Hernia Intervertebral: izimpawu, uphethwe, ukuphathwa

Bayanda ezweni lanamuhla, abantu bekhalaza yobuhlungu beqolo. Uma umsebenzi wakho uhlanganisa ezisindayo noma ahlale-ke, noma ukuchitha isikhathi esiningi beshayela ke ungena indawo ye ingozi. Ngokuvamile, le ndlela yokuphila kuholela ezifweni ezifana herniated akwazi ukugcina. Abakwazi zenzeka esifundeni lumbar nasesikhathini thoracic noma wesibeletho.

emgogodleni wethu uchungechunge amathambo oxhumene izinqubo articular futhi intervertebral elise therebetween amadiski ezithambile eyakhiwa izindandatho fibrous futhi pulposus-nucleus. Ngenxa ukushayela eguquguqukayo kanye ikhono lazo "bounce" sikwazi ukugoba kalula futhi ushintshe indawo emzimbeni. Konke lokhu linanyekwe luhlaka enamandla kwemisipha, okuyinto elungisa amathambo. Emgogodleni kwakwande izinzwa emgogodleni ivela emgogodleni nokwelula phakathi amathambo. Uhlaka kwemisipha, ekuvimbeleni ukunyakaza lamadiski intervertebral e ohlangothini isikhungo, ivikela izinyanda ezondile yezinzwa kusuka ukulimala amathambo.

Nokho, kunezimo lapho Uhlaka kwemisipha akakwazi ukubhekana abangababi bemisebenzi yaso bese kudiski vertebral "uwela" kusukela uchungechunge jikelele. Phakathi kwalezi zimo bungabonakala:

- kokucindezelwa umthwalo eqinile, okungukuthi, izinsimbi. Kungaba isisindo omkhulu ephakamisa amadoda nabesifazane egqoke izikhwama ezisindayo. Khumbula ukuthi awukwazi phakamisa izinto ezisindayo, eguqa emuva. Udinga ukuba zihlale phansi, thatha umthwalo futhi emuva ngqo. Ngakho ukunciphisa umthwalo phezu emgogodleni ngokuphindwe kayishumi. Ngaphezu kwalokho, i-viral load eqinile compressive ku yomgogodla usuwakhiwe lapho egqoke isithende izicathulo okusezingeni eliphezulu;

- eside kokucindezelwa umthwalo phezu emgogodleni. Ngakho, ukucindezeleka okwengeziwe uma umuntu njalo ihlala uhlezi phezu esifundeni lumbar, ikakhulukazi uma uhleli beshayela. Ngempela, kulesi simo, ibuye kulekelelwa komzimba phasi naphezulu;

- turning somzimba ukuze ohlangothini, ikakhulukazi abukhali. Eseyinsizwa uzimele oqinile kwemisipha, kanye ezifana egoba imisipha esishubile, bamba amathambo ngokumelene ukufuduka. Kodwa ngeminyaka, kwezintambo zesivikelo imisipha kancane, futhi ngenxa yalokho kukhona ingozi herniated umzimba intervertebral nge ukunyakaza abukhali. Kufanele kukhunjulwe ukuthi amathambo wesibeletho kukhona mobile kakhulu, futhi ngisho entanyeni ezincane abukhali ematfuba angaba knock drive lapha;

Lapho disc intervertebral siphuma amathambo, siyaqhekeka futhi lisakazeka. Lapho ngemuva kwesikhathi esithile kudiski osemanzi, uqala ukumela usongo elisemqoka kuya izinzwa, njengoba mass Ekhala disk ajiya akuyona njalo kuphela uma sithinta izinzwa, odalekayo kuwo futhi ibangela ubuhlungu obukhulu, kodwa uyakwazi usike emizweni kungaholela paresis. Uma protrusion we hernia ezenzeka esikhathini umsele umgogodla ke kungalimaza emgogodleni kubangele ukukhubazeka.

hernia Intervertebral: izimpawu

Phakathi izimpawu zalesi sifo ikakhulukazi ubuhlungu obuhlabayo ku restudy we vertebra. Ngokuvamile iziguli esekhala ukuluma, ukuba ndikindiki ezandleni noma nogah.Ot lokho ncamashi emgogodleni abathintekayo, izimpawu athé ukwehluka.

Lumbar hernia intervertebral: izimpawu

Kukhona ubuhlungu esifundeni lumbar, nobude yonke emsipheni sciatic. Emsipheni sciatic iyona enkulu kunazo zonke futhi emzimbeni wethu. It okuhambisa amasignali kusuka emgogodleni ukuze imisipha okhalweni nasemilenzeni, ukuhlinzeka ukuzwela kulezi zitho zomzimba futhi ulungise ukunyakaza kwabo. Ngakho, uma vertebra offset izimpande lumbosacral aboshezelwa sciatic nerve izinhlungu ivele ku zawo, ulubone ukuzwela ephazamisekile, kuphakama paresis.

Ubuhlungu irragirovat yizabelo ahlukene lapho emsipheni sciatic, isib, in the umbala, esifundeni popliteal. Ngokuvamile, iziguli esekhala ubuhlungu lumbosacral, gluteal esifundeni kanye posterior ethangeni. Kukhona izikhalazo ubuhlungu onyaweni.

Kuvele ukuzwela angahlangani ezindaweni ngazinye, isib, uzwane, noma ingxenye encane ethangeni. Ngezinye izikhathi kuziwa ukulahlekelwa ephelele noma ukuhlanekezela ngesimo uvutha eqinile noma ezibandayo, ukuluma.

Paresis - a ukukhubazeka okuncane. Bona ikakhulukazi othambekele unyawo, izinzwane izinyawo. Isiguli ngeke ngikwazi ukuvuka ngezinyawo Sock, futhi isikhundla lisalele ayikwazi ukudonsa unyawo. Iminwe phezu olimele unyawo paresis hambisa ezimbi. Wephule imisebenzi kwezitho okhalo - urinary (mhlawumbe esinqunyiwe) umchamo, indle, futhi ngezinye izikhathi ukulahlekelwa potency.

Kusukela eziningana ezahlukene lumbar thoracic hernia intervertebral. Izimpawu zesifo - kuba buhlungu esigabeni kwesingezansi kufinyelele entanyeni. Izimpawu: intercostal evelele neuralgia, isiyezi, ukuluma noma ukungabi namizwa emikhawulweni engenhla, ikakhulukazi ezandleni neminwe, paresis yabo. Ngokuvamile, kuba buhlungu kwanikezwa izibilini bawakhohlise zobuhlungu pancreatic, nenyongo sesinye, inhliziyo. Ungenzenjani ka amathambo thoracic kanzima sengidonsa umoya, esifubeni sengathi isibambo, futhi lapho ukuphefumula ubuhlungu inyuka umbhunu. Ezimweni ezimbi kakhulu, kukhona emlenzeni paresis kanye nokukhubazeka.

Futhi ekugcineni, eyingozi kunazo zonke - umbhunu wesibeletho intervertebral. Izimpawu ze-disc herniation yomgogodla wesibeletho - ubuhlungu entanyeni, isiyezi, isicanucanu. Isiguli ayikwazi ngokukhululekile uphendukisa esentanyeni yakho, wasivalela ukunyakaza kwakhe. ubuhlungu Cijela e kwebhande ehlombe, waphathisa. Kungase kube buhlungu lapho sibhekene, efana ukuvuvukala emsipheni trigeminal. Futhi, kukhona paresis ukukhanya izandla neminwe, ukuba ndikindiki noma ushintsho nozwela kwebhande ehlombe emikhawulweni engenhla. Nge yokwanda paresis sifo hhayi kuphela izandla, kodwa futhi imilenze, izinyawo. Kunezinkinga kwezitho okhalo. Ngengozi umbhunu ukuthi kungaholela ukukhubazeka yokukhula komzimba wonke.

Uma une disc herniation, impatho akufanele waqala ngaphandle kokudabula uvivinyo ezidingekayo: MRI (encomekayo) nekhompyutha tomography.

ukwelashwa

Lezi zinhlobo ezilandelayo ukwelashwa asetshenziswayo esigabeni sokuqala isifo:

- Physiotherapy: electrophoresis, laser, uzibuthe, njll Bathandana nalo babuye bathandane kuhle nxa ile-non-steroidal izidakamizwa eqeda ukuvuvukala. Lezi zinhlobo izinqubo zokwelapha ahloselwe ukwehlisa ukuvuvukala babancwebe imizwa nezicubu emhlabeni. Ngokuvamile ku intervertebral disc herniation ubuhlungu ukucasulwa izicubu edema ukusuka endaweni yenhlekelele, okuyinto ngazo phezu izinzwa. Ukususa ukushisa, thina ukuqeda edema. Emsipheni ikhishwe - nobuhlungu amuke.

Kodwa massage and novocaine ukuvinjelwa okuhloswe ngaso ukususwa imisipha spasm endaweni ethintekile. imisipha spastic ukwandisa ubuhlungu futhi zikwenza ukushayela emuva indawo yakhe, uma offset wawungenawo amandla.

Massage kufanele kube soft, kungekho ukunyakaza kungazelelwe. Akunakusetshenziswa asikwazi ukuba sesimweni sokusebenzisa yokwelapha mathupha. jerks ezesabisa kakhulu ezingazelelwe akwazi ukushaya namandla dengwane ukushayela noma avuse ukudabuka yayo.

Procaine ukuvinjelwa kuthiwa esasikhipha imijovo zomuthi ukuba ndawonye endaweni ethintekile. Hypertonicity imisipha bedle izinzwa kancane kancane inyamalala. Le nqubo Kwenziwa, ngokuvamile izinsuku 5-6. Kodwa kubalulekile sikhumbule ukuthi procaine - a allergen eqinile. Ngakho-ke, labo bantu babe nezici ezithile ukuze komzimba, kufanele baqaphe kakhulu ekusebenziseni le izidakamizwa. ukuze novocaine. Komzimba kungase kubangele ukuhlaselwa kwakhe isifuba somoya. ukuvuvukala umphimbo, ubuso, iziyaluyalu imisipha yenhliziyo, kuze ukuboshwa inhliziyo. Ngakho-ke, ngaphambi kokuba aye kudokotela ka novocaine blokadsleuet kudingekile ukwenza ukuhlolwa yokungezwani komzimba ukuze novocaine.

Ukubhukuda ingaba njengesihluthulelo yokumelapha ngokungabi bikho sokuwa futhi paresis okunzima nasemilenzeni. Phakathi nohambo lwabo lwasolwandle elula amathambo, kokucindezelwa umthwalo phezu kwesigaba obonakele phandle, kanye disc umgogodla oyakuma endaweni yakhe.

Corsets ngemuva engezansi noma emgogodleni thoracic, bands wesibeletho abe nomphumela oqabulayo e eside egqoke futhi iyakwazi ukunikeza usizo olukhulu okusheshayo sebuhlungwini obunzima. Abazange nje silungise yomgogodla sikhundla lengiyo, kanjalo uvimbele ukudala ezinye ukufuduka ngokwengeziwe disc intervertebral, awelulele ke, ngaleyo ndlela kuncishiswe ingcindezi uwile disc phezu izinzwa. Kahle kahle, disc ebuyiselwa isikhundla yayo yasekuqaleni.

kokungenela op

Ukuhlinzwa liyadingeka uma disc herniated we lumbar noma thoracic angaphezu kuka-12 mm, futhi wesibeletho - ezingaphezu kuka-6 mm. Izinkomba ukuhlinzwa:

- kokucindezelwa we umgogodla nentambo ezinzwa izimpande izakhiwo lapho iziguli paresis amaningi,

- ukuphazamiseka kwezitho okhalo, njll

Inhloso yalo kokungenela - yokukhululwa impande emsipheni. Isimo sezulu obuhle ezifanele ukwelashwa okufanelekile nasezinkingeni ezilandela ngemva kokuhlinzwa indlela efanele yokuphila isiguli.

Phawula indlela efanele yokuphila, futhi ngendlela esifike ngesikhathi, sicela uthintane udokotela!