Protrusion na lumbar kashin baya. Jiyya na protrusion na lumbar

Protrusion intervertebral fayafai, cututtuka, magani wanda zai bayyana daga baya a cikin labarin, shi ne yanayin halin da bulging abubuwa ba tare da nasara fibrous zobba. Take hakkin ba a dauke mai raba cuta. Protrusion - daya daga cikin matakai na osteoarthritis, kuma an kuma gane da masana a matsayin na farko mataki na kafa wata hernia a intervertebral Disc. Next, dauki mukalli wannan jiha. Musamman da hankali ne da za a biya zuwa protrusion na lumbosacral kashin baya.

A abin da ya faru na

Bisa kididdigar da, wani protrusion tasowa fiye da rabin yawan jama'ar wuce shekaru arba'in. Mafi na kowa abnormality aka gano a cikin maza. Ga babban hadarin kungiyar hada da mutane tsunduma a jiki aiki, kazalika da manyan wani m salon a hade tare da masu zama a gida aiki. Marasa lafiya a cikin tsufa protrusion, dangane da ci gaban da degenerative matakai, sau da yawa tsokane bayyanar intervertebral hernia.

sarrafawa

A mafi m dauke su biyu yankunan na jiki. Akwai protrusion na lumbar intervertebral Disc. A halin yanzu biyar kashi abubuwa (L1-L5). Game da 80% na lokuta - a protrusion na lumbar fayafai L4-L5, kuma ma L5-S1. A karshen ne a kan iyakar kashi. A cikin bakwai na mahaifa vertebrae abnormality aka gano a cikin C3-C4 da C4-C5. A wasu rauni abubuwa an same yawa kasa akai-akai. Amma ga thoracic, nan take hakkin ci gaba tsakanin D5 da D6-D6-D7 vertebrae.

A Sanadin cutar

A yawan dalilan sa da ci gaban degenerative canje-canje a cikin fibrous zobe da tsakiya pulposus faifai. Wadannan matakai da tasiri a kan tsarin abubuwa. Wannan rage elasticity kuma worsens da ingantaccen abun da ke ciki. Saboda hyaline guringuntsi lalacewa auku flattening Disc dangane da abin da ya faru bayan da protrusion na core annulus fibrosus yayin da rike da mutunci. Wadannan matakai na iya zama sakamakon:

• Pathologies na musculoskeletal tsarin na m halitta (misali a yara).
• Osteoporosis.
• Bruises, bumps da sauran diyya.
• Canje-canje a intervertebral fayafai lalace hali.
• Family tarihi.
• Kyphosis, scoliosis.
• A wani rauni daga cikin murdede tsarin.

Kamar yadda dalilai haddasa protrusion na lumbosacral kashin baya za a iya ambata:

• metabolism cuta.
• Da yake kiba, matalauta rage cin abinci.
• Hypodynamia (low motsi).
• Da dama dauke da kwayar cutar pathologies.
• Kullum microtrauma.
• Wuce kima darasi.
• Pathology na juyayi da kuma endocrine tsarin.

rarrabuwa

Protrusions aka raba daidai da yanayi na protrusions tsakiya. A musamman, wadannan iri:

• Madauwari. A wannan yanayin akwai wani bulging Disc rabo a kusa da gaba ɗaya. Pathological cuta sau da yawa tsokani wani pinched jijiya asalinsu. Yana halin da kullum hanya.
• Yaxuwa. A wannan yanayin, protrusion ne m, daya to ko dai gefen. A yaxuwa protrusion na lumbar kashin baya ne sau da yawa alama nasara a fibrous zobe. A rashin isassun kuma dace lura da yanayin barazanar tawaya.

Dangane da shugabanci a cikin abin da protrusion na faifai ya auku, irin wannan ya zama ruwan dare jinsunan protrusion kamar:

• Side. A wannan yanayin, akwai wani protrusion a dama ko hagu daga cikin kashin baya shafi. Mafi sau da yawa tsokani da matsawa na jini da kuma jijiyoyi. A can farko a jihar iya ba a tare da wani bayyanar cututtuka.
• Tsakiya. A wannan yanayin, intervertebral Disc protrusion auku a cikin shugabanci na laka. Babban hatsarin da wannan cuta ne da yiwuwar lamba tare da saiwoyinsa.
• Posterolateral. A wannan yanayin, na farko Disc bulges baya, sa'an nan a kaikaice dangi da kashin baya. A yanayin iya a tare da tsanani cututtuka.
• The raya. A wannan yanayin, da faifai protrudes rearward. Yanayin tare da ciwo mai tsanani da kuma mai illa jijiya wadata ga gabobin a ƙashin ƙugu ko kirji (dangane da wurin da rauni).

asibiti hoto

Dangane da sarrafawa da saki Disc protrusion:

• Lumbar kashin baya.
• Chest yankin.
• Mahaifa kashin baya.

Ãyõyin keta a cikin thoracic yankin:

• Soreness na baya kasa da karankarman ƙirji.
• Tingling a cikin hanta da kuma zuciya.
• tsoka rauni latsa.
• Pain a kirji ko kafada ruwan wukake.

Ta yaya wani protrusion na lumbar kashin baya? Alamun da yanayin ne:

• Taƙaitawa akan yunkuri na dawo.
• Tingling, numbness da kuma zafi.
• Harbe a cikin kafa.
• A weakening daga cikin ƙananan extremities.
• A baza na jin zafi ga yatsunsu na ƙafa, kafafu, cinyoyinsa.
• Cuta na ji na ƙwarai a cikin pelvic gabobin.

Alamun protrusion na mahaifa kashin baya:

• Duhun idanu, juwa.
• Soreness a yankin na kai da wuya.
• Numbness a cikin sama kuma wata gabar jiki.
• M wuyansa motsi.
• Rarraba zafi a cikin kafada yanki, yatsunsu da wuyan hannu.
• Rauni a cikin sama kuma wata gabar jiki.

Common ãyõyin Pathology

Da farko manifestations da cuta daga mãsu haƙuri damu game soreness a kan bango na kara jiki aiki, zauna a wani m matsayi na dogon lokaci. A lokacin ingàntā protrusion lumbosacral kashin baya ko wasu na ta yankin tare vertebral (sciatica, lumbago, misali) da kuma radicular (jijiya matsawa) nuni. A cikin shakka daga cikin ci gaban da jihar zafi zama mafi tsanani, samun aching, yanking hali iya bayyana a cikin nau'i na lumbago a kaifi ƙungiyoyi ko a lokacin da tari. Lokacin da tapping ko palpation lalace yanki alama kayan haɓɓaka aiki na jin zafi, sau da yawa donating up. A hankali ɓullo da tsoka rauni, wani alama degeneration.

matakai na samuwar

Idan akwai wani lokaci da aka bi da kashin baya protrusion na lumbar Pathology progresses hanzari. Bayyananen ne matakai uku:

• Disturbances a cikin aiki da kwaya. A wannan yanayin, shi ne ya fara canza. Akwai sauka a hankali ƙasƙanci daga cikin zaruruwa na fibrous zobe ta samar da fasa a cikinta.
• Protrusion tsakiya a takaice nesa. Yana ke bayan gefen fibrous zobe tare da adana da mutunci, kuma ba fiye da uku millimeters.
• Bugu da ari bulging tsakiya. A tsari ne tare da matsawa da faifai kusa da jini, jijiya tushen zafi, lumbago. A wannan mataki, wani rata sau da yawa yakan faru anulus. A sakamakon haka ne prolapse (hernia) a cikin intervertebral Disc.

effects

Jiyya na protrusion na lumbar kashin baya kamata a da za'ayi da sauri da kuma competently. In ba haka ba, da chances na da rikitarwa. A musamman, ana iya ma iyakance da motsi na da baya ko wuyansa, illa physiological curvature daga cikin kashin baya. A wannan batun, shi ne bunkasa kyphosis ko lordosis. Soreness iya sayan wani m kullum. Wannan, bi da bi, muhimmanci rage da damar mutumin. Isa dauke da wani tsanani wahala na prolapse (hernia) da kuma cikakken halakar da faifai. A wannan jiha kana bukatar tiyata. Idan aiki ba da za'ayi a cikin lokaci, mutane na iya zama nakasa. Lokacin da protrusion lumbosacral yankin a babban hadarin da matsawa na jijiya tushen a cikin kafafuwa ( "doki ta wutsiya" syndrome). Wannan, bi da bi, za su iya haifar da rashin lafiya na ji na ƙwarai daga zone hukumomi, da bayyanar da kumburi tafiyar matakai.

bincikowa da

Babban bincike hanyoyin sun hada da:

• Dubawa da kuma kimantawa na ji na ƙwarai zones da wata gabar jiki da kuma mayar da, da yin amfani da mota da kuma neurological gwaje-gwaje.
• Radiography.
• Tattara likita tarihi, ciki har da iyali.
• CT ko MRI. Wadannan nazarin bayyana mataki na atrophy na tsoka zaruruwa da kuma tantance yanayin da tasoshin.
• Electromyography. Wannan hanya da ake amfani da su bincika da tushen da matsawa.
• Huda cerebrospinal ruwa (a lokuta na musamman).

A bambanci ganewar asali ne zama dole don kauce wa irin wannan cututtuka kamar tarin fuka daga kashi, ankylosing spondylitis, Sistem sakulasan cuta a cikin wasu jijiyoyi, Oncology.

Jiyya na protrusion na lumbar

A zabi na hadaddun warkewa matakan dogara, yafi a kan Gudun tsari. A wasu kalmomin, da kayyade darajar a lokacin da magani yana nesa da abin da canja intervertebral Disc. Idan har zuwa 4 mm (ga mahaifa rabo daga ba fiye da 1 mm), da shawarar far gado sauran kuma a tsit yanayi. Conservative hanyoyin da ake da nufin zafi taimako, kawar da edema, kumburi. A lura da inganta jini wurare dabam dabam, taimaka jijiyoyin bugun gini spasm da kuma mayar da tsoka aiki. Don wannan karshen, wadannan kwayoyi suna shawarar:

• NSAIDs. Wadannan sun hada da, musamman, sun hada da irin magunguna a matsayin "Ksefokam", "Ortofen", "Ketoprofen", "Indomethacin", "naproxen", "Movalis" da sauransu.
• Muscle relaxants. Wannan category hada da kayayyakin aiki, irin su "Diazepam", "Metaksalon", "Mydocalm", "orfenadrin". Duk da yake kashewa tsoka spasm a lokuta da dama, muhimmanci rage tsanani da zafi.
• Glucocorticosteroids. Wadannan kwayoyi hada da "Methylprednisolone," "Flosteron", "Diprospan". Wannan category na medicaments amfani ga ineffectiveness na NSAIDs da tsoka relaxants a matsayin na biyu line far. An dauke da mafi inganci hanya, da gabatar da kwayoyi a cikin taushi da nama.
• Har ila yau, shawarar hondroprotektory ( "Aflutop", "Struktum", da dai sauransu), da kwayoyi da inganta jini wurare dabam dabam ( "Aktovegil", "Trental").