Spinal Kuvhiya heniya: kuti kana kuva?

Mune zvombo ari kutungamirira wokumwe neurosurgical kiriniki ane vakawanda zvomusejari kurapwa kuti herniated discs. Spine Kuvhiya pamwe zvishoma invasive, kuti kunoratidzwa pamwero muduku kuvhiya kupindira uye, naizvozvovo, haadi kupora refu. Isiri sarudzo murwere (kusanganisira kurumbidza kwacho ari chiremba, dzimwe nguva nemaune venhema) vachida kuchinja kurapwa, pamusana pachedu kutya uye zvatinofarira vanoumba waiver munhu uzere kuvhiya, kana chaizvo. Zvakakodzera magadzirirwo uye zvakakodzera chirwere microsurgery uye endoscopic kuvhiyiwa pamwe usingashandi mukana yematambudziko.

Funga kusarudza chimiro kurapa herniated Disc dambudziko. Zvechokwadi, kana usingaiti pasina oparesheni uye kana rikashandiswa kuchinja kurapwa? The unequivocal Mhinduro yomubvunzo uyu usingagoni kupiwa. All hakubvi chete pamusoro chirwere zvabuda, asiwo chiremba chiitiko, ake pachake kunzwisisa zvinokonzera chirwere, uye kuita zvimwe zvinhu. Kana munhu heniya, vemunyika mune remuromo kana lumbar nomuzongoza, kazhinji kuita kuvhiya kupindira. Maererano nenhamba, muna 90 zviitiko kubva 100 kuvhiyiwa inoguma zvinobudirira.

Pane kudiwa Kuparadzana wakajeka ane herniated Disc uye prolapse (ndikapunyuka dhisiki kana protrusion) kubva pfupa stenosis (kurasikirwa elasticity of intervertebral Disc). Kana zviratidzo varipo zvachose pfupa stenosis iyo rinoperekedza neurogenic inoratidza claudication, ari kuchinja kurapwa iri contraindicated, sezvo kungaita kuti kudzikira (kunyanya pasi myelopathy).

Stenosis of musana canal, dzinoratidzwa raidudzwa zviratidzo zvinogona kuvhiringidzwa dzakabudirira prolapse ari intervertebral Disc. Sezvo stenosis kunotungamirira kuti urwere pakati Kaudha equina uye kazhinji kuti paraplegia zvachose, chirwere dzinofanira kubatwa zvomusejari nzira, kunyanya kana paine stenosis of remuromo musana pamwe raidudzwa myelopathy. Kusarudza vachida kuchinja kurapwa mune izvi zvinogona kuonekwa sechinhu chikanganiso chakakomba.

Mabatirwo musana herniation pasina kuvhiya unogamuchirwa chete kana chiedza protuzii (protrusion) ari intervertebral Disc, iyo inozivikanwa nokuva Pasina chetsinga zviratidzo, munyoro marwadzo uye zvishoma protrusion, kuonekwa mumufananidzo. Kana munhu heniya pamwe nounyoro zviratidzo musiyano kuoneka pakusarudzwa zvomusejari kana kuchinja kurapwa haisi. Zvinonzi vaidavira kuti kuchinja nzira zvakabudisa zvinozoita, kana kurwadziwa ipfupi mukati memasvondo 6-8 uye kwakawedzera kufamba murwere, kureva, marwadzo haasisina vainzwa dzakasiyana zvinzvimbo muviri.

Kushandiswa invasive nzira iri tsika iri pakutsvaga kusachinja-chinja, kufanana nhoroondo chirwere, zviratidzo uye kuongorora zvabuda yaunganidzwa MRI kana CT. Panyaya iyi, chiremba anofunga zvichibvira mhaka chirwere uye murwere mararamiro. Kubva pane izvi, nyanzvi anosarudza zvakakwana mishonga.

Pane zviitiko apo Kuvhiya yaifanira nokukurumidza. Direct zvairatidza kuti musana kuvhiyiwa vari:

• akaratidza kuremara;
• norufu;
• matambudziko pamusoro etsinga nemidzi;
• kutsauka tsinga (giperasteziya, parasthesia);
• akaratidza prolapse zvakasimba.

Kana kurwadziwa kwazvo kuendesa murwere kutambura kunoratidzwawo kuvhiyiwa. Pakazosvika kushanda nzira Mabatirwo nomuzongoza heniya vari endoscopic discectomy, percutaneous nucleoplasty, nhengo dzomuviri catheterization, imwe intervertebral Disc prosthesis, uyewo nzira ano - Laser vaporization.