Kamwe kamwe kurwadziwa shure kunowanzokonzerwa ne disc herniated.Iyo intervertebral disc ibuffer pakati pe vertebrae uye yakatakura mutoro unorema kwemakore.Kana zvikava brittle uye kuputsika, zvikamu zvetishu zvinogona kunamatira kunze uye kudzvanya patsinga kana musana.Izvi zvinogona kukonzera kurwadziwa kwakanyanya.Iyo lumbar spine kunyanya inowanzobatwa.A herniated disc inowanzodzikira pachayo nekutsigirwa kwemarwadzo uye anti-inflammatory mishonga, asi mumatambudziko akaoma, kuvhiyiwa kunodiwa.
A lumbar disc herniation haifaniri kushandiswa kugara-ups muchimiro chakaratidzwa : Paunenge uchiita sit-up, musana wose unokotama mberi.Iyo yakanyanya kuchinjika yemuzongoza iri mu thoracic segment.Kana muviri wepamusoro ukasimudzwa kumusoro, simba reshear richava pedyo nechepasi vertebral body.Kana pane dambudziko re intervertebral disc herniation, simba rekugera kumashure rinoita kuti intervertebral disc idzokere shure.protrude.
Panewo dambudziko rinowanzoitika rekutakura zvinhu zvinorema, uye iwe unofanirwa kubhadhara zvakanyanya kune yako chimiro.Zvakanakisisa kupfugama mabvi ako uye kururamisa chiuno chako, sezvinoratidzwa mumufananidzo.Makumbo akatwasuka anokotama uye wokotamisa musoro wako kusimudza zvinhu zvinorema.Simba rekugera pa lumbar intervertebral disc rakakurisa.Anteriorly, intervertebral disc inoputika kumashure, kukotama kwenguva refu, kana zvimwe zvikonzero (zvakadai sechiuno chakarembera mumhepo, musana wechipfuva wakatsamira pachigaro) unokonzera kuti vertebral body ikotamire mberi, izvo zvichaita kuti intervertebral disc iwedzere. kumashure, uye pakupedzisira kutungamirira kune herniation.Parizvino, mhinduro zhinji dzemumba nekune dzimwe nyika dzekutsvaga dzinoratidza kuti kazhinji kana kamwe kamwe kuchinjika uye kutenderera kwemuviri ndicho chinhu chikuru chinotungamira kune lumbar disc herniation.
Lumbar intervertebral disc herniation kazhinji haidi kuvhiyiwa nekukurumidza.Iwe unofanirwa kutanga uchishingaira kuita rehabilitation kuti uone kana zviratidzo zvinogona kusunungurwa.Kazhinji kutaura, lumbar disc herniation inogona kuva nemafungiro akanaka mushure menguva yekugadziriswa kwakarongeka.
Kuvhiyiwa, zvinotevera zvinofanirwa kusangana
1 Kurapwa kusina kuvhiyiwa hakushandi kana kudzokororwa, uye zviratidzo zvacho zvakaoma uye zvinokanganisa basa nehupenyu.
2. Zviratidzo zvekukuvara kwetsinga zviri pachena, zvakakura, uye zvinotoramba zvichiderera.Inofungidzirwa kuti kune kuputika kwakakwana kwe annulus fibrosus ye intervertebral disc uye zvidimbu zve nucleus pulposus zvinopinda mumugero wepelinha.
3 Central lumbar disc herniation ine bowel uye dundira kusagadzikana.
4 Yakasanganiswa neinooneka lumbar spinal stenosis.
Kune akati wandei marudzi ekuvhiya lumbar musana:
1. Kuvhiyiwa pachena:
Kuvhiyiwa kwakasununguka kunosanganisira: laminectomy yose, hemilaminectomy, transabdominal disc kuvhiyiwa, vertebral fusion, etc. Chinangwa chekuvhiya ndechekubvisa zvakananga nucleus pulposus yechirwere lumbar intervertebral disc uye kubvisa nerve root compression kuti uwane chinangwa chekurapa.Nekuda kwekuganhurirwa kweiyo yakakosha physiological chinzvimbo che lumbar vertebra, oparesheni inoparadza yakajairika physiological chimiro che lumbar vertebrae, zvichikonzera kukuvara kukuru kwekuvhiya, izvo zviri nyore kukonzeresa kusagadzikana kwepashure kwe lumbar spine, postoperative scar tissue adhesion, uye nhevedzano yezvakaipira kuita senge tsaona tsinga midzi kukuvara panguva yekuvhiyiwa.Saka varwere vazhinji vanotya kuvhiyiwa, nzira yekudzivisa sei kuita kwakashata kunokonzerwa nekuvhiyiwa?Izvi zvagara zviri dambudziko guru munharaunda yezvokurapa.
2. Minimally invasive kuvhiyiwa kwe intervertebral disc
Kuti udzivise dambudziko guru rekukuvara kwekuvhiyiwa kwakazaruka uye kuderedza njodzi yekuvhiyiwa uye kuitika kwematambudziko, microsurgery uye arthroscopic inobatsira lumbar intervertebral disc kuvhiyiwa kunoderedza kukuvadzwa kwemapfupa akajairika uye majoini panguva yekushanda, asi Minimally invasive kuvhiyiwa ndeye kushanda, asi inewo njodzi uye matambudziko.Imwe dambudziko guru nderokuti mushure mokunge nzvimbo yekuvhiya ikava duku, zvakaoma kuchenesa uye kubvisa zvachose nucleus pulposus yechirwere lumbar intervertebral disc, iyo inowedzera njodzi yekuvhiyiwa kusina kubudirira.
3. Percutaneous kucheka uye kuyamwa:
Mune varwere vane lumbar disc herniation, akawanda e-herniated discs anokonzerwa nekuwedzera kudzvinyirira mukati me disc.Percutaneous puncture uye kusveta kunogona kuderedza zvakanyanya intradiscal pressure uye kuderedza zvinyorwa zve disc herniated, nokudaro kuderedza kana kubvisa zviratidzo zvekumanikidzwa kwetsinga neprotrusion.Kubatsira kweiyi nzira ndeyekuti panguva yekushanda,tiye kukuvadza kuduku, asi kukanganisa ndechokuti kuvhiyiwa kunonyanya kutarisa kuderedzwa, iyo inoshanda kune intervertebral disc herniation.
Iyo marwadzo ekurwadziwa kwe vertebroplasty iri pachena, kazhinji mukati meawa makumi maviri nemana, kufamba kuri nyore kwemuviri kunogona kutangwazve, uye mishonga inorwadza inogona kuderedzwa kana kutomiswa.Kune akawanda maburi madiki muosteoporotic vertebral body, uye pfupa glue inogona kuzadza aya maburi madiki, kuitira kusimbisa vertebral muviri uye kuderedza kudzokorora kwekutyoka.
Ndezvipi zvakanakira vertebroplasty?
Iyo inoderedza zvakanyanya njodzi yezvinetso zvakadai se hypostatic pneumonia inokonzerwa nekugara kwenguva refu pamubhedha.
Nzira dzechinyakare dzekuchengetedza kurapa kwe vertebral body fractures dzinosanganisira kuzorora pamubhedha, plastering, splint immobilization, etc. Zvisinei, nhamba yakawanda yevarwere vanotambura nezvinetso zvakadai sekyphosis, kurwadziwa kwepashure, sciatica, aggravated osteoporosis, kunonoka kuputsika kwekubatana kana kusabatanidzwa, nezvimwewo, nezvimwe zvakadaro, . Zvinetso zvakadai semapurmonary kana urinary tract infections zvinogonawo kuitika nekuda kwekuzorora kwenguva refu pamubhedha.Uye maawa maviri mushure me vertebroplasty, varwere vanogona kubva pamubhedha uye kufamba, nokudaro kuderedza zvakanyanya dambudziko rematambudziko akadai se hypostatic pneumonia inokonzerwa nekugara kwenguva refu pamubhedha.
Inogona kuderedza zvakanyanya kuwanda kwemishonga inorwadza.
Vertebroplasty ine mhedzisiro yekubvisa marwadzo iri pachena, iyo inogona kuderedza zvakanyanya kuwanda kwemishonga yemarwadzo, uye vamwe varwere vanogona kunge vasina symptomatic.
Minimal trauma kune murwere
Vertebroplasty inoda chete pinhole-saizi zvishoma invasive incision pasina kana kubuda ropa;kushandiswa kweanesthesia yemunharaunda kunodzivisa njodzi dzakasiyana-siyana dzekuvhiyiwa kweaneshesia, uye nguva yekushanda ipfupi, kuvhiyiwa hakurwadzi, uye marwadzo anosunungurwa pakarepo mushure mekuvhiyiwa.Kune varwere vezera repakati uye vakura, vertebroplasty isarudzo yakanaka kwazvo.
Nguva yekutumira: Sep-29-2022