Herniated cervical spine - kurapa

Intervertebral hernia ye cervical spine inoratidzwa pamusana pezviratidzo zvechipatara uye nzira dzekuongororwa, iyo iyo nzvimbo inotungamirirwa inotorwa neMRI - magnetic resonance imaging. Kurapa kwehutano hwemudzimai wekervical vertebrae inorayirwa maererano nechikamu chechirwere chacho, zvikonzero zvekubva kwacho, kugadzirwa kwemahara, nguva yemurwere uye kugadzirisa zvirwere.

Nzira dzekurapwa kwechirwere chechibereki pasina upiyona

Zvinangwa zvakanyanya zvekusava nekuvhiya kurapwa kwechibereko chemuviri wechikanda ndezvekuti:

• kununurwa kwehutano hwemarwadzo;
• kubviswa kwezvokuvhiringidza zvirongwa;
• kunatsiridza kana kudzorerwa kweropa kunopinda mumisumbu inopoteredza chironga chekervical uye discs;
• kuwedzera kushanduka uye kuwedzera kwepervical spine;
• kuderera kwemaviri mushoma;
• kusimbisa korset work yemitsipa yemutsipa;
• kudzivirirwa kwezvitsva zvitsva;
• dzokera kubasa rinowanzoshanda nekuita basa.

Nzira dzakachengetedza dzinosanganisira zvinotevera:

1. Kudzivirira hurumende, zororo, mune zvimwe zviitiko - kupfeka corset chaiyo yakanyanya.

2. Kugamuchira mazano akasiyana-siyana ekurapa mubhetheni kana majekiseni:

• anti-inflammatory and analgesics (kazhinji isiri steroidal anti-inflammatory drugs inorayirwa);
• decongestants;
• tsvina dzinozorodza - zvinodhaka zvinoderedza musikana toni;
• glucocorticoids (mukurapa maitiro akakomba emusangano we intervertebral hernia cervical department).

3. Nechirwere chinorwadza, novocain blockades yeganda rakasanganiswa remutsana pamwe nekuwedzerwa kwe-corticosteroid hormone inogona kushandiswa iyo inogona kubvisa marwadzo anorwadza mumasumbu, kuderedza kupisa nekudzivirira.

4. Kurapa kweenzyme nemakemikari enzyme - kuparadza kuburitswa kwepisita (chiyero chemuviri wake chinogona kuderedzwa ne 50%). Iyi mishonga inoshandiswa ne electrophoresis kana ultrasound kuburikidza neganda.

5. Kubata - kunokubvumira kubvisa tsvina yekudzivirira uye kubvisa marwadzo.

6. Hirudotherapy - iyi nzira inogona kuwedzera kushandiswa kweropa uye kushandiswa kwemasabolism munzvimbo yekukuvadza, pamwe nekuderedza zvishoma zvinyorwa zvayo.

Mushure mokubvisa maitiro akaoma, nzira dzinotevera dzokurapa dzinoshandiswa:

• massage;
• manual therapy;
• gumbo remusana (traction);
• therapeutic gymnastics .

Kurapa kushandiswa kwechibereko chemuviri wechipembenene

Kushandisa kurapwa kwe intervertebral hernias yemudhipatimendi wechibereki kunoratidzwa mumatambudziko aya apo:

1. Chibereko chakanaka chekuchengetedza chirwere hachikwanisi kuitika mushure memwedzi mitanhatu mushure mekutangwa kwerapi.
2. Pane kuwedzera kwehutachiona husina simba mukati mekudzivirira kwenzara, pasinei nekurapa.
3. Ikoko kune mutsara wakagadziriswa we vertebral disc (chidimbu chemuviri wechiritilaginous wakabuda kubva munharaunda).
4. Izvozvo zvinoramba zvichiratidzika zvekurapa hazvisi kubudirira (mamiriro ezvinhu emuurwere anovandudza kana anowedzera).
5. Nguva dzose kune chirwere chinonzi chirwere chinoratidzika.

Mhando dzinoverengeka dzokupindira kwokuvhiya dzinoshandiswa pachirwere ichi. Nzira yemadzitateguru ndiyo discectomy, inosanganisira kubviswa kwedisiti uye nekugadzirwa kweiyo yakagadziriswa kuvaka kwemasuo maviri ari pedyo pedtebrae. Zvisinei, kushanda kwakadaro kunokanganisa zvimwe, imwe yadzo inokuvadza kumashuga emasumbu.

Munguva pfupi yapfuura, nzira dzekuchirapa microsurgical dzakave dzakakurumbira, pakati pavo microdiscectomy. Kuita kwakadaro kunoitwa nemusoro kana kuti ine microscope inoshandiswa. Chinhu chiduku chinoshandiswa (kusvika 4 cm), chinokurumidza kuporesa uye kupora kwemurwere.

Dzimwe nzira dzisingasviki dzisingaiti dzinosanganisira endoscopic kubviswa kwechikafu, kushandiswa kwemalasi, kuputika kwechikamu chemukati wechirwere chinonzi intervertebral disc.