Buze of empontshwa lomqolo. Unyango lwe Buze ye empontshwa

Buze compact intervertebral, iimpawu, unyango oluya kuchazwa kamva kweli nqaku, i imeko luphawulwa ewayo izinto ngaphandle amakhonkco ukuyila ezinezikhondo. Ukuhlukunyezwa asithathwa sisifo esahlukileyo. Buze - enye amanqanaba osteoarthritis, kwaye kananjalo ingqalelo ziingcali njengenyathelo lokuqala wokusungula Ithemba kwi intervertebral disc. Emva koko, thatha sihlolisise le meko. ingqalelo eyodwa iza kuhlawulwa Buze yomqolo lumbosacral.

Iziganeko

Ngokutsho manani, a Buze luphuhlisa ngaphezu kwesiqingatha abantu abangaphezu kweminyaka iminyaka emashumi mane. Ezingaqhelekanga kakhulu eqhelekileyo ibanjiwe kumadoda. Kuba iqela engundoqo umngcipheko ibandakanya abantu abanenxaxheba yezandla, kwakunye phambili nobomi opholileyo obudibene umsebenzi omdala. Izigulane e Buze ebudaleni, ngokunxulumene nophuhliso lweenkqubo sisiba mandundu, ngokufuthi bawaphikise imbonakalo Ithemba intervertebral.

kwasendaweni

Eyona amathuba kuthathwa ukuba iinkalo ezimbini umzimba. Kukho Buze of intervertebral disc empontshwa. Okwangoku izinto ezintlanu ingxenye (L1-L5). Malunga ne 80% amatyala - a Buze compact empontshwa L4-L5, kwaye kananjalo L5-S1. Le yokugqibela i element umda. Xa ezisixhenxe omqolo ukungaqheleki wesibeleko ibanjiwe kwi C3-C4 kunye C4-C5. Kwezinye izinto ukwenzakala zifumaneka kakhulu alufane. Njengoko kuba thoracic, apha waphula ukuphuhlisa phakathi D5 kunye D6-D6-D7 omqolo.

Izinto ezibangela izifo

Ziliqela izizathu ebangela uphuhliso utshintsho sisiba mandundu kwi lo msesane ezinezikhondo yaye kwasekwa pulposus disk. Ezi nkqubo ifuthe kwi izinto isakhiwo. Oku kunciphisa luthambe kwaye kubi nokwakheka qualitative. Ngenxa hyaline intlala banxibe kwenzeka idiskhi flattening ngokunxulumene noko kwenzeka ntoni ngaphaya Buze ongundoqo annulus fibrosus lo gama kugcinwe ingqibelelo yayo. Ezi nkqubo isenokuba ngenxa:

• Ezimbi kwenkqubo musculoskeletal wendalo naso (umz ebantwaneni).
• Kwamathambo.
• Nemivumbo, amaqhuma kunye nezinye umonakalo.
• Utshintsho IiCD intervertebral nje umlinganiswa.
• imbali yosapho.
• Kyphosis, zokufota.
• Imposiso yenkqubo dystrophy.

Njengoko izinto ezibangela Buze yomqolo lumbosacral ukuze kuchazwe:

• ukuphazamiseka nethe.
• Ukuba utyebile, ukudla.
• Hypodynamia (ukuhamba sezantsi).
• Ezininzi ezimbi esosulelayo.
• microtrauma Chronic.
• umzimba kakhulu.
• Pathology kweenkqubo luvo yonyango.

ngezigaba

Lunamaqoqo zihlukaniswe ngokungqinelana uhlobo lunamaqoqo ngumongo. Ngokukodwa, ezi ndidi zilandelayo:

• ISetyhula. Kule meko kukho inxalenye equmbile disc ngeenxa ngokufanayo. izifo yezifo ngokufuthi evusa a iingcambu luvo pinched. Oku lubonakala ikhondo esinganyangekiyo.
• Ehlasela. Kulo mzekelo, i Buze lazo, enye nangapha. Xa Buze ehlasela ngayo empontshwa umqolo laziwa impumelelo khonkcweni ezinezikhondo. Xa engekho unyango olwaneleyo kwaye ngexesha imeko esongela ukukhubazeka.

Kuxhomekeka indlela apho Buze lwe disk kwenzeka, loo Buze iintlobo ekwanti ngolu hlobo:

• Side. Kulo mzekelo, kukho Buze kwi ekunene okanye ekhohlo ikholam spinal. Amaninzi kuphakamisa ucinezelo kwemithambo yegazi kunye luvo. Ngelo isanda urhulumente akufuneki ukuba akhatshwe naziphi na iimpawu.
• Central. Kulo mzekelo, intervertebral idiskhi Buze kwenzeka kwicala umnqonqo. Ingozi iphambili yale sifo ithuba zoqhagamshelwano ngeengcambu zawo.
• Posterolateral. Kulo mzekelo, i lokuqala disc bulges ngasemva, ngoko nasemacaleni kuthelekiswa kwalapho. Le meko kufuneka ikhatshwe iimpawu kakhulu.
• Ngasemva. Kulo mzekelo, i diski iphumele uMqoshelisi. Imeko ekhatshwa ubuhlungu obukhulu ubonelelo luvo othile ngokwamalungu isinqe okanye isifuba (kuxhomekeka kwindawo wokwenzakala).

picture clinical

Kuxhomekeka zalapha ekhaya kwabo Buze release disc:

• kwalapho empontshwa.
• indawo Chest.
• kwalapho wesibeleko.

Iimpawu zokuphula kwingingqi thoracic:

• Kwindawo efakwe emhlane ongaphantsi ezimbanjeni.
• Ukuntlontlozela esibindini nentliziyo.
• izihlunu ubuthathaka cofa.
• Ubuhlungu esifubeni okanye igxalaba ngamaphiko.

njani a Buze spine empontshwa? Iimpawu zale meko:

• Uthintelo intshukumo ngasemva.
• Ukuluma, ndindisholo neentlungu.
• Wadutyulwa emlenzeni.
• Ukwenziwa buthathaka kweqondo asezantsi.
• Ukunwenwa ubuhlungu iminwe ezinyaweni, imilenze, emathangeni.
• Disorder of novakalelo amalungu zangasese.

Iimpawu Buze yomqolo wesibeleko:

• Mnyama amehlo, ukuba nesiyezi.
• Efakwe kule ndawo zentloko kunye nentamo.
• Ndindisholo phezu kwesebe eliphezulu.
• entanyeni ukuhamba tight.
• Ukusasazwa intlungu egxalabeni ndawo, iminwe kunye esihlahleni.
• Ubuthathaka nemilenze eliphezulu.

Iimpawu Common leengxaki

obubonakala Okokuqala ukuphazamiseka ze isigulane yayindikhathaza efakwe kwi imvelaphi ngokwandisa umsebenzi emzimbeni, ahlale kwindawo kugula ixesha elide. Ngexesha lokuqala imbonakalo Buze lumbosacral umqolo okanye ezinye ithambeka vertebral wayo kunye (sciatica, lumbago, umzekelo) kunye radicular (nemithambo ucinezelo) okuboniswayo. Ekuhambeni kwe ukuqhubela likarhulumente intlungu liba obukhulu ngakumbi, ukufumana ayeqaqanjelwa, yanking ubhalo zingavela ngohlobo lumbago kwi iintshukumo ezibukhali okanye xa ukhohlela. Xa uthinte okanye Ngokucofa ezonakeleyo kwindawo ephawulwe nokwandiswa iintlungu, ngokufuthi ngokunikela up. Kancane buthathaka kwezihlunu, a angakwazi kumakishwa.

izigaba ukubunjwa

Ukuba kwakungekho Akukho xesha baphathwa Buze spinal of empontshwa ngezifo luqhubeka ngokukhawuleza. Obubonakala amabakala ezintathu:

• Yokuphazamiseka ukusebenza kernel. Kulo mzekelo, oku ekuqaleni ukutshintsha. Kukho ukuthotywa chu imicu ye ring ezinezikhondo ukwenza neentanda kulo.
• Buze elakha mgama omfutshane. Lenza ngaphaya ngohlangothi ring ezinezikhondo kunye ukulondolozwa ingqibelelo yayo kwaye milimitha ngaphezulu kwesithathu.
• Ngokubhekele phaya equmbile nucleus. Le nkqubo sikhatshwa ucinezelo lwe disk kufutshane imithambo yegazi, iintlungu luvo ingcambu, lumbago. Kweli nqanaba, kukho umsantsa kaninzi kwenzeka anulus. Ngenxa yoko prolapse (Ithemba) kwi intervertebral disc.

imiphumela

Unyango Buze spine empontshwa kufuneka wenziwe ngokukhawuleza kwaye ngobuchule. Kungenjalo, amathuba iingxaki. Ngokukodwa, oko kube kakhulu kuphela nokushukumisa umva okanye entanyeni, nokuphazamiseka ugobile komzimba yomqolo. Kule nkalo, oko ephuhlisa kyphosis okanye lordosis. Bomzimba unako ukuthenga esingapheliyo esisigxina. Oku, kunciphisa kakhulu umthamo womntu. Kwanele uthathwa kwingxaki kakhulu prolapse (Ithemba) kunye epheleleyo ukutshabalala disk. Kule meko kufuneka uqhaqho. Ukuba sebenziso alwenziwanga luqhutywa kwexesha, abantu kuhlala abakhubazekileyo. Xa Buze lumbosacral indawo basengozini enkulu yokuba ucinezelo beengcambu-luvo kwi isinqe ( "nomsila zehashe" syndrome). Oku, kungakhokelela ukuphazamiseka uvakalelo koogunyaziwe zone, imbonakalo kweenkqubo arhabaxa.

ekuxilongweni

Iindlela eziphambili zophando ziquka:

• Ukuhlolwa kunye novavanyo lwamimandla nobuntununtunu izitho umva, ukusetyenziswa motor kunye neemvavanyo luvo.
• Ray.
• Ukuqokelela imbali yezonyango, kuquka nentsapho.
• CT okanye MRI. Ezi zifundo zibonisa iqondo yoma le imicu kwezihlunu nokujongisisa imeko iimpahla.
• Electromyography. Le nkqubo isetyenziswa ukuhlola neengcambu ucinezelo.
• Zokuhlatywa cerebrospinal fluid (kwiimeko ezizodwa).

Xa uphethwe umahluko kuyimfuneko ukuba siphephe izifo ezifana nesifo sephepha ithambo, ankylosing spondylitis, ukuphazamiseka yegazi kwezinye imithambo, Oncology.

Unyango lwe Buze ye empontshwa

Ukukhetha amanyathelo ezintsonkothileyo zonyango baxhomekeke kakhulu kwinkqubo ukusebenza. Ngamanye amazwi, le ekumiseni ixabiso xa unyango na mgama apho intervertebral disc wayeka. Ukuba ukuya ku-4 mm (for ingxenye wesibeleko elingekho ngaphezulu kwe-1 mm), bonke ukhuko therapy ekucetyiswa kunye neemeko zokubhala. iindlela Conservative zijoliswe kule ntlungu, ekupheliseni nokudumba, komtshiso oko. Unyango uphucula kwegazi, sizani spasm imithambo kwaye ubuyisele umsebenzi kwezihlunu. Ukuza kuthi ga ngoku, amachiza zilandelayo:

• NSAIDs. Ezi ziquka, ingakumbi, kuquka amayeza afana "Ksefokam", "Ortofen", "Ketoprofen", "Indomethacin", "naproxen", "Movalis" kunye nabanye.
• relaxants kwezihlunu. Olu didi lubandakanya izixhobo ezifana "Diazepam", "Metaksalon", "Mydocalm", "orfenadrin". Ngoxa ukuphelisa spasm kwezihlunu kwiimeko ezininzi, ngokuphawulekayo kunciphise amandla intlungu.
• Glucocorticosteroids. La machiza aquka "Methylprednisolone," "Flosteron", "Diprospan". Olu didi imithi ezisetyenziselwa kwawo of NSAIDs kunye relaxants kwezihlunu nje unyango lodidi lwesibini. Kucingwa indlela isebenzayo ngokuzisa iziyobisi zibe inyama ithambile.
• Kwakhona kucetyiswa hondroprotektory ( "Aflutop", "Struktum", njalo njalo), iziyobisi ukuphucula kwegazi ( "Aktovegil", "Trental").