Kupweteka kwa lumbar msana - kungayambitse chiyani? Zomwe zimayambitsa, chithandizo, mankhwala ndi masewera olimbitsa thupi a lumbar msana

Zomwe zatsimikiziridwa

Kupweteka kwa lumbar msana ndi matenda omwe amakhudza kwambiri osati okalamba okha, komanso achinyamata. Ululu m'dera la lumbar ukhoza kuchitika chifukwa cha kuwonongeka, kulemetsa kapena kusintha kosasintha. Nthawi zina ululu m'derali molakwika pamodzi ndi msana, chifukwa amatha kutuluka m'madera ena a thupi. Kodi zimayambitsa kupweteka kwa lumbar msana ndi chiyani? Kodi kuthana nazo?

Kupweteka kwa lumbar msana - zomwe zingatheke

Kupweteka kwa msana ndi vuto lomwe anthu ambiri amakumana nalo. Ngakhale 80 peresenti. anthu adzamva ululu wammbuyo wa chiyambi chilichonse kamodzi kokha m'moyo wawo. Pankhani ya ululu wa lumbar msana, nthawi zambiri amanenedwa kuti ndi liti amawoneka pansi pa nthiti ya 12 ndi pamwamba pa matako, imathanso kutulutsa m'munsi. Ululu wammbuyo ndi wovuta kapena wovuta.

Choyamba, ndi bwino kulabadira matenda okhudzana ndi m'munsi msana, amene mwina molakwika ndi ululu wa lumbar msana. Nthawi zambiri, kusankhidwa kwa dokotala ndi kuyezetsa koyenera ndikofunikira kuti muwunike bwino momwe zinthu zilili, chifukwa ululu m'dera la lumbar osagwirizana ndi msana nthawi zina amayamba ndi:

1. matenda a impso ndi mkodzo, monga aimpso colic;
2. nthawi zowawa, endometriosis kapena zovuta zina zokhudzana ndi ubereki wa amayi;
3. matenda a kapamba kapena chiwindi;
4. kupweteka kwa m'mimba kutuluka kumbuyo;
5. Prostate mavuto mwa amuna.

Ngati ululu wa m'munsi kumbuyo, komabe, umakhudza msana, ukhoza kukhala wokhudzana ndi minofu yambiri, kuvulala kwa intervertebral disc, kuvulala kwa fupa (monga fractures), kusintha kosasintha, komanso kukhala kosakhazikika (ndiko ndiye zovuta kukhazikitsa chifukwa chake chosadziwika bwino).

Kuti mumve ululu wammbuyo, yesani nyali yakuchiritsa ya Vitammy Flare.

Onani: Mapangidwe a msana. Chilichonse chomwe muyenera kudziwa za msana

Ndi chiyani chomwe chimapangitsa kuti pakhale kupweteka kwa lumbar msana?

Zomwe zimayambitsa kupweteka kwa lumbar msana nthawi zambiri zimakhala zovuta kuziyika. Zinthu zambiri zingayambitse kupweteka kotereku, kuphatikizapo matenda osiyanasiyana, kuphatikizapo obadwa nawo, kuvulala kapena kulemetsa, komwe msana umawonekera pakugwira ntchito tsiku ndi tsiku.

Ululu wammbuyo m'dera la lumbar ukhoza kuwuka kuchokera:

1. zovuta zobadwa nazo - mawonekedwe achilendo a msana (mwachitsanzo, lumbalization) angapangitse kuti pakhale katundu wosagwirizana pamagulu a msana, motero kumabweretsa ululu;
2. kulemedwa ndi kuvulala - zowawa zimatha kuwoneka ngati zovuta pambuyo povulala (mwachitsanzo, kupasuka kwa msana), kudwala matenda osteoporosis, komanso pamene msana umakhala wodzaza kwambiri chifukwa chosakwanira minofu yothandizira;
3. kutukusira - matenda otsatizana ndi kutupa kwa mafupa amakhudza mkhalidwe wa msana; chitsanzo ndi ankylosing spondylitis ndi matako dera, amaletsanso kuyenda; komanso nyamakazi yapamwamba ya nyamakazi imatha kukhudza ziwalo za msana, zomwe zimayambitsa kuwonongeka mkati mwawo;
4. kusintha kosasinthika - kuwonongeka, mwachitsanzo, zolakwika ndi kusintha kosavomerezeka komwe kumakhudza chichereŵechereŵe ndi mafupa a msana, kumayambitsa kupweteka komanso nthawi zina kumayambitsa stenosis ya msana wa msana (kuchepa kwake); zotsatira za stenosis zikuphatikizapo, pakati pa ena kukakamiza minyewa komanso chophukacho chosasinthika;
5. matenda kagayidwe - mavuto a kagayidwe kachakudya omwe angagwirizane ndi ululu wammbuyo amaphatikizapo matenda a shuga (kuthamanga mofulumira kwa mapangidwe a msana) ndi osteoporosis (kutsika kochepa kwa alendo, fractures zambiri, kufooka kwa minofu ndi makina a msana);
6. mavuto azamisala - ululu wammbuyo ndi kuuma kwawo kungakhale chifukwa cha chikhalidwe cha maganizo, kukhalapo kwa nkhawa, kupsinjika maganizo kwakukulu kapena hypochondria.

Kodi mukudwala msana ndipo mukufuna kuwona ngati zingayambitsidwe ndi kusintha kotupa? Mutha kuyitanitsa mayeso oyitanitsa makalata a nyamakazi ya msana ndi miyendo kuchokera ku gulu la spondyloarthritis kudzera pa Msika wa Medonet. Kuti muchepetse ululu wokhudzana ndi msana, gwiritsani ntchito Flexan nthawi zonse - chowonjezera cha YANGO, chomwe chimaphatikizapo, mwa zina, utomoni wa makungwa a zofukiza za Indian.

Kupweteka kwa lumbar msana - kuchulukirachulukira

Kuchulukitsitsa kwa msana kumalumikizidwa ndi chiwopsezo cha kuwonongeka kapena kutulutsa kwa intervertebral disc. Kupweteka kwa m'munsi kumbuyo kungabwere chifukwa chodzaza minofu yofewa. Pamene kugwira ntchito kwa minofu yofewa, ziwalo za m'chiuno ndi msana zimasokonezeka, kupanikizika kwa minofu yapafupi kumawonjezeka. Izi ndikuwonetsetsa kukhazikika kwa zomangamanga. Tsoka ilo, kumabweretsanso katundu wambiri pa msana, kukula kwa kutupa ndi kuchitika kwa ululu. Zikatero, kuwonongeka kumatha kuchitika.

Kuchulukirachulukira kwa msana wam'chiuno kumakondedwa ndi kukhala nthawi yayitali, ntchito yofuna kupinda, kukweza ndi kukweza, kusachita masewera olimbitsa thupi, kunenepa kwambiri kapena kunenepa kwambiri. Kufooka kwa minofu ya m'mimba ndi kusinthasintha kwa chiuno ndikofunikanso.

Prophylactically, m'pofunika kugwiritsa ntchito Exclusive Support lumbar mafupa pilo, amene akhoza kuikidwa pansi pa nsana, mwachitsanzo pa ntchito imene imafuna atakhala nthawi yaitali.

Ngati mukufuna kuchepetsa ululu m'dera la msana, yesani amonke Dermaticus Klimuszko akalowa khungu mozungulira mfundo ndi msana ndi kutentha ndi ulesi zotsatira. Timalimbikitsanso poplar liniment kuti azichulukirachulukira, zomwe zimachepetsa kupweteka kwa mafupa ndi minofu.

Kupweteka kwa lumbar msana - mavuto ndi intervertebral disc

Zomwe zimayambitsa kupweteka kwa msana zimaphatikizapo kusokonezeka kwa intervertebral discs. Izi ndizitsulo zomwe zimakhala ndi katundu wochuluka, zomwe zimakhala ndi microtrauma, komanso kupanga hernia ("prolapse") ya intervertebral disc.

1. Kusintha kwa intervertebral disc. Kuwoneka kwapang'onopang'ono kwa ma disc microdamages ndi kuphatikizika kwawo kumabweretsa kuwonongeka kwa zinthu zina - mphete ya fibrous, ndipo pamapeto pake kutayika kwa nucleus pulposus. Zotsatira za kusinthaku ndi kukhudzika kwakukulu kwa zokopa ndi zochitika za ululu. Anthu azaka zapakati pa 35 ndi 50 amakumana ndi kuwonongeka kwa intervertebral disc (73% ya anthu pa msinkhu uwu), koma imapezekanso m'zaka zapakati pa 35 (50%).
2. Chotupa cha intervertebral disc. Ichi ndi chodabwitsa chomwe sichimayambitsa kupweteka. Komabe, ngati chophukacho ("prolapsed disc") mu lumbar msana chikanikizira mizu ya mitsempha, zizindikiro monga kupweteka, dzanzi, kugwedeza, kusokoneza maganizo, kufooka kwa minofu, ndi kusokonezeka kwa chikhodzodzo ndi anal sphincters zimawonekera.

Kupweteka kwa lumbar msana - kusintha kosasintha

Chimodzi mwa zifukwa zomwe zimayambitsa kupweteka kwa lumbar msana ndi kusintha kosasintha. Mapangidwe awo ndi njira yomwe pang'onopang'ono imayambitsa kuwonongeka kwa intervertebral disc ndi cartilage ya intercapular joints. Chifukwa cha maonekedwe a kusintha kosinthika, kulinganiza pakati pa mphamvu zowonongeka ndi kuwonongeka kwa mapangidwe a msana kumasokonezeka. Mutha kusiyanitsa:

1. kuwonongeka kwa ma intercapular joints - kungayambitse kupweteka kwa matako ndi ntchafu, zomwe zimafanana ndi ululu wa mizu, koma ndi zotsatira za kuwonjezereka kwa mitsempha, kutupa kwa nthawi yaitali, kuvulala kwazing'ono kapena kutambasula kwa synovial nembanemba ndi kapisozi olowa;
2. Kusintha kwapang'onopang'ono komanso kopindulitsa kwa matupi amtundu wa vertebral - kumayambitsa mapangidwe a osteophytes (kukula kwa fupa), zomwe zingayambitse stenosis, kuwononga mbale zam'malire komanso mawonekedwe a ma nodule a Schmorl.

Mutu wofananira: Kuwonongeka kwa mafupa a msana

Kodi mukuwona zizindikiro zosokoneza? Afufuzeni nokha mu mafunso azachipatala ndikusankha kupita kwa dokotala.

Kupweteka kwa lumbar msana - chithandizo

Chithandizo cha ululu wa lumbar msana ndi nkhani yovuta. Njira yochiritsira nthawi zambiri imafuna njira yochuluka chifukwa cha zifukwa zosiyanasiyana zowawa, zomwe zimayenderana ndi kusintha kwa mapangidwe a msana kapena zolakwika m'madera ena a galimoto. Basic miyeso ntchito pa matenda a lumbar ululu ndi pharmacotherapy, physiotherapy, njira zodzitetezera, ndipo, ngati kuli kofunikira, komanso opaleshoni.

Mu gawo lopweteka la ululu wa msana, chithandizo chimakhala ndi mpumulo ndi pharmacotherapy ndi ululu ndi kutupa. Gawo lotsatira ndi physiotherapy, mwachitsanzo njira zingapo zotsitsimutsa (zolimbitsa thupi) ndi malangizo a masewera olimbitsa thupi ogwirizana ndi zovuta za wodwalayo (kinesiotherapy). Kwa anthu omwe akulimbana nawo kupweteka kwapweteka kosalekeza m'dera la lumbar prophylaxis, kuphatikiza kuchita masewera olimbitsa thupi pafupipafupi komanso kutsatira malangizo oti mukhale ndi kaimidwe koyenera, ndikofunikiranso kwambiri. Ndikoyeneranso kugula Vitammy Warm-Up Cushion, yomwe ingachepetse ululu ndikuwongolera kuyenda bwino.

Opaleshoni mankhwala a lumbar msana matenda ikuchitika pamene pali zizindikiro zenizeni. Kutengera ndi mtundu wamavuto a msana (monga lumbar discopathy, fracture), chithandizo chamitundu yosiyanasiyana chimasankhidwa. Mtheradi kufunikira kokonzekera ndondomekoyi kumachitika pakakhala kuperewera kwa kayendedwe, chikhodzodzo kapena matumbo. Chithandizo cha opaleshoni ya discopathy chimafunika pafupifupi. 0,5%. milandu.

Onani: Chithandizo cha msana

Lumbar msana ululu - mankhwala mankhwala

Pofuna kuthetsa zizindikiro ndikuletsa njira zotupa, makamaka ngati zizindikiro zikuwonjezeka, zimagwiritsidwa ntchito. painkillers ndi anti-inflammatory drugskuphatikizapo ibuprofen, diclofenac, ketoprofen ndi glucocorticoids. Mankhwala amasankhidwa malinga ndi kukula kwa ululu. Mankhwala ena opweteka a msana wa lumbar (kukonzekera pakamwa, mafuta odzola, compresses) amapezeka popanda kulembedwa, mankhwala ena (opha ululu wamphamvu, jekeseni) amapezeka pokhapokha pa mankhwala.

Visiomed KINECARE VM-GB7 lumbar compress itha kugulidwa mosamala komanso mosavuta pa medonetmarket.pl.

Pofuna kuchepetsa kuopsa kwa zizindikiro ndikufulumizitsa chithandizo, nthawi zina amapatsidwa antispasmodics (mwachitsanzo, tizanidine), antidepressants kapena zakudya zowonjezera zomwe zili ndi zosakaniza zomwe zimafulumizitsa kusinthika kwa dongosolo lamanjenje (mwachitsanzo, Urydynox, Neurotynox). Chithandizo chokhazikika cha zowawa za m'chiuno cha msana chimaphatikizaponso kuthetsa msana, kutenga malo oyenerera pogona ndi kuchita ntchito za tsiku ndi tsiku, komanso kupewa kukweza.

Mutha kugwiritsanso ntchito gel osakaniza a Arnica Active FLOSLEK kwakanthawi chifukwa cha ululu wammbuyo, womwe umaziziritsa bwino ndikuchotsa minofu yotopa.

Kupweteka kwa lumbar msana - chithandizo chamankhwala

Physical therapy ndi nthambi ya physiotherapy yomwe imagwiritsa ntchito mphamvu zamakina, zamagetsi ndi zotentha kuti zithetse ululu ndi zomwe zimayambitsa. Kufunika kwa chithandizo chamankhwala pazochitika za ululu wammbuyo kumaphatikizapo kuchiza zizindikiro za matenda komanso kupewa ndi kuzindikira kwawo.

Zochizira zolimbitsa thupi zomwe zimagwiritsidwa ntchito panthawiyi kukonzanso kwa lumbar msanazikuphatikizapo, mwa zina:

1. cryotherapy;
2. electrotherapy, mwachitsanzo iontophoresis;
3. ultrasound;
4. magnetotherapy;
5. laser mankhwala;
6. hydrotherapy, mwachitsanzo, shawa, mabafa, kutikita minofu ya whirlpool.

Chithandizo cha msana amasankhidwa malinga ndi mtundu wa matenda, komanso kutenga contraindications munthu mitundu ya mankhwala thupi.

Kupweteka kwa lumbar msana - masewera olimbitsa thupi

Zochita zolimbitsa thupi nthawi zambiri zimalimbikitsidwa ngati gawo la prophylaxis ya msana wathanzi, komabe, pankhani ya matenda odziwika a locomotor system, kuwonongeka kapena kusintha kwina, chisamaliro chapadera chiyenera kutengedwa. Zochita zolimbitsa thupi zopangidwira anthu omwe ali ndi ululu wam'chiuno (kinesiotherapy, chithandizo ndi kuyenda) chiyenera kuchitidwa mutakambirana ndi dokotala kapena physiotherapist. Pankhani ya ululu wa lumbar msana (kupatula pachimake gawo la matenda), zotsatirazi nthawi zambiri analimbikitsa:

1. masewera olimbitsa thupi;
2. zolimbitsa thupi kulimbikitsa m`mimba minofu, makamaka yopingasa minofu, amene kwambiri stabilizers m`dera lumbar;
3. masewera olimbitsa thupi kuti azilamulira chiuno, m'chiuno ndi lumbar msana;
4. zolimbitsa thupi m'madzi.

Zochita zolimbitsa thupi zomwe zimagwiritsidwa ntchito pogwiritsa ntchito pilo yokonzanso Sanity ndizomwe zimalimbikitsidwanso pakupweteka kwa msana. Mutha kugula pilo pamtengo wokongola pa Msika wa Medonet.

Onani zambiri: Zochita zolimbitsa thupi za lumbar msana - kuvulala, mitundu yolimbitsa thupi

Njira zosiyanasiyana zimagwiritsidwa ntchito pochiza zovuta zamtundu wa lumbar, kuphatikiza:

1. njira ya Pilates;
2. Njira ya McKenzie - imaphatikizapo kuchita mayendedwe otsutsana ndi omwe amayambitsa kupweteka, pofuna kuchotsa chomwe chimayambitsa kupweteka;
3. Njira ya PNF (ProrioceptiveNeuromuscular Facilitation) - imaphatikizapo kulimbikitsana kwa msana, neuromobilization ndi cranio-sacral therapies.

Mbali yofunikira pakupewa kukhala ndi thanzi labwino la msana ndi kutsatira mfundo za ntchito ergonomics - onse ofesi ndi thupi. Izi zimatchedwa sukulu yobwerera. Pofuna kupewa kupweteka kwa msana ndi kubwereranso, tikulimbikitsidwa kuti tisunge malo oyenera panthawi ya ntchito ndi kuphunzira, komanso kusintha malo nthawi zambiri. Ngati mukufuna kugwada kapena kunyamula chinachake, sungani msana wanu molunjika ndi kugwada.

Pazochita zolimbitsa thupi tsiku ndi tsiku kunyumba, mudzafunika AIREX Fitline rehabilitation mat, yomwe simamwa madzi kapena thukuta. Mutha kuzigula pamtengo wabwino pa Msika wa Medonet. Kuti muwonjezere mphamvu ya masewera olimbitsa thupi, ndi bwino kugwiritsa ntchito PUMP Pre-Workout Formula kuti mugwire ntchito ndi kupirira OstroVit - chowonjezera cha zakudya chomwe chimapezeka mwa mawonekedwe a ufa wosungunuka mosavuta.

Onaninso:Thandizo lamanja - ndi chiyani ndipo liyenera kufikira liti?

Lumbar msana ululu - njira opaleshoni

Njira zopangira opaleshoni, makamaka zowononga, nthawi zambiri amalangizidwa ndi madokotala pamene matenda a msana apezeka kuti amayambitsa kupweteka m'dera la lumbar la msana. Zizindikiro zowonjezera zomwe zimachitika chifukwa cha kuwonongeka kwa kapangidwe kake ndi kupsinjika kwa minyewa (mwachitsanzo, kusokonezeka kosalekeza kwa kukhudzidwa kapena kulimba kwa minofu, zovuta zoyenda, zolakwika m'chikhodzodzo kapena ma sphincters) ndi chizindikiro chotsimikizika cha opaleshoni. Mankhwala amachitidwanso pankhani ya Ululu wopweteka kutsagana ndi sciatica kapena fractures, ngati sangathe kumasulidwa ndi chithandizo chokhazikika.

Zitsanzo za opaleshoni yochitidwa ndi ululu wa lumbar msana ndi:

1. endoscopic discectomy kapena discectomy - kuchotsedwa kwa intervertebral disc, nthawi zambiri pamlingo wa L5 / S1 ndi L4 / L5;
2. coblation nucleoplasty - opaleshoni ya percutaneous lumbar discopathy;
3. vertebroplasty - njira yomwe imachitika pambuyo pa kusweka kwa osteoporotic kapena compression fractures, kumaphatikizapo kugwiritsa ntchito simenti ya mafupa kudzaza tsinde losweka;
4. baluni kyphoplasty - kubwezeretsanso khoma losweka la vertebral; njira ntchito pambuyo fractures chifukwa cha kuvulala, kufooka kwa mafupa kapena zotupa.

Ngakhale kuti njira zopangira opaleshoni zimakhala zapamwamba (zotsatira zabwino komanso zabwino kwambiri pambuyo pochotsa intervertebral disc zimachitika mpaka 96% ya milandu), nthawi zonse sizionetsetsa kuti zizindikiro zonse zatha. Kubwereranso zowawa ndizotheka ngakhale 1/3 ya odwala, makamaka okalamba, komanso omwe ali ndi vuto lalikulu la ubongo, comorbidities kapena matenda okhudzidwa ndi thupi.

Muyeneranso kuganizira za chiopsezo cha kuchepa kwa kukhazikika kwa msana kapena nthawi ina pambuyo pa opaleshoni postoperative pain syndrome. Chotsatiracho chikhoza kukhala chifukwa cha zomatira ndi zipsera m'dera lomwe limagwiritsidwa ntchito kapena kuchotsedwa kosakwanira kwa chophukacho.

Werenganinso:

1. Dokotala wa msana - orthopedist kapena neurologist?
2. Msana wathanzi - momwe mungasamalire msana wanu ndi masewera olimbitsa thupi?
3. Discopathy: khomo lachiberekero, lumbar, msana - zizindikiro ndi chithandizo