Protrusion wa lumbar msana. Chithandizo cha protrusion wa lumbar ndi

Protrusion zimbale intervertebral, zizindikiro, chithandizo umene zotchulidwa mu nkhani, ndi chikhalidwe yodziwika ndi oumbidwa zinthu popanda yojambula mphete fibrous. Violation si matenda osiyana. Protrusion - mmodzi wa magawo a nyamakazi, ndipo anazindikira mwa akatswiri monga sitepe yoyamba ya n'kupanga chophukacho mu chimbale intervertebral. Kenako, tione mkhalidwe. mwapadera ndi kulipidwa kwa protrusion a msana lumbosacral.

Kuchuluka kwa

Malinga ndi kafukufuku, ndi protrusion akufotokozera oposa theka la anthu onse pa zaka makumi anai. The chosayenerera ambiri ali wapezeka anthu. Gulu lalikulu chiopsezo amaphatikizapo anthu ankagwira ntchito thupi, komanso kutsogolera moyo anafooka pamodzi ndi ntchito amangokhala. Odwala protrusion ukalamba, mogwirizana ndi chitukuko cha njira osachiritsika, nthawi zambiri imautsa maonekedwe a chophukacho intervertebral.

kutanthauzira

The ambiri ankaona kuti mbali ziwiri za thupi. Pali protrusion wa lumbar intervertebral chimbale. Pakali pano zisanu zinthu gawo (L1-L5). Pafupifupi 80% milandu - ndi protrusion wa lumbar zimbale L4-L5, ndipo inunso L5-S1. Yotsirizira ndi chinthu malire. Mu asanu khomo lachiberekero vertebrae chosayenerera ndi wapezeka mu C3-C4 ndi C4-C5. Mu zinthu zina choipa zimapezeka zambiri kamodzikamodzi. Koma thoracic, apa kuphwanya pakati pa D5 ndi D6-D6-D7 vertebrae.

The zimayambitsa matenda

zifukwa zingapo chimachititsa chitukuko cha kusintha osachiritsika mu mphete fibrous ndi litayamba phata pulposus. pasukuluyi izititsogolera pa zinthu kapangidwe. Izi amachepetsa elasticity ndi worsens zikuchokera Mkhalidwe. Chifukwa hyaline chichereŵechereŵe avale amapezeka flattening chimbale mogwirizana ndi zimene zimachitika kupitirira protrusion wa pakati annulus fibrosus pokhalabe okhulupirika ake. njira imeneyi kungakhale chifukwa cha:

• Pathologies a dongosolo minofu ndi mafupa a chikhalidwe titadziwa (monga ana).
• Kufooka kwa mafupa.
• Kusupuka, tokhala ndi kumawononga ena.
• Kusintha zimbale intervertebral kufota khalidwe.
• mbiri banja.
• Kyphosis, kupindika msana.
• Kufooka kwa dongosolo akulu.

Monga zinthu kuchititsa protrusion a msana lumbosacral akhoza anatchula:

• kagayidwe matenda.
• Kukhala onenepa, osauka zakudya.
• Hypodynamia (otsika sayenda).
• Zingapo opatsirana pathologies.
• Matenda microtrauma.
• Kugwiritsa thupi.
• Kudwala a dongosolo mantha ndi endocrine.

Gawo

Protrusions anasiyanitsidwa malinga ndi chikhalidwe cha protrusions phata. Makamaka, mitundu zotsatirazi:

• Zozungulira. Pankhaniyi pali oumbidwa chimbale gawo padziko uniformly. matenda Pathological zambiri amakwiya ndi wotsinidwa mitsempha mizu. Iwo yodziwika ndi njira aakulu.
• Akakufunsani. Mu nkhani iyi, protrusion ndi m'goli, wina ku mbali. Mu akakufunsani protrusion wa lumbar msana kawirikawiri amalembedwa yojambula mu mphete fibrous. Popeza mankhwala okwanira yake chikhalidwe likuoneka chilema.

Malinga ndi malangizo amene protrusion wa litayamba kumachitika, kutali imeneyi mitundu protrusion monga:

• Mbali. Pankhaniyi, pali protrusion kumanja kapena kumanzere kwa ndime msana. Nthawi zambiri amakwiya ndi psinjika Mitsempha ndi misempha. Pa siteji koyamba boma sitingazimvetse limodzi ndi zizindikiro zilizonse.
• Central. Pankhaniyi, intervertebral chimbale protrusion akupezeka malangizo a chingwe msana. Kuopsa chachikulu cha matenda ndi kuthekera kukhudzana ndi mizu yake.
• Posterolateral. Mu nkhani iyi, chimbale choyamba bulges chammbuyo, ndiye mmbali wachibale msana. chikhalidwe akhozanso kukopeka ndi matenda.
• Kumbuyo. Pankhaniyi, litayamba ndi mutuluka rearward. Chikhalidwe limodzi ndi ululu ndi mkhutu mitsempha kundipatsako kwa ziwalo mu mafupa a chiuno kapena pachifuwa (malingana ndi malo zoipa).

chithunzi matenda

Malinga ndi kutanthauzira za kumasulidwa chimbale protrusion:

• Lumbar msana.
• Pachifuwa m'deralo.
• Khomo lachiberekero msana.

Zizindikiro za kuyan'anila m'dera thoracic:

• Soreness za mmbuyo pansi pa nthiti.
• Kumva kulasalasa mu chiwindi ndi mtima.
• minofu kufooka atolankhani.
• Ululu chifuwa kapena phewa masamba.

Kodi ndi protrusion msana lumbar? Zizindikiro za chikhalidwe ndi:

• Yosaloledwa kayendedwe ka kumbuyo.
• Kumva kulasalasa, dzanzi ndi ululu.
• Anamuwombera mwendo.
• The chifooke malekezero m'munsi.
• Kufala kwa ululu kwa zala za mapazi, miyendo, ntchafu.
• Matenda tilinazo mu ziwalo m'chiuno.

Zizindikiro za protrusion a msana khomo lachiberekero:

• Kunachita mdima wa maso, chizungulire.
• Soreness m'dera la mutu ndi khosi.
• Dzanzi mu miyendo chapamwamba.
• Zolimba khosi kuyenda.
• Kufalitsa ululu phewa dera, zala ndi dzanja.
• Kufooka mwa miyendo chapamwamba.

Zizindikiro Common wa kudwala

Choyamba kuwonekera kwa matenda a wodwalayo nkhawa soreness pa maziko a kuwonjezeka zolimbitsa thupi, khalani mu mtendere udindo kwa nthawi yaitali. Pa kuonekera koyamba protrusion lumbosacral msana kapena ena a ulamuliro wake limodzi vertebral (sciatica, lumbago, mwachitsanzo) ndi radicular (psinjika mitsempha) kusonyezedwa. M'kupita kwa kupitirira la dziko la ululu akukhala kwambiri, kutenga kupweteka, yanking khalidwe angaoneke mu mawonekedwe a lumbago pa kayendedwe lakuthwa kapena pamene kutsokomola. Pamene kugwedeza kapena palpation kuonongeka m'dera amalembedwa kuwongola ululu, kawirikawiri kupereka mmwamba. Pang'onopang'ono ndinayamba minofu kufooka, olemba alibe.

masiteji mapangidwe

Ngati panalibe nthawi ankapatsidwa msana protrusion wa lumbar kudwala amakula mwamsanga. Mawonetseredwe magawo atatu:

• Chisokonezo cha machitidwe a ngale ndi. Mu nkhani iyi, wayamba kusintha. Pali kudzitsitsa pang'onopang'ono wa ulusi mphete fibrous kupanga ming'alu m'menemo.
• Protrusion phata pa mtunda waufupi. Iwo akupita kupyola m'mphepete mwa mphete fibrous ndi kuteteza okhulupirika ake osati millimeters oposa atatu.
• Komanso oumbidwa phata. ndondomeko limodzi ndi psinjika wa litayamba pafupi mitsempha, kupweteka kwa mitsempha muzu, lumbago. Pa nthawi imeneyi, kusiyana nthawi zambiri amapezeka anulus. Chifukwa ndi prolapse (chophukacho) mu chimbale intervertebral.

zotsatira

Chithandizo cha protrusion msana lumbar ayenera kuchitidwa mwamsanga ndipo mwaluso. Apo ayi, mwayi matendawo. Makamaka, mwina zayamba okha kuyenda kumbuyo kapena khosi, mkhutu thupi kupindika msana. Pa nkhani imeneyi, ndi osauka kyphosis kapena lordosis. Soreness akhoza kugula aakulu okhazikika. Zimenezi n'zochititsa chidwi amachepetsa mphamvu ya munthu. Zokwanira imatengedwa vuto lalikulu prolapse (chophukacho) ndi chiwonongeko chotheratu cha litayamba lapansi. Mmenemonso muyenera opaleshoni. Ngati ntchito si ikuchitika nthawi, anthu akhoza kukhala olumala. Pamene protrusion lumbosacral m'dera pa chiopsezo psinjika a mizu mitsempha mafupa a chiuno ndi ( "kavalo mchira" syndrome). Zimenezi, kungachititse kuti matenda tilinazo akuluakulu zone, maonekedwe a njira yotupa.

diagnostics

The njira kafukufuku waukulu monga:

• Kasamalidwe ndi kufufuza mabacteria tilinazo wa miyendo ndi kumbuyo, ntchito galimoto ndi mayesero ubongo.
• Radiography.
• Kusonkhanitsa mbiri zachipatala, kuphatikizapo banja.
• CT kapena Kujambula. maphunziro amenewa amasonyeza mlingo wa manja ulusi minofu ndi kuti aone mkhalidwe wa ziwiya.
• Electromyography. njirayi ntchito tione mizu ya psinjika.
• Puncture cerebrospinal madzimadzi (milandu wapadera).

Mu matenda masiyanidwe n'kofunika kupewa matenda monga chifuwa chachikulu mafupa, ankylosing spondylitis, matenda magazi ena mitsempha, Oncology.

Chithandizo cha protrusion wa lumbar ndi

Kusankha miyezo zovuta achire zimadalira makamaka pa ndondomeko kuthamanga. Mu mawu ena, kudziwa phindu pamene mankhwala ali mtunda imene ankatembenukira chimbale intervertebral. Ngati zili kwa 4 mm (magawo khomo lachiberekero wa osapitirira 1 mm), analimbikitsa mankhwala bedi zina ndi zinthu n'kupuma. njira ndiwofatsa Cholinga chake mpumulo ululu, Kupha edema, kutupa. Mankhwalawa bwino magazi, kuthetsa mtima kuphipha ndi kubwezeretsa minofu ntchito. Kuti zimenezi zitheke, mankhwala zotsatirazi analimbikitsa:

• NSAIDs. Zikuphatikizapo, makamaka, monga mankhwala monga "Ksefokam", "Ortofen", "Ketoprofen", "Indomethacin", "naproxen", "Movalis" ndi ena.
• Minofu relaxants. gulu Izi zikuphatikizapo zipangizo monga "ntchito diazepam", "Metaksalon", "Mydocalm", "orfenadrin". Ngakhale kuchotsa minofu kuphipha nthawi zambiri kwambiri yafupika mphamvu ya ululu.
• Glucocorticosteroids. mankhwala amenewa ndi monga "Methylprednisolone," "Flosteron", "Diprospan". gulu la medicaments ntchito kupanda NSAIDs ndi relaxants minofu monga yachiwiri mzere mankhwala. Amaona njira zothandiza kwambiri powapatsa mankhwala mu minofu zofewa.
• Analimbikitsanso hondroprotektory ( "Aflutop", "Struktum", etc.), mankhwala kuti kusintha magazi ( "Aktovegil", "Trental").