Protrusion: kuyini? Disc protrusion: ukwelashwa

Protrusion iyisifo ezivamile, okuyinto ethatha ngesimo dystrophic iziyaluyalu e akwazi ukugcina intervertebral eziholela nokucekelwa yabo. Njengomthetho, lesi sifo itholakala amaphesenti angu-80 abantu abaneminyaka engaphezu kwengu-30 iminyaka.

Protrusion - kuyini

Lesi sifo, okokuqala kunakho konke, kubonisa izinguquko ezinkulu ohlelweni locomotor. Empeleni, lesi sifo is phetho omunye izigaba osteoarthritis.

Kulokhu, protrusion - iyona ifomu sokuqala disc herniated. uphawu Chief futhi kuqala salo sebuhlungwini obunzima endaweni ethintekile. I ngemoto ukufuduka abe nokuxhumana izimpande umgogodla futhi emgogodleni uqobo.

Uma umuntu akusona isikhathi ukucela usizo ngendlela isikhungo sezokwelapha, ke nezingozi athole isifo esibi kakhulu - i hernia intervertebral, eyagcina ziyoba nemiphumela zimbi kakhulu. Futhi, protrusion yomgogodla, okuyinto itawukhula ibe umbhunu, kunzima kakhulu ukuba aphathwe futhi kuyingozi kakhulu impilo yabantu.

Ezemfundo protrusion

Ukuvela a protrusion ephelezelwa izinguquko esiwohlozayo esiyingini fibrous we akwazi ukugcina intervertebral, okungukuthi, ngamanye amazwi, ukushintsha isakhiwo sabo, kuyaqina kulahleka, ukuze disk isicaba futhi kuphuma ngale amathambo. Kodwa-ke kuhle ukucabangela ukuthi disc fibrous igcina ezakheke nobuqotho, ukuze pulposus nucleus uhlala ngaphakathi.

protrusion umgogodla kungenzeka amazinga eziningana eyinkimbinkimbi:
1. nokugoba 0 kuya ku-3 mm akubangi umuzwa kahle, futhi akanayo nemiphumela engemihle;
2. Protrusion kusuka 3 kuya 5 kwangu - isimo esenza uvame ukuhambisana ubuhlungu ungakhululekile futhi njalo. Ikakhulukazi babonisa ngokwabo kokuvivinya obukhulu emzimbeni.
3. nokugoba kusuka 5 amamilimitha angu - lokhu isimo ithathwa kakade njengoba hernia intervertebral.

Izimbangela protrusion

Kuze kube manje, uchaze izimbangela ezimbalwa eziyinhloko eziholela ukubonakala protrusion we lumbar nomgogodla. Lezi zizathu zihlanganisa:

• ukuma unreduced;
• ukuthuthukiswa enganele mafutha ekwakhekeni nasekumeni komzimba;
• yofuzo;
• ukukhuluphala ngokweqile;
• ukwehluleka izinqubo umzimba umzimba;
• izinguquko ubudala;
• enkulu ingcindezi engasimeme emhlane wakho nomgogodla;
• khona ezinzima ezithathelwanayo isifo umzimba.

Njengoba sekushiwo, izifo ezivame kakhulu ukuma kukhona ncamashi protrusion. Kuyini, kuyacaca ukuthi wonke umuntu, kodwa bambalwa abantu bazi ukuthi ukuvimbela okuvela kuyo lesi sifo.

Stage kumiswa ziboya

Kuze kube manje, odokotela baye baphawula izigaba eziningana kumiswa ziboya:

1. In the isinyathelo sokuqala ibhidlike 70% of the isakhiwo disk intervertebral (disk). Balahlekelwa kuyaqina yabo nokusasamba e emgodleni fibrous. Lesi sigaba livela abukhali ubuhlungu ehunyushelwe endaweni ethintekile.
2. I nesigaba lesi sifo yesibili elinesimo protrusion disc. Ngakho pulposus nucleus liyasuswa maphakathi kuya onqenqemeni ngaleyo ndlela yokwelula fibrous disc izicubu. Kulesi sigaba, disc mabhamuza ukuba 2-3 amamilimitha angu consequently kuthintwe ubuhlungu obuhlabayo nokuphatheka kabi esigabeni cross.
3. Isigaba sokugcina elinesimo protrusion okunamandla disc umgogodla. Kulokhu, kukhona uqhekeko disk futhi cystic kumiswa herniation umgogodla singenzeka ubuhlungu endaweni ethintekile futhi wamukele kwempilo esithinta izinzwa, ezifana ndikindiki.

Ukwahlukaniswa ziboya

Kuyaziwa ukuthi esinye sezifo ezivamile yomgogodla kukhona zeziboya. Kuyini futhi iziphi nezimbangela zabo - kucacile. Ake sithole ukuthi kwakungani, lesi sifo ihlukaniswa ngokweminyaka ezinye nemingcele.

Ngakho, protrusion libhekwa ngohlobo, uhlobo nendawo zeziboya.

1. Ngu uhlobo ziboya ihlukaniswa njengoba isiyingi bese ehlasela umzimba.

• protrusion ehlasela umzimba - uhlobo isifo esingelapheki. Nge lolu hlobo disc mabhamuza Ukuboshelwa. Uma isikhathi akusho ukwelapha lesi sifo, ngaleso sikhathi manje noma ngokuhamba kwesikhathi lokho kuyoholela ukukhubazeka nokukhubazeka.
• I protrusion isiyingi - lapho disc intervertebral mabhamuza out ngokulinganayo. Nge lolu hlobo ukungakhuli kwemizwa kwenzeka ukuthi kubangela ukuthuthukiswa izimpawu zokungasebenzi kahle kwemizwa - okuvela ubuhlungu emizweni, nerve ukungabi namizwa nasemilenzeni.

2. protrusion lumbar protrusion ehlukaniswa lwemsebenti:

• Emaphakathi protrusion (lesemkhatsini) - protrusion kwenzeka maqondana maphakathi umsele umgogodla. Ezimweni eziningi, lolu hlobo sifo ayinakho ukubonakaliswa, kodwa Usengozini enkulu yini, ngoba umphumela emgogodleni kungase kubangele ukungasebenzi kahle kwalo.
• Ezingemuva protrusion - diverticulum intervertebral disc livela isisu eceleni emuva. Isikhathi esining impela, lolu hlobo umphumela ongemuhle umgogodla, okuholela ukuphazamiseka ukusebenza yayo. Kuzwakala sebuhlungwini obunzima endaweni ethintekile, iziyaluyalu sezinzwa, kwezinye izimo, ukuhlukumeza ukusebenza kwezitho okhalo.
• Side protrusion (lateral) - disc mabhamuza ngakwesokudla noma lwesokunxele maqondana yomgogodla. Can ibe imbangela izimpande umgogodla. Kuze kube yileso sikhathi, kuze ngeke zathiya imizwa, lesi sifo asinazo izimpawu.
• Posterolateral protrusion intervertebral (posterolateral) - protruded akwazi ukugcina intervertebral emuva kuya emuva futhi niye kwesokunene noma ohlangothini kwesokunxele. ukuxhumana ezinobungozi ine phezu izimpande spinal cord isakhiwo. Kuze mzuzu ukwephula nezinzwa azikho izimpawu.

3. Sihlukaniswe indawo isifo: wesibeletho, thoracic kanye lumbar protrusion.

Protrusion yomgogodla wesibeletho

Protrusion yomgogodla wesibeletho ngokuvamile kakhulu kungaholela ekwakhiweni ezihlukahlukene zempilo ezenza kungabangela ngokweqile sokukhubazeka komgogodla. Umphumela lokhu kungaba ukwakheka ziboya entsha, futhi ngenxa yalokho - ukuthuthukiswa disc herniated. Izimpawu ezilandelayo zingasiza eyobonisa ukuvela kwalesi sifo:

ubuhlungu Local entanyeni, nemvelo esingamahlalakhona noma oyingozi.

• Okuvumelekile entanyeni ukuhamba.
• Izenzo ikhanda, isiyezi.
• Ubuhlungu imbuthuma phansi ingalo.
• Ukuba ndikindiki ezandleni.
• Ubuthakathaka bemisipha ka emahlombe futhi izingalo.

Protrusion of disc thoracic

Ngenxa isakhiwo womuntu lwamathambo we protrusion esifundeni thoracic ethuthuka ivelakancane. Ukubukeka sifo esifundeni thoracic kungase kubonise zimpawu ezilandelayo:

• ubuhlungu obungapheli noma oyingozi kule ndawo thoracic yomgogodla, ukungakhululeki.
• ubuhlungu obungapheli esikhaleni intercostal noma phakathi izindwani ehlombe.
• Ukushoshozela esiswini nasesifubeni, esitho ndikindiki futhi kokunikezwa kwe-ukuzwela.
• Ukwehluleka iziphathimandla, okuyinto zitholakala endaweni ethintekile (inhliziyo, isibindi).
• Ubuthakathaka bemisipha besisu.

protrusion ka lumbar

Kuyaziwa ukuthi lesi sifo ezivamile eyaziwa ungaphakathi yomgogodla lumbar. Lokhu kungenxa yokuthi lokhu esifundeni emuva njalo wadalula load yakho iphezulu kakhulu ashukumisayo futhi static. Protrusion ka lumbar nomgogodla uvame ephelezelwa:

ubuhlungu obungapheli ne-acute esifundeni lumbar.

• Ukuba khona emizweni buhlungu futhi waboshwa endaweni lumbosacral.
• Indlela sciatica.
• A lobuthakathaka emilenzeni.
• Ukwephula nozwela izingxenye ngazinye umzimba - ndikindiki, umuzwa wokuthanda "izikhonkwane kanye izinaliti" esibuhlungu.
• Ukuvela ubuhlungu imbuthuma zibe munye noma imilenze yomibili.
• Ezimweni ezithile, ungase uthande nokuba ukuhlukumeza imisebenzi kwezitho urinary futhi zokuzala.

symptomatology protrusion

Izimpawu zalesi sifo encike ngqo kulokho ngqo disc lilimele. Kodwa kuze kube yileso sikhathi, kuze kube yilapho kuhamba disc babancwebe izinzwa ezihlukahlukene umgogodla, le protrusion kungaba nhlobo izimpawu.

Ngokuvamile, le ziboya izimpawu Ungahlala kubonakaliswe amandla ezahlukene, konke kuncike kangakanani uzobe ucasulwa emgogodleni isimiso sezinzwa ukuthi kuphulwe umthetho disc intervertebral. I oluvamile kakhulu protrusion ka ubuhlungu obukhulu endaweni ethintekile, eyagcina kungaholela ukuzwela kahle.

Ngaphezu kwalokho, ungase futhi ichaze eziningana nezinye izinkomba ukuthi kungase kubonise khona protrusion:

• ubuhlungu obungapheli noma oyingozi kule ndawo ethintekile (nasentanyeni, emhlane, emgogodleni thoracic).
• Ukuba khona ezifudukayo futhi ubuhlungu okubhekiselwe.
• Ukubonakaliswa sciatica.
• Ukulahlekelwa kuyaqina imisipha futhi buthakathaka uhlelo kwemisipha wasendaweni eyayithintekile.
• ukulahlekelwa nozwela ahlukene emikhawulweni yasenhla nemithombo yasenzansi.
• Ukuba khona yobunzima esivuthayo esigabeni onesifo.
• ukuzwela encishisiwe ukuzwa, umbono, izimpawu ezifana ikhanda, isiyezi.

Ngokuvamile phansi akwazi ukugcina intervertebral

Ngokuvamile kukhona a protrusion we disc l5, L4 / S1, njengoba lezi akwazi ukugcina babhekana ukucindezeleka enkulu lapho enza noma yisiphi isenzo. l5, L4 - lena akwazi ukugcina umgogodla intervertebral, okuyinto zitholakala esifundeni lumbar. Lapho uphakamisa into esindayo, noma lapho ehlezi kwenzeka nokucindezela okukhulu phezu akwazi ukugcina, okuyinto abangela nokucekelwa. S1 - idrayivu lokuqala amathambo okhalo, nayo ivame ukubhekana nokucindezeleka. Ngenxa yalezi zizathu, lezi akwazi ukugcina zivame kakhulu phansi.

Njengoba umkhuba ubonisa izimpawu obuqand protrusion babengagwetshwa iminyaka engaze ibe 30 kuncane, ngokuyisisekelo bonke babo ziphakame ngoba ngemva kweminyaka emihlanu, kusukela ngalesi sikhathi umzimba womuntu echayeke inqwaba ekuhlanganyeleni ukuthi abe nomthelela omubi empilweni yakhe.

sitholakele isifo

Ukuxilonga lapho protrusion izimpawu ngokuvamile iqala behlolwa ka udokotela lesiguli bayahlanganyela. Ukuze wenze lokhu, Ochwepheshe zisebenzisa kokuxilongwa manual, okukuvumela ukuchaza endaweni ethintekile. Uma usola i protrusion nesineke umgogodla inikezwa ukuhlolwa eyengeziwe - ultrasound, i-MRI, CT, EMG, X-ray kanye nokunye. X-ray ukucacisa ngobucayi isifo, i-MRI - ukusetha kokucindezelwa we izinyanda emsipheni we yezinzwa futhi ubukhulu umonakalo Kuyasiza ukwazi EMG.

ukwelashwa

Ngokwalokhu okungenhla kungenziwa baphetha ngokuthi protrusion - yisimo sezempilo evame kakhulu futhi iyingozi. Ngakho-ke, kumelwe baphathwe ngaphansi kweso lodokotela abanolwazi.

Ukwelashwa nokuvikelwa protrusion limelela uhla zokwelapha ezahlukene. Kufanele yakhelwe okudambisa ubuhlungu, ukuvuvukala kwezicubu, yokutakula motor umsebenzi kanye nokuzwela ukuzinza.

Ukuze ukhohlwe ukuthi protrusion ezinjalo, ukwelapha kumelwe futhi kwenziwe ngosizo nemithi ehlukahlukene. Ukuze uthole ephelele khambi futhi unamathele zokuthola namuhla kukhona analgesics ahlukahlukene, imisipha relaxants, izidakamizwa eqeda ukuvuvukala.

Iphinde ibe usizo olukhulu ekwelapheni lesi sifo babe massage ekhethekile kungenziwa kakhulu kuphela ochwepheshe abafanelekayo.

Izindlela ukuvimbela protrusion

Njengoba kushiwo ngenhla, esinye sezifo ngiphelile kakhulu kukhona zeziboya. Kuyini, futhi zivela kanjani, kuyacaca kakade. Kodwa zikhona izindlela zokwenza ezingaba kakhulu kuncishiswe amathuba okuba nalesi sifo.

Hhayi kunzima ukuqagela ukuthi protrusion lumbar ezimweni eziningi kwenzeka ngenxa ukusonteka we disc intervertebral, ngakho kumelwe njalo ukuqinisa emuva ukudlala imidlalo sakhe, okungukuthi athletics. Lo mdlalo ikhuthaza muscle umsipha, empeleni ubambe wonke isakhiwo kanye emuva.

Isiphetho: Esinye sezifo ezivamile ngemuva, okuyinto namuhla ophila wonke umuntu wesibili kuyinto protrusion. Ukwelashwa yalesi sifo kuyadingeka, ukuze ugweme ubuhlungu yobuhlungu beqolo, ndikindiki emikhawulweni, ubuhlungu bekhanda, bese benikezwa umsebenzi omuhle, uphumule futhi siphile yokuphila asebenzayo.