Kubowola lumbar: ndi chiyani, ndi chiyani, ndi momwe zimachitikira komanso zoopsa

Zamkati

• Ndi chiyani
• Momwe kuboleza kwachitikira
• Zotsatira zoyipa
• Zotsutsana ndi kuphulika kwa lumbar
• Zotsatira za

Kuphulika kwa lumbar ndi njira yomwe nthawi zambiri imakhala ndi cholinga chotolera madzi am'magazi osamba muubongo ndi msana, poyika singano pakati pama vertebrae a lumbar mpaka kufikira danga la subarachnoid, lomwe ndi danga pakati pa zigawo zomwe zimayang'ana msana, kumene kumadzera.

Njirayi imagwiritsidwa ntchito kuzindikira kusintha kwamitsempha, komwe kumatha kukhala matenda, monga meningitis kapena encephalitis, komanso matenda monga multiple sclerosis kapena subarachnoid hemorrhage mwachitsanzo. Kuphatikiza apo, itha kugwiritsidwanso ntchito kuyika mankhwala mu cerebrospinal fluid, monga chemotherapy kapena maantibayotiki.

Ndi chiyani

Kuphulika kwa Lumbar kuli ndi zisonyezo zingapo, monga:

• Kusanthula kwanthabwala kwa madzi amadzimadzi, kuzindikira ndikuwunika matenda;
• Kuyeza kwa madzi amadzimadzi a cerebrospinal;
• Kukhumudwa kwa msana;
• Jekeseni wa mankhwala monga maantibayotiki ndi chemotherapy;
• Kuyika kapena kuthandizira ma leukemias ndi ma lymphomas;
• Jekeseni wazosiyanitsa kapena zinthu zowulutsa ma radio kuti muchite ma radiographs.

Kusanthula kwantchito kumapangidwira kuti kuzindikire kukhalapo kwa kusintha kwa mitsempha yapakatikati, monga matenda a bakiteriya, mavairasi kapena mafangasi monga meningitis, encephalitis kapena syphilis, mwachitsanzo, kuzindikira magazi, khansa kapena matenda ena otupa kapena osowa a dongosolo lamanjenje, monga multiple sclerosis, matenda a Alzheimer's kapena matenda a Guillain-Barré.

Momwe kuboleza kwachitikira

Asanachitike, sipafunika kukonzekera mwapadera, pokhapokha ngati pali vuto la kugundana kapena kugwiritsa ntchito mankhwala omwe amalepheretsa njirayi, monga momwe zimakhalira ndi ma anticoagulants.

Munthuyo akhoza kudziyika yekha m'malo amodzi, kapena kugona chammbali ndi maondo ndi mutu pafupi ndi chifuwa, chotchedwa fetal position, kapena kukhala ndi mutu ndi msana wosunthira patsogolo ndikudutsa mikono.

Kenako, adotolo amagwiritsa ntchito njira yothana ndi vutoli kudera lumbar ndikuyang'ana malo pakati pa L3 ndi L4 kapena L4 ndi L5 vertebrae, wokhoza kubaya mankhwala oletsa ululu m'malo ano. Kenako singano yabwino imayikidwa pang'onopang'ono komanso pakati pamiyala, mpaka ikafika pamalo ochepera mphamvu ya madzi, kuchokera pomwe madzi amadzaza ndikudontha kudzera mu singanoyo, akusonkhanitsidwa mu chubu choyesera chosabala.

Pomaliza, singano imachotsedwa ndipo kuvala kumayikidwa pamalo olumirako. Njirayi imatenga mphindi zochepa, komabe adotolo sangapeze sampuli yamadzimadzi a cerebrospinal pomwe akuyikamo singano, ndipo kungakhale kofunikira kupatuka kulowera kwa singano kapena kubaya mbuyo kudera lina.

Zotsatira zoyipa

Njirayi imakhala yotetezeka, yokhala ndi mwayi wochepa wowonetsa zovuta kapena zoopsa kwa munthuyo. Zotsatira zoyipa zomwe zimachitika pambuyo poti lumbar iphulika ndi kupweteka kwakanthawi kwakanthawi chifukwa chakuchepa kwa madzi amadzimadzi m'matumba oyandikana nawo, ndipo pakhoza kukhalanso ndi mseru komanso kusanza komwe kungapewedwe ngati munthuyo wagona kwakanthawi pambuyo pake mayeso.

Pangakhalenso kupweteka ndi kusokonezeka m'munsi kumbuyo komwe kungathe kuchepetsedwa ndi mankhwala opha ululu operekedwa ndi dokotala, ndipo ngakhale ndizosowa, matenda kapena magazi amathanso kupezeka.

Zotsutsana ndi kuphulika kwa lumbar

Kuphulika kwa Lumbar kumatsutsana pamaso pa kupsyinjika kwa magazi, monga komwe kumayambitsidwa ndi ubongo, chifukwa cha chiopsezo chothamangitsidwa muubongo ndi herniation. Sitiyeneranso kuchitidwa kwa anthu omwe ali ndi kachilombo ka khungu kuti abayidwe kapena omwe ali ndi chotupa muubongo.

Kuphatikiza apo, muyenera kudziwitsa adotolo nthawi zonse za mankhwala omwe akumwa, makamaka ngati munthuyo amamwa ma anticoagulants monga warfarin kapena clopidogrel, chifukwa chowopsa chotaya magazi.

Zotsatira za

Masampuli amadzimadzi amadzimadzi amatumizidwa ku labotale kukasanthula magawo osiyanasiyana monga mawonekedwe, omwe nthawi zambiri amakhala owonekera komanso opanda utoto. Ngati ndi yachikasu kapena yapinki kapena ili ndi mitambo, imatha kuwonetsa matenda, komanso kupezeka kwa tizilombo monga bakiteriya, mavairasi kapena bowa.

Kuphatikiza apo, mapuloteni okwanira ndi kuchuluka kwa maselo oyera amagazi amayesedwanso, omwe, ngati atakwezedwa, amatha kuwonetsa matenda kapena kutupa, glucose, yomwe, ngati ili yotsika, ikhoza kukhala chizindikiro cha matenda kapena matenda ena, komanso kupezeka ya maselo osazolowereka amatha kuwonetsa mitundu ina ya khansa.