Osteochondrosis na lumbar: Sanadin, bayyanar cututtuka, ganewar asali

Osteochondrosis na lumbar cuta cuta ce mai rauni-dyestrophic na lumbar kashin baya wanda ke shafar tsarin fayel na gida da kuma adadin lumbar vertebrae. Yana shafar mutane na yawan aiki shekaru. Yana bayyana kanta a cikin alamomin daban-daban, babban wanda yake jin zafi a cikin ƙananan baya da kafafu, iyakance motsi a cikin ƙananan baya. Don bincike, hanyoyin bincike kamar radiogra, an haɗa gomany ko magnetic refography na kwarangwal mai lumbar. A cikin wannan labarin, zaku iya mari sosai cikin ƙarin bayani tare da abubuwan da ke haifar, bayyanar cututtuka da hanyoyin bincike osteochondrosis na lumbar kashin baya.

Osteochondrosis shine sakamakon tsufa na jiki. Waɗannan ko wasu alamun wannan cuta za a iya samu a kusan kowane mutum (!), Farawa daga shekara 25. Amma a nan ne tsananin wadannan canje-canje, da darajar cigabansu, matakin bayyanar asibiti ya danganta ne, da farko a kan yadda kyakkyawan salon rayuwa yake jagorantar wani mutum. Matsakaici na yau da kullun motsa jiki, waƙar da ke kan hanyar motsa jiki lokacin yin aiki da yawa (gonar, gini, Ba'al tsaftace Ostteochondrosis na lumbar kashin baya.

A cewar ƙididdiga, osteochondrosis na kashin baya a cikin 80% na shari'o'i shine haifar da ciwon baya.

Ta yaya osteochondrosis ci gaba?

Dukan kashin da ya ƙunshi kowane vertebrae daban, tsakanin jikin da akwai fayel na gida. Wannan shine, tsakanin vertebrae biyu shine faifai ɗaya. Dutse ya ƙunshi gelatinous (porpic) nucleus da fibrous zobe. Corewar ta ƙunshi ruwa mai yawa kuma yana ba da kuɗi da sassauci na kashin baya. The fibrous zobe yana tare da daidaiton jaket na jaket na jaket, kamar dai yana riƙe da shi a kanta.

Tare da tsawan karuwa a kan jetty Core, yana canza kaddarorinsa na ilimin halittar jiki, yana rasa ruwa da kuma jingina, kuma a ƙarshe faifai suna da kusanci da juna. Tare da irin wannan tafiyar, a cikin jaket na nucleus, da fibrous rasa ta elasticity kuma, a ƙarƙashin rinjayar kayan injiniyan, fara zuwa protrude. Wannan ana kiranta wannan. Sannan fibrous zobe na, da kuma nucleous nucleus ya faɗi ta hanyar gibba: Hernia na diski na faruwa. Wani makirci na vertebrae biyu kusa da faifai a tsakanin su, wanda ake kira sashe na vertebral, don samun yawan motsi a kan sassan kusa. Umurnin makwabta na makwabta yana haifar da irin wannan tsari a cikin su. Wadannan canje-canje ana kiransu osteochondrosis.

Don ko ta yaya tabbatar da kwanciyar hankali na kashin baya, haɓakar haɓakawa ta ƙuruciya ana kafa shi a gefunan jikin gidaje, yana ƙara yankin goyon baya. Wannan sabon abu ana kiranta Spondylosis. Ana kiran canje-canje tsakanin haɗin gwiwa tsakanin vertebebrae spondylo arthrosis. Yawancin lokaci duk hanyoyin cuta guda uku - osteochondrosis, spondylosis, spondyl arthrosis - tafiya kusa.

Dalilai

Me yasa osteochondrosis ya faru? Zuwa yau, akwai dabarun abin da ya faru:

• Ka'idar injiniya: Wataƙila babban dalilin ya kamata a ɗauki nauyin ƙara a kan kashin baya. Wannan shine dalilin da ya sa Osteochondrosis wani ne kusan wajabta wajabta motsi, masu hakar gwal, magina da mutanen irin wannan sana'a. Abin da ya faru na osteochondrosis na lumbar yankin da aka danganta da gangara da ɗaga tsananin ƙarfi, tilasta wani mummunan aiki aiki;
• Wani abin da ke faruwa a cikin ci gaba ba daidai ba ne halayyar da ba daidai ba, wanda yake da dacewa musamman ga ma'aikatan tunani;
• Wani lokacin ana kunna rawar da siffofin gargajiya na tsarin kashin baya da abinci mai gina jiki na tsarinsa;
• Ka'idar rauni: kowane rauni a cikin kashin baya (har ma da mafi yawan marasa kai) zai iya ƙaddamar da tsarin da ya faru;
• Cutar hor da cuta ta rayuwa da cututtukan endocrine na iya shafar metabolism a cikin kyallen takarda na kashin baya kuma suna ba da gudummawa ga ci gaban Osteochondrosis;
• Ka'idar tsufa tana nuna yanayin yanayin fayafai yayin rayuwa.

Da wuya, ɗayan waɗannan ka'idoji na iya bayanin abin da ya faru na osteochondrosis a kowane yanayi. Sau da yawa sau da yawa a lokaci guda, da yawa dalilai sune "don zargi".

A cikin abin da ya faru na osteochondrosis na lumbar kashin baya, mai kiba yana taka muhimmiyar rawa, tunda shi kanta nauyi ne na kashin bayan. Mafi girman masara na jiki (digiri na kiba), mafi faɗi canje-canje a cikin kashin baya. Daga cikin wasu dalilai suna nuna bayyanar Osteochondrosis, mutum zai iya lura:

• salon salo;
• Iman abinci mai gina jiki (abinci mai sauri, yawan abinci mai yawa, samfuran da duk wannan ke haifar da rashin daidaituwa ga abubuwan ganowa) da rashin ruwa;
• Anomalies na tsarin kashin baya (alal misali, kasancewar wani ƙarin lumbar vertebra);
• a hankali sanye da manyan -heeed takalma;
• ciki (saboda yawan kayan aiki a kan lumbar kashin baya);
• NUNA NUNA CIKIN SAUKI A CIKIN MUTANE A CIKIN SAUKI A CIKIN SAUKI;
• Shan taba da zagi na giya: A matsayin abubuwan da ke hanzarta tsarin tsufa a cikin jiki.

Bayyanar cututtuka

Babban bayyanar osteochondrosis na lumbar kashin baya shi ne zafi. Yanayin zafin, wurin aukuwa da kuma gefen rarraba ya dogara da wanda masu karɓa suke haushi a kan faifai da kuma kyallen takarda, akwai abin da wuya ya zama da wuya a cikin faifai da kuma makamancinta.

Reflex da ƙwayoyin cuta masu hargitsi sun bambanta da osteochondrosis na lumbar kashin baya.

Reflex syndromes develop in cases where the receptors of the fibrous ring of the affected disk, ligaments and joint capsules located nearby are irritated. Suna da matsala saboda ban da raɗaɗi da tsoka, ciyawar-jita-jita, ciyayi-jita-jita, wanda ke haifar da alamun abubuwa da yawa daga gefen kyallen takarda.

Hanyoyin matsawa da kwari suna faruwa sakamakon matsawa (matsawa) na tushen jijiya, tasoshin jini ko igiyar jini da osteochondrosis ta hanyar canje-canje.

Reflex cututtukan cututtukan lumbar

Lumbago (Ji): matsanancin ciwo kwatsam a cikin ƙananan baya, wanda ke faruwa tare da motsi mara kyau ko a lokacin tashin hankali (da yawa a lokacin tashin hankali). An yi imani da cewa abin da ya faru na lumbago yana da alaƙa da motsi na jaket na jaket a cikin fibrous zobe, wato, yana tasowa a farkon matakai na osteochondrosis. Sau da yawa zafin an bayyana shi a matsayin "ji", "Gwamnati ya makale a cikin ƙananan baya." Marasa lafiya daskare a cikin pose wanda azaba ta kama su. Mafi ƙarancin motsi yana haifar da karuwa cikin jin zafi (heezing, tari, yunƙurin juya a gado, don matsar da ƙafa). Idan mutum ya kasance a cikin karkata a lokacin ci gaban lumbago (wanda ya faru sau da yawa), to ba zai iya daidaita ba. Wani tsoka mai tsoka a cikin lumbar kashin baya faruwa. Tare da vertebrae a cikin wannan yankin, wani yanki mai tsoka yana jin, wanda wani lokacin ana iya ganin wani lokaci zuwa ido tsirara ba tare da taba, da tashin hankali na tsoka ba. Jin zafi ga mai haƙuri. Irin wannan karuwar tsoka ta yi abin da ya shafi rawar jiki, kare sashi da abin ya shafa lumbar da abin ya shafa daga motsi na cututtukan cuta, wanda zai iya tsokani lalacewa a jihar. Hankalin halitta na spinal shafi a cikin ƙananan baya (Odoise) ya lalace, watakila curvateted (scoliosis) mai yiwuwa ne saboda tashin hankali tsoka.

Lumbalgia - Wani abun kwalliya na matakin lumbar. Wannan kalmar kuma na nufin kasancewar jin zafi a yankin lumbar. Amma, ba kamar lumbago, zafin ba ya tashi da kyau, amma sannu-sannu-sannu, a cikin 'yan awanni ko ma kwanaki. Jin zafi shine wawaye, tsananin ƙarfi, yana ƙaruwa yayin motsi, a cikin zama ko matsayi tsaye, lokacin motsawa daga matsayi zuwa wani. A ɗan sauƙi taimako yana kawo matsayin kwance ko baya tare da roller a ƙarƙashin ƙananan kafafu a wannan matsayin yana haifar da ƙara jin zafi a cikin ƙananan baya (lassa alamma). Palpation na lumbar kashin baya mai zafi ne, amma tashin hankali na tsokoki ba shi da furta fiye da lumbago, wani lokacin ba ya nan. Ƙungiyoyi a cikin kashin ƙarfe suna da iyaka, amma mai yiwuwa ne. Wannan yana nufin cewa mai haƙuri zai iya lenddasa ƙasa da taruwar zuwa wani matakin (sannan zafin yana ƙaruwa).

Sciatica - Wani nau'ikan cutarwa na reflex na matakin lumbar. A wannan lokacin ana nufin ciwo a cikin ƙananan baya, wanda ke ba da buttock tare da a cikin kafa (a saman farfajiya). Zafin ya bambanta, mafi yawan ciwo, amma yana iya ƙara ƙaruwa da nau'in "murabbatar kashe gobara" a cikin kafa. Kamar dai tare da lumbalgia, yana kara da kowane irin motsi, tafiya, bakin ciki, yana raguwa a cikin karya. Alamar Lassa yawanci tabbatacce ne. Palpation na lumbar kashin baya mai zafi ne, kazalika da matsi akan wasu maki (misali, a tsakiyar layin raba bututun daga cinya, a tsakiyar fossaal fossa). Akwai tashin hankali na ƙananan tsokoki na baya. Mahimmanci gaba da kuma zuwa bangarorin suna da iyaka.

Kwaturantattun abubuwa na lumbar kashin baya

Halin asibiti ya dogara da abin da tsarin yake ƙarƙashin matsawa.

Tsakanin gidan vertebrae a cikin rami mai zaman kanta shine Tushen jijiyoyi (kumburin fashin baya): hagu da dama. Idan ƙirar cuta don osteochondrosis na lumbar kashin baya (galibi days na days) matsi da tushen, to alamomin da suka bambanta ga kowane tushe. Na kowa da duk radicatopates na lumbar yankin shine karuwa cikin jin zafi, tari, motsi a cikin ƙananan baya), ƙaddamar da tashin hankali na baya), ƙaddamar da tashin hankali a cikin ƙananan baya, ƙuntatawa na motsi a cikin lumbar kashin baya. Waɗannan nau'ikan radican radiculopates na lumbar kashin baya sune na kowa:

• Radiculopathy L1, L2, L3: Jin zafi yana faruwa a cikin ƙananan baya, bayar da cinya mai da tsammani. A cikin yankin guda, abin da ya faru na paresthumesia (ma'anar rarrafe ganye na goosebumps, mai yiwuwa) na zahiri ba damuwa, da mama ta taɓa na yau da kullun) an ɓace. Redawar gwiwa ta ragu, raunin quadriceps na cinya ya bayyana;
• Radiculopathy L4: zafi daga ƙananan baya yana ba da gaba-layi na cinya, saman ciki saman haɗin gwiwa da ƙananan ƙananan tare da ƙananan kafa. A cikin bangarori ɗaya, ana jin iyaye mata, kuma sanannen sanannen abu ne (rage). Rashin ƙarfi a cikin Quadrices Riscle na cinya na cinya shima yana bunkasa, raguwar gwiwa yana raguwa,
• Radiculopathy L5: daya daga cikin masu tsari na akai-akai. Jin zafi yana ba da bututun, tare da gefen gefen cinya, tare da saman farfajiya zuwa ƙarshen ƙafar ƙafa da yatsa. Nan gaba ana jin kararraki a nan, na zahiri yana da damuwa, kuma ana ba da jin zafi a nan lokacin da sneezing da tari. Bugu da kari, akwai wahala a fadada babban yatsan yatsa, tun daga tsoka wanda Kine L5 L5. Wani lokaci yana da wahala a tsaya a kan diddige tare da fallasa fallasa;
• Hakanan ana samun S1 Radiculopathy tare da osteochondrosis na lumbar kashin baya. Jin zafi yana ba da buttock ɗin, tare da gefen gefen cinya, tare da gefen ƙarshen kafa zuwa gefen gefen ƙafa da yatsa na 5, diddige. Wadannan bangarorin suna cikin halin jin daɗin ɗauko, raguwa a cikin tunanin ƙasa. Achilles Reflex an rage. Tare da lalacewar wannan kashin baya, raunin tsokoki na ƙananan kafafu da masu jujjuyawar ƙafar ta taso, don haka a tsaye da tafiya a kan safa suna da wahala.

Ci gaban cigaban Radiculopathes da yawa Tushen mai yiwuwa ne, wannan mutum ne musamman halayyar L5, S1. Yana faruwa cewa daya matsi mai matsi da yawa.

Idan Disc Horm ya tsaya baya, to zai iya matsawa igiyar kashin baya. Wannan mai yiwuwa ne kawai lokacin da aka karkatar da Hernia a cikin matakin farko, tunda babu wani igiyar igiyar ciki na ƙasa (layin ƙwayoyin ƙasƙanci ana fuskantar matsawa, kuma ƙwayar ƙwayar cuta tana haɓaka).

Idan tasoshin yankin lumbar an matso shi don matsi, wanda ke ɗaukar jini a cikin igiyar kashin baya, to, a yanayin matsanancin rikice-rikice, kuma tare da matsawa mai tsawo - myelopathy. Ana bayyana myelopathy ta hanyar rauni na ciki na tsokoki na kafafu, farawa daga kafa kuma a hankali ya ci gaba. Sensivity a cikin kafafu ya rikice, Achilles Reflex ya ɓace, da kuma daga baya gwiwa. Yana yiwuwa a fito fili rikice-rikicen urination (akai-akai, "imperative", suna buƙatar gamsuwa da kai tsaye, rashin daidaituwa na urinin).

Hanyar bincike

Cancanta da osteochondrosis na lumbar kashin baya ya dogara ne akan asusun asibiti da bayanan ƙarin hanyoyin bincike. Mahimmin rawar da ke cikin irin waɗannan hanyoyin kamar:

• Ramhiri na lumbar kashin baya;
• compuloed Tomogography na lumbar kashin baya;
• Magnetic Reonance Tomogography na lumbar kashin baya.

Ramancin rediyo na lumbar kashin da ba dole ba ne a cikin 2 junty perenticular pictionsionsular-madaidaiciyar rudu da gefe. Irin waɗannan hotuna suna ba ku damar ganin sifar, contours da tsarin abubuwan ɓoye, tsayi da kuma ƙwayoyin kashin baya, da kuma tanƙwara ta halitta. Don nuna hanun gidajen haɗin gwiwa da ramuka masu linzami, ana samar da radiogram a cikin magabata na obliqu'i. Don gano motsi na cututtukan cututtukan cututtukan mutum na mutum (wanda alama ce ta Osteochondrosisis), ana yin radiogon a karkashin yanayin gwajin aiki, shine, a cikin sassauci da fadada daga cikin kashin baya. A yadda aka saba, zaka iya ganin canjin a tsayin daka a cikin gaba ko bangarorin baya daidai da ɗayan diski na ɗaya daga cikin diski ba ya canzawa ko dai lokacin. Tare da motsi na pathological, gudun hijira na vertebrae gaba ko baya aka ƙaddara. Babban alamun alamun osteochondrosis sun hada da kunkuntar da tsinkaye na tsinkaye, daukar nauyin yanki a kan iyaka tare da faifan da abin ya shafa (scchongerosis). Halin Rayimar da Lumbar kashin baya ne na bincike, wanda sannu a hankali ya rasa mahimmanci game da tushen aiwatar da bayanai na sababbin da kuma hanyoyin bincike na bincike (CT da Mri). An fara amfani da Radar Sashen Lumbar a yau a matsayin hanyar bincike.

CT na kwalin lumbar shima ana aiwatar da amfani da Radawa X -ya, amma nauyin radial a jiki ya yi ƙasa da tare da X -Ray. Ana yin binciken yana kwance kwance a teburin na musamman - Tomogographer, yana da matukar m. Ana sarrafa hotunan da aka samu ta amfani da kwamfuta kuma ba ku damar ganin ƙarin abubuwa masu mahimmanci fiye da na radiography.

MRI hanya ce da ake amfani da hasken lantarki don ƙirƙirar hotuna. Hakanan ana aiwatar da binciken a cikin matsayin kwance a kan tebur, wanda ya kira ɗakin ɗakin. MRI ba shi da lahani kuma mai zafi.

CT ko MRR na lumbar kashin baya yana ba ku damar ganin duk tsarin kashin baya, a hankali bincika fayel na rukunin gida (da jikoki da ramuka na ciki) da ramuka na ciki, abubuwan da ke cikin canal canal. Koda ɗan ƙaramin ƙimar diski na motsi ba zai tafi ba a kula da su ba. Wadannan hanyoyin (musamman MRR) suna ba ku damar sanin yankin ta na diski na diski idan wani, matsayin matsakaiciyar tushen jijiya, igiyar asiri. Don haka, waɗannan hanyoyin bincike sun fi so a cikin cutar osteochondrosis na osteochondrosis na lumbar spine fiye da hasken fata. Bugu da kari, suna ba ku damar bincika ba kawai osteochondrosis ba, har ma da sauran cututtuka (ciwan ciki, cututtukan cututtukan cututtukan fata), wanda ke da mahimmanci a lokacin bayyanar jin ciwo a baya.

Osteochondrosis na lumbar kashin baya ne wanda yafi zama yawanci ciwon baya. Yana da, a zahiri, halakar da fayel na gida. Saboda osteochondrosis na lumbar kashin baya, mutum yakan rasa ƙarfin aiki, tunda, ban da jin zafi, cutar za ta iya zama da keta da keta makaman kashin baya, da rashin iya zama, tsaya ka yi tafiya. Alamar wannan cuta ba ta da-ciki kuma suna buƙatar ƙarin hanyoyin bincike don ainihin tabbatar da cutar. Mafi yawan bayani da amincin hanyoyin zamani na gano cutar osteochondrosis shine mri na kashin baya.