I-Lumbar lumbar syndrome: iimpawu kunye nonyango

Izifo ze-neurological enye yezo zifo zezifo ezidla ngokubangela ukukhubazeka okanye ukukhubazeka kwexeshana. Esinye sezi zifo - i-radicular syine syndrome - ivela rhoqo. Umela ntoni?

Yintoni i-radicular syndrome?

Eli gama lisoloko liqondwa njengezizonke iimpawu eziphuhliswayo ngenxa yesiphumo kwimiphumo yomgca. Ngokuqhelekileyo, ukuphuhliswa kwesi sifo kuholele kwi-osteochondrosis - i-radicular syndrome neyona nto inzima kunokuba yintlungu okanye i-disc. Kukho ukunciphisa i-intervertebral foramen, ekhokelela ekuphambeni kwamagulane okuphuma.

Iimpawu eziphambili zeklinikhi okanye imigaqo ye-radicular syndrome yile:

• Ubuhlungu. Ingqungquthela yintlungu ephazamisayo, ekhuphayo kwindawo yokunyanzeliswa komlenze ovela emthonjeni womthambo, owandisa kwiinyawo, nakwezinye izikhathi nakwamalungu angaphakathi.
• Ukuphazamiseka kwengqondo. Ikhula kwinqanaba leentsholongwane ezikhulayo. Ininzi idla ngokubonakaliswa ngendlela ye-paresthesias (ukuvakalelwa kwee-chills, chills).
• I-Atrophy yezihlunu ezingenasiphelo kunye nokunyanzelisa. Ukuphuhliswa ngenxa yokutshatyalaliswa kwamathambo, kungabonakali kulo okanye kuloo ndawo. Ikhokelela ekubuthakaleni kwamasipha kunye nokulahlekelwa kwemisebenzi yabo.

I-Pathogenesis yesifo

Kwiingcambu zokuphuhliswa kwe-radicular syndrome kukutshatyalaliswa kwikholamu yomqolo. Kwixesha elidlulileyo, kukho ukuchithwa kwamasheya ezondlo eziqulethwe nge-intervertebral cartilage. Izinto ezinokugqithiseleyo zibudala, ubunzima obuninzi, i-adynamia. Ngenxa yoko, okubizwa ngokuba yi-subsidence ye-vertebrae kwenzeka.

Amagulane omgulane avela kwinqanaba le-vertebral nge-intervertebral foramen. Ngenxa yokuba umgudu uyagxotha, le mibobo iyancinci, ekhokelela ekuphunyezweni kwamathambo.

Kwindawo yokunyanzeliswa, ukuvuvukala kwe-aseptic kukhula, ebonakalayo nge-edema yeethambo ezikufutshane. Ukukhukhuka okuqhubekayo kwandisa imeko, ekhokelela ekubandezelekeni kwentlungu. Intlungu isasazeka phezu kweentsimbi eziphumayo, ezinokubangela umonakalo wangaphakathi lomonakalo (umzekelo, i-radicular syndrome ye-thoracic umgudu ingenza umfanekiso we-angina okanye i-myocardial infarction).

Izizathu ezibangela ukuphuhliswa kwesi sifo

Ukongeza kwi-osteochondrosis, ezinye iinkqubo zingakhokelela ekuphuhlisweni kwesi sifo. Phakathi kwazo:

• I-intervertebral hernia. Ngenxa yokugqithwa kwe-cartilage kunye nokukhululwa kwe-nucleus enamaqabunga ngaphaya komqolo wamagxa, imisipha yamanzi iyacinywa.
• Iimpazamo kwisakhiwo kunye nezifo zomgudu. Ininzi idla ngokubangela ukuphuhliswa kwe-radicular syndrome, ukuqala kwasebuncinaneni.
• Ukulimala. Ngokuqhelekileyo, ngenxa yefusion engalunganga yee-appendages ze-vertebral, iingcambu zinyanzeliswe.
• Izifo ezithathelwanayo zomgudu, ezakhokelela ekupheliseni kwethambo kunye nezicubu zomzimba (osteomyelitis).

Ngokuqhelekileyo i-radicular syndrome ikhula kubantu abangapheliyo, abangasebenzi.

Ngamanye amaxesha kunokwenzeka ukuyihlakulela njengomphumo wokusebenza ngokweqile ngokomzimba okanye okubizwa ngokuba yi "backstab".

Kwezinye iimeko, i-radicular syndrome ivela ngenxa ye-hypothermia.

Ezinye iziyobisi zingabangela ukuphuhliswa kwe-radicular syndrome (kodwa kule meko le syndrome iya kuthiwa yi-pseudo-root root).

Ukwahlula

Ngaloo ndlela, akukho luhlu lwe-radicular syndrome. Ngokwemimiselo, iiklinikhi zihlukanisa ngokwahlukileyo kwimihlaba ye-anatomical yomgudu. Ngokwale nkcazo, i-radicular syndrome iyahluka:

• Umlomo wesibeletho.
• Isebe leTrarac.
• Lumbar.

Ummandla we-sacrum kunye ne-coccyx ithinteke kwi-osteochondrosis kunokuba kunqabile, ngoko ke, le mimandla ayifakiwe kwi-classification.

Emva kwezi ziko kukho uluhlu lwe-radicular syndrome ngenxa yobunzima beengxaki (ezinzima kwaye ezingenakunzima).

Ngamanye amaxesha iintlobo ezinjalo ze-radicular syndrome ezifunyenwe kunye nokuzalwa komntwana ziyahlukana (nangona kunjalo, olu luhlu luyinto engabonakaliyo, njengokuba ngokusisigxina i-syndrome ifunyanwa rhoqo).

Phakathi kwazo zonke ezi ntlobo eziqhelekileyo yi-syndrome ye-radicular ye-lumbar spine.

Izizathu zokutshatyalaliswa kweli sebe

Kutheni le ndawo ihlala ichaphazelekayo? Izizathu zokuthi i-lumbar lumbar syndrome ikhula njani:

• Kwinqanaba elingaphantsi ngumthwalo omkhulu. Kulapha ukuba ukwabiwa kwakhona kubakho kwimisebenzi emzimbeni. Ukongeza, i-back back ilayishiwe kunye neekwicandelo ezingaphezulu, njengoko zibanceda ukugcina nokuma.
• Ummandla oqingqiweyo uyakhiwa yi-vertebrae enkulu, eyenza ukuvuleka okwaneleyo. Iinqanawa ezinkulu kunye neepressus ze-nerve zidlula kuwo, ezithinteka lula nje ngenxa yokuphazamiseka komsebenzi wokunyanyiswa kweediski ze-intervertebral.
• I-Radicular syndrome yesithili se-lumbar iphinda ikhule ngenxa yokuba enye yezona ndawo zihamba phambili ze-axial skeleton. Ukugqithisa ngokweqile kwiimpawu ze-amplitude kukhokelela ekuhambeni kwe-vertebrae kunye nomnye kwaye kubangele ukuphuhliswa kwentlungu kunye nokuphazamiseka kwengqondo.

I klinikhi

Ukuba, nangona kunjalo, ngenxa yokuphulwa kwamathambo, kukho i-lumbar syndrome, iimpawu ezingathathi ixesha elide ukulinda.

Uphawu lokuqala nolona luqhelekileyo lubuhlungu. Unomfanekiso wokudubula, ubonakala ngokukhawuleza, ngenxa yesigxina somzimba okanye umonakalo. Ukwanda kwenyameko kwintlungu kuluphawu lwe-osteochondrosis. Kule meko, i-lumbago iya kuphazamisa, kodwa ubukhulu bentlungu ayikho phezulu.

Ukuphazamiseka kobubele kudla ngokuhamba nentlungu. Iphazamiseka ukusuka kwicala apho ukuphulwa kwamathambo kwenzeka. I-Radicular syndrome ye-lumbar esifundeni idla ngokubanzi (kunye ne-osteochondrosis). Ngokuqhelekileyo kuninzi kunciphisa ubunzulu kunye nentlungu. Ngamanye amaxesha kukho i-paresthesia - ephikisayo okanye engafanelekanga.

Ukungasebenzi kwemisipha kunokuhlakulela kwimeko apho ixesha elide kukho i-osteochondrosis ye-lumbar. I-Radicular syndrome iholele ekutheni i-musrophy isrophy, ukulahlekelwa ithuba lokusebenza ngokomzimba, ukunyanzeliswa kwe-force contraction force.

Diagnostics

Ukuxilongwa kwesi sifo kuyimfuneko, kunikwe iimeko ezininzi. Okokuqala, kuyimfuneko ukunyamekela izikhalazo zesigulane, kuba isekweni saloo mva ukuba kunokwenzeka ukwenza iingqiqo malunga nokwenziwa kwenkqubo ye-pathological process.

Ulwazi lweenkcukacha ngexesha loviwo luyakunikwa ngokutyunjwa kwendawo yentlungu-uxinzelelo lwe-muscle lwendawo luya kuvelelwa. Ebonakalayo, umntu unokufumanisa umthamo wesigulane kwicala elibi (ngoko, unokunciphisa intlungu yentlungu).

Uhlalutyo olubanzi lwegazi alufundisi kakuhle - kuphela ukunyuka okwenziwe kwi-leukocytes kuya kugcinwa ngenxa yokuvuvukala okuncinci.

Inzuzo enkulu ekuxilongweni kwe-radicular syndrome yi-MRI ye-lumbar spine. Olu pho nonongo luyakwazi ukubona ukuchithwa kancinci kwentsholongwane kunye nokuchonga ngokuchanekileyo indawo yangaphakathi kwenkqubo. Nangona kunjalo, ubunzima beyona ndlela yokuziphatha kwe- tomography. I-MRI ye- lumbar spine yinkqubo eyona yindleko, ngoko-ke ayikwenziwa ngumntu wonke.

Unyango lwe-radicular syndrome

Yintoni enokuyenza xa esi sifo sikhula? Ngaba ndinokuphathwa kunyango okanye mhlawumbi ndiya esibhedlele?

Nangona kunjalo uhlakulele i-radicular lumbar syndrome, unyango kufuneka luqale ngokukhawuleza kwaye ngokukhethekileyo esibhedlele.

Njengawo nawuphi na unyango lwezifo ze-musculoskelet system, oku kufuneka kuqulethe iindlela ezingezizo iziyobisi, unyango lweziyobisi kunye nokungenelela okutyathwayo.

Ukuba iimpawu zesifo asinayo impembelelo ebalulekileyo kwimisebenzi ebalulekileyo, iindlela eziqhelekileyo zinokukunceda - ukutya okunomsoco, ukuphepha kokuzikhandla ngokomzimba, ukuhlambalalisa, ukuhlamba okuhlambekileyo okuhlamba.

Nangona kunjalo uqala ukuphazamisa i-lumbar syndrome, unyango kumazinga okuqala kufuneka lubandakanye ukusetyenziswa kwezidakamizwa ezingekho-steroidal ezichasayo ("Nimesulide", "Diclofenac") ngaphakathi okanye nge-intramuscularly. Ukuba ubuhlungu obukhulu buqala ukuphazanyiswa, ukusetyenziswa kwe-blockades ye-intervertebral kukucetyiswa. Ukuba imeko ibuhlungu, kuyacetyiswa ukuba udibanise neurologist okanye i-neurosurgeon ukufumanisa iinkqubo zonyango ezongezelelweyo.

Physiotherapy unyango

Ngokweengxaki ezininzi zeengxaki, izifo ze-neurologists kunye ne-physiotherapists, ezinye izifo zesistim se-musculoskelet zingaphiliswa ngoncedo lweenkqubo ze-physiotherapy.

Ukuphelisa i-radicular syndrome, i-electrophoresis, i-curropulse currents is often used.

I-Electrophoresis ngamachiza athile avumela ukufikelela kwimiphumo enjengale:

• Ukususwa kwenkqubo evuthayo.
• Ukupheliswa kweentlungu zesifo.
• Ukuphucula imetabolism kwiingcambu ezichaphazelekayo.
• Ukubuyiselwa kwe-trophism yezihlunu ezichaphazelekayo kunye namalungu.

Ukusetyenziswa kwe-EIT (i-electropulse therapy) ijoliswe ekuphumuleni kwemizimba exininisekile, ukuphucula ukondla kwezicubu ezithintekayo, i-tonic esebenzayo.

Ukongeza kwiindlela zokudlala, ukusetyenziswa kwi-echibini okanye kwiiseshoni zokuzilolonga kwe-physiotherapy nazo zincedo.

Unyango lwe-lumbar spine unokwenziwa ngoncedo lweeseshoni zokwenza i-acupuncture kunye neengcebiso zonyango. Ezi ndlela azisebenzisi ngokubanzi kwiyeza eziqhelekileyo, kodwa zinceda inani elikhulu labantu.

Unyango oluphandwayo

Into ebalulekileyo ephawulekayo kwi-radicular syndrome yimpawu. Unyango kwisibhedlele esibhedlele sinconywa xa baqala ukufumana isicatshulwa esisongelayo.

Izikhokelo eziphambili zokungenelela ngophando:

• Isifo sosizi olunzulu, esingalawulwa yi-NSAID kunye nee-analgesics ze-narcotic.
• Ukuphulwa komsebenzi wesilungu kunye nokulahleka okupheleleyo kweentshukumo ezihambayo.
• Utshintsho olungenakuguquka kwiimpahla ze-osteochondral, ezikhokelela ekuncintiseni.
• Iprovinthbral hernia enzima.
• Ukuphelisa ukulahlekelwa kwesisindo somzimba.

Ukusebenza kwenziwa kwiibhedlele ezizodwa. Ngaphantsi kwe-anesthesia, ukufikelela kokusebenza kwisiza sokuxinwa kweengcambu kuyadalwa, iinqununu zentsholongwane ezithintela indawo eqhelekileyo yomgudu zisuswe. Nge-hernia, ukuxhamla kwendawo evezekileyo kwenziwa. Okwangoku, kunye nesifo seengcambu ze-hernial, i-nucleoplasty iyasetyenziswa ngokuphindaphindiweyo-ukulungiswa okanye ukuchithwa kwidiski eyahluleka ukufikelela.

Iingxaki zesifo

Njengoko kwathiwa, unyango olungalindelekanga lwe-lumbar spine lungakhokelela kwezinye izifo. Ngokomzekelo, iingxaki eziphambili zi nokuba:

• Lame. Ukuphuhliswa ngenxa yokunyanzelwa komzimba. Emva koko, kunokukhokelela kwiinyawo ezicwangcisiweyo kunye nokunyuka kwesifo (ingqungquthela engqongqo).
• Izifo zengqondo. Ubuhlungu obukhulu emilenzeni nasemva akuyi kuphumla imini nobusuku. Ngokuchasene nemvelaphi yokusebenza ngokweqile kunokuvelisa i-neuroses kunye neengqondo.
• Ankylosis kunye nokudibanisa kwamalungu. Isizathu sokuphuhliswa kwazo kwakhona sihlala ixesha elide kwindawo ethile kunye nomsebenzi omncinci.
• Kwiimeko ezinzima, umonakalo wesondlo ungakhokelela ekuphelelweni okupheleleyo kwamalungu.
• Ukuqala kokuvuvukala kungaphinda kuhlaziywe kwintambo yomthambo, kubangele umfanekiso we-meningism, intambo yomgogodla, okanye ukwanda kwenkqubo kwezinye iingcambu.

Ukuthintela izifo

Ukuze ukhusele ukuphuhliswa kwe-radicular syndrome, kufuneka ukhumbule imithetho embalwa elula:

• Ukusetyenziswa kwansuku zonke. Unceda ukwelula izihlunu, ubazise ithowuni.
• Ukulawula ubunzima obuninzi. Njengoko kwathiwa, yinto ebangela ukuqhubela phambili isikolo sesifo.
• Iiseshoni zokuxilisa iprophylactic. Baya kunceda ekufudumeni kweemisipha kunye nama-vertebral joints, ukuthintela ukufuduka kwe-vertebrae, kunye nokukhusela i-disvertebral disc ukuba ingawa phantsi kombhede wayo.
• Isondlo esifanelekileyo. Esinye seziganeko ekuphuhliseni i-osteochondrosis yinciphisa umxholo wezondlo kwiisisiti zomzimba. Ukutya okubhaliweyo ngokufanelekileyo kukuvumela ukuba umise ukuhamba kweenkqubo.
• Ukuhlamba. Ivumela ukunciphisa umthwalo kumasebe omqolo, ngokukhawuleza kuholele kwi tonus zonke imisipha.
• Ukunikezelwa okusemgangathweni komsebenzi kunye nokuzonwabisa. Lo mgaqo ugweba ukukhathala nokulimala ngexesha lomsebenzi.