Yakarongedza hernia: zviratidzo, kurapwa nekudzivirira

Zvirwere zvepamusoro zvine ngozi. Shure kwezvose, zvinosanganisira chimiro chinokosha - musambo wecinara. Chimwe chezvipembenene zvakadaro ndizvo zvakasarudzwa. Chirwere ichi chinokanganisa muviri wose zvakashata uye chinogona kutungamirira kumativi ose emigumisiro yakaipa.

Zviratidzo zvechirwere

Chii chinonzi sequestered disk hernia? Ichi ndicho chirwere umo musimboti unopisa (jelly-yakagadzikana) inomanikidzwa kuburikidza nekuputsika kana kuputika mu disk sheath uye zvakakwana zvakaparadzana nazvo.

Chidimbu chakadaro chinotanga kuenderera mberi pedyo nechepamusoro pemitsipa yemupfupa. Somugumisiro, murwere ane marwadzo, kupera simba, kunzwa kwekutinhira munharaunda iyo nerve yakagadzirwa. Dzimwe nguva chikamu chakavharwa chinokwanisa kupinda munzvimbo yepachikafu. Mumamiriro ezvinhu akadaro, kune marwadzo asingatambudziki. Inogona kunzwiwa kwete kwete kumashure, asiwo mumagumo.

Chirwere chakaipa chinoratidzwa nekuvandudzwa kwebhiza muswe syndrome. Nechirwere chakadaro chechirwere, murwere anogona kurasikirwa nehutano pamusoro pemagadzirirwo ekuzvidzivirira uye kuramba. Mukuwedzera, kune kushaya simba mumakumbo uye munzvimbo yekumera. Ichi chirwere chekurwara chiratidzo chekupindira kwekukurumidza. Kana zvisina kudaro, kukanganisa kusingagadziriswi kumagetsi emagetsi kunokwanisika.

Yakaparadzana chikamu pane dzimwe nguva inogona kuwira, uye inoyamwa muropa.

Sources of pathology

Kuparadzwa kwe-intervertebral disc kunokonzerwa nokushandiswa zvakanyanya kwemasvikiro ari pedyo-vertebral. Izvi zvinokonzera kukura kwe dystrophic zvirongwa. Somugumisiro, rin'i rinoputika rinokuvara.

Izvo zvakakwirira mutoro zvakasangana nezvakaitika, zvinowanzoitika kukurudzirwa kwemuchina uyu. Panyaya iyi, nzvimbo yakagadziriswa mumugwagwa unowanzowanzoumbwa.

Zvinhu zvinotangira kuitika pakuonekwa kwezvirwere ndezvenguva dzakadaro:

• Developmental defects;
• Osteochondrosis;
• Kuwedzerwa kuwanda;
• Kushayikwa kwezvinyorwa zvetikiti zvinyorwa zvicherwa;
• Shanda iyo inobata mutoro wakasimba pamusana (loader, muvaki).

Kazhinji kacho chirwere chinotanga kukura maererano nechekumashure:

• Kushungurudzika;
• Kusimudza zvimedu;
• Izvo zvisina kufanira matsime, squats;
• Supercooling.

Zviratidzo zvekurwara

Kuisa mutsara mune dzimwe nguva kunogona kuitika zvisinganzwisisiki. Muchiitiko ichi, murwere periodically ane kurwadziwa shure. Asi vanhu vanoshandiswa kuzvinhu zvakadai. Kuumbwa kwekuita sequestration kunonzwisiswa nemurwere akadaro seimwe kurwisa.

Zviratidzo zvechirwere zvinoenderana nenzvimbo yechipatara. Ndicho chikonzero nei zvakakosha kuzvicherechedza zvakasiyana.

Kubudirira kwehutachiona mune chikamu chechibereki kunoratidzwa nezviratidzo zvakadaro:

• Kurwiswa kazhinji kemusoro;
• Nguva nenguva mumutsipa, maoko asina simba;
• Pain syndrome mukati memutsipa;
• Kusuruvara ndekwekugara kwakanyanya;
• Mushure mekutakura kwekutambudzika kwakanyanya;
• Muscular tissues pamakumbo okumusoro zvishoma nezvishoma zvakapera;
• Munharaunda yemapfudzi, mutsipa, maoko anoonekwa asina simba mumisungo;
• Kuchinja kunopera;
• Zvishoma nezvishoma zvinotanga kukura chimiro chekuora simba.

Kana kugadziriswa kwave kwakagadzirwa pakati pezvinyorwa zvetemaibrae, ipapo murwere ane zviratidzo zvinotevera:

• Kutambudzika kwakanyanya mubhokisi;
• Kushungurudzika kunogona kupiwa mu-scapula, mimba, mbabvu;
• Nhamo inowedzera kunyange pashure pemitoro maduku;
• Kurwara kwemakumbo kunowedzera;
• Kunzwa kwokushaya simba kunogona kufukidza chifuva, mimba, shure;
• Zvisikwa zvepachiviri zvishoma nezvishoma zvinopera simba, uye dzimwe nguva zvakakwana zvinokonzerwa neatrophy inoonekwa.

Ihwo hutachiona hwemakomo e lumbosacral hunoratidzwa nezviratidzo zvakadaro:

• Munharaunda yekambani kune zvinorwadza zvakanyanya;
• Kusagadzikana kunogara kwenguva refu, zvakasimbiswa kwazvo;
• Chinhu chiduku chiduku chinokonzera kurwadziwa kukuru;
• Kusagadzikana kunogona kupiwa mumumucheto, pasi;
• Tendon reflexes yakarasika;
• Wakaneta muscle;
• Zvigunwe, zvinomira nguva nenguva;
• Itai kuti kusagadzirisa kushandiswa kwekugunzva kana kusagadzikana;
• Kushaya simba, kusava nesimba kunowanikwa mumakumbo;
• Kushungurudzika kunonzwika muchepasi kumashure;
• Dzimwe nguva kuoma kwemakumbo kunowedzera.

Kuongororwa kwechirwere

Mumamiriro ezviratidzo zvinotevera, murwere anofanirwa kuongororwa neurologist. Chiremba achateerera kunyunyuta kwevarwere, kuongorora maitiro ake emagetsi uye muviri. Kana chinamato chichifungidzirwa, kumwe kuongorora kuchadiwa.

Zvinosuruvarisa, X-ray - mumatambudziko mazhinji, nzira duku yekudzidzisa yekuongorora. Haakwanisi kuratidza kuvimbika kwehupo hwezvakavhunika, bony proliferation, displacement of joints.

Zvichienzaniswa zvinoshandiswa mumutsara zvakanyatsoratidzwa nenzira yeMRI. Ichi chidzidzo chinokubvumira kuti uone chinzvimbo, hukuru hwehutano. Mukuwedzera, MRI inopa pfungwa yemamiriro emasumbu, magamente, nerve.

Nzira dzokurapa

Kurwisa chirwere chinoshandiswa:

• Conservative therapy;
• Operative intervention.

Chisarudzo chezviyero zvinodiwa chinotorwa chete nachiremba. Kakawanda, varwere vanotenda kuti ndeye kuburikidza nekupindira kwekuvhiya kuti munhu anogona kurwisana nechirwere chakadai sey hernia iyo yakagadziriswa. Mishonga inogadzirisa inogona kunge iri nzira isiri iyo inoshanda. Asi zvinyorwa zvose uye zvinorayirwa zvechiremba zvinofanira kunyatsoongororwa.

Kurapa Kwemishonga

Inofanira kudzokororwa kuti kurapwa kwechepete yakagadzirirwa kunze kwekuvhiyiwa kunobvira chete pane mazano echiremba. Inorambidzwa zvachose kurwisana nehutano hwakadaro. Mushure mezvose, mune dzimwe nguva iyi ndiyo nzira yekuremara.

Kuchengetedza kurapa kunoreva kuchengetedza sequeter kubva pakurasikirwa kwakakwana kusvikira maviri echikamu ichi afa zvachose. Izvi zvinobvumira kuumbwa kwemapfupa emapfupa ayo anofukidza zvibato zvakagadzirwa.

Kuvandudza mamiriro ekurapa, mushonga unorayirwa:

1. Anti-inflammatory drugs. Mishonga yakadaro inoderedza marwadzo, kuderedza kuoma kwekuvhiringidza. Murwere angave akakurudzirwa mishonga: Ibuprofen, Diclofenac, Nimesil.
2. Diuretic zvinodhaka. Mishonga yakadaro inorayirwa mumakadzi maduku. Vanonyatsoderedza kubvumira, kutsamwiswa nekukanda miviri. Mishonga yakadaro inogona kubatanidzwa muchirapa: Furosemide, Hypothiazide.
3. Tsvina dzinozorodza. Aya mishonga inobvisa masimba emasumbu. Imwe yemishonga inogadzikana inononoka, yakatemerwa chirwere ichi, inonzi "Midokalm".
4. Vitamine zveboka B. Vanosarudzwa kuti vawedzere kushandiswa kwemafungiro. Aya ndiwo mishonga inotevera: "Thiamin", "Pyridoxine".
5. Chondroprotectors. Aya ndiwo mishonga inopa kuvandudzwa kwezvokudya kumakumbo ematenda. Mishonga inonyanya kupiwa inonzi Chondroitin Sulphate.
6. Anticonvulsants. Iri boka remishonga rinogona kubvisa marwadzo europathic. Varwere vanokurudzirwa nenzira dzakadai: "Carbamazepine", "Finlepsin", "Convulsofin".
7. Mamwe mishonga. Kuti uvandudze utatu hwemashutu, huchikurudzira microcirculation, kurapwa kunogona kusanganisira zvinodhaka: Actovegin, Trental.

Kana zvichidikanwa, shandisa rubatsiro rweNovocaine blockades.

Zvimwe nzira dzekuchengetedza chirwere

Iyo inorapwa hutachiona hwakasarudzwa pasina kuvhiyiwa, kwete nemishonga chete.

Murwere anopiwa nhamba ye physiotherapeutic nzira dzinobvumira kuvandudza hukama hwakanaka:

• Diadynamic currents ;
• Magnetotherapy;
• Traction;
• Ultrasound;
• Currents of Darsonval.

Mukuwedzera, murwere anorayirwa kuita chirwere chepanyama, anorayira maitiro ekusimbisa.

Neine simba rakanaka, kuvandudzwa kunowanikwa kare muvhiki yevhiki 2-3 yekurapa kwakachengetedza.

Apo operesi inotarisirwa

Asi, zvinosuruvarisa, pane mamiriro ezvinhu apo hutachiona hwakakonzerwa hahukwanisi kurapwa zvakakodzera. Kushanda ndiyo nzira chete yekudzorera utano.

Chikonzero chekupindira kunopinda mumamiriro ezvinhu akadaro:

1. Kufambira mberi kwechirwere kunoratidzika nekuderera kwakaipisisa. Panogona kuva nenguva yekuvandudza. Vanokurumidza kusimbiswa nekudengenyeka.
2. Ukuru hwechigadziro chakakura (kupfuura 10 mm).
3. Ikoko kune simba rakaderera mukati mehutano-midzi yehutundu hwemishuga.
4. Mitezo iri nguva dzose isina simba.
5. Conservative therapy, yakagadzirwa mumwedzi mitanhatu, haina kupa zvakanaka simba.
6. Ikoko kune kuwedzera kwehutachiona, pasinei nekuteerera mitemo yose yechiremba.
7. Murwere anoonekwa kuti ane zvirwere zvomuviri.

Kupindira kwokuvhiya

Sezvakataurwa pamusoro apa, kurapwa kwakachengetedza kwehutano hwakagadziriswa hazviiti nguva dzose kupa migumisiro yakanaka.

Basa racho rinogona kuitwa nenzira dzinoverengeka:

1. Microdiscectomy. Nekubatsirwa kwema microsurgery, nzvimbo yakagadziriswa yakabviswa. Izvi zvinobvumira kusunungura murwere wekumanikidzwa kunoitwa nechikamu ichi pamidzi yeuropi.
2. Endoscopic kubviswa.
3. Percutaneous nucleoplasty. Munguva yekushanda, disk inopedzwa uchishandisa plasma inotonhora uye electrode.
4. Kubviswa kwei disc ne prosthetics. Dzorera hutachiona hwakakanganiswa nefupa remurwere kana ne titanium prosthesis.
5. Autotransplantation of cartilage. Zvimedu zvinodiwa zvinotorwa kubva kumurwere uye zvinowedzera muhurukuro yekuedza. Pashure pemwedzi 3-4, goroti iyi inoshandiswa kune murwere.
6. Bvisa chikamu che vertebra chinomanikidza rwonzi rwepelinha. Izvi ndezvibasa: kubwinya kwemazino, foraminotomy.

Kuvandudza nekudzivirira

Kana iyo yakagadziriswa yakave yakashandiswa, ipapo murwere anofanira kutevera mamwe mitemo yakakurudzirwa nachiremba.

Panguva yekuvandudza kunokosha:

• Usasimudza zvigadziko;
• Tora mishonga yose inorayirwa nachiremba;
• Dzivisa simba rakasimba mumuviri.

Kana muviri uchingodzoka kubva pakuberekwa, murwere anofanira kupfuurira kunodzivirira kudzokorora maitiro ake.

Kuti dzidzivirire pakurwisanazvezve kwehutachiona, zvinokurudzirwa kuti:

• Nguva dzose uite maitiro ekurapa gymnastics;
• Chengeta kudya kwakakosha;
• Enda kumadziva (kushambira kunobatsira zvikuru kune chirwere chakadaro);
• Tarisa kumira kwako;
• Nguva nenguva kuitirwe mu sanatorium.

Kuchengetedzwa kwakasimba kwehutano hupi zvese hwekurapa huchakubatsira kukunda hutachiona uye kudzivirira pane zvinoratidzwa zvadzo zvakare.