Dorsal herniated disk: hore na ke eng, tlhophiso le lintho tse khethollang kalafo

Bohloko mokokotlo o tsejoa ho ba bangata ka ho toba. Haholo-holo, hangata e sensations sa thabiseng li etsahala ha ba kobang, unbending ea 'mele. Lesapo la mokokotlo pathologies lefapha ke le kotsing ea ho batho ba kopanela tsa mosebetsi o boima le boima ba 'mele, le ho phetha repetitive tshisinyo bakeng sa nako e telele (ka ho le fekthering, seaparo sa fektheri). lefu A e tloaelehileng har'a banna le basali, ke dorsal herniated disk. ha e le eng? A maemong a mangata, a kang hlahloba tobaneng le batho bohareng-hōlileng le batho ba hōlileng. Leha ho le joalo, ha a etsa boima 'meleng mosebetsi dorsal herniated disk ka' na etsahala ka ba banyenyane. Kalafo ea lefu lena ke bohlokoa haholo ho qala hang-hang e le hang ha matšoao pele. Maemong a mang, ho buuoa ke ke ho hlokahala.

Dorsal herniated disk - ke eng?

The lenaneng la lesapo la mokokotlo ke foreime masapo entsoeng ka 33 (ka linako tse ling - 34) tse hlalositsweng molaong pakeng tsa bona mehaho e. Tsena li khomaretse likhopo, noka le mahetla senyepa. vertebrae tsohle di ya kokangana ke koloi e entsoeng ka le fibrous dinama tse nyenyane tse le khubung pulposus. Mosebetsi o ka sehloohong oa manonyeletso tsena ke depreciation. 'Nete ke hore lilemong tsa bo phetha ba bang ba mekhatlo e (tsamaea, ba kobang) le ho phahamisa ho vertebrae momahane le mong ho e mong. Ha disk e senyehile, o ka ama le dinama tse nyenyane tse masapo. Koala manonyeletso ba utloisa bohloko ka lebaka la ho compression ea mehaho e methapo ea kutlo. E mong le mafu ka toka tloaelehileng, ke dorsal herniated disk. "Na ha ho joalo?" - botsa bakuli ba a lopolla tepelletse maikutlong ka. bolwetse ena e tsoelang pele ho khefu ea dinama tse nyenyane tse fibrous, eo ka eona disk e thehoa. Ka lebaka la kopanetsoeng fetola eona foromo, ke hore, maqhutsu pele (susumeletsa). Ka lebaka leo, disk dinama tse nyenyane tse e ka hare ho mefuta e fapaneng ya le kanale intervertebral. Ka lebaka lena, ho na le compression mehaho ea methapo ea kutlo. Ka tshwaileng e battlefield manonyello le lesapo e ka ikopanya le ba ho senya.

Lisosa tsa disk herniated

Ho utloisisa seo e dorsal herniated disk, ho ke ho hlokahala hore ho tseba lisosa tsa lona. lefu A khahlanong le tseo ba atisa ho ba le manonyello fibrotic tsa lekhalo lesale e osteochondrosis. Hlwaya lisosa tse latelang tsa hernia intervertebral :

1. Ka tsela e feteletseng mojaro ka khutlela hae.
2. lesapo la mokokotlo kotsi.
3. Nona haholo.
4. Malwetse a mesifa dinama tse nyenyane tse, eo ho eona ea fokotseha ka ya marapo mesifa molumo.
5. mafu Endocrine.
6. mekhoa e mebe. Hangata ho tluoa tabeng ea ho tsuba.
7. mafu a holofatsang ho eo lesapo felisoeng ha le hlaha. ditjeo Tsena li akarelletsa mafu a kang lefuba le mokaola.
8. mafu systemic (ramatiki, sle la).

Hangata ka ho fetisisa develops e loketseng ho herniated motswako lintlha senyang le mafu a ya sebopeho masapo. Hoo e ka bang bakuli bohle ba nang le lefu lena le bothata ba ho osteochondrosis bakeng sa nako e telele.

Classification tsa dorsal disk herniation

The atileng ka ho fetisisa ke dorsal herniated disk. ke eng e le hore ke phapang lona? Khopolo ea "dorsal" bolela hore protrusion hernial e lebisitsoe ka morao, ke hore, ho elella kanale lesapo la mokokotlo. Sebakeng sena ho na le lesapong la mokokotlo. Ho itšetlehile ka sebaka sa mefuta e latelang ea hernias dorsal:

1. Diffuse senya. Tšoauoa ka 'nete ea hore diriswa e tobileng ea deformation ke ke beha. Tšenyo e akaretsa kaofela intervertebral disk.
2. The medial hernia. Le mofuta ona wa tshenyo e lebisitsoe protrusion ya dinama tse nyenyane tse fibrous ka bohareng ba kanale lesapo la mokokotlo.
3. Paramedian hernia. Ho fapana ka hore protrusion e tobisitsoe ho lehlakoreng le leng la kanale lesapo la mokokotlo.
4. Foraminal hernia. Protrusion fibrous dinama tse nyenyane tse tletseng ho le kanale eo methapo ea kutlo le motso. Ena e tsamaea le compression ea eona le ntshetsopele ya lefu haholo bohloko.
5. Medial-dorsal paramedian disk herniation - tšoauoa ka hore tšenyo e e lebisitsoe ho tloha bohareng (lesapo la mokokotlo khoele) ho lehlakoreng le leng la kanale lesapo la mokokotlo. Ke hore, hernia ke angled. Tabeng ena, ho na le bohloko le kotlobane la mokokotlo.

Matšoao a sa dorsal disk herniation ka lesapo la mokokotlo cervical

Lesapo la mokokotlo cervical ke atileng ka ho fetisisa dorsal herniated disk C5-C6. Setšoantšong sena litleleniki tsa ka li tšoana le sa foleng bokong ho potoloha ha mali insufficiency (discirculatory magazine). Matšoao a kang ho tšoaroa ke hlooho, khatello e phahameng ea mali, tinnitus. Ka linako tse ling ho ka etsahala hore ba be paresis kapa esita le shoele litho ea maoto le matsoho le. sensations sa thabiseng li etsahala ka molaleng, namela lehetleng, tlas'a lekhasi le ka mahetla. Hangata ho ke ho tsekela 'me bofokoli kakaretso. Ho phaella ho ba matšoao a herniated mokokotlo cervical kenyeletsa ho lahleheloa ke kelello, a tshebetso, bonwang acuity, phytoteratology robala. sensations bohloko hlaha ka mor'a hlooho kobang, ka ho lula nako e telele a le boemong ngoe.

Clinic herniation ka lesapo la mokokotlo lumbar

, Ho phaella ho lesapo la mokokotlo cervical, protrusion ya dinama tse nyenyane tse fibrous hangata e le hlaha ka sebakeng lumbar. Tabeng ena, ho ntshetsa pele diffuse dorsal herniated disk L4-L5. bolwetse Ena ke kotsi hobane se ka etsahala lesapo la mokokotlo mo ntša kotsi khoele. Boemong bo joalo ho hlaha paresis kapa shoele litho tsa senyepa tsohle pelvic. Mokuli a sa kgone ho falla. Hape ho senya matla a ho laola senya le sphincter tsa rectum ena. le matšoao ana etsahala timetso ea tiske ka lekareche medial. Ha tšenyo e se hanyenyane kheloha ho tloha bohareng ba le khoele lesapo la mokokotlo, ho na le kotlobane la mokokotlo. Ka diffuse lethopa ea disk intervertebral ka 'na putlama ka ho feletseng. Ka lebaka leo, boemong bo joalo, hangata ho hlokahala kalafo ho buoa.

Phumano ya hernia intervertebral

Hore lefu lena le ha a sa etse bokooa, ngaka tepelletse maikutlong ka nako e loketseng le ho kalafo ya dorsal disk herniation lokela ho phethahatsoa. E ka ba belaella bolwetse sena ka matšoao a kang eketsehileng bohloko ha ba tsamaea, tšekamelo le ba chenchana tsa kutu. Ho netefatsa tepelletse maikutlong ka, a khanna mekhoa karaoke ba hlahloba. Mohato oa pele ke ho phetha X-ray la mokokotlo, tobana bohloko. Maemong a mang sena se ke ha hoa lekana. Ka lebaka leo, ya khomphuta ya hao tomography la mokokotlo e atisa ho etsoa ka maemo a ho belaela dorsal hernia. Thanks ho CT ka beha boholo ba protrusion le sebakeng sona hantle. Hape tlhathoba karaoke, ho hlahloba methapo ea kutlo o etsoa. Ka tsela eo ke ikemiselitse ho libaka methapo ea kutlo le motso compression, ho ba teng la mathata (paresis le compression ea methapo ea mali).

Phekolo ea dorsal disk herniation

Phekolo ea dorsal herniated disk qala ka phekolo ea lithethefatsi le ho khomarela. Hlokahalang ho felisa ka ho feletseng ho ikoetlisa, e tlaase kamoo ho ka khonehang ea ho falla. Ho laela-ba khahlanong le a hlabang moriana "Diclofenac", "Mydocalm", "Prednisolone". Ho lokela ho boela ho be le meriana ho hlokahala hore re matlafatse lesapo dinama tse nyenyane tse. Tsena li akarelletsa "Chondroitin sulfate" lithethefatsi "glucosamine", "k'halsiamo-d3 lego Nycomed". Maemong a mangata hloka ho apara corset khethehileng ka thata bakeng sa ho matlafatsa morao e mong boemong ba. Hape bontša gymnastics (e neng e tšoaretsoe boemo bua leshano), mekgwa physiotherapeutic.

Le letotong la bolwetse le ho ba sieo ha bohlokwa ba tsamaiso ea phekolo ya kalafi hloka kalafo ho buoa. Tshebetsong le herniation kgolo ke laminectomy. Lingaka li resorted ho feela ha ho hlile ho hlokahala, e le ho kenella ha ena e tsamaea le kotsing ea ho khutlela mokhoeng le mathata. Bakeng sa hernias nyenyane ea lesapo la mokokotlo cervical phethile microdiskectomy. E ka etsoa ka mong bang laser ka.

Thibelo ea hernia intervertebral

Ho thibela ketsahalo ea hernia, e ke ho hlokahala hore ho phetha tsa boitlhakiso khethehileng ho tiisa mesifa, ho felisa ho tsuba ho tloha nako le nako ho nka divithamini hore na khalsiamo. Ka ho ba teng ha lefu le holofatsang disk lokela etela ka boloetse ba methapo bonyane 1-2 linako tse ling ka selemo mme o latele likhothaletso le ngaka.