Mob nraub qaum tom qab nqa hnyav qhia txog kev txhim kho ntawm cov kab mob ntawm tus txha nraub qaum. Qhov no tuaj yeem ua rau muaj kev puas tsuaj loj hauv lub neej zoo. Kev txwv ntawm kev ua lub cev ua rau nws nyuaj rau qee txoj haujlwm.
Ntau tus neeg tau rub qhov hnyav hauv lawv lub neej. Kev mob nraub qaum yog tam sim no ib txwm nrog.
Kev piav qhia ntawm pathology
Lub lumbar cheeb tsam yog qhov loj tshaj plaws sector, noj tag nrho cov load. Dab tsi yog qhov tseem ceeb, nws tsuas yog ib feem loj ntawm sab nraub qaum, uas tseem yog mobile. Nws yog sab nraub qaum uas siv rau ntawm qhov load thaum khoov rau pem hauv ntej thiab rov qab. Pathology ntawm sab nraub qaum nyob ib qho chaw nyob rau hauv ntau zaus ntawm cov kab mob ntawm tag nrho cov txha nraub qaum, qhov no feem ntau yog qhov ua txhaum ntawm txoj kev ua neej tsis zoo nrog rau kev rog, dhau ntawm lub nraub qaum thiab tsis muaj calcium txaus hauv cov zaub mov, uas ua rau lub hauv paus ntawm lub vertebrae. Cia peb kawm seb yog dab tsiCov tsos mob ntawm qhov mob nraub qaum tom qab nqa qhov hnyav, nrog rau nrhiav pom qhov ua rau tus mob no. Ntawm lwm yam, cia peb xav seb yuav kho thiab kuaj mob li cas.
Yuav ua li cas txo qis rov qab raug mob tshwm sim?
Hais txog qhov mob nraub qaum tom qab nqa qhov hnyav, tib neeg feem ntau hais tias: "Kuv tawg kuv nraub qaum." Qhov hu ua kev puas tsuaj feem ntau tshwm sim los ntawm qhov hnyav, thiab tib lub sijhawm, qhov mob tas li hauv thaj tsam lumbar, uas tuaj yeem ua mob lossis khaus. Kov qhov chaw raug mob tuaj yeem ua rau lub nraub qaum mob ntau dua. Qee zaum tib neeg hnov qhov mob hnyav hauv thaj tsam lumbar, txawm tias tsis muaj kev tawm dag zog lub cev. Nws yog tsis yooj yim sua kom khoov nrog xws li mob nyob rau hauv qis nraub qaum thiab ob txhais ceg, thiab qee cov neeg mob tsis tuaj yeem zaum. Nws tseem tuaj yeem ua tau yooj yim heev kom ncaj. Tom ntej no, nrhiav seb cov tsos mob ntawm tus kab mob no tuaj yeem nrog.
Strech Symptoms
Tom qab ua qee yam kev ua haujlwm tsis zoo ntawm lub cev, tej zaum yuav muaj qhov mob rub sab nraub qaum, uas yuav pom raws tus txha nraub qaum. Nws tuaj yeem pib ntawm lub xub pwg nyom thiab yuav ncab tag nrho txoj kev mus rau lub duav. Txawm li cas los xij, txhua qhov kev hloov pauv hauv lub cev (qee zaum txawm ua pa) tuaj yeem ua rau mob.
Nrog qhov tshwm sim xws li mob nraub qaum tom qab nqa qhov hnyav, cov neeg ncaws pob pib feem ntau pom, tshwj xeeb tshaj yog tom qab thawj zaj lus qhia, thiab, ntxiv rau, twb tau ntsib cov neeg uas yuav mob nraub qaum thaum lub sij hawm kev cob qhia vim nqa cov khoom hnyav. Thaum ua haujlwm hauv tsev, qee zaumrov qab mob.
Raws li txoj cai, cov nqaij ntshiv, uas yog, kev puas tsuaj rau cov nqaij mos lossis cov leeg, yog tias ib tus neeg tau nqa qhov hnyav, nqa tawm nrog lub nraub qaum ncaj lossis hauv cov xwm txheej uas qee qhov kev tawm dag zog, nrog rau kev ua haujlwm ib txwm muaj, tshwm sim. yam tsis tau txais qhov kev sib koom tes nrog lwm qhov chaw hauv lub cev. Piv txwv li, thaum muaj dej khov, nws tuaj yeem yooj yim plam thiab, ua kom muaj kev sib npaug, yooj yim ncab cov leeg ntawm nraub qaum.
Cov neeg ncaws pob muaj zog, raws li txoj cai, sov so lawv cov leeg ua ntej kev tawm dag zog, tab sis yog tias qhov ncab tshwm sim, feem ntau yuav muaj qee qhov ua txhaum ntawm lub cev txoj haujlwm lossis kev tua cov txheej txheem. Hauv ib cheeb tsam hauv tsev lossis kev lag luam, kev npaj ua ntej rau kev nqa qhov hnyav yog qee zaum yooj yim ua tsis tau. Stretching feem ntau manifests nws tus kheej raws li nram no:
- Mob tuaj yeem mob thiab tib lub sijhawm tua. Nws muaj peev xwm ua kom muaj zog thaum lub sij hawm siab ntawm ib cheeb tsam ntawm lub nraub qaum lossis tawm tsam tom qab ntawm kev txav.
- Ua tsis tiav ntawm cov leeg nqaij vim qhov tsis muaj peev xwm ntawm cov leeg nqaij ua haujlwm.
- tshwm sim o lossis me ntsis induration. Yog tias muaj hematoma tshwm sim, koj yuav tsum tau mus ntsib kws kho mob sai: feem ntau yuav muaj qhov tawg.
Tam sim no cia peb mus rau qhov tseem ceeb uas cuam tshuam qhov tshwm sim ntawm qhov mob.
Kev mob
Ua ntej koj pib kho qhov tsos mob ntawm qhov mob hauv qab tom qab nqa qhov hnyav, nws yog qhov tsim nyog los tsim kom muaj qhov tseeb qhov tseeb. Mob nraub qaumtam sim ntawd tom qab nqa qhov hnyav, nws feem ntau tshwm sim vim kev loj hlob ntawm osteochondrosis, intervertebral hernia thiab scoliosis. Tsis tas li ntawd, qhov no tej zaum yuav yog ib qho kev xav ntawm qhov mob thaum lub sij hawm cov leeg ncab ntawm nraub qaum. Mob nraub qaum qis thaum nqa hnyav yog vim cov hlab ntsha rhiab heev. Cov hlab ntsha tuaj yeem raug mob zoo li yog tias tom qab tshwm sim ntawm kev ua haujlwm receptor, uas yog ntuj rau lub cev, thiab tuaj yeem pom nrog kev puas tsuaj rau cov hlab ntsha hauv qab. Nyob rau hauv feem ntau pathologies, cov hlab ntsha yog tas li los yog qee zaus pinched los yog raug mob, yog li ua rau mob hnyav.
Dab tsi yuav txo qis qhov mob txhais tau?
Hernia
Nrog kev ntxhov siab ntawm lub plab, lwm qhov mob tshwm sim tuaj yeem tshwm sim hauv daim ntawv ntawm hernia, yuav tsum tau phais tam sim. Osteochondrosis tuaj yeem ua rau muaj kev loj hlob ntawm cov kab mob hauv thaj tsam ntawm intervertebral discs thiab cov npoo ntawm vertebra. Qhov no ua rau kev puas tsuaj rau cov hlab ntsha hauv paus, uas tawm ntawm tus txha caj qaum hauv cheeb tsam no. Qhov tseeb ntawm kev nqa qhov hnyav hauv nws tus kheej compresses tus txha nraub qaum.
mob nraub qaum mob hnyav tom qab nqa hnyav tuaj yeem tshwm sim vim qhov ntev ntawm cov hlab ntsha fibers. Cov txheej txheem kho dua tshiab (raws li kev xav tsis zoo) tshwm sim, txawm li cas los xij, qeeb heev, uas tuaj yeem ua rau tus kab mob hnyav dua. Tib cov txheej txheem pathological tuaj yeem tshwm sim hauv cov hernia intervertebral.
Tus hernia yog ib qho extrusion ntawm lub cev ntawm intervertebral disc, uas muaj ob yam: lub intervertebral keeb thiabnucleus pulposus. Hauv kev raug mob hnyav, lub annulus fibrosus uas tuav lub nucleus nyob rau hauv qhov chaw yuav tawg los yog tsis muaj zog. Lub amorphous loj ntawm nucleus, raws li txoj cai, nyem tawm ib tug tubercle nyob rau ntawd, uas yog hu ua hernia.
Nws muaj peev xwm kov cov ntaub so ntswg ib puag ncig, piv txwv li, cov leeg lossis cov hauv paus hniav. Qhov no feem ntau tuaj yeem ua rau mob nraub qaum tom qab nqa hnyav. Lub sharply nce siab nyob rau hauv lub vertebral discs ua rau ib tug acceleration ntawm protrusion. Tsis tas li ntawd, ncab ntawm cov leeg lumbar, uas ua haujlwm corset rau tus txha nraub qaum, yuav tshwm sim.
Neuralgia
Qhov ua rau mob nraub qaum kuj tuaj yeem yog qhov xwm txheej neuralgic.
- Mob tuaj yeem tshwm sim thaum cov hlab ntsha hauv tus txha nqaj qaum (qhov no tuaj yeem piav qhia tias hnyav thiab tam sim ntawd).
- Lwm qhov laj thawj yog lumbar osteochondrosis, uas tshwm sim los ntawm kev ua neej nyob tsis muaj zog. Tus mob no ua rau mob nagging vim mob leeg.
- Thaum lumboischialgia raug kuaj pom, uas yog tus cwj pwm los ntawm kev hloov pauv ntawm atrophic hauv cov hlab ntsha sciatic, qhov mob feem ntau dhau mus rau pob tw, tshwm sim sai thiab sai.
- Tawm tsam keeb kwm yav dhau los ntawm ntau yam sclerosis, uas yog tus kab mob autoimmune ntev, lub tsho ntawm cov paj hlwb ntawm lub hlwb thiab tus txha caj qaum raug cuam tshuam, uas ua rau mob ntau yam hauv zos thiab nyuaj kho.
Qhov twg yuav kho qhov mob nraub qaum tom qab nqa qhov hnyav?
Kev kuaj mob nraub qaum thiab lumbar
Mob nraub qaum thiab sab nraub qaum feem ntau tuaj yeem tswj hwm hauv tsev nrog cov tshuaj tom khw muag khoom. Kev kho mob hauv tsev kho mob feem ntau tsis tas yuav tsum tau ua. Yog tias qhov mob hnyav, koj yuav tsum nrhiav kev pab los ntawm tus kws kho mob. Yog tias nws tsis tso cai txav mus los, nws yeej muaj sijhawm hu rau tus kws kho mob hauv tsev.
Thaum lub sijhawm kuaj xyuas, tus kws tshaj lij yuav hais kom koj sawv, zaum lossis taug kev ncig, hloov tsa koj ob txhais ceg, thiab, ntxiv rau, xyuas qhov ntau ntawm cov lus tsa suab hauv koj nraub qaum. Nws tuaj yeem nug koj txog txhua yam mob lossis kev raug mob uas koj tau muaj, nrog rau koj txoj kev ua neej thiab qhov xwm txheej ntawm koj txoj haujlwm. Tus kws kho mob txaus siab rau cov hauv qab no:
- Tus neeg mob pib mob thaum twg?
- tus neeg mob qhov twg?
- Tus neeg mob lub nraub qaum thiab sab nraub qaum puas cuam tshuam yav dhau los?
- Tus neeg mob puas piav tau qhov mob?
- Dab tsi ua rau mob hnyav lossis ploj mus?
Thaum kev xam phaj thiab kuaj mob, tus kws kho mob yuav sim tshem tawm cov kab mob sib kis thiab pob txha, txawm tias lawv tshwm sim tsawg heev. Nyob rau hauv cov kev tshwm sim ntawm ib tug controversial kev kuaj mob, tus neeg mob yuav raug xa mus rau kev tshawb fawb ntxiv, xws li magnetic resonance imaging los yog X-ray ntawm qaum. Txhawm rau tshem tawm cov kab mob hauv lub raum, tus kws kho mob yuav muab tshuaj ntsuam xyuas zis.
Kev mob sai sai npaum li cas?
Nyob rau hauv feem ntau, qhov mob hnyav hauv qab qis tom qab nqa qhov hnyav tuaj yeem raug tshem tawm hauv ob peb hnub. Yog tias txoj kev kho tsis pab, thiab mob nraub qaum ntev tshaj li rau lub lis piam, ces qhov hu ua tsis xis nyob hauvrov qab thiab ua rau malaise yog ib yam kab mob loj. Feem ntau, cov kws kho mob neurologists tau koom nrog hauv kev kho mob ntawm lub nraub qaum lossis sab nraub qaum. Tsis tas li ntawd, cov kws kho mob tshwj xeeb xws li osteopath nrog rau tus kws kho qhov muag thiab tus kws kho mob tuaj yeem koom nrog hauv kev kho mob.
kho mob nraub qaum
Ua ntej tshaj plaws, qhov mob tom qab nqa qhov hnyav yog tshem tawm nrog kev pab ntawm lidocaine thaiv. Cov hlab ntsha ua rau mob yog khov nrog sodium channel blocker. Tawm tsam keeb kwm yav dhau los no, nws tsuas yog tso tseg cov kev xav tau tsim los ntawm qhov mob, uas txhim kho tus neeg mob zoo heev. Xws li kev thaiv yog ib ntus thiab tsis ua raws li kev kho mob puv ntoob. Qhov tseeb yog tias tom qab siv nws, tom qab ib ntus, lub nraub qaum rov qab yuav raug mob dua.
Txawm li cas los xij, cov kws kho mob pib kho ntxiv. Kev noj tshuaj nrog rau kev zaws thiab kev tawm dag zog tuaj yeem txhim kho tus mob. Thaum lub sijhawm kho, nws yog ib qho tsim nyog yuav tsum tsis kam rov nqa cov khoom hnyav. Piv txwv li, koj yuav tsum tsis txhob tawm dag zog hauv lub gym, vim qhov no tuaj yeem cuam tshuam kev kho mob. Tus kws kho mob orthopedist, uas yog, tus kws kho mob tshwj xeeb hauv kev kho tus txha nraub qaum thiab musculoskeletal system, yuav pab tshem tawm qhov mob. Nws yog ib qho tseem ceeb kom tsis txhob ncua kev kho kom txog thaum tom qab, vim qhov no tuaj yeem ua rau muaj tus kab mob thiab kev puas tsuaj.
Nyob rau theem rov qab tom qab mob nyem
Thaum qhov mob hauv qab nraub qaum tom qab nqa qhov hnyav tuaj yeem raug tshem tawm, tus neeg mob yuav tsum tau maj mam rov qab mus rau qhov qubloads. Txwv tsis pub, kev raug mob ntxiv tuaj yeem tshwm sim, uas, feem ntau, yuav mob hnyav dua li thawj zaug.
Mob nraub qaum tam sim tom qab nqa khoom hnyav tuaj yeem qhia tau tias koj yuav tsum tau ntxiv dag zog rau cov leeg thiab txha nraub qaum uas txhawb nqa nws. Lub cev muaj zog thiab noj qab nyob zoo hauv ib tus neeg yog qhov nyuaj rau ncab, yog li cov kws kho mob pom zoo kom koj mus kuaj xyuas txhawm rau txheeb xyuas cov teeb meem nrog nws. Txawm tias muaj kev kho kom zoo, tib neeg tsis muaj kev tiv thaiv los ntawm kev raug mob, yog li yuav tsum tau them nyiaj rau kev tiv thaiv.
prophylaxis
Qee yam kev tiv thaiv tuaj yeem pab kom tsis txhob muaj teeb meem rov qab uas cuam tshuam rau lub xeev ntawm tag nrho cov kab mob. Nrog rau tus cwj pwm zoo rau kev noj qab haus huv ntawm lub nraub qaum, nws muaj peev xwm zam kom tsis txhob tawg ntawm sab nraub qaum tom qab nqa ntau qhov hnyav. Ib qho txiaj ntsig zoo heev rau kev noj qab haus huv ntawm lub nraub qaum thiab lub cev yog kev ua raws li cov cai yooj yim ntawm kev noj haus nrog rau kev tsis lees paub tus cwj pwm phem. Kev thauj khoom nruab nrab kuj tseem yuav ua haujlwm ntxiv.
Lub cev hnyav
Nws tseem ceeb heev uas yuav tsum saib xyuas koj lub cev hnyav. Nyob rau hauv lub xub ntiag ntawm qhov hnyav tshaj nyob rau hauv ib tug neeg, nws tus txha nraub qaum yuav muaj kev ntxhov siab ntau dua. Cov neeg rog rog muaj qhov cuam tshuam rau tus txha caj qaum ntau dua li haum rau tib neeg. Kev xyaum ua lub cev tsis tu ncua (thiab muaj ntau qhov kev hloov pauv ntawm cov dej num muaj txiaj ntsig) yuav pab ntxiv dag zog rau cov leeg thiab ligaments ntawm nraub qaum, rov qab tus txha nraub qaum mus rau nws txoj haujlwm raug.
Hyperextension
Hyperextension yog ib qho kev tawm dag zog zoo rau sab nraub qaum. Txhawm rau ntxiv dag zog rau qhov txhawb nqa ntawm lub cev zoo ib yam, nws yog ib qho tsim nyog yuav tsum tau pw hauv pem teb, ntawm lub plab. Ob txhais tes khaws cia rau hauv qhov chaw pib. Lawv yuav tsum tau coj los ntawm lub taub hau thiab hla. Nyob rau hauv txoj hauj lwm no, nws yuav tsum tau rhuav tshem lub hauv siab thaum exhaling hauv pem teb, thiab thaum nqus pa, rov qab mus rau nws qhov qub. Gymnastics yuav tsum tau ua txhua hnub rau kaum lossis nees nkaum repetitions. Qhov no yuav muab sijhawm rau koj los txhawb koj lub nraub qaum, tiv thaiv txhua yam teeb meem nrog nws, suav nrog kev mob tom qab nqa khoom hnyav.
Peb saib seb qhov mob qis qis npaum li cas rau sab nraub qaum, nrog rau qhov ua rau, kuaj mob thiab kho.
