Protrusion nke lumbar spain. Ọgwụgwọ nke protrusion nke lumbar

Protrusion intervertebral discs, mgbaàmà, ọgwụgwọ nke ga-akọwara mgbe e mesịrị na isiokwu, bụ a ọnọdụ ji bulging ọcha enweghị itunanya fibrous yiri mgbaaka. Mebiri na-adịghị na-ewere a iche iche ọrịa. Protrusion - onye nke nkebi nke osteoarthritis, na na-ghọtara site ọkachamara dị ka ndị mbụ nzọụkwụ nke na-akpụ a hainia na intervertebral diski. Ọzọ, na-elerukwu anya na steeti a. Uche pụrụ iche na a ga-akwụ ụgwọ iji protrusion nke lumbosacral spain.

The omume nke

Dị ka ọnụ ọgụgụ, a protrusion amalite ihe karịrị ọkara nke ndị bi na afọ iri afọ anọ. The kasị nhata achọpụtara na mmadụ. Maka isi ihe ize ndụ na-agụnye mmadụ aku na-arụ ọrụ, nakwa dị ka na-eduga ihe-adịghị ejekwa ozi ndụ jikọtara na sedentary ọrụ. Ọrịa na agadi protrusion, na njikọ na mmepe nke degenerative Filiks, mgbe mgbe akpasu ọdịdị intervertebral hainia.

orunótu

The yikarịrị-atụle ga-abụọ ebe nke ahu. E nwere a protrusion nke lumbar intervertebral diski. Ugbu ise nke ọcha (L1-L5). Banyere 80% nke ikpe - a protrusion nke lumbar discs L4-L5, na nwekwara L5-S1. Nke ikpeazụ bụ a ókè mmewere. Na asaa cervical vertebrae nhata achọpụtara na C3-C4 na C4-C5. Na ndị ọzọ mmerụ ọcha na-na ole obere ugboro ugboro. Ma ihe ndị thoracic, ebe a mebiri ịzụlite n'etiti D5 na D6-D6-D7 vertebrae.

Na-akpata ọrịa

A ọtụtụ ihe na-akpata mmepe nke degenerative mgbanwe fibrous mgbanaka na ntọala pulposus disk. Ndị a Filiks imetụta na Ọdịdị ọcha. Nke a na-ebelata ihe ekwedo na kachaa njọ qualitative mejupụtara. N'ihi hyaline cartilage wear emee abadaba diski na njikọ na ihe na-eme n'ofè protrusion nke isi annulus fibrosus mgbe nọgide na-enwe ya ike n'ezi ihe. Ndị a Filiks nwere ike ịbụ n'ihi:

• Pathologies nke nweekwa usoro nke ebum pụta ụwa okike (eg na ụmụ).
• Osteoporosis.
• Bruises, bumps na ndị ọzọ na-emebi.
• Mgbanwe intervertebral discs dakpọọ agwa.
• Family mere eme.
• Kyphosis, scoliosis.
• The adịghị ike nke muscular usoro.

Dị ka ihe na-eme ka protrusion nke lumbosacral spain nwere ike kwuru:

• metabolism ọrịa.
• Ibu ibu, ogbenye nri.
• Hypodynamia (ala agagharị).
• Ọtụtụ na-efe efe pathologies.
• Adịghị ala ala microtrauma.
• Oké mmega.
• Pathology nke ụjọ na endocrine usoro.

nhazi ọkwa

Protrusions na-iche dị na ọdịdị nke protrusions ntọala. Karịsịa, ndị na-esonụ ụdị:

• Okirikiri. Na nke a, e nwere a bulging diski òkè gburugburu uniformly. Enweghị nchịkwa ọrịa mgbe akpalite a pinched akwara mgbọrọgwụ. Ọ ji a-adịghị ala ala N'ezie.
• Asị ibe. Na nke a, na protrusion bụ mkpumkpu, otu onye ma n'akụkụ. Na asị ibe protrusion nke lumbar spain na-akara a itunanya na fibrous mgbanaka. Na enweghị ezigbo na-adọ ọgwụgwọ nke ọnọdụ egwu nkwarụ.

Dabere na direction nke protrusion nke disk emee, ndị dị otú ahụ dịpụrụ adịpụ umu protrusion dị ka:

• Akụkụ. Na nke a, na e nwere a protrusion n'aka nri ma ọ bụ n'aka ekpe nke spinal kọlụm. Ọtụtụ mgbe na-akpalite mkpakọ nke ọbara arịa na irighiri akwara. Mgbe mbụ ogbo nke ala wee ghara so site ọ bụla mgbaàmà.
• Central. Na nke a, intervertebral diski protrusion pụtara na ntụziaka nke ọgidigi azụ. Isi ihe ize ndụ nke nsogbu a bụ ekwe omume nke na kọntaktị na ya mgbọrọgwụ.
• Posterolateral. Na nke a, akpa diski fụliri elu azụ, mgbe ahụ, n'akụkụ ikwu na spain. The ọnọdụ nwere ike so oké mgbaàmà.
• The n'azụ. Na nke a, na disk sikwa rearward. Ọnọdụ so site n'oké ihe mgbu na mkpọchị akwara tụkwasị akụkụ ke pelvis ma ọ bụ obi (dabere na ebe ihe ọjọọ).

adakarị picture

Dabere na orunótu nke ntọhapụ diski protrusion:

• Lumbar spain.
• Obi na mpaghara.
• Cervical spain.

Ịrịba ama nke imebi na thoracic region:

• Soreness nke azụ n'okpuru ọgiriga.
• Tingling ke imeju na n'obi.
• muscle adịghị ike pịa.
• Ihe mgbu na obi ma ọ bụ ubu pupụtara.

Olee otú a protrusion nke lumbar spain? Mgbaàmà nke ọnọdụ na-:

• Mmachibido na ije nke azụ.
• Tingling, nkụnwụ na ihe mgbu.
• Gbara na ụkwụ.
• The idem emem nke ala na nsọtụ.
• Mgbasa nke mgbu na mkpịsị ụkwụ, ụkwụ, na apata.
• Aghara nke uche na pelvic akụkụ.

Mgbaàmà nke protrusion nke cervical spain:

• Agbawanye ọchịchịrị nke anya, dizziness.
• Soreness nọ n'ógbè isi na olu.
• Nkụnwụ ke n'elu aka na ụkwụ.
• Uko n'olu agagharị.
• Nkesa nke mgbu na ubu ebe, mkpịsị aka na nkwojiaka.
• Adịghị Ike ke n'elu aka na ụkwụ.

Common ịrịba ama nke daa ọrịa

First ngosipụta nke ọrịa nke onye ọrịa na-echegbu soreness na ndabere nke na-amụba ọrụ ahụ, anọ na-ata na ọnọdụ maka a ogologo oge. N'oge mbụ ọdịdị protrusion lumbosacral spain ma ọ bụ ndị ọzọ nke ya domain so vertebral (sciatica, ọrịa azụ mgbu, n'ihi na ihe atụ) na radicular (akwara mkpakọ) ngosipụta. Na N'ezie nke progression nke ala nke ihe mgbu na-aghọ ndị ọzọ ufiop, na-igbu mgbu, yanking agwa nwere ike ịpụta na ụdị ọrịa azụ mgbu nkọ mmegharị ma ọ bụ mgbe coughing. Mgbe na ịme ọpịpị ma ọ bụ palpation mebiri emebi ebe akara nkwalite nke mgbu, mgbe mgbe inye onyinye elu. Ji nwayọọ nwayọọ malite muscle adịghị ike, a akara mbelata.

nkebi nke guzobere

Ọ bụrụ na e nweghị oge e mesoro spinal protrusion nke lumbar daa ọrịa na-aga n'ihu ngwa ngwa. Ngosipụta atọ nkebi:

• Na-enwe nsogbu na-arụ ọrụ nke kernel. Na nke a, na ọ na-amalite ịgbanwe. E nwere a jiri nwayọọ nwayọọ na-eweda ha ala nke akwara nke fibrous mgbanaka na-etolite cracks nime ya.
• Protrusion ntọala na obere anya. Ọ na-aga n'ofè ihu fibrous mgbaaka na ichebe ya ike n'ezi ihe na-adịghị karịa atọ millimeters.
• Ọzọkwa bulging ntọala. The usoro na-esonyere mkpakọ nke disk nso ọbara arịa, akwara mgbọrọgwụ mgbu, ọrịa azụ mgbu. Mgbe a na ogbo, a ọdịiche abụkarị anulus. N'ihi bụ a prolapse (hainia) na intervertebral diski.

mmetụta

Ọgwụgwọ nke protrusion nke lumbar spain ga-rụrụ n'egbughị oge na competently. Ma ọ bụghị ya, Ohere nke nsogbu. Karịsịa, ọ nwere ike n'ụzọ ejedebeghị na agagharị nke na azụ ma ọ bụ n'olu, mkpọchị n'ahụ curvature nke spain. Na nke a, ọ na-emepe emepe kyphosis ma ọ bụ lordosis. Soreness nwere ike ịzụta a na-adịgide adịgide-adịghị ala ala. Nke a, n'aka nke ya, budata ebelata ike nke mmadụ. Enough a na-ewere a oké njọ sikwuoro nke prolapse (hainia) na mbibi zuru ezu nke disk. Na steeti a ị chọrọ ịwa ahụ. Ọ bụrụ na ọrụ na-adịghị rụrụ na oge, ndị mmadụ nwere ike ịnọgide na-nkwarụ. Mgbe protrusion lumbosacral ebe na elu n'ihe ize ndụ nke mkpakọ nke akwara mgbọrọgwụ na pelvis ( "ịnyịnya ọdụ" syndrome). Nke a, n'aka nke ya, pụrụ iduga aghara nke uche nke na mpaghara ọchịchị, ọdịdị nke mkpali Filiks.

nchọpụta nsogbu

Isi research ụzọ na-agụnye:

• Nnyocha na nwale nke uche zones nke aka na ụkwụ na azụ, na ojiji nke moto na akwara ozi ule.
• Radiography.
• Ịnakọta ọgwụ akụkọ ihe mere eme, gụnyere ezinụlọ.
• CT ma ọ bụ MRI. Ndị a ọmụmụ ekpughe ogo atrophy nke muscle emep uta eri na-amata ihe bụ ọnọdụ ndị arịa.
• Electromyography. Nke a na usoro a na-eji na-enyocha mgbọrọgwụ nke mkpakọ.
• Mgbapu cerebrospinal ọmụmụ (pụrụ iche ikpe).

Na esi nchoputa bụ iji zere ọrịa ndị dị ka ụkwara nta nke ọkpụkpụ, ankylosing spondylitis, ọbara ọrịa na ụfọdụ akwara, oncology.

Ọgwụgwọ nke protrusion nke lumbar

Oke nke mgbagwoju ọgwụgwọ jikoro-adabere tumadi na-agba ọsọ usoro. Na ndị ọzọ okwu, na-ekpebi uru mgbe ọgwụgwọ nwere anya site nke gbanwere intervertebral diski. Ọ bụrụ na ọ bụ 4 mm (maka a cervical òkè nke bụghị ihe karịrị 1 mm), na-atụ aro ọgwụ bed ike na na anyịnya ọnọdụ. Conservative ụzọ na-iji na-mgbu efe, mkpochapu edema, mbufụt. The ọgwụgwọ mma ọbara, dochie vaskụla spasm ma weghachi muscle ọrụ. Iji mezuo nke a, ndị na-esonụ ọgwụ ọjọọ na-atụ aro:

• NSAIDs. A na-agụnye, akpan akpan, na-agụnye ndị dị otú ahụ ọgwụ dị ka "Ksefokam", "Ortofen", "Ketoprofen", "Indomethacin", "naproxen", "Movalis" na ndị ọzọ.
• Akwara relaxants. Nke a na udi na-agụnye ngwá ọrụ ndị dị otú ahụ dị ka "Diazepam", "Metaksalon", "Mydocalm", "orfenadrin". Mgbe iwepu muscle spasm na ọtụtụ mgbe, budata belata siri nke mgbu.
• Glucocorticosteroids. Ndị a ọgwụ ọjọọ eme ihe na-agụnye "Methylprednisolone," "Flosteron", "Diprospan". Nke a udi nke ọgwụgwọ na-eji maka adịghị ike nke ndị NSAIDs na muscle relaxants dị ka a abụọ akara ọgwụ. Ọ na-atụle ihe ndị kasị dị irè usoro ewebata ọgwụ adụ anụ ahụ.
• Ọzọkwa na-atụ aro hondroprotektory ( "Aflutop", "Struktum", wdg), ọgwụ ndị na mma ọbara ( "Aktovegil", "Trental").