Lumbar karaya - keta mutuncin vertebra (s). Kwayar cuta wata ƙaƙƙarfa ce ta rashin ɗabi'a lokacin faɗuwa, tana bugun lanƙwasa baya. Yanayin cuta yana haifar da ciwo mai zafi, ƙarfin motsi, tashin hankali na tsoka da kumburi a shafin cutar. Rikici a cikin aiki na gabobin gabobi, inna, paresis na iya kiyayewa. Ana amfani da hanyoyin bincike na zamani don yin bincike. Idan babu rikitarwa, an zaɓi tsarin gyaran ra'ayin mazan jiya. A cikin yanayi mai tsanani, yin aikin tiyata ya zama dole.
Dalilin
Yanayin cututtukan cuta yawanci yakan faru ne lokacin da:
- Saukowa a bayanka.
- Nutsewa cikin ruwa a cikin ruwa mara zurfi.
- Sharp lankwasawa ko kari. Wannan yakan faru ne lokacin taka birki ba zato ba tsammani ko yayin buga wata babbar matsala, motar da wanda abin ya shafa ke ciki.
- Bugawa zuwa ƙananan baya. Hakanan, wannan nau'in raunin ya sami karɓa daga mutanen da ke cikin ƙarfi ko wasanni masu aiki.
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Ci gaba
Fractures yawanci ana raba shi zuwa:
- matsawa;
- raunin rabuwa;
- gutsure
Nau'in farko yana tsokana:
- matsawa na yankin baya na vertebra;
- rarrabuwarsa;
- kwalliya mai kamanni.
Akwai matakai uku na matsawa:
- Ni - a ƙarƙashin rinjayar ɗaukar nauyi, jiki ya daidaita (ya zama ya fi guntu) da 30% ko lessasa;
- II - ta hanyar 30-50%;
- III - 50% ko fiye.
Rushewar rauni yawanci yana ƙunshe da vertebra ɗaya (mai wuya ƙwarai da yawa). Ana kiyaye keta haddi a jikinsa kawai. Yawancin lokaci, rauni yakan faru ne yayin fadowa a kan aya ta biyar ko a kan ƙananan ƙafafun kafa. Tare da nau'in matsawa, ana buƙatar cikakkun bayanai galibi yana tare da karayar kasusuwa ko ƙashin ƙugu.
Em Artemida-psy - stock.adobe.com. Nau'in karaya
Nau'in da aka gutsure shine halin shigar bangon baya na vertebra cikin jikin da yake ƙasa. Wannan raunin ya fi tsanani fiye da na baya saboda:
- kwakwalwar intervertebral na iya kasu kashi 2 ko fiye;
- an ɓarke ɓangaren daga baya zuwa gaba (wani lokaci kawai a baya), wanda ke haifar da lalacewar tsarin juyayi na tsakiya wanda yake a cikin canal na kashin baya.
Idan akwai ɓarna, ɓangarorin sama suna ci gaba. Yana iya tare da:
- ƙaura daga gefen vertebrae;
- karaya daga kashi matakai da baka.
Em Artemida-psy - stock.adobe.com. Zaɓuɓɓukan sauyawa na Vertebral don raunin juzu'i
Yanayin cuta yana haifar da sakamako mara kyau ga tsarin tsarin juyayi (NS):
- matse su na bambancin karfi;
- rauni ko fashewar jijiyoyin jiki, raunin jijiyoyin baya.
An raba lalacewa zuwa:
- rikitarwa (NS ba su lalace ba);
- rikitarwa (akwai matsawa, lalacewa, fashewar NS).
Raba ta hanyar cututtuka:
- mai rauni;
- ilimin lissafi.
Nau'in farko ana lura dashi bayan tasiri, faduwa. Nau'in cututtukan cuta yana tasowa tare da cutar da ta rigaya ta kasance, wanda ya haifar da rauni ga ƙwayoyin cuta. Wannan yakan faru ne akan asalin cututtukan masu zuwa:
- mummunan ciwo ko mummunan ƙwayar cuta;
- osteoporosis;
- tarin fuka na kasusuwa;
- osteomyelitis.
Nau'in cututtukan cututtuka na iya haɓaka tare da ƙaramin nauyi a kan yankin lumbar. Wani lokacin ma har nauyin jikinka ya isa.
Kwayar cututtuka
Game da rauni, ana kiyaye hoton asibiti mai zuwa:
- ciwo na ciwo;
- taurin motsi;
- dogon tashin hankali na tsokoki na baya;
- kumburi a yankin lalacewa.
Za a iya kwatanta ciwo kamar haka:
Dalili | Bayani |
Gida | Karkashin shafin. |
Yaɗa | Zai iya canzawa zuwa kayan da ke kewaye da shi. |
Hali | Ciwon. |
Bayyanawa | Matsakaici zuwa ƙarfi. Jin zafi mai raɗaɗi yana ƙaruwa tare da motsi. |
Lokacin faruwa | Mafi sau da yawa a lokacin rauni. Amma ƙila ba za su bayyana nan da nan ba, amma sa'o'i da yawa bayan lalacewa. |
Movementuntataccen motsi yana faruwa saboda:
- toshewa ta hanyar tsagewar wani kashin baya;
- lalacewar jijiyoyin da ke da alhakin aikin mota;
- fuskantar tsananin ciwo daga mara lafiyan (a hankula yana ƙoƙari kada ya motsa don kauce wa jin daɗi).
Rikicewar tsoka da kumburi sune amsar jiki ga rauni.
Wani lokaci (ba tare da la'akari da ko wasu sifofi sun sha wahala ko a'a ba), waɗannan alamun na iya faruwa:
- yawan kumburi;
- maƙarƙashiya;
- jin jiri;
- amai, bayan haka yanayin bai inganta ba.
Tare da shan kashi na NS, ana lura da alamun bayyanar masu zuwa:
- raguwa ko asarar ƙwarewa;
- ƙarfafawa ko raunana abubuwan tunani;
- rauni na tsoka da ke ƙasa da yankin na rauni (wani lokacin ana iya samun nakasa);
- matsaloli tare da yin fitsari.
Tare da nau'in matsawa, alamun cutar sun dushe. Sau da yawa, mai haƙuri ba ya ma kula da ita kuma baya yin alƙawari tare da likita. Pathology yawanci ana gano shi kwatsam.
A cikin nau'ikan cututtukan cuta, wanda ke haifar da osteoporosis, yawancin sau da yawa, an sami fractures. Wannan yana haifar da nakasawar layin kashin baya, har zuwa samuwar wani huzo.
Tare da raunin ɓarna, ana lura da alamun da aka lissafa a sama. Koyaya, alamun cutar sun fi bayyana.
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Taimakon gaggawa
Yana da matukar mahimmanci samun taimakon gaggawa kai tsaye bayan rauni. Nasarar ƙarin magani ya dogara da wannan. Daidaita aiki zai rage yiwuwar rikitarwa, ƙara damar samun sakamako mai kyau.
Da farko dai, kuna buƙatar kiran motar asibiti. Kafin isowa ga wanda aka azabtar, saka shi a kwance a saman wuya, shimfidar ƙasa. Sanya ƙaramin matashin kai ƙarƙashin kai, da abin nadi a ƙarƙashin ƙananan baya (ana iya yin shi daga tawul).
A cikin raunin da ya faru mai tsanani, mai haƙuri bazai iya jin ƙananan jikin ba. Yana fuskantar wata damuwa mai raɗaɗi, ya rasa hankali, yayi amai. Yana da mahimmanci sosai cewa talakawan da ke tserewa ba su shiga hanyar numfashi ba kuma mutum bai shaƙe su ba. Don hana wannan, dole ne a juya wanda aka azabtar a hankali zuwa gefe ɗaya kuma a gyara shi a wannan yanayin tare da matashin kai.
Dole ne a yi amfani da tsaga a wurin rauni. Don sauƙaƙe yanayin, ba masu sauƙin ciwo da ke cikin kabad ɗin maganin cikin gida. Yana da kyau a yi amfani da kankara ko wani abu mai sanyi don lalacewar. Kuna iya motsa mai haƙuri kawai a kan shimfiɗa mai tsauri ko jirgi.
Duk jiyya
Idan kasusuwa ba su da matsuguni kuma kashin baya bai shafa ba, to an tsara magungunan mazan jiya. Ana nufin mayar da aikin motsa jiki ba tare da ciwo da rashin jin daɗi ba, dawo da matsayin asalin yanayin kashin baya. Mataki-mataki ayyuka:
- Huta a kan gadon orthopedic.
- Hanyar Lumbar tare da allurar rigakafi.
- Shan magungunan anti-inflammatory marasa steroidal da analgesics.
- Rijistar magunguna dauke da alli.
- Jan hankali na kasusuwa.
- Isingaga ƙafa na gado da 30 °.
- Kayyade nauyin kilogiram 14 a kan diddige ko sheki.
- Cire yankunan da aka canza su ta hanyar cuta.
- Sanya kan corset (makonni 5 bayan fara magani).
- Alƙawarin vertebroplasty (lalataccen vertebra an daidaita shi da ciminti na likita, wannan yana hanzarta aikin dawo da shi). Yin amfani da maniyyi ya halatta ne kawai in babu ƙaura daga cikin diski na tsakiya.
Corset
Sanya don gyarawa, rarraba kaya. Ana yin shi daban-daban ga kowane mai haƙuri, la'akari da halaye na adadi.
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Motsa jiki da tausa
Physiotherapy wata hanya ce ta magani wacce aka tsara bayan farji ko kuma tiyata.
Don dawowa cikin rayuwa ta yau da kullun, kuna buƙatar bin duk shawarwarin likita, yin motsa jiki kowace rana.
Idan babu ciwo mai tsanani, an tsara aikin motsa jiki na kwanaki 3-5 na magani:
- A tsaye da motsa jiki. Wannan yana ɗaukar makonni da yawa.
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- A makon farko, zaku iya motsa ƙafafunku yayin kwance akan gado. Dukan dugadugai ba sa sauka, kafa daya tana tafiya a madadin. Ba za ku iya ci gaba da miƙe tsaye ba!
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Idan a ƙarshen makon farko mai haƙuri zai iya ɗaga ƙafa madaidaiciya na sakan 15 kuma bai ji zafi ba, to yana kan gyara.
- Bayan makonni biyu, ana barin juya zuwa ciki. A karkashin kulawar likita, ana sanya abin nadi a ƙarƙashin kirji da ƙafa (10-15 cm a yanayi na biyu). A wannan matsayin, mai haƙuri yana kwance daga 20 zuwa 30 minti 2-3 sau sau a rana.
Iryna - stock.adobe.com
- Bayan sati uku zuwa hudu, zaka iya yin keken a madadin kowane kafa. Sauran motsa jiki tare da ɗaga ƙafafu yayin kwanciya a baya ko ciki an yarda.
Zest_marina - stock.adobe.com
- A matakin karshe, an ba shi izinin tashi daga durƙusawa (ba za ku iya tashi daga matsayin zama ba!). Tafiya ya halatta ba tare da damuwa mai nauyi ba a kan kafafu. Duk motsi suna nufin ƙarfafa tsokoki na ƙananan hanzari, raunana yayin dogon hutawa. An yarda da jingina gaba ne kawai watanni 3.5 bayan fara tafiya. Hakanan, ana ba da shawarar azuzuwan cikin tafkin don saurin dawowa.
Don motsa jiki ya zama mai amfani, dole ne ku bi ƙa'idodi masu sauƙi:
- yi shi kowace rana;
- yi kowace hanya da kyau, ba tare da kasala ba;
- rarraba kaya daidai (rashinsa zai haifar da rashin tasirin ayyuka, kuma ƙari zai iya ɓata yanayin).
Idan kun cika kanka da motsa jiki, rikitarwa masu zuwa na iya bunkasa:
- rage gudu ko dakatar da gyaran nama;
- loosening na vertebrae;
- hernia;
- osteoporosis;
- neuralgia;
- gurguntar ƙananan ƙarancin jiki;
- rashin fitsari;
- keta aikin haihuwa.
A matakan farko, an ware kwata na awa ɗaya don motsa jiki. A hankali ƙara lokaci zuwa minti 60, bi tsarin yau da kullun:
- caji;
- tafiya yamma;
- motsa jiki na minti biyar;
- darasi a cikin rukuni na musamman na aikin motsa jiki, dakin motsa jiki, wurin iyo.
Dalilin tausa warƙar shine don inganta yanayin jini da ƙarfafa tsokoki. Hakanan yana hana ci gaban rikitarwa. Hanyar yana sauƙaƙe ɓarna da nakasawa, yana dawo da inganci.
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Gudanar da aiki
Idan kasusuwan baya ba su sauyawa ba, ana yin kyphoplasty: ta hanyar kananan mahaukata, ana gyara balan-balan don gyara jikin kashin baya. Yankin da abin ya shafa an cika shi da siminti na kashi. An tsara wannan aiki mara izini don inganta yanayin mai haƙuri, hana haɓaka maimaitawar mutuncin kashin baya. Yin aikin tiyata ana yin sa ne a cikin maganin rigakafi kuma ba ya buƙatar dogon lokaci a asibiti.
Kyphoplasty yana da fa'idodi masu zuwa:
- zafi ya wuce;
- madaidaicin matsayi ya dawo;
- rikitarwa ba su ci gaba ba;
- kusan tabo marasa ganuwa sun kasance;
- zaka iya murmurewa a gida;
- kashin baya ya zama mai karfi;
- raunin ɓarkewa yana warkewa gabadaya idan babu ƙaurawar fayafai.
Mataki-mataki aiki:
- Kwayar cututtukan cututtukan yanki.
- Allurar rigakafin cikin gida.
- Saka bututu na musamman a cikin ramin.
- Sampleaukar samfurin nama don gwaji.
- Ajiye balan-balan da aka zana
- Ciko shi da iska ko ruwa.
- Cire balan-balan.
- Cika abubuwan da ke kunno kai da siminti.
So rashin gaskiya - stock.adobe.com. Kyphoplasty
Hakanan ana nuna aikin tiyata don raunuka masu tsanani. A yayin aiwatar da hakan, an cire gutsuren kashi, an cire kayan kyallen takarda, sannan a sanya roba idan ana bukatar hakan. Ana amfani da faranti na Titanium sau da yawa.
Bayan aikin, ya zama dole a sa corset na kimanin watanni 2.
Gyarawa
Bayan tasirin tiyata, ya kamata a ba da kulawa ta musamman ga lokacin gyarawa. Yana da matukar mahimmanci a bi duk umarnin likitan da ke halarta, saboda cigaba da cikakken rayuwa ya dogara da shi. Bayan aikin, an tsara waɗannan masu zuwa:
- tausa;
- lantarki;
- duban dan tayi;
- aikace-aikacen paraffin;
- Sakawa a iska;
- gyare-gyare na balneological.
Rikitarwa
Ci gaban irin wannan rikitarwa mai yiwuwa ne:
- Matsawa na gadon jijiyoyin jini. A sakamakon haka, akwai nutsuwa a cikin yankunan da suka ciyar da wannan tashar.
- Tsinkewar jijiyoyin jijiyoyi, wanda ke haifar da keta haddin motsin rai. Saboda wannan, motsin mai haƙuri yana da iyaka.
- Nakasar Kyphotic, samuwar hump. Wannan ba kawai lalata ganyayyaki ba, amma har ma yana cutar da aikin gabobin da ke kusa.
- Rikicin zagayawa, saboda bayan rauni, mai haƙuri ya kasance ba ya motsi na dogon lokaci. Saboda wannan, ana kafa gadon gado, kayan taushi masu laushi sun mutu.
- Matsalolin Pelvic: matsalar rashin yin fitsari, faduwar mahaifa, rashin kuzari.
- Rashin ayyukan motsa jiki (mutum na iya zama naƙasasshe)
A cikin mawuyacin hali, mutum ba zai iya sake komawa rayuwarsa ta yau da kullun ba. Sabili da haka, kuna buƙatar yin hankali sosai: guji faɗuwa, busawa a baya. A wata 'yar alamar zato na rauni, kai tsaye ka tuntubi asibitin don ganewar asali.