I sequestered izimpawu herniation, ukwelashwa kanye nokuvimbela

Izifo yomgogodla kuyingozi kakhulu. Phela, zihilela ukwakheka okubalulekile - emgogodleni. Enye yalezi pathologies is sequestered herniation. Lesi sifo kunomthelela omubi wonke umzimba futhi kungaholela eziningi nemiphumela emibi ngendlela efanayo.

Izimpawu zesifo

Yini sequestered disc herniated? Lokhu zokugula, lapho pulposus nucleus (okuqukethwe jelly-like) ngokusebenzisa ukudabuka noma ufa igobolondo yediski extruded futhi ahlukaniswe ngokuphelele kuyo.

Lokhu isinqamu iqala ukuba siqhubeke eduze izinzwa emgogodleni. Ngenxa yalokho, isiguli ubuhlungu, ukuba ndikindiki ukushoshozela endaweni lapho emsipheni pinched. Ngezinye izikhathi ahlukaniswe disk ucezu uyakwazi ukungena esikhaleni epidural. Ezimweni ezinjalo, kukhona nje ubuhlungu babulawa. It okungase kuthintwe hhayi kuphela emuva, kodwa futhi ezingalweni nasemilenzeni.

Isimo sina libhekene ukuthuthukiswa iKhawuda equina syndrome. Nale ukugeleza sifo, isiguli kungenzeka ukuthi ulahlekelwe ukulawula inqubo sokuzikhulula futhi ukuchama. Ngaphezu kwalokho, kukhona ukuba ndikindiki kusukela emilenzeni futhi imbilapho ndawo. Le ndlela lesi sifo inkomba ahlinzwe ngokushesha. Uma kungenjalo, kungenzeka unomphela izicubu sezinzwa.

Lesi siqeshana ahlukaniswe kwezinye izimo, kungase ubhujiswe, bese angena egazini.

imithombo zokugula

Ukubhujiswa kwabantu disc intervertebral kubangelwa voltage ngokweqile imisipha paravertebral. Lokhu kubangela ukuthuthukiswa izinqubo esiwohlozayo. Ngenxa yalokho, i-fibrosus annulus lilimele.

Ayanda umthwalo ihlangabezana disk, aba maningi amathuba asathuthuka lokhu umbhunu. Kule ndaba, avame kwakhiwa herniation sequestered endaweni lumbar.

Kunomthelela ekuveleni yilesi sifo manje yilabo zikhathi:

• kombungu;
• ukhwaliti ubuhlungu emuva;
• isisindo ngokweqile;
• ukuntula in cartilaginous kwezicubu namaminerali;
• umsebenzi, has a umthwalo elinamandla yomgogodla (i-Loader, ukwakhiwa).

Ngokuvamile lesi sifo ucala kutfutfukisa ku ngemuva:

• ukucindezeleka;
• ezisindayo;
• nokuthambekela okungalungile,-sit-ups;
• hypothermia.

Izimpawu zesifo

herniation Sequestered kwezinye izimo ingaqala cishe engabonwa. Kulokhu, isiguli ngezikhathi kukhona ubuhlungu emuva. Kodwa izenzakalo ezinjalo umuntu Ufika esetshenziswa. Ezemfundo ibonwa kwamakhaya iziguli ezifana okunye ukuhlasela.

Izimpawu zincike kwasendaweni we umbhunu. Ngakho-ke kubalulekile ukuba ababheke ngokwehlukile.

On ukuthuthukiswa kwe-pathology kuboniswa izimpawu ezinjalo kabuhlungu emgogodleni wesibeletho:

• izikhathi zokudakwa kaningi ubuhlungu bekhanda;
• ngezikhathi entanyeni, izingalo ndikindiki livela;
• ubuhlungu endaweni intamo;
• ukuqaleka yinto eqhubekayo okukhulu;
• Ngemva kulayishwa inyuka ubuhlungu;
• kwemisipha izicubu ku nasemilenzeni engenhla kancane kancane mpilo;
• endaweni emahlombe, entanyeni, izingalo, kukhona ubuthaka imisipha;
• ekushintsheni Gait;
• kancane kancane ucala kutfutfukisa ukukhubazeka yezingalo nemilenze.

Uma enkantolo nesiqinile phakathi amathambo thoracic, lezi zimpawu ezilandelayo zenzeka nesineke:

• ubuhlungu obukhulu endaweni esifubeni;
• ukungakhululeki zinganikwa e izindwani ehlombe, emzimbeni izimbambo;
• ubuhlungu Ubangwa ngisho nangemva ukuzikhandla okuncane;
• eba nokukhubazeka we imilenze;
• ndikindiki lisibekele esifubeni, esiswini, emuva;
• kancane kancane buthaka imisipha izicubu, ngezinye izikhathi kukhona yoma ephelele.

Pathology lumbosacral endaweni kuboniswa izimpawu ezifana:

• esifundeni lumbar kukhona okukhulu ubuhlungu ukuhlaselwa;
• ukungakhululeki kungokwaphakade, evelele ayikhanyi kakhulu;
• umthwalo kancane kuholela ubuhlungu owandiswayo;
• ukungakhululeki zinganikwa kule aphansi nemilenze, izibunu;
• walahlekelwa ingqondo umsipha;
• kunemisipha yomlenze neligwadulekile;
• izinzwane, izinyawo ngezinye izikhathi hamba ndikindiki;
• inqubo angase angayithandi indlela okusetshenziswa sokuzikhulula noma ukuchama;
• emilenzeni kukhona ubuthakathaka, ubuthakathaka;
• ephansi yobunzima emuva;
• ngezinye izikhathi Ukuthuthukela ukukhubazeka of the imilenze.

sitholakele isifo

Endabeni izimpawu ngenhla isiguli kumele uxhumane isazi sezinzwa. Udokotela ulalele izikhalo esiguli, izobheka isimo ngokomzimba futhi zezinzwa. Uma usola umbhunu uzodinga ukusihlola.

Ngeshwa, roentgen - ezimweni eziningi uninformative indlela yokuhlola. Yena akakwazi thembeke ukukhombisa khona waphuka, neziqu bony, offset amalunga omzimba.

herniation Sequestered yomgogodla ibukeke kakhulu nangokunembile usebenzisa i-MRI. Lolu cwaningo ivumela ukucacisa isikhundla, ubukhulu egunjini lokuhlolwa kwezifo. Ngaphezu kwalokho, i-MRI kusenza siqonde isimo imisipha, nemisipha nezinzwa.

zokwelapha

Ukuze ulwe nesifo isicelo:

• ukwelashwa olandelanayo;
• ukuhlinzwa.

Isinqumo izinyathelo ezizothathwa ziyokwenziwa kuphela ngudokotela wakho. Isikhathi esining impela, iziguli bakholelwa ukuthi kuphela ngokusebenzisa ukuhlinzwa bangalwa izifo ezifana hernia sequestered. ukwelashwa okulondoloza uyakwazi ukuba ayikho indlela ayisasebenzi. Kodwa kufanele ngokuqinile ukugcina zonke aphoyintimenti nezeluleko kadokotela.

ukwelashwa

Kuyadingeka ukukhumbuza waphinda ukuthi ekwelapheni herniation sequestered ngaphandle kokuhlinzwa kungenzeka kuphela iseluleko kadokotela. Ukuze kwaneliswe lesi zokugula wedwa is nhlobo. Phela, ezimweni eziningi - indlela ukuba semthethweni.

ukuphathwa okulondoloza kuhilela ubambe kwamakhaya yokulahlekelwa Imininingwane kuze kube isikhathi kuze isinqamu inikezwe kwezicubu akuyona omertveyut ngokuphelele. Lokhu kuzokwenza yakha ithambo iqhubezela, ukuvala emgodini.

Ukuze uthuthukise ngezimo zesiguli inikezwa emithini yokuselapha:

1. ejenti eqeda ukuvuvukala. Le mithi okudambisa ubuhlungu, ukunciphisa ububi besimo sokuguquka ukuvuvukala. Isiguli kungenzeka imithi Kunconywa: "ibuprofen", "diclofenac", "Nimesil".
2. izidakamizwa isisu. izidakamizwa ezinjalo ebekiwe amafishane. Bona kahle unciphise ukuvuvukala cuphuluza kokucindezelwa ijwabu. Le nqubo yokwelapha ingase ihlanganise imithi enjalo "Furosemide", "Hypothiazid".
3. Imisipha relaxants. La mathuluzi ukuqeda izinhlungu zibe kwemisipha. Esebenzayo imisipha relaxant engabelwe ukucinana unikezwa, umuthi "Mydocalm".
4. Amavithamini yeqembu B. Ziyakwazi enqunyiwe ukwandisa conduction ishayela. Lawa imithi ezilandelayo: "Thiamin", "pyridoxine".
5. Chondroprotectors. Lokhu ukuthaka imithi ngendlela ukuhlinzeka ukudla ngcono kwezicubu cartilaginous. Imithi kaningi ebekiwe kakhulu, "chondroitin sulfate".
6. Anticonvulsants. Leli qembu izidakamizwa akwazi ukuqeda ubuhlungu neuropathic. Iziguli Kunconywa amakhambi ezifana: "carbamazepine", "Finlepsin", "Konvulsofin".
7. Neminye imithi. Ukuze uthuthukise trophism kwezicubu, ukukhuthazwa microcirculation, ukwelashwa ingase ihlanganise izidakamizwa "Aktovegin", "Trental".

Uma kudingeka, iphendukele novocaine ukuvinjelwa.

izindlela engeziwe yokwelapha olandelanayo

Waphatha hernia sequestered ngaphandle operation cha izidakamizwa kuphela.

Isiguli inikezwa inamba ka Physiotherapy ukwelashwa ezingathuthukisa ikhono inhlalakahle:

• imisinga diadynamic ;
• Ukwelapha magnetic;
• esisuka;
• ultrasound;
• d'Arsonval imisinga.

Ngaphezu kwalokho, iziguli zikhuthazwa ukuba umzimba, ebekiwe inkambo massage.

Uma Dynamics omuhle ngcono azibonile uma sebehlanganisa amasonto angu-2-3 yokwelapha olandelanayo.

Lapho ukusebenza iyadingeka

Kodwa, ngeshwa, kunezimo lapho lokhu kwelashwa olandelanayo ayikwazi sequestered herniation. Ukusebenza - yiyo kuphela indlela ukubuyisela impilo.

Isidingo ukuhlinzwa kuphakama ezimweni ezinjalo:

1. Inkambo sifo libhekene ziwohloke abukhali. Kulokhu, kungase kube nezikhathi ngcono. Ngokushesha indawo ukuwohloka.
2. Ubukhulu sequester enkulu ngokwanele (kuka 10 mm).
3. Kukhona attenuation eqinile ezonini radicular nerve-kwemisipha izicubu.
4. nemilenze Ilokhu ndikindiki.
5. yokwelapha okulondoloza Kwenziwa izinyanga eziyisithupha, akazange ukunikeza Dynamics omuhle.
6. Kukhona ukuqhubeka kwesifo, naphezu nokulandela yonke aphoyintimenti udokotela.
7. Isiguli kutholakala ukuthi uphethwe yini izifo sokuhlasela kwamasosha omzimba.

kokungenela kuhlinzwa

Njengoba kuphawulwe ngenhla, awusebenzi ngaso sonke isikhathi nemiphumela emihle ukwelashwa ngoludala of herniation sequestered.

Ukusebenza kungenziwa ngezindlela eziningana:

1. Microdiskectomy. Ngosizo microsurgery isuswe herniation sequestered. Lokhu kuvumela isiguli okudambisa ukucindezela kwendikimba isinqamu ukuze izimpande ingqondo.
2. ukususwa endoscopic.
3. nucleoplasty Percutaneous. Phakathi ukuhlinzwa ukukhiqiza ukuqina disc nge-plasma abandayo kanye electrode.
4. Ukususa sokwenziwa disc. Buyisela ezilimele ithambo sokwenziwa isiguli noma sokwenziwa titanium.
5. ukufakelwa autologous cartilage. izicubu Kudingekile othathwe nesineke ngibandise ngaphandle kwesibeletho. Ngemva 3-4 izinyanga lokhu uqwanga utshalwe esigulini.
6. Ukususa ingxenye vertebra, ezikhandla kokucindezelwa we nomgogodla. Lo msebenzi: laminotomy, Foraminotomy.

Ukuvuselelwa izinyathelo kanye nokuvinjelwa

Uma herniation sequestered iye eziqhutshwa, isiguli kufanele alandele imithetho ethile Kunconywa udokotela.

Phakathi nokuvuselelwa kubalulekile:

• hhayi ukuthi siphakamise izinsimbi ezisindayo;
• ukuthatha zonke imithi udokotela;
• Gwema ukuthi ukuzikhandla ngokomzimba esindayo.

Lapho umzimba alulame emva kokuhlinzwa, isiguli kufanele uqhubeke zokuvimbela herniation yansukuzonke.

Ekuvikeleni Ukuphinda yesifo, kunconywa:

• njalo Physiotherapy;
• ukuthobela olukhethekile lokudla;
• iya ku-swimming pool (ukubhukuda iyasiza uma uthanda ukugula);
• nizibhale kokuma yakho;
• ngezikhathi baphathwe ekhaya lasebekhulile.

bawuhloniphe nazo zonke izincomo yezokwelapha uyosibonisa zokugula futhi awuvikele ukubonakaliswa okuphindaphindiwe.