Herniated Disc L5 S1: iingxaki kunokwenzeka kunye neendlela zonyango

Ithemba kwi intervertebral yediski a Buze okanye ilahleko ngamaqhekeza zayo emjelweni spinal. Yenzeka ngenxa yezifo idiskhi sisiba mandundu okanye yokwenzakala. Rise ukuze bandiqumbise ucinezelo of luvo.

nokwakheka

Kulo umnqonqo, iinkalo eziliqela uqhagamshele kwenye nenye akwazi. Ezi zithinteli kufuneka ezixineneyo ethile yaye ziquka i core elastic. Le ibekwe kwi ngundoqo disk. Isiqalo singqongwe UA eyomeleleyo ezenziwa kwizicwili. compact Intervertebral eqhotyoshelwe ukuba bhetyebhetye epalini namandla. Ezinye iimeko zempilo bawaphikise ukutshatyalaliswa ezi zinto. Ngenxa yoko, kwasekwa Ithemba.

ukwanda

Amaninzi, sabonakala isibetho abantu kwiminyaka 25-50 ubudala. Xa Ithemba abalupheleyo kunqabile. Oku kungenxa yokuba utshintsho ezinxulumene kobudala izinto ukunciphisa ukuhamba yayo. Abantwana lunamaqoqo nabo ukusekwa kakhulu ezinqabileyo. Njengomgaqo, kusekwangoko isifo kuba bekhubazekile.

oonobangela

Imiba ephambili ukunisa ziquka iintsilelo ezahlukeneyo ngexesha pathways, izilonda ezasulelayo, ukuma ezingachanekanga, ukwenzakala, libya iqolo. Njengoko umthetho, uphuhliso sediski herniated sikhatshwa ukunyuka koxinzelelo ngaphakathi disc. Lo mkhwa nga kuxhokonxwa ngezizathu ezahlukeneyo. Phambi isahlakalo osteoarthritis ingabangelwa herniated womxhuzulane kokususa. Imiba yomngcipheko nazo zibandakanya ubunzima bomzimba linyukile. Ezinobunzima enkulu kakhulu kuxinzelelo lomqolo. Amavili kunye nezinye izinto ziye zanda umthwalo. Ekuhambeni kwexesha, batshabalale. Enye yezinto zokuqala iimeko zophendlo lwezifo apho kokuba herniated idiskhi l5 S1. Diverticulum kwakhona kuyilwa ngokujika elibukhali ukuya kwicala buti.

kwasendaweni

Isihlabo kakhulu unesifo empontshwa umqolo. Ngenxa yokuba bekuba Buze kwasekwa kweli sebe. Ithatyathwa Kwiimeko ezinqabe imbonakalo leengxaki kwi ziqwempu wesibeleko kunye thoracic.

Herniated l5 disc S1: Inkcazelo

Kwesi sigaba, a Buze kwenziwa rhoqo. Amaxesha amaninzi, herniated idiskhi l5 S1 akunika ukuya kwindawo ezingqongileyo. Le ngezifo ibonisa ukuba Buze le pulposus isiqalo sele yenzekile (ukuba oku linqanam lokuqala) phakathi empontshwa yesihlanu nezinto zokuqala sacral. Kungenxa kule ndawo iphawulwe umthwalo omkhulu kwi umnqonqo ngexesha ukuhamba umntu. Herniated disc l5 S1 inokuba ngenxa yokulimala okanye isigulo. Imeko zeleka bomzimba mandundu.

ukungaphili

Ithemba l5 S1 idiskhi inokuba zikwinqanaba eliqhubela phambili. Oku nzima kakhulu uthomalaliso kwaye kwandisa ubude bayo. Phambi imiba engekasonjululwa kunye neempawu nokubethelela kwegazi herniated idiskhi l5 S1 ukuze nzima co-morbidities. Okubaluleke kakhulu indawo le Buze. Kwakhona herniated disc l5 S1 kufuneka sikhatshwe eziliqela iingxaki ukuba zibangelwa yi iimpawu ngabanye eziphilayo. Ngenxa yengcinezelo lwangaphakathi kule ndawo kunokwandisa ifuthe umthwalo eyomeleleyo yezihlunu. Aziphixanise therapy paramedian herniated idiskhi l5 S1. C ephakathi disks ngaphezu kwexesha okanye ngaphantsi impembelelo oluntsonkothileyo izinto baqalise ukutshatyalaliswa anulus. Ngokutsho ukuba ehle Buze le pulposus isiqalo, kwaye ngokuxhomekeke zokwahluka yokwakheka ukusuka norms ezisingqongileyo zomzimba iya kuba ezahlukeneyo kunye nonyango.

ngezigaba

In empontshwa yesihlanu kunye nezinto zokuqala sacral longitudinal cipande lungu bya namandla ngokwaneleyo. Oku kuqinisekisa ukhuseleko lwesakhiwo disc intervertebral. Malunga nalo Buze nawaphula kwezinye icala. Ngomva lungu longitudinal unalo luthambe asezantsi. Ngenxa yoku, kuba bangenwe kakhulu umonakalo. Ngenxa yoko, kanti sesona sisombululo kwenziwa amanakani herniated idiskhi l5 S1. Rise kule imeko inokuba njalo kweentlobo ezimbini. Ngokukodwa, kukho medial herniated disc l5 S1. Kulo mzekelo, i Buze iye yenzeka kule ndawo engumgca udibaniso. Olu hlobo ingcali uphethwe ubeka, ukuba ukuyilwa hernial eyangena emingxunyeni intervertebral. Uqala ukuvala, neendonga zonke sac dural are zikhubazekile. Kwakhona isigqibo Ithemba paramedian. Kule meko kukho ugobile udidi column skolioznogo. Le deformation kwenzeka kwezinye ulwalathiso oluvela lunamaqoqo.

Iimpawu therapy

Ingakumbi ezilukhuni basengozini ngomva idiskhi herniation l5 S1. Kulula kakhulu ukuphumeza amanyathelo zonyango xa Buze ngaphambili. Amaxesha amaninzi ngezifo ukujoyina comorbidities. Ukuba nzima kakhulu umfanekiso lwezonyango kunye nonyango koko Ithemba intervertebral. Phakathi comorbidities kakhulu ngokuqhelekileyo ezichongiweyo antespondilolistez, retrospondilolistez, unkoartroz. Uluhlu ezimbi ongezwe kunye spondylitis. Baya nabo rhoqo lukhatshwe herniated disc l5 S1. Unyango ngala matyala kwakhona ekujonganeni iimpawu nzima iingxaki. Phakathi sifo obabukho adla ukuxilongwa osteochondrosis.

Ukubaluleka efumanise kusekwangoko isifo

Oku kukodwa Buze ngokwaneleyo kube lula alunakupheliswa. Apha kubalulekile ukuba ukuqala unyango lwe Ithemba intervertebral. Kule nkalo asifanele, alibale ukutyelela ugqirha. Noko ke, sivame ukuxilongwa kufuneka eliqhubela phambili izifo. Enye okanye enye indlela unyango lukhethiwe ngokuxhomekeke umfanekiso lwezonyango, nto leyo sikhatshwa disc l5 S1 herniated. Unyango kunokuba zombini emithethweni futhi operative. Le ndlela ngotyando lusetyenziswayo xa ixesha elide nasisihlo yeengxaki ezinkulu.

Buze

Le yenye iingxaki ezininzi rhoqo zonke, nto leyo sikhatshwa disc l5 S1 herniated. Unyango kule ezimbaxa meko. Buze yimeko apho kwishifti okuphawulekayo le pulposus ngumongo. Kulo mzekelo, ngekhonkco ezinezikhondo kugcina ingqibelelo yayo. idiskhi ngokwayo xa Buze ibe abalahlekelwa 6 mm. Imeko yezifo ezinokuba ndidi ezininzi. Ngokukodwa, bodwa:

• ISETYHULA Buze. Kulo mzekelo, kukho ukwanda efanayo kunye intervertebral idiskhi. ISETYHULA uhlobo leengxaki banesifo rhoqo.

• Media Buze. Ngamanye amaxesha zabhidaniseka olunye uhlobo lunamaqoqo - SHmorlja Ithemba. Kuba le miba luphawulwa ukuwa phezu ukuya kumbindi emjelweni spinal.

• amaphiko Buze. Le Buze kufuneka sikhatshwe ngozipho imiba luvo.

• ehlasela Buze. Kulo mzekelo, umonakalo Idiski ngaphezu kwama-40%.

• Buze foraminal. Kulo mzekelo Buze lwenzeka ngendlela umjelo intervertebral. Ziphawuleka umthetho yomqolo empontshwa wesihlanu.

• Buze paramedian. Kuba imeko enikwe zophendlo lwezifo luphawulwa ngozipho ingcambu zemithambo-luvo sacrum yokuqala. Buze ezingeyomfuneko kulo mzekelo, ngasembindini emjelweni spinal.

• Buze Joint. Kulo mzekelo, i sisilonda esidumbileyoesingaphakathi banesifo ngaxeshanye amacandelo amabini vertebral.

imfundo wohlulwa

Le fomu ithathwa kuyingozi kakhulu. It nesifo unyango ngesiquphe okanye engachanekanga extrusion. Eli nqanaba apho umnqonqo bunjani umsebenzi ubomi ngaphandle uqhaqho nzima. Ngokuchasene imvelaphi wemfundo wohlulwa aphulwe iingcambu luvo sacral kunye empontshwa. Kunye nale sisilonda esidumbileyoesingaphakathi oluya kwi imicu ngokwandisa ecaleni lomsele spinal. Xa abantu, oku urhulumente ubizwa ngokuba "yiKlawuda equina syndrome".

picture clinical

Kumanqanaba okuqala umguli ukuqala ukuphazamisa intlungu yendalo yengingqi, eyendawo kummandla ochaphazelekayo. Ekuhambeni kwexesha, ziya kuthunyelwa kwi ezinqeni. Ukunyuka iintlungu kwenzeka xa ukunyuka umthwalo okanye motion. Ukuba imicu enamandla iintlungu lwentengiso luvo waqala ukunika ethangeni. Isigulane uzakuva ukuvuthuluka novakalelo kwindawo apho "amukela" ekrwitshiweyo ingcambu luvo. Kukho ndindisholo ezinyaweni okanye ingqondo ashiyiweyo ahambelanayo. iimpawu ezinjalo uphawu ingakumbi Buze amaphiko. ukuwa namaMedi, lonke compress luvo kubaluleke ngokukhethekileyo. Oku, ngokufuthi nimqumbise ukuphazamiseka kwi imisebenzi zangasese. Lunganyangwa umlenze ukukhubazeka zingenzeka. Ukuze siphephe iingcali ezinjalo iingxaki ukumisela uqhaqho.

amanyathelo zonyango

unyango Buze olwenziwe ngeendlela ezimbini: ngendlela endilisekileyo yaye zisasebenza. unyango Traditional kuquka ukuthatha non-steroidal amachiza-ukudumba. Ezi ziquka, umzekelo, izixhobo ezifana "naproxen" okanye "ibuprofen". Kwakhona kwi entsonkothileyo amanyathelo angqingqwa ziquka ukuyifundisa. Ijolise ukukhulula iingcambu egcwele nokuzinziswa spinal. Kukho izakhiwo ezizodwa beemvavanyo ziyacetyiswa ukuba izigulane. Ekuqaleni kunokuba amahla namathambeka ezicothayo. Ngexesha exacerbation Kucetyiswa ibhedi yonke imini-2. akufuneki ibe bubuxoki elide, kuba iya kuba nzima ukuze achache. Ukuba akukho emva amanyathelo angqingqwa kusetyenziswa indlela lwentsebenziswano. Surgery edla ngokukhawuleza kwaye ixesha elide ukuphelisa esi sifo. Noko ke, ukuhluleka kunokwenzeka.