Lumbago
Mawuwa sangakhale odziwika kwa inu, koma inu kapena okondedwa anu mwakumanapo ndi zochitikazo. Ndipo kwa ambiri, lumbago ndi pafupifupi tsiku ndi tsiku. Ndi chiyani komanso momwe mungathanirane nazo?

Mukukumbukira zotsatsa zonse za mapiritsi opweteka ndi mafuta otenthetsera? Mu aliyense wa iwo pali khalidwe crouching ndi ululu m'munsi mmbuyo. Inde, mwatsoka, "imawombera" kumbuyo kwa pafupifupi munthu wachiwiri aliyense - makamaka ngati zaka 40+, makamaka ngati ndizovuta. Izi "lumbago" nthawi zambiri ndi lumbago watsoka kwambiri.

Zizindikiro za lumbago

N'zochititsa chidwi kuti lumbago nthawi zambiri si matenda osiyana.

Lumbago (kapena lumbalgia) amaonedwa kuti ndi ululu waukulu mu lumbar msana. Koma izi sizingakhale matenda, koma syndrome. Popeza zomwe zimayambitsa ululu zingakhale zosiyana, ndipo pali zambiri. Mwachitsanzo, spondyloarthritis, myofascial syndrome, microrupture ya fibrous ring, spinal disc herniation, trauma, benign and malignant tumors, zotupa zopatsirana za msana.

Ngakhale kuti pafupifupi vuto lililonse la msana lingayambitse lumbago, zizindikiro nthawi zambiri zimakhala zofanana - kupweteka kwakuthwa m'munsi mwa msana, mwinamwake kumatulutsa (kutulutsa) pafupifupi. Aut.) m'matako, miyendo. Kupweteka kumawonjezeka ndi kuyenda (kupendekera, kutembenuka, kukweza). Izi mwazokha ndi chinthu chosasangalatsa, chimawonetsa munthu: pali vuto, pitani kwa dokotala!

Diagnostics

Zimachitika kuti "zikuwombera", munthuyo amatenga mpweya wake ndikubwerera kuntchito - ndipo ululu subwerera. Koma pangakhale zochitika zina.

Ngati mkati mwa masiku angapo pambuyo lumbago wodwalayo akumva kuchuluka ululu, kusowa tulo, pali matenda a pokodza kapena chimbudzi, muyenera yomweyo kufunsa dokotala.

Koma, monga lamulo, pambuyo pa nkhani yosasangalatsa yotereyi, anthu amayamba kudzisamalira okha: kusuntha pang'ono, kupumula kwambiri, ndipo ululu umachepa. Komabe, ngakhale patatha mwezi umodzi, zizindikiro zimatha kukhalapo.

Pambuyo podutsa mtunda wina, kupweteka kumakula, kutentha kumawonekera m'munsi, wodwalayo ayenera kukhala pansi kapena kudalira chinachake, kupumula, pambuyo pake amatha kuyendanso mtunda womwewo. Izi zimatchedwa "neurogenic lameness", ndipo pamenepa, inunso, simuyenera kuchedwa kukaonana ndi dokotala.

Mulimonse momwe zingakhalire, katswiri yekha ndi amene angapange matenda olondola. Kuzindikira kwa matendawa, malinga ndi Alexei Shevyrev, nthawi zambiri kumatsikira kukayezetsa wodwalayo, pamaziko omwe mayeso a labotale kapena electroneuromyography, CT, MRI, ndi radiography amaperekedwa.

Mankhwala

Popeza lumbago ikhoza kuyambitsidwa ndi zifukwa zosiyanasiyana, chithandizo, motero, chidzakhala chosiyana pazochitika zilizonse. Ndipo pali njira zingapo zobwezera wodwalayo ku luso lake lakale.

Malinga ndi chifukwa cha mawonetseredwe a lumbago, dokotala amasankha mankhwala. Kungakhale mankhwala mankhwala, physiotherapy. Nthawi zina, chithandizo chamankhwala ndi physiotherapy sichibweretsa zotsatira zomwe mukufuna, munthu amayenera kupita kwa neurosurgeon.

Zomwe zimagwiritsidwa ntchito pochiza mankhwala:

  1. NSAIDs (mankhwala osagwiritsa ntchito steroidal odana ndi kutupa) - anti-yotupa, antipyretic, analgesic kwenikweni.
  2. Glucocorticosteroids - ma analogue a mahomoni achilengedwe a adrenal cortex (anti-allergenic, anti-yotupa, anti-shock effect).
  3. Mankhwala opatsirana - amagwiritsidwa ntchito ngati kukokana kwa minofu.
  4. Vascular - kukulitsa lumen ya mitsempha yamagazi.
  5. mavitamini ndi mankhwala ena.

Physiotherapy imaphatikizapo: electrophoresis, UVT therapy, carboxytherapy, ultrasound, laser, PRP therapy. Izi zimaphatikizaponso kutema mphini, chithandizo chamanja, kusisita, kuchita masewera olimbitsa thupi.

Kupewa lumbago kunyumba

Zonse zomwe zili pamwambazi - komanso zowopsya - mawu sangakumbukire ngati mutatsatira malamulo oletsa kupewa lumbago. Ndipo izi ndi zakale monga dziko, ndipo malamulo osavuta kwambiri: maphunziro a thupi, kupuma, kugona bwino, zakudya zoyenera. Nthawi zambiri, zomwe zimatchedwa moyo wathanzi.

Mulimonsemo, ngati mawonetseredwe a lumbago amasokoneza wodwalayo nthawi ndi nthawi kwa nthawi yaitali, musapewe kupita kwa dokotala, chifukwa matendawa akhoza kusokonezeka ndi matenda a ziwalo zamkati, kapena mawonetseredwe a kuwonongeka kwa ziwalo zina za musculoskeletal system. .

Mafunso ndi mayankho otchuka

Ndani ali pachiwopsezo chokhala ndi lumbago?

Lumbago ndi ululu wakuthwa mwadzidzidzi (monga lumbago) mu msana wa lumbosacral. Lumbago ikhoza kuchitika kwa mwamuna ndi mkazi aliyense wa msinkhu uliwonse. Koma amapezeka kwambiri mwa amuna azaka za 30-50.

Lumbago imatha kuchitika panthawi yopindika, kugwedezeka mwadzidzidzi kapena kusakonzekera, kunyamula katundu, kutsokomola. Chifukwa chingakhale zosiyanasiyana pathologies mwachitsanzo, overstrain ndi kuphipha kwa minofu ya m`munsi mmbuyo - kwambiri chosaopsa njira ya matenda, ndipo kwambiri ndi herniated intervertebral zimbale, kusamuka kwa vertebrae, anomalies chitukuko, volumetric mapangidwe, matenda a rheumatological.

Kodi chimachitika ndi chiyani ngati lumbago sichinachiritsidwe?

Chithandizo chiyenera kuyamba ndi matenda. Izi zimafuna kufufuza kwa dokotala, kufufuza kwa X-ray, MRI, kuyesa magazi, mkodzo. Popeza kuti lumbago ndi ululu syndrome kuti zimachitika motsutsana maziko a pathological njira m`dera la lumbosacral msana, kumvetsa bwino gwero la ululu n`kofunika.

Zovuta popanda chithandizo cha matenda omwe amatsogolera ku lumbago (kupweteka kosautsa, paresis (zofooka) za m'munsi, kutayika kwa chidziwitso ndi chidaliro pakupumula pamiyendo, kusokonezeka kwa pelvic, kusokonezeka kwa kugonana) kungayambitse kulemala ndi kulemala.

Siyani Mumakonda