Lura da wani herniated Disc (lumbosacral kashin baya). Surgery cire herniated Disc

Matsaloli tare da kashin baya na mutane da yawa da abin ya shafa. Wasu daga cikin wuya aikin bunkasa irin wannan jiha kamar intervertebral hernia na lumbosacral kashin baya.

Mene ne wannan?

Herniated Disc ne sau da yawa ake kira mai tsanani sharadin abin da akwai hijirar na intervertebral Disc na kashin baya jirgin sama. Mafi sau da yawa, wannan yanayin ne ya sa ta wuce kima nauyi a kashin baya.

Wahala daga cutar mafi yawa maza dake da shekaru 20 zuwa shekaru 50.

A abin da ya faru da wannan cuta ne game da 100 lokuta da 100,000 yawan kowace shekara.

Mafi yawa daga cikin data hernias faruwa saboda jiki obalodi na kashin baya a sakamakon aiki. Zai yiwu traumatic hernia bayan tiyata a kashin baya, ko kuma a sakamakon shan kashi. Da wuya, amma akwai nakasar kashin baya hernia.

Mazan mutane suna da aka sani lokuta na hernia a kan bango na physiological wani rauni da jijiyoyin na kashin baya.

A mafi ruwan dare yana intervertebral hernia na lumbosacral kashin baya, saboda kugu ne mafi m wuri domin ci gaba da wannan cuta.

A pathogenesis na herniation

Ƙarƙashin rinjayar da wani babban nauyi a cikin kashin baya, akwai wani sauka a hankali matsawa da intervertebral Disc. Saboda wannan, mafi sau da yawa shi ya auku katsewa faifai m baki (m annulus fibrosus), wanda ya auku bayan da intervertebral Disc abinda ke ciki fitarwa zuwa waje.

Toho tsakiya pulposus iya matsawa matsayin ciki na kashin baya canal, da kuma a gefen shi. A cikin farko idan shi tasowa pinching na laka, wanda zai iya kai ga babu ja sakamakon. A karo na biyu idan zai ci gaba radicular ciwo saboda matsawa na jijiyoyi kunno kai daga laka. A wuri na matsawa aseptic kumburi tasowa, akwai wani kumburi daga cikin kewaye nama, wanda kara worsens halin da ake ciki.

A sakamakon haka, domin a herniated Disc ne halin da bayyanar cututtuka na radicular ciwo (zafi, azanci shine asarar da kuma reshe aiki). A kan lokaci, da motsi sosai a cikin kashin baya shafi.

Kamar yadda za a iya gani, a inda mafi sau da yawa yakan faru intervertebral hernia - lumbosacral. Magani ya kamata a gudanar nan da nan, da zaran an kamu slipped Disc.

magani

A cikin wani hali, ya kamata ka nan da nan za a fara lura da wani herniated Disc. Lumbosacral kashin baya ya aikata wani m aiki na jiki - balance tabbatarwa da kuma overlying gawarwakin karkata zuwa ga gaskiya. Tare da ci gaba a hernia a cikin lumbar yankin don gudanar da wannan aiki ya zama fiye da wuya saboda zafin ciwo da cewa tasowa a jijiya matsawa. Yanayin worsens untimely roko ga likitoci.

Lokacin na farko da bayyanar cututtuka kamata nan da nan za a fara lura da wani herniated Disc. Lumbosacral kashin baya amsa da kyau zuwa maras pharmacological hanyoyin kamar da amfani da orthopedic kyãwãwa, tausa, da yin amfani da sanyi compresses. Wadannan hanyoyin da zalla symptomatic fuskantarwa (sauƙaƙe haƙuri da yanayin) da kuma kawai don a yayin da a domin su kauce wa matsalolin da wata hernia za a iya amfani da su. Lokacin da jihar exacerbating kyawawa to nan da nan ka sanya wani wa'adi a wani neurologist.

magani

Idan, duk da haka, ya ɓullo da wani intervertebral hernia, yadda za mu bi da shi, don haka kamar yadda ba su cutar da jiki? A saboda wannan dalili, anti-kumburi kwayoyi daga cikin rukuni na ba-steroidal jamiái. A mafi yadu amfani man shafawa, mala'iku kuma creams. A cikin tsarin akwai yawanci "Diclofenac" ( "Rumakar", "Dikloberl"), "Indomethacin" ( "indomethacin", "Rumatsid"). A taro na kwayoyi a wadannan wurare damar janye zafin ciwo da kumburi (amma samun wannan kashi na kwayoyi a ciki ba su da ake so sakamako, kazalika da bayar da gudummawa ga ci gaban da ciki ulcers da kuma 12 duodenal miki).

Zai yiwu a hade ba-steroidal anti-kumburi kwayoyi tare da glucocorticoids.

Glucocorticoids aka nada ko dai da baki ko intravenously ga speedy cimma sakamako. Amfani da kwayoyi kamar "Prednisolone" da "Dexamethasone". glucocorticoid magani ya kamata a wajabta kawai bayan gazawar da NSAIDs, kamar yadda tsawo amfani da corticosteroids kawo jiki mafi zãlunci daga mai kyau.

Jiki far da magani daga hernias na kashin baya

Na biyu mafi girma mita na amfani ne physiotherapy herniated fayafai. Lumbosacral kashin baya ne daya daga cikin mafi m sassa na musculoskeletal tsarin domin yin amfani da daban-daban na'urorin.

A cewar da yawa kwararru, physiotherapy iya taimakawa wajen mafi m dawo da fiye da da magani.

A halin yanzu mafi inganci jiyya ga intervertebral hernias ne don amfani multifunctional wayoyin. Jigon wannan hanya - shigowa katse zafi hasken dake fitowa ta hanyar radiofrequency tãguwar ruwa.

Na fi sanannun hanyoyi amfani electrophoresis da analgesics, medicated baho, Laser far. Electrophoresis da phonophoresis damar ya sadar da kwayoyi kai tsaye a cikin kashin baya shafi. A sakamakon haka ne sau da yawa a bayyane riga bayan 'yan jiyya.

Shakatawa zafi wanka a wasu lokuta na iya taimakawa wajen maras wata-wata reposition na hernia a wurin.

Idan akwai wani tabarbarewar, duk da kokarin da ake, haka rikitarwa cuta intervertebral hernia. Yadda za mu bi da shi a cikin wannan halin da ake ciki?

M magani daga intervertebral hernia

Tare da ineffectiveness na ra'ayin mazan jiya magani da ake amfani, ko lokacin da mai tsanani neurological cututtuka (inna na wata gabar jiki, urination da defecation cuta, paresis, paresthesia, m zafi, zafi a kan mayar da surface na ƙananan wata gabar jiki) ya kamata a qaddamar nan da nan tiyata.

Alamomi ga m magani daga laka an pinching, matsawa tasoshin wucewa kusa da nan.

A magani ne zai fi dacewa da za'ayi a cikin na musamman m sassan (mafi sau da yawa a cikin neurosurgery).

Daga cikin amfani da hanyoyin magani ne biyu main kungiyoyin - endoscopic tiyata da kuma na al'ada da microsurgery.

Ya danganta da yadda cutar auku, sanin da dabara na online damar.

Jiyya dole yi a karkashin janar maganin sa barci da kuma tare da goyon bayan asali da harshen damo.

microsurgical kau

Kafin gabatarwar microscopes a likita yi, idan an nuna m magani daga herniated fayafai, lumbar-sacral kashin baya sukan yi wa daban-daban da rikitarwa a cikin postoperative zamani (ƙurji, maimaita). The real juyin juya halin ne da yin amfani da na'urorin na gani a magani daga hernias. Wannan rage vastness na saurin samun, wanda rage muhimmanci da ya faru na tasowa rikitarwa.

A mafi yawan lokuta, herniation na intervertebral sacral cire ta hanyar wani microscopic sashe (da aka gudanar laminectomy). Karkashin high magnification shi ya zama mai yiwuwa ga m cire hernial protrusion ba tareda žata m muhimmi kyallen takarda.

Kunna haƙuri fara sosai gobe. Domin kullum ayyukan da haƙuri da aka yarda a cikin kwanaki 10, da kuma wata daya daga bisani shi iya yi manual aiki ba tare da hadarin rikitarwa.

endoscopic tiyata

Wadannan ayyukan cire herniated Disc ne mai gwada sabon Trend in neurosurgery. More sau da yawa fiye da ba su gudanar da ta hanyar da posterolateral endoscopic m. Abũbuwan amfãni daga cikin wadannan hanyoyi ne ma fi girma tsaro a cikin halittar m rauni (wani lokacin yi da al'ada fata huda). Duk da haka, shi ne biyu da babban hasara - a cikin wannan harka iyakance ga yiwuwar cikakken excision na hernia kuma cire shi daga huda yankin. Wuya hernia, ko hernia, tare da matsawa na laka ba a cire ta wadannan ayyukan.

A haƙuri da su a cikin rana a lokacin da aiki da aka za'ayi, hau, tafiya. Aiki da aka jiyar game da mako guda bayan sallama daga asibiti.

rikitarwa da hernia

A tsawon lokaci, idan hernia farawa zuwa damfara gaba tamkar nama iya ci gaba da rikitarwa.

Idan ɓullo da wani na kowa hernia (intervertebral), lumbosacral gaba daya hasarar da aiki, da kuma laka da lalacewar da aka kiyaye. Duk da muni a lokacin da gudun hijira a cikin shugabanci na wani hernia na kashin baya canal.

A mafi hatsari na su ne pinching da laka. A wannan yanayin keta urination da defecation ayyuka, wanda babban mai barazana ga rayuwa (magana mai tsanani maye, ruptures cikin mafitsara, hanji da kuma mafitsara). Bugu da kari, idan kumburi ke da laka, da kuma na iya haifar a cikin overlying sassan a take hakkin da ayyuka na kayan ciki, ciki har da mutuwa.

Wani m wahala na hernia ne radicular ciwo. Tare da shafe tsawon zama na muhimmanci worsens da yanayin.

Matsalolin ne mafi m karu a ji na ƙwarai kuma paresthesias.

Gyaran fuska da kuma rigakafin

Don samar da hernia bukatar wasu lokaci (t. E. Yana za a iya siddan kira kullum cutar). iya hana ta ci gaba yayin da mutunta muhimman hakkokin shawarwari.

Don hana kōmōwa bayan kau na herniated fayafai, shi wajibi ne mayalwaci raba kaya a lokacin wasan motsa jiki. Ya kamata ka ba overreach, domin zai iya kawo karshen mugun.

Har ila yau, shawarar da rigakafin hernia dauke da fitar jiki horo da kuma darussan da karfafa murdede firam na baya (kamar deadlift tare da m lodi).

Lokacin da dogon wuya da kuma aiki domin ya hana shi bada shawarar ya dauki wani m zafi tubs - su taimaka wa wani kadan, sãɓã wa jũnamai vertebrae su hana ƙeta na Disc tsakanin su.

Fi bayan jurewa hernia haxa da kaucewa danniya, motsa jiki far, tausa da manual far magani ko acupuncture.