تبلیغات
تربیت بدنی و علوم ورزشی دانشگاه آزاد واحد اردبیل (عمومی ) - سندرم کمر صاف

امروز:

سندرم کمر صاف



ستون فقرات طبیعی و سندرم کمر صاف
همانطور که در قسمت آناتومی گفته شد ستون فقرات از بغل که نگاه شود ، دارای سه انحنا اصلی است . انحنای گردن رو به جلو ، انحنای ناحیه سینه ای رو به عقب و انحنای کمری رو به جلو می باشد . به انحنای سینه ای کیفوز و به انحنای کمری لوردوز می گویند . سر بایستی روی لگن و میان دو مفصل ران قرار گیرد. این حالت تعادل باعث می شود راه رفتن و ایستادن با حداقل انرژی انجام شود. گاه کیفوز زیاد از حد ناحیه سینه ای یا کاهش لوردوز طبیعی کمری ، این تعادل را برهم می زند و در این صورت فرد علامت دار می شود .

علائم سندرم کمر صاف
علامت اصلی سندرم کمر صاف اینست که فرد نمی تواند به راحتی بایستد و همراه آن دچار کمر درد و گاهی درد ران و کشاله ران می شود. در طی روز با گذشت زمان علائم بدتر می شود تا حدی که بیمار برای ایستادن احساس ناتوانی و خستگی می نماید . بتدریج برای حفظ موقعیت راست بدنی فرد زانوها و مفصل ران خود را خم میکند همین تلاش برای ایستادن بهتر فرد را خسته می کند . بعضی از بیماران علائم تنگی کانال نخاعی و سیاتیک را همراه با درد و ضعف اندم هنگام راه رفتن گزارش می کنند . بعضی افراد از درد بین دو کتف و گردن شکایت می کنند .این علائم بتدریج بدتر می شوند و اغلب فرد را ناتوان می سازد و فرد به مسکن و داروهای مخدر روی می آورد و فعالیت های روزمره اش مختل    می گردد .
علل سندرم کمر صاف
اولین بار این سندرم در بیمارانی توصیف شد که در گذشته اسکولیوز آنها با میله های هارینگتون درمان می شد . این میله ها در حین اصلاح اسکولیوز باعث صاف شدن لوردوز طبیعی در ناحیه ستون فقرات کمری می شد،به ویژه وقتیکه فیوژن در مهره های تحتانی ستون فقرات کمری(L4,L5
) صورت می گرفت. این سیستم از سال 1960 تا 1980 استفاده می شد . با تکنیکهای جدید درمان اسکولیوز و وسایل ثبات جدید این سندرم کم پیش می آید. بیماران درمان شده با میله های هارینگتون اغلب سالها یا حتی دهه ها بدون مشکل زندگی می کردند زیرا دیسک های طبیعی زیر سطح خشک شده ستون فقرات، صاف شدگی لوردوز را جبران می کند . اما زمانی که این دیسکها تخریب شوند، شخص توانایی ایستادن صحیح را از دست داده و درد ایجاد می شود.
دیگر علل سندرم کمر صاف شامل موارد ذیل میباشد:
بیماری تخریب دیسک : دیسکهای بین مهره ای بعنوان جاذب نیروهای وارده به ستون فقرات عمل می کنند . علاوه بر آن لوردوز ناحیه کمری را حفظ می کنند . با افزایش سن ، تغییرات دیسک شروع می شود و پس از تخریب ،نقش جاذب نیرو خود را از دست می دهد ، لوردوز کاهش می یابد. و بیمار در حفظ ایستایی خود دچار مشکل می شود .         
شکستگی های فشرده مهره ها : شکستگی متعدد مهره ها بخصوص در اثر پوکی استخوان باعث از بین رفتن انحنای طبیعی شده و لذا سندرم کمر صاف ایجاد می شود .
بیماری اسپوندیلیت انکلیوزان : یک بیماری التهابی مزمن است که ستون فقرات را در هم درگیر می نماید و در نهایت باعث کاهش لوردوز می شود .
سندرم پس از جراحی لانیکتومی : در بعضی مواقع بدنبال لامینکتومی و فشارزدایی ریشه های عصبی کاهش لوردوز و ناپایداری رخ می دهد .

تشخیص سندرم کمر صاف
قدم اول مثل همه موارد شرح حال دقیق است . بیمار از عدم توانایی ایستادن صحیح و همچنین درد کمر شاکی است معمولا سابقه ای از جراحی یا بیماری التهابی دارد .
رادیوگرافی تمام طول ستون فقرات ضروری است .رادیوگرافی در حالت ایستاده و زانوهای صاف انجام می شود. وضعیت بیمار به صورتی که خود را به جلو خم  کرده  است مشاهده میشود .با خط شاقولی بدن نیز می توان دید که این خط از جلوی استخوان خاجی می گذرد . در صورت ضرورت
MRI  و CT اسکن و گاه میلوگرام برای بررسی کانالهای نخاعی و دیسکها انجام شود .

درمانهای غیر جراحی سندرم کمر صاف
در بعضی از موارد با استفاده از داروهای ضدالتهاب ، درمانهای فیزیکی و تمرینات ورزشی می توان علائم را بر طرف نمود .اما اگر تغییرات ساختمانی ستون فقرات زیاد و ماندگار باشد درمان غیر جراحی با شکست همراه خواهد بود .

درمان جراحی سندرم کمر صاف
در بسیاری ازموارد و بخصوص هنگامی که تغییرات ساختمانی ستون فقرات وجود دارد درمان جراحی به کمک بیمار می آید و راستایی ستون فقرات ایجاد می گردد.


نوشته شده در : جمعه 4 آذر 1390  توسط : محمد پورپناهی گل تپه.    نظرات() .

נערות ליווי בראשון לציון
شنبه 2 شهریور 1398 03:12
The ads are be subject to each of the binding laws on the State of Israel.
נערות ליווי בתל אביב
پنجشنبه 24 مرداد 1398 18:57
Quick search and obtain the most recent results Get a massage escort girl, discrete apartment or any perfect and indulgent recreation. Seeking escort girls?
Discrete apartments? Come up with a quick search by region of Israel.
וילות להשכרה בצפון
سه شنبه 8 مرداد 1398 16:19
many thanks a great deal this web site is actually elegant in addition to laid-back
صیانة غسالات شارب
سه شنبه 1 مرداد 1398 07:02
Pretty section of content. I just stumbled upon your blog and in accession capital to assert
that I acquire in fact enjoyed account your blog posts.
Anyway I will be subscribing to your feeds and even I achievement you access consistently rapidly.
صیانة غسالات سامسونج فى مصر
جمعه 28 تیر 1398 18:43
Hey There. I found your blog using msn. This is an extremely well written article.
I'll be sure to bookmark it and return to read more of your useful information.
Thanks for the post. I'll certainly comeback.
فوق اتوماتیك صیانة غسالات ال جی
جمعه 28 تیر 1398 12:29
Very good post. I'm going through some of these issues as well..
וילות להשכרה באילת
دوشنبه 24 تیر 1398 18:36
Index Search Villas and lofts for rental, search by region, find during first minutes a villa
rented by city, a range of rooms lofts and villas.
Be stunned at the wonderful pictures and data that the site has to
present you. The website is a center for every person the ads
while in the field, bachelorette party? Like a friend who leaves Israel?
Regardless of the the reason why you must
rent a villa for a potential event or just friends recreation ideal
for any age. The website is also the centre of rooms with the
hour, which has already been another subject, for lovers who are
searhing for an expensive room equipped for discreet entertainment having
a spouse or lover. It doesn't matter what you are looking for, the 0LOFT website is really a seek out you to identify
rentals for loft villas and rooms throughout Israel,
North South and Gush Dan.
נערות ליווי
پنجشنبه 20 تیر 1398 14:45
"We must build to a different crescendo, cheri," he said.
"Therefore we are going to have an ending which will be as none before."

His smile was decadent, his eyes were loaded with lust, as well as the soft skin of his hard cock against my sex was
having its intended effect. I had been feeling a stronger
arousal now as I felt his cock slide between my sensitive
lips. I felt the pinnacle of his cock push agonizingly at the entrance of
my pussy, and Needed him to thrust into me hard.
Instead he retracted and slid his hardness back about my clit.


I'd been aching to own him inside, and I really could tell
that his have to push that wonderful hard cock inside
me was growing. His moans grew to fit mine, and I knew the sensation of
my wet pussy lips around the head of his cock was getting a lot
for of us.

"Let the finale begin," he was quoted saying, and the man slid the
top of his cock inside me.

The two of us gasped as he held his cock there for any moment.

I contracted my pussy in order to him further inside, and hubby threw his
head back at the sensation. Inch by excruciating inch he
pushed his cock inside me, and each time I squeezed my pussy around him.
His cock felt wonderful as it filled me, but I need to it inside me.
I rolled to the side and rested my leg against his shoulder, and
then he plunged his cock all the way in.
נערת ליווי ברמת גן
شنبه 15 تیر 1398 08:04
We're having coffee at Nylon Coffee Roasters on Everton Park in Singapore.
I'm having black coffee, he's possessing a cappuccino.
He's handsome. Brown hair slicked back, glasses for his face, hazel eyes and the prettiest lips I've seen. He or she is well-built, with incredible arms along with a chest that stands
out for this sweater. We're standing before of each other
referring to people, what we would like money, what
we're looking for on another person. He starts telling me that they have been rejected plenty of times.


‘Why Andrew? You're so handsome. I'd never reject you ', I have
faith that He smiles at me, biting his lip.

‘Oh, I wouldn't know. Everything happens for an excuse
right. But identify, make use of reject me, could you Ana?' He said.


‘No, how could I?' , I replied

"So, utilize mind if I kissed you right this moment?' he explained as I recieve far better him and kiss him.

‘The next occasion don't ask, function it.' I reply.

‘I prefer the way you think.' , he said.

For now, I start scrubbing my rearfoot within his leg, massaging it slowly. ‘What can you like in ladies? And, Andrew, don't spare me the details.' I ask.

‘I love determined women. Someone discussion what we want. Someone that won't say yes just because I said yes. Someone who's not scared of trying a new challenge,' he says. ‘I'm never afraid of attempting a new challenge, especially in relation to making something totally new in the sack ', I intimate ‘And I love females who are direct, who cut in the chase, like you just did. Being
honest, what a huge turn on.
נערת ליווי
یکشنبه 9 تیر 1398 05:05
We're having coffee at Nylon Coffee Roasters on Everton Park in Singapore.
I'm having black coffee, he's developing a cappuccino. He could be handsome.
Brown hair slicked back, glasses that suit his face, hazel
eyes and the most wonderful lips I've seen. He could
be well developed, with incredible arms and a chest that stands apart
about this sweater. We're standing in front of each other referring to people, what we really wish
for into the future, what we're interested in on another person. He starts telling me that bigger been rejected plenty of times.


‘Why Andrew? You're so handsome. I'd never
reject you ', I only say He smiles at me, biting his lip.

‘Oh, I wouldn't know. Everything happens for grounds right.
But identify, make use of reject me, would you Ana?' He said.


‘No, how could I?' , I replied

"So, can you mind if I kissed you right now?' he was quoted saying as I buy more detailed him and kiss him.

‘The very next time don't ask, function it.' I reply.

‘I enjoy the method that you think.' , he said.

For now, I start scrubbing my rearfoot in their leg, massaging it slowly. ‘What do you enjoy in ladies? And, Andrew, don't spare me the details.' I ask.

‘I really like determined women. Someone discussion what they want. Somebody that won't say yes even though I said yes. Someone who's not scared of trying a new challenge,' he says. ‘I'm never afraid of trying a new challenge, especially with regards to making new stuff in the sack ', I intimate ‘And I love girls that are direct, who cut over the chase, like you simply did. To generally be
honest, that is a huge turn on.'
שירותי ליווי חיפה
شنبه 8 تیر 1398 22:22
Sexy2call Quick search and get the modern results Get a massage escort girl, discrete apartment or any perfect and indulgent
recreation. Looking for escort girls? Discrete apartments?

Create a quick search by region, the largest portal in Israel for
discreet apartments and escort girls, various
youth ads that provide you with service and guidance you did
not know, browse by city in order to find you the dream girl for an additional indulgence, business meeting?
Ads never include and or provide and or encourage and or imply the provision of sexual services.

The ads are subject to every one of the binding laws
with the State of Israel.
נערות ליווי בתל אביב
چهارشنبه 5 تیر 1398 08:44
We're having coffee at Nylon Coffee Roasters on Everton Park in Singapore.

I'm having black coffee, he's creating a cappuccino. They are
handsome. Brown hair slicked back, glasses that suited his face, hazel eyes and
the most wonderful lips I've seen. He or she is well made,
with incredible arms plus a chest that shines within this
sweater. We're standing in front of one another referring
to how we live, what we want money, what we're in search of on another person. He starts telling me that bigger been rejected
loads of times.

‘Why Andrew? You're so handsome. I'd never reject you ', I believe
that He smiles at me, biting his lip.

‘Oh, I really don't know. Everything happens for grounds right.

But tell me, you would not reject me, do you Ana?' He said.


‘No, how could I?' , I replied

"So, utilize mind if I kissed you currently?' he was quoted saying as I receive more detailed him and kiss him.

‘Next occasion don't ask, do it.' I reply.

‘I like how you think.' , he said.

For now, I start scrubbing my high heel in her leg, massaging it slowly. ‘What exactly do you like in ladies? And, Andrew, don't spare me the details.' I ask.

‘I like determined women. Someone who knows what they want. Somebody that won't say yes even though I said yes. Someone who's not scared of attempting new things,' he says. ‘I'm never afraid of trying new things, especially in relation to making new things in the sack ', I intimate ‘And I enjoy women who are direct, who cut throughout the chase, like you merely did. To become
honest, which is a huge turn on.'
룸알바
یکشنبه 2 تیر 1398 13:43
great website..plenty of useful information here.,.im very happy that i came across this during my hunt
נערת ליווי
پنجشنبه 30 خرداد 1398 16:11
"We've got to build to an alternative crescendo, cheri," he said.
"And then we could have an ending that might be as none before."

His smile was decadent, his eyes were packed with lust, and the soft skin of his hard
cock against my sex was having its intended effect.
I'm feeling a stronger arousal now as I felt his cock
slide between my sensitive lips. I felt the of his
cock push agonizingly at the doorway of my pussy, and I desired him to thrust into me
hard. Instead he pulled back and slid his hardness back about my clit.



I'd been aching to own him inside, and I possibly could tell that his ought
to push that wonderful hard cock inside me was growing.
His moans grew to check mine, and I knew the experience of my wet pussy lips
on the head of his cock was getting too much for of us.


"Permit the finale begin," he explained, and he
slid the tip of his cock inside me.

Both of us gasped while he held his cock there to get
a moment. I contracted my pussy to drag him further inside, and
he threw his head back in the sensation. Inch by
excruciating inch he pushed his cock inside me, with each time
I squeezed my pussy around him. His cock felt wonderful
simply because it filled me, but I needed it inside me.
I rolled to the side and rested my leg against his shoulder,
and that he plunged his cock all the way in.
וילות להשכרה בהרצליה פיתוח
شنبه 18 خرداد 1398 05:39
many thanks lots this website is proper and also laid-back
וילות להשכרה בנתניה
پنجشنبه 16 خرداد 1398 22:09
Index Search Villas and lofts rented, search by region, find in a few
minutes a villa for rent by city, a variety of rooms lofts
and villas. Be astounded by the photos and data that they have to offer
you. The site is a center for everybody the ads inside field, bachelorette party?
Play with a pal who leaves Israel? Whatever the reason you will need to rent a villa for an upcoming event or simply just a bunch recreation ideal for any age.
The website is also the biggest market of rooms because of the hour, which is another subject, for lovers who
are looking for an expensive room equipped for discreet entertainment with a spouse or lover.
Regardless of the you are interested in, the 0LOFT website creates a search for you to identify rentals for loft villas and
rooms throughout Israel, North South and Gush Dan.
check this
شنبه 11 خرداد 1398 18:22
Hello there! I just wish to offer you a big thumbs up for the excellent info you've got right here on this post.
I'll be returning to your site for more soon.
precocious
پنجشنبه 9 خرداد 1398 11:21
Very nice post. I just stumbled upon your blog and wished to say that I've truly enjoyed surfing around your blog posts.
After all I will be subscribing to your feed
and I hope you write again soon!
olej konopny cbd i cbda
چهارشنبه 8 خرداد 1398 16:47
I am not sure where you are getting your info, but good topic.
I needs to spend some time learning much more or understanding more.
Thanks for magnificent info I was looking for this information for
my mission.
olej Cbd 10%
چهارشنبه 8 خرداد 1398 14:52
I'm curious to find out what blog platform you
have been utilizing? I'm experiencing some small
security problems with my latest site and I'd like to find something more safeguarded.
Do you have any solutions?
חדרים לפי שעה בקיסריה
چهارشنبه 8 خرداد 1398 10:07
appreciate it lots this website is definitely professional plus relaxed
חדרים לפי שעה בראשון
چهارشنبه 8 خرداد 1398 01:39
Index Search Villas and lofts to book, search by region, find in a few minutes a villa rented by city,
several different
boston car service
چهارشنبه 1 خرداد 1398 21:10
Hello, the whole ting is going well here and ofcourse every one is sharing facts, that's truly excellent,
keep up writing.
alargamiento de pene
پنجشنبه 26 اردیبهشت 1398 18:50
Hi there just wanted to give you a quick heads up.

The text in your article seem to be running off the screen in Safari.
I'm not sure if this is a format issue or something
to do with browser compatibility but I thought I'd post to let you
know. The layout look great though! Hope you get the problem resolved soon. Kudos
agrandar pene
پنجشنبه 26 اردیبهشت 1398 18:48
I visited multiple blogs however the audio feature for audio songs present
at this web page is in fact fabulous.
alargamiento pene
پنجشنبه 26 اردیبهشت 1398 01:58
Hey very nice blog!
alongamento peniano
دوشنبه 23 اردیبهشت 1398 04:16
Hmm it looks like your site ate my first comment (it was super long) so I guess I'll
just sum it up what I submitted and say, I'm
thoroughly enjoying your blog. I as well am an aspiring blog writer but I'm still new to the whole thing.
Do you have any helpful hints for beginner blog writers? I'd definitely appreciate it.
kako povecati penis
جمعه 20 اردیبهشت 1398 12:20
Great article, totally what I was looking for.
agrandar el pene
جمعه 20 اردیبهشت 1398 04:20
Today, I went to the beach with my children. I found a
sea shell and gave it to my 4 year old daughter and said "You can hear the ocean if you put this to your ear." She put the shell to her ear and screamed.
There was a hermit crab inside and it pinched her ear.
She never wants to go back! LoL I know this
is completely off topic but I had to tell someone!
חדרים לפי שעה בירושלים
دوشنبه 16 اردیبهشت 1398 23:06
appreciate it lots this web site will be elegant in addition to casual
 
لبخندناراحتچشمک
نیشخندبغلسوال
قلبخجالتزبان
ماچتعجبعصبانی
عینکشیطانگریه
خندهقهقههخداحافظ
سبزقهرهورا
دستگلتفکر
نمایش نظرات 1 تا 30