Protrusion kuti lumbar nomuzongoza. Mabatirwo protrusion of lumbar

Protrusion intervertebral discs, zviratidzo, kurapwa chichakurukurwa kurondedzerwa gare gare munyaya, ane chirwere dzinoratidzwa bulging zvinhu pasina budiriro fibrous zvindori. Kutyora hakunganzi munechimwewo chirwere. Protrusion - mumwe nzendo osteoarthritis, uye aizivawo nenyanzvi sezvo kutanga danho wezvamatongerwe heniya iri intervertebral Disc. Next, kunyatsotarisisa mamiriro ichi. Special ngwariro rinofanira rwakabhadharwa kuna protrusion ari lumbosacral nomuzongoza.

Kuitika

Maererano nenhamba, mumwe protrusion hwapedyo kupfuura hafu yevanhu pamusoro makore makumi mana. The inonyanya zvokurwara kunokwanisa kuonekwa nevanhu. Nokuti chikuru boka pangozi rinosanganisira vanhu vaiita basa rakaoma, uyewo kurarama akaneta mararamiro pamwe ndakagara basa. Varwere pakukwegura protrusion, maererano pave chinopedza urongwa, kazhinji kutsamwisa zvakafanana intervertebral heniya.

localization

The Ungangove kuonekwa munzvimbo mbiri muviri. Pane protrusion pamusoro lumbar intervertebral Disc. In aripo chidimbu zvinhu zvishanu (L1-L5). About 80% nyaya - a protrusion kuti lumbar discs L4-L5, uye zvakare L5-S1. Ekupedzisira ndiwo muganhu Kufananidzira. In nomwe remuromo vertebrae abnormality iri kuona muna C3-C4 Uye C4, C5. Nemamwe Kukuvara zvinhu zvinowanikwa ndoda kakawanda. Kana thoracal, pano kutyora kuva pakati D5 uye D6-D6-D7 vertebrae.

The zvinokonzera chirwere

A zvikonzero hunokonzera kukura chinopedza kuchinja fibrous mhete uye mwoyo pulposus disk. azvaiitwa kuchinja mamiriro okunze. Izvi kunoderedza elasticity uye Zvinoipisisa ari Qualitative sezvamunoita. Nekuti hyaline shwashwa kusakara kunoitika flattening Disc maererano zvinoitika mhiri protrusion pamusoro makirisito annulus fibrosus apo akaperera kwayo. azvaiitwa vangava pamusana:

• Pathologies of zvetsandanyama nemapfupa ezvinhu chokuziva hunhu (eg muvana).
• Osteoporosis.
• Mavanga, anorovera nezvimwe zvinokanganisa.
• Kuchinja intervertebral discs kukwegura hunhu.
• nhoroondo yemhuri.
• Kyphosis, scoliosis.
• Kusava nesimba tsandanyama hurongwa.

Sezvo zvinhu kuparira protrusion pamusoro lumbosacral nomuzongoza anogona kutaurwa:

• muviri nyonganyonga.
• Kufuta, murombo zvokudya.
• Hypodynamia (yakaderera mufambo).
• Several rwarisa pathologies.
• Chisingaperi microtrauma.
• Kunwisa muviri.
• Zvokurwara of huta uye kwemakemikari anobudiswa enyika.

kupatsanura

Miganhu vanoparadzaniswa maererano hunhu miganhu neerekitironi. Kunyanya, marudzi anotevera:

• Tenderera. Muchiitiko ichi pane bulging Disc mugove kumativi noruvara. Pathological zvirwere kazhinji chinokurwadzai munhu pinched tsinga midzi. It dzinoratidzwa chisingaperi kosi.
• Diffuse. Panyaya iyi, iyo protrusion ndiye gogonera, mumwe divi. In diffuse protrusion pamusoro lumbar nomuzongoza rinowanzoshandiswa segwapa maari nechisimba muna fibrous mhete. Pasina zvakakwana uye nenguva mabatiro ezvinhu hungangokanganisa urema.

Zvichienderana mirayiridzo iyo protrusion ari dhisiki kunoitika, zvakadai yoga mhando protrusion se:

• Side. Muchiitiko chino, pane protrusion kurudyi kana kuruboshwe kubva musana mbiru. Kakawanda chinokurwadzai kuti compression midziyo ropa uye utano hwake. Panguva kwokutanga Danho mamiriro zvirege pamwe chero zviratidzo.
• Central. Muchiitiko chino, intervertebral Disc protrusion kunoitika nenzira iri musana. The chikuru ngozi ichi zvingangoguma kuonana nemidzi yawo.
• Posterolateral. Panyaya iyi, wokutanga Disc bulges shure, ipapo padivi hama kuti nomuzongoza. Mamiriro anogona pamwe kwazvo zviratidzo.
• The rwemberi. Panyaya iyi, iyo dhisiki makabuda mumashure. Condition achiperekedzwa kurwadziwa uye havachanyatsogoni tsinga wedzerai mapazi ari chiuno kana bhokisi (zvichienderana nzvimbo zvinokuvadza).

zvekuchipatara mufananidzo

Zvichienderana localization yesununguro Disc protrusion:

• Lumbar nomuzongoza.
• Chest nzvimbo.
• Remuromo nomuzongoza.

Zviratidzo kuputswa mune thoracal nharaunda:

• Soreness of musana pazasi mbabvu.
• Tingling ari chiropa uye mwoyo.
• tsandanyama simba wokudhinda.
• Kurwadziwa muchipfuva kana pamafudzi mashizha.

Sei mumwe protrusion pamusoro lumbar muzongoza? Zviratidzo ezvinhu ndiwo:

• Rairambidzwa kwebasa musana.
• Tingling, chiveve uye kurwadziwa.
• Vapfurwa gumbo.
• The kwakaderera rezasi wamativi.
• Kupararira marwadzo kune mimwe tsoka, makumbo, pazvidya.
• Kukanganisika aikanganiswa ari pelvic zvomukati.

Zviratidzo protrusion of remuromo muzongoza:

• Achiipa kwemaziso, dzungu.
• Soreness munzvimbo musoro uye mutsipa.
• Chiveve chokumusoro maoko nemakumbo.
• Zvakasimba mutsipa mufambo.
• Kuparadzirwa kurwadziwa pamafudzi nzvimbo, minwe uye chiningoningo.
• Kuneta chokumusoro maoko nemakumbo.

Common Zviratidzo zvokurwara

kuratidzwa zvirwere murwere kunetseka marwadzo pamwe yakawedzera kurovedza muviri Chokutanga, garai muimba zvakanaka nzvimbo kwenguva yakareba. Panguva kwokutanga chitarisiko protrusion lumbosacral musana kana zvimwe kwayo nzvimbo pamwe vertebral (Sciatica, lumbago Somuenzaniso) uye radicular (tsinga compression) anoratidza. Pane kuchiita mamiriro marwadzo kwava zvikuru, simuka achirwadza, yanking hunhu kuonekwe muchimiro lumbago panguva unopinza kufamba kana apo vangakosora. Kana tapping kana palpation zvakakuvadza nharaunda akacherekedza enhancement kurwadziwa, kazhinji rizowedzerwa kumusoro. Zvishoma nezvishoma tsandanyama simba, ane mavara degeneration.

zvokukura inotungamirwa

Kana pakanga pasina nguva vakanga vaitira musana protrusion kuti lumbar zvokurwara mberi nokukurumidza. Zvinozonzi ndiwo matanho matatu:

• Vachivavhiringidza mukushanda yacho tsanga. Muchiitiko chino, zviri kutanga kushandura. Pane zvishoma nezvishoma kudzikisirana pakati fibers ari fibrous mhete kuumbika makatsemuka mariri.
• Protrusion neerekitironi ari kure pfupi. It zvinopfuura kumucheto fibrous rin'i nokuchengetedzwa yokuvimbika kwayo uye kwete millimeters anopfuura matatu.
• Uyezve bulging neerekitironi. The muitiro wacho aine compression pamusoro dhisiki pedyo nemidziyo ropa, tsinga mudzi marwadzo, lumbago. Panguva iyi, mumwe pakakoromoka rinowanzoberekera anulus. Zvinoguma prolapse (heniya) ari intervertebral Disc.

migumisiro

Mabatirwo protrusion ose lumbar nomuzongoza yaifanira nokukurumidza uye nounyanzvi. Zvikasadaro, mikana yematambudziko. Zvikurukuru, anogona substantially rinongotaura mufambo ari shure kana mutsipa, havachanyatsogoni vasiri curvature yacho nomuzongoza. Panyaya iyi zviri kukura kyphosis kana lordosis. Soreness anogona kutenga zvachose chirwere. Izviwo, yekudyidzana zvinoderedza tinokwanisa wemunhu. Enough anonzi kwakakomba kuomesa kwakaita prolapse (heniya) uye kuparadzwa zvachose disk. In mamiriro ichi uchida kuvhiyiwa. Kana oparesheni hauna kuitwa nguva, vanhu vanogona kuramba vakaremara. Kana protrusion lumbosacral nharaunda pangozi yokuva pakati compression of etsinga nemidzi ari chiuno ( "bhiza kuti muswe" urwere). Izviwo, kungaita kuti chirwere ari nehanya nezviremera wajaira, zvakafanana anogumbura kwendangariro.

Diagnostics

Huru tsvakurudzo nzira dzinosanganisira:

• Rokuongorora uye Kukoshesa pamusoro nehanya munyika dzine maoko nemakumbo uye shure, kushandisa motokari uye chetsinga nemiedzo.
• Radiography.
• Kunhonga nhoroondo zvokurapa, kusanganisira mhuri.
• CT kana MRI. Zvidzidzo izvi dzinoratidza mwero atrophy pamusoro tsandanyama fibers uye kuongorora mamiriro nhumbi.
• Electromyography. nzira iri kushandiswa kuongorora midzi compression.
• Ponji cerebrospinal Urume (mu chaiyo zviitiko).

Ari differential zvokuongorora zvinokosha kudzivisa zvirwere zvakadai tibhii remafupa, ankylosing spondylitis, kweropa zvirwere mune dzimwe arteries, oncology.

Mabatirwo protrusion of lumbar

Kusarudza zvakaoma kuchirapa matanho kuvimba kunonyanya pamusoro nokumhanya rikurumidze. Nemamwe mashoko, kusarudza kukosha kana kurapwa ane kure uhwo haachatauri intervertebral Disc. Kana zviri 4 mm (nokuti muromo wechibereko mugove asina kupfuura 1 mm), zvavakabvumirana kurapa mubhedha zororo uye mira ezvinhu. Kuchinja nzira chinangwa kurwadziwa, kubviswa edema, kuzvimba. Marapirwo kunonatsiridza kuparadzirwa ropa, batsirai vascular spasm nokudzosa tsandanyama chaitika. Kwaizvozvi zvinotevera zvinodhaka akakurudzira kuti:

• NSAIDs. Izvi zvinosanganisira, zvikurukuru, anosanganisira mishonga yakadai se "Ksefokam", "Ortofen", "Ketoprofen", "Indomethacin", "naproxen", "Movalis" uye vamwe.
• Tsandanyama relaxants. chikamu ichi zvinosanganisira munowanika "Diazepam" "Metaksalon" "Mydocalm" "orfenadrin". At kubviswa tsandanyama spasm muzviitiko zvakawanda, yekudyidzana kwakaderedza zvikuru kurwadziwa.
• Glucocorticosteroids. zvinodhaka izvi zvinosanganisira "Methylprednisolone," "Flosteron", "Diprospan". chikamu ichi medicaments akashandiswa ineffectiveness ose NSAIDs uye tsandanyama relaxants somunhu mutsetse kurapa wechipiri. Zvinonzi yakakurukura nzira inonyatsobudirira kudzidzisa zvinodhaka kupinda nyoro tishu.
• Dzakamukurudzirawo hondroprotektory ( "Aflutop", "Struktum", etc.), zvinodhaka kuti kuvandudza kuparadzirwa ropa ( "Aktovegil", "Trental").