Hemini yakarohwa - zvinokonzera uye kurapwa pasina chirwere, chirwere

Kuronhora kwepemusoro kunowanzokonzera kurwadziwa. Dzidzo yaro inowanikwa kuvanhu vane makore 30-50. Kuti iparadze, nzira dzokuvhiya uye dzisina-chirwere dzinogona kukurudzirwa, sarudzo inobva pane zvinokonzera uye mamiriro emurwere.

Herniated discs - chii ichocho?

Zvose izvi zvinoparadzaniswa ne-discs - pads yepakutanga inodzivirira pfupa kubva pakukuvara panguva yekufambisa uye inopa kuchinja kwemamiriro ose. Izvo zvinosanganisira zvikamu zviviri - seppp kernel (semiliquid zviri mukati) uye rin'i ye fibrous (dense shell). Iyo intervertebral hernia inoumbwa semugumisiro wekukuvadza kuri diski uye kuputika kwechikamu chepurasitiki kuchigadzirisa mishonga yekuguma kwemutsipa wepelinha.

Izvi zvinotungamirira kumanzwiro asinganzwisisiki, kuwedzera kwekunzwisisika kwemakumbo uye kusashanda kwemabasa emukati. Kakawanda pane inopirinhebral hernia yemunharaunda ye lumbar, mumatope uye munhengo dzechibereki inowanzoonekwa kazhinji. Nokuti kubuda hakusi kudikanwa mutoro wakakomba, dzimwe nguva kufamba kusina hanya, kunyanya mukuvapo kwekuvhiringidza zvinhu.

Hernia yemupfu - zvinokonzera

Zvinonyanya kukosha zvekugadzirisa dambudziko ndezvi:

kyphosis ;
osteochondrosis ;
isheosis ;
dambudziko remusana;
scoliosis ;
kurohwa nesimba kana kuwira kumashure.

Vertebral hernia inogona kutsamwiswa nedzimwewo, zvishoma zvishoma pachena:

Pauro. Vakadzi vanowanzosangana nematambudziko.
Basa rakadzika. Simba rinotenderera rinokonzerwa nekudzika kwemashure mushure, kana vasingagoni kuwana kufamba kwakakodzera, ipapo mutambi wepakati pakati pe vertebrae anowedzera simba.
Kureba kupfuura 170 cm nemakore anodarika makumi matatu.
Kuwedzera kuwedzera.
Kusvuta.
Kuisa pasi.
Kusava nekufamba - kushanda pamakombiyuta, kutyaira motokari, kuputsa kwekutsvaga.
Kukwirira kwekudzidzira - kuwandisa kwebasa rokutakura kana kushamiswa kamwe kamwe pasina kushambidzika kunogona kukonzera kukanganisa kumagetsi.

Herniated spine - zviratidzo

Iko kuratidzwa kukuru kunorwadza, kunogona kusiyana zvichienderana nenzvimbo yechiremera. Kana paine hutachiona hwehutachiona, zviratidzo zvekusagadzikana zvinogona kubhadharwa nekuputsa kwemabasa emamwe nhengo:

kukanganisa mumutemo wekutuka;
muscular tension;
kuderera kwekunzwa.

Herniated lumbar spine

Kurwadziwa kunonzwa munyaya ino kwakakisa uye kupisa, izvi zvinokonzerwa nemusimba wakasimba pamidzi dzedopa, iri kurutivi rumwe. Kazhinji kazhinji inobata kumashure kwemuviri. Hermiated lumbar spine inoratidzwa:

marwadzo muzasi pasi kumwedzi inopfuura mitatu;
kupera kwezvigunwe;
kuchema kana kutinhira mumakumbo;
kurasikirwa kwekunzwa mukati mekumera;
kusuruvara mutsoka, chidya, gumbo rezasi, kana bongo;
kuvhiringidzwa kwezvikamu zvemuviri.

Hernia ye thoracic spine

Dambudziko iri rinounza mamwe matambudziko muhutachiona, nokuti hunopinda semwoyo kana zvirwere zvepamuviri. Pain in the hernia of the spine is in the chest, asi inogona kuburukira kumadziro ekumusoro. Zvimwe zviratidzo zvinoratidzwa ndezvi:

kuchema, kumira, kana kupera mubhokisi, mimba, maoko, kana kumashure;
kuora mitezo pasi peharaunda yakakanganiswa - zvishoma kana zvakakwana;
kusimba kwemaoko;
matambudziko echando, mazamu uye rectum.

Hernia wepemusoro anogona kuzviratidza nemasimba akasiyana-siyana, zvichienderana nehuwandu hwehutachiona hwakakonzerwa pamusana wemidzi kana musipinha. Nzira yekurapa inonzi intervertebral hernia inogadziriswa mushure mekuongororwa uye kuonekwa kwesimba rechionda. Kana chikamu chepamusoro chebazi chichikuvadza, kupera muviri kwakakwana kunogoneka, umo chete mutungamiriri anochengetedza motokari, asi maitiro akadaro haawanzoitiki.

Herniated cervical spine

Kuita zvechisimba mune dhipatimendi iri kunoitika muna 19% yezviitiko, izvo zvinoita kuti ive yechipiri inonyanya kuzivikanwa. Ngozi ihukama hwepedyo nehumuviri hunokosha, saka kunonoka mukurapa kunogona kutungamirira kune zvinetso zvakakomba. Kana chirwere chemuviri wekervical chikaumbwa, zviratidzo zvinogona kupararira mukati memuviri wepamusoro:

kurasikirwa kwesimba senzwi;
Kazhinji kuonekwa marwadzo mumapfudzi kana mumutsipa, zvishoma nezvishoma unowana unhu husingaperi;
chizoro;
ruzha munzeve ;
kunetseka pakufambisa mapepa nemutsipa;
kurwadziwa kukuru panguva yekukanganiswa, kushandura kana kutendeuka;
headaches;
kudzvinyirira kunodonha.

Syndromes of hernia of backbone

Zvose zvisingafadzi zvinokonzera kupindirana kwechirwere, zviratidzo zvinotaura nezvekuvhara mitsipa, pasina hutano hunobudirira. Syndromes inogona kukura mumamiriro avo ezvinhu, izvo zvinowedzera hupenyu hwehutano kunyanya.

Vertebral. Nemhaka yekurwadziwa nguva dzose, musana weropa remharapa anotanga, izvo zvinowedzera kuwedzera kwemanzwiro. Havabvumi kuti zvive zvakanyatsojeka, zvichidzivirira kukwirira kwemaitiro, kuvhara mamiriro, zvichiita kuti skewing nenzira ine utano. Uhu hwayo hwemutsara uye hutungamiri hunobata migumisiro yaro. Kana yakaiswa pamutsipa wepelinha, zvinetso zvebasa rekubatanidzwa kwemuviri zvinowanika.
Radicular. Kana midzi yemutsipa wepempa ikasimbiswa kwenguva yakareba, ipapo ichafa. Chigumisiro chichava kuora kwekudya kwemaviri uye kufambira mberi kwesimba risina simba. Uturu hwemakumbo hunovhiringidza pakutanga, zvichiita kuti zvikwanise kugara uye kukwira makwidza, ipapo kukanganisa kwavo kunouya, kupora simba kunogona kuitika. Kunzwa kweganda kunoderera, uye kuraira kunogona kushungurudzwa. Basa rezvikamu zvepachiviri rinowedzera.

Herniated hernia - kuongorora

Kuona kududzirwa kwe diski kunobvumira tomography - kombiyuta kana magnetic resonance imaging. Iyo yekupedzisira inoshandiswa, nokuti zviri nani zvinoratidza maitiro ezvinyoro zvishoma. Hairatidzi chete hutano hwemupaka, asi hunopawo kuongororwa kwehuwandu hwekunyoroveswa kwemugero wepinini. Kana iyi nzira isingagamuchirwi, shandisai kusiyana myelography. Iyo intervertebral hernia kazhinji ine zviratidzo zvakafanana nezvimwe zvirwere. Kuti uzvisiye kwavari, unogona kuda ECG, radiograph kana gastroscopy.

Kurapa kwe intervertebral hernia pasina kuvhiyiwa

Mune zvimwe zviitiko, chirwere hachidiwi, chiitiko chakanaka chichaitika mushure mokutora mishonga pamwe nemamwe mazano echiremba. Nzira yekurapa musana wepelinha inofanira kutsanangurwa neyanyanzvi huri maererano nehuwandu hwechirwere. Zvakakosha kunzwisisa kuti pasina kurapwa kana nekuregererwa kwekugadza, dambudziko rinokurumidza kufambira mberi, izvo zvichaita kuti zvikwanise kushanyira tafura yekushanda.

Hernia wepamusoro - mushonga, mishonga

Chirongwa chacho chinosarudzwa mumwe nomumwe, dzimwe nguva kubvunzurudzwa kwevadzidzi vanoverengeka kunodiwa. Kunyora mishonga kunogona kuwedzera gymnastics nemutsara wepelinha kana maitiro anokosha. Monotherapy inogonawo, asi zvinowanzoitika zvinowanzoshandiswa. Aya mapoka emishonga anotevera anoshandiswa.

NSAIDs. Iko kune mavara emafuta kana mahwendefa ( Diclofenac , Ibuprofen, Indomethacin). Kurumidza kubvisa marwadzo, asi kukuvadza chirwere chepamuviri, saka vanoshandiswa pamwe chete nevadziviriri zvinodhaka (Omeprazole, Almagel).
Novocaine blockade. Kunopedza kurwadziwa kukuru, mhedzisiro inotora mazuva makumi maviri. Mushonga we intervertebral hernia nenzira iyi hawanzoitike, nokuti inogona kutungamirira kune atrophy yemirasi.
Hondoprotectors. Kubudirira pamatambo epakutanga kwechirwere, tibatsire kudzorera mutsara wehutu ( Teraflex , Structum).
Tsvina dzinozorodza. Relax muscleature, kubvisa zvishoma (Sirdalud, Midokalm).
Corticosteroids. Vanobvisa kuvhunika, asi havagoni kushandiswa kwenguva refu (Decadron, Metiprednison).

Herniated spine - physiotherapy

Iyo nzira isingashandisi pachedu, inongotsigira chete kurapwa kwekutanga. Itai zvinotevera:

kukurudzirwa kwezvinetso zvemagetsi;
kunatsiridza ropa ropa microcirculation;
kukurumidza kwekuvandudza;
kurwadziwa kunorwadza;
kubviswa kwekuoma kwemisimba.

Hurukuro yeHerniated inobatwa nemaitiro anotevera.

Electrophoresis. Inobatsira kununura mishonga panzvimbo yekuputika, inoshandisa ikozvino yakananga.
Phonophoresis. Nzira yacho yakafanana, asi ultrasound inoshandiswa.
Electrostimulation. Inodzokorora mitsipa uye inowanzosimudzira lymph flow, mhedziso inogadzirwa nekubatsira kwekushandura ikozvino kubuda.
Magnetotherapy. Iyo haisi nzira yekurapa, inobatsira chete kusimbisa kubudirira kwemamwe madhiragi.
Laser therapy. Inobatsira kugadzirisa kuvhiringidza uye kurwadziwa, kunovandudza kugadziridzwa.

Anodzidzira neine hernia yomupfudzi

Iyi nzira inoshandiswa chete musipo kana shure kwekubviswa kwekutambudzika kwakanyanya. Kurapa kwechirwere chemupendero kunosanganisira kugadzirisa maitiro pasina mitoro inorema. Izvozvo hazviitike pakarepo, simba racho rinofanira kuongororwa nenguva dzinoongorora cheMRI. Zvose zvinoshandiswa zvinoitwa kubva panzvimbo yakatarisa, zvishoma nezvishoma uye zvakajeka. Inokurudzirwa 10-12 kudzokororazve, kana pane kushushikana kana kuvhara kukuru kwekufambisa, zvinokosha kumisa basa.

Kurongedza kwepamusoro chikamu chedu. Misoro pahupamhi hwemafudzi, maoko akayambuka pachifuva, muviri unotanga kusvika kune umwe, uye kune rumwe rutivi. Pasi pechiuno, muviri unofanirwa kuramba uripo.
Kuedza kurara pasi. Nzvimbo yacho yakafanana, iyo yepamusoro inotanga kusvika kuruboshwe, uye kurudyi. Amplitude inokurudzirwa zvakanyanya, asi pasina kunetseka.
Vhura mahudyu ako. Misoro yakananga, maoko anoomeswa nemichindwe kusvika pasi, zvishoma zvishoma pamativi. Paunoshandura muhudyu mako makumbo ako anofanira kugara pamwe chete.
Sliding feet. Chigaro chacho chakafanana nechekare, makumbo pamwechete. Vanoshandiswa neimwe nzira kana imwe, kushungurudza mitsipa yechipfu uye yakasara.

Kuvhiya kubvisa tsvina yepona

Ichi chiyero ndicho chekupedzisira apo nzira dzakachengetedza dzisingashandi. Izvi zvinogona kuitika kana kurapwa kwacho kwakanyanyisa uye chiremba kana kukanganwa mitemo yakatarwa yehurongwa. Kana mamiriro acho akaipisisa, kubviswa kwe-intervertebral hernia ichava ndiyo nzira chete. Zvakakosha kuziva kuti:

kunogona kuva nemigumisiro;
dzimwe nguva kupindira kakawanda kunodiwa;
zvinoda murwere kuti ashande kuti awanezve.

Herniated spine - maitiro emabasa

Discectomy. Inofanirwa kubvisa diski - yakazara kana chikamu. Inogadzirwa kuburikidza nekucheka anenge masendimita masere pasi peanesthesia. Inofungidzirwa kuti ndiyo nzira isingagadziriswi nekuda kwekunonoka kupora uye kudiwa kwemishonga inorwisa mabhakitiriya kwemazuva gumi muchipatara.
Endoscopy. Inotakurwa kuburikidza nekushamba kwema 5 mm uchishandisa zvigadzirwa zviduku. Kubviswa kwepinjiniya yepelinha nenzira iyi yakakurumbira, nokuti hapana musikana wekukuvara, izvo zvinoita kuti kuporesa kunonoke. Basa racho rinokurumidza, rinotora zuva rakatevera. Zvinotora anenge mavhiki matatu kuti uwanezve. Icho chinopedzisira chiri mungozi yekudzoka uye chidimbu chepasini anesthesia.
Microdiscectomy. The incision is 4 cm, inoitwa pasi pe microscope uye general anesthesia. Inowanzoshandiswa, nhaurwa inosunungurwa pasina kukanganisa kumisungo. Inobatsira kubvisa kukanganisa kwakasiyana-siyana, muchipatara chemupatara pasina mazuva matatu.
Nucleoplasty. Iyo nzira yakanyanya kupfuura ino, hutachiona hwemupaka huchabviswa pasi peanesthesia yemunharaunda. Mhedzisiro inoitwa nemalasiti, plasma kana radiofrequency mikoko kuburikidza neserosi 2-3 mm muhupamhi. Somugumisiro, kukamanikidzwa kweropa kunoderera, marwadzo anobviswa. Kuchengeta kunoitwa mumaawa mashoma. Inokodzera chete mamitaiyasi kwete zvinopfuura 7 mm.

Utano hweHerniated - rehabilitation pashure pokuvhiyiwa

Inokurumidza uye hutano hwekudzikinura hunoenderana nekugadzirisa kwakakodzera. Mushure mokubviswa kwehutano hwemupenya, nzira yakabatanidzwa inokurudzirwa, zvikamu zvayo zvinosarudzwa pachavo.

Mishonga. Vakagadzwa kuti vabvise marwadzo, kukurumidza kuporesa, kudzivirira kuitika kwezvinetso.
Physiotherapy. Inovandudza kubudirira kweimwe nzira.
Dzidzira kurapa. Inodzorera basa remasumbu, inovandudza kufamba kwe vertebrae.
Sanatorium kudzorerwa. Inoreva maitiro ezvigaro - mabhati, zvikumbiro, kushambadza.