Filosilivá whaturama pokanga: ki te waiho ki te kia ranei?

I roto i te täoro o te whare hauora neurosurgical ke ārahi he maha nui o maimoatanga hāparapara hoki he kōpae herniated. Tuarā pokanga ki te minimally urutomo, āhuatanga e te e tauine iti wawaotanga hāparapara me, runga i, e kore e rapua e te ora roa. Ko te kōwhiringa he o te manawanui (tae atu i te kupu tohutohu o te tākuta, āta ētahi wā teka) i roto i te manakohia o te maimoatanga momo, ue'i e wehi whaiaro me ngā manakohanga kėia he motika o te tukanga hāparapara tonu, ka te hiahiatia tino reira. Ki te hoahoa tika, me te microsurgery tātaritanga tika, me te pokanga endoscopic e pā ana ki mōrea iti o pōauautanga.

A feruri i te pai rawa o te ahua o te maimoatanga herniated kōpae raruraru. Ko e mo'oni, ka e kore e meatia e koutou, kahore pokanga me ka te tono reira maimoatanga momo? e kore e taea te hoatu te whakahoki ta'e ki tenei pātai. tei katoa i runga i te hua tātaritanga kore anake, engari ano hoki i runga i wheako o te faitafá, tona matauranga whaiaro o nga take o te mate, me ētahi atu āhuatanga whaiaro. I roto i te take o te whaturama, paetata i roto i te tuaiwi waha lumbar ranei, maha huihui ki wawaotanga hāparapara. E ai ki ngā tatauranga, i te 90 take i roto o te 100 mutu pai te mahi.

He he he hiahia mo te wehenga mārama o te kōpae herniated me prolapse (paheke kōpae he protrusion ranei) i te stenosis wheua (mate o elasticity o te kōpae intervertebral). Ki te he tohu reira stenosis wheua pūmau e tahi claudication taratahi neurogenic, kua contraindicated te maimoatanga momo, pera kia arahi ai ki te ino (ina koa i raro i myelopathy).

Ka taea te raruraru Stenosis o te awa filosilivá, āhuatanga e tohu korerotia ki te prolapse whakawhanakehia o te kōpae intervertebral. Ka rite ki stenosis arata'i ki te syndrome o te equina Karaura me maha ki paraplegia tūturu, kia tukinotia te mate i ngā tikanga hāparapara, rawa ki te reira he stenosis o te tuaiwi waha ki myelopathy korerotia. Ka taea te i titiro te kōwhiringa i roto i te manakohia o te maimoatanga momo i roto i tenei āhuatanga rite te hapa kerekere.

Maimoatanga o te herniation filosilivá he manakohia anake kahore pokanga ka te protuzii marama (protrusion) o te kōpae intervertebral, āhuatanga nei i te te ngaro o tohu neurological, te mamae ngawari me te protrusion iti, tirohia i roto i te pikitia. I roto i te take o te whaturama ki tohumate ngawari e kore he rerekētanga kite i roto i te pai rawa o te maimoatanga hāparapara momo ranei. Kei te whakapono te reira e kua whakaputaina nga tikanga momo te pānga e hiahiatia, ki te heke te mamae i roto i 6-8 wiki, me te nui haere nekeneke o te manawanui, arā, kei te kore ua te mamae i ngā tūranga rerekē o te tinana.

whakaritea te whakamahi o ngā rautaki urutomo i roto i te mahi e te ōritetanga, te ōrite o te hītori o te mate, tohu me hua whakamātautau whiwhi e MRI CT ranei. I roto i tenei take, e te tākuta ki te pūkete te take ka taea o te mate, me te āhua noho o te manawanui. I runga i enei āhuatanga, kōwhiria e te tohunga te therapy tika.

He take i reira kia kawea pokanga i roto i wawe. tohu tika mo te tuarā pokanga he:

• faaite pāpāngia;
• riri o te mate;
• te pānga i runga i nga pakiaka io;
• pūnaha ine io (giperasteziya, parasthesia);
• kaha te whakaputa prolapse.

A, no te mamae u'ana tuku ki te mamae manawanui whakaaturia hoki pokanga. E nga tikanga operative o te maimoatanga o te tuarā whaturama he discectomy endoscopic, nucleoplasty percutaneous, catheterization epidural, he prosthesis kōpae intervertebral, me te he tikanga hou - taiaho vaporization.