Intervertebral hernia: matšoao a, phumano, kalafo

Ka ho eketsehileng, lefatšeng la kajeno, batho ba ba tletleba ba bohloko ka mokokotlong. Haeba mosebetsi oa hao oa ho akarelletsa ho ts'ehetsana boima kapa lula-e, kapa qeta nako e ngata ka mor'a lebili, ka nako eo o kena libaka tsa kotsi. Hangata ka ho fetisisa, tsela ena ea bophelo e etsa hore mafu a joalo a kang herniated discs. Ba ka etsahala sebakeng lumbar le ka thoracic kapa cervical.

lesapo la mokokotlo rona ke letoto la vertebrae ya kokangana dithulaganyo articular le intervertebral teng therebetween disks bonolo entsoe ka mehele fibrous le khubung pulposus. Ka lebaka la ho khanna fetoha le maemo le bokhoni ba bona ho "bounce" re ka habonolo koba le ho fetola boemo ba 'mele. All ena e tiisitsoe ka foreime e matla mesifa, e leng litharollo tsa ka vertebrae. Lesapo la mokokotlo o ne o salla methapo lesapo la mokokotlo tsoang khoele lesapo la mokokotlo le extending pakeng vertebrae. foreime mesifa, ho thibela motsamao oa discs intervertebral ka lehlakoreng la bohareng, sireletsa mangata tšesaane tsa likhoele methapo ea kutlo ho tloha tshenyo vertebrae ena.

Leha ho le joalo, ho na le maemo ao ho sa foreime mesifa ke ke sebetsana ka katleho le mosebetsi lona joale e ntan'o ba tiske vertebral "tobane le" ho tswa ho ketane kakaretso. Har'a maemo ana ka ho tsejoa:

- matla compression mojaro, ke hore, ts'ehetsana litekanyo. Ho ka ba boima ba 'mele haholo ho phahamisa banna le basali ba apereng mekotla boima. Hopola hore u ke ke ua phahamisetsa lintho tse boima, ba kobang khutla. O lokela ho lula fatše le ho nka mojaro o tsoha ka khutlela otlolohile heno. Hore o tle o fokotsa mojaro ka mokokotlo tenfold. Ho feta moo, matla compressive mojaro ka lesapo la mokokotlo le se bōpa le ha apere lieta phahameng serethe;

- nako e telele compression mojaro ka mokokotlo. Kahoo, khatello ea kelello e eketsehileng ha motho a lula a lula e itšetlehile ka sebakeng lumbar, haholo-holo haeba ho se lutseng ka mor'a khanna. Ka sebele, tabeng ena, e boetse e eketswa le mekhatlo 'mele holimo le tlaase;

- retelehela 'mele e ka holimo ka lehlakoreng le, haholo-holo le nchocho. E le mohlankana matla mesifa foreime, le bends joalo mesifa tsitsipane, tšoara vertebrae khahlanong displacement. Empa le lilemo, le likhoele tsa mesifa ea ka tlaase ho moo, 'me ka hona ho na le ke kotsi ya herniated' mele intervertebral le mokhatlo oa e bohale. E lokela ho a hopola hore ka vertebrae cervical di feta mobile, esita le tse nyenyane molala bohale chenchana ka kokota ka koloi mona;

Ha disk intervertebral tsoa vertebrae, ho eo mohloli le fetisetsanoang. Ha mora nako e itseng tiske ya solidifies, e qala ho emela le tšokelo bohlokoa ho sebelisoa masela a methapo ea kutlo, ka le boima ba bursting tiske congealed hase kamehla feela ama likhoele methapo ea kutlo, senya bona le ho etsa hore e ngata bohloko, empa ke khona ho khaola le methapo hore ho ka etsa hore paresis. Ha protrusion ea hernia ho hlahile ka kanale lesapo la mokokotlo, joale e ho ka senya le thapo lesapo la mokokotlo 'me ea etsa shoele litho.

Intervertebral hernia: matšoao a

Har'a matšoao a lefu lena haholo-holo e bohloko e bohale ka restudy tsa vertebra ena. Boo hangata bakuli ba tletleba ba tingling, shoohlo ka matsoho kapa nogah.Ot seo hantle mokokotlo amehang, matšoao a batla a fapaneng.

Lumbar intervertebral hernia: matšoao a

Ho na le bohloko le sebakeng lumbar, 'me bolelele lohle la ka methapo ea kutlo sciatic. The methapo ea kutlo sciatic ke kholo ka ho fetisisa ka ho 'mele ea rona. Ho fetisetsa matšoao ho tswa ho lesapo la mokokotlo ho mesifa ea letheka le maoto, ho fana ka nahanela ea likarolo tsena tsa 'mele le ho lokisa mekhatlo bona. Ka lebaka leo, haeba ho koala vertebra lumbosacral metso clamped sciatic bohloko ba methapo ea kutlo hlaha tseleng lona, a halefile nahanela, paresis hlaha.

Bohloko ka irragirovat ka likarolo tse ling tse arohaneng leo ka lona methapo ea kutlo sciatic, mohlala, ka ho mete e, popliteal sebakeng. Hangata ka ho fetisisa, bakuli ba tletleba ba bohloko ka lumbosacral, gluteal sebakeng le kamorao serope. Ho na le ditletlebo bohloko maoto eo.

E nahanela sa tloaelehang ea libakeng tse ka bomong, mohlala, monoana, kapa karolo e itseng e nyenyane ea serope sa. Ka linako tse ling ho tluoa tabeng ea ho lahleheloa ke e feletseng kapa ho khopama ka mokgwa wa le o tukang o matla kapa a batang, tingling.

Paresis - o fokolang shoele litho. Ka ho khetheha ba le tsekamelo ea ho maoto, menoana ea maoto ka maoto. Mokuli a ka se ema ka maoto sock, 'me ka maemo a supine ke sitoa ho hula maoto. Menoana ka lemetseng maoto paresis mpe ho falla. Hataketse mesebetsi ya litho tsa pelvic - mosese (mohlomong a leeme) ya moroto, mantle, 'me ka linako tse ling ho lahleheloa ke potency.

From 'maloa e fapaneng lumbar thoracic intervertebral hernia. Matšoao a boloetse bona - e le lehlaba ka karolo ea ho tloha thekeng ho molaleng. Le matšoao: phatlalletsoang intercostal neuralgia, molikoalikoane, ho tingling kapa shoohlo ea lipheletsong e ka holimo, haholo-holo matsoho le menoana, paresis bona. Hangata, bohloko a ka tla fanoa litho tsa ka hare le ho bopa ka ithetsa ea bohloko pancreatic, nyooko senya, pelo. Hernia tsa vertebrae thoracic thata ho kha moea, sefubeng joalokaha eka squeezed, 'me ha ho hema bohloko eketseha hernia. Maemong a matla, ho na le leoto paresis le a shoele litho.

'Me qetellong, le kotsi ka ho fetisisa ho tsohle - e cervical intervertebral hernia. Matšoao a disk herniation ea lesapo la mokokotlo cervical - le lehlaba ka molaleng, molikoalikoane, ho nyekoa ke pelo. Mokuli a ka se ka bolokolohi potoloha molaleng oa hao, Pinned fatše mekhatlo ea hae. Sharp bohloko ka senyepa mahetla, kenngoa ka matsoho. Ho ka ba le bohloko ba ka sefahleho, joaloka ho ruruha ea methapo ea kutlo trigeminal. Hape, ho na le khanya paresis ea matsoho le menoana, shoohlo, kapa phetoho ka nahanela tsa senyepa lehetleng le lipheletsong holimo. Le ho eketseha lefu paresis ama matsoho e seng feela, empa e boetse e le maoto a, maoto. Ho na le mathata a ka litho tsa pelvic. Kotsi ea hernia e ke hore ho ka etsa hore re shoele litho tsa 'mele ka kakaretso.

Haeba o na le disk herniation, kalafo lokela ho ho qala kantle ho ea ka liteko tse hlokahalang: MRI (itlhopheang) le khomphuta tomography.

kalafo

The mefuta e latelang ea phekolo li sebelisoa ka ho ba sethaleng sa pele sa lefu:

- ea physiotherapy: electrophoresis, tham mong bang laser, makenete, joalo-joalo Ba tsamaele hantle hammoho le non-steroidal lithethefatsi-ba khahlanong le a hlabang. mefuta eno ya mekgwa ya tshebetso ya kalafi li reretsoe ho fokotsa ho ruruha pinched methapo le lisele tse ka bophara. Hangata e le ka ho intervertebral bohloko disk herniation a feteletsoang ke dinama tse nyenyane tse edema ea sebakeng se amehileng, eo mechine e ka likhoele methapo ea kutlo. Tlosa ho ruruha, re felisa edema. The methapo ea kutlo e lokolloa - le bohloko tlohang.

Empa sililoa le novocaine thibela likepe ikemiseditse ho ho tloswa ha mesifa spasm ka sebakeng se amehileng. mesifa Spastic eketsa bohloko le ho etsa ho le thata ho khanna khutlela sebakeng sa hae, haeba koala ne e se matla.

Sililoa e lokela ho ba le bonolo, le mekhatlo ha ka tšohanyetso. Tabeng se a ke ke a ba boemong ba ho etsa phekolo pukwanana. jerks tšohanyetso khona ho tea matla ho balehileng ho khanna kapa ho qholotsa otlile lona.

Procaine thibela likepe li fana ka liente tsa moriana a ea sebakeng se amehileng. Hypertonicity tsa mesifa le tlas'a tšusumetso ea thethefatsa e butle-butle nyamela. Tsamaiso ena e atlehe, hangata matsatsi a 5-6. Empa kamoo ho hlokahalang ho hopola hore procaine - e allergen matla. Ka lebaka leo, ba batho ba neng ba ba le predisposition ho kulisoa, e lokela ho ba seli ka ho fetisisa ka ho sebelisa lithethefatsi ena. ho novocaine. Kulisoa se ka mo lakalisa litlhaselo tsa asma. ho ruruha ea 'metso e, sefahleho, mafu a ea mesifa pelo, ho fihlela ho e tšoaroe cardiac. Ka hona, pele ho kgethwa ha novocaine blokadsleuet hlokahalang ho etsa allergy teko ho novocaine.

Ho sesa ka sebetsa jwalo ka mokgwa wa bongaka ho ba sieo ha sethoathoa, 'me paresis mpe ea maoto le matsoho le. Nakong ea leeto la vertebrae selelele, compression mojaro ka karolo senyehileng tsoa, le disk lesapo la mokokotlo a ka ema sebakeng sa hae.

Corsets ka khutlela ka tlaase kapa thoracic lesapo la mokokotlo, lihlopha cervical ba le phello e phekola ka telele apere le khona ho fana ka thuso ka potlako ka utloe bohloko bo boholo. Ha baa ka ba feela lokisa lesapo la mokokotlo le boemong bo nepahetseng, ka tsela eo ho thibela displacement ka ho eketsehileng ea disk intervertebral, le otlolle ho, ka tsela eo ho fokotsa khatello ea e oele disk ka likhoele methapo ea kutlo. Sebakeng se loketseng, disk e khutlela boemong ba eona ba pele.

tshebedisano kenella

Ho buoa e hlokahalang haeba herniated disk tsa lumbar kapa thoracic fetang 12 limilimithara, 'me cervical - fetang 6 limilimithara. Bontšang bakeng sa ho buuoa:

- compression ea lesapo la mokokotlo thapo le methapo ea kutlo le metso dibopeho ha bakuli ba le paresis multiple,

- kgoreletsego tsa litho tsa pelvic, joalo-joalo

Ka morero oa ho kenella ho - ho lokolloa ha ba le motso methapo ea kutlo. Weather e tšoanelang le loketseng ho tse tšoanetseng kalafo postoperative le tsela e nepahetseng ea bophelo ba mokuli.

Boloke tsela nepahetse ea bophelo, 'me ka tsela e ka nako e loketseng, ka kopo ikopanya le ngaka!