Pā Paravertebral - he aha te mea te reira?

Kei te whai whakaaro mai whakakorenga o te mamae lumbar radicular me ētahi atu localization inaianei rite tetahi o te faingataa, ko nga mahi tino nui. Mātakitaki i te inenga o o te mamae, ka taea e koe te utu i te mutunga e pā ana ki te tika o te therapy whiriwhiri. I roto i te runga i ngā ariā hou Tuarā, puta mamae whakapeka i roto i nga wahi o raro ranei kia nekehia atu rite hohoro rite taea tuaiwi. I roto i te āhua whakawhiti o te whakararuraru, ma'i kia psychogenic. tāpae ratou i runga i te tohu noa, tautāwhi i therapy, me te tino pōhara kē te waitohunga. I roto i tenei hononga, tohunga feinga mo te kaha ki te whakamahi i rite poto rite taea, me i te taua wa tikanga whai hua. Ko tētahi taua pā paravertebral. He aha te mea te reira, me pehea te kawea te reira i roto i - i runga i tenei i muri mai i roto i te tuhinga.

Overview

E whakaaro pā Therapeutic nga tikanga whai hua te nuinga o te whakahaere mamae, me ētahi atu mau faaiteraa o pathologies neurological. hāngai ana te ngā tukanga e ki runga ki te whakataki o te mate ki te pokapū o te tarukino. A, no te whakaritea ki ētahi atu tikanga o te maimoatanga (mirimiri, therapy tinana, tango rongoā, mahi werowero ngira, therapy ā-), e kore e whakamahia te pā o te tarukino te pera i mua - e kore neke atu i te kotahi rau tau. Heoi, hoki tenei wa katoa i whakamatauria ngā tukanga ki te waiho i te ara tino whai hua ki te whakakore i te mamae. Ko te whakaaro o te pā. Me whakatutuki te mamae tika hohoro, ki te iti o ngā pānga taha, te wā me te utu rauemi. tino ū ēnei tikanga ki rite te tikanga o te pā whakaora.

whakaahuatanga

Pā ko te katinga rangitahi o tetahi o nga hononga o te whakautu pewa mamae. Atu whakaora, tenei tikanga he uara tātaritanga. I roto i ētahi wā, kua kite i te tohunga reira uaua ki te hanga i te tātaritanga tika. kia tika ki te meka e kua tārite faaiteraa haumanu ranei e kore e mārama kitea hononga i waenganui i ngā tohu me raraunga whāinga tenei. I te tahi taime tupu te reira e kore e tohu neurological whakapumautia e MRI. Ranei, i runga i te anga ke, e kore e tika ai hauora tohu o CT atahanga te kōwarotanga autō ranei. I roto i ngā take pēnei i, he nui tokoni i roto i te haamauraa i te tātaritanga tika ka whiriwhiri pā.

āhuatanga

Ki te heke te mamae e te tikanga o ngā hanganga kikokiko rehunga-motuhake, tenei fokotu'u e he ratou te puna o te mamae. kawea etahi werohanga whiriwhiri i roto i te wahi ngā. Ka āta whakarite tēnei io whakarehu rohe e te kaiwhakawhiwhi te rohe whakaritea. Ka taea te hanga aki me i roto i te wahi kikokiko, hei tauira, capsule tahi tahi ranei. Ka rite ki te hua o nociceptors āraia i roto i tenei rohe. Ki te, i roto i te tua ki te rongoā rohe tapiritia ki corticosteroids, i werohia whiriwhiri i roto i ngā take pēnei i ai whakarato i tētahi pānga roa haumanu o rehunga. werohanga Intraarticular o steroids te whakaiti mumura me te whakaiti i te hūhi e pā ana ki reira. E whakamahia taua werohanga ka kore e whakautu i te hononga ki ngā pānga tuku iho - okiokinga, rongoā, therapy tinana. E pā ana te pā ki myositis, radiculitis, roro, sympathalgia. Haunga taua mamae tāmau, tohua whakapai ake i roto i te mahi neuro-arataukai.

hua o te tikanga

whakaratohia tīmatanga Rapid o te tauturu e te kătahi tika o te tarukino ki te arotahi pathological me te pānga o te raau taero i runga i te mutunga, me waea, horahanga mamae. I roto i te tukanga whakamōkitohia te tūponotanga o ngā pānga taha te. Ko te kotahi ano tenei e tika ana ki te meka e ô i te raau tuatahi i roto i te māuiuitanga o te kanga, a ka anake - ki te tohanga nahanaha. Ki ia exacerbation hou o te syndrome kia whakamahia ai toutou whakapaea. whakapumautia Practice pānga haumanu pai o te werohia. Na roto i te whakamahi o te pā heke uaua mānukanuka, spasm iaia, te whakakore i te whakautu inflammatory i roto i te mamae, me te huamo kanga.

pā paravertebral

kia tenei ariā kia whakaaro ngātahi. tohu te wā anake e kawea te werohanga i roto i roto i te takiwā o te tīwae tuaiwi. Ka taea e tētahi werohanga e intradermal, subcutaneous, perineural, intramuscular radicular ranei. I roto i ētahi wā, tono pā paravertebral i runga i te ganglia o te rohe kātua pukuaroha. Hei tauira, papatahi he manawanui kōpae. Kei te kï hoki, pūtahitanga o pekehoe tata me te whakaiti o te diameter poutū o te puta iti intervertebral. Ko te wahi he mārōrō, o ona piki uara e tika ana ki te whanaketanga o osteophytes me ētahi atu growths wheua. Whakaiti i te diameter o te poka puta i roto i te spondylarthrosis whanaketanga, thickening kōwhai, mea tuhonohono interarticular me ētahi atu tukanga e tika ana ki te osteochondrosis. Nā ki te meka e te āhua ārahi o disorders neurological i te wa ano ko te kōpeketanga me ritenga o te aho, engari e kore e tauhohe hopuhopu, me te inflammatory kiriuhi me pakiaka, ka karanga i tenei kōwhiringa ko funikulitom māuiuitanga. I runga i tenei pā tono te funikulyarnogo paravertebral. Medicaments whakahaeretia ki te ngira waho i te rua i roto i te aho rohe moenga, engari e kore e ki te pakiaka ua.

whakarōpū

E wehea werohanga haumanu ki ngā momo rite ki te rohe tarukino me te rongo whakamahia. Heoi, i reira e:

• Tuhinga Paravertebral o te tuaiwi waha.
• Werohanga ki intercostal roro.
• Rei pā paravertebral.
• Piriformis.
• I te taumata lumbosacral.
• i memenge me ētahi atu.

Ko te whakamahi o glucocorticoids

Paravertebral ki blockage "diprospanom" whakamahia i roto i te collagenosis pūnahanaha. Rongoā i te taumata pūtau, relieves whanaketanga mumura. I mua i wāhi whakahaere e tata ana te tukanga spinous tapahia atu anesthetics: tarukino "lidocaine" ranei "Novocaine". I muri iho, whakakapia te ngira e te analgesia roa me nui, ka hua ki te kikorangi vertebral. I muri iho, patia te ranunga i ki te tarukino rongoā "Diprospan". Contraindications mo te tukanga ngā mate huka, Thrombosis, osteoporosis whakahuatia i roto i, āhotea, hypersensitivity, māuiuitanga hopuhopu.

Ko te whakamahi o te rongoā

poraka novocaine Paravertebral ko te tukanga, te ngako o te mea ki te whakauru i te tarukino ki te rohe o te mamae rahi. Tüturu, taua wāhi ngā ngā keu ka overloaded hononga me uaua takoki, raru haere ngā wāhi, me te wāhi o ratou plexuses. pā Paravertebral whakamahi pānga rongoā e taea te hoatu poto (20-30 meneti). Otiia, he nui ki te whakahohe i te reo tonu o te uaua mate hukihuki noa tenei wa.

Whai huatanga o te tukanga me contraindications

Ko te tōtika o te tango i spasm whakakitea puta noa te muka uaua te whakanui ake i te rōrahi o te pūkaha i roto i te tahi, whakaiti tūtohutanga mamae rohe kaha te wahi o te innervation karere pakiaka ranei. Ehara i technique pā paravertebral ka e kia whakaahuatia i raro nei ki te bradycardia nui ngoikore syndrome i roto i te kōpuku pakohu, atrioventricular tuarua poraka / nekehanga toru (anake hei take i reira tomo hoki ventricular kaiwhakahaere te uiuia ai), ru cardiogenic, hypotension (korerotia), hypersensitivity tūtohutia . Contraindications ngā te wātea o ngā raraunga i runga i haehae epileptiform i roto i te hītori whakapataritari e anesthetics, me te he takahi o ate mahi.

Whanaketanga o te tikanga

Kia pehea te he pā paravertebral? mahi tikanga tā e mau ana i roto i whawhe i roto i te raupapa motuhake. Kei te tuatahi whakanohoia ana te manawanui i runga i te puku. tikanga palpation tautuhia wahi o te mamae mōrahi. Tikanga, hāngai tenei rohe ki te ngä o te aho, e tino pāngia. Whakamahia rite whakamātautau neurological ki te āwhina i te whakatū i te wahi i reira e kia pā paravertebral. kia pai me whakawhanakehia Werohanga tikanga i te mātanga.

tukinotia ana te wahi i te waipiro konutawa ranei. Mā te whakamahi i te ngira pai ki te rohe o te werohanga patia faataoto whakaarohia ( "Novocaine") ki te hanga i te "kiri rēmana". Hoki te āwhiwhitanga ki te wahi o te rua te ngira taura putanga (roa) te whakaurua tata te rārangi o ngā tukanga spinous (i te tawhiti o te 3-4 cm) i roto i runga i te wā e hiahiatia ana. Ka rite ki te kawea reira takanga injecting 0.5% otinga "Novocaine". whakaurua te ngira te tae noa mai te reira ki te whakapā ki te tukanga hake. kaupapa anō whakahekea bypassing reira i raro ranei i runga ake i roto i te aronga ki te tuaiwi i te koki o te 30 nekehanga. ki te faatura ki te waka rererangi sagittal. whakaurua te ngira e tetahi 2 cm hohonu, me 10-20 ml o te faataoto patia te rānei hydrocortisone whakaehunga. Na, i roto i te whānui, puritia pā paravertebral. te raveraa i tikanga tā te kōkuhu i te ngira i roto i te whānui 5-6 cm.

take tāhapa

He maha ngā tikanga e ai kawea pā paravertebral. whakaaro wāhi Lumbosacral te ki kia kaua raruraru, rawa i roto i te mamae whakapeka, me te kore o te mārama syndrome monoradikulyarnogo. I roto i tenei whakaaro i werohia whai hua i ngā toru. whakamana Whakataki te i waenganui i te pekehoe me Liv LV, LV ko S1 i te rohe o te poka sacral tuatahi. Injecting tarukino "Hydrocortisone" ko reira i roto i ēnei wāhanga meinga e te wharanga te nuinga noa ki o ratou aho tuaiwi. Ka taea te whakahaere manawanui pā paravertebral taha. tapahia atu Lumbosacral i tenei take o te ono ngā. I roto i runga ki te āhua o te manawanui, te kaha, me te localization o te mamae pota rerekē o te tarukino "Hydrocortisone" whakamahia te. A, no te Whakarāpopoto ake ki te kotahi aho (1 werohanga) te whakamahi i 10-30 mg. Ki te heke te whakatinanatanga tika o te tukanga whakakorea mamae tonu i muri i te kupu whakataki o te medicament ranei. Ka taea te tukurua pā, ki te tika. kia werohanga tukurua kahore mua atu i te 2-3 ra. I muri i te tukanga tūtohutia e te moenga era manawanui.

Ētahi atu tikanga

e te manawanui te tūranga o takoto i runga i tona kopu. kia tahuri tona matenga ki te taha ki te ritenga atu o te mara, te wahi e waiho ai hei pā paravertebral take. whakaaro tuaiwi waha te ki hei te pae tino pokarekarenga. I roto i tenei whakaaro, ko tenei rohe maha whara etahi. I roto i te tukanga e whakamahia ana 0.25% otinga rongoā i te horopeta o 70-100 mg. Ko te ngira werohia whakaurua te hāngai ki te mata kiri tata ki te rohe o waho o te extensor hoki. kaupapa anō e wahi i mua i te whakapā atu ki te pūwaha pakaru ranei tukanga hake. E turai te ngira ki 0.5-1 cm i roto i te taha. E kawea werohanga muri i roto i i te tawhiti o te 1.5 cm i te mea o mua. I roto i ētahi wā, he ranunga o te raau taero "Novocaine" me "Hydrocortisone". tango Last 50-75 mg me te tuatahi whakaritea ki te 100 ml.

Mā te ranunga Afonina

Ko tetahi atu tikanga o te pā paravertebral lumbosacral tenei. Ki te wahi o te poka taura putanga (intervertebral) e whakahaere 1.5-8 mg. Ko te katoa rōrahi o te otinga pae i waenganui i 30-80 ml. Tei te inenga i runga i te maha o ngā whakamahia i roto i te pā. Kei roto te akoranga whakaora te kookuhutanga kotahi, ki te tae mai te hua hohoro nui. Ki te āta puta te pānga, ka tono 2-4 pā toutou. kawea ia o te werohanga i muri i roto hoki 5-6 ra i muri i te whakamutunga. A, no te whakahaere ki te manawanui kia wheako sensations rerekē i roto i te innervation muka io tēnā. Hei tauira, kia riro i te manawanui he mana'o o pouri, paresthesia, pēhanga, ka maru ai te mamae.