Mgbaàmà na ọgwụgwọ nke hernia nke spine cervical

Hernia nke spine cervical bụ ọrịa ọrụ nke ndị na-eme egwuregwu na ndị ọrụ ọrụ ha metụtara ibuli ibu na ịma jijiji. Site na ọrịa a, enwere mgbaaka nke eriri fibrous nke disks intervertebral dị na spine cervical, n'ihi nke a na-efunahụ ohere nke amortization.

Atụmatụ:

Olu bụ akụkụ nke elu nke ogidi azụ, nke a na-ahụkarị na-agagharị agagharị, na-ekwe ka nnwere onwe dị iche iche dịgasị iche iche Ọ nwere vertebrae 7 na usoro ntụgharị, n'akụkụ nke ọ bụla bụ arịa ọbara na akwara azụ. Abụọ vertebrae nke elu nke olu dị iche na ndị ọzọ na usoro anatomical. Ha na-ejikọta spain na okpokoro isi. N'etiti etiti vertebrae dị n'akụkụ, enwere disks intervertebral, nke nwere annulus fibrosus na nucleus pulposus pulposus.

A na-amalite hernia n'etiti 5 na 6 diski, yana 6 na 7 cervical vertebrae. Ọtụtụ mgbe, ọrịa ahụ na-emetụta oghere dị n’agbata afọ anọ na nke ise nke olu. Ihe fọrọ nke nta ka ọ bụrụ mgbe ọ bụla, ọrịa na-adị n'etiti 7 cervical na 1 thoracic vertebrae.

Ihe omume nke prolapse na-eme ka mgbawa mgbanaka na nkwanye diski. A na-egosipụta mkpakọ nke mgbọrọgwụ azụ site na ọrịa mgbu na-egbu mgbu. N'ihi ebe dị nso nke akwara akwara nke akụkụ spain, hernia nwere ike ibute ọrịa na akwara na-emetụta ọrịa.

Ogo nke olu vertebrae dị obere karịa nke thoracic na dorsal. Otú ọ dị, akụkụ anatomical nke mpaghara a bụ na ọbụlagodi ntakịrị ihe nwere ike ịkpasu ọdịdị nke hernia.

Dị na nkebi

The discs nwere ike ịbụ na a na ọnọdụ nke pre-hainia ma ọ bụ ezi prolapse. E nwere ọtụtụ ọkwa nke ọrịa ahụ, nke ọ bụla nwere njirimara njirimara:

• nke mbụ - diski intervertebral na-emebi emebi, ogo nke ọgbụgba ahụ agaghị agafe 0,2 cm;
• nke abụọ - enwere mmebi nke annulus fibrosus, ogo nke mbido gafere 0.2 cm ma nwee ike iru 0.4 cm;
• nke ato - enwere mgbapu nke mgbanaka ya na mwepu siri ike nke diski ya ruo 0,6 cm;
• nke anọ bụ oke egwu nke mmebi nke na-eyi egwu mmepe nke usoro. Akụkụ nke prolapse na ọkwa a ruru 0.8 cm.

Nchọpụta bụ ụdị mgbagwoju anya nke hernia, nke nwere njedebe ikpeazụ nke mkpụmkpụ nke cartilage na-adịghị mma site na diski ahụ ma na-abanye ya na oghere nke spain.

Ihe ize ndụ nke ọnọdụ a dị na enwere ike mmepe ngwa ngwa nke mbibi dị njọ na njedebe akwara nke ọdịdị a na-apụghị ịgbanwe agbanwe na ọnwụ ha. Enwere nnukwu ihe egwu nke mkpọnwụ nke akpati n'okpuru mpaghara emetụtara, ele ma ọ bụ aka zuru oke nke aka, nkwụsị nke usoro ịmụ nwa na akụkụ urogenital.

Ihe kpatara ya

Onye ahụike anaghị enweta ahụ erughị ala na ihe mgbu mgbe ọ na-ehulata ma na-agbanye olu. Usoro mmezi na-ebelata usoro nri na diski amortization.

Ihe kpatara mmepe nke ọrịa a bụ:

• ọkpụkpụ azụ;
• hypodynamia;
• ezighi ezi;
• osteochondrosis.

Ndị nwere mkpụrụ ndụ ihe nketa nke hernia na-agbaso mmepe mmepe nke mgbanwe mgbanwe nchịkwa. Tụkwasị na nke ahụ, mmụba nke usoro mmebi ahụ na-emetụta mgbanwe mgbanwe afọ, ọnụnọ nke nkwarụ ndị ọzọ na-adịghị mma na ọnọdụ ọrụ na-adịghị mma.

Mgbaàmà

Ọrịa na-egbu mgbu na nkwonkwo ubu, na-enwu n'isi na n'olu, ọnọdụ nke ụfụ na obere njegharị nke akụkụ ahụ bụ isi ihe ịrịba ama nke na-enye ohere ịchọpụta hernia nke spine cervical. Ihulata olu na-eme ka mgbu ahụ dịkwuo elu. Ọnụnọ nke ọrịa a nwere ike ịkpasu ụbụrụ hypoxia.

Maka hernia, ihe mgbaàmà ndị a bụ njirimara:

• omume nke dizziness;
• imebi nke ije na nhazi nke mmeghari;
• tụlee na ọbara mgbali;
• mkpụmkpụ nke mkpụmkpụ;
• gbaa ọchịchịrị na mberede.

Ọrịa ọrịa nwere foto na-agbanwe agbanwe na-adakarị, dabere na mpaghara ọnya ahụ.

Ihe nyocha

Ọnụnọ nke mgbaàmà ndị a dị n'elu bụ ihe mere ị ga-eji gaa na nyocha akwara ozi. Onye ọkachamara ga-eduzi ọmụmụ banyere ntụgharị uche na mmetụta uche na aka na ubu elu, chọpụta mpaghara nke usoro ọgwụgwọ ma nye iwu nyocha zuru oke.

E nwere ọtụtụ ụzọ ịchọpụta ọnụnọ nke hernia:

• redio;
• CT;
• MRI;
• myelogram.

MRI nyocha nke eriri afọ cervical. Maxim Pavlov - stock.adobe.com

Ọgwụgwọ

Mgbe nyochachara nlezianya nke onye ọrịa ahụ, neuropathologist na-ahọrọ usoro ọgwụgwọ kwesịrị ekwesị maka ya. Ọ ghaghị ikpebi ma ọ ga-ekwe omume iji usoro ndị na-abụghị nke ịwa ahụ nke ịgwọ ọrịa diski a na-agwọ ọrịa ma ọ bụ nyocha nke neurosurgeon dị mkpa.

Na enweghị mmebi iwu doro anya nke mgbasa ụbụrụ, ọ dịghị mkpa maka ịwa ahụ.

Ọ bụrụ na ọgwụgwọ ọgwụ adịghị enye mmetụta n'ime ọnwa isii ma ọ bụ ọnọdụ onye ọrịa na-akawanye njọ, kansụl nke ndị na-agwọ ọrịa na-ekpebi ọrụ ahụ.

Usoro ọgwụgwọ na-adabere na ụkpụrụ:

• ime ka ihe oriri na-edozi ahụ nke annulus fibrosus nke diski mebiri emebi ka mma;
• ezumike nke akwara olu;
• na-ewusi olu nke akwara cervical iji dozie olu;
• ikpochapụ ihe mgbu nke na-anaghị ekwe ka vertebrae nọrọ n'ọnọdụ nkịtị.

A ga-atụle ụdị ọgwụgwọ dị ugbu a maka ọrịa a n'okpuru.

.Kpụrụ

N'ime izu mbụ, onye ọrịa kwesịrị iji akwa olu Shants ma ọ bụ usoro ọgwụgwọ ndị ọzọ, ma ọ bụ nọrọ n'ihe ndina ya. Nke a na - eme ka diski ahụ na - arịa ọrịa gbakee ma na - ewere ihe dị n’ime oghere ahụ.

Oluchi Shants. Uld mulderphoto - stock.adobe.com

A na-ekwe ka iwepu ngwaọrụ ahụ mgbe ihe mgbu na ogwe aka na ubu kwụsịrị. Na mbido, a na-ewepụ onye njigide ahụ n'oge ụra, mgbe ahụ - maka ịme usoro ịdị ọcha. Mgbe ọnọdụ onye ọrịa na-akawanye mma na enweghị ụfụ, a na-ewepụ olu akwa ahụ ụbọchị niile. I nweghi ike ịgbanye isi gị ma ọ bụ gbatịa olu gị.

A na-atụ aro ka ị saa ahụ maka oge ọgwụgwọ niile, ebe ọ bụ na n'ime ime ụlọ ịwụ ahụ onye ahụ nọ n'ọnọdụ na-abụghị usoro ọmụmụ maka olu.

Ọgwụ ọjọọ

Ọgwụ hernia ọgwụ na-agụnye iji ọgwụ ndị dị otú a:

• Ihe mgbochi. Ezubere iji kpochapụ ihe mgbu. Nke mbụ, a na-ede ha n'ụdị injections, na nke abụọ nke ọgwụgwọ, a pụrụ ị takenụ ha n'ụdị mbadamba.
• Akwara ezumike. A na-eji ha eme ihe iji belata spasm ma belata ahụ ike ọkpụkpụ. Na mbido, intramuscular injections na-kenyere, na mgbe mbadamba.
• Chondroprotectors. A malitere ịmaliteghachi nke annulus fibrosus. Etinyere ya opekata mpe ọnwa isii. N'ịdị ike adịghị ike, mmetụ ọkụ ma ọ bụ nro na aka, ọ ga-ekwe omume igbochi akụkụ ahụ metụtara akụkụ nke akụkụ vertebral site na iji njikọ nke novocaine na glucocorticoids. Ugboro ojiji nke ọgwụ ndị a ekwesịghị ịgafe 4 ugboro n'ime ọnwa abụọ.

Usoro ọgwụgwọ

A na-eji ọgwụgwọ anụ ahụ eme ihe mgbe ewepụsịrị nnukwu ọrịa nke ọrịa ahụ na iwepụ ihe mgbu. Ejiri usoro ndị a:

• ọgwụgwọ diadynamic;
• ngwa paraffin;
• electrophoresis nwere novocaine;
• magnetotherapy;
• ngwa ozokerite na ebe ọnya.

Ọhịa

Usoro a ga-eji nlezianya zuru oke rụọ site n'aka onye ruru eru tozuru oke. Ọrụ nke masseur bụ iji belata spasm ma mee ka akwara gbanwee. Ihe kachasị mkpa abụghị ịkpasu azụ akwara vertebral ma ọ bụ eriri afọ.

Ve WavebreakmediaMicro - stock.adobe.com

Ọgwụgwọ akwụkwọ ntuziaka

Tupu ịmalite usoro ahụ, chiropractor kwesịrị ịmara nke onye ọrịa MRI ma ọ bụ CT. Nsonaazụ nchọta enyere enyere onye ọkachamara aka ịnyagharịa ebe mbọ ya kwesịrị ịghachite iji weghachite ọkpụkpụ azụ.

Ahụ ike

A na-ahọrọ ụdị mmega ahụ maka prolapse olu na-adabere n'oge oge ọrịa ahụ. Ndị dọkịta Bubnovsky na Dikul mepụtara usoro mgbatị ahụ dị mma. N'oge oke nsogbu, naanị usoro iku ume diaphragmatic ka a na-ekwe ka ọnọdụ ahụ dị elu.

Na ngwụcha izu mbụ, ekwesiri itinye ike na akwara nke akwara aka dị elu:

• okirikiri okirikiri na brushes;

• ntụgharị okirikiri na nkwonkwo ikpere ụkwụ, ngbanwe na ndọtị ha.

• ịpị aka na ịmịpụ aka.

Mgbe izu abụọ ọzọ gasịrị, a na-atụ aro ka ị jiri omume olu nke na-enyere aka iwusi akwara ike:

• Dina n'azụ gị, tinye nrụgide n'ụzọ ọzọ na azụ isi gị n'ihe ndina gị na ọkpọiso gị na nkwụnye aka.
• Gha ụgha n'afọ gị, buru ụzọ tinye ọkpọiso gị n'ihe ndina ya, wee were isi isi gị n'ọbụ aka dọkịta ahụ.
• Site na ọnọdụ ịnọdụ ala, nrụgide ọzọ na ogwe aka ya na ọkpọiso na azụ isi. Enwere ike ime otu ihe site na nguzo nguzo.

• Mgbe ị na-eguzo, a na-ebuli ubu ma na-agbada. Nwere ike ime otu ihe ahụ mgbe ị nọ ọdụ n'oche na ọbụ aka gị n'elu tebụl.

• Malite ọnọdụ nọ ọdụ n'oche, aka na ikpere. Isi ntụgharị dị nro nke isi aka ekpe na aka nri na igbu oge nke 5 sekọnd. (Ugboro 10 n'akụkụ ọ bụla).

A set nke anọ omume:

1. Iguzo, laghachi azu, aka na aru. Jiri nwayọ na-ehulata isi ala azụ na ume miri emi ma na-agbada isi ya na agba ya na obi ya na ume ume (ugboro 10).
2. Otu ụzọ ahụ. Mmegharị isi okirikiri na ụzọ abụọ (ugboro 10).
3. Isi na-agbanye aka ekpe (ugboro 10).
4. Otu ije na nri (ugboro 10).

Omume ndị ọzọ:

• Mgbe nile-esi-acha ọkụ na kehoraizin mmanya. Ikwesiri ibido na 5 ugboro na nkeji, jiri nwayọ na-abawanye ego na 10.

• Ntucha site n'ala (ugboro isii).

Omume maka diski a na-eri nri kwesịrị ime n'ụtụtụ.

Ọ ka mma ịghara ịpụ n'èzí mgbe mgbatị ahụ gasịrị. Nke a ga - ezere hypothermia, nke na - emerụ ahụ spain. Ogologo oge dọkịta na-edozi ahụ kpebisiri ike ma dabere na irè ọgwụgwọ ahụ. Ọ bụrụ na ị nwee ahụ erughị ala na ihe mgbu, ị kwesịrị ịkwụsị mmega ahụ.

Hirudotherapy

Usoro ọgwụgwọ dabere na ọgwụgwọ ọrịa nke leeches ọgwụ. Mmiri mmiri ha nwere nnukwu ọdịnaya nke hirudin. Ọ na - eme ka mgbasa ọbara gbasaa na mpaghara nke cervical vertebra mebiri emebi ma gbochie mkpụkọ ọbara. N'oge aru, leeches na-amịpụta ọbara 15 ml. N'okwu a, peptidase, hirustazine na collagenase na-abanye n'ahụ mmadụ.

© 2707195204 - stock.adobe.com

Agwọ agụụ

Usoro a maara ọtụtụ ndị n'okpuru aha ịhịa aka n'ahụ. Ọ bụ ụdị abụọ:

• Static. A na-etinye akụ n'akụkụ spain maka minit 15-20.
• Di omimi. Dọkịta na-ebugharị ihe ndị ahụ n'azụ onye ọrịa ahụ, nke e tere mmanụ na ude ma ọ bụ mmanụ.

Usoro ahụ na-arụ ọrụ nke metabolic, na-eme ka ọbara gbasaa ma na-ewepụ mkpọchi.

Ọgwụ Plasma

Usoro ọgwụgwọ ọgwụgwọ na-adabere na plasma ọbara onye ọrịa. N'oge usoro nkwadebe, a na-ewepụta hormone-dị ka polypeptides na platelet, nke nwere ike mee ka usoro mmezi anụ ahụ dị ngwa.

A na-adọta ọbara na mbido. A na-etinye ọkpọ nyocha ahụ na mmiri mmiri a na-enweta na centrifuge maka imepụta plasma. Emechara ngwaahịa a n'ime akụkụ nke spine site na ogwu ogbugba.

Usoro ọgwụgwọ ndị ọzọ

Na mgbakwunye na usoro ọgwụgwọ ndị e depụtara, acupuncture na usoro nke post-isometric relaxation - a na-ejikwa omume pụrụ iche nke a na-eme na njikọta na ọkachamara mgbatị ahụ.

Ọgwụgwọ ọgwụgwọ

A na-eme atụmatụ ịwa ahụ maka:

• ọnụnọ nke ihe ịrịba ama nke mgbasa ụbụrụ na-adịghị mma: dizziness, isi ọwụwa, belata isi nke isi, ịnụ na ọhụụ;
• enweghi mmetụta site na usoro ọgwụgwọ ndị na-achọghị mgbanwe;
• njirimara nke nnukwu sequesters na canal spinal.

E nwere ụzọ atọ iji wepu hainia:

• Ọkpụkpụ discectomy na osteosynthesis. Onye dọkịta na-awa ahụ na-eme mbepụ n'ihu olu, ihe dị ka cm 3. Mgbe ọ wepụsịrị akụkụ nke diski ahụ mebiri emebi, a na-ejikọta vertebrae yana ma ọ bụ na-enweghị ọkpụkpụ ọkpụkpụ.
• Ọkpụkpụ diski. Nke a gụnyere ime mbepụ n’azụ olu. Site n'enyemaka nke gauze tampon jikọtara na tweezers, dọkịta na-ewepụ akwara n'akụkụ ma na-ekpughe anụ ahụ ọkpụkpụ nke usoro vertebral. E wepụrụ otu akụkụ nke ọkpụkpụ iji nye ohere ịnweta diski na weghachite nke hernia. Na ngwụsị nke ịwa ahụ ahụ, mgbọrọgwụ akwara adịghịzi ejikọta.
• Microendoscopic nkwarụ. Nke a bụ arụ ọrụ kacha pere mpe. Tonweta ebe mebiri emebi nke spain na-eme site n'azụ olu. A na-eji obere ngwá arụ ọrụ ọgwụ niile. A na-arụ ọrụ ahụ n'okpuru njikwa endoscopic.

Nsogbu

Mbubreyo nchoputa nke oria a nwere ike imetuta aru ike ma kpasuo ihe ndia:

• scoliosis;
• imebi ma ọ bụ ịkwụsị iku ume n'ihi mmebi nke eriri afọ;
• ike adịghị ike na ogwe aka, gụnyere nkwarụ zuru ezu ma ọ bụ nke akụkụ;
• ntị belatara na ọhụụ;
• nsogbu neurotic;
• nkwụsị nke akụkụ digestive;
• ịda mba mgbe niile;
• obere mgbasa ọbara ọgbụgba na ụbụrụ na mpaghara mpaghara.

Nsogbu edepụtara dị oke egwu. Offọdụ n’ime ha chọrọ nlekọta ahụike ngwa ngwa. Ha nwere ike belata oke ndụ mmadụ ma bute ọnwụ. Ọ dị ezigbo mkpa ịchọpụta ọrịa ahụ n'oge kwesịrị ekwesị.

Na mbido, hernia nke spine cervical na-arụ ọrụ nke ọma maka ndozi ọgwụgwọ. Dị ka ihe mgbochi, a na-atụ aro ya: ịgbaso nri ziri ezi, gaa na ọdọ mmiri ahụ, na-egwu egwuregwu, zere hypothermia na mgbatị ahụ siri ike na spaine.

Lelee vidiyo ahụ: Cervical Spine Nerve Root Examination - Everything You Need To Know - Dr. Nabil Ebraheim (Ka 2025).