Amaphiko herniated idiskhi: oko kukuthi, zokuhlela kunye neempawu zonyango

Intlungu umnqonqo yaziwa abaninzi wazibonela. Ngakumbi rhoqo mizwa ekhathazayo kwenzeka xa ukugotywa, endleleni umzimba. isebe ezimbi spinal ezisengozini abantu abenza yezandla enzima, kwaye enze isindululo phindo ixesha elide (kwi-mveliso, ingubo mveliso). Isifo oluqhelekileyo phakathi kwamadoda nabafazi, i amanakani herniated disc. Yintoni na? Kwiimeko ezininzi, uyayazi loo ejongene ngabantu eliqina kunye nabantu abadala. Noko ke, xa esenza umsebenzi amanakani emzimbeni enzima herniated idiskhi kungenzeka abaselula. Unyango lwesi sifo ibaluleke kakhulu ukuqala kwangoko kamsinya nje imiqondiso yokuqala. Kwezinye iimeko, uqhaqho kuyimfuneko.

Amaphiko herniated idiskhi - ntoni na?

Ikholam spinal sisakhelo amathambo eziquka 33 (ngamanye amaxesha - 34) ngokucacileyo phakathi izakhiwo ngokwabo. Ezi apha iimbambo, isinqe negxalaba nombhinqo. Onke amalungu omqolo abantu amaqhina oqhagamshelwano liphulo kuqulethe ezinezikhondo inyama kunye kwahlelwa pulposus. Umsebenzi yale amalungu yi ukuphelwa lixabiso. Inyaniso kukuba ngexesha ukuphunyezwa ezinye iintshukumo (ukuhamba, eguqa) kunye nokuphakamisa amathambo kufutshane kunye nabanye. Ukuba disc yonakele, nina banokuchaphazeleka kwaye ijwabu ithambo. amalungu Ukuyekwa ebangela ubuhlungu ngenxa ucinezelo izakhi-luvo. Enye izifo eliqhelekileyo, i amanakani herniated disc. "Yintoni na?" - cela izigulane wanikela uxilongo. Le ngezifo iyakhula kwi kwasa izihlunu ezinezikhondo, ngalo disc yenziwe. Ngenxa yoko lokudibanisa litshintsha uhlobo wayo, okt bulges phambili (egqithisa). Ngenxa yoko, ijwabu yediski ngaphakathi uluhlu emjelweni intervertebral. Ngenxa yesi sizathu, akukho ucinezelo izakhiwo-luvo. Xa shift okuphawulekayo namalungu ithambo zingaqhagamshelana yaye kuxhomekeka umonakalo.

Izinto ezibangela disc herniated

Ukuze uqonde into amanakani herniated disc, kuyimfuneko ukwazi kubangelwa. Isifo apho bavame amalungu fibrotic ye umsantsa ring yi osteochondrosis. Zazi izinto ezibangela zilandelayo Ithemba intervertebral :

1. umthwalo kakhulu emqolo wakhe.
2. ukulimala spinal.
3. Amavila.
4. Pathology esiqwini izihlunu, apho ukuhla kwezihlunu skeletal.
5. izifo Ezingokuqandusela.
6. nemikhwa emibi. Isikakhulu kuziwa ukutshaya.
7. izifo sisiba mandundu apho kwenzeka ukutshatyalaliswa ithambo. Ezi ndleko zibandakanya izifo ezifana nesifo sephepha kunye negcushuwa.
8. Izifo Systemic (isifo samathambo, SLE).

Amaninzi eyenzeke ngenxa udityaniso izinto herniated umonakalo kunye ukuphazamiseka kobume ithambo. Phantse zonke izigulane nesi sifo bayahlupheka ukusuka osteochondrosis ixesha elide.

Ukuhlelwa le herniation amaphiko disc

Avamise kakhulu lo amanakani herniated disc. Yintoni na kwaye yintoni umahluko wayo? Le mbono "amaphiko" kuthetha ukuba Buze hernial yalathiswa ngasemva, oko kukuthi, ukuya lomsele spinal. Kule ndawo kukho umnqonqo. Kuxhomekeka indawo ezi ntlobo zilandelayo hernias amaphiko:

1. umonakalo kwentamo. Luphawulwa yokuba kwasendaweni ngqo deformation ayikwazi ukubeka. Ukonakala lugubungela yonke intervertebral disc.
2. Le Ithemba medial. Nale hlobo umonakalo ngqo Buze yethishyu ezinezikhondo embindini emjelweni spinal.
3. Ithemba Paramedian. It uyahluka ukuba Buze sibhekiswe elinye icala lomsele spinal.
4. Ithemba Foraminal. Buze inyama ezinezikhondo izalisa lijelo apho ingcambu luvo. Oku kuhambisana ucinezelo yayo kunye nophuhliso severe intlungu syndrome.
5. Medial-amaphiko paramedian idiskhi yokugcina herniation - Eboniswe ukuba umonakalo ngqo ukusuka kwiziko (umnqonqo) ukuya kwelinye icala lomsele spinal. Oko kukuthi, Ithemba leyo yomumo. Kulo mzekelo, kukho intlungu ugobile lomqolo.

Iimpawu ze herniation amaphiko disc kwi kwalapho wesibeleko

Umnqonqo wesibeleko amanakani ixhaphakileyo herniated idiskhi C5-B6. Kulo mfanekiso lwezonyango na onokufana ezingapheliyo insufficiency ebuchotsheni yegazi (discirculatory Encephalopathy). Iimpawu ezifana yintloko, uxinzelelo oluphezulu lwegazi, ukuduma. Ngamanye amaxesha kuyenzeka ukuba ukuphuhlisa paresis okanye ukushwabana imilenze. mizwa ekhathazayo kwenzeka entanyeni, kwalutyhutyha egxalabeni, phantsi igxalaba. Amaxesha amaninzi kukho isiyezi kunye ubuthathaka jikelele. Ukongeza iimpawu herniated umqolo wesibeleko ziquka ukulahlekelwa yinkumbulo, ukusebenza, acuity ezibonwayo, ulale kakuhle. emva kokuba intloko ukugotywa, kokuhlala ixesha elide endaweni enye kuvela ubuhlungu.

Clinic herniation kwi kwalapho empontshwa

Ukongeza kwalapho wesibeleko, Buze ka nyama ezinezikhondo kaninzi kwenzeka kummandla empontshwa. Kulo mzekelo, ukuphuhlisa amanakani ehlasela herniated idiskhi L4-L5. Le ngezifo kuyingozi kuba le nto inokwenzeka cord kukwenzakala umnqonqo. Kwimeko enjalo kuvela paresis okanye ukushwabana zonke umbhinqo zangasese. Isigulane engakwazi ukuhamba. Kwakhona ephazamisa uyakwazi ukulawula lwesinyi sphincter ye isikali. Ezi mpawu kwenzeka ekutshatyalalisweni disk kwi gumbi medial. Ukuba umonakalo siphambukile kancinci ukusuka embindini umnqonqo, kukho ugobile lomqolo. Xa sisilonda esidumbileyoesingaphakathi ehlasela le intervertebral disc inokuba lungasebenzi. Ngoko ke, kwimeko enjalo, oko kudla ngokuba unyango kuyimfuneko yotyando.

Uxilongo lwe Ithemba intervertebral

Ukuba esi sifo ingakhokeleli yokukhubazeka, ugqirha uxilongo ngexesha kunye nonyango lwe amaphiko disc herniation kufuneka kwenziwe. Ngaba kuba ucingela le ngezifo ziimpawu ezifana buhlungu kakhulu xa ehamba, ukutyekela kanye ukujikeleza lo buti. Ukuze uqinisekise uxilongo olwenziwe iindlela nezixhobo iimviwo. Inyathelo lokuqala kukuba ukwenza-X-reyi yomqolo, nazo iintlungu. Kwezinye iimeko oku akwanelanga. Ngoko ke, ikhompyutha Itomography yomqolo isoloko eyenziwa kwiimeko kuyakrokreleka amaphiko Ithemba. Ngenxa CT uyakwazi ukucwangcisa ubungakanani Buze kunye nendawo yayo ngqo. Kwakhona uxilongo instrumental, iimviwo luvo luyenziwa. Ngaloo ezimisele nemithambo zone iingcambu ucinezelo, ubukho iingxaki (paresis, kunye ucinezelo kwemithambo yegazi).

Unyango amaphiko disc herniation

Unyango amaphiko herniated disc ukuqala unyango ngamachiza kunye nokubambelela. Efunekayo ukuze kupheliswe ngokupheleleyo umthambo, kancinci kangangoko ukususa. Ukumisela anti-ukudumba amayeza "Diclofenac", "Mydocalm", "Prednisolone". Kufuneka kwakhona babe amayeza ukuze kuqiniswe inyama ithambo. Ezi ziquka iziyobisi "Chondroitin sulfate", "glucosamine", "Calcium-D3 Nycomed". Kwiimeko ezininzi zifuna ukuba ukunxitywa corset ekhethekileyo nzima kakhulu ekomelezeni umhlana enye indawo. Kwakhona eboniswe imithambo (kuqhutyelwa kwindawo ukuxoka), iinkqubo physiotherapeutic.

Ngenxa yenkqubela leengxaki kunye nokungabikho ukusebenza unyango lwezonyango kufuna unyango ngotyando. Ukusebenza kunye herniation enkulu kuyinto laminectomy. Oogqirha kwisibingelelo eso kuphela xa kuyimfuneko, njengoko le longenelelo sikhatshwa umngcipheko ukuhluleka kunye nezigulo. Kuba hernias encinane yomqolo wesibeleko eyenziwa microdiskectomy. Oko kwenziwa a laser.

Prevention of Ithemba intervertebral

Ukuthintela ukwenzeka Ithemba, kuyimfuneko ukwenza umthambo ezikhethekileyo ukomeleza izihlunu, ziyeke ukutshaya amaxesha ngamaxesha ukuze mzimba calcium. Phambi sifo disc sisiba mandundu kufuneka atyelele emine ubuncinane 1-2 amaxesha ngonyaka kwaye ulandele iingcebiso kagqirha.