I-Extrusion iyisifo se-disvertebral discs. Iintlobo ze-extrusion. Izindlela zokonyango

I-Extrusion enye yeendlela zokuphuhliswa kwe-hernia intervertbral. Kwaye namhlanje abaninzi abantu bajamelana nokuxilongwa. Yingakho izigulane zinomdla ngolwazi malunga nezizathu, iimpawu kunye nezindlela zamanje zokunyanga le meko.

Yintoni ukuxhoma?

Izigulana ezimbalwa namhlanje zijongene nokuxilongwa. Kwaye abaninzi abantu bacinga ukuba i-extrusion iyimithi. Enyanisweni, loo ngxelo ayinyani ngokupheleleyo. Emva kwakho konke, ukugqithisa, kunoko, isigaba sokuqala se- disnibrated disvertebral disc. Yintoni ebonwayo ngesifo esinjalo?

Ngokuqinisekileyo abaninzi abasebenzi bezoshishino bayaziqhelanisa neli gama. Emva kwakho konke, kwimveliso, indlela yokudambisa yinkqubo yokufumana izinto ezivela kwipolymer, apho inyibiliki ixutywa ngaphandle kwimiba ekhethekileyo. Kule meko, unokwenza ezinye iifayile.

Kwigama lesigqirha sezempilo, i-extrusion yimeko apho i-ring efayilileyo yediski ichitheka, kwaye ukuwa kwe-nucleus yangaphandle kuphawulwa. Le ndlela yokugqibela ihamba ukuya kuma-3-4 millimeters (ixhomekeke njengophotho lwamanzi) kwaye iyayichukumisa iingcambu zentliziyo.

Amanyathelo okwakheka kwe-hernia intervertbral

Ukuze uqonde ukuba yiyiphi i-extrusion kwaye yintoni indima yayo ekubunjweni kwe-hernia ye-intervertebral, kufuneka uqwalasele yonke inkqubo.

Ukukhutshwa kwe-Hernial kwenziwa ngamanyathelo amathathu. Ekuqaleni kukho into ebizwa ngokuba yi-prolapse, apho i-substance ye-disc intervertebral ingaphandle kwecandelo elisebenzayo, ngaphandle kokuphula i-ring fiber. Ngenxa yokungabikho kwamanzi kunye nezondlo, ukuhamba kwendawo engundoqo kuncitshiswa kakhulu.

Kwixesha elizayo, kukho isigaba sesibini, ekuthiwa kwiyeza zanamhlanje zibizwa ngokuba yi-protrusion. Kule meko, i-disvertebral disc ichithekile nge-3-4 millimeters (ngamanye amaxesha ukuya kwi-15 mm) ngaphaya kwe-vertebrae.

I-Extrusion yinqanaba lesithathu lokwakheka kwenkqubo. Kule nqanaba, kukho ukuphuka kwendandatho ye-fibrous kunye nesivuno sezinto eziphambili ngaphandle kwe-vertebra. Kwiimeko ezininzi, uxinzelelo oluqinileyo lweengcambu zentsholongwane alugcinwa, kuba i-nucleus iyanqandwa ngumda wexesha elide. Ukuba sithetha nge-extrusion kwimimandla ye-lumbar kunye ne-sacral, isifo sinokuba yingozi, njengoko kubangelwa ukuba i-sciatic compression compress.

I-Extrusion kunye neentlobo zayo

Kwimichiza yanamhlanje, kukho iindlela ezininzi zokuhlelwa kwezifo ezahlukahlukeneyo. Ngokomzekelo, i-extrusion ivame ukuhlukana kwiindidi kuye kuxhomekeke kwindlela apho i-nucleus ehamba ngayo iwa khona.

Ngokomzekelo, ukuba inkunkuma ye-nucleus idlula ngaphesheya kwikholam ye-vertebral, le fomu yesifo ibizwa ngokuba yi-lateral. Kukho ukugqithiswa kweediski, ehambelana nokukhupha kwii-tissue ezithambileyo zangemva. Ngokuqhelekileyo, izigulane nazo zijongene nezinye izifo. Ngokomzekelo, abanye abantu banomdla kwimibandela malunga nento ephakathi okanye epacentral extrusion yediski. Ngalolu hlobo lwesifo, into ebonakalayo ingaphandle ngaphandle, kodwa ngaphakathi kwintlambo, eyingozi kakhulu, kuba ihlala ikhona ithuba lokufakela intambo yomgogodla. Kukho uhlobo lwesimo esilandelayo sesifo eso, apho kubonakala khona izibonda ezivela ngasemva nasemacaleni.

Ngamanye amaxesha ugqirha ufumanisa "i-subrmentary extrusion ye-disc." Yintoni na? Kule meko, igama alithethi malunga nesiqendu sokukhutshwa kwezinto, kodwa malunga nesigaba sokuphuhliswa kwesi sifo. Ukuba kumanyathelo okuqala izicubu zomzimba zengxenyana iyafuduka, kodwa isagcinwe ngenxa yendawo engezantsi yeligament, ngoko ke kulo mzekelo, umonakalo we-ligament kunye nokubunjwa kwe-extrusion.

Izizathu eziphambili zokuphuhliswa kwe-extrusion

Enyanisweni, kukho ezininzi izizathu zokuphuhliswa kwesi sifo. Okokuqala, ku funeka kuqatshelwe ukuba extrusion yisifo sokuguga. Emva koko, kwinkqubo yokuguga, izicubu zinciphisa amanzi, kukho ukuphulwa kwegazi, njl. Ngako oko, iiskrini zengqungquthela nazo zincinci.

Nangona kunjalo, kukho ezinye izizathu. Ngokomzekelo, i-extrusion ivame ukuhlaselwa imvelaphi yezifo ezahlukileyo eziphazamisayo zomqolo wamagxa. Ngokomzekelo, i-spondylosis, i-osteochondrosis okanye i-curvature yomgudu ngokuqhelekileyo ibangela ukuba i-extrusion, kunye ne-hernia.

Ewe, uluhlu lwezinto ezibangelwayo lunokubandakanya ukulimala kwiimisipha kunye nemigqa. Ukongezelela, eso sifo sisoloko sisiphumo sokwenza ixesha elide kunye nokugqithisa ngokweqile, ngakumbi xa kufikeleleka kumonakalo kwiidiski ze-intervertebral kwiindawo zengqungquthela kunye ne-sacral, ezona zihlala zilungele ukulimala kwaye zithatha umthwalo ophezulu ngexesha lokunyakaza.

Ziziphi iimpawu zesifo?

Enyanisweni, ukugqithiswa kwediski akusoloko kuhamba kunye neempawu ezithile ezibonakalayo kunye nezibonakalayo. Ngokuqhelekileyo, isifo sifihliwe. Ubuhlungu kunye neminye imiqondiso ibonakala kuphela xa i-nucleus eye yawela ngaphaya kwemida yokunyusa i-fibrous and irrits the root roots. Kwaye imifanekiso yeklinikhi kule meko incike kwiyiphi inxalenye yomgudu .

Ngengxaki kwingingqi yomlomo wesibeleko, intlungu emagxeni iyabonwa. Ngokusoloko unikela kwiingqungquthela, izibini kunye neminwe. Ukwandiswa kwidiski yommandla we-thoracic ihamba kunye nokuphulwa komsebenzi kwezinye izitho zangaphakathi, kunye nentlungu esifuba.

Iphethini ephawulekayo kakhulu iboniswa kwisilonda sommandla we-lumbar. Ngokuqhelekileyo, izigulana zikhalaza intlungu emlenzeni okanye emlenzeni, kunye nokugqithisa okanye ukubetha kwizitho ezingezantsi, iinzwane. Ukwandiswa kwe-sacrum kunokuhamba kunye nentlungu kwi-coccyx, kwingingqi ye-pelvic kunye nezitho zangasese.

Iindlela zoxilongo zanamhlanje

Enyanisweni, ukuqala, uviwo logqirha luyimfuneko. Iimpawu zokufumana iimviwo ezongezelelweyo yimbali yesigulane, umfanekiso wekliniki (ubukho kunye nokuhlala kwintlungu, ubunzima bayo), ezinye iingxaki zegazi (umzekelo, ukungabikho kwamadolo okanye i-Achilles reflex, ukubonakala kweentlungu xa uhlola umqolo wamagxa).

Njengomthetho, i-imagination magontic resonance okanye i-tomography ekhompyutheni ibelwa kuqala ukuqinisekisa ubungqina bentlalo kunye nokuchonga ngokuchanekileyo ubungakanani bayo nendawo. Kwezinye iimeko, isifundo esahlukileyo senziwa apho into ekhethekileyo ifakwe kwisalathini somgudu. Ukuvavanywa okunjalo kwenza kube lula ukucacisa isakhiwo sokufakela idiphozi (oku ku-extrusion, protrusion okanye hernia).

Ngaba kunokwenzeka ukuba unyango olulondolozayo lunokwenzeka?

Enyanisweni, ukudluliselwa kwerekisi kwiimeko ezininzi kunokunyangwa ngoncedo lweendlela zokonga, ngokukodwa ukuba ukukhutshwa akudluli kwi-5-7 mm. Kule meko, ugqirha, mhlawumbi, uya kuncomela ukulungisa ukutya kunye nokunciphisa umzimba. Kwizigulane ezinobunzima, kubaluleke kakhulu ukulungelelanisa ubunzima, njengoko oku kuya kuphelisa uxinzelelo kumgca kunye namanye amalunga.

I-Physiotherapy nayo iyimfuneko. Isigulane kufuneka sisebenze rhoqo kwiimvavanyo ezizodwa eziya kunceda ukuqinisa i-corset ye-muscular, eyayiza kuphinda iyanciphise uxhaphalo emgodini.

Ngokuphathelele amayeza, kwezinye iimeko, umntu akanakuyenza ngaphandle kwabo. Ngesifo esibuhlungu sisifo sokubeka imali efanelekileyo. Ngaphambi kokuvuvukala, izigulane zivame ukuthatha iziyobisi ezingekhoyo i-steroid. Kodwa ngenxa yokuvuvukala okukhulu kunye neentlungu ezibuhlungu, oogqirha banokuncoma i-steroid ejoyiweyo ngqo kwi-spidural space of the spinal cord.

Iindlela zokuphanda zonyango

Ukuba i-extrusion ingaphezu kwe-12 mm, unyango lwe-ambulatory awunqunywanga, ngenxa yokuba unyango olulondolozayo lunokuba lubi kakhulu imeko. Kwiimeko ezinjalo, njengomthetho, amathuba okuhlinzwa okwenziwa namhlanje.

Ngamanye amaxesha izigulane zinqunywe i-discectomy - umsebenzi ongenamathuba angaphantsi, apho kukho konke ukusetyenziswa ngokusetyenziswa kwezixhobo ze-endoscopic. Ukongeza, ukulungiswa kweelayisiti ye-intervertebral discs kunokwenzeka.

Iingxaki ezinokubakho ngexesha lokuxhoma

I-Extrusion isifo esiyingozi kakhulu. Ngoko ke, akukho mzekelo akufanele ukushiya unyango okanye ukungawuthobeli iingcebiso zoogqirha. Emva koko, njengoko eso sifo siqhubela phambili, i-nucleus i-pulpous iya kuphuma ngaphandle, iminyanise iingcambu, ngaloo ndlela ikhulise ukhathazeka kwaye iyenze ngakumbi umgangatho wobomi.

Ngakolunye uhlangothi, ukungabikho kwonyango olufike ngexesha elixhomekeke kukuphuhliswa kwe-hernia intervertbral. Yaye ukuba unyango olukhuselekileyo lunokwenzeka ngexesha lokudityaniswa, i-hernia phantse kwimeko nganye idinga ukungenelela ngonyango.