TLATSETSO EA DISC - LISOSA, MATŠOAO, TLHAHLOBO LE PHEKOLO - PAMPEREDPEOPLENY.COM

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Tlhaloso ea disc e nkoa e le karolo e tloaelehileng ea botsofali. Mokokotlo o entsoe ka masapo a tsejoang e le vertebrae. Pakeng tsa li-vertebrae tsena, ho na le li-disc tse tletseng metsi. Li-disc tsena li ka qala ho fetoha tse nyane ebile li fokotseha ha li ntse li omella ^[1] . Kahoo, ho hlakoloa ha li-disc tsena ho nkuoa e le bothata bo tloaelehileng bo bakoang ke lisele tse felloang ke metsi. Ketsahalo ena e boetse e bonoa ka tsela e ngoe ha li-discs li qala ho senyeha kapa ho senyeha ^[pedi] .

Bala ho tseba haholoanyane ka disc desiccation, matšoao a eona, lisosa tsa eona, tlhatlhobo le mekhoa ea kalafo.

Tlhaloso ea Disc ke Eng?

Diski e thata, e nang le seponche, e lipakeng tsa lera le leng le le leng la 'mele, e sebetsa e le ntho e tšosang. Ha li-disc tsena li qala ho senyeha, ho nkuoa e le karolo ea ts'ebetso e bitsoang lefu le senyehang la disc.

Tlhaloso ea disc e boetse e tsejoa e le bothata bo hlahang ka lebaka la ho felloa ke metsi ha li-disc tsa hau. Ha li-vertebral discs li tletse mokelikeli, e fetoha le maemo ebile e tiile. Leha ho le joalo, ha motho a qala ho tsofala, li-disc li qala ho felloa ke metsi 'me li baka tahlehelo ea butle-butle ea mokelikeli oa tsona. Joale mokelikeli oa disc o nkeloa sebaka ke fibrocartilage (lisele tse thata tse mafome tse etsang karolo e kantle ea disc) ^[3] .

Tse latelang ke likarolo tse hlano tse fapaneng tsa mokokotlo ^[4] :

1. Mokokotlo oa mokokotlo (molala): Masapo a pele a supileng a ne a le holimo molaleng

2. Thoracic mokokotlo (bohareng ba morao): Masapo a leshome le metso e 'meli a ka tlasa mokokotlo oa mokokotlo

3. Lumbar mokokotlo (tlaase morao): Masapo a mahlano ka tlasa mokokotlo oa thoracic

4. Mokokotlo oa Sacral: Masapo a mahlano ka tlasa sebaka sa lumbar.

5.Coccyx: Masapo a mane a mokokotlo a kopantsoe hammoho. Tsena li tšehetsa mokatong oa pelvic.

Disiki pakeng tsa lesapo la mokokotlo ea mokokotlo e thibela masapo hore a se ke a hoellana.

Matšoao a Tlatsetso ea Diski

Matšoao a totobetse ho latela sebaka se amehileng sa mokokotlo. Mohlala, mokokotlo oa mokokotlo oa mokokotlo oa mokokotlo oa mokokotlo o baka bohloko bo boholo ba molala, athe lumbar disc desiccation e baka bohloko sebakeng se tlase morao.

Matšoao a akaretsang a disc desiccation ke a latelang ^[5] :

Bofokoli
Ho thatafala
Metsamao e fokotsehileng kapa e bohloko
Ho ba bohatsu maotong kapa maotong
Ho chesa kapa ho utloa bohloko, haholo-holo tikolohong e ka morao
Fetola likhatong tsa lengole le maoto
Sciatica (bohloko bo bakoang ke ho halefa ha methapo ea mahlale)

Lisosa tsa Tlatsetso ea Disc

Lebaka le tloaelehileng ka ho fetesisa la li-disc tse senotsoeng ke ho tsofala (tsofala mokokotlong) ^[6] . Tse latelang ke tse ling tsa lisosa tse ling tsa tlhahiso ea disc ^[7] :

Ho nona kapa ho theola boima ba 'mele
Kotsi kapa tsietsi
Ho pheta-pheta ho tsamaisang mokokotlo (joalo ka ho phahamisa lintho tse boima)

Tlhaloso ea Tlhaloso ea Disc

Hangata hangata e qala ka bohloko bo bohloko ba morao. Batho ba bangata ba ithuta hore ba na le disc desiccation ha ba qeta ho buisana le ngaka ho fumana pheko ea bohloko ba mokokotlo. Ngaka e qala tlhahlobo ka tsebo mabapi le nalane ea bongaka ea mokuli e lateloang ke tlhahlobo ea 'mele.

Ntle le ho tseba nalane ea hau ea bongaka e fetileng, ngaka ea hau e kanna ea batla ho tseba tse latelang ^[8] :

Se etsang hore bohloko bo be betere
Ha bohloko bo qala
Se etsang hore bohloko bo mpefale
Bohloko bo hlaha hangata hakae
Mofuta oa bohloko
Haeba bohloko bo chabela libakeng tse ling tsa 'mele

Ngaka e ne e tla hlahloba mokokotlo, maoto le matsoho ho bona mofuta oa bohloko le hore na o tsoa kae. Ngaka e ne e tsamaisa matsoho le maoto ho hlahloba hore na ho na le phokotso ea motsamao ^[9] . Matla a mesifa e fapaneng le ona a ne a tla lekoa hammoho le teko ea ho lekola maikutlo a maoto le matsoho. ^[10] . Tlhahisoleseling ena kaofela e sebelisoa ke ngaka ho fumana disc eo e kanna ea ameha. Ngaka ea hau e ka u romella liteko tse ling tse ka kenyelletsang tse latelang:

CT scan
X-ray
Ho hlahloba MRI

Liphetho tsa X-ray kapa scan li tla thusa ngaka ho sheba ka kotloloho masapo le sebopeho sa mokokotlo oa hau. Litšoantšo li boetse li lumella ngaka ho sheba sebopeho le boholo ba disc. Hangata li-disk tse hlalositsoeng li bonahala li le tšesaane kapa li le nyane. Disks tse hlalositsoeng ha li tšoane ka sebopeho ^{[leshome le motso o mong]} . Masapo a ne a tla bonts'a tšenyo e itseng ka lebaka la ho hohlana.

Phekolo ea Disc Desiccation

Haeba li-disk tse boletsoeng li sa bake bohloko bo boholo kapa li sa ame mesebetsi ea hau ea letsatsi le letsatsi, ha ho na kalafo e khethehileng e hlileng e hlokahalang. Leha ho le joalo, tse latelang ke mekhoa e meng eo u ka e nahanang bakeng sa ho phekola li-disk tse khabisitsoeng.

Qoba maemo a sa phutholohang
Sebelisa tšepe ea mokokotlo ha u phahamisa lintho tse boima ^[12]
Latela puso ea tahlehelo ea boima ba 'mele ^[13] Hammoho le boikoetliso ba mantlha ba ho eketsa matla a mesifa ea morao.
Nka li-counter-the-counter kapa li-pain tsa ngaka ha ho hlokahala.
Ts'ebeliso ea liente tsa steroid ^[14] kapa moriana o thethefatsang kutlo oa lehae ho imolla ho ruruha le bohloko

Phekolo ea ho silila e ka thusa ho imolla khatello e bohloko ka ho phomotsa mesifa e haufi le lesapo la mokokotlo le amehileng.

Ho kena lipakeng ho ka hlokahala haeba mekhoa e boletsoeng ka holimo e sa sebetse.

Tse latelang ke tse ling tsa mekhoa ea ho buoa e ka sebelisoang ho phekola li-disk tse khabisitsoeng.

Fusion: Li-vertebrae tse pota-potileng disc e hlalositsoeng li tla kopanngoa hammoho ^{[leshome le metso e mehlano]} . Sena se tsitsisa mokokotlo mme se thibela motsamao o ka mpefatsang bohloko kapa bohloko.

Khalemelo: Ho kobeha ho sa tloaelehang ha mokokotlo ho tla lokisoa ka litokiso tse hlokahalang ^[16] . Sena se ka kokobetsa bohloko mme sa eketsa ho sisinyeha.

Ho tepella maikutlo: Lesela le eketsehileng kapa lisebelisoa tsa disc tse tlohileng sebakeng li tla tlosoa ^[17] . Sena se etsoa ho etsetsa methapo ea mokokotlo sebaka.

Lisebelisoa: Li-disc tsa maiketsetso (tse tsejoang hape e le spacers) ^[18] di behwa pakeng tsa masapo a mokokotlo e le ho thibela masapo hore a se ke a hohla.

Ka linako tse ling ho ka utloahala ho hlokahala ho tsoela pele ka maikutlo a bobeli kapa a boraro pele u nka qeto ea ho kenella ho buoa bakeng sa li-disk tse hlalositsoeng. Kamehla buisana le setsebi sa mokokotlo se ka u fang likhetho tsohle tse ntle ka ho fetisisa tsa kalafo.

Na ho hlakola ha disc ho ka thibeloa?

Leha ho tsofetse, ho hlaka ka disc ho bonahala ho hlakile. Leha ho le joalo, o ka nka mehato ea bohlokoa ho fokotsa ts'ebetso.

Mekhoa e meng ea thibelo ke e latelang ^[19] :

Ho ikoetlisa kamehla
Kenyelletsa boitlhakiso ba mantlha bo matlafatsang kemisong ea hau
Boloka boima ba 'mele bo phetseng hantle ho qoba ho beha khatello e eketsehileng mokokotlong oa hau
Lula hydrated
Kamehla boloka boemo bo botle ba mokokotlo
Qoba ho tsuba (joalo ka ha ho tsuba ho ka potlakisa ho senyeha ha li-disc tsa hau)

Ka Tsebiso ea ho Qetela ...

Tlhaloso ea disc e atile haholo mme e ka nkuoa e le phello ea tlhaho ea botsofali. Maemong a mangata, ho etsa liphetoho tse itseng bophelong ho latela mehato ea boits'ireletso ho ka thusa batho ba tsofetseng ho laola le ho thibela bohloko ho mpefala.

Haeba bophelo ba hau ba letsatsi le letsatsi bo ameha ka lebaka la lefu lena, ikopanye le setsebi sa mokokotlo se tla tseba ho tla le moralo oa kalafo o ka fokotsang bohloko le ho eketsa ho sisinyeha ha letsatsi le letsatsi.

Sheba Litšupiso tsa Sengoloa

[1]Waxenbaum, J. A., & Futterman, B. (2018). Anatomy, Ka morao, Li-discs tsa Intervertebral. InStatPearls [Inthanete]. Phatlalatso ea StatPearls.
[pedi]Paajanen, H., Erkintalo, M., Parkkola, R., Salminen, J., & Kormano, M. (1997). Khokahano e itšetlehileng ka lilemo tsa bohloko ba mokokotlo o tlase le ho senyeha ha li-lumbar disc. Lits'ebeletso tsa opereishene ea masapo le ea bohloko, 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 lefu lena: maikutlo a hona joale le a nakong e tlang a ho hlahlojoa le ho tsamaisoa. Tsoelo-pele ho lingaka tsa masapo, 2012, 970752.
[4]Nógrádi, A., & Vrbová, G. (2006). Anatomy le physiology ea mokokotlo oa mokokotlo. InTransplantation of Neural Tissue into the Spinal Cord (maq. 1-23). Springer, Boston, MA.
[5]Knezevic, N. N., Mandalia, S., Raasch, J., Knezevic, I., & Candido, K. D. (2017). Kalafo ea bohloko bo sa foleng ba morao-rao - mekhoa e mecha e atamelang. Journal ea lipatlisiso tsa bohloko, 10, 1111-1123.
[6]Smith, L. J., Nerurkar, N. L., Choi, K. S., Harfe, B. D., & Elliott, D. M. (2010). Phetoho le nchafatso ea disc ea intervertebral: lithuto ho tsoa nts'etsopele. Mefuta ea mafu le mekhoa, 4 (1), 31-41.
[7]Feng, Y., Egan, B., & Wang, J. (2016). Liphatsa tsa lefutso ho Phetoho ea Disc Disc. Liphatsa le mafu, 3 (3), 178-185.
[8]Omidi-Kashani, F., Hejrati, H., & Ariamanesh, S. (2016). Malebela a Bohlokoa a Leshome a ho Phekola Mokuli ea nang le Lumbar Disc Herniation. Koranta ea lesapo la mokokotlo ea Asia, 10 (5), 955-963.
[9]Suzuki, A., Daubs, M. D., Hayashi, T., Ruangchainikom, M., Xiong, C., Phan, K.,… Wang, J. C. (2017). Mehlala ea Tlhatlhobo ea Tlokotsi ea Cervical Disc: Tlhatlhobo ea Magnetic Resonance Imaging ea Batho ba fetang 1000 ba nang le Matšoao a 'Mele.
[10]Walker, H.K, Holo, W. D., & Hurst, J. W. (1990). Diplopia - Mekhoa ea Tleliniki: Litlhahlobo tsa Nalane, 'mele le Laboratori.
[leshome le motso o mong]Brinjikji, W., Luetmer, P.H, Comstock, B., Bresnahan, B. W., Chen, L. E., Deyo, R. A.,… Jarvik, J. G. (2014). Tlhahlobo e hlophisitsoeng ea lingoliloeng tsa likarolo tsa litšoantšo tsa ho senyeha ha mokokotlo bathong ba sa tsejoeng. Koranta ea Amerika ea neuroradiology, 36 (4), 811-816.
[12]Nicholson, G. P., Ferguson-Pell, M. W., Smith, K., Edgar, M., & Morley, T. (2002). Tekanyo e lekantsoeng ea ts'ebeliso ea mokokotlo oa mokokotlo le ho latela kalafo ea bocha ba idiopathic scoliosis Lithuto tsa mahlale a bophelo bo botle le li-informatics, 91, 372-377.
[13]Belavý, D. L., Quittner, M. J., Ridgers, N., Ling, Y., Connell, D., & Rantalainen, T. (2017). Ho ikoetlisa ka matla ho matlafatsa disc ea intervertebral. Litlaleho tsa mahlale, 7, 45975.
[14]Buttermann, G. R. (2004). Phello ea liente tsa mokokotlo oa steroid bakeng sa lefu le senyehang la disc. Spine Journal, 4 (5), 495-505.
[leshome le metso e mehlano]Djurasovic, M., Carreon, L.Y., Crawford III, C. H., Zook, J. D., Bratcher, K. R., & Glassman, S. D. (2012). Tšusumetso ea li-MRI tse etsoang pele ho ts'ebetso liphellong tsa kliniki ea lumbar fusion. 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). Li-biomarkers tsa ho ruruha tsa bohloko bo bohloko ba morao le ho senyeha ha disc: tlhahlobo.Likhatiso tsa New York Academy of Science, 1410 (1), 68-84.
[17]Djurasovic, M., Carreon, L.Y., Crawford III, C. H., Zook, J. D., Bratcher, K. R., & Glassman, S. D. (2012). Tšusumetso ea li-MRI tse etsoang pele ho ts'ebetso liphellong tsa kliniki ea lumbar fusion. European Spine Journal, 21 (8), 1616-1623.
[18]Beatty, S. (2018). Re hloka ho bua ka Lumbar Total Disc Replacement. Koranta ea machabeng ea ho buuoa ka mokokotlo, 12 (2), 201-240.
[19]Smith, L. J., Nerurkar, N. L., Choi, K. S., Harfe, B. D., & Elliott, D. M. (2010). Phetoho le nchafatso ea disc ea intervertebral: lithuto ho tsoa nts'etsopele. Mefuta ea mafu le mekhoa, 4 (1), 31-41.