Lumbar osteochondrosis

Lumbar osteochondrosis yana daya daga cikin mafi yawan nau'o'in cututtuka na asali, osteochondrosis kanta. Lumbar osteochondrosis, bayyanar cututtuka wanda aka kwatanta daidai a cikin maza da mata, yana bayyana kansa a cikin nau'i na ciwo mai tsanani a cikin yankin sacral, wanda ke nunawa a cikin alamunsa a cikin ƙananan ƙafar ƙafa, wanda sau da yawa marasa lafiya ke bayyana kansa a matsayin "jijiya lumbar".

Gabaɗaya bayanin

Mafi sau da yawa, nau'i na osteochondrosis da aka yi la'akari yana tasowa a kan baya na raunin baya da kuma salon rayuwa; saboda haka, mutanen da ayyukan sana'a na musamman suka ƙunshi nauyin da ke shafar baya suna cikin haɗari ta atomatik don yiwuwar haɓaka wannan cuta. Kuma wannan ba wai kawai ma'aikatan ofis ba ne, waɗanda, ba shakka, suna cikin wannan rukunin, har ma masu ɗaukar kaya, masu gini, ma'aikatan sabis (masu jira, alal misali), direbobi, da sauransu.

Har ila yau, muhimmiyar rawa tana taka rawa ta hanyar gada a cikin mahallin la'akari da osteochondrosis na thoracic. A nan, ba yawa, ba kadan ba, amma game da 60% na yiwuwar yana samuwa idan cutar ta kasance a cikin dangi na kusa. Sauran suna rinjayar abubuwan muhalli wanda, zuwa mataki ɗaya ko wani, rinjayar kashin baya.

Lumbar osteochondrosis, kamar sauran nau'o'insa, yana da zafi na nau'i daban-daban na tsanani, wanda zai iya zama mai zafi, yana faruwa bayan barci ko kuma bayan kasancewa a matsayi ɗaya na dogon lokaci (lokacin zama mai tsawo, tsaye), da harbi da kaifi. A cikin sigar ta ƙarshe, sun taso ne sakamakon tsawaita ɗaukar matsayi mara kyau tare da rashin yiwuwar lokaci guda a cikin irin wannan yanayi na aiwatar da ayyukan da ke da nufin daidaitawa, ta haka ne ke kawar da irin wannan matsayi tare da nauyin da yake bayarwa. Hanyoyi masu raɗaɗi da kansu suna tasowa a sakamakon pinching a ƙarƙashin tasirin da ya dace na tushen jijiya, da kuma haushin jijiyoyi a cikin kashin baya, haushi na ligaments da tsokoki (mai da hankali a cikin yanki na innervation, wato, ainihin wurin jijiyoyi na yankin da ake tambaya wanda ke sarrafa shi) da kumburi.

Yana da mahimmanci a lura cewa a cikin keɓantaccen nau'in irin wannan nau'in osteochondrosis yana da wuyar gaske, sabili da haka galibi ana haɗuwa da yanayin cutar tare da alamun da ke tattare da osteochondrosis na mahaifa, wanda zamu yi la'akari da shi a cikin labarinmu na gaba.

Alamar gabaɗaya da farkon alama, masu dacewa ga kowane nau'in osteochondrosis, kamar yadda muka riga muka gani, shine bayyanar zafi, wanda a cikin wannan yanayin an ƙaddara ta takamaiman yanki, wato, jin zafi a cikin ƙananan baya. Za'a iya lura da yaduwar (radiation) na zafi zuwa cinya da gindi, da kuma kafafu (daga saman su).

Kalmar da aka yi amfani da ita don ayyana osteochondrosis a cikin sigar da ta fi girma (launi na degenerative-dystrophic), wanda ya dace da diski na intervertebral, a zahiri yana nuna mahimmanci a cikin bambance-bambancen bambance-bambancen yanayin yanayin cutar kai tsaye zuwa nau'ikan nau'ikan tsarin kashin baya (lambar kashin baya), wato fayafai, gidajen abinci da osteophytes. Matsalolin guda ɗaya waɗanda ke da alaƙa kai tsaye ga lalacewar diski sune haɓakar sa da ciwon discogenic. Nau'in osteochondrosis da wuraren maida hankali.

Bayyanar cututtuka na lumbar osteochondrosis

Fitowa a cikin wannan yanki na sha'awar mu yana tasowa sau da yawa; haka kuma, protrusions ne ke haifar da ciwo a cikin ƙananan baya. Yankin lumbar da kansa, da aka ba da wurinsa da fasali, ya fi dacewa da faruwar wasu matsalolin aiki.

Wato, idan muka yi la'akari da wannan sanarwa daga gefe ɗaya, zamu iya nuna cewa cibiyar mu na nauyi yana da alaka da yankin lumbar, kuma saboda haka, yana ɗaukar wani muhimmin sashi na lodi. Lokacin da aka duba daga wancan gefe, mutum zai iya lura da cewa gagarumin motsi na motsi, kuma, ya fadi daidai a kan wannan yanki na lumbar. Yin la'akari da wannan, mafi girman halin lalacewa (da kuma abubuwan da muke sha'awar) yana faruwa daidai a kan fayafai da aka mayar da hankali a cikin yankin lumbar. Bugu da ƙari, kada mu manta cewa canje-canje a cikin fayafai a cikin wannan kuma, ba shakka, wasu yankunan kuma suna faruwa a kan tushen tsarin lalacewa na shekaru.

Bari mu tunatar da masu karatunmu menene protrusion a zahiri. Haɗin fayafai da juna a cikin kashin baya an tabbatar da su ta hanyar fayafai dangane da ƙwayar guringuntsi. Babban abubuwan da ke tattare da diski na intervertebral shine tsakiya pulposus da zoben fibrous, ta hanyar da aka tabbatar da gyarawa a cikin diski na kashin baya. Tasirin wasu dalilai da yanayi suna haifar da yiwuwar fashewar wannan zobe, a kan bangon wanda, bi da bi, haɓakar tsakiya yana faruwa. A sakamakon wannan tsari, hernia yana tasowa. Amma ga protrusion, ya riga ya ci gaba a sakamakon irin wannan tsari, amma ba tare da rupture na zobe ba - a cikin wannan yanayin yana da sauƙi kawai kuma ba rushewa ba, saboda tsakiya yana fitowa kai tsaye ta hanyar zobe. A haƙiƙa, ana siffanta wannan fitowar a matsayin protrusion.

Dangane da bayyanar cututtuka na protrusion, yana bayyana kansa a cikin wadannan:

• jin taurin kai a cikin ƙananan baya;
• zafi a cikin yankin lumbar;
• ciwon baya na kullum;
• lumbosacral radiculitis;
• numbness, zafi, tingling a cikin yatsun kafa, ƙafafu;
• rashin aiki na urination (a cikin lokuta masu wuya na pathology a cikin tambaya).

Ana amfani da magani na ra'ayin mazan jiya don haɓaka fayafai na lumbar. A halin yanzu, haɓakar da ke da mahimmanci a cikin ci gaba sau da yawa suna tare da cututtuka masu tsanani waɗanda ke da tsayayya ga jiyya; a wannan yanayin, shiga tsakani ba zai yiwu ba.

Lumbar osteochondrosis: bayyanar cututtuka

Pain a cikin wannan nau'i na osteochondrosis yana bayyana kansa a cikin bambancin tsanani daban-daban. Don haka, waɗannan na iya zama ɓacin rai waɗanda ke fitowa musamman bayan barci ko kuma bayan dogon zama, ko kuma za a iya samun ciwon harbi mai kaifi a bayyanarsu. Bugu da ƙari, ana lura da bayyanar da ƙarshen a lokacin da ake ɗaukar matsayi mara kyau ba tare da ikon daidaitawa ba. Duk wani nau'i na ciwo yana da alaƙa kai tsaye da tasirin jijiyar jijiyoyi, kumburin tsoka, haushi da tsutsa wanda tushen jijiya ya bayyana. Har ila yau, ciwo yana haɗuwa da haushi na ligaments na lumbar a cikin yanki na innervation na ƙarshen jijiya.

Ƙara yawan ciwo a cikin ƙananan baya a cikin wannan nau'i na osteochondrosis ana lura dashi lokacin tari da atishawa, ciki har da lokacin motsin jiki (musamman lokacin lanƙwasa gaba).

Lumbar osteochondrosis kuma na iya bayyana kanta, ban da ƙananan ciwon baya, kuma a cikin nau'i na rikice-rikice na hankali da aka lura a wasu wurare (fata, ƙananan rabin jiki, tsokoki na ƙafa). Hakanan yana iya yiwuwa ƙwanƙwasa jijiyoyi a cikin ƙafafu su yi rauni ko su ɓace gaba ɗaya. A matsayinka na mai mulki, osteochondrosis ne wanda ke haifar da ci gaban curvature a cikin kashin baya na lumbar.

Dangane da takamaiman jirgin sama na ainihin curvature, osteochondrosis ya kasu kashi kamar haka:

• kyphosis - a cikin wannan yanayin, akwai raguwa na yankin lumbar, kuma sau da yawa ya dawo baya;
• lordosis - kashin baya yana lankwasa gaba;
• scoliosis - kashin baya yana lankwasa zuwa hagu ko dama.

Tsuntsaye tushen tushen da ke cikin kashin baya sakamakon ci gaban osteochondrosis a cikin yankin lumbar yawanci ana ƙaddara ta hanyar wasu takamaiman cuta, wato rashin lafiya ko rashin fitsari, rikice-rikicen da ke da alaƙa da hankali a cikin al'aura ko yankin perineal.

A matsayinka na mai mulki, ciwo yana bayyana (kuma yana kara tsanantawa) sakamakon tasirin da aka samu a lokacin aikin jiki. Ana iya lura da raɗaɗi mai raɗaɗi a cikin wannan yanayin duka bayan wannan nauyin da kuma bayan wani lokaci daga lokacin tasirinsa. Ainihin, gunaguni na marasa lafiya game da wannan batu sun gangara zuwa bayyanar rashin jin daɗi da ciwo mai zafi a cikin yankin lumbar, kuma a wasu lokuta yana haskakawa zuwa kafa, wanda aka bayyana a matsayin lumbodynia. Bugu da ƙari, ana iya samun gunaguni na ciwo a cikin kafa tare da ƙarfafawa lokacin ƙoƙarin ɗaukar wani abu mai nauyi (lumbago). Hakanan ya shafi atishawa da tari, tuƙi tare da girgizawa, canza yanayin jiki, da kuma zama a cikin yanayin jiki ɗaya na dogon lokaci.

A sakamakon cutar da cutar da ake tambaya, akwai tashin hankali akai-akai da bayyananne a cikin tsokoki na baya, wanda ke nuna kanta a cikin rashin iya aiwatar da ayyukan da ke nufin mikewa ko motsi. Duk wani motsi yana tare da ƙarin zafi. Bugu da ƙari, ko da mai haƙuri ya yi ɗan gajeren lokaci a cikin yanayin sanyi, yana jin zafi mai tsanani (wanda kuma aka bayyana a matsayin "lumbago").

Alamun lumbar osteochondrosis kuma suna bayyana a cikin masu zuwa:

• raunin hankali a cikin cinya, gindi, ƙafafu, da ƙafafu (wanda aka lura da ɗan ƙasa akai-akai);
• spasm na arteries na ƙafafu, ƙãra sanyi kafafu;
• tingling jin dadi a cikin kafafu, "goosebumps";
• bawon fata da bushewar fata a wurin da yawanci ana rasa jin daɗi ko jin zafi;
• ciwon gumi.

Mafi m rikitarwa da ke faruwa a kan bangon osteochondrosis shine rashin zaman lafiya na vertebral, wanda diski ya daina gyara vertebra da kyau. Wannan, bi da bi, yana haifar da "zamewa" a ƙarƙashin rinjayar nauyi na yankin lumbar daga sacrum lokacin da aka sanya kaya a kan yankin lumbar. A sakamakon haka, ba kawai rashin jin daɗi na iya tasowa ba, amma hargitsi masu haɗari da ke shafar aikin gabobin ciki. Tsarin genitourinary "yana shan wahala" musamman; wannan yana bayyana kansa a cikin maza a matsayin matsaloli tare da ƙarfi, kuma a cikin mata a matsayin matsalolin da suka shafi appendages, mahaifa da ovaries.

Bayyanar cututtuka na lumbar osteochondrosis

Dangane da mafi cikakken rarrabuwa, an gano adadin takamaiman cututtukan da suka dace da lumbar osteochondrosis. Musamman, wadannan sun hada da wadannan cututtuka:

• reflex syndromes - wadannan sun hada da lumbar ischalgia, lumbodynia da lumbago;
• cututtuka na radicular - vertebrogenic (ko discogenic) sacrolumbar radiculitis, hanyar da aka fi sani da lalacewa ga tushen sacral na farko ko tushen lumbar na biyar;
• radicular-vascular syndromes - radiculoischemia bayyana kanta a matsayin wani tsari na jijiyoyi matsa lamba (musamman, veins ko arteries suna batun matsawa), yayin da matsawa da aka yi lokaci guda tare da tushen.

Bari mu ɗan fayyace abin da aka jera ciwon.

Lumbodynia musamman ma, yana nufin ciwo mai tsanani wanda ke faruwa a hankali bayan dogon lokaci na ɗaukar matsayi maras kyau tare da jiki ko bayan dogon zama, da kuma bayan tasirin da aka yi a jiki da kuma wani yanki na musamman bayan aikin jiki.

Lumbago yana bayyana kanta a cikin nau'i na ciwo mai tsanani na lumbar, wanda aka kwatanta a matsayin "lumbago"; lumbago yana faruwa ne lokacin ɗaga abubuwa masu nauyi ko lokacin da motsi bai yi nasara ba. Wani lokaci kuma ana lura da lumbago bayan tari ko atishawa.

Cututtukan da ke tare da lumbar osteochondrosis

Lumbar osteochondrosis yana faruwa ba kawai a hade tare da ciwo da sauran alamun da aka lissafa ba, amma har ma a hade tare da wasu cututtuka na gabobin ciki.

Don haka, game da fiye da 30% na marasa lafiya da alamun asibiti da suka dace da lumbar osteochondrosis lura da kasancewar wasu matsalolin da ke hade da hanta ko ayyuka na gastrointestinal tract. Gaskiyar ita ce kasancewar wata cuta ta musamman na gastrointestinal tract, pancreas ko hanta yana tsokani, tare da raɗaɗi mai zafi, tashin hankali a cikin tasoshin jini da tsokoki da spasm, wanda ke haifar da yanayin yunwar iskar oxygen tare da haɓakar lokaci guda na tsarin degenerative a wasu sassan jiki. Tsarin yana kara tsanantawa ta hanyar rikice-rikice na rayuwa, wanda ke cikin wannan nau'in cuta.

Bugu da ƙari, kamar yadda muka gani a baya, ƙananan ciwon baya na iya haifar da ci gaban cututtuka a cikin gabobin pelvic. Mata na iya fuskantar wata cuta irin su kumburin appendages (wanda aka bayyana a matsayin adnexitis), kuma maza, bi da bi, sun fuskanci duk "jin daɗin" na prostatitis, wato, kumburi na prostate gland shine yake.

Bayyanar cututtuka na lumbar osteochondrosis kuma suna tare da abubuwan da suka faru a cikin pelvic yankin, wanda ke tasowa a sakamakon cututtuka na sama, ciki har da colitis na kullum, basur da maƙarƙashiya.

Magani

Mafi yawa, maganin osteochondrosis yana da yawa kuma yana da rikitarwa a cikin aiwatarwa. Galibi duk matakan jiyya suna zuwa ga abubuwa masu zuwa:

• maganin miyagun ƙwayoyi;
• idan ya cancanta, maganin tiyata;
• abinci;
• gyaran jiki.

An tsananta cutar yana buƙatar, da farko, mai haƙuri ya zauna a gado. Babban shawarwarin wannan bangare shine wurin barci mai wuya/ wahala. Hare-haren da ake furtawa suna buƙatar ƙarancin motsa jiki da kuma yin shawarwari cikin gaggawa tare da ƙwararren da ya dace. Bayyanar bayyanar cututtuka da ke nuna yiwuwar dacewa da osteochondrosis na lumbar yana buƙatar tuntuɓar likitan jijiyoyi.