Paravertebral ukuvimba - yintoni?

Ukuphelisa iintlungu empontshwa radicular kunye nezinye ezenziwa ngoku kuthathwa enye yazo, kodwa ke umsebenzi omninzi. Okwenzeka nokushiywa iintlungu, ungenza bafikelele kwisigqibo malunga ukuchaneka unyango ekhethiweyo. Ngokuhambelana mihla magama Spine, etsolo intlungu wabonakala ezisezantsi omzimba okanye umqolo kumele isuswe ngokukhawuleza kangangoko kunokwenzeka. Nakwimo kwenye Isifo esingapheliyo inokuba psychogenic. Bathi omnye emva komnye phezu neempawu ezixhaphakileyo, zinqanda unyango kunye zimbi kakhulu abantu abane. Ngokunxulumene noku, iingcaphephe Zamani ukuba ubuchule ekusebenziseni mfutshane kangangoko kwaye enye nexesha iindlela. Enye ukuvimba paravertebral ezinjalo. Ntoni na, ithwalwa ngayo - kule kamva kweli nqaku.

Overview

ukuvimba therapeutic zithathwa iindlela ezisebenzayo zolawulo iintlungu, kunye nezinye ze ezimbi luvo. Le nkqubo isekelwe kusungulo esi sifo kwi embindini ichiza. Xa kuthelekiswa nezinye iindlela zonyango (yokuthanjiswa, impilo yomzimba, ngokuthatha amayeza, imithi, unyango manual), ukuba kuvalwe iindlela ichiza kusetyenziselwa kwakude kudala - hayi ngaphezu kwekhulu leminyaka. Noko ke, ngokuba lonke eli xesha iinkqubo ziye zabonisa ukuba indlela esebenzayo kakhulu ukuba uza kuziphelisa zonke iintlungu. Yiloo nto ke injongo ukuqapha. Intlungu kufuneka iqwalaselwe ngokukhawuleza, kunye ubuncinane ziziphumo ebezingalindelekanga, ixesha kunye neendleko eziphathekayo. Ezi meko ukuthobela ngokupheleleyo kanye indlela ukuqapha zonyango.

incazelo

Ukuvimba yinto ngokucima kwesinye amakhonkco yempendulo arc intlungu okwexeshana. Ngaphezu kwezonyango, le nkqubo iye diagnostic inani. Kwezinye iimeko, ingcali ukufumanisa kunzima ukwenza ukuxilongwa. Oku kubangelwa yinto yokuba ezibonisa lwezonyango ziyaphindwa okanye hayi ngokucacileyo wabona ubudlelwane phakathi iimpawu kunye data njongo. Maxa wambi kuyenzeka ukuba iimpawu luvo akukho zingqinwa MRI. Okanye, phezu koko, ezibonisa CT okanye otsalayo livakale umfanekiso akukho ngokwezonyango ugwetyelwe. Kwiimeko ezinjalo, ube luncedo olukhulu ekusekweni ukuxilongwa ziya sikhethe kwamabutho.

iimpawu

Ukuba iintlungu kuncitshiswa esebenzisa izakhiwo yokwakheka zomzimba-ngqo, oku kubonisa ukuba lo mthombo intlungu. Inaliti ethile uyakhetha yenziwa kwindawo ethile. Oku kuqinisekisa luvo lokudoma onikezela kwindawo ethile. Yolula zingenziwa ngaphakathi inxalenye yokwakheka, umz, capsule ezidityanelweyo okanye joint. Ngenxa nociceptors egcweleyo kulo mmandla. Ukuba ngaba, ukongeza lendawo kumzimba kongezelelwa corticosteroids, ukukhetha inaliti kwezo kwiimeko Singakufumanela elide therapeutic ifuthe zomzimba. Inaliti Intraarticular steroid kunciphisa nangokurhala, nokunciphisa nobunzima ezinxulumene nayo. Ezifana lwezitofu asetyenziswa xa i nezidibanisi ungaphenduli zemveli neziphumo - ukuphumla, amayeza, ngokomzimba therapy. Le kwafa sisebenza myositis, radiculitis, neuralgia, sympathalgia. Ngapha koko intlungu ebekwe, ephawulwe ukuphucuka umsebenzi neuro-trophic.

iingenelo inkqubo

Rapid ukuqala isiqabu inikwa ngqo kwii-ichiza kungena lwezidumbu ekugxilwe kuzo kunye nefuthe ngayo iziyobisi lesiphelo oogesi, ukusasazeka ubuhlungu. Ngexesha inkqubo amathuba neziphumo ebezingalindelekanga inciphisiwe. Oku kungenxa yokuba kwakhona ukuba ichiza ungena yokuqala ngezifo le eziko, uze kuphela - kungena kwegazi. Ekubeni exacerbation entsha ngalinye syndrome ukuze zisetyenziswe rhoqo zokungqinga. Practice elisekwe ukusebenza kakuhle konwaywa ngenaliti. Esebenzisa ukusetyenziswa yaye kuvalwe unciphisa ukungakhululeki kwezihlunu, spasm semithambo, ukuphelisa impendulo yokukrala kwi intlungu ukudumba ezonka.

ukuvimba paravertebral

Lo mba kufuneka kuqwalaselwe ngokudibeneyo. Eli gama ibonisa kuphela ukuba isitofu oluqhutywa kummandla kwikholam spinal. Ngenaliti Ingaba intradermal, ongama, perineural, intramuscular okanye radicular. Kwezinye iimeko, kwafa paravertebral isicelo kwi ganglia komda buti novelwano. Ngokomzekelo, umntu atshabalalisa disk. Ziphawuleka Ukuhlangabezana beziza omqolo nokucuthwa nkqo ububanzi we intervertebral foramen. Iinxalenye Icipande ixabiso ukunyuka yayo ngenxa kuphuhliso osteophytes kunye nezinye kweziqu ithambo. Ukunciphisa ubukhulu emngxunyeni kwenzeka ngexesha spondylarthrosis yophuhliso, ukuqina, nemisipha emthubi interarticular kunye nezinye iinkqubo ngenxa osteochondrosis. Ngenxa yokuba uhlobo phambili ukuphazamiseka luvo ngexesha lowo ucinezelo kunye kwinwebu intambo, kodwa hayi reactions esosulelayo kwaye ukudumba imifinya kunye neengcambu, olu khetho kuthiwa funikulitom ngezifo. Ngokusekelwe kule kwafa lisetyenziswa funikulyarnogo paravertebral. Imithi elawulwa ngenaliti wangaphandle ukusuka nasemingxunyeni zokulala kwindawo intambo, kodwa hayi kwi nomqolo intambo ingcambu.

ngezigaba

izitofu imithi zohlulwa ngokwendidi ngokungqinelana kwindawo neziyobisi exposure kusetyenziswa. Ngoko ke, kukho:

• ukuvimba Paravertebral ye lomqolo wesibeleko.
• Iinaliti kunye intercostal neuralgia.
• ukuvimba Thoracic paravertebral.
• Piriformis.
• Ngelo lumbosacral kwinqanaba.
• luvo Sciatic nabanye.

Ukusetyenziswa glucocorticoids

ukuvimba Paravertebral with "diprospanom" lisetyenziswa kwindlela kollagenozah. Amayeza kwinqanaba zeselula, nokuphelisa uphuhliso komtshiso oko. Phambi kokuba indawo yolawulo kufuphi inkqubo spinous baziqhawula iintlungu: iziyobisi "lidocaine" okanye "Novocaine". Emva koko, inaliti ithathwa elide kwaye ziyatyeba nokuvelisa analgesia ukuya Arch vertebral. Emva koko, lo umxube ngokuzitofela ichiza iintlungu "Diprospan". Izimo kuba nkqubo ziquka seswekile, thrombosis, kwamathambo yabonisa ngexesha, ukugula ngengqondo, hypersensitivity, kwizifo ezosulelayo.

Ukusetyenziswa iintlungu

Paravertebral novocaine block ngumgaqo, eli eliza ukwazisa ichiza kungena kwindawo obukhulu kunabo bonke. Ngokukhethekileyo, iindawo ezinjalo ziquka iindawo abangela xa igcwele amalungu kunye nemisipha uneengxaki, imizwa abapasa iindawo kunye nendawo plexuses zabo. ukuvimba Paravertebral usebenzisa isiphumo ntlungu anganika elifutshane (imizuzu 20-30). Noko ke, nokuba eli xesha kwanele ukuba isebenze ithoni eqhelekileyo izihlunu yiSpasticity.

Ukusebenza kwenkqubo kunye Izimo

Ukusebenza yokususa spasm kulo lonke ifayibha kwezihlunu ukwandisa umthamo we-injini kwi joint, ukunciphisa ubuzaza iintlungu ohlala ngamandla okanye inxalenye luvo ingcambu innervation. Akunconywa ubuchule paravertebral kwafa nto leyo eya kuthi ichazwe ngezantsi, bradycardia, ubuthathaka syndrome kwi esiludumbo sinus, atrioventricular block yesibini / isidanga lesithathu (ngaphandle amatyala apho kuba ventricular isantya uphenyo kuqaliswa), ukothuka cardiogenic, hypotension (kakhulu), hypersensitivity . Izimo ziquka ukufumaneka data kwi unditsho epileptiform kwimbali nomsindo iintlungu, ngokunjalo kophulwa umsebenzi zesibindi.

Ukuphuhliswa kwenkqubo

Njani ukuvimba paravertebral? ndlela yokusebenza lubandakanya ukwenza zazo ngolandelelwano ethile. Le isigulane kuqala ibekwe kwi esiswini. Ngokucofa indlela defined isahlulo esiphezulu intlungu. Ngokuqhelekileyo, lo mmandla ekwafanekisa le ezayo intambo, ayachaphazeleka kakhulu. Isetyenziswa ezinjengovavanyo luvo ukunceda ukuseka indawo aya kuba apho kwafa paravertebral. Inaliti su kufuneka kakuhle ngophuhliso yi yincutshe.

Ngesakhiwo iphathwa na utywala okanye iodine. Ukusebenzisa inaliti ezincinane kwindawo le isitofu lesitofu iintlungu ecetywayo ( "Novocaine") ukwenza i "lemon udiliza". Kuba isilinganiselo kwinxenye inaliti intambo yokuphuma yesibini (ixesha elide) yaziswa kufuphi umnombo iinkqubo spinous (kumgama 3-4 cm) ngokungqinelana lokuphumla oyifunayo. Njengoko ithwalwa nasisihlo injecting 0.5% isisombululo "Novocaine". Inaliti kufakwa ide ifike wawumdibanisa kwinkqubo ezinqamlezayo. Ngaphezu movement bayithwala udluliselwe ukusuka ezantsi okanye phezulu kwicala ekuyeni umnqonqo kwi-engile 30 degrees. ngokubhekiselele sagittal moya. Inaliti kufakwa ngomnye 2 cm ngokunzulu 10-20 ml ndindisholo leyo lesitofu mhlawumbi hydrocortisone emulsion. Ngoko ke, jikelele, kubanjwe paravertebral kwafa. enza ndlela kubandakanya inalithi ngokubanzi 5-6 cm.

amatyala abukhali

Kukho iindlela ezininzi apho kwenziwa kwamabutho paravertebral. Lumbosacral indawo ithathwa kunokuba yingxaki, ingakumbi etsolo iintlungu nokungabikho ecacileyo monoradikulyarnogo syndrome. Kulo mba inaliti olusebenzayo kumanqaku ezintathu. Intshayelelo lwenziwa phakathi omqolo kunye Liv Nqulo, Nqulo kunye S1 kummandla emngxunyeni lokuqala sacral. Injecting iziyobisi "Hydrocortisone" oko kukuthi kule mimandla kubangwa yeyona ixhaphakileyo nomonzakalo zabo spinal nezintya. Patient ukuvimba lwendaba paravertebral nga ufakwe. Lumbosacral kulo mzekelo azinqamla amanqaku amathandathu. Ukungqinelana imeko yomguli, amandla kunye zalapha ngentlungu ngeedosi ezahlukeneyo ichiza "Hydrocortisone" iyasetyenziswa. Xa UPawulos omnye intambo (1 inaliti) Ukusebenzisa 10-30 mg. Kunye oluchanekileyo Ukuphunyezwa kwale nkqubo kukuthi wancipha intlungu ngokukhawuleza emva kokuba ukuqaliswa medicament. Ukuvimba kungaba waphinda xa kuyimfuneko. iinaliti ngokuphindaphindayo kuba ngaphambi kweentsuku 2-3. Emva kokuba inkqubo ezikhuthazwayo alale nomonde.

ezinye iindlela

Isigulane ithatha indawo engqengqe esiswini sakhe. Intloko yakhe kuno kuvulwaqalwa kwelinye icala endle, apho liya kuba sisihlandlo kwamabutho paravertebral. umnqonqo wesibeleko kuthathwa ukuba siza ezihambayo. Kule nkalo, le ummandla idla kwalimala abanye. Ngexesha inkqubo esetyenzisiweyo 0.25% ntlungu isisombululo xa umthamo we 70-100 mg. Inaliti Inaliti lifakwa aa Incopho kumphezulu ulusu esikufutshane kumda olungaphandle extensor umva. Ngaphezu movement kuthatha indawo phambi ukuqhagamshelana ezimashakeleyo vertebra okanye ezinqamlezayo inkqubo. Inaliti ihambisa ukuya 0.5-1 cm kwicala. izitofu elandelayo ziqhutywa kumgama 1.5 cm ukusuka engaphambili. Kwezinye iimeko, umxube iziyobisi "Novocaine" and "Hydrocortisone". Last uthathe 50-75 mg kunye owokuqala apha naphaya ukuze ml 100.

Ukusebenzisa imixube Afonina

Le yenye indlela kwafa lumbosacral paravertebral. Kwinxenye intambo uphumo umngxuma (intervertebral) zilawulwa 1.5-8 mg. Ngumthamo opheleleyo yezisombululo yakhona 30-80 ml. Oyidlayo ixhomekeka inani leendawo walisebenzisa ukuqapha. Ikhosi therapeutic iquka nokungena olunye, ukuba umphumo uza ngokukhawuleza ngokwaneleyo. Ukuba isiphumo ibonakala kancinci, ngoko isicelo 2-4 ephindiwe ukuqapha. Ngalinye naliti olandelayo yenziwa iintsuku 5-6 emva wokugqibela. Xa elawulwa nomntu ogulayo bangafumana njengokungathi ezahlukeneyo innervation luvo kuzo. Ngokomzekelo, umntu angafumana elikhulu ubunzima, paresthesia, uxinzelelo, iintlungu ezibuhlungu.