Kwayar cututtuka da magani na lumbar intervertebral diski

Herniated diski na kashin baya na lumbar - bulging na kwakwalwar intervertebral a waje da sassan jikin mutum a cikin yankin lumbar. Wurare: L3-L4, sau da yawa L4-L5 da L5-S1 (tsakanin lumbar ta biyar da farkon alfarma ta farko). An gano asali dangane da tarihin likita, alamun asibiti, da binciken CT ko MRI. A cikin aikin asibiti, don dacewa, bulging na fiye da 5-6 mm bayan annulus fibrosus yawanci ana kiranta hernia, ƙarancin fitarwa.

Matakan Hernia

Juyin Halitta na hernia ya bi matakai da yawa:

1. Rushewa shine canji a ƙarƙashin tasirin abubuwan waje a cikin yanayin ilimin lissafin diski, tare da kawar da abin da aka maido dashi.
2. Protrusion - diski ba ya ƙetare iyakokin iyakokin yanayin jikin jikin mutum ba, amma ya canza matsayinsa da ƙarfi.
3. Extrusion - kwayar halittar mahaifa ta faɗaɗa fiye da gaɓoɓin vertebral.
4. Bincike - sakin ɓangaren litattafan almara a waje.

Idan fitowar cutar ta zamani ta yi ƙaura zuwa cikin jikin manya ko ƙananan vertebra, ana kiran canjin cututtukan cututtukan cututtuka na Schmorl na hernia.

Bayyanar hernia a kan samfurin kashin baya. Rh2010 - stock.adobe.com

Dalilin da bayyanar cututtuka

Abubuwan da ke haifar da hernia sun hada da:

• Lalata yanayin zafin nama da ci gaban canjin canjin yanayi a yankin kwakwalwar kwakwalwa, wanda ya haifar da:
  • ƙananan motsa jiki;
  • yin kiba saboda kiba;
  • Tsarin dysmetabolic (ankylosing spondylitis);
  • cututtukan cututtuka (tarin fuka);
  • rarraba ba daidai ba kaya a kan kashin baya saboda:
    • osteochondrosis;
    • Hadarin aiki (tuki akai);
    • rashin ci gaba na kashin baya ko haɗin gwiwa;
    • samu curvature (scoliosis);
• Stressarfin damuwa a kan kashin baya:
  • daga nauyi a cikin yanayi mara dadi;
  • rauni.

Ana bayyana cutar ta lumbodynia, wanda a farkon farawa yanayi ne mai rikitarwa da cututtukan kashin baya (canje-canje masu saurin jijiyoyin-ƙwayoyin cuta waɗanda ke haifar da yanayi mai kyau don ci gaban scoliosis).

Zai iya zama mai rikitarwa:

• Ciwon ciwo mai tsanani, wanda ba shi da iko ta hanyar magungunan rage zafin ciwo.
• Radiculopathy (radicular syndrome ko lumboischialgia), tare da hadadden canje-canje masu alaƙa da ƙafafu:
  • raguwa ko canji cikin ƙwarewar fata (paresthesias);
  • hypotrophy da rauni na tsoka.
• Myelopathy halin:
  • lalacewar jijiyar wuya da ci gaban larurar kafa a kafafu;
  • tashin hankali a cikin aikin gabobin gabobi (wahalar yin fitsari da / ko najasa, rashin karfin kafa, lalacewar libido, bayyanar sanyi).

Matsalolin da aka bayyana a sama alamu ne don maganin tiyata. Bayyanar alamun cututtukan cututtukan ƙwayoyin cuta shine tushen warware matsalar gaggawa ta hanyar tiyata (farashin yayi tsada kuma sakamakon zai iya zama bala'i ga lafiyar).

Wane likita yayi magani

Masanin ilimin jijiyoyi (neuropathologist) yana magance hernia. Duk wani likita, da ake zargin wannan cutar, ba tare da gazawa ba zai tura mai haƙuri zuwa likitan ne don neman shawara, wanda, bisa la'akari da hoton asibiti na cutar, sakamakon magungunan ƙwayoyi da bayanan MRI, na iya ba da shawarar shawarar likitan ne don yanke shawara game da amfanin tiyata.

MRI. Les Olesia Bilkei - stock.adobe.com

Hanyoyin magani

Maganin Hernia na iya zama mai ra'ayin mazan jiya da aiki. Dogaro da dabarun da aka zaɓa, magani maras tiyata na iya zama magani, ilimin likita, aikin hannu ko tiyata.

Taimakon hannu

Hanyar fasaha ta "rage" na fayafai. Matsakaicin lokacin karatun shine hanyoyin 10-15 kowane kwana 2.

Lis glisic_albina - stock.adobe.com

Kwayoyi

Don maganin magani, ana amfani da magunguna masu zuwa:

• NSAIDs (marasa amfani da cututtukan cututtukan steroidal a cikin nau'i na man shafawa ko allunan - Diclofenac, Movalis); amfani da kudade yana nufin kawar da alamun ciwo.
• masu shakatawa na tsoka (Midocalm, Sirdalud); kwayoyi suna haɓaka shakatawa mai laushi na tsokoki waɗanda ke fuskantar ƙara yawan fushi daga ƙwayoyin jijiyoyin da ke cikin aikin maganin cuta.
• glucocorticoids (Diprospan, Dexamethasone); kwayoyi suna dakatar da kumburi, suna samar da tasirin analgesic kai tsaye.
• toshe hanyar novocaine, wanda aka yi amfani dashi don sauƙaƙe cututtukan ciwo mai wuya wanda ke da wahalar bi da NSAIDs;
• chondroprotectors da shirye-shirye tare da hyaluronic acid (Alflutop, Teraflex, Karipain, Rumalon); yana nufin samun tasirin gaske a jikin guringuntsi, yana haɓaka sabuntawarta.
• B bitamin (taimakawa wajen dawo da kayan jijiyoyi da kututturan jijiyoyi).

Jiki

Wannan farfadowa ya haɗa da:

• raguwa (rage kaya a kan diski na tsakiya);
• acupuncture (batun reflexology); dabarar ta dogara ne akan raguwar saurin hankali a cikin tsananin cututtukan tsoka-tonic;
• phonophoresis da electrophoresis (hanyoyi suna ba da gudummawar karuwar kwararar magunguna zuwa yankin da abin ya shafa; zabi na kudi ya kasance tare da likitan da ke halarta);
• Motsa jiki (amfani da shi don ƙirƙirar murfin murus daga tsokoki na baya na baya, wanda aka tsara don daidaita kashin baya da sauke wani sashi);
• tausa (don daidaita sautin tsoka).

© DedMityay - stock.adobe.com

Ayyuka

A waɗancan lokuta lokacin da magani na ra'ayin mazan jiya bai ba da sakamakon da ake tsammani ba ko kuma diski mai laushi ya samo asali kuma ya ba da rikitarwa masu haɗari, ana nuna maganin tiyata, an rarraba shi cikin yanayi:

1. huda lasisin rami (samar da danshi daga dusar da ta gurbace don kara karfin diski da kuma hana kara yaduwa);
2. gyaran wutan lantarki (ayyuka masu kama da ƙididdigar laser);
3. microdiscectomy (wanda aka yi lokacin da girman hernia bai wuce 6 mm ba);
4. discectomy (cikakken cirewar hernia);
5. laminectomy (fadada tiyata ta canjin kashin baya; tiyata mai sarkakakkiyar fasaha, wacce take dauke da wani dogon lokaci);
6. shigarwa na B-Twin-implants (aikin ana yin shi bayan discectomy don kula da mafi kyawun tsaka-tsakin tsaka-tsakin da kuma daidaita kashin baya).

Mafi sau da yawa, a matakin masu ra'ayin mazan jiya, ƙwararru suna ƙoƙari su haɗa magungunan likita da hanyoyin motsa jiki tare da ERT. Hadadden maganin yana nufin sauke kashin baya ta hanyar ƙarfafa murfin murushin da kuma zurfin tsokoki na baya.

Matsaloli na iya faruwa a cikin mata yayin ciki saboda sabani ga amfani da magunguna da dabaru da dama.

Maganin gargajiya

Suna dogara ne akan tasirin sakamako akan wuraren da abin ya shafa yayin lokacin gafarar aiki.

An yi amfani dashi a cikin nau'in compresses da aka shirya tare da 96% shafa maye:

Ayyukan hanyoyin motsa jiki

Tsawancin motsa jiki daga minti 10 zuwa rabin awa. Tsara don amfanin gida. Matsayin da aka saba yana kwance a bayanku. Ya kamata a sanya abin nadi a ƙarƙashin yankin lumbar. Hakanan ana amfani da matsayi mai sauƙi ko a kaikaice.

Ya kamata a tuna cewa yayin yin motsa jiki, motsa jiki ana yin su cikin kwanciyar hankali, kuma wasan motsa jiki ya kamata ya kawo jin daɗi.

L Yakubu Lund - stock.adobe.com. Motsa jiki tare da abin nadi a bayan bayanku.

Gymnastic hadaddun a cikin kwance matsayi:

• Hannun suna tare da jiki. Inhalation da numfashi suna yin. Lokacin shaƙa, hannaye da ƙafafu suna miƙa kansu, lokacin da suke fitar da iska, hannayen suna komawa matsayinsu na asali, ƙafafu suna shakatawa.

• Matsayi farawa iri ɗaya. Kan ya juya hagu da dama, yana jingina a tsakiya. A kidayar lokuta kan ya juya zuwa hagu, a lissafin mutum biyu a tsakiya, a kirga uku zuwa dama, a kirga na huɗu a tsakiya.

• Kan yana lanƙwasa zuwa kirji, safa a kanka, a ƙidayar mutum biyu, kai yana kan tabarma, ƙafafu suna shakatawa.

• Hannun hannaye a dunƙule, ƙafafu sun ɗan rabu. Ana yin jujjuya motsi da hannaye da kafafu sau 4 a ciki da ciki.

• Hannaye a kan kafadunku. Cirunƙun motsi a cikin kafaɗun kafaɗa, 4 gaba da baya.

• Kafa na dama yana lankwasa a gwiwa kuma a kirgen 2 an ajiye shi a gefe, a kan kirga 3 an sake lankwasa shi a gwiwa, a kan kirga 4 matsayin farawa. Ana maimaita iri ɗaya tare da kafar hagu.

• Hannun dama da ƙafafun hagu ana juya su gefe ɗaya a gefe. Haka kuma ana maimaita shi tare da sauran gabobin.

• Kafa ya miqe zuwa kansa, yana qoqarin shimfida bayan kafa.

• Hannaye tare da gangar jikin, ƙafafu sun lankwasa a gwiwa gwiwa. Jijiyoyin ciki suna da karfi.

• Hannaye a bayan kai, kafafu madaidaiciya. Jikin ya tashi, kafafu ba sa sauka daga bene.

A cikin ilimin likitanci, makircin magani ga likitoci sun zama gama gari: Sergei Bubnovsky da Valentin Dikul.

V. Dikul dabara

Fasahar Valentin Dikul ta dogara ne akan mizanin daskarewa na kashin baya da kuma karfafa karfin tsokoki na baya bisa ga shirin kowane mutum kan kayan gyara na musamman wadanda aka tsara don samar da murfin jijiyoyin jikinka tare da girmamawa kan wuraren matsala. Sakamakon dabarun shine gyaran scoliosis, kyphosis, kyphoscoliosis na tsananin wahala.

Motsa jiki tare da bandeji na roba bisa ga tsarin da aka sauƙaƙa za'a iya aiwatarwa a gida, a nan zamuyi la'akari da wasu yiwuwar. Farawa tsaye.

• Yi lanƙwasa tare da madaidaiciya baya. Kafafun sun fi kafada fadi nesa ba kusa ba, bandejin yana karkashin kafafu, kuma karshensa yana cikin hannaye a bayan kai, hannayen suna lankwasa, gwiwar hannu na gefe. Yana da kyau a karkatar da jiki, yayin barin kafafu a madaidaiciya, ana jan bandejin. Komawa zuwa wurin farawa.

• Darasi na gaba: Raaga hannunka sama da gefen. Kafa wannan lokacin kafaɗar kafada baya, bandeji ƙarƙashin ƙafafu, da ƙarshenta a hannu. Lokaci guda ɗaga madaidaiciyar makamai sama ta ɓangarorin zuwa matakin kafaɗa.

• Kuma motsa jiki na karshe: hada hannu. Legsafafun sun sake faɗi kafada-nesa, hannayen sun dan lankwashe a gwiwar hannu, bandejin ya ratsa ta saman hannayen ya kwanta a kan wuyan kafaɗun. Ku zo da hannayenku a gaban kirjinku ku koma wurin farawa.

Dukkanin motsa jiki ana yin su sau 10 zuwa 20, dangane da yanayin, ya zama dole a nemi likita.

Ofungiyoyin motsa jiki na S. Bubnovsky

Motsa jiki birch

Dabara don yin juyawar kafa

Fasaha don motsa jiki "kwado"

Wasanni tare da hernia na kashin baya na lumbar

Tare da hernia da aka gano, yakamata a guji masu zuwa:

• axial lodi a kan kashin baya;
• buga lodi (mataki aerobics, tsalle);
• yin nauyi.

Ayyukan motsa jiki don diski na lumbar na lumbar suna da amfani:

• iyo (a cikin gafartawa, mafi kyau - ja jiki);
• Tsarin motsa jiki na Pilates (kimanin 500);
• horon lafiyar jiki;
• darussan kan ƙwallon ƙafa;
• abubuwan jan hankali a kan sandar kwance (ga maza).

Rigakafin

An kafa akan:

1. Gudanar da nauyin jiki don rage kaya a kan faya-fayen intervertebral, musamman a cikin yankunan lumbosacral da lumbar.
2. Keɓe hypodynamia, hypothermia na ƙashin baya da kuma tsayayyen kaya masu nauyi (aiki a wurin zama - a nan dalla-dalla game da haɗarin salon zama).
3. Amfani da katifu na gado na musamman.
4. Sanya takalmin gyaran kafa da corsets wanda ke taimakawa yankin lumbar.
5. Motsa jiki Saitin motsa jiki yana nufin ƙarfafa tsokoki na baya kuma malami ya zaɓa daban-daban.
6. Tafiya mai warkarwa. Ya kamata ku tafi cikin birgima sannu a hankali daga dundun zuwa ƙafa.
7. Guje wa damuwa ba zato ba tsammani a kan kashin baya; motsi ya kamata ya zama mai santsi kamar yadda zai yiwu.
8. Cin abinci mai wadataccen bitamin na B da abubuwan ƙarancin guringuntsi.

Kalli bidiyon: magunguna a saukake ta hanyar ALBASA (Nuwamba 2024).