Herniated Disc L5 S1: zvichibvira yematambudziko uye nzira kurapwa

Heniya ari intervertebral Disc ari protrusion kana kurasikirwa ayo zvimedu ari musana mugero. Inokudziridza nokuda chinopedza Disc chirwere kana kukuvara. Flexing anogona kutsamwisa compression tsinga fibers.

anatomi

Munguva nomuzongoza, munhu wacho zvinhu zviri chokuita mumwe nokuda discs. zvivako izvi zvine mumwe arambe achirema uye ichisanganisira kwakavharwa nenyama core. It riri nechepakati chikamu disk. Musimboti iri takapoteredzwa yakasimba zvindori inoumbwa connective tishu. Intervertebral discs dzakabatanidzwa padanda mukana wokushandiswa uye simba. Vamwe zvirwere kutsamwisa kuparadzwa zvinhu izvi. Somugumisiro, vakaumba heniya.

Kupararira

Kakawanda, hosha iri vanhu makore 25-50 ekuberekwa. In vakwegura heniya hariwanikwi. Izvi imhaka yokuti zera-kufanana kuchinja zvinhu kuderedza mufambo kwayo. Children miganhu tiri kuumbwa zvisinganyanyi kuitika. Kazhinji, chirwere mangwanani iri vachiberekwa.

zvinokonzera

The chikuru precipitating zvinhu zvinosanganisira kukundikana siyana panguva metabolic, zvirwere maronda, kururama mamiriro, kukuvara, pasi musana marwadzo. Kazhinji, kukura munhu herniated Disc achabatsirwa kuwedzera nevezera mukati Disc. Fani iyi inogona kukonzerwa siyana zvinokonzera. In pamberi panowanikwa chemajoini aigona nokuda herniated vachisimudza negiravhiti. Zvinhu Risk zvinosanganisirawo kwakawedzera muviri uremu. With huru kurema ndiwo zvakawanda vomanikidza nomuzongoza. Makumbo nevamwe zvinhu zvakawedzera mutoro. Nokufamba kwenguva, vaparadzwa. Mumwe rokutanga pathological ezvinhu kwamakanga zvinonzi herniated Disc L5 S1. Diverticulum rinogonawo kuumbwa unopinza chijana kusvikira kurutivi hunde.

localization

The mutoro mukuru chirwere lumbar nomuzongoza. Nekuti kazhinji protrusion achiumbwa dhipatimendi ichi. Vaiona zvisingawanzoitiki dzenguva chitarisiko zvokurwara muna remuromo uye thoracal zvikamu.

Herniated Disc L5 S1: Description

In chidimbu ichi, mumwe protrusion aumbwa kakawanda. Kazhinji, herniated Disc L5 S1 kunosvika kune nzvimbo dzakapoteredza. zvokurwara Izvi zvinoratidza kuti protrusion ari musimboti pulposus yauya (kana iri kutanga kwekupwanyiwa) pakati rechishanu lumbar uye vokutanga sacral okunze. Zviri munharaunda iyi chakaratidza mutoro mukuru uri nomuzongoza panguva kwebasa munhu. Herniated Disc L5 S1 angava mugumisiro kukuvara kana chirwere. At chenguva chaiko kunetseka Zvinhu Zvinoipisisa.

yematambudziko

Heniya L5 S1 Disc angava ari azara. Izvi zvinoomesa kurapa kwazvo uye inowedzera yaro refu. In pamberi zvisingagadziriswi zvinhu uye zviratidzo muedzo zvokurwara herniated Disc L5 S1 anogona kuva kwakaoma nokuda co-morbidities. Zvikuru kukosha ndiyo nzvimbo protrusion. Also herniated Disc L5 S1 angaperekedzwa vanoverengeka yematambudziko kuti anokonzerwa nomumwe zvechadenga muviri. Nekuti yomunyika kumanikidzwa munharaunda iyi kungawedzera matambudziko simba axial mutoro. It zvinoomesa kurapa paramedian herniated Disc L5 S1. C iri pakati disks pamusoro nguva kana pasi pokudzora kuzvivako zviri zvingakonzera kutanga kuparadza anulus. Maererano vanotsika protrusion ari musimboti pulposus, uye zvichienderana anatomical zvarakasiya kubva dzemunharaunda dzakapoteredza zvinyama zvichava zvakasiyana uye marapirwo.

kupatsanura

In rechishanu lumbar uye vokutanga sacral zvinhu longitudinal Anterior shwashwa akasimbisa zvakakwana simba. Izvi zvinoita yokudzivirirwa intervertebral Disc mamiriro. Maererano protrusion ichi kunogona ipazwe mhiri. Posterior longitudinal shwashwa ane yakaderera elasticity. Nokuda kwaizvozvi, zvinonyanya kubatwa kukuvara. Somugumisiro, mashoko budiriro aumbwa dorsal herniated Disc L5 S1. Flexing muchiitiko ichi angava marudzi maviri. Zvikurukuru pane medial herniated Disc L5 S1. Panyaya iyi, iyo protrusion chaitika munzvimbo muMedhia akapiwa mutsetse. mhando iyi nechirwere nyanzvi anoisa, kana hernial nokuumbwa rakapinda kupinda intervertebral makomba. Rinotanga kuderedza, uye masvingo ose dural zai vari akaremara. Uyewo kuona paramedian heniya. Muchiitiko ichi pane curvature ari mbiru skolioznogo mhando. The deformation rinowanikwa mune dzimwe nhungamiro kubva miganhu.

kurapa Features

Kwakandiomera vari kubatwa posterior Disc herniation L5 S1. Zviri nyore zvikuru kuti aite zviyero kuchirapa kana kumberi protrusion. Kazhinji zvokurwara vanobatana comorbidities. Ivo yekudyidzana omesa mashoko navanachiremba mufananidzo uye haizopereri dambudziko intervertebral heniya. Pakati comorbidities anowanzodanwa akaratidza antespondilolistez, retrospondilolistez, unkoartroz. The pamazita pathologies zvinogona wakawedzera spondylitis. Vanewo kakawanda achiperekedzwa munhu herniated Disc L5 S1. Treatment Muzviitiko idzi zvainanga noWokumusoro zviratidzo complicating zvirwere. Pakati humwe chirwere anowanzodanwa chirwere osteochondrosis.

Kukosha mangwanani vasabatwa zvirwere

Izvi pacharo protrusion zvakakwana kunogona nyore zvachose. Pano zvinokosha kutanga kurapwa kuti intervertebral heniya. Panyaya iyi, hatifaniri kunonotsa kushanya kwachiremba. Zvisinei, kazhinji akaonekwa vane azara chirwere. Mumwe kana mamwe nzira kurapa anosarudzwa zvichienderana navanachiremba mufananidzo, izvo pamwe ne herniated Disc L5 S1. Kunokwanisa zvose kuchinja uye kushanda. The kuvhiya chidobi inoshandiswa nguva refu uye panowanikwa zvakakomba yematambudziko.

protrusion

Ichi chimwe chezvinhu kakawanda matambudziko ose, iro pamwe chete herniated Disc L5 S1. Treatment kana ino yakaoma. Protrusion huri pamusoro iyo waivapo kuchinja ari musimboti pulposus. Panyaya iyi, rin'i fibrous anoramba kuvimbika kwayo. Disc pachayo kana protrusion inogona misha 6 mm. The pathological Mamiriro angava pakubhadhara anoverengeka. Kunyanya, with:

• tenderera protrusion. Muchiitiko chino, pane yunifomu kuwedzera uye intervertebral Disc. Circular mhando zvokurwara kunokwanisa kuonekwa kakawanda.

• Media protrusion. Zvinonzi dzimwe nguva kuvhiringidzwa rumwe rudzi miganhu - SHmorlja heniya. Nokuti mamiriro ichi kunoratidzwa kuwa pamusoro vakananga nepakati musana mugero.

• dorsal protrusion. protrusion ichi angaperekedzwa kusunga zvemamiriro tsinga.

• Diffuse protrusion. Panyaya iyi, kukuvara dhisiki kunopfuura 40%.

• foraminal protrusion. Panyaya iyi protrusion kunoitika nenzira iri intervertebral gwara. Zvinonzi Wakacherechedza kukanganisa wechishanu lumbar nomuzongoza.

• paramedian protrusion. Nokuti akapiwa pathological mamiriro dzinoratidzwa kusunga tsinga mudzi wokutanga sacrum. Hazvibetseri protrusion mune iyi, nechepakati ari musana mugero.

• Joint protrusion. Panyaya iyi, iyo lesion kunokwanisa kuonekwa mawa vertebral zvikamu zviviri.

sequestered dzidzo

chimiro ichi anonzi kupfuura ngozi. Inokudziridza panguva kukurumidza kana zvisiri dambudziko extrusion. Ndiro danho panguva iyo musana kuti normalize upenyu basa pasina kuvhiya zvakaoma. Against pakanyorwa sequestered dzidzo vari kutyora sacral tsinga nemidzi uye lumbar. Pamwe chete lesion ichi kunosvika padenga fibers yaidzika achitevedza musana mugero. In vanhu, mamiriro ichi anonzi "Kaudha equina chirwere".

zvekuchipatara mufananidzo

At kwokutanga matanho murwere atange kunokanganisa marwadzo vomunharaunda hunhu, vemunyika Munzvimbo. Nokufamba kwenguva, vachange dzakagoverwa pamusoro buttock. Kuwedzera marwadzo kunoitika apo mutoro kuwedzera kana kufamba. Kana simba marwadzo kukanganisa tsinga fibers vanotanga kupa mu nebandauko. Murwere Uchanzwa Kushatiswa nehanya munharaunda apo "vakaita" zvakadzipwa tsinga mudzi. Pane chiveve pamakumbo kana kutadza runoenzanirana hunenge. Zviratidzo akadaro kunyanya unhu dorsal protrusion. EvaMedhia kuwa pamusoro anogona tsonyera tsinga fibers kunonyanya kukosha. Izviwo, kazhinji kutsamwisa kuvhiringidzika pelvic mashandiro. Untreated gumbo rutivi rwomuviri zvingaitika. Kudzivisa matambudziko akadaro unyanzvi varayire kuvhiyiwa.

kuchirapa matanho

protrusion kurapwa kuitwa nzira vaviri kuchinja uye kushanda. Traditional kurapa kunosanganisira kutora non-steroidal Anti-anogumbura zvinodhaka. Izvi zvinosanganisira Somuenzaniso, munowanika "naproxen" kana "Ibuprofen". Uyewo ari kunzwisisa zviri kuchinja matanho anosanganisira physiotherapy. It ndehwokuti kusunungura tsvikinyidza midzi uye musana Kudzikamiswa. Kune dzinokosha zvivako kurovedza vari ndakarumbidzwa varwere. Pakutanga zvinogona nemateru anononoka dzakatenuka. Panguva exacerbation yakarumbidza 2-zuva mubhedha zororo. Kwenguva nhema hakufaniri, nekuti zvingaoma kuwanazve. Kana pasina mugumisiro pashure kuchinja matanho vaishandisa ishande nzira. Kuvhiya rinowanzova nokukurumidza uye kwenguva refu kubvisa chirwere. Zvisinei, kuti zvinobvira wava kusvutazve.