Osteochondrosis yomgogodla lumbar: izimpawu kanye nokwelashwa. Ukuzivocavoca, massage, ukutshopa

Osteochondrosis ku lumbar nomgogodla kungenziwa kwiqembu izifo okuyinto kakhulu izinkinga imisebenzi ebalulekile lesiguli kanye ingaholela ngisho nasekukholelweni ukuthi ukukhubazeka unomphela (akukho ukwelashwa).

Kuyini izifo ezifana osteochondrosis

Ekuqaleni, kubalulekile ukuphawula ukuthi le nkinga ibangelwa ukubhujiswa zezinzwa izicubu akwazi ukugcina intervertebral, evele articular kanye nemisipha eduze emizimbeni vertebral.

Wesibeletho kanye lumbar osteochondrosis empeleni bangumuntu oyedwa futhi inqubo efanayo, kodwa zitholakala ezindaweni ezahlukene. Ngu izinguquko ezifanayo esiwohlozayo kuholele esitebeleni overload futhi umzimba iziyaluyalu.

kwamazinyo glycoproteins ilungiswe esigabeni sokuqala lesi sifo. Sikhuluma izinto eziyinkimbinkimbi aqukethe amaprotheni polysaccharides. Kuyinto yobukhona babo kuqinisekisa izakhiwo ezinjalo sezicubu zezinzwa efana kuyaqina nokuqina. Ngo esigabeni esilandelayo sifo izinqubo elimazayo ezithinta isakhiwo ithambo yomgogodla, ezihlobene uqwanga. Lolu hlobo ushintsho wazimisela esiwohlozayo-dystrophic.

Ukuzibandakanya kwenzeka disc intervertebral esakhiwa i ring yangaphandle fibrous futhi ngaphakathi gelatinous nucleus pulposus. Ubuhlungu lumbar osteochondrosis iqala ukuba wazizwa kanjani lapho nucleus ngenxa omiswe bese ukulahlekelwa Damping izakhiwo razvolakivaetsya annulus fibrosus. Kuleli zinga, ku amathambo kuyinto ukucindezeleka okukhulu mechanical, okuyinto ekugcineni kuholela ekwakhekeni anda kwezicubu fibrous bone ezindaweni ukuthi zigcwale ngokweqile. Ngenxa yalokho, zikhona neziqu bony. Zibizwa ngokuthi ama-osteophyte.

Lokho kungaholela esiwohlozayo disc isifo

izinqubo esiwohlozayo-dystrophic kabuhlungu emgogodleni achazwayo ngaphansi kwethonya izici ezihlukahlukene. Nakuba, njengoba umthetho, omunye wabo liyanqoba, osteochondrosis nokho lumbar - umkhiqizo yethonya lahlukene izizathu.

Ekuqaleni, kufanele sinake indima umthwalo eqinile oqine eshiwo ngenhla. Uma lokhu isici is kwahambisana by ukuhlala ngendlela engalungile kanye nokuntuleka ngendlela enempilo, ukuthuthukiswa sifo kungenziwa yashesha, futhi ngaphezu kwalokho, ingaholela ukuxakeka.

Esinye isizathu ukuthi kungani osteochondrosis lumbar angenza ngokwayo wazizwa - ukulimala emuva. Iqembu ingozi futhi abadlali professional. amathuba Kunalokho eliphezulu inqubekela phambili izinguquko esiwohlozayo yomgogodla kunabantu abathintekayo kwezemidlalo bebodwa futhi ukwenza umzimba inselele okungalungile, ikakhulukazi ne isisindo esikhulu.

Ungayizibi izinto ezifana mode kosuku, singavumeli umzimba ukuze alulame ngokugcwele. Uma ngaphansi kwalezi zimo umuntu ngokwanele, uku-isimo ukukhathala okungamahlalakhona, futhi uba nezinkinga njalo, kukhona ezizwakalayo zokulindela iqolo.

Kodwa ngaso sonke isikhathi izici zangaphandle ziyimbangela izifo ezifana lumbar osteochondrosis. Izimpawu zalesi sifo kungase kube ngenxa ufuzo ezimbi. Lokhu kuwukwanda cishe ekuqaleni isakhiwo ezingeni Looseness of the disc. Ebujamweni obunjalo yomgogodla kalula deformable.

Uma umuntu kungenxa izici of inqubo ukusebenza kufanele kube isikhathi eside ngendlela efanayo (ehlezi, emi, eguqa), khona-ke kulesi simo futhi, izimo sokuthuthukiswa izinguquko esiwohlozayo-disc.

Cases uma ethuthukisa osteochondrosis yomgogodla lumbosacral e kulabo abaphethwe izifo ukuvuvukala yomgogodla kwezicubu ngokuhlanganyela.

symptomatology

Njengoba izifo ezimbi kakhulu njengokuphinga osteochondrosis yomgogodla lumbar, izimpawu kanye nokwelashwa kufanele okucwaningwe ngokuphelele. Lokhu kuzosiza ngesikhathi ukunquma ukuthuthukiswa izinqubo elimazayo, kanye nokubonisana okufika ngesikhathi nodokotela abaqeqeshiwe.

Uphawu lokuqala futhi main, okuyinto kufanele sinake - lena lokujabulela ubuhlungu esifundeni lumbar. Ngaphezu kwalokho, kungase futhi zenzeka lapho esephumule, futhi nge ukunyakaza abukhali, futhi kwezinye izimo - emva imithwalo esindayo. Ngokuphathelene ubunjalo ubuhlungu, kungase kube kokubili yenziwe yaba yasendaweni kusayithi ethile luqhubeke kuze ngemuva okhalweni.

Lapho lesi sifo siba isinyathelo ukuthuthukiswa esebenzayo, ubuhlungu okungase kuthintwe ngisho uma ukhwehlela, sneezing, noma yimuphi umsebenzi ongaphakeme ezithinta emgogodleni lumbar. Ukuhamba ngemuva perceptibly siyabhubha. Le nkinga ngokukhethekile ngokucacile izenze wazizwa kanjani lapho uzama ugoba noma ingaphambuki.

Esimweni lapho e osteochondrosis bone ekwakhekeni noma okhethwe annulus abathintekayo ezinzwa impande, lezi zimpawu ezilandelayo kungenzeka:

- ebukhali, ubuhlungu sokudubula esenzeke esifundeni lumbar;

- buthakathaka kwezicubu;

- ukuphazamiseka kwezitho zangaphakathi ezihlobene ne emsipheni babancwebe;

- umuzwa abandayo njalo imilenze nezinyawo a spasm kwemithambo yegazi;

- ukuncipha abalulekile umsipha ikhaliphe;

- kahle ukujuluka.

futhi ukunikeza izimpawu ze-non-eqondiwe njengokulanda ubuthakathaka, ukukhathala, izinkinga sokulala, uhlelo urinary, ukukhathala kanye nobuhlungu.

Ukuze uqonde kangcono ubunjalo yalesi sifo, kubalulekile ukuba sicabangele eceleni degree of esiwohlozayo disc isifo se-lumbar.

idigri yokuqala

Kulesi sikhathi, ubuhlungu sifo wazizwa ngenxa yokucasuka we eziyimpumelelo emsipheni, okuyinto ahlelwe emisipheni longitudinal, futhi indandatho fibrous. Isiguli akwehli kahle kakhulu kuphela emuva, lapho idrayivu abathintekayo. Lezi emizweni kungathatha ifomu shot abukhali eduze emuva noma ubuhlungu oyingozi. Kwezinye izimo, fixed lumbodynia - ubuhlungu zibuthuntu uhlamvu unomphela.

Leli qiniso, njengoba ukucasuka we eziyimpumelelo emsipheni ukuthi kungabangela ukuthuthukiswa syndromes reflex. Ziyakwazi elikhanyayo kakhulu njani idigri yokuqala izifo ezifana osteochondrosis yomgogodla lumbar, izimpawu kanye nokwelashwa okuyinto kubalulekile ukunquma ngokunembile kule nkathi.

Ingqikithi yalo syndromes reflex kunciphisa ukusakazeka amaza uthukuthele eziyimpumelelo washintsha emhlabeni nomgogodla. Ngakho, ezisithintayo nezinye izicubu kanye izitho.

Kuyinto le nqubo, futhi ngenxa yokuthi lokho izinqubo elibhubhisayo ubuhlungu lumbar okungase kuthintwe endaweni ehluke ngokuphelele. Kwezinye izimo, le syndromes reflex kungenziwa owabonakaliswa ukulahlekelwa liningi igazi emisipheni nasemilenzeni, spasm yegazi kanye nemisipha, kanye ukungasebenzi izitho zangaphakathi.

Ngakwelinye ihlangothi, ukuphazamiseka kwemikhuba yokudla kanye umthamo wegazi ogciniwe we imisipha kanye nemisipha kuholela ukubukeka lwezimpawu ubuhlungu, kanye nezinguquko ezindaweni lapho exhunywe amathambo. Ngokuvamile, kuba inkinga kuvela ukuthi buhlungu kakhulu.

Uma ucabangela ngesihloko ezifana "ukhwaliti ubuhlungu emuva lumbar nomgogodla: Izimpawu kanye Ukwelashwa", kufanele sinake ezinye izici degree of izimpawu zesifo. Sikhuluma sciatica (ubuhlungu, yenziwe yaba yasendaweni kuphela emlenzeni), futhi kubonakala kakhulu kaningi - sciatica (ubuhlungu imbuthuma ukuze umlenze).

Uma kwenzeka ngenhla vasospasm ethangeni ke kukhona ezizwakalayo zokulindela nesenzakalo izifo kwemithambo yegazi wemikhawulo aphansi (isifo sokuqina kwemithambo yegazi et al.). Kakhulu akuvamile kungenzeka incontinence futhi kwesinye ebuthakathakeni.

besigaba sesibili

Kulesi sigaba kukhona ukuncipha ibanga phakathi amathambo kanye pinching alandelayo eziyimpumelelo emsipheni. Ngokuphathelene iringi lunemicu ke siyaqhubeka siba sibi. Nge alolu nolokubhujiswa ubuhlungu ngemoto avele elikhanyayo, uphe ethangeni nasemlenzeni aphansi. Ngo esifundeni lumbar ngesikhathi esifanayo wazizwa umkhuhlane noma imfiva.

Lokhu degree of lumbar esiwohlozayo disc isifo ngokuhlaselwa ubuhlungu, ephelezelwa ukujuluka kakhulu futhi paresthesia (ukushoshozela esikhumbeni).

Ngenxa nokuntengantenga futhi ukwandisa ukuhamba amathambo kule dorsi ezihambayo isimo ukucindezeleka ozinzile futhi yesikhathi eside. Umphumela kilelihlelo uzinzile lumbar ukukhathala kanye nokuhlukumezeka.

degree wesithathu

Isikhathi esinjalo libhekene ukulahlekelwa disc izingcezwana eziyizinsalela, nerve kokucindezelwa, futhi ngenxa yalokho, ukubonakaliswa syndromes radicular.

Endaweni lapho uzwela impande kwenzwa isiguli kuyaphazamiseka ukuthi onomfutho. Okokuqala, lowo mbono anda futhi ephelezelwa ukushoshozela nokusha. Sengibuyele ndikindiki futhi kwezinye izimo, ukulahlekelwa ephelele ukuzwa. izinqubo okunjalo kungaholela ukwephula motor umsebenzi. Ngakho-ke (ukuphazamiseka) ngifinyelele ezingeni yokufa uhlangothi noma imisipha yoma.

Kunengqondo ingasaphathwa uphawu Lasegue uma lisalele umlenze lift, kukhona ubuhlungu oqinile yomgogodla lumbar, ezisabalele kanye ngemuva emlenzeni. Lapho unyawo kuthatha indawo yokuqala, ubuhlungu kumisiwe.

In the isinyathelo sesithathu linyenti ngenxa disc ilandelela kungenzeka umgogodla ukulimala.

degree wesine

Uma ucabangela osteochondrosis yomgogodla lumbar, izimpawu kanye nokwelashwa kwe-degree wesine kuwufanele ukuhlola nsuku saziso.

Kulesi sigaba, isifo siqhubeka izinqubo elimazayo ezithinta emalungeni intervertebral, nemisipha, futhi lokhu kuhambisana nokubuka ukuthuthukiswa cystic disk ukuthi kumele aqondwe njengokufaka a babancwebe zonke izakhi yesigayegaye zezinzwa isibanda izicubu. Kuleli zinga ubuhlungu Ungaya kude ngisho nethuba ukubuyisela umsebenzi ukwesekwa sokukhubazeka komgogodla. Kodwa-ke kuba elinganiselwe kakhulu nge uhla motion.

Kufanele kuqashelwe ukuthi amadiski ezahlukene ingalungiswa izigaba ezahlukene zesifo, izimpawu zingaba ehlukahlukene.

Lumbar disc esiwohlozayo: izimpawu nezidakamizwa ukwelashwa

Kuye ngokuthi lakhiwe kanjani ngezimpawu nesigaba lesi sifo kufanele ubhekane babelwa izidakamizwa ethize.

Kulokhu, impatho igxile Izinjongo ezithile ezingukhiye:

- neutralization of ubuhlungu;

- Uhlelo ebhalwe kahle ukwelashwa nezindlela zokuzivikela azosiza kancane izinqubo esiwohlozayo-dystrophic kabuhlungu emgogodleni;

- ukubuya umsebenzi evamile.

On ukwelashwa eningiliziwe esiwohlozayo disc isifo, kuyafaneleka ukuthi ukwelashwa kuhilela ukusetshenziswa ejenti nonsteroidal eqeda ukuvuvukala kanye analgesic. Lokhu kungaba "Nimesulide", "ibuprofen", "Lornoxicam", "Etorikoksib", "Ketoprofen" nabanye. Kuye ngezimo zesiguli, amaphilisi noma imijovo.

Uma izidakamizwa eziphawulwe ngenhla okunzima akudingeki umphumela edingekayo, odokotela zingasebenzisa hormone glucocorticoid. Sikhuluma imithi efana "Betamethasone", "prednisolone", "Triamcinolone" "Dexamethasone", nabanye. ukwakhiwa okunjalo iphathwa ngomjovo ngqo indawo lapho yenziwe yaba yasendaweni ubuhlungu futhi agcinwe isifo kwemizi.

yokwelapha izidakamizwa e lumbar osteochondrosis zihlanganisa ukusebenzisa amavithamini iqembu B (B 12, B 6, B 1). Uma kukhona reflex futhi ezihambisana iziyaluyalu psychogenic kukhona sedatives ezimisiwe antidepressant. Esimweni lapho egxilile syndrome radicular, asetshenziselwa izidakamizwa anticholinesterase futhi isisu e ukukhubazeka.

Lapho fixed exacerbation lumbar esiwohlozayo disc isifo, ingasetshenziswa procaine ukuvinjelwa.

Ukusetshenziswa ukutshopa

Lapho le ndlela yokwelapha esetshenziswa izinaliti alahlwayo oyinyumba nge ithiphu oyindilinga. Lokhu kukuvumela ukuba ibenze izicubu ngaphandle puncturing izitsha isikhumba futhi igazi. Ngenxa yokuthi izinaliti abanjalo bangabaphostoli eside ngokwanele emzimbeni, izicubu ukucasuka kwenzeka, okuholela impendulo umzimba sika.

Ngenxa yalokho ukwelashwa ukutshopa babe miphumela elandelayo:

- Kukhona ukukhethwa cortisone, okuyinto ifa isinyathelo esiqatha antiallergic futhi antiinflammatory.

- Eqeda imisipha spasm, okuyinto ebalulekile liningi igazi egcwele.

- Nge inaliti langena iyaphendula uhlelo hormone, ukukhulula hormone emzimbeni, ivimbela ubuhlungu.

Ngakho, ukwelashwa ukutshopa kungaba imisipha futhi uqwanga vertebral kanye nokudla ngokuhlanganyela.

Isici esikhethekile sale ndlela yokuthi uyakwazi ukusiza labo iziguli abangakwazanga ukuthola ngcono eziphathekayo usebenzisa impatho ezivamile. Ngaphandle ubuhlungu kaningi kuyancishiswa ngemva kokuqala. Kodwa ukuze uvikele umphumela kwakudingeka sivivinyo osteochondrosis yomgogodla lumbar.

Ngokuvamile, Reflexology ucabangela, ukunikeza ezinye izinzuzo ezisobala impatho enjalo:

- kunemidanti awazange abe buhlungu;

- iqedwe side effects nokungezwani komzimba nezinto yenaliti;

- ubuhlungu isuswe ngokushesha futhi ephumelelayo, okuyinto kunciphisa kakhulu isidingo imithi.

Kodwa kubalulekile ukuthi lokhu indlela isicelo izisebenzi eziqeqeshiwe.

Indima yokuzijwayeza yezokwelapha ekwelashweni

Izivivinyo nomthelela ekwelapheni esiwohlozayo disc isifo futhi zinenani eziphathekayo izifo.

Ukuze isebenze kahle ezindabeni ezifana izinguquko esiwohlozayo futhi dystrophic, kufanele usebenzise indlela olunzulu:

- uyazonga esisuka;

- massage nge lumbar osteochondrosis;

- umzimba for yomgogodla aphansi;

- ukudla ekhethekile, okuyinto kwezinye izimo kufanele sifake ukudla usawoti-DRM.

Ngokuphathelene uhlobo oluthile lokuzivocavoca, kufanele wenze ongudokotela uzokwazi acabangele zonke izici isimo isiguli ngabanye.

Uma stably futhi kahle ukwenza umzimba nge osteochondrosis yomgogodla lumbar, isimo lesiguli ngcono kakhulu emva kwezinyanga ezingu-2-3: abuyiselwe evamile liningi igazi engxenyeni washaywa, kanye nerve impande umsebenzi, evamile lymph ukugeleza futhi udale isimo sokubuyiselwa ukuqhekeka anulus .

Ngakho, noma ubani uhlose ngokushesha nangempumelelo izithathe ukuze ixazulule leyo isifo, kufanele sinake umzimba.

Indlela esiphatha ngayo osteochondrosis lumbar ekhaya

Esikhathini nemibandela endlini, ngeseluleko udokotela elikulesi sihloko, ungakwazi ukusebenzisa ukwelashwa nokululama umzimba. Kubalulekile kakhulu sinake imininingwane elandelayo: i-babuyele ngokugcwele amadiski intervertebral, wena kufanele asebenzise zokulala efanele, efana kumatilasi. Lokhu kubalulekile ngenxa yokuthi, ngenxa yokuba isikhundla okungalungile phakathi ukuphumula, lumbar imisipha ngeke sisaphumula ngokuphelele. Leli qiniso, esikhundleni salokho, kuvimbela izinqubo nokunciphisa ukuthi kubaluleke kakhulu ukuze kube yokutakula.

ukuphathwa Ikhaya ka esiwohlozayo disc isifo kungase kuhilele ukusetshenziswa ukulibopha kanye infusions. Njengoba isibonelo, iresiphi elandelayo: 1 clove garlic, ne jusi kuthiwa akhuhlwe lokukhuhla wathela ilitha yamanzi abilisiwe. Konke lokhu ligcwele phezu izinsuku 2. ukumnika Ready esithathwayo kathathu ngosuku isipuni.

Ungakhohlwa mayelana zokugeza okwelapha, okungaletha nomthelela obonakalayo yomgogodla lumbar.

Lesi sihloko, njengoba "lumbar disc esiwohlozayo: izimpawu kanye nokwelashwa ngemithi kanye amakhambi abantu", ingaphezu olufanele, njengoba abantu abaningi ba- lesi sifo. Into esemqoka okufanele uyikhumbule wukuthi iyiphi izinyathelo zokwelapha kufanele ungenelwe neseluleko esihambisana udokotela. Kungenjalo, ungase nje kwenze izinto zibe zimbi nakakhulu.