Msana opaleshoni chophukacho: kukhala kapena kuti?

Mu nkhokwe ya ŵa chipatala yachilendo neurosurgical ali ambiri mankhwala opaleshoni kuti zimbale herniated. Msana opaleshoni ndi asang'ambe, kuti amakhala ndi phukusi ang'ono ang'ono opaleshoni ndi moyenera, musati amafuna yaitali ndinachira. Kusankha zolakwika wodwalayo (kuphatikizapo umboni wa dokotala, nthawi zina mwadala zabodza) mokomera chithandizo ndiwofatsa amatsogoleredwa ndi mantha munthu ndi zokonda amapanga kalata yomasulira ya ndondomeko zonse opaleshoni, pamene n'zofunikadi. Ndi kapangidwe yoyenera ndiponso moyenera matenda microsurgery opaleshoni endoscopic imakhudzana ndi chiopsezo kochepa matendawo.

Taganizirani kusankha mtundu wa mankhwala herniated vuto chimbale. Inde, pamene inu simumachita popanda opaleshoni ndipo pamene ntchito mankhwala ndiwofatsa? Yankho wopezeka funso limeneli sudzaperekedwa. Zidalira osati zotsatira matenda komanso zochitika dotolo, luntha lake la zimayambitsa matenda, komanso zinthu zina. Pankhani ya chophukacho ndi, isanafalikire mu msana khomo lachiberekero kapena lumbar, nthawi zambiri amachita alowererepo pa opaleshoni. Malinga ndi kafukufuku, nthaŵi 90 100 opaleshoni itha bwinobwino.

Pali kufunika kulekana bwino za chimbale herniated ndi prolapse (ndinazembera litayamba kapena protrusion) kwa fupa stenosis (imfa ya elasticity wa chimbale intervertebral). Ngati zizindikiro alipo okhazikika fupa stenosis zomwe zimathera neurogenic likukulira claudication, mankhwala ndiwofatsa ndi contraindicated, monga kungayambitse kuwonongeka (makamaka myelopathy).

Stenosis wa ngalande msana, yodziwika ndi zizindikiro kutchulidwa akhoza kusokonezedwa ndi prolapse anayamba ya chimbale intervertebral. Monga stenosis akutitsogolera kuti matenda a Kauda equina ndipo nthawi zambiri kuti paraplegia okhazikika, matenda ayenera kuchizidwa njira opaleshoni, makamaka ngati pali stenosis a msana khomo lachiberekero ndi myelopathy kutchulidwa. Chisankho mokomera chithandizo ndiwofatsa imeneyi angathe kuonedwa monga tchimo lalikulu.

Chithandizo cha herniation msana popanda opaleshoni alandiridwa kokha pamene protuzii kuwala (protrusion) ya chimbale intervertebral, amene amakhala ndi pakalibe zizindikiro ubongo, kupweteka wofatsa ndi protrusion pang'ono, ankaona pa cipangizo. Mu nkhani ya chophukacho ndi zizindikiro wofatsa noticeable kusiyana mu kusankha chithandizo opaleshoni kapena ndiwofatsa si. Akukhulupirira kuti njira ndiwofatsa atulutsa anthu a mtima, ngati ululu yafupika mwa masabata 6-8 ndi kuchuluka sayenda wodwala, mwachitsanzo, ululu salinso anali malo zosiyana za thupi.

The ntchito njira olanda kuchita anatsimikiza ndi kugwirizana, ndi kufanana kwa zochitika za matenda, zizindikiro ndi zotsatira Kupenda akamagwira Kujambula kapena CT. Pankhaniyi, dokotala amaganizira chifukwa zotheka matenda ndi moyo wodwalayo. Kuchokera pa mfundo zimenezi, katswiri amasankha mankhwala okwanira.

Pali milandu kumene opaleshoni ayenera kuchitidwa mwamsanga. zikuonetsa Direct kwa opaleshoni msana ndi:

• anasonyeza ziwalo;
• asaphedwe;
• amene amadza pa mizu mitsempha;
• kupatuka mantha dongosolo (giperasteziya, parasthesia);
• mwamphamvu anasonyeza prolapse.

Pamene ululu kwambiri kuwalanditsa mavuto wodwala amasonyezanso opaleshoni. Mwa njira kugwira ntchito mankhwala a msana chophukacho ndi endoscopic discectomy, percutaneous nucleoplasty, epidural catheterization, ndi intervertebral chimbale prosthesis, komanso njira zamakono - laser vaporization.