Syndrome Radicular o te lumbar: Tohu me Treatment

mate Neurological e tetahi o nga rōpū o mate, e maha arahi ki hauātanga porangi rangitahi ranei. Ko tētahi o ēnei mate - filosilivá syndrome radicular - puta rawa pinepine. He aha te mea te reira?

He aha te mea radicular syndrome?

te nuinga o pā ana tēnei wā ki te huinga o te tohu e whakawhanake rite ki te hua o te rongo ki nga pakiaka ua. I roto i te nuinga o te wā, arata'i te mate ki te whanaketanga o te osteochondrosis - syndrome radicular ki reira iti kaha atu i roto i te take o te aituā kōpae herniation ranei. He he he whāiti o te puta iti intervertebral, e arata'i ki te hara o raru ko e haere mai.

Ko te tohu haumanu matua paearu syndrome radicular ranei ko:

• Mamae. Āhuatanga e mamae maru ai kaha i roto i te rohe o te kōpeketanga o te ua haere mai i roto o te tuaiwi, whakawhānui ki te wahi, me te tahi mau taime i te whekau.
• whakararuraru, tūtohutanga. Whanake haere te io putanga. Nuinga o ngā wā e kitea ai i roto i te puka o paresthesias (mania mana'o, he kani).
• Atrophy o nga uaua innervated me ngā mate. whakawhanake te reira e tika ana ki te kino io e innervate he wāhi ngā. arata'i te reira i ki uaua ngoikore, me te mate o te mahi.

Ko te pathogenesis o te mate

I te ngakau o te syndrome whanaketanga radicular ko te hinga o te tuaiwi. Neke atu i te wa, i reira he kēkeno o rakau o ngā matūkai i roto i roto i te wheua ngohe intervertebral. He tau, taimaha te taikaha, ngoikore āhuatanga whakahōhā tenei huru. Ko te hua, ko te pera-ka karanga te subsidence o te pekehoe.

raru filosilivá haere mai i roto o te awa vertebral roto i te puta iti intervertebral. Nā ki te meka e nga sags tuarā, i reira te mea he whāiti o te tatau, e tika ana ki te hara o te raru.

Ko te kōpeketanga o te rohe whanake mumura iroiti, āhuatanga nei i te edema o nga kopa pātata. Tenei puku atu aggravates te huru, e arata'i nui haere te mamae ki. Pain horahanga raru putaatu, no te mea o te aha e puta tauira whekau lesion (hei tauira, radicular syndrome tuaiwi rei taea te waihanga i tētahi pikitia o te angina infarction myocardial ranei).

Ko te take ārahi ki te whanaketanga o te mate

I tua atu ki te osteoarthritis, ki te whanaketanga me te tahi atu tukanga taea meinga mate. I roto ia ratou he:

• whaturama Intervertebral. Nā ki te whaturama me te tuku o te wheua ngohe i waho te pulposus karihi o te tīwae vertebral e aki ki runga raru.
• Hē i roto i te hanganga me te mate o te tuaiwi. Ko te take tino pea o syndrome radicular, timata i roto i te kōhungahunga.
• Whara. Tikanga, ka rite ki te hua o te hononga tano ore o konga whai tuaiwi, i reira he kōpeketanga o te pakiaka.
• mate hopuhopu o te tuaiwi, ārahi ki te kēkeno o te osseous me te kopa cartilaginous (te tapû-).

maha whakawhanake syndrome Radicular i roto i te iwi sedentary mōmoma.

I te tahi taime e whakawhanake reira rite ki te hua o te mahi tinana rawa taimaha nga pera-ka karanga "kore hoki" ranei.

I roto i ētahi wā, whakawhanake syndrome radicular tika ki hauhauaitu.

Ka taea e meinga te whanaketanga o te syndrome radicular, etahi taero (Heoi, i roto i tenei take, ka e huaina te syndrome psevdokoreshkovogo).

whakarōpū

Ka rite ki taua, e kore he syndrome radicular te whakarōpū. Conventionally, kua wehea kaihaumanu rite ki tona lesion anatomic o te wāhi tuaiwi. E ai ki tenei whakarōpū wehewehe syndrome radicular:

• tuaiwi waha.
• Rei.
• Lumbar.

e kore e Sacrum me iwi timu pānga osteochondrosis tino onge, na te mara o te whakarōpūtanga raraunga ngā.

Tua i te scenes i reira ko te whakarōpū o radicular syndrome i te aroaro o pōauautanga (uaua, me te ngāwari).

I te tahi taime ngā taua momo o syndrome radicular, e rua whiwhi me te tumu (ahakoa he tino onge tenei whakarōpū, kia rite ki te nuinga o te syndrome te tino maha hokona).

I roto i enei puka katoa, ko te lumbar radicular syndrome tino whānui tuaiwi.

Ko te take mo te hinga o te tari

Te aha e mea tino maha pānga tenei tika rohe? Ko te take e tika ana ki nei whakawhanake syndrome radicular o te lumbar, te whai ake:

• I runga i te hoki raro kiia hoki te kawenga nui rawa. Ko reira konei e tona Tuhinga i mahi tinana taimaha. I tua atu, utaina te tinana kei te me overlying tari o te tinana, mai i tauturu te reira mau tonu ratou me te tūranga.
• i hanga nui lumbar pekehoe, he kohao feunga whanui. Na roto ratou he oko nui, me te karere plexus, e te tino ngāwari häpainga rite ki te hua o te takahi o te mahi e hikitia-ngongo o te kōpae intervertebral.
• syndrome Radicular o te lumbar me maha whakawhanake tika ki te meka i ko reira tetahi o nga wahi tino pokarekarenga o te kōhiwi axial. Rawa whanui o te whānui o te nekehanga ngāwari arahi ki te displacement o te whanaunga pekehoe ki tahi i te tahi, me te meinga te whanaketanga o te mamae me te karere entrapment.

whare hauora

Ki te, Heoi, ka rite ki te hua o te karere entrapment puta kore e radicular tohu syndrome lumbar tango roa ki te tatari.

Ko te tohu tuatahi, me te tino noa, ko te mamae. mau ia puta ohorere he pūāhua tahitahi, hua i roto i te whara o te tinana kino mahi ranei. He hua äta i roto i te mamae he angamaheni mo osteochondrosis. I roto i tenei take, langa tu'a ka kia raruraru, engari e kore te mea pera tiketike te kaha o te mamae.

Kei te nuinga o te waimaero tairongo tahi e te mamae. kua pakaru ia i te tahi atu taha, te wahi i reira he he raru ka kowhakina. Ko te tikanga më i roto i te natura (osteochondrosis) .Chasche tika he heke i roto i te tūtohutanga me te syndrome lumbar radicular mamae paepae. I te tahi taime i reira kia kia paresthesia - sensations parori rerekē ranei.

Tūkinotanga o te uaua mahi kia puta i roto i te take i reira he wa roa i reira ko te osteochondrosis lumbar. arata'i syndrome Radicular ki atrophy uaua, ngaronga o te whai wāhitanga mō te mahi tinana kaha, whakawarea kaha o contractions uaua.

tātaringa

Hei tātari i te mate, ko te tika, tango ki pūkete te nuinga o nga āhuatanga. Tuatahi, kia tatou e whakarongo ki te amuamu a te manawanui, mai i te hāngai ki runga ki te taea hou ki kohuki i runga i te localization o te tukanga pathological.

Tautoko ngā mōhiohio i roto i te tirohanga e taea hoatu palpation wāhi rohe o te mamae - ka e ongo'i e te mānukanuka uaua rohe. Whatu, ka taea e kitea e koe i te taha o te manawanui i roto i te taha ki pāngia (na ko reira taea ki te whakaiti i te mamae sensation).

Kia hia ngā toto Whakaoti iti mōhiohio - taea anake te kite hua whanaunga i roto i ngā pūtau ma toto e tika ana ki te iti mumura.

Ko te painga matua i roto i te tātaritanga o te syndrome radicular i te MRI o te tuaiwi lumbar. Tenei ako taea ki te kite ara te hara iti o te karere, a ki te whakatau i te tukanga localization tangohia. Heoi, ko te uaua o te whakahaere i whaiaro tomography. MRI o te tuaiwi lumbar - he tukanga kaua utu nui, na e kore te mea katoa kawea i roto i.

maimoatanga syndrome radicular

He aha e meatia e koe ki te whakawhanakehia te mate te? Ka taea te tukinotia ahau i te kāinga ranei haere pai tonu ki te hōhipera?

Ki te whai koe i ano ki te whakawhanake i lumbar syndrome radicular kia tīmata tonu me pai tona maimoatanga i roto i te hōhipera.

Ka rite ki ki ahua o te maimoatanga o mate o te pūnaha musculoskeletal tetahi, kia ngā tenei tikanga tarukino-kore, therapy tarukino me te wawaotanga hāparapara.

Ki te kore tohu e whai i te pānga nui i runga i te ora, ka taea e te tauturu i te tikanga noa - kai tōtika tika, te pare o te mahi, mirimiri, he tāpu wera puoro.

Ki te, Heoi, tīmata ki te whakakorikoria syndrome radicular lumbar, maimoatanga o te wāhanga tuatahi e ngā te whakamahi o kore-steroidal taero anti-inflammatory ( "nimesulide" "Diclofenac") i roto intramuscularly ranei. Ki te tīmata te raruraru mamae kaha, te mea i tūtohutia te whakamahi o blockades vertebral. A, no te te ino o te tahuri tūtohutia i runga i fariiraa ki ha toketā neave te roro ranei ki te whakatau i te rautaki maimoatanga atu.

i tua

E ai ki maha tākuta whētuki, neurologists me physiotherapists, ki te whakaora i etahi mate o te pūnaha musculoskeletal he taea i te tikanga o maimoatanga tinana.

Hei whakakore i syndrome radicular maha whakamahi electrophoresis, ngā pini hiko.

Electrophoresis ki etahi taero e taea te whakatutuki i ngā pānga pērā i:

• Tangohanga o te tukanga inflammatory.
• Ko te whakakorenga o te mamae.
• Te whakapai ake i pākia i roto i te pakiaka pānga.
• Fakafoki o trophism o nga uaua pāngia me hononga.

Mā te EIT (cardioversion) Kei te whakahaua ki whakangā o uaua takoki, te whakapai ake te mana atrophied kikokiko, pānga toniki.

I tua atu ki ngā tikanga mauhaa e hoki mau haapiiraa whai hua i roto i te poka, ranei ngā wā therapy tinana.

Ka taea te whakahaere maimoatanga o te tuarā lumbar ki te awhina o mahi werowero ngira me wā Chiropractic. e kore e ēnei tikanga whānui whakamahia i roto i te rongoā tikanga, engari ki te āwhina i te rota o te iwi.

maimoatanga hāparapara

Ko te take matua e faaite te syndrome radicular - te tohu. tūtohutia Treatment i roto i te fare ma'i hāparapara te ina timata ratou ki te tango i runga i te pūāhua riri.

Ko te tohu matua mō te pokanga e:

• mamae Kakati, e kore e urupare ki NSAIDs Pë whakapōauau ranei.
• Tūkinotanga o e alangá mo mahi ki oti mate o nekehanga kaha.
• huringa tina heke i roto i te wheua, me tuhonohono e, ārahi ki kōpeketanga.
• He whaturama intervertebral uaua.
• Whakaotia mate o alangá tūtohutanga.

E whakahaeretia Operations i roto i haumanu motuhake. I raro i rehunga hanga pai te uru ki te pae o te kōpeketanga o nga pakiaka e nekehia atu arai matūriki pūwaha tūnga tuaiwi noa. Ki te kawea whaturama te Nā pae excision. whakaiti excision ranei o te kōpae hinga ki te uru iti - I tēnei wā, ka te syndrome radicular hernial whakamahia piki nucleoplasty katoa.

fifi o te mate

Ka rite ki whakahuatia, maimoatanga roa o te tuaiwi lumbar taea arahi ki ētahi atu atu mate. Hei tauira, pōauautanga nui ngā te whai ake:

• Totitoti. whakawhanake te reira e tika ana ki te tūranga takoha. Ka taea e muri arahi ki ino o āhua flatfoot me mate (porohita nanakia).
• āhua Mental. mamae Kakati i roto i te wahi me te hoki e kore e hoatu e ra okiokinga me te po. Ki te whakamārama o te rohirohi e whakawhanake neuroses me psychoses.
• Ankylosis me contractures tahi. Ko ano te take mo ratou whanaketanga he noho roa i roto i te tetahi tūranga, me mahi iti.
• I roto i ngā take kino, Ka taea e kino karere arahi ki pāpāngia o nga wahi.
• Ko te tīmatanga o te mumura kia retrograde ki te tiki ki te ua, meinga meningism pikitia, infarction ua ake i te whakatö o te tahi atu pakiaka ranei.

ārai mate

I roto i te tikanga ki te ārai i te whanaketanga o te radicular syndrome, kia mahara etahi ture ohie:

• mahi te ata Daily. E tauturu te reira ki te totoro te uaua, kawea ratou i roto i te reo.
• Whakahaere taimaha i te taikaha. Ka rite ki whakahuatia, ko reira he take mo ähua o te mate.
• massages taupā. Tokoni i roto i te mahana-ake nga uaua me hononga filosilivá, te ārai displacement o te whanaunga pekehoe ki tetahi ki tetahi, a kore e hoatu i te hohenga o te kōpae intervertebral tona moenga i.
• kai tōtika tika. Ko tētahi o nga āhuatanga i roto i te whanaketanga o te osteoarthritis - te hekenga i roto i te ihirangi matūkai o te kiko wheua ngohe. kai mātau titoa taea ki a koe faaea i roto i te tukanga.
• Swimming poka. whakaiti te reira i te kawenga i runga i te tuarā, me te ara ārahi ki te āhua i te uaua katoa.
• tohatoha tika o te mahi me te okiokinga. Tenei ture mawehe rohirohi me whara i roto i mahi tinana.