Kupweteka kwam'mbuyo kwadzidzidzi nthawi zambiri kumachitika chifukwa cha disc ya herniated.The intervertebral disc ndi chotchinga pakati pa vertebrae ndipo yanyamula katundu wolemetsa kwa zaka zambiri.Zikakhala zowonongeka ndi kusweka, mbali zina za minofu zimatha kutuluka ndikukankhira pa mitsempha kapena msana.Izi zingayambitse kupweteka kwambiri.The lumbar spine makamaka imakhudzidwa nthawi zambiri.Dothi la herniated nthawi zambiri limadzichepetsera lokha ndi chithandizo cha mankhwala opweteka komanso oletsa kutupa, koma pazovuta kwambiri, opaleshoni ndiyofunika.
A lumbar disc herniation sayenera kugwiritsidwa ntchito pokhala mu mawonekedwe omwe asonyezedwa : Mukapanga sit-up, msana wonse umagwada patsogolo.Kupindika kwakukulu kwa msana ndi gawo la thoracic.Ngati thupi lapamwamba likwezedwa pamwamba, mphamvu ya shear idzakhala pafupi ndi thupi lapansi la vertebral.Ngati pali vuto la intervertebral disc herniation, mphamvu yakumbuyo yammbuyo imachititsa kuti intervertebral disc ibwerere mmbuyo.tulukira.
Palinso vuto lofala la kunyamula zinthu zolemetsa, ndipo muyenera kusamala kwambiri momwe mumakhalira.Ndi bwino kugwada mawondo anu ndikuwongola chiuno, monga momwe tawonetsera pachithunzichi.Miyendo yowongoka ipinda ndikuweramitsa mutu wanu kuti munyamule zinthu zolemera.Mphamvu yometa ubweya pa lumbar intervertebral disc ndi yayikulu kwambiri.Kumbuyo, intervertebral disc imawombera kumbuyo, kupindika kwa nthawi yaitali, kapena zifukwa zina (monga chiuno chokhazikika mumlengalenga, msana wa thoracic wotsamira pampando) umapangitsa kuti thupi la vertebral likhale patsogolo, zomwe zidzachititsa kuti intervertebral disc iwonongeke. mmbuyo, ndipo potsiriza kumabweretsa herniation.Pakalipano, zotsatira zambiri zofufuza zapakhomo ndi zakunja zimasonyeza kuti kusinthasintha pafupipafupi kapena mwadzidzidzi ndi kusinthasintha kwa thupi ndilo chinthu chachikulu chomwe chimayambitsa lumbar disc herniation.
Lumbar intervertebral disc herniation nthawi zambiri safuna opaleshoni yachangu.Muyenera kuchita mwachangu kukonzanso kuti muwone ngati zizindikirozo zitha kuchepetsedwa.Kawirikawiri, lumbar disc herniation ikhoza kukhala ndi chidziwitso chabwino pambuyo pa kukonzanso mwadongosolo.
Pa opaleshoni, zotsatirazi ziyenera kukumana
1 Chithandizo chosapanga opaleshoni sichigwira ntchito kapena chimabwereranso, ndipo zizindikiro zake zimakhala zovuta kwambiri ndipo zimakhudza ntchito ndi moyo.
2. Zizindikiro za kuvulala kwa mitsempha ndizodziwikiratu, zowonjezereka, ndipo zimapitirizabe kuwonongeka.Zimaganiziridwa kuti pali kuphulika kwathunthu kwa annulus fibrosus ya intervertebral disc ndipo zidutswa za nucleus pulposus zimatuluka mumtsinje wa msana.
3 Central lumbar disc herniation yokhala ndi matumbo ndi chikhodzodzo.
4 Kuphatikizidwa ndi zoonekeratu lumbar spinal stenosis.
Pali mitundu ingapo ya opaleshoni ya lumbar spine:
1. Opaleshoni yotsegula wamba:
Opaleshoni yotseguka yachizoloŵezi imaphatikizapo: laminectomy yonse, hemilaminectomy, opaleshoni ya transabdominal disc, vertebral fusion, ndi zina zotero.Chifukwa cha kuchepa wapadera zokhudza thupi udindo wa lumbar vertebra, opaleshoni kuwononga yachibadwa zokhudza thupi dongosolo la lumbar vertebrae, chifukwa chachikulu opaleshoni kuvulala, amene n'zosavuta chifukwa postoperative Kusakhazikika kwa lumbar msana, postoperative chilonda minofu adhesion, ndi zotsatizana zingapo zoyipa monga kuvulala kwamtsempha mwangozi panthawi ya opaleshoni.Choncho odwala ambiri amaopa opaleshoni, mmene kupewa pamwamba chokhwima zochita chifukwa cha opaleshoni?Izi nthawi zonse zakhala zovuta kwambiri m'magulu azachipatala.
2. Opaleshoni yocheperako ya intervertebral disc
Pofuna kupewa vuto lalikulu la kuvulala kwa opaleshoni yachizolowezi komanso kuchepetsa chiopsezo cha opaleshoni ndi zochitika za zovuta, opaleshoni ya microsurgery ndi arthroscopic yothandizira lumbar intervertebral disc imachepetsa kuwonongeka kwa mafupa ndi mafupa panthawi ya opareshoni, koma Opaleshoni yocheperako ndi yopweteka kwambiri. ntchito, koma ilinso ndi zoopsa ndi zovuta.Vuto lina lalikulu ndiloti pambuyo pa opaleshoniyo imakhala yaying'ono, zimakhala zovuta kuti ziyeretsedwe ndikuchotsa kwathunthu nyukiliya pulposus ya matenda a lumbar intervertebral disc, zomwe zimawonjezera chiopsezo cha opaleshoni yosapambana.
3. Kumeta ndi kuyamwa:
Odwala omwe ali ndi lumbar disc herniation, ma diski ambiri a herniated amayamba chifukwa cha kupanikizika kwakukulu mkati mwa diski.Percutaneous puncture ndi kuyamwa kungachepetse kwambiri kuthamanga kwa intradiscal ndikuchepetsa zomwe zili mu herniated disc, potero kuchepetsa kapena kuthetsa zizindikiro za kupsinjika kwa mitsempha ndi protrusion.Ubwino wa njira imeneyi ndi kuti pa ntchito,tamawononga pang'ono, koma choyipa chake ndikuti ntchitoyo imayang'ana kwambiri pakuwonongeka, komwe kumakhala kothandiza kwa intervertebral disc herniation.
Zotsatira zopweteka za vertebroplasty ndizodziwikiratu, nthawi zambiri mkati mwa maola 24, kuyenda kosavuta kwa thupi kumatha kuyambiranso, ndipo mankhwala opweteka amatha kuchepetsedwa kapena kuyimitsidwa.Pali mabowo ang'onoang'ono m'thupi la osteoporotic vertebral, ndipo guluu wa mafupa amatha kudzaza mabowo ang'onoang'onowa, kuti alimbikitse thupi la vertebral ndikuchepetsa kubwereza kwa fractures.
Kodi ubwino wa vertebroplasty ndi chiyani?
Amachepetsa kwambiri chiopsezo cha zovuta monga chibayo cha hypostatic chifukwa cha kupuma kwa nthawi yayitali.
Njira zochiritsira zochiritsira zowononga thupi la vertebral zimaphatikizira kupumula kwa bedi, kupaka pulasitala, kusasunthika, ndi zina zambiri. Komabe, odwala ambiri amavutika ndi zovuta monga kyphosis, kupweteka kwa msana, sciatica, kuwonjezereka kwa mafupa, kuchedwa kusweka kwa mgwirizano kapena kusagwirizana, ndi zina zotero. . Mavuto monga matenda a m'mapapo kapena mkodzo amathanso kuchitika chifukwa cha kupuma kwa nthawi yaitali.Ndipo maola a 2 pambuyo pa vertebroplasty, odwala amatha kudzuka pabedi ndikuyenda, motero amachepetsa kwambiri chiopsezo cha zovuta monga chibayo cha hypostatic chifukwa cha kupuma kwa nthawi yaitali.
Zingathe kuchepetsa kwambiri kuchuluka kwa mankhwala opweteka.
Vertebroplasty imakhala ndi zotsatira zodziwikiratu zochepetsera ululu, zomwe zimatha kuchepetsa kwambiri kuchuluka kwa mankhwala opweteka, ndipo odwala ena amatha kukhala opanda zizindikiro.
Kuvulala kochepa kwa wodwalayo
Vertebroplasty imangofunika kung'ambika pang'ono pang'ono pang'ono popanda kutulutsa magazi;kugwiritsa ntchito opaleshoni ya m'deralo kumapewa zoopsa zosiyanasiyana za opaleshoni ya opaleshoni, ndipo nthawi ya opaleshoni ndi yochepa, opaleshoniyo imakhala yopanda ululu, ndipo ululu umatha mwamsanga pambuyo pa opaleshoni.Kwa odwala azaka zapakati ndi okalamba, vertebroplasty ndi chisankho chabwino kwambiri.
Nthawi yotumiza: Sep-29-2022