I-hernia intervertebral yomgogodla wesibeletho yisifo esivamile, izimpawu zazo ezivame ukutholakala kubantu abaneminyaka engama-30 kuya kwengu-50. Ake sicabangele ngokuningiliziwe ukuthi lokhu kuyiphi indlela nokuthi uyayibona kanjani.
Iyini i-hernia yomgogodla womlomo wesibeletho?
Isifunda somlomo wesibeletho yingxenye engenhla yekholomu ye-vertebral, equkethe ama-vertebrae ayisikhombisa. Le ngxenye yomgogodla ibonakala ngokuhamba okukhulu futhi, ngesikhathi esifanayo, ubungozi obukhulu kakhulu bokulimala okubuhlungu.
Amandla nokuguquguquka komgogodla kunikezwa ama-disvertebral disks aphakathi kwama-vertebrae futhi amapulethi e-fibrocarticular. I-disc intervertebral inamalungu amabili:
- i-nucleus yama-pulpous;
- ring fibrous.
Nge-hernia kukhona ukufuduka kwe-nucleus enamaqabunga nokuphuka kwendandatho enamafutha, ngenxa yalokho izimpande zesisindo ezidlula emgodini womgogodla zifakwe. Kukhona ukwephula ukuhlinzekwa kwezimpande ze-nerve nge-oksijeni nezakhi, futhi ukuqhutshwa komfutho wesibindi kubuye kunqunyelwe.
Izimbangela ze-hernia yomgogodla womlomo wesibeletho:
- ukuma okungaqondile;
- umgogodla wesihlungu;
- imithwalo engenangqondo emgodleni;
- indlela yokuphila yokuhlala;
- izinqubo ezilahlayo ema-vertebrae, njll.
Izimpawu ze-hernia yomgogodla womlomo wesibeletho
Izimpawu ze-hernia emgodini wesibeletho, njengombuso, zivele ngokuzumayo. Ukubonakaliswa kwalesi sifo kungase kuhluke kancane kuye ngokuthi yiziphi izimpande zesisindo eziye zahlupheka. Izibonakaliso eziyinhloko ze-hernia intervertebral esifundeni somlomo wesibeletho zimi kanje:
- ubuhlungu obungaphephile, obuhlungu entanyeni (ikakhulukazi, ubuso obusendaweni obusenyakatho), okwandisa ngokuphenduka nokuqhuma kwekhanda, ngokukhwehlela nokukhipha;
- i-irradiation yezinzwa ezibuhlungu, lapho kukhona ukungezwani kwemisipha nokuqondisa ukugoba komgogodla, ehlombe, ehlombe noma engalo;
- ikhanda kanye nosizi;
- Ukucindezeleka kwegazi kuqhuma;
- ukubopha kweminwe ;
- inzwa yokubamba, ukukhathazeka kokuzwela ezandleni;
- ukulala nokukhunjulwa kwememori, njll.
Ngokushesha izimpawu ze-hernia ze-vertebra yomlomo wesibeletho zitholakala, indlela yokuthola ukwelashwa kuyoba lula. Kodwa futhi kufanele kucatshangelwe ukuthi izimpawu zomtholampilo ezingenhla zingabonwa kwezinye izifo, ngakho-ke, ukuze kutholakale ukuxilongwa okunembile, ukuhlolwa kwezinsimbi kwenziwa ngempela.
Ukuxilongwa ngezibonakaliso ze-hernia ye-vertebral yomlomo wesibeletho
Indlela efundisayo kakhulu neyesikhombisa yokuxilongwa kwe-hernia intervertebral yomnyango wesibeletho i-imagery magnetic resonance (MRI). Ngalendlela, ochwepheshe bangathola ulwazi oluthe xaxa mayelana nobukhulu nesakhiwo se-hernia, izitayela zokuqhubekela phambili, ukucindezela imithi yakhe ezungeze izakhiwo ezizungezile, ukuhambisana ne-pathologies, nokuhlola isimo somgogodla yonke.
Ukubona i-hernia intervertebral emgodini womlomo wesibeletho nayo ingasebenzisa i- computed tomography (CT). Kodwa ngale ndlela indlela yokwakhiwa kwezicubu ezithambile ezithombeni
Ama-ray anezimpawu ze-hernia azivame ukusetshenziswa futhi, ngokuyinhloko, kuphela ukukhipha ezinye izifo zomgogodla. Lokhu kungenxa yokuthi izimpawu ze-radiographic ze-hernia yesifunda somlomo wesibeletho azifundisi, ngoba i-X-ray ayinqumi isimo sezithambo ezinothile.
Indlela eningiliziwe i-myelogram (uhlobo lwe-X-ray esebenzisa idayi), okuvumela ukuba ubone ukuqubuzana kwesibindi, isisu, ukukhula kwamathambo. Umonakalo wezimpande zesibindi ungatholakala nge-electromyography.