Kungekudala, oogqirha baye bafumana izikhalazo malunga nentlungu ephindaphindiweyo, kwaye abafazi abaselula baninzi bahlala behlupheka nabo. Ukuba ukungathandeki kuthiwa kwindawo yangasese, kuya kubangelwa isifo esifana nesifuba se-osteochondrosis, iimpawu zazo ezichazwe ngokubanzi ngasemva.
ITraracic osteochondrosis - ibangela
I-Osteochondrosis yomgudu yindlela yokukhubazeka apho ukuguqulwa okungalunganga kuvela kwiisculi zee-disvertebral discs - izixhobo zomqolo womgca ophakathi kwamalungu amabini angama-vertebral. I-disvertebral disc yinto enesigxina se-circular cushion, equkethe i-gel-like collagen core, i-tissous and vitreous tissue tissues. Imisebenzi ephambili ebonelelwe ngala maziko:
- ukujoyina kunye nokugcina izidumbu ze-brittle ezikufutshane;
- ukulungiswa komqolo wamagxa, ukukhusela kwiintlungu ngenxa yobukhulu bomzimba, imithwalo;
- ukubonelela ngokuhamba kweentsimbi ezikufutshane kunye nomnye.
Ukuba i-disvertebral diss ziseburhulumenteni obunelisayo, umgudu unikwe u-elasticity, ukuhamba, ukukwazi ukuhambisa iintlobo ezahlukeneyo zomthwalo. Xa isakhiwo se-cartilage sitshintsha isimo, ukubunjwa, ukulahlekelwa amandla kunye nokunyaniseka, le mi sebenzi ayikwazi ukuzaliseka ngokupheleleyo. Ngokwenene, oku kwenzeka ngokumalunga nemvelaphi yokuphazamiseka kweenkqubo zeethambo.
Utshintsho oluthile lweengcambu kwi-disvertebral discs eyenza i-chest osteochondrosis ichazwe ngolu hlobo lokuba imfuyo yabo iphela, kwaye ukubonelelwa kwezinto ezincedo kubonakala kuphela kwiindleko zemizi eselumelwane (iigaments, body bodies). Izizathu ezibalulekileyo zokusondeka kwesondlo kwezakhiwo ze-intervertebral kunye neendlela zokutshatyalaliswa kwabo aziwayo, kodwa oogqirha bachonga inani lezinto ezihamba phambili:
- iingxaki zesisombululo somzimba emzimbeni;
- bunzima bomzimba;
- isondlo esingafanelekanga, isiselo sokusela;
- ukungabi nokuhamba;
- msebenzi wokuhlala;
- ukuphulwa komsebenzi;
- ezinyaweni ;
- ukuxhatshazwa emhlane, umgudu;
- umsebenzi omzimba ophezulu okanye uqeqesho lwezemidlalo;
- khulelwa;
- bembethe izicathulo ezingakhawulezileyo, izicathulo ezinezithende eziphezulu.
Iziganga zesifuba se-osteochondrosis
Isifo esinjalo, njengesifuba se-osteochondrosis, asinikezeli iimpawu ngokukhawuleza. ikhula kancane kunye nexesha elide. Ukongezelela, ngenxa yokuhamba okuncinci komgudu kule ndawo, i-osteochondrosis yommandla we-thoracic ibonakalisa kwizigaba ezidlulileyo, phambi kweenguqu ezinzulu zentsholongwane. Kuphela, iidridi ezine ze-pathology ziyaziwa, ngokuxhomekeke kwimpembelelo ephuhlisiwe.
ITraracic osteochondrosis ye-1 degree
Isigaba se-preclinical yi-osteochondrosis yesigxina se-thoracic yesigaba se-1. Kule nqanaba, ukucinywa kwamanzi kunye nokuqhelana kwamanzi kwi-disc intervertebral disks kwenzeka, ukunciphisa ukuphakama kwawo, okukhokelela ekunciphiseni ukunyaniseka kwabo kunye nokunyaniseka. Ikhono lomqolo wamagxa ukumelana nemithwalo eqhelekileyo ihleli. Disk iziqalo ziqala ukwenza.
ITraracic osteochondrosis ye-2 degree
Xa i-osteochondrosis ye-thoracic 2 degree ikhula, eso sifo sibonakala ngokubonakala kwemifuziselo kwindandatho ye-fibrous. Ukuxhaswa (ukudityaniswa) kweediski kuyaqhubeka, umlinganiselo we-intervertebral fluid uyancipha, i-vertebrae iqalisa ukuxubana omnye nomnye xa umthwalo emva kwenyuka. Eli nqanaba ngamanye amaxesha kuthiwa i-discogenic radiculitis.
ITraracic osteochondrosis yesidanga sesithathu
I-Osteochondrosis ye-thoracic umgudu wesigaba sesithathu ihamba kunye nokutshatyalaliswa kunye nokuqhekeka kwezicubu ezinobumba ze-disc, ukuphuma kwinqutyana engundoqo, i. kukho ukubunjwa kwe-disnial protrusion ye-disc intervertebral. Ngenxa yoko, iingcambu zentliziyo ziqala ukudibaniswa, ama-vesicle asondeleyo atyhidiweyo, iimvini, iirribhethi zikhonkxiwe.
ITraracic osteochondrosis ye-4 degree
Isigxina, isigaba esibi kakhulu sesi sifo sibonakala ngokufuduka, ukuguquka, ukuguqulwa kwamalungu omzimba, ukunyuka okunye kwendawo yabo, ukunyuka. Iifayili ze-fibrous ezichaphazelekayo ziqala ukutshintshwa ngamathambo ezithambo ngendlela yeemvelaphi ezithile-i-osteophytes, ukuchukumisa intambo yomthambo. Ngenxa yoko, ukuhamba komgudu kuncitshiswa kakhulu.
I-Osteochondrosis ye-thoracic spine - iimpawu
Ngenxa yezinto ezikhethiweyo zenkqubo yezilwanyana ze-pathological, i-osteochondrosis yommandla we-thoracic inezibonakaliso eziqhelekileyo kunye nama-atypical, ukuphinda ukubonakalisa ezinye izifo. Oku kubangelwa kukuba ngenxa yokunyanzeliswa kwemithambo yegazi kunye neentambo ze-nervous, utshintsho olusesikweni kwintlambo yomgudu, imisebenzi yezitho zangaphakathi ezikufutshane iphazamiseka.
Sisebenzisa uluhlu lweempawu eziqhelekileyo kwaye eziqhelekileyo kwi-chest osteochondrosis:
- intlungu emva nangesifuba;
- ukuziva ukucima esifuba;
- uvakalelo lwezandla zomlenze;
- ukuphazela kwiingalo, imilenze, intamo, amahlombe;
- ubunzima, ama-aches ngasemva, izitho;
- imisipha ye-muscular kwiindawo eziphezulu nendawo eziphakathi;
- umda wokuhamba komgudu kule ndawo (ubunzima emthambekeni womzimba).
Ubuhlungu kwi-osteochondrosis ye-thoracic umgudu
Ngokuxilongwa "kwesifuba se-osteochondrosis" iimpawu ezinxulumene nokuvakalelwa okubuhlungu zivela phakathi kwezinye izikhalazo. Ubungakanani kunye nobude babo buxhomekeke kwinqanaba leenkqubo zentsholongwane. Ukuhlala kwendawo yokubandezeleka kunokutshintsha ngokukhawuleza, ngokukodwa, ukuhamba ukusuka kwindawo enye yesifuba ukuya kwelinye, ukumboza isifuba sonke. Ngokuqhelekileyo wayevakalelwa intlungu kuloo ndawo phakathi kwe-scapula. Ubume bentlungu ebhokisini i-osteochondrosis ayibucayi, icaza, ibukhali. Ukunyuka kwenyameko kubonakala ebusuku kwaye xa:
- ukuphakamisa izandla;
- ijika entanyeni;
- sigqoke iisindo ezinzima;
- ukuhamba okubukhali;
- ukwenziwa komzimba;
- ukuphefumlelwa okuqinileyo, ukukhwehlela, ukukrazula;
- supercooling.
Ingaba kukho ukuphefumula okufutshane kunye nesifuba se-osteochondrosis?
Ngenxa yokufuduka kwamalungu omzimba, ukuguqulwa kwamathambo kwisakhiwo se-thorax, ukuququza iimbilini kunye nemithambo yegazi ehambelana nemiphunga, i-dyspnoea ngezinye izihlandlo ivela kwi-osteochondrosis esifubeni. Ukongezelela, ukususela kwingingqi yezithambiso zikhona izakhiwo ezijongene nokugcinwa kweentliziyo, amathumbu, isibindi, iintso, ezinye izitho, isifo kumaxesha amaninzi sihamba kunye neempawu ezilandelayo:
- intloko, isisu ;
- intlungu entliziyweni ;
- ukunyamekela kweengcambu zentombazana;
- intlungu kwi-hypochondrium (efana nokubonakala kwe-pancreatitis, cholecystitis);
- intlungu ye-epigastric, engahambelani nokutya;
- ukuphazamiseka emqaleni, umlenze, ukuvalelwa komzimba wangaphandle;
- ukuphulwa kwemisebenzi yesondo.
Ubuhlungu entliziyweni ngesifuba se-osteochondrosis, ngokukhawuleza ukunyanzelisa, ukuxineka, kunokudukisa xa kufunyanwe, kuba iyafana nokubonakaliswa kwe-angina pectoris, i-myocardial infarction. Ubunqwenelekayo kwezi zintlupheko lixesha elide, ukungabikho komphumo xa kuthatha imishanguzo yokwandiswa kweenqwelo zomzimba. Akukho zinguqu kwi-cardiogram.
Ama-syndromes kwisifuba se-osteochondrosis
Iimpawu zesifuba se-osteochondrosis kubasetyhini, ezinxulumene nendlela enye yokuvela, ziimeko ezininzi ezinzima. Kukho ama-syndromes amabini kunye nesethi yeemeko ezithile zezifo ezibangelwa yi-chest osteochondrosis:
- dorsalgia;
- dorsago.
I-Dorsalgia ye-thoracic umgudu
Ukuhlala ixesha elide, kungekhona intlungu e-osteochondrosis esifubeni kubasetyhini, ngokuqhelekileyo kubonakala njengento yokuqhayisa, ukudonsa, ivela kwi-dorsalgia. Izikhalazo zingabakho kwiiveki ezingama-2-3, ngokungahambi kakuhle iimvakalelo zize zishiye (ikakhulukazi xa zihamba), kwaye zomeleze (ngokuphindaphindiwe ebusuku, ngokuphefumula, ukuphefumla). Ekubeni kwale syndrome, i-chest osteochondrosis ingaba neempawu ezinxulumene nobunzima bokuphefumla, ukuqina koxinzelelo.
I-Dorsago yesihluma se-thoracic
Ukubonakaliswa kweParoxysmal kwesi sifo kuthiwa igama elithi "dorsago" okanye "igumbi le-thoracic". Kule meko, intlungu ibonakala ngokukhawuleza, ngokukhawuleza, ikhumbuza iimpawu zesifo senhliziyo. Ukuhlaselwa kwesifuba se-osteochondrosis kunempawu ezilandelayo:
- ubukhali obubukhali, obunzima obuhlungu;
- Intlungu ivakalelwa kwindawo phakathi kwezimbambo, indawo engapheliyo;
- rhoqo ukuhlaselwa kubonakala emva kokuhlala ixesha elide kwisithuba esinye;
- ukwanda kwentlungu kwenzeka xa i-torso ijikeleza;
- kukho ubunzima bokuphefumla, ukuxhatshazwa kwemisipha eqinile.
I-Osteochondrosis ye-thoracic spine-imiphumela
Ukuba unyango lwe-pathology aluqalanga ngexesha, i-osteochondrosis yesebe le-thoracic ingaba nemiphumo elandelayo:
- i-dystonia yemifuno;
- migraine;
- ukuphulwa kwezitho zangaphakathi (isibindi, izintso, njl);
- ukuphungula ukuva, umbono;
- i-epicondylitis yomxube we-elbow ;
- i-paresis kunye nokukhubazeka kwezandla;
- ukukhawuleka komgudu;
- ukulahleka kobuzwe besikhumba;
- ukukhubazeka, njl
Indlela yokuphatha i-osteochondrosis esifubeni?
Xa iimpawu zesifuba se-osteochondrosis zivela, kuyacetyiswa ukuba kudibene ne-neurologist, esele sele ihlolwe ngokutsha kunye nokuhlolwa komgudu kwizikhundla ezininzi zesigulane, inokwenza i-diagnostic yokuqala. Ukumisela umlinganiselo wonakalo, i-x-rays, i-imagination magontic resonance okanye i-tomography ekhompyutheni imiselwe. Amaqhinga okonyango axhomekeke kwiziphumo ezifunyenweyo.
Ngokuqhelekileyo iimpawu ezibuhlungu zesifuba se-osteochondrosis zipheliswa ngokuthatha izidakamizwa ezingekho-steroidal ezichasayo (Ibuprofen, Nimesulid, Diclofenac, njl.). Xa kunzima, kuhamba neentlungu ezibuhlungu, i-blockades ye-paravertebral ne-Novocaine isisombululo singenziwa. Ukongezelela, njengenxalenye yonyango olulondolozayo, la mayeza alandelayo anokumiselwa:
- imisipha yokuphumla (Midokalm, Liorasal);
- i-chondroprotectors (Alflutop, i-Glucosamine);
- i-corticosteroids (i-Metipred, Belosalik), njl.
Ukuphucula iinkqubo ze-metabolic, ukuphelisa i-hypertonia ye-muscle, ukukhusela iingxaki ezahlukeneyo, iindlela zokusebenzisa unyango:
- gymnastics yokwelapha;
- ukusilisa;
- yonyango lonyango;
- Ukwandiswa kwekholomu yomgca;
- Iinkqubo zePhysiotherapeutic (laser, ultrasound, njl).
Unyango oluphandwayo lufunekayo ukuba intambo yomgudu ifakelwe ngedaka le-disc intervertebral. Kule meko, mhlawumbi i-laminotomy ingenziwa - ukungabikho kwemigangatho ye-vertebral, okanye i-discectomy - ukususwa kweengxenye ze-disc intervertebral okanye ukususwa kwayo ngokupheleleyo ngokufakelwa kokufakelwa. Kwiiklinikhi ezinezixhobo zanamhlanje, ukusetyenziswa kwezigulane kuqhutyelwa kwiindlela ezincinci ezinokungabonakali.