mob hnyav hauv cheeb tsam lumbar ua rau muaj mob hu ua vertebrogenic lumbalgia. Nws yog dab tsi, nws tshwm sim nws tus kheej thiab yuav kho li cas, tau piav qhia hauv kab lus.
Vertebrogenic lumbalgia yog ib yam kab mob nyob hauv thaj tsam lumbar ntawm tus txha nraub qaum. Tus lej ICD-10 rau tus kab mob no yog M54.5. Tus kab mob tuaj yeem tshwm sim hauv daim ntawv mob hnyav thiab mob ntev. Nyob rau hauv ib qho kev mob hnyav, qhov mob uas tsis tau xav txog yuav tshwm sim. Nyob rau hauv cov ntaub ntawv no, lub hom phiaj ntawm tus kab mob no feem ntau yog nyob rau hauv cov ntaub so ntswg uas nyob ib sab ntawm tus txha caj qaum.
Daim ntawv mob ntev ntawm tus kab mob tshwm sim tawm tsam keeb kwm ntawm tus txha caj qaum deformity. Txoj kev loj hlob ntawm tus kab mob tshwm sim maj mam thiab yuav luag imperceptibly. Cov tsos mob tsis tshwm sim kom txog rau thaum ib theem ntawm kev loj hlob ntawm pathology.
Ua rau kab mob
Vertebrogenic lumbalgia tuaj yeem tshwm sim vim qhov tseeb tias cov hlab ntsha ntawm tus txha caj qaum yog pinched. Cov laj thawj tseem ceeb ntawm tus kab mob no yog cov hauv qab noyam:
- Ib tug neeg muaj scoliosis.
- Ua ntse khoov.
- Kev pom ntawm protrusion ntawm tus txha caj qaum.
- Kev txhim kho ntawm spondylosis.
- Ua kom lub cev tsis tu ncua.
- Kev txhim kho osteochondrosis hauv tib neeg.
- Qhov tshwm sim ntawm kev raug mob ntawm tus txha caj qaum hauv thaj tsam lumbosacral.
- Kev muaj mob caj dab thiab arthrosis ntawm pob txha pob txha intervertebral thiab lwm yam ntaub so ntswg.
- Kev txhim kho pob txha hauv tib neeg.
- Nyob rau ntawm qhov chaw ntawm lub vertebrae nyob rau hauv lub lumbar cheeb tsam.
- Qhov tshwm sim ntawm herniated disc.
- Kev siv lub cev ntau dhau ntawm lub cev.
- Kev tshwm sim ntawm vertebral neoplasms.
- nqa thiab nqa khoom hnyav.
- Kev txhim kho ntawm hypodynamia.
- Hmoov hypothermia ntawm lub cev.
- Permanent overexertion ntawm lub paj hlwb.
- Kev muaj hnub nyoog txog kev puas tsuaj ntawm tus txha caj qaum.
Tawm tsam keeb kwm yav dhau los ntawm kev nce lossis txo qis hauv cov leeg nqaij, lumbalgia nrog tonic syndrome tuaj yeem txhim kho. Nyob rau tib lub sijhawm, hypertonicity ntawm cov leeg extensor tuaj yeem ua rau txo qis ntawm cov ntaub so ntswg flexor. Nyob rau hauv ib tug yav tom ntej leej niam, vertebrogenic lumbalgia tej zaum kuj tsim nyob rau hauv lig cev xeeb tub, tshwj xeeb tshaj yog yog hais tias tus me nyuam hauv plab loj heev. Cov pab pawg muaj kev pheej hmoo, raws li txoj cai, suav nrog cov poj niam uas muaj cov leeg nqaij tsis zoo.
Cov tsos mob ntawm pathology yog dab tsi?
Cov tsos mob tseem ceeb ntawm vertebral lumbalgia yog qhov mob hnyav heev. Feem ntau,nws los dheev. Nyob rau lub sijhawm ntawm kev ntxhov siab ntau dhau ntawm thaj tsam lumbar, qhov mob ntawm qhov hnyav nce ntxiv. Tawm tsam keeb kwm yav dhau los no, qhov mob kuj tuaj yeem tshwm sim hauv thaj tsam ntawm pob tw, pelvis, caj dab, phab ntsa sab hauv ntawm lub plab. Nws ncaj qha nyob ntawm daim duab kho mob ntawm tus kab mob. Lwm cov tsos mob ntawm tus kab mob yog cov tsos mob hauv qab no:
- Qhov tshwm sim ntawm spasms thiab cramps hauv ob txhais ceg.
- Tshuaj loog hauv qis qis.
- Nkauj tawm tshiab.
- Xav txias hauv qab ceg thiab ko taw.
- Kev muaj kev txav mus los tsawg hauv cheeb tsam lumbar.
- tso zis tsis yooj yim los yog quav quav.
- Kev txhim kho cov leeg nqaij hypertonicity.
- Nyob zoo li qaug zog thiab qaug zog tom qab.
- Tsis ua raws li kev coj khaub ncaws.
- txiv neej muaj teeb meem nrog potency.
Vertebrogenic lumbodynia nrog tonic syndrome yuav tsum tau kho nyob rau theem pib. Qhov no yuav ua rau kom tshem tau cov kab mob sai sai thiab tiv thaiv kev txhim kho ntawm cov kab mob ntxiv. Txwv tsis pub, daim ntawv mob ntev ntawm lumbalgia tuaj yeem tsim. Nws tshwm sim twb rau lub hlis tom qab pib mob thawj zaug. Hom kab mob no tuaj yeem ua rau muaj teeb meem loj dua hauv thaj tsam ntawm tus txha nraub qaum. Mob vertebrogenic lumbalgia feem ntau tshwm sim rau lub sijhawm ntev heev. Tus mob no tshwm sim nws tus kheej nrog qhov mob ntawm qhov mob, ua rau muaj kev ntxhov siab me ntsis ntawm tus txha nraub qaum.
Pathology hauv menyuam yaus
Cov me nyuam muaj tus kab mob noyog qhov tsawg kawg nkaus. Nws tuaj yeem tshwm sim hauv cov menyuam yaus hnub nyoog qis dua 8 xyoo, cov hluas. Qhov ua rau ntawm lumbodynia yog nyob rau hauv kev loj hlob sai ntawm lub cev, kev nce hauv lub cev hnyav, uas ua rau muaj kev nce ntxiv ntawm tus txha nraub qaum thiab sab nraub qaum. Thaum thawj tus mob tshwm sim, koj yuav tsum tau mus ntsib kws kho mob sai.
Cov poj niam cev xeeb tub
Lub sijhawm no, lub nra ntawm tus txha nraub qaum, tshwj xeeb tshaj yog nws qis, nce ntxiv. Hauv cov poj niam uas tsis muaj zog rov qab cov leeg, lumbalgia tshwm sim ntau zaus. Kev xeeb tub, zoo li kev yug menyuam tom ntej, tsis muaj kev phom sij rau lub nraub qaum. Tom qab yug me nyuam, txhua yam rov zoo li qub.
Diagnosis
txhawm rau kuaj mob vertebrogenic lumbalgia, tus kws kho mob yuav tsum tau kuaj xyuas tus neeg mob. Cov ntaub ntawv ntxiv los qhia cov duab ntawm tus kab mob yuav pab kom tau cov txheej txheem hauv qab no:
- palpation.
- Kev ua fluoroscopy.
- Kev sib nqus resonance imaging.
- Computed tomography.
- Kev kuaj ntshav thiab zis.
- YUa ib qho ultrasound.
- Thov lus qhia los ntawm cov kws tshaj lij tshwj xeeb.
Cov kev kuaj mob saum toj no tso cai rau koj los txiav txim siab txog tus mob ntawm tus neeg mob tus txha caj qaum, qhov txheeb ze ntawm nws vertebrae, qhov mob ntawm cov ntaub so ntswg uas nyob ib sab thiab lwm yam ntaub ntawv tsim nyog.
Kev kho mob
Kev kho mob ntawm vertebrogenic lumbalgia (ICD-10 code M54.5.), Ua ntej ntawm tag nrho cov, suav nrog kev siv cov hauv qab no:
- tshuaj kho qhov ncauj.
- Kev uatxhaj tshuaj.
- Siv lub qhov quav.
- Siv tshuaj pleev, gels thiab thaj ua rau thaj.
- Thov compresses.
- Performing manual therapy.
- kev tawm dag zog.
- Physiotherapy.
- Kev ua kinesitherapy.
- Kev siv cov tshuaj ib txwm siv.
Feem ntau nrog vertebrogenic lumbalgia (ICD code - M54.5.), cov tshuaj hauv qhov ncauj los ntawm qeb ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory siv. Xws li kev kho mob ua rau nws tuaj yeem txo qhov o ntawm cov hlab ntsha hauv cov hauv paus hniav, txo qhov mob hnyav. Rau kev txhaj tshuaj, cov tshuaj hu ua Diclofenac thiab lwm yam tshuaj muaj txiaj ntsig zoo sib xws feem ntau siv. Lawv muab intramuscularly. Txhawm rau txhim kho cov txiaj ntsig kho mob, venotonics tau sau nrog chondroprotectors, cov leeg nqaij so, angioprotectors thiab cov neeg ua haujlwm txhawm rau txhim kho cov ntshav ncig. Kev kho sab nrauv yog ua los ntawm kev siv cov tshuaj tiv thaiv kab mob, thiab ntxiv rau, cov tshuaj pleev kom sov.
massages, manual and physiotherapy
Kev zaws raws li ib feem ntawm kev kho mob ntawm vertebrogenic lumbodynia (ICD - M54.5) yuav tsum tau ua nrog ceev faj. Nws yog undesirable ua massage ntawm koj tus kheej, txij li thaum tus txha nraub qaum yog ib txwm yooj yim heev rau kev puas tsuaj. Ua kom zoo zaws yuav ua rau nws muaj peev xwm maj mam txo qhov nro ntawm cov leeg nqaij. Nws kuj tseem tuaj yeem ua tiav qhov txo qis ntawm qhov mob ntawm qhov mob. Tsis tas li ntawd, ua tsaug rau zaws, koj tuaj yeem muab tauCov ntshav ncig hauv thaj chaw puas.
Kev siv phau ntawv kho mob yog ua tiav txhawm rau txhawm rau tshem tawm cov hlab ntsha pinched hauv cheeb tsam lumbosacral. Hnav ib lub corset tshwj xeeb yuav pab kom txo tau qhov tsis xis nyob tiv thaiv keeb kwm yav dhau los ntawm qhov mob hnyav heev. Qhov no yuav ua rau nws muaj peev xwm zam kev txav tam sim ntawd thiab kev puas tsuaj rau tus txha caj qaum. Raws li ib feem ntawm kev kho mob ntawm vertebrogenic lumbalgia nrog cov leeg nqaij tonic syndrome, physiotherapy kuj tseem siv, uas suav nrog cov txheej txheem physiotherapeutic hauv qab no:
- Cryotherapy.
- Kev ua haujlwm electrophoresis.
- Kev siv tshuaj acupuncture.
- kuaj ultrasound.
- YIrradiation nrog laser.
- Siv magnetic teb.
Nyob rau hauv txhua rooj plaub, cov npe ntawm cov txheej txheem yog nruj me ntsis rau tus kheej, coj mus rau hauv tus account tus kheej qhia ntawm txhua tus neeg mob.
kho mob qoj ib ce
Ib qho cuab yeej tseem ceeb hauv kev tiv thaiv thiab kho cov kab mob vertebrogenic lumbodynia yog kev kho mob qoj ib ce. Cov txheej txheem no tso cai rau koj kom txuag thiab rov ua haujlwm ntawm tus txha caj qaum hauv thaj tsam lumbar. Tam sim no, ntau yam zoo gymnastic complexes yog tsim rau cov neeg mob uas muaj xws li ib tug pathology. Cov txheej txheem kev cob qhia yog ua haujlwm ib leeg rau txhua tus neeg mob. Ua tsaug rau kev kho gymnastic ce, koj tuaj yeem ua cov hauv qab no:
- Txhob kab laug sab.
- Txoj kev nyob ib sabligament thiab cov leeg nqaij.
- Txhob qhov elasticity ntawm cov ntaub so ntswg ntawm tus txha nraub qaum.
Ua ntej, kev tawm dag zog lub cev yuav tsum tau ua raws li kev qhia nruj ntawm tus kws qhia kev kho lub cev. Nyob rau yav tom ntej, koj yuav muaj peev xwm ua haujlwm ntawm koj tus kheej. Kev kuaj mob raws sij hawm yuav pab ntsuas qhov ua tau zoo ntawm kev kho mob thiab ua kom muaj kev hloov kho, yog tias tsim nyog.
Yuav ua li cas lwm tus tuaj yeem kho cov kab mob vertebrogenic lumbodynia?
kev kho mob phais
Qee lub sij hawm tus kab mob tsuas yog kho tau los ntawm kev phais. Kev ua haujlwm raug muab tshuaj yog tias tus neeg mob muaj cov xwm txheej hauv qab no:
- Kev txhim kho ntawm tus txha caj qaum tsis ruaj khov.
- Impaired ntshav ncig.
- Qhov tshwm sim ntawm abscesses.
- Qhov tsos ntawm ntau yam neoplasms.
- Nyob rau hauv innervation ntawm tus txha caj qaum.
Yog tias kuaj pom cov kab mob zoo li no, fusion lossis discectomy raug tshuaj. Nyob rau hauv thawj rooj plaub, cov nyhuv kho tau tiav vim fusion ntawm cov khoom puas ntawm tus txha nraub qaum siv ib qho kev cog qoob loo. Hauv qhov thib ob, qhov kev puas tsuaj ntawm tus txha nraub qaum raug tshem tawm. Hloov chaw, ib qho kev cog cog khoom yog nruab.
Special Diet
Kev hnyav ntau dhau los ua qhov laj thawj tseem ceeb rau kev loj hlob ntawm vertebrogenic lumbalgia (ICD-10 - M54.5). Nyob rau hauv cov neeg uas nquag mus tas li overeating, tus txha nraub qaum tuaj yeem muaj kev ntxhov siab loj heev. Tshwj xeeb tshaj yog nyob rau hauv cheeb tsam lumbar. RauTxhawm rau tshem tawm qhov hnyav dhau, koj yuav tsum ua kom zoo rau koj cov khoom noj txhua hnub. Rau qhov no koj xav tau:
- Nqe txiv hmab txiv ntoo tshiab.
- Nqe zaub ntsuab.
- Nqaij ntses thiab nqaij ntshiv.
- Qhia txog kev noj zaub mov ntawm aspic lossis jelly.
Tag nrho cov tais diav no yuav tsum tau rhaub los yog steamed, koj tuaj yeem ci. Ntsev yuav tsum tau ntxiv me ntsis, thiab nws yog qhov zoo dua kom tsis kam txais ntau yam seasonings thiab kua ntses kiag li. Txiv hmab txiv ntoo, nrog rau zaub thiab tshuaj ntsuab, yuav tsum tau noj tshiab xwb. Koj yuav tsum noj fractionally thiab faib cov zaub mov txhua hnub rau tsib zaug, uas yuav yog kwv yees li tib yam ntawm cov calories.
kev kho neeg zoo
Cov tshuaj niaj hnub hauv qhov no muaj cov tsos mob ntawm kev kho mob vertebrogenic lumbodynia (ICD code - M54.5). Qhov no yuav pab txo qhov o thiab mob, nrog rau txo qhov mob. Tab sis hmoov tsis, nws yuav tsis muaj peev xwm tshem tawm tag nrho cov laj thawj ntawm tus kab mob nrog cov txhais tau li no.
Rubbing yog nqa tawm siv kua txiv aloe, koj tuaj yeem noj nqaij npuas rog. Txhawm rau sib sau ua ke cov nyhuv ua kom sov, nws yog ib qho tsim nyog yuav tsum tau insulate thaj tsam lumbar tom qab txheej txheem. Rau kev txhuam, dandelion, marshmallow, horsetail, yarrow thiab lavender yog ntxiv rau cov rog. Cov tshuaj no yog noj nyob rau hauv sib npaug proportions, crushed thiab sib tov. Tom qab ntawd brew nrog boiling dej thiab insist. Qhov no tshuaj ntsuab infusion yog ces tov nrog 150 grams ntawm lard thiab thov rau rubbing.
nplooj Horseradish yog siv rau compresses. Ua ntej lawv yuav tsum tau yaug nrog dej ntws.dej thiab ncuav tshaj boiling dej. Cov nplooj npaj tau siv rau thaj tsam mob thaum mus pw. Rau cua sov siv ib txoj phuam qhwv caj dab los yog phuam qhwv caj dab los ntawm ntaub plaub. Tshem cov compress thaum sawv ntxov.
Ib qho tshuaj zoo rau kev kho mob nraub qaum yog cov ntoo ntawm cov ntoo coniferous. Pine lossis cedar yog qhov zoo tshaj plaws. Txhawm rau npaj cov tshuaj kho kom zoo los ntawm nws, koj yuav tsum tau ntxiv ib tablespoon ntawm resin rau zaub roj (ib khob). Tom qab ntawd txhua yam yog tov kom huv si, cov khoom yog siv rau ib daim ntaub paj rwb. Nws npog qhov chaw ntawm localization ntawm qhov mob. Tom qab ib hnub, cov ntaub so ntswg yuav tsum tau hloov. Kev kho mob yog 10 hnub.
Pab kom ceev cov txheej txheem kho mob thiab roob ciab, uas yuav tsum tau sov so thiab siv rau thaj tsam lumbar. Txhawm rau kom txo qis qhov txias ntawm cov quav ciab thiab txhim kho cov txiaj ntsig zoo, koj yuav tsum tau pw hauv qab npog. Thaum cov tshuaj tau txias, nws raug tshem tawm, thiab sab nraub qaum yog tam sim ntawd qhwv hauv ib txoj phuam qhwv caj dab los yog phuam qhwv caj dab.
Kuv yuav tiv thaiv kuv tus kheej ntawm tus kab mob no li cas?
Kev tiv thaiv ua ke nrog kev kho cov txheej txheem yuav pab kom tsis txhob muaj kab mob xws li vertebrogenic lumbalgia syndrome, nrog rau kev tiv thaiv lwm yam kab mob uas ua rau mob nraub qaum. Rau qhov no koj xav tau:
- Ua kom nquag plias txhua lub sijhawm.
- Nyob hauv ncoo saum txaj.
- Eat right.
- Txhua yam kev mob hypothermia.
- kev nyuaj siab.
- Txhua yam cwj pwm phem.
- Ua gymnastics tshwj xeeb.
- Txiav tshem tawm lub cev ntau dhau.
YogYog li, yog tias koj ua raws li cov cai yooj yim ntawm kev tiv thaiv, ces ib tus neeg yuav muaj peev xwm zam tau cov kab mob tsis zoo li vertebrogenic lumbalgia.
