Heniya of nomuzongoza, zvairatidza, vapore, migumisiro wongororo

Kazhinji vanhu vachinyunyuta kumusana marwadzo. Vanoti kuti marwadzo anokonzerwa nokuda mugari muviri, zvakaoma zuva kana kuneta. Asi nguva dzose ndizvo? Zvinosuruvarisa pane zviitiko kana kurwadziwa kwakadaro - pamusana musana heniya. Pavakaratidzwa kubviswa musana heniya, vachanzwisisa munyaya ino.

zviratidzo

Spinal heniya - izvi ngozi zvikuru, somugumisiro wake munhu anosangana kugara, ndine marwadzo, kukuvadzwa uye ayo nhengo dzomukati. Sizvo chirwere anogona achiipa zvinhu, saka zviri zvikuru zvakarurama kuongorora chirwere.

Chii herniation pamusoro lumbar nomuzongoza, zviratidzo uye kurapwa chirwere ichi, isu funga pazasi. Nezvimwe zvirwere zvakafanana zviratidzo inogona kunorondedzerwa anotevera zvinhu:

• ndine simba raidudzwa marwadzo kuchiripo pasinei zvokurapa kurapa;
• murwere haune mutsvina yadzo weti uye;
• kungaita kuoma rezasi Mbabvu;
• kuderera kwemitambo aikanganiswa mavari;
• pashure nzira yokurapa iri mitatu, murwere nemamiriro hakuiti kuvandudza.

Kana paine zvezviratidzo izvi, unofanira pakarepo kubvunza chiremba. Ungada kukurumidza kubviswa musana heniya. Uyezve, pfungwa dzinofanira inobhadharwa zvinodiwa. Kazhinji vaya chiremba nokuda kuregeredza, kushaya kurovedza, kushayikwa professionalism anoisa isiri zviratidzo. Uye vakawanda misdiagnosis - Sciatica. A tsikidzi pasina kurapwa kunogona kuita kuti kuoma munhu.

Ndiyo herniation pamusoro lumbar nomuzongoza sei nengozi. Zviratidzo aro kurapwa Chokwadi, zvinodyidzana.

Nzira kurapwa

Eya, chirwere chinoitwa. Chii chinotevera? Ndedzipi akasiyana nzira kurapa herniated Disc? Ndeapi zvikuru? Treatment dzinoshandiswa chaizvoizvo chaizvo chaizvo. Izvi zvinogona kuva:

• physiotherapy;
• mishonga;
• nenyanzvi Chinyorwa kurapa;
• masaja;
• inokosha akapfeka corset musana;
• kudya;
• nemakwenzi;
• Kubviswa musana heniya.

Kushandiswa neimwe imhaka munhu zvechadenga mumwe murwere uye ake zvayo ezvinhu. Asi kurapwa - pachishandiswa nzira zvose haina contraindicated, kureva kunzwisisa. Uye zvinokwanisika kuti nekuda ichi kubviswa musana heniya haina kuzvireva.

Zvairatidza kuti heniya oparesheni

Uchapupu pakuti oparesheni akanga akatakurwa achiburitswa kunze kubvisa musana heniya, unogona kuva hama kana mhedziso. Muchiitiko chokutanga rova fanira. Uyezve, kushanda zvinofanira kuitika munguva pfupi zvichibvira nguva.

A hama kuverengwa zvinoreva kuti kukwira achibudiswa kurapwa ichi hachina kugona chaishanda kune kupora, uye nokushanda achiri zvakafanira, asi kwete nokukurumidza. Zvinonzi basa nyaya pashure pemwedzi miviri kurapwa kuchinja nani vasiri vakatevera.

Surgery kubvisa musana heniya anogona kuitwa nenzira dzakasiyana-siyana. Pano vari.

discotomy

Discectomy - kupfuura zvisingachashandi mhando kushanda. It iri ndechokuti ganda shure pasi vakawanda yokutindivadza, imwe incision anenge akaenzana masendimita masere. Pashure paizvozvo, kuburikidza nayo akabvisa zvachose njodzi musana Disc kana, kana zvichibvira, chete chikamu chacho.

The chikuru drawback iyi mhando wokuvhiya ndechokuti sezvo chaizvo mukana anogumbura kwendangariro. Kwakavatadzisa murwere paucharara mazuva gumi kana kupfuura pasi pakuongorora muchipatara uye chaidzo asingaurayiwi kurapa.

Maererano nyanzvi 'pfungwa, locomotor kushanda nomuzongoza pashure pokuvhiyiwa dauka shure zvikuru zvishoma nezvishoma pane mamwe marudzi kuvhiyiwa, nokuti panguva aishandiswa kumbonyanya dzinokuvadza.

Zvisinei, oparesheni ichi hachisi chete payakaipira. Zvazvakanakira zvinosanganisira chikamu chiduku dzokororo (3%). Izvi imhaka yokuti njodzi Disc, kana mugove waro kubviswa zvachose.

How zvakawanda kuvhiyiwa kubvisa heniya ane nomuzongoza? Mutengo nayo, kutonga nezvinooneka wongororo wevarwere riri pasi, uye rinotanga kubva 20 000 rubles.

laminectomy

Laminectomy ndechokuti murwere rinobviswa riemukaari chikamu vertebra icho rikazvisundira pedyo herniated tsinga nemagumo. Somugumisiro, maererano nenyanzvi, murwere vapore anokurumidza nzvimbo - mukati 3 days. Uyezve, nokuti kuti etsinga asunungurwa murwere anenge pakarepo haizorambi kunzwa marwadzo.

Asi kunewo ngozi. Somuenzaniso, imwe kumbonyanya yakakwirira mukana wokutapukirwa. Uye, zvishoma ngozi, pane mukana kukuvara tsinga pakuvhiya.

endoscopy

Endoscopic Kubviswa herniated musana anoitwa ane endoscope uye zvokuridzira zvidiki chaizvo kukura. Izvi zvinoita kuti kuderedza incision kukura kushoma. Zviri akaenzana 5 mm. Izvi mhando kushanda anozivikanwa zvikuru uye yakakurumbira nokuda dzinoverengeka ayo zvakanakira. Chokutanga, zviri Duration - hapana kupfuura paawa. Somugumisiro, tsandanyama muviri haina kukuvadzwa. Vakagovana chaiwo expander. Kutonga nezvinooneka wongororo wevarwere, murwere anogona kuenda kumba zuva rakatevera. Dzosai chete nomuzongoza zvinotora inenge nhatu.

Asi yeuka kuti oparesheni ichi hachisi nokudenga. Hazvina kukodzera kuti mamwe musana heniya, uye pashure pacho ngozi kuitazve rakanyatsojeka yakakwirira (10%). Uye izvozvo kuvhiyiwa, zvinosuruvarisa hazviuyi zvakachipa yakamira - mutengo wayo muzvipatara vanosvika kusvika 130 000 rubles.

microdiskectomy

Microdiskectomy - kuvhiyiwa yakavakirwa neNeurosurgery. Zvinonzi anoitwa tichibatsirwa azvino maturusi uye simba maikorosikopu. Seri murwere unotemwa kupinda 3-4 cm. Zvinofanira kuitwa munzvimbo etsinga, ndiko compressed heniya. Herniated Disc yabviswa, mauri etsinga anosunungurwa. Zvino mashandiro ichi, maererano nenyanzvi, mumwe inonyanyoshandiswa kushandiswa.

Somugumisiro, marwadzo wake anenge pakarepo nokupera. Murwere anogona kusiya utano chivako kuti sezvo mangwanani sezvo zuva rakatevera. Back to iroro basa (sezvo refu Chokwadi, kwete kushingaira) zvaaigona pamwedzi. By tichishingaira zvichiita kutanga nehafu kana mwedzi miviri.

kuvhiyiwa kwakadaro, kwakunoitwa akakurudzira vaya multiple hernias. Nokuti nazvo vanogona kubviswa panzvimbo imwe chete kupindira.

Zvinosuruvarisa mwero kuitazve rinosvika 10-15%. Uye nokushanda inodhura kwazvo.

Laser kubviswa

Laser Kubviswa herniated musana - diskoplastika Laser - ndiko kuti achibatsirwa yakaderera simba ranzi Disc riri nenharo kune imwe tembiricha, izvo zvinoita kuti kudzorerwa kwaro. Hatina kutokurudzira kushandisa kuvhiyiwa dzakadaro pasina kutanga kubvunza chiremba wako, pasina achitora kuongorora. Uyezve, Laser kuvhiya hakusi nokudenga. Iwo zvinofungwa nyanzvi, hakusi yakakodzera mhando dzose hernias.

Avhiyiwa ichi, mukana yematambudziko, saka murwere aifanira asingaurayiwi kurapa.

zvinogoneka yematambudziko

Chii yematambudziko anogona kuitika mushure musana kuvhiyiwa? Vari akakamurwa intraoperative uye postoperative. Wekutanga simuka panguva chaiyo kuvhiyiwa:

• Kana tsinga ichi inogona sousingabatsiri. Sezvo pedyo heniya, kukuvadza zviri nyore, kunyanya kana kuitwa discectomy. Panyaya iyi, avhiyiwa kungava vanaamwene aikanganiswa pamakumbo, pane tsandanyama simba.
• Zvinogona kukanganisa reDhura mai. Kana chiremba akaona kukuvadzwa pakuvhiya, izvozvo ushet pakakoromoka. Zvikasadaro, avhiyiwa murwere anotemwa nemusoro unomuka nokuti doro dzichayerera kubva musana Canal kuti vanotsamwisa kuchinja intracranial kumanikidzwa. Hard goko kuporesa yayo, asi kutora nguva (anenge 2 weeks).

Postoperative yematambudziko anogona kuitika. Vari akakamurwa 2 mhando:

1. Early. Vanoonekwa septic matambudziko (epiduritis, osteomyelitis, mabayo, sepsis) uye thromboembolic yematambudziko (pulmonary embolism, thrombosis repasi wamativi).
2. Late postoperative yematambudziko akaratidza idzokororo herniated discs. Zvinosuruvarisa kwakadai kuomesa kunoitika kakawanda, paavhareji, 30%. Zvinogonekawo scarring uye adhesions kuti pinched tsinga iya inosvitsa marwadzo.

Subject mitemo yose inorapa angarega mukupera postoperative matambudziko.

Rehabilitation pashure kubviswa musana heniya

Kwapera nguva pashure pokuvhiyiwa uye stitches zvichabviswa, mishonga murwere haisi yapera. Uchatanga mutsva danho kuita, zvikuru guru, uye zviri kubva kuna vamwe kuchaita kuvimba migumisiro remapazi:

• Murwere anofanira kugara aidaro mumuviri kurapa, kuchengeta hurumende zuva, kupfeka rinokosha corset kumusana kwako. Zvisinei, unogona kuita muviri pakarepo pashure kuvhiyiwa. Chokutanga, kunyange kumutsa kutarisira anofanira kutorwa kuti ichengetedzwe, mapato kamwe kamwe.
• Mumwedzi, haisi varumbidzwa kugara kuna heniya hauna kuumbwa zvakare, uye pakanga pasina compression pamusoro musana discs. Long vanofamba kana kumira zvakare havagoni kuva kokutanga. awa ose kana vaviri vanofanira zororo musana wake, avete maminitsi 15.
• Havabvumirwi nokusimudza masimbi.
• Uye kupora anoyera hanya uye mubhedha. Tinoda chaiwo, zvakaoma furo nemamatiresi.
• In kugeza unogona kuenda mumazuva matatu chete avhiyiwa, yokugezera hauna yakarumbidza nomwedzi wokutanga pashure kubviswa sutures.
• Usarera yokungoitawo kunoonekwa nachiremba nachiremba wako.

Tinofanira kuyeuka kuti hapana hazvo kuitazve pakarepo pashure kuvhiyiwa. Rinogonawo kuonekwa pashure refu pashure.

How kuita jimunasitikisi?

kukosha kwazvo jimunasitikisi pashure kubviswa munhu herniated Disc. Inoitwa zvinotevera yechiitwa:

1. Slow makata hwakakungwa makumbo mumabvi kana avete shure.
2. Nokusimudza chiuno kuti makumbo hwakakungwa pamabvi, avete shure kwake.
3. Makumbo akangokungawo mune supine chinzvimbo. Zvishoma nezvishoma kuti makumbo majana imwe kana mamwe nzira. Tinofanira kuedza kuwana mabvi ako pabonde.
4. Vachipfugama, Akasendamira maoko, zvishoma nezvishoma kudhonza gumbo rimwe akananga shure, bata masekondi 30 uye kuchinja gumbo.
5. Avete dumbu rake, rave kusimudza uye kusimudza.

Reviews uye zvakaipira chimwe heniya oparesheni

Maererano dzakawanda wongororo wevarwere, akarondedzera mashandiro ave mutemo, makanaka. Matambudziko hadziwanzowaniki. The kupora nguva achatora inenge mitanhatu, pashure unogona zvakare zvakazara kurarama uye basa.

Maererano nenyanzvi, kana vose zvokungwarira uye kutevera mazano ose chiremba, nemigumisiro nokubviswa munhu herniated Disc achava usingashandi. Chokwadi, zvakawanda zvinoenderana kunaka oparesheni, sezvo paine mukana wokuti dzokororo. Asi kakawanda painoguma zvakanaka.