Munguva pfupi yapfuura, vanachiremba vave vachigamuchira kugunun'una pamusoro pemarwadzo ekudzoka kakawanda, uye vakadzi vechidiki vanowanzotambura navo. Kana kusanzwisisika kunowanikwa munzvimbo inowanikwa mutsara, zvino inogona kukonzerwa nechirwere chakadai sechipfuva osteochondrosis, zviratidzo zvayo zvinorondedzerwa zvakadzama gare gare.
Thoracic osteochondrosis - zvinokonzera
Osteochondrosis yemutsana ndeye chirwere umo kusagadzirisa kusina kuitika kunowanikwa mumatumbu e-intervertebral discs - nhengo dzemutsara wepelinha uri pakati pemiti miviri yakadzika. Inonzi intervertebral disc inoratidziro yemapuranga akatenderera, anosanganisira gel-like collagen core, inogadzirisa fibrous uye vitreous cartilaginous tishu. Mabasa makuru anogoverwa nezvivako izvi:
- kubatana uye kubata pedyo pedebral bony miviri;
- kubvisa mutsara wemutsara, kuchengetedza kubva pakushungurudzika nekuda kwekukura kwemuviri, mitoro;
- kupa hupenyu hwehutano hwepedyo hunopindirana kune umwe neumwe.
Kana iyo intervertebral discs iri munharaunda inogutsa, hupamusoro hunoitwa nekusimba, kufamba, kukwanisa kutamisa mitambo yakasiyana-siyana. Apo hutachiona hunochinja humiro, hutsika, hunosimba simba uye kuoma, mabasa aya haagoni kuzadzika zvizere. Chaizvoizvo, izvi zvinopesana nechepamusoro pekushungurudzika kwemagadzirirwo emagetsi.
Chimwe chikamu chekuchinja kwechirwere mu intervertebral discs chinokonzera chifu che osteochondrosis chinotsanangurwa nekuti kana vane makore ekudya kwavo kuburikidza nemidziyo yavo yeropa inoguma, uye kupiwa kwezvinhu zvinobatsira kunogona kuwanikwa chete nekudhura kwezvivakidzani zvakapoteredza (miviri, miviri yakasvibirira). Zvimwe zvinokonzera kusava nekudya kwakashata kwemasangano ekuvhiringidza uye kushandiswa kwekuparadzwa kwavo hazvizivikanwi, asi vanachiremba vanoona zvinhu zvakasiyana-siyana zvinokonzera:
- zvinokonzera kusagadzikana kwemagetsi mumuviri;
- kuwandisa muviri zvakanyanya;
- kusadya kwekusaziva, kunwa doro;
- kusava nekufamba;
- basa rekugara;
- kuputsa kwekugadzirisa;
- flat feet ;
- kushungurudzika kumusana, musana;
- basa rakanyanyisa romuviri kana kudzidziswa kwemitambo;
- pamuviri;
- kupfeka shangu dzisina kunaka, shangu dzine heel.
Degrees of chifu osteochondrosis
Chirwere chakadai, sechipfuva osteochondrosis, hachipe zviratidzo pakarepo. inokura zvishoma nezvishoma uye kwenguva refu. Mukuwedzera, nekuda kwekufamba kwemupembenene munharaunda iyi, osteochondrosis yenharaunda inozviratidza pachavo mumatanho ekupedzisira, muhupo hwekukosha kwehutano hunochinja. Muzvikamu zvose, madhigirii mana echirwere anozivikanwa, zvichienderana nekutsauka kwakagadzirwa.
Thoracic osteochondrosis ye 1 degree
Icho chinonzi preclinical stage is osteochondrosis ye thoracic musana we degree rekutanga. Panguva ino, kushaya mvura uye kusagadzikana kwechikamu chepakati che intervertebral discs kunoitika, kuderera kwehurefu hwavo, izvo zvinoita kuti kuderedzwa kwavo kuwedzere uye kuwedzera. Iko kukwanisa korona yemusipiresi kumirisana nemitambo inowanzogara yakasara. Disk mazano anotanga kuumba.
Thoracic osteochondrosis yechipiri chechipiri
Apo osteochondrosis ye thoracic 2 degree inokura, chirwere ichi chinoratidzika nechitarisiko chekuputika mumhete ye fibrous. I-subsidence (thinning) ye-discs inoenderera mberi, iyo yakawanda ye-intervertebral fluid inopera, vertebrae inotanga kuputirana apo mutoro uri shure unowedzera. Iyi nhanho dzimwe nguva inonzi discogenic radiculitis.
Thoracic osteochondrosis ye 3rd degree
Osteochondrosis ye thoracic musana wechidimbu chechitatu inoperekedzwa nekuparadzwa nekuparara kwezvinyorwa zve fibrous zve disc, chikamu chechikamu chikuru, i.e. kune chimiro chekudzivirira kwake kwechirwere che intervertebral disc. Somugumisiro weizvi, mitsetse midzi inotanga kuvharidzirwa, mashizha ari pedyo anosvinwa, mitsipa, mishonga inowanikwa.
Thoracic osteochondrosis ye 4th degree
Chikamu chekupedzisira, chakanyanya kukura chechirwere chinoratidzirwa nekuparara, kushandura, kushanduka kwezvisikwa zvegungwa, kuwedzera kuwedzera munzvimbo yavo, kupararira. Iyo yakagadziriswa fiber disc tisitini inotanga kushandiswa nemapfupa emapfupa nenzira yezvimwe zvinokonzera kunze-osteophytes, kuvharidzira rwonzi rwepelinha. Somugumisiro, kufamba kwepamusoro kwakanyanya kuderedzwa.
Osteochondrosis ye thoracic musana - zviratidzo
Pamusana pezvinhu zvakasiyana-siyana zvehutano hwehutano hwehutachiona, osteochondrosis yenharaunda inowanikwa zviratidzo zvose zvinowanzoonekwa uye zvisingatauriki, zvichidzokorora zviratidzo zveimwe zvirwere. Izvi zvinokonzerwa nekuti nemhaka yekunyanya kwemitsipa yeropa nemagetsi emagetsi, kushandiswa kwemugadziro mumutsara wepasipera, mabasa ezvimbomukati zviri mukati anokanganiswa.
Tinonyora zviratidzo zvinowanzoonekwa uye zvakajairika muchipfuva osteochondrosis:
- kurwadziwa mushure nepamusoro;
- manzwiro ekudzvinyirira mubhokisi;
- manzwiro ekudzungaira mumakumbo;
- kupera muzvanza, makumbo, mutsipa, mapepa;
- kuoma, aches kumashure, maoko;
- tsvina dzemaziso mumusoro nepamusoro nepakati mukati;
- chiremera chekufamba kwemupaka munzvimbo ino (kuoma mumutsetse wemuviri).
Pain mu osteochondrosis ye thoracic musana
Nekuongororwa kwe "chest osteochondrosis" zviratidzo zvinosangana nemanzwiro anorwadza zvinouya mberi pakati pezvimwe zvikwangwani. Kuwedzera uye nguva yazvo inobva pane imwe nzvimbo yehutano hwehutano. Kuziva kunetseka kunogona kuchinja nguva nenguva nokukurumidza, somuenzaniso, kutama kubva kune imwe nzvimbo yebhokisi kune imwe, ichifukidza zvose zvezamu. Kakawanda kainzwa kurwadziwa munharaunda pakati peSpapula. Chimiro chekutambudzika mubhokisi osteochondrosis hachina kumira, kufema, kupinza. Kuwedzera kuwedzerwa kunoonekwa usiku uye apo:
- kusimudza maoko kumusoro;
- kutendeuka komutsipa;
- kupfeka zviremara zvakakura;
- kukanganisa kwakapinza;
- basa rakawedzerwa mumuviri;
- simba rakafuridzirwa, kukwezva, kupopota;
- supercooling.
Ko pangave nekupfupika kwepfufu nemapfupa osteochondrosis here?
Pamusana pekushandura kwemitumbi yemhuka, kuchinja kwechimiro muhutano hwehutura, kuvhara kwemitsipa yeropa uye mitsipa yeropa inobatanidza nemapapu, dyspnoea dzimwe nguva inowanikwa muchipfuva osteochondrosis. Mukuwedzera, kubvira munzvimbo inotambudza kune zvivako zvinokonzera kusachengetwa kwemwoyo, utumbo, chiropa, itsvo, dzimwe nhengo, chirwere muzviitiko zvakawanda chinowirirana nezviratidzo zvinotevera:
- musoro, chizoro ;
- kurwadziwa mumoyo ;
- unyoro hwezvinyoro zvinyoro;
- marwadzo mu hypochondrium (yakafanana nekuonekwa kwepascreatitis, cholecystitis);
- kurwadziwa kwepamukira, kusabatanidzwa nekudya;
- kusagadzikana mumutsipa, sophagus, mutorwa wenyika kunze;
- kukanganisa kwepabonde mabasa.
Marwadzo mumoyo nebhokisi osteochondrosis, kazhinji kuomesa, kunyanya kudzvinyirira, kunogona kutsausa paunowanikwa, nokuti yakafanana nekuratidzwa kwe angina pectoris, myocardial infarction. Ihwo humwe hunhu hwekunzwa uku ndehurefu hurefu, kusavapo kwehutano paunotora mishonga yekuwedzera kwemidziyo yemwoyo. Hakuchina kuchinja pane cardiogram.
Syndromes muchipfuva osteochondrosis
Zviratidzo zvechipfuva osteochondrosis kuvakadzi, zvinosanganiswa neimwe nzira yekuitika, pane dzimwe nguva dzakaoma. Kune ma syndromes maviri ane sarudzo dzehumwe hutano hunokonzerwa nechipfuva osteochondrosis:
- dorsalgia;
- dorsago.
Dorsalgia ye thoracic musana
Nguva refu, kwete marwadzo akawandisa muchipfuva osteochondrosis muvakadzi, kazhinji inoratidzika sekurwadza, kukwevera, inherent in dorsalgia. Zvichemo zvinogona kuvepo kwemavhiki maviri, uye kusagadzikana manzwiro zvino kunonoka (zvikurukuru kana uchifamba), zvino usimbise (kazhinji pausiku, nekunonoka, kufema kufema). Mukuvapo kwechirwere ichi, chifu che osteochondrosis chinogona kuva nezviratidzo zvinosangana nekuoma kwekufema, kuoma kwemisungo.
Dorsago ye thoracic musana
Paroxysmal zviratidzo zvechirwere zvinonzi izwi rokuti "dorsago" kana kuti "girafu thoracic". Muchiitiko ichi, marwadzo anooneka kamwe kamwe, zvakasimba, kazhinji kuchiyeuchidza zviratidzo zvekurwadziwa kwemoyo. Kurwisa kwebhokisi osteochondrosis kune zviratidzo zvinotevera:
- unopinza, unokakavara wemarwadzo;
- kurwadziwa kunonzwika munzvimbo iri pakati pembabvu, nzvimbo interscapular;
- kazhinji kurwiswa kunowanikwa mushure mekugara kwenguva yakawanda mune imwechete;
- kurwadziwa kukuru kunowanzoitika kana torsi inotenderera;
- kune kuoma mukufema, simba rakasimba musimba.
Osteochondrosis ye thoracic musana - migumisiro
Kana kurapwa kwehutachiona kusati kwatangwa panguva, osteochondrosis yedhipatimendi thoracic inogona kuva nemigumisiro inotevera:
- vegetovascular dystonia;
- migraine;
- kukanganisa kwemukati maviri (chiropa, itsvo, etc.);
- kuderera kunzwa, chiratidzo;
- epicondylitis yejoka yehuta ;
- paresis uye kuparara kwemaoko;
- kuputika kwemupaka;
- kurasikirwa kwekunzwisiswa kwezvivara zveganda;
- kuremara, nezvimwewo.
Nzira yekurapa chifu che osteochondrosis?
Kana zviratidzo zvechipfuva osteochondrosis zvichionekwa, zvinokurudzirwa kuongororwa neurologist uyo, atova nekuongorora kwekare uye kuongorora kwepamusoro mumapoka akawanda emurwere, anogona kuita kuti aongororwe. Kuti uone kuwanda kwekukuvara, x-rays, magnetic resonance imaging kana computed tomography inorayirwa. Mazano ekurapa anoenderana nemigumisiro yakawanikwa.
Kazhinji zviratidzo zvinorwadza zvechipfuva osteochondrosis zvinobviswa nekutora nhengo dzisiri-steroidal anti-inflammatory drugs (Ibuprofen, Nimesulid, Diclofenac, etc.). Kana kuwedzererwa, pamwe nekurwadziwa kukuru, paravertebral blockades neNovocaine solution inogona kuitwa. Mukuwedzera, sechikamu chechirwere chekuchengetedza, mishonga inotevera inogona kurongerwa:
- muscle relaxants (Midokalm, Liorasal);
- chondroprotectors (Alflutop, Glucosamine);
- corticosteroids (Metipred, Belosalik), nezvimwewo.
Kuvandudza mararamiro emagetsi, kubvisa musimba hypertonia, kudzivirira zvinetso zvakasiyana-siyana, nzira dzakadaro dzokurapa dzinoshandiswa:
- therapeutic gymnastics;
- massage;
- manual therapy;
- Mutsipa wendarira kuwedzera;
- Physiotherapeutic nzira (laser, ultrasound, etc.).
Kurapa kunobatanidzwa kunodikanwa kana rwonzi rwepelinha rwukasimbiswa nechidimbu che intervertebral disc. Muchiitiko ichi, kana chimirootomy inogona kuitwa - kusagadzikana kwemazhenje emvura, kana discectomy - kubviswa kwechikamu che intervertebral disc kana kubviswa kwayo zvakakwana nekuiswa kwekuisa. Mumakiriniki nemichina yemazuva ano, kushandiswa kwekuvhiya kunoitwa munzira duku dzinotyisa kuburikidza nekuita zviduku.