Hernia o ka spine: nāʻikepili, hoʻopulapula, hopena hōʻike manaʻo

Muli o kona kulana pinepine kanaka ka hoohewa ana o ka hoʻi eha. I mai la lakou i ka eha ua kena ae la ma muli o ka ole hoounauna, paʻakikī ka lā a me ka luhi. Akā, he mea mau no laila,? Eia naʻe, loaʻa nō hihia ka wā e like me kaʻeha - i ka hopena o spinal hernia. Ka wā e hōʻike 'ia i ka wehe' ana o spinal hernia, e ike i loko o kēia 'atikala.

symptoms

Spinal hernia - keia mea loa pilikia, i ka hopena o kona mau kanaka hana ikaika, pale pioʻeha, hōʻeha a me kona na nā loko. Pololei oleʻike, e worsen i ke kulana, no laila ia mea paʻakikī nui pololeiʻike.

He aha ka herniation o ka lumbar spine, symptoms a me ka hana ana o keia maʻi, ua noonoo ma lalo nei. Mai nā maʻi me ka like symptoms mea hiki ke ho'ākāka 'ia ma ka kēia mau hiʻona:

• ka ikaika haʻi eha e hoomau hoʻowahāwahā 'inikua Inc;
• ka hoʻomanawanui hiki ole paʻa feces a me ka mimi;
• hiki i lōlō o ka lalo lala;
• ka ho'ēmiʻana o ka pā lonoaʻili i loko o ia mau mea;
• ma hope o ka papa o ka iapaau ana o na malama ekolu, i ka hoʻomanawanui i ka ke ano, aole ia e hoʻoikaika 'ana.

Inā he mea i kekahi o kēia mau symptoms, oe e ike koke nīnau aku i ke kauka. Oe e pono ai kaʻenaʻena ana o spinal hernia. A, E e uku hou hoʻolohe i ka palapala hōʻoia. Not uncommon no kekahi kahuna lapaau ku e ka palaleha, nele o ka aʻo, nele o ka professionalism e ukuhi i ka hewaʻike. A me ka loa, he pono ole misdiagnosis - sciatica. A pilikia i loko o ka wa e kaawale aku o ka iapaau ana ke alakai i ka lōlō o ke kanaka.

A pehea mea herniation o ka lumbar spine. Symptoms a me kona lapaʻau, o ka papa, interrelated.

Nā Papahana O Ka lapaʻau

Pono, ka meaʻike, ua i. He aha e hiki mai ana? He aha nō nāʻaoʻao okoa no e hana i ka herniated iwi kuamoʻo? A poe e loa ka hoʻokō? Lapaʻau epekema mea nae loa o ka hailona. Kēia hiki e:

• physiotherapy;
• ka lapaʻauʻia;
• 'ana i kūpono o ka manuale Inc;
• lomilomi;
• kūikawā hoʻokomo i ka corset no ke kua;
• ʻai;
• kuʻuna ki ina hana like;
• wehe 'ana o spinal hernia.

I ka hoʻohana ana i kela a me keia o ia mea ku pono i na ano kanaka o kela a me keia ahonui, a me kona mau ano. Akā, i ka mea maikai lapaau - ma ke kumu o nā kiʻina hana ua ole contraindicated, oa eiiieaena. A he mea hiki ia, no o keia ua i koi 'ia i ka wehe' ana o spinal hernia.

Nāʻikepili no ka hernia hana

Hoike ana i ka mea i ka hana i lawe mai e wehe i ka spinal hernia, hiki e pili 'ole loa. Ma ka hihia mua ia lilo OAXA. A, o ka hana pono e lawe wahi i loko o ka shortest hiki manawa.

A piliʻikepili aha i hua mai ai i keia hana i ole ma o ka 'oni iki ana i ke ola, a me ka hana mea nō e pono ai, akā,ʻaʻole kaʻenaʻena. Ua Ua häʻawi mai ai i ka hihia ma hope o nā mahina o ka lapaau loli no ka mea maikaʻi ka mea,ʻaʻole ma hope.

ʻoki kino, e wehe i ka spinal hernia hiki ke lawe mai i loko o kekahi mau aoao. Eia ka mea, ua.

discotomy

Discectomy - loa obsoleteʻano o ka hana. , Ae waiho nei ma ka mea i ka ili hoʻi ma lalo mau anesthesia, he incision kaha like kokekau i ewalu mau kenimika. Ma hope iho o ia, ma ka mea pono wehe 'ia o ka maikaʻiʻole ia ma spinal iwi kuamoʻo paha, ina he mea hiki, wale kekahi hapa o ka ia.

I ka papa kuhikuhiE drawback o kēia 'ano o kaʻoki kino ka i no ka mea, mea kiʻekiʻe loa pilikia o hoʻoʻino keʻano o ka hanaʻana. E pale ia hoomanawanui pono moe ma ka liʻiliʻi umi lā ma lalo o kilo i loko o ka haukapila, a undergo antibiotic Inc.

E like me ka poe akamai i 'manao, locomotor hana o ka spine ma hope oʻoki kino Lele aku kėlä hoʻi nui aku lohi ma mua i loko o nā' ano o kaʻoki kino, aie i ka mea ia i ka manawa ia noi 'ano nui poino.

Naʻe, i kēia hana mea ole wale keakea. Na pono e loaʻa he uuku pakeneka o ka recurrence (3%). O ke kumu ho i ka mea i ka hoʻohuli ai i nā iwi kuamoʻo, a me kekahi hapa o ia wehe loa.

Pehea ka nui o kaʻoki kino, e wehe i ka hernia o ka iwi kuamoo? Kumu keia i kuai ia, i poe lunakanawai no ma ka hōʻike manaʻo o nā mea maʻi mea haʻahaʻa, a me ka hoomaka mai ka 20 000 rubles.

laminectomy

Laminectomy mea i ua wehe 'o ka hoʻomanawanui piʻo hapa o ka vertebra ia i ua ikaika loa o Paulo ma ka herniated nā aʻalolo pau ana. E like me ka hopena, e like me ka poe akamai, ahonui hoʻopulapula i wahi koke - i loko o 3 mau lā. Eia hou kekahi, ma muli o ia ka mea i ke aʻalolo ua hookuu, ka hoʻomanawanui kokoke koke pohaku e haha aku ka eha.

Akā, he mea no hoi ka pilikia. No ka laʻana, he 'ano kiʻekiʻe kamepiula o ka maʻiʻaʻai. A me, iki pilikia, aia no he manawa kūpono no nā aʻalolo pōʻino iʻoki kino.

endoscopy

Endoscopic wehe 'o herniated spinal hana me ka endoscope a me ka mea i mākaukau uuku ma ka nui. Kēia i mea e hiki ai, e emi i ka incision nui a hiki i ka palena iki. Ka mea, ua like me 5 mm o. Kēiaʻano o ka hana, ua hala loa i ike a me ka mahalo no i ka helu o kona pono. Mua o nā mea a pau, e ka Duration - ole aku ma mua o ka hola. E like me ka hopena, na nāʻiʻo o ke kino ka mea, ua i pōʻino. Ua puunaue ae lakou me ka kūikawā expander. E hoopono ana ma na hōʻike manaʻo o nā mea maʻi, i ka hoʻomanawanui hiki oe a kou wahi i ka ia la ae. Hoʻihoʻi ia spine i kahi o ekolu pule.

Akā, malama i ka manao o ka mea i keia hana mea i paʻa. Ua mea i kūpono no kekahi mau 'ano o spinal hernia, a ma hope o ia i ka pilikia o ka relapse Ua kiʻekiʻe (10%). A me ia i hana, Eia naʻe, 'aʻole i hele mai nike ku - kona kumukuai ma nā keʻena lāʻau lapaʻau a hiki mai i 130 000 rubles.

microdiskectomy

Microdiskectomy - he hana ma muli o neurosurgery. Ua ua hana ia me ke kōkua o nā mea hou loa na mea paahana, a me ka ikaika microscope. Ma ka hope o ka hoʻomanawanui ua okioki i loko o 3-4 knm. It e hana i loko o ka wahi o ka aʻalolo, i ua'opihia hernia e. Herniated iwi kuamoʻo ua wehe, a ma ke aʻalolo, ua hookuuia oia. Ano keia hana, e like me ka poe akamai, i kekahi o ka loa pinepine i hoʻohana.

E like me ka hopena, i konaʻeha aneane koke nalo. Ke hoomanawanui ke haʻalele i ke ola kino hale i kakahiaka nui me kekahi lā aʻe. Back i ka ia hana (like loa, o ka papa, iʻeleu) i hiki ia ia ma ka mahina. Ma ka hana ka mea, e hiki e hoʻomaka i ka hapalua a nā mahina.

Oia ka hana, ka mea, ua nui e waiho ai i ka poe me ka mau hernias. No ka mea, me ia ka mea hiki ke wehe 'ia i loko o ka hoʻokahi' uao.

Eia naʻe, relapse uku hiki 10-15%. A me ka hana o he pipiʻi.

kukuna wehe '

Kukuna wehe 'o herniated spine - diskoplastika kukuna - o ia me ke kōkua o haʻahaʻa mana Ray iwi kuamoʻo mea wela i ka kekahi wela, i ka poʻea pau i kona hoihoi hou ana. Mākou e i waiho aku i ka lawe ana o ia i ka hana me ka mua Consulting i kou kauka, me ka lawe i ka Ka Ikepili. A, kukunaʻoki kino mea i paʻa. He, ma ka manao o ka poe akamai, mea e pono ai nā mea a pau ano o hernias.

Mahope iho o keia hana, pono undergo i ka manawa kūpono o complications, no laila, i ka hoʻomanawanui antibiotic Inc.

hiki complications

He aha complications ke'ākoʻakoʻa ma hope o spinalʻoki kino? Ka mea, ua māheleʻia i loko o intraoperative a me ka postoperative. Ka mea mua e ala aʻeʻoe i ka mea maoliʻoki kino:

• Ka wā o kēia nā aʻalolo hiki ke poino. No ka mea, ua kokoke ia i ka hernia, hoʻopilikia maoli ia mea he mea, o ka oi aku ina lawe mai discectomy. Ma keia hihia, ma hope o ka hana, aia paha e kekahi nīnūnē me ka pā lonoaʻili ma na wawae, he mea Muscle nawaliwali.
• Ua hiki e poino dura mater. Inā ka surgeon ike pōʻino iʻoki kino, ka mea ushet nahā i. I ole ia, ma hope o ka hana o ka hoʻomanawanui loa headache aicieeaao no ka waiona e kahe mai ka spinal Canal e hoonaukiuki loli ma intracranial puʻe. Hard iwi hoola paha ia i kona iho, akā, ka mea, e lawe i kekahi manawa (ma kahi o 2 pule).

Postoperative complications i hiki ke kānāwai. Ka mea, ua māheleʻia i loko o 2 hoailona ia mea:

1. Kakahiaka nui. Ka mea, eʻikeʻia septic complications (epiduritis, osteomyelitis, pneumonia, sepsis) a me ka thromboembolic complications (pulmonary embolism, thrombosis o ka laloʻaoʻao).
2. Late postoperative complications hoike recurrent herniated iwi kuamoʻo. Eia naʻe, i kēia 'ano o ka complication ia lŘlŘ loa pinepine, ma ka awelika, mai ka 30%. Ua mea no hoi e hiki scarring a me adhesions i ae like nō nā aʻalolo, i hiki aku ai i kaʻeha.

Ke kumuhana Ke i nā rula o ka hoʻopulapula ke pale lohi postoperative complications.

Hoʻopulapula ma hope o ka wehe 'ana o spinal hernia

Ma hope o kekahi manawa, e hele ia ma hope oʻoki kino a me stitches e e wehe, ka lapaau ana o ka hoʻomanawanui ua nō i hōʻike 'ia. E hoʻomaka i ka hou pae o ka hana, loa ai nui, a me ia mea, mai ka mea, a hiki i kekahi nui, e hilinaʻi ma ka hopena o ka hana:

• Ke hoomanawanui Pono e mau komo i loko o physical Inc, e malama i ka? Eia o ka lā, e komo i ka kūikawā corset no kou kua. Eia naʻe, e hiki ole ke hana physical hoounauna koke ma hope oʻoki kino. Mua, a hiki i mālama pono e lawe i ka pale hoʻokali kūpono ', manawa e ka neʻe' ana.
• Iloko o ka mahina, ka mea, ua i? Aeiiaiaoaony e noho i ka hernia ua i hana hou, a uaʻaʻohe mīkini'opihia o ka spinal iwi kuamoʻo. Lōʻihi hele a kuʻoi aku ka hiki ole ia i ka mua manawa. Kela a me keia hora a mau pono e hoomaha i kona kua, e moe ana ma luna o 15 minuke.
• 'Aʻole i' ae hookiekie ana paona.
• A me ka loaa ana a me ka pili moe. Mākou Pono he kūikawā, paakiki hua mattresses.
• I ka ua e hiki ke hele i lā wale nōʻekolu ma hope o ka hana, ua i pono ai ka make up i loko o ka malama mua ma hope o kona wehe 'ia o nā sutures.
• Mai kāpae'ōlelo oaeouee ponopono-UPS me kou kauka.

E pono e hoomanao i ka mea,ʻaʻole pono ke relapse koke ma hope oʻoki kino. Ua hiki no hoi hōʻike ma hope o ka lōʻihi manawa ma hope mai.

Pehea e hana gymnastics?

Loa nui gymnastics ma hope o ka wehe 'ana o ka herniated iwi kuamoʻo. Ua ninoieo o na kēia mau kino.

1. Kali iho la ia manao wāwae i loko o nā kuli ka wā e moe ana ma luna o ke kua.
2. Hookiekie ana i ka pelvis i nā wāwae lena ma na kuli, e moe ana ma luna o kona kua.
3. Mau wāwae lena ma ka supine kulana. Lohi e nā wāwae 'ana e haʻalele i loko o kekahi a me ka kekahi ala. E Pono e ho'āʻo e kiʻi i kou mau kuli ke keka.
4. Kukuli, hilinai ana ma na lima, lohi huki i kekahi wāwae pololei hoʻi, hoopaa no ka 30 kekona, a loli wawae.
5. E moe ana ma luna o kona opu, alternately hookiekie, a paa mai.

Reviews a me ka hopena o ka hernia hana

E like me ka hōʻike manaʻo lehulehu o nā mea maʻi, ho'ākāka 'ia ma ka hana e like me ka rula, ua maikai. Complications mea pohihihi keia. Ke loaa au e lawe ka hola eono mahina, ma hope o ka mea e hiki hou piha ola a me ka hana.

E like me ka poe akamai, ina na kaiapuni a pau ma hope nā koi o ka Kauka, i ka hopena o ka wehe 'ana o ka herniated iwi kuamoʻo e e ka palena haʻahaʻa. O ka holo ana, nui hilinaʻi nui ma luna o ka mea e like ai o ka hana, no ka mea, he likelihood o recurrence. Akā, oi pinepine ia na welau maluhia.