Protrusion: ihe ọ bụ? Disc protrusion: ọgwụgwọ

Protrusion bụ a nkịtị ọrịa, nke na-ewe n'ụdị dystrophic ọrịa na intervertebral discs na-eduga ha nkịtị. Dị ka a na-achị, ndị ọrịa na-achọta na 80 percent nke ndị bi na afọ 30 na afọ.

Protrusion - gịnị ka ọ bụ

The ọrịa, na mbụ, na-egosi na isi mgbanwe na locomotor usoro. Ihu ọma, nke a na ọrịa bụ na ya pụta nke onye nke nkebi nke osteoarthritis.

Na nke a, protrusion - bụ ndị mbụ ụdị nke a herniated diski. Chief na ya mbụ mgbaàmà bụ oké ihe mgbu na otụk ebe. The Ndahie draịva nwere mmekọrịta na spinal mgbọrọgwụ na ọgidigi azụ onwe ya.

Ọ bụrụ na a na onye abụghị oge ịjụ maka enyemaka a ọgwụ alụmdi, ọ dị ize ndụ nye iji nweta a ọzọ dị oké njọ ọrịa - na intervertebral hainia, nke mechara ga nwere ọtụtụ ihe ka njọ na ya pụta. Ọzọkwa, protrusion nke ọkpụkpụ azụ, nke ga-eto n'ime a hainia, bụ nnọọ ike na-emeso na dị nnọọ ize ndụ ụmụ mmadụ ike.

Education protrusion

Ntoputa nke a protrusion esonyere degenerative mgbanwe fibrous mgbanaka nke intervertebral discs, ya bụ, ndị ọzọ okwu, na-agbanwe ha mebere atumatu, ekwedo na-efu, nke mere na disk na-esisịt na sikwa n'ofè vertebrae. Ma ọ bụ uru na-ewere na ndị fibrous diski na-ekwusi ya udi na-eguzosi ike n'ezi, nke mere na ntọala pulposus anọgide n'ime.

spinal protrusion ike ọtụtụ etoju nke mgbagwoju:
1. Flexing nke 0 3 mm anaghị eme ka ọ bụla na-ata mmetụta, na ọ dịghị ihe oghom mmetụta;
2. Protrusion si 3 5 millimeters - a ọnọdụ nke a na-esonyere na-ata na Ugboro mgbu. Karịsịa ha egosipụta onwe ha na oké ahụ siri ike.
3. Flexing si 5 millimeters - steeti a na-ahuta ama dị ka intervertebral hainia.

Na-akpata protrusion

Iji ụbọchị, mata ọtụtụ isi na-akpata na-eduga na ọdịdị nke protrusion nke lumbar spain. Ihe ndị a na-agụnye:

• unreduced postcho;
• ezughi oke mmepe nke dabere ahu Ọdịdị;
• mkpụrụ ndụ ihe nketa pụrụ ịrịa;
• ibu ibu;
• odida nke metabolic Filiks nke organism;
• afọ mgbanwe;
• nnukwu unsustainable nje gị azụ na ọkpụkpụ azụ;
• ọnụnọ nke oké na-efe efe ọrịa organism.

Dị ka ekwuola, ọtụtụ nkịtị ọrịa nke postcho bụ kpọmkwem protrusion. Gịnị ka ọ bụ, o doro anya na onye ọ bụla, ma ole na ole ndị mmadụ mara otú iji gbochie omume nke ọrịa a.

Ogbo nke guzobere protrusions

Iji ụbọchị, ndị dọkịta kwuru na ọtụtụ nkebi nke guzobere protrusions:

1. Na nzọụkwụ mbụ ya collapses 70% nke ihe owuwu nke intervertebral disk (disk). Ha ejighi ha ekwedo na cracks na fibrous n'ọbọ. A na ogbo egosi nkọ metụtara nanị akụkụ ụfọdụ mgbu nọ n'ógbè ihe.
2. Agba nke abụọ nke ọrịa e ji a diski protrusion. N'ihi ya ntọala pulposus na-akpali si center na nsọtu otú gbatịa fibrous diski anụ ahụ. Mgbe a na ogbo, diski fụliri elu 2-3 millimeters, mmọdo ike obi nkọ mgbu na erughị ala na cross ngalaba.
3. The ikpeazụ ogbo e ji a siri ike protrusion nke spinal diski. Na nke a, na e nwere a-agbawa disk na fibrosis guzobere spinal herniation nwere ike ime ihe mgbu na otụk ebe na-enweta dị iche iche na akwara ozi ọgba aghara, ndị dị otú ahụ dị ka nkụnwụ.

nhazi ọkwa nke protrusions

Ọ maara na onye nke kasị nkịtị ọrịa nke ọkpụkpụ azụ na-protrusions. Gịnị ka ọ bụ na ihe bụ ha na-akpata - doro anya. Ka anyị chọpụta, ọrịa na nkewa dị ka ụfọdụ kwa.

N'ihi ya, protrusion na nkewa site ụdị, ụdị na ebe nke protrusions.

1. Site ụdị protrusions na-nkewa dị ka okirikiri na asị ibe.

• Asị ibe protrusion - bụ ụdị nke na-adịghị ala ọrịa. Na ụdị diski fụliri elu n'ụzọ na-ekwekọghị. Ọ bụrụ na oge na-adịghị agwọ ọrịa a, mgbe ahụ, n'oge ọ na ọ ga-eduga nkwarụ na nkwarụ.
• The okirikiri protrusion - mgbe intervertebral diski fụliri elu nke ọma. Na ụdị nural impairment emee nke na-akpata mmepe nke akwara ozi mgbaàmà - omume nke ihe mgbu sensations, akwara nkụnwụ nke aka na ụkwụ.

2. protrusion lumbar protrusion kewara ekewa site ụdị:

• The Central protrusion (etiti) - protrusion emee kwupụta center nke spinal kanaal. N'ọnọdụ ka ukwuu, a na ụdị ọrịa ọ dịghị pụta ìhè, ma ọ bụ a nnukwu n'ihe ize ndụ, n'ihi na utịp ke ọgidigi azụ nwere ike ime ka undesired ọrụ.
• The n'azụ protrusion - diverticulum intervertebral diski si afo na azụ. Ọtụtụ mgbe, ụdị mmetụta ọjọọ n'ahụ na ọgidigi azụ, nke na-eduga-emeghasịkwa nke ya arụmọrụ. Ọ na-adị oké ihe mgbu na otụk ebe, sensory ọrịa, mgbe ụfọdụ, a mebiri nke arụmọrụ nke pelvic akụkụ.
• Side protrusion (mpụta) - diski fụliri elu na nri ma ọ bụ n'aka ekpe na ikwu na spain. Nwere ike ịghọ a kpatara spinal mgbọrọgwụ. Tupu mgbe ahụ, ruo mgbe agaghị imetụta irighiri akwara, na ọrịa na-enweghị ihe mgbaàmà.
• Posterolateral intervertebral protrusion (posterolateral) - protruded intervertebral discs laghachi azụ na aka nri ma ọ bụ n'aka ekpe. Obi na mmekọrịta nwere na mgbọrọgwụ na ọgidigi azụ Ọdịdị. Ruo mgbe oge nke ịda iwu nke irighiri akwara na e nweghị ihe mgbaàmà.

3. Kewara ọrịa ọnọdụ: cervical, thoracic na lumbar protrusion.

Protrusion nke cervical spain

Protrusion nke cervical spain na-ukwuu mgbe na-eduga mmepe nke a dịgasị iche iche nke nsogbu na nwere ike ime ka overloading nke ọkpụkpụ azụ. Ihe nke a nwere ike ịbụ na e guzobere ọhụrụ protrusions, na dị ka a n'ihi - mmepe nke a herniated diski. Ndị na-esonụ mgbaàmà nwere ike egosi ntoputa nke ọrịa a:

Obodo mgbu n'olu, adịghị ala ala ma ọ bụ nnukwu okike.

• Mmachi nke n'olu agagharị.
• Ngosipụta nke isi ọwụwa, dizziness.
• Pain radiating ala ogwe aka.
• Nkụnwụ na tingling ke ubọk.
• Adịghị ike na uru nke n'ubu na ogwe aka.

Protrusion nke thoracic diski

N'ihi na nke ụmụ mmadụ na skeletal Ọdịdị nke a protrusion na thoracic region na-emepe emepe nnọọ obere. Ọdịdị nke ọrịa na thoracic region nwere ike na-egosi ndị na-esonụ mgbaàmà:

• -Adịghị ala ala ma ọ bụ nnukwu ihe mgbu na thoracic region nke ọkpụkpụ azụ, ahụ erughị ala.
• -Adịghị ala ala ihe mgbu na intercostal ohere ma ọ bụ n'etiti ubu pupụtara.
• Tingling ke afo na obi, N'ịdị nkụnwụ na mebiri nke uche.
• Odida nke ndị ọchịchị, nke na-dị na otụk ebe (obi, imeju).
• Adịghị ike na abdominal mọzụlụ.

protrusion nke lumbar

Ọ maara na ndị ọrịa bụ ọtụtụ nkịtị bụ na lumbar spain. Nke a bụ n'ihi na eziokwu na nke a bụ mba nke azụ bụ mgbe niile oghe elu ike na static ibu. Protrusion nke lumbar spain esiwak esonyere:

-Adịghị ala ala na nnukwu mgbu na lumbar mpaghara.

• Ọnụnọ nke na-egbu mgbu sensations na ịgà na lumbosacral ebe.
• Ụdị sciatica.
• A ịrịba ama nke adịghị ike na ụkwụ.
• Mebiri nke uche nke onye ahụ akụkụ ahụ - nkụnwụ, a mmetụta nke "na mkpọ niile na ndudu" tingling.
• Ntoputa nke mgbu radiating n'ime otu ma ọ bụ ụkwụ abụọ.
• Ụfọdụ ikpe, ọ nwekwara ike ịbụ a mebiri nke-eme nke urinary na omumu akụkụ.

symptomatology protrusion

Mgbaàmà nke ọrịa a bụ kpọmkwem dabere na ihe kpọmkwem na diski mebiri emebi. Ma ruo mgbe ahụ, ruo mgbe e nwere a pinched diski dị iche iche spinal irighiri akwara, na protrusion pụrụ nnọọ dịghị mgbaàmà.

Ke ofụri ofụri, protrusions ịrịba ama nwere ike mgbe niile na-egosipụta dị iche iche ike, ya niile na-adabere na ole ga-were iwe n'ihi na ọgidigi azụ na ụjọ usoro infringed intervertebral diski. The kasị mgbaàmà bụ protrusion nke oké ihe mgbu na otụk ebe, nke na-emecha pụrụ iduga mkpọchị uche.

Ke adianade do, ị nwekwara ike kọwaa a ọnụ ọgụgụ nke ndị ọzọ na-egosi na ike na-egosi na ọnụnọ nke protrusion:

• -Adịghị ala ala ma ọ bụ nnukwu ihe mgbu na otụk ebe (n'olu, azụ, thoracic spain).
• Ọnụnọ nke migratory na nke zoro mgbu.
• Ediyarade nke sciatica.
• Loss nke ekwedo uru na-agwụ ike nke muscular usoro na-emetụta ebe.
• ọnwụ nke uche nke iche iche elu na nke ala na nsọtụ.
• Ọnụnọ nke tightness na ọkụ na ọrịa ngalaba.
• Belata uche anụ ihe, ọhụụ, mgbaàmà dị ka isi ọwụwa, dizziness.

Ọtụtụ mgbe rere intervertebral discs

Ọtụtụ mgbe e nwere a protrusion nke diski l5, L4 / S1, dị ka ndị a discs na-doro kasị ukwuu nchegbu mgbe n'ịrụ ọ bụla edinam. l5, L4 - nke a bụ ọkpụkpụ azụ intervertebral discs, nke na-emi odude ke lumbar mpaghara. Mgbe eweli arọ ihe, ma ọ bụ mgbe ọ nọ ọdụ na-adị ukwuu nsogbu na discs, nke nwekwara-eme nkịtị. S1 - akpa drive nke pelvic ọkpụkpụ, nke na-na-mgbe gụrụ nchegbu. N'ihi nke a, ndị a discs na-Ọtụtụ rere.

Dị ka omume na-egosi gbara ọkpụrụkpụ na ihe ịrịba ama nke protrusion nke ruo afọ 30 na e nwere obere, ihu ọma niile ha bilie n'ihi na mgbe na afọ, ebe ọ bụ na n'oge a na ahụ mmadụ na-gụrụ a ọnụ ọgụgụ buru ibu nke mmekọrịta nwere a ezighị ezi mmetụta na ya ike.

nchoputa nke ọrịa

Nchọpụta nsogbu mgbe a protrusion nke mgbaàmà na-emekarị-amalite na a anụ ahụ nnyocha nke ọrịa ịga dibịa. Iji mee nke a, ndị ọkachamara na-eji usoro nke ntuziaka ule, nke ka na-akọwa na otụk ebe. Ọ bụrụ na ị na-enyo a spinal protrusion ndidi na-kenyere ọzọ ule - ultrasound, MRI, CT, EMG, X-ụzarị na na. X-ụzarị na-ekpebi ogo nke ọrịa, MRI - iji tọọ mkpakọ nke akwara n'ùkwù n'ùkwù nke akwara ozi na ịdị ukwuu nke mmebi-enyere aka ịmata EMG.

ọgwụgwọ

Si n'elu ya nwere ike kwubiri na protrusion - bụ nnọọ nkịtị na ize ndụ ahụ ike ọnọdụ. Ya mere, ọ ga-emeso n'okpuru nlekọta nke ahụmahụ ndị dibịa.

Ọgwụgwọ nke protrusion na-anọchi anya a nso nke ọgwụgwọ dị iche iche. Ha kwesịrị e ibelata ihe mgbu, ọzịza nke anụ ahụ, mgbake nke moto ọrụ na uche normalisation.

Ichefu na ndị dị otú a protrusion, ọgwụgwọ a ga-rụrụ na-enyemaka nke dị iche iche na ọgwụ. N'ihi na a zuru-agwọ na mgbake taa, e nwere dị iche iche analgesics, muscle relaxants, mgbochi mkpali ọgwụ ọjọọ.

Ọ bụkwa oké enyemaka na ọgwụgwọ nke ọrịa a nwere a pụrụ iche ịhịa aka n'ahụ na ike mere naanị ukwuu ruru eru ọkachamara.

Ụzọ gbochie protrusion

Dị ka e kwuru n'elu, otu n'ime ndị kasị atụ ụjọ ọrịa ndị protrusions. Gịnị ka ọ bụ, na otú ha na-egosi, ọ bụ ama doro anya. Ma, e nwere ụzọ pụrụ ibelata ohere nke ọrịa a.

Ọ bụghị ike maa na lumbar protrusion ọtụtụ mgbe emee ya ruru ka deformation nke intervertebral diski, otú ị ga mgbe niile ike ya azụ na-egwu egwuregwu, ya bụ egwuregwu na ya. Nke a egwuregwu na-akwalite muscle na ọgọdọ, nke n'ezie jide dum Ọdịdị na azụ.

Mmechi: One ndị nkịtị ọrịa nke azụ, nke taa ndụ ọ bụla nke abụọ mmadụ bụ onye a protrusion. Ọgwụgwọ nke ọrịa a dị mkpa, iji zere na-egbu mgbu azụ mgbu, nkụnwụ na nsọtụ, isi ọwụwa, na ego ọrụ ọma, zuru ike na-ebi ndụ na-arụsi ọrụ ndụ.