Radicular matenda a lumbar kuti: Zizindikiro ndi Chithandizo

matenda a ubongo ndi limodzi mwa magulu a matenda, omwe nthawi zambiri amachititsa kuti kulumala kapena kudwala zosakhalitsa. Mmodzi mwa matenda amenewa - msana radicular syndrome - amapezeka nthawi zambiri ndithu. Ndi chiyani icho?

Kodi radicular syndrome?

Mawu amenewa kawirikawiri amatanthauza ya zizindikiro zimenezi zinayamba chifukwa cha kukhudzana ndi mizu msana. Nthawi zambiri, matenda kumayambitsa chitukuko cha osteochondrosis - radicular syndrome nazo zochepa kwambiri kuposa zinachitikira ngozi kapena chimbale herniation. Pali kuchepetsa wa foramen intervertebral, imbaenda ku siudzalandilidwa ngathi lamulo la misempha akubwera.

Waukulu zizindikiro matenda kapena radicular i syndrome ndi:

• Ululu. Yodziwika ndi kwambiri kupweteka ululu m'dera la psinjika za chingwe msana akutuluka msana, anakafika ku miyendo ndi zina ziwalo.
• tilinazo matenda. Mpatuko pamodzi mitsempha exiting. Nthawi zambiri kuoneka mu mawonekedwe a paresthesias (kumva kulasalasa kumverera, kukuzizirira).
• Manja minofu innervated ndi kayendedwe matenda. Akufotokozera chifukwa kuwononga mitsempha kuti innervate dera. Zimadzetsa kuonongeka kwa minofu kufooka ndi imfa ya ntchito.

The pathogenesis matendawa

Pa mtima wa matenda chitukuko radicular ndi kugonjetsedwa kwa msana. M'kupita kwa nthawi, pali zikutha m'mayiko m'matangadza zakudya zopezeka chichereŵechereŵe intervertebral. Kukulitsa vuto limeneli zinthu msinkhu, thupi owonjezera, kufooka. Chifukwa ndi otchedwa subsidence wa vertebrae lapansi.

misempha msana kubwera kuchokera ku ngalande vertebral mwa foramen intervertebral. Chifukwa chakuti sags msana, pali kuchepetsa mipata ya, imbaenda siudzalandilidwa ngathi lamulo la misempha.

The psinjika a m'dera akufotokozera kutupa aseptic, amene amakhala ndi edema wa zimakhala chomwe chili pafupi. Izi kutupa zina kukuwonjezera chikhalidwe, imbaenda padzakhala ululu. Ululu kufalitsa misempha kucheza, chifukwa cha zimene zingachitike viscera chotupa chitsanzo (mwachitsanzo, radicular thoracic msana syndrome mukhoza kulenga chithunzi cha angina kapena m'mnyewa wamtima infarction).

The zifukwa wopita ku chitukuko cha matenda

Kuwonjezera nyamakazi, chitukuko ndiponso njira zina amayambitsa matenda. Zina mwa izo ndi:

• Intervertebral chophukacho. Chifukwa chotupa ndi kutulutsidwa chichereŵechereŵe kunja phata pulposus la ndime vertebral mwamtundu kumtunda misempha.
• Zopindika kapangidwe ndi matenda a msana. The zambiri chifukwa cha matenda radicular, kuyambira ana aang'ono.
• Ngozi. Mwachibadwa, chifukwa cha zosayenera maphatikizidwe wa zokhudzana peresenti, pali psinjika a mizu.
• matenda a msana, zikubweretsa zikutha m'mayiko a osseous ndipo zimakhala cartilaginous (osteomyelitis).

syndrome Radicular zambiri akufotokozera anthu akunenepa amangokhala.

Nthawi zina kukhala chifukwa cha ntchito kwambiri lolemera thupi kapena otchedwa "kumbuyo kulephera".

Nthawi zina, syndrome radicular akufotokozera chifukwa hypothermia.

Angachititse chitukuko cha matenda radicular, mankhwala ena (Koma mu nkhani iyi, matendawa adzatchedwa psevdokoreshkovogo).

Gawo

Mwaichi, gulu si radicular syndrome. Conventionally, clinicians zidzasankhidwa malinga ndi chotupa ake anatomic m'madera msana. Malinga ndi gulu ili kusiyanitsa syndrome radicular:

• Khomo lachiberekero msana.
• Thoracic.
• Lumbar.

Sacrum ndi coccyx anakhudzidwa osteochondrosis yosowa kwambiri, choncho m'munda wa gulu deta sali m'gulu.

Sitiona pali gulu la syndrome radicular ndi kukhalapo kwa mavuto (zovuta ndi wopepuka).

Nthawi zina mitundu ina ya matenda radicular, onse nazo ndiponso titadziwa (ngakhale gulu ili ali osowa kwambiri, chifukwa ambiri a matendawa nthawi zambiri Nagula).

Mwa mitundu onsewa ali kwambiri ambiri lumbar radicular syndrome msana.

Chifukwa kugonjetsedwa kwa dipatimenti

N'chifukwa chiyani nthawi zambiri zimakhudza chabe m'dera lino? The zifukwa chifukwa chimene osauka radicular matenda a lumbar, ndi izi:

• Kumbuyo m'munsi nkhani katundu waukulu. Ndi apa kuti kusokonekera ake ku ntchito yambiri thupi. Komanso, tinsalu ndi yodzaza ndi overlying m'madipatimenti a thupi, chifukwa zimawathandiza kukhalabe ndi udindo.
• Lumbar vertebrae anapanga lalikulu, ndi kutsegula mokwanira lonse. Kudzera mwa iwo ndi ziwiya lalikulu ndi plexus mitsempha, amene mwachilungamo mosavuta kukanakhala kumuphwanyira chifukwa cha kuphwanya mantha-kungolandira ntchito ya chimbale intervertebral.
• Radicular matenda a lumbar ndipo kawirikawiri akufotokozera chifukwa chakuti ali mmodzi wa magawo ambiri avundulidwe mafupa ofananira. Chopambanitsa yotakata osiyanasiyana zoyenda imachititsa kuti kusamutsidwa kwa vertebrae wachibale wina ndi mzake ndi chifukwa chitukuko cha ululu ndi mitsempha entrapment.

chipatala

Koma ngati chifukwa cha entrapment mitsempha kumachitika radicular zizindikiro syndrome lumbar musatenge yaitali kudikira.

The chizindikiro choyamba ndi ambiri ndi ululu. Akavala khalidwe zikulilima limapezeka mwadzidzidzi, chifukwa mu aakulu choipa thupi kapena ntchito. A kuwonjezeka pang'onopang'ono ululu Ndi mmene kwa osteochondrosis. Pankhaniyi, backache adzakhala vuto, koma mphamvu ya ululu si kwambiri.

Imalandira kuwonongeka nthawi limodzi ndi ululu. Iye wosweka ku tsidya lina, pamene pali misempha wotsinidwa. The syndrome lumbar radicular zambiri amgwirizano mu chikhalidwe (osteochondrosis) .Chasche monga kuchepa tilinazo ndi ululu pakhomo. Nthawi zina pangakhale paresthesia - chopotozedwa kapena nthenda zomverera.

Kulakwila ntchito minofu angagwe ngati kumene nthawi yaitali pali lumbar osteochondrosis. syndrome Radicular kumabweretsa akulu manja, kusowa mpata yogwira ntchito yamasewera, wofooka mphamvu ya contractions minofu.

diagnostics

Matenda n'kofunika, amaganizira kwambiri zinthu. Choyamba, tiyenera kulabadira kwa mlanduwo mtima, chifukwa zachokera atsopano zotheka amanena pa kutanthauzira kwa ndondomeko pathological.

Kuthandiza zambiri pa kuyenderako angapereke palpation zone malo ululu - udzamvedwa ndi mavuto m'dera minofu. Zowoneka, mungapeze otsetsereka wodwala mu mbali akhudzidwa (n'zotheka kuti muchepetse ululu kutengeka).

Complete magazi mudziwe pang'ono - zitha anati kuwonjezeka wachibale ku maselo oyera chifukwa kutupa zochepa.

The mwayi waukulu ku matenda a syndrome radicular ndi Kujambula wa lumbar msana. phunziro Zimenezi zimathandiza kudziwa ngakhale siudzalandilidwa ngathi lamulo pang'ono mitsempha ndi kudziwa enieni kutanthauzira ndondomeko. Komabe, vuto kukwaniritsa kudzikonda tomography. Kujambula wa lumbar msana - ndondomeko m'malo okwera mtengo, kotero si anachita zonse.

radicular syndrome chithandizo

Mumatani ngati nthendayo anayamba? Ndingatani kuchitiridwa kunyumba kapena abwino amapita kuchipatala?

Ngati muli koma kukhala radicular syndrome lumbar mankhwala ake ayenera kuyamba pomwepo ndipo makamaka mu chipatala.

Mofanana ndi mtundu uliwonse wa mankhwalawa matenda a dongosolo minofu ndi mafupa, izi pazikhalanso njira sanali mankhwala, mankhwala ndi alowererepo pa opaleshoni.

Ngati zizindikiro alibe zimakhudza kwambiri moyo, akhoza kuthandiza njira wamba - zakudya zoyenerera, kupeŵa thupi, kutikita, ndi ulesi otentha mphika.

Koma ngati amayamba kusokoneza lumbar radicular matenda, mankhwala a magawo koyamba pazikhalanso ntchito sanali steroidal mankhwala odana ndi yotupa ( "nimesulide" "Diclofenac") mkati kapena intramuscularly. Ngati wina ayamba kukuvutitsa ululu, Ndi bwino kugwiritsa ntchito blockades vertebral. Pamene kuwonongeka kwa iwonso analimbikitsa pa phwando ndi matenda okhudza ubongo kapena neurosurgeon kudziwa mankhwala njira zina.

physiotherapy

Malinga ndi madokotala ambiri zoopsa, Madokotala aubongo ndi physiotherapists, kuchiritsa matenda a dongosolo minofu ndi mafupa ndi kudzera mankhwala thupi.

Kuthetsa matenda radicular zambiri ntchito electrophoresis, zimachitika mafunde magetsi.

Electrophoresis ndi mankhwala ena akhoza kukwaniritsa zotsatira monga:

• Kuchotsa ndondomeko yotupa.
• Kupha ululu.
• Kuwonjezera kagayidwe mu mizu anakhudzidwa.
• Kubwezeretsa trophism minofu anakhudzidwa ndi mafupa.

Kugwiritsa EIT (cardioversion) walangizidwa zosangalatsa a minofu ndi mavuto, kuwongolera mphamvu atrophied minofu, zimandilimbikitsa kwenikweni.

Kuwonjezera njira malangizo komanso maphunziro othandiza mu dziwe, kapena magawo thupi mankhwala.

Chithandizo cha lumbar msana angathe kuchitikira mothandizidwa ndi kutema mphini ndi magawo kuwongola mafupa a msana. njira awa sali chimagwiritsidwa ntchito mankhwala ochiritsira, koma kuthandiza anthu ambiri.

chithandizo opaleshoni

Chinthu chachikulu uliri vuto radicular - zizindikiro. Chithandizo kuchipatala opaleshoni bwino pamene iwo anayamba kutenga chikhalidwe pachiswe.

The zikuonetsa chachikulu opaleshoni ndi:

• Anapwetekedwa, salabadira NSAIDs kapena analgesics chomwa mankhwalawa.
• Kulakwila nthambi ntchito imfa wathunthu kayendedwe yogwira.
• inasinthiratu mu fupa ndi Mitsemphayi, zikubweretsa psinjika.
• A zovuta intervertebral chophukacho.
• Complete imfa ya nthambi tilinazo.

Ntchito imachitika mu zipatala apadera. Pogonekedwa ndi mankhwala amalenga mwayi imayenera malo psinjika a mizu ndi kuchotsedwa impeding yachibadwa malo msana linkawonongeka particles. Ndi chophukacho ikuchitika woterowu excision malo. kuchepetsa kapena excision ya chimbale wagwa ndi mwayi kakang'ono - Panopa, pamene hernial radicular matenda onse nucleoplasty kunadetsa ntchito.

mavuto a matenda

Monga tanenera, anachedwa mankhwala a lumbar msana kungayambitse matenda zina. Mwachitsanzo, zosokonezeka zazikulu zotsatirazi:

• Kupunduka. Akufotokozera chifukwa kaimidwe yaukapolo. Kenako kungachititse kuti kuwonongeka kwa flatfoot ndi matenda limati (mwankhanza bwalo).
• maganizo. Anapwetekedwa mu miyendo ndipo kumbuyo sudzapereka kupuma usana ndi usiku. Against maziko a kutopa kukhala neuroses ndi psychoses.
• Ankylosis ndi contractures olowa. Chifukwa chitukuko kachiwiri ndi kukhala yaitali mu malo ena, ndi ntchito pang'ono.
• Zikavuta, kuwonongeka kwa mitsempha kungachititse kuti ziwalo za nthambi.
• Isanayambike kutupa mwina retrograde kulowa chingwe msana, kuchititsa chithunzi meningism, msana infarction kapena kuonjezera kafalitsidwe wa mizu ina.

kupewa matenda

Pofuna kupewa chitukuko cha matenda radicular, ayenera kukumbukira malamulo losavuta:

• Daily m'mawa thupi. Izi zimathandiza kutambasula minofu, kuwabweretsa mu kamvekedwe.
• Kupsa kulemera owonjezera. Monga tanenera, ndi chinthu cha akuchuluka matendawa.
• Zopewera zofikisa. Chithandizo mu zochangamutsa minofu ndi mafupa msana, kupewa kusamutsidwa kwa vertebrae wachibale wina ndi mzake, ndipo musataye ndi precipitate ya chimbale intervertebral pabedi lake.
• Yoyenera zakudya. Chimodzi mwa zinthu zimene pa chitukuko cha nyamakazi - kuchepa okhutira michere ya chichereŵechereŵe minofu. Mwaluso anapeka zakudya limakupatsani kaye pa ndondomekoyi.
• Kusambira dziwe. Amachepetsa katundu pa msana, panjira yopita ku mawu minofu onse.
• yogawa moyenera ntchito ndi zina. lamulo ili amapewa kutopa ndi kuvulala pa ntchito thupi.