Sudden mob rov qab feem ntau yog tshwm sim los ntawm ib tug herniated disc.Lub intervertebral disc yog ib qho tsis nyob nruab nrab ntawm lub vertebrae thiab tau nqa hnyav ntau xyoo.Thaum lawv ua nkig thiab tawg, qee qhov ntawm cov ntaub so ntswg tuaj yeem tawm thiab nias rau ntawm cov hlab ntsha lossis tus txha caj qaum.Qhov no tuaj yeem ua rau mob hnyav.Lub lumbar qaum tshwj xeeb yog feem ntau cuam tshuam.Ib qho herniated disc feem ntau shrinks ntawm nws tus kheej nrog kev txhawb nqa ntawm qhov mob thiab tshuaj tiv thaiv kab mob, tab sis nyob rau hauv cov xwm txheej hnyav dua, kev phais yog tsim nyog.
Lub lumbar disc herniation yuav tsum tsis txhob siv rau zaum-ups nyob rau hauv daim ntawv qhia: Thaum koj ua ib tug zaum, tag nrho cov txha nraub qaum khoov rau pem hauv ntej.Lub ntsiab flexion ntawm tus txha caj qaum yog nyob rau hauv lub thoracic ntu.Yog hais tias lub cev sab sauv tau nce siab dua, lub zog shear yuav nyob ze rau ntawm lub cev vertebral.Yog tias muaj teeb meem ntawm intervertebral disc herniation, rov qab shear quab yuam yuav ua rau lub intervertebral disc txav rov qab.protrude.
Kuj tseem muaj teeb meem tshwm sim ntawm kev nqa khoom hnyav, thiab koj yuav tsum tau ua tib zoo saib xyuas koj lub cev.Nws yog qhov zoo tshaj rau khoov koj lub hauv caug thiab ncaj koj lub duav, raws li qhia hauv daim duab.Ncaj ob txhais ceg khoov thiab hneev koj lub taub hau nqa cov khoom hnyav.Lub zog shear ntawm lub lumbar intervertebral disc yog loj heev.Nyob rau hauv tas li ntawd, lub intervertebral disc bulges rov qab, mus sij hawm ntev khoov, los yog lwm yam laj thawj (xws li lub duav rov sauv nyob rau hauv cov huab cua, lub thoracic qaum leaning ntawm lub rooj zaum) ua rau lub cev vertebral khoov rau pem hauv ntej, uas yuav ua rau lub intervertebral disc bulge. rov qab, thiab thaum kawg ua rau herniation.Tam sim no, feem ntau cov kev tshawb fawb hauv tsev thiab txawv teb chaws pom tau hais tias nquag los yog tam sim ntawd flexion thiab kev sib hloov ntawm lub cev yog qhov tseem ceeb ua rau lumbar disc herniation.
Lumbar intervertebral disc herniation feem ntau tsis tas yuav phais tam sim.Koj yuav tsum xub ua kom rov zoo dua kom pom tias cov tsos mob tuaj yeem txo tau.Feem ntau hais lus, lumbar disc herniation tuaj yeem muaj qhov pom zoo tom qab lub sijhawm kho mob.
Rau kev phais, yuav tsum tau ua raws li cov xwm txheej hauv qab no
1 Kev kho tsis yog phais yog tsis muaj txiaj ntsig lossis rov ua dua, thiab cov tsos mob hnyav thiab cuam tshuam rau kev ua haujlwm thiab lub neej.
2. Cov tsos mob ntawm cov hlab ntsha raug mob yog pom tseeb, dav, thiab tseem mus ntxiv mus.Nws yog xav tias muaj ib tug ua tiav rupture ntawm lub annulus fibrosus ntawm lub intervertebral disc thiab cov fragments ntawm lub nucleus pulposus protrude rau hauv tus txha caj qaum.
3 Central lumbar disc herniation nrog lub plab thiab zais zis tsis ua haujlwm.
4 Ua ke nrog pom tseeb lumbar spinal stenosis.
Muaj ntau ntau hom kev phais lumbar spine:
1. Pas phais qhib:
Kev phais qhib muaj xws li: tag nrho laminectomy, hemilaminectomy, transabdominal disc phais, vertebral fusion, thiab lwm yam. Lub hom phiaj ntawm kev phais yog kom ncaj qha tshem tawm cov nucleus pulposus ntawm tus kab mob lumbar intervertebral disc thiab txo cov hlab ntsha hauv paus compression kom ua tiav lub hom phiaj ntawm kev kho mob.Vim qhov kev txwv ntawm qhov tshwj xeeb physiological txoj hauj lwm ntawm lub lumbar vertebra, lub lag luam rhuav tshem lub cev physiological qauv ntawm lub lumbar vertebrae, uas ua rau ib tug loj phais raug mob, uas yog ib qho yooj yim ua rau postoperative instability ntawm lub lumbar qaum, postoperative caws pliav ntaub so ntswg adhesion, thiab muaj kev cuam tshuam tsis zoo xws li cov paj hlwb raug mob thaum lub sijhawm phais.Yog li cov neeg mob feem ntau ntshai ntawm kev phais, yuav ua li cas kom tsis txhob muaj qhov tshwm sim tsis zoo los ntawm kev phais?Qhov no yeej ib txwm yog ib qho teeb meem loj hauv zej zog kho mob.
2. Kev phais me me ntawm intervertebral disc
Txhawm rau kom tsis txhob muaj teeb meem kev raug mob loj ntawm cov pa qhib kev phais thiab txo qhov kev pheej hmoo ntawm kev phais thiab qhov tshwm sim ntawm cov teeb meem, microsurgery thiab arthroscopic assisted lumbar intervertebral disc phais txo qhov kev puas tsuaj rau cov pob txha thiab pob qij txha thaum lub sijhawm ua haujlwm, tab sis Kev phais me me yog ib qho. kev ua haujlwm, tab sis nws kuj muaj kev pheej hmoo thiab teeb meem.Lwm qhov teeb meem loj yog tias tom qab kev phais me me, nws yog ib qho nyuaj rau kev huv thiab tshem tawm tag nrho cov nucleus pulposus ntawm cov kab mob lumbar intervertebral disc, uas ua rau muaj kev pheej hmoo ntawm kev phais tsis tiav.
3. Percutaneous incision thiab suction:
Hauv cov neeg mob lumbar disc herniation, feem ntau ntawm cov herniated discs yog tshwm sim los ntawm kev nce siab hauv lub disc.Percutaneous puncture thiab suction tuaj yeem txo qis intradiscal siab thiab txo cov ntsiab lus ntawm herniated disc, yog li txo lossis tshem tawm cov tsos mob ntawm cov hlab ntsha compression los ntawm protrusion.Qhov zoo ntawm txoj kev no yog thaum lub sijhawm ua haujlwm,tNws kev puas tsuaj yog me me, tab sis qhov tsis zoo yog tias kev ua haujlwm feem ntau yog tsom rau kev decompression, uas yog qhov zoo rau kev cuam tshuam ntawm intervertebral disc herniation.
Qhov mob nyem ntawm vertebroplasty yog qhov pom tseeb, feem ntau hauv 24 teev, qhov yooj yim txav ntawm lub cev tuaj yeem rov pib dua, thiab cov tshuaj kho mob tuaj yeem txo lossis txawm tias nres.Muaj ntau qhov me me hauv lub cev osteoporotic vertebral, thiab cov pob txha pob txha tuaj yeem sau cov qhov me me no, txhawm rau ntxiv dag zog rau lub cev vertebral thiab txo qhov rov ua dua ntawm pob txha.
Dab tsi yog qhov zoo ntawm vertebroplasty?
Nws txo cov kev pheej hmoo ntawm cov teeb meem xws li hypostatic pneumonia los ntawm kev pw tsaug zog ntev.
Cov txheej txheem kev saib xyuas kev noj qab haus huv rau lub cev pob txha muaj xws li pw so, plastering, splint immobilization, thiab lwm yam. Txawm li cas los xij, ntau tus neeg mob raug kev txom nyem los ntawm cov teeb meem xws li kyphosis, mob nraub qaum, sciatica, aggravated osteoporosis, ncua kev puas tsuaj los yog nonunion, thiab lwm yam. Cov teeb meem xws li mob ntsws los yog cov kab mob urinary kuj tshwm sim vim kev pw tsaug zog ntev.Thiab 2 teev tom qab vertebroplasty, cov neeg mob tuaj yeem tawm ntawm txaj thiab taug kev, yog li txo qhov kev pheej hmoo ntawm cov teeb meem xws li hypostatic pneumonia los ntawm kev pw tsaug zog ntev.
Muaj peev xwm txo qhov mob ntawm cov tshuaj.
Vertebroplasty muaj qhov pom tseeb qhov mob-tshaj tawm, uas tuaj yeem txo qis cov tshuaj kho mob, thiab qee tus neeg mob txawm tias tsis muaj tsos mob.
Kev raug mob tsawg kawg nkaus rau tus neeg mob
Vertebroplasty tsuas yog yuav tsum muaj lub qhov me me me me uas tsis muaj qhov cuam tshuam nrog yuav luag tsis muaj los ntshav;Kev siv tshuaj loog hauv zos tsis txhob muaj ntau yam kev pheej hmoo ntawm kev phais tshuaj loog, thiab lub sijhawm ua haujlwm luv luv, kev ua haujlwm tsis muaj mob, thiab qhov mob tau so sai sai tom qab ua haujlwm.Rau cov neeg laus hnub nyoog nruab nrab thiab cov neeg laus, vertebroplasty yog ib qho kev xaiv zoo heev.
Post lub sij hawm: Sep-29-2022