Radicular syndrome nke lumbar: Mgbaàmà na Ọgwụgwọ

Akwara ozi ọrịa bụ otu n'ime ndị dị iche iche nke ọrịa, bụ nke na-eduga nkwarụ ma ọ bụ ruo nwa oge Nkwarụ. Otu n'ime ọrịa ndị - spinal radicular syndrome - emee nnọọ ugboro ugboro. Gịnị ka ọ bụ?

Gịnị bụ radicular syndrome?

Nke a na okwu na-emekarị na-ezo aka a set nke mgbaàmà na ịzụlite dị ka a n'ihi nke ikpughe na ọgidigi azụ mgbọrọgwụ. N'ọnọdụ ka ukwuu, ọrịa na-eduga ná mmepe nke osteochondrosis - radicular syndrome na ya obere ufiop karịa na ikpe nke na mberede ma ọ bụ diski herniation. E nwere a ibelata nke intervertebral foramen, nke na-eduga ná ịda iwu nke irighiri akwara na-abịa.

Isi adakarị ịrịba ama ma ọ bụ radicular syndrome ibiere bụ:

• Mgbu. Ji ufiop igbu mgbu mgbu na ebe nke mkpakọ nke ọgidigi azụ na-apụta nke ọkpụkpụ azụ, inyịme ka aka na ụkwụ na mgbe ụfọdụ esịtidem akụkụ.
• uche aghara. Amalite tinyere exiting akwara. Ọtụtụ mgbe ọ hụrụ na ụdị paresthesias (tingling mmetụta, a oyi).
• Atrophy nke innervated uru na ije aghara. Ọ na-amalite n'ihi mmebi akwara na innervate otu ebe. Ọ na-eduga ná muscle adịghị ike na ọnwụ nke ọrụ.

The pathogenesis nke ọrịa

Na obi nke mmepe radicular syndrome bụ a mmeri nke ọkpụkpụ azụ. N'ime oge ahụ, e Mbelata nke ebuka nke nri ẹdude ke intervertebral cartilage. Kenjo ọnọdụ a ihe ndị afọ, ngafe arọ, adịghị ike. N'ihi bụ a na-akpọ subsidence nke vertebrae.

Ọkpụkpụ azụ irighiri akwara na-apụta nke vertebral kanaal site intervertebral foramen. N'ihi na eziokwu na spain sags, e nwere a ibelata nke oghere, nke na-eduga ná ịda iwu nke irighiri akwara.

The mkpakọ nke ebe-amalite aseptic mbufụt, nke e ji edema nke n'akụkụ arọ. Nke a ozizi n'ihu ka njọ ọnọdụ, nke na-eduga ihe mgbu ka ukwuu. Pain agbasa oku akwara, n'ihi ihe nwere ike ime viscera lesion ụkpụrụ (atụ, radicular thoracic spain syndrome nwere ike ịmepụta a na foto nke rịaworo ma ọ bụ myocardial infarction).

Ihe mere na-eduga mmepe nke ọrịa

Ke adianade osteoarthritis, na mmepe na ndị ọzọ na usoro nwere ike ime ka ọrịa. Otu n'ime ha bụ:

• Intervertebral hainia. N'ihi agbawa, ntọhapụ nke cartilage n'èzí ntọala pulposus nke vertebral kọlụm na-mbadamba jidesie irighiri akwara.
• Ntụpọ na ihe owuwu ma na ọrịa na nke spain. The ihe na-akpata nke radicular syndrome, malite na nwata.
• Injury. Nọmalị, dị ka a N'ihi nke na-ezighị ezi anọ na nke vertebrate ejiji, e nwere mkpakọ nke mgbọrọgwụ.
• Ọrịa nke ọkpụkpụ azụ, na-eduga depletion nke osseous na cartilaginous anụ ahụ (osteomyelitis).

Radicular ọrịa mgbe amalite na obese sedentary ndị mmadụ.

Mgbe ụfọdụ, o nwere ike ịzụlite dị ka a n'ihi nke ókè arọ anụ ahụ na-arụ ọrụ ma ọ bụ na-akpọ "azụ ọdịda".

Mgbe ụfọdụ, radicular syndrome amalite n'ihi hypothermia.

Nwere ike ime ka mmepe nke radicular syndrome, ụfọdụ ọgwụ ọjọọ (Otú ọ dị, na nke a, na syndrome ga-akpọ psevdokoreshkovogo).

nhazi ọkwa

Dị ka ndị dị otú ahụ, ndị nhazi ọkwa bụghị radicular syndrome. Conventionally, clinicians na-ekewa ya dị akpụpụta lesion nke ọkpụkpụ azụ ebe. Dị ka a nhazi ọkwa iche radicular syndrome:

• Cervical spain.
• Thoracic.
• Lumbar.

Sacrum na coccyx emetụta osteochondrosis nnọọ obere, nke mere na ubi nke data nhazi ọkwa na-adịghị gụnyere.

N'azụ Mpaghara e a nhazi ọkwa nke radicular syndrome site ọnụnọ nke nsogbu (mgbagwoju anya na-adịghị mgbagwoju).

Mgbe ụfọdụ, na-agụnye ndị dị otú ahụ iche nke radicular syndrome, ma enwetara na ebum pụta ụwa (ọ bụ ezie na a nhazi ọkwa bụ nnọọ obere, dị ka ọtụtụ n'ime ndị na syndrome esiwak zụrụ).

N'etiti ihe niile ndị a iche-iche bụ ihe kasị zuru ebe nile lumbar radicular syndrome spain.

Ihe mere maka mmeri nke ngalaba

Gịnị mere ọ na-akacha na-emetụta nnọọ nke a region? Ihe mere n'ihi nke na-emepe emepe radicular syndrome nke lumbar, ndị na-esonụ:

• Na ala azụ gua nke kasị ibu. Ọ bụ ebe a na ya redistribution si arọ anụ ahụ na-arụ ọrụ. Ke adianade do, loin na n'elu na overlying ngalaba nke ahụ, ebe ọ bụ na ọ na-enyere ha ịnọgide na-enwe na ọnọdụ.
• Lumbar vertebrae kpụrụ nnukwu, a zuru ezu mmeghepụ. Site na ha bụ nnukwu arịa na akwara plexus, nke a na pụtara mfe infringed dị ka a n'ihi nke mebiri a ujo-adọrọ ọrụ nke intervertebral diski.
• Radicular syndrome nke lumbar na mgbe amalite n'ihi na eziokwu na ọ bụ otu n'ime ndị kasị akpali akpali akụkụ nke axial ọkpụkpụ. Gabiga ókè sara mbara nke nso nke ngagharị n'ụzọ dị mfe ịkpata displacement nke vertebrae ikwu ọ bụla ọzọ na-eme ka mmepe nke ihe mgbu na akwara pụọ n'iji ụgwọ.

ọgwụ

Ọ bụrụ na Otú ọ dị, dị ka a n'ihi nke akwara pụọ n'iji ụgwọ emee radicular syndrome lumbar mgbaàmà adịghị ogologo ichere.

The mbụ na kasị mgbaàmà bụ mgbu. Ọ wears a zaa agwa egosi na mberede, na-akpata oké ahụ mmerụ ahụ ma ọ ọrụ. A nwayọọ nwayọọ na-abawanye na mgbu bụ ahụkarị osteochondrosis. Na nke a, backache ga-enwe nsogbu, ma ike nke ihe mgbu na-adịghị otú elu.

Sensory impairment na-emekarị so site mgbu. Ọ na-agbaji si n'akụkụ nke ọzọ, bụ ebe e nwere a pinched irighiri akwara. The lumbar radicular syndrome bụ na-emekarị bilateral na ọdịdị (osteochondrosis) .Chasche dị nnọọ a ọnụ ke uche na mgbu mbata. Mgbe ụfọdụ, e nwere ike ịbụ paresthesia - Ẹyụrọde ma ọ bụ ọrịa ntutu ịdapụsị sensations.

Mebiri muscle ọrụ nwere ike ime na ihe banyere ebe a ogologo oge na e nwere a lumbar osteochondrosis. Radicular syndrome-eduga ná muscular atrophy, ọnwụ nke ohere maka nọ n'ọrụ nke anụ ahụ na-arụ ọrụ, ebelatawo ike nke muscle contractions.

nchọpụta nsogbu

Nchọpụta ọrịa dị mkpa, na-ewere n'ime akaụntụ ọtụtụ ndị ihe. Nke mbụ, anyị kwesịrị ntị ka ọrịa mkpesa, ebe ọ bụ na ndị ọhụrụ kwere omume ịkọ nkọ na orunótu nke enweghị nchịkwa usoro.

Kwado ọmụma n'oge nnyocha nwere ike inye palpation mpaghara ọnọdụ nke mgbu - ga-adị site na mpaghara muscle erughị ala. Anya, i nwere ike ịhụ ná mkpọda nke obodo a ndidi na otụk n'akụkụ (ya mere na ọ bụ omume na-ebelata ihe mgbu sensashion).

Complete ọbara ọnụ obere ọmụma - ike na-hụrụ ikwu na-abawanye na mkpụrụ ndụ ọbara ọcha ruru ka a mmachi mbufụt.

Ndị isi uru na nchoputa nke radicular syndrome nwere MRI nke lumbar spain. Nke a na-amụ na-enye ohere ịchọpụta ọbụna ndị nwetụrụ ịda iwu nke akwara na iji chọpụta kpọmkwem orunótu usoro. Otú ọ dị, ihe isi ike nke na-arụ onwe tomography. MRI nke lumbar spain - a kama oké ọnụ usoro, n'ihi ya, ọ na-adịghị rụrụ niile.

radicular syndrome ọgwụgwọ

Gịnị ka ị na-eme ma ọ bụrụ na ọrịa na-mepụtara? Enwere m ike na-emeso n'ụlọ ma ọ bụ mma ka na-aga ụlọ ọgwụ?

Ọ bụrụ na ị nwere ma na-ịzụlite radicular syndrome lumbar ya ọgwụgwọ ga-amalite ozugbo na ọkacha mma na a ọgwụ.

Dị ka ụdị ọ bụla nke ọgwụgwọ nke ọrịa na nke nweekwa usoro, nke a ga-agụnye ndị na-abụghị ọgwụ ụzọ, usoro ọgwụ na ịwa ahụ aka.

Ọ bụrụ na mgbaàmà enweghị a ịrịba mmetụta na ndụ, nwere ike inyere ndị nkịtị ụzọ - kwesịrị ekwesị oriri na-edozi, izere ihe omumu, ịhịa aka n'ahụ, a izuike na-ekpo ọkụ tub.

Ọ bụrụ na, Otú ọ dị, na-amalite ichegbu lumbar radicular syndrome, ọgwụgwọ nke mbụ nkebi kwesịrị ịgụnye ojiji nke na-abụghị steroidal mgbochi mkpali ọgwụ ọjọọ ( "nimesulide" "Diclofenac") n'ime ma ọ bụ intramuscularly. Ọ bụrụ na nsogbu amalite ufiop mgbu, ọ na-atụ aro iji ihe vertebral blockades. Mgbe arịa ọrịa nke na-atụ aro n'aka na n'ikuku ka a ọkà mmụta ọrịa akwara ma ọ bụ neurosurgeon chọpụta n'ihu ọgwụgwọ atụmatụ.

physiotherapy

Dị ka ọtụtụ ndị trauma dọkịta na-awa, neurologists na physiotherapists, iji gwọọ ọrịa ụfọdụ nke nweekwa usoro bụ kwe omume site nkịtị agwọ ọrịa.

Iji kpochapụ radicular syndrome-eji electrophoresis, electric usu okwukwo.

Electrophoresis na ụfọdụ ọgwụ ọjọọ nwere ike isi nweta mmetụta dị otú ahụ dị ka:

• Mwepụ nke aza.
• Mkpochapu mgbu.
• Rụọ metabolism na-emetụta mgbọrọgwụ.
• Mweghachi nke trophism nke emetụta uru na nkwonkwo.

Iji EIT (cardioversion) na-eduzi na ntụrụndụ nke imebi mọzụlụ, rụọ ike atrophied anụ ahụ, tonic mmetụta.

Ke adianade instrumental ụzọ nwekwara uru ihe na ọdọ mmiri, ma ọ bụ ọgwụgwọ anụ ahụ sessions.

Ọgwụgwọ nke lumbar spain nwere ike na-akpa àgwà na-enyemaka nke igba okpukpu na chiropractic sessions. A usoro na-adịghị ọtụtụ-eji ot nkà mmụta ọgwụ, kama aka a ọtụtụ ndị.

ịwa ahụ ọgwụgwọ

Isi ihe na-akpata na e ji mara ndị radicular syndrome - mgbaàmà. Ọgwụgwọ na ịwa ahụ na ụlọ ọgwụ na-atụ aro mgbe ha na-amalite na-na a na-eyi egwu agwa.

Isi na-egosi maka ịwa ahụ bụ:

• Ufiop mgbu, adịghị eme ka NSAIDs ma ọ bụ narcotic analgesics.
• Mebiri N'ịdị ọrụ zuru ezu na ọnwụ nke nọ n'ọrụ mmegharị.
• Emenụ mgbanwe ọkpụkpụ na akwara njikọ, na-eduga mkpakọ.
• A mgbagwoju anya intervertebral hainia.
• Complete ọnwụ nke N'ịdị uche.

Arụmọrụ na-ekenịmde ke pụrụ iche clinics. N'okpuru ná Nkụnwụ emepụta oru oma ohere na saịtị nke mkpakọ nke mgbọrọgwụ na-ewepụ impeding nkịtị ọnọdụ spain vertebra ahụ. Na hainia na-rụrụ precipitated excision saịtị. Mbelata ma ọ bụ excision nke ndị dara diski na a obere ohere - Ugbu a, mgbe ndị hernial radicular syndrome niile nucleoplasty-eji.

nsogbu nke ọrịa

Dị ka e kwuru, na-egbu oge ọgwụgwọ nke lumbar spain pụrụ iduga ndị ọzọ ọrịa ndị ọzọ. Dị ka ihe atụ, isi nsogbu na-agụnye ndị na-esonụ:

• Lameness. Ọ na-amalite n'ihi amanye postcho. Ekemende pụrụ iduga arịa ọrịa flatfoot na ọrịa na-ekwu, (ajọ gburugburu).
• Mental ala. Ufiop mgbu aka na ụkwụ na azụ ga-enye ike ehihie na abalị. Against ndabere nke ike ọgwụgwụ nwere ike ịzụlite neuroses na psychoses.
• Ankylosis na nkwonkwo contractures. The ihe mere ha na mmepe bụ ọzọ a ogologo na ọnụnọ a na-na ọnọdụ, na obere ọrụ.
• Na oké ikpe, mmebi akwara nwere ike ibute mkpọnwụ nke aka na ụkwụ.
• Mmalite nke mbufụt ike retrograde iji nweta n'ime ọgidigi azụ, na-eme picture meningism, ọgidigi azụ infarction ma ọ bụ dịkwuo Mgbasa nke ndị ọzọ mgbọrọgwụ.

ọrịa mgbochi

Iji gbochie mmepe nke radicular syndrome, kwesịrị icheta ụfọdụ dị mfe iwu:

• Daily ụtụtụ mmega. Ọ na-enyere iji gbatịa mọzụlụ, ka ha na ụda.
• Ejikwa ngafe ibu ibu. Dị ka e kwuru, ọ bụ a na-akpata na-akawanye njọ nke ọrịa.
• Gbochie ịhịa aka n'ahụ. Aid na-ekpo ọkụ na-elu-uru na spinal nkwonkwo, gbochie Ndahie nke vertebrae ikwu onye ọ bụla ọzọ, na enyela a ịkpali nke intervertebral diski si ya bed.
• Proper oriri na-edozi. Otu n'ime ihe ndị na mmepe nke osteoarthritis - a ọnụ na potassium ọdịnaya nke cartilage anụ ahụ. Competently ekewet nri-enye gị ohere ka ịkwụsịtụ n'oge usoro.
• Ebe igwu mmiri. Ọ na-ebelata ibu na ọkpụkpụ azụ, n'ụzọ na-eduga na ụda niile uru.
• Proper nkesa ọrụ na ike. A na-achị-ezere ike ọgwụgwụ na unan n'oge na-arụ ọrụ.