Ọkpụkpụ azụ ịwa hainia: na-ma ọ bụ na-abụ?

Na ngwá ndị na-eduga mba ọzọ neurosurgical ọgwụ nwere a ukwuu nke ịwa ahụ agwọ ọrịa maka herniated discs. Ọkpụkpụ azụ ịwa ahụ na minimally invasive, nke e ji obere ọnụ ọgụgụ ịwa ahụ aka na, ya, anaghị achọ a ogologo mgbake. The na-ezighị ezi oke nke onye ọrịa (gụnyere nkwanye nke a dọkịta, mgbe ụfọdụ, na-ama ụma ụgha) na ihu ọma nke mgbanwe omume, kpaliri onye na-atụ egwu na mmasị mejupụtara a waiver nke a full ịwa ahụ, mgbe ọ na-mkpa n'ezie. Na kwesịrị ekwesị imewe na kwesịrị ekwesị nchoputa microsurgery na endoscopic ịwa ahụ na-metụtara ntakiri n'ihe ize ndụ nke nsogbu.

Tụlee oke nke ụdị ọgwụgwọ herniated diski nsogbu. N'ezie, mgbe ị na-eme na-enweghị ịwa ahụ na mgbe ọ na-etinyere mgbanwe ọgwụgwọ? The unequivocal azịza nke ajụjụ a nwere ike agaghi-enye. All adabere ọ bụghị nanị na-achọpụta ọrịa results, ma na dọkịta na-awa ahụmahụ, ya onwe ya na nghọta nke ndị na-akpata ọrịa, na onwe onye ndị ọzọ ihe. Na ikpe nke a hainia, metụtara nanị akụkụ ụfọdụ na cervical ma ọ bụ lumbar spain, mgbe mgbe, na-amalite ịwa ahụ aka. Dị ka ọnụ ọgụgụ, na 90 ikpe nke 100 ọrụ na-agwụ ọma.

E nwere mkpa maka a doro anya nkewa nke a herniated diski na prolapse (echefuwo disk ma ọ bụ a protrusion) si ọkpụkpụ stenosis (ọnwụ nke ekwedo nke intervertebral diski). Ọ bụrụ na mgbaàmà ndị dị ugbu a na-adịgide adịgide ọkpụkpụ stenosis nke esokwa neurogenic intermittent claudication, na mgbanwe na usoro ọgwụgwọ contraindicated, dị ka ọ pụrụ iduga arịa ọrịa (karịsịa n'okpuru myelopathy).

Stenosis nke spinal kanaal, ji akpọ mgbaàmà nwere ike mgbagwoju anya na mepụtara prolapse nke intervertebral diski. Ka stenosis eduga a syndrome nke cauda equina na mgbe na-adịgide adịgide paraplegia, ọrịa a ga-emeso site ịwa ahụ ụzọ, karịsịa ma ọ bụrụ na e nwere stenosis nke cervical spain na akpọ myelopathy. Oke na ihu ọma nke mgbanwe omume na ọnọdụ a nwere ike na-ahuta ka a oké njehie.

Ọgwụgwọ nke spinal herniation enweghị ịwa ahụ bụ nanị mgbe ìhè protuzii (protrusion) nke intervertebral diski, nke e ji enweghị akwara ozi mgbaàmà, nwayọọ mgbu na nta protrusion, anya na foto a. Na ikpe nke a hainia na nwayọọ mgbaàmà kwesiri ngosi dị iche na oke nke ịwa ahụ ma ọ bụ mgbanwe ọgwụgwọ bụghị. Ọ na-kweere na mgbanwe ụzọ na-emepụta ezi mmetụta, ma ọ bụrụ na ihe mgbu na-ebelata n'ime 6-8 izu na ụba agagharị nke onye ọrịa, ie, ihe mgbu agaghịkwa chere na ọnọdụ dị iche iche nke ahu.

The ojiji nke invasive usoro na omume kpebisiri ike site anọgidesi, myirịta nke akụkọ ihe mere eme nke ọrịa, ihe mgbaàmà na ule pụta nwetara site MRI ma ọ bụ CT. Na nke a, ndị dọkịta na-elebara-ekwe omume na-akpata ọrịa na ọrịa si ebi ndụ. Dabere na ihe ndị a, ndị ọkachamara na-ahọrọ ndị ezigbo ọgwụ.

E nwere otu ebe ịwa ahụ a ga-rụrụ ngwa ngwa. Direct na-egosi maka spain ịwa ahụ bụ:

• owụt mkpọnwụ;
• iyi egwu nke ọnwụ;
• mmetụta na akwara mgbọrọgwụ;
• ndiiche ụjọ usoro (giperasteziya, parasthesia);
• ike owụt prolapse.

Mgbe ufiop mgbu na-anapụta onye ọrịa na-ata ahụhụ na-egosikwa n'ịwa ahụ. Site na ịkpa ụzọ nke ọgwụgwọ nke ọkpụkpụ azụ hainia bụ endoscopic discectomy, percutaneous nucleoplasty, epidural catheterization, ihe intervertebral diski prosthesis, nakwa dị ka a n'oge a usoro - laser vaporization.