Ithemba yomqolo: iziboniso, kwisimo, imiphumo ncomo

Ngokufuthi abantu ekhala iqolo. Bathi ukuba intlungu sibangelwa ngenxa umthambo engavumelekanga, imini nzima okanye ukudinwa. Kodwa ngaba kusoloko kunjalo? Ngelishwa, kukho iimeko xa intlungu enjalo - isiphumo Ithemba spinal. Xa kuboniswe ukususwa Ithemba spinal, uya kuqonda kweli nqaku.

iimpawu

Ithemba spinal - oku kuyingozi kakhulu, ngenxa yokuba umntu wakhe sifumana rhoqo, nentuthumbo enkulu engapheliyo, zisenzakaliswa kunye neziseko zayo zangaphakathi. diagnosis elingalunganga ukuze mandundu imeko, ngoko ke ukuxilongwa kubaluleke kakhulu.

Yintoni herniation yomqolo empontshwa, iimpawu kunye nonyango lwesi sifo, sibheka ngezantsi. Ukusuka ezinye izifo ezineempawu ezifanayo oko kuchazwa ezi mpawu zilandelayo:

• ukuba intlungu ngokukhawuleza strong ezikhoyo nangona nonyango lwamayeza;
• isigulane akakwazi ukubamba ilindle kunye nomchamo;
• kunokubangela ukushwabana nemilenze;
• ukuncitshiswa uvakalelo kuzo;
• emva kwikhondo unyango iinyanga ezintathu, imeko yomguli akukho ngcono.

Ukuba kukho naziphi na zezi mpawu, kufuneka ngoko nangoko udibane nogqirha. Kusenokufuneka ukususwa ingxamisekileyo Ithemba spinal. Ngaphezu koko, ingqalelo engakumbi kufuneka ihlawulwe iziqinisekiso. Akuqhelekanga ukuba ugqirha ngenxa yokungakhathali, ukungabikho uqeqesho, ukungabikho echubekileyo ubeka uxilongo engalunganga. Kwaye ke ngumsebenzi ixhaphakileyo - sciatica. A bug kwi engekho unyango kunokukhokelela ukushwabana mntu.

Nantso herniation njani yingozi yomqolo empontshwa. Iimpawu kunye nonyango yayo, kakade, zihlobene.

Iindlela zonyango

Kaloku, uxilongo kwenziwa. Yintoni elandelayo? Zeziphi iindlela ezahlukeneyo ukuze kunyangwe disc herniated? Ukuba zeziphi ezizezona kakhulu ngempumelelo? iindlela zonyango kube kakhulu lukhulu. Oku ingaba:

• ukuyifundisa;
• imithi;
• ubuchule unyango manual;
• massage;
• ezizodwa linxibe corset umhlana;
• yokudla;
• Iindlela zemveli;
• ukususwa Ithemba spinal.

Ukusetyenziswa ngamnye kubo kungenxa iimpawu ngamnye isigulane ngasinye kwaye imeko yakhe jikelele. Kodwa nyango lungcono - ngokusekelwe zonke iindlela akufuneki contraindicated, ie complex. Yaye kusenokwenzeka ukuba, ngenxa yoko ukususwa Ithemba spinal ingafuneki.

Ubungqina obubonakalayo buxela ukuba umsebenzi Ithemba

Ubungqina yokuba lo msebenzi lwaqhutywa ukususa Ithemba spinal, ingaba Yingcambu okanye epheleleyo. Kwimeko yokuqala kuba enyanzelekileyo. Ngaphezu koko, lo msebenzi kufuneka zenzeke kweli xesha lifutshane kangangoko kunokwenzeka.

A Ufundo isihlobo kuthetha aveza ukuya kule lempatho nafuthe ukutshintsha ekuphulukenwe, kunye nokusebenza nangoku kuyimfuneko, kodwa hayi ngokukhawuleza. It yabelwa ityala emva kweenyanga ezimbini tshintsho kunyango kuba ngcono ukuba ziyalandelwa.

Surgery ukususa Ithemba spinal enokwenziwa ngeendlela ezahlukahlukeneyo. Nantsi ke.

discotomy

Discectomy - uninzi uhlobo eziphelelwe yokusebenza. Ihlala isibakala ukuba ulusu emva phantsi zomzimba jikelele, imbobo malunga ulingana ngokweesentimitha ezisibhozo. Emva koko, ngalo kususwa ngokupheleleyo disc spinal achaphazelekayo okanye, ukuba kunokwenzeka, nje inxalenye yawo.

Eyona ethile loqobo lolu hlobo lotyando kukuba ekubeni basengozini enkulu kakhulu yokuba iinkqubo arhabaxa. Ukuthintela ukuba isigulane kufuneka ulale ubuncinane iintsuku ezilishumi phantsi koqwalaselo esibhedlele kwaye baye kufumana unyango isibulala-zintsholongwane.

Ngokutsho uluvo ziingcali, weentshukumo umsebenzi yomqolo emva kotyando okubuyela emva kakhulu ngakumbi ngoka kwezinye iintlobo zotyando, ngenxa yokuba ngelo xesha isicelo umonakalo ngokwanelisayo omkhulu.

Noko ke, lo msebenzi nje kuphela nezingalunganga. Le eziluncedo ziquka ipesenti encinane ukuphinda (3%). Oku kubangelwa yinto yokuba disc ochaphazelekayo, okanye inxalenye isuswe yayo ngokupheleleyo.

Yimalini uqhaqho ukususa Ithemba lwe lomqolo? Amanani oko, ngokwendlela nokubuyekezwa yezigulane lisezantsi, kwaye iqala engange 20 000.

laminectomy

Laminectomy kukuba isigulana isusiwe pewa inxalenye vertebra apho licinezelwe yi kwenzwa isiphelo herniated. Ngenxa yoko, ngokutsho iingcali, kwimo nomonde kwenzeka ngokukhawuleza - kwisithuba seentsuku ezi-3. Ukongeza, ngenxa yokuba lo luvo akhululwayo, isigulana phantse nangoko liyayeka ukuba zintlungu.

Kodwa kukho kwakhona umngcipheko. Umzekelo, kukho umngcipheko olude ephezulu yosulelo. Kwaye, into eyingozi, kukho amathuba umonakalo luvo xa kusenziwa utyando.

endoscopy

nokususwa Endoscopic of spinal herniated Zenziwe an mbhobho kunye nezixhobo amancinci kakhulu ngobukhulu. Oku kwenza kube lula ukuba ukunciphisa isayizi liqatywe ukuya ubuncinane. Kuyinto ilingana no-5 mm. Olu hlobo tyando kakhulu ezaziwayo zithandwa ngenxa eziliqela zalo eziluncedo. Okokuqala, nto ubude - ngaphezulu akukho ngaphezu kweyure. Ngenxa yoko, izihlunu umzimba kubhaliwe abayenzanga lutho. Ke, besabelana nge olwandisa okhethekileyo. Xa nokubuyekezwa yezigulane, isigulana angaya ekhaya ngosuku olulandelayo. Buyisela umqolo efanayo kuthatha malunga neeveki ezintathu.

Kodwa khumbula ukuba olu tyando jikelele. Akukholekile ukuba iindidi ezithile Ithemba spinal, yaye emva kokuba kakhulu phezulu (10%) umngcipheko likakade. Kwaye i msebenzi, ngelishwa, akezi emi cheap - ixabiso layo kwiikliniki ukufikelela engange ukuya ku-130 000.

microdiskectomy

Microdiskectomy - utyando esekelwe neurosurgery. It lwenziwa ngoncedo izixhobo ezintsha kunye esinamandla. Emva isigulane isikwe 3-4 cm. Kufuneka kwenziwe kwingingqi ye-luvo, nto leyo zixinaniswe Ithemba. Herniated disc isusiwe, apho luvo likhululekile. Ngoku lo msebenzi, ngokutsho iingcali, omnye zisetyenziswa kakhulu qho.

Ngenxa yoko, intlungu yakhe phantse kwangoko shwaka. Esi sigulane asikwazi ukushiya kwiziko lezempilo kwasekuqaleni ngosuku olulandelayo. Buyela umsebenzi ofanayo (nje, Kakade ke, hayi esebenzayo) ayengakwazi ngenyanga. Ngu esebenzayo kuya kuba lula ukuqala ezinesiqingatha okanye iinyanga ezimbini.

Loo msebenzi, isikakhulu kucetyiswa ukuba abo hernias ezininzi. Ngenxa nayo ukuba isuswe ungenelelo olulodwa.

Ngelishwa, izinga iphinde ifikelela 10-15%. Kwaye ke umsebenzi imali eninzi kakhulu.

ukususwa laser

Ukususwa laser spine herniated - diskoplastika laser - kukuba ngoncedo eliphantsi amandla ray yediski ndinobushushu kwiqondo elithile, okwenza ukuba ekubuyiselweni kwalo. Thina singacebisi ukusetyenziswa kwe-msebenzi ngaphandle kuqala kokudibana nogqirha wakho, ngaphandle kokuthatha uhlalutyo. Ngaphezu koko, laser uqhaqho ayikho jikelele. Ngoko ke, ngokoluvo leengcali, hayi ilungele zonke iintlobo hernias.

Emva kwalo msebenzi, ithuba iingxaki, ngoko ke isigulane kufuneka baye kufumana unyango isibulala-zintsholongwane.

iingxaki kunokwenzeka

Ziintoni ezinobuzaza xa kunokwenzeka emva kotyando spinal? Zahlula-hlulwe intraoperative kunye postoperative. I kuvela kuqala ngexesha utyando kanye:

• Xa olu luvo unako yonakele. Ekubeni okufuphi Ithemba, nomonakalo ilula, ngakumbi xa kwenziwa discectomy. Kulo mzekelo, emva kokuba umsebenzi kusenokuba kukho eminye imiba kunye novakalelo iinyawo, kukho ubuthathaka kwezihlunu.
• Kusenokwenzeka nokuba yonakele laseDura mater. Ukuba ugqirha wabona umonakalo ngexesha utyando, oko ushet msantsa. Kungenjalo, emva kotyando iba yintloko nomonde kakhulu ngenxa yokuba utywala kuya kumpompoza ukusuka emjelweni spinal bandiqumbisayo utshintsho koxinzelelo intracranial. shell nzima okuphilisa ngokwayo, kodwa kuya kuthatha ixesha (2 iiveki).

iingxaki Postoperative kwakhona zinokwenzeka. Zahlula-hlulwe iintlobo-2:

1. Early. Baya kuvela iingxaki yokubolisa (epiduritis, osteomyelitis, inyumoniya, nokudumba) kunye nezigulo thromboembolic (Embolism yemiphunga, thrombosis kweqondo asezantsi).
2. iingxaki Ngasekupheleni postoperative walibonakalisa IiCD yomhla nezolo herniated. Ngelishwa, olu hlobo ingxaki kwenzeka ngokufuthi, nge-avareji, ukuya kwi-30%. Kwakhona loloyiko kunokwenzeka kunye azikhuli ukuba pinched luvo, nto leyo ekhokelela intlungu.

Ngokuxhomekeke kuyo yonke imithetho yesiqhelo na ukuthintela iingxaki postoperative emva kwexesha.

Kwimo yesiqhelo emva kokuba ukususwa Ithemba spinal

Emva kokuba kudlule ixesha emva kotyando kunye yaseZimbabwe ziza kususwa, unyango isigulane nangoku ayikagqitywa. Kuya kuqalisa ixesha elitsha inyathelo, mikhulu, kwaye kuwo othile iya kuxhomekeka neziphumo zemisebenzi:

• Isigulane kufuneka rhoqo abandakanyeke kunyango ngokwasemzimbeni, ukuba bagcine ulawulo lale mini, anxibe okhethekileyo corset kudala yakho. Noko ke, unako ukwenza umthambo ngoko nangoko emva kotyando. Okokuqala, nokuba phezulu kufuneka kuthathwe enciphisa, iintshukumo ngequbuliso.
• Ngexesha nyanga, ayikhuthazwa ukuba ahlale kule Ithemba lo ukusekwa kwakhona, yaye kwakungekho ucinezelo le akwazi lialio. Long walk okanye ukuma Nathi kube lixesha lokuqala. ngeyure nganye okanye ezimbini kufuneka kuphumla emva kwakhe, elele phezu imizuzu eli-15.
• Ayivumelekanga phakamisa iintsimbi.
• Kwaye kwakhona, kunye nemiqathango inkxalabo kunye ebhedini. Sifuna esikhethekileyo, oomatrasi amagwebu nzima.
• Xa imvula ungaya ngeentsuku ezintathu kuphela emva kotyando, igumbi lokuhlambela ayikhuthazwa ngenyanga yokuqala emva kususwa sutures.
• Musa ngoyaba routine kuhlolwa-ups kunye nogqirha wakho.

Simele sikhumbule ukuba akukho mfuneko zingabuyi ngoko nangoko emva kotyando. Kwakhona abonakale emva kwexesha elide emva koko.

Indlela ukwenza imithambo?

imithambo kubaluleke kakhulu emva kokuba ukususwa disc herniated. Luquka ezi ukuzilolonga zilandelayo:

1. naphezulu ezicothayo imilenze bent kwi amadolo xa elele ngasemva.
2. Ukuphakamisa isinqe ukuya emilenzeni baphikele emadolweni, elele ngomqolo.
3. Imilenze baphikele kwi sikhundla lisalele. Kancinane ukwenza Akubuya imilenze kwenye okanye enye indlela. Kufuneka ukuzama ukufumana amadolo yakho ngesondo.
4. Saguqa, Esayama ngezandla, ngokucotha etsala ngomlenze omnye ngqo umva, bamba imizuzwana 30 kunye notshintsho umlenze.
5. Elele esiswini sakhe, isuswa iphakamise kwaye ubambe up.

Ukuphonononga kunye neziphumo umsebenzi Ithemba

Ngokutsho izimvo ezininzi yezigulane, wachaza ukusebenza njenge umthetho, ulungile. Ezinobuzaza zinqabile. Le sokubuyisa ixesha ekuphulukenwe iya kuthabatha malunga neenyanga ezintandathu, emva koko unako kwakhona uhlala ngokupheleleyo kunye nomsebenzi.

Ngokutsho kweengcali, ukuba onke amanyathelo yaye silandele zonke iingcebiso ugqirha, imiphumo ukususwa disc herniated ziya kuba ncinci. Kambe ke, oku kuxhomekeke umgangatho ngokusebenza, ekubeni kukho amathuba okuba ukuphinda. Kodwa ke amaxesha amaninzi oko iphela ngokukhuselekileyo.