Stenosis wa lumbar msana: Zoyambitsa ndi Chithandizo

Msana mu thupi la munthu lili ntchito zingapo. Iye ndi mbali yofunika ya dongosolo minofu ndi mafupa ndi kuteteza chingwe msana ndi kumatanthauza kayendedwe thupi. kusintha kulikonse mu dongosolo lake bwanji khalidwe la moyo. Ena mwa matenda amene amayamba ndi mapindikidwe a dongosolo thandizo, mwapadera woyeneradi msana stenosis lumbar. Kwenikweni, chitukuko cha matenda ndi chifukwa ukalamba achilengedwe a chamoyo. Koma pangakhale zifukwa zina. Kodi? Izi m'nkhani ino. Mudzaphunziranso zimene zizindikiro ndi limodzi mwa kudwala, ndipo bwanji atha kunyalanyaza mankhwala ake.

Khama la matenda

ngalande msana amagwira ntchito yofunika kwambiri mu thupi - amateteza chingwe msana. Pamodzi ndi mutu ndi dongosolo chapakati mantha, amene nthawi kugwira ntchito kwa chamoyo wonse. Choncho, kupulumutsa dongosolo anatomical wa ngalande msana ndi chinsinsi kumaliza ntchito ya chingwe msana. kuphwanya kulikonse m'dziko lino umatha ndi zotsatira sizingasinthe.

Stenosis wa lumbar msana - njira pathological, amene amakhala ndi kuchepetsa wa awiri ake. lumen kuchepetsa kumabweretsa psinjika a mizu msana. Kutchula koyamba matendawa amagwirizana ndi Antoine Portapom. Mu 1803, dokotala anafotokoza matenda, zimayambitsa sakudziwika. Mu ndime "Zizindikiro" iye anati mwendo ziwalo ndi minofu ya manja.

Stenosis - ndi kudwala zofala, amene makamaka akupezeka okalamba. Ngati inu mukuyang'ana pa zochitika za pa, matenda izi udakhazikika mwa 21% odwala patapita zaka 60. % 30 okha a iwo zizindikiro matenda a matenda.

Zimayambitsa stenosis

Kudziwa zimene zimayambitsa chachikulu cha matenda, m'pofunika kumvetsa thunthu la dongosolo thandizo, ndipo makamaka, tinsalu ake.

The matupi vertebral ndi njira aumbike mwa arches. Iwo cholukanalukana ndi Mitsemphayi. msana akudutsa mkati njira. Danga lonse la M'mimbamo ladzala ndi minofu madzimadzi ndi mafuta. wosanjikiza Zimenezi zimathandiza kuti apange ngati zazing'ono njira kuchepetsa, amene mulole ntchito adalinso. Ngati awiri a lumen wa yafupika kwambiri, pali psinjika a zikumera mitsempha kapena ubongo wokha. Chifukwa cha ndondomeko matenda, pali zizindikiro zosiyanasiyana za chikhalidwe ubongo.

Mu udindo wa zimayambitsa matenda kungachititse kuti chotupa chimbale protrusion, intervertebral chophukacho choipa, arthrosis. Izi mawonekedwe a matenda otchedwa «yachiwiri stenosis wa lumbar msana," monga luminal kuchepetsa chifukwa cha pathologies ena. Development wa chachikulu (idiopathic) zosinthika amayamba ndi matenda obadwa nawo. zizindikiro akali ali mwana. anomalies kobadwa nako zimachitika chifukwa chitukuko zosayenera yoopsa.

Chimodzi mwa zotsatira zowawa za matendawa ndi kuphwanya mayendedwe a zakudya chingwe msana. Chifukwa, mu msana ukuwonjezeka ngalande kuthamanga, imbaenda psinjika ziwiya. Chifukwa, iwo sangathenso kusamutsa buku chofunika magazi pa liwilo. Pakati pa kusintha onse thupi la munthu amayamba kubva kumbuyo ndi miyendo.

Kodi kuzindikira matenda?

Stenosis wa lumbar msana ndi matenda zofala. Thupi nkhani ku zachilengedwe ukalamba, omwe kawirikawiri kuwonetseredwa mwa kusintha osachiritsika. Stenosis akuyamba ndi kusapeza m'dera lumbar. nthawi exacerbation m'malo mwa mwamtendere. Kuchuluka ululu hule ena chinthu Link (womangika kayendedwe, masewera olimbitsa thupi). kusapeza mwamphamvu kumawonjezera pang'onopang'ono. Zimenezi n'zotheka chifukwa njira mapindikidwe sizichitika usiku, zimatenga nthawi. Taonani psinjika pa siteji koyamba chitukuko kuli kovuta. Mantha minofu yodziwika ndi elasticity mkulu. Atamukakamiza, iye anatambasula mkati pamodzi ndi minofu fupa. Kupweteka kusapeza kumachitika pamene zimakhala ndi pa malire a extensibility.

Stenosis a mizu msana zagonjetsedwa kwa kuthamanga zoopsa zonse. Nthawi zonse mu mkhalidwe edema. Low ululu kumbuyo nthawi limodzi ndi wotentha kwambiri, chifukwa ngakhale kusokonezedwa kotunga magazi kwa mitsempha minofu. Iye nthawi zonse akukumana ndi kuchepa kwa mpweya.

Nthawi zina, pakati katundu kapena zovuta kayendedwe, ndi psinjika zakuthwa mitsempha, chifukwa mu izo kumathera. Tikhoza kuona kusintha gait wodwalayo ndi chifooke ntchito galimoto. Munthu amakhala ovuta kapena kukhala. Only pa nthawi imeneyi, iye akutembenukira kwa dokotala ndi kumva matenda a "stenosis wa lumbar ngalande msana." Zizindikiro akhoza patsogolo ndi zotsatira zoipa sizingasinthe, ngati nthawi sayamba chithandizo.

gulu la stenosis

Chifukwa cha matenda osachiritsika a minofu fupa pa mlingo wa kuchepetsa a msana ngalande awiri. Polingalira za kusintha kumeneku mitundu zotsatirazi matendawa:

1. Mtheradi kuchepetsa stenosis adzatenge lumen njira 5-10 mm. kudwala The amakhala ndi chithunzi chowala matenda. Chithandizo amafuna opaleshoni, koma ingagwiritsidwe ntchito njira ndiwofatsa.
2. The stenosis wachibale wa msana lumbar kumaphatikizapo kuchepetsa wa ku 10-12 mm. Izi mawonekedwe a matenda wapezeka mwangozi, amalabadira chithandizo.
3. Pamene lateral msana stenosis anati njira chiletso kuti mamilimita 3. Ili ndi gawo kwambiri matendawa, kutanthauza opaleshoni kuvomerezedwa.

Medical Kupenda stenosis

Chokwanira pa nthawi yake mankhwala ndi chinsinsi kusintha mwamsanga. The kale dokotala mankhwala mankhwala, mwayi kwambiri kupambana matenda. Malangizo pa nkhani imeneyi muyenera kukaona neurosurgeon kapena matenda okhudza ubongo. Msana stenosis lumbosacral msana - ndi zapaderazi awo. Matenda a matenda zochokera zizindikiro matenda, deta ubongo Kupenda (kusintha kwa bongo, nthambi tilinazo) ndi zotsatira za mayeso zina. Popeza ululu mu lumbar msana bwino zimayamba ndi zifukwa zambiri, popanda x-ray ndi spondylography kuchita. Nthawi zina Kujambula zina zomwe zingafunike. Kuchokera pa zotsatira kafukufuku, katswiri akhoza kukhazikitsa pamaso pa matenda, zimayambitsa, komanso kukatenga mankhwala okwanira.

Malangizo chithandizo

Mofanana ndi matenda ena aliwonse aakulu, makamaka dokotala n'kukulemberani mankhwala ndiwofatsa. Maphunzirowa amatenga palibe masiku oposa 30. kupeza nthawi yake kwa dokotala angathe mankhwala ndi stenosis wa lumbar msana kwa miyezi 1-2 osati amachita alowererepo pa opaleshoni. MwaukadauloZida milandu amafuna yokonza mankhwala pamoyo wawo. Standard chithandizo zikuphatikizapo mankhwala ndi mankhwala thupi. cholinga Aika - kuthetsa chifukwa cha matenda ndi kuchepetsa zizindikiro.

Chithandizo mankhwala ndi zodzola

mankhwala akusonyeza odwala popanda matenda zoonekeratu ubongo, pamene amadandaula yekha ndi kupweteka kwa sacrum ndi mapazi. Mankhwala a msana ngalande stenosis wa lumbar msana ndi kulandira kukonzekera zotsatirazi:

1. Nonsteroidal odana ndi yotupa mankhwala ( "Ibuprofen" "Diclofenac", "Ksefokam"). Kumachepetsa ululu ndi kutupa m'dera la muzu mitsempha, kuthetsa kutupa.
2. Minofu relaxants ( "Mydocalm", "tizanidine"). Mankhwalawa amapangidwa kuti uthandize minofu kukungika.
3. mavitamini B ( "Milgamma", "Neurovitan").
4. wothandizila mtima ( "Pentoxifylline," "Kurantil"). kanthu yaikulu umalimbana patsogolo magazi.
5. Protivootechenye mankhwala ( "Diakarb").

Ndi ululu amphamvu kusapeza kusonyeza zotsatira zabwino kwambiri epidural kapena sacral anatseka misewu, komanso mankhwala opha m'deralo. Nthawi zambiri mankhwala atengedwa limodzi.

zolimbitsa thupi achire

Ngati matenda ambiri wodwala si akukulirabe, iye anatumizidwa kwa dokotala-rehabilitators. katswiri wakhala osauka ma mankhwala thupi. Mawu msana ngalande stenosis lumbar anasankha payekha, kutenga nkhani ya mmene wodwalayo kwakukulu ndi matenda. Cholinga chachikulu cha mankhwala thupi - kukhala odziletsa kuti zizindikiro za matenda, kuwonjezera mphamvu ndi kusinthasintha kwa zida thandizo. Nawa options ochepa ZOCHITA analimbikitsa stenosis.

• Kugonera nsana wanu, weramitsani miyendo ndipo ikani phewa-m'lifupi padera. Muyenera kupuma kwambiri, kuwerenga ndi zisanu, ndiye kutulutsa kwambiri kuukitsa pachifuwa. Chotero phukusi ayenera mobwerezabwereza nthawi 8-10.
• Chitani bwino kuyamba ndi Zochita kupuma. Kugonera nsana wanu, muyenera kukatenga ndi Finyani chifuwa mawondo, khalani mu udindo uwu kwa mphindi zochepa. Pambuyo pake, miyendo akhoza bwino anamasulidwa. Bwerezani nthawi osachepera 10.
• Kugonera nsana wanu, mikono kupasuka mu madera osiyana. Miyendo ndichotse pa maondo, pang'onopang'ono kutembenukira uku. Pankhaniyi, kumbuyo akhale n'kupuma.

Izi Zochita yosavuta chingathandize chikhalidwe cha odwala ndi matenda a "stenosis wa lumbar ngalande msana." Physiotherapy kumathandizanso kusintha magazi m'madera bwanji za thupi. Pa siteji koyamba kuipidwa zolimbitsa mankhwala ayenera kuchitidwa kuyang'aniridwa ndi dokotala mlangizi. Pambuyo lophunzira yake makalasi njira mukhoza kupitiriza kunyumba.

Thandizo Traditional Medicine

Mu nkhokwe pali ambiri chikhalidwe ochiritsa zochizira stenosis. Ena mwa iwo ndi mapaketi makamaka wotchuka uchi. Mafuta lumbar dera lokoma chakudya chokoma, kuphimba ndi chopukutira ndi kuika mpiru pamwamba. Mukhozanso kupanga compress wa kulowetsedwa wa maluwa elderberry, chamomile ndi thyme. Kuti tichite zimenezi, mu msuzi chifukwa zitsamba kofunika moisten nsalu thonje, kenako ntchito kwa zinkakhala m'dera ndi kukulunga mpango ofunda usiku.

Nkofunika kudziwa kuti kudzera mwa asing'anga sangakhoze anachiritsidwa stenosis wa lumbar msana. Opaleshoni kapena mankhwala kuthandiza kupirira matenda. Aliyense maphikidwe ochiritsa kupereka zotsatira yochepa. Pasanapite nthawi yaitali, mudzakhala ayenera kuonana ndi dokotala.

Pamene opaleshoni m'pofunika?

stenosis chithandizo ndi opaleshoni ayenera kuonedwa payokha. Kugwira Ntchito alowererepo akusonyeza ngati mankhwala ndiwofatsa sanapereke mukufuna kapena matenda mu gawo patsogolo. Cholinga cha ndondomeko - kumasulidwa ku mizu mitsempha psinjika. Pakali pano pali zingapo zimene mungachite kuti opaleshoni, amene angathe kuchotsa stenosis wa lumbar msana. ntchito akhoza kutenga malo onse pa mtundu lotseguka, ndi endoscopy. Mwa njira ankachita ndi asonyeza zotsatirazi:

• Decompressive laminectomy. ntchito amatenda kudula zigawo kuti compress muzu mitsempha. Resection zingakhudze Arc linkawonongeka, chikasu mitsempha, ndondomeko spinous. Mu 68% ya milandu kuti zikutsutsana ndi zabwino.
• Olimba ntchito. Kawirikawiri analimbikitsa kuwonjezera decompression laminectomy kupeza thandizo ntchito ya msana.

Zotsatira za opaleshoni iliyonse, zovuta zisanachitike. Komano, nthawi zambiri osasunga kuchiza msana stenosis wa lumbar wa - opareshoni. Reviews za ndondomeko nthawi zambiri zabwino. maganizo olakwika odwala ali amaonera nthawi aakulu kuchira. Za iye kotheratu pansipa.

Konzanso pambuyo opaleshoni

Pambuyo pa opaleshoni, mtima magulu onse ayenera umalimbana kubwezeretsa thanzi. Pochita zimenezi, akhoza kuthandiza dokotala-rehabilitator. Mbali yofunika kwambiri ya nthawi ayambe amatha kulamulira ululu. Chifukwa chaichi, katswiri angathandize zingapo: mankhwala kutentha, kugwiritsa ntchito ayezi, ultrasound, kukondoweza magetsi. Kuonjezera zizindikiro thupi, wodwalayo waperekedwanso thupi mankhwala Inde. Zochita amasankhidwa payekha, kutenga nkhani alili. Pamene wodwala amaphunzira paokha kulamulira ululu, nthawi ayambe angathe kuonedwa monga wathunthu.

zosokonezeka zotheka

Kuchepetsa awiri a ngalande msana ndi ngozi zotsatira zawo pa chingwe msana. Pa cithunzithunzi ici matenda amasintha kwambiri, pali zizindikiro ubongo. Zizindikiro zawo zimadalira kuopsa kwa ndondomeko pathological (nthambi paresis, dysaesthesia ziwalo m'chiuno).

Pomaliza

Tsopano inu mukudziwa chiyani simuyenera kusiya popanda chidwi stenosis msana. Mitundu, Zizindikiro ndi Chithandizo cha matendawa, imene yatchedwa m'nkhani ino. kudwala Izi amakhala ndi njira zovuta, ndiye osayesera popanda thandizo kwa dokotala wodziwa. Chithandizo kale anapanga stenosis - ndi yaitali ndi zovuta ndondomeko. Pofuna kupewa pakuwonekera kwake, mokhazikika kukumana mayeso zachipatala ndipo chitani khalidwe yogwira. Khalani wathanzi!