{"id":13416,"date":"2024-02-07T09:24:47","date_gmt":"2024-02-07T09:24:47","guid":{"rendered":"https:\/\/ro.cvot.md\/osteocondroza-coloanei-vertebrale\/"},"modified":"2024-02-07T09:24:47","modified_gmt":"2024-02-07T09:24:47","slug":"osteocondroza-coloanei-vertebrale","status":"publish","type":"page","link":"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/","title":{"rendered":"Osteocondroza coloanei vertebrale"},"content":{"rendered":"\n<p><br><strong>Osteocondroza coloanei vertebrale<\/strong><br><br>&#8211;<br>este modificarea distrofic\u0103 a discului intervertebral \u0219i a corpurilor vertebrale adiacente. Cu alte cuvinte,<br><strong>osteocondroza este o modificare cauzat\u0103 de o perturbare a proceselor metabolice a discului, adic\u0103 nutri\u021biei.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"500\" height=\"342\" src=\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/image012-1.jpg\" alt=\"\" class=\"wp-image-12406\" srcset=\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/image012-1.jpg 500w, https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/image012-1-300x205.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p><strong>Osteocondroza<\/strong> este o boal\u0103 a fiin\u021bei umane ca specie biologic\u0103. Exist\u0103 opinia c\u0103 osteocondroza coloanei vertebrale este plata for\u021bat\u0103 persoanelor pentru mersul pe dou\u0103 picioare. Morbiditatea \u00een mas\u0103 este asociat\u0103 \u00een primul r\u00e2nd cu pozi\u021bia vertical\u0103, \u00een care sarcina pe coloana vertebral\u0103 \u0219i pe discurile intervertebrale este mult mai mare dec\u00e2t la animale.<\/p>\n\n\n\n<p><br>Osteocondroza este \u00eenso\u021bit\u0103 de spasm \u0219i hipertonicitate a mu\u0219chilor spinali, datorit\u0103 c\u0103rora foramenul intervertebral se \u00eengusteaz\u0103 \u0219i r\u0103d\u0103cinile nervului spinal care apar prin ele sunt restr\u00e2nse. Acest lucru provoac\u0103 dureri severe. Spasmele musculare prind vasele de s\u00e2nge care alimenteaz\u0103 coloana vertebral\u0103, ceea ce perturb\u0103 alimentarea cu s\u00e2nge \u0219i nutri\u021bia discurilor intervertebrale \u0219i \u021besuturilor nervoase ale m\u0103duvei spin\u0103rii \u0219i ale ramurilor acesteia.<\/p>\n\n\n\n<p><br>\u00cen plus, mu\u0219chii spasmodici constr\u00e2ng coloana vertebral\u0103, pun\u00e2nd stres suplimentar pe discurile intervertebrale. Discurile se \u201eaplatizeaz\u0103\u201d, pierz\u00e2ndu-\u0219i propriet\u0103\u021bile de amortizare. \u00cen timp, acest lucru duce la proeminen\u021ba discurilor dincolo de coloan\u0103 vertebral\u0103, prolapsul \u0219i apoi ruperea discului fibros, c\u0103derea nucleului discului \u0219i formarea unei hernii intervertebrale.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p>&nbsp;<br><strong>MOTIVE PENTRU DEZVOLTAREA OSTEOCONDROZEI COLOANEI VERTEBRALE<\/strong><\/p>\n\n\n\n<p>Exist\u0103 multe teorii despre dezvoltarea osteocondrozei, printre cauzele bolii se num\u0103r\u0103 predispozi\u021bia ereditar\u0103, traumatismele mecanice, tulbur\u0103rile metabolice, obezitatea, activitatea fizic\u0103 excesiv\u0103 etc.<br><strong>Un motiv foarte important pentru care apare osteocondroza este \u00eenc\u0103lcarea general\u0103 a proceselor metabolice din organism!<\/strong><\/p>\n\n\n\n<p><strong>O steocondroza<\/strong> (modific\u0103rile distrofice ale cartilajului \u0219i oaselor adiacente) <strong>nu este o boal\u0103, ci un semn de \u00eemb\u0103tr\u00e2nire,<\/strong> cum ar fi ridurile, chelia \u0219i p\u0103rul gri. Motivul \u00eemb\u0103tr\u00e2nirii materiei vii este \u00eenc\u0103lcarea nutri\u021biei sale. Aceasta este o axiom\u0103. S\u0103 ne reamintim modul \u00een care substan\u021bele nutritive intr\u0103 \u00een organele \u0219i \u021besuturile umane. Prin artere, s\u00e2ngele p\u0103trunde \u00een \u021besuturi, asigur\u00e2ndu-le oxigen \u0219i substan\u021be nutritive, iar prin vene pleac\u0103, elimin\u00e2nd produsele metabolice inutile. \u00een coloana vertebral\u0103 de asemenea intr\u0103 artere \u0219i ies vene. Dar dac\u0103 s\u00e2ngele intr\u0103 \u00een corpurile vertebrale din fluxul sanguin comun, atunci \u00een disc &#8211; din corpurile vertebrale prin vasele care le leag\u0103. Adic\u0103 vertebrele mediaz\u0103 aportul de s\u00e2nge \u00eentre discuri \u0219i \u00eentregul corp.<\/p>\n\n\n\n<p>Cu toate acestea, de obicei pe la 10-15 ani, exist\u0103 o dezolare treptat\u0103 a majorit\u0103\u021bii vaselor care leag\u0103 vertebrele de disc. Apoi corpul \u00ee\u0219i activeaz\u0103 mecanismele de rezerv\u0103, datorit\u0103 c\u0103rora continu\u0103 un schimb destul de intens de medii lichide \u00eentre ele. Dar metabolismul nu mai este efectuat de vase, ci prin difuzie. Acest lucru salveaz\u0103 discul, dar nu pentru mult timp. Sistemul func\u021bioneaz\u0103 prin alimentarea cu energie a unit\u0103\u021bii, dar cu o cre\u0219tere a tensiunii. \u0218i apoi apare ceva \u00eentre disc \u0219i vertebre, perturb\u00e2nd semnificativ conexiunea dintre ele. Acesta este deja un dezastru. Nucleul pulpos \u00eencepe s\u0103 se pr\u0103bu\u0219easc\u0103.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"250\" height=\"302\" src=\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/sportsmen.jpg\" alt=\"\" class=\"wp-image-12408\" srcset=\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/sportsmen.jpg 250w, https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/sportsmen-248x300.jpg 248w\" sizes=\"(max-width: 250px) 100vw, 250px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p><strong>Cre\u0219terea activit\u0103\u021bii fizice de asemenea afecteaz\u0103 dezvoltarea osteocondrozei!<\/strong><\/p>\n\n\n\n<p>Paradoxal, mul\u021bi sportivi sufer\u0103 de dureri de spate, \u00een ciuda faptului c\u0103 au un corset muscular bun \u0219i exerci\u021bii fizice regulate. \u00centr-adev\u0103r, dac\u0103 mi\u0219c\u0103rile vertebrelor \u00een raport cu discul cap\u0103t\u0103 o amplitudine periculos de mare, atunci \u00een locurile de contact ale acestora exist\u0103 focare de traumatism. La urma urmei, inelul fibros ar trebui s\u0103 protejeze vertebrele de mi\u0219c\u0103ri inutile. Fibrele sale sunt \u00eentinse, uneori se rup. Ca r\u0103spuns la daune, organismul r\u0103spunde cu inflama\u021bie.<\/p>\n\n\n\n<p>Ini\u021bial, este un edem tranzitoriu al \u021besuturilor deteriorate. \u00cen continuare, ca rezultat al inflama\u021biei, focarele \u021besutului conjunctiv, adic\u0103 \u021besutul cicatricial, se formeaz\u0103 pe disc \u00een locul contactului s\u0103u cu vertebra. Cu fiecare mi\u0219care traumatic\u0103, aceste cicatrici devin din ce \u00een ce mai multe. Mai \u00eent\u00e2i una, apoi doi, trei, cinci &#8230; Peste c\u00e2\u021biva ani vor fi at\u00e2t de multe, \u00eenc\u00e2t radiologii care descriu imagini ale unei astfel de coloane vertebrale va indica scleroza pl\u0103cilor finale.<\/p>\n\n\n\n<p><br>Pl\u0103cile terminale sclerozate sunt corpul \u201estr\u0103in\u201d care \u00eenchide lumenul vaselor \u0219i creeaz\u0103 un obstacol \u00een calea circula\u021biei fluidului prin difuzie. Astfel, discul intervertebral, \u201eblocat\u201d de sus \u0219i de jos de pl\u0103ci sclerozate, re\u00eenvie treptat \u0219i nici o metod\u0103 de tratament nu poate ajuta la acest lucru. Iat\u0103 un exemplu trist de victim\u0103 a muncii fizice sau a unei pasiuni neg\u00eendite pentru sport.<\/p>\n\n\n\n<p><br>Lupt\u0103torii cu mul\u021bi ani de experien\u021b\u0103 (majoritatea pacien\u021bilor cu osteoartrita sunt persoane cu v\u00e2rsta peste 40 de ani) dob\u00e2ndesc \u00een cele din urm\u0103 spondiloartrit\u0103 &#8211; deteriorarea articula\u021biilor coloanei vertebrale, \u00een principal \u00een regiunea coloanei cervicale. Pentru juc\u0103torii de tenis, reumatologii au chiar un termen special &#8211; \u201ecot de tenis\u201d. Datorit\u0103 mi\u0219c\u0103rilor ascu\u021bite \u0219i puternice de acela\u0219i tip, \u021besuturile moi periarticulare ale articula\u021biei cotului m\u00e2inii active sufer\u0103 adesea.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p><br><strong>Dezvoltarea osteocondrozei \u00een timpul form\u0103rii unor modele incorecte ale mi\u0219c\u0103rilor corpului.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"250\" height=\"302\" src=\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/beg.jpg\" alt=\"\" class=\"wp-image-12405\" srcset=\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/beg.jpg 250w, https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/beg-248x300.jpg 248w\" sizes=\"(max-width: 250px) 100vw, 250px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Adesea, din cauza durerii sau curburii coloanei vertebrale, persoana este for\u021bat\u0103 s\u0103 schimbe postura, mersul, postura c\u00e2nd este a\u0219ezat\u0103 sau st\u0103 \u00een picioare, ritmul \u0219i frecven\u021ba respira\u021biei. Acest lucru poate fi observat \u0219i \u00een timpul \u00eenc\u0103rc\u0103rii statice prelungite, de exemplu, atunci c\u00e2nd stai \u00een mod regulat \u00eentr-o postur\u0103 incorect\u0103, c\u00e2nd lucrezi la computer, c\u00e2nd lucrezi \u00eentr-o pozi\u021bie for\u021bat\u0103, c\u00e2nd faci ceva sport etc.<\/p>\n\n\n\n<p>Activitatea fizic\u0103 excesiv\u0103 de acela\u0219i tip este deosebit de periculoas\u0103 pentru cei cu orice patologie sau boal\u0103 a coloanei vertebrale.<\/p>\n\n\n\n<p>Din acela\u0219i motiv, alergarea pe mul\u021bi kilometri este d\u0103un\u0103toare &#8211; vibra\u021bii, contuzii, o cre\u0219tere puternic\u0103 a presiunii. Este adev\u0103rat, este imposibil s\u0103 spunem c\u0103 alergarea unui kilometru te vindec\u0103 \u0219i alergarea a doi kilometri deja te traumeaz\u0103, este imposibil &#8211; resursa fizic\u0103 a cartilajului este individual\u0103 pentru fiecare persoan\u0103. Dar, atunci c\u00e2nd planific\u0103m o alergare duminical\u0103 de zece sau dou\u0103zeci de kilometri, aparent, ar trebui s\u0103 ne g\u00e2ndim, merit\u0103 oare?<\/p>\n<\/div>\n<\/div>\n\n\n\n<p><strong><br><strong>Dezvoltarea osteocondrozei cu un stil de via\u021b\u0103 sedentar.<\/strong><\/strong><\/p>\n\n\n\n<p><img decoding=\"async\" src=\"https:\/\/web.archive.org\/web\/20200716235706im_\/https:\/\/ro.cvot.md\/images\/demo\/osteohondrosis\/office.jpg\" alt=\"\">Lipsa de sarcin\u0103 \u0219i inactivitatea fizic\u0103 duc la o sl\u0103bire a cadrului muscular care sus\u021bine coloana vertebral\u0103 \u0219i, \u00een acela\u0219i timp, provoac\u0103 congestie \u00een spate. Ca urmare, circula\u021bia s\u00e2ngelui \u0219i nutri\u021bia \u021besuturilor coloanei vertebrale (discurile intervertebrale) sunt perturbate.<\/p>\n\n\n\n<p>Ce ajut\u0103 lucr\u0103torul de oficiu s\u0103 stea ore \u00eentregi la mas\u0103? Mu\u0219chii coloanei vertebrale sau ale spatelui. Deci, \u00eencordarea lor prelungit\u0103 este plin\u0103 de consecin\u021be nepl\u0103cute pentru coloana vertebral\u0103 \u00een general \u0219i pentru discurile sale \u00een special. Vasurile de s\u00e2nge trec prin mu\u0219chi. Datorit\u0103 contrac\u021biei alternative a mu\u0219chilor ad\u00e2nci ai spatelui, are loc mi\u0219carea s\u00e2ngelui venos de la coloana vertebral\u0103 c\u0103tre re\u021beaua vascular\u0103 venoas\u0103 general\u0103.<\/p>\n\n\n\n<p><br>S\u00e2ngele curge prin artere datorit\u0103 impulsului cardiac, iar debitul cardiac nu mai are un efect semnificativ asupra mi\u0219c\u0103rii s\u00e2ngelui venos. Deoarece viteza fluxului sanguin este stins\u0103 de o re\u021bea fin\u0103 de capilare care leag\u0103 arterele \u0219i venele. \u0218i mu\u0219chii joac\u0103 rolul unei pompe pentru vene. Acesta este motivul pentru care persoanele cu func\u021bionare slab\u0103 a valvelor venelor ad\u00eenci ale extremit\u0103\u021bilor inferioare au picioarele umflate \u00een timpul \u0219edin\u021bei prelungite sau, mai ales, \u00een picioare. La mers, umflarea nu apare sau este mult mai pu\u021bin pronun\u021bat\u0103.<\/p>\n\n\n\n<p>\u00centreruperea fluxului sanguin venos contribuie la formarea cheagurilor de s\u00e2nge \u00een vene care leag\u0103 vertebrele de discuri. Drept urmare, venele devin pustii, se sclerozeaz\u0103. Presiunea ridicat\u0103 \u00een patul venos stagnant al corpurilor vertebrale previne procesele de difuzie. Din nou, sursa de alimentare a discului este \u00eentrerupt\u0103. \u00cen plus, compresia constant\u0103 a discului de c\u0103tre vertebre str\u00e2nse de mu\u0219chii tensiona\u021bi inhib\u0103, de asemenea, fluxul sanguin. Nutrien\u021bii nu sunt furniza\u021bi, de\u0219eurile nu sunt eliminate de pe disc. Atunci \u00eencepem s\u0103 vorbim despre prima etap\u0103 a osteocondrozei.<\/p>\n\n\n\n<p><strong>\u00cen plus fa\u021b\u0103 de cele de mai sus, osteocondroza poate ap\u0103rea pe fundalul curburii coloanei vertebrale, picioarele plate, leziuni \u0219i v\u00e2n\u0103t\u0103i ale coloanei vertebrale, malnutri\u021bie prelungit\u0103. Prin urmare, totu\u0219i, osteocondroza este r\u0103splata pentru utilizarea necorespunz\u0103toare a corpului sau, a\u0219a cum se spune acum, pentru un stil de via\u021b\u0103 incorect.<\/strong><\/p>\n\n\n\n<p>Osteocondroza nu este o boal\u0103. Aceasta este o r\u0103splat\u0103 pentru faptul c\u0103 nu v\u0103 \u00een\u021belege\u021bi \u0219i nu v\u0103 cunoa\u0219te\u021bi propriul corp, acestea sunt doar modific\u0103ri structurale ale coloanei vertebrale, nimic mai mult. O boal\u0103 o numim osteocondroz\u0103 atunci c\u00e2nd diferitele sale manifest\u0103ri &#8211; durere, sl\u0103biciune muscular\u0103 \u0219i altele &#8211; complic\u0103 via\u021ba unei persoane, afecteaz\u0103 negativ calitatea vie\u021bii.<\/p>\n\n\n\n<p><br><strong>TRATAMENTUL OSTEOCHONDROZEI:<\/strong><\/p>\n\n\n\n<p><strong>Tratamentul medicamentos include numirea unor astfel de medicamente:<\/strong><\/p>\n\n\n\n<p><strong>&#8211; antiinflamatoare nesteroidiene<\/strong> (AINS) &#8211; diclofenac, nimesulid, voltaren, ketorol,<\/p>\n\n\n\n<p><strong>&#8211; ameliorarea spasmelor musculare sau miorelaxantelor musculare<\/strong> (tolperizon\u0103 sau midocalm &#8211; relaxant muscular cu ac\u021biune central\u0103)<\/p>\n\n\n\n<p>Mecanism de ac\u021biune &#8211; blocarea receptorilor H-colinergici \u00een sinapse opre\u0219te alimentarea impulsurilor nervoase c\u0103tre mu\u0219chii scheletici, iar mu\u0219chii \u00eenceteaz\u0103 s\u0103 se contracteze.<\/p>\n\n\n\n<p><strong>&#8211; stimulente ale microcircula\u021biei<\/strong> (acid nicotinic, nicotinat de xantinol, trental, agapurin). Aceste medicamente \u00eembun\u0103t\u0103\u021besc nutri\u021bia r\u0103d\u0103cinilor nervoase \u0219i alimentarea cu s\u00e2nge a coloanei vertebrale.<\/p>\n\n\n\n<p><strong>&#8211; antioxidanti si vitamine<\/strong> (tocoferol, mexidol, berlition, vitamine B). Utilizarea lor accelereaz\u0103 refacerea func\u021biilor fibrelor nervoase, \u00eembun\u0103t\u0103\u021be\u0219te procesele generale de recuperare.<\/p>\n\n\n\n<p>\u00cen cazul unor dureri foarte severe, acest lucru nu este suficient \u0219i apoi sunt prescrise blocaje intercostale cu anestezice. Cel mai adesea, \u00een acest scop se folose\u0219te o solu\u021bie de 2% de novocain\u0103. Deoarece prezen\u021ba constant\u0103 a durerii duce la agita\u021bie \u0219i oboseal\u0103 a sistemului nervos, pacien\u021bii sunt sf\u0103tui\u021bi s\u0103 ia sedative \u00een acest sens. Alegerea aici este, de asemenea, destul de larg\u0103: de la tinctur\u0103 de valerian\u0103, bujor, la tranchilizante serioase prescrise de medic &#8211; Elenium, Nozepam, Phenazepam.<\/p>\n\n\n\n<p>\u00a0<strong>Metode de fizioterapie pentru tratarea osteocondrozei<\/strong><\/p>\n\n\n\n<p>Procedurile fizioterapeutice sunt utilizate pe scar\u0103 larg\u0103 pentru tratamentul osteocondrozei, reduc durerea \u0219i umflarea \u021besuturilor, \u00eembun\u0103t\u0103\u021besc circula\u021bia s\u00e2ngelui \u0219i stimuleaz\u0103 fixarea muscular\u0103. Tipul procedurii, parametrii s\u0103i, durata expunerii, num\u0103rul de \u0219edin\u021be sunt prescrise \u00een func\u021bie de stadiul bolii, severitatea sindromului durerii, principalele manifest\u0103ri clinice, intoleran\u021ba individual\u0103 \u0219i v\u00e2rst\u0103.<\/p>\n\n\n\n<p>&nbsp;<strong>Cel mai adesea, \u00een acest scop sunt utilizate urm\u0103toarele metode:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>&#8211; iradiere ultraviolet\u0103;<\/li>\n\n\n\n<li>&#8211; darsonvalizare;<\/li>\n\n\n\n<li>&#8211; electroforez\u0103 a preparatelor de novocain\u0103, aminofilin\u0103, lidaz\u0103, venin de albine;<\/li>\n\n\n\n<li>&#8211; fonoforeza hidrocartizonului;<\/li>\n\n\n\n<li>&#8211; efectul unui c\u00e2mp magnetic;<\/li>\n\n\n\n<li>&#8211; ultrasunete;<\/li>\n\n\n\n<li>&#8211; curen\u021bi diadinamici;<\/li>\n\n\n\n<li>&#8211; du\u0219 subacvatic;<\/li>\n\n\n\n<li>&#8211; masaj;<\/li>\n\n\n\n<li>&#8211; radon, sulf, hidrogen sulfurat, terebentin\u0103 \u0219i alte b\u0103i;<\/li>\n\n\n\n<li>&#8211; proceduri termice;<\/li>\n\n\n\n<li>&#8211; n\u0103mol, aplica\u021bii de parafin\u0103.<\/li>\n<\/ul>\n\n\n\n<p><strong>Tratamentul de trac\u021biune al osteocondrozei (tratament de \u00eentindere)<\/strong><\/p>\n\n\n\n<p><br>\u00cen procesul de \u00eentindere, \u021besuturile paravertebrale, ligamentele, mu\u0219chii sunt \u00eentinse, drept urmare distan\u021ba dintre vertebrele individuale cre\u0219te cu 1-4 mm (\u00een medie cu 1,5 mm). \u00cen cazul comprim\u0103rii r\u0103d\u0103cinii nervoase sau vaselor de s\u00e2nge din canalul spinal de c\u0103tre o hernie de disc sau osteofit, trac\u021biunea ajut\u0103 la reducerea sau eliminarea complet\u0103 a compresiei, reducerea edemului \u0219i normalizarea circula\u021biei sanguine. C\u00e2nd coloana vertebral\u0103 este \u00eentins\u0103, exist\u0103 \u0219i o sc\u0103dere a presiunii intradiscale, o cre\u0219tere a foramenului intervertebral, o sc\u0103dere a contracturilor musculare \u0219i a tensiunii musculare.<\/p>\n\n\n\n<p><br><strong>Tratamentul chirurgical al herniei intervertebrale<\/strong><br>Dac\u0103 metodele conservatoare nu aduc ameliorare \u0219i durerile severe, curbura coloanei vertebrale nu dispar, atunci pacientul ar trebui consultat de neurochirurgi pentru a decide dac\u0103 opera\u021bia este recomandabil\u0103. Exist\u0103 diferite riscuri de complica\u021bii \u00een timpul interven\u021biei chirurgicale pe canalul spinal. Dup\u0103 opera\u021bie, cicatricile se formeaz\u0103 inevitabil, provoc\u00e2nd \u00een continuare simptome similare cu o hernie de disc. \u00cen acela\u0219i timp, vorbesc despre a\u0219a-numitul sindrom al interven\u021biei chirurgicale nereu\u0219ite \u2013 \u00abfailed back sindrom\u00bb.<\/p>\n\n\n\n<p><strong>Microterapie intradiscal\u0103<\/strong><\/p>\n\n\n\n<p>O metod\u0103 alternativ\u0103 \u0219i mai eficient\u0103 de tratare a herniei este microterapia intradiscal\u0103 folosind preparatul Discogel. Efectul implantului se bazeaz\u0103 pe un mecanism fizico-chimic: necroza nucleului pulpos \u0219i deshidratarea acestuia. Ac\u021biunea medicamentului const\u0103 \u00een efectul higroscopic al etanolului, care ac\u021bioneaz\u0103 osmotic asupra apei con\u021binute \u00een nucleul pulpos. Absorb\u021bia apei din nucleul pulpos de c\u0103tre etanol are ca rezultat decompresia \u0219i ameliorarea durerii. Discogel (sub anestezie local\u0103) este introdus \u00een discul intervertebral cu un ac sub\u021bire sub control radiologic f\u0103r\u0103 a deschide canalul spinal. Cicatricile \u0219i inflama\u021bii nu se formeaz\u0103 de pe piele \u0219i canalul spinal. Acest produs modern, inovator reprezint\u0103 o solu\u021bie complet\u0103 nou\u0103 \u0219i sigur\u0103, care este o alternativ\u0103 real\u0103 la interven\u021bia chirurgical\u0103.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Osteocondroza coloanei vertebrale &#8211;este modificarea distrofic\u0103 a discului intervertebral \u0219i a corpurilor vertebrale adiacente. Cu alte cuvinte,osteocondroza este o modificare cauzat\u0103 de o perturbare a proceselor metabolice a discului, adic\u0103 nutri\u021biei. Osteocondroza este o boal\u0103 a fiin\u021bei umane ca specie biologic\u0103. Exist\u0103 opinia c\u0103 osteocondroza coloanei vertebrale este plata for\u021bat\u0103 persoanelor pentru mersul pe dou\u0103 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":13418,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13416","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Osteocondroza coloanei vertebrale - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Osteocondroza coloanei vertebrale - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\" \/>\n<meta property=\"og:description\" content=\"Osteocondroza coloanei vertebrale &#8211;este modificarea distrofic\u0103 a discului intervertebral \u0219i a corpurilor vertebrale adiacente. Cu alte cuvinte,osteocondroza este o modificare cauzat\u0103 de o perturbare a proceselor metabolice a discului, adic\u0103 nutri\u021biei. Osteocondroza este o boal\u0103 a fiin\u021bei umane ca specie biologic\u0103. Exist\u0103 opinia c\u0103 osteocondroza coloanei vertebrale este plata for\u021bat\u0103 persoanelor pentru mersul pe dou\u0103 [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/\" \/>\n<meta property=\"og:site_name\" content=\"Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/image012-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"500\" \/>\n\t<meta property=\"og:image:height\" content=\"342\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/\",\"url\":\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/\",\"name\":\"Osteocondroza coloanei vertebrale - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\",\"isPartOf\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/osteochondrosis001.jpeg\",\"datePublished\":\"2024-02-07T09:24:47+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/#primaryimage\",\"url\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/osteochondrosis001.jpeg\",\"contentUrl\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2024\/02\/osteochondrosis001.jpeg\",\"width\":800,\"height\":450},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430\",\"item\":\"https:\/\/ro.cvot.md\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Osteocondroza coloanei vertebrale\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ro.cvot.md\/en\/#website\",\"url\":\"https:\/\/ro.cvot.md\/en\/\",\"name\":\"Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ro.cvot.md\/en\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/ro.cvot.md\/en\/#organization\",\"name\":\"Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\",\"url\":\"https:\/\/ro.cvot.md\/en\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ro.cvot.md\/en\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2025\/10\/cropped-hs-1.png\",\"contentUrl\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2025\/10\/cropped-hs-1.png\",\"width\":1724,\"height\":842,\"caption\":\"Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\"},\"image\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Osteocondroza coloanei vertebrale - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ro.cvot.md\/en\/osteocondroza-coloanei-vertebrale\/","og_locale":"en_US","og_type":"article","og_title":"Osteocondroza coloanei vertebrale - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;","og_description":"Osteocondroza coloanei vertebrale &#8211;este modificarea distrofic\u0103 a discului intervertebral \u0219i a corpurilor vertebrale adiacente. 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