Intervertebral chophukacho: zizindikiro, matenda, mankhwala

Makamaka, masiku ano, anthu amadandaula kuwawa msana. Ngati ntchito yanu kumafuna zolemera kapena kukhala izo, kapena kuwononga nthawi kumbuyo gudumu, ndiye inu mupeza mu zone ya chiopsezo. Nthawi zambiri, njira iyi ya moyo kumayambitsa matenda monga herniated zimbale. Iwo angayambe m'dera lumbar ndi thoracic kapena khomo lachiberekero.

msana wathu ndi unyolo vertebrae cholukanalukana njira articular ndi intervertebral ili therebetween mbale zofewa lopangidwa ndi mphete fibrous ndi phata pulposus. Chifukwa kuyendetsa kusinthasintha ndi luso lawo "zophukiranso" tikhoza zosinthira ndi kusintha malo thupi. Zonse izi losindikizidwa ndi chimango wamphamvu akulu, omwe atakhazikitsa ndi vertebrae. Msana chinamulowerera misempha msana akubwera kuchokera chingwe msana Ndi m'mithunzi pakati vertebrae. chimango akulu, kuteteza kayendedwe ka zimbale intervertebral kumbali ya pakati, kuteteza mitolo woonda ulusi mitsempha zisaonongeke kuti vertebrae lapansi.

Komabe, pali zinthu zimene chimango akulu sangathe kulimbana ndi ntchito yake ndipo ndiye litayamba vertebral "kugwa" ku unyolo wonse. Pa nkhani zimenezi zingathe kudziŵika:

- amphamvu psinjika katundu, mwachitsanzo, zochotsa zolemera. Kungakhale kulemera kwambiri kukweza amuna ndi akazi atavala matumba lolemera. Kumbukirani kuti ngakhale kunyamula zinthu zolemera, kupinda mmbuyo. Muyenera kukhala pansi, kutenga katundu ndi kumbuyo molunjika. Kotero inu kuchepetsa katundu pa msana tenfold. Komanso, wamphamvu compressive katundu pa msana analengedwa ndi pamene atavala nsapato chidendene;

- yaitali psinjika katundu pa msana. Choncho, kupanikizika zina munthu nthawi zonse wakhala apuma pa dera lumbar, makamaka ngati ali kumbuyo gudumu. Inde, mu nkhani iyi, nawonso wodzilemekeza ndi kayendedwe thupi mmwamba ndi pansi;

- akusandutsa thupi chapamwamba pambali, makamaka lakuthwa. Monga mnyamata wamphamvu akulu chimango, ndi anaŵerama ngati minofu yomangika, gwirani vertebrae ndi kusamutsidwa. Koma msinkhu, Ulusi mu minofu zochepa, choncho pali chiopsezo cha herniated thupi intervertebral ndi kayendedwe lakuthwa. Tiyenera kukumbukira kuti vertebrae khomo lachiberekero zambiri m'manja, ndipo ngakhale mwana khosi lakuthwa ankasinthana akhoza kugogoda pagalimoto pano;

Pamene chimbale intervertebral ukatuluka mwa vertebrae, izo Kasupe ndi kufalikira. Patapita nthawi litayamba ndi solidifies, iwo amayamba amasokoneza kwambiri kwa ulusi mitsempha, monga Unyinji akuphulikira litayamba kuzizira si nthawi zonse yekha wokhudza ulusi mitsempha, kuwononga iwo ndi kuchititsa mavuto, koma akhoza kudula mitsempha zimene zingachititse kuti paresis. Ngati protrusion wa chophukacho inkachitika mu ngalande msana, ndiye ingawononge chingwe msana ndi amapha ziwalo.

Intervertebral chophukacho: zizindikiro

Mwa zizindikiro za matenda makamaka kupweteka kwambiri mu restudy wa linkawonongeka lapansi. Nthawi zambiri odwala amadandaula kumva kulasalasa, dzanzi mmanja kapena nogah.Ot ndendende msana anakhudzidwa, zizindikiro akusiyanako.

Lumbar intervertebral chophukacho: zizindikiro

Pali ululu m'dera lumbar, ndi utali wonse wa mitsempha sciatic. Mitsempha sciatic ndi waukulu mu thupi lathu. Iwo transmits chizindikiro kwa msana ndi minofu ya chiuno ndi miyendo, kupereka tilinazo mbali izi thupi ndi kukonza kayendedwe. Choncho, ngati kuchepetsa linkawonongeka mu mizu lumbosacral clamped sciatic kupweteka kwa mitsempha awonekere yake, kusokoneza tilinazo, paresis uka.

Ululu akhoza irragirovat mu magawo osiyana imene mitsempha sciatic, mwachitsanzo, mu atavalanso zoteteza ku, popliteal dera. Nthawi zambiri, odwala amadandaula kuwawa mu lumbosacral, gluteal dera ndi zapambuyo ntchafu. Pali madandaulo a ululu phazi.

An tilinazo chosayenerera m'madera munthu, mwachitsanzo, chala, kapena gawo laling'ono la ntchafu. Nthawi zina amabwera imfa wathunthu kapena kupotoza mu mawonekedwe a woyaka amphamvu kapena ozizira, kumva kulasalasa.

Paresis - pang'ono ziwalo. Iwo makamaka amakonda phazi, zala pa mapazi. Wodwala kudzuka pa mapazi sock, ndipo mu malo supine sangathe kukokera phazi. Zala pa wovulala phazi paresis zoipa kusuntha. Linaphwanya ntchito ziwalo m'chiuno - mkodzo (mwina tsankho) a mkodzo, ndowe, ndi zina imfa ya potency.

Kuyambira yosiyanasiyana lumbar thoracic intervertebral chophukacho. Zizindikiro za matenda - ndi ululu mu chigawo kuchokera mchiuno mpaka khosi. Zizindikiro: kutchulidwa intercostal neuralgia, chizungulire, kumva kulasalasa kapena dzanzi wa malekezero chapamwamba, makamaka manja ndi zala, paresis awo. Nthawi zambiri, ululu angaperekedwe ku ziwalo mkati ndi kulenga Musamadzinamize ululu pancreatic, ndulu, mtima. Chophukacho wa vertebrae thoracic mwakhama mpweya kwambiri, chifuwa ngati cholizira, ndipo pamene kupuma ululu kuwonjezeka chophukacho. Zikavuta, pali mwendo paresis ndi ziwalo.

Ndipo potsiriza, owopsa kwa onse - ndi khomo lachiberekero intervertebral chophukacho. Zizindikiro za chimbale herniation a msana khomo lachiberekero - kupweteka khosi, chizungulire, kunyansidwa. Wodwala momasuka atembenuza khosi lanu, zikumangidwa pansi kayendedwe wake. Lakuthwa ululu lamba phewa, anagaŵiranso. Pangakhale ululu mu nkhope, monga kutupa kwa mitsempha trigeminal. Komanso, pali kuwala paresis wa manja ndi zala, kuchita dzanzi, kapena kusintha tilinazo lamba phewa ndi malekezero chapamwamba. Ndi kuwonjezeka matenda paresis amakhudza manja osati kokha, komanso miyendo, mapazi. Pali mavuto ziwalo m'chiuno. Kuopsa chophukacho ndi kuti kungachititse kuti ziwalo za thupi lonse.

Ngati muli chimbale herniation, mankhwala sayenera anayamba sitinadzere mwa mayesero zofunika: Kujambula (yochezera) ndi kompyuta tomography.

chithandizo

Mitundu zotsatirazi mankhwala ntchito pa gawo loyamba la matenda:

- Physiotherapy: electrophoresis, laser, maginito, etc. Iwo amapita bwino osakaniza sanali steroidal mankhwala odana ndi yotupa. mitundu ya chamankhwala ukunenedwa ndi kutupa m'malo olumikizirana mafupa wotsinidwa misempha ndipo zimakhala padziko. Nthawi zambiri intervertebral ululu chimbale herniation kukula ndi minofu edema wa zinkakhala m'dera, yomwe amayikanikiza pa ulusi mitsempha. Kuchotsa kutupa, ife kuthetsa edema. Mitsempha adzamasulidwa - ndi ululu anabauka.

Koma kutikita ndi novocaine anatseka misewu umalimbana kuchotsa minofu kuphipha mu zinkakhala m'dera. minofu chonsechi kuonjezera ululu ndi kupanga izo kukhala zosatheka galimoto ku malo ake, ngati kuchepetsa sanali amphamvu.

Kutikita ayenera kukhala ofewa, ndi kayendedwe palibe mwadzidzidzi. Palibe sangakhale mu angathe kutsatira mankhwala Buku. jerks mwadzidzidzi amatha kumenya mphamvu pokhala galimoto kapena kuutsa chotupa ake.

Procaine anatseka misewu ndi kugwiritsira jekeseni wa mankhwala ku dera anakhudzidwa. Hypertonicity minofu atamwa mankhwala ochititsa pang'ono ndi pang'ono anazimiririka. Ndondomeko ikuchitika, zambiri masiku 5-6. Koma m'pofunika kukumbukira kuti procaine - ndi allergen amphamvu. Choncho, anthu amene kumakhala kutengera kuti chifuwa, ayenera kukhala osamala kwambiri mu ntchito mankhwala. kuti novocaine. Chifuwa lingachititse kuukira mphumu. kutupa pakhosi, nkhope, matenda a minofu mtima, mpaka kumangidwa mtima. Choncho, pamaso poika novocaine blokadsleuet zofunika kuti apange ziwengo mayeso novocaine.

Kusambira kumachititsa chamankhwala, pakalibe khunyu, ndi paresis choopsa cha nthambi. Pa ulendo wa vertebrae Tambasula, psinjika katundu pa gawo zowonongeka, ndipo chimbale msana angaime malo ake.

Corsets kumbuyo m'munsi kapena thoracic msana, magulu khomo lachiberekero ndi zotsatira achire mu nthawi atavala ndiponso kuti athe kuthandizapo mofulumira ululu. Iwo sanali monga kukonza msana mu malo olondola, potero popewa kusamutsidwa winanso wa chimbale intervertebral, ndi kutambasula izo, potero kuchepetsa kuthamanga ndi wagwa chimbale pa ulusi mitsempha. Choncho, chimbale cha amagwanso malo ake apachiyambi.

ntchito alowererepo

Opaleshoni chofunika ngati herniated chimbale cha lumbar kapena thoracic oposa 12 mm, ndi khomo lachiberekero - oposa 6 mm. Zikuonetsa kwa opaleshoni:

- psinjika a msana ndi mitsempha mizu nyumba pamene odwala ndi paresis angapo,

- kusokonezeka ziwalo m'chiuno, etc.

Cholinga cha phukusi la - kumasulidwa kwa muzu mitsempha. Weather wabwino ndi koyenera moyenera mankhwala postoperative ndi yolondola ya moyo wa wodwalayo.

Kusunga yolondola ya moyo, ndipo m'nthawi yake, lemberani dokotala!