Protrusion o lumbar spine. Lapaʻau o protrusion o ka lumbar

Protrusion intervertebral iwi kuamoʻo, symptoms, lapaʻau a e e ho'ākāka 'ia ma hope ma ka' atikala, o ke ano wehewehe aku ma ka bulging nā kumumea me Hopu fibrous apo. 'Aʻe' ia i noʻonoʻo i ka hookaawale maʻi. Protrusion - kekahi o nā kuʻina o ka osteoarthritis, a ua hoi 'ike e akamai i ke keʻehi mua o ka ho okumu i kekahi hernia i loko o ka intervertebral iwi kuamoʻo. Next, lawe i kokoke nana i kēia moku'āina. Special noonoo mea e e uku ai i ka protrusion o ka lumbosacral spine.

Ka mea hiki wale mai o

Wahi a ka 'ikepili helu, he protrusion? Acaeoey? Oi ma mua o ka hapalua o ka heluna kanaka ma ka makahiki o nā makahiki hoʻokahi kanahā. Ka loa, he pono ole abnormality ua 'akomi i loko o nā kānaka. No ka mea nui kamepiula pūʻulu nā mea komo i loko o physical hana, e like me alakai he AEeOEXAaI Aloha Hawaii hui me sedentary hana. Hoʻomanawanui iki mai i ka wa elemakule protrusion, ma ka pili ana i ka hooulu ana o degenerative keʻano o ka hanaʻana, pinepine ka hoʻonāukiukiʻana i keʻano o intervertebral hernia.

IIeEeAIEUAA

Ka loa paha manaoia e e elua mau mea o ke kino. Aia He He protrusion o lumbar intervertebral iwi kuamoʻo. Ma keia elima Hoʻohana oihana mua (L1-L5). About 80% o nā hihia - he protrusion o lumbar iwi kuamoʻo L4-L5, a hoi L5-S1. I ka hope o ka mokuna hehee ai. Ma ka ehiku cervical vertebrae abnormality ua 'akomi i loko o ka C3-C4 a me C4-C5. Ma nā eha oihana mua i loaʻa ka emi pinepine ia. Like no ka thoracic,ʻaneʻi kue hoʻomōhala ma waena o D5 a me D6-D6-D7 vertebrae.

Nā kumu o ka maʻi

A helu o nā kumu ke kumu o ka ulu ana o degenerative loli ma ka fibrous apo, a me ka nucleus pulposus pā hōkū. Mau keʻano o ka hanaʻana ho ololi i ma luna o ka 'ole hehee wale. Kēia ho'ēmi i kā ka elasticity a worsens ka qualitative haku mele 'ana. No ka mea, hyaline cartilage Wear ia lŘlŘ flattening iwi kuamoʻo i ka pili me ka mea hana ma kēlāʻaoʻao o ka protrusion o ka Kora naʻEsau annulus fibrosus ana ka malama ana kona ano hoopono. Mau keʻano o ka hanaʻana i ia i ka hopena o ka:

• Pathologies o ka musculoskeletal oihana o innate ano (e like me ka na keiki).
• Osteoporosis.
• Paopao koke mai oia, bumps a me nā pohō.
• Loli ma intervertebral iwi kuamoʻo lālā külana.
• Family mōʻaukala.
• Kyphosis, scoliosis.
• I ka nawaliwali o ka muscular nenoaiu.

E like me nā kumumea ka hoʻomake 'protrusion o ka lumbosacral spine i ke i oleloia:

• pūnao kāna hana.
• I overweight,ʻai ilihune.
• Hypodynamia (haʻahaʻa ka hoʻoneʻe).
• Kekahi mau infectious pathologies.
• Maʻi microtrauma.
• Excessive hoounauna.
• Pathology o ka ko mākou hopohopo a me ka endocrine nenoai.

Mea Maluna

Protrusions i kaawale i kulike ai me ke ano o ka protrusions nucleus. Ma 'ana, i ka i kēiaʻano.

• Hoʻopoepoe. Ma keia hihia, he mea kekahi bulging iwi kuamoʻo hapa a puni uniformly. Pathological kāna hana pinepine hoʻonāukiukiʻana mai o ka ae like nō nā aʻalolo aʻa. Ua wehewehe aku ma ka maʻi papa.
• Eiei. Ma keia hihia, ke protrusion mea haoʻa, kekahi ma kekahiʻaoʻao. Ma eiei? Protrusion o lumbar spine ua pinepine ia i ka Hopu i loko o ka fibrous apo hookahi. I ka wa e kaawale aku o ka pono a me ka 'eleu lapaau o ke kulana Hoʻoweliweli' o ia ke kīnā.

Ke kaumaha ma muli o ka olelo ma i ka protrusion o ka pā hōkū i, ua kaʻawale? Ueo protrusion like:

• ʻaoʻao. Ma keia hihia, he mea he protrusion ma ka akau, aole hoi ma ka hema o ka spinal kolamu. Loa pinepine hoʻonāukiukiʻana mai o ka mīkini'opihia o na moku koko a me nā aʻalolo. Ma ka loiloi mua ke kahua o ka moku'āina i ole e ukali ma kekahi symptoms.
• Central. Ma keia hihia, intervertebral iwi kuamoʻo protrusion ia lŘlŘ ma ke ala e hiki aku o ka spinal kaula. Ke kumu nui weliweli o keia kāna hana i ka manawa kūpono o ka hui 'ana me kona aʻa.
• Posterolateral. Ma keia hihia, ka mua iwi kuamoʻo bulges ia ma ka hope, alaila, sideways e pili ana i ka spine. Ke ano hiki ke ukali e loa symptoms.
• Ka hope. Ma keia hihia, i ka pā hōkū protrudes kiai hope. Ano pu e loa ka eha, a me kaʻole nā aʻalolo na lako i nā loko ma ka pelvis a pahu (ke kaumaha ma muli o ka wahi o ka eha).

lapaʻau kiʻi

Ke kaumaha ma muli o ka IIeEeAIEUAA o ke kalaʻana aku iwi kuamoʻo protrusion:

• Lumbar spine.
• Pahu wahi.
• Cervical spine.

Na hoailona o ka 'aʻe' ana i loko o ka thoracic māhele 'āina:

• Soreness o ke kua ma lalo o ka iwi aoao.
• Tingling ma ke akepaʻa a me ka naau.
• Muscle nawaliwali paʻi.
• Pain i loko o ka pahu a me ka'ūhā mua kōmi 'ana.

Pehea i kekahi protrusion o lumbar spine? Symptoms o keʻano e:

• Kapu ma luna o ka neʻeʻana o ke kua.
• Tingling, numbness a me kaʻeha.
• Pana ma ka wawae.
• Ka mea hoʻonāwaliwali maoli nō o ka laloʻaoʻao.
• Ka laha o kaʻeha a hiki i ka manamana o ka wawae, wāwae,'ūhā.
• Kāna hana o ka pā lonoaʻili i loko o ka pelvic nā loko.

Symptoms o protrusion o ka cervical spine:

• Uhi no ka maka, pōniuniu.
• Soreness i loko o ka wahi o ka poo a me ka ai.
• Numbness i loko o ka luna lala.
• Pilipaa'ā'ī ka hoʻoneʻe.
• Hoi o ka makana o kaʻeha ma ka poohiwi wahi, manamana lima a me na pulima oʻu.
• Nawaliwali ma ka luna lala.

Common na hoailona o ka pathology

First hoike ana mai o kāna hana o ka hoʻomanawanui hoohihiaia e pili ana i soreness ma luna o ke kāʻei kua o ka hoʻoulu physical haʻawina, e noho i loko o ka ke koikoi manao no ka lōʻihi manawa. Ma ka loiloi mua helehelena protrusion lumbosacral spine 'ole' ē aʻe o kona kikowaena pu vertebral (sciatica, lumbago, no ka laʻana) a me ka radicular (nā aʻalolo mīkini'opihia) ka hōʻike 'ana. Ma ka papa o ka Holomua o ka moku'āina o ka eha i oi, pili, e aching, yanking ano eʻikea au i loko o ka palapala o ka lumbago maʻoi neʻe a me ka wā me ka puʻu. I ka 'enehana hou ole palpation poino wahi ia holomua o ka eha, pinepine donating mai. Ua ulu Muscle nawaliwali, he ia degeneration.

kahua o ka hoʻonaʻauao o ka ho okumu

Inā ka mea, aohe manawa, ua malamaia lakou spinal protrusion o lumbar pathology progresses hikiwawe loa. Hoike ana, he ekolu kahua o ka hoʻonaʻauao.

• Haunaele ma ka hana o ka Kernel. Ma keia hihia, ka mea, ua hoomaka ana i ka hoʻololi 'ana i. Aia He He gradual hoʻololi iho o na olona, o ka fibrous ke komo lima, e lilo na mawae malaila.
• Protrusion nucleus ma pōkole mamao. Ua hele aku ma kēlāʻaoʻao o ka lihi o ka fibrous apo me ka mālama 'ana i kona pono, a me ka ole oi aku mamua o ekolu millimeters.
• Eia bulging nucleus. Ke kaʻina Ua pu ma ka mīkini'opihia o ka pā hōkū kokoke i ka moku i ke koko, nā aʻalolo aa eha, lumbago. Ma kēia kahua, he nahā pinepine ia lŘlŘ anulus. I ka hopena o ka prolapse (hernia) i loko o ka intervertebral iwi kuamoʻo.

waiwai

Lapaʻau o protrusion o lumbar spine e halihaliia oia iwaho koke a competently. I ole ia, i ka manawa o complications. Ma kekahi, ia i ke 'ano kaupalena' ka ka hoʻoneʻe o ka hope a me ka'ā'ī, hoʻopōʻino physiological curvature o ka spine. Ma keia manao, ka mea, ua ulu kyphosis paha lordosis. Soreness ke kuai i ka paʻa maʻi. Kēia, ma ka huli, me ka nui loa ho'ēmi i kā ka 'auhau o ke kanaka. Ua pau, ua manaoia he nui complication o prolapse (hernia) a me ka piha loa ia'na o ka pā hōkū. Ma keia wahi e pono aiʻoki kino. Inā ua i lawe i ka hana mai i ka manawa, kanaka ke noho ka polokalamu JavaScript. I ka protrusion lumbosacral āpana ma kiʻekiʻe kamepiula o ka mīkini'opihia o ke aʻalolo aʻa i loko o nā pelvis ( "lio ka huelo" maʻi pale). Kēia, ma ka huli, ke alakai i ka kāna hana o ka pā lonoaʻili o ka ciia mana, i keʻano o ka hoʻoʻino keʻano o ka hanaʻana.

lapaʻau '

I ka papa kuhikuhiE noiʻi ki ina hana like nā:

• Nana a me ka loiloi 'ana i ka pā lonoaʻili cii o na lala a me ka hope, i ka pono o Hawaii a me ka neurological ho'āʻo ma.
• Radiography.
• Kaʻohiʻana 'inikua moʻolelo, me ka' ohana.
• HI a MRI. Kēia mau haʻawina hōʻike i ka degere o ka atrophy o ka Muscle olona, a me ka Loiloi i ka ano o ka moku.
• Electromyography. Kēia kaʻina hana ua hoʻohana 'ia e nana i ke aa o ka mīkini'opihia.
• Puncture cerebrospinal loli (i loko o kūikawā hihia).

Ma ka palena pauʻike, Ua pono, e pale aku i na maʻi like tuberculosis o ka iwi, ankylosing spondylitis, circulatory kāna hana i loko o kekahi arteries, oncology.

Lapaʻau o protrusion o ka lumbar

Ke koho ana i ka luna 'pākōlea ana hilinaʻiʻano nui ma luna o ka holo kaʻina. Ma nā hua'ōlelo, ka hoomaopopo ana cia wā lapaʻau i ka mamao ana i ka 'oni iki intervertebral iwi kuamoʻo. Inā ia mea i ka 4 mm o (no ka cervical mahele o ole oi aku 1 mm), i ka paipai Inc moe e maha ai, a me ka wahi ana. Makeʻe kulana ano i pahuna i eha kokua, hoʻopau o ka edema, li nui. Ka iapaau ana? Ienoai aa koko holo, höʻike aku vascular spasm, a hoʻihoʻi hou Muscle kuleana pili i. No keia hopena, i ka hahai ana ai 'i paipai:

• NSAIDs. Mau nā, ma ka nui, nā mea lapaʻauʻia me "Ksefokam", "Ortofen", "Ketoprofen", "Indomethacin", "naproxen", "Movalis" a me na mea e ae.
• Muscle relaxants. Kēia waeʻano nā mea paahana, e like me ka "Diazepam", "Metaksalon", "Mydocalm", "orfenadrin". Oiai ke kāpaeʻana Muscle spasm ma na hihia a pau, me ka nui loa hoemiia ka nui o ka eha.
• Glucocorticosteroids. Mau ai 'nā "Methylprednisolone," "Flosteron", "Diprospan". Kēia waeʻano o medicaments hoʻohana no ka ineffectiveness o NSAIDs a me Muscle relaxants like me ka lua o ka laina Inc. Ua Ua noʻonoʻo pono i ka loa ka hoʻokō hana o loko oʻaeʻae'aʻaʻa i hoʻolaunaʻia ma ai '.
• I paipai hondroprotektory ( "Aflutop", "Struktum", etc.), ai 'i ka hoʻoikaika' ana i ke koko holo ( "Aktovegil", "Trental").