{"id":5387,"date":"2023-05-29T11:52:27","date_gmt":"2023-05-29T11:52:27","guid":{"rendered":"https:\/\/medcom.ro\/?page_id=5387"},"modified":"2023-05-29T15:13:31","modified_gmt":"2023-05-29T15:13:31","slug":"hernia-de-disc-lombara","status":"publish","type":"page","link":"https:\/\/medcom.ro\/index.php\/hernia-de-disc-lombara\/","title":{"rendered":"Hernia de Disc Lombar\u0103"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" autoplay=\"true\" muted=\"true\" loop=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-1.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:50% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><p><strong>Ce este hernia de disc \u0219i cum o putem trata?<\/strong> Hernia de disc este o afec\u021biune neurologic\u0103 care se manifest\u0103 prin comprimarea m\u0103duvii spin\u0103rii \u0219i\/sau a r\u0103d\u0103cinilor nervoase din cauza deplas\u0103rii discului dintre doua vertebre.<\/p>\n<p><strong>Hernia de Disc Lombar\u0103<\/strong> este o afec\u021biune cu simptomatologie bipolar\u0103 (lombalgie-sciatalgie sau cruralgie) care, \u00een majoritatea cazurilor este patognomonic\u0103 pentru diagnostic, mai ales c\u00e2nd se asocieaz\u0103 \u00een evolu\u021bie periodicitatea, progresivitatea \u0219i variabilitatea simptomatologica; crize lombalgice repetate, la care se pot asocia semne neurologice \u0219i reac\u021bii diferite psihice ale bonavului la durere.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:50% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><p style=\"text-align: left;\">\u00a0Intensitatea compresiunii discului declan\u0219eaz\u0103 inflama\u021bia acut\u0103 a r\u0103d\u0103cinii, corespunz\u00e2nd clinic sciaticii hiperalgice, care duce secundar la fibroz\u0103 cu \u00eengro\u0219area perinervului, iar r\u0103d\u0103cina inflamat\u0103 r\u0103m\u00e2ne hipersensibil\u0103 ani de zile, cu hexacerb\u0103ri la diverse mi\u0219c\u0103ri sau modific\u0103ri fizico-chimice \u0219i deseori la varia\u021bii atmosferice.<\/p>\n<p style=\"text-align: left;\">Forma si func\u021bionarea coloanei vertebrale sunt \u00een str\u00e2ns\u0103 leg\u0103tur\u0103 cu starea func\u021bional\u0103 a discului intervertebral. Procesul de degenerare a discului trebuie separat \u0219i diferen\u021biat de modific\u0103rile morfologice secundare v\u00e2rstei.<\/p>\n<p style=\"text-align: left;\">Spre deosebire de senescen\u021b\u0103, hernia discal\u0103 este un proces degenerativ care evolueaz\u0103 \u00een mai multe stadii, deosebite cantitativ si calitativ.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-3\"><p><strong><u>Statistici<\/u><\/strong><\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sindromul lombosciatic r\u0103mane o problem\u0103 de actualitate cu o frecven\u021b\u0103 deosebit\u0103 \u0219i incapacitate de munc\u0103 foarte ridicat\u0103.<\/p>\n<ul>\n<li>V\u00e2rsta cu frecven\u021b\u0103 maxim\u0103 este de 30-45 de ani;<\/li>\n<li>Iar raportul b\u0103rbatfemeie este de 21;<\/li>\n<li>70% din hernii apar la cei care depun eforturi fizice mari;<\/li>\n<li>In 95-98% din cazuri hernia este localizat\u0103 \u00een regiunea lombar\u0103, iar dintre acestea 50% sunt la L4 \u0219i 40% la L5.<\/li>\n<li>Herniile de disc cervicale sunt pe locul II; 50% sunt la C6-C7, 30% la C5-C6.<\/li>\n<li>Foate rar,1-2% din cazuri,exista hernii in regiunea dorsala.<\/li>\n<li>4 din 5 persoane in SUA sufer\u0103 de dureri lombare de cele mai multe ori prin hernie de disc la acest nivel.<\/li>\n<li>Hernia de disc, forma acuta, este mai frecvent\u0103 la sexul masculin cu media de v\u00e2rst\u0103 \u00eentre 25 \u0219i 40 de ani.<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-3{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-3 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-3{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-4\"><p><strong>Cauze, mecanisme \u0219i anatomie patologica:<\/strong><\/p>\n<p>\u00a0<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hernia discului intervertebral este produs\u0103 de traumatisme, \u00een general traumatisme mici \u0219i repetate. Este posibil s\u0103 intervin\u0103 \u0219i un factor local predispozant \u00een sensul existen\u021bei unor anomalii congenitale ale regiunii lombo-sacrate. Patogenic exist\u0103 3 feluri de factori: predispozan\u021bi, favorizan\u021bi \u0219i determinan\u021bi.<\/p>\n<ol>\n<li><strong>Factorii predispozan\u021bi sunt:<\/strong> anomalii congenitale (lombaliz\u0103ri, spin\u0103 bifid\u0103) constitu\u021bia individual\u0103 insuficient\u0103 a \u021besutului conjunctiv de sustinere (normal ligamentul vertebral dorsal este slab reprezentat \u00een regiunea lombar\u0103).<\/li>\n<li><strong>Factorii favorizanti sunt<\/strong>: modific\u0103rile fiziologice \u0219i patologice ale discului, punc\u021bia lombar\u0103, sarcina \u0219i nasterea, anumite pozi\u021bii ocupa\u021bionale ale individului.<\/li>\n<li><strong>Factorii determinan\u021bi sunt:<\/strong> traumatismul coloanei vertebrale \u0219i efortul fizic.<\/li>\n<\/ol>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-4{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-4 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-4{width:50% !important;order : 0;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-4{width:100% !important;order : 0;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img width=\"2560\" height=\"1575\" alt=\"HERNIA DE DISC LOMBAR\u0102\" title=\"HERNIA DE DISC LOMBAR\u0102\" src=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-6-scaled.jpg\" class=\"img-responsive wp-image-5402\" srcset=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-6-200x123.jpg 200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-6-400x246.jpg 400w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-6-600x369.jpg 600w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-6-800x492.jpg 800w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-6-1200x738.jpg 1200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-6-scaled.jpg 2560w\" sizes=\"(max-width: 640px) 100vw, 600px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-5{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-5 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-5{width:50% !important;order : 0;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-5{width:100% !important;order : 0;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-4{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-5\"><p><u>Suferin\u021ba r\u0103d\u0103cinii nervoase sub compresiunea direct\u0103 a herniei trece prin trei stadii:<\/u><\/p>\n<ul>\n<li><strong>Stadiul I<\/strong> &#8211; Sindromul de irita\u021bie cu parestezii \u0219i dureri;<\/li>\n<li><strong>Stadiul II<\/strong> &#8211; Sindromul de compresiune, cu semne deficitare \u00een teritoriul r\u0103d\u0103cinii respective;<\/li>\n<li><strong>Stadiul III<\/strong> &#8211; Sindromul de \u00eentrerupere sau de paralizie radicular\u0103, ultima faza de leziune radicular\u0103 (este paralizia teritoriului muscular periferic al r\u0103d\u0103cinii atinse).<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-6{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-6 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-6{width:100% !important;order : 0;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-6{width:100% !important;order : 0;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-5{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-6\"><h2><strong>Criterii de sustinere a diagnosticului:<\/strong><\/h2>\n<p>\u00a0<\/p>\n<p><strong><em><u>Examenul clinic: semne subiective si obiective<\/u><\/em><\/strong><\/p>\n<p>Debutul este de obicei brusc, predominant la sexul masculin, cu media de v\u00e2rst\u0103 \u00eentre 25 \u0219i 40 de ani. Simptomele si semnele sunt variabile \u00een func\u021bie de sediul herniei de disc.<\/p>\n<p><u>Examenul obiectiv individualizeaz\u0103 c\u00e2teva simptome:<\/u><\/p>\n<ul>\n<li><strong>Sindromul vertebral<\/strong> include:<\/li>\n<li>Rectitudinea coloanei: modificare prin care pacientul \u00ee\u0219i diminueaz\u0103 greutatea pe partea posterioara a discurilor, reduc\u00e2nd protuzia discal\u0103.<\/li>\n<li>Contractura muscular\u0103 care determin\u0103 o redoare dureroas\u0103 a coloanei vertebrale de intensitate gradat\u0103, blocaj cu limitarea mi\u0219c\u0103rilor. Contractura poate fi vizibil\u0103 sub forma unui relief bine conturat \u0219i dur.<\/li>\n<li>Cifoza toracal\u0103 invers\u0103, compensatoare pentru restabilirea echilibrului corpului, poate \u00eenso\u021bi o scolioz\u0103.<\/li>\n<li>Modificari in postur\u0103 \u0219i mers. In puseul algic, bolnavul adopt\u0103 de obicei o pozi\u021bie caracteristic\u0103 de anteflexie cu sprijin pe membrul inferior s\u0103n\u0103tos \u0219i cu semiflexia celui bolnav. Mersul se face \u0219chiop\u0103t\u00e2nd, piciorul bolnav ating\u00e2nd solul numai cu v\u00e2rful, cu pa\u0219i len\u021bi sau este uneori imposibil.<\/li>\n<li>Atitudinile antalgice sunt rezultatul unor redori vertebrale care fixeaz\u0103 coloana \u00eentr-o pozi\u021bie care determin\u0103 un minimum de durere.<\/li>\n<li>Mobilitatea redusa a coloanei: limitarea flexiei trunchiului \u00eenspre \u00eenainte.<\/li>\n<li><strong>Tulbur\u0103ri de sensibilitate, parestezii (furnicaturi).<\/strong><\/li>\n<li><strong>Tulbur\u0103ri de sensibilitate superficial\u0103:<\/strong> hiperestezie mai frecventa in formele hiperalgice si hipoestezie interesand mai mult sensibilitatea tactila si dureroasa,mai rar termica.Sensibilitatea profunda nu este afectata.Uneori este prezenta o hiperalgezie a tendonului lui Ahile.<\/li>\n<li><strong>Tulbur\u0103ri motorii:<\/strong> se int\u00e2lnesc \u00een propor\u021bie de 34% din cazuri sub form\u0103 de pareze, paralizii, hipotonii \u0219i atrofii musculare, cu instalarea progresiv\u0103, mai rar brutal\u0103 c\u00e2nd nu au prognostic nefavorabil. Prezen\u021ba unei pareze sau paralizii are valoare diagnostic\u0103 topografic\u0103.<\/li>\n<li><strong>Tulbur\u0103ri de reflexe<\/strong> cu hiporeflectivitate sau chiar absen\u021ba reflexelor osteotendinoase.<\/li>\n<li><strong>Tulburari sfincteriene si sexuale:<\/strong> frecven\u0219a lor este apreciat\u0103 \u00eentre 4-12%, ap\u0103r\u00e2nd uneori ca \u0219i reten\u021bie urinar\u0103, determinat\u0103 uneori de iritarea r\u0103d\u0103cinilor, sau incontinen\u021b\u0103, datorat\u0103 \u00eentreruperii radiculare. Concomitent se asociaz\u0103 \u0219i tulbur\u0103ri sexuale \u0219i hipo- sau hipersexualitate.<\/li>\n<\/ul>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Clinica debutului &#8211;<em>Lombalgia<\/em>&#8211; este de obicei continu\u0103 sau episodic\u0103, cu durat\u0103 de 2-3 saptamani. <em>Sciatalgia<\/em> -corespondentul irita\u021biei radiculare- se \u00eent\u00e2lne\u0219te mai rar la \u00eenceputul bolii \u0219i are ca traiect:<\/p>\n<p>\u00a0\u00a0\u00a0 &#8211;<u>Sciatica L5<\/u>: prin hernie de disc L4-L5 d\u0103 dureri \u00een regiunea lombo-sacrat\u0103, urmeaz\u0103 traiectul membrului sciatic la nivelul fesei, coboar\u0103 de-a lungul fesei posterioare a coapsei, pe fa\u021ba extern\u0103 a gambei \u0219i la nivelul maleolei externe trece pe fa\u021ba dorsal\u0103 a piciorului c\u0103tre haluce;<\/p>\n<p>\u00a0\u00a0\u00a0 &#8211;<u>Sciatica S1<\/u>: prin hernie de disc L5-S1 determin\u0103 dureri la nivelul fesei, coboar\u0103 pe fa\u021ba posterioar\u0103 a gambei \u00een regiunea retromaleolar\u0103 extern\u0103, tendonul lui Achile, calcaneu \u0219i apoi pe marginea extern\u0103 a plantei c\u0103tre degetele 3,4, \u0219i 5.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-7{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-7 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-7{width:100% !important;order : 0;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-7{width:100% !important;order : 0;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-6{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-7\"><p><strong><em><u>Investigatii de elec\u021bie<\/u><\/em><\/strong><\/p>\n<p><strong><em>Examenul radiologic<\/em><\/strong> al coloanei vertebrale arat\u0103 absen\u021ba \u00eencovoierilor normale ale coloanei, prezen\u021ba unei scolioze, modific\u0103ri artrozice, pensarea spa\u021biilor intervertebrale nodului Schamarch, iar \u00een regiunea cervical\u0103 \u00eengustarea spa\u021biilor intervertebrale \u00een pozi\u021biile oblice. Singure, pensarea \u0219i \u00eengustarea unui spa\u021biu intervertebral, nu sunt suficiente pentru a pune diagnosticul herniei discale.<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Semne radiologice ale leziunii degenerative discale nu demostreaz\u0103 \u00eensa modul sigur c\u0103 simptomele clinice sunt datorate caracterelor anormale ale herniei.<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <strong><em>Mielografia<\/em><\/strong> cu substan\u021be de contrast pune \u00een eviden\u021b\u0103 hernia discal\u0103. Defectele de umplere ale tecilor r\u0103d\u0103cinilor indic\u0103 existen\u021ba unei hernii laterale. Defecte ale conturului spa\u021biului subarahnoidian sau \u00eentreruperea total\u0103 a deschiderii substan\u021bei de contrast, se v\u0103d in hernii mari \u0219i poate median radiare.<\/p>\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <em>Tomografia computerizata<\/em><\/strong> a c\u00e2\u0219tigat un loc important la \u00eenceputurile tratamentului patologiilor discale degenerative \u00eens\u0103 ea va da indica\u021bii particulare privitoare la evolu\u021bia stenozei canalelor spinale \u0219i proceselor articulare, iar injectarea substan\u021belor de contrast \u00een sacul dural permite aprecierea modific\u0103rilor patologice din interiorul canalului rahidian, de elec\u021bie fiind surclasat\u0103 de Rezonan\u021ba magnetic\u0103 nuclear\u0103.<\/p>\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><strong><em>Rezonan\u021ba magnetic\u0103 nuclear\u0103<\/em><\/strong> permite observarea \u00een condi\u021bii optime a structurii coloanei vertebrale, a herniilor \u0219i a deform\u0103rilor\u00a0 posterioare ale discurilor.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-8{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-8 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-8{width:50% !important;order : 0;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-8{width:100% !important;order : 0;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><style>.fusion-imageframe.imageframe-2{ margin-top : 150px;}<\/style><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img width=\"2560\" height=\"1575\" alt=\"HERNIA DE DISC LOMBAR\u0102\" title=\"HERNIA DE DISC LOMBAR\u0102\" src=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-7-scaled.jpg\" class=\"img-responsive wp-image-5403\" srcset=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-7-200x123.jpg 200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-7-400x246.jpg 400w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-7-600x369.jpg 600w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-7-800x492.jpg 800w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-7-1200x738.jpg 1200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-7-scaled.jpg 2560w\" sizes=\"(max-width: 640px) 100vw, 600px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-9{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-9 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-9{width:50% !important;order : 0;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-9{width:100% !important;order : 0;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-7{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-8\"><h3><strong>Evolu\u021bia \u0219i prognosticul Herniei de Disc<\/strong><\/h3>\n<p>Dintre posibilit\u0103\u021bile de evolu\u021bie anatomo-clinic\u0103 ale herniei de disc se citeaz\u0103 faptul c\u0103 unele sunt reductibile spontan sau cu ocazia unor misc\u0103ri sub influen\u021ba repaosului \u0219i terapiei medicamentoase.<\/p>\n<p>La altele \u00eens\u0103 exist\u0103 resorb\u021bia fragmentului herniat prin reac\u021bii inflamatorii locale. \u00cen cazurile celor localizate anterior \u0219i lateral, care nu comprim\u0103 elementele nervoase, ci numai ligamentul longitudinal anterior, se constat\u0103 intercalarea lor \u00een zona interligamentar\u0103 discomarginal\u0103, cu determinarea unei reac\u021bii proliferative conjunctive \u0219i osoase.<\/p>\n<p>Durata unui puseu de sciatalgie \u00een urma unei hernii discale este variat\u0103. Uneori puseul acut trece \u00een una, dou\u0103 sau trei luni \u00een urma unui tratament fizioterpic \u0219i mai ales \u00een urma unui repaos prelungit care favorizeaz\u0103 reducerea herniei. Alteori hernia devine ireductibil\u0103, durerile persist\u0103 f\u0103r\u0103 nici o tendin\u021b\u0103 de ameliorare, necesit\u00e2nd o interven\u021bie chirurgical\u0103. \u00cen sfar\u0219it, in alte cazuri, durerile se calmeaz\u0103 p\u00e2n\u0103 la urm\u0103, uneori dup\u0103 luni \u0219i ani de zile, l\u0103s\u00e2nd dup\u0103 ele o atrofie definitiv\u0103 a mu\u0219chilor gambei \u0219i o parez\u0103 distal\u0103, de cele mai multe ori \u00een domeniul sciaticului popliteu extern. Exist\u0103 de multe ori o tendin\u021b\u0103 de vindecare spontan\u0103 a herniei discale.<\/p>\n<p>Dup\u0103 c\u00e2teva remisiuni durerea nu mai revine. Vindec\u0103rile spontane pot fi datorate vasculariz\u0103rii mesei herniate.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-10{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-10 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-10{width:50% !important;order : 0;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-10{width:100% !important;order : 0;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><style>.fusion-imageframe.imageframe-3{ margin-top : 150px;}<\/style><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><img width=\"2560\" height=\"1575\" alt=\"HERNIA DE DISC LOMBAR\u0102\" title=\"HERNIA DE DISC LOMBAR\u0102\" src=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/Untitled-design-5-3-scaled.jpg\" class=\"img-responsive wp-image-5405\" srcset=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/Untitled-design-5-3-200x123.jpg 200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/Untitled-design-5-3-400x246.jpg 400w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/Untitled-design-5-3-600x369.jpg 600w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/Untitled-design-5-3-800x492.jpg 800w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/Untitled-design-5-3-1200x738.jpg 1200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/Untitled-design-5-3-scaled.jpg 2560w\" sizes=\"(max-width: 640px) 100vw, 600px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-11{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-11 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-11{width:50% !important;order : 0;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-11{width:100% !important;order : 0;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-8{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-9 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><style>.fusion-imageframe.imageframe-4{ margin-top : 150px;}<\/style><span class=\" fusion-imageframe imageframe-none imageframe-4 hover-type-none\"><img width=\"2560\" height=\"1575\" alt=\"HERNIA DE DISC LOMBAR\u0102\" title=\"HERNIA DE DISC LOMBAR\u0102\" src=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-3-scaled.jpg\" class=\"img-responsive wp-image-5406\" srcset=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-3-200x123.jpg 200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-3-400x246.jpg 400w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-3-600x369.jpg 600w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-3-800x492.jpg 800w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-3-1200x738.jpg 1200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/05\/NEUROCHIRURGIE-3-scaled.jpg 2560w\" sizes=\"(max-width: 640px) 100vw, 600px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-12{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-12 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-12{width:50% !important;order : 0;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-12{width:100% !important;order : 0;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-9\"><p><strong>Tratamentul Herniei de Disc<\/strong><\/p>\n<p><em>1.Tratamentul Profilactic<\/em>:<\/p>\n<p>\u00cen cazul tratamentului profilactic pacientul va primi indica\u021bii asupra pozi\u021biilor antalgice corecte \u00een repaos, gimnastica medical\u0103, reeducarea postural\u0103, reducerea timpilor de static\u0103 \u00eentr-o singur\u0103 pozi\u021bie (munc\u0103 la birou), combaterea factorilor de risc\u00a0(fumatul, sedentarismul), activit\u0103\u021bile regulate, etc.<\/p>\n<p>\u00a0<\/p>\n<ol start=\"2\">\n<li><em> Tratamentul Igieno-dietetic:<\/em><\/li>\n<\/ol>\n<p>Acesta include: repaosul la pat, flectarea genunchiilor, sc\u0103derea ponderal\u0103, evitarea abuzului de alcool, etc.<\/p>\n<p><em>\u00a0\u00a0\u00a0\u00a0 <\/em><\/p>\n<p><em>\u00a03.Tratamentul Medicamentos:<\/em><\/p>\n<p>\u00a0\u00a0\u00a0 Include o palet\u0103 bogat\u0103 de substan\u021be ce se pot administra singure sau in asociere (antiinflamatoare, analgezice, miorelaxante, corticoterapie, neurotrofice periferice, sedative u\u0219oare, etc.)<\/p>\n<p><em>\u00a0\u00a0\u00a0\u00a0 <\/em><\/p>\n<p><em>\u00a04.Interven\u021bia chirurgical\u0103<\/em><\/p>\n<p>Cel mai bun tratament conservator \u00eel constituie repaosul prelungit la pat iar \u00een cazurile mai pu\u021bin grave se recomand\u0103 purtarea unui corset ortopedic. Cu toate acestea, exist\u0103 situa\u021bii \u00een care interven\u021bia chirurgical\u0103 este necesar\u0103.<\/p>\n<p><em>\u00a0<\/em><\/p>\n<p>Indicatia operatorie in hernia de disc lombar\u0103:<\/p>\n<p>\u00a0\u00a0\u00a0 -Durerea instabila<\/p>\n<p>\u00a0\u00a0\u00a0 -Agravarea progresiva a deficitului neurologic<\/p>\n<p>\u00a0\u00a0\u00a0 -Recuren\u021ba dureroas\u0103, imposibil de evitat \u0219i de tratat<\/p>\n<p>\u00a0\u00a0\u00a0 -Sindromul cozii de cal.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-13{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-13 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-13{width:50% !important;order : 0;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-13{width:100% !important;order : 0;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-9{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-10 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-10\"><p>Indica\u021bii absolute sunt formele hiperalgice radiculonevritice, care timp de doua-trei luni nu raspund la un tratament conservator corect (reprezent\u00e2nd mai putin de 1%), c\u00e2t \u0219i lombosciaticele paretice, paralizante \u0219i cele la care se suspecteaz\u0103 o etiologie tumoral\u0103.<\/p>\n<p>\u00a0\u00a0 &#8211;<em>Discectomia<\/em> prin fenestra\u021bie unic\u0103\/l\u0103rgit\u0103 (hemilaminectomie) cu sau f\u0103r\u0103 foraminotomie ipsilateral\u0103 ori prin fenestra\u021bie bilateral\u0103 av\u00e2nd ca scop degajarea r\u0103d\u0103cinii nervoase comprimate.<\/p>\n<p>\u00a0\u00a0 <em>-Laminectomia decompresiva<\/em> are drept scop decomprimarea r\u0103d\u0103cinii prin \u00eendep\u0103rtarea nucleului pulpos, mechanism efectuat din posterior cu rate mari de decompresie \u0219i pe structurile osoase modificate.<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Interven\u021bia trebuie precedat\u0103 de precizarea prin diferite metode (RMN, mielografie) a sediului herniei discale \u0219i a unor alte eventuale leziuni locale complementare sau f\u0103r\u0103 leg\u0103tur\u0103 cu patologia degenerativ\u0103 propriu-zis\u0103.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-14{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-14 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 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href=\"tel:+40721936835\"><span class=\"fusion-button-text\">PROGRAMEAZ\u0102-TE ACUM PENTRU O CONSULTA\u021aIE<\/span><\/a><\/div><div ><style>.fusion-imageframe.imageframe-6{ margin-top : 50px;}<\/style><span class=\" fusion-imageframe imageframe-none imageframe-6 hover-type-none\"><img width=\"2048\" height=\"1365\" title=\"AZ3I6222\" src=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/02\/AZ3I6222.jpg\" alt class=\"img-responsive wp-image-5303\" srcset=\"https:\/\/medcom.ro\/wp-content\/uploads\/2023\/02\/AZ3I6222-200x133.jpg 200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/02\/AZ3I6222-400x267.jpg 400w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/02\/AZ3I6222-600x400.jpg 600w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/02\/AZ3I6222-800x533.jpg 800w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/02\/AZ3I6222-1200x800.jpg 1200w, https:\/\/medcom.ro\/wp-content\/uploads\/2023\/02\/AZ3I6222.jpg 2048w\" sizes=\"(max-width: 640px) 100vw, 1200px\" 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0px;}<\/style><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/medcom.ro\/index.php\/wp-json\/wp\/v2\/pages\/5387"}],"collection":[{"href":"https:\/\/medcom.ro\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medcom.ro\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medcom.ro\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medcom.ro\/index.php\/wp-json\/wp\/v2\/comments?post=5387"}],"version-history":[{"count":6,"href":"https:\/\/medcom.ro\/index.php\/wp-json\/wp\/v2\/pages\/5387\/revisions"}],"predecessor-version":[{"id":5423,"href":"https:\/\/medcom.ro\/index.php\/wp-json\/wp\/v2\/pages\/5387\/revisions\/5423"}],"wp:attachment":[{"href":"https:\/\/medcom.ro\/index.php\/wp-json\/wp\/v2\/media?parent=5387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}