Spinal ukuhlinzwa hernia: ukuba noma ukuba?

Esikhathini arsenal ehola angaphandle umtholampilo neurosurgical has inqwaba ukwelashwa kuhlinzwa ngoba akwazi ukugcina herniated. ukuhlinzwa emgogodleni ne kancane koda, ukuthi libhekene abancane kokungenela kuhlinzwa futhi efanele, asidingi ukululama eside. Ekukhetheni okubi isiguli (kuhlanganise izincomo udokotela, ngezinye izikhathi ngamabomu amanga) esivuna ukwelashwa ngoludala, utshelwa nokwesaba kanye esikuthandayo bakha waiver nenqubo umnyuziki kuhlinzwa, uma sidingeka ngempela. Nge design efanele futhi efanele uphethwe microsurgery nokuhlinzwa endoscopic ezihlobene ne ingozi sakugcina ukuxakeka.

Cabanga kukhethwa indlela yokwelapha herniated inkinga disc. Ngempela, lapho ungenzi ngaphandle kokuhlinzwa futhi uma sisetshenziswa ukwelashwa ngoludala? Impendulo isobala yalo mbuzo kungeke kwanikezwa. Zonke akuxhomekile nje kuphela esimweni imiphumela zokuxilonga, kodwa futhi ku okuhlangenwe nakho likadokotela ohlinzayo, ngokuqonda kwakhe siqu izimbangela zesifo, nezinye izinto zomuntu siqu. Endabeni umbhunu, isebenze yomgogodla wesibeletho noma lumbar, ngokuvamile ziphendukela kokungenela kuhlinzwa. Ngokwezibalo, ezimweni 90 100 ukusebenza uphela ngempumelelo.

Kukhona isidingo ngokwahlukana ecacile we disc herniated futhi prolapse (eshelela disk noma protrusion) enkothweni stenosis (ukulahlekelwa kuyaqina of the disc intervertebral). Uma izimpawu zikhona unomphela ithambo stenosis okuhambisana neurogenic claudication ngakanye, ukuphathwa olandelanayo is contraindicated, njengoba kungase kuholele ukuwohloka (ikakhulukazi ngaphansi myelopathy).

Stenosis ka umsele umgogodla, libhekene izimpawu evelele kungenziwa kudidaniswe prolapse ukuthuthuka kwe-disc intervertebral. Njengoba stenosis kuholela syndrome we equina iKhawuda futhi ngokuvamile ukuze paraplegia unomphela, lesi sifo kufanele baphathwe ngu izindlela kuhlinzwa, ikakhulukazi uma kukhona stenosis yomgogodla wesibeletho nge myelopathy evelele. Kukhethwa esivuna ukwelashwa ngoludala kulesi simo kungenziwa ithathwa njengendlela iphutha okwedlulele.

Ukwelashwa nokuvikelwa herniation umgogodla ngaphandle kokuhlinzwa kwamukelekile kuphela lapho protuzii ukukhanya (protrusion) we disc intervertebral, esibonakala ukungabi izimpawu zokungasebenzi kahle kwemizwa, ubuhlungu mnene futhi protrusion okuncane, kubukwe esithombeni. Endabeni umbhunu nge unezimpawu ezikahle umehluko obonakalayo endabeni yokwelashwa kuhlinzwa noma olandelanayo akuyona. Kukholakala ukuthi lezi zindlela olandelanayo baye bakhiqiza siletha imiphumela efiselekayo, uma ubuhlungu kuyehla emasontweni 6-8 bese ukhulisa ukuhamba isiguli, ie, ubuhlungu ayisaxhunyanisiwe zazizizwa zikhululekile lapho izikhundla ezahlukene emzimbeni.

Ukusetshenziswa amasu koda practice kunqunywa ukungaguquguquki, ukufana kwamazwi umlando lesi sifo, izimpawu kanye imiphumela yokuhlolwa etholwe MRI noma CT. Kulokhu, lo dokotela uyakucabangela Imbangela okungaba lesi sifo futhi yokuphila lesiguli. Ngokusekelwe kulezi zici, uchwepheshe ukukhethela yokwelapha ezanele.

Kukhona amacala lapho ukuhlinzwa kufanele kwenziwe ngokushesha. izinkomba ngqo ukuhlinzwa emgogodleni yilezi:

• uzwakalise ukukhubazeka;
• nokusongelwa ngokufa;
• umthelela izimpande ezinzwa;
• ukuphambuka isimiso sezinzwa (giperasteziya, parasthesia);
• uzwakalise kakhulu prolapse.

Lapho izinhlungu okukhulu sokwethula isiguli futhi eboniswe ukuhlinzwa. Ngu izindlela op nokwelashwa emgogodleni hernia kukhona discectomy endoscopic, nucleoplasty percutaneous, catheterization epidural, i intervertebral disc sokwenziwa kanye indlela yesimanje - laser vaporization.