Pain a cikin yankin lumbar shine mafi yawan ciwo mai zafi a cikin aikin asibiti. 30-60% na yawan mutanen da ke cikin ƙasashen da suka ci gaba suna fama da ciwon baya, kuma har zuwa 80% na duk ciwon baya yana faruwa a cikin yankin lumbar (lumbar baya). Duk ƙungiyoyin shekaru na iya shan wahala daga ƙananan ciwon baya, amma mafi girman abin da ya faru yana faruwa tsakanin shekaru 30 zuwa 60.
Jin zafi a yankin lumbar saboda rashin lafiya
Ƙarƙashin ciwon baya wata alama ce da ba ta musamman wacce za ta iya haifar da dalilai da yawa. Likitoci sun bambanta tsakanin na farko da na biyu na ciwon ciwon lumbar. Yawancin jin zafi a cikin yankin lumbar ya dogara ne akan sauye-sauyen ƙwayoyin cuta na musculoskeletal (nauyin ciwo na lumbar na farko). Waɗannan su ne na farko degenerative-dystrophic raunuka na kashin baya:
Abubuwan da za a iya haifar da ciwo na ƙananan baya na sakandare:
- Ciwon daji na farko da na metastatic na vertebrae, kashin baya, sararin retroperitoneal.
- Karyawar kashin baya.
- Cutar cututtuka na vertebrae da intervertebral fayafai (tuberculosis, brucellosis, epidural ƙurji).
- Cututtuka masu kumburi marasa kamuwa da cuta (ankylosing spondylitis, Reiter's syndrome, rheumatoid amosanin gabbai).
- Raunuka masu narkewa (osteoporosis, osteomalacia).
- Girma zafi (scoliosis).
- M cututtuka na kashin baya (stroke).
- Cututtuka na gastrointestinal fili (atypical hanya na m appendicitis, hanji toshewar).
- Ciwon da ake magana a kai a cikin cututtuka na gabobin pelvic (ciki har da colic na koda, cututtuka na gynecological, irin su chlamydia, gonorrhea, trichomoniasis, ureaplasmosis, adnexitis).
Jin zafi a cikin yankin lumbar kuma na iya zama m ko na yau da kullun, kuma abubuwan da ke haifar da lalacewar kashin baya ko tushen jijiya. Yiwuwar motsin zafi daga sifofi masu zurfi:
- koda;
- pancreas;
- ciwon hanji;
- gabobin pelvic;
- retroperitoneal ciwace-ciwacen daji.
M zafi a cikin lumbar yankin
M sprain. Ana jin zafi a cikin yanki na dogon baya tsokoki a lokacin spasm, wanda ke haifar da ƙuntatawa a cikin motsi. Babu motsi na zafi zuwa yankin makwancin gwaiwa ko ƙananan ƙafafu.
Karyawar kashin baya. Yawancin lokaci wannan sakamakon rauni ne lokacin lankwasawa ko fadowa a kan ƙafafu, amma sakamakon guda ɗaya zai iya zama ba tare da rauni ba ko kuma tare da ƙarancin rauni idan mai haƙuri yana da tsarin kwarangwal da ya shafa, osteoporosis, Cushing's syndrome, hyperparathyroidism, myeloma, metastases na m ciwace-ciwacen daji a cikin kasusuwa, cutar Paget.
Matsar da fayafai na intervertebral a cikin yankin lumbar. Alamun wannan cuta sun haɗa da ciwo a cikin yankin lumbar, matsayi na tilasta jiki, da iyakacin motsi. Shigar da tushen jijiya a cikin tsarin pathological yana nuna ta: radicular zafi, yawanci gefe ɗaya; rashin hankali (paresthesia, hyperesthesia ko hypalgesia); Rage ko rashi Achilles ko gwiwa reflex.
Facet ciwo. Matsi da tushen a fita daga canal na kashin baya yana haifar da ciwo mai raɗaɗi wanda ba ya haifar da lalacewar diski. Ciwon kai na facet Unilateral, wanda galibi ana danganta shi da tushen L5, yana faruwa ne lokacin da manyan fuskoki na sama da na ƙasa na haɗin gwiwa na intervertebral suka haɓaka, wanda ke haifar da kunkuntar canal intervertebral ko foramen.
Epidural ƙurji. Mafi sau da yawa ana samun su a cikin kashin baya na thoracic, yana iya kasancewa tare da ciwo mai tsanani a baya lokacin da ake yin kullun ko tapping yankin da aka shafa. Yana buƙatar saurin ganewa da farawa matakan jiyya, gami da tiyata, idan akwai alamun matsewar kashin baya. Hanyoyin cututtuka a cikin haɗin gwiwa na hip na iya kasancewa tare da ciwo mai raɗaɗi zuwa yankin gluteal da ƙananan ƙafafu zuwa matakin gwiwa na gwiwa.
Ciwon baya na yau da kullun
Spondylosis deformans. Spondylosis deformans sune canje-canje na lalacewa a cikin kashin baya na lumbar tare da samuwar kasusuwan kasusuwa wanda ke ƙunshe da canal na kashin baya kuma yana matsa lamba akan tushen. Idan ciwo na lumbosacral ya bayyana tare da bayyanar cututtuka na jijiyoyin jiki lokacin tafiya (asarar jin dadi, damuwa na hankali ko rauni a cikin ƙananan sassan biyu), akwai zato na ciwon claudication na tsaka-tsakin da ke hade da kashin baya kuma yana tasowa daga raguwa na canal na kashin baya. Ana tabbatar da cutar ta hanyar bincike.
Ankylosing spondylitis. Ya kamata a yi la'akari da shi a cikin matasa da ciwo a cikin ƙananan baya wanda ke motsawa zuwa kwatangwalo. Na farko, akwai ƙayyadaddun motsi da taurin safiya, raguwar motsin numfashi na ƙirji, da ci gaba da lanƙwasa da jujjuyawar kashin thoracic. Alamun X-ray: lalata da sake fasalin haɗin gwiwa na sacroiliac, samuwar abin da ake kira "bamboo" kashin baya. Irin wannan bayyanar cututtuka tare da ƙayyadaddun motsi a cikin ƙananan kashin baya na iya faruwa tare da:
- psoriatic amosanin gabbai;
- Reiter ta ciwo;
- na kullum colitis.
Tumors da metastases, cututtuka na rayuwa. Yin amfani da rediyo da myelography wajibi ne a ware wadannan pathological yanayi: metastatic carcinoma (nono, huhu, prostate, thyroid, koda, gastrointestinal fili), myeloma, lymphoma.
Osteomyelitis. Kwayoyin cuta na pyogenic (yawanci staphylococci) ko tarin fuka na Mycobacterium; Dole ne a tabbatar da ko cire yiwuwar waɗannan cututtuka ta hanyar ƙayyade ESR, x-ray na kashi, da gwajin fata tare da tuberculin.
Ciwon ciki na ciki:
- neurofibroma;
- meningioma;
- lipoma
Ciwace-ciwacen da ke sama na iya haifar da ciwo mai tsanani ko da kafin sauran alamun bayyanar cututtuka sun bayyana. Canjin zafi a cikin yankin lumbar saboda cututtuka na gabobin ciki. Lokacin da gabobin pelvic ya shafi, zafi yana canzawa zuwa yankin sacral, gabobin ƙananan ƙananan ciki - zuwa sassan lumbar, ƙananan ƙananan ciki - zuwa ƙananan thoracic da ƙananan lumbar. Babu alamun gida ko taurin baya; Cikakken motsi baya ƙara zafi.
Magani
Tare da osteochondrosis na kashin baya na lumbar, mai haƙuri yana jin zafi a cikin ƙananan baya lokacin tafiya, zaune, ɗaga abubuwa masu nauyi, tari, atishawa. Ƙananan ciwon baya wani lokaci yana haskakawa zuwa kafa. A wannan yanayin, kuna buƙatar gaggawar tuntuɓar likitan neurologist.
Kada ku jinkirta ziyartar likitan ku idan:
- fuskanci matsanancin ciwon baya fiye da kwanaki 3;
- zafi ya faru bayan rauni;
- a lokaci guda kuna jin zafi a cikin ƙananan baya, ƙananan ƙafa da ƙafa;
- zafi a cikin ƙananan baya yana haɗuwa tare da raguwa a cikin gindi, cinya, kafa, ƙafa, da kuma makwancin gwaiwa.
Ƙananan ciwon baya alama ce ta gama gari, musamman a cikin tsofaffi. Rheumatism, lumbar osteochondrosis da radiculitis - duk waɗannan cututtuka suna haifar da ciwo mai tsanani a cikin yankin lumbar. Binciken da ya dace na jiki kawai zai iya nuna sakamakon kuma ya ba da amsa mai haske game da abubuwan da ke haifar da ƙananan ciwon baya.