Extrusion - chirwere of intervertebral discs. Varieties extrusion. kurapwa

Extrusion - ndiwo mumwe nzendo kukura ane herniated Disc. Uye nhasi, vanhu vakawanda vari nemamiriro chirwere chakadai. Ndokusaka kuvarwere uye vanofarira mashoko pamusoro zvinokonzera, zviratidzo uye kuitika vabatwe ichi.

Chii extrusion?

varwere vashoma zvikuru nezvinoda chirwere chakadaro nhasi. Uye vanhu vazhinji vanofunga kuti extrusion - munhu heniya. Kutaura zvazviri, mashoko aya hazvisizvo. After extrusion - asi, ndicho danho wezvamatongerwe kutanga herniated Disc. Chii kuchengetwa nezvirwere zvakadai?

Ndine chokwadi nenyanzvi dzakawanda indasitiri vanoziva akadai. Zvechokwadi, mukurima extrusion nzira - inofanira kugamuchira zvinhu kubva polymer, mauri uchanyangadika iri extruded kuburikidza rinokosha buri. Muchiitiko chino, unogona kupedza imwe ringanidzo.

In mazwi yezvokurapa inonzi extrusion ezvinhu apo Disc annulus yaputswa, uye kunayisa vakachengeta kunze musimboti pulposus. Munguva ichangopfuura, panguva imwecheteyo nayo anoenda 3-4 millimeters (nayo ichimuremera akaita sedonhwe remvura) uye muchishungurudza etsinga midzi.

Nhanho rokuumba herniated

Kuti tinzwisise chii extrusion, uye chii chiri basa rayo paumbwe imwe herniated Disc, zvakakodzera kufunga yose muitiro.

Hernial protrusion achiumbwa mumatanho matatu. Chokutanga pane inonzi prolapse, sezvamakaropafadzwa intervertebral dhisiki zvinhu chikawira kunze dzichipfekeka chidimbu pasina achibvambura annulus ichi. Nokuda kwokushaya mvura, uye zvokudya mufambo neerekitironi pulposus kwakaderedza zvikuru.

Mune remangwana, pane Danho rechipiri, izvo mushonga ano kunzi protrusion. Panyaya iyi, iyo intervertebral Disc iri zvava ne 3-4 millimeters (dzimwe nguva kusvika 15 mm) mhiri vertebrae.

Extrusion - a danho achiumba miganhu rechitatu. Panguva iyi pane mukaha annulus fibrosus uye neerekitironi nyaya kuenda mhiri vertebra. Kazhinji, munhu compression pamusoro etsinga midzi simba havasi kuchengetwa, sezvo chinoumba iri aparidze imwe longitudinal musana shwashwa. Kana tiri kutaura pamusoro extrusion ari lumbar uye sacral, ipapo chirwere kunogona kuva nengozi, sezvo kunowanzokonzera compression pamusoro sciatic etsinga.

Extrusion chacho dzakasiyana

In mushonga ano, pane zvakawanda mugadziriro kupatsanura dzakasiyana vertebrate chirwere. Somuenzaniso, extrusion inowanzoshandiswa rakakamurwa mhando pachishandiswa neerekitironi pulposus kuwa chero divi.

Somuenzaniso, kana ari makirisito zvinhu kunosvika mhiri kumativi vertebral mbiru, muchimiro chirwere ichi anonzi lateral. Pane dorsal extruded Disc, izvo pamwe chete protrusion kurutivi zvinyoronyoro nyama yacho musana. Kazhinji, varwere takatarisana nezvimwe diagnoses. Somuenzaniso, vamwe vanhu vanofarira nyaya yakakosha kana paracentral Disc extrusion. In chimiro ichi chirwere haisi chinoumba zvinhu makabuda kunze uye mukati nomuzongoza, riri ngozi zvikuru, nekuti hakuna nguva dzose mukana musana compression. Panewo posterolateral chimiro hosha, umo vari bulging shure uye mativi.

Dzimwe nguva chiremba diagnoses "subligamentarnaya extruded Disc". Chii? Panyaya iyi, zita haisi kutaura pamusoro kutungamirirwa protrusion pamusoro nenhumbi, uye padariro chirwere. Kana cartilaginous zvinyama ari musimboti iri zvakachinja muna kwokutanga matanho, asi achiri anochengeta posterior longitudinal shwashwa yakafanira, mune ichi kana akaona kukuvara nemarunda uye inotungamirwa subglottic extrusion.

The zvikonzero kuti kukura extrusion

Kutaura zvazviri, pane zvikonzero zvakawanda kukura chirwere ichi. Chekutanga zvinofanira kucherechedzwa kuti extrusion - chirwere pakukwegura. Pashure kurasikirwa mvura zvishoma nezvishoma panguva zvinyama kukwegura, pane nokuvhiringidzirwa ropa rive uye t. D. Saka intervertebral discs ndiwo zvishoma kwakavharwa nenyama.

Zvisinei, pane zvimwe zvikonzero. Somuenzaniso, extrusion kazhinji anova pamusoro pakanyorwa siyana chinopedza zvirwere nomuzongoza. Somuenzaniso, spondylosis, osteochondrosis, kana curvature pamusoro musana kazhinji kuva chikonzero extrusion uye ipapo heniya.

Chokwadi, mazita zvikonzero zvinosanganisira kukuvara kuti tsandanyama nemarunda. Mukuwedzera, chirwere chakadai mugumisiro refu uye kunyanya muviri kakawanda, kunyanya kana totaura kuparadza kune intervertebral discs ari lumbar uye sacral nharaunda, izvo kazhinji amenable kuti kukuvara atore vakawanda mutoro kufamba.

Ndezvipi zviratidzo chirwere kuonekwe?

Kutaura zvazviri, extruded Disc haisi nguva dzose pamwe nevamwe yakajeka uye chinooneka zviratidzo. Kazhinji, chirwere vovanda. Marwadzo uye zvimwe zviratidzo kuonekwa chete chiitiko kuti dzakayerera ari fibrous chindori musimboti kudzvanya uye muchishungurudza etsinga midzi. Uye kurapwa mufananidzo uyu nyaya inoenderana nokuti ari nomuzongoza akarohwa.

Panguva nyaya iri remuromo nomuzongoza marwadzo rikaitika pamafudzi. Kazhinji iye Anopa emaoko, emberi uye minwe. Extruded Disc thoracal kungasanganisira aparadza vamwe basa zvomukati, uyewo kurwadziwa muchipfuva.

Zvikuru maitiro muenzaniso iri kuchengetwa maronda ari lumbar. Kazhinji, varwere chokunyunyuta pamusoro marwadzo ari muhudyu kana gumbo, uye chiveve kana tingling makumbo, zvigunwe. Extrusion sacral nomuzongoza angaperekedzwa kurwadziwa coccyx, chiuno uye sikarudzi.

Modern nzira nechirwere

Chokwadi, kutanga zvakakodzera zvokurapa kuongorora. Zvairatidza kuti humwe yokuedzwa vari murefu kare, mharidzo kurapwa (kuvapo uye localization marwadzo, kusimba), vamwe chetsinga zvirwere (semuenzaniso, kusavapo ibvi kana neketani hunenge, panowanikwa marwadzo panguva pakuongorora vertebral mbiru).

Kazhinji, kutanga akagadzwa rinobva resonance kana computed tomography, izvo zvinoita kuti asimbise pamberi miganhu uye zvakarurama kuona ukuru hwaro uye nzvimbo nzvimbo. Mune zvimwe zviitiko, musiyano kudzidza rinoitwa, sezvamakaropafadzwa chaiyo fuma kutaurwa kupinda musana mugero. nekuongororwa kwakadaro zvinoita kuti tikwanise kuona chimiro kurasikirwa (extrusion ichi, protrusion kana herniation).

Zvinobvira here kuchinja kurapwa?

Chokwadi, extruded Disc kakawanda inogona kurapika tichibatsirwa kuchinja nzira mushonga, kunyanya kana ari protrusion asingadi kupfuudza 5-7 mm. Panyaya iyi, chiremba anogona varumbidze munhu akarurama kudya uye kuderedza mumuviri nesimba. For varwere vanenge kufutisa, zvakakosha normalize uremu, sezvo achabvisa kumanikidza pamusoro musana uye nevamwe mapfundo.

Hazvina fanira uye physiotherapy. Murwere anofanira kugara kukurira kurovedza inokosha zvichakubatsira kusimbisa tsandanyama hurongwa, izvo, zvakare, kuchaderedza makakatanwa ari nomuzongoza.

Kana zvinodhaka, mune zvimwe zviitiko pasina pavo mumwe hakugoni kuzviita pasina. Kana simba marwadzo chirwere varayire nzira yakakodzera. In pamberi kuzvimba, varwere kazhinji kutora non-steroidal zvinodhaka. Asi ane simba kuzvimba uye kusimba marwadzo, vanachiremba ringavakurudzira steroids, vapinda zvakananga kupinda nhengo dzomuviri nzvimbo yacho musana.

Nzira dzokurapa

Kana extrusion mukuru 12 neMM, outpatient kurapwa iri ushandiswe Kashoma sezvo kuchinja kurapa kunogona chete achiipa zvinhu. Muzviitiko zvakadaro, sezvo mutemo, anoshandisa mikana Kuvhiya ano.

Dzimwe nguva varwere vari ushandiswe discectomy - zvishoma invasive kuvhiyiwa umo manipulations zvose zvinoitwa uchibatsirwa endoscopic zviridzwa. Uyezve, zvinokwanisika Laser kururamiswa pamusoro intervertebral discs.

Possible yematambudziko munguva extrusion

Extrusion - zviri chirwere zvikuru kune ngozi. Naizvozvo, hapana nyaya hakufaniri kuramba kurapwa kana kusateerera dzinoenda navanachiremba. Pashure pezvose, sezvo chirwere mberi musimboti pulposus achaita exude zvimwe kudzvinya midzi, nokudaro vachiwedzera marwadzo uye kuwedzera kunaka kwoupenyu.

Ukuwo, kushaya nenguva kurapa hwakazara kukura munhu herniated Disc. Uye kana ari extrusion zvinobvira kuchinja kurapwa, asi heniya anenge ose nyaya inoda kuvhiyiwa.