Chophukacho msana: zizindikiro, konzanso, zotsatira ndemanga

Nthawi zambiri anthu akudandaula cha kupweteka kwa nsana. Iwo amanena kuti ululu chifukwa chifukwa zolimbitsa osasamba, yotopetsa kapena kutopa. Koma kodi nthawi zonse? Mwatsoka, pali milandu pamene ngati ululu - zotsatira za chophukacho msana. Pamene anasonyezedwa kuchotsa chophukacho msana, adzamvetsa m'nkhani ino.

zizindikiro

Msana chophukacho - uyu ndi woopsa kwambiri, chifukwa munthu wake amakhala nthawi zonse, ukundipweteka ululu, kuvulazidwa ndi ziwalo zake mkati. matenda pachithunzichi mwina ziwonjezeka vutoli, choncho n'kofunika kwambiri matenda zolondola.

Kodi herniation wa lumbar msana, zizindikiro ndi mankhwala a matenda, tikambirana pansipa. Matenda ena ndi zizindikiro zofanana akhoza chimafotokozera mbali zotsatirazi:

• ndi amphamvu kutchulidwa ululu kuti amapitirirabe ngakhale mankhwala kuchipatala
• wodwala kugwira ndowe ndi mkodzo;
• zikhoza ziwalo za miyendo m'munsi;
• kuchepetsa tilinazo mwa iwo;
• pambuyo njira ya chithandizo ndi miyezi Itatu, alili si bwino.

Ngati pali zizindikiro izi, muyenera yomweyo dokotala. Mungafunike mwamsanga kuchotsa chophukacho msana. Komanso kwambiri ziperekedwe kwa oyenerera. Sizachilendo kwa dokotala chifukwa chosasamala, kusowa maphunziro, kupanda Luso amaponya matenda cholakwika. Ndipo ambiri misdiagnosis - sciatica. A cholakwika, pakalibe chithandizo kungachititse kuti ziwalo za munthu.

Umo ndi momwe oopsa herniation wa lumbar msana. Zizindikiro ndi mankhwala ake, ndithudi, zogwirizana.

Njira zochizira

Chabwino, matenda wapangidwa. Kodi yotsatira? Kodi njira zosiyanasiyana zinthu ndi chimbale herniated? Amene ali yabwino kwambiri? njira Chithandizo kwenikweni ndithu kwambiri. Zimenezi zingakhale:

• physiotherapy;
• mankhwala;
• njira ya mankhwala Buku;
• kutikita;
• wapadera atavala corset kwa kumbuyo;
• zakudya;
• njira za makolo;
• kuchotsa chophukacho msana.

The ntchito ya aliyense wa iwo ndi chifukwa makhalidwe munthu aliyense wodwala ndi chikhalidwe chake ambiri. Koma yabwino mankhwala - pamaziko a njira zonse si contraindicated, mwachitsanzo zovuta. Ndipo n'zotheka kuti chifukwa cha kuchotsa chophukacho msana, si lamulo.

Zikuonetsa kwa ntchito chophukacho

Umboni chakuti opaleshoni zinachitikadi kuchotsa chophukacho msana, akhoza kukhala wachibale kapena mtheradi. Mbali yoyamba kumakhaladi kuvomerezedwa. Komanso, ntchito ayenera kutenga malo mu nthawi yaifupi zotheka.

A kuwerenga wachibale zikutanthauza kuti opangidwa kwa mankhwala analibe mphamvu pa kuloza kwa kuchira, ndi ntchito akadali zofunika, koma osati mwachangu. Iwo amagwira ntchito pa nthawi ya miyezi iwiri kusintha mankhwala bwino ngati anthu satsata.

Opaleshoni kuchotsa chophukacho msana akhoza kuchitika m'njira zosiyanasiyana. Apa iwo ali.

discotomy

Discectomy - kwambiri lotha mtundu wa ntchito. Iwo kwagona kuti khungu kumbuyo pogonekedwa ndi mankhwala ambiri, ndi ang'ambe thupilo pafupifupi wofanana ndi masentimita atatu. Pambuyo pake, kudzera kwathunthu anachotsa akhudzidwa msana chimbale kapena ngati n'kotheka, gawo chabe la izo.

The drawback chachikulu cha mtundu wa opaleshoni kuti popeza chiopsezo kwambiri njira yotupa. Kuwaletsa mtima ndikagone masiku osachepera khumi kuonerera m'chipatala ndi kukumana mankhwala opha tizilombo.

Malinga ndi maganizo a akatswiri, locomotor ntchito ya msana pambuyo opaleshoni zophukiranso mmbuyo kwambiri pang'onopang'ono kusiyana ndi mitundu ina ya opaleshoni, chifukwa chakuti panthawi imene ntchito kuwonongeka mwachilungamo yaikulu.

Komabe, ntchito imeneyi si kuipa yekha. ubwino komanso chiwerengero chochepa cha zisadzachitikenso (3%). Ichi ndi chifukwa chakuti ndi chimbale akhudzidwa, kapena gawo zace kuchotsedwa kwathunthu.

Zingati opaleshoni kuti achotse ndi chophukacho wa msana ndi? Kusungabe izo, kuweruza ndi ndemanga odwala ndi otsika, ndi kuyamba 20 000 rubles.

laminectomy

Laminectomy ndi kuti wodwala kuchotsedwa Arc gawo la linkawonongeka kuti amene mbamuikha ndi herniated mitsempha kutha. Motero, malinga ndi akatswiri, mtima konzanso kumachitika mofulumira - pasanathe masiku 3. Komanso, chifukwa chakuti mitsempha adzamasulidwa, wodwalayo pasanapite nthawi ikutha kupwetekedwa.

Koma pali komanso mavuto. Mwachitsanzo, akhoza mwachilungamo mkulu wa matenda. Ndipo, penapake oopsa, pali kuthekera kwa kuwonongeka kwa mitsempha pa opaleshoni.

endoscopy

Endoscopic kuchotsa herniated msana anachita endoscope ndi zipangizo yaing'ono kwambiri mu kukula. Izi zimathandiza kuchepetsa kukula ang'ambe thupilo yochepa. Ndi wofanana 5 mm. mtundu wa ntchito ndi yodziwika kwambiri ndi otchuka chifukwa chiwerengero cha ubwino wake. Choyamba, ndi nthawi - zosaposa ora. Chifukwa, minofu ya thupi si kuvulala. Adagawana ndi expander wapadera. Kuweruza ndi ndemanga odwala, wodwala kupita kunyumba tsiku lotsatira. Bwezerani msana zikuchitikanso pafupi masabata atatu.

Koma kumbukirani chakuti opaleshoni si konsekonse. Choncho si bwino kuti mitundu ina ya chophukacho msana, kenako chiopsezo muyambirenso si mkulu (10%). Ndipo opareshoni zimenezi, mwatsoka, samabwera ubwenzi wotchipa - mtengo wake m'zipatala kufika mpaka 130 000 rubles.

microdiskectomy

Microdiskectomy - opareshoni zochokera neurosurgery. Iwo ankachita mothandizidwa ndi zipangizo zatsopano ndi maikulosikopu yamphamvu kwambiri. Pa kumbuyo kwa wodwala kusema masentimita 3-4. Izo zizichitidwa m'dera la mitsempha, amene wothinikizidwa chophukacho. Herniated chimbale chikutha umene mitsempha chachoka. Tsopano opaleshoni, malinga ndi akatswiri, mmodzi wa kaŵirikaŵiri ntchito.

Chifukwa, ululu wake pasanapite nthawi kusiyiratu. Wodwala kusiya kuchipatala mwamsanga tsiku lotsatira. Back Buku lomweli (malinga, ndithudi, sachita) akanatha mwezi umodzi. Ndi yogwira kudzakhala kotheka kuyamba theka kapena miyezi iwiri.

Chotero opareshoni, anthu ambiri analimbikitsa anthu hernias angapo. Chifukwa ndi iwo akhoza kuchotsedwa mu phukusi limodzi.

Mwatsoka, muyambirenso mlingo ukufika 10-15%. Ndipo ntchito ndi okwera mtengo kwambiri.

laser kuchotsa

Laser kuchotsa herniated msana - diskoplastika laser - kuti mothandizidwa ndi otsika mphamvu ray chimbale ndi mkangano ndi kutentha, amene kumathandiza kuti kumangidwanso. Sitikudziwa kulengeza ntchito ngati opareshoni popanda choyamba adokotala anu, popanda kuwunika. Komanso, Opaleshoni si konsekonse. Ndi, mu maganizo a akatswiri, si oyenera a mitundu yonse hernias.

Pambuyo opaleshoni, n'zotheka mavuto, kotero wodwala ayenera kukumana ndi mankhwala opha tizilombo.

zosokonezeka zotheka

Kodi mavuto angayambe pambuyo opaleshoni msana? Iwo anawagawa intraoperative ndi postoperative. Woyamba mkatimkati opaleshoni leni:

• Pamene mitsempha izi zikhoza kuonongeka. Popeza pafupi ndi chophukacho, ndi kuwononga ndi wosavuta, makamaka ngati ikuchitika discectomy. Pankhaniyi, pambuyo opaleshoni pangakhale mafunso ndi tilinazo ku mapazi, pali minofu kufooka.
• Mwina kuonongeka Dura Mater. Ngati dokotala anaona kuwonongeka pa opaleshoni, izo ushet kusiyana. Apo ayi, pambuyo opaleshoni ya mtima aakulu mutu ukapezeka chifukwa mowa idzayenda, kuturuka m'njira msana kuti tifulumizane kusintha kuthamanga intracranial. Mwakhama chipolopolo kuchiza lokha, koma azitenga ena nthawi (2 masabata).

zosokonezeka Postoperative komanso angayambe. Iwo agawidwa mu mitundu 2:

1. Oyambirira. Iwo amaoneka mavuto septic (epiduritis, osteomyelitis, chibayo, sepsis) ndi mavuto thromboembolic (embolism m'mapapo mwanga, thrombosis wa malekezero a m'munsi).
2. Mochedwa mavuto postoperative akuwonetseredwa kobwereza herniated zimbale. Mwatsoka, mtundu wa Vuto limapezeka nthawi zambiri, pafupifupi 30%. N'zothekanso amamuyambitsa timabala ndi adhesions kuti wotsinidwa mitsempha, imbaenda ku ululu.

Mutu malamulo onse konzanso angapewe mochedwa mavuto postoperative.

Konzanso pambuyo kuchotsa chophukacho msana

Patapita nthawi chikudutsa pambuyo opaleshoni ndi stitches chidzachotsedwa, mankhwalawa kwa wodwala komabe anamaliza. Padzayamba chigawo chatsopano cha zimenezi, lalikulu, ndipo kwa iyo kumlingo kudzadalira zotsatira za ntchito:

• Wodwala ayenera nthawi zonse zikugwira mankhwala thupi, kusunga boma la tsiku, kuvala wapadera corset kwa nsana wanu. Komabe, inu simungakhoze kuchita masewera olimbitsa thupi nthawi yomweyo pambuyo opaleshoni. Choyamba, ngakhale chisamaliro ayenera kumwedwa kupewa zinthu zosafunika kayendedwe mwadzidzidzi.
• Pa mwezi, ali osavomerezeka kukhala ndi chophukacho si anapanga, ndipo panalibe psinjika za zimbale msana. Long kuyenda kapena kuima kwambiri sangakhale nthawi yoyamba. Ola lililonse kapena awiri ayenera kupuma kumbuyo kwake, kunama pa mphindi 15.
• Sikuloledwa kunyamula zitsulo.
• Ndipo kuchira amaona nkhawa ndi bedi. Tiyenera yapadera, molimba thovu mphasa.
• Mu akusamba inu mukhoza kupita mu masiku atatu pambuyo opaleshoni, bafa ndi osavomerezeka m'mwezi woyamba pambuyo kuchotsa sutures.
• Musanyalanyaze chizolowezi cheke akuluakulu ndi dokotala.

Tiyenera kukumbukira kuti pali si kusuta yomweyo pambuyo opaleshoni. Komanso akhoza kuoneka patapita nthawi yaitali pambuyo pake.

Kodi kuchita olimbitsa?

olimbitsa kwambiri kufunika pambuyo kuchotsa ndi chimbale herniated. Amakhala ndi Zochita zotsatirazi:

1. Wosakwiya zotsika wopindidwa miyendo ya m'mawondo kunama pa nsana.
2. Kukweza mafupa a chiuno kuti miyendo ndichotse pa maondo, atagona pa nsana wake.
3. Miyendo ndichotse mu malo supine. Pang'onopang'ono kupanga miyendo ankasinthana mu umodzi kapena njira zina. Tiyenera ndiyesere maondo anu kugonana.
4. Atagwada, adatsamira pa manja, pang'onopang'ono kukoka mwendo umodzi molunjika, gwirani masekondi 30 ndi kusintha mwendo.
5. Kugonera mimba yake, alternately kukweza ndi pilirani.

Reviews ndi zotsatira za opaleshoni chophukacho

Malinga ndi ndemanga ambiri odwala, anafotokoza ntchito monga ulamuliro, ndi bwino. Zovuta n'zochepa. Nthawi kuchira adzatenga pafupifupi miyezi isanu ndi umodzi, kenako mukhoza kachiwiri kwathunthu moyo ndi ntchito.

Akatswiri amanena ngati njira ndi zonse kutsatira malangizo onse a dokotala, zotsatira za kuchotsedwa kwa chimbale herniated adzakhala kochepa. Ndithudi, zimadalira mtundu wa ntchito, chifukwa pali imabwera zisadzachitikenso. Koma nthawi zambiri umatha bwinobwino.