I-hernia ye-intervertebral yomgogodla womlomo wesibeletho itholakala ngesisekelo sezimpawu zomtholampilo kanye nezindlela zokuxilonga ngezinsimbi, phakathi kwalapho indawo eholela kuyo ihlala i-MRI - magnetic resonance imaging. Ukwelashwa kwe-hernia ye-vertebrae yomlomo wesibeletho kunqunywe ngokuhambisana nesigaba sesifo, izimbangela zomsuka wayo, ukutholakala kwamakhemikhali, iminyaka yesiguli kanye ne-pathologies ehambisanayo.
Izindlela zokwelashwa kwemithi yomlomo wesibeletho ngaphandle kokuhlinzwa
Imigomo eyinhloko yokwelapha okungewona ukwelashwa kwe-hernia yomgogodla wesibeletho yilezi:
- ukukhululeka kwesifo sobuhlungu;
- ukususwa kwezinqubo zokuvuvukala;
- ukuthuthukiswa noma ukubuyiswa kwegazi lokugeleza emisipha ejikeleze ama-vertebrae yomlomo wesibeletho kanye ne-discs;
- ukwandisa ukuguquguquka nokuqina komgogodla wesibeletho;
- ukuncipha kwe-muscle;
- ukuqinisa umsebenzi we-corset wemisipha yentamo;
- ukuvimbela umlando omusha;
- buyela emandleni okusebenza okujwayelekile nokusebenza komzimba.
Izindlela zokuqapha zihlanganisa lokhu okulandelayo:
Umbuso wokuvikela, ukuphumula, kwezinye izimo - ukugqoka i-corset ekhethekile.
2. Ukwamukela amalungiselelo ahlukene okwelapha kuthebhulethi noma ifomu lokujola:
- anti-inflammatory and analgesics (izidakamizwa eziningi ezingekho-steroidal anti-inflammatory zibekiwe);
- ama-decongestants;
- imisipha yokuphumula - izidakamizwa ezinciphisa i-tone muscle;
- i-glucocorticoids (ekwelapheni izinhlobo ezinzima zomnyango we-intervertebral hernia umlomo wesibeletho).
3. Ngesifo esibuhlungu kakhulu, i-novocain blockades yechungechunge lomgogodla ngokuhlanganiswa kwama-hormone e-corticosteroid angasetshenziswa enganciphisa ubuhlungu bomsila obuhlungu, ukunciphisa ukuvuvukala nokuvuvukala.
4. Ukwelashwa kwe-enzyme nge-enzyme amalungiselelo - ukuqeda umlando wakhe we-intervertebral (umthamo wokuvuthwa komzimba unganciphisa ngo-50%). Lezi zidakamizwa zenziwa yi- electrophoresis noma i-ultrasound ngesikhumba.
5. Ukukhishwa kwesikhumba - kukuvumela ukuba uqede umsizi we-muscle bese ukhulula ubuhlungu.
6. I-Hirudotherapy - le ndlela ingayithuthukisa ukujikeleza kwegazi kanye nokwehlisa umzimba endaweni yomonakalo, kanye nokuncipha kancane kancane umthamo we-hernia.
Emva kokukhipha inqubo elula, izindlela ezilandelayo zokwelapha zisetshenziswa:
- ukusikhipha;
- ukwelapha okubhaliwe;
- ukudonsa umgogodla (ukudonsa);
- ukuvivinya umzimba .
Ukwelapha okuhlinzekwa ngendlala yomlomo wesibeletho
Ukwelapha okuhlinzekwa kwe-intervertebral hernias yomnyango wesibeletho kuboniswa kulawo maqembu lapho:
- Umphumela omuhle wokwelashwa okulindelekile awutholakali emva kwezinyanga eziyisithupha ngemuva kokuqala ukwelashwa.
- Kukhona ukukhula kobuthakathaka emisipha phakathi nenkathi yezimpande zamanzi, naphezu kokwelashwa.
- Kukhona i-hernia ehlanganisiwe ye-disc ye-vertebral (i-fragment yezicubu ezincibilikisayo isuke ku-hernia).
- Umphumela oqhubekayo wokwelashwa awutholakali (isimo sesiguli sithuthukisa noma siyaqhubeka).
- Njalo kunesifo esizwakalayo sobuhlungu.
Kunezinhlobo eziningana zokungenelela kokuhlinzwa ezisetshenziselwa lesi sifo. Indlela yendabuko i-discectomy, ehilela ukususwa kwediski nokubunjwa kwe-fixed
Muva nje, izindlela zokwelapha ezincane zemithi ziye zathandwa kakhulu, phakathi kwazo i-microdiscectomy. Ukusebenza okunjalo kwenziwa nge-headpack noma nge-microscope yokusebenza. Ukucubungula okuncane kwenziwa (kufika ku-4 cm), okusheshisa ukuphulukiswa nokuphulukiswa kwesiguli.
Ezinye izindlela ezingenasidingo ezincane zibandakanya ukususwa kwe-endoscopic kwe-hernia, ukukhishwa kwe-laser, ukuphefumula kwe-nucleus ye-disc intervertebral ethintekile.