Spinal heniya muvana uye vakuru: zvinokonzera, kuongorora chirwere uye kurapwa

Cerebrospinal heniya - zvakakwana zvikuru zvokurwara, inova vachiberekwa anomaly, somugumisiro iyo vertebrae havasi yakavharwa uye dzinoumba pakakoromoka. Nokuda kwaizvozvi, chikamu musana uye hamvuropu yaro iri pasi peganda. Kakawanda, zvokurwara ichi achiumbwa yepazasi chikamu nomuzongoza, asi inogona kuitika mune dzimwe nzvimbo. Ichi chirwere chakakomba zvikuru, kwokuomerwa iyo kunoenderana sei tsinga zvikuru nyama vari kunyimwa kudzivirirwa.

How rinorema zviri kuonekwa chirwere?

nhasi lumbar heniya chirwere muna utero, achibvumira kuti kutora matanho kunyange asati mwana aberekwa. Dzinenge nguva dzose chinonzi spina bifida chiratidzo kugumisa pamuviri, sezvo musana heniya mu vacheche anonzi chakakura chaizvo malformation. Asi kana mukadzi ichiri akasarudza asununguke, pashure pokuberekwa mucheche ushandiswe yakakura kurapwa kudzivirira kukura zvikuru vakaremara.

Spinal heniya nedzevakuru iri pamwe zvikuru urema nokuti haabvumiri kuti fambisa rezasi yayo uye inotungamirira incontinence kuti weti uye mutsvina yadzo. Murume pasina rubatsiro nyore hahugoni kuvapo.

Sei zvingava heniya?

The zvinokonzera chinonzi spina bifida dzichiri kwete aizvinzwisisa. Fetus mu utero kunogona kukanganisa zvakasiyana-siyana: namakemikari, zvipenyu, panyama. Masayendisiti Most vakabvuma kuti kune kubuda ane musana heniya, zvichida zvichiita kusava mavhitaminzi mumuviri amai, kunyanya folic acid.

Kunyange chinonzi spina bifida chinhu vachiberekwa rakaremara, asi pezvawakaita haina vaiona magene. Zvisinei, kana mwana chakaumbwa pamwe anomaly ichi, mukana parinowanika riri guru haizopereri pamuviri.

Kuti adzivise pamuviri apa mwana chinonzi spina bifida pamberi kutanga pamuviri, mumwe mukadzi aifanira pre-nekutumirwa kwemauto kudzidzisa, achishandisa kunzwisisa zvose zvakafanira mavhitaminzi uye zvicherwa.

Ari mukuru dzevanhu musana heniya kunoitika nokuda kuwa kubva kumusoro, uremu vachisimudza, somugumisiro munhu kudhumhana kana rova.

Mhando musana heniya

zvokurwara Iri zvinotevera kwemarudzi:

• Isimba rakadini rinogona kubudiswa, iyo inozivikanwa nokuva munyoro nokuvhiringidzirwa marongerwo chete vertebra chete. Vanhu Vazhinji vane heniya mhando ichi, hapana zviratidzo, asi chete Munzvimbo yacho nomuzongoza mugove ane zvishomanana indentation.
• Of heniya, umo mapfupa zvakakanganisika chakakomba kunoitika. The zvokurwara chiri kuratidzwa zvokunze yakaratidzwa hernial protrusion riri mairi, pamwe musana membranes uye cerebrospinal mvura. Kakawanda, tsinga midzi uye hunde dzacho havasi pasi kukuvadza uye kuramba ichishanda zvakanaka. Muzviitiko zvakaipisisa, asi hernial zai anogona pproizoyti kusunga pamusoro musana pamwe anoshongwa, hunde dzacho tsinga midzi. Panyaya iyi, iyo zvokurwara achabatsirwa kwazvo vanotaura kuti gwenya basa uye aikanganiswa.

Zviratidzo zvirwere vachangoberekwa

Vachiberekwa lumbar heniya kunoratidza pacharo sezvinotevera:

• kuoma makumbo;
• kutyora intestinal motility;
• kurasikirwa manzwiro pazasi panzvimbo paumbwe imwe heniya;
• nokuvhiringidzirwa nezvezvimwe zvinetso zvedundira dundira, itsvo uye muura.

Chimwe chiratidzo, izvo dzinoratidzwa lumbar heniya muvana - iyi yakakwirira chaizvo kupedza yeDehenya kwakakonzerwa edema uropi (hydrocephalus), kureva, mukati ventricles uropi kunoitika kuunganidza Urume. Zvinoita izvi kutyora kuparadzirwa rinodhaka, izvo zviri kukonzerwa cerebrospinal heniya.

Hydrocephalus kazhinji kunotungamirira nezvipusha, kunonoka kukura, pfari, neurotic zvirwere, kutemwa nomusoro simba, strabismus, kusanyatsoona zvakanaka, seaming vakasimudza vadzidzi, richiripo simba. With nevezera simba kwazvo mvura pamusoro uropi rufu kunoitika.

Zviratidzo zviri chirwere nedzevakuru

Spinal heniya nedzevakuru kunoratidzwa anotevera zviratidzo:

• Chiveve ganda riri rutsoka, chidya kana yakaderera gumbo, tingling kunzwa kana wicking.
• Soreness pa pfungwa.
• Kuoma kunzwisisa kudzora kushanda netsoka tsandanyama, dzakatendereka, drumsticks.
• Kurwadziwa kunoitika muna lumbar nomuzongoza, zvichiratidza kuti makumbo, dumbu, groin nharaunda.
• Vangadikitira.

Sei chirwere zvokurwara?

Chirwere heniya rinotanga kuunganidzwa kwenhoroondo yezvokurapa: pakutsvaga zera paiva chinetso rezasi migumo uye imomo akanga rive dete amakumbo tsandanyama, uyewo kana Kutama yava kwakaoma chaizvo.

Murwere anofanira kubvunza chiremba wetsinga uyo anoonga simba injini basa repasi wamativi, achaongorora zvakadini akaderedza tsandanyama mukatanga makumbo, uyewo anoidza musana mbiru, kuziva kwokunze hernial protrusion.

Chirwere pamusoro heniya dzinosanganisira:

• Transillumination, achishandisa vanofungidzirwa zviri hernial zai.
• Kusiyana myelography. Muchiitiko chino, kuongorora sei zvakaipa zvakakanganisa kuti musana nokusuma kuti intravenous musiyano mumiriri, unotanga kuunganidza munzvimbo yacho heniya;
• Computer uye rinobva resonance kuri, rinoshandiswa musana mbiru, kudzidza akaturikidzana musana. Data izvi zvinoratidza zvemamiriro nharaunda iri nemamiriro musana Canal uye nzvimbo heniya uye ayo zviri dziri.

Zvinokoshawo kuvhiya kubvunza uye genetics.

Ziva anomalies ari mudumbu ari utero chiri kuitwa sezvinotevera:

• kushandisa yokungoitawo Ultrasound panguva pamuviri;
• ropa bvunzo pamusoro zviri Arifa-fetoprotein vakadzi panguva mukubereka vana;
• mukudzidza Líquido mvura kuburikidza puncturing ari membranes.

Chisarudzo kana zvakamboda kukanganisa pamuviri kana kwete, zvinoita kuti kanzuru kuvarapi, inobva kwokuomerwa chirwere uye nokuchiva mukadzi.

Kuchinja mabatiro vertebral anomalies

Spinal heniya - chirwere chakakomba zvikuru, saka ari zvachose yairambidza chero Marapiro, saunas uye dzokugezera, doro liquors, kupisa anorumanya, Hot namabhati nemishonga yemakwenzi. Zvose izvi zvinogona achiipa zvikuru murwere ezvinhu.

Mabatirwo musana herniation rinoitwa chete nenzira yakakura - nokubvisa chirwere. Kuchinja nzira kurapwa kunodikanwa kuitira kudzivirira kuchinja kubva anomalies. Nokuti chinangwa ichi, neyrotrofiki uye nootropics, izvo normalize ari huta tishu. Iva nechokwadi kuti kutora mavhitaminzi A, B, C, E, uchibatsira kuvandudza pane metabolic pezvakaitwa mu musana Zvikamu sei nechirwere.

Uyewo akataura physiotherapy (Laser, magineti), kubatsira kudzosera motokari basa. Achibatsirwa mumuviri kurapa muzvinhu sei vari rakadzorerwa neuromuscular kutaurirana. Nokuda Mishonga zvinovaka muviri normalizes muura. Iva nechokwadi kuti unosanganisira zvakawanda roughage kudya (zviyo, miriwo).

Kuvhiya Kubviswa herniated musana

Varwere vakawanda vanotya kuvhiyiwa, asi kazhinji, kurapwa ichi chinobatsira kubvisa ari heniya kusvikira sei tsinga nzvimbo. Kuvhiya kupindira kunokosha kana mukawana sokusingatsungiririki marwadzo, fecal incontinence kunoitika uye weti, asiri munhu anotanga kufamba, uye achaponesa chete inonyaradza marwadzo omusoro.

Operation (herniated musana kuvhiya kubviswa) ndiyo vavakezve nomuzongoza kuremadza kuvhara mapfupa buri. Kana hernial zai riri non-zvimwe zvinyama vanobviswa uye akaisa mukati vertebral Canal mamiriro utano musana. Kazhinji, maperembudzi pamwe hydrocephalus, izvo pashure nguva chinowedzera kusingarapiki kuchinja muuropi. Kudzivisa nezvakwakaipira Migumisiro simba intracranial kumanikidzwa, vaite paumbwe shunt, iyo inodiwa kuti nokubviswa nezvinobata ari thoracal mutsinga dzinofamba nemukaka.

Kudzivirira kuitazve zvirwere

Sezvineiwo, zvingangoita kuti lumbar heniya aumbwa zvakare panzvimbo imwe, kana zvimwe. Naizvozvo, kana kuita kuchirapa muviri vanofanira kuteerera nezvekufadza yomuka panguva musana traction. Marwadzo mukirasi chero zvazvingava haafaniri kuwedzera, asi kudukupiswa.

Vachangoberekwa uye vakuru nditakure mararamiro zvinodhaka kuti vari nani chekugutsa musana tishu. Vana vanoda kugara uchishanyira kuna chiremba wetsinga kuti purogiramu vaongo-. Kana tsandanyama hurongwa inotanga kusimba uye kuchava mamiriro akaipa, shure kwechinguva izvozvo kungatowedzera ndechokuti mutoro pamusoro musana zvakakodzera kuparadzirwa, zvichikonzera herniation. Saka zviri kwazvo kukosha mutoro mafungire kuti kurapwa uye kuti kuonana chiremba nokukurumidza.

mhedziso

Heniya of musana - akaremara rakaoma fetus kazhinji kukonzera zvechigarire urema, uye kuwanikwa yematambudziko, izvo haawirirani upenyu. Zvinonzi kurapwa bedzi vavhiyiwa, asi kunyange nzira iri havapi zvinovimbisa kuti heniya asingadi kuumba zvakare. Saka, mumwe mukadzi, asati vachironga pamuviri, vanofanira kuona chiremba kuita inspections zvose zvakafanira uye kuita zvakakodzera audzwa.