Maimoatanga o te kōpae herniated (tuaiwi lumbosacral). Pokanga ki te tango i te kōpae herniated

Raruraru ki te tuaiwi o iwi maha āwangawanga. Ētahi o te mahi pakeke te whakawhanake i te kāwanatanga, pērā i whaturama intervertebral o tuaiwi lumbosacral.

He aha te mea te reira?

kōpae Herniated te maha i huaina he huru nui hoki i reira ko te displacement o te kōpae intervertebral o te rererangi tuaiwi. Nuinga o ngā wā, meinga tenei huru e pikaunga nui i runga i te tuaiwi.

Tukua mai te mate tangata te nuinga i waenganui i nga tau o te 20 ki te 50 tau.

Ko te pā o tenei mate ko e pā ana ki te 100 ngā kēhi ia 100,000 taupori ia tau.

Te nuinga o nga hernias raraunga puta tika ki kikī tinana o te tuaiwi rite ki te hua o te mahi. Pea whaturama pāmamae i muri i tafa i runga i te tuaiwi rite ki te hua o te hinga ranei. Varavara, engari i reira e congenital whaturama tuaiwi.

mohiotia iwi pakeke e take o whaturama ki runga ki te papamuri o ngoikore whaiaroaro o te here o te tuaiwi.

Ko te nuinga rawa he intervertebral whaturama o tuarā lumbosacral, no te mea te hope ko te wahi tino whakaraerae mo te whanaketanga o tenei mate.

Ko te pathogenesis o herniation

I raro i te mana o te kawenga nui ki runga ki te tuaiwi, i reira te mea he kōpeketanga äta o te kōpae intervertebral. No te mea o tenei, tino maha puta reira kōpae whaturama niao waho (waho fibrosus annulus), e puta i muri i te intervertebral tirotiro kōpae putanga ki te waho.

kia nuku pulposus karihi tupu rite te roto o te awa filosilivá, a i roto i te taha o te reira. I roto i te take tuatahi whakawhanake reira pinching o te ua, e taea arahi ki hopearaa tina heke. I roto i te take tuarua kia whakawhanake syndrome radicular tika ki kōpeketanga o te raru puta i te ua. I roto i te wahi o te kōpeketanga whanake mumura iroiti, i reira te mea he puku o te kikokiko e karapoti ana, e atu worsens te āhuatanga.

Ka rite ki te hua, mō te kōpae herniated āhuatanga e tohu o syndrome radicular (mamae, mate tairongo me te e alangá mo mahi). Neke atu i te wa, waimaero te nekeneke i roto i te tīwae tuaiwi.

I taea te kite, he wahi i reira te nuinga o maha puta whaturama intervertebral - lumbosacral. kia Treatment kia whakahaerea tonu, te taenga atu ano te pāngia reira paheke kōpae.

maimoatanga

I roto i tetahi take, kia timata tonu koe maimoatanga o te kōpae herniated. tuaiwi Lumbosacral mahi he mahi faufaa o te tinana - tiaki toenga me te overlying tinana tika. Ki te whanaketanga o te whaturama i roto i te rohe lumbar ki te kawe i tenei mahi riro nui atu uaua no te mea o te mamae kaha e whanake i roto i te karere kōpeketanga. Herenga worsens tono mea mate ki tākuta.

A, no te e timata tonu te tohu tuatahi maimoatanga o te kōpae herniated. whakautu Lumbosacral tuaiwi pai ki tikanga kore-pharmacological pērā i te whakamahinga o mattresses orthopedic, mirimiri, te whakamahi o kokopi matao. Ēnei tikanga i te takotoranga pono symptomatic (ki ngā huru o te manawanui) me anake mo te ia i roto i te tikanga ki te karo i te fifi o te whaturama taea te whakamahi. A, no te te āhua o exacerbating minaminatia ki te hanga tonu i te whakarite ki te toketā neave.

rongoā

Ki te, Heoi, whakawhanakehia e ia he whaturama intervertebral, me pehea ki te hamani i te reira, kia rite ki te kore ki te kino tou tinana? Hoki tenei whakaaro, taero anti-inflammatory i te rōpū o āpiha kore-steroidal. Ko te whakamahia tino whānui hinu, hāpiapia me aihikirīmi. I roto i to ratou hanganga i reira e te nuinga o "Diclofenac" ( "Rumakar", "Dikloberl"), "Indomethacin" ( "indomethacin", "Rumatsid"). Ko te kukū o te raau taero i roto i enei whakaurunga taea whakahoki iho te mamae kaha, me te mumura (engari te fariiraa i te taua horopeta o taero i roto e kore e kia whai i te pānga e hiahiatia, me te whai wāhi ki te whanaketanga o keha pekitīlia me 12 whewhe duodenal).

Mahalo te huinga o kore-steroidal taero anti-inflammatory ki glucocorticoids.

E whakaritea rānei waha e pâmuhia ranei Glucocorticoids mo te paetae ohorere o te pānga. taero whakamahia pērā i "Prednisolone" me "Dexamethasone". kia whakaritea maimoatanga glucocorticoid muri anake kore o NSAIDs, ka rite ki te whakamahi roa o corticosteroids kawea te tinana rahi atu te kino i te pai.

therapy tinana i roto i te maimoatanga o hernias o te tuaiwi

Ko te auautanga tuarua rawa o te whakamahi, ko te tua herniated kōpae. tuaiwi Lumbosacral Ko tetahi o nga wahi tino wātea o te pūnaha musculoskeletal mo te whakamahi o ngā pūrere.

E ai ki ngā tohunga maha, kia whai wāhi i tua ki atu whakaora tere atu i ki rongoā.

Te maimoatanga tēnei wā whai hua te nuinga hoki hernias intervertebral ko ki te whakamahi i electrodes multifunctional. Ko te ngako o tenei tikanga - taumai mamae ponana haukoti i te tikanga o ngaru radiofrequency.

O nga tikanga atu pai-mohiotia nuitia whakamahia electrophoresis ki Pë, whāngai pati, taiaho therapy. Electrophoresis me phonophoresis tukua ki te whakaora tika taero ki te tīwae tuaiwi. Ko maha kitea te pānga kē i muri i te torutoru maimoatanga.

Olungá pati wera i roto i ētahi wā whai wāhi ai ki te mai anō te māhorahora o te whaturama i wahi.

Ki te reira te mea he ino, i roto i te Ahakoa te ngana tonu, na uaua mate whaturama intervertebral. Me pēhea te ki te hamani i te reira i roto i tenei āhuatanga?

maimoatanga hāparapara o whaturama intervertebral

Ki te whakamahia te memeha noa o te maimoatanga momo te ranei ka kia tīmataria te tohu neurological nui (pāpāngia o wahi, urination me defecation disorders, paresis, paresthesia, te mamae kaha, te mamae i runga i te mata hoki o te wahi o raro) tonu pokanga.

Kei te pinching Tuhinga mo te maimoatanga whakapeka o ua, oko kōpeketanga haere tata.

Kei te pai te maimoatanga kawea atu i roto i ngā tari hāparapara motuhake (te nuinga o maha i roto i te tapuraa uaua).

I roto i nga tikanga e whakamahia ana o maimoatanga ko nga rōpū matua e rua - pokanga endoscopic me microsurgery tikanga.

Runga anō i te āhua o puta te mate, te whakatau i te tātai o te whai wāhi ipurangi.

Treatment whakamana tika i raro i rehunga whānui, me te ki te tautoko o ngā mahi faufaa taketake.

tango microsurgical

Mua ki te whakataki o whārahi i mahi hauora, ki te kua reira kua whakakitea maimoatanga hāparapara o kōpae herniated, e maha i raro tuarā lumbar-sacral ki pōauautanga ngā i roto i te wā postoperative (whēwhē, recurrent). Ko te revolution tūturu ko te whakamahi o ngā pūrere optical i te maimoatanga o te hernias. Tenei heke te nui o te whai wāhi tere, e tino heke te pā o te whakawhanake pōauautanga.

I roto i te nuinga o te wā, herniation o sacral intervertebral nekehia atu i roto i te wāhanga mōkitokito (laminectomy puritia). I raro i whārahinga tiketike riro te reira taea ki ata tango i te protrusion hernial kopiro ano i nga kopa waiwai pātata.

Whakaoho i te manawanui tīmata te ra rawa i muri. Hoki ngā mahi o ia rā tukua te manawanui kei roto i te 10 ra, me te marama i muri mai kia whai reira ki te mahi i ā mahi i waho te mōrea o pōauautanga.

pokanga endoscopic

Ēnei ngā mahi ki te tango i te kōpae herniated ko te au āhua hou i roto i te tapuraa uaua. More maha atu i te kore e whakahaere e ratou i roto i te huarahi endoscopic posterolateral. Painga o enei tikanga he haumarutanga ara nui i roto i te hanga o te patunga hāparapara (i ētahi wā mahi poka kiri noa). Heoi, ko reira e rua te rerekētanga matua - i roto i tenei take iti ki te taea o oti excision o te whaturama me te tango i reira i te wāhi poka. e kore te whaturama uaua, ranei whaturama, haere tahi i te kōpeketanga o te ua nekehia atu e enei ngā mahi.

kia whai i te manawanui i roto i te ra, ka kawea te mahi i roto i, te piki, haere. tukua mahi te e pā ana ki te wiki i muri i rere i te hōhipera.

fifi o te whaturama

Neke atu i te wa, ki te tīmata te whaturama ki kōpeke te kiko whāriki i muri kia whakawhanake pōauautanga.

Ki te whakawhanakehia he whaturama noa (intervertebral), lumbosacral rawa ngaro tona mahi, a ka kite kino ua i. Katoa te kino ina te displacement i te aronga o te whaturama o te awa filosilivá.

Ko te kino te nuinga o ratou kei te pinching te ua. I roto i takahi urination me defecation mahi, e notemea he riri ki te ora i tenei take (kaupapa ki haurangi nui, ruptures te tōngāmimi, whēkau me te taiawa mimi). I tua atu, ki te haere te mumura ki te ua, a kia hua i roto i te tari overlying roto i te ofatiraa o te mahi o whekau, tae atu te mate.

Ko tētahi atu pōauautanga auau o te whaturama he syndrome radicular. Ki te oraraa auroa o tino worsens te huru.

Pōauautanga he heke atu pai i roto i tūtohutanga me paresthesias.

Rehabilitation me te ārai

Hei whakawhanake i tētahi whaturama titau etahi wa (t. E. taea e murua e huaina reira mate ma'i). Ka taea e te ārai i tona whanaketanga i te mo nga tūtohutanga taketake.

Kia kore ai hohokitanga i muri i tango o kōpae herniated, he mea e tika ana ki te tuwha āta te kawenga i roto i mahi tinana. e kore e tukinotia koe, no te mea e taea e mutu te reira kino.

tūtohutia hoki mo te ārai o te whaturama e mau ana i roto i te whakangungu tinana, me mahi e whakakaha te anga uaua o te hoki (pērā i te deadlift ki kawenga whaitake).

A, no te tūtohutia te mahi roa, me te pakeke i roto i te tikanga ki te ārai i te reira te ki te tango i te tāpu wera puoro - whai wāhi ratou ki te pekehoe rerekētanga iti ki te ārai i hara o te kōpae i waenganui ia ratou.

Rehabilitation i muri i pangia whaturama ngā faka'ehi'ehi mei ahotea, mahi therapy, mirimiri me te maimoatanga therapy ā-mahi werowero ngira ranei.