Mothuko spinal: neendlela zophuhliso, iimpawu, kunye neempawu unyango

mothuko spinal - esenzeka yeenkqubo zengqondo, nto leyo ebangelwa nempembelelo ezibuhlungu kwi umnqonqo ngumonakalo umnqonqo. Oku zibalulwe inhibition elibukhali lamaziko reflex apha emqolo ngezantsi yokwenzakala. yokuqhelaniswa ezingezizo ezi ikhaliphe sisilonda esidumbileyoesingaphakathi ngasentla kubonisa ukuba igcinwe innervation. Ngenxa yoko, kukho ukwehla uxinzelelo lwegazi, ukunqongophala dermographism, kwakunye ukuphazamiseka amalungu zangasese.

indlela yophuhliso

A igalelo enamandla umzimba womntu, ukuwa ukusuka kumphakamo, iingozi ezindleleni - konke oku kungabangela umothuko spinal. Kwaye ke indlela yophuhliso lwayo luya kuba kuzo zonke iimeko efanayo. Unobangela osetyenziswe a ukwaphuka yomqolo, njengoko intambo ukwenzakala spinal ayikho kuphela indawo yokwenzakala, kodwa kwiindawo apho kwaphulwa kwegazi kunye flow nkovu. Yiyo le ndawo, kwaye babuyiselwe kungekudala.

Nature inikeza isixhobo elikhusela izicwili zezihlunwana eziphuma umonakalo ngakumbi. Ihlala isibakala sokuba umsebenzi iiseli zemithambo-luvo elinganeno ngezantsi kwisiza umdlali olimeleyo, ngoko kummandla ochaphazelekayo Liphumle kwaye kwakhona ngokukhawuleza. Transmission neemvakalelo-luvo ecaleni find iyeka ngexesha ngokutsha.

ekuxilongweni

Ngoko nangoko emva kokuba ukwenzakala lingenakuxelwa, intambo yokwakheka nomqolo okanye uhlobo esebenza. mothuko spinal luphawulwa ukuyilungisa kwenkqubo kunye nokubuyiselwa epheleleyo okanye kwinxenye kwemisebenzi. Level zokonzakala emqolo ivelisa luphawu ethile, nto leyo eyenza kube lula ukufumanisa indawo ngqo ze umonakalo focal. Ukuze wenze oku, kufuneka ukuchonga inxalenye lowermost ye umnqonqo ukuba unoxanduva innervation eqhelekileyo. Kungathatha ixesha elithile, kodwa iimviwo luvo jikelele iya kubonisa indawo uqikelelo ye sisilonda.

Kufuneka emva koko athumele umguli kwi neuroimaging (CT okanye MRI) ukwazi ngokuchanileyo imeko amacandelo umdla ngugqirha.

Ukuzimisela ubukhali and motor umsebenzi

Ukuze ubone ubungakanani kunye neqondo ukutshatyalaliswa luvo ivavanya umsebenzi oluvo kunye neyezihlunu lomzimba yomguli ngomlinganiselo. amanqaku Five - oku kumanqanaba eqhelekileyo zero - ukunqongophala epheleleyo yokusabela.

Izihlunu uphando symmetrically kwaye abuye umntla ukuya kwiziphelo. Zonke iziphumo zishwankathelwe, kwaye ubonisa amanqaku avareji iyonke kwimimandla ubuntununtunu kunye motor ngamnye. Uphando kufuneka kwenziwe izihlandlo eziliqela ngexesha lonke ixesha lokuhlala esibhedlele umkhondo Dynamics imisebenzi ekuphulukenwe nalo. Umzekelo, xa inyanga emva kokuqalisa unyango yovavanyo nomonde lulonke umsebenzi lwemoto le nemilenze iya kuba ngaphezu iingongoma ezilishumi elinesihlanu ukuba ekupheleni konyaka, kusenokwenzeka kakhulu, kuba nako ukuhamba.

amazinga yokubhubha

Iimpawu ethukile spinal uxhomekeke ngqo kwi kwinqanaba kukwaphulwa.

Ukuba ukonzakala kwinqanaba le omqolo wesibeleko, oko kukhokelela immobilization kweqondo eliphezulu nengasezantsi. zokuphefumla kwabaxini bawo, umsebenzi intliziyo. Izigulane banyanzelwa ukuba abe phezu ventilators kunye nabo ukuba ukhathalelo rhoqo.

Hlula kwinqanaba yomqolo kwicandelo esezantsi wesibeleko igcina ukusebenza okuqhelekileyo kweqondo eliphezulu. Kodwa ukuba olufanayo ngexesha ezichaphazelekayo omqolo thoracic, isigulane basava iingxaki zokuphefumla kunye nezinga intliziyo. Ukonakala inkaba kubangela ukothuka spinal kunye immobilization le izihlunu emqolo eziphelweni asezantsi, kwakunye ezinokuphazamisana isinqe yohlobo ukulibaziseka.

Oku kucingwa ukuba omnye kakhulu nokwenzakala umnqonqo kwinqanaba seziqingatha lumbosacral. mothuko spinal kulo mzekelo kukwaphula kuphela iintshukumo ezi nemilenze lo gama kugcinwe uvakalelo le.

amaxesha izifo

Esi sifo ngokungaphelelanga okanye ingathityazwa ngokupheleleyo, ngoko kwiinyanga ezimbalwa emva kokwenzakala, izigulane uzive ngcono, babuyela imisebenzi elahlekileyo. Kukho izigaba ezine bothukile spinal.

1. ixesha Acute, okuhlala kwiintsuku ezintathu zokuqala emva kokuba yokwenzakala. Lubonakala kukungabikho epheleleyo neemvakalelo-luvo banzi umonakalo nokuba ubungqongqo yokwenzakala.

2. ixesha Subacute kuthatha malunga nenyanga. Ngeli xesha, ukumimitheka kwezakhiwo ezimashakeleyo umnqonqo, imbonakalo kukuqulungana umcu kwisayithi umdlali olimeleyo, kuqheleke igazi kunye limfottoka.

3. Ithuba wexeshana elinokuthatha ukuya kuma kwiinyanga ezintandathu. Kweli nqanaba, iminqweno luvo elekhtrons uphelile, kuphumelela kuphela ekliniki iinguqu ongenakulungiseka-luvo.

4. ixesha emva kwexesha, nto leyo ihlale iminyaka eliqela emva kokwenzakala. Nguwo lowo ukululama kwemisebenzi elahlekileyo. Kodwa nangokomyinge amathuba nemiba ezintle, kuba kwakhona loloyiko kunokwenzeka ukwimo umnqonqo kwisiza yokwenzakala okanye ukuqhubela phambili iimpawu luvo.

Kuba koogqirha kunye nezigulane luncedo ukuba ukukhumbula ukuba kukunqongophala okupheleleyo ukuphuculwa kwiveki yokuqala ngumqondiso embi prognostic yaye kusenokubonisa ukuba imisebenzi elahlekileyo buyisa. Kwelinye icala, ukuba kwiveki yokuqala kwakukho ubuncinane utshintsho, ngoko ke amathuba bachache ngokupheleleyo.

ubude yokugula

Akukho kuphela kwabantu umothuko spinal. Physiology, ngokwengqiqo ebanzi yeli gama, bubungqina bokuba le Ntetho izilwanyana kuyenzeka. Umzekelo, nese-, kuthatha imizuzu emihlanu, izinja - malunga ngeveki, iinkawu banyanzeleka ukuba ukunyamezela inyanga ngokuphazamisa. Abantu kule luhlu kwindawo yokugqibela kakhulu. Zinelungelo ixesha ubuninzi bothukile spinal - iinyanga ezimbini.

Ukuba intambo kukwenzakala spinal ihleli anatomically bubuhle, ngoko emva kwexesha ingqondo buyisa. konke kuxhomekeke kwindlela isigulana kunyango kwaye babe nokholo ngokwakho.

amacebo zonyango

I msinyane ixhoba ufumana ukuya esibhedlele, apho aya kuba nako ukunika uncedo ingcali, kokukhona kusenokwenzeka ukuba wosinda. Ukongezelela, kubaluleke kakhulu uncedo lokuqala kunye zokuhamba. Ukuze shift isigulane kufuneka ngenyameko, ukuhambisa kuphela kwibhodi ngqwabalala okanye ibhodi, ukwenzela ukuba mandundu yokwenzakala.

Phatha shoka isiqalo spinal ngokufanelekileyo kunye immobilization spinal. Koko kwenziwe uthotho ukuhlinza decompress umnqonqo, omqolo amaqhekeza nokususa, izicwili necrotic kunye namaqumrhu angaphandle. Emva koko, le plastic yenza ukuyilwa ithambo ezilahlekileyo.

therapy Conservative kukusetyenziswa corticosteroids ezifana "Dexamethasone" okanye "prednisolone" kunye relaxants kwezihlunu kundlunkulu acting - "Mydocalm" "Sirdalud" "baclofen". Okokuqala akumkhululi iimpawu iintlungu, ukudumba, ukunciphisa komtshiso oko. A uncedo yesibini ukuze bawubuyise umthwalo lomqolo.

Ekubeni isigulane akasakwazi ixesha elide, ngoko ke kufuneka ukuthintelwa bedsores, yokuthanjiswa, imithambo kunye imithambo yokuphefumla ukuthintela inyumoniya.

amathuba wobuyiselo

Zalisa nokungakwazi nefuthe elibi psyche kwizigulane. Abantu ngengqondo ukulungiselela wena ngenxa yokuba zonke izinto eziphilayo ziya kwisitulo ebhedini okanye esinamavili kwaye ziza kuxhomekeka usapho kunye nabahlobo. Kweli nqanaba, kubalulekile ukuba ube kufuphi indoda, nangona zonke, ukuba sikholwe kwimpumelelo iinkqubo.

Amaxesha amaninzi emva amaxhoba uncedo abaneziqinisekiso ngokukhawuleza ifumana ngeenyawo zakhe. Iimeko ezininzi kakhulu kwenzeka izigulane ukwenzakala izigulana emqolo womlomo wesibeleko kunye thoracic. Kulo mzekelo, ingozi ephezulu ekufeni zemiphunga okanye entliziyweni. Ukuba uncedo lwezempilo yabonelelwa ngokungachanekanga okanye kamva, imo bothukile spinal kangangeminyaka.

mothuko spinal - a ingathityazwa spinal intambo sisilonda esidumbileyoesingaphakathi ukuba bangene ingqondo yomntu zomzimba umile. konke kuxhomekeke kwiimeko yokwenzakala, inqanaba yokwenzakala kunye noncedo nokubhala.