Ọgwụgwọ nke a herniated diski (lumbosacral spain). Surgery wepụ herniated diski

Nsogbu na ọkpụkpụ azụ nke ọtụtụ ndị na-eche. Ụfọdụ n'ime ọrụ ike na-emepe emepe dị otú ahụ a na steeti dị ka intervertebral hainia nke lumbosacral spain.

Gịnị ka ọ bụ?

Herniated diski na-akpọkarị a oké njọ ọnọdụ nke na e nwere a Ndahie nke intervertebral diski nke ọkpụkpụ azụ ụgbọelu. Ọtụtụ mgbe, ọnọdụ a na-kpatara oké ibu arọ na spain.

Ata ahụhụ site na ọrịa na-akasị ndị nọ n'agbata afọ 20 na afọ 50.

The omume nke a na ọrịa bụ banyere 100 mgbe 100,000 bi kwa afọ.

Ọtụtụ n'ime ndị data hernias ime ruru ahụ bufee nke ọkpụkpụ azụ dị ka a N'ihi nke oru. Ikekwe traumatic hainia mgbe Ịwa ahụ na ọkpụkpụ azụ ma ọ bụ dị ka a n'ihi nke mmeri. Ufodu, ma e nwere congenital spinal hainia.

Older mmadụ na-mara ikpe nke hainia na ndabere nke n'ahụ adịghị ike nke akwara nke ọkpụkpụ azụ.

The kasị elu njupụta nwere intervertebral hainia nke lumbosacral spain, n'ihi na n'úkwù bụ na ọtụtụ ngwangwa ebe mmepe nke ọrịa a.

The pathogenesis nke herniation

N'okpuru nduzi nke a elu ibu ọkpụkpụ azụ, e nwere a jiri nwayọọ nwayọọ na mkpakọ nke intervertebral diski. N'ihi nke a, ọtụtụ mgbe ọ na-adị agbawa disk elu rim (elu annulus fibrosus), nke pụtara mgbe intervertebral diski ọdịnaya mmeputa n'èzí.

Pulitere ntọala pulposus nwere ike ịgbanwee dị ka n'ime spinal kanaal, na n'akụkụ ya. Ke akpa idaha ọ na-amalite apị nke ọgidigi azụ, bụ nke pụrụ iduga irreversible pụta. Nke abụọ ahụ nwere ike ịzụlite radicular syndrome ruru mkpakọ nke irighiri akwara abụrụ si ọgidigi azụ. Na ebe nke mkpakọ aseptic mbufụt amalite, e nwere a ọzịza nke gburugburu anụ ahụ, nke ozokwa njọ ọnọdụ ahụ.

N'ihi ya, n'ihi na a herniated diski e ji mgbaàmà nke radicular syndrome (mgbu, sensory ọnwụ na N'ịdị ọrụ). N'ime oge, na agagharị isi na spinal kọlụm.

Dị ka a pụrụ hụrụ, a ebe kasị-abụkarị intervertebral hainia - lumbosacral. Ọgwụgwọ kwesịrị ga-ndinọ ozugbo, ka anya dị ka a chọpụta na echefuwo diski.

ọgwụgwọ

Na nke ọ bụla, ị ga-ozugbo amalite ọgwụgwọ nke a herniated diski. Lumbosacral spain anamde a dị mkpa ọrụ nke ahu - itule mmezi na overlying ozu ziri ezi. Na mmepe nke a hainia na lumbar region imezu ọrụ a na-aghọ nnọọ ihe siri ike n'ihi na nke oké ahụ ụfụ na-amalite na akwara mkpakọ. Ọnọdụ njọ nnwụchu amasị dọkịta.

Mgbe mbụ mgbaàmà ga ozugbo amalite ọgwụgwọ nke a herniated diski. Lumbosacral spain na-anabata nke ọma na-abụghị pharmacological ụzọ ndị dị otú ahụ dị ka iji ihe orthopedic matarasị, ịhịa aka n'ahụ, ojiji, nke oyi compresses. Ndị a ụzọ nwere a kpere symptomatic nghazi (ikwado ọrịa na-arịa) naanị n'ihi na a mgbe na iji zere nsogbu nke a hainia nwere ike ji mee. Mgbe ala nke exacerbating na-achọsi ike ka ozugbo ọhụhụ ka a ọkà mmụta ọrịa akwara.

ọgwụ

Ọ bụrụ na Otú ọ dị, ọ bịara ihe intervertebral hainia, na-emeso ya, ka ọ ghara imerụ gị ahụ? N'ihi nke a, mgbochi mkpali ọgwụ ọjọọ si na ìgwè nke ndị na-abụghị steroidal mmadụ. The kasị n'ọtụtụ ebe na ointments, gels na creams. Na ha mebere atumatu na e nwere na-emekarị "Diclofenac" ( "Rumakar", "Dikloberl"), "Indomethacin" ( "indomethacin", "Rumatsid"). Ịta nke ọgwụ ọjọọ na ndị a ụlọ ọrụ na-enye ohere ịdọrọ ufiop mgbu na mbufụt (ma na-anata otu dose ọgwụ n'ime nwere ike enweghi ezi mmetụta, nakwa dị ka na-eme ka mmepe nke gastric ọnyá afọ na 12 duodenal ọnyá afọ).

Ikekwe a Nchikota nke na-abụghị steroidal mgbochi mkpali ọgwụ ọjọọ na glucocorticoids.

Glucocorticoids na-ahọpụta ọnụ ma ọ bụ intravenously maka ngwa ngwa nweta nke mmetụta. Eji ọgwụ ọjọọ eme ihe ndị dị otú ahụ dị ka "Prednisolone" na "Dexamethasone". glucocorticoid ọgwụgwọ a ga-kenyere nanị mgbe ọdịda nke NSAIDs, dị ka ogologo oge iji corticosteroids wetara ahụ ọzọ nsogbu ka mma.

Ọgwụgwọ anụ ahụ na ọgwụgwọ nke hernias nke ọkpụkpụ azụ

Nke abụọ kasị elu ugboro ole nke na ojiji bụ physiotherapy herniated discs. Lumbosacral spain bụ otu n'ime ndị kasị mfe akụkụ nke nweekwa usoro maka ojiji nke dị iche iche ngwaọrụ.

Dị ka ọtụtụ ndị ọkachamara, physiotherapy pụrụ iso na-ọzọ gbakee ngwa ngwa karịa na ọgwụ.

The ugbu a na-kasị dị irè ọgwụgwọ maka intervertebral hernias bụ iji multifunctional electrodes. Ihe kachasi mkpa nke usoro - na-abata ịkwụsịtụ mgbu gboo site radiofrequency ebili mmiri.

Nke ọzọ maara nke ọma ụzọ ejikarị electrophoresis na analgesics, medicated baths, laser ọgwụ. Electrophoresis na phonophoresis ekwe napụta ọgwụ kpọmkwem n'ime spinal kọlụm. Mmetụta bụ mgbe anya na-ama mgbe a ole na ole agwọ ọrịa.

Atụrụ ndụ na-ekpo ọkụ saa na ụfọdụ nwere ike na-eme ka n'amaghi reposition nke hainia ebe.

Ọ bụrụ na e a arịa ọrịa, n'agbanyeghị na-aga n'ihu na mgbalị, otú mgbagwoju anya ọrịa intervertebral hainia. Olee otú na-emeso ya na ọnọdụ a?

Ịwa ahụ ọgwụgwọ nke intervertebral hainia

Na adịghị ike nke ndị mgbanwe ọgwụgwọ a na-eji ma ọ bụ mgbe a na oké akwara ozi mgbaàmà (mkpọnwụ nke aka na ụkwụ, urination na defecation ọrịa, paresis, paresthesia, ufiop mgbu, ihe mgbu na azụ elu nke ala ụkwụ) ga-butere ozugbo n'ịwa ahụ.

Egosi maka nnukwu ọgwụgwọ nke ọgidigi azụ na-apị, mkpakọ arịa agafe dị nso.

The ọgwụgwọ a na ọkacha mma rụrụ na pụrụ iche ịwa ngalaba (Ọtụtụ na neurosurgery).

Otu n'ime ihe ndị na-eji ụzọ nke ọgwụgwọ bụ isi ihe abụọ dị iche iche - endoscopic ịwa ahụ na ot microsurgery.

Dabere na otú ọrịa emee, chọpụta eme nke online ohere.

Ọgwụgwọ bụchaghị rụrụ n'okpuru general ná Nkụnwụ na na nkwado nke isi dị mkpa ọrụ.

microsurgical mwepụ

Tupu iwebata microscopes na ọgwụ na ahụ ike omume, ma ọ bụrụ na ọ na e gosiri ịwa ahụ ọgwụgwọ nke herniated discs, lumbar-sacral spain na-emekarị doro dị iche nsogbu na postoperative oge (etuto, ntighari). The ezigbo mgbanwe bụ ojiji nke ngwa anya ngwaọrụ ke ọgwụgwọ nke hernias. Nke a belatara ịdị obosara nke ohere ngwangwa, nke budata belata omume nke na-emepe emepe nsogbu.

N'ọnọdụ ka ukwuu, herniation nke intervertebral sacral wepụrụ site a microscopic ngalaba (ẹkenịmde laminectomy). N'okpuru elu magnification ọ na-aghọ omume na-jiri nwayọọ wepụ hernial protrusion enweghị etisa n'akụkụ akpata arọ.

Rụọ ọrụ onye ọrịa amalite na-esote ụbọchị. N'ihi na-eme kwa ụbọchị na-enwe ndidi na-ekwe n'ime 10 ụbọchị, na a ọnwa mgbe e mesịrị ọ nwere ike na-eme ntuziaka oru enweghị ihe ize ndụ nke nsogbu.

endoscopic ịwa

Ndị a arụmọrụ wepụ herniated diski bụ a dịtụ ọhụrụ na-emekarị na neurosurgery. Ọtụtụ mgbe ha na-eduzi site a posterolateral endoscopic obibia. Uru nke a ụzọ bụ ọbụna karị iru ala na e kere eke nke ịwa ahụ ọnya (mgbe ụfọdụ mere nkịtị akpụkpọ mgbapu). Otú ọ dị, ọ bụ ma isi mwepu - na nke a nanị ekwe omume nke zuru excision nke hainia na wepu ya si mgbapu ebe. Siri hainia, ma ọ bụ hainia, Bilie mkpakọ nke ọgidigi azụ na-adịghị wepụrụ ndị a arụmọrụ.

Onye ọrịa nwere ike na ụbọchị mgbe ọrụ e rụrụ, ọrịrị, na-eje ije. Ọrụ na-kwere banyere otu izu mgbe orùrù si n'ụlọ ọgwụ.

nsogbu nke hainia

N'ime oge ahụ, ọ bụrụ na ndị hainia amalite mpikota esote isi anụ ahụ nwere ike ịzụlite nsogbu.

Ọ bụrụ na mepụtara a nkịtị hainia (intervertebral), lumbosacral kpamkpam tụfuru ya ọrụ, na ọgidigi azụ mmebi ihe. All njọ mgbe Ndahie na ntụziaka nke a hainia nke spinal kanaal.

The kasị dị ize ndụ nke ha na-apị na ọgidigi azụ. Na nke a na-emebi urination na defecation ọrụ, nke virus a iyi egwu ndụ (n'okpuru oké igbu egbu, ruptures eriri afo, bowel na urethra). Ke adianade do, ma ọ bụrụ na mbufụt-aga ka ọgidigi azụ, na pụrụ ime ka a overlying ngalaba mebiri nke ọrụ nke akụkụ ahụ ndị dị, gụnyere ọnwụ.

Ọzọ ugboro ugboro sikwuoro nke hainia bụ radicular syndrome. Na ruo ogologo oge ịdị adị nke budata njọ ọnọdụ.

Nsogbu ndị ọzọ mma ọnụ ke uche na paresthesias.

Ghara ịgbanwe na mgbochi

Ịzụlite a hainia achọ ụfọdụ oge (t. E. Ọ nwere ike edoghi any akpọ ala ala ọrịa). nwere ike igbochi ya mmepe mgbe n'ihe banyere isi kwe nkwa.

Iji gbochie nlọghachite mgbe mwepụ nke herniated discs, ọ dị mkpa iji ọma kesaa ibu n'oge mmega ahụ. Ị kwesịrị ị na-aghọgbu, n'ihi na ọ pụrụ idifọnke.

Ọzọkwa akwadoro maka mgbochi nke hainia arụ na-azụ ahụ na omume ndị ahụ na-ewusi muscular eku nke azụ (dị ka deadlift na ezi uche ibu).

Mgbe ogologo na ịrụsi ọrụ ike iji gbochie ya na-atụ aro na-a-atụrụ ndụ na-ekpo ọkụ tubs - ha na-eme ka a nta ndiiche vertebrae iji gbochie ịda iwu nke diski n'etiti ha.

Ghara ịgbanwe mgbe n'ịnwụ hainia gụnyere, igbochi nchegbu, mmega ọgwụ, ịhịa aka n'ahụ na ntuziaka ọgwụ ọgwụgwọ ma ọ bụ igba okpukpu.