Xws li ib qho kev mob ntsws loj, raws li qhov tawm ntawm lub vertebrae ntawm tus txha caj qaum (spondylolisthesis), tuaj yeem tshwm sim thaum muaj hnub nyoog. Muaj ob hom kev xaav tawm, nyob ntawm seb ntawm kev vertebral tawm mus licas: retroolisthesis (rov qab xa tawm) thiab ventrolisthesis (forward xaav), txawm li ntawd los, deformation tuaj yeem nyuab dua. Rau lub sij hawm ntev heev, tus kab mob tsis tuaj yeem ua rau nws tus kheej muaj kev xav (txog li ob peb xyoos), tab sis cov txheej txheem pathological tas mus li thiab ntau zaus ua rau muaj teeb meem.
Ua rau ntawm xa tawm ntawm vertebrae ntawm cheeb tsam lumbar
Peb sau cov xwm txheej, ib los yog ntau ntawm cov uas tuaj yeem cuam tshuam txoj kev mob ntsws no:
- kev puas tsuaj ntawm tus txha nraub qaum (tsis tuaj yeem, nqaij doog, thiab lwm yam);
- kev txheeb ze ntawm tus txha caj qaum ntawm thaj chaw lumbar;
- txawv txav thiab dystrophic hloov ntawm qaum;
- phais kev cuam tshuam rau ntawm qaum;
- mob lub qhov ncauj ntev heev;
- ntau lub cev ua rau lub cev (feem ntau yog txuam nrog kev siv tes taw hnyav li);
- ntog rau tom qab;
- weakening ntawm cov nqaij ntshiv paravertebral;
- ntse hloov hauv kub, thiab lwm yam.
Feem ntau raug xa tawm chaw tawm 5, thiab 4 vertebrae ntawm thaj chaw lumbar, tk. nws yog lub vev xaib no yog feem ntau raug thiab raug. Nyob rau hauv qhov no, qhov tawm ntawm tsib vertebra ntawm cheeb tsam ntawm lub lumbar ua rau pob txha ntawm nws lub pedicle (qhov uas ua rau lub vertebral lub cev mus rau ntawm lub pob sib txuas).
Cov tsos mob ntawm kev xa tawm ntawm vertebrae ntawm thaj chaw lumbar
Pathology pib tshwm nws tus kheej nrog cov tsos mob nram qab no:
- menyuam yaus, kev mob kev nkeeg hauv thaj chaw hauv cheeb tsam, khov raws li kev mob siab thiab ntim thiab muab rau cov ceg;
- ib qho kev txo qis ntawm qhov muaj zog thiab kev txav mus los nrog kev sib hlab ntawm cov quav corset.
Raws li qhov kev mob tshwm sim muaj xws li cov cim qhia:
- Lub xub ntiag ntawm ib qho yooj yim protrusion nyob rau hauv thaj tsam ntawm lesion, uas yog pom thaum lub sij hawm palpation;
- mob ntxiv nyob rau cheeb tsam hauv cheeb tsam
- kev tsis tshua meej heev ntawm kev khiav;
- kev tsis muaj zog;
- hloov ntawm kev sib tw, kev sib tw;
- kawg ntawm lub nruab nrog cev (urino-genital, gastrointestinal disorders);
- leeg ntshaus nyob rau hauv ob txhais ceg;
- loog loog thiab o ntawm ob txhais ceg, qhov mob ntawm lub hauv caug, lub pob ntseg pob yas qej thiab pob taws;
- kev nyuaj siab ntawm kev taug kev, cim ntawm taw thaum taug kev, lameness;
- tsis hnov ntawm lub taw.
Teebmeem ntawm kev xaav ntawm lumbar vertebra:
- txhawm rau ntawm qhov nqaj qaum;
- compression ntawm hlab ntsha ceg ntoo;
- deformation ntawm sab leeg;
- intervertebral hernia, lwm yam.
Kev kho mob ntawm txoj hlab ntsha hauv lumbar vertebrae
Hauv cov kab mob pathology no, nyob ntawm qhov kev hnyav ntawm tus txheej txheem, yuav tsum tau hais kom tau tus kws kho mob lossis kev phais mob. Cov kev kho kom txuag tau zoo raws li cov kev kho mob nram qab no:
- Kev siv cov tshuaj: cov tshuaj uas tsis yog siv tshuaj (anti-inflammatory drugs) (sab hauv, externally), cov leeg mob, glucocorticosteroids hauv daim ntawv txhaj tshuaj (nrog mob hnyav), chondroprotectors, vitamins.
- Kev kho mob ntawm cev nqaij daim tawv: rov qab zaws ntawm cov leeg,
sov kho, electrophoresis, kev kho ultrasound, kev kho av nkos, thiab lwm yam. - Tus txha caj qaum qis, kev kho mob, kev kho mob siab.
- Kho cov kev ua kom muaj zog ntawm cov leeg.
- Looj ib corset, minimizing load rau ntawm thaj chaw lumbar.
Nyob rau hauv loj heev ntawm xaav ntawm vertebrae ntawm lub lumbar spine, ib lub lag luam yog tsom rau stabilizing lub spine thiab txo compression ntawm cov hlab ntsha. Kev siv tau yog kev phais ntawm vertebral plasty, thiab tshem tawm ntawm vertebra thiab caws pliav nqaij ntau dhau los kuj ua tau.