Kashin baya tiyata hernia: ya zama ko zama?

A cikin arsenal daga cikin manyan kasashen waje neurosurgical asibitin yana da babban yawan m jiyya ga herniated fayafai. Kashin baya tiyata tare da minimally cin zali, cewa halin da kananan sikelin m baki da kuma, daidai da, ba ya bukatar wani dogon dawo. A daidai ba ne zabi na haƙuri (ciki har da shawarwarin da wani likita, wani lokacin gangan ƙarya) a cikin ni'imar ra'ayin mazan jiya magani, ya sa ta sirri fargaba da kuma fifiko dokoki ne a dauke sharadi cikakken m hanya, a lokacin da shi ne da gaske da ake bukata. Tare da ta dace zane da kuma dace ganewar asali microsurgery da endoscopic tiyata suna hade da kadan hadarin rikitarwa.

La'akari da zabi na da tsari na lura herniated Disc matsala. Lalle ne, idan ba ka aikata ba tare da tiyata da kuma lokacin da shi ne amfani ra'ayin mazan jiya magani? A unequivocal amsar wannan tambaya ba za a iya ba. All dogara ba kawai a kan bincike da sakamakon, amma kuma a kan likita na kwarewa, ya na sirri fahimtar da Sanadin cutar, da kuma sauran sirri dalilai. A cikin hali na wani hernia, sarrafa a cikin mahaifa, ko kuma lumbar kashin baya, sau da yawa koma ga m baki. Bisa kididdigar da, a 90 lokuta daga 100 da aiki ƙare nasara.

Akwai bukatar a bayyana rabuwa da wani herniated Disc da prolapse (slipped faifai ko wani protrusion) daga kashi stenosis (asarar elasticity na intervertebral Disc). Idan cututtuka su ne ba na dindindin kashi stenosis wanda ke tafiya tare neurogenic intermittent claudication, da ra'ayin mazan jiya magani ne contraindicated, kamar yadda yana iya kaiwa ga tabarbarewar (musamman a karkashin myelopathy).

Stenosis na kashin baya canal, halin da pronounced bayyanar cututtuka za a iya rikita batun tare da ɓullo da prolapse na intervertebral Disc. Kamar yadda stenosis take kaiwa zuwa wani ciwo na cauda equina kuma sau da yawa zuwa dindindin paraplegia, cutar ya kamata a bi da da m hanyoyin, musamman idan akwai stenosis na mahaifa kashin baya da pronounced myelopathy. A zabi a cikin ni'imar ra'ayin mazan jiya magani a cikin wannan halin da ake ciki za a iya daukarsa a matsayin babban kuskure.

Jiyya na kashin baya herniation ba tare da tiyata ne kawai m lokacin da hasken protuzii (protrusion) na intervertebral Disc, wanda aka halin babu neurological bayyanar cututtuka, m zafi da kadan protrusion, kyan gani, a cikin hoton. A cikin hali na wani hernia tare da m bayyanar cututtuka m bambanci a zabi na m ko ra'ayin mazan jiya magani ba. An yi imani da cewa masu ra'ayin mazan jiya da hanyoyin tsirar da ake so sakamako, idan zafi an rage a cikin 6-8 makonni, kuma Ya ƙãra motsi na haƙuri, watau, da zafi da aka daina jin a wurare mabambanta na jiki.

A amfani da masu cin zali dabaru in yi ne m da daidaito, da kama na tarihi da cutar, cututtuka da kuma jarrabawa sakamakon samu ta hanyar MRI ko CT. A wannan yanayin, likita daukan la'akari da yiwu hanyar da cutar da kuma haƙuri ta salon. Bisa ga wadannan dalilai, da gwani ance da isasshen far.

Akwai lokuta inda tiyata kamata a da za'ayi gaggawa. Direct alamomi ga kashin baya tiyata ne:

• bayyana inna.
• barazana da mutuwa.
• da tasiri a kan jijiya tushen;
• karkacewa juyayi tsarin (giperasteziya, parasthesia).
• karfi da bayyana prolapse.

Lokacin da m sha raɗaɗin haihuwa zuwa wata haƙuri wahala kuma ya nuna tiyata. By da gudanar da hanyoyin da magani daga kashin baya hernia ne endoscopic discectomy, percutaneous nucleoplasty, epidural catheterization, wani intervertebral Disc prosthesis, kazalika da wani zamani Hanyar - Laser vaporization.