I-Herniated cervical spine - unyango

I-intervertebral hernia yomlomo wesibeleko ifunyanwe kwisiseko seempawu zeklinikhi kunye neendlela zokuxilonga ngee-instrumental, phakathi kwazo apho indawo ekhokelayo ihlala i-MRI - magnetic resonance imaging. Unyango lwe-hernia ye-vertebrae yesibeleko inqunywe ngokuhambelana nesigaba sesi sifo, izizathu zokuvela kwayo, indawo yokuhlala kwendawo, ubunzima beli gulane kunye neengxaki ze-pathologies.

Izindlela zokonyango lweprovinsi yomlomo wesibeleko ngaphandle kokuhlinzwa

Iinjongo eziphambili zokunyanga okungenakucatshulwa kwe-hernia yomgudu wesibeletho zi:

• ukukhululeka kwintlungu yesifo;
• ukususwa kweenkqubo ezivuthayo;
• ukuphucula okanye ukubuyisela ukuhamba kwegazi kwiimisipha ezungeze i-vertebrae yomlomo kunye neediski;
• ukwandisa ukuguquguquka nokuqina kwe-throater;
• kunciphisa ukuxhatshazwa kwemisipha;
• Ukuqiniswa komsebenzi we-corset emisipha yentamo;
• ukuthintela i-hernia entsha;
• buyela kumsebenzi oqhelekileyo wokusebenza kunye nemisebenzi yomzimba.

Izindlela zokuzigcina ezikhuselekileyo ziquka ezi zilandelayo:

1. Ulawulo lokukhusela, ukuphumla, kwezinye iimeko - ukugqoka i-corset ekhethekileyo.

2. Ukufumana amalungiselelo amachiza ahlukeneyo kwiphilisi okanye ifom ye-injection:

• ukuchasana nokuvuvukala kunye nama-analgesiki (amaninzi amaninzi engekho-stteroidal anti-inflammatory drugs).
• abagqithisileyo;
• imisipha yokuphumula - iziyobisi ezinciphisa ithoni ye-muscle;
• i-glucocorticoids (ekwenzeni unyango oluninzi lwe-herring intervertebral hernia yesebe yomlomo wesibeleko).

3. Ngeentlungu ezibuhlungu, i-novocain blockades yecandelo elincinci lomgudu kunye nokongezwa kwe-hormone ye-corticosteroid ingasetyenziselwa ukunciphisa ubuhlungu be-muscular spasm, ukunciphisa ukuvuvukala nokuvuvukala.

4. Ukwelapha nge-enzyme kunye nokulungiswa kwe-enzyme - ukutshabalalisa i-hernia-intervertbral hernia (umthamo wokukhutshwa komnxeba unokunciphisa ngama-50%). Ezi zi yobisi zilawulwa yi- electrophoresis okanye i-ultrasound ngesikhumba.

5. Ukwenziwa komzimba - kukuvumela ukuba ususe umxube we-muscle kwaye ukhuphe intlungu.

6. I-Hirudotherapy - le ndlela inokuphucula ukujikeleza kwegazi kunye nemetabolism kwindawo yomonakalo, kunye nokunciphisa kancane umthamo we-hernia.

Emva kokususa inkqubo ebalulekileyo, iindlela zonyango zilandelayo zisetyenziswa:

• ukusilisa;
• yonyango lonyango;
• umtsalane (umzila);
• gymnastics yokwelapha .

Unyango oluphandwayo lwenyango yomlomo wesibeletho

Unyango lwe-internibral hernias yecandelo lomlomo liboniswa kwile ngxaki xa unyango oluphandwayo lwenziwa:

1. Isiphumo esihle sonyango olulondolozayo aluphumelelanga emva kweenyanga ezintandathu emva kokuqaliswa kweyeza.
2. Kukho ukunyuka kobuthakathaka obunamahluma phakathi kwenkcenkceshe yemisipha, nangona unyango.
3. Kukho umgca we-vertebral ene-sequestered disc (isahluko seethambo ezinqamlekileyo zivela kwi-hernia).
4. Impembelelo eqhubekayo yonyango ayiphumelelwanga (imeko yesigulane iphucula okanye ibuhlungu).
5. Kusoloko kukho i-syndrome evezwe yintlungu.

Zininzi iintlobo zokungenelela ezinokusetyenziswa kwesi sifo. Indlela yendabuko yinto yokungafihli, okubandakanya ukususwa kwediski kunye nokubunjwa kwesigxina ukwakhiwa kwee-vertebrae ezimbini ezikufutshane. Nangona kunjalo, ukusebenza okunjalo kunemiphumo emininzi, enye yazo eyonakalisa izicubu zomzimba.

Ngoku kutshanje, iindlela zonyango zonyango ziye zithandwa kakhulu, phakathi kwazo i-microdiscectomy. Ukusebenza okunjalo kwenziwa nge-headlamp okanye nge-microscope yokusebenza. Isicatshulwa esincinci senziwa (ukuya kutsho kwi-4 cm), esheshayo ukuphilisa nokuphulukiswa kwesigulane.

Ezinye iinkqubo ezingenakunqwenelekayo zincinci ziquka ukususwa kwe-endoscopic ye-hernia, i-laser puncture, i-vaporization ye-nucleus ye-disvertebral disc.