Kupweteka kwakumbuyo: zoyambitsa, kuzindikira, chithandizo

Kuvulala kwamasewera

1K 14 05.05.2019 (yasinthidwa komaliza: 01.07.2019)

Kupweteka kwa Lumbar ndi chizindikiro chofala kwambiri chomwe chimabweretsa chithandizo chamankhwala.

Chidule cha zomwe zingayambitse ululu

Malingaliro a lumbodynia ndi osiyanasiyana. Itha kuyambitsidwa ndi:

• katundu wolimba komanso wosakhazikika pamiyendo yama lumbar;
• matenda a msana:
  • osteochondrosis lumbar msana;
  • kutulutsa kapena ma disc a herniated intervertebral discs;
  • matenda opatsirana (osteomyelitis, chifuwa chachikulu, brucellosis);
  • kusokoneza spondylosis;
  • scoliosis, kudwala Lordosis ndi kyphosis;
  • kufooka kwa mafupa;
  • fractures ndi kuvulala kwa matupi a m'mimba;
  • zotupa zoyambirira ndi zamatenda am'mimba;
  • ankylosing spondylitis;
  • nyamakazi;
• matenda a impso:
  • zotupa zoyambirira ndi zachiwiri;
  • pachimake pyelonephritis;
  • ICD;
• atherosclerosis m'mimba mwa msempha ndi nthambi zake;
• kung'ambika kwa aortic aneurysm;
• kusintha kwa matenda m'chiuno;
• kutupa kwa zotupa zolimba komanso zofewa za msana;
• pachimake ndi matenda m'matumbo kutsekeka;
• atypical Inde pachimake appendicitis;
• pachimake matenda a kufalitsa msana;
• Matenda amchiuno, kuphatikizapo ziwalo zoberekera:
  • endometriosis;
  • khansa ya chiberekero;
  • adnexitis;
  • prostatitis;
  • khansa
  • Matenda opatsirana pogonana;
• Matenda am'mimba (matenda ambiri ochokera m'matumbo, chiwindi, ndulu, kapamba).

Gulu la ululu

Kusintha kwa matenda kumachitika pamaziko omwe amatengedwa ngati maziko. Itha kukhala molingana ndi:

• Zizindikiro zamatsenga:
  • pulayimale (yoyambitsidwa ndi kusintha kwamatenda oyambira mu vertebrae) - kutulutsa ndi hernia wama disc intervertebral;
  • yachiwiri (chifukwa cha matenda a ziwalo ndi machitidwe, zotsatira zake ndi lumbodynia) - ICD, LCB.
• nthawi ya mawonekedwe:
  • pachimake (mpaka masabata 12);
  • aakulu (kuposa masabata 12);
• kulumikizana ndi chinthu choyambitsa:
  • pomwepo (kuvulala kwamtsempha);
  • kuchedwa (kupweteka kwa msana mutadya zakudya zamafuta ndi matenda am'mimba);
• mlingo wa mawonetseredwe:
  • wanena:
  • kusamala;
• kutanthauzira:
  • mofanana ndi mawonekedwe a zotupa;
  • kusuntha kapena kuyendayenda;
• chithunzi chachipatala:
  • wopondereza;
  • kuthamanga;
  • kubaya;
  • kuwombera;
  • kudula;
  • kuzungulira;
  • kuwotcha;
  • wopusa;
  • zokakamiza.

Kupweteka kwa lamba

Zimakhala zovuta kwambiri pachimake pachimake, cholecystopancreatitis, cholelithiasis, pachimake cholecystitis ndi intercostal neuralgia. Ndi kuwonongeka kwa chiwindi ndi kapamba, kupweteka kumatha kufalikira m'chifuwa.

Cholecystitis kapena kapamba samapezeka patali. Nthawi zambiri, matendawa amaphatikizidwa ndipo amatenga cholecystopancreatitis. Chizindikiro chowawa mkamwa, komanso zosasangalatsa mu hypochondrium yolondola, chitha kukhala chizindikiro chosiyanitsa.

Popeza kuuma kwa zotheka za matenda am'mimba ndikuwonetsa kupweteka kwa chikhalidwe, ma antispasmodics (Papaverine, Platifillin) ayenera kugwiritsidwa ntchito kuti athetse. Ndizosatheka kugwiritsa ntchito ma NSAIDs (non-steroidal analgesics) chifukwa choti kugwiritsa ntchito kwawo kumatha kusintha zizindikilo ndikupangitsa matendawa kukhala opatsirana.

Matenda oyambilira

Pofuna kudziwa koyambirira, mayeso angapo azidziwitso amagwiritsidwa ntchito:

Yemwe mungalumikizane

Ngati chifukwa cha ululu sichikudziwika, dokotala ayenera kufunsa. Zikakhala kuti etiology imamveka bwino, kupapatiza akatswiri, mwachitsanzo, kwa azimayi (kumva kupweteka kumachitika mchaka chachitatu cha mimba) kapena katswiri wazamankhwala (pali zisonyezo zamatenda opatsirana mu mbiri).

Nthawi zambiri, rheumatologist ndi traumatologist nawonso amatenga nawo mbali pochiza kupweteka kwakumbuyo.

Ulendo wa dokotala, diagnostics ndi mayeso

Matendawa ndi ovuta chifukwa chakusadziwika kwa zizindikirazo komanso polyetiology yake. Kutolere mwatsatanetsatane kwa anamnesis, kusanthula madandaulo a wodwalayo, komanso kuwunika kwathunthu kumafunika.

Mwa njira za labotale, kuyesedwa kwakukulu kwa magazi ndi mkodzo, komanso kuyesa magazi kwa zotupa, kuyenera kusiyanitsidwa.

Njira zofufuzira zomwe zimagwiritsidwa ntchito kwambiri zimaphatikizapo ma X-ray ndi ma endoscopic maluso, ultrasound yam'mimbamo yam'mimba ndi malo a retroperitoneal, CT ndi MRI.

Njira zochiritsira

Chiwembu ndi njira zochiritsira zimatengera matenda. Iwo amagawidwa mozungulira kukhala:

• osamala:
  • kumwa mankhwala (ma NSAID, ma vasodilator, opumira mkati minofu, ma chondroprotectors, mavitamini B, ma steroids, ndi zina) mwa mawonekedwe a:
    • mafuta;
    • mapiritsi ndi makapisozi;
    • jakisoni (paravertebral blockade);
  • FZT:
    • kutenthetsa (yothandiza pakukonzanso zovuta zowopsa za aseptic);
    • cryotherapy (yothandiza pachimake pachimake cha kutupa kwa aseptic, mwachitsanzo, pamavuto);
  • Kuchita masewera olimbitsa thupi (magulu angapo olimbitsa thupi omwe adapangidwa kuti apange minofu ndi mafupa);
  • kutikita;
  • mankhwala othandizira;
• kugwira ntchito (zotupa, zizindikilo zakukakamizidwa ndi ma hernias osokonekera a msana, ndi zina).

© Yakobchuk Olena - stock.adobe.com

Chitani zamankhwala, masewera olimbitsa thupi

Ndikumva kuwawa m'chigawo cha lumbar, kusewera masewera ndiosafunikira kwenikweni chifukwa chakuchulukirachulukira kowonjezera pamalumikizidwe am'magazi chifukwa chakusuntha kwadzidzidzi (volleyball, mpira).

Kuvala ma bandeji kudera lumbar kumawonetsedwa, makamaka ngati katundu wokhazikika kapena wosakhazikika akuyembekezeka.

Kupweteka kwakumbuyo kwa othamanga

Msana wa othamanga umakumana ndi zovuta zambiri za axial, kuzungulira ndi kupindika, zomwe zimatsimikizira kuwopsa kwa zoopsa. Nthawi zambiri amapezeka:

• kutambasula kwa zida za musculo-ligamentous za lumbar vertebrae;
• spondylolysis (chilema mumtsinje wa vertebra, wopezeka mwa ochita masewera olimbitsa thupi, oyendetsa masewera, osewera mpira);
• sondylolisthesis (kutsetsereka kwa ma vertebrae wina ndi mnzake);
• osteocondritis wa msana;
• chophukacho ndi protrusion wa zimbale intervertebral;
• kyphosis yachinyamata ya Scheuermann-Mao;
• scoliosis.

Popeza chiopsezo chachikulu chovulala, akatswiri othamanga amayenera kuyang'aniridwa pafupipafupi. Pakapezeka matenda, mankhwalawa amaperekedwa ndi dokotala yemwe amapezeka ndipo amatsimikiza ndi mtundu wake.