Kurwara kwakadaro kwakanyanya, sezvo kushanduka kwemagetsi e-lumbar spine (spondylolisthesis), kunogona kuitika chero ipi zvayo. Kune miviri miviri yekuparadzanisa, zvichienderana nekutungamirirwa kwe vertebral displacement: retroolisthesis (backward displacement) uye ventrolisthesis (forward displacement), zvisinei, kushanduka kunogona kuva kwakaoma. Kwenguva yakareba urwere haugone kuzviita (kusvika kumakore akawanda), asi chirwere chemaitiro chinoramba chiri kufambira mberi uye kazhinji chinokonzera zvinetso.
Zvinokonzera kusununguka kwemagetsi emunharaunda
Ngationei zvinhu, imwe kana zvimwe zvingakanganisa chirwere ichi:
- kushungurudzika kwepamusoro (kusununguka, matambudziko, nezvimwewo);
- kuberekwa kusakanganiswa kwemupfudze munharaunda ye lumbar;
- kuora uye dystrophic shanduko yemutsana;
- kupindira kupindira pamupfupa;
- nguva yakareba misasa;
- kunyanya kuedza muviri (zvinowanzobatanidzwa nekusimudza zvisikwa);
- inowira shure;
- kupera simba kwemavara emharavertebral;
- kuchinja kunopisa mukushisa, nezvimwewo.
Iyo inowanzotaridzirwa kuendeswa kune imwe nzvimbo 5, pamwe chete nemagetsi mana emunharaunda, tk. iyi iyi nzvimbo inonyanya kubudiswa uye inotambudzwa. Muchiitiko ichi, kushanduka kwechishanu vertebra yemunharaunda inokonzera kukanganisa kwechikafu chekufamba kwayo (kuumbwa kunobatanidza muviri wekupedzisira kune zvikamu zvepadhesi).
Zviratidzo zvekushandura kwemavara emaguta edzimba
Utano hunotanga kuzviratidzira nezviratidzo zvinotevera:
- marwadzo maduku, episodic munharaunda yakakomberedzwa, yakasimbiswa semugumisiro wekufambisa uye kutakura uye kupa kumakumbo;
- kuderera kwehuwandu hwemashandiro anoshingaira uye asingasviki anoshamwaridzana nepasm of the corset muscle.
Sezvo kufambira mberi kuchioneka zviratidzo zvakadaro:
- Kuvapo kwekuwedzera kunowanikwa munzvimbo yechilonda, iyo inowanika munguva ye palpation;
- kurwadziwa kwakanyanya munzvimbo yechipar
- kukanganisa kunokosha kwekufamba;
- general weak;
- kuchinja kwekutsvaga, gait;
- kusagadzikana kwenhengo dzomukati (urino-genital, kushaya kwepamuviri);
- tsvina inoputika mumakumbo;
- kupera uye kuzvimba kwemakumbo, kurwadziwa mumabvi, zviputi zvechiuno nemakumbo;
- kunonoka kufamba, kufambisa kwetsoka paunofamba, unotakura;
- kurasikirwa kwekunzwa kwetsoka.
Migumisiro yekutsauka kwe vertobra lumbar:
- kudonhedzana kwepinini yepinini;
- kudzvinyirira mapazi emagariro;
- deformation yemutsara wepinini;
- intervertebral hernia, nezvimwewo.
Kuchengetedzwa kwemafuro emagetsi ekusimuka
Muhutano huno, zvichienderana nekuoma kwegadziriro, chirongwa chekuchengetedza kana chirwere chinogona kurairwa. Kuchengetedza kurapa kunobva pane zvinotevera kurapa:
- Kushandiswa kwemishonga: kwete-steroidal anti-inflammatory drugs (mukati, kunze), musingazorodza mushuga, glucocorticosteroids muchimiro chejojo (nemarwadzo akaoma), chondroprotectors, mavitamini.
- Physiotherapeutic treatment: deep back massage yemisungo,
kupisa kupisa, electrophoresis, ultrasound therapy, therapy, mud. - Mutsara wetsotsi, tsanangudzo therapy , reflexotherapy.
- Kurapa maitiro ekusimbisa musimba kusimbisa.
- Kupfeka corset, kuderedza mutoro uri munzvimbo yakakwirira.
Mumamiriro ezvinhu akaoma ekuparadzanisa kwemagetsi emakumbo emakumbo, kushanda kunotarisirwa kusimbisa musana uye kuderedza kudzvinyirira kwemagetsi ekuguma. Kubudirira ndiyo nzira yekuvhiya ye vertebral plasty, uye kubviswa kwe vertebra uye zvakanyanya kuvhara zvigunwe zvinogona kuitwawo.