Stenosis o te tuaiwi lumbar: Take me Treatment

Tuarā i roto i te tinana tangata He maha ngā mahi. Ko ia he wahi nui o te pūnaha musculoskeletal me tiaki te ua , me te te whai wāhi i roto i te nekehanga tinana. Tetahi huringa i roto i tona hanganga pā te kounga o te ora te tangata. I roto i te mate meinga e te deformation o te pūnaha tautoko, tika tokanga makehe lumbar stenosis tuaiwi. Fele, te whanaketanga o tenei mate he tika ki te hoholo tūturu o te rauropi. Ko reira kia kia ētahi atu take. He aha? Ka tenei e lāulea i roto i tenei tuhinga. Ka ako koe ano te mea e tahi te tohu i te māuiuitanga, a he aha e kore e whakarerea e tona maimoatanga.

Faaotiraa o te mate

awa filosilivá whai wāhi nui i roto i te tinana tangata - tiaki te ua. Fakataha ki te upoko ko reira te pūnaha io pokapū, e regulates te mahi o te rauropi katoa. Na reira, tiaki te hanganga kikokiko o te awa filosilivá ko te kī ki te whakaoti i te mahi o te ua. Tetahi ofatiraa i roto i tenei pūnaha mutu ki hopearaa tina heke.

Stenosis o te tuaiwi lumbar - he tukanga pathological, āhuatanga nei i te whāiti o tona diameter. arata'i lumen whakaiti ki kōpeketanga o pakiaka tuaiwi. e pā ana te whakahua tuatahi o tenei mate e ki Antoine Portapom. I roto i te 1803, whakaahuatia te tākuta te mate, tāutuhia ona take. I roto i te tīwae "Tohu" ka mea ia waewae pāpāngia me uaua atrophy.

Stenosis - Ko te māuiuitanga tika noa, e te nuinga puta i roto i te paari. Ki te titiro koe ki te tatauranga, whakapumautia tenei tātaritanga i roto i 21% o tūroro i muri i te 60 tau. 30 anake% o ratou i tohu haumanu o te mate.

Ko te take o te stenosis

Hei mohio nga take matua o te mate, he mea e tika ana ki te mahino te tinana o te pūnaha tautoko, me te ake āta, tona tinana.

Ko te tinana vertebral me te hongere i hanga e haurangi. e toaati ratou e here. haere ua roto te teihana. ki tonu te wāhi katoa o te kōhao i te wai, me te ngako kiko. Tenei apa taea ki a koe kia ake he ahua o te whāiti hongere iti, e ai i roto i te mahi noa te tangata. Ki te heke te diameter o te lumen te atu ara, i reira he kōpeketanga o te tupu karere te roro ake ranei. Ka rite ki te hua o te tukanga mate, i reira e ngā tohu o te āhua neurological.

I roto i te tūranga o te take o te mate e hanga te puku, kōpae protrusion, intervertebral whara whaturama, arthrosis. Ko tēnei puka o te mate i huaina «stenosis tuarua o te tuaiwi lumbar," rite luminal whāiti ko te hua o te tahi atu pathologies. meinga Whanaketanga o tuatahi (idiopathic) kē e mate congenital. E tonu ana tohu i te taitamariki tau. kōhikohiko congenital puta tika ana ki te whanaketanga fetal tano ore.

Ko tētahi o nga hopearaa kino o te mate ko te takahi o te transportation o ngā matūkai ki te ua. Ka rite ki te hua, i roto i nga piki pēhanga awa filosilivá, e tika ana ki te kōpeketanga o oko. Ka rite ki te hua, ka taea e ratou e kore whakawhiti i te rōrahi hiahiatia o toto i te tere tiketike. Ki roto ki nga huringa katoa i roto i te tinana tangata tīmata ki te ite i te mamae i roto i te hoki me wahi.

Me pēhea te ki te ite i te mate?

Stenosis o te tuaiwi lumbar ko te mate tika noa. Ko raro ki te tukanga hoholo māori, te tikanga kei te i whakakitea te tinana tangata i ngā rerekētanga degenerative. haamata Stenosis ki hūhi i roto i te rohe lumbar. E whakakapi e marino whanaunga wā o exacerbation. kia tīmata te mamae nui haere etahi take waho (kaupapa tuke, mahi tinana). faarahi hūhi kaha āta. Ko te taea tenei te mea e kore e te deformation hongere tupu te pō, e te reira te wa. Fakatokanga'i te kōpeketanga i te wāhanga tuatahi o te whanaketanga, ko te tata e taea. kiko Nervous āhuatanga e elasticity teitei. A, no te aki, totoro ia roto tahi ki wheua kiko. puta hūhi mamae ina he te kopa i te rohe o te whārōrō.

E i raro Stenosis o nga pakiaka ua ki te pāmamae pēhanga tamau. E tonu ratou i roto i te āhua o te edema. Kei te nuinga o te wā iti mamae hoki tahi e te tahunga nui, no te mea ara ohorere toto supply ki te kiko io. Kei te faaruru tonu ia he kaimahi o te hāora.

I te tahi taime, i roto i pikaunga kaupapa tuke, he kōpeketanga koi o te karere, hua i roto i Aukatihia ai reira ranei. Ka taea te kite i tenei ki te huri i te kiwi e o te manawanui, me te ngoikore hoki o te nekeneke mahi. riro pakeke te tangata ki te tu noho ranei. Anake i tenei wā, tahuri ia ki te tākuta, ka rongo te tātaritanga o "stenosis o te awa filosilivá lumbar." Ka taea e Tohu i mua, me te arahi ki nunu'a tina heke, ki te kore e timata te wā maimoatanga.

whakarōpū o stenosis

Ka rite ki te hua o disorders degenerative o wheua kikokiko i te taumata o te whāiti o te diameter awa filosilivá. I roto i te tirohanga o taua huringa ko nga momo e whai ake nei o te mate:

1. whakaiti Absolute i roto i te stenosis riro lumen teihana ki 5-10 mm. huru no te māuiuitanga e te pikitia kanapa haumanu. titau pokanga Treatment, engari e taea te tono tikanga momo.
2. Ko te stenosis whanaunga o te tuaiwi lumbar tā whāiti o runga ki te 10-12 mm. Ko tēnei puka o te mate kitea e tupono, pai te whakautu ki te maimoatanga.
3. A, no te kite i te stenosis filosilivá lateral hongere here ki te 3 mm. Ko te wā tino o te mate tenei, tera i te pokanga whakahauanga.

stenosis whakamātautau Medical

maimoatanga rawaka me te wā ko te kī ki te whakaora tere. Ko te mua te tākuta whakahau maimoatanga, ki te atu tūponotanga riro raruraru. Hoki tohutohu i runga i tenei mea e hiahia ana ki te haere ki te roro toketā neave ranei. stenosis filosilivá tuaiwi lumbosacral - te reira ratou makehe. hāngai ana te tātaritanga o te mate e ki runga tohu haumanu, raraunga whakamātautau neurological (huringa o reflexes, e alangá tūtohutanga) me nga hua o whakamātautau atu. Mai te mamae i roto i te tuaiwi lumbar taea te meinga e take maha, kahore he x-ray me spondylography kore mahi. I te tahi taime e hiahiatia ana te MRI atu te. I runga i nga hua rangahau, ka taea e te tohunga te whakatū i te aroaro o te mate, ona take, me te tiki ake tika therapy.

Aratohu maimoatanga

Ka rite ki ki tetahi atu mate ma'i, whakatakoto matua tākuta therapy momo. te tikanga e te akoranga kore ake atu i te 30 nga ra. whai wāhi wā ki te tākuta e taea patu huakita te stenosis o te tuaiwi lumbar mō te 1-2 marama, me te kore ki te huihui ki wawaotanga hāparapara. rapu take Arā therapy tiaki puta noa to ratou oraraa. maimoatanga Paerewa ngā rongoā me te therapy tinana. Ko tōna whāinga matua - ki te whakakore i te take o te mate, me te whakaiti i tohumate.

pire Treatment me hinu

tohua Drug therapy te i roto i tūroro kahore disorders neurological kitea, ka anake te amuamu he mamae i roto i te sacrum me waewae. Maimoatanga o te stenosis awa filosilivá o te tuaiwi lumbar ko ki te farii i te mau faaineineraa e whai ake nei:

1. Nonsteroidal taero anti-inflammatory ( "Ibuprofen" "Diclofenac", "Ksefokam"). whakaiti ratou mamae, me te tetere i roto i te rohe o te pakiaka karere, whakakore mumura.
2. relaxants Uaua ( "Mydocalm", "tizanidine"). E hangaia ēnei taero ki atawhai uaua mānukanuka.
3. huaora B ( "Milgamma", "Neurovitan").
4. āpiha Cardiovascular ( "Pentoxifylline," "Kurantil"). whakatika nei ia ratou mahi matua te i te whakapai ake rere toto.
5. taero Protivootechenye ( "Diakarb").

Ki te hūhi mamae kaha whakaatu pānga pai o te pā epidural sacral ranei, me te anesthetics rohe. E mea pinepine e mau enei raau taero i roto i ngā.

mahi whakaora

Ki te te kore whiwhi huru whānui o te manawanui kino, ka tonoa e ia ki te tākuta-rehabilitators. Kua tēnei mātanga kua whakawhanake hōtaka mō te therapy tinana. Vocabulary lumbar filosilivá awa stenosis tīpakohia takitahi, tango ki pūkete te huru o te manawanui, me te pakeke o te mate. Ko te whāinga matua o te therapy tinana - ki te ako ki te whakahaere i nga tohu o te mate, ake i te kaha me te ngäwari o te taputapu tautoko. Tenei ko te torutoru kōwhiringa mahi tūtohutia stenosis.

• E takoto ana i runga i tou hoki, whakapiko waewae, me te waiho i te-whānui pokohiwi motu. Me koe ki te tango i te manawa hohonu, tatau ki te rima, ka exhale kaha whakaara i te pouaka. kia kia te mōkihi taua 8-10 wa tukurua.
• tūtohu Mahi te ki te tīmata ki te mahi manawa. E takoto ana i runga i tou hoki, me te tiki koe ake, ka kotēhia te turi uma, noho i roto i tenei tūranga mo te meneti torutoru. I muri i taua, e taea te pai tukua nga waewae. A tapiti faahou i te iti rawa 10 ngā wā.
• E takoto ana i runga i tou hoki, ringa tareka i roto i ngā tohutohu rerekē. E piko waewae i nga turi, ka āta tahuri atu i te taha ki te taha. I roto i tenei take, kia noho pahoho te hoki.

Ka taea e ēnei mahi ohie whakahaere i te huru o te tūroro ki te tātaritanga o "stenosis o te awa filosilivá lumbar." I tua āwhina hoki ki te whakapai ake i te tohanga toto i roto i te wahi pānga o te tinana. I te wāhanga tuatahi o te therapy mahi matatini kia kawea atu ki raro i te mātakitaki o te faiako rata. I muri aravihi i te akomanga technique tika e taea te haere tonu i te kāinga.

Āwhina Traditional Medicine

I roto i te täoro reira he maha tohunga tuku iho mo te maimoatanga o te stenosis. I roto ia ratou he mōkihi ngā rongonui o te honi. Whakahinuhinu te lumbar rohe kai reka, hipokina ki te tauera, ka hoatu te pua nani i runga i runga. Ka taea hoki te hanga e koe he kōpeke o whaowhia o puawai elderberry, Kamomere me te thyme. Ki te mahi i tenei, i roto i te hupa hua o otaota e tika ana ki te whakamakuku i te kakahu miro, a ka tono ki te wahi i pangia, me te roropi he kameta mahana mo te po.

He mea nui ki te matau e na te tikanga o tohunga tuku iho e kore e taea te ora stenosis o te tuaiwi lumbar. Iihi therapy tarukino ranei ki te āwhina i te akakoromaki i tenei mate. whakarato Tetahi tohutao tohunga pānga wā-poto. Maoro ranei i muri mai, ka hiahia tonu koe ki te kite i te tākuta.

A, no te he e tika ana pokanga?

stenosis maimoatanga ki pokanga kia whakaaro motuhake. tohua wawaotanga operative te ki te kore therapy momo i kawea mai i te hua e hiahiatia ana ranei he mate i roto i te wā arā atu. Ko te whakaaro matua o te tukanga - tuku i te kōpeketanga pakiaka io. I reira i reira e rave rahi kōwhiringa mo te pokanga, e taea te whakakore i te stenosis o te tuaiwi lumbar. Ka taea e te mahi tango i te wahi e rua i runga i te momo tuwhera, me endoscopy. I roto i te tikanga mahi ko te hua tino te whai ake:

• laminectomy Decompressive. Ko te mahi tā tapahi wāhanga e kōpeke te pakiaka io. kia pā Resection pūwaha pewa, nape kōwhai, te tukanga spinous. I roto i te 68% o te wā i te wawaotanga o te hua pai.
• Aueue mahi. Ko te tikanga e tūtohutia ratou i roto i te tua ki te decompression laminectomy ki te riro i te mahi tautoko o te tuaiwi.

Ko te putanga o tetahi pokanga, he tino uaua ki te matapae. I te tahi atu te ringa, ko te maha anake te kōwhiringa ki te whakaora stenosis filosilivá o te lumbar - mahi. Reviews e pā ana ki te ngā tukanga i roto i te nuinga o te wā pai. whakaaro tōraro o tūroro kei te nuinga o te wā e pā ana ki te wā ora nui. Mō ia atu tino whakaahuatia i raro nei.

Rehabilitation i muri i te pokanga

I muri i te pokanga, kia te manawanui kia hāngai ana ki te faaho'iraa mai o te hauora ope katoa. I roto i na mahi, ka taea e tauturu i te reira i te rata-rehabilitator. He wae nui o te wā whakaora ko te kaha ki te whakahaere i te mamae. Hoki tenei whakaaro, ka taea e te tohunga te whakahere i te maha o ngā huarahi: maimoatanga wera, te whakamahi o te tio, ultrasound, whakaongaonga hiko. Ki te whakapai ake i te tohu tinana, kua whakaritea ano te manawanui he akoranga therapy tinana. E tīpakohia mahi takitahi, tango ki pūkete huru o te manawanui. Kia ako i te manawanui ki te whakahaere takitahi te mamae, e taea te whakaaro te wā whakaora rite oti.

pōauautanga taea

Whakaiti i te diameter o te awa filosilivá he mōrearea ki ratou pānga i runga i te ua. I roto i taui i tenei pikitia haumanu tino, i reira e tohu neurological. Ratou tohu whakawhirinaki i runga i te pakeke o te tukanga pathological (e alangá paresis, dysaesthesia whekau papatoiake).

mutunga

Na e matau ana koutou he aha e kore e waiho e koe kahore whakarongo ki te stenosis tuaiwi. Types, tohu me te rongoā o te mate, kua hoki i whakaahuatia i roto i tenei tuhinga. āhuatanga tēnei māuiuitanga e te akoranga matatini, na e kore e mahi i waho te awhina o te ngaio tohu. Treatment kua hanga e stenosis - ko te tukanga roa, me te uaua. I roto i te tikanga ki te ārai i tona tupu, tino mamae wā whakamātautau hauora, me te piri ki te āhua kaha. E noho hauora!