Stenosis yecumbar spine: zvinokonzera uye kurapa

Iyo musana muviri womunhu unoita mabasa akawanda. Iyo inokosha inobatanidza mu musculoskeletal system, inochengetedza rwonzi rwomukona uye inopindira mune kufamba kweiyo. Chero kuchinja kupi zvayo muurongwa hwayo kunobata hupenyu hwemunhu. Pakati pezvirwere zvinokonzerwa nekushanduka kwebatsigiro, kunyatsotarisirwa kwakakodzerwa ne stenosis yerumarini yemugero. Muzhinji, kukura kwechirwere ichi kunobatanidza nekukwegura kwemuviri wemuviri. Asi pane zvimwe zvikonzero. Ndezvipi? Tichataura pamusoro peizvi munyaya ino. Iwe uchawanawo zviratidzo zvipi zvinowirirana nehutachiona uye nei munhu asingafaniri kuregeredza kurapa kwake.

Tsanangudzo yezvirwere

Nzira yemuginha inobata basa rinokosha mumutumbi wemunhu - inodzivirira rwonzi rwomusana. Pamwe chete nemusoro anogadzira nheyo yepamusoro yenheyo, iyo inotungamirira kushanda kwehupenyu hwose. Nokudaro, kuchengetwa kwechimiro chemaatoriki emugero wepelinha ndicho chinhu chikuru chekushanda kwemutsara wepelinha. Chero kukanganisa kwemugadziriro ino kunoguma nemigumisiro isingagadziriswi.

Stenosis yemugero wepelinha we lumbar spine inzira inoratidzirwa iyo inoratidzirwa nekuderera kwepakati. Kugadziriswa kwemwenje kunotungamirira kukunyanya midzi yemutsipa wepelinha. Kutaura kwokutanga kwechirwere ichi kunosanganiswa naAntoine Portap. Muna 1803, chiremba akarondedzera chirwere chacho zvakadzama, akatarisa zvinokonzera. Muchikamu chacho: "Zviratidzo" akataura kuti kupera kwemakumbo uye muscle atrophy.

Stenosis ndiyo inowanzoshanda, iyo inonyanya kuwanikwa kuvanhu vakwegura. Kana iwe uchitarisa nhamba, izvi zvinotaridzika zvinotsigirwa mu 21% yevarwere mushure memakore makumi matanhatu. Ivo chete 30% ndivo vane zviratidzo zvechirwere chechirwere.

Zvinokonzera stenosis

Kuziva zvikonzero zvinokonzera chirwere ichi, unoda kunzwisisa maitiro ehurongwa hwekutsigira, kana kuti, panzvimbo yaro.

Nzira yemugunha inoumbwa nemitumbi uye masvingo. Izvo zvakabatanidzwa pamwechete nezvisungo. Pakati pemugwagwa unopfuura rutivi rwepelinha. Zvose nzvimbo yakazara nzvimbo izere nemvura uye mafuta. Izvi zvakasiyana-siyana zvinotibvumira kuti tive nechechidiki chiteshi chekudzikisa, izvo zvinogona kuitika mumabasa evanhu. Kana kubwinya kwechiedza ichi kuderedzwa kunyanya, kudzvinyirira kwehutano hwehutano kana uropi pachahwo hunoitika. Somugumisiro wehutano hwehutano huno, zviratidzo zvakasiyana-siyana zvehutano hwepfungwa dzinoonekwa.

Mune chikamu chechikonzero chechirwere ichi chinogona kunge chiine matumire, kuputika kwema discs, intervertebral hernia, trauma, arthrosis yezvibatanidzwa. Chimiro chechirwere ichi chinonzi "secenosis stenosis yemugero wepelinha yemunharaunda yechiparadzi," nokuti kuderera kwechiedza ndicho chikonzero cheimwe zvirwere. Kuburikidza kwekutanga (idiopathic) kusiyana kwechirwere ichi kunokonzerwa nehutano hwekusagadzikana. Zviratidzo zvake zvinoratidzwa kunyange pazera remakore. Congenital anomalies inobva pakusagadzikana kwemuganda wakakosha.

Chimwe chemigumisiro ine ngozi chechirwere uku kuputsa kwekutakura kwezvimiti kusvika kumutsipa wepelinha. Somugumisiro, kukanganiswa mumugero wepasipera kunowedzera, izvo zvinotungamirira kukudzidzira kwemidziyo. Sekuguma, havakwanise kutumira izwi rinoda ropa rekuda. Mukurwisana nemamiriro ezvinhu ose ekuchinja kwemuviri, munhu anotanga kunzwa kurwadziwa mumashure nemakumbo.

Nzira yekuziva sei chirwere?

Stenosis yecumbar spine ndiyo yakanyanya kufanana nehutachiona. Muviri wevanhu unowanzoita maitiro ekukwegura kwechisikirwo, izvo zvinowanzoratidzwa nekushanduka kwekuchinja. Stenosis inotanga nekunetseka munharaunda ye lumbar. Nguva yekuwedzererwa inoshandiswa nehana yakadzikama. Kuwedzera kunorwadza kunogona kukonzera chero chinhu chekunze chinokonzera (kusava nehanya, kushanda muviri). Kuwedzera kwekusagadzikana kunowedzera zvishoma nezvishoma. Izvi zvinokwanisika nokuti kududzirwa kwechirongwa hazviitiki mune rimwe zuva, izvi zvinoda nguva. Zvinenge zvisingabviri kuona kugadziriswa pachikwata chekutanga chekuvandudza. Nerve tissue yakanyanyisa. Kana yakamanikidzwa, inotenderera mukati pamwe chete nemapfupa emapfupa. Kushungurudzika kunorwadza kunoitika apo maviri acho ari pamucheto wekuwedzera.

Ne stenosis, ruvara rwemitsipa rwemitsipa rwakasvibiswa nekushungurudzika nguva dzose. Vanogara vari mumamiriro ekudzimba. Kurwadziwa kumashure kunowanzoperekedzwa nekupisa kwakanyanya, nokuti kugovera ropa kweropa rwenheyo richiri kukanganiswa. Anogara asingakwanisi oksijeni.

Dzimwe nguva, pakatarisana nechepamusoro wemutoro kana kushamwaridzana, pane kuvhara kwakasimba kwemashu, zvichiguma, inogumira basa rayo. Izvi zvinogona kuonekwa kubva pakushandurwa mune gadziriro yemurwere uye kushaya simba kwemotokari. Zvinowanzoomera kuti munhu amire kana kugara. Chero panguva iyi anotendeukira kuna chiremba uye anonzwa kufungidzirwa kwe "stenosis yemugero wepelinari weharaunda." Zviratidzo zvinogona kufambira mberi uye zvinotungamirira kumigumisiro isingaoneki kana kurapwa kusati kwatanga panguva.

Kuenzanisa kwe stenosis

Somugumisiro wekushungurudzika kwekuvhiringidza pahutano hwemapfupa emapfupa, pane kuve kwepakati kwemazana emugero wepelinha. Mukuona kwekuchinja kwakadaro, maitiro anotevera echirwere anozivikanwa:

1. Absolute stenosis inoratidzira kuderera kwechiedza chemuhara kusvikira 5-10 mm. Utano hunoonekwa nekliniki yakajeka. Kurapa kunoda kuvhiyiwa, asi nzira dzinogadzirisa dzinogona kushandiswa.
2. Chirwere chechiremera chegomba remumumvuri chinomiririra chinoreva kuderera kwechiedza kusvika 10-12 mm. Ichi chimiro chechirwere chinowanikwa nechiitiko, chinoporesa.
3. Ne latal stenosis , chirwere chemusana chepelinha chakatambanudzirwa kusvika 3 mm. Ichi ndicho chikamu chekupedzisira chechirwere ichi, zvinoreva kushandiswa kunobvumirwa kupindira.

Kuongororwa kwechiremba kwe stenosis

Kurapa kwakakwana uye panguva yakakodzera ndiyo chinhu chinoita kuti munhu awane nekukurumidza. Nokukurumidza chiremba anorayira kurapwa, zvinowanzova kukunda chirwere chacho. Nokuda kwekutaurirana pamusoro peiyi nyaya, unofanirwa kushanya neurosurgeon kana neurologist. Stenosis yemugero wepinini we lumbosacral musana ndeyekuita kwavo. Kuongororwa kunobva pane zviratidzo zvemakiriniki, dambudziko rekuongorora nyanzvi (kuchinja mukufungidzira, kushushikana kwemakumbo), nemigumisiro yekuwedzera kuongororwa. Sezvo marwadzo ari munharaunda inogona kunge yakakonzerwa nekuda kwezvikonzero zvakasiyana-siyana, radiography uye spondylography haigone kudziviswa. Dzimwe nguva imwe MRI inodiwa. Kubva pamigumisiro yekubvunzurudzwa, nyanzvi inogona kugona kuvapo kwechirwere, chikonzero chacho, uyewo kusarudza kurapa kwakakwana.

Mazano ekurapa

Sezvimwe zvipi zvese zvirwere zvisingaperi, kutanga kwezvose chiremba anonyora kurapa kwakakodzera. Nzira yacho inowanzotora mazuva anopfuura makumi matatu. Kuwana kwenguva yakareba kune chiremba kunogona kuporesa stenosis yerumarini yepinal spinal for 1-2 months uye haafaniri kushandura kupindira. Kutanga matambudziko kunoda chirongwa chekugadzirisa mukati mehupenyu. Chikoro chekurapa chinosanganisira kushandiswa kwemishonga uye physiotherapy. Chinangwa chayo chikuru ndechokubvisa chikonzero chechirwere, uyewo kuderedza zviratidzo.

Kurapa nemapiritsi nemafuta

Kushandisa zvinodhaka kunoratidzwa kune varwere vasina zvirwere zvakakomba zvepfungwa, apo kunongororwa chete kunorwadza munzvimbo ye sacrum nemakumbo. Kurapa kwe stenosis yemugero wepelinha munharaunda inowanikwa kune mvumo yekugamuchira mishonga inotevera:

1. Nonsteroidal anti-inflammatory drugs (Ibuprofen, Diclofenac, Xsefokam). Vanoderedza marwadzo, kuvhurika mumutsipa wemutsipa, kubvisa kupisa.
2. Miorelaxants ("Midokalm", "Tizanidine"). Mishonga yakadai yakagadzirirwa kusunungura kushungurudzika kwemasisita.
3. Vitamine dzeboka B ("Milgamma", "Neurovitan").
4. Vascular zvinoreva ("Pentoxifylline", "Kurantil"). Chinonyanya kukosha chinangwa chekuvandudza kuteura ropa.
5. Antidiarrheal drugs (Diakarb).

Nokurwadziwa kwakanyanya kusagadzikana, chiitiko chakanakisisa chinoratidzwa nemafuta epidural kana sacral blockades, pamwe chete neanesthetics yemo. Kazhinji mishonga yakadaro inotorwa muzvinetso.

Kurapa muviri muviri

Kana mamiriro ezvinhu akazara emuurwere asingatauri, anotumirwa kune chiremba-rehabilitologist kuti awane mazano. Iyi nyanzvi inobatanidzwa mukugadzirwa kwezvirongwa zvekudzivirira muviri. Kuita zvekudzivirira kwechirwere chemumumvuri wemugero kunosarudzwa mumwe nomumwe, zvichifunga nezvemamiriro emurwere uye kuoma kwechirwere chacho. Basa guru rekurapa kwepanyama mumuviri ndekukudzidzisa iwe kuti uchengetedze kuratidzwa kwechirwere, kuwedzera simba uye kushanduka kwemashonga ekutsigira. Pasi pane zvimwe zvingasarudzwa zvezviito zvinokurudzirwa kuti uwane stenosis.

• Arerekera kumusana wake, anonamatira makumbo ake uye anoparadzira mapepa ake akazara. Zvakakosha kutora kufema kwakadzika, kuverenga kune zvishanu, uye zvino kuwedzera zvakanyanya kusimudza chifukidzo. Kuoma kwakadaro kunofanira kudzokororwa 8-10 nguva.
• Kudzidzira muviri kunokurudzirwa kutanga nemapfupa ekudzivirira gymnastics. Kuvata pamusana wake, zvakakosha kusimudza nekupfugama mabvi ake kumapfupa ake, gara munzvimbo iyi kwemaminitsi akawanda. Mushure maizvozvi, unogona kunyatsotasunungura makumbo ako. Dzokorora kanenge ka10.
• Kunyengera pamusana wako, maoko akapararira nenzira dzakasiyana. Makumbo anofanirwa kukotama pamabvi, ezvo obva atendeukira kurudyi uye kuruboshwe. Munyaya iyi, kumashure kunofanira kuramba kuripo.

Kudzidzira kwakadaro kwakadaro kunoita kuti zvibvirire kuderedza mamiriro ezvinhu evarwere vanorwara ne stenosis ye lumbar mumugwagwa wepasina. Kurapa maitiro kunobatsirawo kuvandudza kupararira kweropa mumativi akabatanidzwa emuviri. Pakutanga kwekutanga, basa rakaoma rinofanira kuitwa pasi pekutarisirwa kwechiremba-murayiridzi. Mushure mokuziva nzira yakarurama, zvidzidzo zvinogona kuendeswa kumba.

Kubatsirwa kwemishonga yemagariro

Muchikwata chevarapi vemazuva ano, mune zvakawanda zvigadzirwa zvekurapa stenosis. Pakati pavo, makomiti akaitwa nouchi anozivikanwa chaizvo. Iko kunofanirwa kugadzirisa chiuno chechiuno nechingwa chinotapira, chivhara nejira uye nekuisa masardard plasters kumusoro. Iwe unogonawo kuita compress kubva pakusanganiswa kwe elderberry, chamomile uye thyme maruva. Kuti uite izvi, mukududzirwa kwezvibereko zvemishonga, unoda kusungira jira rekotoni, wozoisungira kunzvimbo yakakanganiswa nekuiputira ichidziya nechisvini cheusiku.

Zvakakosha kunzwisisa kuti kuburikidza nekubatsirwa kwevanoporesa zvemagariro hazvibviri kuporesa stenosis yechipinda chemumumvuri wepalini. Kushanda kana mushonga kunobatsira kutsungirira chirwere ichi. Chero mishonga yevanoporesa inopa nguva pfupi. Nokukurumidza kana kuti gare iwe uchatozofanira kuona chiremba.

Basa racho rinodiwa rini?

Kurapa kwe stenosis chirwere kunofanira kuonekwa sega. Kupindira kwekuvhiya kunoratidzirwa kana chirwere chekuchengetedza chisingaiti chinokonzera chidiro chaidiwa, kana chirwere chacho chiri munharaunda isina hanya. Chinangwa chikuru chemuitiro ndechokusunungura midzi yehutano kubva pakudzvinyirira. Pari zvino, zvingasarudzwa zvekuvhiya zvakagadziridzwa, izvo zvinobvumira kubvisa stenosis yechipfupa chemumumera. Kuvhiya kunogona kuitika pachena kana kusingaperi. Pakati pezvinhu zvose zvinoshandiswa zvinonyanya kushanda ndezvizvi:

• Decompression laminectomy. Kuvhiya kunosanganisira kuderedza nzvimbo dzinomesa mutsara. Kuramba kunogona kuchinja arc ye vertebra, yellow yellow, spinous process. Muna 68% yezviitiko, kupindira kunopa chiitiko chakanaka.
• Kuchengetedza basa. Kazhinji ivo vanokurudzirwa kuwedzera kuwedzererwa kweminectomy kumusimbisa kusimba basa repona.

Chigumisiro chekupindira kupi zvako kupi zvayo zvakaoma kufanotaura. Kune rumwe rutivi, kazhinji kacho chisarudzo choga chokurapa stenosis chegomba repinal canal chirwere. Kuongorora nezvenzira dzinoshandiswa mumatambudziko akawanda dzakanaka. Pfungwa dzisina kunaka dzevarwere, sekutonga, dzinobatanidzwa nenguva yakaoma yekudzorera. Inorondedzerwa mune zvimwe zvinyorwa pasi apa.

Kuvandudzwa pashure pokuvhiyiwa

Mushure mekupindira kwekuvhiya, simba rose remurwere rinofanira kuve nechinangwa chekudzorera utano. Mune izvi anogona kubatsira chiremba-rehabilitologist. Chimwe chinhu chinonyanya kukosha munguva yekudzorera inokwanisa kukwanisa kurwadzisa chirwere. Nokuda kwezvinangwa izvi, nyanzvi inokwanisa kupa maitiro akawanda: zvinotyisa zvinoshandiswa, kushandiswa kwechando, ultrasound, magetsi ekusimudzira. Kuvandudza kushanda muviri, murwere anorayirwawo nzira yekurovedza maitiro. Kudzidzira kunosarudzwa pachavo, zvichifunga nezvemamiriro emurwere. Kana mushure mokunge murwere achidzidza kudzora chirwere chemarwadzo oga, nguva yekudzorera inogona kuonekwa seyo yakakwana.

Zvinetso zvinogona kuitika

Kugadziriswa kwepamusoro pemugero wepasipinha kune ngozi nekuda kwemigumisiro yemutsara. Panguva imwecheteyo, kliniki yemufananidzo wechirwere ichi chinoshamisa kwazvo, zviratidzo zvehutano zvinoonekwa. Kuratidzwa kwavo kunoenderana nekuoma kwemararamiro (paresis emakumbo, kuputsa kwekunzwisisika kwezvikamu zvepachiviri).

Mhedziso

Iye zvino unoziva kuti sei iwe usingafaniri kukanganwa stenosis yemugero wepinini. Mhando, zviratidzo uye kurapa kwechirwere zvinotsanangurwawo munyaya ino. Ichi chirwere chinoratidzwa nenzira yakaoma, naizvozvo pasina rubatsiro rweyanyanzvi anoziva, zvinokosha. Kurapa kwekuve kwakagadzirwa stenosis ndeyekuita uye yakaoma nzira. Kuti zvidzivirire kuitika kwayo, zvakakwana kuti uongorore kuongororwa kwechiremba nguva dzose uye kubatana nemararamiro anoshanda. Iva noutano!