{"id":2371,"date":"2015-10-05T08:55:58","date_gmt":"2015-10-05T08:55:58","guid":{"rendered":"http:\/\/becoral.eu\/lv\/?p=2371"},"modified":"2025-02-03T19:10:41","modified_gmt":"2025-02-03T19:10:41","slug":"sapes-mugura","status":"publish","type":"post","link":"https:\/\/becoral.eu\/lv\/sapes-mugura\/","title":{"rendered":"S\u0101pes mugur\u0101"},"content":{"rendered":"<p>Diem\u017e\u0113l katrs no mums vismaz reizi ir cietis no as\u0101m muguras vai kakla s\u0101p\u0113m, bet retais zin, ko dar\u012bt t\u0101d\u0101 gad\u012bjum\u0101 un k\u0101 \u0101rst\u0113ties. Par to m\u0113s ar\u012b run\u0101sim \u0161oreiz, ta\u010du s\u0101kum\u0101 vajag noskaidrot slim\u012bbas iemeslus un terminolo\u0123iju.<\/p>\n<h3>Parasti tiek lietoti da\u017e\u0101di termini:<\/h3>\n<ul>\n<li><strong>Lumbago<\/strong> \u2013 asas, negaid\u012btas s\u0101pes muguras lejasda\u013c\u0101.<\/li>\n<li><strong>Radikul\u012bts<\/strong> \u2013 s\u0101pes, kas iet no muguras lejasda\u013cas uz labo vai kreiso k\u0101ju, bie\u017e\u0101k pa gurna aizmugur\u0113jo virsmu vai zem\u0101k, reiz\u0113m l\u012bdz k\u0101ju pirkstiem. \u0160\u0101das s\u0101pes sauc ar\u012b par I\u0161iasu, t.i. s\u0113\u017eas nerva iekaisums.<\/li>\n<\/ul>\n<p>\u0160ie ir simpomi, nevis slim\u012bbas. Es m\u0113\u0123in\u0101\u0161u aprakst\u012bt da\u017eus slim\u012bbas att\u012bst\u012bbas variantus.<\/p>\n<p>P\u0113c maniem nov\u0113rojumiem <strong>lumbago<\/strong>, <strong>i\u0161iass<\/strong> un <strong>radikul\u012bts<\/strong> parasti ir 3 slim\u012bbu sekas:<\/p>\n<ul>\n<li>Asas musku\u013cu spazmas<\/li>\n<li>Starpskrieme\u013cu diska tr\u016bce<\/li>\n<li>Mugurkaula skrieme\u013cu novirze<\/li>\n<\/ul>\n<h2>Asas musku\u013cu spazmas<\/h2>\n<p>Var rasties p\u0113c neveiksm\u012bgas kust\u012bbas, paaugstin\u0101tas fizisk\u0101s aktivit\u0101tes, darba vai miega ne\u0113rt\u0101 poz\u0101, var tikt provoc\u0113tas ar caurv\u0113ju, stresu vai sasal\u0161anu. Visbie\u017e\u0101k s\u0101pes rodas no r\u012bta p\u0113c miega un var b\u016bt tik stipras, ka slimnieks nevar pakust\u0113ties. Parasti 70% gad\u012bjumu s\u0101pes p\u0101riet p\u0113c 3-4 dien\u0101m pa\u0161as no sevis. Tom\u0113r reiz\u0113m l\u0113kme var ieilgt un provoc\u0113t citas nopietn\u0101kas probl\u0113mas \u2013 skrieme\u013cu novirzi vai tr\u016bci.<\/p>\n<h3>\u0100rst\u0113\u0161ana:<\/h3>\n<p>Neskatoties uz as\u0101m, stipr\u0101m s\u0101p\u0113m, \u0101rst\u0113t t\u0101s var diezgan viegli, ja \u0101rst\u0113\u0161anu s\u0101k uzreiz. Pirmk\u0101rt, nepiecie\u0161ams, maksim\u0101li nesasprindzin\u0101t s\u0101po\u0161o vietu. V\u0113lams uzkl\u0101t k\u0101du sildo\u0161o ziedi un iedzert jebkuru pretiekaisuma prepar\u0101tu. Var veikt nelielu mas\u0101\u017eu, tik maigu, lai nerastos diskomforts s\u0101po\u0161aj\u0101 viet\u0101. Ja tas nepal\u012bdz, var iedzert prepar\u0101tus musku\u013cu ats\u0101bin\u0101\u0161anai \u2013 <strong>miorelaksantus<\/strong>. Ta\u010du, ja s\u0101pes nemazin\u0101s 5-7 dienu laik\u0101, nedr\u012bkst risk\u0113t un nepiecie\u0161ams greizties pie \u0101rsta.<\/p>\n<h2>Mugurkaula skrieme\u013cu novirze<\/h2>\n<p>Mugurkaula skrieme\u013ci ir neliela, bet svar\u012bga mugurkau\u013ca sast\u0101vda\u013ca. Novirzes visbie\u017e\u0101k notiek ekstrem\u0101las iedar\u012bbas rezult\u0101ta. Piem\u0113ram, sitiens, kritiens, neveiksm\u012bga saliek\u0161an\u0101s, pagrieziens vai smaguma cel\u0161ana. Tas parasti notiek neman\u0101mi vai ir dzirdams neliels krak\u0161\u0137is, kuram netiek piev\u0113rsta uzman\u012bba. T\u0101 k\u0101 ap mugurkaula skrieme\u013ciem atrodas daudz nervu galu, novirze izsauc s\u0101pes un musku\u013cu reakciju \u2013 spazmas. Simptomi ir \u013coti l\u012bdz\u012bgi musku\u013cu spazmu simptomiem, tikai norit smag\u0101k un bez \u0101rst\u0113\u0161an\u0101s ievelkas uz ilgu laiku. Bie\u017ei novirzes, t\u0101pat k\u0101 spazmas, noved pie lumbago vai radikul\u012bta l\u0113km\u0113m.<\/p>\n<h3>\u0100rst\u0113\u0161ana:<\/h3>\n<p>Pirmk\u0101rt, nepiecie\u0161ams atgriezties s\u0101kuma st\u0101vokl\u012b. No Hipokr\u0101ta un Avicennas laikiem nav izgudrots nekas lab\u0101ks k\u0101 manu\u0101l\u0101 terapija \u0161aj\u0101 gad\u012bjum\u0101. T\u0101l\u0101k ieteicama akupunkt\u016bra, mas\u0101\u017ea, nestero\u012bdi pretiekaisuma prepar\u0101ti un miorelaksanti. Labu rezult\u0101tu sniedz blok\u0101de, maz\u0101k\u0101 mer\u0101 pal\u012bdz fizioterapijas elektroproced\u016bras.<\/p>\n<h2>Starpskrieme\u013cu diska tr\u016bce<\/h2>\n<p>\u0160\u012b ir smag\u0101k\u0101 no mugurkaula de\u0123enerat\u012bvaj\u0101m slim\u012bb\u0101m. T\u0101 var izpausties k\u0101 sekund\u0101ra slim\u012bba p\u0113c spazm\u0101m vai uzreiz p\u0113c traum\u0113jo\u0161as iedarb\u012bbas bez papildus nosac\u012bjumiem. Traum\u0113jo\u0161s faktors visbie\u017e\u0101k ir smaguma cel\u0161ana vai iztaisno\u0161an\u0101s ar vienlaic\u012bgu pagriezienu, kritiens uz asteskaula, nevieksm\u012bgs l\u0113ciens. Simptomi &#8211; s\u0101kum\u0101 izpau\u017eas k\u0101 asas s\u0101pes jostasviet\u0101, tad p\u0101rvietojas uz vienu vai ab\u0101m k\u0101j\u0101m (radikul\u012bts). Reti var novest pat pie piln\u012bgas vai da\u013c\u0113jas k\u0101ju paral\u012bzes [1].<\/p>\n<h3>\u0100rst\u0113\u0161ana ar medikamentu pal\u012bdz\u012bbu jeb medikamentoz\u0101 \u0101rst\u0113\u0161ana<\/h3>\n<p>Prets\u0101pju l\u012bdzek\u013ci \u2013 k\u0101 prets\u0101pju l\u012bdzek\u013cus parasti izmanto nestero\u012bdos pretiekaisuma prepar\u0101tus jeb analg\u0113ti\u0137us (piem\u0113ram, Diclofenac). Tos nav v\u0113lams lietot ilg\u0101k par m\u0113nesi, jo var rasties nev\u0113lami blakus efekti.<\/p>\n<ul>\n<li><strong>Miorelaksanti<\/strong> \u2013 tos lieto s\u0101pju, ko rad\u012bjis musku\u013cu saspringums, mazin\u0101\u0161anai. \u0160ie prepar\u0101ti no\u0146em musku\u013cu spazmas, ta\u010du to lieto\u0161ana iesp\u0113jama tikai prec\u012bzi vadoties p\u0113c \u0101rstu nor\u0101d\u0113m.<\/li>\n<li><strong>Hondroprotektori<\/strong> \u2013 prepar\u0101ti (piem\u0113ram, <strong>glikozam\u012bns, hondroit\u012bns<\/strong>), ko izmanto s\u0101pju \u0101rst\u0113\u0161anai, ko izraisa mugurkaula distrofiskas izmai\u0146as. \u0160ie prepar\u0101ti stimul\u0113 skrim\u0161\u013caudu galvenom sast\u0101vda\u013cu izstr\u0101di, t\u0101d\u0113j\u0101di pal\u0113ninot skrim\u0161\u013caudu sabruk\u0161anas procesu. \u0160ie medikamenti darbojas \u013coti l\u0113ni un nelikvid\u0113 s\u0101pes vai iekaisumu t\u0101d\u0113\u013c rekomend\u0113jami atvese\u013co\u0161an\u0101s period\u0101.<\/li>\n<li><strong>Vitam\u012bni B<\/strong> &#8211; liel\u0101s dev\u0101s tiek lietoti k\u0101 pal\u012bgl\u012bdzeklis muguras s\u0101pju \u0101rst\u0113\u0161anai. Muguras s\u0101pju \u0101rst\u0113\u0161anas terapija b\u016bs daudz efekt\u012bv\u0101ka, ja sev piem\u0113roto prets\u0101pju formu lietosiet paral\u0113li ar B grupas vitam\u012bniem, tom\u0113r to efektivit\u0101ti ir gr\u016bti prognoz\u0113t un garant\u0113t.<\/li>\n<li><strong>Novoika\u012bna blok\u0101des<\/strong> \u2013 veiksm\u012bgi veikta blok\u0101de reiz\u0113m efekt\u012bvi no\u0146em musku\u013cu spazmas un nervu iekaisumu. Da\u017eos gad\u012bjumos darbojas uzreiz, reiz\u0113m p\u0113c 2-20 dien\u0101m. Nav v\u0113lams atk\u0101rtot bie\u017e\u0101k par 3-4 reiz\u0113m.<\/li>\n<\/ul>\n<h3>\u0100rst\u0113\u0161ana bez medikamentiem<\/h3>\n<ul>\n<li><strong>Akupunkt\u016bra<\/strong> \u2013 t\u0101 var b\u016bt \u013coti noder\u012bga tajos gad\u012bjumos, kad muguras s\u0101pes ir izrais\u012bjis tie\u0161i musku\u013cu saspringums vai, ja s\u0101pes ir saist\u012btas ar psihoemocion\u0101lajiem faktoriem\/trauc\u0113jumiem (svar\u012bgi, lai to veiktu sertific\u0113ts speci\u0101lists).<\/li>\n<li><strong>Manu\u0101l\u0101 terapija<\/strong> \u2013Visefekt\u012bv\u0101k pal\u012bdz novir\u017eu gad\u012bjum\u0101 un kop\u0101 ar cit\u0101m \u0101rst\u0113\u0161anas metod\u0113m. J\u0101veic tikai speci\u0101listam.<\/li>\n<li><strong>Mugurkaula stiep\u0161an<\/strong>a \u2013 pal\u012bdz pus\u0113 gad\u012bjumu, tom\u0113r ja nav efekta p\u0113c ned\u0113\u013cas, tad atk\u0101rtot ir bezj\u0113dz\u012bgi.<\/li>\n<li><strong>Viet\u0113jie l\u012bdzek\u013ci<\/strong> \u2013 <strong>sm\u0113res, kompreses, iezie\u0161ana<\/strong> \u2013 galvenok\u0101rt pal\u012bdz uz neilgu laiku un nov\u0113r\u0161 uzman\u012bbu no s\u0101po\u0161\u0101s vieta, jo uzlabo asins cirkul\u0101ciju.<\/li>\n<li><strong>Fizioterapija<\/strong> \u2013 bie\u017ei noved pie slimnieka st\u0101vok\u013ca pasliktin\u0101\u0161an\u0101s. Reiz\u0113m pal\u012bdz, bet ne tik liel\u0101 m\u0113r\u0101, lai b\u016btu v\u0113rts risk\u0113t.<\/li>\n<li><strong>\u0100rstniecisk\u0101 vingro\u0161ana<\/strong> \u2013 j\u0101veic \u013coti uzman\u012bgi un v\u0113lams ne \u0101tr\u0101k k\u0101 atvese\u013co\u0161an\u0101s period\u0101 (p\u0113c simptomu nov\u0113r\u0161anas j\u0101veic oblig\u0101ti, cit\u0101di jaunas s\u0101pju l\u0113kmes ir garant\u0113tas).<\/li>\n<\/ul>\n<h3>\u0100rst\u0113\u0161ana ar \u0137irur\u0123isko iejauk\u0161anos<\/h3>\n<p>Oper\u0101cijas ne vienm\u0113r pal\u012bdz un bie\u017ei pat sare\u017e\u0123\u012b slimnieka st\u0101vokli. Manupr\u0101t, oper\u0101cijas ir neatliekamas tikai 3 gad\u012bjumos:<\/p>\n<ol>\n<li>Ja 6 m\u0113ne\u0161us p\u0113c \u0101rsta noteiktas terapeitiskas \u0101rst\u0113\u0161an\u0101s, slimnieka st\u0101voklis nemain\u0101s vai pasliktin\u0101s.<\/li>\n<li>Neskatoties uz \u0101rst\u0113\u0161anos, nervu galu virzien\u0101 turpina palielin\u0101ties musku\u013cu v\u0101jums.<\/li>\n<li>Ja pareizas \u0101rst\u0113\u0161an\u0101s rezult\u0101t\u0101 pacienta st\u0101voklis uzlabojas, bet p\u0113c tam atkal pasliktin\u0101s un t\u0101 vair\u0101kas reizes vien\u0101 un taj\u0101 pa\u0161\u0101 mugurkaula nodal\u012bjum\u0101 vai nerv\u0101.<\/li>\n<\/ol>\n<p>P\u0101r\u0113jos gad\u012bjumos, manupr\u0101t, no oper\u0101cijas iesp\u0113jams izvair\u012bties [1].<\/p>\n<p>[1] Evdokimenko P.V. (\u0101rsts reimatologs), 2001, \u201cOsteohondroze \u2013 m\u012bti un realit\u0101te\u201d, Onikss 21.gs.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Diem\u017e\u0113l katrs no mums vismaz reizi ir cietis no as\u0101m muguras vai kakla s\u0101p\u0113m, bet retais zin, ko dar\u012bt t\u0101d\u0101 gad\u012bjum\u0101 un k\u0101 \u0101rst\u0113ties. Par to m\u0113s ar\u012b run\u0101sim \u0161oreiz, ta\u010du s\u0101kum\u0101 vajag noskaidrot slim\u012bbas iemeslus un terminolo\u0123iju. Parasti tiek lietoti da\u017e\u0101di termini: Lumbago \u2013 asas, negaid\u012btas s\u0101pes muguras lejasda\u013c\u0101. Radikul\u012bts \u2013 s\u0101pes, kas iet [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2372,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"amp_status":"","footnotes":""},"categories":[398],"tags":[1200,1201,1199,1202],"_links":{"self":[{"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/posts\/2371"}],"collection":[{"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/comments?post=2371"}],"version-history":[{"count":1,"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/posts\/2371\/revisions"}],"predecessor-version":[{"id":6021,"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/posts\/2371\/revisions\/6021"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/media\/2372"}],"wp:attachment":[{"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/media?parent=2371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/categories?post=2371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/becoral.eu\/lv\/wp-json\/wp\/v2\/tags?post=2371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}