ImpiloIzifo nemibandela

Extrusion - isifo akwazi ukugcina intervertebral. Izinhlobonhlobo extrusion. zokwelapha

Extrusion - lokhu ingenye izigaba yentuthuko we disc herniated. Futhi namhlanje, abantu abaningi babhekana kokutshelwa ngokukhubazeka kwengane. Yingakho iziguli futhi banesithakazelo ukwaziswa okwengeziwe izimbangela, izimpawu kanye nokwelashwa kwamanje kwalesi simo.

Kuyini extrusion?

Izimo zethu zihluke kakhulu iziguli ezimbalwa ibhekene kokutshelwa ngokukhubazeka kwengane namuhla. Futhi abantu abaningi bacabanga ukuthi extrusion - umbhunu. Empeleni, lesi sitatimende akulona iqiniso ngokuphelele. Ngemva extrusion - kunalokho, kuyisinyathelo sokuqala ukwakha herniated disc. Yini esiyibona izifo ezifana?

Ngiqinisekile abaningi emkhakheni bayawazi imigomo enjalo. Ngempela, ekukhiqizeni extrusion indlela - inqubo ekutholeni izinto kusukela polymer, lapho ukuncibilika kwezinguzunga is extruded ngokusebenzisa ukuvulwa okhethekile. Kulokhu, ungachitha ezinye imizekeliso.

Ngo amagama wezokwelapha okuthiwa isimo extrusion lapho sinqamukile le annulus disc, futhi kwezulu waphawula ngaphandle kohlelo pulposus-nucleus. Muva nje, ngesikhathi esifanayo iya 3-4 amamilimitha angu (ke buba njengenkungu lamanzi) futhi kuyacasula izimpande emsipheni.

Izinyathelo ukwakha herniated

Ukuze uqonde ukuthi i-extrusion, futhi iyini indima yalo e ekwakhekeni disc herniated, kubalulekile ukuba sicabangele yonke inqubo.

kwakhiwa protrusion Hernial is ngezigaba ezintathu. Okokuqala kukhona okuthiwa prolapse, lapho intervertebral disk impahla uwela ngaphandle ingxenye obusebenzayo ngaphandle ezidwengula ngalesi annulus. Ngenxa yokushoda kwamanzi kanye nezakhi ukuhamba nucleus pulposus ziyancipha kakhulu.

Esikhathini esizayo, kukhona esigabeni sesibili, okuyinto kwezokwelapha zanamuhla anjengokuthi protrusion. Kulokhu, disc intervertebral kugudlukela ngu 3-4 amamilimitha angu (ngezinye izikhathi afinyelela ku-15 mm) ngale amathambo.

Extrusion - isinyathelo wesithathu obumba zeziboya. Kulesi sigaba kukhona fibrosus igebe annulus futhi ndaba kuyi-nucleus eqele ngalé vertebra. Ezimweni eziningi, i-kokucindezelwa okunamandla izimpande emsipheni kungukuthi waphawula, njengoba umongo kubophezeleke ngumuntu umsipha longitudinal umgogodla. Uma sikhuluma mayelana extrusion ku lumbar futhi sacral ke lesi sifo kungaba yingozi khulu, njengoba kuvame ukubangela kokucindezelwa we emsipheni sciatic.

Extrusion futhi ezahlukeneyo zalo

Ngo inqubo yokwelapha yesimanje, zikhona izinhlelo eziningana ngezigaba ezahlukene yezilwane ezinomgogodla isifo. Ngokwesibonelo, extrusion ngokuvamile ihlukaniswe izinhlobo okusekelwe nucleus pulposus ukuwa ukuphendukela kunoma iluphi uhlangothi.

Ngokwesibonelo, uma into core sidlulela ngalé ezinhlangothini ikholomu vertebral, ifomu yalesi sifo ibizwa ngokuthi i-lateral. Kukhona amaphiko disc extruded, okuyinto kuhambisana protrusion ngase kwezicubu ezithambile emhlane. Ngokuvamile, iziguli zibhekene nezinye izifo. Ngokwesibonelo, abanye abantu banesithakazelo nezindaba elibalulekile noma paracentral disc extrusion. Kuleli fomu lesi sifo akulona impahla core iphumele ngaphandle ngaphakathi yomgogodla, okuyinto iyingozi kakhulu, ngoba kukhona njalo ithuba umgogodla intambo kokucindezelwa. Kukhona ifomu posterolateral lesi sifo, lapho kuthiwa bulging ezingemuva futhi izinhlangothi.

Ngezinye izikhathi ukuxilongwa udokotela "subligamentarnaya extruded disc". Kuyini lokhu? Kulokhu, igama alikhulumi isiqondiso protrusion we ketshezi, futhi nesigaba lesi sifo. Uma izicubu cartilaginous ka-nucleus kugudlukela emabangeni kokuqala, kodwa namanje igcina posterior umsipha longitudinal ngenxa, kulesi simo umonakalo waphawula ukuthi nemisipha futhi kumiswa extrusion subglottic.

Izizathu eziyinhloko sokuthuthukiswa extrusion

Empeleni, kunezizathu eziningi sokuthuthukiswa lesi sifo. Okokuqala kufanele kuphawulwe ukuthi extrusion - isifo zokuguga. Ngemva kancane kancane balahlekelwa amanzi phakathi kwezicubu ukuguga, kukhona ukuphazamiseka kokuphakelwa kwegazi futhi t. D. Ngakho, akwazi ukugcina intervertebral nazo ngaphansi nokunwebeka.

Nokho, zikhona ezinye izizathu. Ngokwesibonelo, extrusion ngokuvamile eba ku ngemuva izifo ezihlukahlukene esiwohlozayo sokukhubazeka komgogodla. Ngokwesibonelo, spondylosis, osteochondrosis, noma ugobile yomgogodla ngokuvamile ibe imbangela extrusion bese umbhunu.

Yiqiniso, uhlu izizathu ukufaka ukulimala imisipha kanye nemisipha. Ngaphezu kwalokho, leso sifo ngokuvamile kuwumphumela umsebenzi eside futhi ngokweqile, ikakhulukazi uma kuziwa kulimaze kuya akwazi ukugcina intervertebral ku lumbar futhi izifunda sacral, okuyinto avame amenable kwaba ukulimala athabathe iningi umthwalo kunyakaza.

Yiziphi izimpawu manifest isifo?

Eqinisweni, le disc extruded akuyona ngaso sonke isikhathi sihambisana ezinye izimpawu ocacile ebonakalayo. Kaningi, lesi sifo singumbulali ezifihliwe. Ubuhlungu kanye nezinye izimpawu zibonakala kuphela uma kwenzeka ukuthi ikhuza iringi fibrous core ngokucindezela futhi kuyacasula izimpande emsipheni. Futhi isithombe ngeziguli Kulokhu kuxhomeke ekutheni yomgogodla washaywa.

Ngezinye udaba in the wesibeletho emgogodleni ubuhlungu kwenzeka emahlombe. Wayeye azilethe izindololwane, ngemilenze neminwe. Extruded disc thoracic kungabanga kuwukwephula eminye imisebenzi yezitho zangaphakathi, kanye ubuhlungu esifubeni.

Isici kunazo iphethini ebonwe izilonda lumbar. Ngokuvamile, iziguli esekhala ubuhlungu eqolo noma umlenze, futhi ukungabi namizwa noma ukuluma kwemilenze, izinzwane. Extrusion emgogodleni sacral kungase kuhambisane ubuhlungu coccyx, ukhalo nezitho zangasese.

izindlela zesimanje uphethwe

Yiqiniso, ukuqala ngihlolwa kunesidingo. Izimpawu zokuhlola okwengeziwe kukhona umlando nesineke, isethulo emitholampilo (khona futhi kwasendaweni ubuhlungu, umfutho), izifo ezithile zezinzwa (isib ukungabi khona amadolo noma eqakaleni ikhaliphe, elivela kuzo ubuhlungu ngesikhathi luhlolo kwekholomu vertebral).

Njengomthetho, egcotshwa resonance kazibuthe noma computed tomography, okuyinto ikuvumela ukuba uqinisekise khona ziboya nangokunembile ukunquma usayizi futhi indawo yayo indawo. Kwezinye izimo, le cwaningo Ngokuphambene Kwenziwa, lapho izidakamizwa othile busuka umsele umgogodla. ukuhlolwa okunjalo kwenza kube nokwenzeka ukuba anqume isakhiwo ekulahlekelweni (lokhu extrusion, protrusion noma herniation).

Kungenzeka yini ukuba umuntu ukwelashwa ngoludala?

Yiqiniso, le disc extruded ezimweni eziningi ingelapheka ngosizo izindlela olandelanayo wezokwelapha, ikakhulukazi uma protrusion ingeqi 5-7 mm. Kulokhu, lo dokotela kungenzeka ukuncoma ukudla ilungile futhi ukunciphisa amandla omzimba. Ukuze iziguli ukukhuluphala, kubalulekile kujwayeleke isisindo, njengoba Uyoqeda ingcindezi yomgogodla kanye nezinye amalunga omzimba.

Kuphoqelekile futhi Physiotherapy. Isiguli kufanele ukubhekana njalo umzimba ezikhethekile kuzosiza ukuqinisa uhlelo kwemisipha, okuyinto, futhi, ngeke ekunciphiseni izingxabano ku yomgogodla.

Njengoba for izidakamizwa, kwezinye izimo ngaphandle kwabo omunye neze ngaphandle. Uma ubuhlungu syndrome eqinile linqume izindlela ezifanele. Ephambi kwezinduna ukuvuvukala, iziguli kujwayele ukuthatha izidakamizwa ezingekho steroidal. Kodwa nge ukuvuvukala eqinile futhi ukushuba ubuhlungu, odokotela ingagunyaza steroid, okuyinto afakiwe ngqo esikhaleni epidural ka emgogodleni.

zokwelapha steel

Uma kwenzeka extrusion mkhulu kunezinhliziyo 12 mm, impatho sinenkonzo yokunakekela iziguli emakhaya ezinqunyiwe akuvamile yokwelapha olandelanayo ungenziwa kuphela isimo sibe sibi isimo. Ezimweni ezinjalo, njengoba umthetho, isebenzisa amathuba ukuhlinzwa yesimanje.

discectomy Ngezinye izikhathi iziguli kuyabekwa - operation kancane koda lapho bonke manipulations abazenzi ngosizo amathuluzi endoscopic. Ngaphezu kwalokho, kungenzeka laser yokulungiswa akwazi ukugcina intervertebral.

yezinkinga Okungenzeka ngesikhathi extrusion

Extrusion - sekuyinto isifo esiyingozi. Ngakho-ke, akunakusetshenziswa akufanele lokukwenqaba noma ukuziba ngesiphakamiso odokotela. Phela, njengoba isifo siqhubeka lo pulposus abayingxenye ebalulekile bayodlula sizibonise ngaphandle izimpande nokukhama ngaphezulu, ngaleyo ndlela kwande ubuhlungu naqhubeka izinga lempilo.

Ngakolunye uhlangothi, ukungabi ukwelashwa okufika ngesikhathi igcwele ekuthuthukiseni a disc herniated. Futhi uma ku extrusion kungenzeka ukwelashwa ngoludala, lo umbhunu cishe kuzo zonke icala kudinga ukuhlinzwa.

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