Ububabare butunguranye bw'umugongo busanzwe buterwa na disiki ya herniated.Disiki ihuza intera ni buffer hagati ya vertebrae kandi yatwaye umutwaro uremereye mumyaka.Iyo zacitse kandi zikavunika, ibice byumubiri birashobora gusohoka hanyuma bigakanda kumitsi cyangwa umuyoboro wumugongo.Ibi birashobora gutera ububabare bukabije.Uruti rw'umugongo cyane cyane rugira ingaruka.Disiki ya herniated isanzwe igabanuka wenyine yifashishije ububabare n'imiti igabanya ubukana, ariko mubihe bikomeye, kubagwa birakenewe.
Disiki yo mu mutwe ntigomba gukoreshwa mu kwicara mu buryo bwerekanwe: Iyo ukoze kwicara, umugongo wose wunamye imbere.Ihinduka nyamukuru ryumugongo riri mubice bya thoracic.Niba umubiri wo hejuru uzamutse hejuru, imbaraga zo gukata zizaba hafi yumubiri wo hasi.Niba hari ikibazo cyo gutandukanya disiki ihuza imbaraga, imbaraga zo gukata inyuma zizatera disikuru hagati yinyuma.Kugaragara.
Hariho kandi ikibazo rusange cyo gutwara ibintu biremereye, kandi ugomba kwitondera byumwihariko uko uhagaze.Nibyiza kunama amavi no kugorora ikibuno cyawe, nkuko bigaragara ku gishushanyo.Amaguru agororotse arunama kandi yunamye umutwe kugirango uzamure ibintu biremereye.Imbaraga zo gukata kuri disikuru yo hagati ni nini cyane.Imbere, disiki ihuza ibibyimba isubira inyuma, kunama igihe kirekire, cyangwa izindi mpamvu (nk'urukenyerero rumanitse mu kirere, umugongo wa thoracic wishingikirije ku ntebe) utera umubiri wa vertebral kwunama imbere, bizatera disikuru hagati. inyuma, hanyuma amaherezo biganisha kuri herniation.Kugeza ubu, ibisubizo byinshi mubushakashatsi bwakozwe murugo no mumahanga byerekana ko guhindagurika cyangwa gutungurana kenshi no kuzunguruka kumubiri aricyo kintu nyamukuru kiganisha kumutwe.
Lumbar intervertebral disc herniation muri rusange ntabwo bisaba kubagwa byihuse.Ugomba kubanza gukora cyane kugirango usubiremo kugirango urebe niba ibimenyetso bishobora kugabanuka.Muri rusange, disikari ya lumbar irashobora kugira prognoza nziza nyuma yigihe cyo gusubiza mu buzima busanzwe.
Kubaga, ibintu bikurikira bigomba kuba byujujwe
1 Ubuvuzi budasanzwe bwo kubaga ntacyo bukora cyangwa busubiramo, kandi ibimenyetso birakomeye kandi bigira ingaruka kumurimo no mubuzima.
2. Ibimenyetso byo gukomeretsa imitsi biragaragara, ni byinshi, ndetse bikomeza kwangirika.Birakekwa ko hacitse burundu fibrosus ya annulus ya disikuru ihuza ibice hamwe nuduce twa nucleus pulposus yinjira mu muyoboro wumugongo.
3 Hagati ya disikuru yo hagati hamwe no gukora amara.
4 Uhujwe na lumbar spinal stenosis igaragara.
Hariho ubwoko bwinshi bwo kubaga umugongo:
1. Kubaga bisanzwe bisanzwe:
Kubaga bisanzwe bisanzwe birimo: laminectomy yose, hemilaminectomy, kubaga disikuru ya transabdominal, vertebral fusion, nibindi. Intego yo kubaga ni ugukuraho mu buryo butaziguye nucleus pulposus ya disiki irwaye indwara yo mu nda no kugabanya imitsi y’imitsi kugira ngo igere ku ntego yo kuvura.Bitewe no kugabanuka kwimiterere yihariye ya physiologique ya vertebra, igikorwa cyangiza imiterere isanzwe ya physiologique ya vertebrae, bivamo igikomere kinini cyo kubaga, bikaba byoroshye gutera ihungabana nyuma yuburwayi bwumugongo wumugongo, gufatira inkovu nyuma yo kubagwa, hamwe nuruhererekane rwibintu bibi nko gukomeretsa imitsi yimitsi itunguranye mugihe cyo kubagwa.Noneho abarwayi benshi batinya kubagwa, nigute wakwirinda ingaruka mbi zavuzwe haruguru zatewe no kubagwa?Ibi byahoze ari ikibazo gikomeye mubuvuzi.
2. Kubaga byibuze kubaga disiki ya intervertebral
Mu rwego rwo kwirinda ikibazo gikomeye cy’imvune zo kubagwa bisanzwe no kugabanya ibyago byo kubagwa no kubaho kwingaruka, microsurgurgie na arthroscopic ifasha lumbar intervertebral disque igabanya kwangirika kwamagufwa asanzwe hamwe n ingingo mugihe cyo kubaga, ariko kubaga Minimally invasive ni an imikorere, ariko kandi ifite ibyago nibibazo.Ikindi kibazo gikomeye nuko umurima wo kubaga umaze kuba muto, biragoye gukuraho neza no gukuraho burundu nucleus pulposus ya disiki irwaye lumbar intervertebral disque irwaye, ibyo bikaba byongera ibyago byo kubagwa bitatsinzwe.
3. Gutemagura no guswera:
Ku barwayi bafite disikari ya lumbar, disiki nyinshi zatewe no guterwa n'umuvuduko mwinshi muri disiki.Gutobora no guswera birashobora kugabanya cyane umuvuduko wimisoro no kugabanya ibiri muri disiki ya herniated, bityo bikagabanya cyangwa bikuraho ibimenyetso byo kwikuramo imitsi no gusohoka.Ibyiza byubu buryo nuko mugihe cyo gukora，tyangiza ni nto, ariko ibibi ni uko ibikorwa byibanda cyane cyane kuri decompression, bigira ingaruka nziza kuri herniation ya intervertebral.
Ingaruka yo kugabanya ububabare bwa vertebroplasty iragaragara, mubisanzwe mugihe cyamasaha 24, kugenda byoroheje byumubiri birashobora gusubukurwa, kandi imiti yububabare irashobora kugabanuka cyangwa guhagarara.Hariho ibyobo byinshi mumubiri wa osteoporotic vertebral, kandi kole yamagufa irashobora kuzuza ibyo byobo bito, kugirango bikomeze umubiri wurugingo kandi bigabanye kuvunika.
Ni izihe nyungu za vertebroplasty?
Igabanya cyane ibyago byo guhura nibibazo nka hypostatike umusonga biterwa no kuruhuka igihe kirekire.
Uburyo gakondo bwo kuvura konservateur kubuvunika bwumubiri burimo kuruhuka kuburiri, guhomesha, immobilisation ya spint, nibindi, ariko, umubare munini wabarwayi bafite ibibazo nka kifhose, ububabare bwumugongo, sciatica, osteoporose ikabije, gutinda kuvunika cyangwa kudahuza, nibindi. . Ingorane nk'indwara zifata ibihaha cyangwa inkari nazo zishobora kubaho kubera kuruhuka igihe kirekire.Kandi nyuma yamasaha 2 nyuma ya vertebroplastique, abarwayi barashobora kuva muburiri bakagenda, bityo bikagabanya cyane ibyago byindwara nka pneumoniya hypostatike iterwa no kuruhuka igihe kirekire.
Irashobora kugabanya cyane ingano yimiti yububabare.
Vertebroplasty ifite ingaruka zigabanya ububabare, zishobora kugabanya cyane imiti yububabare, ndetse nabarwayi bamwe bashobora no kuba badafite ibimenyetso.
Ihahamuka rito ku murwayi
Vertebroplasty isaba gusa pinhole-nini ntoya ntoya cyane kandi nta maraso ava;gukoresha anesthesi yaho birinda ingaruka zitandukanye zo kubaga anesteziya rusange, kandi igihe cyo kubaga ni gito, kubagwa nta bubabare, kandi ububabare burahita bukorwa nyuma yo kubagwa.Ku barwayi bageze mu za bukuru n'abageze mu za bukuru, vertebroplasty ni amahitamo meza cyane.
Igihe cyo kohereza: Nzeri-29-2022