Extrusion - he maʻi o ka intervertebral iwi kuamoʻo. ʻano likeʻole extrusion. therapies

Extrusion - keia mea i kekahi o nā kuʻina o? Acaeoey o ka herniated iwi kuamoʻo. A me keia la, eʻalo he nui kanaka me ia i kaʻike,. I mea no ke aha nā mea maʻi, a ua hoihoi i ka 'ike e pili ana i na kumu, symptoms a me ka papa hana o keia kulana.

He aha ka extrusion?

eʻalo loa he mau hoʻomanawanui iki mai me ia i kaʻike, i kēia lā. A ua nui na kanaka manaʻo e extrusion - he hernia. I mea, keia olelo mea,ʻaʻole loa oiaio. Ma hope o extrusion - aho, ka mea, o ka keʻehi mua o ka ho okumu i ka herniated iwi kuamoʻo. He aha ka mea i mālama i loko o ia mau maʻi?

I Kaʻoiaʻiʻo he nui ka hana 'Oihana i kama'āina i ia mau hua'ōlelo. No, i? Iecaianoaaiiie extrusion iaoia - he kaʻina hana o ka loaa ana i ka mea, mai ka pīlali, a ma ka mahele heheʻe i ka ua extruded ma ke kupaianaha puka. Ma keia hihia, e hiki ke pana aku au i kekahi mau analogies.

I 'inikua terminology kapa extrusion ana ma ka iwi kuamoʻo annulus ua wāwahiʻia, a me ke kimu ole nana aku mawaho o ka nucleus pulposus. Nei, i ka mea ia manawa e hele ai i ka 3-4 millimeters (ia kēkahi me he kulu o ka wai) a me keʻano ukiuki o ke aʻalolo aʻa.

Nāʻanuʻu o ka ho okumu i herniated

I mea aha o ka extrusion, a me ka mea i kona kūlana ma ke kahua o ka herniated iwi kuamoʻo e ike, he mea pono e noonoo i ke kaʻina holoʻokoʻa.

Hernial protrusion ua hanaʻia i loko o ekolu kahua o ka hoʻonaʻauao. I hoʻomaka me he mea he ai-i kapaia o prolapse, ai ka intervertebral pā hōkū mea, e hina ia mawaho o ka ooieoeiiaeuiiai Hoʻohana me ka haehae i keia annulus. Ma muli o ka nele o ka wai a me ka mahuaola ka hoʻoneʻe nucleus pulposus loa hoemiia.

I ka wā e hiki mai, aia no he lua o ke kahua, a ma ke kālā no lapaau haawi ia i like me ka protrusion. Ma keia hihia, no ka intervertebral iwi kuamoʻo ua 'oni iki ma 3-4 millimeters (kekahi manawa, i ka 15 mm) ma kēlāʻaoʻao o ka vertebrae.

Extrusion - he koluʻanuʻu o ka ho okumu i ka protrusions. Ma ia kahua, he mea kekahi annulus fibrosus a nucleus mea e hele ana ma kela aoao o ka vertebra. Ma ka hapanui o na hihia, he ikaika mīkini'opihia o ke aʻalolo aa mea i ka malamaia, mai ka Kora naʻEsau ua koiia mai e ka lonikū spinal ligament. Inā mākou e kamaʻilio e pili ana i ka extrusion i loko o ka lumbar a me ka sacral, laila, i ka maʻi hiki e hou weliweli, e like me ka pinepine kumu mīkini'opihia o ka sciatic nā aʻalolo.

Extrusion a me kona Lolina

Ma ke kālā no lapaau, loaʻa nō kekahi mau nenoai o ka Mea Maluna o kekahi vertebrate maʻi. No ka laʻana, extrusion ua pinepine puunaueia i ke ano me ka nānā 'ana ma nucleus pulposus hāʻule i loko o kekahi ao ao.

No ka laʻana, ina o ka Kora naʻEsau mea kŰlń ao ma kēlāʻaoʻao o nāʻaoʻao o ka vertebral kolamu, ua kapaia kīloi paʻewa ke ano o keia maʻi. Aia He He dorsal extruded iwi kuamoʻo, i ua pu ma ka protrusion i ka pahee nā'aʻaʻa o ke kua. Pinepine, i ke ehuehu o nā mea maʻi a me nā diagnoses. No ka laʻana, kekahi kanaka i hoihoi i loko o ka helu i ka Central paha paracentral iwi kuamoʻo extrusion. Ma keia palapala ana o ka maʻi mea ole protrudes mawaho, a ma loko o ka spine, i mea pilikia loa i ka 'ōlelo i nā puke, no ka mea, he mea mau i ka wale o spinal kaula mīkini'opihia. Aia Ua hoi he posterolateral ano o ka maʻi, i ka i loaʻa i bulging hope a me ka aoao.

I kekahi manawa, ke kauka diagnoses "subligamentarnaya extruded iwi kuamoʻo". He aha ka mea? Ma keia hihia, ka inoa ua e kamailio e pili ana i ka olelo o ka protrusion o ka waiwai, a ma ke kahua o ka maʻi. Inā ka cartilaginous'aʻaʻa o ka nucleus ua 'oni iki i loko o ka loiloi mua kahua o ka hoʻonaʻauao, akā, no e malama i ka posterior lonikū ligament manawa, ma keia hihia i ka nānā mau poino i ligaments a me ka ho okumu subglottic extrusion.

Ke kumu nui no ka hooulu ana o ka extrusion

I ka mea, he nui na kumu no ka hooulu ana o keia maʻi. Mua o nā mea a pau ia e e kaulana ia extrusion - he maʻi o ka wa elemakule. Ma hope o ke kiʻekiʻe o ka wai lilo i'aʻaʻa poe oo hoi, he mea Penei ka hoʻohuikau 'ana o ke koko a me ka lako ole, D., i ka intervertebral iwi kuamoʻo i kekahi emi laholio.

Eia naʻe, loaʻa nō kekahi mau kumu'ē aʻe. No ka laʻana, extrusion pinepine e hoʻomōhala ana i ma luna o ke kāʻei kua o nā degenerative maʻi o ka spine. No ka laʻana, spondylosis, osteochondrosis, a curvature o ka spine pinepine lilo i kumu extrusion, a laila hernia.

O ka holo ana, i ka papa inoa o nā kumu e like me nā palapū o nāʻiʻo a me ligaments. Eia hou, e like me ka maʻi o pinepine i ka hopena o ka loa a me ka excessive hoounauna, o ka oi aku ka wā e hele mai i ka pōʻino i ka intervertebral iwi kuamoʻo i loko o ka lumbar a me ka sacral wahi, i nā loa pinepine amenable, e pilikia ana, a me ka lawe i ka hapanui o ka haawe ana i loko o ka noi.

He aha e na symptoms o ka maʻi akaka?

I mea, o ka extruded iwi kuamoʻo ua i mau pu ia e kekahi pelapela a me ka hiki symptoms. Muli o kona kulana pinepine, i ka maʻi i hunaia. Pain a me nā symptoms hōʻike wale nō i loko o ka hanana i poipu ana o ka fibrous apo o ka Kora naʻEsau kāua a me keʻano ukiuki o ke aʻalolo aʻa. A me ka lapaʻau kiʻi i loko o keia hihia hilinaʻi nui ma luna paha o ka spine i hahau.

I kahe ma ka cervical spineʻeha ia lŘlŘ i loko o nā poʻohiwi. Pinepine ia i hāʻawi mai ai i nā kuʻekuʻe lima, forearms a me nā manamanalima. Extruded iwi kuamoʻo thoracic e pū i ka pohāʻana o kekahi o ka hana a na nā loko, e like me ka pono me kaʻeha i loko o ka pahu.

Ka loa ano kumu ua malama i lesions o ka lumbar. Nō kāu, e hoomanawanui i ohumu o kaʻeha i loko o ke ki kala a me ka uha mua, a me ka numbness paha tingling i loko o nā wāwae, me na manamana wawae. Extrusion sacral spine hiki e ukali ia e ʻeha i loko o ka coccyx, pelvis a me ka wahine.

Hoikehonua, ano o kaʻike,

O ka holo ana, e hoʻomaka i ka mea e pono ai 'inikua ninaninau. Nāʻikepili no ka hou ikea ai, ua ahonui mōʻaukala, lapaʻau hōʻike (alo a me ka IIeEeAIEUAA o kaʻeha, ka pinepine '), kekahi neurological kāna hana (e laʻa me, e kaawale aku o ke kukuli iho a me na puupuu wawae reflexes, hanana o kaʻeha i hoike o ka vertebral kolamu).

E like me ka rula, mua hoonoho ia eʻume mākenēki resonance a Me tomography, a leie aku oe, e hoomaopopo aku i ke alo o nā protrusions a me ka pololei oholo kona nui a me ka wahi wahi. Ma kekahi mau hihia, o ka Akä naÿe study ua haliia mai la mawaho, ai ka mea i ho'ākāka 'waiwai ua hoʻolauna i loko o ka spinal Canal. Oia ikea aiʻo ia ka mea hiki e hooholo i ka 'ole o ke poho (keia extrusion, protrusion a herniation).

Ua mea hiki i ka makeʻe kulana lapaau?

O ka holo ana, i ka extruded iwi kuamoʻo i loko o ka hapanui o na hihia e ke ola me ke kōkua o ka makeʻe kulana ano o ka lapaau, o ka oi aku ina ka protrusion aole ia i oi aku mamua o 5-7 mm o. Ma keia hihia, ke kauka hoʻoneʻe 'ia paha, e waiho aku i ka pololeiʻai, a emi physical exertion. No nā mea maʻi pilikia mai obesity, ia mea nui e normalize ke kaupaonaʻana, e like me ka mea e hoʻopau i ka puʻe ma ka spine, a me ka 'ē aʻe ami.

He OAXA a me ka physiotherapy. Ke hoomanawanui pono mau hana me ka kūikawā kino i e kōkua hoʻoikaika i ka muscular'ōnaehana, a, hou, e emi i ka hoʻopilikia i loko o ka spine.

Like no ka ai ', ma kekahi hihia ole ia i kekahi hiki apuepue hana ole. Inā he ikaika eha maʻi pale i hoakaka ia kūpono 'ana. Ma ke alo o ka li nui, e hoomanawanui i pele lawe ole-steroidal ai '. Akā, me ka li nui, a ka nui o ka eha ikaika, kauka i waiho aku steroid i, a i komo 'ana i loko o ka epidural makahiki o ka spinal kaula.

ʻoki lāʻau lapaʻau therapies

I Ina extrusion, ua oi aku ma mua o 12 mm o, outpatient iapaau ana ua hoakaka ia kākaʻikahi like makeʻe kulana Inc hiki worsen wale ke kulana. Ma ka hihia, e like me ka rula, hoʻohana nā papaha o kēiaʻoki kino.

I kekahi manawa nā mea maʻi i hoakaka ia discectomy - minimally invasive ana ma a pau manipulations i lawe mai ai me ke kōkua o endoscopic kani. Eia hou kekahi, he mea hiki kukuna? Iaea o ka intervertebral iwi kuamoʻo.

Hiki complications i extrusion

Extrusion - ka mea, Aloha nō he pilikia maʻi. No laila, i loko o ole hihia e ole hoole lapaau a kāpae'ōlelo i ka hoike o ke kauka. Ma hope o nā mea a pau, e like me ka maʻi progresses ka nucleus pulposus e exude mai oi'ōpā aʻa, ma laila e māhuahuaʻeha a me ka worsening i ka pono o ke ola.

Ma ka kekahi lima, me ka nele o ka 'eleu lapaʻau mea fraught me ka hooulu ana o ka herniated iwi kuamoʻo. A ina ma ka extrusion hiki makeʻe kulana lapaʻau, ka hernia ma kaʻaneʻane na hihia ponoʻoki kino.