Stenosis filosilivá o te tuaiwi waha: Take, tohu, Te tātaritanga me te rongoā

Diseases o te tuaiwi i te pā tōraro i runga i te tinana tangata katoa. stenosis filosilivá o te tuaiwi waha e taea meinga kore raruraru anake ki te mana ki runga i te wahi o runga o te tinana, engari ara te patunga ranei te mate. Na reira, ki te hamani i te māuiuitanga aroaro hiahia, no te ite koe i te tohu tuatahi o reira.

He aha te mea he mate?

stenosis filosilivá o te tuaiwi waha - he whakaiti i roto i te hōkai o te lumen, e ai kia congenital riro ranei. He he he mate taua maha nui. Heoi, he mea angamaheni mo te iwi e kua whiti kē te taumata-tau 60.

I te kuao tau he māuiuitanga tino onge. Ki te, Heoi, ka puta, ka reira e maha pōreareatanga e āhuatanga congenital. Whāiti o te awa i roto i i whakanohoia te ua te, - he āhuatanga kino, na hamani kia waiho reira whakahauanga.

whakarōpū o mate

Na, stenosis filosilivá o te tuaiwi waha e taea e:

1. Hokona. I roto i tenei take, pānga tona whanaketanga i te taha o ngā āhuatanga o waho.
2. Congenital. whakatakotoria māuiuitanga ira ka anga ki te whakawhanake rite te hua e kore ko te tino te hanganga tika o te kukune i roto i te utero ranei.
3. Ngā. He te awe kē e rua ngā rōpū o ngā āhuatanga: roto, o waho.

Ka taea te whakarōpūtia tohu haumanu o māuiuitanga e whai ake:

• nedegenerativnaya riro.
• Ture (e pā ana tenei ki nga āhuatanga kikokiko o te tinana).
• Degenerative.
• Nā ki te Pākatokato dysplasia ranei o te tuaiwi.

Na roto i te wāhi lesion o te stenosis awa filosilivá he tuaiwi waha tino (ki te he te rohe o neke atu i te 75 mm ² te ^hongere) me whanaunga (ki te ko tenei auau raro 75 mm tapawha).

Ko te take o te whanaketanga mate

Ko te mate te tikanga whakapataritari i te āhuatanga e whai ake nei:

• whati kōpeketanga atu momo o whara tuaiwi ranei.
• rerekē congenital hanganga o te pekehoe, whakapataritari e mate mua o te wahine i roto i te hapūtanga.
• tukanga inflammatory i roto i te tuaiwi.
• spondylitis Ankylosing.
• mātauranga Intervertebral: whaturama, metastases puku mārere mārire ranei i roto i te tuaiwi.
• Spondylarthrosis e whakatairanga deformation o te tīwae tuaiwi.
• Osteochondrosis o te tuaiwi waha.
• growths a Ihakara, me te osteophytes.

māuiuitanga tohutanga

stenosis filosilivá o te tuaiwi waha - he mate matatini me te mōrearea, āhuatanga nei i te taua āhuatanga:

1. Mamae i roto i te kaki. kia waiho ratou unilateral ranei kia paetata i runga i ngā taha e rua. He he hūhi te tīmatanga i muri noa wā roa-aroaro tangata i roto i te tūranga fiemālie. Heoi, i roto i te ahunga whakamua o te mamae māuiuitanga riro puhoi, me te tata tonu.
2. Ānini i roto i te rohe pae tino, me te kōpako. He nekehanga rerekē o te kaha.
3. Te rironga o te tūtohutanga kiri, kaki, matenga, a tae noa nga topito o runga.
4. Whanoke, he te kaha ki te tupu i te tahuri koi o te matenga.
5. Ngoikore i roto i nga ringa, te mana'o o te hūhi.
6. Tūkinotanga o ngā mahi romahā.
7. Nui haere reo uaua i roto i te ringa, me te kaki, ahakoa e kore e haere ngoikore i roto i tenei take ki hea.

Pathology Diagnostics Āhuatanga

Ka taea te whakaritea whanaunga tino ranei stenosis filosilivá o te tuaiwi waha te whakamahi i enei tikanga:

• Palpation tākuta lesion, whakamātautau waho o te manawanui, me te warea o ana amuamu. Me whakahiato i te rata i te hītori oti rata ki te whakahaere tikanga i roto i predisposition ira whakaū i te reira ranei.
• Radiography. Kei te mahi te reira i roto i te 2 haurangi: anteroposterior me lateral. Ko te tino nui, me te kōrero i tēnei tikanga o te tātaritanga. reira e taea ai ki te whakatau i te aroaro me te rahi o growths wheua, te tohu o te tapatahi o te pekehoe, aroaro o hernias ranei pukupuku, ratou rahi, hanganga me te wāhi.
• tomography computed. Na roto i tenei ako, taea ki te tautuhi i te āhuatanga i whakapataritari te putanga o te mate te tākuta he. Ko te tukanga e āhei ki te kite i ara nga huringa tino mōkitokito i roto i te tuaiwi.
• Mua. Kei te whakaaro tenei tukanga hoki ki te kia tino kōrero, engari e kore e tonu kawea i roto i te mea o tona utu tiketike. I tua atu, ko te manawanui i roto i te take o te irradiation o kaha e tango, na tenei ako e te papatipu o contraindications.
• Myelogram. Hei kawe i tenei ako i roto i te tuaiwi whakaurua he kaihoko taa motuhake, me e taea e koe pai titiro tona hanganga. I tua atu, ki te whakatau i te āhua o te inu cerebrospinal me tona rahinga.

maimoatanga momo o mate

Ki te mea kua kitea e koe stenosis filosilivá o te tuaiwi waha, kia timata tonu maimoatanga. E haamata te reira ki te fariiraa o te raau taero. I roto ia ratou, e nehenehe tatou e whiriwhiri:

• Tei runga i te kaha o te mamae ki te manawanui whakaritea te he inenga motuhake o nonsteroidal taero anti-inflammatory "piroxicam" "Ibuprofen" "Dikloberl".
• Ki te whakaiti i ngawhatanga, faaore mamae me te kōpeketanga vertebral hanganga kia whakamahia ai werohanga o taero hormonal corticosteroids ranei: "Prednisolone", "Diprospan".
• E whakamahia Diuretics ki te whakaiti i te rōrahi o te inu cerebrospinal: magnesia "Lasix" ranei.

O te akoranga, kia therapy tarukino kia whakaritea e te mātanga. Takitahi tango rongoā, kahore kōrero i te tākuta e kore e taea te tabulahia i runga ake. Kore, ka taea e kino ia koutou koe noa atu.

Āhuatanga o te therapy tinana

Degenerative stenosis filosilivá o te tuaiwi waha kahore maimoatanga e taea arahi ki nunu'a fakatupu 'auha. Otiia i roto i te tīmatanga o te wāhanga i roto i te pakanga ki te mate e taea te āwhina i tua. Ka whakahau te tākuta tetahi o nga ngā tukanga aroaro i raro:

1. Electrophoresis ki novocaine. whai wāhi ana tēnei tukanga ki te whakahaere mamae whai hua, no te mea i tukua te tarukino te tika ki te wāhi kua pā.
2. therapy autō. E whakarato ana i te whai wāhi ki te whakakore i te mamae, me te huamo.
3. mirimiri Hoki, me te therapy ā-. tauturu i ēnei ngā tukanga ki te whakaiti i te oro uaua, me te whakakaha ratou i te wa ano. Ka taea hoki e mirimiri Nā whakaiti i te mamae.
4. LFK. hanga mahi haumanu reira taea ki te hanga i te tuaiwi atu ngāwari me te pūkoro. I te wāhanga tuatahi o te mahi e kore e whai ki te kia faingataa, me te kawenga - kaha. Ko te take i te whāiti o te awa kia rawakore tohanga.
5. Mahi werowero ngira. kia meatia tenei tukanga anake e te mātanga mātanga, i roto i te tikanga e kore e ki te kino i te manawanui noa atu.
6. te pamu tuaiwi. totoro tukanga kia whakapataritari hernias intervertebral, Heoi kihai whakaaturia tonu.

maimoatanga i tua homai hua tino pai, ki te he tonu te māuiuitanga i roto i te tīmatanga o te whanaketanga. Kore, kia rapu i te reira pokanga.

āhuatanga pokanga

Ki te pāngia koe ki te stenosis filosilivá o te tuaiwi waha, kia kia hapa pokanga. Ki haere ia, no te kore i homai therapy momo hua pai, rohe o te lumen teihana catastrophically iti ranei. He maha ngā momo o ngā mahi, e kua whakaputaina i roto i taua mate o te tuaiwi:

1. Tango i nga growths me ngā, e taea e whakapataritari he whāiti o te lumen o: pukupuku, osteophytes, hernias. huaina ana tēnei mahi ko te "laminectomy decompressive."
2. Tāutanga o ngā pūnaha e te tauturu i ki te whakakaha me te ū te tuaiwi.
3. warea Interspinous o te pekehoe. Tenei mahi tā te wahi tāutanga o te lesion ētehi nekehia.

Ko te parau tumu matua e me mahi tākuta - kei kino. Ko te aha i mua i te tautapa i tetahi wawaotanga o enei tohunga e hiahiatia ana te manawanui e ki te mamae i te hi'opo'a maitai me te ki te whai tohu tino. kia tūponotanga hauora raro atu i te tūponotanga o te putanga pai.

He aha fifi e nehenehe e tupu?

Ka rite ki matau koutou, titau e rua te stenosis filosilivá tuatahi, me te tuarua o te tuaiwi waha maimoatanga tupato. Heoi, ki te kore i tīmata te therapy mo etahi take i roto i te wa, kia puta te manawanui pōauautanga taua:

• ngaronga Reversible tina heke ranei o te tūtohutanga tinana ranei pāpāngia (wahi takitahi).
• Ko te taea o te immobilization oti.
• Stroke. tupu tenei e tika ana ki disorders circulatory me innervation tuaiwi. Normal taumahinga tahi o te roro, me te ua riro taea.
• Myelopathy. Ko te neurological mate tino matatini, i roto i nei i reira te mea he ngoikore nui i roto i te wahi tenei. Ko te āhua o te uaua i te wa ano tiketike rawa.
• Mate.

Ka rite ki a koutou e taea te kite, ka taea e te pōauautanga e mate, kia kia kia tīmata rite wawe tonu maimoatanga.

Prevention māuiuitanga

Ki te kore koe e hiahia ana ki te whai whakawhanakehia stenosis filosilivá (kua rongo atu kua matou nga tohu, take me te maimoatanga o te mate), he mea e tika ana ki te whai i te ture ohie:

• A ape i noho auroa i roto i te tūranga kotahi ranei hapa mahi toitoi. He mea tika ki te wā mahi i taka porepore kaki.
• LFK. Kei te whakamahia te reira no te maimoatanga e kore anake, engari ano hoki mo te ārai.
• I roto i te mau huru katoa, te whai i te whanau. He nui rawa hoki te mahi sedentary tenei.
• Whakamātauria ki te kai tika, ki te tinana e tango te rauemi e tika ana katoa.
• kia tukinotia tetahi mate i roto i te wā.

maimoatanga wā mō te tiaki motuhake tuku te whai wāhi ki te ora. E noho hauora!