Muaj ntau hom kev raug mob disc uas ua rau raug mob nraub qaum.. Feem ntau, feem ntau ntawm lawv yog cov khoom ntawm cov txheej txheem degenerative.
Herniated discs lossis osteochondrosis yog cov piv txwv ntawm kev raug mob los ntawm lub sijhawm. Niaj hnub no peb yuav tsum tham txog ib tug ntawm lawv: disc protrusion los yog protrusion.
Index
Disco intervertebral
Kom to taub dab tsi yog disc bulge, Kev tsim disc yuav tsum xub to taub.. Discs yog cov qauv nyob nruab nrab ntawm lub vertebrae.. Nws txoj hauj lwm yog los tiv thaiv nws., nrog rau kev tiv thaiv cov hlab ntsha uas tawm ntawm nws thiab cov pob qij txha hauv cheeb tsam. Lub disc muaj peb ntu: nucleus pulposus, lub annular fibrous nucleus thiab intervertebral disc.
Cov fibers uas ua rau lub nplhaib deteriorate lub sij hawm nyob rau hauv lub zog ntawm lub siab ntawm tus txha nraub qaum.. Qhov no ua rau lub cev qhuav dej ua rau lub kua muag me me, hu ua disc fissures.
Thaum tus mob no tshwm sim dhau sijhawm, cov fibers inevitably deform thiab tsis tuaj yeem rov tsim dua.
disc protrusion
Disc bulge tshwm sim thaum cov fibers pib deform thiab bulge vim cov kev ntxhov siab no.. thaum nws qaug zog, lub pulp nucleus yog deformed thiab thawb nws rov qab, ua rau lub disc qauv deform.
Cov tsos mob
Raws li ib tug degenerative txheej txheem nyob rau hauv tus txha nqaj qaum, bulging discs feem ntau cuam tshuam rau cov neeg laus dua 40 xyoo. Nws kuj yog heev uas cov tsos mob tsis tshwm sim.
Txawm li cas los xij, thaum lub pob tshwm sim nyob rau hauv qhov chaw uas cov hlab ntsha hla, tuaj yeem ua rau tsis xis nyob. Feem ntau yog mob ncauj tsev menyuam lossis lumbar nyob ntawm qhov chaw ntawm qhov txhab..
Qhov mob feem ntau radiates hauv caj npab thaum lub pob taws yog convex thiab down ceg ntawm lub duav.. Yog hais tias qhov raug mob compresses tej hlab ntsha, nws kuj tuaj yeem ua rau tsis hnov tsw lossis tsis muaj zog.
Kev kho mob
Feem ntau, Feem ntau cov mob ntawm disc o zoo zoo nrog tshuaj, kev kho lub cev thiab maj mam, tswj kev tawm dag zog.
Nyob rau hauv rooj plaub uas tus kws kho mob txiav txim siab tias yuav tsum tau phais, microsurgical excision yog qhov kev phais ntau tshaj plaws rau tus mob no.
Yuav ua li cas yog ib tug bulging disc txawv los ntawm ib tug herniated disc??
Nov yog ib qho ntawm cov lus nug uas nquag nug. Qhov sib txawv tseem ceeb yog nyob rau hauv kev ua haujlwm ntawm nucleus pulposus. Thaum cov khoom siv colloidal thawb thiab deforms lub capsule, ib bulge tshwm sim.
Txawm li cas los xij, thaum lub plhaub no ruptures thiab cov khoom nyob rau hauv lub nucleus tawm ntawm nws cheeb tsam, yog thaum herniated disc tshwm sim.
Nyob rau hauv lub convex ib feem ntawm lub disc muaj ib feem ntawm cov fibers nyob rau hauv lub disc kom lub nucleus txav mus rau hauv lub fissure., ua rau lub nucleus pulposus (protoea). Ib tug disc bulge tej zaum yuav asymptomatic, tab sis nws kuj tseem tuaj yeem ua rau txoj hauv kev nqaim los ntawm cov hlab ntsha lossis qaum. Ib tug neeg yuav raug mob hnyav nrog rau cov leeg nqaij spasms thiab neuralgia hauv cheeb tsam lossis hauv caj npab lossis txhais ceg.
Disc bulge yog ib qho tseem ceeb lumbar disc herniation vim disc degeneration.
Yog tias qhov tawg ntawm cov fibers nyob rau hauv cheeb tsam sab nraud ntawm lub disc yog ntau dua, tuaj yeem ua rau kev tshem tawm ib nrab ntawm cov nucleus. Cov txheej txheem no hu ua herniated disc.. Feem ntau yog lumbar hernias ntawm L4-L5 thiab L5-S1, thiab lub ncauj tsev menyuam ntawm C5-C6 thiab C6-C7.
Ib qho herniated disc tuaj yeem ua rau muaj kev ntxhov siab rau qee cov qauv ntawm lub paj hlwb thiab ua rau mob uas tawm mus rau sab qis lossis sab sauv. (etiology). Qhov loj ntawm lub hernia bulge tsis cuam tshuam rau tus neeg mob cov tsos mob.
Ob lub pob thiab hernia yuav raug kuaj los ntawm tus neeg mob cov keeb kwm kho mob, kev kuaj lub cev thiab siv cov kev ntsuam xyuas kev kuaj pom, xws li nuclear magnetic resonance (MRI). Nws yuav tsum tau muab sau tseg tias qhov tsos ntawm ib tug bulge los yog hernia ntawm daim duab tsis yog ib txwm muaj feem xyuam rau cov tsos ntawm cov tsos mob. (4) (5). Cov no yog cov txheej txheem physiological ntawm kev laus thiab degeneration uas tsis tas yuav ua rau cov tsos mob. Yog li, Qhov kev kuaj mob yuav tsum tsis yog nyob ntawm kev kuaj pom tab sis nyob rau hauv cov tsos mob, qhov twg muaj cov tsos mob ntawm neurologic nce.
Kev kho mob ntawm disc pathology
Kev kho mob feem ntau yog conservative, tab sis peb tsis tuaj yeem hnov qab tias kev kho mob tuaj yeem dhau los ua kev phais thiab xwm txheej ceev.
Kev phais tsuas yog pom zoo thaum tus neeg mob tsis hnov mob lossis lub zog ntawm qhov chaw cuam tshuam, tshwj xeeb tshaj yog tias MRI qhia tau tias muaj hernia los cuam tshuam cov hlab ntsha thiab qhov chaw
electromagnetic yog qhov zoo (Degenerating Vajtswv Kinh Mark). Nyob ntawm qhov hnyav ntawm qhov kev puas tsuaj, tej zaum yuav xav tau kev kho mob hauv chav mob yog tias kev kho mob tsis zoo. raws li nyob rau hauv tej kev raug mob, peb yuav tsum ib txwm txav los ntawm kev kho mob tsawg dua mus rau kev kho mob.
Rau qhov mob radiated los ntawm paj hlwb stimulation, kev siv corticosteroids thiab vitamin B (hnyav lossis zoo sib xws, tsuas yog cov ntawv sau tshuaj thiab cov lus pom zoo kho mob))
Nyob rau hauv kev twb kev txuas nrog rau kev kho mob ntawm herniated discs los yog nkoj, yuav tsum ua cov txheej txheem mobilization, cov leeg nqaij inhibitions, cov kev tawm dag zog tshwj xeeb kom rov qab cov motors thiab tswj cov leeg rau thaj tsam cuam tshuam, Kev paub txog kev coj cwj pwm kev coj cwj pwm, nce kev so, ntev thiab neurodic mobilization. nrog cov kev kho mob no, tus neeg mob txhim kho qhov mob ntawm qhov tsis muaj lub neej thiab txhim kho nws lub neej zoo. Kev kho mob yuav tsum hwm qhov mob thiab kev vam meej, zoo li rov qab ua lub cev ua si.
Thaum kawg, Kev kho phais yuav tsum tsuas yog ua thaum cov hlab ntsha hloov pauv lossis thaum cov kev kho mob yav dhau los tsis zoo. Txawm li cas los xij, Kev kho mob phais tsis pom kev ua tau zoo dua thiab cov tsos mob zoo dua li cov thawj coj, yog tias peb txaus siab rau lub sijhawm ntev, peb xav tau ib tug loj mob reliever qhov twg ib tug zoo txiav nqaij lub tsev tau ua (2).