Protrusion dhabarta lumbar. Daaweynta protrusion of lumbar ah

Protrusion cajaladood intervertebral, calaamadaha, daaweynta taas oo lagu tilmaami doonaa goor dambe oo maqaalka, waa xaalad lagu gartaa ferjiga xubno aan siddo buunshada horumar degdeg ah. Xadgudubka looma tixgeliyo cudur oo kala duwan. Protrusion - mid ka mid ah heerarka kala duwan ee osteoarthritis, oo sidoo kale loo aqoonsaday by khubaro sida tallaabo hore ee la xirrira Sheelada ah disc ah intervertebral. Next, qaado aragti dhaw gobolka this. fiiro gaar ah waa in la siiyo protrusion ee dhabarta lumbosacral.

dhacdooyinka

Sida laga soo xigtay tirakoob, protrusion ah uu yeesho in ka badan kala bar dadka da'doodu ka weyn tahay intii afartan sannadood ah. The aan caadi ahayn ugu badan ee la ogaado in ragga. Waayo, kooxda ugu weyn ee halista ku jira dadka ku hawlan shaqada jirka, iyo sidoo kale keentay nololeed firfircoonayn ay weheliso shaqo yah. Bukaan-socodka ee jirka protrusion da'da, oo xidhiidh la leh horumarinta geedi socodka side, inta badan ka cadhaysiinina muuqaalka kore ee Sheelada intervertebral.

deegaamaynta

U badan tahay loo arkaa in ay laba qaybood ee jirka. Waxaa jira protrusion ah disc intervertebral lumbar. Waqtigan xaadirka ah shanta waxyaabood ee qeybta (L1-5 guuldarro). About 80% ee kiisaska - protrusion ah cajaladood oo lumbar laga badiyay 4-5 guuldarro, iyo sidoo kale 5 guuldarro-S1. Arintaan waa element xadka a. In toddoba cilladda araxda afka ilmo-galeenka la ogaado in ku-C3 C4 iyo C4-C5. In xubno dhaawac kale waxaa laga helaa inta badan ka yar si joogto ah. Sida thoracic ah, halkan xadgudub horumarinta u dhexeeya D5 iyo araxda 6-6-7.

Sababaha cudurka

Tiro ka mid ah sababaha keena horumarka isbedelka side in giraanta buunshada iyo disk pulposus xuduntii. Nidaamkan waa mid saamayn on xubno qaab-dhismeedka. Tani waxa ay yaraynaysaa barti iyo dara kooban oo tayo leh. Maxaa yeelay, Duugga carjawda hyaline dhacdaa disc fidsanaan aad oo xidhiidh la leh waxa dhacaya ka baxsan protrusion ee fibrosus ugu muhiimsan annulus halka dayactirka ay daacadnimada. geeddi socodka waxaa laga yaabaa in natiijada:

• Heley nidaamka muruqyada ee dabiiciga ah la dhalin (tusaale ahaan carruurta).
• Osteoporosis.
• Burbur, kuuskuus iyo waxyeelo kale.
• Isbeddelka ku cajaladood intervertebral gaarin qof.
• Taariikhda Qoyska.
• Kyphosis, qalooca.
• itaaldarrada nidaamka muruqa ah.

Sida sababaha keenaya protrusion dhabarta lumbosacral la tilmaamayaa kara:

• cudurada dheefshiidka.
• Cayisho, cunto xumo.
• Hypodynamia (dhaqdhaqaaqa low).
• Dhowr heley faafa.
• microtrauma Chronic.
• jimicsi xad dhaaf ah.
• Pathology oo ka mid ah hababka dareemayaasha iyo hormoonada jidhka.

kala soocidda

Protrusions kala soocan yihiin si waafaqsan nooca protrusions xuduntii. Gaar ahaan, noocyada soo socda:

• Wareegtada. Xaaladdan oo kale waxaa weeye qaybta disc ferjiga agagaarka isku ah. xanuunada cudur inta badan dhirfinaya ah xididada dareemayaasha jiidona. Waxaa lagu gartaa koorso chronic.
• Waajihi. Xaaladdan oo kale, protrusion waa sinnayn, mid ka mid ah in labada dhinac. In protrusion waajihi dhabarta lumbar waxaa inta badan lagu calaamadeeyay horumar degdeg ah a in giraanta buunshada ku. Maqnaanshaha daaweyn ku filan iyo waqtigii xaaladda halis ku naafada.

Iyada oo ku xidhan jihada taas oo protrusion ee disk ku dhacdaa, protrusion noocyada go'doon sida:

• Side. Xaaladdan oo kale, waxaa jira protrusion oo midigta ama bidixda ee joog u taxa spinal. Inta badan dhirfinaya riixo marinnada dhiigga iyo dareemayaasha. Marka marxaladdan hore ee gobolka laga yaabaa in aan la socdaa wax astaamo ah.
• Central. Xaaladdan oo kale, protrusion disc intervertebral dhacdaa jihada ee laf dhabarta. Khatarta ugu weyn ee cudurka this waa suurogal ah in ay xiriir la xididdadiisa.
• Posterolateral. Xaaladdan oo kale, disc ugu horeysay gadaal kurtimaha, ka dibna geesgees u eego dhabarta. Xaaladda waxaa la socon kara by calaamadaha daran.
• gadaal The. Xaaladdan oo kale, disk ka gadaal soo fiiqan. Xaaladda Ulasocto xanuun aad u daran iyo sahayda dareemayaasha oo yaraada xubnaha ee miskaha ama xabadka (iyada oo ku xiran meesha uu dhaawac ku yimid).

sawir clinical

Iyada oo ku xidhan deegaamaynta ee protrusion disc sii daayo;

• dhabarta Lumbar.
• aagga xabadka.
• dhabarta afka ilmo-galeenka.

Calaamadaha xadgudubyada gobolka thoracic:

• Caabuqa ee dib u hoos ku feeraha ah.
• Jidhidhico in beerka iyo wadnaha.
• muruqa jaraa'id daciifnimo.
• Xanuun laabta ah ama garabka garbaha.

Sidee protrusion a dhabarta lumbar? Calaamadaha xaaladda kala yihiin:

• Xadeyn ku saabsan dhaqdhaqaaqa dhabarka.
• Xat, kabuubyo iyo xanuun.
• Laga toogtay lugta.
• daciifaan The oo ka mid ah jirka hoose.
• faafitaanka xanuunka in faraha cagaha, lugaha, bowdyaha.
• Disorder of dareen in xubnaha miskaha.

Calaamadaha protrusion dhabarta afka ilmo-galeenka,

• Madoobaato oo ka mid ah indhaha, wareer.
• Caabuqa degaanka ee madaxa iyo qoorta.
• Kabuubyo ee addimada sare.
• dhaqdhaqaaqa qoorta dhagan.
• Qaybinta xanuun garabka aagga, oo farihiisa gacmeed iyo curcurka.
• Tabar ee addimada sare.

Calaamadaha caamka ah ee cudurada

daliilka First of cudurada bukaanka ka walwalsan ah oo ku saabsan xanuun ku saabsan asalka ah ee sii kordhaya dhaqdhaqaaqa jirka, sii joogo boos aan raaxo muddo dheer. Inta lagu jiro bilowga protrusion muuqaalka lumbosacral dhabarta ama (riixo dareemayaasha) kale ee ay domain vertebral weheliyay (ronaanayaa, lumbago, tusaale ahaan) iyo radicular bandhigay. In koorsada of horumarka gobolka xanuun noqdo ka awood badan, iyo caqlitagid, yanking qof u muuqan kara qaab lumbago at dhaqdhaqaaqa fiiqan ama marka aad qufacayso. Marka laga faaiidaysanayo ama taataabasho burburay deegaanka calaamadeeyay gol leeyahay xanuunka, inta badan ku deeqida up. Tartiib tartiib horumariyo tabar-dari muruq, xumaanshaha ku calaamadeysan.

marxaladaha kala duwan ee formation

Haddii ay jirto ahaa wax waqti ah ayaa lagu daweeyey protrusion spinal of cudurada lumbar si degdeg ah uga sii darayo. Eebbe jira saddex marxaladood:

• Rabshadaha howlgalka of yaruna. Xaaladdan oo kale, waxaa la bilaabay in la beddelo. Waxaa jira nabaad-tartiib ah oo ka mid ah macdantaa ee giraanta buunshada si ay u sameeyaan dildilaaca dhexdeeda.
• xuduntii Protrusion meel fog gaaban. Waxaa shaki ka baxsan ku laayeen ee giraanta buunshada ku leh ilaalinta ee ay Daacadnimo iyo in aan ka badnayn saddex milimitir.
• Dheeraad ah ferjiga xuduntii. Geedi socodka waxaa ku weheliyay riixo ee disk ee u dhow xididdada dhiigga, dareemayaasha xidid xanuun, lumbago. Marka marxaladdan, farqiga u badanaa ka dhacdaa anulus. Natiijadu waxay tahay prolapse (Sheelada) ee disc ah intervertebral.

saamaynta

Daaweynta protrusion dhabarta lumbar Waa in la fuliyo si degdeg ah iyo hawlkarnimo. Haddii kale, fursadaha dhibaatooyin. Gaar ahaan, waxaa laga yaabaa in si xooga dhaqdhaqaaqa xaddidan ee dhabarka ama qoorta, oo yaraada dhaf-jir dhabarta. Marka tan la eego, waxaa la soo koraya kyphosis ama lordosis. Caabuqa iibsan kartaa chronic joogto ah. Tani, markeeda, si weyn u yaraynaysaa awoodda nin. Enough waxaa loo arkaa dhibaato halis ah oo prolapse (Sheelada) iyo burburinta dhamaystiran oo disk ah. In gobolka this aad u baahan tahay qaliin. Haddii hawlgalka aan la fuliyay in time, dadka sii joogi kartaa dadka naafada ah. Marka goobta protrusion lumbosacral halis sare u riixo ee xididdada neerfaha ee miskaha ( "dabada faras ee" syndrome). Tani, ka bacdi, waxay keeni kartaa in cudurka of dareen ee maamulka aagga, muuqaalka kore ee geedi socodka bararka.

Baadhista xanuunada

Hababka ugu weyn cilmi-baarista waxaa ka mid ah:

• Kormeerka iyo qiimeynta goobaha dareenka ee addimmada waxay aad iyo dib, isticmaalka baabuurta iyo imtixaanada dareemayaasha.
• Raajada.
• Ururinta taariikhdaada caafimaad, oo ay ku jiraan qoyska.
• CT ama MRI. Cilmi-baarisyadaasi waxay Muujin heerka uu atrophy macdantaa muruqa iyo si ay u qiimeeyaan xaaladda, oo weelasha oo.
• Electromyography. Habkani waxaa loo isticmaalaa in la baaro xididdada riixo.
• Puncture cerebrospinal (xaaladaha gaarka ah).

In cudurka kala duwan ee loo baahan yahay si looga fogaado cudurada sida qaaxada lafaha, spondylitis ankylosing, xanuunada wareegga dhiigga ee xididdada qaar ka mid ah, cudurka kansarka.

Daaweynta protrusion of lumbar ah

Doorashada oo ka mid ah tallaabooyinka daweynta adag oo inta badan ku xiran tahay habka maamulka. In si kale loo dhigo, ka go'aaminta qiimaha marka daaweynta ayaa meel fog by kaas oo ah disc intervertebral wareejiyay. Haddii ay tahay ilaa 4 mm (qayb a afka ilmo-galeenka aan ka badnayn 1 mm), nasasho therapy sariirta lagu taliyey iyo in xaaladaha taagan. Hababka Conservative waxaa loogu talagalay xanuun joojiye, tirtiridda bararka, caabuq. Daaweyntu waxay hagaajinaysaa wareegga dhiigga, caawin dabac vascular iyo soo celinta shaqada murqaha. Si taas loo gaaro, dawooyinka soo socda ayaa lagu talinayaa:

• NSAIDs. Waxaa ka mid ah, gaar ahaan, waxaa ka mid ah daawooyinka sida "Ksefokam", "Ortofen", "Ketoprofen", "indomethacin", "naproxen", "Movalis" iyo kuwa kale.
• dabcineyso muruqa. Qaybtan waxaa ku jira qalabka sida "Diazepam", "Metaksalon", "Mydocalm", "orfenadrin". Iyadoo baabi'inta adkaashada murqaha xaalado badan, si weyn u dhimay xoogga xanuun.
• Glucocorticosteroids. daroogada waxaa ka mid ah "Methylprednisolone," "Flosteron", "Diprospan". Tani category ee medicaments loo isticmaalo waxtardarradoodu ee NSAIDs iyo dabcineyso muruqa sida therapy a line labaad. Waxaa loo arkaa habka ugu fiican ee soo bandhigid daroogada galay unugyada jilicsan.
• Sidoo kale talinayaa hondroprotektory ( "Aflutop", "Struktum", iwm), daroogada in la hagaajiyo wareegga dhiigga ( "Aktovegil", "Trental").