Phekolo ea disc ea herniated haholo-holo e kenyelletsa ho tsepamisa maikutlo ba bang kaofela, ho lahla mekhoa e kotsi bakeng sa mokokotlo le ho nka Meriana ho kokobetsa bohloko le ho fokotsa ho ruruha. Maemong a mangata, mehato ena e lekane ho fokotsa matšoao le ho folisa disc ea herniated. Haele hantle, hoo e ka bang 60% ea batho ba amehileng ba arabela liphekolo tsena hantle ka beke e le 'ngoe, le 1% nakong e ka tlase ho libeke tse 90. The ho buoa ha e hlokahale ka seoelo.

Phomola mokokotlo

Le phomolo ea bethe e ka ba molemo bakeng sa letsatsi la 1 kapa 2 boholo boemong ba bohloko bo bohloko. Leha ho le joalo, ho molemo ho se lelefatse phomolo ena ho feta matsatsi a 1 kapa a 2 le ho qala mesebetsi ea eona kapele kamoo ho ka khonehang. Ho se sebetse le ho khutsa ho ka bakalefu la ho fokola 'memesifa ea mokokotlo e fokolang le ho sekisetsa mokhoa o tloaelehileng oa ho tsamaea ha manonyeletso a lumbar spine.

The maemo tse tšehetsang hantle lumbar lesapo la mokokotlo ke:

• ho robala ka lehlakore, mangole a khumama, mosamo tlas'a hlooho le e 'ngoe pakeng tsa mangole (basali ba baimana ba ka eketsa mosamo tlas'a mpa ea bona);
• ho robala ka morao, ntle le mosamo ka tlas'a hlooho, e nang le mosamo o le mong kapa ho feta tlas'a mangole le thaole e phuthoang kapa mosamo o monyenyane mokoting oa mokokotlo o ka tlaase.

Matsatsing a pele a pele, lisebelisoa tsa leqhoa mokokotlong, haufi le hernia, thusa ho fokotsa bohloko (empa eseng ho ruruha, ho kenngoa ka botebo haholo). Ka mor'a moo, ho kgothaletswa ho sebetsa mocheso kapa ho hlapa tse chesang.

Meriana

Bakeng sa ho laola bohloko ba nakoana ka nako e khutšoanyane (hangata 7 ho matsatsi a 10, ka linako tse ling 2 ho libeke tsa 3, empa ka seoelo ho feta), hangata lithethefatsi li nkoa. li-analgesics (acetaminophen: Tylenol® kapa acetylsalicylic acid: Aspirin®), Anti-inflammatory (joalo ka ibuprofen: Advil®, Motrin®, mohlala) kapa mesifa e khathollang (Robaxacet®). Haeba bohloko bo le matla ’me bo phehella, ngaka e ka ’na ea fana ka lipilisi tse kokobetsang bohloko tse matla haholoanyane tse kang lithethefatsi, kapa litekanyetso tse phahameng tsa lithethefatsi tse thibelang ho ruruha.

Lintlha. Ho bohlokoa hore basali ba baimana buisana le ngaka ea bona pele u noa leha e le efe ea meriana ena.

Lithethefatsi ka ente. Ho hlola bohloko bo sa feleng, liente tsa epidural tsa corticosteroids kapali-analgesics ka linako tse ling li laeloa. THE'ente ea li-enzyme (chymopapain) ka har'a disc intervertebral e ka boela ea etsoa. Li-enzyme li senya karolo e hlahelletseng ea disc e hatellang methapo, e thibela ho buuoa. Ka lehlakoreng le leng, li-enzyme li atisa ho sebelisoa hanyenyane hobane li ka baka maikutlo a matla a ho kula.

Physiotherapy

Hang ha matšoao a se a fokotsehile, ngaka e ka 'na ea fana ka liboka tsa phetiso molemong oa ho akofisa pholiso e felletseng. Tsena ke haholo-holo li-exercises tse ntlafatsang boemo, ho matlafatsa mesifa ea mokokotlo le mpa le ho etsa hore 'mele o be bonolo haholoanyane.

ho buoa

The liphekolo tsa ho buoa li sebelisoa haeba bohloko bo ntse bo tsoela pele 'me bo khathatsa, haeba ho e-na le bofokoli bo tsitsitseng ba mesifa letsohong, leoto, monoana oa maoto, joalo-joalo, kapa haeba u e-na le matšoao a matla haholoanyane.

Ho buuoa ho tlosa khatello eo intervertebral disc e fanang ka eona metsong ea methapo. Ho sebelisoa mekhoa e fapaneng. The discctomie e na le ho tlosa intervertebral disc ka ho feletseng kapa ka mokhoa o itseng. Opereishene ena e ka boela ea etsoa ka laparoscopically: ke eona microdiscectomy. Mokhoa ona o sa hlaseleng haholo o hloka ho seha hanyenyane feela letlalong. E sebelisoa hangata United States, empa e ntse e le nyane Quebec. Mefuta e 2 ea liopereishene e fana ka litholoana tse tšoanang.

Ho buuoa ho akarelletsa likotsi tse ling : fumana tšoaetso, ho lematsa methapo, ho ba le maqeba a fibrous, kapa ho beha khatello ea kelello meleng e meng ea mokokotlo.