Stenosis yomqolo empontshwa: Oonobangela kunye Treatment

Spine emzimbeni womntu inemisebenzi eziliqela. Yena yinxenye ebalulekileyo yenkqubo musculoskeletal kwaye ikhusela umnqonqo kwaye inxaxheba iintshukumo zomzimba. Naluphi na utshintsho kubume bayo luchaphazela umgangatho wobomi babantu. Phakathi izifo ezibangwa deformation lwenkqubo inkxaso, ingqalelo ekhethekileyo sifanele nomqolo stenosis empontshwa. Ngokusisiseko, uphuhliso esi sifo ngenxa ukuguga zendalo eziphilayo. Kodwa kukho ezinye izizathu. Ntoni? Oku kuya kuxutyushwa kweli nqaku. Kwakhona uya kufunda oko mpawu ikhatshwe ngezifo, yaye kutheni ukuba bangazilibali unyango yayo.

Ukuzimisela kwezifo

emseleni spinal kudlala indima ebalulekileyo emzimbeni womntu - likhusela umnqonqo. Kunye intloko yindlela luvo, elawula ukusebenza yonke eziphilayo. Ngoko ke, ukulondoloza isakhiwo yokwakheka lomsele spinal ngundoqo ukugqibezela umsebenzi umnqonqo. Nayiphi na impatho embi kule nkqubo iphela kunye neziphumo vuhlayiseki.

Stenosis yomqolo empontshwa - inkqubo lwezidumbu, nto leyo iphawulwa licuthe ubukhulu bayo. ukuncitshiswa mithambo ikhokelela ucinezelo kweengcambu lialio. Sisihlandlo sokuqala sale izifo ezinxulumene ne-Antoine Portapom. Ngowe-1803, ugqirha yachaza sifo, kubangelwa ezichongiweyo. Kwikholam ethi "Iimpawu" Wathi umlenze ukushwabana kunye yoma kwezihlunu.

Stenosis - yinto ngezifo eliqhelekileyo, leyo ikakhulu eyenzeka ebantwini abadala. Ukuba ukhangela manani, esi sifo waqinisekiswa-21% ezigulane emva kweminyaka engama-60. 30 Kuphela% kubo uneempawu kwezonyango sifo.

Izinto ezibangela stenosis

Ukuze ukwazi unobangela ezingundoqo zesi sifo, kuyafuneka ukuqonda indlela ezakhiwe ngayo inkqubo yenkxaso, kwaye ingakumbi, inkciyo yayo.

Imizimba vertebral kunye ijelo ukhandwa nakwiingqameko. Bona ezihlangene yi nemisipha. umnqonqo udlula ngaphakathi ijelo. Isithuba iyonke lweHo- izele izihlunu cerebrospinal kunye okunamafutha. Lo maleko likuvumela ukuba wenze i uhlobo ezingephi channel exineneyo, enga kumsebenzi eqhelekileyo yabantu. Ukuba ubukhulu le mithambo lifinyele ngakumbi, kukho ucinezelo ye ihlume-luvo okanye ingqondo ngokwayo. Ngenxa yenkqubo sifo, kukho iimpawu ezahlukeneyo ezikumila luvo.

Xa indima ezibangela izifo angenza nethumba, disc Buze, intervertebral Ithemba kukwenzakala, arthrosis. Olu hlobo nesifo ekuthiwa «stenosis yesibini umnqonqo empontshwa," njengoko luminal exineneyo usisiphumo nezinye izinto ezimbi. Development of (idiopathic) lobeko lokuqala kubangelwa sisifo naso. iimpawu zayo nangoku eselula. mgaqweni bekhubazekile kwenzeka ngenxa kuphuhliso ngokungafanelekanga Palsy.

Esinye seziphumo eziyingozi esi sifo lunyhasho ukuthuthwa izondlo ukuya umnqonqo. Ngenxa yoko, ukunyuka koxinzelelo emisele spinal, nto leyo ekhokelela ekubeni ucinezelo iimpahla. Ngenxa yoko, ukuba bangabi ukudlulisela umthamo ofunekayo igazi ngesantya esiphezulu. Ezintweni zonke utshintsho emzimbeni womntu uqalisa iintlungu ngasemva omzimba.

Indlela ukuqaphela esi sifo?

Stenosis yomqolo empontshwa sisifo eliqhelekileyo. Umzimba womntu kuxhomekeke kwinkqubo ukwaluphala yendalo, nto leyo idla kuboniswa ziinguqu sisiba mandundu. Stenosis iqala ubuhlungu kummandla empontshwa. amaxesha exacerbation athathelwa indawo kuzolile. ubuhlungu Ukwanda kungabangela into ethile yangaphandle (intshukumo nzima, umsebenzi emzimbeni). kuyaphela kwegalelo kwandisa kancinci. Oku kuyenzeka kuba deformation siteshi aluzukwenzeka ebusuku, kuthatha ixesha. Phawula ucinezelo kwi lokuqala inqanaba lophuhliso nzima. inyama luvo ebonakala okubuyela kwimo ephezulu. Xa ohlohliweyo, yena wazolula ngaphakathi kunye kwezihlunu ithambo. ubuhlungu Ebuhlungu kwenzeka xa kwinyama zezona kumda we extensibility.

Stenosis beengcambu umnqonqo ziphantsi traumatic njalo. Basoloko kwimo nokudumba. iqolo Low ngokuqhelekileyo kunye umtshiso kakhulu, kuba navuso igazi ubonelelo ijwabu luvo. Yena njalo ezinengxaki yokunqongophala kwe-oksijini.

Ngamanye amaxesha, phakathi imithwalo okanye intshukumo nzima, kukho ucinezelo usiko luvo, nto kulo sicinywa. Oku kunokubonwa ukutshintsha umlenze yomguli kunye buthathaka umsebenzi motor. Umntu uba kunzima ukuma okanye uhlale. Kuphela kweli nqanaba, yena ajike kugqirha wayiva lokufunyaniswa 'stenosis lomsele empontshwa lialio. " Iimpawu inkqubela kwaye kungakhokelela ekubeni neziphumo vuhlayiseki, ukuba awuqali ixesha unyango.

ngezigaba stenosis

Ngenxa yokuba ukuphazamiseka sisiba mandundu esiqwini ithambo kwinqanaba le licuthe emjelweni ubukhulu spinal. Ngenxa utshintsho ezinjalo ezi fom zilandelayo sifo:

1. Ukwehla ngokuphelele stenosis luthatha sayo channel ukuya 5-10 mm. Le ngezifo iphawulwa umfanekiso eliqaqambileyo clinical. Unyango kufuneka uqhaqho, kodwa inokusebenza Iindlela angqingqwa.
2. Le stenosis isihlobo yomqolo empontshwa ibandakanya licuthe ukuya ku 10-12 mm. Olu hlobo esi sifo elibhaqiweyo ngengozi, basabela kakuhle kunyango.
3. Xa stenosis osecaleni spinal waphawula sithintelo channel 3 mm. Eli nqanaba kakhulu zesi sifo, okubonisa utyando mandatory.

stenosis loviwo Medical

unyango ezaneleyo ngexesha ngundoqo bachache ngokukhawuleza. Ke ukusuka kwangethuba unyango kwenkcazo ugqirha, amathuba angaphezulu ukufumana sifo. Kuba iingcebiso ngalo mba kufuneka atyelele neurosurgeon okanye luvo. stenosis spinal umqolo lumbosacral - oko ngumpheki zabo. Lokufunyaniswa kwesifo zisekelwe iimpawu lwezonyango, iinkcukacha zoviwo luvo (utshintsho ikhaliphe, yalityatya ngokwamathambo novakalelo) kunye neziphumo zeemvavanyo ezongezelelweyo. Ekubeni intlungu umnqonqo empontshwa ezinokubangelwa yezizathu ezininzi, kungekho x-reyi kwaye spondylography akwenze. Maxa wambi MRI eyongezelelweyo iyafuneka. Ngokusekelwe kwiziphumo zophando, ingcali zingaqinisekisa ubukho sifo, ezingunobangela zayo, kwakunye pick up unyango eyaneleyo.

Izikhokelo zonyango

Njengazo naziphi na ezinye izifo ezingapheliyo, ikakhulu ugqirha umisela unyango endala. Le khosi idla elingekho ngaphezulu kweentsuku ezingama-30. ukufikelela ngexesha ugqirha ngezibulala stenosis yomqolo empontshwa iinyanga 1-2 kwaye hayi ukuba babhenele ungenelelo yotyando. amatyala Advanced zifuna ulondolozo unyango kubo bonke ubomi babo. unyango Standard kuquka amayeza kunye nonyango ngokwasemzimbeni. injongo yayo - ukuphelisa unobangela sifo nokunciphisa iimpawu.

iipilisi Treatment kunye namafutha

Unyango ngamachiza iboniswe kwizigulane ngaphandle ukuphazamiseka ezicacileyo luvo, xa isikhalazo kuphela intlungu sacrum nasezinyaweni. Unyango lwe spinal kolunye stenosis yomqolo empontshwa kukuba ukwamkela amalungiselelo zilandelayo:

1. Nonsteroidal amachiza anti-ukudumba ( "ibuprofen" "Diclofenac", "Ksefokam"). Ke inciphisa ubuhlungu ukudumba kummandla nengcambu-luvo, ukuphelisa komtshiso oko.
2. Muscle relaxants ( "Mydocalm", "tizanidine"). La machiza zenzelwe ukuba ukuphungula uxinzelelo kwezihlunu.
3. B iivithamini ( "Milgamma", "Neurovitan").
4. arhente sentliziyo ( "Pentoxifylline," "Kurantil"). isenzo zazo eziphambili ijolise ekuphuculeni flow kwegazi.
5. Protivootechenye amachiza ( "Diakarb").

Ubuhlungu strong intlungu zibonisa isiphumo ogqwesileyo kwafa ebulewe okanye sacral, kwakunye iintlungu zasekuhlaleni. Amaxesha amaninzi la machiza weyele zidityaniswe.

umzimba therapeutic

Ukuba imeko jikelele yomguli lo iba mbi, koko wathunyelwa ugqirha-rehabilitators. Olu lweengcali sele nokuphuhlisa iinkqubo ukwenzela impilo yomzimba. Isigama spinal canal stenosis empontshwa ezikhethiweyo ngumfundi, kuthathelwa ingqalelo imeko yomguli kunye nobungozi besi sifo. Eyona njongo iphambili unyango ngokwasemzimbeni - ukufunda ukulawula iimpawu zesifo, ukwandisa amandla kunye nezimo we izixhobo inkxaso. Nazi iinketho ezimbalwa ubonisa kucetyiswa stenosis.

• Engqengqe ngomqolo yakho, ukugoba imilenze uze ubeke zamagxa magxa. Kufuneka uthathe uphefumle, ubale ukuya ezintlanu, koko uwukhuphe ukukhulisa ngamandla esifubeni. Loo iphakheji kufuneka uphindaphindwe amaxesha 8-10.
• Ukuzilolonga Kucetyiswa ukuba uqale kunye imithambo yokuphefumla. Engqengqe ngomqolo yakho, kufuneka sithathe ezo amadolo andihlangabeze amabele, hlalani kule ndawo okwemizuzu embalwa. Emva koko, imilenze nga kukhutshwa kakuhle. Phinda phinda-10 ubuncinane.
• Engqengqe ngomqolo yakho, iingalo inyibilike kumacala ahlukeneyo. Imilenze bazimisele emadolweni, ngoko ngokucotha babuye ngapha nangapha. Kulo mzekelo, ngasemva kufuneka sihlale simile.

Le mithambo olula kungaba lula imeko izigulane unesifo "stenosis lomsele empontshwa lialio." Ukuyifundisa kunceda ukuphucula kwegazi kwiindawo ezichaphazelekayo omzimba. Ngelo lokuqala umthambo unyango ezinzima kufuneka kwenziwe phantsi kweliso ofundisa gqirha. Emva kahle iindidi ezifanelekileyo ubuchule baqhubeke ekhaya.

Help Traditional Medicine

Xa yokugcina kukho emagqirheni ezininzi zemveli zilungele unyango lwe stenosis. Phakathi kwazo iipakethe athandwa yobusi. Kuthambisa kummandla empontshwa uju olumnandi, bayigubungele itawuli waza wabeka lwemostade ngaphezulu. Unako kwakhona wenze cutha of ukumnika iintyatyambo elderberry, chamomile kunye ayo. Ukuze benze oku, kwisiphumo ingumhluzi imifuno eziyimfuneko ukuze yokunyakamisa ngelaphu cotton, uze emva koko isicelo ukuya kummandla ochaphazelekayo aze azithandele isikhafu olufudumeleyo ebusuku.

Kubalulekile ukuqonda ukuba ngokusebenzisa amaxhwele asinyangeki stenosis yomqolo empontshwa. Utyando okanye unyango ngamachiza ukunceda ukumelana nesi sifo. Naziphi amaxhwele zokupheka zinika ukusebenza elifutshane. Maxa wambi, kuya kuqhubeka kufuneka ubone ugqirha.

Xa ahlinzwe kuyimfuneko?

unyango stenosis ne utyando kufuneka ziqwalaselwe zodwa. ungenelelo yentsebenziswano abonisa ukuba unyango endala akazange kuwucima okanye isifo na eliphambili. Eyona njongo yale nkqubo - ukukhululwa kwiingcambu luvo ucinezelo. Okwangoku kukho iinketho eziliqela ngenxa utyando, apho ukuphelisa stenosis yomqolo empontshwa. Lo msebenzi ukuthatha indawo zozibini uhlobo evulekileyo, kunye endoscopy. Phakathi ubuchule izenzo zezona nemveliso oku kulandelayo:

• laminectomy Decompressive. Olu tyando lubandakanya ukusika macandelo compress ingcambu luvo. Resection ezinokuchaphazela vertebra arc, lungu etyheli, inkqubo spinous. Ngowe-68% amatyala ungenelelo ngoncedo iziphumo ezidibanisayo.
• Gulwa nokusebenza. Ngokuqhelekileyo ke kucetyiswa ukongeza decompression laminectomy ukuze bafumane umsebenzi inkxaso yomqolo.

Isiphumo nayiphi kotyando, kunzima kakhulu ukuqikelela. Kwelinye icala, idla kuphela ukhetho ukuphilisa stenosis spinal ye empontshwa - umsebenzi. Ukuphonononga malunga neenkqubo kwiimeko ezininzi ezintle. imibono emibi zezigulane lidla ezinxulumene ne xesha kakhulu achache. Ngaye ichazwa ngokupheleleyo ngezantsi.

Rehabilitation emva kotyando

Emva kotyando, isigulana yonke imikhosi kufuneka lujoliswe kokubuyiselwa zempilo. Ngokwenza njalo, oko kunceda ugqirha-rehabilitator. Izakhi ebalulekileyo sokubuyisa ixesha ekuphulukenwe nalo ke uyakwazi ukulawula iintlungu. Ukulungiselela le njongo, ingcali nga kuqhuba iqela ngeendlela: unyango ubushushu, ukusetyenziswa ngumkhenkce, ultrasound, ukuvuselela yombane. Ukuphucula izalathisi elibonakalayo, isigulane kwakhona wabelwe ikhosi impilo yomzimba. Uqheliso akhethelwe ngamnye, kuthathelwa ingqalelo imeko yesigulane. Xa isigulane efunda ukulawula ngokuzimeleyo intlungu, sokubuyisa ixesha ekuphulukenwe nalo zingathathwa ngokuba epheleleyo.

iingxaki kunokwenzeka

Ukunciphisa sangqa emjelweni spinal kuyingozi yeziphumo zabo umnqonqo. Kulo mfanekiso lwezonyango litshintsha ngendlela emangalisayo, kukho iimpawu luvo. iimpawu zabo zixhomekeke ebukhulwini inkqubo zophendlo lwezifo (yalityatya paresis, amalungu dysaesthesia zangasese).

isiphelo

Ngoku uyazi ukuba kutheni kufuneka ushiye ngaphandle ingqalelo stenosis spinal. Types, Iimpawu kunye Unyango sifo sele kuchaziwe kweli nqaku. Le ngezifo iphawulwa ikhondo ezintsonkothileyo, ngoko musa ukuyenza ngaphandle koncedo kugqirha. Unyango sele kwakhiwa stenosis - yinkqubo ende kwaye kunzima. Ukwenzela ukuthintela ukwenzeka kwayo, kakhulu bangenele rhoqo uxilongo lwezonyango kunye babambelele yokuphila asebenzayo. Hlala uphilile!