ʻO ke kaumaha haʻahaʻa: nā kumu, ka hōʻailona, ​​ka mālama ʻana

Nā hōʻeha haʻuki

1K 14 05.05.2019 (ka hoʻoponopono hou: 01.07.2019)

ʻO kaʻeha Lumbar ka hōʻailona maʻamau e alakaʻi i ka lāʻau lapaʻau.

ʻImi o nā kumu kūpono o ka ʻeha

He ʻano like ka etiology o lumbodynia. Hiki ke kumu ʻia e:

• nā ukana kūpaʻa a paʻa kūpaʻa hoʻi ma ka vertebrae lumbar;
• nā maʻi ʻōiwi:
  • osteochondrosis o ka iwi kuamoo;
  • nā protrusion a i ʻole herniated intervertebral discs;
  • nā maʻi lele (osteomyelitis, tuberculosis, brucellosis);
  • deforming spondylosis;
  • scoliosis, lordosis pathological a me kyphosis;
  • osteoporosis metabolic;
  • nā haki a me nā ʻeha o nā kino vertebral;
  • nā neoplasms mua a metastatic o nā kino vertebral;
  • ankylosing spondylitis;
  • rheumatoid arthritis;
• maʻi kīnā:
  • nā neoplasma mua a me nā kula kiʻekiʻe;
  • huʻi pyelonephritis;
  • ICD;
• atherosclerosis o ka ʻōpū o ka aorta a me nā lālā;
• aortic dissecting aneurysm;
• nā hoʻololi pathological i ka hui pūhaka;
• pehu o nā membrane paʻakikī a palupalu hoʻi o ka iwi kuamoʻo;
• keakea ʻaʻano nui a me ka ʻōpū o ka ʻōpū.
• atypical papa o ka huʻi appendicitis;
• nā maʻi kūpilikiʻi o ke kaola o ka iwi;
• nā maʻi o nā pelvic, me ka ʻohana reproductive:
  • endometriosis;
  • maʻi ʻaʻai uterine;
  • adnexitis;
  • prostatitis;
  • maʻi ʻaʻai prostate;
  • STDs;
• nā maʻi o ka digestive tract (nā pathologies lehulehu mai ka ʻōpū, ake, gallbladder, pancreas).

Hoʻokaʻina ʻeha

Lawe ʻia ka ʻōnaehana o nā pathology ma muli o nā pae i lawe ʻia ma ke ʻano he kumu. Hiki iā ia ke like me:

• nā ʻōuli etiological:
  • ke kumu (hoʻokumu ʻia e nā hoʻololi pathological mua i ka vertebrae) - protrusion a me hernia o nā intervertebral disk;
  • kekona (nā kumu o nā maʻi o nā ʻōnaehana a me nā ʻōnaehana, ka hopena o ia mau mea he lumbodynia) - ICD, LCB.
• manawa o ka helehelena:
  • huʻi (a i 12 mau pule);
  • mau (ma mua o 12 mau pule);
• pili me kahi mea hoʻonāukiuki:
  • kū koke (ʻeha ʻōiwi);
  • hoʻolohi (ʻehaʻeha hope ma hope o ka ʻai ʻana i nā meaʻai momona me ka maʻi o ka gallstone);
• kekelē o ka hōʻike:
  • haʻi ʻia:
  • akahai;
• localization:
  • kūlike i ka topographically me ka leona;
  • neʻe a holoholo paha;
• kiʻi lapaʻau:
  • hoʻokaumaha;
  • pulsating;
  • mea hou
  • pana ʻana;
  • ʻoki;
  • hoʻopuni ʻana;
  • puhi ahi;
  • hūpō;
  • kōmi

ʻEha ʻeha

ʻO nā mea maʻamau no ka pancreatitis huʻi, cholecystopancreatitis, cholelithiasis, cholecystitis huehue a me neuralgia intercostal. Me ka hōʻino o ke akepaʻa a me ka pancreas, hiki i ka ʻeha ke hoʻomālamalama i ka wahi o ka umauma.

ʻAʻohe kaʻawale ka Cholecystitis a i ʻole pancreatitis. ʻO ka pinepine, hoʻohui ʻia ka pathology a lawe i ke ʻano o cholecystopancreatitis. ʻO ke ʻano ʻawaʻawa i ka waha, a me nā ʻano ʻoluʻolu ʻole i ka hypochondrium pono, hiki ke lilo i hōʻailona ʻokoʻa.

Hāʻawi ʻia i ke koʻikoʻi o nā pathology nosological hiki me ka hōʻike o ka ʻeha o kahi ʻano shingles, pono e hoʻohana i nā antispasmodics (Papaverine, Platifillin) e hoʻomaha iā ia. ʻAʻole hiki ke hoʻohana i nā NSAID (non-steroidal analgesics) ma muli o ka hiki i kā lākou hoʻohana ke hoʻololi i nā hōʻailona a hoʻopilikia i ka hōʻailona e ke kauka.

Nā diagnostical preliminary

I mea e hana ai i kahi diagnostical preliminary, hoʻohana ʻia kahi helu o nā hōʻike diagnostic:

ʻO wai e hoʻopili aku

Inā ʻike ʻole ʻia ke kumu o ka ʻeha, pono e nīnau ʻia ke kauka. I nā hihia kahi e akāka ai ka etiology, i nā loea liʻiliʻi, no ka laʻana, i kahi gynecologist (kū mai ka ʻeha i ka lua o ka trimester o ka hāpai ʻana) a i ʻole kahi neurologist (aia nā hōʻailona o ka intervertebral hernia i ka anamnesis).

ʻO ka pinepine, pili pū kekahi rheumatologist a me kahi traumatologist i ka mālama ʻana i ka ʻeha o ke kua.

Kipa kauka, diagnostics and examinations

He paʻakikī ka hōʻailona ma muli o ka nonspecificity o nā ʻōuli a me kāna polyetiology. ʻO kahi hōʻiliʻili kikoʻī o anamnesis, kālailai ʻana i nā hoʻopiʻi a ka mea hoʻomanawanui, a me kāna noi e pono ai.

Ma waena o nā keʻena hoʻokolohua, ke ākea a me ka biochemical ke koko a me ka mimi hoʻāʻo, a me kahi hoʻokolohua koko no nā tumors markers, pono e ʻike ʻia.

Hoʻohana pinepine ʻia nā hana noiʻi instrumental me X-ray a me nā ʻenehana endoscopic, ultrasound o ka ʻōpū o ka ʻōpū a me kahi retroperitoneal, CT a me MRI.

Nā hana lapaʻau

Hoʻokumu ʻia ke kumumanaʻo a me nā ʻano hana o ka mālama ʻana ma ke kuhi. Hoʻokaʻawale ʻia lākou i:

• conservative:
  • lawe i nā lāʻau (NSAIDs, vasodilators, centrally acting muscle relaxants, chondroprotectors, B vitamins, steroid, etc.) i ke ʻano o:
    • nā hamo;
    • nā papa a me nā capsule;
    • nā inikua (paravertebral blockade);
  • FZT:
    • hoʻomehana (kūpono i ke kahua o ka hoʻoponopono hou ʻana i nā pathologies aseptic traumatic);
    • cryotherapy (maikaʻi i ka manawa koʻikoʻi o ka hoʻohaunaele aseptic, no ka laʻana, i ka trauma);
  • Hoʻoikaika hoʻoikaika kino (kahi hoʻonohonoho o nā hana i hoʻolālā ʻia e hoʻomohala i ka ʻōnaehana musculoskeletal);
  • lomilomi;
  • hoʻōla lima;
• ka hana (neoplasms, nā ʻōuli o ke kaomi ʻana e intervertebral hernias o ke kuamoʻo, a pēlā aku.).

© Yakobchuk Olena - stock.adobe.com

Hoʻoikaika hoʻoikaika kino, hoʻoikaika kino

Me ka ʻeha ma ka lumbar, makemake nui ʻole ke pāʻani ʻana i nā haʻuki ma muli o ka nui o ka loaʻa o nā trauma ʻē aʻe i nā hono intervertebral ma muli o nā neʻe koke (volleyball, football)

Hōʻike ʻia ka ʻaʻa ʻana o nā bandages ma ka lumbar, ʻoiai ke manaʻo ʻia nā kaumaha static a static-dynamics kiʻekiʻe paha.

ʻO ke kaumaha haʻahaʻa i nā mea pāʻani

ʻO ke kuamoʻo o nā mea haʻuki ke ʻike i nā kaumaha axial, rotational a me nā flexion koʻikoʻi, kahi e hoʻoholo ai i ka kikoʻī o ka trauma. ʻIke pinepine ʻia:

• ke kīloi ʻana i nā mea hana musculo-ligamentous o ka lumbar vertebrae;
• spondylolysis (kahi kīnā i ka pio o ka vertebra, i loaʻa i nā gymnast, pou vaulters, nā mea pāʻani pôpeku);
• sondylolisthesis (paheʻe o ka vertebrae e pili ana kekahi i kekahi);
• osteocondritis o ka iwi kuamoo;
• hernia a me ka protrusion o nā disverse intervertebral;
• ke kyphosis ʻōpio o Scheuermann-Mao;
• scoliosis.

Hāʻawi ʻia i ka makaʻu kiʻekiʻe o ka ʻeha, pono e nānā pinepine ʻia nā poʻe haʻuki ʻoihana. Ke ʻike ʻia nā pathology, kuhikuhi ʻia ke ʻano lapaʻau e ke kauka hele a hoʻoholo ʻia e kāna ʻano.

E nānā i ka wikiō: Ulupō - ʻĀhaʻi ʻŌlelo Ola (Nowemapa 2024).