Radicular urwere pakati lumbar: Zviratidzo neMarapirwo

Chetsinga zvirwere tiri mumwe mapoka zvirwere, izvo kazhinji kutungamirira kuremara kana duku incapacity. Rimwe zvirwere izvi - musana radicular chirwere - kunoitika zvikuru kakawanda. Chii?

Chii radicular chirwere?

Izvi izwi Kazhinji rinoreva chine zviratidzo kuti kuva somugumisiro pakunzwisisa musana midzi. Kazhinji, chirwere zvinotungamirira kukura osteochondrosis - radicular chirwere nacho shoma kwazvo kupfuura nyaya tsaona kana Disc herniation. Pane aienda pamusoro intervertebral foramen, zvinoita kuti kukanganisa yomupfungwa kuuya.

Huru zvekuchipatara zviratidzo kana radicular chirwere zvinodiwa ndiwo:

• Pain. Dzinoratidzwa kukuru vachirwadziwa marwadzo munzvimbo compression pamusoro musana achibuda nomuzongoza, kuripa maoko nemakumbo uye dzimwe nguva zvomukati.
• utetsa nyonganyonga. Anovandudza achitevedza exiting etsinga. Kakawanda izvozvo hunoonekwa muchimiro paresthesias (tingling kunzwa, mumwe hwava kuderera).
• Atrophy of innervated tsandanyama uye kufamba nyonganyonga. Inokudziridza nokuda kukuvara tsinga kuti innervate imwe nzvimbo. Inotungamirira tsandanyama simba uye kurasikirwa basa.

The pathogenesis chirwere

At moyo pokumuka radicular chirwere ari kukundwa pamusoro nomuzongoza. Nokufamba kwenguva, pane Kuparadzwa mumatanda muviri zviri intervertebral shwashwa. Sembura ichi chirwere zvikonzero zviri zera, nekumwisa uremu, utera. Zvinoguma anonzi subsidence yacho vertebrae.

Spinal tsinga vachibuda vertebral Canal kuburikidza intervertebral foramen. Nokuti kuti musana sags, pane aienda pamusoro mawindo, iyo inotungamirira kukanganisa yomupfungwa.

The compression kwenzvimbo hwapedyo aseptic kuzvimba, iyo inozivikanwa nokuva edema yacho pedyo munyama. Izvi kuzvimba mberi kuwedzera mamiriro, iyo inotungamira vawedzere marwadzo. Pain pakuparadzira ushamwari tsinga, nokuti chii chinogona kuitika viscera lesion muenzaniso (somuenzaniso, radicular thoracal nomuzongoza chirwere anogona kusika mufananidzo angina kana myocardial infarction).

Zvikonzero zvichiita kuti kukura chirwere

Kuwedzera osteoarthritis, kukura uye nemamwe maitiro inogona kukonzera zvirwere. Pakati pavo vane:

• Intervertebral heniya. Nokuda atsamwira uye kusunungurwa shwashwa kunze musimboti pulposus ari vertebral mbiru vari chakatsindirwa pana tsinga.
• Kuremara marongerwo uye zvirwere nomuzongoza. The ungangotarisa kukonzera radicular urwere, kutanga achiri muduku.
• Injury. Kazhinji, somugumisiro Fusion zvisina kufanira vertebrate zvinoshandiswa, pane compression pakati kumidzi.
• Zvirwere zviri nomuzongoza, zvichiita kuti kuparadzwa pamusoro osseous uye cartilaginous munyama (osteomyelitis).

Radicular chirwere kazhinji ikabuda vakafutisa ndakagara vanhu.

Dzimwe nguva zvinogona kuva somugumisiro zvakanyanyisa inorema chaiko basa kana vanonzi "musana kukundikana".

Mune zvimwe zviitiko, radicular chirwere hwapedyo nokuda hypothermia.

Kungaita pave radicular urwere, zvimwe zvinodhaka (Zvisinei, muchiitiko ichi, kuti chirwere achanzi psevdokoreshkovogo).

kupatsanura

Zvazvakadaro, kuti kupatsanura hakusi radicular syndrome. Conventionally, vanachiremba vakakamurwa maererano nemarudzi anatomic lesion yacho muzongoza munzvimbo. Maererano kupatsanura ichi kusiyanisa radicular urwere:

• Remuromo nomuzongoza.
• Thoracal.
• Lumbar.

Sacrum uye coccyx sei osteochondrosis zvisinganyanyi kuitika, saka munda date kupatsanura haana kuiswawo.

Noruzhinji pane kupatsanura pakati radicular chirwere nokuvapo yematambudziko (yakaoma uye nyore).

Dzimwe nguva zvinosanganisira vakadaro siyana radicular urwere, vose vawana uye chokuziva (kunyange kupatsanura iyi apo neapo, sezvo vakawanda chirwere kakawanda yakatengwa).

Pakati zvose siyana izvi ndiyo kwakapararira lumbar radicular chirwere nomuzongoza.

Zvikonzero kukundwa wedhipatimendi

Nei kazhinji inobata chete nharaunda iyi? Zvikonzero nokuda izvo kuva radicular urwere pakati lumbar, zvinotevera:

• On rezasi musana murimo nokuda kupfuura mutoro. Zviri pano kuti redistribution rayo kubva rinorema chaiko basa. Mukuwedzera, loin iri akatakura uye overlying madhipatimendi muviri, sezvo kunovabatsira kuramba uye chinzvimbo.
• Lumbar vertebrae akaumba hombe, zvakakwana paupamhi buri. Kuburikidza navo midziyo makuru uye tsinga plexus, iyo nokururamisira nyore kuvhiringidzwa somugumisiro kutyorwa ndisingafungiri-rokutora kushanda intervertebral Disc.
• Radicular urwere pakati lumbar uye kazhinji anova nokuti kuti chimwe chezvinhu kubvongodzwa zvikamu axial marangwanda. Kunyanyisa dzakafara kuti kuwanda inofamba nyore kutungamirira kuti misha yacho vertebrae hama kune mumwe uye kukonzera kukura marwadzo uye tsinga entrapment.

kiriniki

Zvisinei, kana, somugumisiro tsinga entrapment kunoitika radicular chirwere lumbar zviratidzo usazvidya refu kumirira.

Wokutanga uye inonyanya chiratidzo kurwadziwa. Iye anopfeka kutsvaira hunhu anooneka pakarepo, zvichiguma kwazvo chaiko kukuvara kana kushanda. A zvishoma nezvishoma kuwedzera kurwadziwa kwese kuti osteochondrosis. Muchiitiko chino, backache achava dambudziko, asi kusimba marwadzo haisi yakakwirira.

Kutsinga dzinouya vanotaura kakawanda aine marwadzo. Raputsika kubva mhiri, apo pane pinched tsinga. The lumbar radicular chirwere rinowanzova bilateral zvakasikwa (osteochondrosis) .Chasche chete vasanyanye nehanya uye marwadzo pachikumbaridzo. Dzimwe nguva pangava paresthesia - akatsveyama kusaririra nezvekufadza.

Zvaipesana tsandanyama basa kunogona kuitika panyaya apo kwenguva refu pane lumbar osteochondrosis. Radicular chirwere kunotungamirira tsandanyama atrophy, kurasikirwa mukana vanoshingaira basa remaoko, simba simba tsandanyama sunga.

Diagnostics

Rokuongorora maperembudzi zvakakodzera, kufungisisa zvakawanda zvinokonzera. Chokutanga, tinofanira kuteerera murwere chichemo, sezvo inobva azvino zvinobvira zvokufungidzira localization ari pathological muitiro.

Kutsigira ruzivo munguva rokuongorora anogona kupa palpation mapazi nzvimbo kurwadziwa - achapiwa kunoitwa yomunharaunda tsandanyama makakatanwa. Nemaziso, unogona kuwana yakatenuka murwere ari njodzi divi (saka zvinokwanisika kuderedza marwadzo chishamiso).

Complete ropa count mashoko shoma - anogona chete kuonekwa hama kuwedzera ropa mumasero machena nokuda shoma kuzvimba.

The huru nani mune nechirwere pakati radicular chirwere ane MRI pamusoro lumbar nomuzongoza. Kudzidza Izvi zvinobvumira kuziva kunyange zvishoma kukanganisa pamusoro etsinga uye kuziva chaiyo localization rikurumidze. Zvisinei, kuoma kuita nokuzvidzora tomography. MRI of lumbar musana - muitiro asi inodhura, saka haisi kuitwa zvose.

radicular urwere kurapwa

Unoitei kana hosha kunokudziridzwa? Ndingaramba kubatwa pamusha kana nani vachiri kuenda kuchipatara?

Kana uine asi kukudziridza radicular chirwere lumbar kurapwa kwayo kunofanira kutanga pakarepo uye kudiwa muchipatara.

Kungofanana mhando kurapwa kwezvirwere ari zvetsandanyama nemapfupa ezvinhu, izvi zvinofanira kusanganisira dzisiri mushonga nzira, zvinodhaka kurapa uye kuvhiya kupindira.

Kana zviratidzo havana kuchikosha kukanganisa upenyu, anogona kubatsira vanhuwo nzira - kudya zvinovaka muviri, kudzivirira maekisesaizi, masaja, munhu chinozorodza inopisa tabhu.

Kana, zvisinei, anotanga kuti vavhiringe lumbar radicular chirwere, mabatiro kwokutanga matanho inofanira kusanganisira kushandiswa zvisiri steroidal Anti-anogumbura zvinodhaka ( "nimesulide" "Diclofenac") mukati kana intramuscularly. Kana zvinetso zvikatanga kurwadziwa kwazvo, zviri ashandise vertebral blockades. Kana Kushatiswa zvavakabvumirana chijana iri vatiitirewo chiremba wetsinga kana neurosurgeon kuona mimwe mishonga nzira.

physiotherapy

Maererano vazhinji kunotevera vanachiremba vanovhiya, neurologists uye physiotherapists, kurapa zvimwe zvirwere zvetsandanyama nemapfupa hurongwa zvinogoneka pachishandiswa muviri nokurapwa.

Kubvisa radicular chirwere dzinowanzotaura electrophoresis, yemagetsi kufamba kweropa dzenzvimbo.

Electrophoresis zvimwe zvinodhaka anogona kuzadzisa migumisiro akadai:

• Kubviswa kushoma.
• Kubviswa marwadzo.
• Kuvandudza muviri ari sei midzi.
• Kudzorerwa trophism of kwakakanganisa tsandanyama uye mapfundo.

Uchishandisa EIT (cardioversion) inoendeswa kuzvivaraidza pamusoro kusvinwa tsandanyama, kuwedzera simba atrophied rinenge tonic mugumisiro.

Kuwedzera paku dzinoshandiswa uyewo anobatsira zvidzidzo mudziva, kana mumuviri kurapa muzvirongwa.

Pakurapa lumbar nomuzongoza inogona kuitwa tichibatsirwa jekiseni uye Chiropractic muzvirongwa. unyanzvi izvi hazvina zvinowanzoshandiswa kwakajairika mushonga, asi kuti kubatsira vanhu vakawanda.

kuvhiya kurapwa

Huru chinhu kuratidza radicular chirwere - zviratidzo. Treatment muchipatara zvomusejari inokurudzirwa pavanotanga kutora rimwe ngozi hunhu.

Huru zvairatidza kuti kuvhiyiwa vari:

• Kurwadziwa, regai kupindura NSAIDs kana marwadzo analgesics.
• Zvaipesana muzvidimbu kushanda pamwe kurasikirwa vanoshingaira mapato rakakwana.
• Kusingarapiki kuchinja pfupa nemarunda, zvichiita kuti compression.
• A kuoma intervertebral heniya.
• Complete kurasikirwa richiripo nehanya.

Operations zvinoitiswa unyanzvi yekuongororwa. Under yokutindivadza pave vakarongeka kuwana nzvimbo compression pakati midzi vanobviswa kuvhiringidza romuzvarirwo nzvimbo nomuzongoza vertebra inoramba. With heniya rinoitwa kunokurumidziswa excision nzvimbo. zvinoderedza kana excision of rawa Disc duku kuwana - Pari, apo hernial radicular chirwere nucleoplasty zvose kuwedzera kushandiswa.

yematambudziko chirwere

Sezvambotaurwa, kunonoka pakurapa lumbar nomuzongoza kungaita kuti zvimwe vamwe zvirwere. Somuenzaniso, kunetsa dzinosanganisira zvinotevera:

• Lameness. Inokudziridza nokuda kumanikidzwa mamiriro. Naizvozvo anogona kukonzera Kuipa flatfoot uye chirwere inoti (utsinye denderedzwa).
• Epfungwa. Kurwadziwa ari makumbo uye musana hauchazopi zororo masikati nousiku. Tikafunga kuneta zvingamuka netsinga uye psychoses.
• Ankylosis uye vadyi contractures. Chikonzero kukura kwavo zvakare kwenguva kugara imwe nzvimbo, uye shoma basa.
• In Muzviitiko zvakaipisisa, kukuvara tsinga kungaita kuti kuoma maoko nemakumbo.
• Kutanga kuzvimba anogona retrograde kupinda musana, kuchikonzera mufananidzo meningism, musana infarction kana kuwedzera Mashoko mamwe midzi.

dziviriro chirwere

Kuitira kudzivirira kukura radicular chirwere, vanofanira kuyeuka zvimwe mitemo nyore:

• Daily mangwanani maekisesaizi. Zvinobatsira kutambanudza tsandanyama, muuye navo matauriro.
• Kudzora zvakawandisa uremu. Sezvambotaurwa, chinhu chinoita kuti kuwedzera pamusoro chirwere.
• Preventative kukwizwa. Chinobatsira kwoushamwari-up tsandanyama uye musana majoini, kurambidza misha iri vertebrae hama kune mumwe, uye regai kupa precipitate pamusoro intervertebral Disc kubva pamubhedha wake.
• Kudya zvinovaka muviri. Mumwe zvinhu kukura chemajoini - kuti kuderera inotonhorera zviri shwashwa tishu. Nounyanzvi akanyora kudya unokubvumira umbomira munguva kwacho.
• Pool. It kunoderedza mutoro pamusoro nomuzongoza, munzira inoenda mataurire zvose tsandanyama.
• kuparadzirwa zvakakodzera basa uye zororo. Kutonga uku haambotauri kuneta uye kukuvara munguva remaoko.