Protrusion o lumbar tuaiwi. Maimoatanga o protrusion o te lumbar

Protrusion kōpae intervertebral, tohu, maimoatanga ka e kia whakaahuatia i muri i roto i te tuhinga, ko te huru āhuatanga e ngawha huānga kahore mowhiti kaiota te pakaruhanga. e kore te Tūkinotanga whakaaro he mate motuhake. Protrusion - tetahi o nga wāhanga o osteoarthritis, a kua mohio ano hoki e tohunga rite te taahiraa tuatahi o hanga he whaturama i roto i te kōpae intervertebral. Next, tango i te titiro i tenei ahua. whakarongo Motuhake ko ki te kia utua ki te protrusion o te tuaiwi lumbosacral.

Ko te pā o

E ai ki ngā tatauranga, whanake te protrusion neke atu i te hawhe o te taupori ki runga ki te tau o wha tekau nga tau. kitea te pīari tino noa i roto i nga tangata. Hoki te rōpū mōrearea matua ngā tangata whai wāhi i roto i te mahi ā-tinana, me te ārahi i te āhua tautauā ngā ki te mahi sedentary. Tūroro i roto i te protrusion koroheketanga, i roto i te hononga ki te whanaketanga o ngā tukanga degenerative, maha whakapataritari te ahua o te whaturama intervertebral.

localization

Ko te tino pea whakaaro ki te kia e rua ngā wāhi o te tinana. He he he protrusion o kōpae intervertebral lumbar. I reira huānga wāhanga e rima (L1-T5). Mō 80% o te wā - he protrusion o kōpae lumbar T4-T5, a hoki T5-S1. Ko te whakamutunga, ko te he huānga rohe. I roto i te pīari pekehoe waha e whitu kitea te i roto i te C3-C4 me C4-C5. I roto i te tahi atu huānga wharanga e kitea nui iti pinepine. Ko te rei, te whakawhanake konei takahi i waenganui D5 me D6-D6-D7 pekehoe.

Ko te take o te mate

He maha o ngā take ai te whanaketanga o ngā rerekētanga degenerative i roto i te whakakai kaiota te me te kōpae karihi pulposus. whakaawe ēnei tukanga i runga i nga mea timatanga hanganga. te whakaiti i tenei te elasticity me worsens te hanganga kounga. No te mea puta puata wheua ngohe kākahu kōpae flattening i roto i te hononga ki te mea e tupu ki tua atu i te protrusion o te annulus fibrosus matua i te pupuri tona tapatahi. pea ēnei tukanga te hua o:

• Pathologies o te pūnaha musculoskeletal o te natura tumu (hei tauira i roto i ngā tamariki).
• Osteoporosis.
• Karawarawa, fepulopulasi me ētahi atu pakaru.
• Huringa i roto i te kōpae intervertebral ololalo ia huru.
• aamu utuafare.
• Kyphosis, scoliosis.
• Ko te ngoikore o te pūnaha uaua.

Ka rite ki nga āhuatanga meinga protrusion o te tuaiwi lumbosacral kia whakahuatia ai:

• disorders pākia e.
• Te taumaha, kai rawakore.
• Hypodynamia (nekeneke iti).
• He maha ngā pathologies hopuhopu.
• microtrauma ma'i.
• mahi nui.
• Māuiuitanga o te pūnaha io me endocrine.

whakarōpū

E wehea Protrusions i runga ki te āhua o protrusions karihi. I roto i ngā, i te momo e whai ake nei:

• Porohita. I roto i tenei take i reira ko te wahi kua ngawha kōpae tawhio kaupae. disorders pathological maha whakaoho te pakiaka io ka kowhakina. āhuatanga i te reira e te akoranga ma'i.
• E ruia ana. I roto i tenei take, he kopikopiko te protrusion, tetahi ki tetahi taha. I roto i te protrusion E ruia ana o lumbar tuaiwi te maha tohua he pakaruhanga i roto i te whakakai kaiota. I roto i te ngaro o te maimoatanga tika me te wā o te huru fakamanamanai hauātanga.

Tei runga i te aronga i roto i nei te protrusion o te kōpae puta, taua protrusion momo taratahi rite:

• Te taha. I roto i tenei take, i reira he he protrusion i runga i te matau i te maui o te tīwae tuaiwi ranei. Nuinga o ngā wā e whakaoho te kōpeketanga o oko toto me raru. I te wāhanga tuatahi e kore ai e haere tahi i te āhua i tetahi tohumate.
• Central. I roto i tenei take, puta protrusion kōpae intervertebral i te aronga o te ua. Ko te ati matua o tenei mate ko te taea o te whakapā ki ona pakiaka.
• Posterolateral. I roto i tenei take, kua tupu te whakamuri te kōpae tuatahi, ka tītaha whanaunga ki te tuaiwi. kia haere tahi te huru e te tohu kino.
• Ko te muri. I roto i tenei take, protrudes hiku te kōpae. Here tahi e te mamae kino, me te waimaero supply karere ki whēkau i roto i te papatoiake pouaka (i runga i te wāhi o te whara rānei) ranei.

pikitia haumanu

Tei runga i te localization o te protrusion tuku kōpae:

• tuaiwi lumbar.
• rohe aaka.
• tuaiwi waha.

Tohu o maumaui i roto i te rohe rei:

• Tetahi raru o te hoki i raro i te rara.
• Mania i roto i te ate, me te ngakau.
• uaua press ngoikore.
• Mamae i roto i te pouaka pokohiwi ranei matatahi.

Nahea te protrusion o tuarā lumbar? Tohu o te huru e:

• Rāhuitanga i runga i te kaupapa o te hoki.
• Mania, te kōpā me te mamae.
• Koperea i roto i te waewae.
• Ko te vaivai o te topito o raro.
• Ko te horapa o te mamae ki nga maihao o waewae, waewae, huha.
• Mate o te tūtohutanga i roto i nga whekau papatoiake.

Tohu o protrusion o te tuaiwi waha:

• Pouri o te kanohi, whanoke.
• Tetahi raru i roto i te rohe o te matenga, me te kaki.
• Te kōpā i roto i te wahi o runga.
• nekeneke kaki Ita.
• Tohatoha o te mamae i roto i te pokohiwi rohe, maihao, me te kawititanga o.
• Ngoikore i roto i te wahi o runga.

tohu noa o te māuiuitanga

māharahara faaiteraa Tuatahi o disorders o te manawanui e pā ana ki tetahi raru i runga i te whakamārama o te whakanui ake mahi tinana, noho i roto i te tūranga fiemālie mo te wa roa. I roto i te ahua protrusion lumbosacral tuatahi tuarā atu o tona rohe vertebral haere tahi (sciatica, lumbago, hei tauira) me te radicular (karere kōpeketanga) whakaaturanga ranei. I roto i te akoranga o te ahunga whakamua o te kāwanatanga o mamae riro atu kaha, te tiki mauiui to, yanking pūāhua kia puta i roto i te puka o te lumbago i koi nekehanga ranei ka maremare. A, no te mirimiri pakaru palpation ranei rohe tohua whakarei o te mamae, maha foaki ake. Āta whakawhanakehia uaua ngoikore, he e hōloa tohua.

ngā wāhanga o te hanganga

Ki te kahore he i tukinotia kahore wa protrusion filosilivá o lumbar māuiuitanga kauneke tere. Faaiteraa e toru ngā wāhanga:

• Raruraru i roto i te mahi o te pata. I roto i tenei take, kei te timata i te reira ki te huri i. He he he kinonga äta o te muka o te mowhiti kaiota ki te hanga i kapiti reira.
• karihi Protrusion i tawhiti poto. haere te reira i tera taha o te mata o te mowhiti kaiota ki te tiaki o tona tapatahi, me te kore neke atu i toru mitamano.
• I tua atu kua ngawha karihi. tahi ana te tukanga e kōpeketanga o te kōpae tata ki oko toto, mamae karere pakiaka, lumbago. I tenei wā, maha puta he āputa anulus. Ko te hua ko te prolapse (whaturama) i roto i te kōpae intervertebral.

pānga

kia kawea maimoatanga o protrusion o tuaiwi lumbar i tere, me te mātau. Kore, te tūponotanga o pōauautanga. I roto i ngā, kia nui iti reira te nekeneke o te hoki kaki ranei, waimaero curvature whaiaroaro o te tuaiwi. I roto i tenei whakaaro, kei te whakawhanake i te reira kyphosis lordosis ranei. Ka taea e tetahi raru hoko he mau tonu tūturu. Tenei, i roto i te tahuri, tino whakaiti te kaha o te tangata. Nui whakaaro te he pōauautanga nui o prolapse (whaturama) me te oti te whakangaromanga o te kōpae. I roto i tenei ahua e hiahia ana koe pokanga. Ki te kore te te mahi kawea i roto i roto i te wa, ka taea e te tangata noho hauā. A, no te protrusion rohe lumbosacral i mōrearea nui o kōpeketanga o te pakiaka karere i roto i te papatoiake ( "hiku o hoiho" syndrome). Tenei, i roto i te tahuri, ka taea e arahi ki te whakararuraru, o te tūtohutanga o nga mana rohe, te ahua o ngā tukanga inflammatory.

tātaringa

Ko te tikanga rangahau matua ngā:

• Tuhinga ka aro mātai o nga rohe tūtohutanga o nga wahi, me te hoki, i te whakamahi o te pūkaha me te whakamātautau neurological.
• Radiography.
• Kohikohi hītori hauora, tae atu ki te whānau.
• CT MRI ranei. whakakitea ēnei rangahau te tohu o atrophy o nga muka uaua me ki te aromatawai i te huru o te oko.
• Electromyography. whakamahia ana tēnei tukanga ki te titiro i te pakiaka o te kōpeketanga.
• Poka inu cerebrospinal (i roto i ngā take motuhake).

I roto i te tātaritanga pārōnaki he tika ki te karo taua mate rite kohi o wheua, ankylosing spondylitis, disorders circulatory i roto i te tahi mau pera, matepukupuku.

Maimoatanga o protrusion o te lumbar

Ko te kōwhiringa o te mehua haumanu matatini whakawhirinaki te nuinga i runga i te tukanga rere. I roto i te mau parau te tahi atu, te uara whakatau ina he tawhiti maimoatanga e ai te kōpae intervertebral neke. Ki te he te reira ki runga ki te 4 te therapy moenga era tūtohutia mm (mo te wahi waha kore neke atu i te 1 mm o), me i roto i ngā āhuatanga pahoho. E hāngai tikanga tūpato i te mamae te tauturu, whakakorenga o edema, mumura. Te maimoatanga whakapiki i toto tohanga, atawhai spasm iaia, me te whakahoki uaua mahi. Ki tenei mutunga, kua tūtohutia te raau taero e whai ake nei:

• NSAIDs. Ko ētahi o ēnei, i roto i ngā, ngā taua rongoā rite "Ksefokam", "Ortofen", "Ketoprofen", "Indomethacin", "naproxen", "Movalis" me etahi atu.
• relaxants uaua. Tenei kāwai ngā taputapu pērā i te "Diazepam", "Metaksalon", "Mydocalm", "orfenadrin". I whakakore uaua spasm i te maha ngā take, tino heke te kaha o te mamae.
• Glucocorticosteroids. Ēnei taero ngā "Methylprednisolone," "Flosteron", "Diprospan". Tenei kāwai o medicaments whakamahia mo te memeha noa o NSAIDs me relaxants uaua rite te therapy raina tuarua. Kei te whakaaro te reira i te tikanga whai hua te nuinga o te whakauru taero ki kiko ngohengohe.
• Hoki hondroprotektory ( "Aflutop", "Struktum", me ētahi atu), taero e whakapai ake i te tohanga toto ( "Aktovegil", "Trental") tūtohutia.