Hitno potrebna pomoć
dijana_misic
(ucenica)
15. август 2009. у 22.37
Pozdrav svima,
hitno su mi potrebni saveti u vezi problema sa kojim se bori moj otac. Već par godina ima neki mali bol u nozi koji dodje i prođe, ali je poslednjih par meseci bol stalno tu, i postaje ne snosljiv. Šta da vam pricam, kada zadnjih par dana gledam tatu koji ima 60 godina kako na najmanji pokret jauce kao malo dete. Isao je lekarima, i ustanovili su da (ja sada ne znam tačno terminologiju, nego prepricavam kako je on meni objasnio) između prsljenova na ledjima ima neka hrskavica ili gel šta li već i to je pocelo da curi i pritiska neki nerv koji izaziva taj bol u nozi. Isao je na fizio terapije posle kojih mu je bilo još gore pa je to prestao. Sada cekamo da ga primi specijalista. Operacije se plasi, jer se operacija vrsi na kicmi, ogorcen je na doktore (u Kanadi smo) jer vise od bolova ne može da živi. Jutros mu je noga natekla, da nije mogao cipele da obuje, nego je u papucama izasao iz kuce, a juče uopste nije osecao to stopalo...ma uzas!! Ima li neko neki savet kako ublaziti bolove? Dali je neko imao slična iskustva, ima li tome uopste leka?
Svaki savet je dobro dosao. Hvala svima u napred :)
OPIS-50
(OPISIVAC)
16. август 2009. у 05.31
Obično bol putuje prema dolje cijelom dužinom noge, te se može pojačati pri unutarnoj rotaciji kuka .
Kod dijagnostike je važno točno utvrditi način na koji su bolovi započeli, jer išijas može imati i cijeli niz drugih uzroka. Kako je sam živac sastavljen iz nervnih vlakana donjeg dijela kralježnice, najčešća njegova iritacija ipak je izazvana hernijom diska ili pritiskom nekog drugog mekog tkiva ili kosti. Testovi za piriformis sindrom mogu ukazati na taj uzrok, ali je ponekad potrebna i detaljnija dijagnostika koja će isključiti druge uzroke, poput rendgena, CT-a, ili magnetske rezonance.
Liječenje piriformis sindroma relativno je jednostavno. Za ublažavanje boli koriste se ledeni oblozi više puta na dan, te duboka masaža kako bi se opustio prisutan mišićni spazam. U istu se svrhu, a u kasnijoj fazi, mogu upotri...iti i ultrazvuk, magnetoterapija, te neke toplinske procedure. Odmor je važan, posebice u prvim danima liječenja. U iznimno bolnim situacijama, lijekovi nisu na odmet, posebice oni koji opuštaju mišićni smpazam te analgetici, po mogućnosti u vrlo kratkom vremenskom razdoblju. No, ono što stvarno liječi jest vježbanje i to istezanje. Tek fleksibilan piriformis neće u bližoj i daljnjoj budućnosti stvarati probleme. Sami simptomi mogu trajati od nekoliko dana do nekoliko tjedana, pa čak i mjeseci, a sve u zavisnosti od jačine iritacije živca, mišićnog spazma, načina liječenja, ali i ponašanja samog pacijenta. Naime, vrlo je važno izbjegavati aktivnosti koje uzrokuju bolove. U protivnom liječenje se može odužiti, ili se već nestali simptomi mogu ponovno pojaviti. Isto je tako važno uspostaviti pun opseg kretnji u nozi koja je atakirana ovim sindromom, ojačati eventualno oslabljene mišiće, te postići potpuno bezbolan hod prije povratka u uobičajenu razinu dnevnih aktivnosti. Osnovna prevencija ovog sindroma sastoji se u održavanju adekvatne fleksibilnosti putem redovitog prakticiranja vježbi istezanja.
Koliko je važno na vrijeme prepoznati ovaj sindrom, govori i nedavni primjer jednog mladog nogometaša koji je mjesecima patio od bolova u desnoj nozi. Rendgenska snimka pokazala je blagu skoliozu donjeg dijela kralježnice, koja je i okrivljena za postojeće bolove. Na njemu je oprobana sva sila terapijskih metoda, od cijelog arsenala fizioterapije do različitih vrsta masaža i kiropraktike, no bez uspjeha. Tek je naknadno utvrđeno skraćenje mišića piriformisa, pa su se uz adekvatne vježbe istezanja i uz nešto akupresure simptomi povukli u samo dva tjedna.
Galeb
16. август 2009. у 08.49
Kod vaseg oca se radi o duskus her niji u donjem dijelu kicme. Tijelo nose kraljezci između kojih se nalazi dis (kao jastuce) koje amortizuje trenje kraljeska od kraljeska. Jastucic se sastoji od finroznog prstena koji obavija unutrasnji zelatinozni dio-nukleus pulposus. Sa godinama gubi se tekucina iz diska i postepeno dolazi do trenja. Uz to dolazi do degeneracije vlakana te lako dodje do pucanja fibrznog prsstena, cime je kod pritiska omogućeno da zelatinozni deo curi u pravcu kicmene mozdine i na nju vrsi pritisak. Priotsak može biti i na sam korijen zivca koji odatle izlazi. To se osjeca u vidu bola, slabosti muskulature, gubitak osjetljivosti koje inervira pogodjeni zivac, pojava osjecaja da kicma može da otkaze. Dijagnoza se postavlja na osnovu pregleda i testova koji se kod toga provode te na osnovu snimaka kicme a najbolji je Magnetna resonanca.
Kako se lijeci Diskus henija ja ću vam preneti opis koji daje Mayo clinica. Kako živite u Canadi neće biti problem oko prevodjenja. Ajko nešto nije jasno postavite dodatno pitanje. A sada tekst:
Treatments and drugs
By Mayo Clinic staff
Conservative treatment — mainly avoiding painful positions and following a planned exercise and pain-medication regimen — relieves symptoms in nine out of 10 people with a herniated disk, according to the American Academy of Orthopaedic Surgeons.
Many people get better in a month or two with conservative treatment. Imaging studies show that the protruding or displaced portion of the disk shrinks over time, corresponding to the improvement in symptoms. Depending on your symptoms, your doctor may recommend:
* Modified activity. Take it easy when you have severe back pain. Try to stay away from activities that aggravate your symptoms, such as improper reaching, bending and lifting, using a rowing machine, and prolonged sitting. Intermittent activity to maintain fitness and minimize stiffness is very important, so physical therapy and exercises to increase flexibility and strength may be prescribed. A herniated disk isn't a fragile spine problem, so don't avoid physical activity altogether. In fact, staying at work is best, even if you need to reduce your workload or assume lighter duties. Work with your doctor or a physical therapist to find the right combination of rest and activity. Eventually, your activity level can gradually increase until you're comfortable with everyday tasks.
* Physical therapy. A physical therapist can apply heat, ice, traction, ultrasound and electrical stimulation for pain relief. Physical therapists can also show you positions and exercises designed to minimize the pain of a herniated disk. As the pain improves, physical therapy can advance you to a rehabilitation program of core strength and stability to maximize your back health and help protect against future injury.
* Heat or cold. Initially, cold packs can be used to relieve pain and inflammation. After a few days, you may switch to gentle heat to give relief and comfort.
* Pain medication. If your pain is mild to moderate, your doctor may tell you to take an over-the-counter pain medication, such as aspirin, ibuprofen (Advil, Motrin, others), acetaminophen (Tylenol, others) or naproxen (Aleve, others). NSAIDs carry a risk of gastrointestinal bleeding, and in large doses acetaminophen may damage the liver.
Muscle relaxants such as diazepam (Valium) or cyclobenzaprine (Flexeril) may also be prescribed if you have back or limb spasms. Sedation and dizziness are common side effects of these medications.
If your pain doesn't improve with these medications, your doctor may prescribe narcotics, such as codeine or a hydrocodone-acetaminophen combination (Lortab, Vicodin) for a short time. Sedation, nausea, confusion and constipation are possible side effects from these drugs.
Neuropathic pain medications or „nerve pain” pills, such as gabapentin (Neurontin, others) also have been prescribed for this type of pain. Alternatively, inflammation-suppressing corticosteroids may be given by injection directly into the area around the spinal nerves.
* Bed rest. Constant, severe back pain from a herniated disk sometimes requires one or two days on bed rest. Strict bed rest for more than a day or two, however, can inhibit recovery by causing loss of muscle tone.
* Time. Herniated disk symptoms generally take four to six weeks to significantly improve.
Surgery
About 10 percent of people with herniated disks eventually need surgery. You may be a good candidate for surgery if conservative treatment fails to improve your symptoms after six weeks. Surgery also may be considered if a disk fragment lodges in your spinal canal, pressing on a nerve, or if you're having trouble standing or walking.
A common surgery for a herniated disk is a microdiskectomy. This surgery is related to standard or open diskectomy, a spinal surgery that involves cutting away some of the spinal bones (vertebrae) to access the herniated disks and compressed nerve roots. In microdiskectomy, surgeons use a surgical microscope or magnifying lens to allow smaller incisions in the skin, muscles and bone overlying a herniated disk. Smaller incisions and less disruption to surrounding tissue lessen pain and shorten recovery time. During a microdiskectomy:
* You're placed under general anesthesia, which means you won't be conscious during the surgery. In some cases, though, microdiskectomy is possible without general anesthesia, using injections that cause temporary numbness (local anesthesia) in the back.
* The surgeon makes a small incision over the herniation and moves the back muscles away from the spine as much as possible. Small amounts of bone and ligaments may be removed to gain access to the herniated disk and nerve root.
* Small instruments are used to remove the herniated portion of the disk and other disk tissue and fragments, relieving pressure on the nerve.
* The incision is closed with stitches or staples.
Some people go home the same day, while others stay in the hospital overnight. Most people make a full recovery and return to work within two to six weeks.
Sve najbolje obolelom Galeb.