Spinal utyando Ithemba: ukuba okanye ube?

Xa yokugcina phambili kwiklinikhi langaphandle neurosurgical kukho inani elikhulu unyango for akwazi herniated. Spine utyando ne kancinane yeli lizwe, ukuthi amagama isikali amancinci ungenelelo inxeba, kunye, ngokufanelekileyo, musa ukuba bachache elide. Ukukhetha elingafanelekanga isigulane (kubandakanywa ingcebiso yeziko ugqirha, maxa wambi ngabom zobuxoki) wakhetha unyango endala, obangelwa ukoyika kunye nokukhethwa zenza elirhoxisa inkqubo epheleleyo yotyando, xa luyimfuneko ngokwenene. Ne design eyiyo nefanelekileyo isifo microsurgery kunye notyando endoscopic zinxulunyaniswa ingozi encinci yeengxaki.

Cinga ezikhethiweyo uhlobo lonyango herniated ingxaki idiskhi. Eneneni, xa enze abangakwenzanga ngaphandle kutyando xa lisetyenziswa unyango elondoloza? Impendulo engagungqiyo lo mbuzo ayikwazi kunikwa. Konke kuxhomekeke nje kuphela iziphumo zokuxilonga, kodwa kumava ngoogqirha, ukuqonda wakhe oonobangela esi sifo, kwaye nezinye izinto zobuqu. Kwimeko Ithemba, eyendawo emqolo wesibeleko okanye empontshwa, badla ukubhenela ungenelelo yotyando. Ngokutsho manani, kwiimeko 90 aphume 100 yokusebenza iphela ngempumelelo.

Kukho imfuneko yokuba kubekho umgama ocacileyo we disc herniated kunye prolapse (nyebelele diski okanye Buze) ukusuka stenosis ithambo (ilahleko luthambe le intervertebral disc). Ukuba iimpawu abakhoyo stenosis ithambo esisigxina okuhambisana claudication neurogenic ngakanye, unyango elondoloza yi contraindicated, njengoko oko kunokukhokelela ukugxagxiseka (ingakumbi phantsi myelopathy).

Stenosis lomsele spinal, luphawulwa iimpawu iqapheleka nga mazingabhidaniswa prolapse ephuhliswe ngayo intervertebral disc. Njengoko stenosis kukhokelela syndrome le equina yiKlawuda , rhoqo onokukhubazeka isigxina, esi sifo kufuneka aphathwe ngeendlela zotyando, ingakumbi xa kukho stenosis yomqolo wesibeleko kunye myelopathy ngokukhawuleza. Ukhetho bakhetha unyango endala kule meko ithathwe yimposiso gross.

Unyango herniation spinal ngaphandle uqhaqho yamkelekile kuphela xa protuzii ukukhanya (Buze) we disc intervertebral, esibonakala kukungabikho iimpawu luvo, iintlungu wobulali Buze kancinane, ingakhangelwa emfanekisweni. Kwimeko Ithemba kunye uneempawu eziphakathi umahluko obonakalayo kuzo ukhetho zonyango utyando okanye endala ayikho. Kukholelwa ukuba iindlela ngendeb 'aye avelisa le ziphumo zinqwenelekayo, ukuba iintlungu lifinyele kwisithuba seeveki 6-8 kunye nokwanda nokushukumisa isigulane, oko kukuthi, iintlungu ziviwa akasenayo kwiindawo ezahlukeneyo zomzimba.

Ukusetyenziswa ubuchule ezonakalisayo practice umiselwa ukuyondelelana, ukufana imbali sifo, iimpawu kunye neziphumo zoviwo ezifunyenwe yi-MRI okanye CT. Kulo mzekelo, ugqirha ithatha ingqalelo unobangela izifo kunye yokuphila yesigulane kunokwenzeka. Ngokusekelwe kwezi zinto, ingcali ukhetha uthomalaliso eyaneleyo.

Kukho iimeko apho uqhaqho kufuneka wenziwe ngokungxamisekileyo. eziveza ngqo kutyando umqolo zezi:

• wavakalisa ukukhubazeka;
• Usongo lokufa;
• impembelelo iingcambu-luvo;
• ecaleni luvo (giperasteziya, parasthesia);
• ngayo kakhulu prolapse.

Xa iintlungu enamandla babanikela ukuba ukubandezeleka isigulane kuboniswe uqhaqho. Ngeendlela ukusebenza konyango spine Ithemba zezi discectomy endoscopic, nucleoplasty percutaneous, catheterization ebulewe, i intervertebral idiskhi afakelweyo, kwakunye indlela mihla - laser vaporization.