Spinalʻoki kino hernia: e e paha, e ia?

Ma ka arsenal o na alakai haole neurosurgical? Aaieou mai he nui helu oʻoki lāʻau lapaʻau ohe. No herniated iwi kuamoʻo. Spineʻoki kino me ka minimally invasive, i ua wehewehe aku ma ka mea uuku, a unahiʻoleʻoki lāʻau lapaʻau 'uao, a, me, mai koi i ka lōʻihi ke ola. Ka hewa i waeia o ka hoʻomanawanui (me ka hoike ana o ke kauka, i kekahi manawa, me ka noonoo wahahee) i loko o ka lokomaikai o ka makeʻe kulana lapaʻau, ua paipaiʻia ma pilikino makaʻu a me nā koho lakou i ka waiver o ka pihaʻoki lāʻau lapaʻau kaʻina hana, ka wā ka mea, ua anei pono. Me ka pono a me ka manao ponoʻike, microsurgery a endoscopicʻoki kino i pili me ka palena haʻahaʻa kamepiula o complications.

E noonoo i ka wae ana o ka palapala o ka iapaau ana herniated iwi kuamoʻo pilikia. Aia hoʻi, ka wā 'oe e ole hana oleʻoki kino a me ka wā i ua noi makeʻe kulana lapaau? Ke unequivocal pane i keia ninau hiki ole e haawiia mai. All hilinaʻi nui ole wale ma luna o ka lapaʻau 'ana i nā hualoaʻa, akā, no hoi ma ka surgeon ka ho'āʻoʻana, i kona kino naauao o na kumu o ka maʻi, a me nā kino aʻe. Ma ka hihia o ka hernia, IIeEeAIEUIeXAIIUE ma ka cervical a lumbar spine, pinepine, Kamuela iʻoki lāʻau lapaʻau 'uao. Wahi a ka 'ikepili helu, ma ka 90 hihia mai o 100 ka hana welau a ana.

Aia He He pono no i akaka kaawale ana o ka herniated iwi kuamoʻo , a prolapse (pahee pā hōkū 'ole ka protrusion) mai ka iwi stenosis (poho o elasticity o ka intervertebral iwi kuamoʻo). Inā symptoms e noho paʻa iwi stenosis i accompanies neurogenic intermittent claudication, ka makeʻe kulana lapaʻau ua contraindicated, e like me ka mea i alakai i ka mea hōʻemi (ka oi aku ma lalo o myelopathy).

Stenosis o ka spinal Canal, wehewehe aku e hai symptoms hiki e hookahuli ai i ka ulu prolapse o ka intervertebral iwi kuamoʻo. Like stenosis hiki aku ai i ka maʻi pale o ka o Kelaude equina a pinepine i mau paraplegia, ka maʻi e e hana eʻoki lāʻau lapaʻau ano, o ka oi aku ina he mea stenosis o ka cervical spine me ka hai myelopathy. Ke koho ana i loko o ka lokomaikai o ka makeʻe kulana lapaʻau ma keia kulana home 'ole hiki ke manao ia he hewa loa.

Lapaʻau o spinal herniation meʻoki kino, ua maikaʻi nō wale nō ka wā o ka malamalama protuzii (protrusion) o ka intervertebral iwi kuamoʻo, a ua wehewehe aku ma ka wa e kaawale aku o neurological symptoms, mehanaʻeha a me ka hōʻemi iki protrusion, nānā akula au i loko o ke kiʻi. Ma ka hihia o ka hernia me ka mehana symptoms kekahi 'ʻokoʻa i loko o ke koho ana o kaʻoki lāʻau lapaʻau a makeʻe kulana kanaka mea ole. Ua Ua manaoio aku i ka makeʻe kulana ki ina hana like i hua mai la i ka mea makemake ia, ina ua hoemiia ka eha i loko o 6-8 pule, a māhuahua ka hoʻoneʻe o ka hoomanawanui, 'o ia hoʻi, ka eha ua hou i manao ai ma kekahi kūlana o ka kino.

I ka hoʻohana 'ana i kūpono a invasive ma ka hoʻomaʻamaʻa me ka nānā' ana i ka hana mau, aʻo Kīwala'ō o ka moolelo o ka maʻi, symptoms a me ka ninaninau hualoaʻa loaa e MRI paha HI. Ma keia hihia, ke kauka i loko, no ka hiki kumu o ka mai, a me ka hoʻomanawanui ka Aloha Hawaii. Ma muli o kēia mau kumumea, i ke akamai Nāna e koho i ka mea kūpono Inc.

Aia nā hihia kahi e halihaliia oia iwahoʻoki kino urgently. Direct nāʻikepili no ka spineʻoki kino i:

• hoikeia lōlō;
• hoʻoweliweli 'o ka make;
• ka hopena ma luna o ke aʻalolo aʻa;
• haiahū kūmau ko mākou hopohopo'ōnaehana (giperasteziya, parasthesia);
• ikaika hoikeia prolapse.

I ka, pili na eha, haawi aku i ka hoʻomanawanui hoomanawanui i hōʻike 'iaʻoki kino. Ma ka operative ano o ka hana maikaʻiʻole o ka spine hernia e endoscopic discectomy, percutaneous nucleoplasty, epidural catheterization, he intervertebral iwi kuamoʻo prosthesis, e like me ka laekahi iaoia - kukuna vaporization.