Raunin wasanni
1K 14 05.05.2019 (sabuntawa na ƙarshe: 01.07.2019)
Lumbar zafi ita ce mafi yawan alamun da ke haifar da kulawar likita.
Bayani game da dalilan da ke haifar da ciwo
Ilimin ilimin halittar jiki na lumbodynia ya banbanta. Zai iya faruwa ta hanyar:
- tsayayyen tsayayyun tsayayyun tsaurara-tsauraran matakai a kan layin lumbar;
- cututtuka na kashin baya:
- osteochondrosis na lumbar kashin baya;
- protrusion ko herniated intervertebral fayafai;
- cututtukan cututtuka (osteomyelitis, tarin fuka, brucellosis);
- nakasar da jiki;
- scoliosis, cututtukan cututtukan zuciya da kyphosis;
- osteoporosis na rayuwa;
- karaya da raunin jikin jikin mutum;
- ƙananan ƙwayoyin cuta da ƙananan ƙwayoyin cuta;
- ankylosing spondylitis;
- rheumatoid amosanin gabbai;
- cutar koda:
- firamare da sakandare;
- m pyelonephritis;
- ICD;
- atherosclerosis na ɓangaren ciki na aorta da rassanta;
- rarrabawar jijiyoyin jiki;
- canje-canje na cututtuka a cikin haɗin gwiwa na hip;
- kumburi da kaloli masu laushi da laushi na kashin baya;
- m da kuma na kullum hanji toshewa;
- atypical hanya na m appendicitis;
- m cuta na wurare dabam dabam wurare dabam dabam;
- cututtuka na gabobin gabobi, gami da yanayin haihuwa:
- endometriosis;
- ciwon daji na mahaifa;
- adnexitis;
- prostatitis;
- ciwon daji na prostate;
- STDs;
- cututtuka na hanyar narkewa (yawancin cututtuka daga hanji, hanta, gallbladder, pancreas).
Painaddamar da ciwo
Tsarin tsarin ilimin cututtukan cututtuka ana aiwatar dashi ne bisa la'akari da ka'idojin da aka ɗauka a matsayin tushe. Zai iya zama bisa ga:
- etiological alamu:
- na farko (wanda ya haifar da sauye-sauyen cututtukan cututtukan cututtuka a cikin kashin baya) - yaduwa da kuma hernia na diski na tsakiya;
- na biyu (sanadiyyar cututtukan gabobi da tsarurruka, wanda sakamakon sa shine lumbodynia) - ICD, LCB.
- lokacin bayyanar:
- m (har zuwa makonni 12);
- na kullum (fiye da makonni 12);
- haɗi tare da maɓallin faɗakarwa:
- nan da nan (rauni na kashin baya);
- jinkirta (ciwon baya bayan cin abinci mai mai tare da cutar gallstone);
- mataki na bayyana:
- furta:
- matsakaici;
- Gida:
- topographically dace da rauni rauni;
- motsi ko yawo;
- hoto na asibiti:
- zalunci;
- bugawa;
- soka;
- harbi;
- yankan;
- kewayewa;
- konawa;
- wawa;
- damfara
Jin zafi
Typicalari ga mafi yawan cututtukan pancreatitis, cholecystopancreatitis, cholelithiasis, m cholecystitis da intercostal neuralgia. Tare da lalacewar hanta da pancreas, zafi na iya haskakawa zuwa yankin kirji.
Cholecystitis ko pancreatitis da kyar ake warewa. Mafi sau da yawa, ana haɗuwa da ilimin lissafi kuma yana ɗaukar halin cholecystopancreatitis. Jin ɗacin rai a cikin baki, da kuma rashin jin daɗi a cikin ƙyamar hypochondrium, na iya zama alama ta bambanta.
Ganin tsananin tasirin cututtukan cikin jiki tare da bayyanar ciwo na yanayin shingles, ya kamata a yi amfani da maganin antispasmodics (Papaverine, Platifillin) don sauƙaƙe shi. Ba shi yiwuwa a yi amfani da NSAIDs (marasa maganin cututtukan steroidal) saboda gaskiyar cewa amfani da su na iya canza alamun da kuma rikitar da cutar ta likitan likita.
Binciken farko
Don yin binciken asali, ana amfani da yawan gwaje-gwajen bincike:
| Lumbosacral osteochondrosis gwaje-gwaje | |
| Sunan cututtuka | Bayani |
| Dejerine | Lokacin da tsokoki na tsokoki na ciki suka yi rauni, zafi a cikin yankin lumbar yana ƙaruwa. |
| Neri | Tare da lanƙwasa kaifi kafin a taɓa kirji a ƙasan baya, zafi yana ƙaruwa. |
| Lasegue | A cikin yanayin da ya dace, ya kamata ku juyo don ɗaga ƙafafun kafafu. Tare da lumboischialgia, ciwon zai ƙaruwa kuma ya haskaka tare da jijiyar sciatic na gefen haɗin kai. |
| Lorrey | Lokacin ɗaukar matsayi daga matsayi mai sauƙi tare da madaidaiciyar ƙafafu, zafi a kan bayan lumboischialgia zai ƙaru tare da jijiyar sciatic. |
Wanene za a tuntuɓi
Idan ba a san dalilin ciwo ba, ya kamata a nemi likita. A cikin yanayin da ilimin ilimin halittu ya bayyana karara, ga ƙuntataccen ƙwararru, alal misali, ga likitan mata (jin zafi ya tashi a cikin watanni uku na ciki) ko masanin jijiyoyi (akwai alamun alamomin herver a anamnesis).
Mafi yawancin lokuta, masanin ilimin rheumatologist da mashin mai rauni suma suna da hannu wajen maganin ciwon baya.
Doctor ziyarar, ganewar asali da kuma Nazarin
Sanarwar cutar tana da wahala saboda rashin takamaiman alamun cutar da polyetiology. Ana buƙatar cikakken tarin anamnesis, nazarin koke-koken mai haƙuri, da kuma cikakken bincike.
Daga cikin hanyoyin dakin gwaje-gwaje, gwajin jini da fitsari na gaba dayan, da gwajin jini ga alamomin ciwace-ciwace, ya kamata a bambanta.
Hanyoyin bincike na kayan aiki da akafi amfani dasu sun hada da X-ray da dabarun endoscopic, duban dan tayi na ramin ciki da kuma sararin samaniya, CT da MRI.
Hanyoyin magani
Makirci da hanyoyin magani sun dogara ne akan ganewar asali. An rarraba su zuwa al'ada:
- ra'ayin mazan jiya:
- shan magunguna (NSAIDs, vasodilatorer, masu yin tsoka a tsakiya, chondroprotectors, bitamin B, magungunan steroid, da sauransu) a cikin hanyar:
- man shafawa;
- Allunan da capsules;
- injections (ƙwayar paravertebral);
- FZT:
- warming up (tasiri a matakin gyara don cututtukan cututtukan cututtukan cututtuka);
- cryotherapy (tasiri a cikin mummunan lokaci na aseptic kumburi, misali, a cikin rauni);
- Motsa jiki (saitin motsa jiki da aka tsara don haɓaka tsarin musculoskeletal);
- tausa;
- farfadowa na hannu;
- shan magunguna (NSAIDs, vasodilatorer, masu yin tsoka a tsakiya, chondroprotectors, bitamin B, magungunan steroid, da sauransu) a cikin hanyar:
- aiki (neoplasms, alamun matsawa ta hanyar hernias na laka, da sauransu).
B Yakobchuk Olena - stock.adobe.com
Motsa jiki motsa jiki, motsa jiki
| Matsayi na farko | Bayanin Motsa jiki |
| Kwance a kan bayanku | Iseaga madaidaiciyar ƙafafun hagu da dama bi da bi, riƙe da nauyin na sakan 10-15.
|
| Kwance a kan bayanku | Tanƙwara gwiwoyinku a kusurwar dama, karkata zuwa gefen dama da hagu har sai ya tsaya.
|
| Tsaye | Bunƙwasa mai kyau a cikin kwatance daban (baya madaidaiciya).
|
| Tsaye akan dukkan hudu | Swing a lokaci guda tare da gabobin da ke gefe (hannun dama da kafa na hagu).
|
| Gluteal gada | Isingaga ƙashin ƙugu daga matsayin kwanciyar hankali.
|
| "Gada" | Lanƙwasa baya, ƙoƙarin gyara jiki a wannan yanayin.
|
Tare da ciwo a cikin yankin lumbar, yin wasanni ba shi da kyau saboda tsananin yuwuwar ƙarin rauni ga haɗin haɗin tsakanin juna saboda motsin kwatsam (wasan kwallon raga, ƙwallon ƙafa).
Ana nuna sanya bandeji akan yankin lumbar, musamman lokacin da ake sa ran ɗaukar nauyi mai tsayayye ko tsaye.
Backananan ciwo a cikin 'yan wasa
Spineashin baya na 'yan wasa yana fuskantar mahimmin abu, juyawa da juyawa, wanda ke ƙayyade ƙayyadadden rauni. Mafi yawan lokuta ana bincikar su:
- mikewa daga kayan musculo-ligamentous na lumbar vertebrae;
- spondylolysis (lahani a cikin baka na vertebra, wanda aka samo a cikin wasan motsa jiki, gwanaye, 'yan wasan ƙwallon ƙafa);
- sondylolisthesis (zamewa daga cikin vertebrae dangane da juna);
- osteocondritis na kashin baya;
- hernia da fitowar diski na tsakiya;
- kyphosis na matasa na Scheuermann-Mao;
- scoliosis.
Ganin babban haɗarin rauni, ya kamata a sa ido kan ƙwararrun 'yan wasa a kai a kai. Lokacin da aka gano cututtukan cututtuka, likitan da ke halartar ya ba da umarnin tsarin kulawa kuma an ƙaddara ta nau'in ta.
