Yankin lumbar yana da nauyi fiye da sauran sassan kashin baya. Osteochondrosis yana tasowa ne sakamakon sakamakon tsarin degenerative-dystrophic saboda raguwar tsayin diski. Osteophytes na gefe suna tasowa tare da gefuna na vertebra. A lokaci guda, intervertebral foramen kunkuntar, tushen yana matsawa, kuma bayyanar cututtuka na osteochondrosis sun bayyana. Jiyya na osteochondrosis na lumbar ya dogara da mataki na cutar.
Osteochondrosis wani lokaci yana bayyana kansa ta yadda alamunsa suka "kwaikwaya" lalacewa ga wasu gabobin. An ba shi lambar yabo a cikin ICD - 10. Za mu yi ƙoƙari mu fahimci duk abubuwan da ke tattare da su daki-daki.
Rabewar kasa da kasa
A cewar ICD-10, osteochondrosis yana da lambar M42 kuma an kasu kashi-kashi. Lambar M42. 0, bisa ga ICD-10, yana nuna cewa wannan bambance-bambancen matasa ne, osteochondrosis yana bayyana ta Scheuermann-Mao ko cutar Calve. Lambar M42. 1 bisa ga ICD-10 yana ba da ra'ayi game da cutar a cikin manya.
Idan ba a ƙayyade bambance-bambancen cutar ba, to a cikin ICD-10 lambar za ta kasance M42. 9. Hakanan akwai rikitarwa na osteochondrosis na yara, lambar ICD-10 ta bambanta a gare su. Wani rikitarwa yana faruwa a cikin nau'in kyphosis na yara, wanda ke ba da cutar Scheuermann-Mao. Lambar sa bisa ga ICD-10 M40. 0.
Dalilan bayyanar
Me ya sa duk abin da ya bayyana ba a sani ba tukuna, an tabbatar da abu daya: cin zarafi na tsarin intervertebral diski yana tasowa, wanda ke haifar da ƙarin canje-canje a cikin kashin baya. Ana iya ganin alamun a fili bayan shekaru 35, hanzarta aiwatar da rauni, tsayin daka a cikin matsayi mai tsayi, saboda kaya. Amma ba kawai nauyin da ke da laifi ba, sau da yawa cutar ta kasance kwayoyin halitta. Dalilin yana iya zama lebur ƙafa, musamman maki 3 ko 4.
Alamun
Rashin hankali na wannan cuta na kashin baya ba shi da tabbas, kuma a kan lokaci kawai yana ci gaba. A cikin duka, likitoci sun bambanta digiri hudu na ci gaban wannan ilimin cututtuka.
Mataki na farko ba ya ba da wani ciwo, mutum zai iya zama a hankali kuma ba tare da jin zafi ba, amma canje-canjen halayen cutar sun riga sun faru a cikin tsakiyar diski na intervertebral. Hakanan raunin da ke ƙarfafa kashin baya na iya wahala. A cikin gida, ana iya lura da rashin jin daɗi, wanda zai iya ba da nisa daga yankin matsala. A sakamakon cin zarafi na innervation na tasoshin na ƙananan extremities, sun zama sanyi.
A cikin digiri na biyu, lalata zoben fibrous na diski intervertebral yana faruwa. Rashin kwanciyar hankali yana bayyana a cikin kashin baya, ƙara yawan motsi da tashin hankali na gida na tsokoki na lumbar za a iya lura. Mutum yana jin gajiya akai-akai, jin wasu rashin jin daɗi a baya da rashin tsaro.
A mataki na uku, osteochondrosis yana haifar da gaskiyar cewa zoben fibrous gaba ɗaya ya rasa ƙarfinsa kuma ya fashe, tsakiya pulposus, bi da bi, ya wuce shi, don haka an kafa hernia. Akwai matsawa na tushen jijiyoyi na kashin baya, bayyanar cututtuka suna tasowa, da farko zafi. A cikin yankin innervation na tushen jijiya da aka matsa, hankali gaba ɗaya ko wani bangare ya faɗi. Safiya ko motsa jiki na yau da kullum yana kawo ciwo mai mahimmanci. A matakin farko, ƙonawa mai ƙonawa, ƙwanƙwasa ƙwanƙwasa yana damun, to, juyawar numbness ya zo. Ana iya la'akari da raguwa ko rashin hankali shine dalilin gurgunta, wanda ya haifar da atrophy na tsoka.
Dangane da halayen halayen rashin hankali, ana iya ɗauka a cikin wane ɓangaren gazawar ta faru. Idan fibers na jijiyar sciatic (mafi girma a cikin jiki) ya shafi, alamar Lasègue zai zama tabbatacce, yana da sauƙi a duba shi a gida. Wajibi ne a kwanta a baya, wani baƙo yana taimakawa wajen tayar da kafa madaidaiciya a gwiwa sama. Tare da alama mai kyau, zafi zai karu idan kafa ta lankwasa a gwiwa gwiwa, gaba daya ya ɓace.
Tare da girman girman hernia, aikin ƙwayar ƙwayar cuta zai iya wahala. Sau da yawa za ka iya lura da bayyanar cututtuka na matsawa na "ponytail", don haka osteochondrosis sau da yawa bayyana kanta, wannan shi ne wani dam na jijiyoyi cewa, barin kashin baya, wuce a cikin lumbar da sacral kashin baya. Ana nuna alamun ta hanyar rashin ƙarfi na motsi da hankali na ƙananan ƙafafu. Bugu da ƙari, ana ƙara rashin aikin gabobin pelvic, sau da yawa wannan shine mafitsara.
A mataki na hudu, haɗin gwiwar intervertebral da ligaments suna shiga cikin tsarin lalacewa, kuma alamun bayyanar cututtuka na kashin baya sun bayyana. Arthrosis na haɗin gwiwa tsakanin vertebrae, spondylarthrosis yana tasowa. Babu kusan babu ciwo a wannan mataki, amma tare da wannan, ikon motsawa a ciki, motsa jiki ko gymnastics ga mutum kusan ya ɓace kuma ya zama matsala ta gaske.
Sakamakon shan kashi na jijiyoyi daban-daban da ke shiga cikin gabobin ciki, aikinsu na iya lalacewa. Wani lokaci na dogon lokaci mutum yana fama da matsala ɗaya, amma a gaskiya dalilin shine osteochondrosis. Bugu da ƙari, cewa akwai alamun bayyanar cututtuka, osteochondrosis na kashin baya dole ne a kafa shi da kayan aiki.
Bincike
Alamu suna da mahimmanci, amma ƙarin tabbaci na osteochondrosis yana ba da damar hoto na kashin baya na lumbar. Yana nuna lalacewa ga haɗin gwiwa na kashin baya, raguwa a cikin tsayin diski, ƙunshewar ɓangarorin intervertebral. Ana ɗaukar hoton kashin baya cikin tsinkaya biyu, ana iya buƙatar ƙarin gwaje-gwajen aiki.
Kuna iya tabbatar da kasancewar ƙwayar diski tare da MRI, hoton zai nuna canje-canjen halayen. CT zai nuna tsarin tsarin nama a fili, yana da dacewa musamman saboda ana yin fasahohin a cikin jiragen sama da sassa daban-daban. Yana yiwuwa a yi la'akari da wurin da alamun bayyanar cututtuka suka taso kuma suna damuwa.
Magani
Kafin yin maganin osteochondrosis na lumbar, tuntuɓi likitan neurologist ya zama dole. Magunguna sun kasance masu tasiri a koyaushe wajen taimakawa wajen kawar da cutar. An wajabta su a cikin darussa na kimanin kwanaki 10, sun dace da duk ilimin lissafi, motsa jiki na yau da kullum, gymnastics, tausa.
Tare da taimakon kwayoyi, za ku iya kawar da mummunar zafi da kumburi da kumburi ke haifarwa yadda ya kamata. Bayan jiyya a asibiti, ana iya ci gaba da shan magunguna da bin umarnin likita a gida.
Kowa yana farawa da magungunan anti-inflammatory marasa steroidal, ko NSAIDs. Saboda gaskiyar cewa suna rage tsarin kumburi a cikin osteochondrosis, kumburi da zafi sun tafi. Likita yana tsunduma cikin zaɓin kwayoyi: suna da contraindications da yawa. Amma tare da wannan, da sauri suna ba da izini don rage yanayin, bayan kwana biyu mutum zai kawar da ciwo kuma zai zauna kullum, osteochondrosis zai koma baya.
Maganin zai zama maras kyau idan ba ku yi amfani da kwayoyi da nufin dawo da tsarin guringuntsi ba. Ana kiran su chondroprotectors kuma suna ba da gudummawa ga ingantaccen abinci mai gina jiki na guringuntsi, maido da ƙwayar diski a cikin matakan farko. Kuna buƙatar ɗaukar su na dogon lokaci, har ma a gida.
Masu shakatawa na tsoka suna ba da damar kawar da spasm na tsokoki na ƙananan baya. Wannan yanayin shine mayar da martani ga matsawar tushen.
Ana buƙatar magungunan da ke inganta microcirculation. Duk wannan zai cire kumbura a wurin da matsawa ya faru, ya ba wa sel jijiyoyi ƙarin oxygen da abinci mai gina jiki. Motsa jiki da tausa suna da irin wannan sakamako, wanda za a iya yi a gida don rage zafi.
Idan bayanku yana ciwo da yawa kuma zama ya zama matsala ta gaske, za a buƙaci analgesics. Wannan rukuni na kwayoyi za su yi sauri kawar da bayyanar cututtuka.
Vitamins suna inganta abinci mai gina jiki na tushen jijiya, ƙarfafa su. Tare da yin amfani da wannan rukuni na kwayoyi, magani yana da tasiri sosai. Daidai shawo kan bayyanar cututtuka na maganin shafawa mai zafi, wanda dole ne a shafe shi a wuri mafi yawan ciwo.
Likitan ya rubuta maganin shafawa idan baya yana ciwo da yawa kuma ba zai yiwu a zauna ba. Shiga cikin kyallen takarda, maganin shafawa yana da tasirin anti-mai kumburi akan tushen. Kuna iya amfani da maganin shafawa a cikin nau'i na compresses da dare. A shafa man shafawa a wuraren da ake fama da ciwon sau uku a rana.
Physiotherapy
Cikakken maganin gyarawa ya ƙunshi:
- motsa jiki na physiotherapy;
- ilimin lissafi;
- tausa;
- jan hankali;
- maganin hannu;
- reflexology.
Gymnastics na warkewa ya ƙunshi yin amfani da nauyi mai nauyi akan kashin lumbar. Tare da taimakonsa, an saki tushen da aka ɗaure, ana ƙarfafa tsokoki, an kafa madaidaicin matsayi, wanda aka goyan bayan caji. Gymnastics yana ba ku damar haɓaka kewayon motsi, sanya ligaments mafi na roba. An zaɓi gymnastics daban-daban ga kowane mutum.
Dabarar, kamar caji, yana da sauƙin aiwatarwa, yana ba da gudummawa ga daidaita yanayin jini, da haɓaka metabolism. Gymnastics yana taimakawa wajen inganta abinci mai gina jiki na diski na intervertebral, yana ƙara sararin samaniya tsakanin kashin baya. Saboda samuwar corset, zafi da kaya a kan kashin baya sun ragu. Ana yin gymnastics a ƙarƙashin kulawar ƙwararru, kuma ana buƙatar caji kowace safiya, zai hana osteochondrosis.
Ana amfani da hanyoyin physiotherapeutic, da kuma caji, sosai. Musamman ƙananan igiyoyin igiyoyin ruwa, madaidaicin halin yanzu, duban dan tayi, laser da ƙari mai yawa taimako. Tare da duban dan tayi, zaka iya kuma amfani da maganin shafawa. Hanyoyi suna sauƙaƙe tsarin kumburi, zafi da kumburi. Mafi shahara:
- UHF;
- diodynamic;
- maganadisu;
- girgiza kalaman far;
- duban dan tayi;
- electrophoresis.
Ana amfani da massage sau da yawa a mataki lokacin da zai yiwu a kawar da ciwo. Massage, kamar motsa jiki, yana inganta abinci mai gina jiki na guringuntsi, inganta tsarin tafiyar da rayuwa. Yana da tausa hade da fasaha na musamman: shafa, durƙusa, bugun jini da girgiza girgiza.
Tausar da aka yi da kyau shine mabuɗin samun nasara jiyya da murmurewa daga baya. Massage ya kamata a yi shi kawai ta hanyar ƙwararru. Bugu da ƙari, za ku iya amfani da maganin shafawa tare da sakamako na anti-mai kumburi. Massage yana ba ku damar sauƙaƙe ƙwayar tsoka, inganta jini, ƙarfafa baya.
Hakanan maganin tausa shine tausa, kawai ta amfani da fasaha ta musamman. Tasirinsa daidai yake da na tausa.
Tare da taimakon ma'auni da fasaha na musamman da aka zaɓa, ana yin motsi. Hanyar yana taimakawa wajen kara yawan sararin samaniya tsakanin vertebrae, yana kawar da ciwo, ya dawo da axis na jiki na kashin baya.
Acupuncture ya dogara ne akan tasirin allura a kan wuraren aiki na jikin mutum. Ana nuna fasaha musamman don ciwo mai tsanani.