Extrusion - matenda a zimbale intervertebral. Zosiyanasiyana extrusion. zochiritsira

Extrusion - ichi ndi chimodzi mwa magawo chitukuko cha chimbale herniated. Ndipo lero, anthu ambiri akukumana ndi matenda amenewa. N'chifukwa chake odwala ndipo chidwi zokhudza vutoli, zizindikiro ndi mankhwala atsopano a chikhalidwe ichi.

extrusion ndi chiyani?

odwala ndithu ochepa akukumana ndi matenda oterowo lero. Ndipo anthu ambiri amaganiza kuti extrusion - ndi chophukacho. Ndipotu, mawu zimenezi si zoona kwathunthu. Pambuyo extrusion - kani, ndi sitepe yoyamba ya n'kupanga herniated chimbale. Zimene zimawonedwa ku matenda?

Ine ndikutsimikiza ambiri akatswiri makampani bwino mawu amenewa. Ndithudi, njira extrusion kupanga - ndondomeko ya kulandira zipangizo kwa polima ndi, umene Sungunulani ndi extruded kupyolera kutsegula wapadera. Pankhaniyi, mungathere ena analogies.

Mu terminology mankhwala otchedwa extrusion chikhalidwe kumene chimbale annulus wasweka, ndi mpweya anati kunja kwa phata pulposus. Posachedwapa, pa nthawi yomweyo Iye akupita millimeters 3-4 (izo chagona ngati dontho la madzi) ndi mtima mizu mitsempha.

Masitepe a Ndimapanga herniated

Kuti timvetse kodi extrusion, ndi cholinga chake mu mapangidwe chimbale herniated, m'pofunika kuganizira ndondomeko lonse.

Hernial protrusion aumbike mwa magawo atatu. Kuyamba ndi kuyamba pali otchedwa prolapse, mmene intervertebral litayamba zinthu imagwera kunja kwa gawo zinchito popanda akugwera pa annulus izi. Chifukwa cha kusowa madzi ndi zakudya sayenda phata pulposus yafupika kwambiri.

M'tsogolo, pali gawo lachiwiri, limene mankhwala amakono amatchedwa protrusion a. Mu nkhani iyi, chimbale intervertebral ali ankatembenukira ndi millimeters 3-4 (nthawi zina 15 mm) kupitirira vertebrae lapansi.

Extrusion - sitepe lachitatu la kupanga protrusions. Apa pali kusiyana annulus fibrosus ndi phata nkhani popitirira linkawonongeka lapansi. Nthawi zambiri, psinjika amphamvu a mizu mitsempha si anati, kuyambira pakati ndi adamuwumiriza ndi kotenga msana mitsempha. Ngati tikulankhula za extrusion mu lumbar ndi sacral, ndiye matenda ikhoza kukhala yoopsa kwambiri, monga zimayambitsa psinjika za mitsempha sciatic.

Extrusion ndi mitundu yake

Mu mankhwala amakono, pali machitidwe angapo gulu la matenda osiyana peresenti. Mwachitsanzo, extrusion kawirikawiri ogaŵikana mitundu zochokera phata pulposus kugwa kwina kulikonse.

Mwachitsanzo, ngati nkhani pachimake chimafikira kupitirira mbali ya ndime vertebral, mawonekedwe a matenda amatchedwa lateral. Pali dorsal extruded chimbale, omwe limodzi ndi protrusion kwa zimakhala zofewa za mmbuyo. Nthawi zambiri, odwala anakumana ndi diagnoses ena. Mwachitsanzo, anthu ena chidwi nkhani zimene chapakati kapena paracentral chimbale extrusion. Mu mawonekedwe a matenda si nkhani pachimake mutuluka kunja ndi mkati mwa msana, amene ndi oopsa kwambiri, chifukwa pali mwayi msana psinjika chingwe. Palinso posterolateral mawonekedwe a matenda, imene pali oumbidwa kumbuyo ndi mbali.

Nthawi zina dokotala diagnoses "subligamentarnaya extruded chimbale". Ndi chiyani icho? Pankhaniyi, dzina salankhulanso za malangizo a protrusion chuma, ndi pa siteji ya matenda. Ngati minofu cartilaginous wa phata ndi ankatembenukira mu magawo oyambirira, koma amasunga zapambuyo kotenga mitsempha yake, mu nkhani iyi kuwonongeka ananena kuti Mitsemphayi ndi mapangidwe subglottic extrusion.

zifukwa zazikulu chitukuko cha extrusion

Ndipotu, pali zifukwa zambiri chitukuko cha matenda. Choyamba tisaiwale kuti extrusion - matenda a ukalamba. Pambuyo pang'onopang'ono kutaya madzi pa minofu kukalamba, pali kusokonezeka kwa kotunga magazi ndi T. D. Choncho, zimbale intervertebral komanso sakhala zotanuka.

Komabe, pali zifukwa zina. Mwachitsanzo, extrusion zambiri akufotokozera pa maziko a matenda osiyanasiyana osachiritsika a msana. Mwachitsanzo, spondylosis, osteochondrosis, kapena kupindika msana nthawi zambiri chifukwa extrusion kenako chophukacho.

Kumene, mndandanda zifukwa monga kuvulala minofu ndi Mitsemphayi. Komanso, matenda amenewa nthawi zambiri zimakhala zolimbitsa thupi yaitali ndi muyeso, makamaka pankhani kuwononga kwa zimbale intervertebral mu lumbar zigawo sacral, amene nthawi zambiri amenable kuti choipa ndi kutenga yambiri katundu mothamanga.

ndi zizindikiro za poyera matenda chiyani?

Ndipotu chimbale extruded si nthawi zonse limodzi ndi zizindikiro zina zolaula ndi zooneka. Nthawi zambiri, matenda ndi chobisika. Ululu ndi zizindikiro zina amaoneka okha kukachitika kuti pomizika ndi mphete fibrous wa pakati kukanikiza ndi mtima mizu mitsempha. Ndi chithunzi matenda Pankhaniyi zikudalira msana anagwidwa.

Pa nkhani mu khomo lachiberekero ululu msana amapezeka mapewa. Kawirikawiri iye amapereka kwa elbows, mkono wonse wakumanja ndi zala. Extruded chimbale thoracic kungabweretse kuswa ena ntchito ya ziwalo, komanso kupweteka pachifuwa.

Chitsanzo kwambiri khalidwe zimawonedwa mu zotupa za lumbar lapansi. Childs, odwala amadandaula kuwawa m'chiuno kapena mwendo, ndi dzanzi kapena kumva kulasalasa mu miyendo, zala. Extrusion sacral msana akhozanso kukopeka ndi kupweteka kwa coccyx, mafupa a chiuno ndi kumaliseche.

njira zamakono za matenda

Kumene, kuyamba zofunika mankhwala bwino. Zikuonetsa kukayezetsa zina mbiri mtima, ulaliki matenda (kukhalapo ndi kutanthauzira ululu, mwamphamvu), ena a ubongo matenda (mwachitsanzo, pakalibe bondo kapena m'miyendo bongo, zosayembekezereka ya ululu mosamala ndime vertebral).

Monga ulamuliro, atasankhidwa ndi kumveka maginito kapena yopangidwa tomography, zomwe zimathandiza kuti atsimikizire pamaso pa protrusions molondola kudziwa kukula ndi malo malo. Nthawi zina, kuphunzira kusiyana ikuchitika, mmene mankhwala enieni umayamba mu ngalande msana. kuyezetsa n'zo- n'zotheka kudziwa kapangidwe ka imfa (ichi extrusion, protrusion kapena herniation).

Kodi n'zotheka chithandizo ndiwofatsa?

Inde, chimbale extruded nthawi zambiri angathe kuchiritsidwa mothandizidwa ndi njira ndiwofatsa la mankhwala makamaka ngati protrusion si upambana 5-7 mm. Pankhaniyi, dokotala zikuoneka amalangiza zakudya lolondola ndiponso kuchepetsa zofuna kukhetsa thukuta. Kwa odwala matenda kunenepa, ndikofunika matenda kulemera, monga adzachotsa kuthamanga pa msana ndi mafupa ena.

Ndi kuvomerezedwa ndi physiotherapy. Wodwala ayenera nthawi zonse kuthana ndi Zochita wapadera umene mulimbitse dongosolo akulu, omwe, kachiwiri, kuchepetsa mavuto mu msana.

Monga mankhwala osokoneza bongo, zina popanda munthu sangathe kuchita popanda. Ngati wamphamvu ululu syndrome mankhwala njira yoyenera. Pamaso kutupa, odwala zambiri kutenga mankhwala si steroidal. Koma ndi kutupa amphamvu ndi mphamvu ya ululu, madokotala angakulangizeni steroids amene analowa mwachindunji mu malo epidural wa chingwe msana.

opaleshoni mankhwala

Pankhaniyi extrusion ndi wamkulu kuposa 12 mm, chithandizo outpatient Kwalamulidwa kawirikawiri monga mankhwala ndiwofatsa likhoza kuvutika zinthu. Zikatero, monga ulamuliro, amagwiritsa mwayi wa opaleshoni ano.

Nthawi zina odwala Kwalamulidwa discectomy - asang'ambe ntchito imene mwai onse akutsatiridwa ndi thandizo la zida endoscopic. Komanso, n'zotheka laser kudzudzulidwa wa zimbale intervertebral.

zosokonezeka zotheka pa extrusion

Extrusion - ziri ndithu matenda oopsa. Choncho, choncho palibe sayenera kukana chithandizocho kapena kunyalanyaza umboni wa madokotala. Ndipotu, monga matenda m'kati phata pulposus adzakhala exude mizu kwambiri akamalimbikira, potero kuwonjezeka ululu ndi akuchuluka khalidwe la moyo.

Komano, kusowa chithandizo yake ndi zinadzala ndi kukula ndi chimbale herniated. Ndipo ngati mu extrusion nkotheka mankhwala ndiwofatsa, ndi chophukacho pafupifupi nkhani iliyonse amafuna opaleshoni.