Jiyya na yar fatarta galibi ya ƙunshi mayar da hankali sauran, yin watsi da halayen haɗari don baya da ɗauka magunguna don rage zafi da rage kumburi. A mafi yawan lokuta, waɗannan matakan sun isa don rage alamun cutar da warkar da diski. A zahiri, kusan 60% na mutanen da abin ya shafa suna amsawa da kyau ga waɗannan jiyya a cikin mako 1, kuma 90% cikin ƙasa da makonni 6. The tiyata da wuya ake bukata.

Huta baya

Le kwanciyar hutu zai iya zama da amfani ga rana 1 ko matsakaicin 2 a cikin lokaci na matsanancin zafi. Duk da haka an fi so kada a tsawaita wannan hutun fiye da kwana 1 ko 2 kuma a ci gaba da ayyukansa da wuri -wuri. Rashin aiki da nutsuwa na iya haifaratrophy da kumaraunana tsokar baya da yin sulhu da motsi na yau da kullun na haɗin gwiwa na kashin lumbar.

The Matsayi Mafi kyawun goyan bayan kashin lumbar shine:

• kwance a gefenku, gwiwoyi sun lanƙwasa, matashin kai ƙarƙashin kai da wani tsakanin gwiwoyi (mata masu ciki za su iya ƙara matashin kai ƙarƙashin cikin su);
• kwanciya a baya, ba tare da matashin kai a ƙarƙashin kai ba, tare da matashin kai ɗaya ko fiye a ƙarƙashin gwiwoyi da tawul mai nadewa ko ƙaramin matashi a cikin ramin ƙananan baya.

A cikin 'yan kwanakin farko, aikace -aikacen kankara a kashin baya, kusa da hernia, yana taimakawa rage zafi (amma ba kumburi ba, ya kwana sosai). Bayan haka, ana ba da shawarar yin amfani zafi ko yin wanka da zafi.

magunguna

Don sarrafa ciwon wucin gadi na ɗan gajeren lokaci (yawanci 7 zuwa kwanaki 10, lokaci -lokaci 2 zuwa 3 makonni, amma ba kasafai ba), galibi ana shan magunguna. manazarci (acetaminophen: Tylenol® ko acetylsalicylic acid: Aspirin®), anti-kumburi (kamar ibuprofen: Advil®, Motrin®, misali) ko tsofaffin tsoka (Robaxacet®). Idan ciwon yana da ƙarfi kuma yana dorewa, likita na iya ba da ƙarin maganin zafin ciwo kamar narcotics, ko mafi girman allurai na maganin kumburi.

Notes. Yana da mahimmanci cewa mata masu ciki tuntubi likitan su kafin shan ɗayan waɗannan magunguna.

Magunguna ta allura. Don shawo kan ciwo mai ɗorewa, allurar epidural na corticosteroids komanazarci ana rubuta su wani lokaci. DA 'allurar rigakafi (chymopapain) a cikin diski na intervertebral kuma ana iya yin shi. Enzymes suna lalata ɓangaren da ke fitowa daga cikin diski wanda ke damun jijiya, yana hana tiyata. A gefe guda, ana amfani da enzymes kaɗan saboda suna iya haifar da halayen rashin lafiyan.

Physiotherapy

Da zarar alamun sun yi sauƙi, likita na iya ba da umarnin zaman gyara domin hanzarta cikakkiyar waraka. Waɗannan galibi motsa jiki ne waɗanda ke inganta matsayi, ƙarfafa tsokoki na baya da na ciki kuma suna sa jiki ya fi sauƙi.

tiyata

The jiyya na tiyata Ana amfani da su idan ciwon ya ci gaba kuma yana da wahala, idan akwai raunin tsoka mai ɗorewa a hannu, kafa, yatsa, da dai sauransu, ko kuma idan kuna da ƙarin alamun cutar.

Yin tiyata yana kawar da matsin lamba da diski na intervertebral ke yi akan tushen jijiya. Ana amfani da dabaru daban -daban. The discectomie ya ƙunshi gaba ɗaya ko kaɗan cire diski na intervertebral. Hakanan ana iya yin wannan aikin laparoscopically: shine microdiscectomy. Wannan dabarar da ba ta wuce kima tana buƙatar ƙaramin incision a cikin fata kawai. Ana yawan amfani da ita a cikin Amurka, amma har yanzu kaɗan ne a Quebec. Nau'ikan tiyata 2 suna ba da sakamako iri ɗaya.

Yin tiyata ya ƙunshi wasu haɗari : samun kamuwa da cuta, cutar da jijiya, samun tabon fibrous, ko sanya damuwa akan wasu kashin bayan.