Stenosis spinal yomqolo wesibeleko: Oonobangela, Iimpawu, diagnosis and Treatment

Izifo yomqolo kuba nefuthe elibi yonke emzimbeni womntu. stenosis spinal yomqolo wesibeleko kungabangela nje iingxaki kuphela ulawulo phezu nakumphezulu umzimba, kodwa omzimba okanye ukufa. Ngoko ke, ukuze aphathe ngezifo thaca imfuneko nje ukuba uzive imiqondiso yokuqala kuyo.

Yintoni isifo?

stenosis spinal yomqolo wesibeleko - ukuhla umda sayo, esenokuba iziphene okanye lufundiwe. Kukho sisifo enjalo aphela rhoqo ngokwaneleyo. Nakuba kunjalo, kuyinto eqhelekileyo kubantu abasele babewela kunyaka-60 imbali.

Eselula yi ngezifo ezinqabe kakhulu. Ukuba, ke, yaye kubonakala, ngoko oko kudla kubangelwa yimiba bekhubazekile. Licuthe lijelo apho umnqonqo ibekwa, - into eyingozi kakhulu, imphathe oko kufuneka kwenziwe.

nokubekwa kwezifo

Ngoko ke, stenosis spinal yomqolo wesibeleko ingaba:

1. Uthenge. Kulo mzekelo, uphuhliso kwayo bachatshazelwa ziimeko zangaphandle.
2. Bekhubazekile. Pathology wabeka zemfuza okanye waqalisa ukuphuhlisa ngenxa ayikho ncam ukuyilwa elichanekileyo olungekazalwa Esibelekweni.
3. Luhlangene. Kukho sele iphenjelelwa ngamaqela amabini zinto: ngaphakathi nangaphandle.

degree lwezonyango leengxaki zinakho zihlelwe ngolu hlobo lulandelayo:

• nedegenerativnaya ezifuniweyo.
• Siseko (oku kubhekiselele iimpawu yokwakheka lomzimba).
• Sisiba mandundu.
• Ngenxa yokuba i anomaly okanye dysplasia yomqolo.

Ngu sisilonda esidumbileyoesingaphakathi indawo lomsele stenosis spinal na umqolo wesibeleko ingundoqo (ukuba ijelo ine indawo ngaphezu kwe-75 mm ^2), nesihlobo (ukuba eli zinga singaphantsi 75 mm square).

Izinto ezibangela Uphuhliso izifo

Esi sifo sidla bawaphikise zinto zilandelayo:

• Ucinezelo ukwa okanye ezinye iindidi zokonzakala emqolo.
• engaqhelekanga bekhubazekile isakhiwo amathambo, wamqumbisa zizifo zangaphambili abafazi ngexesha lokukhulelwa.
• iinkqubo ukudumba kwi kwalapho.
• Ankylosing spondylitis.
• Imfundo Intervertebral: Ithemba, ingozi okanye ingozi metastases ithumba kwi kwalapho.
• Spondylarthrosis ezikhuthaza deformation wentsika spinal.
• Osteochondrosis yomqolo wesibeleko.
• Amahlathi noBony osteophytes.

symptomatology zokugula

stenosis spinal yomqolo wesibeleko - isifo kwaye iyingozi, nto leyo zibandakanya izinto ezinjalo;

1. Ubuhlungu entanyeni. Bangafika unilateral okanye localized macala omabini. Kukho ubuhlungu ekuqaleni kuphela emva kokuba ixesha elide kwabantu kwindawo engonwabanga. Nangona kunjalo, ngexesha ukuqhubela intlungu ngezifo uba buthuntu yaye phantse rhoqo.
2. Headache kummandla zexeshana kunye Occipital. It elithile ezahlukileyo ngamandla.
3. Ukulahleka ubuzaza eluswini, intamo, nentloko, kwakunye yesiqephu eliphezulu.
4. Nesiyezi, ukuba ubuchule ukukhula ijika elibi lwentloko.
5. Ubuthathaka iingalo, imvakalelo kabi.
6. Ukophulwa imisebenzi zifo.
7. Ukwanda Ukuqina kwezihlunu iingalo kunye entanyeni, nangona ubuthathaka kule meko akayi naphi.

Pathology Uxilongo Amanqaku

Relative okanye elililo stenosis spinal yomqolo wesibeleko nga kumiselwa usebenzisa le ndlela:

• ugqirha Ngokucofa sisilonda esidumbileyoesingaphakathi, zoviwo lwangaphandle yomguli, kwaye nitrogen izikhalazo zakhe. Ugqirha kufuneka iqulunqe imbali yezonyango epheleleyo yadalwa yofuzo okanye iwuqinisekise.
• Ray. kusenziwa uqikelelo-2: anteroposterior and lateral. Le ndlela loxilongo yeyona nto ibalulekileyo kwaye ifundisa. Oku sikwazi ukufumanisa ubukho kunye nobungakanani neziqu ithambo, izinga ukuthembakala amathambo, ubukho hernias okanye nangezilonda, ubungakanani zabo, isakhiwo kunye nendawo.
• Itomography ngekhompyutha. Ngalo sifundo, ugqirha uyakwazi ukubona izinto esamcaphukisayo ukuvela esi sifo. Inkqubo ivumela ukubona noba iinguqu ezininzi obungabonakaliyo kwalapho.
• MR. Le nkqubo kwakhona kucingelwa ukuba ulwazi kakhulu, kodwa akusoloko lwenziwa ngenxa yeendleko yalo phezulu. Ngaphezu koko, isigulana kwimeko zokukhanya enamandla ufumana, ngoko olu phando enobunzima Izimo.
• Myelogram. Ukwenza olu phando kule umnqonqo waqalisa arhente ezikhethekileyo koko, unokwenza kakuhle ngayo nesakhiwo sayo. Ngaphezu koko, ukuba ukufumanisa imeko kolwelo fluid kunye nobungakanani bayo.

unyango Conservative kwezifo

Ukuba uthe wabufumana stenosis spinal yomqolo wesibeleko, unyango kufuneka uqale ngoko nangoko. Iqala ulwamkelo iziyobisi. Phakathi kwabo, sinokukhetha:

• Kuxhomekeka ubunzulu ubuhlungu umguli unikwe idosi ethile lwamachiza nonsteroidal anti-ukudumba "piroxicam" "ibuprofen" "Dikloberl".
• Ukunciphisa ukudumba, kuphelisa izakhiwo intlungu ucinezelo vertebral lungasetyenziswa isitofu iziyobisi hormone okanye corticosteroids: "Prednisolone", "Diprospan".
• womchamo asetyenziswa ukunciphisa umthamo ulwelo fluid: magnesia okanye "Lasix".

Kakade ke, unyango ngamachiza kufuneka zimiselwe yincutshe. Ngokuzimeleyo uthathe amayeza ngaphandle kokubonisana ugqirha ayikwazi ezidweliswe ngasentla. Kungenjalo, unako uzenzakalise ngakumbi.

Iimpawu unyango ebonakalayo

Sisiba mandundu stenosis spinal yomqolo wesibeleko ngaphandle unyango kunokukhokelela nemiphumela emibi kakhulu. Kodwa nisaqala kumzabalazo nesi sifo kunceda ukuyifundisa. Ugqirha uyakukumisela naziphi na iinkqubo thaca apha ngasezantsi:

1. Electrophoresis ne novocaine. Le nkqubo negalelo ulawulo olusebenzayo intlungu, ngokuba ichiza kusiwa ngqo ukuya kummandla ochaphazelekayo.
2. therapy Magnetic. Lunika ithuba lokuba ukuphelisa intlungu kunye ukudumba.
3. massage Back kunye nonyango manual. Ezi nkqubo kunceda ekunciphiseni kwezihlunu kwaye abomeleze ngexesha elifanayo. massage ngenxa Unako nokunciphisa intlungu.
4. LFK. umthambo therapeutic yenza kube lula ukwenza umnqonqo dyondzisaka neselula. Xa lokuqala msebenzi akanyanzelekanga ukuba nobucukubhede, nomthwalo - kakhulu. Isibakala sokuba licuthe umjelo inokuba kwegazi.
5. Acupuncture. Le nkqubo kufuneka kwenziwe kuphela liyincutshe onamava, ukuze kakubi isigulane ngakumbi.
6. ibambelele spinal. Inkqubo elula ukuze bandiqumbise hernias intervertebral, kodwa hayi zihlala ziboniswa.

unyango ukuyifundisa kuba neziphumo ezihle kakhulu, ukuba leengxaki nangoku xa nisaqala zophuhliso. Kungenjalo, mhlawumbi kufuneka uqhaqho.

iimpawu ukuhlinza

Ukuba ngaba une-stenosis spinal yomqolo wesibeleko, utyando ukuze yayingenakuthinteleka. Ukuze wakubo xa unyango endala akaninikanga nemiphumo emihle, okanye indawo sayo channel catastrophically ephantsi. Kukho iindidi eziliqela zeentsebenzo, leyo ziveliswa izifo ezifana yomqolo:

1. Ukususa neziqu kunye namaqonga, leyo enokukucaphukisa i licuthe le mithambo of: nangezilonda, osteophytes, hernias. Lo msebenzi ibizwa "laminectomy decompressive."
2. Ukufakelwa kweenkqubo ezinceda ukomeleza kwalapho.
3. nitrogen Interspinous ngayo amalungu omqolo. Lo msebenzi ubandakanya indawo ukufakela sisilonda esidumbileyoesingaphakathi uyofaka isusiwe.

Umgaqo ephambili ekufuneka senze oogqirha - Musani ukubaphatha kakubi. Yiyo loo nto loo isigulane kufuneka phambi kokuba anike abasebenzi nayiphi na ungenelelo ezi iingcali ukuba bangenele uviwo olunzulu nokuba ezibonisa epheleleyo. iingozi zempilo kufuneka ibe ngaphantsi kwe amathuba kwenzeka.

Ziintoni ezinobuzaza xa kwenzeka?

Njengoko usazi, zombini stenosis eziziiprayimari neziziisekondari spinal yomqolo wesibeleko kufuna unyango ngenyameko. Noko ke, ukuba kunyango ngenxa yesizathu esithile khange iqalisiwe ngexesha, isiguli kuvela iingxaki ezinjalo:

• Umva okanye lakho ukulahlekelwa ubuntununtunu okanye iqumrhu ukushwabana (iindawo ngamnye).
• Ukuba nokwenzeka immobilization ngokupheleleyo.
• Stroke. Oku kwenzeka ngenxa yokuba ukuphazamiseka yegazi kunye innervation spinal. mutual ukusebenza okuqhelekileyo ingqondo kunye umnqonqo kube nzima.
• Myelopathy. Olu luvo sisifo entsonkothileyo kakhulu, apho kukho ubuthathaka enkulu imilenze. Kodwa ke umoya okanye ubunzulu izihlunu ngexesha elifanayo phezulu kakhulu.
• Ukufa.

Njengoko ubona, iingxaki lunokubulala, ngoko unyango kufuneka ziqale ngokukhawuleza kangangoko kunokwenzeka.

Prevention zokugula

Ukuba awufuni ukuba kuphuhliswa stenosis spinal (sele ingqalelo ezi mpawu, izizathu kunye nonyango kwesi sifo), kuyimfuneko ukulandela imithetho elula:

• Kuphephe ukuhlala ixesha elide kwindawo enye okanye kuswela umsebenzi weentshukumo. Kucetyiswa ukuba umane ukwenza imithambo entanyeni.
• LFK. Oku kusetyenziselwa kuphela unyango kodwa ngenxa zokuthintela.
• Kuzo zonke iimeko, landela ukuzala. Oku kubaluleke ngokukodwa ukuba umsebenzi omdala.
• Zama ukutya okulungileyo, ukuze umzimba sifumana zonke izinto eziyimfuneko.
• Nasiphi na isifo kufuneka ziphathwe kwexesha.

unyango ngexesha elifanelekileyo zonakekelo ezizodwa inika ithuba kuphila. Hlala uphilile!