Sheelada qaliin lafdhabarta: inuu ahaado ama in uu noqdo?

In Arsenal ee rugta neurosurgical shisheeye horseedka u leedahay tiro badan oo ah daaweynta qalliin cajaladood herniated. qaliin dhabarka la yar invasive, in waxa lagu gartaa yaryar qalliin iyo, sida, uma baahna dib u soo kabashada dheer. doorasho khalad ah ee bukaanka (oo ay ku jiraan jeediyo dhakhtar, mararka qaar si ula kac ah been) ay guushu ku daaweynta muxaafidka ah, oo keentay in ay cabsi shakhsiyeed iyo rabitaankayga koobnaan kacafin ka mid ah nidaam buuxa qalliinka, marka runtii loo baahan yahay. Iyada oo design habboon iyo microsurgery baaritaan ku habboon iyo qalliinka endoscopic xiriirka la leh khatar yar ee dhibaatooyin.

Tixgeli doorashada ee qaab daweynta herniated dhibaato disc. Indeed, marka ma samayn aad qaliin la'aan iyo marka waxaa laga codsadaa daaweynta muxaafidka ah? Jawaabta cad su'aashan ma la siin karaa. Dhammaan waxay ku xiran tahay ma aha oo kaliya on natiijada lagu ogaanayo, laakiin sidoo kale on aragnimo dhakhtar qalliin ee, garashadiisii shakhsi oo ka mid ah sababaha keena cudurka, iyo arrimo kale oo shakhsi ah. In the case of Sheelada ah, kooban ee dhabarta afka ilmo-galeenka ama lumbar, inta badan door biday in ay qalliin. Sida laga soo xigtay tirakoob, in 90 kiis oo ka mid ah 100 qalliinka dhammaado si guul ah.

Waxaa loo baahan yahay kala cad ee disc a herniated iyo prolapse (simbiriirixan disk ama protrusion a) ka stenosis lafta (luminta barti ee disc intervertebral ah). Haddii calaamadaha ay joogaan stenosis lafta joogto ah taas oo uu weheliyo claudication go'aysa neurogenic, daaweynta muxaafidka ah waa u, sida laga yaabaa in ay u horseedi inay ka sii darto (gaar ahaan ka yar myelopathy).

Stenosis ee kanaalka laf-dhabarka, lagu gartaa astaamo la cadeeyay waxaa lagu khaldaa prolapse horumartay ee disc ah intervertebral. Sida stenosis keenaysaa in a syndrome ee equina cauda ah oo inta badan si joogto ah paraplegia, cudurka waa in la daaweeyaa by hababka qalliinka, gaar ahaan haddii uu jiro stenosis dhabarta afka ilmo-galeenka la myelopathy fahmayaan. Doorashada ay guushu ku daaweynta muxaafidka ah ee xaaladda this waxa loo arki karaa qalad guud.

Daaweynta sheelo spinal qaliin la'aan la aqbali karo oo keliya marka protuzii iftiinka (protrusion) ee disc ah intervertebral, taas oo ah waxa lagu gartaa maqnaanshaha calaamadaha dareemayaasha, xanuun khafiif ah iyo protrusion yar, viewed sawirka. In the case of Sheelada ah oo leh calaamado khafiif ah farqiga u dareemi in doorashada ee daaweynta qalliin ama muxaafid ma aha. Waxaa la rumeysan yahay in hababka muxaafidka ah ayaa soo saaray tarin, haddii xanuunka waa la dhimay 6-8 todobaad gudahood oo kordhay dhaqdhaqaaqa bukaanka, ie, xanuunka waxaa mar dambe dareemay at jagooyinka kala duwan ee jidhka.

Isticmaalka farsamooyinka invasive ku dhaqanka waxaa lagu go'aamiyaa joogta ah, isku mid ah oo taariikhda cudurka, calaamadaha iyo natiijada imtixaanka helay MRI ama CT. Xaaladdan oo kale, dhakhtarku tixgelinayo sababta suurto galka ah ee cudurka iyo qaab nololeedka qofka bukaanka ah. Iyada oo ku saleysan arrimo kuwan, khabiir ay doorteen therapy ku filan.

Waxaa jira kiisas qaliin Waa in la fuliyo si degdeg ah. muujinaya Direct qalliinka dhabarta waa:

• muujiyeen curyaannimo;
• hanjabaad dhimasho;
• saamaynta on xididdada dareemaha,
• nidaamka weecasho neerfaha (giperasteziya, parasthesia);
• si xoog leh ka muujiyay prolapse.

Marka xanuun aad u daran bixinta si ay dhibaatada bukaanka ayaa sidoo kale muujiyay qaliin. By hababka qalliinka ee daaweynta Sheelada dhabarta waa discectomy endoscopic, nucleoplasty KORONARKAR, sanka epidural, an sanaaci disc intervertebral, iyo sidoo kale hab casri ah - vaporization laser.