Matšoao a lesapo la mokokotlo hernia

Hernia mokokotlo (herniated intervertebral) e emela ho lahleheloa ke motheo pulposus ea disk intervertebral. hangata haholo lefu lena le hlaha ha e osteochondrosis kapa skolize.

E le hore re utloisise mabaka a sebopeho le matšoao a hernia lesapo la mokokotlo, o lokela ho ba le kutloisiso ka tsa kaheho ea batho. Kahoo, mokokotlo le bopilwe ka vertebrae motho le discs pakeng tsa bona tseo ho sebetsa e le absorbers makala ha ho fallela. Ha disk herniated ke butle-butle a holofala le ho qala ho tsoa ka lehlakoreng le, ha motheo pulposus ka nģ'ane ho enfelopo fibrous, rusolla e le pele ho compressing metso methapo ea kutlo. Hangata ka ho fetisisa lesapo la mokokotlo hernia hlaha ka lumbar lesapo la mokokotlo, joalokaha e ne e ka sebaka sena e ileng ea mojaro kholo ka ho fetisisa. ketsahalo e ka tlase e tloaelehileng ea le lefu lena e ka amahanngoa ka cervical le thoracic lesapo la mokokotlo.

Ho itšetlehile ka hore na karolo ea hernia lesapo la mokokotlo e hlahile, matšoao a lefu lena le ke fapaneng. Leha ho le joalo, ho likarolo kakaretso e kenyeletsa: utloe bohloko bo boholo, shoohlo ea matsoho le maoto 'me spasms mesifa.

Pele matšoao a sa hernia la mokokotlo ka hlaha ka bo-lilemo tse 20 'me o talima ka eona bohloko sebakeng lumbar kapa mafapha a mang. The lefu atileng ka ho fetisisa ho batho ba lilemo li lilemo tse 50, 'me e seng feela har'a banna empa hape har'a basali.

Ha a bontša ka ho lumbar mokokotlo hernia, matšoao a hlahisa kamehla eketseha bohloko, extending ho tloha thekeng ho leoto la. Bohloko sitisa mokhatlo oa tloaelehileng le tsamaea, le letotong la lefu ka mamello 'me u ka' na senya tšebetso ea litho tsa ka hare tse ling tse ka hare.

Qalong ea lefu lena le bohloko oo o fumanwe ka tlaase morao, joale butle-butle o qala ho tela, mokuli o shoohlo le tingling. bohloko a hlobaetsang le ha e ka tsela e tloaelehileng ka botlalo falla.

Ha a bontša ka ho ea sebakeng se cervical ea lesapo la mokokotlo hernia, matšoao a hlahisoa e le bohloko, ke feela ka matsoho a hao. Hape, ho na le hlooho, tsamaiso e lekanyelitsoeng ea lesapo la mokokotlo cervical, lahlehileng setshwani mesifa ea molala.

Ha a bontša ka thoracic herniated lesapo la mokokotlo, matšoao a ke tsoana haholo le bohloko pelong, hobane bohloko etsahala inhalation kapa pululo ka sefubeng sa. Ea mofuta ona e le disk herniated ke ka seoelo a kopana ka mokhoa ona.

Ho phetha tepelletse maikutlong le hore ke habohlokoa haholo ho sekaseka litletlebo tsa mamello, sesosa sa bohloko le fumana matšoao a hlokomela ka mele seo. Hoa hlokahala ho qhelela ka thōko maloetse a mang 'ohle. Le feela ka mor'a ho bokella ditletlebo tsohle hlahloba mesifa matla, bokaholimo tlhathoba li entseng, eo ha fella ka phihlello ya boemo ya herniated karolo lesapo la mokokotlo e ikemiselitse. Ka mor'a moo, o laola ho etsa lipatlisiso tse eketsehileng ka mokgwa wa MRI, X-ray le CT.

Matla a khoheli gomoso litšoantšo kapa MRI ke mokhoa batlang e le ncha ka moriana ea kajeno, liphello tsa eo beha haholo le phumano e nepahetseng. mokhoa ona oa ho fumanoe ke boitsebiso bo rutang, 'me liphello fana ka tlhahisoleseding e mabapi le boholo ba hernia e, sebakeng sa eona' me entsprechen tse ling.

CT (ea computed tomography) le ho sebelisa ha thepa e khethehileng le mananeo loketseng ho tse lumella u ho Scan sebaka lakatsa la mokokotlo. Phello ke setšoantšo printout ka litekanyo tse tharo. Leha ho le joalo, CT tlaasana ho MRI phumano ya dikahare tlhahisoleseding le ho nepahala ha liphello.

X-ray tse haholo-holo sebelisoa ho se kenngwe ha mafu a mang la mokokotlo.

Ho bohlokoa ho hlahloba lefu lena le ka nako ea sesosa se seholo sa bohloko khutla. Sena se tla ho dumella ho kgetha tokelo maqiti kalafo.

Ha ho phekola hernia lesapo la mokokotlo ke ea bohlokoa haholo ha ho hopotse motsotso eo ka eona profinseng ea lefu lena le esita le felisa ho hlokahala hore a kgaola tshebetso le a sebetsang a ntshetsopele ya lefu lena.