Ụdị ọgwụgwọ dị otú ahụ, dịka ntụgharị nke vertebrae nke spinem (spondylolisthesis), nwere ike ime n'oge ọ bụla. E nwere ụzọ abụọ nke nkedo, dabere na ntụziaka nke mwepụ nke vertebral: nsụgharị azụ (ntụgharị azụ) na ventrolisthesis (mbugharị), Otú ọ dị, nrụrụ nwere ike ịghọ ihe mgbagwoju anya. Ruo ogologo oge, ọrịa ahụ agaghị enwe mmetụta (ruo afọ ole na ole), mana usoro nchịkwa na-aga n'ihu na-enwe ọganihu mgbe nile ma na-akpata nsogbu.
Ihe kpatara nbipu nke vertebrae nke mpaghara lumbar
Ka anyị depụta ihe, otu ma ọ bụ karịa nke nwere ike ịkpasu ọrịa a:
- ọnyá nke spine (dislocations, bruises, wdg);
- ihe omimi nke spine na mpaghara lumba;
- mgbanwe nchịkwa na ngbanwe nke ọkpụkpụ azụ;
- ịwa aka na spine;
- nkwonkwo akwara ogologo;
- arụsi ọrụ ike (na-ejikọkarị ya na ibuli ihe dị arọ);
- dara na azụ;
- eme ka ike gwụ ndị ahụ;
- oké mgbanwe na okpomọkụ, wdg.
Ebe a na - ahụkarị ebe a na - achọpụta 5, nakwa 4 vertebrae nke mpaghara lumbar, tk. ọ bụ saịtị a nke kacha kpughere na onye na-adịghị ike. N'okwu a, nkedo nke ise vertebra nke mpaghara mpaghara lumba na-eduga ná mgbawa nke pedicle (nhazi nke na-ejikọta akụkụ vertebral ahụ na nkwonkwo facet).
Mgbaàmà nke mwepụ nke vertebrae nke mpaghara lumbar
Ọrịa na-amalite igosipụta onwe ya na mgbaàmà ndị a:
- obere, ihe mgbu episodic na mpaghara mpaghara lumbar, dịkwuo oke n'ihi arụ ọrụ na ibu na inye ụkwụ;
- ọnụ ọgụgụ dị ukwuu nke mmegharị arụ ọrụ na nke na-agafe agafe metụtara spasm nke corset muscular.
Ka ọganihu na-egosi ihe ịrịba ama dị otú ahụ:
- Ọnụnọ nke nkedo awara ụkwụ na mpaghara ọnya ahụ, nke a na-ahụ n'oge palpation;
- enwekwu ihe mgbu na mpaghara lumbar
- oke njigide nke njem;
- adịghị ike izugbe;
- mgbanwe nke nhazi, gait;
- nkwụsịtụ nke akụkụ ahụ (akụkụ ahụ nke urino-genital, ọrịa ịrịa afọ);
- oghere aka na ụkwụ;
- ọnyá na ikpu ụkwụ, ụkwụ na ikpere, nkwonkwo ụkwụ na nkwonkwo ụkwụ;
- ijere ije ngwa ngwa, na-agbatị ụkwụ mgbe ị na-eje ije;
- enweghị mmetụta nke ụkwụ.
Mmetụta nke ngbanwe nke vertebra lumbar:
- na-eme ka ọkpụkpụ azụ mmiri dị warara;
- mkpakọ nke akwara alaka;
- deformation nke kolin ogwu;
- intervertebral hernia, wdg.
Ọgwụgwọ lumbar vertebrae displacement
Na usoro a, dabere na oke usoro ahụ, usoro nlekọta ma ọ bụ ọgwụgwọ ahụike nwere ike ịhazi. Usoro ọgwụgwọ na-adabere na usoro ọgwụgwọ ndị a:
- Iji ọgwụ eme ihe: ọgwụ ndị na-adịghị na steroidal (nke dị n'ime, n'èzí), ndị na-ahụ maka ahụ ike, glucocorticosteroids n'ụdị injections (na oké mgbu), chondroprotectors, vitamin.
- Usoro ọgwụgwọ ahụike: miri azụ ịhịa aka n'ahụ nke akwara,
ọgwụgwọ okpomọkụ, electrophoresis, usoro ọgwụgwọ ultrasound, ọgwụgwọ apịtị, wdg. - Ọkpụkpụ azụ mkpụrụ obi, ntuziaka ọgwụ , reflexotherapy.
- Omume ọgwụgwọ maka ike ike.
- Na-eyi corset, na-ebelata ibu na mpaghara lumbar.
N'ọnọdụ ndị siri ike nke mwepụ nke vertebrae nke spine lumbar, a na-arụ ọrụ iji mee ka azụ ahụ dịgide ma belata mkpakọ nke njedebe akwara. Ihe dị irè bụ usoro ịwa ahụ nke plasti vertebral, na iwepu vertebra na ụfe anụ ahụ pụkwara ịrụ.