Msana stenosis a msana khomo lachiberekero: Zoyambitsa, Zizindikiro, Matendawa ndi Chithandizo

Matenda a msana kungasokoneze pa thupi lonse la munthu. Msana stenosis a msana khomo lachiberekero zingachititse osati mavuto okha ndi ulamuliro pa kumtunda kwa thupi, koma ngakhale sitiroko kapena imfa. Choncho, kuchitira kudwala anapereka kufunika mwamsanga pamene mukumva zizindikiro loyamba la izo.

Kodi matenda?

Msana stenosis a msana khomo lachiberekero - kuchepetsa kuchuluka kwa lumen, amene angakhale kobadwa nako kapena kugula. Pali matenda zimenezi nthawi zokwanira. Komabe, lililonse kwa anthu amene kale anawoloka 60 chaka akukula.

Ali mwana ndi osowa kwambiri kudwala. Koma ngati ndi Zikuoneka nthawi zambiri amayamba ndi zinthu kobadwa nako. Kuchepetsa wa njira imene chingwe msana aikidwa, - chodabwitsa zoopsa, kotero kuchitira zikhale kuvomerezedwa.

gulu la matenda

Choncho, msana stenosis a msana khomo lachiberekero kungakhale:

1. Nagula. Pankhaniyi, chitukuko anakhudzidwa ndi zinthu zina.
2. Kobadwa nako. Kudwala anaika chibadwa kapena chinayamba chifukwa si ndithu mapangidwe zolondola wa mwana wosabadwayo mu utero.
3. Pamodzi. Pali kale Magulu a anthu awiri mfundo: mkati ndi kunja.

Matenda obwera chifukwa cha kudwala akhoza wachinsinsi motere:

• Kuthi nedegenerativnaya.
• Constitutional (umenewu akunena mbali anatomical cha thupi).
• Osachiritsika.
• Chifukwa ndi anomaly kapena dysplasia msana.

Ndi chotupa m'dera la msana ngalande stenosis ndi khomo lachiberekero msana mtheradi (ngati njira ali ndi malo oposa 75 mamilimita ²⁾ ndi wachibale (ngati mlingo izi pansipa 75 mamilimita lalikulu).

Zimayambitsa chitukuko matenda

Matendawa zambiri zoyambitsa zinthu zotsatirazi:

• Psinjika wovulala kapena zina za kuvulala msana.
• Kobadwa nako nthenda Kapangidwe ka vertebrae ndi, chikwiyire ndi matenda a m'mbuyomu a akazi pa mimba.
• njira yotupa mu msana.
• Ankylosing spondylitis.
• maphunziro Intervertebral: chophukacho, zilonda kapena chosaopsa chotupa metastases mu msana.
• Spondylarthrosis zimene zimalimbikitsa mapindikidwe a ndime msana.
• Osteochondrosis a msana khomo lachiberekero.
• zophuka Bony ndi osteophytes.

symptomatology kudwala

Msana stenosis a msana khomo lachiberekero - kuipidwa ndi oopsa matenda, amene amakhala ndi ziwalo:

1. Kupweteka khosi. Iwo akhoza kukhala unilateral kapena isanafalikire mbali zonse. Pali kusapeza poyamba pokhapokha kukhalapo nthawi yaitali anthu mu malo wovuta. Mnthawi kupitirira ululu kudwala amakhala kuzimiririka ndipo pafupifupi nthawi zonse.
2. Mutu m'dera kanthawi ndi occipital. Iwo ali madigiri osiyana mwamphamvu.
3. Kuchepa kwa khungu tilinazo, khosi, mutu, ndipo ngakhale kumalekezero chapamwamba.
4. Chizungulire, ndi luso kukula pa iwonso lakuthwa mutu.
5. Kufooka mwa manja, kumverera cha ululu.
6. Kulakwila ntchito kupuma.
7. Kuchuluka minofu kamvekedwe mu manja ndi khosi, ngakhale kufooka mu nkhani iyi si kwina.

Kudwala Diagnostics NKHANI

Wachibale kapena mtheradi msana stenosis a msana khomo lachiberekero zingadziŵike ntchito njira izi:

• Palpation chotupa dokotala, Kupenda kunja kwa wodwalayo, ndi fixation madandaulo ake. dokotala ayenera kulemba mbiri wathunthu zachipatala kuti akatsimikizire kutengera za kumtundu kapena kutsimikizira izo.
• Radiography. Zachitika mu 2 zolosera: anteroposterior ndi lateral. Njira imeneyi matenda ndi zofunika kwambiri ndi nkhani. Chimathandiza kudziwa kupezeka ndi kukula kwa zophuka fupa, mlingo wa kukhulupirika kwa vertebrae ndi, pamaso pa hernias kapena zotupa, kukula, kapangidwe ndi malo.
• Yopangidwa tomography. M'maphunziro ano, dokotala amatha kudziwa zimene chikwiyire zikamera wa matenda. ndondomeko amalola kuona kusintha kwambiri tosaoneka mu msana.
• MR. Ndondomeko komanso ankaona kuti nkhani kwambiri, koma osati nthawi zonse ikuchitika chifukwa cha mtengo wake mkulu. Komanso, wodwalayo zinachitikira walitsa amphamvu amalandira, kotero phunziroli ali ndi unyinji wa contraindications.
• Myelogram. Kuchita phunziro ili mu msana anayambitsa wapadera kusiyana wothandizira, ndi limene lingakuthandizeni kudziwa akuphatikizapo bwino. Komanso, kudziwa boma la madzimadzi cerebrospinal ndi kuchuluka kwake.

chithandizo ndiwofatsa matenda

Ngati mwapeza msana stenosis a msana khomo lachiberekero, mankhwala ayenera kuyamba pomwepo. Imayamba ndi phwando mankhwala. Pakati pawo, tingasankhe:

• Malinga ndi mphamvu ya kupweteka kwa wodwala anatumizidwa mlingo enieni nonsteroidal mankhwala odana ndi yotupa "piroxicam" "Ibuprofen" "Dikloberl".
• Kuchepetsa kutupa, kupweteka ndi psinjika vertebral nyumba angagwiritsidwe ntchito jakisoni wa mankhwala m'thupi kapena corticosteroids: "Prednisolone", "Diprospan".
• okodzetsa ntchito kuchepetsa voliyumu ya madzimadzi cerebrospinal: magnesia kapena "Lasix".

Kumene, mankhwala ayenera zotchulidwa katswiri. Paokha kumwa mankhwala popanda kufunsa dokotala sangathe tatchulazi. Apo ayi, mukhoza kuwononga nokha kwambiri.

Features mankhwala thupi

Osachiritsika msana stenosis a msana khomo lachiberekero popanda mankhwala ndi zotsatirapo zoopsa. Koma mu magawo oyambirira mu kulimbana ndi matenda angathandize physiotherapy. dokotala mankhwala iliyonse ya njira anapereka m'munsimu:

1. Electrophoresis ndi novocaine. njirayi kumathandiza kuti tichepetse ululu, chifukwa mankhwala aperekedwa mwachindunji m'dera.
2. Maginito mankhwala. Limawapatsa mpata kuthetsa ululu ndi kutupa.
3. Back kutikita ndi mankhwala Buku. njira izi kuchepetsa minofu kamvekedwe ndi kuwalimbikitsa pa nthawi yomweyo. Chifukwa kutikita akhoza kuchepetsa ululu.
4. LFK. zolimbitsa thupi achire limachititsa kuti msana mosavuta ndi mafoni. Pa siteji koyamba zochita alibe kukhala zovuta, ndi katundu - mwakayakaya. chakuti kuchepetsa wa njira angathe kukhala osauka makope.
5. Kutema mphini. Ndondomeko ziyenera kuchitidwa kokha ndi katswiri wodziwa, kuti si kuvulaza mtima kwambiri.
6. msana samatha. anatambasula ndondomeko imfayo hernias intervertebral Koma si nthawi zonse anasonyeza.

Physiotherapy mankhwala amapereka zotsatira zabwino kwambiri, ngati kudwala akali magawo oyambirira chitukuko. Apo ayi, mwina opaleshoni.

Features opaleshoni

Ngati inu amapezeka ndi msana stenosis a msana khomo lachiberekero opaleshoni kungakhale anatipatsira. Kwa iye anadza pamene mankhwala ndiwofatsa sanatipatse zotsatira zabwino, kapena malo a lumen njira catastrophically otsika. Pali mitundu ingapo ya ntchito, omwe amatuluka mu matenda a msana:

1. Kuchotsa zophuka ndi dongosolo, chomwe chingathe imfayo ndi kuchepetsa wa lumen wa: zotupa, osteophytes, hernias. Opaleshoni imeneyi imatchedwa "decompressive laminectomy."
2. Unsembe wa kachitidwe kuti kuthandiza kuti zinthu ziziyenda bwino msana.
3. Interspinous fixation wa vertebrae lapansi. ntchito imeneyi imaphatikizapo unsembe malo a anachotsa chotupa m'mimba.

Mfundo zazikulu zimene ayenera kuchita madokotala - alibe vuto. Ndicho chifukwa patsogolo kupatsa alowererepo aliyense wa akatswiriwa wodwala chofunika chokuchititsani bwinobwino ndi kuti zizindikiro mtheradi. Matenda ayenera kukhala wotsika kuposa Mwina ziyende bwino.

Kodi mavuto angayambe?

Monga mukudziwa, onse pulayimale ndi sekondale msana stenosis a msana khomo lachiberekero amafuna mankhwala mosamala. Koma ngati mankhwala pazifukwa zina sichinayambe anayamba mu nthawi, wodwalayo angaoneke mavuto amenewa:

• Kusintha kapena sizingasinthe imfa ya tilinazo kapena thupi ziwalo (mbali payekha).
• Kutheka immobilization wathunthu.
• Sitiroko. Izi zimachitika chifukwa matenda magazi ndi msana innervation. Normal mwagwirizana magwiridwe a ubongo ndi msana kumakhala kovuta.
• Myelopathy. Ichi ndi chovuta kwambiri matenda a ubongo, imene pali kufooka kwakukulu mu nthambi. Koma kamvekedwe ka minofu pa nthawi yomweyo kwambiri.
• Imfa.

Monga mukuonera, zosokonezeka akhoza chakupha, kotero chithandizo ayenera anayamba posachedwapa.

kudwala Kuteteza

Ngati simukufuna kuti anayamba msana stenosis (Takambirana kale zizindikiro, zinthu zomwe ndi mankhwala a matenda), m'pofunika kutsatira malamulo osavuta:

• Pewani yaitali mu malo omwewo kapena alibe ntchito locomotor. Iwo m'pofunika kuti nthawi kuchita masewera olimbitsa thupi, khosi.
• LFK. Izo ntchito osati mankhwala komanso kupewa.
• Mu zinthu zonse, tsatirani mwankhanza. Zimenezi n'zofunika kwambiri makamaka kwa ntchito amangokhala.
• Yesetsani kudya bwino, kuti thupi amalandira zinthu zonse zofunikira.
• matenda aliyense ayenera kulandira chithandizo nthawi.

Panthawi yake mankhwala chisamaliro apadera amapereka mwayi kuti achire. Khalani wathanzi!