Paʻu maualalo tua: mafuaʻaga, faʻamaoniga, togafitiga

Manuʻaga taʻaloga

1K 14 05.05.2019 (toe iloiloga: 01.07.2019)

Lumbar tiga o le masani masani faʻailoga e tau atu i togafitiga faafomaʻi.

Aotelega o mafuaʻaga mafuaʻaga o le tiga

O le etiology o lumbodynia e eseese. E mafai ona mafua mai i:

• ogaoga static ma static-maoae avega i luga o le lumbar vertebrae;
• ponaivi faamaʻi:
  • osteochondrosis o le lumbar tuasivi;
  • protrusion poʻo herniated intervertebral discs;
  • faʻamaʻi pipisi (osteomyelitis, tuberculosis, brucellosis);
  • deforming spondylosis;
  • scoliosis, pathological lordosis ma kyphosis;
  • metabolic osteoporosis;
  • gaui ma manuʻa o le vertebral tino;
  • neoplasms muamua ma metastatic o le vertebral tino;
  • ankylosing spondylitis;
  • rheumatoid gugu;
• faamaʻi fatugaʻo:
  • neoplasms autu ma tulaga lua;
  • matuitui pyelonephritis;
  • ICD;
• atherosclerosis o le manava vaega o le aorta ma ona lala;
• aortic dissecting aneurysm;
• suiga faʻapitoa i le soʻoga o suilapalapa;
• mumu o le paʻu faigata ma vaivai o le ivitu;
• ogaoga ma faaumiumi poloka poloka;
• atypical vasega o matuitui appendicitis;
• ogaoga faaletonu o le faataamilosaga o tuasivi;
• faʻamaʻi o totoga o le pelvic, e aofia ai le vaega o le fanautama:
  • endometriosis;
  • kanesa o le tō;
  • adnexitis;
  • prostatitis;
  • kanesa o le prostate;
  • STDs;
• faʻamaʻi o le digestive tract (tele pathologies mai le manava, ate, gallbladder, pancreas).

Faʻavasega faʻailoga

Systematization o pathology o loʻo faʻatinoina i luga o le faʻavae o taʻiala ua avea o se faʻavae. E mafai ona tusa ma:

• faʻailoga taualoa:
  • muamua (mafua mai i suiga muamua pathological i le vertebrae) - protrusion ma hernia o intervertebral discs;
  • tulaga lua (mafua mai i faʻamaʻi o totoga ma faiga, o lona iʻuga o le lumbodynia) - ICD, LCB.
• taimi o foliga vaaia:
  • matuitui (e oʻo atu i le 12 vaiaso);
  • tumau (sili atu ma le 12 vaiaso);
• fesoʻotaʻiga ma se mea faʻaosooso:
  • vave (manua tuasivi);
  • faatuai (tiga i tua pe a uma ona 'ai gaʻo gaʻo ma faʻamaʻi gallstone);
• tikeri o faʻaaliga:
  • folafolaina:
  • feololo;
• localization:
  • topographically tutusa ma le lesion taulaʻi;
  • minoi pe fealualuaʻi;
• ata falemaʻi:
  • saua;
  • tatavale;
  • tui;
  • fanaina;
  • tipiina;
  • liʻo;
  • mu;
  • valea;
  • faʻaputu

Tiga fusi

Sili atu masani mo matuitui pancreatitis, cholecystopancreatitis, cholelithiasis, ogaoga cholecystitis ma intercostal neuralgia. I le faʻaleagaina o le ate ma pancreas, tiga mafai ona susulu atu i le vaega o le fatafata.

Cholecystitis poʻo pancreatitis e seasea tuʻua. Tele taimi, o faʻamaʻi e tuʻufaʻatasia ma avea i luga le amio o le cholecystopancreatitis. O se lagona oona i le gutu, faʻapea foi ma lagona le malie i le taumatau hypochondrium, mafai ona avea o se faʻailoga faʻaeseesega.

Tuuina atu le ogaoga o mafai nosological pathologies ma le faʻaalia o tiga o le shingles natura, antispasmodics (Papaverine, Platifillin) tatau ona faʻaaogaina e faʻamama ai ia. E le mafai ona faʻaaogaina NSAIDs (non-steroidal analgesics) ona o le mea moni e faʻapea o lo latou faʻaaogaina e mafai ona suia ai faʻailoga ma faʻafaigata ai le suʻesuʻega e le fomaʻi tipitipi.

Uluai faʻamaoniga

Ina ia mafai ona faia se faʻataʻitaʻiga muamua, o le numera o faʻamaoniga suʻega e faʻaaogaina:

O ai e faʻafesoʻotaʻi

Afai e le o iloa le mafuaʻaga o le tiga, e tatau ona faʻatalanoa se fomaʻi. I tulaga o le etiology e manino, i vaapiapi faʻapitoa, mo se faʻataʻitaʻiga, i se gynecologist (tiga lagona na aliaʻe i le lona tolu masina o le maitaga) poʻo se neuro (o loʻo i ai faʻailoga o intervertebral hernia i le anamnesis).

Tele taimi, o le rheumatologist ma le traumatologist o loʻo aʻafia foʻi i le togafitia o tua tiga.

Asiasi fomaʻi, faʻamaoniga ma suʻega

O le faʻamaoniga e faigata ona o le le faʻamaonia o auga ma lona polyetiology. O se auiliiliga auiliiliga o anamnesis, auiliiliga o faitioga a le tagata maʻi, faʻapea foi ma ana suʻesuʻega maeʻaeʻa e manaʻomia.

Faʻatasi ai ma metotia falesuesue, lautele ma biochemical toto ma miaga suʻega, faʻapea foi ma le suʻega toto mo tuma faʻailoga, e tatau ona iloga

O metotia suʻesuʻe faʻaaoga e masani ona faʻaaoga e aofia ai le X-ray ma le endoscopic technique, ultrasound o le manava o le manava ma le avanoa i tua atu, CT ma le MRI.

Togafitiga togafiti

O le polokalame ma metotia o togafitiga e faʻavae ile faʻamaoniga. Ua vaeluaina i latou i:

• faʻaleoleo:
  • ave vailaʻau (NSAIDs, vasodilators, centrally maso maso relants, chondroprotector, B vitamini, vailaʻau vailaʻau, ma isi) i le tulaga o:
    • uu manogi;
    • fualaʻau ma capsule;
    • tui (paravertebral blockade);
  • FZT:
    • faʻamafanafanaina (aoga i le tulaga o le toe faʻaleleia mo traumatic aseptic pathologies);
    • cryotherapy (aoga i le matuitui vaega o aseptic pupuga, mo se faʻataʻitaʻiga, i afaina);
  • Faʻamalositino togafitiga (o se seti o faʻamalositino fuafuaina e atiaʻe le musculoskeletal system);
  • fofo;
  • togafitiga tusi lesona;
• faʻagaioiga (neoplasms, faʻailoga o le faʻapipiʻiina e intervertebral hernias o le tuasivi laina, ma isi).

© Yakobchuk Olena - stock.adobe.com

Faʻamalositino togafitiga, faʻamalositino

Faʻatasi ai ma le tiga i le vaega o le lumbar, o le taʻalo i taʻaloga e matua le manaʻomia lava ona o le maualuga o le avanoa e faʻaopoopo ai manuʻa i soʻoga faʻatasi ona o faʻafuaseʻi o gaioiga (volipolo, soka)

O le ofuina o fusi i luga o le lumbar itulagi o loʻo faʻaalia, aemaise pe a maualuga static poʻo static-malosi avega e faʻamoemoeina.

Paʻu maualalo tua i tagata afeleti

O le tuasivi o tagata afeleti e iai aafiaga taua, faʻasolosolo ma fesuiaʻi avega, lea e fuafua ai le faʻapitoa o le lavea. Tele taimi faʻataʻitaʻia:

• faʻalauteleina o le musculo-ligamentous mea faigaluega o le lumbar vertebrae;
• spondylolysis (o se faʻaletonu i le faitotoʻa o le vertebra, maua i gymnasts, pou vaulters, lakapi taʻalo);
• sondylolisthesis (see o le vertebrae e faatatau le tasi i le isi);
• osteocondritis o le tuasivi;
• hernia ma protrusion o intervertebral tisiki;
• le talavou kyphosis o Scheuermann-Mao;
• scoliosis

Tuuina atu le maualuga lamatiaga o manuaga, tagata tomai faapitoa afeleti tatau ona mataituina masani. A maua se faʻailoga, o le togafitiga faʻatonutonu e faʻatonuina e le fomaʻi ma o loʻo fuafuaina e lona ituaiga.

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