Dorsal herniated chimbale: icho chiri, gulu ndi makhalidwe a mankhwala

Kupweteka msana amadziwika kuti ambiri ankanena. Makamaka zambiri zomverera zosasangalatsa zimachitika pamene kupinda, wosapindika za thupi. Msana pathologies dipatimenti zambiri sachedwa anthu a yakalavulagaga thupi, ndi kuchita mobwerezabwereza zoyenda kwa nthawi yaitali (ku fakitale, chovala fakitale). matenda wamba pakati pa amuna ndi akazi, ndi dorsal herniated chimbale. Ndi chiyani icho? Nthawi zambiri, monga matenda anakumana ndi anthu wazaka zapakati ndi okalamba. Komabe, pamene akuchita katundu thupi ntchito dorsal herniated chimbale kumachitika mu wamng'ono. Chithandizo cha matenda izi ndi zofunika kwambiri kuyamba pomwepo mwamsanga pamene zizindikiro woyamba. Nthawi zina, opaleshoni m'pofunika.

Dorsal herniated chimbale - ndichiyani?

Danga msana ndi chimango mafupa wopangidwa 33 (nthawizina - 34) linanena pakati pawo nyumba. Awa amagwira nthiti, mafupa a chiuno ndi phewa lamba. vertebrae onse cholukanalukana ndi galimoto wopangidwa mwa fibrous minofu ndi phata pulposus. Ntchito yaikulu ya mafupa awa ndi depreciation. mfundo ndi yakuti pa kuphedwa kwa ena kayendedwe (kuyenda, kupinda) ndi kutukula vertebrae pafupi limodzi ndi mzake. Ngati chimbale lawonongeka, inu angakhudzidwe ndi minofu fupa. Kuchepetsa mfundo amayambitsa kupweteka chifukwa psinjika a nyumba mitsempha. Mmodzi matenda zofala, ndi dorsal herniated chimbale. "Kodi izo?" - kufunsa odwala amene anapulumutsa matenda. kudwala Izi kusiyana pa kutulukira kwa minofu fibrous, amene chimbale cha aumbike. Chifukwa cha olowa amasintha mawonekedwe ake, mwachitsanzo bulges patsogolo (chimachititsanso). Choncho chimbale minofu ndi mwa mapiri a ngalande intervertebral. Chifukwa cha ichi, pali psinjika a nyumba ya mitsempha. Mu Amowabu kosangalatsa zimfundo fupa Pitani ndi kukhala pansi kuwonongeka.

Zimayambitsa chimbale herniated

Kuti kumvetsa zomwe dorsal herniated chimbale, m'pofunika kudziwa zimayambitsa. matenda A imene nthawi zambiri kukhala mafupa fibrotic a kusiyana mphete ndi osteochondrosis. Dziwani zimene zimayambitsa zotsatirazi chophukacho intervertebral :

1. Kugwiritsa katundu pa nsana wake.
2. msana choipa.
3. Onenepa.
4. Kudwala minofu minofu, imene kuchepa chigoba minofu kamvekedwe.
5. matenda Endocrine.
6. zizolowezi zoipa. Makamaka izo zifika ku fodya.
7. matenda osachiritsika imene fupa kuwonongedwa kumachitika. ndalama zikuphatikizapo matenda monga TB ndi chindoko.
8. matenda zokhudza zonse (nyamakazi, SLE).

Nthawi zambiri akufotokozera chifukwa herniated kuphatikiza zinthu sichikupindulitsani ndi matenda a dongosolo fupa. Pafupifupi odwala onse ndi matenda amadwala osteochondrosis kwa nthawi yaitali.

Gawo la dorsal chimbale herniation

Ambiri ndi dorsal herniated chimbale. Kodi ndi chiyani kusiyana kwake? Lingaliro la "dorsal" zikutanthauza kuti protrusion hernial imatsogoleredwa kuchokera kumbuyo, ndiko, kwa ngalande msana. Mu malo amenewa pali msana. Malinga ndi malo a mitundu zotsatirazi hernias dorsal:

1. Akakufunsani kuwonongeka. Yodziwika ndi chakuti kutanthauzira yeniyeni mapindikidwe sangathe anapereka. Kuwononga chimakwirira lonse intervertebral chimbale.
2. The medial chophukacho. Ndi mtundu uwu wa kuwonongeka imatsogoleredwa protrusion minofu fibrous pakati m'njira msana.
3. Paramedian chophukacho. Kumasiyana chakuti protrusion walangizidwa mbali imodzi ya ngalande msana.
4. Foraminal chophukacho. Protrusion fibrous minofu chimadzaza njira imene mitsempha mizu. Izi limodzi ndi psinjika ake ndi chitukuko cha matenda kupweteka.
5. Medial-dorsal paramedian chimbale herniation - yodziwika kuti kuwonongeka imatsogoleredwa kuchokera pakati (msana) kuti mbali imodzi ya ngalande msana. Ndiko kuti, chophukacho ndi angled. Pankhaniyi, pali ululu ndi kupindika msana.

Zizindikiro za dorsal chimbale herniation mu msana khomo lachiberekero

Msana khomo lachiberekero ndi ambiri dorsal herniated chimbale C5-C6. Pa cithunzithunzi ici matenda angafanane aakulu oziziritsa magazi insufficiency (discirculatory encephalopathy). Zizindikiro monga mutu, kuthamanga kwa magazi, tinnitus. Nthawi zina n'zotheka kukhala paresis kapena ngakhale ziwalo za nthambi. zomverera zosasangalatsa zimachitika khosi, kufalitsa kwa phewa, pansi tsamba mapewa. Nthawi zambiri pali chizungulire ndi kufooka ambiri. Kuwonjezera zizindikiro za herniated msana khomo lachiberekero monga imfa kukumbukira, ntchito, zithunzi acuity, mkhutu tulo. zomverera chowawa uka pambuyo mutu kupinda, ndi kukhala nthawi yaitali pamalo amodzi.

Clinic herniation mu msana lumbar

Kuwonjezera pa msana khomo lachiberekero, protrusion a minofu fibrous zambiri amapezeka m'dera lumbar. Pankhaniyi, osauka akakufunsani dorsal herniated chimbale L4-L5. kudwala Ichi ndi choopsa chifukwa zingachitike msana choipa chingwe. Zikatero ukapezeka paresis kapena ziwalo za lamba onse m'chiuno. Wodwalayo kuyenda. Komanso akusokoneza kuthekera kolamulira chikhodzodzo ndi sphincter ya rectum. Zizindikiro zimenezi zimachitika kuwonongedwa kwa litayamba mu chipinda medial. Ngati zowonongeka ndi pang'ono adasokera pakati pa chingwe msana, pali kupindika msana. Mu akakufunsani chotupa ya chimbale intervertebral akhoza kugwa kwathunthu. Choncho, Zikatero, nthawi zambiri zofunika mankhwala opaleshoni.

Matenda a chophukacho intervertebral

Kuti matenda sichichititsa kuti kulumala, dokotala matenda yake ndi chithandizo cha dorsal chimbale herniation ayenera kuchitika. Angakhale akuganiza kudwala izi ndi zizindikiro monga padzakhala ululu poyenda, maganizo ndi kasinthasintha wa thunthu. Kutsimikiza matenda, anachititsa njira malangizo a zoona. Sitepe yoyamba ndi kuchita X-ray msana, ndi ululu. Nthawi zina izi sikokwanira. Choncho, kompyuta tomography msana kawirikawiri anachita mu milandu amaganiziridwa dorsal chophukacho. Ndiyamika CT kungathe kukula kwa protrusion ndi malo ake enieni. Komanso diagnostics malangizo, Kupenda ubongo imagwiridwa. Choncho anatsimikiza zone mitsempha muzu psinjika, pamaso pa mavuto (paresis, ndi psinjika Mitsempha).

Chithandizo cha dorsal chimbale herniation

Chithandizo cha dorsal herniated chimbale kuyamba ndi mankhwala ndi kukanirira. Amafuna wokonzeka kuthana ndi thupi, monga pang'ono kuti adzapezekepo kusuntha. Mankhwala odana ndi yotupa mankhwala "Diclofenac", "Mydocalm", "Prednisolone". Kuyenera mankhwala anafunika kulimbitsa mafupa minofu. Zikuphatikizapo "Chondroitin sulphate" mankhwala, "glucosamine", "kashiamu-D3 Nycomed". Nthawi zambiri amafuna kuvala corset wapadera zovuta kuti mulimbitse kumbuyo wina malo. Amasonyezanso olimbitsa (unachitikira mu malo kunama), njira physiotherapeutic.

Ndi kupitirira wa kudwala ndiponso kusapezeka kwa efficacy wa mankhwala mankhwala amafuna chithandizo opaleshoni. Opaleshoni ndi herniation lalikulu ndi laminectomy. Madokotala agwiritsa ntchito kokha pamene kuli koyenera kutero monga phukusi limodzi ndi chiopsezo muyambirenso ndi zosokonezeka. Pakuti hernias ka msana khomo lachiberekero anachita microdiskectomy. Iwo angathe kuchitidwa ndi laser a.

Kupewa chophukacho intervertebral

Kuteteza zosayembekezereka wa chophukacho, ndi zofunika kuchita Zochita wapadera kulimbikitsa minofu, kuthetsa kusuta nthawi kutenga mavitamini kuti muli calcium. Pamaso pa matenda osachiritsika chimbale ayenera kukaona katswiriyu osachepera 1-2 nthawi chaka ndi kutsatira malangizo dokotala.