Chifukwa chaichi, kufalikira kwa magazi kwa mitsempha ya mitsempha imasokonezeka, njala yake yaikulu ya mpweya wa oxygen imapezeka, ndipo kutupa kwa minofu kumawoneka. Zotsatira zake, maselo a mitsempha amakhala makamaka okhudzidwa ndi mitundu yonse ya zotsatira zoipa. Ngakhalenso zinthu zosafunikira kwenikweni kapena zakunja zingathe kuvulaza mkhalidwe wosasangalatsa. Izi zimawonetsedwa ndi ululu pamsana, zomwe zimasonyeza ngozi. Chochita ndi radiculitis, fufuzani mu nkhani ya "Medicamentous treatment of lumbar radiculitis".
Choncho, chizindikiro chachikulu cha sciatica ndikumva ululu. Malo ake amadalira mwachindunji malo a kuvulala kwa msana. Zimavomerezedwa kusiyanitsa chiberekero, mapewa-scapular, thoracic ndi lumbosacral radiculitis. Ndi cervical radiculitis, pali ululu waukulu m'khosi ndi occiput, poyipiritsa ndi kukhwima ndi kumutu kulikonse. Munthu amene ali ndi chiberekero cha radiculitis akhoza kumva amadzimva, kumva kumva kuvulaza, ndipo kuoneka kwakukulu kumawonekera. Ndi lumbar radiculitis, pali ululu wopweteka pamutu, occiput, paphewa, mapewa ndi manja, zomwe zimapukutidwa ndi kutembenuza mutu, kusuntha dzanja, kukopa. Ndi chifuwa cha radiculitis, pali zovuta za ululu waukulu m'madera ozungulira, omwe amaoneka kuti akuzungulira chifuwacho. Mu lumbosacral, njira yofala kwambiri ya radiculitis, pali ululu waukulu m'dera la lumbosacral, miyendo yowonongeka mu ntchafu, ntchentche, phazi, kubuula. Kupweteka kumawonjezeka ndi kuyenda, makamaka pakuyenda ndi kutsetsereka. Pachifukwa ichi, ziwalo zothandizira zikumva zowawa, chifukwa chakuti kusungidwa kwa ngalawa kudyetsa ziwalo za mchiuno sikulephereka.
Matenda a radiculitis (awo omwe amachititsa chifukwa - kuzizira, chimfine, rheumatism) zimayambira pa kukhalapo kwa tizilombo toyambitsa matenda m'thupi. Choyambitsa chizindikiro cha radiculitis ndicho kuwonongeka kwa mizu yomwe imayambitsa matenda a ziwalo zozungulira, pachiyambi - ziphuphu za msana. Ngati simukuyamba nthawi yothandizira sciatica, ndiye kuti zingatenge mawonekedwe osatha. Pachifukwa ichi, matenda aliwonse a kagayidwe kachakudya, matenda, chisamaliro chosasamala kapena nkhawa zapamwamba zidzasokoneza chiwembu cha radiculitis nthawi zonse, ndiko kuti, kupweteka koopsa kumbuyo. Kugonjetsedwa koteroko kudzabwerezedwa nthawi zambiri. Ndi matenda a catarrhal timakhala makamaka ndi kuwonongeka kwa poizoni, ndi mowa. Kuphatikiza kuledzera, kusokonezeka kosiyanasiyana kwa asidi-m'munsi bwino ndi kotheka, zomwe zimasintha mavoti a magazi ku acidification. Zonsezi zingayambitse matenda ndi ululu mu dera la lumbar, kumene ma disks amathyoledwa, ndi ganglia omwe ali ndi khoma lamtundu umodzi amapezeka pakati pa mavitenda. Pokhala ndi mowa ndi edema, nembanemba izi zimakanikizidwa, ndipo magazi amatsika. M'malo amenewa, poizoni amadziwika kwambiri, amadzimadzi a asidi (kumalo amodzi a acidosis) ndipo, mwachibadwa, hypoxia imapezeka. Kulimbana ndi kusintha kwa chikhalidwe cha thupi - acidosis - zambiri za histamine acid zimapangika, zomwe zimachoka pambali komanso zimapweteka kwambiri.
Izi ndizonso chifukwa chaulesi, subacute sciatica ikuchitika kale: nthawi ina adalipo, kenako adachepetsa. Mu matenda opatsirana opatsirana ndi fuluwenza, syndromes yambiri imakhala yovuta kwambiri komanso yoipa kwambiri. Pa nthawi imodzimodziyo, pamene malo owawa amakula, kumbuyo kumbuyo kumamangirira ndi kuvunda mizu. Chifukwa cha kukwiyitsa kwawo kungakhale kupweteka kwapachipatala m'magulu a m'chiuno, kupweteka mu sacrum, cocxx. Chifukwa cha ululu uwu ndi kusintha kwakukulu. Ngati magazi akupezeka m'dera la lumbosacral, magazi amatha kudutsa m'dera la mizu, ngati palibe zinthu zomwe zimayambitsa kuchepetsa poizoni, ndiye kuti kusintha kwakukulu sikungatheke, koma zimapangitsa kuti radiculitis ikhalepo: minofu idzapeza poizoni kwambiri, chifukwa cha zochita zawo kulimbikira moyo kumapangidwa slags (oxymosphoric asidi, thupi la ketone), zomwe zimayambitsa zowawa. Zokwanira, kuphatikizapo radicular, syndromes mu matenda opatsirana kwambiri ndi chifuwa zimakhudza ziwalo zofooka za thupi, kumene zimagwiritsidwa ntchito poyerekeza ndi matenda ofanana nawo: magazi akutha, pali njira zomatira, zowonongeka zomwe zimayambitsa vuto la kupanikizika. Ndi ma compression syndromes m'deralo, kusintha komweku kumachitika m'mimba mwa m'mimba chifukwa cha mphutsi, kugwirizanitsa, kukhudzidwa kwa mitsempha yambiri, ndi nthano zapakati. Chifukwa cha kufalitsa ziwiya, poizoni amatha kuunjikira pamenepo, njira yowopsa ikhoza kumakula; Zomwe zikuchitika kale zikhoza kuwonjezeka; Zatsopano zingapangidwe. Choncho, matendawa komanso mowa mwauchidakwa zingayambitse lumbar radiculitis. Matendawa sali ovuta kwambiri, mankhwala awo ndi osavuta, koma ngati simukuchita chithandizo choyenera kuyambira pachiyambi, vutoli lingapite kutali.
Chithandizo:
1. Kutentha kumoto, zakumwa zotentha (chifukwa cha izi kutentha kwa thupi kumatuluka). Kuwonjezeka kwa mphamvu yofalitsa magazi kumatulutsa kuyenda kwake; madziwo amachepetsa poizoni, kotero kumwa mowa kumachepa; Komanso, poizoni amatulutsidwa kunja ndi thukuta.
2. Kuchita masewera olimbitsa thupi 1: Kupuma pang'ono - kupuma - kutulutsa mpweya. Pogwiritsa ntchito mpweya wochepa, mpweya wa carbon dioxide umakhalapo, womwe umaphatikizapo malo ochepetsedwa, mpweya umakhala "m'mapewa" ake, njira zonse zamagetsi zimakhala zamphamvu, mphamvu zamagetsi zimayambitsidwanso mwamsanga, mwachitsanzo, lactic acid imasanduka mpweya ndi madzi; chinthu chomwe sichinapangidwe (matupi a ketone, amino acid osiyanasiyana), ndi oxidized ndi kudetsedwa ndi thupi kapena kutulutsidwa.
Choncho, zozama kwambiri ndi mankhwala oopsa ndi ofunika kwambiri, chifukwa zingathe kuchititsa mavuto aakulu. Zotsatira zomwe tatchula pamwambazi zimathandiza kupeŵa mavutowa. Ngati mumadya mapiritsi ndi mankhwala a analgesic (mwachitsanzo, mankhwala amchere omwe amawoneka kuti amathetsa ululu, koma kwenikweni minofu ya mitsempha ndi mitsempha ya magazi ndi kuchepetsa kutuluka kwa magazi), kutupa sikudzatha, ndipo kupweteka kudzachitika mobwerezabwereza. Komabe, poizoni amadziunjikira m'zombo zazikulu, zomwe zimapangitsa kuwonjezeka kwambiri ndi kutentha kwa mpweya. Ngati pali mitsempha ya varicose, kugwiritsa ntchito chemotherapy kumabweretsa mavuto. Choncho, mankhwala ayenera kukhala achilengedwe, ndipo pakuwagwiritsa ntchito, m'pofunika kuganizira za kusintha kwa chiwopsezo, mitsempha, mkhalidwe wamanjenje womwe umachitika mu chimfine choopsa, kuphatikizapo chimfine. Ndikofunika kwambiri mwamsanga komanso mwamsanga kubwezeretsa dongosolo mu thupi. Funso limayamba: kodi poizoni amadziunjikira mafupa? Mfundo yakuti ma capillaries a mafupa ndi ofooka kwambiri, amawombera mwamphamvu, kotero ngakhale pansi pazikhala bwino, kutuluka kwa magazi mwa iwo n'kovuta. Mwachitsanzo, chifukwa cha kutaya kwakukulu, othamanga samatsuka minofu, koma mafupa, chifukwa minofu imaperekedwa ndi magazi, ndipo magazi sangathe kudutsa mitsempha yaing'ono yowonongeka ya thupi, kotero pali mitundu yambiri ya magazi, tizilombo toyambitsa matenda zomwe zimapweteka mafupa, ndipo nthawi zambiri mu subperiosteal danga. Mu gawo la subperiosteal, nthawi zambiri pamakhala ululu wamapisozi, umalowa mkati, umene umachita bwino ndi zala ndi kuchotsedwa. Choipitsitsa kwambiri, pamene mapangidwe awa amachitika m'mapfupa, zimakhala zovuta kupirira nazo. Poonetsetsa kuti kachilombo koopsa sikufalikira mthupi lonse, ziyenera kuchitidwa mwamsanga.
Medicamentous treatment of radiculitis:
1. Mankhwala osokoneza bongo; obaya ndi otentha (monga njuchi kapena njoka, njoka yamoto).
2. Kuthamangira kusamba.
3. Kutambasula malo: mimba pa tebulo, mapazi pansi (mphindi 15-20), kenako kuwaza ndi mafuta.
4. Zochita za msana.
1. Benderani kutsogolo, kudalira manja anu, kukonza malo kwa masekondi 15-20, kenako yongolani bwino. Kenako bweretsani nthawi 4-5.
2. Khalani manja pa tebulo ndipo pang'anani pang'onopang'ono musagwedeze.
5. Kuwaza ndi mafuta opangira zitsamba.
6. Bedi lovuta.
Zochita zovuta pa ziwalo za m'chiuno.
Momwe mungapangidwire bwino
Manja ayenera kukhala ofunda. Pa dzanja limodzi kutsanulira kapena kuyika chida chopera. Ikani kudzoza kumalo omwe akukhudzidwayo ndipo pang'onopang'ono muzitha kupweteketsa malo opweteka kuchokera pansi mpaka kwa mphindi 10-20 (ululu waukulu - mphindi zisanu). Onetsetsani kukhalapo kwa mafuta pa dzanja, kuti musakhudze malo okhudzidwa ndi dzanja louma. Pambuyo pa ndondomekoyi, malo opweteka ayenera atakulungidwa bwino ndi kuyesayesa kuti musayese. Zimathandizanso kugwiritsa ntchito compresses: mafutawa amawombera pakhungu, ophimbidwa ndi polyethylene (ndibwino kuti aphimbe masamba atsopano a zomera - lilac, sage, timbewu kapena mandimu, ndi masamba 1-2 a burdock kapena masamba a kabichi), kuphimba ndi nsalu za ubweya ndi kukonza.
Chochita ndi ululu m'magulu
Ndikofunika kumvetsetsa kuti ndi chimfine, ziwalo zimakhudzanso munthu wathanzi. Komabe, ngati ali ndi chimfine, ali kale bwino: mwina, chifukwa cha kutopa, kutaya thupi kwa thupi, kupanikizika kwa nthawi yaitali, thupi limafooka, kotero matendawa atsegulidwa. Komabe, matendawa akhoza kukhala amphamvu kwambiri moti akhoza ngakhale kumenyana ndi munthu wathanzi, "akuwombera" ndi mankhwala owopsa. Pomalizira, pali mitundu yosiyanasiyana ya matenda a periostitis - matenda opatsirana pogwiritsa ntchito chifuwa chachikulu, pamene matenda "otupa" m'magazi amalowa m'ziwiya zazing'ono. Zida zochepetsetsa zili m'magulu. Palibenso mankhwala amphamvu kwambiri omwe amatha kukhala ndi matenda osagwira ntchito, omwe amafanana ndi saprophytes. Koma ngati saprophytes isanayambe kukhazikika makamaka ku nasopharynx, tsopano ikhoza kulikonse. Ichi ndi chomwe chimatchedwa matenda otetezeka. Kodi zizindikiro zake ndi ziti? Izi ndi zopweteka, zakuya kapena zochepa, subperiosteal; ululu m'mimba, umene umawoneka, kenako umatha; mutu; kutentha 37.2-37.4 ° C, ndipo nthawi zina kutentha kwapansi pa 38 ° C kumatsata ndi kuchepa; vuto la kutopa. Ngati matendawa alipo m'thupi, ndipo zowonjezereka zowonjezereka zowonongeka zimayambika pamenepo, nthiti zonse "zakufa" zimadzuka "- m'magulu, subperiosteum. Zamoyo zimakhala zofooka kwambiri, chifukwa zimamenyana ndi mdani wamkati komanso kunja, ndipo zimakhala zovuta kumenyana pambali ziwiri. Kenaka ife timachita chimodzimodzi. Mwachitsanzo, munthu nthawi zina amavutika ndi vutoli, ndipo chifuwa chake chimagonjetsa mtima, zipolopolo zake - mapepala a endocardium, myocardium, valves ya mtima), ndiye kuti pali mitundu yosiyanasiyana ya OP3 ndi khofi, ndondomeko ya chifuwa imagwiritsidwa ntchito. Koma tsopano tikulankhula za ululu wamtundu umodzi, ndipo zimangokhala zogwirizana ndi kuti ziwiya zazing'ono zimakhudzidwa, ndi matenda otsekula m'mimba amapezeka. Ngati mwa njira ina "magazi" amatha kupyolera mu mitsempha, ndiye kuti m'mitsempha (mitsempha ndi mitsempha yaing'ono yamagazi yomwe imapereka mpweya wa oxygen wotuluka m'magazi a mitsempha), imatha chifukwa imakhala yotupa komanso imatuluka, ndipo magazi amatha kudutsa ndi kupanikizika kochulukira, ndipo kupanikizika mu makina a capillary ndi kovuta kupanga. Chifukwa chake, pali kutupa, pamakhala zida za poizoni, ndi matenda opweteka amapezeka. Ngati mumachiza bwino nyamakazi yambiri ndi kutupa ndi kufiira, imadutsa mwamsanga. Ndili ndi zambiri zothandizira kuchipatala matendawa, kuphatikizapo omwe amaphatikizidwa ndi ululu m'magulu pambuyo povulala, kufinya.
Musatenge methindol ndi voltarene, ndiko kuti, mahomoni osakhala a steroid omwe amachititsa kuti mitsemphazi zisasokonezeke ndi kusokoneza kutuluka kwa magazi. Ziwiya zapasmodic motsutsana ndi chikhalidwe cha poizoni zomwe zili mwa iwo zimawonongedwa, ndiko kuti, zowonjezereka. Pali njira yachiwiri yotsutsana ndi kuthamanga kwa magazi - chiwerengero cha ma capillaries otseguka amachepa, otsala omwe amatsalira pansi pazowonjezereka, magazi amatha pang'onopang'ono ndipo pali kutupa. Koma chinthu chofunika kwambiri ndi chakuti ngati sitimazo zimakhala zochepa, zakudya zochepa zomwe zimapezeka, ndiye kuti matendawa amayamba, zomwe zimayambitsa kukula kwa microspikes (fibrosis, sclerosis) chifukwa chakuti magazi safika apo, ndipo minofu imabwera. Njira yokonzekera minofu ina, pakati pa yachibadwa ndi fibrosis, imayamba. Dzikoli limatenga nthawi yaitali, kotero tili ndi mwayi wosinthira ndondomekoyi. Ndikudziwa kuti zakudya zoterezi zimalowa m'magazi, zimatha kukhala paliponse: impso, m'mapapo, ndi zina zotero. Zimakhala zopweteka, chifukwa zofunira zomwe zili mkati mwawo zimakhala zovuta komanso zovuta. Izi zimalowa mkati mwazirombo zomwe zimakhala zowonongeka ku zamoyo ndi magulu omwe amakhala m'mabakiteriya. Akakhala m'matumba ochepa, amapanga envelopu yoteteza, kuti maselo oyera a m'magazi asawawononge. Zamadzimadzi amapita kumeneko mochepa, pali edema-ngati edema, ndiyeno nkukhazikika.
Choncho, matenda a ziwalo ndi zochitika za ululu mwa iwo nthawi zambiri zimagwirizanitsidwa ndi ndondomeko zowonongeka zowonongeka "zakugwa", ndizochitika zosafunikira m'ziwiyazo. Pamene matenda ena, amphamvu, alowa m'thupi, amathamangira ku malo ofooka ndi bedi lopweteka. Kumeneku kumatha, kumakhazikika ndikuyamba kuchuluka. Pakubwera magazi ochepa, oxygen, njira zamagetsi zimachepetsedwera kumeneko. Pogwiritsira ntchito mawu a kummawa, tinganene kuti pali mphamvu yowonjezera Yin (yozizira), ndipo palibe mphamvu Yang, choncho mphamvu ya Qi, ndiyo mphamvu yamagetsi, siidutsa apo. Zinthu zamagetsi, magetsi, ndi maginito zimachepetsanso. Izi zimayambitsa chitukuko cha kutupa kwapatsiku. Izi ndizofunikira makamaka pamilingo, chifukwa ali ndi katundu wolemera kwambiri. Kuthamanga magazi kuchokera m'munsi, ngakhale kupanikizika m'mitsempha ndi zoipa, kumakhalabe kovuta. Kuwonjezera apo, timakhala, ndiye kwa nthawi yaitali timatenga mtundu wina wa mitsempha, ndipo chifukwa cha mitsempha yopanikizika imapangidwira, kutuluka kwa magazi kumafalikira, m'malo omwe ali pansipa. Ndipo izi ndi zabwino kwa kachilombo, pamenepo imayamba kuyambitsa.
Ngakhale kuti matendawa akuthamanga m'magazi, zimakhala zovuta kuti azikhala kwinakwake ndikukhazikika. Matendawa amafunikira madzi a m'magazi, omwe angalowe mu matenda, kumene pazikhala zofunika. M'magulu, zinthu zoterezi zimapangidwa. Amagulu ali ndi matumba amodzi (bursa), omwe, chifukwa cha zotsatira za matenda, pali njira za ischemic ndipo nthawi yayitali yopsereza flaccid bursitis imakhala ndi ululu m'matope panthawi ya popliteal fossa; Zisindikizo zimapangidwa, zomwe zimalepheretsa kugwedezeka ndi ziwalo zosagwiritsidwa ntchito. Poyamba iwo samatha ngakhale, koma amangokukoka ndi kusokoneza. Pa nthawiyi, ndikofunikira kuti muwagwedeze. Ngakhale kupopera kumodzi nthawi zina kumabweretsa chiwonongeko chokwanira, pamene tikukankhira matenda kuchokera kunja, ndipo maselo oyera amagazi "amatulutsidwa". Mu kulowa, matendawa akadali ofooka, ndipo ndi kosavuta kuwononga kuposa magazi. Pansi pa zomwe zafotokozedwa, ndikofunikira kuyamba kuyamba nthawi yake. Tsopano tikudziwa momwe tingachitire mankhwala a lumbar radiculitis.