Anthu omwe ali ndi zaka 35, nthawi zambiri amakumana ndi vuto ngati ululu waukulu m'munsi. Radiculitis m'dera la lumbosacral mwamsanga imakhala ndi mawonekedwe osatha ndi kubwereza mobwerezabwereza. Kuchiza matenda kwathunthu ndi kovuta, koma nkotheka kuthetsa ndikuyimitsa.
Kodi sciatica ya msana wa lumbosacral ndi chiyani?
Zomwe zimagwiritsidwa ntchito ndizizindikiro za mchitidwe wamanjenje, womwe umasinthidwa ndi ubongo. Ngati pali vuto lililonse, munthu amamva ululu. Radiculitis wa dera la lumbar ndi chifukwa cha kufinya kapena kupotoza mizu ya mitsempha yomwe ili kumunsi kwa msana. Chifukwa cha kuwonongeka kowonongeka, amatha kutentha, zomwe zimapangitsa kuti pakhale kusiyana kwakukulu ndi kusinthasintha kwa msana.
Discogenic lumbosacral radiculitis
Mtundu uwu wa matendawa umatchedwanso spondylogic, umayambira kumbuyo kwa kusintha kosasintha kwazomwe zimayambira. Lumbosacral radiculitis imayamba ndi kupatulira, imfa ya elasticity, abrasion wa intervertebral discs. Pamene makina awo amatha kugwedezeka kwathunthu, phokoso lokhala ngati gelisi limaloŵa m'malo opanda ufulu. Zimakwiyitsa mizu ya mitsempha ya msana m'dera la lumbosacral, yomwe imayambitsa radiculitis. Pakupita patsogolo kwa chiwongolero ndi nthendayi, kuvutika kwa matendawa ndi kuvutika kwa matenda opweteka kumawonjezeka.
Vertebrogenic lumbosacral radiculitis
Matendawa amatchulidwa kawirikawiri ndi chizindikiro cha matenda ena otsekula. Matenda a vertebrogenic lumbosacral radiculitis amaphatikizapo osteochondrosis ndi kukula kwa mafupa a osteophyte. Mitsempha ya mitsempha ya mitsempha imayamba chifukwa cha mavuto omwe amachititsa kuti thupi liziyenda bwino. Radiculitis yotereyi ikhoza kuphatikizidwa ndi kutulutsidwa kwa ma disk ku lumbosacral dera. M'mayeserowa, matenda ophatikizana amapezeka.
Lumbar sciatica - zizindikiro
Chiwonetsero chachikulu cha matenda a vutoli amatchedwa matenda opweteka. Lumbosacral sciatica ikutsatiridwa ndi mitundu yosiyanasiyana ya zowawa zosangalatsa:
- lumbago (litumbulgia, "chipinda") - m'munsi wa kumbuyo;
- sciatica (ischialgia) - mu ntchafu, ng'ombe, mchenga wapansi kapena phazi;
- lumbosciatica - m'madera onsewa.
Chifukwa cha ululu, zizindikiro zotsatirazi za sciatica mwa amayi ndi abambo zikuchitika:
- kuwonongeka kwa kayendetsedwe ka zala zala;
- kusokonezeka ndi torso ya thunthu;
- kusintha kwa maonekedwe a kumbuyo (kupindika mu chigawo cha lumbosacral);
- kuchepa kwachangu;
- mitsempha ya minofu.
Kuti mupeze matenda oyenera a radiculitis, mayesero angapo am'dera la lumbosacral ayenera kuchitidwa, kuonetsetsa kuti ziwonetseredwe za mawonetseredwe a chipatala omwe ndi achilendo okha. Kukhalapo kwa zizindikiro zovuta zonsezi kumasonyeza nthawi yovuta ya kukula kwa radiculitis, kuwononga kwambiri mizu ya mitsempha ya msana.
Chizindikiro Bechterew
Kuti muwone chinthu chowonetseredwa chikuyenera kukhala pa malo osabisa (kumbuyo), khalani otetezeka kwa mphindi 2-3, kenaka khalani pansi. Chizindikiro cha kachipatala cha lumbosacral radiculitis malinga ndi Bechterew ndikumangirira mwendo pa nthawi ino. Maganizo amachokera kumbali yomwe mitsempha ndi mizu yoletsedwa imadutsa.
Chizindikiro cha Dejerine
Chodabwitsa ichi chimagwirizanitsidwa ndi zotsatira za mitsempha yoteteza minofu pamtunda wa mitsempha ya msana. Pozindikira matenda aakulu a lumbosacral radiculitis, dokotala angapemphe wodwalayo kuti akhudze. Malingana ndi kafukufuku wa Dejerine, matenda a ululu pansi pano adzawonjezeka kwambiri chifukwa cha kuthamanga kwa minofu yomweyo. Mofananamo, lumbosacral radiculitis imakhala yowonjezereka panthawi ya kupopera, kuyendayenda, makamaka ngati wina akukankhira.
Chizindikiro cha matenda a Lacega
Kuzindikira kwa chizindikiro choperekedwayo kumayamba ndi kutenga malo abodza (kumbuyo). Ngati sciatica yeniyeni ya dera la sacro-lumbar ikupita, ndiye kuti pamene miyendo yolunjika imakulira, ngakhale pang'onopang'ono, ululu wowawa kwambiri, ukupweteka kwambiri umapezeka m'madera amtunduwu komanso pamwamba pake. Chodabwitsachi chikupezeka kokha kuchokera kumbali ya mitsempha ya mitsempha.
Chizindikiro cha Chizindikiro
Njira yopitilira ya lumbosacral radiculitis imagwirizanitsidwa ndi chiletso cholimba cha kuyenda. Chifukwa cha izi, minofu imataya pang'onopang'ono kuthekera kwa mgwirizano, kuthamanga kwawo ndi kutsekemera kwadzidzidzi. Zomwe zimachitika ndi lumbar sciatica - kupezeka kwathunthu kapena kuwonekera mwamphamvu pa khola pansi pa khungu limodzi, kupuma kwake. Chizindikirochi chimapezeka pa theka lowonongeka, minofu yachiwiri imakhala mu chikhalidwe choyenera.
Kodi angachite bwanji lumbosacral radiculitis?
Thandizo la matenda omwe adalongosola limapangidwa molingana ndi kuuma kwake ndi njira yeniyeni (yachilendo kapena yovuta). Ndikofunika kudziwa pasadakhale chifukwa chake lumbosacral radiculitis yayamba - chithandizochi chiyenera kuganizira zomwe zimayambitsa kupinikizira kapena kufinya mizu ya mitsempha. Kumayambiriro kobwerezabwereza kwa matenda akuyenera kuti:
- mpumulo;
- kutseketsa kapena kusungidwa kwa mzere wa msana (kuvala corset m'madera omwe anakhudzidwa ndi radiculitis);
- kusokoneza;
- physiotherapeutic manipulations.
Pofuna kuthetsa lumbosacral radiculitis thandizo:
- mankhwala am'deralo komanso owongolera;
- zochitika zapadera;
- mankhwala;
- mankhwala achilengedwe.
Mafuta a lumbar sciatica
Omwe amagwiritsira ntchito kunja akugwira ntchito pokha pokha pokhapweteka kapena kupweteka pang'ono. Mankhwala am'deralo ndi radiculitis a lumbosacral msana amalembedwa ngati othandizira ku kayendedwe ka mankhwala osokoneza bongo. Mafuta, mavitamini kapena mavitamini onse amangoletsa kutulutsa ubongo kwa ubongo, koma sizimakhudza zomwe zimayambitsa matendawa.
Pochotsa kutupa ndi radiculitis ndi anesthesia ya kanthaŵi ya lumbosacral, odwala matenda a ubongo amalangizidwa kuti agwiritse ntchito mankhwala awa:
- Zojambula;
- Efkamon;
- Diclofenac;
- Capsicam;
- Kuwathandiza Kwambiri;
- Voltaren;
- Fastum;
- Virapine;
- Dolobien;
- Gel ya Bystrum;
- Finalgon;
- Chophika;
- Mzimu;
- Indomethacin;
- Chithunzi;
- Camphocin;
- Olfen;
- Dolgit ndi ena.
Mankhwalawa amathandiza lumbosacral radiculitis, kutulutsa zotsatira zowopsya, zotsutsa-kutupa, zamatenda komanso zotentha. Zimapereka mpumulo wa minofu yambiri, yomwe imachepetsanso mphamvu yakufesa mizu ya mitsempha ya msana. Gwiritsani ntchito mawonekedwe akunja mwachindunji kuphatikiza ndi mankhwala a pakamwa.
Mapale a lumbar sciatica
Ndili ndi matendawa, mitundu iwiri ya mankhwala ovomerezeka amalembedwa. Kuti muthetse ululu mofulumira ndi radiculitis, anesthetics ndi anti-inflammatory properties amagwiritsidwa ntchito:
- Nimesulide;
- Diclofenac;
- Movalis;
- Voltaren;
- Nimesil;
- Ketanov;
- Indomethacin;
- Meloksikam;
- Ndi ethanol;
- Ibuprofen;
- Olfen;
- Naise ndi zofanana.
Kuonjezera apo, mankhwala a lumbosacral radiculitis mu sitepe yoyenera amafunika kugwiritsa ntchito mankhwala ndi mphamvu yosangalatsa, minofu yopumula:
- Baclofen;
- Midokalm;
- Sirdalud;
- Midostad;
- Tolperil;
- Arduan;
- Trakrium;
- Aperomide;
- Mvetserani;
- Tizanil;
- Dysport ndi ena.
Physiotherapy ndi lumbosacral radiculitis
Zochita masewera olimbitsa thupi amathandiza kuchepetsa kuopsa kwa zochitika zazikulu m'kati mwa msana, kumapangitsanso kayendedwe ka kagayidwe ka magazi ndi kayendedwe ka magazi. Zochita zilizonse ndi radiculitis za msana wa lumbosacral ziyenera kupangidwa ndi dokotala woyenerera. Dokotala yekha ndi amene adzatha kuwonetsa zovutazo, magawo otsatirawa adasinthidwa pamene akulemba:
- zaka zaumunthu;
- bwino;
- chikhalidwe cha matendawa;
- siteji ya matenda;
- kukula kwa ululu.
Kuchita masewera olimbitsa thupi kwa lumbosacral radiculitis kumachitika pokhapokha kunja kwa kubwerera, pamene ululu uli pafupi, ndipo thupi liribe njira yotupa. Ngati mukuchita masewera olimbitsa thupi panthawi yovuta kwambiri, kapena mukuchita masewera olimbitsa thupi, chiopsezo chokhazikitsa kufalikira kwa mitsempha yowonongeka ndi kuwonjezeka kwa ubwino.
Kusisita ndi lumbosacral radiculitis
Mankhwalawa mwachindunji amapezedwanso pokhapokha mu gawo lopulumutsidwa kapena m'thupi lachilendo. Posankha mtundu wotikita minofu, choyamba ndikudziŵa kuti ndi mtundu wanji wa matenda omwe ukuyamba: mtundu wa vertebrogenic kapena discogenic lumbosacral radiculitis - mankhwala ndi madera a chiwonetsero cha mmadera zimadalira pazifukwa zomwe zimapangitsa kuti kusokonezeka kwa mitsempha. Mankhwala othandizira amaphatikizapo kokha ndi akatswiri, mapulogalamu apanyumba angathe kungovulaza.
Kukonzekera kusakaniza ndi radiculitis m'dera la lumbosacral kumapangitsa zotsatira zotsatirazi:
- normalization ya mpweya ndi magazi;
- kupweteka kwa minofu;
- kubwezeretsedwa kwa kusinthasintha ndi kuyenda;
- kuchepetsa ululu m'dera la lumbosacral.
Katswiri wodalirika amatsatira malamulo apadera okhwima pochiza radiculitis:
- Kusunthika konse pa kusisita kwa malo a lumbosacral sikumapweteka munthu. Njira zogwiritsidwa ntchito monga stroking, kukwapula ndi kusamba, popanda kupanikizika kolimba.
- Kutha kwa gawoli kumakhala mphindi 8 mpaka 25. Mankhwala othandiza kwambiri ndi radiculitis ndi owopsa.
- Wodwala ayenera kukhala pamalo osakanikirana. Kusisita pakhomo kapena kukhala pampando sikoyenera kutero.
Lumbosacral radiculitis - mankhwala ndi mankhwala owerengeka
Mankhwala ochiritsira amapereka njira zingapo zowonetsera matenda opweteka. Njira zoterezi zimangowonjezera lumbar radiculitis - zimalimbikitsidwa kuti azichiza mankhwala ochiritsira pamodzi ndi mankhwala ndi mankhwala. Njira yosavuta yochezera ubwino wanu ndi compress yopangidwa kuchokera ku burdock masamba. Zipangizo zatsopano zimayenera kusambitsidwa ndi kuthira pang'ono, kenaka zimagwiritsidwa ntchito kumunsi kumbuyo ndi "mbali yolakwika" komanso womangidwa ndi nsalu yofunda.
Chinsinsi cha analgesic kupaka ndi lumbosacral radiculitis
Zosakaniza:
- mowa - 300-320 ml;
- Tsabola wapachaka yamoto - 2 ma pods.
Kukonzekera, gwiritsani ntchito
- Sambani ndikupera masamba abwino.
- Ikani gruel mu chidebe cha galasi (chosawilitsidwa), kutsanulira ndi mowa wochuluka ndi ndowe.
- Kuwonjezera mankhwalawa kwa milungu iwiri, kuyang'anira kuti sikumakhudzidwa ndi mpweya wa ultraviolet ndi ozizira. Tsiku lililonse, gwedeza njirayi mwamphamvu. Ndi mankhwalawo, sungani msuzi wanu kumbuyo pamene mumamva ululu.
Njira yokhala ndi mankhwala osokoneza bongo kuchokera ku sciatica mugawo la Sacral ndi Lumbar
Zosakaniza:
- Mizu ya sabelnik - pafupifupi 20 g;
- madzi 80-90 ml.
Kukonzekera, gwiritsani ntchito
- Zida zitsamba ziyenera kutsukidwa ndi kuchapidwa.
- Gulani mizu, mungagwiritse ntchito blender kapena chopukusira nyama.
- Wiritsani madzi, ikani m'madzi okonzeka.
- Ikani kusakaniza pa kusamba kwa nthunzi kwa mphindi 25-35.
- Pambuyo pake, chotsani chithandizo kwa masiku 0,5, ndikuphimba ndi chivindikiro chachitsulo.
- Ngati mankhwalawa atha, sungani ndi kuthira mu mbale ina yoyera. Gwiritsani ntchito madzi kuti mugwiritse kapena kutsekemera.
Zili ndi zotsatira zofanana ndi radiculitis mu gawo la lumbosacral la kusamba kwapadera. Pafupifupi 60 g ya mizu yothamanga iyenera kuphwanyika ndi kuyikidwa mu chikwama cha pulasitiki kapena pakona kuchokera pa pillowcase. Chigambachi chimatsitsidwa mu bafa yodzaza ndi madzi ofunda (pafupifupi madigiri 36.5-37.5). Ndondomekoyi imachitidwa musanagone, usiku, malo omwe amakhudzidwa ndi radiculitis, muyenera kubisa nsana wanu ndi chikopa chofewa kapena bulangete.