Protrusion: chii? Disc protrusion: kurapwa

Protrusion chirwere nevakawanda, zvinotora muchimiro dystrophic zvirwere munyika intervertebral discs kuti kukonzera kudzikisirana yavo. Kazhinji, chirwere chinowanikwa muna 80 muzana yevagari pamusoro makore 30.

Protrusion - chii

The chirwere, pakutanga kwezvose, kunoratidza kuchinja kukuru mune locomotor mugadziriro. Zvikurukuru, chirwere ichi ane migumisiro rimwe nzendo chemajoini.

Muchiitiko chino, protrusion - ndiye kutanga chimiro munhu herniated Disc. Chief wayo wokutanga chiratidzo riri kurwadziwa Munzvimbo. The misha Zvifambiso vane kudyidzana pamusoro musana nemidzi uye musana pachayo.

Kana munhu haisi nguva kukumbira rubatsiro kupfungwa yokurapa, izvozvo ngozi kuwana chirwere chakakomba zvikuru - ane intervertebral heniya, iyo pakupedzisira vachava zviipe nemigumisiro. Uyewo, iyo protrusion pamusoro nomuzongoza, izvo pachamera kuva heniya, zvakaoma zvikuru kubatwa uye ngozi zvikuru utano hwevanhu.

Education protrusion

The chidzoke imwe protrusion pamwe chinopedza kuchinja fibrous chindori ari intervertebral discs, kureva, mune mamwe mazwi, kuchinja mamiriro avo, elasticity wakarasika, saka kuti denderedzwa iri flattened uye makabuda mhiri vertebrae. Asi zvinokosha kufunga kuti fibrous Disc anochengetedza chimiro chayo uye kuvimbika, saka kuti musimboti pulposus anoramba mukati.

musana protrusion angava zvinoverengeka kwevari kunzwisisa:
1. Flexing of 0 kusvika 3 mm haakonzeri chero zvakanaka manzwiro, uye haana nemigumisiro;
2. Protrusion kubva 3 kusvika 5 millimeters - mamiriro iyo kunowanzoguma zvakanaka uye kakawanda kurwadziwa. Kunyanya vanoratidza pachavo kwazvo chaiko nesimba.
3. Flexing kubva 5 millimeters - State ichi anoonekwa kare sezvo intervertebral heniya.

The zvinokonzera protrusion

To musi, kuziva zvinokonzera huru dzakawanda kuti tipedzisire pakuonekwa protrusion yacho lumbar nomuzongoza. zvikonzero izvi zvinosanganisira:

• unreduced mamiriro;
• kushomeka Kugadzirwa dzakaonda muviri mamiriro;
• nemagene kubatwa;
• kufuta;
• kukundikana metabolic dzinotsanagura nhengo;
• zera kuchinja;
• huru unsustainable kwakakanganisa shure kwako uye muzongoza;
• kuvapo kwazvo zvirwere muviri.

Sezvambotaurwa, vakawanda zvirwere mamiriro ndivo protrusion chaizvo. Chii, zviri pachena kuti vose, asi vanhu vashoma vanoziva sei kudzivisa panowanikwa chirwere ichi.

Pavaipfuura inotungamirwa miganhu

To musi, vanachiremba vakaona kuti pane matanho anoverengeka paumbwe dzakawanda:

1. In wokutanga danho nayo collapses 70% of maumbirwo intervertebral dhisiki (dhisiki). Vanorasikirwa elasticity dzavo uye makatsemuka vari fibrous mumuhara. Danho iri rinowanika inopinza vemunyika marwadzo Munzvimbo.
2. Danho rechipiri maperembudzi dzinoratidzwa Disc protrusion. Saka neerekitironi pulposus inodedera kubva pakati kusvika kumucheto saizvozvo ruoko kuti fibrous Disc tishu. Panguva iyi, kuti Disc bulges kuti 2-3 millimeters, naizvozvo hakutombonzwiki marwadzo uye kusagadzikana kwepamuchinjikwa chikamu.
3. Wokupedzisira chikuva dzinoratidzwa simba protrusion pamusoro musana Disc. Muchiitiko chino, pane atsamwira dhisiki uye fibrosis inotungamirwa musana herniation anogona kuitika marwadzo Munzvimbo uye kugamuchira siyana chetsinga zvinetso, zvakadai chiveve.

kupatsanura pakati miganhu

Zvinozivikanwa kuti chimwe chezvinhu zvakafanana zvirwere nomuzongoza vari miganhu. Chii uye chii vari zvinangwa zvavo - zviri pachena. Ngationei, maperembudzi Classified maererano zvimwe parameters.

Saka protrusion iri Classified ne mhando, mhando uye nzvimbo dzakawanda.

1. By mhando dzakawanda dzinoiswa sezvo dzeraundi uye diffuse.

• Diffuse protrusion - mufananidzo chirwere. With kwakadai Disc bulges vanoiswa. Kana nguva asingadi kurapa chirwere ichi, zvino pakupedzisira zvichakutungamirira kune vakaremara uye vakaremara.
• The raundi protrusion - apo intervertebral Disc bulges kunze zvakaenzana. With kwakadai Neural vanotaura kunoitika kuti hunokonzera kukura chetsinga zviratidzo - panowanikwa marwadzo nezvekufadza, tsinga chiveve maoko nemakumbo.

2. protrusion lumbar protrusion vakakamurwa mhando:

• The nechepakati protrusion (evaMedhia) - protrusion kunoitika kune nepakati musana mugero. Kazhinji, izvi Chirwere asina kuratidzwa, asi ndiwo mukana mukuru, nokuti zvainoita musana kungaita undesired oparesheni.
• The rwemberi protrusion - diverticulum intervertebral Disc rinobva mudumbu kumashure. Kakawanda, mhando iyi inokanganisa pamusoro musana, iyo inotungamirira nokuvhiringidzirwa ayo functionality. Zvinofadza kurwadziwa Munzvimbo, kutsinga dzinouya zvirwere, mune zvimwe zviitiko, kutyora functionality ari pelvic zvomukati.
• Side protrusion (lateral) - Disc bulges vari kurudyi kana kuruboshwe divi chokuita nomuzongoza. Anogona kuva chikonzero musana midzi. Kusvikira panguva iyoyo, kusvikira haringapiwi kukanganisika tsinga, chirwere haana zviratidzo.
• Posterolateral intervertebral protrusion (posterolateral) - protruded intervertebral discs shure kutsigira uye kurudyi kana kuruboshwe divi. Ruvengo kusakarongeka ane pamusoro midzi uye musana marongerwo. Kusvikira nguva kukanganisa yomupfungwa hapana zviratidzo.

3. Tinosiyaniswa chirwere nzvimbo: remuromo, thoracal uye lumbar protrusion.

Protrusion of remuromo muzongoza

Protrusion of remuromo nomuzongoza iri kazhinji kutungamirira kukudziri- zvakasiyana siyana nemamwe matambudziko kukonzera overloading pamusoro nomuzongoza. Mhedzisiro ichi chingaitika paumbwe dzakawanda itsva, uye somugumisiro - kukura kuva herniated Disc. Zvinotevera zvingaratidza chiratidzo kuti chidzoke chirwere ichi:

Local kurwadziwa mutsipa, chirwere kana rikwanise hunhu.

• Kurambidzwa mutsipa mufambo.
• Kuratidzwa nomusoro, dzungu.
• Marwadzo zvichiratidza pasi ruoko.
• Chiveve uye tingling mumaoko.
• Kuneta mukati tsandanyama pakati pamafudzi ake.

Protrusion pamusoro thoracal Disc

Nemhaka skeletal dzevanhu sechivako protrusion iri thoracal nharaunda iri kukura kushoma chaizvo. The pakuonekwa chirwere ari thoracal nharaunda zvingaratidza zvinotevera zviratidzo:

• Chirwere kana kurwadziwa munzvimbo thoracal munzvimbo nomuzongoza, kusagadzikana.
• Marwadzo ari intercostal nzvimbo kana pakati pamafudzi mashizha.
• Tingling mudumbu uye muchipfuva, muzvidimbu chiveve uye kutyora nehanya.
• Kukundikana nezviremera, izvo dziri Munzvimbo (mwoyo, chitaka).
• Kuneta mukati abdominal netsandanyama.

protrusion kuti lumbar

Zvinozivikanwa kuti hosha iri rakajairika iri lumbar nomuzongoza. Izvi imhaka yokuti uyu munharaunda musana kunoramba vachibatwa yakakwirira simba uye kunofambira mberi mutoro. Protrusion pamusoro lumbar nomuzongoza chinonyanya kunowanzoguma:

Chirwere uye kurwadziwa mukati lumbar nharaunda.

• Kuvapo anorwadza nezvekufadza uye akasungwa ari lumbosacral munharaunda.
• Chisiri Sciatica.
• A chiratidzo chokusava nesimba makumbo.
• Kutyora nehanya wacho nhengo dzomuviri - chiveve, kunzwa "nembambo uye tsono" tingling.
• The chidzoke kurwadziwa zvichiratidza kupinda makumbo mumwe kana vaviri.
• Mune zvimwe zviitiko, ingava kutyora mabasa Urinary uye nhengo dzokubereka nadzo.

symptomatology protrusion

Zviratidzo chirwere ichi vari zvakananga novimba chii chaizvoizvo ari Disc wakaremara. Asi kusvikira iyoyo, kusvikira pane pinched Disc siyana musana tsinga, kuti protrusion anogona kuva pasina zviratidzo.

Kazhinji, kuti miganhu zviratidzo anogona nguva dzose kuonekwa nedzimwe simba, zvose zvinoenderana sei chichabviswa achiita maererano musana uye tsinga kuvhiringidzwa intervertebral Disc. The inonyanya chiratidzo ndiyo protrusion chakakomba marwadzo Munzvimbo, izvo pakupedzisira zvinogona kutungamirira havachanyatsogoni nehanya.

Uyezve, unogona zvakare kutsanangura zvimwe zviratidzo kuti zvingaratidza kuvapo protrusion:

• Chirwere kana kurwadziwa Munzvimbo (mutsipa, shure, thoracal muzongoza).
• Kuvapo dzinotama uye aitaura marwadzo.
• Kuratidzwa Sciatica.
• Kurasikirwa elasticity pakati tsandanyama uye kwakaderera ari tsandanyama wemuTesitamende sei nzvimbo.
• kufirwa aikanganiswa ose yoga okumusoro migumo.
• Kuvapo tightness uye unopfuta ari hosha chikamu.
• Kwakaderedza aikanganiswa kunzwa, chiratidzo, zviratidzo zvakafanana nomusoro, dzungu.

Kakawanda dzakaora intervertebral discs

Kakawanda pane imwe protrusion pamusoro Disc L5, L4 / S1, sezvo discs aya pasi kumukuru kushushikana kana kuita chero chinhu. L5, L4 - izvi musana intervertebral discs, izvo dziri munzvimbo lumbar nharaunda. Kana kusimudza zvinhu, kana apo akagara kunoitika kumanikidza zvikuru pamusoro discs, izvo hunokonzera kudzikisirana. S1 - the nemotokari mapfupa pelvic, izvo kakawanda pachena kushushikana wokutanga. Nezvikonzero izvi, discs izvi kunowanzoitwa dzakaora.

Sezvo tsika zvinoratidza zvaioneka zviratidzo protrusion makore anosvika 30 pane zvishoma, zvinoreva vose simuka nokuti pashure zera iroro, sezvo panguva iyi vanhu muviri pachena kuti vakawanda mukukurukurirana kuti vane inokanganisa utano hwake.

chirwere chirwere

Diagnostics kana protrusion zviratidzo kazhinji chinotanga kuongorora kupinda chiremba murwere mumuviri. Kuti aite izvi, vanachiremba kushandisa dzinotevedzana Chinyorwa miedzo, hunoita kuti havatsananguri zvakakanganisa nzvimbo. Kana uchifungidzira munhu musana protrusion murwere basa mamwe miedzo - Ultrasound, MRI, CT, EMG, maekisirei uye zvichingodaro. Maekisirei kuona kukomba kwechirwere chacho, MRI - kugadza compression pamusoro etsinga tsapo tsinga fibers uye kwakakura kukuvara kunobatsira kuziva EMG.

mabatiro

Kubva apa zvinogona vakagumisa kuti protrusion - vakawanda chaizvo uye ngozi utano ezvinhu. Naizvozvo, tinofanira kubatwa pasi pokudzora kuvarapi ruzivo.

Mabatirwo protrusion anomirira zvakawanda nokurapwa siyana. Vanofanira akagadzirirwa kuderedza marwadzo, kuzvimba munyama, kuzoita gwenya nerevane aikanganiswa normalization.

Kuti kukanganwa kuti protrusion kwakadaro, marapirwo anofanira kuitwa tichibatsirwa mishonga siyana. Nokuti kwakakwana mushonga kupora uye nhasi pane analgesics siyana, tsandanyama relaxants, Anti-anogumbura zvinodhaka.

Zviri inobatsirawo zvikuru pakurapa chirwere ichi ane masaja chaiyo inogona kuitwa zvikuru chete vanokwanisa nenyanzvi.

Nzira kudzivirira protrusion

Sezvataurwa pamusoro apa, kumwe nokukarudza zvirwere zviri miganhu. Chii, uye sei vanoonekwa, atova pachena. Asi pane nzira yekudyidzana anogona kuderedza mukana chirwere ichi.

Nyore zvokufungidzira kuti lumbar protrusion kakawanda kunoitika nokuda deformation ari intervertebral Disc, saka unofanira kugara kusimbisa musana achitamba mitambo ake, okuti mitambo. mutambo uyu anokurudzira tsandanyama uye shwashwa, izvo chaizvoizvo abate yose marongerwo uye musana.

Mhedziso: Chimwe nevakawanda zvirwere kumashure, izvo nhasi anorarama munhu wose wechipiri ane protrusion. Kurapa chirwere ichi zvinokosha, kuitira kudzivisa kunorwadza musana kurwadziwa, chiveve muruoko wamativi, kutemwa nomusoro, uye kutenga basa rakanaka, kuzorora uye kurarama chinoshingaira mararamiro.