Ukushaqeka Spinal: izindlela zokuthuthukisa, izimpawu, kanye nokwelashwa izici

ukushaqeka Spinal - ngumkhuba Neurology, okuyinto kubangelwe umphumela kuhlasimulise ku yomgogodla nge ukulimala emgogodleni. It is ukuzwakala okusithiyayo abukhali sezikhungo reflex emgogodleni ngezansi ukulimala. lokungeniswa Artificial we ikhaliphe lesion ngaphezulu sibonisa ukuthi kukhona lilondolozwe innervation. Ngenxa yalokho, kukhona ukwehliswa wegazi, ukungabi dermographism, kanye ukuphazamiseka kwezitho okhalo.

ukuthuthukiswa indlela

Lisho eqinile emzimbeni womuntu, bokuwa usuka endaweni ephakeme, izingozi zomgwaqo - konke lokhu kungabangela ukushaqeka umgogodla. Futhi indlela sokuthuthuka kuyoba kuzo zonke izimo okufanayo. Imbangela njalo kunazo zonke iwukuthi ukwa yomgogodla, njengoba umgogodla cord yokulimala akuyona kuphela indawo yokulimala, kodwa futhi ezindaweni lapho abaphukile kwegazi kanye lymph ukugeleza. Kuyinto kule ndawo, futhi ingabuyiswa ngesikhathi esifanele.

Nature ihlinzeka ngendlela yokuba evikela kwezicubu ekulimaleni okwengeziwe. Ihlala e yokuthi umsebenzi amangqamuzana ezinzwa is engasenamahloni ngezansi isayithi yokulimala, ngakho le ndawo ethintekile uyaphumula futhi uyalulama ngokushesha. Transmission Izinzwa amaza kanye ezindleleni uyama at ukuvuselelwa isikhathi.

ukuhlola

Ngokushesha ngemva ukulimala ayikwazi ukucaciswa, le umgogodla intambo yokwakheka noma imvelo sokusebenza. ukushaqeka Spinal libhekene reversibility yenqubo kanye nokubuyiselwa ngokugcwele noma kancane kwemisebenti. Level balimala eqolo yakha uphawu oluthile, okuyinto wenza sikwazi ukuhlola indawo esiqondile umonakalo eqondile. Ukuze wenze lokhu, kudingeka nithole ingxenye lowermost ka emgogodleni ukuthi unesibopho innervation evamile. Kungathatha isikhathi esithile, kodwa ukuxilongwa okwejwayelekile zezinzwa izobonisa endaweni esikiselwayo lesion.

Wena kumelwe athumele isiguli neuroimaging (CT noma i-MRI) ukwazi ngokunembile isimo isithakazelo izingxenye udokotela.

Ukunqunywa luvelo motor umsebenzi

Ukuze kutholakale umsuka kanye nezinga ekubhujisweni wezinzwa ihlola umsebenzi sezinzwa futhi motor esitho lesiguli ngezinga elingelikhulu. amaphuzu amahlanu - lokhu amazinga evamile futhi zero - ukungabakhathaleli nhlobo ukuphendula.

Imisipha uphenyo afanako badedelane kusukela esifubeni emikhawulweni. Zonke imiphumela ngokufingqiwe, futhi ubonisa isilinganiso score ingqikithi muntu ukuzwela kanye motor izindawo. Inhlolo-vo kumele kwenziwe izikhathi eziningana phakathi nayo yonke inkathi kokuhlala esibhedlela umkhondo Dynamics imisebenzi yokutakula. Ngokwesibonelo, uma inyanga ngemuva kokuqala ukwelashwa isiguli ukuhlolwa jikelele motor umsebenzi nasemilenzeni aphansi kuyoba ngenhla nanhlanu amaphuzu anakho kuze kube sekupheleni konyaka, cishe, bakwazi ukuhamba.

amazinga nolokubhujiswa

Izimpawu ukushaqeka umgogodla kuyinto encike ngqo kwi izinga yembubhiso.

Uma ukulimala kwaba ezingeni amathambo wesibeletho, kuholela immobilization wemikhawulo yasenhla nemithombo yasenzansi. ukuphefumula kwabacindezelwe futhi inhliziyo umsebenzi. Iziguli bephoqeleka ukuba ventilators futhi ngabo ukuba ukunakekelwa njalo.

Ukunqotshwa ezingeni aphansi wesibeletho emgogodleni ingxenye azigcina operation evamile wemikhawulo engenhla. Kodwa uma ngesikhathi esifanayo abathintekayo kanye amathambo thoracic, isiguli namanje ihlangabezana nezinkinga ukuphefumula nokushaya kwenhliziyo. Ukulimala inkaba kubangele ukushaqeka umgogodla nge immobilization we imisipha emuva emikhawulweni aphansi, kanye ukubhidliza ukhalo yohlobo ukubambezeleka.

Kuthathwa kube omunye evumayo kakhulu umgogodla cord yokulimala ezingeni zingxenye lumbosacral. ukushaqeka Spinal kulokhu kuphela ukuhlukumeza ukuhamba nasemilenzeni aphansi ngenkathi sigcina nozwela.

izinkathi isifo

Lesi sifo kancane noma esethola ngokuphelele, ngakho ngemva kwezinyanga ezimbalwa ukuhlukumezeka, iziguli zizizwe kangcono, yena abuyele imisebenzi elahlekile. Kunezigaba ezine ukushaqeka umgogodla.

1. Isikhathi olunamandla, okuyinto ihlala izinsuku ezintathu zokuqala emva ukulimala. It libhekene ukungabi oluphelele emsipheni amaza khulisa umonakalo kungakhathaliseki kobukhulu ukulimala.

2. isikhathi Subacute kuthatha cishe inyanga. Ngalesi sikhathi, nokuvulwa obonakele umgogodla intambo izakhiwo, ukubukeka isibanda izicubu endaweni ukulimala, ukuzinza kwegazi futhi limfottoka.

3. Isikhathi zesikhashana kungathatha izinyanga eziyisithupha. Kulesi sigaba, emaphakathi amaza sezinzwa braking liyaphela, busa kuphela umtholampilo engelapheki izinguquko zezinzwa.

4. Late isikhathi, okungase kuhlale iminyaka eminingi ngemva ukulimala. Lona yokutakula kancane imisebenzi elahlekile. Kodwa zilingana nezinhlobo Amathuba Dynamics omuhle, liphinde nezibazi okungenzeka umgogodla intambo izidakamizwa isayithi yokulimala okubi kakhulu of izimpawu zokungasebenzi kahle kwemizwa.

Ukuze kodokotela kanye neziguli kuyasiza ukukhumbula ukuthi bikho ngcono ngesonto lokuqala kuwuphawu olubi prognostic futhi kungase kubonise ukuthi imisebenzi elahlekile zibuyiselwe. Ngakolunye uhlangothi, uma ngesonto lokuqala kwakukhona izinguquko okungenani abanye, khona-ke amathuba womuntu alulame ngokugcwele.

budze besikhatsi lagule

Hhayi kuphela kubantu ukushaqeka umgogodla. Physiology, ngomqondo ebanzi izwi, kuwubufakazi bokuthi lokhu isimo izilwane ezimbi zingenza nokuhlukileko. Ngokwesibonelo, frog, kuthatha imizuzu emihlanu, izinja - cishe isonto, izinkawu bephoqeleka ukuba sikhuthazele ngenyanga ngokuphazamiseka. Abantu kulolu hlu zisendaweni lokugcina. Banezinhliziyo ubude besikhathi ukushaqeka umgogodla - izinyanga ezimbili.

Uma umgogodla cord yokulimala uhlala anatomically beqinile, bese emva kwesikhashana elisheshayo abuyiselwe. Konke kuncike kanjani isiguli ekwelashweni futhi nibe nokholo ngokwakho.

amacebo zokwelapha

Ukushesha isisulu uthola esibhedlela, lapho uzokwazi ukunikeza usizo isazi, cishe uyakusinda. Ngaphezu kwalokho, ukubaluleka okukhulu kuyinto usizo lokuqala kanye zokuhamba. Ukushintsha isiguli kufanele kube ngokucophelela, ukuhambisa kuphela ebhodini esiqinile noma ibhodi, ukuze singathwesi babhebhethekise ukulimala.

Phatha umgogodla ukushaqeka kokuqala kahle nge immobilization umgogodla. Khona-ke eyenziwa uchungechunge ukuhlinza decompress emgogodleni, amathambo ekususeni izingcezwana eziyizinsalela, izicubu necrotic nemizimba angaphandle. Ngemva kwalokho, udokotela ohlinzayo plastic kwenza elahlekile ithambo kumiswa.

yokwelapha okulondoloza ukusetshenziswa corticosteroids ezifana "Dexamethasone" noma "prednisolone" futhi liphakathi oyibamba imisipha relaxants - "Mydocalm" "Sirdalud" "baclofen". Okokuqala udambise ubuhlungu, ukuvuvukala, ukunciphisa ukuvuvukala. Usizo yesibili okudambisa umthwalo phezu emgogodleni.

Njengoba isiguli akasakwazi isikhathi eside, khona-ke udinga nokuvinjelwa bedsores, massage, yokuzijwayeza kanye ukuphefumula umzimba ukuze kuvinjelwe i-pneumonia.

amathuba okuthi yokutakula

Qedela baxhashazwe nomthelela omubi psyche iziguli. Abantu ukulungiselela ngokwengqondo wena nje neqiniso lokuthi bonke ukuphila uyovalelwa embhedeni noma esihlalweni sabakhubazekile futhi izodinga usizo lwenu ngayo umkhaya wakhe nabangane. Kuleli qophelo, kubalulekile ukuba eduze komuntu othile, naphezu kwakho konke, kuyinto ukukholelwa impumelelo nezinqubo.

Ngokuvamile emva afanelekayo usizo izisulu ngokushesha uthola ngezinyawo. Amacala olunzima kwenzeka in iziguli ukulimala we wesibeletho thoracic iziguli emgogodleni. Kulokhu, ingozi okusezingeni eliphezulu nekufa kwemigudu yokuphefumula noma ukumelwa inhliziyo. Uma usizo lokwelashwa lwamiswa sinikezwe ngokungalungile noma kamuva, esifundazweni ukushaqeka umgogodla ingase ihlale iminyaka.

ukushaqeka Spinal - a esethola umgogodla intambo lesion ezingase ufake umqondo womuntu ngendlela umzimba umile. Konke kuncike kule mibandela yokulimala, ezingeni yokulimala kanye nosizo kufundza nekubhala.