Jin zafi a baya da yankin lumbar yana daya daga cikin gunaguni na yau da kullum a cikin magani. Suna a matsayi na biyu dangane da adadin duk buƙatun, na biyu kawai ga cututtukan numfashi. Yawancin cututtukan cututtuka na iya haifar da ciwo a cikin ƙananan baya, amma sau da yawa yana haifar da osteochondrosis na yankin lumbar. Yadda za a bi da irin wannan cuta, menene alamun da alamun da ke da shi, za a tattauna a kasa.
Ba da dadewa ba, kimiyyar likita ta yi imanin cewa osteochondrosis a cikin yankin lumbosacral yana faruwa ne kawai saboda canje-canje masu alaka da shekaru wanda ke haifar da lalacewa da tsagewar kashin baya da kuma fayafai na intervertebral. Duk da haka, a yau alamar shekaru ba ta keɓanta ba; An gano osteochondrosis na kashin baya na lumbar a cikin marasa lafiya a cikin kungiyoyi daban-daban. A yau, ana ɗaukar shekarun yankewa fiye da shekaru 25.
Abubuwan da ke haifar da osteochondrosis na lumbar
Ba shi yiwuwa a ambaci ainihin dalilin; kusan ko da yaushe zai zama hadadden tasiri na abubuwa masu lalacewa daban-daban, daga cikinsu za a iya gano mafi mahimmanci:
- Alƙawari ga salon rayuwa daga mahangar aikin mota. Ta hanyar nasu nufin, mutane marasa motsi, alal misali, suna ciyar da sa'o'i masu yawa a kwamfuta, ba su sami isasshen kaya mai amfani ba, wanda shine dalilin da ya sa tsokoki na "corset" suna shakatawa kuma nauyin da ke kan vertebrae yana ƙaruwa. Bugu da ƙari, kusan ko da yaushe irin wannan wasan kwaikwayon yana da alaƙa da tsayin daka zuwa wuraren da ba daidai ba da kuma rashin dabi'a.
- Matsaloli tare da matakan hormonal, wanda ke haifar da rikice-rikice na rayuwa, wanda ke rinjayar metabolism na kashin baya a cikin yankin lumbar kuma yana ba da gudummawa ga matakai masu lalacewa. Wannan kuma ya haɗa da cututtuka na yanayin endocrin.
- Kasancewar nakasassu na haihuwa ko samulokacin da tsarin musculoskeletal ya sami wasu canje-canje. Ana iya nunawa wannan a cikin ƙarar kaya a kan kashin baya, alal misali, a cikin majiyyaci tare da lebur ƙafa, lanƙwasa ƙafafu ko kashin baya.
- Ƙaruwa na yau da kullun a kan ƙananan baya. Anan, haɗarin sun haɗa da mutanen da ke da wasu nau'ikan ayyukan ƙwararru, galibi suna alaƙa da ɗagawa mai nauyi. Wannan kuma ya haɗa da ƙwararrun ƴan wasa waɗanda a koyaushe suke yiwa jikinsu nauyi.
- Rage cin abinci da abubuwan yau da kullun. Wannan kuma ya haɗa da bayyanar da damuwa akai-akai. Wadannan abubuwan suna shafar tafiyar matakai na rayuwa kuma suna tasiri jikin maido da ƙarfinsa lokaci-lokaci.
Matsayin osteochondrosis na kashin baya na lumbar
Abubuwan abubuwan da ke sama a hankali suna haifar da bayyanar cutar. Duk da haka, yana iya bayyana kansa ta hanyoyi daban-daban, kasancewa a zahiri asymptomatic a farkon ko kuma haifar da ciwo mai wuyar jurewa yayin ci gaba. Bari mu yi la'akari da babban digiri na ci gaban osteochondrosis:
- Halin da tsakiya pulposus ke motsawa a cikin faifan intervertebral. Yana da yanayin zafi wanda ya haifar da haushi na tushen jijiya na zoben fibrous da kuma ligaments na tsayi. Ana jin rashin jin daɗi a gida a yankin da diski mara kyau yake. Zafin zai iya zama ko dai mai tsanani tare da harbi ko rashin jin dadi akai-akai.
- Lokacin da fibrous Layer na intervertebral disc ya lalace, motsi na abubuwan da ke cikin kashin baya a cikin wannan yanki ya karu, sun zama marasa daidaituwa ga juna. Don kawar da waɗannan bayyanar cututtuka, ya zama dole a ci gaba da kiyaye tsokoki na wannan yanki, wanda a ƙarshe ya haifar da gajiya mai tsanani a cikin ƙananan baya.
- Bayan haka, ci gaba yana faruwa a cikin zoben fibrous, wanda ya sa tsakiya ya tsere daga iyakar diski, yana samar da hernia intervertebral. Irin wannan shari'ar za ta kasance tare da tsutsawar ƙarshen jijiyoyi, wanda ake kira "radicular syndrome."
- Matsayi na gaba na osteochondrosis na yankin lumbosacral yana faruwa tare da mummunan nakasar kashin baya a wannan bangare. Matsaloli tare da motsi suna bayyana, amma ciwo mai zafi, mai banƙyama, yana raguwa a wannan mataki. Duk da haka, kada ku yi murna; wannan ba yana nufin cutar tana mutuwa ba.
- Matsayi na ƙarshe yana da alaƙa da haɓakar cututtukan ƙwayar cuta na nama na nama da kuma tabarbarewar lafiya gabaɗaya.
Dangane da matakin osteochondrosis na lumbar, ana amfani da wasu hanyoyin magani.
Alamun osteochondrosis a cikin ƙananan baya
Babban alama shine ciwon fama a cikin kashin baya na lumbar. A lokaci guda kuma, jin zafi, yankin da aka gano su da kuma hanyar da suke yadawa na iya bambanta. Wannan yana faruwa ne saboda gaskiyar cewa, bisa ga girman lalacewar diski na intervertebral da ƙwayoyin da ke kewaye da su, wasu masu karɓar jijiyoyi suna fushi. Bugu da ƙari, kasancewar kumburi ko hernia kanta, alkiblar fitowar ta da wasu dalilai da yawa suna taka rawa.
Babban alamun osteochondrosis na kashin baya na lumbar sun hada da:
- Kasancewar ciwo mai raɗaɗi a cikin ƙananan baya, wanda ke kula da haɓaka tare da motsi kwatsam ko, akasin haka, zama ba tare da canza matsayi na dogon lokaci ba. Ciwon yana raguwa idan kun ɗauki matsayi a kwance.
- Bugu da ƙari, rashin ƙarfi a cikin yanki na jiki a ƙarƙashin ciki, ciki har da ƙananan ƙafafu, yana yiwuwa, da kuma ƙwanƙwasa mai laushi a cikin kafafu.
- Akwai babban yiwuwar curvature a cikin kashin baya na lumbar. Akwai rarrabuwa na irin wannan curvatures, alal misali, lokacin da aka mayar da hankali a gefen dama ko hagu, suna magana game da scoliosis, lordosis shine halin da ake ciki na lankwasawa a gaba, kuma kyphosis shine yanayin lokacin da yanayin lumbar na halitta, kamar yadda yake, ya santsi.
- Tare da babban mataki na ci gaba da cutar, ƙwanƙwasa canals na kashin baya yana yiwuwa, wanda zai iya haifar da rashin aiki da kuma haifar da urination da stool mara kyau.
Ƙarin alamun sun haɗa da:
- Kasancewar numbness da "sanyi" na fata na ƙananan baya da gindi.
- Fatar fata mai laushi, bushe da shuɗi a wurare iri ɗaya.
- Rashin fitsari.
- Matsalolin hawan jini.
Kasancewar wadannan alamomin yakamata ya fadakar da mutum; kada a yi kasa a gwiwa a kansu, wannan ba zai haifar da sakaci ba. A wannan yanayin, lallai ya kamata ku tuntuɓi likita don ingantaccen ganewar asali da magani. Af, jiyya na iya zama ko dai a asibiti ko a gida, amma fiye da haka nan gaba kadan.
Binciken cutar
Lokacin yin ganewar asali, yana da mahimmanci a fahimci girman yadda cutar ta ci gaba. Hanya mafi sauƙi ita ce palpation a cikin yankin lumbar don gano wuraren zafi. Yawanci, wannan hanyar ba ta da cikakken bayani kuma ƙari, ana gudanar da gwaje-gwajen da ke ba da cikakken hoto na asibiti:
- Ta hanyar rediyo, Hanyar da ba ta da tsada da kuma tartsatsi, yana yiwuwa a tantance yanayin duka kashin baya gaba ɗaya da kuma kashin baya na mutum, misali yankin lumbar da ake tambaya. Dabarar ba daidai ba ce; yana ba mu damar fahimtar a kaikaice yadda fayafai na intervertebral da canals na kashin baya suke.
- Na'urar daukar hoto hanyar da ta fi dacewa wacce ke ba ka damar tantance matakin lalacewar fayafai tsakanin kashin baya, tushen jijiya da canals tare da kashin baya.
- Hoto na maganadisu na maganadisu hanyar da ta fi dacewa, yana ba da cikakken hoto na raunin dalla-dalla, amma yana da tsada sosai kuma ba zai iya isa ba.
Ya kamata a lura cewa tsarin bincike yana da matukar muhimmanci, tun da duk cikakkun bayanai game da ci gaban osteochondrosis suna da mahimmanci ga likita lokacin da aka tsara hanyoyin magani.
Matsalolin osteochondrosis
Babban rikice-rikice na pathology shine hernias da protrusions, wanda ba makawa ya faru idan an yi watsi da magani kuma an bar ci gaban cutar a cikin kwatsam. Wasu rikitarwa na iya haɗawa da:
- Kumburi na jijiyar sciatic.
- Spondyloarthrosis.
- Schmorl ta hernia.
- Spondylosis.
- Matsalolin da ke haifar da pinched canals.
- Rashin aiki a cikin ƙashin ƙugu.
- Ci gaban gurgu.
Jiyya na lumbar osteochondrosis
Lokacin da aka gano tare da osteochondrosis na kashin baya, ana buƙatar nau'i-nau'i iri-iri na farfadowa, manyan abubuwan da zasu kasance:
- Aikace-aikace na matsakaicin lodi.
- Magunguna na musamman.
- Ragewar kashin baya.
- Zaman jiyya na hannu.
- Physiotherapy.
- Maganin warkewa.
Ma'anar "maganin" don osteochondrosis yana nufin:
- Damke kumburi.
- Rage ciwo ciwo.
- Complex don ƙarfafa lumbar da ƙungiyoyin tsoka masu kusa.
- Sauke daga tashin hankali na tsoka na yau da kullun.
- Ƙara aikin gabobin cikin ƙashin ƙugu.
- Normalisation na jini wurare dabam dabam da kuma metabolism a cikin pathological yankin.
Jiyya tare da magunguna
Irin wannan tsarin kula da osteochondrosis na lumbar ya hada da shan magunguna, alluran magunguna na musamman, da kuma amfani da man shafawa da gels don amfani da waje. Babban aikin irin waɗannan kwayoyi shine kawar da ciwo da kumburi.
Dangane da matakin osteochondrosis na kashin baya a cikin yankin lumbar, likita na iya rubuta waɗannan kwayoyi masu zuwa:
- Analgesics wanda ke da tasirin analgesic.
- Magunguna da kumburi na asalin da ba steroidal.
- Domin spasms tsoka, antispasmodics.
- Magunguna don maido da ƙwayar guringuntsi, wanda ake kira chondroprotectors. Ba a tabbatar da ingancin su ba, don haka da wuya a yi amfani da su a maganin gargajiya.
- Don cututtuka masu tsanani, lokacin da magungunan da ke sama ba su taimaka ba, koma zuwa corticosteroids.
- Vitamin hadaddun.
Baya ga waɗannan magungunan, ana ba da magunguna a cikin allunan, manufar su shine kwantar da hankali da kuma magance damuwa da damuwa.
Jiyya na physiotherapy don lumbar osteochondrosis
Tsarin magani da wuya yana iyakance ga shan kwaya kawai. Ba za a iya warkar da cututtukan da ke cikin tambaya ba tare da ƙarfafa hanyoyin dawo da kashin baya ba. Don waɗannan dalilai, ana amfani da hanyoyi masu yawa na physiotherapeutic, mafi mashahuri daga cikinsu:
- Phonophoresis.
- Jiyya tare da igiyoyin diadynamic.
- Laser far.
Bugu da ƙari, kashin baya yana buƙatar ba da kaya masu amfani yayin da yake shimfiɗa shi lokaci guda. Daban-daban iri-iri na warkewa tausa ne manufa domin wannan. Dole ne a tuna cewa ana amfani da tausa ne kawai lokacin da aka rage zafi. A matsayinka na mai mulki, ana gudanar da shi azaman ma'auni na farfadowa lokacin da aka fara aiwatar da maganin cutar, ko a cikin osteochondrosis na kullum. Bayan tausa, tsokar tsoka da rashin lafiya ya mamaye su suna da annashuwa sosai; tasirinsa zai inganta sosai lokacin da aka dumama lokaci guda, misali a cikin gidan wanka ko sauna. A cikin akwati na ƙarshe, za mu cimma matsakaicin sakamako saboda ƙarin ƙarfafawar jini a cikin yankin pathology da yankunan da ke kusa.
Wata hanyar jiyya ta jiki ita ce maganin hannu. Amfaninsa gabaɗaya iri ɗaya ne da na tausa, amma ƙari, tare da taimakon irin waɗannan fasahohin, ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ta iya mayar da matsugunin kashin baya zuwa matsayinsu na yau da kullun.
Therapeutic gymnastics
Hakanan ana amfani da motsa jiki na warkewa azaman maidowa da ma'auni na rigakafi a lokacin lokacin da an riga an kawar da ciwo da kumburi. Makullin don babban tasiri na motsa jiki na warkewa shine daidaitawar motsa jiki; a cikin wannan yanayin, yankin da aka lalace zai ci gaba da karɓar aikin da ake bukata na jiki don samar da sabon nama da farfadowa.
Ayyukan tiyata don lumbar osteochondrosis
Tiyata ita ce makoma ta ƙarshe, wadda aka ba da izini ga matsaloli masu tsanani. Mafi na kowa daga cikin wadannan shi ne intervertebral hernia, lokacin da abin da ake kira "discectomy" ko cire abin da ya shafa intervertebral disc. Aikin yana da tasiri sosai, duk da haka, kasancewar ma'auni na ma'auni na ƙarshe, an tsara shi kawai idan wasu hanyoyin maganin sun gaza fiye da watanni 6. Magungunan zamani kuma suna ba da ƙananan hanyoyi masu rauni na yin irin wannan aikin, misali, ƙananan ƙwayoyin cuta ko hanyoyin endoscopic.