Đau vùng thắt lưng

Dau vung that mng »TS. BUI MINH TRANG

Dau thSt lung dn phii dieu

tri theo nguydn nhAn.

Dau that iLftig la trieu chOfng hay gap, theo thong ke thi

trong dcJi ai cung phai trai qua vai Ian. ChCfc nang cua

vung that lOhg la giil the du"ng cd the, giup si/ chuyen

dong va bao ve nhiJng cd quan kha c Dau that luTig co

lien quan den ton thu'dng cot song that iiflng, dia dem

giCfa cac dot song, day chang quanh cot song va dia

dem, tuy song va day than kinh, cd vung that liTng, cac

cd quan d chau va bung, da bao phu vung that lUhg.

Dieu tri dau that iutig phai hLfdng tdi chan doan diing

nguyen nhan va doi v6i cac ddt dau cap tinh thi dung

thuoc giam dau thong thu'dng se co hieu qua.

Rat nhieu nguyen nhan gSy r a dau that li^ng

Nguy&n nhan th6ng thi/dng cua dau vung that

iLfng g6m qu^ tdi hoat d^ng viing th^t liftig, kich

thich thdn kinh, ton thucfng dot song, tinh trang ciia

xxifJng vh khdp.

- Do cgt sdng: ton thuong k6o gian cua day chfing,

gan CO vung th^t lUng. NhOfng tai nan gay ra r^ch vi

th^ ciia m6 vung th^t lutig. Ton thaong xay ra do boat

dpng qu^ tdi th^t liiiig, khong diing tU the hoSc chan

thu'dng. T6n thUOng x§'p v&o nh6m cap tinh neu xay

ra vki ngky d&'n v^i tudn. Neu ton tai tr6n 3 th^ng

thi x^p vho nh6m mSn tinh.

- BSnh re ddy thdn kinh thdt lUng: tinh trang kich

thich day thdn kinh do ton thirong dia d§m giiJa cdc

do't s6'ng. T£in thUcfng dia d^m do thodi hoa lam rfich

Idp phii ben ngo&i ciia dia, do chdn thUcfng hoSc ca

hai. K6't qua 1^ phdn mo mem d trung tam dia bi vd

gay thodt vi ra ben ngoai, tinh trang nay lam chen

dp ddy thdn kinh tuy song von xua't phdt tit khoang

giCfa cdc da't s6'ng.

- BSnh ly cua xUang: bat ky tinh trang nao gay ra

di I^cb ciia dot song thdt liAig cung co the lam chen

dp tuy s6'ng va day tbdn kinh.

MOt 86' nguydn nhdn khdc gdy dau tbdt liJng gom:

- Bknh ly ciia thdn (nhiem trimg than, soi than, cbay

mdu th ^ do chan thiicmg). De chan doan can phan ticb

nadc ti^u, si6u dm vd chan dodn hinh anh khac.

- Khi mang thai: do sU cb6n ep thai nhi vao cpt

sd'ng thdt liftig. Them vdo dd la sif tdc dong ciia

hormon sinh due nij" estrogen ldm gian day chdng

n&n thay doi cd'u true thdt lutig.

- B^nh ly buSng trdng: nang buong trijfng, u xo tiif

cung, l^c npi mac tiJf cung. Chan dodn cbinh xac doi hoi

khdm san phu khoa vd ldm xet nghiem chuyen khoa

- Khdi u: c6 tbt" u Idnh hofic u dc xud't phat tir

XUOng sdng, vimg ch^u hodc tuy song, cung cd the

kh6'i u di cdn td ntfi khdc d6'n.

THUdc&sOCKHOEsoSOl (I f. 2014)

Nguyen nban hiem gap hcfn trong dau tbdt lung:

benh Paget cua xUPng, cbay mau hodc nhiem trimg

viing chau, nhiem triing sun boSc xuong dot song,

pbinh dong mach chu bung, benh zona.

Chan doan diing nguyen nhan

de dieu tri hi^u qua

Dau tbdt iLfng co the di kem vdi hang loat cdc

tri^u chiifng kbdc tiiy tbuoc nguyen nhan gay ra. Tri$u

chiirng hay gap di song banh vdi dau thdt liftig Id te

CO kem theo hodc kbong tinb trang di cam d chi dudi,

tieu tieu khong tu chu, di lai kbo khSn, ye'u chi dUdi,

teo CO chi dudi, sot, lanh run, giam can, dau bung,

tieu rdt, dau kbdp, met moi,

De chan dodn dau thdt lUng pbai dUa vao b^nh sir

ciia dau vd tb&m khdm lam sang, Benh nhan se dUOc

lam mot so xet nghiem va cban doan binh anb. Ngodi

pbim X quang cpt song thudng qui, co the benh nhdn

difoc cbup cdt Idp dien toan cot song (CT Scanner),

chup cong hudng tif cot song (MRI), Scan xUdng, do

dien cd, do dan truyen than kmh.

Dieu tri dau thdt limg: cdn phai chan doan chinh

xac nguyen nban gay ra roi dieu tri dung nguyen

nhan. Ben canb dd la dieu tri tri^u chu'ng dau bdng

thuo'c giam dau thong thudng den nhdm kbang

viem non-steroid, corticoid va tham cbi giam dau

gay nghidn.

Mpt so bai t^p the due

cho ngitcTi dau thdt li^ g

Mot so' trifdng hop dau mdn tinh cd ngudn goc

CO xLfOng can pbai tap the due dc cai thi^n tinh

trang dau.

:^ Cdng CO chdn:

• Ndm ngiita.

• Chuyen co chan

len xuong 10 Ian.