Posachedwa, madokotala akhala akulandira zodandaula za ululu wammbuyo nthawi zambiri, ndipo amayi a msinkhu wachinyamata nthawi zambiri amadwala nawo. Ngati kusokonezeka kumakhala kumtundu wa thoracic, ndiye chifukwa cha matenda ngati chifuwa cha osteochondrosis, zomwe zizindikiro zake zimafotokozedwa mwatsatanetsatane.
Thoracic osteochondrosis - zimayambitsa
Osteochondrosis wa msana ndi matenda omwe kusintha kosasinthika kumachitika mu matenda a intervertebral discs - zigawo za mzere wa msana womwe uli pakati pa matupi awiri otsika. The intervertebral disc ndi mtundu wokhala wokhotakhota wozungulira, wopangidwa ndi gelgen monga gelgen, yomwe imagwiritsidwa ntchito ndi fibrous ndi vitreous cartilaginous tissues. Ntchito zazikuluzikulu zopangidwa ndi izi ndi:
- kulumikizana ndikukhala pafupi ndi matupi a bongo;
- kuchotsa mzere wa msana, kuteteza ku matenda chifukwa cha mphamvu yokoka ya thupi, katundu;
- kupereka mofulumira kwa vertebrae pafupi ndi wina ndi mzake.
Ngati intervertebral diss ili ndi malo ogwira mtima, msanawo umapangidwa ndi zotupa, kuyenda, kuthekera kusinthanitsa katundu wambiri. Pamene kanyumba kake kamasintha mawonekedwe, mawonekedwe, amatha mphamvu ndi kutanuka, ntchito izi sizingatheke. Kwenikweni, izi zimachitika motsutsana ndi kusokonezeka kwa njira zamagetsi.
Kusintha kwapadera kwa matenda a intervertebral discs omwe amachititsa chifuwa osteochondrosis akufotokozedwa ndi kuti pakakula msinkhu wawo mwa mitsempha yawo yamagazi imatha, ndipo zinthu zothandiza zimakhala zotheka pokhapokha pokhapokha pakhomo lazomwe zimayandikana nawo (mitsempha, matupi a m'mimba). Zomwe zimayambitsa vuto loperewera la zakudya zogwiritsira ntchito makina osokoneza bongo ndi momwe zimakhalira zowonongeka sizidziwika, koma madokotala amatchula zifukwa zingapo zowonongeka:
- matenda osokoneza bongo m'thupi;
- kulemera kwa thupi;
- zakudya zopanda nzeru, zakumwa zakumwa;
- kusowa kwa kuyenda;
- ntchito yokhala pansi;
- kuphwanya kuika;
- chiwonongeko ;
- kusokonezeka kumbuyo, msana;
- ntchito yambiri yogwira ntchito kapena maphunziro a masewera;
- mimba;
- kuvala nsapato zosasangalatsa, nsapato ndi zidendene zapamwamba.
Maphunziro a chifuwa osteochondrosis
Matenda oterewa, monga chifuwa osteochondrosis, sapereka zizindikiro nthawi yomweyo. imakula pang'onopang'ono komanso kwa nthawi yaitali. Kuonjezerapo, chifukwa cha kuchepa kwa msana m'dera lino, osteochondrosis ya dera la thoracic imadziwonetsera pamapeto pake, pokhala ndi kusintha kwakukulu kwa matenda. Pafupifupi, madigiri anayi a matendawa amasiyanitsa, malingana ndi zolakwikazo.
Thoracic osteochondrosis ya digirii
Gawo lachitsulo ndi osteochondrosis ya thoracic msana wa digrii yoyamba. Panthawi imeneyi, kutaya madzi pang'ono ndi kusinthasintha kwa gawo la pakati pa intervertebral discs kumachitika, kuchepa kwa msinkhu wawo, zomwe zimapangitsa kuchepa kwawo ndi kutsika. Mphamvu ya ndondomeko ya msana kumayimitsa katundu wamba nthawi zonse. Disk zowonongeka zimayamba kupanga.
Thoracic osteochondrosis wa 2 degree
Pamene osteochondrosis ya thoracic 2 degree ikukula, matendawa amadziwika ndi maonekedwe a mitsempha mu mphete yamtundu. Kugwiritsira ntchito subdence (kupatulira) kwa ma discs kumapitirira, kuchuluka kwa intervertebral madzi kumachepetsanso, maginito amayamba kutsutsana wina ndi mzake pamene katundu kumbuyo akuwonjezeka. Gawo ili nthawi zina amatchedwa discogenic radiculitis.
Thoracic osteochondrosis wa digiri ya 3
Osteochondrosis ya thoracic msana wa digiri yachitatu ikuphatikizidwa ndi kuwonongeka ndi kupasuka kwa fibrous matupi a disc, kuchoka kwa gawo lalikulu, i.e. pali mapangidwe a chikhomo cha intervertebral disc. Chifukwa cha izi, mizu ya mitsempha imayamba kuzunguliridwa, ma vesicles oyandikana amafinyidwa, mitsempha, mitsempha imasindikizidwa.
Thoracic osteochondrosis wa 4th degree
Gawo lomaliza, loopsa kwambiri la matendawa ndilokuthamangitsidwa, kupotoza, kusintha kwa thupi, kuwonjezeka kwina, kufalikira. Matendawa amatha kusintha m'malo mwa mafupa a mitsempha ngati mafupa enaake, omwe amachititsa kuti msana ugwe. Zotsatira zake, kuyenda kwa msana kwachepetsedwa kwambiri.
Osteochondrosis wa thoracic msana - zizindikiro
Chifukwa cha zochitika zapamwamba zowonongeka kwa thupi, osteochondrosis ya dera la thoracic ili ndi zizindikiro zonse zomwe zimakhala zosavuta komanso zachilendo, kubwereza mawonetseredwe a matenda ena. Izi zimachitika chifukwa cha kupanikizika kwa mitsempha ya mitsempha ndi mitsempha ya mitsempha, kusintha kwa kayendedwe kameneka pamutu wa msana, ntchito za ziwalo zakunja zapafupi zimasokonezedwa.
Timalembera zizindikiro zomwe zimakhala zofala komanso zomwe zimafala pachifuwa cha osteochondrosis:
- ululu kumbuyo ndi pachifuwa;
- kumverera kuponyera mu chifuwa;
- kumverera kwa kumenyedwa kumapazi;
- kusowa mmanja, miyendo, khosi, mapewa;
- kuuma, aches kumbuyo, miyendo;
- mitsempha yambiri m'mwamba ndi kumtunda kwa kumbuyo;
- Kulepheretsa kuyenda kwa msana m'dera lino (zovuta mumtunda wa thupi).
Ululu mu osteochondrosis wa thoracic msana
Ndi matenda a "chifuwa osteochondrosis" zizindikiro zomwe zimagwirizanitsidwa ndi zowawa zimayambira pakati pa zodandaula zina. Kutalika kwake ndi nthawi yake kumadalira pa siteji ya ndondomeko ya matenda. Kuzindikiritsa zowawa kumatha kusinthasintha mofulumira, mwachitsanzo, kusunthira kuchoka kumbali ina ya chifuwa kupita ku chimzake, kuphimba chifuwa chonse. Kawirikawiri zimamva kupweteka pakati pa scapula. Chikhalidwe cha kupweteka m'chifuwa osteochondrosis ndi chofewa, kufinya, chakuthwa. Kuwonjezeka kwa nthendayi kumatchulidwa usiku ndi pamene:
- kukweza manja mmwamba;
- kutembenuka kwa khosi;
- kuvala zolemera zolemetsa;
- zovuta;
- zochitika zakuthupi zowonjezeka;
- kulimbikitsidwa kwakukulu, kutsokomola, kunjenjemera;
- supercooling.
Kodi pangakhale kupuma pang'ono ndi chifuwa osteochondrosis?
Chifukwa cha kusamuka kwa matupi a m'mimba, kusintha kosintha kwa kapangidwe ka thorax, kutsekemera kwa mitsempha ya mitsempha ndi mitsempha ya m'magazi yomwe imapezeka m'mapapu, dyspnoea nthawi zina imapezeka m'chifuwa osteochondrosis. Komanso, kuyambira pamenepo m'dera la thoracic pali zinthu zomwe zimayambitsa kusunga mtima, matumbo, chiwindi, impso, ziwalo zina, matendawa nthawi zambiri amatsatiridwa ndi zizindikiro zotsatirazi:
- mutu, chizungulire ;
- ululu mu mtima ;
- chikondi cha mammary glands;
- ululu mu hypochondrium (wofanana ndi maonekedwe a chifuwa, cholecystitis);
- ululu wopweteka kwambiri, wosagwirizana ndi kudya;
- kusokonezeka kummero, kupweteka, kutengeka kwa thupi kunja;
- Kuphwanya malamulo ogonana.
Ululu mu mtima ndi chifuwa osteochondrosis, nthawi zambiri kuponderezana, kuponderezana, kungathe kusocheretsa ukapezeka, chifukwa ali ofanana ndi maonekedwe a angina pectoris, myocardial infarction. Chidziwikiritso cha zokhudzidwa izi ndizokhalitsa, kusagwira ntchito pamene mukugwiritsa ntchito mankhwala opititsa patsogolo zombo za mtima. Palibe kusintha pa cardiogram.
Matenda a m'chifuwa osteochondrosis
Zizindikiro za chifuwa osteochondrosis mwa amayi, zomwe zimagwirizanitsidwa ndi njira imodzi ya zochitika, nthawi zambiri zimakhala zovuta. Pali syndromes ziwiri zomwe zili ndi matenda ena omwe amapezeka pachifuwa osteochondrosis:
- chonchi;
- dorsago.
Dorsalgia ya thoracic msana
Kuchuluka kwa ululu, osati kupwetekedwa kwambiri mu chifuwa osteochondrosis mwa akazi, omwe nthawi zambiri amadziwika ngati kupweteka, kukoka, kumakhala ndi dorsalgia. Zolingalira zingakhalepo kwa masabata 2-3, popanda kusokonezeka ndikukumana (makamaka pamene mukuyenda), ndiye kuwonjezera (kawirikawiri usiku, ndi kupuma, kupuma kwakukulu). Pamaso pa matendawa, chifuwa cha osteochondrosis chingakhale ndi zizindikiro zokhudzana ndi kupuma kovuta, kuuma kwa minofu.
Dorsago wa msana wa thoracic
Maonekedwe a paroxysmal a matendawa amatchedwa "dorsago" kapena "chipinda cha thoracic". Pankhaniyi, ululu umapezeka mwadzidzidzi, mwamphamvu, nthawi zambiri kukumbukira zizindikiro za matenda a mtima. Kuukira kwa chifuwa osteochondrosis kuli ndi zizindikiro zotsatirazi:
- khalidwe lopweteka, lopweteka;
- ululu umamveka m'deralo pakati pa nthiti, chigawo chozungulira;
- Nthawi zambiri chiwonongeko chimawoneka pambuyo pa nthawi yayitali yokhalapo imodzi;
- kupweteka kochuluka kumachitika pamene miyendo ikuzungulira;
- Palivuta kupuma, kuthamanga kwa minofu.
Osteochondrosis ya thoraic msana - zotsatira
Ngati chithandizo cha matenda sichiyambe nthawi, osteochondrosis ya dipatimenti ya thoracic ikhoza kukhala ndi zotsatira zotsatirazi:
- zomera;
- migraine;
- Kuphwanya ziwalo za mkati (chiwindi, impso, etc.);
- kuchepetsa kumva, masomphenya;
- epicondylitis ya mgwirizano wamphongo ;
- paresis ndi ziwalo za manja;
- kupindika kwa msana;
- Kutaya kukhudzidwa kwa ziphuphu za khungu;
- kulemala, ndi zina zotero.
Kodi kuchiza chifuwa osteochondrosis?
Pamene zizindikiro za chifuwa cha osteochondrosis zikuwoneka, ndibwino kuti mufunsane ndi katswiri wa sayansi ya ubongo yemwe, atayesedwa kale ndikuyesa msana m'magulu angapo a wodwalayo, akhoza kupanga chidziwitso chachikulu. Kuti mudziwe kuchuluka kwa chiwonongeko, x-ray, kujambula kwa maginito kapangidwe ka maginito kapena ma tomography amalembedwa. Njira zamankhwala zimadalira zotsatira zomwe zapezeka.
Kawirikawiri zizindikiro zowawa za chifuwa cha osteochondrosis zimachotsedwa mwa kutenga mankhwala osagwiritsidwa ntchito poletsa mankhwala (Ibuprofen, Nimesulid, Diclofenac, etc.). Powonjezereka, limodzi ndi ululu waukulu, paravertebral blockades ndi Novocaine yankho lingakhoze kuchitidwa. Kuphatikizanso apo, monga gawo la mankhwala othandizira, mankhwala otsatirawa angathe kuuzidwa:
- minofu yopumula (Midokalm, Liorasal);
- chondroprotectors (Alflutop, Glucosamine);
- corticosteroids (nsonga, belosalik), ndi zina zotero.
Pofuna kusintha njira zamagetsi, kuthetsa minofu hypertonia, kuteteza mavuto osiyanasiyana, njira zoterezi zimagwiritsidwa ntchito:
- zochizira;
- kusamba;
- mankhwala;
- Mzere wazitali wamkati;
- Njira zochizira matenda (laser, ultrasound, etc.).
Mankhwala opaleshoni amafunika ngati chingwe cha msana chikuphwanyidwa ndi chidutswa cha intervertebral disc. Pachifukwa ichi, mwina laminotomy ikhoza kuchitidwa - kusagwedezeka kwa mabotolo, kapena discectomy - kuchotsedwa kwa gawo la intervertebral disc kapena kuchotsedwa kwathunthu ndi kukhazikitsa. M'zipatala zogwiritsa ntchito zipangizo zamakono, njira zothandizira opaleshoni zimagwiritsidwa ntchito pang'onopang'ono pogwiritsa ntchito zida zochepa.