Herniated chimbale L5 S1: mavuto zotheka ndi njira ya chithandizo

Chophukacho mu chimbale intervertebral ndi protrusion kapena imfa ya zidutswa za mu ngalande msana. Akufotokozera chifukwa matenda osachiritsika chimbale kapena kuvulala. Kufewetsa mafupa imfayo psinjika ulusi mitsempha.

thunthu

Mu msana, zinthu payekha olumikiza mzake ndi zimbale. nyumba izi ndi osalimba ena ndipo alinso ndi pakati zotanuka. Malowa ali pamtunda m'chigawo chapakati cha litayamba lapansi. phata wazingidwa ndi mphete yolimba popangidwa ndi minofu connective. Intervertebral zimbale zaikidwa ndi kusinthasintha mzati ndi mphamvu. Ena matenda imautsa chiwonongeko cha zinthu izi. Chifukwa cha zimenezi, anapanga chophukacho.

kuwanda

Nthawi zambiri, matenda pamaoneka anthu zaka 25-50 zakubadwa. Mu chophukacho okalamba ali osowa. Ichi ndi chifukwa chakuti kusintha obwera ndi ukalamba mu zinthu kuchepetsa sayenda ake. Ana protrusions amagwiritsidwa anapanga yosowa kwambiri. Monga ulamuliro, matenda oyambirira ndi kobadwa nako.

zimayambitsa

Waukulu precipitating zinthu monga zolephera zingapo pamene kagayidwe kachakudya, zotupa opatsirana, kaimidwe wolakwika, kuvulala, ululu otsika kumbuyo. Monga ulamuliro, kutukula ndi chimbale herniated limodzi ndi kuwonjezeka mu kuthamanga mkati chimbale cha. zodabwitsazi akhoza zidzayambike ndi zimayambitsa zosiyanasiyana. Pamaso pa zosayembekezereka wa nyamakazi zikhoza kukhala chifukwa herniated zochotsa yokoka. Zifukwa mulinso kuchuluka thupi. Ndi kulemera waukulu kwambiri wa kuthamanga pa msana. Mawilo ndi zinthu zina awonjezera katundu. M'kupita kwa nthawi, iwo aonongedwa. Munthu woyamba wa zinthu pathological momwe izo herniated chimbale l5 S1. Diverticulum amathanso kupangidwa ndi kukhota lakuthwa mbali ya thunthu.

kutanthauzira

Katundu kwambiri amadwala lumbar msana. Chifukwa zambiri protrusion aumbike mwa dipatimenti imeneyi. Akuti nthawi zina kuoneka kudwala mu zigawo khomo lachiberekero ndi thoracic.

Herniated chimbale l5 S1: Kufotokozera

Mu gawo ili, ndi protrusion aumbike zambiri. Nthawi zambiri, herniated chimbale l5 S1 imafika ku madera ozungulira. kudwala Izi zikusonyeza kuti protrusion wa phata pulposus kwachitika (ngati siteji koyamba) pakati lumbar wachisanu ndi woyamba zinthu sacral. Ndi m'dera limeneli chinali katundu kwambiri msana pa kayendedwe ka munthu. Herniated chimbale l5 S1 mwina chifukwa cha kuvulala kapena matenda. Pa nthawi zonse nkhawa thupi vuto worsens.

zosokonezeka

Chophukacho l5 S1 chimbale akhale pa siteji patsogolo. Izi complicates kwambiri mankhwala ndi kumawonjezera nthawi yake. Pamaso pa zifukwa osathetsedwa ndi zizindikiro ikuthandizira kudwala herniated chimbale l5 S1 kungavute ndi co-morbidities. Chofunika kwambiri ndi malo protrusion lapansi. Komanso herniated chimbale l5 S1 akhozanso kukopeka ndi chiwerengero cha mavuto amene amayamba ndi makhalidwe munthu wa chamoyo. Chifukwa cha kuthamanga mkati mderali achuluke Impact amphamvu ofananira katundu. Iwo complicates mankhwala paramedian herniated chimbale l5 S1. C inali pakati pa mbale pa nthawi kapena mutamwa kuipidwa zinthu angayambe chiwonongeko anulus. Malinga mwatsatane protrusion wa phata pulposus, komanso malingana ndi zolakwika anatomical ku malamulo ozungulira minofu adzakhala osiyana ndi mankhwala.

Gawo

Mu lumbar wachisanu ndi woyamba zinthu sacral kotenga zapambuyo mitsempha analimbitsa mokwanira amphamvu. Izi zipangitsa kutetezeredwa intervertebral dongosolo chimbale. Mogwirizana ndi protrusion uyu akhoza kuswa ku tsidya lina. Zapambuyo kotenga mitsempha ali elasticity m'munsi. Chifukwa cha ichi, ndi kuti atengeke kuwonongeka. Chifukwa, ndi yojambula aumbike dorsal herniated chimbale l5 S1. Kufewetsa mafupa Pankhaniyi akhale a mitundu iwiri. Makamaka, pali medial herniated chimbale l5 S1. Mu nkhani iyi, protrusion zachitika m'dera la mzere apakatikati. mtundu uwu matenda Katswiri amaika, ngati mapangidwe hernial atagonjetsa mu m'maenje intervertebral. Umayamba Ndikuchepetsa, ndi makoma a sac dural ndi opunduka. Komanso kudziwa chophukacho paramedian. Pankhaniyi pali kupindika mtundu ndime skolioznogo. The mapindikidwe akupezeka malangizo ena kuchokera protrusions.

mankhwala Features

Makamaka zovuta timakhala zapambuyo chimbale herniation l5 S1. Zimakhala zosavuta kuchita miyeso achire pamene protrusion kutsogolo. Nthawi zambiri kudwala agwirizane comorbidities. Iwo kwambiri kusokoneza chithunzi matenda ndi mankhwala wotsatira wa chophukacho intervertebral. Pakati pa comorbidities zambiri kuzindikiridwa antespondilolistez, retrospondilolistez, unkoartroz. Mndandanda wa pathologies akhoza kuwonjezeredwa ndi spondylitis. Iwo komanso pafupipafupi limodzi ndi herniated chimbale l5 S1. Chithandizo milandu amenewa komanso kuthetsa zizindikiro complicating matenda. Mwa matenda china ambiri amangoti matenda osteochondrosis.

Kufunika kwa kuzindikira mwamsanga matenda

Ichi ndi protrusion zokwanira mosavuta inathetsedwa. Apa ndi chofunika kuyamba matenda a chophukacho intervertebral. Pa nkhani imeneyi, tiyenera musazengereze ulendo kwa dokotala. Komabe, nthawi zambiri matenda ndi gawo zapamwamba za matenda. Chimodzi kapena njira zina zochizira amusankha malingana ndi chithunzi matenda, zomwe limodzi ndi herniated chimbale l5 S1. Chithandizo zimakhala ndiwofatsa komanso kugwira ntchito. Njira opaleshoni ntchito nthawi yaitali ndi zochitika za mavuto aakulu.

protrusion

Ichi ndi chimodzi mwa mavuto zambiri onse, omwe limodzi ndi herniated chimbale l5 S1. Chithandizo lamavutoli choncho. Protrusion ndi chikhalidwe imene Amowabu kosangalatsa wa phata pulposus. Pankhaniyi, mphete fibrous akuzisunga kukhulupirika kwake. chimbale yokha pamene protrusion akhoza osamukira ndi 6 mm. The chikhalidwe pathological akhoza mitundu yambiri. Makamaka, olekanitsidwa:

• zozungulira protrusion. Pankhaniyi, pali yunifolomu kuwonjezeka ndi chimbale intervertebral. Zozungulira mtundu wa kudwala amawapeza zambiri.

• Media protrusion. Nthawi zina kusokonezedwa ndi mtundu wina wa protrusions - SHmorlja chophukacho. Pakuti boma amakhala ndi kugwa pa kulowera pakati pa ngalande msana.

• dorsal protrusion. protrusion izi zikhoza kukhala limodzi ndi kukanikiza pakati zinthu ya ubongo.

• akakufunsani protrusion. Pankhaniyi, kuwonongeka litayamba ndi oposa 40%.

• foraminal protrusion. Pankhaniyi protrusion akupezeka malangizo a njira intervertebral. Iwo anaona siudzalandilidwa ngathi lamulo la wachisanu lumbar msana.

• paramedian protrusion. Pakuti anapatsidwa chikhalidwe pathological yodziwika ndi kukanikiza pakati ndi mitsempha muzu wa sacrum choyamba. Nkosafuna protrusion mu nkhani iyi, cha pakati pa ngalande msana.

• olowa protrusion. Mu nkhani iyi, chotupa amawapeza munthawi yomweyo awiri zigawo vertebral.

maphunziro sequestered

fomu iyi imatengedwa zoopsa kwambiri. Akufotokozera pa zosapsa kapena pachithunzichi chithandizo cha extrusion. Ichi ndi gawo limene msana ndi matenda ntchito moyo popanda opaleshoni kovuta. Against maziko a maphunziro sequestered zisakuyenda sacral mitsempha mizu ndi lumbar. Pamodzi ndi chotupa ichi chimafika kumtunda ulusi anakafika pamodzi ndi ngalande msana. Mu anthu, boma amatchedwa "Kauda equina syndrome".

chithunzi matenda

Pamisinkhu koyamba wodwala kuyamba kusokoneza ululu wa chilengedwe m'deralo, isanafalikire mu zinkakhala m'dera. M'kupita kwa nthawi, iwo adzakhala anagawira pa thako lapansi. Chulukitsani ululu kumachitika pamene ukuwonjezeka katundu kapena kuyenda. Ngati wamphamvu ululu siudzalandilidwa ngathi lamulo mitsempha ulusi anayamba kupereka ntchafu. Wodwala adzamva kuwonongeka kwa tilinazo m'dera "anachita" zopotola mitsempha mizu. Pali dzanzi mapazi kapena akusowa bongo kake. zizindikiro chotero makamaka khalidwe la dorsal protrusion. Apakatikati kugwa pa akhoza compress ulusi mitsempha n'kofunika kwambiri. Zimenezi, nthawi zambiri zoyambitsa chisokonezo ntchito m'chiuno. Popanda kuchitapo kanthu mwendo ziwalo angagwe. Kupewa mavuto amenewa akatswiri mankhwala opaleshoni.

miyeso achire

protrusion mankhwala ikuchitika mwa njira ziwiri: ndiwofatsa komanso kugwira ntchito. mankhwala Traditional kumafuna kutenga sanali steroidal odana ndi yotupa mankhwala. Zikuphatikizapo Mwachitsanzo, zida monga "naproxen" kapena "Ibuprofen". Komanso mu zovuta kwa njira ndiwofatsa monga physiotherapy. Ndi Cholinga kumasula mizu othinana ndi msana olimba. Pali maofesi wapadera zokambirana analimbikitsa odwala. Poyamba zingakhale zokwera ndi otsetsereka pang'onopang'ono. Pa exacerbation analimbikitsa 2-day bedi zina. Wautali bodza sayenera kukhala, chifukwa kungakhale kovuta kuti achire. Ngati palibe chifukwa pambuyo miyeso ndiwofatsa ntchito kugwira ntchito njira. Opaleshoni zambiri mofulumira ndi kwa nthawi yotalika kuchotsa matenda. Komabe, muyambirenso zotheka.