Herniated kervical msana - mankhwala

Nthenda yotchedwa intervertebral hernia ya m'kamwa mwa chiberekero imapezeka chifukwa cha zizindikiro zachipatala ndi njira zozindikiritsira, zomwe zimakhala ndi zithunzi za MRI - magnetic resonance imaging. Chithandizo cha nthenda ya chiberekero cha mtundu wa chiberekero chimaperekedwa motsatira ndondomeko ya matenda, zifukwa zomwe zimachokera, mkhalidwe wa mimba, msinkhu wa wodwala komanso matenda okhwima.

Njira zochizira matenda a chiberekero popanda opaleshoni

Zolinga zikuluzikulu za mankhwala osagwiritsa ntchito opaleshoni ya nthendayi ndizo:

• mpumulo wa matenda a ululu;
• kuchotsedwa kwa zotupa njira;
• Kupititsa patsogolo kapena kubwezeretsa kwa magazi mu minofu yomwe ili pafupi ndi khola lachiberekero ndi ma discs;
• kuwonjezeka ndi kusinthasintha kwa msana wa msana;
• kuchepa kwa minofu;
• kulimbikitsa ntchito ya corset ya minofu ya khosi;
• kupewa chida chatsopano;
• Bwererani kuntchito yogwira ntchito ndi zochitika zolimbitsa thupi.

Njira zoyenera kuzigwiritsa ntchito ndi izi:

1. Kuteteza boma, kupumula, nthawi zina - kuvala maalum corset.

2. Kupatsidwa mankhwala osiyanasiyana pokonzekera piritsi kapena mawonekedwe a jekeseni:

• anti-inflammatory and analgesics (kawirikawiri mankhwala osagwiritsidwa ntchito ndi anti-inflammatory prescribed);
• kupatulapo;
• minofu yopumula - mankhwala omwe amachepetsa minofu;
• glucocorticoids (pochiza mitundu yosiyanasiyana ya intervertebral hernia cervical department).

3. Ndi matenda aakulu, novocain blockades a gawo la msana ndi kuwonjezera kwa corticosteroid mahomoni angagwiritsidwe ntchito zomwe zingathandize kuchepetsa kupweteka kwa minofu, kuchepetsa kutupa ndi kutupa.

4. Mankhwala opanga mavitamini ndi makonzedwe a enzyme - kuti asungunuke chitetezo cha intervertebral (chiwerengero cha kutuluka kwa magazi kumachepetsedwa ndi 50%). Mankhwalawa amaperekedwa ndi electrophoresis kapena ultrasound kupyolera pakhungu.

5. Kugwiritsanso ntchito - kukulolani kuchotsa minofu ndi kuchepetsa ululu.

6. Hirudotherapy - njira imeneyi ingathandize kuti magazi aziyenda bwino komanso kuti thupi liwonongeke.

Pambuyo pochotsa njira yovuta, njira zotsatirazi zothandizira zimagwiritsidwa ntchito:

• kusamba;
• mankhwala;
• kupweteka kwa msana;
• zochizira masewera olimbitsa thupi .

Kuchepetsa opaleshoni ya chiberekero cha khola la msana

Mankhwala opangira opaleshoni a intervertebral hernias a dipatimenti yachiberekero amasonyezedwa m'mabukuwa pamene:

1. Zotsatira zabwino za mankhwala osamalidwa sichikupezeka patapita miyezi isanu ndi umodzi kuchokera pamene adayamba kulandira mankhwala.
2. Pali kuperewera kofooka kwa minofu pakati pa mitsempha ya mitsempha, ngakhale mankhwalawa.
3. Pali chinsalu chokhazikika cha mtundu wa vertebral disc (chidutswa cha mitsempha yamatumbo yachokera ku chiphuphu).
4. Zotsatira zosalekeza za mankhwala sizingatheke (mkhalidwe wa wodwalayo umakula bwino kapena umakula).
5. Nthawi zonse pali matenda omwe amamveka ululu.

Mitundu yambiri ya opaleshoni imagwiritsidwa ntchito pa matendawa. Njira ya chikhalidwe ndi discectomy, yomwe imachotsa kuchotsa disk ndi kupanga mapulani kumanga mazenera awiri pafupi. Komabe, opaleshoni yotereyi ili ndi zovuta zingapo, imodzi mwa izo ndi kuwonongeka kwa minofu ya minofu.

Posachedwapa, njira zamankhwala zamagetsi zamakono zakhala zikudziwika kwambiri, pakati pawo ndi microdiscectomy. Opaleshoni yotereyi imagwiritsidwa ntchito pamutu kapena pamagetsi a magetsi. Katemera wochepa amapangidwira (mpaka 4 cm), omwe amachititsa kuti wodwalayo achiritse komanso kuchiritsidwa.

Njira zina zosawonongeke zimaphatikizapo kuchotsa phokoso, kutulutsa laser, kutentha kwa mtima wa disvertebral disc.