Stenosis Spinal yomgogodla wesibeletho: Izimbangela, Izimpawu, Sifo Nokuselapha

Izifo yomgogodla abe nomthelela omubi wonke umzimba womuntu. stenosis Spinal yomgogodla wesibeletho kungabangela hhayi izinkinga kuphela ukulawula engxenyeni engaphezulu kuphela yomzimba, kodwa ngisho unhlangothi noma ukufa. Ngakho-ke, bona baphathe zokugula ethulwa isidingo ngokushesha njengoba uzizwa izimpawu zokuqala ke.

Siyini isifo?

stenosis Spinal yomgogodla wesibeletho - nokuncipha kwenkululeko mafutha anciphisa isikhala esingaphakathi, okungase azalwa naso noma bathenga. Kukhona isifo enjalo ngokuvamile lokho kwanele. Nokho, kuyinto ejwayelekile kubantu abaye kakade sawela luyingqophamlando engu-60.

Esemncane kuyinto zokugula ezingavamile kakhulu. Uma Nokho, kubonakala, khona-ke ngokuvamile esibangelwa izici azalwa nako. Omncane isiteshi lapho umgogodla ibekwe, - into eyingozi, kanjalo thokozisa kufanele kube impoqo.

Ukwahlukaniswa izifo

Ngakho, stenosis umgogodla yomgogodla wesibeletho kungaba:

1. Uthenge i. Kulokhu, ukukhula kwawo yaphazanyiswa iziphi izici zangaphandle.
2. Azalwa naso. Pathology wabeka zofuzo noma basungula ngenxa akukalungi kahle ukwakheka lesifanele umbungu e utero.
3. Kuhlanganiswe. Kube isivele bathonywa amaqembu amabili izici: zangaphakathi nezangaphandle.

degree Clinical zokugula kungenziwa labizwa ngokuthi elandelayo:

• nedegenerativnaya Kutholiwe.
• KomThethosisekelo (lokhu kusho izici yokwakheka komzimba).
• Esiwohlozayo.
• Ngenxa anomaly noma dysplasia sokukhubazeka komgogodla.

Ngu lesion indawo umgogodla canal stenosis kuyinto nomgogodla wesibeletho ngokuphelele (uma isiteshi ine indawo engaphezu kuka-75 mm ²⁾ futhi isihlobo (uma lokhu isilinganiso ingaphansi 75 mm sikwele).

Izimbangela ukuthuthukiswa isifo

Lesi sifo ngokuvamile kuvusa zinto ezilandelayo:

• Kokucindezela ukwa noma ezinye izinhlobo balimala eqolo.
• Azalwa naso normal isakhiwo amathambo, cuphuluza izifo yangaphambilini ye abesifazane ngesikhathi sokukhulelwa.
• izinqubo okuvuthayo kabuhlungu emgogodleni.
• Ankylosing spondylitis.
• imfundo Intervertebral: umbhunu, abulalayo noma ingozi isimila metastases kabuhlungu emgogodleni.
• Spondylarthrosis okukhuthaza ukusonteka of ikholomu umgogodla.
• Osteochondrosis yomgogodla wesibeletho.
• neziqu noBony osteophyte.

symptomatology zokugula

stenosis Spinal yomgogodla wesibeletho - isifo eziyinkimbinkimbi futhi iyingozi, esibonakala by izici ezifana:

1. Ubuhlungu entanyeni. Kungenzeka sohlangothi olulodwa noma yenziwe yaba yasendaweni nhlangothi zombili. Kukhona ukungakhululeki ekuqaleni kuphela emva kwesikhathi eside khona abantu sesimweni ungakhululekile. Nokho, ngesikhathi ukuqhubeka ubuhlungu zokugula iba buthuntu futhi cishe njalo.
2. Ikhanda elibuhlungu esifundeni yesikhashana futhi occipital. It has ngamazinga ahlukene ahlukahlukene okujula.
3. Ukulahlekelwa isikhumba ukuzwela, intamo, ikhanda, ngisho emikhawulweni engenhla.
4. Isiyezi, kokuba ikhono ikhula ngezinga esejika ekhanda.
5. Ubuthakathaka ezingalweni, umuzwa ukungakhululeki.
6. Ukwephula imisebenzi zokuphefumula.
7. Ukwandiswa imisipha ithoni ezingalweni entanyeni, nakuba ubuthaka Kulokhu ayiyi ndawo.

Pathology Ukuxilonga Izici

Isihlobo noma ngokuphelele stenosis umgogodla yomgogodla wesibeletho kungaba azimisele besebenzisa lezi zindlela:

• udokotela Palpation lesion, luhlolo lwangaphandle esiguli, futhi nenkanuko edlulele lwezikhalazo zakhe. Udokotela kumele ahlanganise umlando yezokwelapha ephelele wokuthi yadalwa yofuzo noma siliqinisekise.
• X ray. It kwenziwa 2 projection: anteroposterior kanye lateral. Le ndlela ukuxilongwa iyona ebaluleke kakhulu futhi ulwazi. Lwenza ukucacisa khona kanye nosayizi ithambo neziqu, degree of ubuqotho amathambo, khona hernias noma izimila, ubungako bawo, isakhiwo kanye nendawo.
• computed tomography. Ngalesi cwaningo, udokotela uyakwazi ukubona zezici sokucasuka ukuvela kwalesi sifo. Inqubo ivumela ukubona ngisho nezinguquko ezincane kakhulu yomgogodla.
• MR. Le nqubo futhi ibhekwa njengezwekazi kakhulu, kodwa ngaso sonke isikhathi kwenziwe ngenxa yezindleko zayo okusezingeni eliphezulu. Ngaphezu kwalokho, isiguli esimweni ngemisebe eqinile uyamukela, + ngakho kulolu cwaningo inobungako Izimo.
• Myelogram. Ukuze afeze lokhu cwaningo kabuhlungu emgogodleni wasungula Ngokuphambene umphenyi okhethekile, lapho ufuna ukuhlola isakhiwo yayo kahle. Ngaphezu kwalokho, ukucacisa isimo ka cerebrospinal fluid kanye nobungako yayo.

ukuphathwa okulondoloza izifo

Uma ngabe uthole stenosis umgogodla yomgogodla wesibeletho, ukwelashwa kufanele uqale masinyane. Luqala ngokunikela reception izidakamizwa. Phakathi kwabo, singakhetha:

• Kuye ukushuba ubuhlungu isiguli inikezwa ngomthamo ethize izidakamizwa nonsteroidal eqeda ukuvuvukala "piroxicam" "ibuprofen" "Dikloberl".
• Ukuze wehlise ukuvuvukala, uyoqeda ubuhlungu futhi kokucindezelwa vertebral izakhiwo lingasetshenziswa imijovo izidakamizwa hormone noma corticosteroids: "Prednisolone", "Diprospan".
• isisu asetshenziselwa ukunciphisa ivolumu cerebrospinal fluid: magnesia noma "Lasix".

Yiqiniso, ukwelashwa kufanele libekwe nguchwepheshe. Ngokuzimela ukuthatha imithi ngaphandle kokukhuluma nodokotela ayikwazi abalwe ngenhla. Uma kungenjalo, ungase uzilimaze nakakhulu.

Izici ukuze athole ukwelashwa komzimba

Esiwohlozayo stenosis umgogodla yomgogodla wesibeletho ngaphandle zokwelapha kungase kube nemiphumela emibi kakhulu. Kodwa kusaqalwa emzabalazweni nalesi sifo kungasiza Physiotherapy. Udokotela imithi noma yiziphi izinqubo abekwe ngezansi:

1. Electrophoresis nge novocaine. Le nqubo kunomthelela ukuphathwa ubuhlungu ngempumelelo, ngoba izidakamizwa ilethwa ngqo endaweni ethintekile.
2. ukwelashwa Magnetic. Lokhu kusinikeza ithuba ukuqeda ubuhlungu nokuvuvukala.
3. massage Emuva futhi ukwelashwa mathupha. Lezi zinqubo zisiza ukunciphisa imisipha ithoni futhi abaqinise ngesikhathi esifanayo. massage Ngenxa Ungase futhi unciphise ubuhlungu.
4. LFK. umsebenzi zokwelapha kwenza kube nokwenzeka ukuba wenze yomgogodla enetjhuguluko neselula. Ngesikhathi sokuqala umsebenzi akanayo ukuba yinkimbinkimbi, futhi umthwalo - olunzulu. Iqiniso lokuthi ukuvaleka komgudu kungenzeka kahle kwegazi.
5. I-acupuncture. Le nqubo kumele kwenziwe kuphela uchwepheshe abanolwazi, ukuze hhayi ukulimaza isiguli nakakhulu.
6. traction umgogodla. inqubo esisuka angase avuse hernias intervertebral, Nokho kungaveli njalo.

ukuphathwa Physiotherapy linikeza imiphumela emihle kakhulu, uma zokugula namanje kusaqalwa yentuthuko. Kungenjalo, singadinga ukuhlinzwa.

Izici ukuhlinzwa

Uma uxilongwe stenosis umgogodla yomgogodla wesibeletho, ukuhlinzwa kungase kungagwemeki. Ukuze wakhe wasebenzisa lapho ukwelashwa ngoludala akakunikanga imiphumela emihle, noma indawo mafutha anciphisa isikhala esingaphakathi isiteshi catastrophically ongaphakeme. Kunezinhlobo eziningana imisebenzi, okuyinto akhiqizwa izifo ezifana yomgogodla:

1. Ukususa neziqu kanye okwakheke, okungase avuse ukuvaleka mafutha anciphisa isikhala esingaphakathi ka: izimila, osteophyte, hernias. Lo msebenzi ibizwa ngokuthi "laminectomy decompressive."
2. Ukufakwa izinhlelo ezisiza ukuqinisa nokusimamisa yomgogodla.
3. nenkanuko edlulele Interspinous ka amathambo. Lo msebenzi sihilela ukufakwa esikhundleni isuswe lesion nolwelwesi.

Isimiso esiyinhloko ukuthi kumele enze odokotela abahlinzayo - singazilimazi. Yingakho ngaphambi ukwabela kokungenela yalezi Ochwepheshe isiguli liyadingeka ahlolwe olunzulu futhi ukuba izinkomba ngokuphelele. Izinkinga zempilo kufanele kube ngaphansana ematfuba lokhu kwakuyoba nomphumela omuhle.

Yini yezinkinga singenzeka?

Njengoba bazi bobabili stenosis zamabanga aphansi naphezulu umgogodla yomgogodla wesibeletho zidinga ukwelashwa ngokucophelela. Nokho, uma indlela yokwelapha ngasizathu simbe engakaze waqala ngesikhathi, isiguli zingavela yezinkinga ezifana:

• ukulahlekelwa esethola noma engelapheki yozwela noma umzimba ukukhubazeka (izingxenye ngabanye).
• The kungenzeka immobilization ephelele.
• Stroke. Lokhu kwenzeka ngenxa iziyaluyalu kwegazi futhi innervation umgogodla. Jwayelekile ukusebenza kwabo bobabili we asebuchosheni nomgogodla, kusuka kube nzima.
• Myelopathy. Lena eziyinkimbinkimbi kakhulu isifo esithinta izinzwa, lapho kukhona ubuthakathaka elikhulu ezingalweni nasemilenzeni. Kodwa ithoni kwemisipha ngesikhathi esifanayo eliphezulu kakhulu.
• Ukufa.

Njengoba ubona, ngenxa yezinkinga kungaba yingozi, ngakho ukwelashwa kufanele iqalwe ngokushesha ngangokunokwenzeka.

zokugula Prevention

Uma ungafuni ukuba athuthukiswe stenosis umgogodla (siye kakade kubhekwe izimpawu, izimbangela kanye nokwelashwa isifo), kubalulekile ukuba balandele imithetho elula:

• Gwema ukuhlala isikhathi eside endaweni efanayo noma bantula umsebenzi locomotor. Kungcono njalo ukwenza yokuzijwayeza entanyeni.
• LFK. Isetshenziselwa hhayi kuphela ukwelashwa kodwa futhi for lokuvikela.
• Kuzo zonke izimo, ulandele esindayo. Lokhu kubalulekile ikakhulu umsebenzi umzimba.
• Zama ukudla ngendlela efanele, ukuze umzimba uthola zonke izinto ezidingekayo.
• Noma yimuphi isifo kufanele baphathwe isikhathi.

ukwelashwa Esifike Ngesikhathi ukunakekelwa okukhethekile inikeza ithuba alulame. Hlala uphilile!