Lapaʻau o ka herniated iwi kuamoʻo (lumbosacral spine). ʻoki kino, e wehe i ka herniated iwi kuamoʻo

Pilikia a me ka spine o na kanaka i hopohopo. Kekahi o ka mea hana ka ulu 'ia o ka moku'āina i intervertebral hernia o lumbosacral spine.

He aha ka mea?

Herniated iwi kuamoʻo ua pinepine kapaia he ano nui no a he mea he pohupani hale o ka intervertebral iwi kuamoʻo o ka spine pelane. Loa pinepine, keia ano ua kena ae la ia e excessive mea kaumaha ma luna o ka spine.

E ae mai ka maʻi ka hapanui kanaka ma waena o nā makahiki o ka 20 a hiki i 50 makahiki.

Ka mea hiki wale mai o keia maʻi mea e pili ana 100 hihia no 100.000 heluna kanaka no ka makahiki.

Ka hapa nui o kaʻikepili hernias i hoʻomaka ai ma muli o ke physical overload o ka spine like me ka hopena o ka hana. Paha traumatic hernia ma hope o surgeries ma ka spine a me ka hopena o ke pio. Kākaʻikahi ka, akā, ma laila nō congenital spinal hernia.

Mua kanaka ike i na hihia o ka hernia ma luna o ke kāʻei kua o physiological nawaliwali o na ligaments o ka spine.

Ka mea kiekie loa prevalence i intervertebral hernia o lumbosacral spine, no ka mea, o ka pūhaka o ka loa kūlana wahi no ka hooulu ana o keia maʻi.

Ke pathogenesis o herniation

Ma lalo o ka aoao o ke kaumaha kiʻekiʻe ma luna o ka spine, aia no he gradual mīkini'opihia o ka intervertebral iwi kuamoʻo. No ka mea, o keia, ka hapanui pinepine ia ia lŘlŘ rupture pā hōkū mawaho Park (mawaho annulus fibrosus), a ia lŘlŘ ma hope o ka intervertebral iwi kuamoʻo Contents auoiaea i ka waho.

Kupu nucleus pulposus e hoʻololi i ka loko o ke spinal Canal, a ma kaʻaoʻao o ka mea. Ma ka hihia mua ia e hoʻomōhala ana i iniki o ka spinalʻaha, a hiki alakai i irreversible hopena. I ka lua o ka hihia e hoʻomōhala radicular maʻi pale ma muli o ka mīkini'opihia o nā aʻalolo ka pukaʻana mai o ka spinal kaula. I wahi o ka mīkini'opihia aseptic li nui e hoʻomōhala ai, aia no he nani no ka puni'aʻaʻa, a worsens no hoi i ke kulana.

E like me ka hopena, no ka herniated iwi kuamoʻo ua wehewehe aku ma symptoms o radicular maʻi pale (eha, sensory poino a me ka lala kuleana pili i). Over manawa, o ka ka hoʻoneʻe hihia hoʻi i loko o ka spinal kolamu.

I hiki ke ike, he wahi kahi loa pinepine ia lŘlŘ intervertebral hernia - lumbosacral. Lapaʻau ai e haawiia mai koke, e like me ka wa me ka mea ua diagnosed pahee iwi kuamoʻo.

lapaʻau

Ma kekahi hihia, oe e ike koke hoʻomaka maikaʻiʻole o ka herniated iwi kuamoʻo. Lumbosacral spine hanaʻia he nui hana o ke kino - koena malama a me ka overlying kino iluna. Me ka hooulu ana o ka hernia i loko o ka lumbar māhele 'āina, e lawe mai i kēia kuleana pili i nui hou paʻakikī no o ka mea, pili eha e hoʻomōhala ana i loko o nā aʻalolo mīkini'opihia. ʻAno o worsens untimely hoopii i kauka.

I ka wa e ike koke hoʻomaka i ka mua symptoms iapaau ana o ka herniated iwi kuamoʻo. Lumbosacral spine i pane koke maikaʻi i 'ole-pharmacological ki ina hana like e like me ka hoʻohana' ana o orthopedic mattresses, lomilomi, hoʻohana a anuanu compresses. Kēia mau kiʻina hana i ka hoʻokahi wale nō symptomatic kohoʻia (e kōkua i ka hoʻomanawanui ka ana) a wale no ka manawa i mea e pale aku i ka complications o ka hernia hiki ke hoʻohana. I ka wā o ka moku'āina o exacerbating makemake e koke e i hookohu i ka neurologist.

ka lapaʻauʻia

Inā, nae, oia nui ka intervertebral hernia, pehea e pono ia, no laila, i ole e pilikia kou kino? No keia mea, Anati-hoʻoʻino ai 'mai ka pae o ka ole-steroidal konohiki. Ka loa hoʻomano hoʻohana me ka hinu, gels a me holika. I kā lākou 'ole ma laila nō IeAUPIIe, IAa IO "Diclofenac" ( "Rumakar", "Dikloberl"), "Indomethacin" ( "indomethacin", "Rumatsid"). I ka lehulehu o ka ai 'i loko o kēia mau iauaeoia e leie aku e hooki i, pili ka eha, a me ka li nui (akā, loaa ka ia mahele lāʻau o ka ai' o loko i ole i ka mea makemake ia, e like me he hoʻonui ai i ka ulu ana o gastric ulcers a me 12 duodenal ulcer).

Paha he huihui 'ana o ka' ole-steroidal Anati-hoʻoʻino ai 'me glucocorticoids.

pau i waeia ma ka hōʻike waha ai intravenously Glucocorticoids no ka mea māmā e piʻi like o ke kanawai. Hoʻohana 'ia ai' e like me "Prednisolone" a me ka "Dexamethasone". glucocorticoid lapaʻau E e hoakaka ia ma hope o ka hoʻokō 'ana o NSAIDs wale, e like me ka hoʻolōʻihiʻia hoʻohana o corticosteroids lawe mai i ke kino houʻino ma mua o ka pono.

Helu Inc ma ka iapaau ana o hernias o ka spine

Ka lua o ka lani kiekie loa alapine (frequency) o i ka physiotherapy herniated iwi kuamoʻo. Lumbosacral spine o kekahi o ka loa ho'āmana i māhele o ka musculoskeletal'ōnaehana no ka pono o nā manaʻo.

E like me ia he nui hoʻomalu, physiotherapy e hoʻonui i oi kokololio loaa mua me ka lapaʻauʻia.

Na Ke loa ka hoʻokō lapaʻau no intervertebral hernias mea i hoʻohana multifunctional nā uila aʻa lolo. Ke ae pā o kēia iaoia - e hoʻopā ai? A? Uaaiey eha impulses ma ke kumu o ka radiofrequency ale.

O ka oi loa-ike ki ina hana mau hoʻohana electrophoresis me analgesics, lapaʻau bato, kukuna Inc. Electrophoresis a me ka phonophoresis ae e haawi aku ai 'ana i loko o ka spinal kolamu. Ke hookoia Ua pinepine hiki ma hope o kekahi mau'āpana hana e ai mamua.

Ko iala wela auau i loko o kekahi manawa e hoʻonui i ka noho'na makaainana i ulu reposition o ka hernia ma ka wahi.

Inā he mea he mea hōʻemi, ma muli naʻe o ka hoʻomauʻana pono 'ana, no laila, huikau maʻi intervertebral hernia. Pehea e hana ia i loko o keia kulana?

ʻoki lāʻau lapaʻau lapaʻau o intervertebral hernia

Me ka ineffectiveness o ka makeʻe kulana lapaʻau ua hoʻohana 'ia ai ka wā i nui neurological symptoms (lōlō o ka lala, urination a me ka defecation kāna hana, paresis, paresthesia,, pili eha, kaʻeha ma luna o ka honua hoʻi o ka lalo lala) e e hoʻoili kokeʻoki kino.

Nāʻikepili no ka huʻi lapaʻau o spinal kaula e iniki, mīkini'opihia moku hele kokoke.

Ka iapaau ana ua kaʻoi loa i lawe mai i loko oʻoki lāʻau lapaʻau hana kūikawā oihana (ka hapanui pinepine i loko o neurosurgery).

Mawaena o ka hoʻohana 'ia kāu kiʻina hana o ka lapaau i ka papa kuhikuhiE pūʻulu elua - endoscopicʻoki kino a me kaʻike mau microsurgery.

Ke kaumaha ma muli pehea ka maʻi i, hooholo na nā kaʻa mokulele o online no ke kula.

Lapaʻau pono hana ma lalo o mau anesthesia, a me ke kākoʻo o ka walaʻauʻana nui i hana '.

microsurgical wehe '

Prior i ka hoʻokomo 'ia' ana o microscopes ma ka 'inikua hana, ina ka mea, ua hōʻikeʻoki lāʻau lapaʻau lapaʻau o herniated iwi kuamoʻo, lumbar-sacral spine e pinepine malalo i mau complications ma ka postoperative au (abscess, recurrent). Ke maoli kipi o ka hoʻohana 'ana o ka'ōnohi manaʻo ma ka hana maikaʻiʻole o ka hernias. Ua hoemiia ka kūāhewa o ka poe ola, ke kōkua, a me ka nui loa hoemiia ka mea hiki wale mai o ka ulu complications.

Ma ka hapanui o hoopii, herniation o intervertebral sacral wehe 'ia ma ka microscopic pauku (paa laminectomy). Ma lalo kiʻekiʻe magnification ka mea, i hiki i ka mālie wehe i ka hernial protrusion ole ā 'inoʻino kekahi i ka pili hp'pnphp nā'aʻaʻa.

Ho'ā 'ia paha i ka hoʻomanawanui hoʻomaka ka loa aʻe lā. No kela la i keia hana o ka hoʻomanawanui ua ia i loko o 10 mau lā, a me ka mahina ma hope ka mea, ke i e hana manuale hana me ka pilikia o nā complications.

endoscopicʻoki kino

Mau hana, e wehe i ka herniated iwi kuamoʻo mea he kŘpa a hou au i loko o neurosurgery. More pinepine ma mua,ʻaʻole ka mea, e mālama 'ia ma ka posterolateral endoscopic kokoke loa i kahi. Pono o kēia mau kiʻina hana mea i oi aku mālama 'ia hoʻi i loko o ka hanaia'na o keʻoki lāʻau lapaʻau eha (kekahi manawa hana maʻamau ili puncture). Naʻe, ka mea o laua i ka papa kuhikuhiE keakea - ma keia hihia kaupalena i ka manawa kūpono o ka piha excision o ka hernia, a lawe aku ia ia mai ka puncture wahi. Paakiki hernia, a hernia, pu ma ka mīkini'opihia o ka spinalʻaha ua i wehe 'ia ma kēia mau hana.

Ke hoomanawanui ke i loko o ka lā, i ka wa o ka hana i lawe mai, pii ana, hele. Hana ua aeia mai e pili ana i ka hebedoma hope hookuuia mai ka haukapila.

complications o hernia

Over manawa, ina ka hernia hoʻomaka e oOeEIAOO i ka aʻe nń ku'aʻaʻa e hoʻomōhala complications.

Inā ulu i ka hoʻomaopopo like hernia (intervertebral), lumbosacral loa haalele i kona kuleana pili i, a ua malama spinal kaula ka pōʻino. A pau o ka hewa ka wā o ka pohupani hale i loko o ke ala e hiki aku ana i ka hernia o ka spinal Canal.

Ka noho pilikia loa o ia ke iniki i ka spinal kaula. Ma hehiʻana o kēia hihia urination a me ka defecation oihana, a poses i ka hoʻoweliweli 'ana i ke ola (kumuhana i loa intoxication, ruptures ka bladder, na naau oʻu me ka urethra). Eia hou, ina ka li nui hele i ka spinal kaula, a i ka hopena i overlying na Oihana ma ka 'aʻe ana i nā mana o na nā loko, a me ka make.

Kekahi pinepine complication o ka hernia mea radicular maʻi pale. Me ka hooloihi ae i ola ana no me ka nui loa worsens keʻano.

Complications i oi maikaʻi emi ma ka pā lonoaʻili a me paresthesias.

Hoʻopulapula a me ka Kāohi

E kūkulu i kekahi hernia pono kekahi manawa ( 'ole. E. Ua hiki' auʻa wale kapaia maʻi maʻi). hiki ole ai kona ulu ana no na kumu koi.

E pale ai recurrence ma hope o kona wehe 'ia o ka herniated iwi kuamoʻo, ia mea pono e ponoʻole puunaue i ka haawe ana iloko o physical hoounauna. Oe E Mai hoʻopunipuni mai, no ka mea, hiki ke pauʻino.

I haawiia no ka Kāohiʻana o ka hernia lawe ana mai physical aʻo a me ka hoʻokō 'ana i hooikaika i ka muscular maoli o ka hope (e like me ka deadlift me ka pono wahie,).

A hiki i ka lōʻihi, a hana i ka mea e pale ka mea, ua pono e lawe i ka nanea wale anal tubs - ka mea, he hoʻonui i ka hōʻemi iki discrepancy vertebrae e pale akuʻaihue o ka iwi kuamoʻo ma waena o lākou.

Hoʻopulapula ma hope o undergoing hernia kikowaena ae ho'āʻo ana stress, me ka Inc, lomilomi a me ka manuale Inc lapaʻau a acupuncture.