Ukwehla kwesibindi se-lumbar spine - kuyini? Izimbangela, Izimpawu Nezokwelapha

Kuyini ukushaywa indiva? Abaningi bayethuka leli gama, balithatha ngesifo esithile esiyingozi. Eqinisweni, lokhu kuyindlela evamile yokukhubazeka, esanda kutholakala kaningi kakhulu. Kulesi sihloko sizoxoxa kabanzi ngakho.

Ulwazi jikelele

Ngokuzibamba iqhaza kuqondwa yiqembu lonke lezifo ezixhumene nezicubu kanye nesistimu yomuntu wesisindo, isisindo esiyinhloko sokuhlupheka okuqhubekayo emlenzeni nasemzimbeni wonke. Ifomu elivame kakhulu le-pathology yi-dorsopathy ye-lumbar spine. Isibonakaliso somtholampilo esiyinhloko sinamandla, kodwa ubuhlungu besikhathi esifushane ngemuva.

Kubalulekile ukuthi uqaphele ukuthi ukushaywa indiva akuyona isifo esizimele, kodwa kunomphumela wezinye izifo ezihlobene nomhlane. Lesi simo sokukhubazeka, njengomthetho, asithinti kuphela umgogodla ngokwawo, kodwa futhi nemigudu, imisipha, izinzwa, izitsha ezikule ndawo.

Izizathu eziyinhloko

Isifunda esilungile sivame ukubhekana nemithwalo esindayo. Ngenxa yalokho, le ndawo ngaphambi kwesikhathi "iphuma," futhi ngenxa yalokho, kunezifo eziningi, kufaka phakathi okuthiwa i- intervertebral hernias.

Umphumela oyinhloko we-dorsopathy yiyona ukungasebenzi kwemishini ethile yezingaphakathi zangaphakathi. Uma ngaphambilini iziguli ezindala ezikhulile kuphela zikhalaza ngale ndlela yokugula, namuhla inkinga iyaqhubeka ixilongwa esizukulwaneni esincane.

Ukwehla kwesibindi se-lumbar spine ikakhulukazi kwenzeka ngenxa yezizathu ezilandelayo:

• Isibikezelo se-Hereditary. I-metabolism, i-physique, i-immunity - zonke lezi zici zidlala indima eqondile ekwakheni ukwelashwa.
• Ukulayisha ngokweqile / okwanele endaweni yangemuva. Uma kunomsebenzi omningi kakhulu, kukhona ingozi yokulimala. Ngakolunye uhlangothi, nge-hypodynamia, umzimba ulahlekelwa ithoni yakhe evamile, okuyinto edingekayo ukuze kuqala ukukhubazeka.
• Ukuqhathaniswa ngokweqile nokungondleki. Isisindo esiningi sithatha indima yomthwalo owengeziwe emgodleni, ngakho-ke kulula kakhulu "ukuphuma". Ngokuqondene nokungondleki, kulokhu, umzimba awunakho amavithamini nezinye izakhi zokulandelela. Lokhu kuphazamisa nokubunjwa kwamathambo.
• Ukulimala kwama-mechanical nokuhlelwa okungaqondile. Umonakalo odlule (isibonelo, abadlali) abaneminyaka yobudala bangazikhumbuza futhi. Ukungena okungekho emthethweni kunomthelela wokungalingani umthwalo emgodleni, okuvame ukuba isisekelo esiqondile sokuthola "ukuxoshwa kombono wesifundazwe."
• Izifo ze-Catarrhal, njengombuso, zithinta kabi ukuvikeleka kwamzimba omzimba.

I-pathology ibonakala kanjani?

• Ubuhlungu obunzima esifundeni se-lumbar, esanda nje ngokuhamba.
• Amagundane avamile emlenzeni ophansi.
• Ukusika izinhlungu nokungahambi kahle ngokunyakaza okungazelelwe.
• Lame, wachaza ukungabaza komuntu ukulayisha umlenze wakhe.
• Ubuhlungu emagqabeni, okungahambi ngisho nangemva kokuthatha imithi.

Ukuthuthukiswa

I-dorsopathy ye-lumbar spine esigabeni sokuqala ibonakala ngokuguquguquka kwezicubu zomzimba. Njengomthetho, isiguli asikhononda nganoma yimiphi imizwa ebuhlungu futhi, ngokufanele, ayifuni usizo kudokotela. Uma izicubu zethambo zixhuma kule nqubo, i-vertebrae iyashintsha ngokuphawulekayo futhi iqala ukucindezela i-disc intervertebral, echaphazela ukuphela kwezinzwa. Ngalesi sigaba, isiguli sesivele sibuhlungu ngisho nobuhlungu.

Ukuhamba okuqhubekayo ngokuvamile kuvinjelwe futhi kungenzeka ngokunyakaza okungazelelwe noma ukucindezeleka ngokweqile ngemuva. Kusukela ekuhambeni okunjalo okuqinile kwe-vertebrae , okuthiwa i-fibrous ulwelini ye-disc ngokuvamile ibhujiswa. Ubuhlungu obukuleli cala bube bukhululekile.

Yile ndlela ukuguqulwa kwe-lumbar spine kuqhubeka ngokulandelana. Izimpawu, kubalulekile ukuphawula, zibonakaliswa ezinkingeni hhayi kuphela ngokuqondile namadivayisi we-musculoskeletal, kodwa futhi nezinye izitho zangaphakathi.

Ukuhlukaniswa

Namuhla isakhiwo esiyinkimbinkimbi sezinguquko ezishintshayo kule ndawo ngokuvamile ibizwa ngokuthi igama elithi "ukuphambana komzimba we-lumbar spine". I-ICD 10 (ukuhlukaniswa kwezifo zamazwe ngamazwe X ukubuyekezwa) ngokwemvelo kubeka ngokwezimali, kuye ngokuthi isimo sithintshi, amaqembu amaningana ama-pathologies:

• Ukuguqulwa kwe-osteopathy (ukuvinjelwa nokuhamba kancane kwe-vertebrae).
• I-spondylopathy (umonakalo emlonyeni we-vertebrae ngenxa yamathumba, ukulimala kwamagciwane noma ezinye izifo).
• Iqembu le-discogenic (ukufuduka kwama-discs we-vertebral, ukwakheka kwe-protrusion ne-hernia). Esinye sezibonakaliso ezivame kakhulu yi-dorsopathy ye-lumbar spine ne- radicular syndrome.

Izifo

Uma kukhona izimpawu eziyisisekelo kunconywa ukufuna usizo lwezokwelapha kudokotela. Uma kuxoxisana lochwepheshe uqoqa ulwazi olunemininingwane olunzulu lwe-anamnesis, ngesikhathi okushiwo ngalo:

• Indawo yangaphakathi yobuhlungu;
• Ukulimala kokuqala kanye nokulimala komgogodla, kuhlanganise nezicubu;
• Ukuxhomeka kobuhlungu emzimbeni;
• Isimo somzwelo.

Kulokhu, inhloso eyinhloko yokuxilongwa ukuthola ukuthola izinkinga ezithathelwanayo esifundeni se-lumbar, ama-neoplasms noma izifo ze-somatic. Ngokuhlolwa kwe-neurologic, isazi sibheka ukuthi kukhona ukukhubazeka, ukulahleka kokucabanga, ukukhathazeka kokuzwela.

Khona-ke, kuhlolwe ukuhlolwa okungeziwe ukuze kuqedelwe ukuxilongwa. Kusho ukuthi i-radiography yomgogodla ihlolwe eziningana, i-MRI, i-biochemical blood test.

Ngokusekelwe emiphumeleni yazo zonke izivivinyo ezichazwe ngenhla, udokotela angase aqinisekise ukuthi kukhona ukukhubazeka okunjengokuqapha kwe-lumbar spine.

Yini okufanele kube ukwelashwa?

Ukwelapha kulokhu kuyinkimbinkimbi. Kuhloswe ukubopha ubuhlungu be-syndrome, okuvimbela ukwakheka kwezinqubo ze-dystrophic emgodleni uqobo, ukuvimbela ukuthi kungenzeka ukubuyela emuva.

Qaphela ukuthi kuphela indlela eqeqeshiwe evumela ukuthi unqobe isifo esinjalo njengokungathi u-dorsopathy we-lumbar spine. Ukwelashwa kwesiguli ngasinye ngabanye kukhethwe ngabanye, kuye ngesiteji sokuthuthukiswa kwenkinga, izinga lokubonakaliswa kwesifo sobuhlungu nezinye izici.

Lezi zifo, ngokusho kochwepheshe, zinezigaba ezimbili (eziyingozi futhi ezingapheliyo). Ukwelashwa esimweni ngasinye kuhlukile. Ngakho, ngesikhathi esiyinkimbinkimbi, zonke izinyathelo zokwelapha kufanele zihloswe ukunciphisa isifo sobuhlungu. Isiguli, njengomthetho, sinconywa ukuphumula okuphelele kanye nokuphathwa kwezokwelapha. Uma ungeke ube khona ubuhlungu endaweni engezansi, ungasebenzisa i-corset ekhethekile esiza ukulungisa isimo somgogodla ngokusebenzisa izinkulumo ezikhethekile.

Uma kwenzeka ubuhlungu obukhulu, i- novocain blockades, i- analgesics ye-opioid ("i-Tramadol"), kanye nezidakamizwa ezingezona ukuvuvukala, azibekiwe. Njengoba kunesisindo esiqinile samasipha, ukunciphisa imisipha kunconywa (isibonelo, "Midokalm"). Ngenxa yobuhlungu bokuqina okuphansi, ama-analgesics angenawo opioid kanye namafutha okushisa okhethekile anqunyelwe (i-Espol, i-Fastum-gel, i-Efkamon).

Esigabeni sokukhululwa, ukuphathwa kwezidakamizwa kuhilela:

• Izidakamizwa ezingekho-steroidal anti-inflammatory (Nimesulide, Cefekon, Diklovit).
• Ukusetshenziswa kwe-chondroprotectors ukuthuthukisa ukusabela komzimba ku-cartilage eyonakalisiwe ("Chondroxide").
• Amalungiselelo e-Vascular yokuthuthukisa igazi, amavithamini eqembu B, abagqugquzeli be-biogenic.
• Izindlela ezipholile.

Kubalulekile ukuqaphela ukuthi ngisho nokusetshenziswa kwesikhathi eside kwalezi zidakamizwa ezingenhla akusebenzi ngaso sonke isikhathi kuleso sifo njengokweqhwa kwe-lumbar spine.

Ukwelashwa ngaphandle kwemithi

• I-Physiotherapy (i-ultraviolet irradiation, i-electrophoresis, imifudlana yaseBernard). Lezi zinqubo zenzelwe ukususa ukuthumba kwezicubu ezikhona, ukunciphisa ubuhlungu, ukuthuthukisa ukujikeleza kwegazi.
• Ukwelashwa kwemithi. Umuntu ofanelekayo onolwazi kwezobuciko angasusa ngokushesha isakhiwo esakhiweni somgogodla ngesisekelo se-X-rays nokuhlolwa okubukwayo ngaphambi kweseshini ngasinye. Kubalulekile ukuphawula ukuthi le ndlela ibhekene nokuchasana okuningi (izinqubo zokuvuvukala emzimbeni, izicubu, ukuhlukunyezwa, ukuphefumula kwegazi).
• Massage.
• Ukwelashwa kwe-traction. Le ndlela isho ukwandiswa kancane kancane komgogodla, okukuvumela ukuba ukwandise ibanga phakathi kwama-vertebrae, welula izicubu, unciphise ukucindezelwa kwezimpande zesisindo.

Izinkinga ezingenzeka

Ngaphandle kokuguqulwa okungenhla kwe-spine kanye ne-intervertebral hernias, kubalulekile ukukhuluma ngezifo ezithuthuka ngenxa yokucindezela okuqhubekayo kweziningi leziphetho zezinzwa nama-disc intervertebral.

Ukwehla kwesibindi endaweni yesibindi kungabangela ukuzwa okubuhlungu nje kuphela, kodwa futhi ukungasebenzi kwamanye amahlelo ezitho zangaphakathi. Ngokuvamile, izitho ezincane ze-pelvic zingathinteka. Isibonelo, isiguli sibonakala ukuvuthwa okungenasidingo kanye nezinye izinkinga eziningana ezihlobene.

Indima yemfundo ephathekayo yokwelapha

Ukuzivocavoca okukhethekile kwe-corset muscle akugcini nje ukuvumela ukuba ulawule ubuhlungu nokungahambi kahle, kodwa futhi wenze njengokuvimbela ukubuyela emuva.

Lezi zinkimbinkimbi zokwelashwa kufanele ziqondiswe ekuthuthukiseni okuqhubekayo kwezigulane ezibuthakathaka zesiguli, ngakho-ke kukhethwe kuphela ochwepheshe abaqeqeshiwe abanolwazi kule nkambu.

Akunconywa ukuthi uzame ukufunda ngokuzimela ezifundweni zevidiyo, njengalokhu kubeka ingozi yokulimala izikhathi eziningana.

Izindlela eziboniswa kahle zemithi yendabuko ukulwa nalesi sifo. Izinhlobonhlobo ze-lotions, ukuxubha nokucindezela ngokusebenzisa izithako zemvelo kusiza ukunciphisa ubuhlungu nokubhekana nokuvuvukala. Kubalulekile ukuqaphela ukuthi zokupheka komuthi womuntu zisetshenziswe kahle kanye nokwelashwa kwendabuko futhi ngaphansi kokuqapha okuqhubekayo udokotela.

Isiphetho

Kulesi sihloko, sichaze ngokuningiliziwe ukuthi kungani kuvela ukuphoqwa kwemithwalo ye-lumbar spine, ukuthi iyini nokuthi yiziphi izindlela eziyinhloko zokwelapha lesi sifo. Sithemba ukuthi lonke ulwazi olunikeziwe luzowusizo ngempela kuwe.