Daaweynta disc a herniated (dhabarta lumbosacral). Qalliinka si loo soo saaro disc ah herniated

Dhibaatooyinka dhabarta dad badan oo ka walaacsan. Qaar ka mid ah shaqada adag horumarinta gobolka noocan oo kale ah sida Sheelada intervertebral dhabarta lumbosacral.

Waa maxay?

disc Herniated waxaa inta badan loo yaqaan xaalad halis ah taas oo ay jirto barakac ah disc ah intervertebral diyaarad dhabarta. Inta badan, xaaladan waxaa keena rar xad-dhaaf ah on dhabarta.

Daaya cudurka inta badan ragga ay da'doodu u dhaxayso 20 ilaa 50 sano ee u dhexeeya.

Haddaba jiritaan cudurkan ku saabsan yahay 100 kiis 100,000 dadka sanadkiiba.

Inta badan hernias xogta dhacaan sabab u dollar jireed dhabarta oo sabab u ah shaqada. Waxaa laga yaabaa in Sheelada argagaxa leh ka dib markii qalliin on dhabarta ama ay sabab u tahay guuldaradii. Marar dhif ah, laakiin waxaa jira Sheelada spinal lagu dhasho.

dadka waayeelka ah waxaa loo yaqaan xaaladood oo Sheelada ku saabsan asalka ah tabar jir ah seedaha dhabarta.

Baahsanaanta ugu sarreeya ayaa intervertebral Sheelada dhabarta lumbosacral, maxaa yeelay, dhexda waa meesha ugu nugul ee horumarka ah ee cudurkan.

pathogenesis ee sheelo

Under saameynta ay culays sare on dhabarta, waxaa jira riixo tartiib tartiib ah ee disc ah intervertebral. Taas darteed, inta badan waxay dhacdaa disk dillaac qar dibadda ah (fibrosus annulus dibadda ah), taas oo dhacda ka dib markii intervertebral ku jira disc wax soo saarka si ka baxsan.

Magooshay pulposus xuduntii baddalo karaa gudaha kanaalka laf-dhabarta, iyo in kooxda waxaa ka mid ah. Xaaladda hore ay ku horumarineyso qanjaruufo of laf dhabarta, taas oo keeni karta in cawaaqib karin. In kiiska labaad laga yaabaa in radicular syndrome sabab u riixo ee dareemayaasha soo baxaysaa laf dhabarta. In meel of riixo caabuq aseptic yeesho, waxaa jira barar ah nudaha ku hareereysan, taas oo sii xumaysay xaaladda.

Sidaas darteed, waayo, disc a herniated waxa lagu gartaa calaamadaha syndrome radicular (xanuun, khasaare dareenka iyo shaqada addinka). Waqti ka, dhaqdhaqaaqa culus ee safka spinal.

Sida laga arki karo, meel ay badanaa ka dhacdaa Sheelada intervertebral - lumbosacral. Daaweynta waa in isla markiiba ay maamusho, sida ugu dhakhsaha badan waxaa la ogaadaa inay simbiriirixdaan disc.

daaweynta

Si kastaba ha ahaatee, waa inaad isla markiiba bilaabaan daaweynta disc a herniated. dhabarta Lumbosacral qabata shaqo muhiim ah oo jidhka ah - dayactirka dheelitirka iyo hay'adaha overlying qumman. Iyadoo horumarinta Sheelada ah ee gobolka lumbar ah si ay u fuliyaan shaqo this noqotaa mid aad u dhib badan, sababtoo ah xanuunka daran in uu yeesho in riixo dareemayaasha. Xaaladda sii darto racfaanka dhicis dhakhaatiirta.

Marka koowaad ee lagu garto waa in isla markiiba bilaabaan daaweynta disc a herniated. jawaab Lumbosacral dhabarta iyo sidoo kale in ay habab non-pharmacological sida isticmaalka furaashyo lafaha, massage, isticmaalka compresses qabow. Hababka waxay leeyihiin wacyi Gaarna astaamaha (si ay u fududeeyaan xaaladda bukaanka) oo keliya muddo ah si looga fogaado dhibaatooyinka of Sheelada ah loo isticmaali karaa. Marka gobolka ee sii jecel yahay in si degdeg ah ballan si neurologist ka dhigi.

daawo

Haddii, si kastaba ha ahaatee, uu horumariyo Sheelada ah intervertebral, sida loo daaweeyo, si aanay u waxyeelayn jirkaaga? Ujeedada this, daawooyinka anti-bararka ka tirsan wakiilada non-steroidal. Waxaa ugu ballaaran loo isticmaalo cadar, jel iyo kiriimyada. In ay qaab-dhismeedka waxaa sida caadiga ah waa "Diclofenac" ( "Rumakar", "Dikloberl"), "indomethacin" ( "indomethacin", "Rumatsid"). fiirsashada ee daawooyinka ee goobaha kuwaas oo ogolaanaya baxaan xanuun daran iyo caabuq (laakiin la helo qiyaas la mid ah daroogada gudaha ma yeelan karto saamayn tarin, iyo sidoo kale qayb-qaato horumarinta ee boogaha gastric iyo 12 boog dyspepsia).

Waxaa laga yaabaa in daawooyinka isku dhafan non-steroidal anti-bararka kula glucocorticoids.

Glucocorticoids waxaa ka mid ah hadal ama faleebo lagu gaarayo degdegga ah ee saamayn. daawooyinka loo isticmaalo sida "prednisolone" iyo "Dexamethasone". daaweynta glucocorticoid waa in lagu qoro oo kaliya ka dib markii failure of NSAIDs, sida isticmaalka dheer oo corticosteroids keenaan waxyeello jidhkuna miyaanu ka roonayn wanaagsan.

therapy Jirka ee daaweynta ee hernias dhabarta

inta jeer ee labaad ugu badan ee la isticmaalo waxaa physiotherapy herniated cajaladood. dhabarta Lumbosacral waa mid ka mid ah qaybaha ugu heli karo nidaamka muruqyada isticmaalka aaladaha kala duwan.

Sida laga soo xigtay takhasus badan, daaweynta dabiiciga ah waxaa laga yaabaa in ay gacan dheeraad ah ka soo kabashada degdeg ah ka badan daawo.

daaweynta ayaa haatan ugu waxtarka badan ee hernias intervertebral waa in la isticmaalo electrodes MFT. Nuxurka habkan - socda falalkooda xanuun kala go'do iyadoo adeegsanayo hirarka radiofrequency.

Ka mid ah hababka dheeraad ah si fiican u yaqaan caadi electrophoresis-jebin, bad daawo, therapy laser isticmaalo. Electrophoresis iyo phonophoresis u ogolaan in si toos ah uga samatabbixin karaa daawooyinka galay column dhabarta. Saamaynta waa inta badan lagu arki karo mar hore ka dib markii a daaweyno dhowr.

Dangiigsan qubeyska kulul mararka qaarkood laga yaabaa in ay gacan si aad dhinca lama filaan ah Sheelada oo ku jira meesha.

Haddii ay jirto xumaatay, in kasta oo ay dadaal joogto ah, cudur si adag Sheelada intervertebral. Sidee loo daaweeyo in xaaladda this?

daaweynta Qalliinka of Sheelada intervertebral

Iyada oo waxtardarradoodu daaweynta muxaafidka ah waxaa loo isticmaalaa ama marka astaamaha dareemayaasha daran (curyaannimo of adimada, kaadida oo ku saxaroodaan xanuunada, paresis, paresthesia, xanuun aad u daran, xanuun on dusha dambe ee lugaha hoose ah) waa in la bilaabay isla markiiba qaliin.

Tilmaamayaasha lagu daaweyn ba'an ee laf-dhabarta waxaa qanjaruufo, weelasha riixo dhow marayay.

Daaweynta waxaa la doorbidayo fuliyay waaxaha qalliinka gaar ah (inta badan in neurosurgery).

Waxaa ka mid ah hababka loo isticmaalo daawaynta waa labada kooxood ugu weyn - qaliinka endoscopic iyo microsurgery caadiga ah.

Iyadoo ku xiran sida uu cudurku ku dhacdaa, ogaado xeeladaha of helaan online.

Daaweynta daruuri sameeyaa hoos suuxinta guud iyo taageerada hawlaha aasaasiga ah ee muhiimka ah.

ka saarida microsurgical

Ka hor inta hordhaca ah ee microscopes ku dhaqanka caafimaad, haddii waxaa la muujiyay daaweynta qalliinka ee cajaladood herniated, dhabarta lumbar-sacral waxaa inta badan u sakhiray in ay dhibaatooyin kala duwan oo muddo ka postoperative (malax, noq). Kacaanku dhabta ah waa isticmaalka qalabka indhaha ee daaweynta hernias. Tani waxay hoos u waasicinnay helitaan degdeg ah, taas oo si weyn u dhimay dhacdooyinka dhibaatooyinka soo koraya.

Xaaladaha intooda badan, sheelo of sacral intervertebral saaray iyada oo qayb ka cqaadir (laminectomy qabtay). Under weyneeyey sare waxa uu noqonayaa mid suurto gal ah in si tartiib ah ka saar protrusion ku hernial aan waxyeelo unugyada salka ku xiga.

Daarida bukaanka bilaabmaa maalinta xigta. Waayo, hawlo maalmeedka bukaanka loo ogol yahay 10 maalmood gudahood ah, oo muddo bil ah ka dib waxaa laga yaabaa in ay sameeyaan shaqada Buuggan oo aan halista jahawareerka.

qaliin endoscopic

Howlgalkaan in meesha laga saaro disc ah herniated waa isbedel cusub ee neurosurgery. More inta badan waxay ku sameeyay iyada oo loo marayo hab endoscopic posterolateral. Faa'iidooyinka hababka waa ammaanka weyn Abuuridda nabarka qalliinka (mararka qaar sameeyo dalool maqaarka caadiga ah). Si kastaba ha ahaatee, waa labada khasaaro ugu weyn - haddii ay taasi ku koobnayn suurtagalnimada ee excision dhamaystiran oo Sheelada oo ka aagga dalool saaro. Sheelada adag, ama Sheelada, Ulasocto riixo ee laf-dhabarta waxaa lama baabbi'in by hawlaha kuwan.

Bukaanka ayaa laga yaabaa in ay maalintii hawlgalka lagu qaaday, fuulid, ku socdaan. Work waa la ogol yahay oo ku saabsan toddobaadka ka dib markii dheecaan ka isbitaalka.

dhibaatooyin of Sheelada

Waqti ka, haddii Sheelada bilaabo inuu cadaadisaa unugyada soo socda dahsoon laga yaabaa in dhibaatooyin.

Haddii horumariyo Sheelada caadi ah (intervertebral), lumbosacral si buuxda u lumiyo shaqada, iyo dhaawac laf-dhabarta ayaa lagu arkay. All marka barakaca adkaadeen jihada of Sheelada ah kanaalka laf-dhabarka.

The ugu khatarta badan oo ka mid ah waxaa qanjaruufo laf dhabarta. Xaaladdan oo xad la kaadinayo iyo saxarooda hawlaha, taas oo khatar ku ah nolosha (ku xiran sarkhaan daran, Dillaaca tuubooyinka kaadi haysta, mindhicirka iyo kaadi). Intaa waxaa dheer, haddii caabuq la geeyo laf-dhabarta, iyo waxay keeni kartaa in waaxaha overlying xadgudub ku ah hawlaha xubnaha gudaha, oo ay ku jiraan dhimashada.

dhibaatooyin kale oo soo noqnoqda ee Sheelada waa radicular syndrome. Iyadoo jiritaanka dheer si weyn u sii darto xaaladda.

Dhibaatooyinka jira hoos u dhac wanaagsan ka badan in dareenka iyo paresthesias.

Rehabilitation iyo ka hortagga

In la horumariyo Sheelada ah waxay u baahan tahay waqti qaar ka mid ah (t. E. Waxaa si sharci darro ah loogu yeeri karaa cudurka chronic). hortagi karaa dhinaca horumarinta halka ixtiraamaya talooyin asaasiga ah.

Si looga hortago soo noq ka dib saarista cajaladood herniated, waxaa lagama maarmaan ah in ay si ku filan u qaybi load inta lagu guda jiro jimicsi. Ma aha in aad carari, maxaa yeelay waxa ay si xun u soo afjari karo.

Sidoo kale lagu talinayaa in ka hortaga Sheelada fulinta tababarka jirka iyo layliyada in la xoojiyo qaab dhismeedka muruqa ah dhabarka (sida deadlift la xamuulka macquul ah).

Marka shaqo dheer oo adag si ay looga hortago waxaa lagu talinayaa in ay qaataan a tubbo biyo kulul nasashada - waxay gacan ka araxda ah farqi yar si looga hortago jebinta ee disc u dhexeeya iyaga.

Rehabilitation dib markii uu maray Sheelada ka mid ah stress ka fogaanaya, therapy jimicsi, massage iyo daaweynta therapy buuga ama duridda.