Iimpawu herniation wohlulwa, unyango kunye nothintelo

Izifo yomqolo kuyingozi kakhulu. Ngapha koko, zibandakanya izakhiwo ezibalulekileyo - umnqonqo. Enye yezi ezimbi nto wohlulwa herniation. Esi sifo iba nefuthe elibi emzimbeni lonke kwaye ikhokelele kwinani lweziqhamo kakhulu.

Iimpawu zesi sifo

Yintoni wohlulwa herniated idiskhi? Le ngezifo, apho pulposus isiqalo (imixholo ijeli-ezifanayo) ngokusebenzisa komsipha okanye sibange kwi iqokobhe yediski extruded kwaye siyahlukana ngokupheleleyo kulo.

Le Isiqwenga uqala cofa kwi osecaleni kwimithambo lialio. Ngenxa yoko, isigulana uyaxhalaba, antsi, ukuntlontlozela kuloo ndawo apho luvo pinched. Ngamanye amaxesha bahlukaniswa piece Idiski uyakwazi ukungena kwi kwisithuba ebulewe. Kwiimeko ezinjalo, kukho nje intlungu nodandatheko. Kokuba waziva nje kuphela ngasemva, kodwa imilenze.

Yimeko enkulu luphawulwa uphuhliso yiKlawuda equina syndrome. Ngesi ukuhamba esi sifo, umguli inokungabi ulawulo phezu inkqubo defecation kunye ukuchama. Ukongeza, kukho antsi kule ndawo imilenze ubudoda. Olu hlobo esi sifo inkomba utyando ngokukhawuleza. Kungenjalo, mhlawumbi ngokusisigxina umonakalo inyama luvo.

Kwajongwa ndilibalule kwezinye iimeko, ukuze sitshatyalaliswe, uze wendele kwi egazini.

imithombo zokugula

Ukutshatyalaliswa disc intervertebral ezibangelwa ombane ngokugqithiseleyo izihlunu paravertebral. Oku kubangela ukuphuhliswa kweenkqubo sisiba mandundu. Ngenxa yoko, i-fibrosus annulus yonakele.

Uphakamile umthwalo lifumana disk, kokukhona amathuba nokuphuhlisa eli Ithemba. Kulo mba, amaxesha amaninzi kwasekwa herniation wohlulwa kwindawo empontshwa.

Ekwakhiwe inkangeleko zesifo Ngaloo mathuba:

• malformations;
• iqolo elisezantsi;
• ubunzima ngokugqithiseleyo;
• ukuhluleka cartilaginous kwizihlunu izimbiwa;
• umsebenzi, uye umthwalo isikakhulu umnqonqo (umlayishi, ulwakhiwo).

Isikakhulu sifo uqala ukuphuhlisa kwisiqalo:

• uxinzelelo;
• onzima;
• kwimikhwa emibi, hlala-ups;
• emzimbeni.

iimpawu zesifo

herniation wohlulwa kwezinye iimeko bakwazi ukuphuhlisa phantse zifihlakele. Kulo mzekelo, isigulana ngamathuba athile kukho intlungu ngasemva. Kodwa loo isimo mntu usala kusetyenziswa. Imfundo waqonda zokucuthwa izigulane ezifana sokuhlaselwa.

Iimpawu zixhomekeka kwasendaweni ye Ithemba. Kuyimfuneko ke ngoko ukuba siqwalasele nabo ngokwahlukeneyo.

Ngomhla kuphuhliso ngezifo kubonisiwe iimpawu ezinjalo kwalapho wesibeleko:

• nokuthandwa yintloko;
• ngamathuba entanyeni, iingalo baphelelwe kubonakala;
• iintlungu kwindawo entanyeni;
• ukuzilimaza kakhulu eqhubekayo;
• Emva yokulayisha ukunyuka intlungu;
• izihlunu zomzimba on imilenze aphezulu ngcembe uyaphela;
• kule ndawo emagxeni, entanyeni, iingalo, kukho ubuthathaka izihlunu;
• ukutshintsha iqinelwa;
• ngcembe uqala ukuphuhlisa ukushwabana imilenze.

Ukuba kudliwe phakathi amathambo thoracic, ezi mpawu zilandelayo kwenzeka umguli:

• ubuhlungu obukhulu kwindawo esifubeni;
• kuyaphela ukuze anikwe kwi yabe zamagxa, emzimbeni kunye iimbambo;
• iintlungu iba ngakumbi emva kokuba amandla kancinane;
• iphuhlise ukushwabana imilenze;
• ndindisholo lisibekele isifuba, isisu, emva;
• ngcembe buthathaka lolwabo imisipha, maxa wambi kukho yoma ngokupheleleyo.

indawo lumbosacral Pathology kubonisiwe iimpawu ezifana:

• kule ngingqi empontshwa kukho ukuhlaselwa enamandla buhlungu;
• ukuzilimaza ngokusisigxina, ucaca eqaqambileyo;
• umthwalo nakancane kukhokelela buhlungu kakhulu;
• kuyaphela ukuze anikwe kwi nemilenze, ezinqeni;
• ezilahlekileyo ikhaliphe imicu;
• kwemilenze bawe;
• ngeenzwane, iinyawo amaxesha uye ndindisholo;
• inkqubo anokuphazamiseka defecation okanye ukuchama;
• kule milenze kukho ubuthathaka, namandla;
• kwi yobunzima asezantsi umva;
• maxa wambi bedlulela ukushwabana imilenze.

lokufunyaniswa kwesifo

Kwimeko ezi mpawu zingasentla isigulane kufuneka ukuba bajonge luvo. Ugqirha baya kuphulaphula ezi izikhalazo umguli, iya kuvavanya isimo kwakhe ngokomzimba luvo. Ukuba ukrokrela Ithemba kuya kufuneka uviwo olunye.

Ngelishwa, roentgen - kwiimeko ezininzi indlela uninformative diagnostic. Yena angabi nako ukubonisa ethembekileyo ubukho kwizaphuko, Amahlathi nokudleka, offset amalungu.

herniation wohlulwa yomqolo kakhulu ngokuchanileyo libonwa usebenzisa MRI. Olu phando ivumela ukufumanisa indawo, ubungakanani ngezifo. Ukongeza, MRI inika ingqiqo imeko zezihlunu, nemisipha kunye luvo.

ayini

Ukuphelisa isicelo izifo:

• therapy elondoloza;
• uqhaqho.

Isigqibo malunga namanyathelo aya kuthatyathwa ziya kwenziwa kuphela ngugqirha wakho. Amaxesha amaninzi, izigulane bakholelwa ukuba kuphela uqhaqho zingakwazi ukulwa izifo ezifana Ithemba wohlulwa. unyango Conservative uyakwazi ukuba akukho ndlela ngaphantsi olusebenzayo. Kodwa kufuneka bangayeku ngokungqongqo ukuqeshwa iingcebiso kagqirha.

unyango ngamachiza

Kuyimfuneko kwakhona ukuba unyango lwe herniation wohlulwa ngaphandle uqhaqho kunokwenzeka kuphela iingcebiso ugqirha ukuba kukhumbuza. Ukuze kujongwane nalo ngezifo kuphela owalelweyo ngokungqongqo. Ngapha koko, kwiimeko ezininzi - indlela eya semthethweni.

unyango Conservative kubandakanya ubambe zokucuthwa ilahleko iyonke kude kube lixesha de Isiqwenga elinikiweyo kwithishyu ayikho omertveyut ngokupheleleyo. Oku kuya kuba loza ithambo, ukuvala umngxuma.

Ukuphucula imeko isigulane eyabelwe unyango ngamachiza:

1. arhente Anti-arhabaxa. La machiza okudambisa iintlungu, ukunciphisa ubuzaza komtshiso oko. Isigulane kufuneka recommended amayeza: "ibuprofen", "diclofenac", "Nimesil".
2. amachiza umchamo. Amachiza enjalo emiselweyo kwiikhosi ezimfutshane. Baya dambisa ngokugqibeleleyo, ewayo nomsindo ucinezelo le kwithishyu. Le unyango kuquka amayeza afana "Furosemide", "Hypothiazid".
3. relaxants kwezihlunu. Ezi zixhobo ayisuse aqaqambayo. An izihlunu relaxant esebenzayo ezimiselweyo kokugula elinikiweyo, ichiza "Mydocalm".
4. Iivithamini kwiqela B. Zezi emiselweyo ekunyuseni Uhanjiso ukubetha. Ezi amayeza zilandelayo: "Thiamin", "Pyridoxine".
5. Chondroprotectors. Oku imithi ngokubonelela izicwili cartilaginous eziphuculweyo ukutya. Amayeza kakhulu emiselweyo rhoqo, "sulfate chondroitin".
6. Anticonvulsants. Eli qela amachiza kukwazi ukuphelisa intlungu neuropathic. Izigulana ziyacetyiswa amayeza afana: "carbamazepine", "Finlepsin", "Konvulsofin".
7. Amanye amayeza. Ukuphucula zomzimba trophism, ukukhuthazwa microcirculation, unyango inokuquka iziyobisi "Aktovegin", "Trental".

Ukuba kuyimfuneko, ukubhenela novocaine kwamabutho.

iindlela ezongezelelweyo unyango elondoloza

Ezinyangiweyo Ithemba wohlulwa ngaphandle operation cha iziyobisi kuphela.

Isigulane unikwe inani unyango physiotherapy ukuba unako ukuphucula intlalo-ntle:

• kwemisinga diadynamic ;
• therapy magnetic;
• elula;
• ultrasound;
• d'Arsonval imisinga.

Ukongeza, izigulane ziyakhuthazwa ukuba umzimba, emiselweyo ikhosi umyalezo.

Ukuba Dynamics ezintle yokuphucuka wazibona sele kwiiveki 2-3 unyango endala.

Xa kufuneka ukusebenza

Kodwa ke, ngelishwa, kukho iimeko apho unyango endala ayikwazi wohlulwa herniation. Operation - yeyona ndlela ukubuyisela impilo.

Imfuneko yotyando kuvela kwiimeko ezinjalo:

1. Ikhosi ye sifo iphawulwa ukonakala elibukhali. Kulo mzekelo, kusenokuba kukho nexesha ukuphuculwa. Bakhawuleza indawo kubola.
2. Imilinganiselo sequester enkulu ngokwaneleyo (10 mm).
3. Kukho eziphango ukuzomelezela radicular kwindawo luvo-izihlunu zomzimba.
4. omzimba rhoqo baphelelwe.
5. unyango Conservative ikhutshwa phandle iinyanga ezintandathu, azithanga kwezinto ezintle.
6. Kukho ukuqhubela phambili kwesifo, nangona ukuthotyelwa zonke ukuqeshwa ugqirha.
7. Isigulana isifo izifo sokuhlasela.

ukungenelela kuhlinzwa

Njengoko sele kutshiwo ngentla apha, nto ayisoloko ukuvelisa iziphumo ezintle unyango endala ye herniation wohlulwa.

Lo msebenzi kwenziwa ngeendlela ezininzi:

1. Microdiskectomy. Ngoncedo lwe microsurgery isusiwe herniation wohlulwa. Oku kukuvumela ukuba isigulane ukuze bawubuyise ingcinezelo ebangelwa isiqwenga ukuya iingcambu ebuchotsheni.
2. ukususwa Endoscopic.
3. nucleoplasty Percutaneous. Ngexesha utyando ukuvelisa ukuqaqadeka we disc kunye plasma ebandayo kunye electrode.
4. Ukususa sokwenziwa disc. Tshintsha sokwenziwa ithambo ezonakeleyo kufakwe kumguli okanye sokwenziwa titanium.
5. abohlukeneyo autologous of intlala. inyama Oyimfuneko athathwe kumguli ndibandise in vitro. Emva kweenyanga 3-4 kule intlala hlumela kumguli.
6. Ukususa inxenye vertebra, ofaka ucinezelo ye umnqonqo. Lo msebenzi: laminotomy, Foraminotomy.

amanyathelo Rehabilitation kunye nokuthintela

Ukuba herniation wohlulwa sele iqhutywe, isigulane kufuneka balandele imithetho ethile isincomo ngugqirha.

Ngexesha yesiqhelo kubalulekile ukuba:

• ukuba ukuphakamisa iintsimbi ezinzima;
• athathe onke yemithi ugqirha;
• Kuphephe amandla kakhulu emzimbeni.

Xa umzimba lulama emva kotyando, umguli kufuneka uqhubeke ekuthinteleni herniation nezolo.

Ukukhusela nxamnye ukwenzeka nesifo, kucetyiswa:

• njalo ukuyifundisa;
• ukuthobela ngokutya izinto ezikhethekileyo;
• uye echibini lokuqubha (lokuqubha luluncedo kakhulu ukuba uthanda ukugula);
• ukulandela indlela yokuma kwakho;
• amane baphathwe kwikhaya lokonga.

ukuthotyelwa ngqongqo zonke iingcebiso zonyango ziya kuphumelela ngezifo; ewe ekubonakalisweni ngokuphindaphindiweyo.