Abantu abangaphezu kwezingu-50% babhekene nosizi lwangemuva olubangelwa izigaba ezahlukene ze-osteochondrosis. Uma ungaxhumani nodokotela ngesikhathi esifanele futhi ungaqali ukwelashwa okwanele, isimo somgogodla, ukuguquguquka kwawo nokuhamba kwawo, impilo yonke izohlahloka ngokushesha. Ezimweni ezinzima, kwenzeka imiphumela embi.
Kuyini ukukhishwa kwezingxoxo zomgogodla?
Le nqubo yokwelashwa ayibhekwa njengesifo esizimele emithi. I-protrusion yama-discs intervertebral yisigaba esiphakathi se-osteochondrosis, esandulelwe ukwakheka kwe-hernia. Isizathu salesi simo silimaza izintambo zangaphakathi zendandatho enezintambo. Igobolondo langaphandle, elithinta i-nucleus ye-gelatin, lihlala liqinile, kodwa i-disk iqhubekela emgodini womgogodla. Ngaphandle kokwelapha okwanele, indandatho enobumba iyashisa futhi i-hernia iphakama.
I-Dorsal protrusion ye-disc - iyini?
Leli fomu le-pathology lingenye yezinambuzane ezivame kakhulu kubantu emva kweminyaka engama-30, ikakhulukazi ngokuphila komzimba, futhi kubhekwa njengenye yezinhlobonhlobo ezinkulu ze-osteochondrosis. Ukufiphaza kwe-dorsal noma okuthunyelwe kwama-spinal disks - yini okuyiyo: ukugoqa kwendandatho enesibindi ngaphakathi kwesiqondiso sangaphakathi (kusukela esiswini kuya emuva).
Ngalolu hlobo lwesifo, izinhlaka zomgogodla ziyathinteka, okuholela ekuphukeni okuyingozi nokungaqondakali kwemisebenzi yayo. Lokhu kuqhuma kwama-discs kuvame ukulimaza ukuphela kwezinzwa kanye nezimpande. Lokhu kubhekene nokuwohloka kokuzwela, ukuzwa ubuhlungu obukhulu, ukushintsha kwamakhono amasha kanye neminye imiphumela emibi.
Ama-protrusions
Uhlobo oluchazwe lwesifo lubhekwa njengenye yezinhlobo ze-lesion i-dorsal lesion. I-foraminar protrusion ye-disc intervertebral iqondiswa ngokuqondile esifundeni sezimpande zesisindo. Ukuvuthwa kungabonwa kuyo yonke indawo yomsele womgogodla noma ezindaweni zayo ezihlukene:
- I-intraforaminalnoy protrusion - i-disk ye-spin protrudes engxenyeni yangaphakathi. Uhlobo olungathandeki futhi oluyingozi kakhulu lwe-pathology.
- I-protrusion eyengeziwe-i-granular - i-protrusion yendandatho enezintambo eceleni komngcele ongaphandle wengxenyeni yomgogodla. Kungcono ukuphatha futhi kaningi ukuhambisana nezinkinga.
I-circular protrusions yama-discs
Lokhu kuhlukahluka kwalesi sifo kwenzeka ngo-85-90% weziguli ezine-neuropathologist ene-diagnosis ye "osteochondrosis". I-circular protrusion yama-spinal disks - iyini: ukugoqa kwendandatho ye-fibrous eceleni kwesikhala. Ububanzi bezigaba ezihambayo bububanzi obuyi-3-12 mm. Ama-circular protrusions we-intervertebral disks ahluke ngokufanako. Umehluko emkhatsini we-protrusion ezindaweni ezihlukile awudluli 1 mm.
I-protrusion engavamile yediski
Lokhu kungenye yezinto ezinzima kakhulu futhi eziyingozi ngokwezinkinga zezinhlobo zenqubo yokwelapha. Ukusabalalisa i-protrusion yi-protrusion engalingani noma eminingi yomgogodla ngezindlela ezihlukile. Kungathinta kokubili izimpande zesibindi kanye nokuphela, kanye nesifunda somgogodla womgogodla, okuholela emiphumeleni engaphenduki. Ngezinye izikhathi uhlobo oluthiwa lwesifo luphela ekukhubazekeni.
Ukusakaza kwe-Median disc
Ubukhulu bezimpawu nobukhulu besifo sesifo esibuzwayo buxhomeke endaweni yokuhamba. Ukuvuthwa kwe-median noma okuphakathi kwemisipha yomgogodla - kuyini: ukuqubuka kwe-nucleus enamaqabunga, eqondiswa phakathi komgogodla wesipelingi. Leli fomu le-pathology alitholakali ukuthi likhona, kepha lihambisana nezinkinga ezinkulu. Ukuvikelwa kweMedian kuyathinta kakhulu ukusebenza komgogodla kanye nezimpande zesisindo. Ngaphandle kokwelashwa okufika ngesikhathi, kungabangela ukwephulwa kwemisebenzi yabo, ukukhubazeka.
I-disamedian dis protrusion
Uhlobo oluchazwe lokuphuma kwendandatho enamafutha ngaphezu kwamathambo amathambo akuyingozi kakhulu kwifomu yangaphambilini yesifo. Ukuvuthwa komdlavuza we-nucleus we-disin spin - yikuphi: ukufakela kokuqukethwe okuyi-pulpous ekuqondeni komgogodla womgogodla ngokuphambuka phakathi nendawo. Lolu hlobo lwenqubo yokwelapha luhlukaniswa ngamaqembu amabili. Kukhona ukukhishwa kwesidlali se-left-and right-side, izinhlobo zokugcina zivame kakhulu ngenxa yezici ze-anatomical. Ukuphindaphinda okunjalo akuvamile ukutholakala, cishe ngamaphesenti angu-5 amacala wokwelashwa kumuntu we-vertebrologist noma i-neurologist.
I-Ventral protrusion
Ifomu elivame kakhulu lezinkinga ze-osteochondrosis. I-Ventral noma i-anterior protrusion yamacansi omgogodla - iyini: ukugoqa kwendandatho enezintambo ekuqondeni kusukela emuva kuya esiswini. Loluhlobo lwe-pathology luvame ukuvela ngokungenakuqhathaniswa futhi aludingi ukwelashwa. I-ventral protrusion ye-disc intervertebral ayithinti umthambo womgogodla noma izakhi zensimbi. Akuthinti imisebenzi yezingxenye ezibalulekile futhi ayikwazi ukubhekana nezinqubo zokuvuvukala.
Ukuvikelwa - izimpawu
Umfanekiso wesitholampilo wesimo esibucayi esibonakalayo sithembele endaweni yokuvuthwa kwe-nucleus emangcwabeni. Ukugcoba nokuvuthwa kwe-disvertebral disc kunezibonakaliso ezifanayo ezifanayo, ngakho ukucacisa ukuhlonza ukuhlukana okuhlukile kuzofanele kudingeke ukuthi kuqhutshelwa ngezifundo zezinsimbi nezinsimbi. Uma i-osteochondrosis itholakala ezindaweni eziningana, kuyadingeka ukwenza iskena esiphezulu se-resonance ye-back back.
Ukuvikelwa kwe-disc intervertebral yomlomo wesibeletho
Ngokumelene nokwedlulela kokungena kwendandatho enobungozi engenhla, kune-syndrome ezwakala ubuhlungu kulezi zindawo ezilandelayo:
- izandla ezandleni;
- intamo;
- ngemuva kwekhanda;
- amahlombe;
- ikhanda;
- eduze ne-lobes indlebe.
Uma ukuvuthwa kwama-discs omgogodla womlomo wesibeletho kuthinta ukuphela kwezinzwa noma izimpande, kuhambisana nezimpawu ezengeziwe ezilandelayo:
- ukuphonsa eminwe;
- isiyezi;
- ama-numbness ngezikhathi ezithile ezingxenyeni ezingenhla;
- ukukhathala;
- ukulala;
- ukukhathala ngokushesha.
Ukuvikelwa kwe-thoracic umgogodla
Ukuba khona kwe-nucleus ehamba phambili emkhatsini wangemuva nakho kuqhubeka nobuhlungu obukhulu ezindaweni ezinjalo;
- phakathi kwe-scapulae;
- umnyango we-thoracic;
- isikhala se-intercostal;
- amahlombe kanye nezibikezelo;
- isisu.
I-protrusion yesifunda se-thoracic - izimpawu zesimo jikelele:
- ubunzima bokuhamba;
- ukungabi nokuguquguquka komgogodla;
- ukucindezeleka kokuzwela, ukuphazamiseka komhlane;
- ukumboza esifubeni (abantu bavame ukudideka ngezinhlungu zenhliziyo);
- ubunzima bokuphefumula;
- ubuthakathaka bemisipha yomshini we-lateral no-anterior;
- ukukhathala, ukulala;
- ukunganakwa;
- ukuwohloka kwesifiso.
I-Lumbar intervertebral dis protrusion
Izimpawu ezivelele kakhulu zihambisana nokuguquka esifundeni esingaphansi ngemuva. Ukunyakaza kwama-disc intervertebral esifundeni se-lumbar kubonakala ngesimo sobuhlungu obukhulu kakhulu endaweni ehambelana nayo, enikeza emlenzeni, ngokuphindaphindiwe okulungile. Ngaphezu kwalesi sifo, kunezibonakaliso ze-pathology:
- ubulukhuni, ubuchopho be-back back;
- ukuxubha ezinyaweni ezinyaweni naseminwe;
- ukuphazanyiswa kwezinqubo zokuchama;
- ukuguqulwa ekutholeni, ukuzonda;
- ukuzwela okungajabulisayo nemithambeko, ama-ascents kanye ne-descents ezitebhisini, nokunye okusebenza ngokomzimba;
- ukuqotshwa.
I-protrusion ye-discs ye-spine - ukwelashwa
Ukwelashwa kwezintambo ezilimazayo zezindandatho ezinamafayili kunika indlela edidiyelwe yodwa. Nquma ukuthi ungaphatha kanjani ukuvuthwa kwama-spinal discs esimweni esithile, uma isazi sezinzwa esaziwayo noma i-vertebrologist esekelwe kwimiphumela yokuxilongwa ngokuhlukana. Ngokufinyelela okufika ngesikhathi kumchwepheshe futhi ukhethe ukwelashwa okulungile kumacala angaphezu kwama-90%, kungenzeka ukuxazulula ngokuphelele inkinga echazwe.
Izindlela eziyinhloko zokuphatha ukukhishwa kwama-discs:
- ukuthatha imithi;
- i-physiotherapy;
- ukwelashwa kwe-hardware;
- ukuzivocavoca umzimba.
Ukuphathwa kokwelapha okulondolozayo kuhlanganisa ukusetshenziswa kwamaqembu alandelayo ezidakamizwa:
- Izidakamizwa eziphikisana nezidakamizwa. Kokubili imithi yesistimu neyendawo - i-Movalis, i-Diklobene, i-Dolgit, i-Indomethacin, i-Ketonal, i-Nimesulid, i- Diclofenac nezinye isetshenziswa. Imithi enjalo ihlinzeka ukukhululeka kwezinqubo zokuvuvukala kanye nokujwayelekile kwemisebenzi yomgogodla ovuthayo, ukuvimbela ukwakhiwa komgogodla we -herniated .
- Ama-Painkillers. Loluhlobo lwemithi yangaphandle neyesistimu lubhekisela ekwelapheni okuphawulekayo kwama-disk protrusion. Amagama aphumelelayo - Midokalm, Ketanov, Butadion, Solpadein, Pentalgin, Olfen kanye nokuhluka okufanayo. Uma amaphilisi, ama-plasters, amafutha okugcoba kanye neminye imithi engasizi, ama-blockckades anqunywe, kufaka phakathi izinqubo zokubamba iqhaza. Kule nkinga, ikhambi le-anesthetic lijojelwe ku-plexus. Ama-anesthetics asebenzayo yi-Novocain ne-Lidocaine, ama-synonyms awo kanye nama-generics.
- Ama-relaxant muscle. Leli qembu lemithi liyadingeka ukuze uphumule imisipha enamandla ezungeze izindawo ezilimaziwe zomgogodla, u-normalize i-ligaments kanye nama-tendon. Imisipha yokuphumula ephumelelayo - i-Catadolon retard, i-Baclosan, i-Sirdalud, i-Muscomed, i-Structum, i-Tizalud, i-Ditilin nabanye.
- Amavithamini eqembu B. Lezi zixazululo zisiza ukubuyisela izintuthwane, ukuqinisa izinqubo ze-metabolic nokufaka isandla ekubuyiseleni izintambo ezilimazayo zendandatho enezintambo. Amavithamini anqunywe ngokuyinhloko njengezixazululo ezingenakulungiswa, ngezinye izikhathi amaphilisi anconywa - I-Neurovitan, i-Milgamma compositum, i-Neovitam, i-Angiovit, i-Gerimax, i-Kombilipen, i-Neuromultivitis, i-Trigamma kanye ne-analogues.
I-Physiotherapy ihlanganisa:
- ukusikhipha;
- i-laser therapy;
- ukuvuselela kagesi;
- ukwelapha magnetic ;
- ukufudumala;
- ukushaqeka-ukwelashwa kwe-wave.
Ukuze ubuyisele i-disc enqwabelene endaweni yayo, ukuqeda ukucindezeleka kwezimpande zesisindo kanye nokuphela, ukuvuthwa komgogodla noma ukuxubha okumile ngokuvamile kuvame ukusetshenziswa. Le nqubo yenziwa kuphela ezikhungweni zezokwelapha eziqinisekisiwe ezimishini ezikhethekile. Ukuhlukunyezwa kwenziwa ngaphansi kokuqondiswa kochwepheshe oqeqeshiwe.
Isigaba sokugcina sokwelashwa kokubuyiselwa nokubuyiselwa kokuhamba komgogodla ukuvivinya umzimba. Ucwaningo lwezokwelapha lwanamuhla luye lwafakazela ukuphumelela kwe-yoga kule nkinga ebucayi. Kubalulekile ukuqeqesha nsuku zonke futhi njalo, kuqala nge-asanas elula kakhulu. Ukwandisa ubunzima bokuzivocavoca kufanele kube kancane kancane, kungavumeli ukubonakala kwemizwa ebuhlungu.