Ungenzenjani yomgogodla: izinkomba, ukuvuselelwa, nemiphumela Izibuyekezo

Kaningi sizwe esikhonondayo yobuhlungu beqolo. Bathi ubuhlungu kubangelwa ngenxa umsebenzi okungajwayelekile, usuku kanzima noma ukukhathala. Kodwa ingabe njalo njalo? Ngeshwa, kukhona amacala lapho ubuhlungu obunjalo - umphumela hernia umgogodla. Lapho kuboniswe ukususwa hernia umgogodla, kanjalo uyokuqonda kulesi sihloko.

izimpawu

hernia Spinal - lokhu kuyingozi kakhulu, ngenxa umuntu wakhe ahlangabezane njalo, nobuhlungu obungapheli, yokulinyazwa kanye nezikhungo zayo zangaphakathi. Imiphumela yaloku kuhlola okungenhla engalungile zingase zibe zimbi isimo, ngakho-ke kuba ukusazi ngokunembile isifo esikuphethe kubaluleke kakhulu.

Kuyini herniation yomgogodla lumbar, izimpawu kanye nokwelashwa yalesi sifo, sicabanga ngezansi. Kusukela ezinye izifo nge nezimpawu ezifanayo ke ingachazwa izici ezilandelayo:

• kokuba ubuhlungu eqinile evelele ukuthi iqhubeka naphezu kwayo yokwelapha yezokwelapha;
• isiguli alikwazi indle kanye nomchamo;
• kungase kubangele ukukhubazeka yezingalo nemilenze aphansi;
• nokwehlisa ukuzwela kuzo;
• ngemva Inkambo yokwelashwa esenezinyanga ezintathu, isimo lesiguli ingakuthuthukisi.

Uma kukhona noma iyiphi yalezi zimpawu, kufanele ngokushesha kudokotela. Ungase udinge ukususwa okusheshayo hernia umgogodla. Ngaphezu kwalokho, ukunakwa ngaphezulu kufanele kukhokhelwe neziqu. Into engavamile ukuba udokotela ngenxa yobudedengu, ukuntuleka ukuqeqeshwa, ukungabi bomsebenzi ubeka uphethwe okungalungile. Futhi ekuxilongweni ezivamile - sciatica. A bug ngokungabi bikho ukwelashwa kungaholela ukukhubazeka lomuntu.

Yilokho herniation kanjani yingozi yomgogodla lumbar. Izimpawu kanye nokwelashwa yayo, yebo, kuhlobene.

Izindlela yokwelashwa

Nokho, inkinga itholakala lapho. Yini elandelayo? Yiziphi izindlela ezahlukene aphathe disc herniated? Miphi asebenza kakhulu? izindlela Ukwelashwa empeleni abasakwazi eziningi. Lokhu kungaba:

• Physiotherapy;
• imithi;
• amasu yokwelapha mqulu;
• massage;
• ekhethekile egqoke corset umhlane;
• ukudla;
• izindlela ezivamile;
• ukususwa hernia umgogodla.

Ukusetshenziswa ngamunye wabo kungenxa izici ngazinye isiguli ngasinye futhi isimo sakhe jikelele. Kodwa ukwelashwa okungcono - ngesisekelo zonke izindlela akuyona contraindicated, okusho eziyinkimbinkimbi. Futhi kungenzeka ukuthi ngenxa yaleli ukususwa hernia umgogodla ayidingekile.

Izimpawu ze-operation hernia

LobuFakazi yokuthi ukusebenza kwenziwa ukususa umbhunu umgogodla, kungaba isihlobo noma ngokuphelele. Esimweni sokuqala kuba saziso. Ngaphezu kwalokho, ukusebenza kumele kwenzeke esikhathini esifishane.

A ukufundwa isihlobo kusho ukuthi kukhiqizwa kuze kube impatho yayingakuthinti shift maqondana yokutakula, futhi ukusebenza, kusadingeka, kodwa hhayi esiphuthumayo. It is eyabelwe icala ngemuva kwezinyanga ezimbili zezinguquko ukwelashwa okungcono engalandelwa.

Ukuhlinzwa ukususa hernia umgogodla kungaba kwenziwe ngezindlela ezihlukahlukene. Lapha benjalo.

discotomy

Discectomy - iningi uhlobo akusebenzi wokusebenza. It itholakala lokuthi ukuthi isikhumba emuva ngaphansi izinzwa jikelele, imbobo cishe elilingana amasentimitha eziyisishiyagalombili. Ngemva kwalokho, ngokusebenzisa ke lususwe ethintekile disc umgogodla noma, uma kungenzeka, kuphela ingxenye yayo.

I ethile eyinhloko lolu hlobo lokuhlinzwa ukuthi njengoba kuba ingozi eliphezulu kakhulu izinqubo ukuvuvukala. Ukuvimbela kubo isiguli ukuba ulale okungenani izinsuku eziyishumi ngaphansi observation esibhedlela futhi avume ukwelashwa ngemithi elwa namagciwane.

Ngokusho umbono ochwepheshe ', locomotor umsebenzi yomgogodla emva kokuhlinzwa okubuyela emuva okuningi kancane kuka kwezinye izinhlobo zokuhlinza, ngenxa yokuthi ngaleso sikhathi-ke isicelo umonakalo sasivumela olunzulu.

Nokho, lo msebenzi akuyona nemibi kuphela. Izinzuzo zihlanganisa inani elincane lomphakathi wabo Ukuphinda (3%). Lokhu kungenxa yokuthi i-disc ethintekile, noma ingxenye yayo lususwe.

Yeka ukuthi kuyinto ukuhlinzwa ukhishwe umbhunu we backbone? Intengo ke, nahlulele by ukubuyekezwa iziguli liphansi, bese eqala ruble 20 000.

laminectomy

Laminectomy wukuthi isiguli isuswe arc ingxenye vertebra lapho icindezelwa ngumuntu herniated emsipheni isiphetho. Ngenxa yalokho, ngokusho kongoti, ukuvuselelwa nesineke senzeka ngokushesha - ezinsukwini ezingu-3. Ngaphezu kwalokho, ngenxa yokuthi emsipheni ikhishwe, isiguli cishe ngokushesha iyeke ubuhlungu.

Kodwa kukhona izingozi. Ngokwesibonelo, ingozi kahle eliphezulu ukutheleleka. Futhi, kancane esiyingozi, kukhona kungenzeka ukulimala kwenzwa phakathi nokuhlinzwa.

Endoscopy

ukususwa endoscopic of umgogodla herniated kwenziwe nge endoscope futhi amathuluzi mancane kakhulu ngobukhulu. Lokhu kwenza kube nokwenzeka ukuze unciphise usayizi imbobo esiphansi. Kuyinto okulingana nama-5 mm. Lolu hlobo msebenzi ngempela aziwayo futhi ethandwa ngenxa eziningana zako. Okokuqala, kungcono isikhathi - akukho isikhathi esingaphezu kwehora. Ngenxa yalokho, imisipha emzimbeni it is hhayi yokulinyazwa. Babelana uketshezi olwandisa ekhethekile. Ukwahlulela ngokubukeka ukubuyekezwa iziguli, isiguli ekhaya ngosuku olulandelayo. Buyisela emgogodleni efanayo kuthatha cishe amasonto amathathu.

Kodwa khumbula yokuthi lo msebenzi akuyona jikelele. Akukhona ezifanele sezinhlobo ezithile hernia umgogodla, futhi ngemva kwaso ingozi lokubuya kwesifo impela high (10%). Futhi eyohlinzwa enjalo, ngeshwa, akafinyeleli ukuma ezishibhile - wentengo emitholampilo ukufinyelela ruble kuze kufinyelele 130 000.

microdiskectomy

Microdiskectomy - eyohlinzwa esekelwe neurosurgery. It wenziwa ngosizo amathuluzi zakamuva futhi ngesibonakhulu esinamandla. On the ngemuva isiguli uthathe 3-4 cm. Kumele kwenziwe endaweni emsipheni, okuyinto onomfutho umbhunu. idiski herniated isuswe, lapho emsipheni sesikhululiwe. Manje lo msebenzi, kusho izazi, omunye Balisebenzisa kakhulu.

Ngenxa yalokho, ubuhlungu cishe ngokushesha iphele. Isiguli angashiya sezempilo kudala njengoba ngosuku olulandelayo. Emuva umsebenzi ofanayo (inqobo Yiqiniso, ayisebenzi) angakwenza ngenyanga. Ngu asebenzayo sizokwazi ukuqala nengxenye noma izinyanga ezimbili.

Okunjalo eyohlinzwa, it is ngokuvamile Kunconywa ukuba labo hernias amaningi. Ngoba nalo kungasuswa ngendlela kokungenela olulodwa.

Ngeshwa, izinga lokubuya kwesifo ifinyelela 10-15%. Futhi lo msebenzi ngempela eqolo.

laser ukususwa

Laser ukususwa emgogodleni herniated - diskoplastika laser - wukuthi ngosizo ongaphakeme amandla ray disc uyabaselwa lokushisa ezithile, okuyinto enomthelela ifake isandla ekubuyiselweni kwalo. Asincomi ukusetshenziswa eyohlinzwa ezinjalo ngaphandle kokubheka udokotela wakho, ngaphandle kokuthatha ukuhlaziywa. Ngaphezu kwalokho, ukuhlinzwa laser akuyona jikelele. Kuyinto, ngokubona ochwepheshe, asifanele zonke izinhlobo hernias.

Ngemva lo msebenzi, kungenzeka izinkinga ngemva kokuhlinzwa, ngakho isiguli kumele avume ukwelashwa ngemithi elwa namagciwane.

yezinkinga kungenzeka

Yini yezinkinga zingaba khona ngemva kokuphela ukuhlinzwa umgogodla? Basuke ihlukaniswe intraoperative kanye nasezinkingeni ezilandela ngemva kokuhlinzwa. Eyokuqala kuphakama ngesikhathi ukuhlinzwa langempela:

• Uma lokhu ezinzwa kungalimala. Njengoba eduze umbhunu, umonakalo ulula, ikakhulukazi uma kwenziwe discectomy. Kulokhu, ngemuva kokuhlinzwa kungase kube nezinkinga ezithile ngozwelo ezinyaweni, kukhona ukuba buthakathaka kwezicubu.
• kungenzeka lilimele Dura Mater. Uma udokotela ohlinzayo wabona umonakalo ngesikhathi ukuhlinzwa, ke ushet igebe. Kungenjalo, ngemuva kokuhlinzwa isiguli ubuhlungu bekhanda uphakanyiswa oludakayo azogeleza esukela umsele umgogodla ukuthi kumkhathaze izinguquko ingcindezi intracranial. igobolondo Hard ukuphulukisa yayo, kodwa ngeke kuthathe isikhathi esithile (mayelana 2 amaviki).

yezinkinga postoperative Ungase futhi zenzeka. Basuke ihlukaniswe 2 izinhlobo:

1. Early. Babonakala yezinkinga ukonakala (epiduritis, osteomyelitis, inyumoniya, sepsis) kanye nezinkinga thromboembolic (embolism yamaphaphu, thrombosis wemikhawulo aphansi).
2. yezinkinga Late nasezinkingeni ezilandela ngemva kokuhlinzwa wabonakaliswa yansukuzonke akwazi ukugcina herniated. Ngeshwa, le uhlobo inkinga kwenzeka kaningi, ngokwesilinganiso, angu-30%. Kungenzeka futhi nezibazi futhi ukuvuvukala ukuthi babancwebe emsipheni, okuholela ubuhlungu.

Isihloko bonke imithetho nokuvuselelwa kungaba ligweme izinkinga ezingase zivele ngasekupheleni nasezinkingeni ezilandela ngemva kokuhlinzwa.

Ukuvuselelwa emva ukususwa hernia umgogodla

Ngemva ezinye pass isikhathi emva kokuhlinzwa kanye yaseZimbabwe izosuswa, ukwelapha isiguli azikaluphothuli. Ingabe atawucala entsha isinyathelo, mikhulu futhi ivela ngezinga elithile kuzoncika imiphumela imisebenzi:

• Isiguli kumele njalo wahlanganyela ukwelashwa ngokomzimba, ukuze bagcine umbuso kosuku, ukugqoka ekhethekile corset ngoba emuva yakho. Nokho, awukwazi ukwenza ukuvivinya umzimba ngokushesha ngemva kokuhlinzwa. Okokuqala, ngisho kuze ukunakekelwa kufanele kuthathwe ukugwema, ukunyakaza kungazelelwe.
• Phakathi nenyanga, it is hhayi Kunconywa ukuba ahlale kuze hernia is ayakhekanga futhi, futhi kwakungekho kokucindezelwa we akwazi ukugcina umgogodla. Long ukuhamba noma ukuma kakhulu akukwazi okokuqala. Njalo ngehora elilodwa noma amabili edinga ukuphumula emuva kwakhe, elele imizuzu engu-15.
• Akuvunyelwe nokuphakamisa izinsimbi.
• Futhi yokutakula alinganise ukukhathazeka futhi embhedeni. Sidinga ekhethekile, kunzima Foam omatilasi.
• Esikhathini eshaweni ungaya ngezinsuku ezintathu kuphela emva kokuhlinzwa, yokugezela is hhayi Kunconywa ngenyanga yokuqala emva ukususwa sutures.
• Ungayizibi isimiso bayohlolwa nodokotela wakho.

Kumelwe sikhumbule ukuthi akukho ngempela ukubuyela ngokuphelele ekubhemeni ngokushesha ngemva kokuhlinzwa. Ingase futhi avele emva kwesikhathi eside ngemva kwalokho.

Kanjani ukwenza yokuzijwayeza?

okukhulu kakhulu ukubaluleka yokuzijwayeza emva ukususwa disc herniated. Siqukethe izivivinyo ezilandelayo:

1. Slow nezimbi imilenze bent emadolweni uma elele emuva.
2. Ukuphakamisa ukhalo kuya imilenze ibheke emadolweni, elele emhlane wakhe.
3. Imilenze ibheke kule sikhundla lisalele. Kancane kancane enze imilenze ematfuba kwelinye noma ngenye indlela. Sidinga ukuba ngizame ukutholela ngamadolo wakho ocansini.
4. Ukuguqa kokuncika ngezandla, ihambe kancane edonsa emlenzeni owodwa iqonde emuva, ubambe imizuzwana engu-30 futhi ushintsho umlenze.
5. Ukulala kwakhe isisu sakhe, yanjalo phakamisa bese ubamba kuze.

Izibuyekezo kanye nemiphumela operation hernia

Ngokusho Izibuyekezo eminingi iziguli, echazwe ukusebenza njengoba umthetho, zinhle. Izinkinga awavamile. Isikhathi yokutakula kuzothatha cishe izinyanga eziyisithupha, ngemva kwalokho ungakwazi futhi baphile ngokugcwele kanye nomsebenzi.

Ngokusho kochwepheshe, uma zonke izinyathelo zokuphepha bese ulandela yonke izincomo udokotela, ngemiphumela ukususwa disc herniated kuyoba esincane. Yiqiniso, okuningi kuncike izinga ukusebenza, njengoba kukhona amathuba Ukuphinda. Kodwa ngokuvamile igcina ngokuphepha.