Unyango a disc herniated (umqolo lumbosacral). Surgery ukususa disc herniated

Iingxaki kunye umnqonqo abantu abaninzi abachaphazelekayo ukuze bakuthathele ingqalelo. Ezinye yomsebenzi onzima yokuphuhlisa zikarhulumente ezifana Ithemba intervertebral spine lumbosacral.

Yintoni na?

Herniated disc udla ngokuba yimeko kakhulu apho kukho ukubana we disc intervertebral lo moya lomqolo. Amaninzi, le meko ibangelwa umthwalo kakhulu kwi kwalapho.

Uphethwe sesi sifo kakhulu amadoda aphakathi kweminyaka engama-20 ukuya ku-50.

Iziganeko esi sifo malunga 100 amatyala ngamnye labemi-100,000 ngonyaka ngamnye.

Uninzi hernias data kwenzeka ngenxa ukucima kombane emzimbeni yomqolo ngenxa yomsebenzi. Mhlawumbi Ithemba traumatic emva utyando kwi emqolo okanye ngenxa ngokoyiswa. Ayifane yenzeke, kodwa kukho Ithemba naso lialio.

Abantu abadala aziwa amatyala Ithemba kwisiqalo buthathaka komzimba le nemisipha yomqolo.

Ukwanda kakhulu iye intervertebral Ithemba spine lumbosacral, kuba esinqeni yeyona ndawo basemngciphekweni kakhulu kuphuhliso kwesi sifo.

Le Pathogenesis of herniation

Phantsi yempembelelo umthwalo omkhulu kwi yomqolo, kukho ucinezelo chu kwi intervertebral disc. Ngenxa yoko, amaxesha amaninzi oko kwenzeka komsipha disk kwincam (outer annulus fibrosus), nto leyo eyenzeka emva intervertebral disc imixholo imveliso ngaphandle.

Yantshula abayingxenye pulposus ungase njengoko ngaphakathi lomsele spinal, yaye ecaleni kwayo. Kwimeko yokuqala yenzeka ngozipho le umnqonqo, nto leyo inokukhokelela nemiphumo vuhlayiseki. Kwimeko yesibini basenokuba radicular syndrome ngenxa ucinezelo of luvo asakhulayo ukusuka umnqonqo. Endaweni ucinezelo ukudumba aseptic esivelayo, kukho ekweneni esiqwini ezingqongileyo, leyo mandundu ngakumbi le meko.

Ngenxa yoko, kuba idiskhi herniated luphawulwa iimpawu syndrome radicular (iintlungu, ilahleko oluvo kunye kwemilenze). Ekuhambeni kwexesha, lo ukuhamba kakuhle kumhlathi spinal.

Njengoko kubonakala, indawo apho kuvame Ithemba intervertebral - lumbosacral. Unyango kufuneka ufakwe nangoko, kamsinya nje banesifo ukutyibilika idiskhi.

unyango

Enoba kunjalo, kufuneka ngoko nangoko uqale unyango we disc herniated. umnqonqo Lumbosacral ezisebenza umsebenzi ebalulekileyo umzimba - kulondolozo ukulingana kunye overlying imizimba tye. Ngophuhliso Ithemba kwingingqi empontshwa bokwenza lo msebenzi kuba nzima kakhulu ngakumbi ngenxa intlungu obukhulu ukuvela kwi nemithambo ucinezelo. Condition sibi isibheno ngaphambi koogqirha.

Xa iimpawu yokuqala kufuneka ngoko nangoko uqale unyango we disc herniated. wasabela Lumbosacral umqolo kakuhle iindlela ezingezo-amayeza ezifana nokusetyenziswa oomatrasi wamathambo, yokuthanjiswa, ukusetyenziswa Oluma ezibandayo. Ezi ndlela babe uhlenga-kuphela kwangumqondiso (ukuququzelela imeko yomguli) yaye kuphela okwethutyana ukwenzela ukuthintela iingxaki Ithemba zingasetyenziswa. Xa imeko kwandisa enqwenelekayo ukwenza nangoko idinga ukuya luvo.

amayeza

Ukuba, ke, waba i Ithemba intervertebral, indlela sibaphathe ngayo, ukuze ukulimaza umzimba wakho? Ukulungiselela le njongo, anti-ukudumba amachiza ukusuka kwiqela arhente non-steroidal. Yeoli ezisetyenziswa ngokubanzi, ziwe nezithambiso. Kubume zabo ngokuqhelekileyo kukho "Diclofenac" ( "Rumakar", "Dikloberl"), "Indomethacin" ( "indomethacin", "Rumatsid"). Uyondelelwano lwee- iziyobisi kwezi zibonelelo kukuvumela ukurhoxisa intlungu olunzulu kunye nokudumba (kodwa ukufumana idosi enye kwamachiza ngaphakathi akufunekanga zibe nezo ziphumo zinqwenelekayo, kwakunye negalelo kuphuhliso izilonda esiswini 12 isilonda duodenal).

Mhlawumbi ukuhlanganiswa non-steroidal amachiza-ukudumba kunye glucocorticoids.

Glucocorticoids baqeshwa mhlawumbi ngomlomo okanye butofelwe ukuba impumelelo ngokukhawuleza isiphumo. amachiza asetyenziswa ezifana 'Prednisolone "yaye" Dexamethasone ". unyango glucocorticoid kufuneka imiselwe kuphela emva kokuba ukungaphumeleli NSAIDs, njengoko ukusetyenziswa elide corticosteroids benzakalise nomzimba awungaphezulu na kwinto elungileyo.

therapy Physical kwi yonyango hernias yomqolo

Le rhoqo yesibini liphezulu isebenzayo physiotherapy herniated akwazi. umnqonqo Lumbosacral yenye kwezona ndawo iyafikeleleka kwenkqubo musculoskeletal ukuba kusetyenziswe izixhobo ezahlukeneyo.

Ngokutsho iingcali ezininzi, physiotherapy banokuzinikela ngaphezulu ibuyambo ekhawulezileyo ngaphezu ngamayeza.

Unyango ngoku ngokukuko hernias intervertebral kukuba ukusebenzisa electrode nemiba ngemiba yezemfundo. Undoqo yale ndlela - zizimvo iintlungu sophazamiso engenayo ngokusebenzisa ngamaza radiofrequency.

Kuzo zonke iindlela ezininzi ezaziwayo-kakuhle ngokuqhelekileyo kusetyenziswa electrophoresis kunye analgesics, ezibhateni sonyango, laser therapy. Electrophoresis kunye phonophoresis ukuvumela ukuba ahlangule iziyobisi ngqo kwi kumhlathi spinal. Umphumo udla ibonakala sele emva zonyango ezimbalwa.

Relaxing emanzini ashushu kwezinye iimeko negalelo misa yazenzekela le Ithemba endaweni.

Ukuba kukho ukwehla, phezu kwayo nje imigudu eqhubekayo, inzima ngoko isifo Ithemba intervertebral. Indlela yokuphatha ngayo kule meko?

unyango zoqhaqho Ithemba intervertebral

Ngenxa kwawo yonyango endala kusetyenziswa okanye xa Iimpawu kakhulu luvo (ukukhubazeka kwamalungu omzimba, ukuchama kunye defecation ukuphazamiseka, paresis, paresthesia, iintlungu obukhulu, iintlungu ngasemva phezu nemilenze) kufuneka kuqaliswe nangoko uqhaqho.

Izinto ezibonisa ukuba unyango nokoyika umnqonqo ukuba ngozipho, izitya ucinezelo edlula kufutshane.

Unyango ekukhethwa ukuba lwenziwe kumasebe ezizodwa utyando (ngokufuthi neurosurgery).

Phakathi iindlela ezisetyenziswayo ze unyango la maqela mabini eziphambili - utyando endoscopic kunye microsurgery eqhelekileyo.

Kuxhomekeka kwindlela kwenzeka esi sifo, isigqibo Amaqhinga ukufikelela kwi-intanethi.

Unyango ngokuyimfuneko eyenziwa phantsi zomzimba ngokubanzi kunye nenkxaso kwimisebenzi engundoqo ebalulekileyo.

ukususwa microsurgical

Phambi kokuba kuqaliswe iimikroskopu e yezonyango, ukuba kuye kwaboniswa unyango zoqhaqho IiCD herniated, empontshwa-sacral umqolo kudla phantsi iingxaki ezahlukeneyo kwithuba postoperative (ithumba, njalo). I-revolution real kukusetyenziswa izixhobo ezisebenzisa kunyango lwe hernias. Oku kunciphisa nobukhulu unikezelo olukhawulezayo, leyo yehla kakhulu izehlo iingxaki asakhasayo.

Kwiimeko ezininzi, herniation of sacral intervertebral kupheliswa ngokuba icandelo ngemikroskopu (laminectomy ebanjwe). Phantsi sikrini eliphezulu kuba nokwenzeka ukususa kancane Buze hernial ngaphandle kokonakalisa ancedisana izisekelo okufuphi.

Isebenze isigulane uqala ngosuku olulandelayo. Ngokuba imisebenzi yemihla ngemihla isigulane kuvunyelwa kwisithuba seentsuku ezili-10, kwaye inyanga kamva kusenokufuneka wenze umsebenzi wezandla ngaphandle umngcipheko iingxaki.

utyando endoscopic

Ezi imisebenzi ukususa disc herniated yi umkhwa esitsha e-neurosurgery. Amaxesha amaninzi ukuba kuqhutywa ngokusebenzisa indlela posterolateral endoscopic. Izinto eziluncedo zezi ndlela ukhuseleko esingakumbi ekudalweni inxeba ngotyando (ngamanye amaxesha kwenziwa oqhelekileyo ulusu okuhlatywa). Noko ke, oko kukuthi indlala eziphambili - kule meko umda amathuba Ukusikwa ngokupheleleyo Ithemba kwaye usisuse ukusuka kwindawo okuhlatywa. Ithemba nzima, okanye Ithemba, ekhatshwa ucinezelo lo umnqonqo singesuki yi le misebenzi.

Isiguli ngomhla xa ukusebenza lwaqhutywa, kokwenyuka, uhambe. Umsebenzi kuvumelekile malunga neveki emva kokuba bekhululwe esibhedlele.

iingxaki Ithemba

Ekuhambeni kwexesha, ukuba Ithemba iqalisa compress inyama engundoqo elandelayo basenokuba iingxaki.

Ukuba iphuhlise Ithemba eqhelekileyo (intervertebral), lumbosacral ulahlekelwa ngokupheleleyo umsebenzi wayo, kwaye umonakalo umnqonqo uyalandelwa. Zonke kubi xa ukufuduka ngakwicala Ithemba lomsele spinal.

Kuyingozi kakhulu kubo ngozipho umnqonqo. Kulo mzekelo yephule imisebenzi ukuchama kunye defecation, oluvelisa isoyikiso kubomi (ngokuxhomekeke ukunxila kakhulu, iqhuma esinyini, kwamathumbu kunye urethra). Ukongeza, ukuba ukudumba iya umnqonqo, kwaye kungabangela amasebe overlying ephula imisebenzi enyama yangaphakathi, kuquka ukufa.

Enye ingxaki rhoqo Ithemba yeyona radicular syndrome. Xa ubukho elide kakhulu mandundu imeko.

Iingxaki ukuhla kakuhle ngakumbi ubuntununtunu kunye paresthesias.

Rehabilitation kunye nokuthintela

Ukuphuhlisa Ithemba kufuna ixesha elithile (t. E. Ayikwazi lokungavinjwa ngokuba sisifo esingapheliyo). kunokuthintela uphuhliso kwayo ngexa kuhlonitshwa iziphakamiso esisiseko.

Ukuthintela ukuphinda emva kususwa IiCD herniated, kuyimfuneko ukuba babele ngokwaneleyo umthwalo ngexesha umthambo. Akufunekanga zizisulu, kuba angagcina kakubi.

Kwakhona kucetyiswa ukuba nokuthintela Ithemba ekwenzeni uqeqesho umzimba kunye nemithambo nokomeleza isakhelo dystrophy emhlane (ezifana deadlift imithwalo elifanelekileyo).

Xa kucetyiswa umsebenzi nzima ixesha elide ukuze kuthintelwe ukuba uthathe izitya lomse- ashushu - ukuba negalelo ukungangqinelani omqolo kancinane ukuthintela ulwaphulo we disc phakathi kwabo.

Kwimo yesiqhelo emva kokwenziswa Ithemba iquka uxinzelelo ekuphepheni, umzimba, yokuthanjiswa kunye nonyango unyango manual okanye acupuncture.