, ka mea e hoʻonui ai i ka haʻalulu ma ke kuamoʻo.
• A predisposition hoʻoilina : pili kekahi mau lālā o ka ʻohana i kekahi manawa. ʻO ka poʻe predisposed e maʻi i kahi disc herniated ma mua, i kekahi manawa ma mua o ka wā makua. Hiki ke alakaʻi i ka nawaliwali o nā ʻano hana i hana ʻia i ka iwi kuamoʻo.

Āhea e kūkākūkā ai?

Ma keia mau hihia, he mea pono e loaa a loiloi kino lohi ole.

• Aia kou ʻeha hope no ʻoi aku paha i kahi hebedoma a kaohi i kāu mau hana o kēlā me kēia lā.
• ʻO kou ʻeha hope ke kumu ʻoki ai ole ia, he pilikia.
• Hoala mai kou mau eha ia oe pō.
• Ua hele pū ʻia kou ʻeha wela wehewehe ole a kaumaha lilo.

ʻO ka mea maʻamau, me ka mālama maikaʻi ʻana a me kekahi mau kaʻina, nā hernia ho'ōla i loko o 4 a 6 pule. Inā ʻaʻole, e ʻike hou i ke kauka.

E ʻike i ke kauka i loko pilikia inā hele pū kou ʻeha hope me ka urinary a i ʻole fecal incontinence (a i ʻole, ka paʻa ʻana), impotence a koʻikoʻi paha. nawaliwali ma nā wāwae (a hiki i kahi e pilikia ai ʻoe ke kū a piʻi i ke alapiʻi).