Ukutshatyalaliswa kweengxowa zomgogodla - yintoni na, njani ukuyiqonda nokuphelisa imeko?

Abangaphezu kwama-50% ebantwini behlabathi banenkxwaleko yangemva ebangelwa zizigaba ezahlukeneyo ze-osteochondrosis. Ukuba awuqhagamshelani nogqirha ngexesha elifanelekileyo kwaye ungaqalanga unyango olwaneleyo, imeko yomgudu, ukuguquguquka nokuhamba kwawo, impilo yonke iya kuhlahloka ngokukhawuleza. Kwiimeko ezinzima, iziphumo ezinzima zivela.

Yintoni ukukhutshwa kwama-spinal disc?

Le nkqubo ye-pathological does not consider a disease independent in medicine. I-protrusion ye-disvertebral diss yinqanaba eliphakathi kwe-osteochondrosis, elandelwa ukubunjwa kwe-hernia. Isizathu sale meko siwonakalisa kwiimbobo zangaphakathi zendandatho ye-fibrous. Igobolondo layo langaphandle, eligcina i-nucleus ye-gelatin, ihlala ihleli, kodwa i-disk iqhubela emgodini womgudu. Ngaphandle kolwaphulo olwaneleyo, ingqungquthela ye-fibrous iyavutha kwaye i-hernia ivela.

Ukukhutshwa kweDorsal ye-disc - yintoni na?

Le ndlela yokukhubazeka yenye yezona zifo ziqhelekileyo kubantu emva kweminyaka engama-30, ngokukodwa ngokuphila kwindlela yokuhlala, kwaye ithathwa njengenye yeemeko eziphambili ze-osteochondrosis. I-Dorsal okanye i-post extrusion of discs-spin discs - yintoni na: ukukhutshwa kwendandatho ye-fibrous kwisalathiso sangaphakathi (ukusuka kwisisu kuya ngasemva).

Ngolu hlobo lwesifo, izakhi zentambo yomgulane zichaphazelekayo, ezikhokelela ekuchasweni kwingozi kunye nokungafihlikiyo kwemisebenzi yayo. Oku kuqhutyelwa kweediski kubangelwa ukuba kuphazamise umonakalo ekupheleni kweentsholongwane kunye neengcambu. Oku kuphazamiseka kwintlupheko yobubele, isifo sobuhlungu obukhulu, utshintsho kwizakhono zamandla kunye neminye emibi.

Yenza iprotrons

Uhlobo oluchaziweyo lwesifo luqwalaselwa njengenye yefom ye-lesion ye-dorsal. I-foraminar protrusion ye-disc intervertebral ijoliswe ngqo kummandla weengcambu zomgca. Ukukhutshwa kungabonwa kuyo yonke indawo yesiganeko somgudu okanye kwindawo yaso:

1. Intraforaminalnoy protrusion - idisk yomlenze ojikelezayo ojikelezayo. Uhlobo olubi kakhulu nolunobungozi lwezilwanyana.
2. Ukukhutshwa kwe-granular extra-protrusion ye-ring efrous ngaphandle komngcipheko wesiginxa. Kungcono ukunyanga kwaye kaninzi kunokuhamba neengxaki.

Iingqungquthela zeesetyhula

Olu hlobo lwesifo luvela kwi-85-90% yezigulane ezine-neuropathologist kunye nokuxilongwa "kwe-osteochondrosis". Isangqa se-Circular of the spinal discs - yintoni na: ukukhutshwa kwendandatho ye-fibrous ejikelezweni. Ububanzi beziqendu ezikhulayo zibubanzi be-3-12 mm. Iingqungquthela zesetyhula ze-intervertebral disks ziyahluka ngokufana kwazo. Umehluko phakathi kokukhutshwa kwimihlaba eyahlukileyo ayidluli kwi-1 mm.

Ukukhutshwa okungafaniyo kwidisk

Le ngenye yezona zinto ziyingozi kakhulu kwaye ziyingozi ngenxa yeengxaki zeenkqubo ze-pathological process. Ukutshatyalaliswa kweprotrusion kukungavumelani okanye ukuxhamla okubanzi komgudu ngezindlela ezahlukeneyo. Iyakuchukumisa zombini iingcambu zentsholongwane kunye nokuphela, kunye nommandla womsele womgudu, okhokelela kwimiphumo engapheliyo. Ngamanye amaxesha uhlobo oluthile lwesifo luphela ekukhubazekeni.

Ukukhutshwa kwediski yeMedian

Ubunzima beempawu kunye nobunzima belo hlobo lwesifo esibhekiselwe kumbuzo luxhomekeke kwindawo yokukhutshwa. I-median okanye i-central protrusion yama-spinal disks-yintoni na: i-prolapse ye-core nucleus, ejoliswe phakathi komgudu womgogodla. Le ndlela yokukhubazeka ayifumaneki, kodwa ihamba neengxaki ezinzima. Ukukhutshwa kweMedian kuphazamisa kakhulu ukusebenza komgudu womgogodla kunye neengcambu zeengcambu. Ngaphandle kwonyango olufike ngexesha, kunokukhokelela ekuphuleni imisebenzi yabo, ukukhubazeka.

Iprogram yeParamedian protrusion

Uhlobo oluchaziweyo lokuphuma kwendandatho ye-fibrous ngaphaya kweethambo zesithambo aliyona yingozi kwindlela elandelekileyo yesifo. Ukukhutshwa kwesigqirha se-nucleus ye-spinal discs - yintoni na: ukukhutshwa kwezinto eziphambili kwinqanaba lomgudu womgudu ngokuphambuka kwiziko. Olu hlobo lwenkqubo yobunzima lubalwa ngamaqela amabini. Kukho ukukhutshwa kwesiganeko se-left-and right-side, iindidi ezilandelayo ziqhelekileyo ngenxa yeempawu zobomi. I-prolapse enjalo ayifumaneki ukuba kukho, malunga nama-5% amatyala enyango kwi-vertebrologist okanye kwi-neurologist.

I-ventral

Ifomu eqhelekileyo yeengxaki ze-osteochondrosis. I-Ventral okanye ukukhutshwa kwangaphambili kweengxowa zomgogodla - yintoni na: ukukhutshwa kwendandatho ye-fibrous kwinqanaba ukusuka kumva ukuya kwisisu. Olu hlobo lweentsholongwane luvame ukuba lwenzeka ngokungaqhelekanga kwaye ludinga ukuba lunqabile unyango. Ukukhutshwa kwe-Ventral kwidiski ye-intervertebral ayikuchaphazeli intambo yomgogodla okanye izakhi zentsimbi. Ayichaphazeli imisebenzi yamalungu ebalulekileyo kwaye ayinakwenzeka kwiinkqubo zokuvutha.

Ukukhusela - iimpawu

Umfanekiso weklinikhi we-pathological state exhomekeke kwindawo yokukhutshwa kwe-nucleus. I-Herniated kunye ne-protrusion ye-disc intervertebral ineempawu ezifanayo ezifanayo, ngoko kucacisa ukuxilongwa kwemeko eyahlukeneyo kuya kufuneka kuqhutywe ngeenombolo zezifundo ze-instrumental kunye ne-hardware. Ukuba i-osteochondrosis ifumaneka kwimimandla emininzi, kuyimfuneko ukwenza iskrini esiphezulu se-resonance ye-back back.

Ukukhuselwa kwe-disc intervertebral yomlomo wesibeleko

Ngokuchasene nomva wokugqithisa kwendandatho ye-fibrous kumqolo osemva, kukho intlungu yesifo esibuhlungu kwimimandla elandelayo:

• izandla ezandleni;
• entanyeni;
• ngasemva kwentloko;
• mahlombe;
• intloko;
• kufuphi ne-ear lobes.

Ukuba ukutshatyalaliswa kweediski zentambo yesigodlo kuphazamisa ukuphela kweentsholongwane okanye iingcambu, kuhamba kunye nale miqondiso eyongezelelweyo:

• ukubetha eminwe;
• ukungcola;
• ukugujwa kwamanqanaba angaphezulu;
• ukukhathala;
• kulala;
• ukukhathala ngokukhawuleza.

Ukukhuselwa kwintlambo yesithotho

Ubukho be-pulpusucley nucleus ephakathi kwendawo yangaphambili buya kuqhubeka nentlungu eninzi kwiindawo ezinjalo;

• phakathi kwe-scapulae;
• isebe lezityalo;
• indawo ye-intercostal;
• mahlombe kunye neengaphambili;
• esiswini.

Ukukhuselwa kommandla we-thoracic - iimpawu zendalo jikelele:

• ubunzima obuhambayo;
• ukungabikho kokuguquguquka komgudu;
• ukuxinezeleka kobubele, ukunyanzelwa kwengqolowa;
• ukubetha esifuba (abantu bahlala bedibanisa ngeentlungu zentliziyo);
• ukuphefumula;
• ubuthathaka bemisipha yenkxalabo yangaphambili kunye neyokuqala;
• ukukhathala, ukulala;
• ukungakhathaleli;
• ukutshatyalaliswa kwesidlo.

I-Lumbar intervertebral dis disc

Iimpawu ezigqithiseleyo zihamba kunye ne-prolapse endaweni yangaphantsi. Ingqungquthela yeediski ze-intervertebral yendawo ye-lumbar ibonakalisa ngohlobo lweentlungu ezinzima kwindawo ehambelana nayo, enika emlenzeni, ngokuthe rhoqo ukulungele. Ukongeza kule syndrome, kukho iimpawu zentsholongwane:

• ubunzima, ukuphazamiseka kwe-back back;
• ukubetha kwiindawo ezinyaweni kunye neminwe;
• ukuphazamiseka kweenkqubo zokucoca;
• utshintsho kwi-gait, i-lameness;
• kwandisa ukuvakala okungajabulisayo kunye nemithambeka, ukunyuka kunye nokuhla kwezitepsi, enye yokusebenza ngokomzimba;
• ukuqothulwa.

Ukukhuselwa kweediski zomgudu - unyango

Ulwaphulo lwezinto ezinobungozi zeendandatho ezinobumba lubonelela ngendlela edibeneyo eyahlukeneyo. Qinisekisa indlela yokuphatha ukukhutshwa kweengxowa zomgogodla kwiimeko ezithile, ukuba kufuneka i-neurologist enegazi okanye i-vertebrologist esekelwe kwimiphumo yokuxilonga. Ngokufikeleleka ngexesha elifanelekileyo kwi-ingcali kunye nokukhetha unyango olungileyo kwiimeko ezingaphezu kwe-90%, kunokwenzeka ukuyixazulula ngokupheleleyo ingxaki echazwe.

Iindlela eziphambili zokuphatha iiskrini zokunyakaza:

• kuthatha imithi;
• physiotherapy;
• yezobisi;
• umzimba.

Unyango olulondolozayo lwentlalo lubandakanya ukusetyenziswa kwamacandelo ala mayeza:

1. Izidakamizwa ezichasene nezidakamizwa. Zomibini amayeza kunye neendawo zendawo - i-Movalis, Diklobene, i-Dolgit, i-Indomethacin, i-Ketonal, i-Nimesulid, i- Diclofenac kunye nezinye zisetyenziswa. Ezi ziyobisi zibonelela ukuphucula iinkqubo ezivuthayo kunye nokuqhelaniswa kwemisebenzi yendawo engundoqo, ukuthintela ukwakheka komnxeba we -herniated .
2. Iipilisi. Olu hlobo lwamayeza angaphandle kunye nolwasetyenjini lubhekisela kwonyango olumqondiso lwama-disk protrusion. Amagama aphumelelayo - Midokalm, Ketanov, Butadion, Solpadein, Pentalgin, Olfen kunye neendlela ezifanayo. Ukuba iipilisi, i-plasters, i-ointments kunye neminye imishanguzo ayinakunceda, i-blockades imiselwe, kuquka iinkqubo ze-intraosseous. Kule meko, isisombululo se-anesthetic sijoyiwe kwi-plexus. I-anesthetics esebenzayo yiNovocain kunye neLidocaine, izivumelwano zabo kunye ne-generics.
3. Ukuzihlaziya kwemizimba. Eli qela lonyango liyadingeka ukuze uphumule iimisipha ezijikelezileyo ezijikeleze indawo eziphazamisekileyo zomgudu, ukulungelelanisa iigaments and tendons. Ukuphucula ama- muscle okuphumelelayo - i-Catadolon retard, i-Baclosan, i-Sirdalud, i-Muscomed, i-Structum, i-Tizalud, i-Ditilin nabanye.
4. IiVithamini zeqela B. Ezi mphulo zinceda ukubuyisela i-trophism yamathambo, ukuqinisa iinkqubo zeendlela kunye negalelo ekubuyiseleni iimbumba ezonakalisiweyo zendandatho. IiVithamini zichazwe ngokukodwa njengezisombululo ezinokutsha, ngamanye amaxesha amacwecwe aphakanyiswayo - i-Neurovitan, i-Milgamma compositum, i-Neovitam, i-Angiovit, i-Gerimax, i-Kombilipen, i-Neuromultivitis, i-Trigamma kunye ne-analogues.

Physiotherapy iquka:

• ukusilisa;
• iyeza laser;
• ukuvuselela ugesi;
• unyango olumandla ;
• ukufudumala;
• yonyango lokutshitshiswa.

Ukubuyisela idiski ebanzi kwindawo yayo, ukulahla ukuxinwa kweengcambu zesisu kunye nokuphela kwayo, umzila wokugaya umgudu okanye utywala omile ngokuqhelekileyo kusetyenziswa. Le nkqubo iyenziwa kuphela kumaziko enyango aqinisekisiweyo kwizixhobo ezizodwa. Ukunyanzelisa kwenziwa phantsi kolawulo lweengcali.

Isigaba sokugqibela sonyango lokukhutshwa nokubuyiselwa kokuhamba komgudu ngumzimba wokuzilolonga. Uphando lwezokwelapha lwanamhlanje luye lwabonakalisa ukuphumelela kwe-yoga kwingxaki ebalulekileyo. Kubalulekile ukuqeqesha imihla ngemihla kwaye rhoqo, ngokuqala kwi-asanas elula. Ukwandisa ubunzima bokuzivocavoca kufuneka kube ngokuthe gqolo, kungavumeli ukubonakala kweentlungu ezibuhlungu.