Herniated Disc L5 S1: omume nsogbu na ụzọ nke ọgwụgwọ

Hernia na intervertebral diski bụ a protrusion ma ọ bụ ọnwụ nke ya iberibe na spinal kanaal. Ọ na-amalite n'ihi degenerative diski ọrịa ma ọ bụ mmerụ ahụ. Flexing nwere ike kpasuo mkpakọ nke akwara ozi.

mmewere

Na ọkpụkpụ azụ, onye ọcha na-jikọọ ọ bụla ọzọ site discs. Ndị a owuwu nwere ihe ụfọdụ na njupụta na-agụnye onye na-agbanwe isi. Ọ na-emi odude ke Central akụkụ nke disk. Ntọala gbara a sturdy yiri mgbaaka kpụrụ connective anụ ahụ. Intervertebral discs mmasị a osisi mgbanwe na ike. Ụfọdụ ọgwụ ọnọdụ akpasu mbibi nke ndị a ọcha. N'ihi ya, kpụrụ a hainia.

njupụta

Ọtụtụ mgbe, ọrịa na-egosi na ndị mmadụ 25-50 afọ. Ndị agadi hainia bụ obere. Nke a bụ n'ihi na eziokwu na afọ metụtara mgbanwe ọcha belata ya agagharị. Children protrusions na-kpụrụ nnọọ obere. Dị ka a na-achị, n'oge ọrịa congenital.

akpata

Isi precipitating ihe na-agụnye iche iche ọdịda n'oge metabolic, na-efe efe ọnya, na-ekwesịghị ịdị postcho, unan, ala azụ mgbu. Dị ka a na-achị, na mmepe nke a herniated diski na-esonyere na-abawanye na mgbali n'ime diski. Nke a na onu nwere ike triggered site iche iche na-akpata. Na ọnụnọ nke omume nke osteoarthritis nwere ike ịbụ n'ihi na herniated ebuli ike ndọda. Ihe ize ndụ ihe na-agụnye ụba ahu aro. Na a nnukwu ibu bụ a ọtụtụ nsogbu na spain. Wheels na ndị ọzọ ọcha amụbawo ibu. N'ime oge ahụ, ha na-ebibi. Otu n'ime ihe mbụ nke enweghị nchịkwa ọnọdụ ebe ọ na-herniated diski l5 S1. Diverticulum nwekwara ike kpụrụ na a nkọ n'aka n'akụkụ ogwe.

orunótu

Ihe kasị ibu arịa lumbar spain. N'ihi na mgbe mgbe a protrusion guzobere a ngalaba. Weere obere okwu ọdịdị daa ọrịa na cervical na thoracic agba.

Herniated diski l5 S1: Description

Na nke a nke, a protrusion a kpụrụ ọzọ mgbe. Ọtụtụ mgbe, herniated diski l5 S1 n'ebe ndị gbara ya gburugburu ebe. Nke a daa ọrịa na-egosi na protrusion nke ntọala pulposus ka mere (ma ọ bụrụ na nke a bụ mbụ ogbo) n'etiti ise lumbar na mbụ sacral ọcha. Ọ bụ na ebe a kara akara kasị ukwuu ibu na ọkpụkpụ azụ n'oge ije nke onye ahụ. Herniated diski l5 S1 nwere ike a n'ihi mmerụ ma ọ bụ ọrịa. Mgbe mgbe nile ahụ nchegbu Ọnọdụ ahụ Aka Njọ.

nsogbu

Hernia l5 S1 diski nwere ike ịbụ na ihe dị elu ogbo. Nke a ukwuu sikwuoro na ọgwụ na enwekwu ya oge. Na ọnụnọ nke ha na-edozilighị ihe na mgbaàmà nwee ume daa ọrịa herniated diski l5 S1 nwere ike mgbagwoju anya site na ngalaba-morbidities. Of otu dị mkpa bụ na ọnọdụ nke protrusion. Ọzọkwa herniated diski l5 S1 nwere ike so a ọnụ ọgụgụ nke nsogbu na-kpatara onye e ji mara nke organism. N'ihi nrụgide na mpaghara ebe a nwere ike mmetụta siri ike axial ibu. Ọ sikwuoro ọgwụ paramedian herniated diski l5 S1. C dị n'etiti diski karịrị oge ma ọ bụ n'okpuru nduzi nke a mgbagwoju nke ihe ndị nwere ike na-amalite mbibi anulus. Dị ka kwụpụ protrusion nke ntọala pulposus, na-adaberekwa na anatomical deviations si norms gburugburu anụ ahụ ga-adị iche na ọgwụ.

nhazi ọkwa

Nke-ise lumbar na mbụ sacral ọcha longitudinal ihu ọgọdọ ike zuru ezu ike. A ana achi achi nchedo intervertebral diski Ọdịdị. Na njikọ na nke a protrusion nwere ike imebi n'ime n'akụkụ nke ọzọ. Posterior longitudinal ọgọdọ nwere ala elasticity. N'ihi nke a, ọ bụ ndị ọzọ susceptible emebi emebi. N'ihi ya, ihe itunanya a kpụrụ dorsal herniated diski l5 S1. Flexing na nke a nwere ike ịbụ nke abụọ na ụdị. Karịsịa, e nwere bụ a medial herniated diski l5 S1. Na nke a, na protrusion mere na ebe nke etiti akara. Nke a na ụdị nchoputa ọkachamara na-ewepụta, ma ọ bụrụ na ndị hernial guzobere penetrated n'ime intervertebral oghere. Ọ na-amalite warara, na mgbidi nke dural nwa bụ oruru. Ọzọkwa chọpụta paramedian hainia. Na nke a, e nwere a curvature nke kọlụm skolioznogo ụdị. The deformation pụtara na ndị ọzọ nduzi site protrusions.

ọgwụ Atụmatụ

Karịsịa ike pụrụ itinye aka posterior diski herniation l5 S1. Ọ dị nnọọ mfe na-ebu ọgwụgwọ jikoro mgbe n'ihu protrusion. Ọtụtụ mgbe daa ọrịa iso comorbidities. Ha budata siere adakarị picture na ụdi ọgwụgwọ nke intervertebral hainia. N'etiti comorbidities akacha mata antespondilolistez, retrospondilolistez, unkoartroz. The ndepụta pathologies nwere ike kwukwara na spondylitis. Ha na-na-ugboro ugboro esonyere a herniated diski l5 S1. Ọgwụgwọ na okwu ikpe ndị a na-iji na-agwa okwu mgbaàmà nsogbu ọrịa. N'etiti preexisting ọrịa a na-akacha chọpụtara osteochondrosis.

Mkpa nke oge mbụ nchọpụta nke ọrịa

Nke a n'onwe ya bụ ezuru protrusion nwere ike mfe tutu amama. Ebe ọ dị oké mkpa na-amalite usoro ọgwụgwọ nke intervertebral hainia. Na nke a, anyị ekwesịghị igbu oge nleta na nke dọkịta. Otú ọ dị, mgbe mgbe, a chọpụtara nwere ihe dị elu ogbo nke ọrịa. Otu ma ọ bụ ndị ọzọ na usoro ọgwụgwọ a na-ahọrọ na-adabere na-adakarị picture, nke na-esonyere a herniated diski l5 S1. Ọgwụgwọ nwere ike ịbụ ma mgbanwe na ịkpa. Nke ogwugwo na Usoro eji maka ruo ogologo oge oge na omume nke oké njọ nsogbu.

protrusion

Nke a bụ otu n'ime ndị kasị ugboro ugboro nsogbu niile, nke na-esonyere a herniated diski l5 S1. Ọgwụgwọ na nke a mgbagwoju. Protrusion bụ a ọnọdụ megide nke Omume mgbanwe nke ntọala pulposus. Na nke a, na fibrous mgbanaka retains ya ike n'ezi ihe. diski onwe ya mgbe protrusion nwere ike obibi site 6 mm. The enweghị nchịkwa ọnọdụ nwere ike ịbụ nke ọtụtụ ụdị. Karịsịa, dịpụrụ adịpụ:

• okirikiri protrusion. Na nke a, na e nwere a edo mgbasa na intervertebral diski. Okirikiri ụdị daa ọrịa na-chọpụtara ọzọ mgbe.

• Media protrusion. Ọ bụ mgbe ụfọdụ mgbagwoju anya na ọzọ ụdị protrusions - SHmorlja hainia. N'ihi na nke a na steeti e ji Dakwasị kwupụta center nke spinal kanaal.

• dorsal protrusion. Nke a protrusion nwere ike so apị na ihe nke ụjọ usoro.

• asị ibe protrusion. Na nke a, na disk mmebi bụ karịa 40%.

• foraminal protrusion. Na nke a na-protrusion pụtara na ntụziaka nke intervertebral ọwa. Ọ na-e kwuru na ịda iwu nke ise lumbar spain.

• paramedian protrusion. N'ihi na a nyere enweghị nchịkwa ọnọdụ ji apị a akwara mgbọrọgwụ nke mbụ sacrum. Ọ baghị uru protrusion na nke a, n'ebe etiti nke spinal kanaal.

• Joint protrusion. Na nke a, na lesion na-chọpụtara n'otu oge abụọ vertebral agba.

sequestered agụmakwụkwọ

Nke a na ụdị a na-ewere ihe ndị kasị dị ize ndụ. Ọ na-amalite na nnwụchu ma ọ bụ na-ekwesịghị ịdị ọgwụgwọ nke extrusion. Nke a bụ ndị ogbo na nke ọkpụkpụ azụ ka normalize ndụ ọrụ na-enweghị n'ịwa ahụ siri ike. Against ndabere nke sequestered mmụta na-emebi sacral akwara mgbọrọgwụ na lumbar. Ọnụ na a lesion gbatịrị n'elu esiwọrọ inyịme tinyere spinal kanaal. Na ndị mmadụ, na steeti a na-akpọ "cauda equina syndrome".

adakarị picture

Mgbe mbụ nkebi ọrịa amalite ichegbu ihe mgbu nke obodo ọdịdị, metụtara nanị akụkụ ụfọdụ nọ n'ógbè ihe. N'ime oge ahụ, ha ga-ekesa na buttock. Na-abawanye na ihe mgbu na-adị mgbe ibu na-abawanye ma ọ bụ na-efegharị. Ọ bụrụ na a siri ike ịda iwu akwara mgbu esiwọrọ amalite na-enye na apata ụkwụ. Onye ọrịa ga na-eche arịa ọrịa uche na ebe "meghachi omume" nyagburu akwara mgbọrọgwụ. E nkụnwụ na ụkwụ ma ọ bụ efu kwekọrọ ekwekọ na-aghọ nkọ. Ndị dị otú ahụ ihe mgbaàmà bụ karịsịa njirimara onye dorsal protrusion. Midia Dakwasị nwere ike mpikota onu akwara ozi dị mkpa karịsịa. Nke a, n'aka nke ya, mgbe akpasu-enwe nsogbu pelvic arụmọrụ. Untreated ụkwụ mkpọnwụ nwere ike ime. Iji zere ndị dị otú ahụ nsogbu ọkachamara nye iwu n'ịwa ahụ.

ọgwụgwọ jikoro

protrusion ọgwụgwọ rụrụ site na abụọ na usoro: na-achọghị mgbanwe na ịkpa. Traditional ọgwụ na-agụnye na-ewere ndị na-abụghị steroidal mgbochi mkpali ọgwụ ọjọọ. A na-agụnye, n'ihi na ihe atụ, ngwaọrụ dị ka "naproxen" ma ọ bụ "Ibuprofen". Ọzọkwa na mgbagwoju nke mgbanwe jikoro gụnyere physiotherapy. Ọ Aims hapụ nnukota onu mgbọrọgwụ na spinal stabilization. E nwere ihe pụrụ iche okụre nke omume na-atụ aro ọrịa. Na mbụ, o nwere ike ịbụ acha ọkụ na onye na-adịghị mkpọda. N'oge exacerbation atụ aro 2-ụbọchị bed ike. Longer ụgha ekwesịghị ịbụ, n'ihi na ọ ga-abụ ike na-agbake. Ọ bụrụ na e nweghị N'ihi mgbe mgbanwe jikoro eji ịkpa usoro. Surgery na-abụkarị na ngwa ngwa na nke a ogologo oge tufuo ọrịa. Otú ọ dị, o kwere omume nlọghachi azụ.