ImpiloIzifo nemibandela

Protrusion ka lumbar nomgogodla. Ukwelashwa nokuvikelwa protrusion we lumbar

Protrusion akwazi ukugcina intervertebral, izimpawu, ukwelashwa okuzokwenza ezachazwa kamuva sihloko, yisimo libhekene ezinkulu izakhi ngaphandle impumelelo izindandatho fibrous. Ukwephulwa akubhekwa isifo ehlukile. Protrusion - omunye izigaba osteoarthritis, futhi naqaphela ngochwepheshe njengoba isinyathelo sokuqala ukwakha hernia ku disc intervertebral. Ngokulandelayo, sihlolisise ngalesi simo. ngokukhethekile ukuba kukhokhelwe protrusion yomgogodla lumbosacral.

Izigameko zokushona

Ngokwezibalo, a protrusion eba ngaphezu kwesigamu sabantu abangaphezu kweminyaka engu-iminyaka engamashumi amane. I angahlangani ezivamile itholwa ezingabantu. Ukuze iqembu ingozi okuyinhloko kuhlanganisa abantu wahlanganyela emisebenzini yezandla kungakwenza, kanye okuholela yokuphila ngasebenzi kuhlanganiswe umsebenzi umzimba. Iziguli ngobudala protrusion ubudala, ngokuqondene ukuthuthukiswa izinqubo esiwohlozayo, ngokuvamile kuvusa ukubukeka hernia intervertebral.

kwasendaweni

I cishe kubhekwe ukuba ezindaweni ezimbili emzimbeni. Kukhona protrusion ka lumbar intervertebral disc. Njengamanje izici ezinhlanu ingxenye (L1-L5). Mayelana 80% amacala - a protrusion ka lumbar akwazi ukugcina L4-L5, futhi futhi L5-S1. Lesi sakamuva liyisici umngcele. Esikhathini eziyisikhombisa wesibeletho amathambo kwakuphambene nemvelo zitholiwe C3-C4 futhi C4-C5. Ngamanye izakhi ukulimala atholakala ingasaphathwa njalo. Ngokuqondene thoracic, lapha ukwephulwa ukuthuthukisa phakathi D5 futhi D6-D6-D7 amathambo.

Izimbangela isifo

A ngenxa yezizathu eziningana kubangela ukuthuthukiswa izinguquko esiwohlozayo esiyingini fibrous kanye disk nucleus pulposus. Lezi zinqubo ukuthonya phezu izakhi isakhiwo. Lokhu kunciphisa kuyaqina futhi siba sibi ukwakheka qualitative. Ngenxa hyaline uqwanga bafake kwenzeka disc aba ngokuqondene kwenzekani ngaphesheya protrusion core annulus fibrosus ngenkathi sigcina ubuqotho bayo. Lezi zinqubo kungase kube umphumela:

  • Pathologies of the system zemisipha bemvelo isegazini (isib ezinganeni).
  • Lokhu kwakubangelwa ukukhumuzeka kwamathambo.
  • Nemivimbo, uhlevane nezinye umonakalo.
  • Izinguquko Ezenzeka akwazi ukugcina intervertebral ukuwohloka uhlamvu.
  • umlando womndeni.
  • Kyphosis, ukugobeka komhlandla.
  • Ukuba buthaka kwezindlela uhlelo kwemisipha.

Njengoba izinto okubangela protrusion yomgogodla lumbosacral ingashiwo:

  • umzimba iziyaluyalu.
  • Ukukhuluphala ngokweqile, ukudla okungenamsoco.
  • Hypodynamia (ukuhamba ongaphakeme).
  • pathologies eziningana ezithathelwanayo.
  • microtrauma Okungalapheki.
  • umsebenzi ngokweqile.
  • Pathology izinhlelo sezinzwa futhi endocrine.

ngezigaba

Ziboya abahlukene ngokuhambisana nohlobo ziboya-nucleus. Ikakhulukazi, lezi zinhlobo ezilandelayo:

  • Isiyingi. Kulokhu kukhona ingxenye ezinkulu disc emhlabeni nombala. iziyaluyalu sokugembula ngokuvamile kuphakamisa a babancwebe emsipheni izimpande. It elinesimo Yiqiniso ezingamahlalakhona.
  • Ehlasela umzimba wonke. Kulokhu, lo protrusion kuyinto engalingani, omunye ngapha langapha. Ngo protrusion ehlasela umzimba ka lumbar nomgogodla ngokuvamile imakwe intuthuko esiyingini fibrous. In the ukungabikho ukwelashwa okufanele futhi ngesikhathi esifanele isimo okusongelayo ukukhubazeka.

Kuye isiqondiso lapho protrusion we disk kwenzeka, ezifana zinhlobo angawodwa protrusion njengoba:

  • Side. Kulokhu, kukhona protrusion ngakwesokudla noma ngakwesobunxele ikholomu umgogodla. Ngokuvamile kuphakamisa kokucindezelwa yegazi nezinzwa. Ngesikhathi besanda kuqala isimo angeke sihambisane nanoma yimiphi izimpawu.
  • Central. Kulokhu, intervertebral disc protrusion kwenzeka bebheke emgogodleni. Ingozi main ngamandla kwalesi sifo ukuthi kungenzeka ukuxhumana izimpande zawo.
  • Posterolateral. Kulokhu, disc lokuqala mabhamuza nasemuva ke emaceleni isihlobo nomgogodla. Isimo kungase kuhambisane izimpawu ezinamandla.
  • Ezingemuva. Kulokhu, kudiski kuphuma emuva. Isimo ephelezelwa ubuhlungu obukhulu kahle emsipheni nezelani izitho ukhalo noma kwesifuba (kuye ngokuthi indawo ukulimala).

emitholampilo isithombe

Kuye kwasendaweni we protrusion ukukhululwa disc:

  • emgogodleni lumbar.
  • endaweni Chest.
  • emgogodleni wesibeletho.

Izimpawu ukwephulwa esifundeni thoracic:

  • Soreness ngemuva ngezansi izimbambo.
  • Ukunsonsotha isibindi nenhliziyo.
  • ukuba buthakathaka kwezicubu cindezela.
  • Ubuhlungu esifubeni noma ehlombe izindwani.

Kanjani a protrusion ka emgogodleni lumbar? Izimpawu zalesi sifo yilezi:

  • Imikhawulo ukuhamba emuva.
  • Ukuluma, ukuba ndikindiki nobuhlungu.
  • Udubuleke emlenzeni.
  • Ukuwohloka wemikhawulo aphansi.
  • Ukusabalala buhlungu iminwe izinyawo, imilenze namathanga.
  • Ukuphazamiseka ukuzwela kwezitho okhalo.

Izimpawu protrusion yomgogodla wesibeletho:

  • Singagqunqi kwamehlo, isiyezi.
  • Soreness endaweni ikhanda nentamo.
  • Ukuba ndikindiki ezingalweni nasemilenzeni engenhla.
  • Tight entanyeni ukuhamba.
  • Ukusatshalaliswa ubuhlungu ehlombe ndawo, iminwe kanye esihlakaleni.
  • Ubuthakathaka ezingalweni nasemilenzeni engenhla.

izimpawu ezivamile zokugula

ukubonakaliswa Okokuqala kuphazamiseka isiguli ngokuthi soreness ku ngemuva kokwanda umsebenzi ngokomzimba, uhlale sesimweni ungakhululekile isikhathi eside. Phakathi kokuqala ukubukeka protrusion lumbosacral emgogodleni noma ezinye kwesizinda yayo vertebral ephelezelwa (sciatica, sokuqaqanjelwa yiqolo, umfutho ngokwesibonelo) futhi radicular (nerve kokucindezelwa) display. Ngokuhamba ukuqhubeka isimo ubuhlungu iba babubukhulu ngokwengeziwe, uthole bezwe izinhlungu, yanking uhlamvu zingavela ngesimo lumbago ngesikhathi ukunyakaza ezicijile noma uma ukhwehlela. Lapho u- noma palpation ezilimele endaweni imakwe nekusita ubuhlungu, ngokuvamile ngokunikela up. Kancane kancane ngaba buthakathaka kwezicubu, a ukonakala kumakwe.

izigaba ukwakheka

Uma sasingekho isikhathi babephathwa protrusion umgogodla ka lumbar zokugula iqhubeka ngokushesha. Izenzo izigaba ezintathu:

  • Yokuphazamiseka ukusebenza kwe-ikhenela. Kulokhu, it isiqala ukushintsha. Kukhona nokucekelwa kancane kancane Imicu yotshani indandatho fibrous ukwakha imifantu therein.
  • Protrusion nucleus at ibangana. Lenza okungaphezu kwalokho emaphethelweni indandatho fibrous nge kulondolozwe ubuqotho bayo hhayi amamilimitha angu ezingaphezu kwezintathu.
  • Ngaphezu kwalokho bulging-nucleus. Inqubo kuhambisana kokucindezelwa we disk eduze imithambo yegazi, ubuhlungu ezinzwa impande, lumbago. Kulesi sigaba, ngokungathi ngesikhala esivulwe ngokuvamile kwenzeka anulus. Imiphumela iba yinhlanganisela yokukhandleka prolapse (hernia) ku disc intervertebral.

imiphumela

Ukwelashwa nokuvikelwa protrusion ka emgogodleni lumbar kufanele kwenziwe ngokushesha futhi ngokuphumelelayo. Kungenjalo, amathuba ukuxakeka. Ikakhulu, kungenzeka kakhulu kungagcini ukuhamba ngemuva noma entanyeni, kahle ugobile bokuphila sokukhubazeka komgogodla. Kule ndaba, it is asathuthuka kyphosis noma lordosis. Soreness ungakwazi ukuthenga ezingamahlalakhona unomphela. Lokhu, kwehlisa amandla yomuntu. Enough kubhekwa isimo esibucayi of prolapse (hernia) futhi ukubhujiswa okuphelele kwalelizwe kudiski. Kuleli zinga udinga ukuhlinzwa. Uma msebenzi wenziwa ngesikhathi, abantu bangakwazi ukuhlala ekhubazekile. Lapho protrusion lumbosacral endaweni zisengozini enkulu yokuba lesi kokucindezelwa izimpande ezinzwa ukhalo ( "umsila zehhashi" syndrome). Lokhu, kungaholela ukuphazamiseka nozwela iziphathimandla zone, ukubukeka izinqubo ukuvuvukala.

ukuhlola

Izindlela zocwaningo eziyinhloko zihlanganisa:

  • Ukuhlolwa kanye nokuhlola esishintshashintshayo nozwela izitho zomzimba emuva, ukusetshenziswa motor kanye nezivivinyo zezinzwa.
  • X ray.
  • Ukuqoqa nemlandvo wetekwelashwa kwakhe, kuhlanganise umndeni.
  • CT noma i-MRI. Lezi ucwaningo lwembula degree of yoma ka kwezintambo zesivikelo sesifuba muscle ukuhlola isimo izitsha.
  • Electromyography. Le nqubo isetshenziswa ukuhlola izimpande kokucindezelwa.
  • Wokubhoboza cerebrospinal fluid (ezimweni ezikhethekile).

Ngo uphethwe umehluko yini edingekayo ukuze ugweme izifo ezifana nesifo sofuba amathambo, ankylosing spondylitis, iziyaluyalu kwegazi kwezinye lemithambo Oncology.

Ukwelashwa nokuvikelwa protrusion we lumbar

Kukhethwa eziyinkimbinkimbi izinyathelo zokwelapha zincike kakhulu inqubo ukugijima. Ngamanye amazwi, lo ekutholeni ukubaluleka lapho ukwelashwa has ibanga lapho sigudluke disc intervertebral. Uma kukuwe 4 mm (yengxenye wesibeletho ezingekho ngaphezu 1 mm), watusa yokwelapha embhedeni ukuphumula futhi ezimweni umile. izindlela okulondoloza ahloselwe ukukhululeka ubuhlungu, ukuqedwa edema, ukuvuvukala. Ukwelapha kuthuthukisa kwegazi, khulula spasm semithambo futhi ubuyisele imisipha umsebenzi. Kuze kube yimanje, izidakamizwa ezilandelayo Kunconywa:

  • Ama-NSAID. Lezi zihlanganisa, ngokukhethekile, zihlanganisa imithi efana "Ksefokam", "Ortofen", "Ketoprofen", "Indomethacin", "naproxen", "Movalis" nabanye.
  • Imisipha relaxants. Lesi sigaba sihlanganisa amathuluzi ezifana "Diazepam", "Metaksalon", "Mydocalm", "orfenadrin". Ngenkathi kususwa imisipha spasm ezimweni eziningi, kakhulu ziyancipha ukushuba ubuhlungu.
  • Glucocorticosteroids. Le mithi ihlanganisa "Methylprednisolone," "Flosteron", "Diprospan". Lesi sigaba ukuthaka imithi esetshenziselwa ukwehluleka ama-NSAID futhi imisipha relaxants njengendlela yokukwenza umugqa wesibili. It kubhekwa indlela ephumelela kakhulu yokwazisa izidakamizwa ku izicubu zomzimba ezithambile.
  • Futhi kunconyiwe hondroprotektory ( "Aflutop", "Struktum", njll), izidakamizwa ukuthi ngcono kwegazi ( "Aktovegil", "Trental").

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