Ntau tshaj 50% ntawm lub ntiaj teb cov pejxeem muaj mob ntawm qhov mob sab nraud los ntawm ntau theem ntawm osteochondrosis. Yog tias koj tsis tuaj yeem hu rau tus kws kho mob tsis tu ncua thiab tsis pib kho txaus, tus mob ntawm qaum, nws yooj yim thiab mobility, tag nrho kev noj qab haus huv yuav sai dua qub. Thaum muaj mob loj, muaj kev rau txim loj heev.
Dab tsi yog qhov protrusion ntawm tus txha caj qaum?
Tus kab mob pathological no tsis yog suav hais tias yog ib qho kab mob hauv yus tus kheej hauv cov tshuaj. Lub protrusion ntawm intervertebral discs yog ib nrab theem ntawm osteochondrosis, preceded los ntawm tsim ntawm ib hernia. Qhov ua rau ntawm tus mob no yog kev puas tsuaj rau lub pob zeb puab ntawm lub nplhaib ntawm fibrous. Nws cov plhaub txheej, uas tuav cov gelatinous nucleus, tseem lawm, tab sis cov disk protrudes rau hauv kwg nqaj. Yog tias tsis muaj kev kho, lub nplhaib fibrous yuav inflamed thiab hernia tshwm sim.
Dorsal protrusion ntawm disc - yog dab tsi?
Daim ntawv no ntawm cov kab mob pathology yog ib qho ntawm cov kab mob uas tshwm sim hauv tib neeg tom qab lub hnub nyoog 30 xyoo, tshwj xeeb tshaj yog nrog rau txoj kev ua neej nyob hauv lub cev, thiab yog ib qho ntawm cov kab mob loj heev ntawm osteochondrosis. Dorsal los yog posterior protrusion ntawm lub paj hlwb discs - dab tsi yog nws: protrusion ntawm fibrous nplhaib nyob rau hauv sab hauv kev coj (ntawm lub plab mus rau sab nraum qab).
Nrog rau hom kab mob no, cov pob txha caj qaum muaj kev cuam tshuam, uas ua rau yus muaj kev puas tsuaj thiab tsis ua txhaum cai ntawm nws lub luag haujlwm. Qhov no protrusion ntawm discs feem ntau provokes kev puas tsuaj rau paj xaus thiab keeb kwm. Qhov no yog fraught nrog deterioration ntawm rhiab heev, mob mob hnyuv, hloov hauv lub cev muaj peev xwm thiab lwm yam tsis zoo.
Foramen protrusions
Qhov piav qhia ntawm tus kab mob yog suav hais tias yog ib qho ntawm cov ntaub ntawv ntawm dorsal lesion. Foraminar protrusion ntawm qhov kev ntes paj nruas yog ncaj qha mus rau hauv cov hlab ntsha hauv paus cheeb tsam. Lub protrusion yuav tau cai thoob plaws hauv tag nrho cov ncua sij hawm ntawm tus kw txha nqaj lossis hauv nws cov cheeb tsam:
- Intraforaminalnoy protrusion - lub disk ntawm txha nraub av protrudes mus rau sab hauv ntug. Qhov feem ntau unfavorable thiab txaus ntshai hom pathology.
- Cov zais zis ntxiv - nthuav tawm ntawm lub nplhaib ntawm ntug sab nraud ntawm sab nraud ntawm tus kw. Nws yog qhov zoo dua los kho thiab tsawg dua nrog cov teeb meem.
Lub vas tawm ntawm cov discs
Qhov no variant ntawm tus kab mob tshwm sim nyob rau hauv 85-90% ntawm cov neeg mob nrog ib tug neuropathologist nrog tus mob ntawm "osteochondrosis". Cov protrusion ntawm tus txha nqaj discs - dab tsi yog nws: protrusion ntawm lub nplhaib fibrous raws lub circumference. Qhov lub cheeb ntawm cov lus pov tseg protruding yog nyob rau hauv ntau ntawm 3-12 hli. Cov voj voog ntawm cov khoom ntaws tawm sib txawv hauv lawv cov uniformity. Qhov txawv ntawm protrusion nyob rau hauv ntau qhov chaw tsis tshaj 1 hli.
Diffusive protrusion ntawm disk
Qhov no yog ib qho ntawm feem ntau loj thiab txaus ntshai nyob rau hauv cov nqe lus ntawm cov nyom ntawm cov ntaub ntawv ntawm cov txheej txheem pathological. Diffuse protrusion yog ib qho tsis sib txig lossis ntau ntau ntawm qhov txha nqaj qaum nyob rau hauv ntau cov lus qhia. Nws tuaj yeem cuam tshuam rau ob lub paj hlwb thiab qhov kawg, thiab thaj av ntawm tus kwj dej nqaj, uas ua rau tsis muaj kev phom sij. Qee lub sij hawm tau qhia txog hom kab mob uas tshwm sim hauv kev xiam oob khab.
Nruab Nrab Paj Nruag Daus
Qhov loj ntawm cov tsos mob thiab qhov hnyav ntawm hom kab mob ntawm qhov teeb meem yog nyob ntawm qhov chaw ntawm lub protrusion. Cov neeg nruab nrab los yog hauv nruab nrab ntawm cov pob txha nraub qaum - Dab tsi yog nws: qhov prolapse ntawm cov leeg nchuav, ua rau nruab nrab ntawm cov kwj dej nqaum. Daim ntawv no ntawm pathology tsis tshua pom, tab sis nrog cov teeb meem loj heev. Cov neeg nruab nrab ntawm cov neeg tawm hauv lub nruab nrab yog cov nyom thiab cov keeb hlab paj hlwb. Yog tias tsis muaj kev kho mob raws sij hawm, nws tuaj yeem ua rau ua txhaum lawv txoj haujlwm, kev tsis taus.
Paramedian disc protrusion
Qhov piav qhia txog kev tawm ntawm lub nplhaib dhau ntawm cov pob txha pob txha yog tsis tshua txaus ntshai rau yav dhau los ntawm tus kab mob. Tus paramedian protrusion ntawm lub nucleus ntawm lub paj hlwb discs - dab tsi yog nws: protrusion ntawm pulpous txheem nyob rau hauv cov kev taw qhia ntawm spinal kwj dej nrog ib tug sib txawv los ntawm lub chaw. Hom kab mob pathological no yog muab cais ua 2 pawg. Muaj ib tug laug-thiab sab-npaug ntawm tus niam tais ntsuab tawm, qhov tom kawg hom yog vim muaj kev sib txawv ntawm lub cev. Tej zaum cov neeg raug tus kab mob no tsis tshua pom muaj, nyob li ntawm 5% ntawm cov neeg mob ntawm tus kab mob vertebrist lossis neurologist.
Ventral protrusion
Qhov feem ntau ntau daim ntawv ntawm cov nyom ntawm osteochondrosis. Ventral los yog cov sab nrauv protrusion ntawm lub paj hlwb discs - dab tsi yog nws: protrusion ntawm fibrous nplhaib nyob rau hauv cov kev coj los ntawm rov qab mus rau lub plab mog. Hom kab mob no feem ntau tshwm sim asymptomatically thiab tsis tshua muaj kev kho mob. Ventral protrusion ntawm cov pob txha kho intervertebral tsis cuam tshuam rau cov leeg txha caj qaum lossis cov hlab ntsha. Nws tsis cuam tshuam rau lub zog ntawm lub plab hnyuv siab raum thiab tsis raug rau cov txheej txheem tiv thaiv kab mob.
Protrusion - cov tsos mob
Daim duab saib mob ntawm lub xeev tau qhia txog lub xeev no yog nyob ntawm qhov chaw ntawm protrusion ntawm lub pulpous nucleus. Herniated thiab protrusion ntawm cov paj hlwb intervertebral muaj cov kev qhia zoo sib xws, yog li kom tshab xyuas qhov kev sib txawv ntawm tus mob yuav tsum tau los ntawm ntau cov khoom siv thiab kev kho vajtse. Yog tias osteochondrocis nyob hauv ntau qhov chaw, nws yuav tsum tau ua ib qho kev sib nqus ntawm magnetic resonance ntawm sab nraum qab.
Protrusion ntawm lub hlwb pob txha ntawm cov ncauj tsev menyuam
Tiv thaiv cov pob txha ntawm lub suab fibrous ntawm sab nraub qaum rov qab ntawm qhov rov qab, muaj qhov qhia tau hais tias mob mob hauv cov cheeb tsam nram qab no:
- ob txhais tes rau tes;
- caj dab;
- tom qab ntawm lub taub hau;
- lub xub pwg nyom;
- taub hau;
- nyob ze pob ntseg lobes.
Yog tias qhov protrusion ntawm ncauj tsev menyuam nqaj qaum qhwv tau cuam tshuam rau cov hlab ntsha los yog keeb kwm, nws muaj nrog cov tsos mob ntxiv hauv qab no:
- tingling nyob rau hauv cov ntiv tes;
- kiv taub hau;
- periodic loog ntawm lub nquag;
- nkees;
- insomnia;
- ceev ceev qaug zog.
Protrusion ntawm qhov kev sib ncau
Lub xub ntiag ntawm lub plhaw taum ntawm qhov chaw nruab nrab ntawm lub nraub qaum kuj nce nrog mob siab heev hauv thaj tsam zoo li no;
- nruab nrab ntawm cov tshuaj ntaus mob;
- pliag tuam tsev;
- intercostal qhov chaw;
- lub xub pwg nyom thiab caj npab;
- plab.
Kev pov hwm ntawm thaj av hauv cheeb tsam - cov tsos mob ntawm ib qho dav dav:
- kev txhav nyob hauv taw;
- tsis muaj qhov qis ntawm qhov qaum;
- kev nyuaj siab ntawm kev xav, kev qaug zog ntawm qaum;
- tingling hauv siab (neeg feem ntau confuse nrog mob plawv);
- ua tsis taus pa;
- tsis muaj zog ntawm cov nqaij ntshiv ntawm cov pos hniav thiab sab hauv;
- qaug zog, nkees nkees;
- apathy;
- deterioration ntawm qab los noj mov.
Lumbar intervertebral disc protrusion
Cov tsos mob tshwm sim feem ntau yog nrog los ntawm prolapse nyob rau hauv cheeb tsam qis sab nraud. Lub protrusion ntawm cov kev kho mob intervertebral ntawm thaj chaw lumbar tau tshwm sim rau hauv daim ntawv ntawm excruciating mob mob nyob rau hauv cheeb tsam coj, uas muab nyob rau hauv lub ceg, ntau feem ntau yog ib txoj cai. Ntxiv nrog rau qhov zoo li no, muaj cov cim qhia ntawm pathology:
- nruj, ua tsis taus pa ntawm qis qis;
- tingling nyob rau hauv qab xib taws ntawm cov taw thiab cov ntiv tes;
- ua teebmeem ntawm kev zais zis;
- hloov kev voj voog, lameness;
- nce tsis kaj siab nrog qhov chaw siab, qaum thiab nqis los ntawm kev taw ntaiv, lwm yam kev siv lub cev;
- cem quav.
Protrusion ntawm txha nraub qaum discs - kev kho mob
Cov kev kho ntawm cov fibers puas ntawm fibrous rings muab rau ib qho zuj zus los tsim kev qhia. Txiav txim siab yuav ua li cas thiaj li kho cov pob txha caj qaum hauv qhov teeb meem no, yuav tsum yog ib tus kws kho mob paj hlwb lossis vertebrist los ntawm kev soj ntsuam sib txawv. Nrog rau kev nkag mus rau ib tus kws kho mob tshwj xeeb thiab xaiv txoj kev kho kom zoo dua li ntawm 90% ntawm cov neeg mob, nws yog qhov ua tau kom tiav qhov teeb meem tau piav.
Lub ntsiab txoj kev yuav ua li cas kho tau protrusion discs:
- noj tshuaj;
- physiotherapy;
- kho vajtse;
- lub cev qoj ib ce.
Cov kev kho kom zoo ntawm kev mob ntsws muaj xws li kev siv cov nram qab no pawg ntawm cov yeeb tshuaj:
- Nonsteroidal anti-inflammatory tshuaj. Ob lub cev thiab cov tshuaj hauv zos - Noj mov, Diklobene, Dolgit, Indomethacin, Ketonal, Nimesulid, Diclofenac thiab lwm tus siv. Xws li cov tshuaj muab kev pab tiv thaiv kom txhob muaj mob thiab ua rau lub cev tsis muaj zog, tiv thaiv kom tsis txhob muaj qhov qis qis .
- Painkillers. Hom tshuaj siv rau sab nraud thiab kev siv tshuaj yog hais txog kev kho mob ntawm cov kab mob. Cov npe siv tau - Midokalm, Ketanov, Butadion, Solpadein, Pentalgin, Olfen thiab cov kab uas zoo sib xws. Yog tias cov tshuaj, plasters, tshuaj pleev thiab lwm yam tshuaj tsis pab, blockades cov tshuaj, nrog rau cov txheej txheem intraosseous. Hauv qhov no, txoj kev ua kua tshuaj loog yog txhaj rau hauv lub cev. Cov kev siv tshuaj loog yog Novocain thiab Lidocaine, lawv cov lus thiab cov khoom siv.
- Cov leeg mob siab. Cov pab pawg no yog xav tau los so kom nruj cov tawv nqaij ntawm cov chaw uas puas lawm ntawm qhov qaum, ua rau lub cev nqaij thiab cov leeg qeeb. Nqa cov leeg muaj zog - Nqaij tawv nqaij, Nqis, Sirdalud, Muskis, Ua haujlwm, Tizalud, Ditilin thiab lwm tus.
- Cov Vitamins ntawm pab pawg B. Cov kev kho no pab rov qab kho cov trophism ntawm cov ntaub so ntswg, ua kom muaj zog ntawm cov txheej txheem metabolic thiab pab txhawb kom rov kho cov fibers puas ntawm lub nplhaib fibrous. Vitamins yog tshuaj feem ntau yog siv cov tshuaj ua kua, qee zaum cov ntsiav tshuaj tau pom zoo - Neurovitan, Cov tshuaj hlav, Neovitam, Angiovit, Gerimax, Kombilipen, Neuromultivitis, Trigamma thiab analogues.
Cov Physiotherapy muaj xws li:
- zaws;
- laser kho;
- hluav taws xob stimulation;
- sib nqus kho ;
- sov so;
- poob siab-yoj cav.
Txhawm rov muab cov pob disc rho tawm mus rau nws qhov chaw, kom tshem tawm ntawm cov hlab ntsha hauv cov hlab ntsha thiab qhov kawg, qhov txha caj qaum los yog cov traction qhuav feem ntau siv. Tus txheej txheem no tsuas ua rau cov chaw kho mob muaj ntawv tso cai rau cov cuab yeej tshwj xeeb xwb. Manipulation yog ua tiav hauv kev saib xyuas ntawm ib tus kws tsim tshwj xeeb.
Lub xeem theem ntawm kev kho mob ntawm protrusion thiab restoration ntawm mobility ntawm qaum yog lub cev ce. Kev tshawb nrhiav niaj hnub no tau ua pov thawj ua haujlwm ntawm yoga hauv qhov teeb meem nug. Nws yog ib qho tseem ceeb rau kev cob qhia txhua hnub thiab tas li, pib nrog ntau yam yooj yim asanas. Txhim kho qhov nyuaj ntawm kev qoj ib ce yuav tsum maj mam, tsis txhob cia qhov pom ntawm qhov hnov mob.