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Дата публикации: 08.04.2019
Дата проверки статьи: 16.12.2019
Межпозвоночная грыжа – заболевание, характеризующееся выпячиванием межпозвонкового диска вследствие нестабильности связочного аппарата и других структур. Патология сопровождается постоянными или периодическими болями, которые могут усиливаться при изменении положения тела пациента. При болевом синдроме в спине врач-невролог дает направление на МРТ позвоночника. В дальнейшем требуется медикаментозное или хирургическое лечение.
К основным причинам образования грыжи относятся травмы и возраст. Усиленные физические нагрузки и занятия спортом приводят к травмам спины. Сначала жидкая часть межпозвонкового диска смещается, затем выходит сквозь микротрещины за границы фиброзного кольца, что провоцирует сильный болевой синдром.
С возрастом позвоночник подвергается естественным процессам старения, поэтому диски хуже выдерживают нагрузку. Постепенно они утрачивают свои амортизационные свойства, провоцируя болезненные проявления. Эти признаки могут возникать при наклонах и сгибании. Нередко дискомфорт наблюдается утром. Это связано с тем, что межпозвонковый диск длительное время находился в одном положении. Пациенты часто путают болевой синдром при грыже с мышечной болью. Для грыжи характерна боль с одной стороны тела.
Сидячий образ жизни негативно отражается на здоровье спины, вызывая боль. Лишний вес также считается причиной образования грыжи позвоночника. Чем больше избыточного веса, тем больше нагрузка на суставы, кости и позвоночник.
Повышает риск развития грыжи плоскостопие. Стопы в таком случае не забирают на себя часть нагрузки. При наличии плоскостопия рекомендуется носить ортопедические стельки.
При грыже шейного отдела позвоночника боль возникает в самой шее, плечевом поясе и руке вплоть до пальцев. Интенсивность болевых ощущений зависит от того, между какими позвонками расположен деформированный диск:
Также для грыжи шейного отдела позвоночника характерны хронические головные боли, головокружение и ухудшение памяти.
Грыжа грудного отдела позвоночника сопровождается тянущей и ноющей болью, усиливающейся при попытке сделать глубокий вдох или при наклонах. Человек может ощутить простреливающую боль, которая парализует его на несколько минут, а затем исчезнет. Из-за дискомфорта при попытке сделать вдох у пациента отмечается поверхностное частое дыхание и нарушение сердечного ритма. Болевой синдром при таком заболевании возникает из-за разрушения или смещения межпозвоночных дисков. Это приводит к нарушению целостности фиброзного кольца и выхода сквозь разрыв части пульпозного ядра.
При грыже пояснично-крестцовой области боль возникает на фоне сдавления межпозвоночного диска, что приводит к кислородному голоданию, нарушению функций таза и нижнего отдела позвоночника. Пациент может жаловаться на боли в области поясницы, болевой синдром при кашле и чихании, болезненные ощущения в районе тазобедренного сустава и ягодиц, слабость и онемение ног. Боль может продолжаться до 3 месяцев.
Боль и онемение в нижних конечностях при грыжах возникают вследствие грыжевого выпячивания, сильно сдавливающего корешковый нерв и препятствующего иннервации тканей ноги. Данный симптом считается показанием для экстренного оперативного вмешательства. Боль распространяется вниз по ходу седалищного нерва и иррадиирует в ногу и стопу.
При острой боли следует принять горизонтальное положение. Тогда на межпозвоночные диски оказывает наименьшее давление. Постельный режим необходимо соблюдать 1-3 дня. Основание кровати должно быть жестким, чтобы не допускать провисания спины, а матрас нужно подстелить ортопедический, с функцией профилактического вытяжения.
Из медикаментов для снятия болевого синдрома показаны нестероидные противовоспалительные препараты. В первые 2-3 дня от начала патологии их следует использовать внутримышечно, затем можно переходить на прием внутрь.
Для устранения мышечного спазма и улучшения питания пораженной зоны в спине используют миорелаксанты в комплексе с нестероидными противовоспалительными средствами. Продолжительность приема — до 7 дней.
Полезно при боли применять средства местного действия. Перед использованием мази или геля нужно убедиться, что она не вызовет аллергической реакции. Для этого достаточно нанести небольшое количество средства на ограниченный участок кожи и оценить эффект. Согревающие мази снимают спазм мышц и улучшают кровообращение.
В экстренном случае к болезненному месту можно приложить бутылку с горячей водой, обернутую полотенцем. Если пациента беспокоит кашель или чихание, то прогревание запрещено. Облегчить болевой синдром можно с помощью холодного компресса.
Для снятия болевых ощущений показано безнагрузочное вытяжение позвоночника. Также оно помогает восстановить питание межпозвоночных дисков.
Если мази, гели и другие медикаменты не снимают боль, врач назначает локальное инъекционное введение новокаина в околопозвоночное пространство, противовоспалительных средств, глюкокортикостероидов или гомеопатических препаратов. Для уменьшения отечности требуется пневмомассаж с лимфодренажным эффектом и вибротерапия. Устранить мышечный спазм и болевой синдром можно с помощью иглорефлексотерапии и мануальных методик. Из физиопроцедур хорошо себя зарекомендовали фонофорез с гидрокортизоном и электрофорез. Они уменьшают воспалительный отек в тканях.
При отсутствии положительного результата от консервативной терапии врач назначает хирургическое лечение. Хирург проводит удаление ядра межпозвонкового диска с помощью зондовых инструментов. Также операцию можно проводить без хирургического удаления, используя раствор, в котором содержатся особые энзимы. Его вводят в межпозвоночное пространство. В некоторых случаях полностью изношенную ткань диска заменяют протезом.
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Узнала о вас в интернете — нужно срочно сделать МРТ.
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Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Сергей Шнуров
Российский рок-музыкант, киноактёр, телеведущий и художник.
Ц. М. Р. Т. «Петроградский» спасибо!
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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.
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Русанова
Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!
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Кузнецов В.А.
Очень отзывчивый администратор. Вежливая, культурная, добрая.
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Храброва В.Е.
Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.
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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.
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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
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