Ihe fọrọ nke nta ka ọ bụrụ 80% nke ndị bi na mba anyị na-ata ahụhụ site na lumbar osteochondrosis, ma ọ bụ naanị ọkara n'ime ha na-achọ enyemaka ahụike. Isi ihe mgbaàmà nke ọrịa ahụ bụ ihe mgbu na azụ na azụ azụ, nke nwere ike ịgbanye na nsọtụ ala.
Lumbar osteochondrosis na-apụta otu mgbe na ma ndị inyom ma ndị nwoke. N'ime ndị ọrịa ahụ, ndị mmadụ karịrị afọ 30 na-ebutekarị ya.
Kedu ihe bụ osteochondrosis lumbar?
Osteochondrosis nke spine lumbar (lumbar osteochondrosis) bụ ọnya degenerative-dystrophic nke vertebrae na intervertebral discs, nke nwere usoro na-adịghị ala ala ogologo oge ma nwee ike ịgbagwoju anya site na intervertebral hernias, mbufụt nke akwara sciatic na cauda equina syndrome.
Osteochondrosis nke ọkpụkpụ azụ na-emetụtakarị mpaghara lumbar, n'ihi na ọ na-ebu ibu kachasị n'oge mmegharị, ọrụ anụ ahụ ma ọ bụ ọrụ ịnọ ọdụ.
Mpaghara lumbar dị n'etiti thoracic na sacral spine. Akpụpụtara ya site na nnukwu vertebrae ise jikọtara ya na diski intervertebral.
Diski intervertebral bụ ụdị diski ma jiri anụ ahụ cartilage mee ya. N'etiti etiti diski ahụ enwere oghere pulpal nke mgbanaka fibrous gbara ya gburugburu.
Diski intervertebral bụ "ndị na-ekpo ọkụ na-ekpo ọkụ" nke ahụ, n'ihi ha ka ọkpụkpụ azụ na-anọgide na-agbanwe agbanwe na mobile.
Osteochondrosis na-eduga ná nkwụsị nke microcirculation na metabolism na diski intervertebral, n'ihi ya, ha na-aghọ obere na-agbanwe.
Degenerative-dystrophic usoro nke spine na-eduga na ihicha si intervertebral diski na mbelata na ha elu.
Ihe dị mkpa! Ka oge na-aga, ibu dị na mgbanaka fibrous na-abawanye ma ọ na-agbaji, mgbọrọgwụ nke irighiri akwara na-atụgharị, na-akpata mgbu.
Ọgwụgwọ na-adịghị ahụkebe nke lumbar osteochondrosis na-eduga n'ịkwagharị nke ọkpụkpụ azụ na nkwarụ nke onye ọrịa.
Kedu ihe na-eduga n'ọdịdị nke lumbar osteochondrosis?
Ọ gaghị ekwe omume ịchọpụta otu ihe kpatara osteochondrosis lumbar.
E nwere ọtụtụ echiche gbasara mpụta ọrịa a:
- Ọkpụkpụ osteochondrosis nke lumbar na-apụta n'ihi oke oke nke uru akwara nke eriri lumbar ma ọ bụ hypotension ha. N'ihi ya, ibu dị na ọkpụkpụ azụ na-abawanye, microcirculation na-akụghasị na mgbanwe degenerative-dystrophic na-apụta na ọkpụkpụ na cartilage anụ ahụ nke vertebrae na diski intervertebral;
- usoro nke usoro endocrine na-egosi ihe omume osteochondrosis megide ndabere nke mmebi nke gland endocrine;
- usoro metabolic - ọrịa metabolic, ọkachasị calcium;
- usoro ihe nketa - mkpụrụ ndụ ihe nketa na osteochondrosis lumbar;
- echiche nke autoimmune bụ mbibi nke ọkpụkpụ na cartilage anụ ahụ nke ọkpụkpụ azụ site na usoro ahụ ji alụso ọrịa ọgụ nke onwe ya;
- tiori nke sistemu microtraumas.
Ihe ndị na-eduga na mgbanwe degenerative-dystrophic na spine lumbar nwere ike ịbụ:
- adịghị arụ ọrụ nke anụ ahụ na ịnọdụ ala, nke na-abụkarị ndụ nkịtị (ndị ọrụ ụlọ ọrụ, ndị ọkwọ ụgbọ ala, ndị mmemme, ndị na-akwụ ụgwọ ego);
- na-anọ n'otu ọnọdụ ruo ogologo oge (ụmụ nwanyị agịga, ndị na-echere);
- pathology nke akụkụ endocrine;
- ọrịa obi na vaskụla;
- ọrịa nke usoro nri digestive;
- ọrụ anụ ahụ dị arọ (ndị na-ebu ibu, ndị na-ewu ụlọ);
- ebuli ibu na mmega ahụ na-ekwesịghị ekwesị n'oge egwuregwu;
- ọrịa nkwonkwo autoimmune na mkpali;
- congenital anomalies nke spine;
- Ụkwụ dị larịị na ụkwụ osisi;
- arụrụ arụ azụ mmerụ ahụ;
- ọrịa metabolic;
- physiological ịka nká nke ahụ;
- ọnọdụ na-ekwesịghị ekwesị kpụrụ na nwata;
- oke ibu na oke ibu;
- nri na-adịghị mma na nke na-adịghị mma;
- mkpụrụ ndụ ihe nketa;
- na-ehi ụra n'ihe mkpuchi, n'elu akwa mmiri ma ọ bụ ikuku, ma ọ bụ akwa;
- nrụgide na-adịghị ala ala;
- hypothermia ugboro ugboro nke ala azụ.
Pathogenetic nhazi ọkwa nke lumbar osteochondrosis
Usoro nke lumbar osteochondrosis nwere ike kewaa n'ime usoro ndị a:
- ogbo nke mgbanwe dystrophic na diski intervertebral nke cartilage, nke a na-eji na-ebelata ohere nke intervertebral;
- A na-akọwa ọkwa spondylosis site na mmebi nke ọtụtụ vertebrae nke spine lumbar;
- ogbo nke spondyloarthrosis - usoro a na-agbasa na nkwonkwo intervertebral, nke na-ebelata agagharị nke spine lumbar.
Kedu ka osteochondrosis lumbar si egosipụta?
Na-akpali mmasị! Ngosipụta nke lumbar osteochondrosis dị iche iche na a na-ahụkarị ya dị ka ọrịa nke akụkụ afọ.
Ya mere, ọ dị mkpa ime nyocha nke ọma nke ahụ iji wepụ ọnọdụ ndị na-eyi ndụ egwu (nnukwu appendicitis, nnukwu pancreatitis, nnukwu cholecystitis na ndị ọzọ).
Enwere ike ịchọpụta isi ihe mgbaàmà ndị a:
- mgbu na-egbu mgbu na azụ azụ, nke na-abawanye na mmegharị mberede na ọdụ ogologo oge. A na-ebelata ihe mgbu site n'ịdina ala;
- unilateral stabbing mgbu na gluteal mọzụlụ, nke na-esiwanye ike mgbe mmegharị, ụkwara, uzere, oké ọchị. Enyemaka na-abịa site na ọnọdụ kwụ ọtọ n'akụkụ ahụ ike ma ọ bụ ọnọdụ ikpere ikpere na ohiri isi n'okpuru afọ;
- mmetụta nke lumbago na-egbu mgbu na azụ azụ nke na-apụta na mberede mgbe ebuli ihe dị arọ ma ọ bụ na-ehulata ahụ nke ọma n'ihu ma ọ bụ azụ. Mwakpo ahụ nwere ike inye onye ọrịa ahụ nsogbu ruo ọtụtụ ụbọchị. Iji belata ihe mgbu, onye ọrịa ahụ nọ n'ọnọdụ ịgha ụgha;
- Mbelata olu nke otu n'ime mkpịsị ụkwụ;
- enwe mmetụta uche nke akpụkpọ anụ nke azụ azụ na azụ (ọnụọgụ, tingling, ọkụ);
- akọrọ na ngbanwe nke akpụkpọ ahụ (ncha anụnụ anụnụ) nke ala azụ na azụ;
- hypofunction nke ọsụsọ glands nke ala azụ na buttocks;
- arụ ọrụ nke sistemu genitourinary (dysuria, enuresis, enweghị ike).
Nchọpụta nke lumbar osteochondrosis
Onye ọrịa kwesịrị iji nlezianya na-anakọta mkpesa, anamnesis nke ọrịa na ndụ. Ihe mgbaàmà nke ọrịa osteochondrosis nke ụlọ ọgwụ nwere nnukwu uru nchoputa, gụnyere ndị a:
- Vertebral syndrome nwere ihe mgbaàmà ndị a:
- ọdịdị nke pathological usoro nke ọkpụkpụ azụ ma ọ bụ na-ewusi ike na ibelata akụkụ nke usoro ọmụmụ physiological (mmụba lordosis, scoliosis ma ọ bụ lordoscoliosis);
- isi ike nke spine lumbar site na spasm nke akwara paravertebral;
- ihe mgbu na spine lumbar, nke nwere ike ịgbanye na buttock ma ọ bụ obere aka;
- mgbu na palpation nke isi ihe paravertebral.
- Ọrịa reflex na-apụta n'ihi ntanye nke mgbọrọgwụ akwara azụ nke spine lumbar ma bụrụ ngwakọta nke mgbaàmà ndị a:
- mgbu siri ike na mpaghara lumbar na mpaghara ndị na-eme ka irighiri akwara na-emetụ n'ahụ;
- "lumbago" na mpaghara lumbar, nke na-ewetara ndị ọrịa ọtụtụ nhụjuanya;
- Mmetụta uche na-adịghị mma na paresthesia nke mpaghara innervation site na irighiri akwara mebiri emebi (ọnụọgụ, tingling, goosebumps, ọkụ);
- adịghị ike ijegharị nke spine lumbar;
- Ọrịa mkpakọ bụ ngosipụta ụlọ ọgwụ nke mkpakọ, na-akụda mgbọrọgwụ akwara nke akwara azụ na arịa akwara na intervertebral foramina. Enwere ike ịgbakọ akwara na arịa site na mpụta nke diski intervertebral, osteophytes (eto ọkpụkpụ), diski intervertebral herniated (Schmorl's hernia):
- paresis na mkpọnwụ nke nsọtụ ala;
- arụ ọrụ nke sistemu genitourinary;
- myelopathy discirculatory na-adịghị ala ala;
- cauda equina mkpakọ.
Ọ bụghị mgbe niile ka ọ ga-ekwe omume ịme nyocha dabere na naanị otu mkpesa onye ọrịa, yabụ, algọridim nyocha ga-enwerịrị usoro nyocha ngwa ngwa ndị ọzọ:
- X-ray nke spine lumbar na ntule ihu na ihu. Na x-ray ị nwere ike ịhụ nke ọma na mbelata nke oghere intervertebral na foramina, Schmorl's hernias, ọnụnọ osteophytes (ọkpụkpụ ọkpụkpụ);
- ihe nlegharị anya magnetik nke kọlụm spinal lumbar, nke na-enye gị ohere ikpebi n'ụzọ ziri ezi na mpaghara na oke nke usoro ahụ, mkpakọ nke ọkpụkpụ azụ na arịa ọbara, nkwụsị nke diski intervertebral na hernias ha;
- A na-eme tomography kọmpụta maka otu ebumnuche dị ka imaging resonance magnetik. Site n'enyemaka nke tomography gbakọọ, a na-ahụ anya nke ọma na akụkụ anụ ahụ dị nro (anụ ahụ, arịa ọbara, ọkpụkpụ azụ).
Ọgwụgwọ nke lumbar osteochondrosis
Ihe dị mkpa! Osteochondrosis nke spine lumbar bụ ọrịa na-enweghị ngwọta.
Kedu ụzọ na otu esi emeso osteochondrosis? N'iji ụzọ ndị na-adịghị agbanwe agbanwe na ndị na-adịghị mma, ị nwere ike iwepụ ihe mgbu, mee ka mmepe nke usoro mmebi na-egbochi nsogbu. Ngwa ngwa amalitere ọgwụgwọ, ka ohere dị ukwuu nke ịnọ na njem na izere nkwarụ.
Usoro ọgwụgwọ algorithm maka lumbar osteochondrosis:
- Ụzọ nchekwa:
- ọgwụgwọ ọgwụ;
- ọgwụgwọ anụ ahụ;
- ịhịa aka n'ahụ na ịhịa aka n'ahụ;
- ọgwụgwọ ntuziaka;
- acupuncture;
- physiotherapy.
- Ọgwụgwọ ịwa ahụ.
Ọgwụgwọ ọgwụ
Ebumnuche bụ isi nke ọgwụgwọ ọgwụ bụ iji belata ihe mgbu na mbufụt na ọkpụkpụ azụ na ala azụ. Maka ebumnuche a, a na-enye ndị otu ọgwụ ndị a:
- Ọgwụ ndị na-adịghị steroidal anti-inflammatory nwere mmetụta mgbochi mkpali na analgesic. Iji kpochapụ mmetụta ọjọọ nke ọgwụ ọjọọ nke otu a na mucosa gastric, ha na-ejikọta ya na proton pump inhibitors;
- ndị na-eme ka ahụ dị jụụ na-ebelata spasm nke uru ahụ paravertebral, si otú ahụ belata ihe mgbu na ịba ụba nke ọkpụkpụ azụ. Ọgwụ ndị a nwere ike imetụta akwara iku ume, ya mere a na-enye ha n'okpuru nlekọta nke dọkịta.
- chondroprotectors, nke nwere akụkụ nke anụ ahụ cartilage, weghachite ma chebe diski intervertebral na nkwonkwo nke ọkpụkpụ azụ site na ihe ọjọọ;
- A na-enye glucocorticosteroids n'ụdị paravertebral. Ekele maka glucocorticosteroids, mmetụta mgbochi mkpali ogologo oge na-eme;
- ọgwụgwọ vitamin. A na-enye ebe pụrụ iche na ọgwụgwọ lumbar osteochondrosis na vitamin B (B1, B6, B12);
- ọgwụgwọ mpaghara.
Mmega ahụ ọgwụgwọ
A na-eme mmega ahụ ọgwụgwọ na mgbatị ahụ iji belata ihe mgbu ma kpochapụ spasms muscle.
Na-akpali mmasị! N'ime oge a na-emewanyewanye usoro ahụ, enyemaka na-abịa site na ọnọdụ mmanye na azụ na obere ohiri isi n'okpuru isi na ụkwụ na-ehulata na nkwonkwo hip na ikpere. Ịkwesịrị ịgha ụgha n'elu elu siri ike.
Mgbe ọnọdụ ahụ na-akawanye mma, ị nwere ike ịmalite ịme mmega ahụ na ibu na-agbanwe agbanwe na akwara dị iche iche nke azụ, ọkpụkpụ, na nsọtụ ala. N'oge ọgwụgwọ mgbatị ahụ maka osteochondrosis nke mpaghara lumbar, ịkwesịrị iku ume n'efu, egbula ume gị.
N'ime oge nkwụsịtụ, enwere ike ịme traction spinal, nke na-enye gị ohere ịhapụ mgbọrọgwụ nke irighiri akwara.
Usoro ọgwụgwọ ntuziaka
Usoro ọgwụgwọ akwụkwọ ntuziaka bụ mmetụta dosed ntuziaka na mọzụlụ na vertebrae, iji dozie usoro pathological na kọlụm azụ azụ.
Site n'enyemaka nke ọgwụgwọ ntuziaka, ị nwere ike ịgwọ ọkpụkpụ azụ ma weghachite ọnọdụ nkịtị nke vertebrae na diski intervertebral.
Ihe dị mkpa! Iji zere mmerụ ahụ azụ azụ, ọgwụgwọ ntuziaka kwesịrị ịbụ naanị onye chiropractor ruru eru na nke nwere ahụmahụ.
Acupuncture
Usoro acupuncture gụnyere itinye agịga dị mkpa na isi ihe na-arụ ọrụ, n'ihi nke opiates na cortisol na-abanye n'ọbara, nke nwere mmetụta mgbochi mkpali na analgesic.
Ịhịa aka n'ahụ na ịhịa aka n'ahụ
Ịhịa aka n'ahụ na-eji usoro dị ka ịpịa aka, ịhịa aka na igwakorita uru nke azụ, mpaghara olu, mọzụlụ pelvic na nsọtụ ala.
Physiotherapy
Usoro ọgwụgwọ physiotherapeutic gụnyere ihe ndị a:
- electrophoresis;
- ịhịa aka n'ahụ vibration;
- ọgwụgwọ magnetik;
- balneotherapy
- ọgwụgwọ ultrasound;
- ọgwụgwọ ụrọ;
- ọgwụgwọ na ultraviolet irradiation.
Emere mkpebi gbasara ntinye aka ịwa ahụ ikpeazụ.
Ma na ọnụnọ nke ọrịa mgbu na-adịgide adịgide, nke enwere ike iwepụ ya na ọgwụ ruo ọnwa atọ, yana n'ọnọdụ nke cauda equina compression syndrome, arụ ọrụ nke akụkụ pelvic na nkwụsị ụkwụ na-aga n'ihu, ịwa ahụ bụ iwu.
Ekwesịrị iji osteochondrosis lumbar kpọrọ ihe. Ekwesịrị ịme ọgwụgwọ naanị site n'aka ndị ọkachamara ruru eru, dị ka onye na-ahụ maka akwara ozi, physiotherapist, dọkịta na-ahụ maka ọgwụgwọ anụ ahụ, chiropractor na ndị ọzọ.
Ọgwụ onwe onye maka lumbar osteochondrosis nwere ike ọ bụghị naanị na-abaghị uru, kamakwa ọ dị ize ndụ nye ahụike gị.