Anthu ambiri omwe amamva ululu m'dera la lumbar, amadziwika kuti osteochondrosis ya msana wam'mimba, zizindikiro ndi chithandizo cha matendawa zimadalira zaka za wodwala komanso msinkhu wake. Ngati simutenga ndondomeko ndipo musamachite chithandizo, zotsatira zake zingakhale zoopsa komanso zoopsa.
Zifukwa za osteochondrosis
Mu thupi la munthu, lumbar imagwirizanitsa thoracic ndi sacrum. Zili ndi zisanu, zomwe zili ndi disks, zomwe zimapereka mpata wokhazikika. Zimaphatikizidwa ndi makina ochepa a madzi omwe ali mkati mwa mphete. M'kupita kwa nthawi, chiwonongeko chawo chazing'ono pamakhala chifukwa cha kusintha kosasintha.
Kupezeka kwa lumbar osteochondrosis nthawi zambiri kuposa m'dera lachiberekero kapena thoracic. Chifukwa chachikulu cha izi ndizomwe zimagwiritsidwa ntchito m'munsimu kumapeto kwa masewera olimbitsa thupi, kuyenda, kuthamanga komanso kukhala. Ndi nthenda yotereyi, zakudya zabwino za intervertebral discs zathyoledwa, zomwe zimatayika komanso zimachepa, ndipo kutalika kwake kumachepa.
Phokoso lochititsa chidwi limasiya kulimbana ndi katundu, ziphuphu ndi mapiko. Izi zimapangitsa kuchepetsa mtunda wa pakati pa vutolo, ndipo kupunduka kwa mitsempha kumayambira. Zonsezi zimapangitsa munthu kumva kupweteka kwambiri m'munsimu, omwe madokotala amachitcha lumboishiasia. Zomwe zimayambitsa osteochondrosis ndi izi:
- ntchito yolemetsa;
- kulemera kwakukulu kumene kumakhudza maginito a vertebral;
- kumbuyo kovulaza;
- kulongosoka kolakwika;
- kusowa kwa masewera olimbitsa thupi kumabweretsa minofu kufooketsa ndi kusintha kwa ma discs;
- njira yotupa;
- chibadwa.
Chofunika kwambiri pa kuyambika kwa osteochondrosis wa dera la lumbar ndi zaka. Zaka makumi angapo zapitazo, matendawa adayamba mwa anthu omwe adagonjetsedwa ndi mzere wa zaka 30. Masiku ano matenda oterewa amaikidwa ngakhale achinyamata. Anawo amakhudzidwa ndi:
- zakudya zopanda thanzi;
- chisokonezo;
- chithunzi;
- chilengedwe choipa;
- kupuma kolakwika;
- nthawi yaitali atakhala pa desiki kapena kompyuta.
Osteochondrosis wa dera la lumbar - madigiri
Matenda a msana amapezeka pang'onopang'ono. Madokotala amasiyanitsa madigiri 4 akulu:
- Gawo loyamba likuwonetseredwa ndi ululu wolekerera ku dera la lumbar, lomwe limakula pambuyo pochita masewera olimbitsa thupi komanso mwakhama. Chizindikiro ichi chikusonyeza kuti ma disk ayamba kale njira yoononga komanso yosasinthika. Odwala amatenthedwa ndi kuyaka, nthawi zina amapereka m'mabowo.
- Osteochondrosis wa dera la lumbar la 2 degrees limadziwika ndi kuchepetsa mtunda wa pakati pa vertebrae ndi kuwonongedwa kwa mphete ya fibrous. Anthu amatha kumva kupweteka kwambiri, pamene akuyenda motayira mpaka kumoto, ntchafu ndi mabowo. Gawo lomwe likukhudzidwa limamva kutentha kapena kuyaka, ndipo panthawi ya chiwonongeko, munthuyo akugwa mosiyana.
- Kalasi yachitatu - panthawiyi, mphete zowonongeka zimawonongedwa, ndipo palinso kuwonongeka kwakukulu ndi kutayika kwa ziwalo zowonongeka m'dera la lumbar. Izi zimapangitsa kuti chitukuko cha intervertebral chitukule . Munthu amavutika nthawi zonse komanso amavutika kwambiri.
- Kalasi yachinayi ya osteochondrosis imadziwika ndi kukula kosavuta kwa ma discs mumtunda ndi kuwonongeka kwa minofu. Panthawi imeneyi, pali atrophy yamphamvu ya karotila, zomwe zimapangitsa kuti zikhale zovuta kuti wodwala asunthire komanso azitsogolera kulemala.
Osteochondrosis ya mphuno yam'mimba - zizindikiro
Pakadutsa matenda monga lumbar msana osteochondrosis, zizindikiro zimachitika ndi zochepa za thupi zomwe sizingawononge malo okhudzidwawo, monga kukopa kapena kupopera. Kumbuyo kumayamba kutaya kusinthasintha kwake, wodwalayo ndi wovuta kupanga maselo osavuta:
- mapulusa;
- kutembenukira;
- kuyenda.
Ndili ndi matenda a lumbar osteochondrosis, zizindikiro ndi izi:
- chiwonongeko cha mapazi;
- kuphwanya thukuta;
- kumenyana kapena kuyendayenda m'mapazi apansi;
- kupuma kwa mitsempha m'mapazi;
- kusinthasintha kosalekeza ndi kwakukulu kwa minofu ya m'chiuno;
- khungu;
- Kutaya kukhudzidwa m'munsi kumbuyo;
- Kuphwanya kumvetsetsa kwa miyendo ya m'munsi;
- kachilomboka.
Pofuna kuyankha funso loti zizindikiro ndi chithandizo cha osteochondrosis cha mthendayi ndi chiyani, munthu ayenera kudziwa malo omwe ali ndi matendawa ndikuyambitsa matenda oyenera. Nthaŵi zina maganizo okhumudwa, kutopa ndi kusowa tulo zimasonyeza za gawo loyamba. Wodwala akhoza kumva:
- kuwonongeka kwa mphamvu , chifukwa chachitetezo chotani chomwe chingathe kuchepa;
- zizindikiro za kusagwira ntchito kwa mkodzo;
- Amuna amakhala opanda mphamvu, ndipo amayi amadwala komanso kuyabwa mukazi.
Ululu mu osteochondrosis wa dera la lumbar
Pamene lumbar osteochondrosis imapezeka, zizindikiro zimadziwonetsera okha ngati zopweteka zomwe ziri ndi khalidwe losiyana. Zimadzuka pang'onopang'ono kusuntha kopambana kapena mwadzidzidzi, pamene munthu apumula, ndipo nthawi zina pambuyo pa thupi. Zomwe zimagwiritsidwa ntchito zimapezeka kumalo amodzi, kufalikira kumbuyo kapena kupereka ku chiuno.
Mmene angachiritse osteochondrosis wa lumbar dera?
Musanayambe kulandira chithandizo cha osteochondrosis cha dera la lumbar, muyenera kupeza matenda. Zimatheka ndi madokotala m'njira zingapo:
- mafilimu amawunikira;
- amawonetsa kuti akuwonekera;
- malo okhudzidwa amamva;
- imagwiritsa ntchito MRI ( maginito imaging resonance ).
Mukapezeka kuti muli ndi osteochondrosis ya msana, zizindikiro ndi chithandizo ndizokha, koma simungathe kuthetseratu matendawa. Gawo loyamba ndi lachiwiri liri bwino kusintha. Odwala amafunika kusintha miyoyo yawo komanso zizoloŵezi zawo zapakhomo, ndipo dokotala akupereka mankhwala amphamvu, omwe amatenga nthawi yaitali.
Nthendayi ikamayambitsa osteochondrosis ikuphatikizapo:
- kuchotsa kutupa;
- kulimbitsa minofu ya miyendo ya m'munsi;
- kuchepetsa ululu;
- kayendedwe ka kayendedwe kamadzimadzi ndi kayendedwe;
- Kupititsa patsogolo kayendetsedwe ka ntchito m'dera lamapiko;
- kuwonjezeka kwowonjezereka.
Zochita zachipatala ndi osteochondrosis za mphalapala
LFK pa osteochondrosis ya dipatimenti ya lumbar ya msana imasankhidwa kuti:
- kuthetsa mavuto;
- kulimbitsa minofu ya kumbuyo,
- kuthetsa ululu;
- minofu yotambasula;
- khalani m'chiuno.
Maphunziro a masewero olimbitsa thupi amalimbikitsidwa ndi madokotala pa nthawi iliyonse ya matendawa. Zochita za osteochondrosis za mphalapala zimakhala zothandiza ndipo zimapindulitsa kokha ngati ziri zolondola komanso zochitika nthawi zonse. Wodwala ayenera kukhazikitsa cholinga ndi kuyesetsa kukwaniritsa, koma panopa n'zosatheka kuwonjezereka. Ngati mumasokonezeka mukamachita ntchito, ndiye kuti musiye kuchita.
Kuchulukitsa ndi osteochondrosis wa dera la lumbar
Akatswiri amapereka misala kwa anthu onse amene amapezeka ndi osteochondrosis wa mphalapala, pambuyo poti zovuta zatha. Njira ya mankhwala imalola odwala kuti amve bwino m'mbuyo. Zili ndi magawo khumi ndipo ziri ndi malamulo awa:
- nthawi ya ndondomekoyi sichitha mphindi 20;
- kusisitala komwe kunkachitika mu supine;
- Gawoli likuchitika 2 maola atatha kudya;
- Katswiri wa zamagalimoto ayenera kukhala wochokera pansi;
- zoyamba zoyamba zimachitika pang'onopang'ono;
- Pakameta minofu, timatenda tomwefe timatha kukhala ogwira ntchito.
Mapiritsi a osteochondrosis a lumbar dera
Kuti athetse kutupa ndi ululu, madokotala amatipatsa mankhwala a osteochondrosis. Ndi:
- mankhwalawa ndi ma NSAIDs ( mankhwala osagwiritsidwa ntchito ndi mankhwala omwe sali otero ) - Advil, Ketonal, Ibuprofen, Renalgin;
- osowa chondroprotectors (chondroitin sulfate, Rumalon);
- mankhwala a diuretic (Furosemide, Indap);
- magetsi (T-activin, Timogen).
Majekeseni mu osteochondrosis a dera la lumbar
Pamene wodwalayo sangathe kulekerera ululu kapena malo otsiriza, madokotala amapereka jekeseni wa lumbar osteochondrosis. Pofuna kutulutsa anesthesia, paravertebral blockades (Novocaine, Dexamethasone) imachitidwa. Mankhwala osokoneza bongo amathandizidwa kuti azitha kuyendetsa magazi (Pentoxifylline, Trental ). Mankhwala othandizira angaphatikizepo ma vitamini B.
Kuchiza kwa osteochondrosis ndi mankhwala ochiritsira
Pamene matenda a osteochondrosis a mankhwala amtundu wa mphutsi nthawi zina amachitika kunyumba. Icho chimakhala muzochita monga:
- kugwiritsa ntchito makina otentha;
- Lyapko kapena Kuznetsov;
- kusewera masewera;
- zolemba.
Zovuta za lumbar spine osteochondrosis
Ngati simugwira lumbar osteochondrosis wa msana, ndiye kuti mavuto aakulu angayambe:
- sciatica;
- kupindika kwa msana;
- radiculitis;
- kusowa kwa miyendo;
- kusasinthasintha kwa ma vertebrae;
- kuphwanya kwa ntchito za ziwalo;
- Kulemala, pamene munthu ayima kusuntha.