Mgbaàmà na ọgwụgwọ nke diski herniated nke spine lumbar

Herniated disc nke lumbar spain - bulging nke intervertebral diski n'èzí akụkụ vertebral na mpaghara lumbar. Ọnọdụ: L3-L4, ọtụtụ mgbe L4-L5 na L5-S1 (n'etiti ise nke ise na nke mbụ sacral vertebrae). Achọpụtara ya dabere na akụkọ ahụike, mgbaàmà ahụike, na nchọpụta CT ma ọ bụ MRI. N'ime usoro ọgwụgwọ, maka mma, ịkọ ihe karịrị 5-6 mm karịrị annulus fibrosus na-akpọkarị hernia, obere mgbatị.

Hernia nkebi

Mbido nke hernia na-aga n'ọtụtụ usoro:

1. Ndalata bụ mgbanwe n’okpuru mmetụta nke ihe mpụga na ọnọdụ physiological nke diski ahụ, na mkpochapụ nke eweghachitere ya.
2. Protrusion - diski ahụ anaghị agabiga ókè ọnọdụ nke akụkụ ahụ vertebral, mana ọ gbanwere ọnọdụ ya n'ụzọ siri ike.
3. Extrusion - nucleus pulposus gbatịkwuru akụkụ ahụ vertebral.
4. Sequestration - ụzọ ọpụpụ nke pulp gaa n'èzí.

Ọ bụrụ na mkpịsị akwụkwọ nke hernia na-abanye n'ime ahụ nke vertebra dị elu ma ọ bụ nke dị ala, a na-akpọ mgbanwe nhụjuanya ahụ Schmorl's hernia.

Ọdịdị nke hernia na ụdị nke vertebrae. © rh2010 - stock.adobe.com

Ihe kpatara na mgbaàmà

Ihe ndị na-akpatakarị ọrịa hernia gụnyere:

• Mmebi nke trophism na mmepe nke mgbanwe degenerative na mpaghara nke intervertebral diski, n'ihi:
  • obere mmega ahụ;
  • buru oke ibu n'ihi oke ibu;
  • usoro dysmetabolic (ankylosing spondylitis);
  • ọrịa na-efe efe (ụkwara nta);
  • ezighi ezi nkesa ibu na spain n'ihi:
    • osteochondrosis;
    • Ihe ọghọm ọrụ (ịkwọ ụgbọala mgbe niile);
    • mmepe anomalies nke spain ma ọ bụ nkwonkwo hip;
    • nweta curvature (scoliosis);
• Nnukwu nchegbu na spain:
  • ebuli ibu na ọnọdụ iru ala;
  • trauma.

A na-egosipụta ọrịa ahụ site na lumbodynia, nke na mbido ya bụ ọdịdị na-esighị ike na ọrịa vertebral (mgbanwe mgbatị akwara asymmetric nke na -emepụta ọnọdụ dị mma maka mmepe nke scoliosis).

O nwere ike gbagwojuru anya:

• Ọrịa mgbu siri ike, nke ndị na-egbu mgbu na-achịkwa.
• Radiculopathy (radicular syndrome ma ọ bụ lumboischialgia), tinyere ihe mgbagwoju anya nke mgbanwe ụkwụ na ụkwụ:
  • mbelata ma ọ bụ mgbanwe ngbanwe nke anụ ahụ (paresthesias);
  • hypotrophy na adịghị ike ahụ ike.
• Myelopathy, nke e ji:
  • mkpochapu nke ntụgharị tendon na mmepe nke flares flaresis na ụkwụ;
  • ọgba aghara na ọrụ nke akụkụ pelvic (nsogbu urination na / ma ọ bụ nsị, nrụrụ erectile, ikpochapu libido, ọdịdị nke frigidity).

Nsogbu ndị a kọwara n’elu bụ ihe na-egosi ọgwụgwọ ịwa ahụ. Ihe ngosi nke ihe mgbaàmà nke discoye myelopathy bụ ihe ndabere maka idozi nsogbu nke ịwa ahụ mberede (ọnụahịa dị oke elu na nsonaazụ ya nwere ike ịbụ ọdachi maka ahụike).

Nke dọkịta na-emeso

Onye na-agwọ ọrịa akwara (neuropathologist) na-agwọ hainia. Onye ọ bụla dibịa ọ bụla, na-enyo enyo na ọrịa a, ga-ahapụrịrị onye ọrịa ahụ na onye na-agwọ ọrịa maka ndụmọdụ, onye, ​​dabere na foto ahụike nke ọrịa ahụ, nsonaazụ nke ọgwụ ọgwụ na data MRI, nwere ike ịkọwa ndụmọdụ nke onye na-ahụ maka nyocha iji dozie nsogbu nke mkpa ọgwụgwọ.

MRI. Les Olesia Bilkei - stock.adobe.com

Usoro ọgwụgwọ

Ọgwụ Hernia nwere ike ịbụ mgbanwe ma rụọ ọrụ. Dabere na usoro a họọrọ, ọgwụgwọ na-abụghị nke ịwa ahụ nwere ike ịbụ ọgwụ, physiotherapy, ntuziaka ma ọ bụ ịwa ahụ.

Ọgwụgwọ akwụkwọ ntuziaka

Usoro nke ntuziaka "Mbelata" nke diski. Ogologo oge oge bụ usoro 10-15 kwa ụbọchị 2.

Lis glisic_albina - stock.adobe.com

Ọgwụ

A na-eji ọgwụ ndị a maka ọgwụgwọ ọgwụ:

• NSAIDs (ọgwụ ndị na-adịghị egbochi ọgwụ na-egbu egbu n'ụdị mmanụ ma ọ bụ mbadamba - Diclofenac, Movalis); eji ego eme ihe iji belata mgbaàmà nke mgbu.
• ndị na-eme ka ahụ ike dị n'etiti (Midocalm, Sirdalud); ọgwụ ndị ahụ na-akwalite izu ike dị nro nke mọzụlụ na-enwe mgbakasị ahụ sitere na sel akwara metụtara usoro ọgwụgwọ.
• glucocorticoids (Diprospan, Dexamethasone); ọgwụ na-akwụsị mbufụt, na-enye mmetụta analgesic na-enweghị isi.
• mgbochi paravertebral novocaine, eji mee ihe n'ụzọ dị irè igbochi ọrịa mgbu na-esiri ike ịgwọ na NSAIDs;
• ndị chondroprotectors na nkwadebe na hyaluronic acid (Alflutop, Teraflex, Karipain, Rumalon); pụtara inwe mmetụta dị egwu na anụ ahụ cartilage, na-eme ka ọ dịghachi ọhụrụ.
• B vitamin (nyere aka na mweghachi nke anụ ahụ ụjọ na akpati akwara).

Ahụ ike

Usoro ọgwụgwọ a gụnyere:

• traction (na-ebelata ibu na disks intervertebral);
• acupuncture (ntụpọ ntụpọ); Usoro a na-adabere na ntụgharị uche na-arịwanye elu na oke nke ọrịa muscle-tonic;
• phonophoresis na electrophoresis (ụzọ na-atụnye ụtụ n'uba ọgwụ na abawanye na mpaghara ahụ metụtara, nhọrọ ego ga-anọgide na dọkịta na-aga);
• Mmega mmega ahụ (eji mepụta akwara akwara site na mọzụlụ autochthonous nke azụ, emebere iji mee ka ọkpụkpụ azụ kwadoo ma budata ya);
• ịhịa aka n'ahụ (iji dozie ụda anụ ahụ).

DedMityay - stock.adobe.com

Ọrụ

N'ọnọdụ ebe ọgwụgwọ na-enweghị ọgwụgwọ enyeghị nsonaazụ a na-atụ anya ya, ma ọ bụ diski a na-eri eri amalitela ma nye nsogbu dị egwu, a na-egosipụta ọgwụgwọ ịwa ahụ, na-ekewapụta nkewa n'ime:

1. puncture laser valorization (na-enye maka mwepụ nke mmiri si na nkwarụ pulp iji mee ka ike nke diski intervertebral dịkwuo elu ma gbochie mmụba ọzọ na ntanye);
2. ọgwụgwọ electrothermal (ọrụ ndị yiri laser valorization);
3. microdiscectomy (rụrụ mgbe hernia size bụ ihe na-erughị 6 mm);
4. discectomy (mwepụ zuru ezu nke hernia);
5. laminectomy (ịwa ahụ ịwa ahụ nke canal spinal, ịwa ahụ na nkà na ụzụ, nke a na-eji oge mgbake ogologo);
6. ntinye nke B-Twin-implants (a na-arụ ọrụ ahụ mgbe discectomy gachara iji kwado ezigbo anya intervertebral ma mee ka spain guzosie ike).

Ọtụtụ mgbe, na usoro mgbanwe, ndị ọkachamara na-anwa ijikọ usoro ọgwụgwọ na usoro mmega ahụ yana ERT. Ebumnuche nke ọgwụgwọ bụ iji budata ọkpụkpụ azụ site na iwusi corset muscular na akwara miri emi nke azụ.

Ihe isi ike nwere ike ibilite n'ime ụmụ nwanyị n'oge ime ime n'ihi nkwenye na iji ọtụtụ ọgwụ na usoro.

Omenala ogwu

Ha na-adabere na ntughari uche na mpaghara ndị emetụtara n'oge oge mgbagha.

A na-eji ha n'ụdị compresses ejikere 96% mmanya ọgwụ:

Methodszọ usoro mmega ahụ

Oge mmega ahụ si na minit 10 ruo ọkara elekere. Ezubere maka iji ụlọ. Ọnọdụ mbụ na-edina na azụ gị. Ekwesịrị itinye ihe nhichapụ n'okpuru mpaghara lumbar. A na-ejikwa ọnọdụ dị nfe ma ọ bụ n'akụkụ.

Ekwesiri icheta na mgbe ị na-eme mmega ahụ, mmegharị na-eme nke ọma, na mgbatị ahụ kwesịrị iweta mmetụta nke nkasi obi.

L Jacob Lund - stock.adobe.com. Jiri mgbagharị na-emega ahụ n'okpuru azụ gị.

Gymnastic mgbagwoju anya na ọnọdụ ụgha:

• Ogwe aka dị n'akụkụ ahụ. A na-eme ume na ume. Mgbe ị na-ekuru ume, ogwe aka na ụkwụ gbatịa n'ebe onwe ha nọ, mgbe ha na-eku ume, ogwe aka ahụ laghachiri n'ọnọdụ mbụ ha, ụkwụ na-ezu ike.

• Otu ụzọ ahụ. Isi na-atụgharị aka ekpe na aka nri, na-agbatị na etiti. Otutu oge isi na-atụgharị aka ekpe, na ọnụ ọgụgụ abụọ na etiti, na ọnụ ọgụgụ atọ n'aka nri, na-agụ nke anọ ọzọ na etiti.

• Isi na-ehulata n'obi, sọks na-eche onwe ya, na ọnụ ọgụgụ nke mmadụ abụọ, isi dị na ute, ụkwụ na-ezu ike.

• Aka na-agbanye aka, ụkwụ dịtụ iche. A na-eji mmegharị okirikiri ejiri aka na ụkwụ rụọ ọrụ ugboro anọ na mpụga.

• Aka n’ubu gị. Mgbagharị okirikiri na nkwonkwo ubu, 4 n'ihu na azụ.

• Kwụ aka nri gbagọrọ agbagọ na ikpere na ọnụ ọgụgụ nke 2 na-etinye ya n'akụkụ, na ọnụ ọgụgụ nke 3 ọ na-ehulata ọzọ na ikpere, na ọnụ ọgụgụ nke 4 ọnọdụ mbido. A na-emeghachi otu ihe ahụ na ụkwụ aka ekpe.

• A na-eweghachi aka nri aka nri na ụkwụ aka ekpe n'otu oge n'akụkụ n'akụkụ. Otu ihe a ka emegharịrị na akụkụ ụkwụ ndị ọzọ.

• Footkwụ na-agbatị onwe ya, na-agbatị ịgbatị azụ ụkwụ.

• Aka aka, ahụ gbadoro ikpere ụkwụ. Akwara afọ ahụ dị njọ.

• Aka n'azụ isi, ụkwụ. Isi ozu na-ebili, ụkwụ anaghị abịa n'ala.

Na nhazigharị, usoro ọgwụgwọ maka ndị dọkịta agbasawo: Sergei Bubnovsky na Valentin Dikul.

Usoro V. Dikul

Usoro nke Valentin Dikul dabere na ịgbatị agbatị na ike dị ike nke akwara azụ dị ka mmemme nke onye ọ bụla na-eji ngwa nrụzigharị pụrụ iche emere iji mepụta akwara nke gị iji mesie nsogbu nsogbu ike. Ihe na-esi na usoro a pụta bụ mgbazi nke scoliosis, kyphosis, kyphoscoliosis nke dịgasị iche.

Mmega na a na-agbanwe bandeeji dị ka a ọzọ mfe atụmatụ nwere ike rụrụ n'ụlọ, ebe a anyị ga-atụle ụfọdụ nke ga-ekwe omume. Malite nguzo ọtọ.

• Mee bends na ogologo azụ. Arekwụ dị ntakịrị karịa ubu, bandeeji dị n'okpuru ụkwụ, njedebe ya dịkwa n'aka n'azụ isi, ogwe aka gbagọrọ agbagọ, ikpere aka dị n'akụkụ. Ọ dị mma ịgbatị ahụ, ka ị na-ahapụ ụkwụ kwụ ọtọ, a na-ewepụ bandeeji. Laghachi na ọnọdụ mmalite.

• Omume na-esote: Welie aka gị n'akụkụ. Kwụ ụkwụ ugbu a obosara kewaa, bandeeji n'okpuru ụkwụ, na njedebe ya n'aka. N'otu oge bulie ogologo ogwe aka elu site n'akụkụ ruo ubu larịị.

• Na mmega ikpeazụ: ịgwakọta aka. Kwụ abụọ ahụ dị obosara na ubu, ogwe aka dị ntakịrị na ikpere aka, bandeeji gafere site na ogwe aka nke elu ma dinara na ubu ubu. Weta aka gị n'ihu obi gị ma laghachi n'ọnọdụ mbido.

A na-eme ihe omume niile 10 ruo 20 ugboro, dabere na ọnọdụ ahụ, ọ dị mkpa ịkpọtụrụ dọkịta.

Mgbagwoju anya nke omume site n’aka S. Bubnovsky

Mgbatị birch

Usoro ntụgharị usoro

Usoro maka mmega "Frog"

Egwuregwu na hernia nke spine lumbar

Site na hernia a chọpụtara, a ga-ezere ihe ndị a:

• ibu axial na spain;
• ujo ujo (nzọụkwụ aerobics, ịwụ elu);
• na-eme weightlifting.

Omume maka diski a na-amị azụ nke spine lumbar bara uru:

• igwu mmiri (na mgbagha, ka mma - a iri ari);
• Pilates usoro mmezi (ihe dika 500);
• ọzụzụ ahụike ọgwụgwọ;
• klaasị fitball;
• ihe ndọtị n'elu ogwe ahụ ọtọ (maka ụmụ nwoke).

Mgbochi

Dabere na:

1. Controlchịkwa ibu nke anụ ahụ iji belata ibu na disks intervertebral, karịsịa na mpaghara lumbosacral na lumbar.
2. Mwepu nke hypodynamia, hypothermia nke ala azụ na ibu ogologo oge (na-arụ ọrụ n'ọnọdụ ọdụ - ebe a n'ụzọ zuru ezu banyere ihe ize ndụ nke ibi ndụ ịnọ otu ebe).
3. Iji mpempe akwụkwọ mpempe akwụkwọ pụrụ iche.
4. Yiri orthopedic braces na corsets na-enyere mpaghara lumbar aka.
5. Mmega mmega. Ihe omume a bu iji wusi akwara nke azu ma ndi nkuzi choputara ya.
6. Agwọ ije. Kwesịrị iji nwayọ na-agagharị site na ikiri ụkwụ ruo n'ụkwụ.
7. Izere nchegbu na mberede na spain; mmeghari kwesiri idi ka odi ka o kwere mee.
8. Iri nri juputara na vitamin B na ihe nketa cartilage.

Lelee vidiyo ahụ: Best Exercise for L4-L5 Disc Bulge u0026 L4-L5 Herniation- Includes Self Tests (November 2024).