Disk protrusion yog suav tias yog hom nrov tshaj plaws ntawm dystrophic tsis meej uas tshwm sim feem ntau hauv cov discs intervertebral. Feem ntau, qhov no pathology tshwm nyob rau hauv lub lumbar qaum. Zoo, yog vim li cas qhov no tshwm sim? Qhov tseeb, nws yog nyob rau ntawm qhov no ntawm tus txha nraub qaum uas muaj cov khoom hnyav tshwj xeeb. Yuav luag 50% ntawm cov neeg Lavxias uas muaj hnub nyoog 30 xyoo ntsib cov kab mob no. Hauv peb tsab xov xwm, peb yuav ua tib zoo saib cov tsos mob, ua rau protrusion ntawm lub lumbar intervertebral discs, kev kho mob thiab kev tiv thaiv ntawm pathology.
Cov cim qhia ntawm lub lumbar protrusion
Pathology ntawm cov disc hauv thaj tsam lumbar txhawb nqa qhov tshwm sim ntawm kev stabbing lossis tua mob hauv qab nraub qaum. Nws qhov kev siv zog nce ntxiv nrog kev txav, txham, hnoos, taug kev thiab sawv. ATso txoj hauj lwm, qhov mob syndrome subsides. Nrog ib tug protrusion, ib tug neeg xav tias txhav nyob rau hauv lub lumbar cheeb tsam, tsis muaj zog nyob rau hauv ob txhais ceg, tingling nyob rau hauv ob txhais taw, loog loog nyob rau hauv cov ntiv taw, thiab txawm nyuaj rau tso zis. Nws ua rau mob taub hau heev thiab kiv taub hau, surges sai sai. Cov tsos mob ntawm protrusion ntawm lub intervertebral discs ntawm lub lumbar spine txo thaum lub pathology ploj.
Kev kawm keeb kwm
Protrusion tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev puas tsuaj hauv cov discs, uas yog, raws li kev mob tshwm sim ntawm osteochondrosis, uas ua rau thinning ntawm pob txha mos. Lub disc nyob rau hauv tus txha nraub qaum maj mam poob nws tus kheej elasticity. Ntxiv nrog rau dystrophy, tseem muaj dysplasia, uas feem ntau yog los ntawm keeb kwm. Dysplasia yog ib qho tsis xws luag hauv cov ntaub so ntswg ntawm intervertebral disc, nws qhov chaw tsis muaj zog. Tsis tas li ntawd, protrusion ntawm lub lumbar discs tshwm sim rau cov laj thawj hauv qab no:
- Scoliosis thiab lwm yam curvatures ntawm tus txha nraub qaum, tiv thaiv keeb kwm yav dhau uas muaj zog dhau ntawm sab nraub qaum. Qhov no pab txhawb rau kev tsim cov chaw rau yav tom ntej protrusion.
- Kev tawm dag zog lub cev tseem ceeb. Kev txaus siab ntau dhau ntawm kev ua kis las thiab kev ua haujlwm uas suav nrog kev nqa khoom hnyav feem ntau muaj kev cuam tshuam tsis zoo rau tus txha caj qaum.
- Mobility tsawg. Zoo li lub zog ntau dhau, lub cev tsis ua haujlwm kuj ua rau kev txhim kho pathology ntawm intervertebral discs. Cov no yog ob tug opposite ncej, uas ua rau ib tug kab mob - protrusion ntawm lub lumbar discs.
- Lub cev tsis xis nyob. Yog tias koj zaum ntawm koj lub rooj ntawm qhov tsis xis nyoblub rooj zaum, nyob rau hauv qhov tsis ncaj ncees lawm txoj hauj lwm los yog thaum pw tsaug zog, koj lub txaj yog mos heev los yog tawv, protrusion ntawm tus txha nraub qaum nyob rau hauv lub lumbar cheeb tsam yog guaranteed.
Raws li kev txheeb xyuas kev kho mob, qhov mob nraub qaum qis vim yog protrusion feem ntau tshwm sim rau cov neeg hnub nyoog nruab nrab.
Dab tsi yog qhov txaus ntshai pathology
Tom qab peb tau pom tias qhov kev sib tw ntawm cov discs ntawm lub lumbar qaum yog dab tsi, nws yog ib qho tseem ceeb los txiav txim siab qhov tshwm sim uas yuav tshwm sim vim tsis quav ntsej txog cov kab mob. Yog hais tias koj muaj ib tug protrusion, qhov tseem ceeb tshaj plaws yog tsis coj mus rau lub tsos ntawm hernia.
Nyob rau hauv cov kab mob no, cov disc txuas dhau nws txoj hauj lwm ib txwm, tab sis lub nplhaib fibrous nyob ib ncig ntawm nws tseem nyob. Me ntsis los ntawm me ntsis, lub nplhaib fibrous no hnav tawm, tsis tuaj yeem ua rau hnyav hnyav, uas yog vim li cas qhov khoob me me (kev tawg) daim ntawv. Los ntawm lawv, dhau sij hawm, lub hauv paus ntawm lub disc pib tawm, uas yog hu ua hernia. Xws li cov kab mob ua rau mob hnyav nyob rau sab nraub qaum, uas tiv thaiv tus neeg los ntawm kev txav mus los, nrog rau kev ua haujlwm. Vim muaj hernia, muaj teeb meem nrog lub plab hnyuv siab raum, mob nraub qaum, mob hnyav - tuag tes tuag taw.
Yuav ua li cas txhawm rau txhawm rau txhawm rau cuam tshuam?
Thaum xub thawj, cov kws kho mob ua thawj qhov kev kuaj mob raws li cov lus piav qhia ntawm tus neeg raug tsim txom thiab keeb kwm kho mob. Cov tsos mob uas tam sim no tau kawm kom ntxaws. Tsis tas li ntawd, cov kev tshawb fawb soj ntsuam tau ua los ua pov thawj tias muaj kev cuam tshuam ntawm intervertebral discs ntawm lub lumbar qaum. MRI yog suav tias yog kev tshawb fawb ntau dua.(Magnetic resonance imaging) thiab CT (computed tomography).
kev kho mob
Kev kho mob nrog cov tshuaj rau protrusion ntawm intervertebral discs ntawm lub lumbar qaum yuav tsum tau muab los ntawm cov kws kho mob uas tsim nyog, raws li tus neeg mob tus mob. Cov chav kawm uas raug xaiv yuav tsum tau ua nrog cov neeg raug siab. Yog tias koj muaj kev phiv, koj yuav tsum qhia koj tus kws kho mob tam sim ntawd. Thov nco ntsoov tias ntau cov tshuaj muaj yees, yog li lawv cov nyhuv yuav raug txo. Yog tias muaj kev hloov pauv ntawm tus txha nqaj qaum, qhov mob nyem tsis daws qhov teeb meem tseem ceeb ntawm cov kab mob no. Cov tshuaj feem ntau tau sau tseg rau tus mob no:
- Cov tshuaj tiv thaiv kev nyuaj siab uas tso cai rau koj tshem tawm lub xeev kev nyuaj siab thiab kev xav tsis zoo uas tshwm sim vim qhov kev ncua ntev. Raws li qhov tshwm sim ntawm kev noj tshuaj, pw tsaug zog zoo dua thiab qaug zog qis.
- Cov tshuaj kho mob xws li Morphine lossis Codeine, uas muaj kev cuam tshuam rau lub hauv nruab nrab lub paj hlwb. Cov tshuaj no ua rau muaj kev phiv loj xws li xeev siab, ntuav, tsaug zog thiab cem quav.
- Cov tshuaj tua kab mob uas tsis yog tshuaj yeeb yog suav tias yog qhov zoo tshaj plaws rau kev kho mob me ntsis. Cov tshuaj tuaj yeem yuav ntawm lub tsev muag tshuaj yam tsis muaj kws kho mob sau ntawv. Cov no suav nrog "Ketanov", "Ketanol", "Kotoleks"
- Miorelaxants, xws li Mydocalm.
- Non-steroidal anti-inflammatory tshuaj (NSAIDs) yog cov tshuaj kho mob uas txo qhov mob uas tshwm sim tawm tsam keeb kwm ntawm cov leeg nqaij. Lawv suav nrog"Ibuprofen", "Diclofenac sodium", "Voltaren". "Aspirin" yog ib yam tshuaj uas tuaj yeem txo qis qhov mob ntawm nraub qaum.
Kev kho mob ntawm disc pathology
Tab sis dab tsi yuav tsum yog kev kho mob ntawm kev sib tshuam ntawm intervertebral discs ntawm lumbar qaum, yog tias qhov mob hnyav tsis tso cai rau koj tawm dag zog thiab zaws? Hauv qhov xwm txheej no, cov kws kho mob zoo li yuav mus rau kev phais. Indications rau kev phais:
- mob hnyav thiab ntev uas tsis txo qis txawm tias noj tshuaj li 7-10 hnub;
- ib tug neeg txav tsis tau nws tus kheej.
Hauv kev xyaum kho mob niaj hnub no, feem ntau siv txoj kev phais mob me me. Cov no yog cov haujlwm uas tau ua nrog micro-instruments nrog qhov me me tshaj plaws hauv cov ntaub so ntswg. Ib txoj hauv kev niaj hnub no yog kev tshem tawm cov cuam tshuam disk core. Tab sis feem ntau, microdiscectomy yog siv. Qhov kev xaiv ntawm kev cuam tshuam kev phais tsuas yog sib tham nrog tus kws kho mob tuaj koom. Lub xeev kev noj qab haus huv ntawm tus neeg mob, cov yam ntxwv ntawm pathology thiab muaj cov teeb meem raug coj mus rau hauv tus account yam tsis poob.
Kev kho mob ntawm disc protrusion
Hnub no, ntau txoj hauv kev rau kev kho mob ntawm cov kab mob intervertebral discs ntawm thaj tsam lumbar sacral tau nthuav tawm. Tab sis yuav ua li cas xaiv qhov zoo? Feem ntau ntawm lawv yog tsom rau kev txo qis qhov mob, thiab tsis yog tshem tawm cov hauv paus hauv paus ntawm pathology. Txiav txim siab yuav ua li cas nrog protrusion ntawm intervertebral discs ntawm lub lumbardepartment, tsuas yog tus kws kho mob tuaj koom tom qab kuaj pom tseeb. Txhawm rau tiv thaiv kab mob, cov kev kho mob hauv qab no tau siv:
- kev kho mob;
- kho mob gymnastics;
- tus kheej-massage thiab massage;
- kho lub cev.
Lub hom phiaj tseem ceeb ntawm kev saib xyuas kev kho mob yog txhawm rau txo qhov mob thiab mob, ntxiv dag zog rau cov leeg nqaij. Txhawm rau tiv nrog txhua txoj haujlwm, koj yuav tsum ua kom tiav, tsis tu ncua rau txhua txoj kev kho mob.
Kev Kho Mob Wave Therapy
Thaum ua qhov kev xaiv ntawm kev kho lub cev, tus kws kho mob tuaj yeem kho qhov tsis zoo thiab lub sijhawm ntawm kev kho yoj yoj. Ib chav kawm ntawm kev kho mob, uas muaj ntau qhov kev sib tham, tuaj yeem ua tiav qhov txiaj ntsig zoo tshaj plaws, thiab hauv qee qhov pathologies, kev phais yuav zam tau.
Kev kho yoj yoj yog contraindicated nyob rau hauv cov xwm txheej hauv qab no:
- neoplasms uas nyob ze thaj tsam cuam tshuam;
- kab mob txuam nrog los ntshav;
- mob kis kab mob;
- xeeb tub;
- ntse pacemaker;
- thrombi hauv kab noj hniav ntawm lub plawv (feem ntau pom nrog arrhythmia).
hom kev kho lub cev no tso cai rau koj tshem tawm cov pob txha ntawm cov hlab ntsha, ntxiv dag zog rau cov leeg nraub qaum. Tsis tas li ntawd, kev kho yoj yoj yuav txhim kho koj lub cev, ua kom rov qab los ntawm kev raug mob, thiab ua kom cov leeg nqaij. Cov txheej txheem notau sau ob qho tib si raws li kev kho mob tseem ceeb rau protrusion ntawm intervertebral discs ntawm cheeb tsam lumbar, thiab raws li kev tiv thaiv.
Laser kho mob
Laser txoj kev kho tuaj yeem muaj kev kho mob vim lub peev xwm ntawm tib neeg lub cev kom nqus tau lub teeb lub zog. Qhov kev kho lub cev no pab kho cov txheej txheem biochemical, txo qhov mob thiab normalizes cov txheej txheem metabolic. Tsis tas li ntawd, kev kho laser tuaj yeem ntxiv dag zog rau lub cev tiv thaiv kab mob, txhim kho cov nqaij mos noj zaub mov thiab txo qhov mob.
Yeeb contraindications rau kev kho mob ntawm protrusion ntawm intervertebral discs ntawm lub lumbar cheeb tsam los ntawm laser kho tsis tau raug txheeb xyuas txog rau hnub tim. Txawm li cas los xij, cov xwm txheej tsis ncaj ncees tau raug txheeb xyuas tias cuam tshuam tsis zoo rau kev kho mob: lub hnub nyoog ntawm tus neeg mob, mob qog noj ntshav, cev xeeb tub, lossis qog ntawm ntau yam etiologies. Cov npe pathologies thiab tej yam kev mob tsis tau txiav txim siab kiag li contraindications rau cov txheej txheem, tab sis lawv tseem yuav tsum tau coj mus rau hauv tus account.
Magnetotherapy
Kev kho mob ntawm cov pob txha ntawm lub lumbar qaum nrog magnetotherapy pab txhawb nqa lub cev cov peev txheej thiab txhim kho kev ua haujlwm ntawm lub cev. Nws accelerates cov txheej txheem metabolic. Physiotherapy feem ntau yog siv los txo qhov mob, mob, thiab kho qhov txhab. Tsis tas li ntawd, kev kho magnetic stimulates cov ntaub so ntswg regeneration thiab relaxes nqaij spasms. Contraindications rau cov txheej txheem:
- ntshav thiab ntshav kab mob;
- mob plawv;
- mob plawv arrhythmias;
- mob myocardial infarction;
- muajpacemaker;
- CNS kab mob;
- malignant neoplasms lossis kev ua xyem xyav ntawm lawv txoj kev loj hlob;
- tuberculosis;
- kab mob sib kis;
- lub cev kub;
- ib tug ntse exacerbation ntawm ib tug mob inflammatory txheej txheem;
- gangrene;
- qaug zog ntawm lub cev;
- tus neeg tsis kam lees.
Kev kho av
Daim ntawv thov nrog kho av nkos rau kev tiv thaiv lub hom phiaj yog tsis tshua muaj rau protrusion. Feem ntau lawv yog siv thaum lub sij hawm kev kho mob thiab kev tiv thaiv. Physiotherapy txhawb nqa cell regeneration, txo myospasm thiab o. Ib txhij nrog cov txheej txheem ntawm kev kho av nkos, ib qho kev tawm dag zog kho mob complex thiab massage yog nqa tawm. Kev kho cov av nkos yuav tsum tsis txhob siv rau cov kab mob ntawm cov hlab plawv, cov kab mob ntawm daim tawv nqaij, cov kab mob ua pa ntev, cov kab mob ophthalmic.
Lub ntsiab ntawm txoj kev no yog los cuam tshuam qee cov ntsiab lus ntawm tib neeg lub cev nrog kev pab los ntawm cov koob nyias. Acupuncture yog suav hais tias yog ib qho ntawm cov txheej txheem ntawm kev kho tus txha caj qaum, nyob ib ncig ntawm qhov kev tsis sib haum xeeb ntawm cov kws kho mob tsis tau tso tseg ntev. Qee tus hais tias qhov kev kho no tsis zoo dua thiab qhov zoo tshaj plaws muaj cov nyhuv placebo. Lwm tus kws kho mob hais tias acupuncture zoo heev. Nyob rau hauv kev xyaum, xws li physiotherapy yog nyob rau hauv ntau qhov kev ua tau zoo, vim hais tias tus neeg mob tus mob zoo zuj zus tuaj.
Ntau hom koob yog siv rau acupuncture. Qhov no yogncaj qha tsuas yog nyob ntawm thaj tsam ntawm kev cuam tshuam. Cov koob no yog ua los ntawm cov hlau zoo, thiab cov koob auricular yog ua los ntawm kev phais stainless hlau. Hauv qee qhov xwm txheej, hluav taws xob tam sim no yog ua los ntawm cov koob txhaj rau hauv tib neeg lub cev. Qhov kev xaiv ntawm physiotherapy no tsis siv yog tias tus neeg mob muaj lub cev kub siab.
Cov txheej txheem rau kev tawm dag zog rau kev ua haujlwm ntawm lub lumbar qaum
Kev kho lub cev yog suav tias yog ib txoj hauv kev zoo tshaj plaws thiab muaj txiaj ntsig zoo los kho protrusion ntawm intervertebral discs ntawm lumbar sacral qaum. Txawm li cas los xij, kev kho mob rau kev hloov pauv pathological muaj ntau txoj cai rau kev siv. Cov no suav nrog cov hauv qab no:
- Ua ntej kev tawm dag zog, koj yuav tsum sab laj nrog koj tus kws kho mob. Kev kho mob nrog kev tawm dag zog rau protrusion ntawm intervertebral discs ntawm lub lumbar qaum muaj nws tus kheej nuances. Lawv yuav tsum tau ua tib zoo ua, tsis txhob maj. Hnav khaub ncaws rau cov chav kawm yuav tsum tsis txhob txwv kev txav mus los. Xaiv lub ris thiab ib sab saum toj uas yog tsim los ntawm cov khoom ntuj tsim.
- Khau yuav tsum yog tshwj xeeb, kis las, nrog rau orthopedic insole.
- Yog tias kev tawm dag zog los ntawm qhov kev tawm dag zog ua rau mob hnyav, ces lawv yuav tsum nres tam sim.
- Nyob hauv kev cob qhia, tso cai rau haus dej hauv cov dej me me.
Ib txheej ntawm kev tawm dag zog rau protrusion ntawm intervertebral discs ntawm lumbar qaum
Cov kev tawm dag zog no yuav tsum tau pib tsuas yog tom qab kev sab laj nrog tus kws tshaj lij kom tsis txhob muaj kev puas tsuajkev noj qab haus huv. Cov hauv qab no yog suav tias yog nrov thiab siv tau:
- "Txiv". Pw koj lub nraub qaum, tso koj txhais tes rau ntawm lub cev, nqa koj ob txhais ceg rau ntawm lub cev. Tshaj koj ob txhais ceg los ntawm ib sab mus rau sab, hla lawv ua ke. Rov ua dua 15-25 zaug.
- Taug kev ntawm plaub plaub. Ua qhov no rau 5 feeb. Lub nraub qaum yog qhov zoo tshaj plaws khaws arched.
- Tuag ntawm koj lub plab, ncab koj txhais caj npab thiab txhais ceg. Nthuav tag nrho cov ceg ceg, maj mam nce lub amplitude, tab sis tsis nqa nws mus rau qhov siab tshaj plaws. Tuav txoj haujlwm no rau 30 vib nas this thiab rov qab mus rau qhov chaw pib.
- Planck. Ua ib txoj hauj lwm plank, so koj lub luj tshib rau hauv pem teb thiab alternately stretch koj ob txhais ceg. Rov ua dua 5 zaug txhua.
- Mus rau tag nrho plaub, khoov koj txhais ceg ntawm koj lub plab thiab rov qab mus rau qhov chaw pib. Rov ua qhov kev tawm dag zog 6 zaug ntawm txhua ceg.
Qhov kev tawm dag zog no rau kev ua haujlwm yog tsom rau kev ntxiv dag zog lub suab ntawm cov leeg nraub qaum, txo qhov mob hauv thaj tsam lumbar thiab txo qis tag nrho lub nra ntawm nraub qaum. Raws li pom nyob rau hauv daim duab, protrusion ntawm intervertebral discs ntawm lub lumbar yog yooj yim los ntawm kev ua luam dej nyob rau tom qab los yog nkag. Koj yuav tsis tau txais txiaj ntsig zoo yog tias koj ua luam dej hauv lub mis.
Khoom noj
Tus mob ntawm tus txha caj qaum ncaj qha nyob ntawm kev noj haus ntawm tus neeg. Ntawd yog, qhov tsis txaus ntawm calcium thiab complex ntawm cov vitamins ua rau kev puas tsuaj sai ntawm cov pob txha. Thaum lub sij hawm kho ntawm protrusion, nws yog ib qho tseem ceeb kom tswj tau cov dej sib npaug, vim tias cov pob txha mos yog ntau dualos ntawm kua. Qhov tsis muaj dej hauv lub cev provokes qhov loj me ntawm cov intervertebral disc, nrog rau kev tsis zoo ntawm cov ntshav muab rau cov ntaub so ntswg ntawm qaum.
Ntawm tag nrho cov khoom noj, cov hauv qab no yuav tsum tau ua tib zoo saib xyuas:
- Cov mis nyuj, uas muaj cov calcium ntau. Koj tuaj yeem ua noj koj tus kheej los ntawm kev sib tsoo cov noob hnav thiab nchuav nrog ib liter dej sov.
- mis nyuj tshiab, uas yuav tsum tsis muaj additives thiab preservatives. Lub Hoobkas mis nyuj muaj calcium tsawg, yog li nws yog qhov zoo tshaj los yuav cov mis nyuj nyoos.
- Ntses, xws li ntses salmon lossis mackerel, uas suav nrog ntau cov phosphorus. Nws yog qhov xav tau rau kev txhim kho cov pob txha ib txwm muaj.
- Chondroprotectors, uas yog qhov tseem ceeb rau kev tsim cov pob txha mos. Koj tuaj yeem hloov cov tshuaj chondroprotective nrog kev siv cov nqaij npuas lossis nqaij nyug jelly.
- Txhawm rau kom ua tiav qhov nqus ntawm calcium thiab phosphorus, uas nkag mus rau hauv lub cev nrog cov khoom siv saum toj no, nws yog ib qho tseem ceeb uas yuav tsum tau noj vitamin D3 tib lub sijhawm. Muaj tshwj xeeb additives nrog nws, thiab nws kuj pib tsim thaum taug kev nyob rau hauv lub hnub.
tiv thaiv kab mob
Nws yog qhov nthuav tias cov lus qhia thiab cov lus pom zoo ntawm cov kws kho mob txog kev tiv thaiv osteochondrosis yog qhov dav dav. Protrusion ntawm intervertebral discs ntawm lub lumbar sacral tshwm tsuas yog nrog ib tug sedentary txoj kev ua neej, rog, muaj cov kab mob kis tau, kev kho mob uas yuav siv sij hawm thiab siv zog. Hauv qhov no, txhawm rau txo qhov kev pheej hmoo ntawm kev tsim protrusionqis rov qab, koj yuav tsum ua kom lub cev ua si, thaum tsis quav ntsej txog kev txav mus los.
Thaum ua haujlwm sedentary, koj yuav tsum tau ncua sijhawm ib ntus thiab ua ib qho kev tawm dag zog yooj yim. Nws kuj yog ib feem ntawm kev kho mob rau lumbar intervertebral disc protrusion. Cov kev qoj ib ce yuav tsum tau ua raws li ib qho kev qhia, nyob rau hauv kev saib xyuas ntawm rehabilitologists. Cov kws kho mob qhia kom xyuam xim rau yoga, taug kev, ua luam dej hauv pas dej. Lub sijhawm ntxiv yuav tsum tau mob siab rau kev noj zaub mov kom raug, uas yuav tso cai rau koj los saib xyuas qhov hnyav. Nws yog ib qho tseem ceeb kom ntxiv dag zog rau koj cov zaub mov nrog cov khoom noj uas muaj calcium, zinc thiab vitamins. Kawm cov tswv yim ntawm kev zaws tus kheej thiab kev tawm dag zog kho mob, uas yuav pab tsis tau qhov mob.
Kev pom zoo: tsis txhob txuag thiab tsis txhob saib xyuas koj txoj kev noj qab haus huv, vim tias koj txoj kev noj qab haus huv nyob hauv koj txhais tes. Nco ntsoov tias yog tias koj tsis quav ntsej txog kev kho mob, qhov protrusion ntawm intervertebral discs ntawm lub lumbar sacral "loj hlob" rau hauv hernia. Sim mus ntsib kws kho mob kom tiv thaiv tsawg kawg ib zaug txhua 3-6 lub hlis.
