Dorsopathies lumbar msana - ndichiyani? Zoyambitsa, Zizindikiro ndi Chithandizo

dorsopathies ndi chiyani? Ambiri amaopa mawu, kutenga kwa matenda ena oopsa. Izi kwenikweni kudwala zofala, umene posachedwapa anawapeza zambiri. Nkhaniyi za izo mu kwambiri nkhani mwatsatanetsatane.

zambiri

Pansi dorsopathy amanena za gulu la matenda a minofu connective ndi dongosolo minofu ndi mafupa a munthu, chinthu chachikulu chimene amazindikira ululu chosatha mu miyendo ndipo thupi lonse. Mawonekedwe ambiri matenda ndi dorsopathies lumbar msana. The yaikulu chizindikiro matenda imatengedwa kwambiri, koma ululu yochepa kumbuyo.

Nkofunika kudziwa kuti dorsopathies si nthenda palokha, koma chifukwa cha matenda ena amagwirizana ndi kumbuyo. chikhalidwe ichi pathological zambiri zimakhudza msana komanso Mitsemphayi, minofu, mitsempha Mitsempha m'dera lino.

The zifukwa

Lumbar zambiri amadwala akatundu kwambiri. Motero, ndi malowa ali msanga "kuvala", ndi chifukwa pali matenda ambiri, kuphatikizapo otchedwa intervertebral chophukacho.

Chotsatira waukulu dorsopathies ankaona kukanika ena mkati machitidwe ziwalo. Ngati kale pa mtundu uwu kudwala anadandaula kokha odwala achikulire, vuto lero ochuluka anapezeka ku mibadwo wamng'ono.

Dorsopathies lumbar msana kumachitika makamaka pa zifukwa zotsatirazi:

• Cholowa chimene chingawapangitse kukhala zidakwa. Kagayidwe, mtundu thupi, chitetezo chokwanira - zinthu zonsezi kumathandiza mwachindunji kudwala lapansi.
• Kugwiritsa / osakwanira katundu pa dera la kumbuyo. Ngati zolimbitsa thupi kwambiri thupi pali chiopsezo kuvulazidwa. Komano, pamene thupi limataya hypodynamia kamvekedwe mwachizolowezi, amenenso chofunika pakutchulidwa cha kudwala.
• Onenepa ndi zilakolako zoipa zakudya. Owonjezera kulemera n'chofunikira katundu zina pa msana, choncho ndi zambiri mofulumira "zisathe". Pankhani kutupikana, mu nkhani iyi, akusowa zina mavitamini ndi mchere m'thupi zimawonedwa. Izi zili zimakhudza zikuchokera mafupa.
• mwakayakaya makina, ndi kaimidwe osauka. kuwonongeka Previous (mwachitsanzo, othamanga) ndi zaka mwina kachiwiri kukumbutsa za iwo okha. Bad kaimidwe kumathandiza kuti mtolo m'goli pa msana, nthawi zambiri ndi chifukwa mwachindunji kupanga matenda "dorsopathies dipatimenti lumbar."
• Chimfine zambiri zoipa bwanji chitetezo cha m'thupi.

Kodi ndi kudwala?

• Chidwi ululu m'dera lumbar, amene yekha kwambiri pamene kuyenda.
• omangana kawirikawiri mu ng'ombe.
• Kudula ululu komanso nkhawa pa kayendedwe mwadzidzidzi.
• Kupunduka, limafotokoza kusafuna wa munthu potsegula mwendo.
• Ululu matako, amene alibe pochitika ngakhale pambuyo mankhwala.

chitukuko

Dorsopathies lumbar msana pa siteji koyamba amakhala ndi mapindikidwe wa chichereŵechereŵe minofu. Monga ulamuliro, wodwala safuna amadandaula kuwawa kulikonse choncho safuna kuchipatala. Pamene ndondomeko izi zikugwirizana fupa, vertebrae noticeable anasintha ndi kuyamba compress ndi chimbale intervertebral, kumvera molekezera mitsempha. Pa nthawi imeneyi, wodwalayo kale akukumana ululu komanso ngakhale kupweteka.

kayendedwe Komanso nthawi zambiri sizingasinthe ndipo mulole pa gulu lililonse mwadzidzidzi kapena katundu kwambiri pa nsana wake. Kuyambira cholimba kusamuka kwa vertebrae ndi zambiri anawononga otchedwa fibrous m'chimake ya chimbale cha. The ululu mu nkhani iyi, izo zimakhala kuwapirira.

Kotero zonse ndipo akufotokozera dorsopathies lumbar msana. Zizindikiro ndikofunika kudziwa akuwonetseredwa mavuto osati a mwachindunji dongosolo minofu ndi mafupa, komanso ndi zina ziwalo mkati.

Gawo

Today zovuta kusintha osachiritsika m'dera uwu umatchedwa akuti "msana dorsopathies lumbar dipatimenti." ICD-10 (gulu la International matenda younikanso X) allocates salembedwa, malinga ndi chikhalidwe cha kusintha mu magulu angapo a pathologies:

• Deforming osteopathy (kupindika ndi kusamutsidwa pang'ono vertebrae a).
• Spondylopathy (vertebral kuwonongeka chifukwa chotupa zoopsa makina, kapena matenda ena).
• Discogenic gulu (kuchepetsa zimbale vertebral, kupanga protrusion ndi chophukacho). Chimodzi cha mawonetseredwe ambiri ankaona dorsopathies lumbar msana ndi matenda radicular.

diagnostics

Pamene zizindikiro koyamba akulangizidwa pitani kuchipatala. malangizo katswiri pa kusonkhanitsa mbiri mwatsatanetsatane, imene inatchulidwa:

• Kutanthauzira ululu;
• mwakayakaya oyambirira ndi kuvulala msana, kuphatikizapo khansa;
• kudalira cha kupweteka kwa udindo wa thupi;
• maganizo boma.

Pankhaniyi, cholinga chachikulu cha diagnostics ndi kudziwa njira opatsirana mu lumbar, neoplasm kapena matenda somatic. Ubongo macheke Kupenda katswiri kwa ziwalo, imfa ya bongo, tilinazo matenda.

Anatumizidwa kuunikidwa zina matenda komaliza. Amatanthauza ndi radiography msana mu kafukufuku angapo, Kujambula, umagwirira magazi.

Malinga ndi zotsatira za pamwamba likuyesetsa dokotala otsimikiza pamaso pa kudwala ichi monga dorsopathies lumbar msana.

Kodi tiyenera kuwaona motani?

Therapy mu nkhani iyi ndi zovuta. Izo umalimbana mpumulo ululu, kupewa mapangidwe njira osachiritsika mu msana, kuteteza zotheka zisadzachitikenso.

Onani kuti yekha njira oyenerera amatilola kuthetsa matenda ichi monga dorsopathies lumbar msana. The mankhwala wodwala aliyense payekha amasankhidwa payekha, malinga siteji ya vuto, mlingo wa chikwaniritso cha ululu ndi ena zinthu zina.

kudwala lino, monga akatswiri ali magawo awiri (pachimake ndi aakulu). Chithandizo pa nkhani iliyonse kusiyana pang'ono. Choncho, mu gawo wokonda miyezo achire ayenera umalimbana kuchepetsa ululu. Wodwala kawirikawiri analimbikitsa lopuma ndi mankhwala. Ngati ndi kosatheka kuti ululu wopanda udindo mu kulimba yopingasa angagwiritsidwe ntchito, zomwe zimalimbikitsa kukonza malo a msana mwa orthoses wapadera.

Pankhani ya anapwetekedwa yoikidwiratu procaine anatseka misewu ya analgesics opioid ( "tramadol") pamodzi ndi anthu amene sanali steroidal mankhwala odana ndi yotupa. Pa mokwanira amphamvu relaxants minofu kuphipha analimbikitsa (mwachitsanzo, "Mydocalm"). Pamene ululu mwamphamvu zazing'ono yoikidwiratu analgesics nonopioid ndi kutentha wapadera mafuta ( "Espoli", "Fastum gel osakaniza," "Efkamon").

The mankhwala chikhululukiro zikutanthauza yokha:

• Nonsteroidal odana ndi yotupa mankhwala ( "nimesulide" "Tsefekon", "Diklovit").
• Kugwiritsa hondroprotektorov kusinthitsa zina zochita mu zowonongeka chichereŵechereŵe ( "Chondroxide").
• mankhwala mtima kusintha magazi, mavitamini, biogenic stimulators.
• Mitsempha.

Nkofunika kuzindikira kuti ngakhale ntchito yaitali kukonzekera onsewa si nthawi zonse wogwira mtima matenda monga dorsopathies lumbar msana.

Chithandizo popanda mankhwala

• Physiotherapy (ultraviolet walitsa, electrophoresis, Bernard mafunde). njira zimenezi zakonzedwa kuti kuchotsa minofu alipo kutupa, kuchepetsa ululu, kusintha magazi.
• Buku mankhwala. A katswiri oyenerera m'munda mwamsanga zokwanira kuthetsa njerwa mu dongosolo msana zochokera X-ray ndi kuyendera zithunzi pamaso pa phunziro lililonse. Nkofunika kuzindikira kuti njira imeneyi amakhala ndi contraindications ambiri (njira yotupa mu thupi, zotupa, zoopsa, kufooka kwa mafupa).
• Kutikita.
• Samatha chithandizo. Njira imeneyi zikusonyeza pang'onopang'ono kutambasuka kwa msana ndi, amene amalola ena Talikitsani mtunda pakati vertebrae ndi nsalu Tambasula, kuchepa psinjika za muzu mitsempha.

zosokonezeka zotheka

Kuwonjezera deformities awa a msana ndi intervertebral chophukacho m'pofunika kutchula matenda amene amakula chifukwa cha zonse kufinya ambiri molekezera mitsempha ya chimbale intervertebral.

Dorsopathies ndi lumbar amakwiya osati ululu, komanso kukanika ena mkati machitidwe ziwalo. Kwambiri ziwalo m'chiuno angakhudzidwe ndi zambiri. Mwachitsanzo, wodwalayo incontinence mkodzo ndi nkhani zosiyanasiyana zina.

Udindo wa mankhwala thupi

Zochita Special kwa dongosolo akulu, zikhoza zimatsimikizira kuti lichotse ululu komanso nkhawa, komanso zinthu monga kupewa kumwa.

Lamavutoli zachipatala liziyang'ana pa chitukuko mosalekeza minofu wodwalayo wofooka, choncho amanyamula yekha katswiri oyenerera amene ali akatswiri pa nkhani imeneyi.

Iwo ali osavomerezeka kuyesa kuthana ndi pa Maphunziro awo video, monga mu nkhani iyi, kangapo kumaonjezera ngozi ya choipa.

Kwambiri kutsimikiziridwa mankhwala wowerengeka kulimbana matenda. A zosiyanasiyana lotions, akusisita ndi compresses ntchito zosakaniza achilengedwe kuthetsa ululu ndi kutupa kupirira lapansi. Nkofunika kudziwa kuti maphikidwe kwa mankhwala bwino ntchito limodzi ndi mankhwala ochiritsira ndi kuyang'aniridwa zonse dokotala.

Pomaliza

M'nkhaniyi tiona kufotokoza mwatsatanetsatane kwambiri chifukwa pali lumbar msana dorsopathies, ndichiyani nanga njira yaikulu kuchiza matenda. Tikukhulupirira kuti mudziwe onse adzakhala kwenikweni zothandiza kwa inu.