Lumbar spine kurwadziwa - chii chinogona kuitika kubva? Zvinokonzera, kurapwa, marapirwo uye maekisesaizi kune lumbar musana

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Lumbar spine kurwadziwa chirwere chinowanzoitika chinowedzera kukanganisa kwete vakwegura chete, asiwo vaduku. Marwadzo munharaunda yelumbar anogona kukonzerwa nekukuvara, kuwandisa kana kuderera kwekuchinja. Dzimwe nguva marwadzo munharaunda iyi akabatanidzwa zvisiri izvo nemusana, sezvo inogona kupenya kubva kune dzimwe nhengo dzemuviri. Ndezvipi zvikonzero zvekurwadziwa mu lumbar spine? Ndoita sei nazvo?

Lumbar spine kurwadziwa - zvinogona zvikonzero

Kurwadza kwemusana idambudziko rakatarisana neruzhinji rwevanhu. Kunyange 80 muzana. vanhu vanozonzwa kurwadziwa shure kwechero mavambo kamwechete muhupenyu hwavo. Kana zvasvika pakurwadziwa mu lumbar spine, inowanzotaurwa nezvayo nguva inooneka pazasi pembabvu yechi12 uye pamusoro pemagaro, inogonawo kupenya kusvika kumucheto wezasi. Marwadzo ekumusana asingaperi kana acute.

Chokutanga pane zvose, zvakakosha kubhadhara kune zvirwere zvine chokuita nechepasi shure, izvo zvingave zvisiri izvo nemarwadzo mu lumbar spine. Kazhinji, kugadzwa kwechiremba uye miedzo yakakodzera inofanirwa kuongororwa kwakarurama kwemamiriro acho ezvinhu, nokuti marwadzo munharaunda yelumbar isingaenderane nemusana dzimwe nguva inokonzerwa ne:

1. itsvo uye weti zvirwere, eg renal colic;
2. nguva dzinorwadza, endometriosis kana kumwe kusagadzikana kwakabatana nehurongwa hwekubereka hwevakadzi;
3. zvirwere zvepancreas kana chiropa;
4. kurwadziwa kwepamuviri kunopenya kumusana;
5. prostate matambudziko muvarume.

Kana marwadzo ari muzasi kumashure, zvisinei, ane chekuita nemuzongoza, anogona kunge akabatana nekuremerwa kwenyama, kukuvadzwa kweiyo intervertebral disc, kukuvara kwemapfupa (eg fractures), kuderera kwekuchinja, uye zvakare kuve kwechimiro chisiri chaicho (ndicho. zvino zvakaoma kumisa chikonzero chayo chisina kujeka).

Nekuda kwemarwadzo ekumusana, edza iyo Vitammy Flare infrared kuporesa rambi.

Itarise: Chimiro chemusana. Zvese zvaunoda kuziva nezve musana

Chii chinokonzera kuitika kwemarwadzo mu lumbar spine?

Zvinokonzera marwadzo mu lumbar spine kazhinji zvakaoma kurongedza. Zvinhu zvakawanda zvinogona kutungamirira pakuitika kwemarwadzo akadaro, kusanganisira zvirwere zvakasiyana-siyana, kusanganisira congenital, kukuvara kana kuwandisa, uko musana unoratidzwa panguva yekushanda kwemazuva ose.

Kurwadziwa shure munharaunda ye lumbar kunogona kubuda kubva:

1. kuzvarwa anomalies - chimiro chisina kujairika chemuzongoza (eg lumbalization) inogona kupa kune kusaenzana mutoro pazvimiro zvemuzongoza, zvichikonzera kurwadziwa;
2. kuwandisa nekukuvara - marwadzo anogona kuonekwa sechinhu chakaoma mushure mekukuvadzwa (semuenzaniso kuputsika kwemusana), mune osteoporosis, uye kana musana uchiremerwa nekuda kwekusakwana kwetsigiro yemhasuru;
3. kuzvimba - zvirwere zvinoperekedzwa nekuputika kwemajoini zvinokanganisa mamiriro emusana; muenzaniso ndeye ankylosing spondylitis uye nzvimbo yemagadziko, inorambidzawo kufamba; uyewo advanced rheumatoid arthritis inogona kukanganisa majoini emusana, zvichikonzera kukanganisa mukati mavo;
4. degenerative shanduko - kuderera, kureva kusagadzikana uye kuchinja kusina kunaka kunokanganisa cartilage uye mapfupa emapfupa mumuzongoza, kunokonzera marwadzo uye dzimwe nguva kunotungamirira ku stenosis yegunha (kuderera kwayo); migumisiro ye stenosis inosanganisira, pakati pezvimwe zvinodzvinyirira pamitsipa uye kunyange hernia isingagadziriswi;
5. zvirwere zvemagetsi - zvinetso zvemagetsi zvinogona kusanganiswa nemarwadzo ekudzokera shure zvinosanganisira chirwere cheshuga mellitus (kukurumidza kupera kwemaitiro emusana) uye osteoporosis (kuderera kwevaenzi, kunyanya kuputsika, kushaya simba kwemhasuru uye musana mechanics);
6. matambudziko epfungwa - kurwadziwa shure uye kuoma kwavo kunogona kuva chikonzero chechimiro chepfungwa, kuvapo kwekuzvidya mwoyo, kushungurudzika kwakanyanya kana hypochondria.

Iwe unotambura nemusana uye unoda kuona kana zvichigona kukonzerwa nekuchinja kwekuzvimba? Iwe unogona kuraira mail-odha kuongororwa kwearthritis yemuzongoza nemakumbo kubva kuboka respondyloarthritis kuburikidza neMedonet Market. Kuti uderedze marwadzo anoenderana nemuzongoza, shandisa Flexan nguva dzose - iyo YANGO yekudya yekuwedzera, iyo inosanganisira, pakati pevamwe, Indian zvinonhuwira bark resin.

Lumbar musana kurwadziwa - kuwandisa

Kuremedza musana kunobatanidza nenjodzi yekuderera kana herniation ye intervertebral disc. Marwadzo ekuzasi anogona kubva pakuremedza zvinyoro zvinyoro. Kana kushanda kwezvinyoro zvinyoro, majoini epelvic uye musana zvichikanganiswa, kushushikana mumasumbu ari pedyo kunowedzera. Izvi ndezvekuona kugadzikana kwezvivakwa. Zvinosuruvarisa, zvinotungamirirawo kumutoro mukuru pamuzongoza, kukura kwezvimba uye kuitika kwemarwadzo. Mumamiriro ezvinhu akadaro, kuora kunogona kuitika.

Kuitika kwekuremerwa kwe lumbar spine kunofarirwa nekugara kwenguva refu, basa rinoda kukotama, kusimudza nekusimudza, kusakwana kwekuita basa remuviri, kuwandisa kana kufutisa. Kushaya simba kwemhasuru dzemudumbu uye hudyu flexors kunokosha zvakare.

Prophylactically, zvakakosha kushandisa Exclusive Support lumbar orthopedic pillow, inogona kuiswa pasi pemusana, semuenzaniso panguva yebasa inoda kugara kwenguva refu.

Kana iwe uchida kuderedza marwadzo munzvimbo yemuzongoza, edza iyo Dermaticus Klimuszko monastery lining yeganda rakatenderedza majoini uye musana nekudziya uye kuzorora. Isu tinokurudzirawo poplar liniment yekuremedza, iyo inoderedza marwadzo mumajoini nemamhasuru.

Lumbar spine kurwadziwa - matambudziko ane intervertebral disc

Zvinonyanya kukonzera marwadzo ekudzokera shure zvinosanganisira kusagadzikana mu intervertebral discs. Aya ndiwo masangano akaiswa pasi pemitoro yakakura, inotarisana ne microtrauma, pamwe nekuumbwa kwe hernia ("prolapse") ye intervertebral disc.

1. Intervertebral disc degeneration. Kuonekwa zvishoma nezvishoma kwe disc microdamages uye kuunganidza kwavo kunokonzera kukanganisa kune mamwe maitiro - iyo fibrous ring, uye pakupedzisira kusvika pakuderera kweiyo nucleus pulposus. Mhedzisiro yekuchinja ndeyekunzwa kwepamusoro kune zvinokurudzira uye kuitika kwemarwadzo. Vanhu vari pakati pe35 ne50 yemakore yezera vanotarisana nekuderera kwe intervertebral disc (73% yevanhu pazera iri), asi inowanikwawo muzera rezera pasi pe35 (50%).
2. Hernia ye intervertebral disc. Ichi chiitiko chisingakonzere kurwadziwa. Zvisinei, kana hernia ("prolapsed disc") mu lumbar spine inodzvinyirira midzi yetsinga, zviratidzo zvakadai sekurwadziwa, kupera, kurira, kuvhiringidzika kwekunzwa, kushaya simba kwemhasuru, uye kusashanda zvakanaka kwedundira uye anal sphincters zvinoonekwa.

Lumbar musana kurwadziwa - degenerative shanduko

Chimwe chezvikonzero zvinogona kukonzera marwadzo mu lumbar spine kuchinja kunopera. Kuumbwa kwavo inzira inotungamirira zvishoma nezvishoma kukuvadza kune intervertebral disc uye cartilage yezvibatanidza intercapular. Somugumisiro wekuonekwa kwekushanduka kwekuchinja, kuenzana pakati pehutano hwekugadzirisa uye kukanganisa kwezvivako zvemusana kunovhiringidzika. Inogona kusiyanisa:

1. kuderera kwemajoini e-intercapular - kunogona kukonzera marwadzo anopenya kune chigadziko nechidya, chinofanana nemarwadzo emidzi, asi inokonzerwa nekuwedzera kudzvinyirira pamajoini, kuputika kwenguva refu, kukuvara kwe micro- kana kutambanudza kwe synovial membrane uye capsule yakabatana;
2. Kuchinja uye kubereka kushanduka kwemiviri yevertebral - kunotungamirira pakuumbwa kwe osteophytes (bone growths), iyo inogona kukonzera stenosis, kukuvadza mahwendefa emuganhu uye kuonekwa kweScmorl's nodules.

Related topic: Kuderera kwezvibatanidza zvemusana

Uri kuona zviratidzo zvinokatyamadza here? Zviongorore iwe pachako mubhuku remibvunzo yezvokurapa uye sarudza kana kuenda kuna chiremba.

Lumbar musana kurwadziwa - kurapwa

Kurapa kwemarwadzo emusana inyaya yakaoma. Nzira yekurapa inowanzoda nzira yakasiyana-siyana nekuda kwezvikonzero zvakasiyana-siyana zvekutambudzika, kufambidzana nekuchinja kwezvigadziro zvemusana kana kukanganisa mune dzimwe nzvimbo dzemotokari. Matanho ekutanga anoshandiswa mukurapa kurwadziwa kwechiuno iri pharmacotherapy, physiotherapy, matanho ekudzivirira, uye, kana zvichidikanwa, zvakare kuvhiyiwa.

Muchikamu chakaoma chemarwadzo emusana, kurapwa kunosanganisira kuzorora uye pharmacotherapy nemarwadzo uye kusunungurwa kwekuputika. Danho rinotevera ndere physiotherapy, kureva nhevedzano yemaitiro ekudzoreredza (physical therapy) uye kuraira nezve maekisesaizi anoenderana nezvinetso zvemurwere (kinesiotherapy). Kune vanhu vari kutambudzika marwadzo ekudzokera shure munharaunda yelumbar prophylaxis, kusanganisira kuita basa rekuita nguva dzose uye kutevedzera kurudziro yekuchengetedza chimiro chemuviri chakakodzera, yakakoshawo zvakanyanya. Izvo zvakakoshawo kutenga iyo Vitammy Warm-Up Cushion, iyo inoderedza marwadzo uye kugadzirisa kunyaradza kwekufamba.

Kuvhiya kurapwa kwezvirwere zvechiuno kunoitwa kana pane zviratidzo zvakananga. Zvichienderana nemhando yezvinetso nemuzongoza (semuenzaniso lumbar discopathy, fracture), marapirwo ane madhigirii akasiyana ekupinda anosarudzwa. Izvo zvinodikanwa zvakakwana zvekuronga maitiro zvinomuka mune yekufamba kushomeka, dundira kana ura kusagadzikana. Kuvhiya kurapwa kwe discopathy kunodiwa mune approx. 0,5%. nyaya.

Onai: Kurapa kwemusana

Lumbar spine kurwadziwa - kurapa kwezvinodhaka

Kuti ubvise zviratidzo uye inhibit maitiro ekuzvimba, kunyanya kana iri kuwedzera kwezviratidzo, inoshandiswa. painkillers uye anti-inflammatory drugskusanganisira ibuprofen, diclofenac, ketoprofen uye glucocorticoids. Mishonga inosarudzwa zvichienderana nehukuru hwemarwadzo. Mimwe mishonga yemarwadzo mu lumbar spine (mishonga yemuromo, mafuta, compresses) inowanika pasina kunyorerwa, mamwe madhiragi (akasimba painkillers, majekiseni) anongowanikwa chete pamurairo.

Visiomed KINECARE VM-GB7 lumbar compress inogona kutengwa zvakachengeteka uye zviri nyore pa medonetmarket.pl.

Kuti kuderedze kuomarara kwezviratidzo uye kukurumidze kurapa, antispasmodics (semuenzaniso tizanidine), antidepressants kana chikafu chekuwedzera chine zvigadzirwa zvinomhanyisa kuvandudzwa kwehurongwa hwetsinga (semuenzaniso Urydynox, Neurotynox) dzimwe nguva inorayirwa. Kuchengetedza kurapwa kwemarwadzo muchiuno chechiuno kunosanganisirawo kubvisa musana, kutora nzvimbo dzakakodzera panguva yekurara uye kuita mabasa ezuva nezuva, pamwe nekudzivisa kusimudza.

Iwe unogona zvakare kushandisa iyo Arnica Active FLOSLEK kutonhora yekuchengeta gel kwechinguvana kurwadza kwemusana, iyo inotonhorera zvinofadza uye inozorodza tsandanyama dzakaneta.

Lumbar spine kurwadziwa - kurapa kwemuviri kurapwa

Physical therapy ibazi re physiotherapy rinoshandisa mechanical, magetsi uye thermal stimuli kurapa marwadzo nezvikonzero zvaro. Kukosha kwehutano hwepanyama munyaya yemarwadzo ekudzokera shure kunosanganisira kurapwa kwezviratidzo zvezvirwere pamwe nekudzivirira kwavo uye kuongororwa.

Kurapa kwepanyama kurapwa kunoshandiswa panguva kugadziriswa kwe lumbar spinesanganisira, pakati pezvimwe:

1. cryotherapy;
2. electrotherapy, semuenzaniso iontophoresis;
3. ultrasounds;
4. magnetotherapy;
5. laser therapy;
6. hydrotherapy, semuenzaniso mashawa, mabhati, masaja ewhirlpool.

Mishonga yemuzongoza inosarudzwa zvichienderana nerudzi rwechirwere, pamwe nekufunga nezve contraindication kune ega marudzi ekurapa kwemuviri.

Lumbar musana kurwadziwa - maekisesaizi

Kuita muviri kunowanzo kukurudzirwa sechikamu cheprophylaxis yemusana une hutano, zvisinei, munyaya yezvirwere zvakaonekwa zvelocomotor system, kukanganisa kana kumwe kuchinja, kutarisirwa kwakakosha kunofanira kutorwa. Exercise sets akagadzirirwa vanhu vane marwadzo mu lumbar musana (kinesiotherapy, kurapwa nekufamba) inofanira kuitwa mushure mekubvunzurudza nachiremba kana physiotherapist. Munyaya yemarwadzo mu lumbar spine (kunze kwechikamu chechirwere chechirwere), zvinotevera zvinowanzokurudzirwa:

1. kutambanudza zviitwa;
2. maekisesaizi ekusimbisa mhasuru dzemudumbu, kunyanya mhasuru dzakachinjika, dzinova dzakadzika stabilizers yenharaunda yelumbar;
3. maekisesaizi ekuvandudza kutonga kwechiuno, chiuno uye lumbar spine;
4. kurovedza muviri mumvura.

Maekisesaizi akaitwa nekushandiswa kweSanity rehabilitation pillow inokurudzirwawo kumarwadzo ekumusana. Unogona kutenga piro iyi nemutengo unoyevedza paMedonet Market.

Ona zvimwe: Exercises ye lumbar spine - kukuvara, marudzi ekudzidzira

Nzira dzakasiyana-siyana dzinoshandiswa mumotokari kurapwa kwematambudziko ne lumbar spine, kusanganisira:

1. Pilates nzira;
2. Nzira yeMcKenzie - inosanganisira kuita mafambiro akatarisana neaya anokonzera marwadzo, ane chinangwa chekubvisa chikonzero chemarwadzo;
3. PNF nzira (ProrioceptiveNeuromuscular Facilitation) - inosanganisira ia spine joint mobilization, neuromobilization uye cranio-sacral therapies.

Chinhu chakakosha chekudzivirira kwehutano lumbar spine zvakare kutevedzera nheyo dzebasa ergonomics - zvose hofisi uye muviri. Izvi zvinonzi back school. Kuti udzivise marwadzo ekudzokera shure uye kudzokorora kwayo, zvinokurudzirwa kuchengetedza chimiro chakarurama panguva yebasa nekudzidza, uye kuchinja nzvimbo nguva dzose. Kana iwe uchida kukotama kana kutora chimwe chinhu, chengetedza musana wako uye pfugama mabvi ako.

Pamaekisesaizi emazuva ese kumba, iwe zvechokwadi uchada iyo AIREX Fitline rehabilitation mat, iyo isingatore mvura kana ziya. Unogona kuzvitenga nemutengo wakanaka paMedonet Market. Kuti uwedzere kubudirira kwekudzidzira, zvakakosha kushandisa PUMP Pre-Workout Formula yekushanda uye kutsungirira OstroVit - chikafu chekudya chinowanikwa nenzira yehupfu hunonyungudika nyore nyore.

Tarisa zvakare:Manual therapy - chii icho uye chakakodzera kusvika riini?

Lumbar spine kurwadziwa - maitiro ekuvhiya

Nzira dzekuvhiya, kunyanya dzinopisa, dzinowanzokurudzirwa navanachiremba apo chirwere chemuzongoza chinowanikwa chinokonzera kwete marwadzo mu lumbar chikamu chemusana. Zvimwe zviratidzo zvinokonzerwa nekukuvadzwa kwezvivakwa uye kudzvanywa kwetsinga (semuenzaniso kusagadzikana kunoramba kuripo mukunzwa kana simba remhasuru, matambudziko ekufamba, kusagadzikana mubasa redundira kana sphincters) chiratidzo chakakwana chekuvhiya. Kurapa kunoitwawo munyaya ye Chronic pain kuperekedza sciatica kana kuputsika, kana zvisingakwanisi kusunungurwa nekugadzirisa kurapwa.

Mienzaniso yemaitiro ekuvhiya anoitwa kune marwadzo ari muchiuno:

1. endoscopic discectomy kana discectomy - kubviswa kwe intervertebral disc, kazhinji paL5 / S1 uye L4 / L5 mazinga;
2. coblation nucleoplasty - percutaneous lumbar discopathy kuvhiyiwa;
3. vertebroplasty - nzira yakaitwa mushure me osteoporotic kana compression fractures, inosanganisira kushandiswa kwemafupa simenti kuzadza shaft yakaputsika;
4. bharumu kyphoplasty - kudzokorora rusvingo rwakaputsika vertebral; iyo nzira inoshandiswa mushure mekuputsika kunokonzerwa nekukuvara, osteoporosis kana tumors.

Kunyange zvazvo kushanda kwemaitiro ekuvhiya kwakakwirira (yakanaka uye migumisiro yakanaka kwazvo mushure mokubvisa intervertebral disc inoitika kusvika ku96% yezviitiko), havasi nguva dzose vanovimbisa kusunungurwa kwakakwana kwezviratidzo. Kudzokorora zvirwere zvemarwadzo zvinogoneka kunyange mu 1/3 yevarwere, kunyanya vakwegura, pamwe chete nevaya vane ruzivo rwakanyanya rweurological deficit, comorbidities kana zvirwere zvemuviri.

Iwe unofanirwawo kufunga nezve njodzi yekuderera kwekugadzikana kwemusana kana imwe nguva mushure mekuvhiyiwa postoperative pain syndrome. Nyaya yekupedzisira inogona kunge yakakonzerwa nekunamatira uye mavanga munzvimbo inoshandiswa kana kusakwana kubvisa hernia.

Verenga zvakare:

1. Chiremba wemusana - orthopedist kana neurologist?
2. Hutano musana - maitiro ekutarisira musana wako nekurovedza muviri?
3. Discopathy: cervical, lumbar, musana - zviratidzo uye kurapwa