DDDS - ndichiyani? Matenda, mitundu, chithandizo

Mwa matenda aakulu anthu a msana kudwala zatenga malo lomaliza yochizira matenda. Ululu mu ndime msana, mobwerezabwereza, kenako kusiyiratu ena nthawi, bwino kwa anthu ambiri a dziko. anthu ambiri amanyalanyaza ntchitoyi kwa katswiri kudziwa chifukwa cha magwero a zinthu pathological. Koma sizinathandize. Palibe miyeso atengedwa mu nthawi kungadzutse zochitika sizingasinthe mu thupi, kuchepetsa kwambiri khalidwe la moyo wodwalayo. pathologies amenewa likukhudza DDDS.

Matendawa "DDDS" - ndichiyani?

Osachiritsika matenda a msana (DDDS) - ndi kudwala a mbali zotumphukira ya ubongo kumene kumachokera gulu la ambiri matenda aakulu anthu, ali ndi khalidwe ndi kobwereza ndi zambiri kumayambitsa chilema. Nthawi zambiri matendawa amapezeka anthu a msinkhu wogwira ntchito. Mwatsoka, palibe mfundo wamba view pa chiyambi cha DDDS lero. Kodi zikutanthauza chiyani? Palibe njira chokwanira ndi bwino kupeza ndi kuchiza matenda.

Akukhulupirira kuti zosayembekezereka wa kudwala limapezeka pa zifukwa zotsatirazi:

• chifukwa m'dera overloading zigawo vertebral zoyenda (PDS);
• chifukwa decompensation mu kachitidwe chakudya.

Popeza DDDS - matenda kumene kumatenga zaka, ikuchitikira wodwalayo kusintha thupi kukhala sizingasinthe. Choncho, ayambe onse a mtima nthawi zambiri zosatheka. miyeso achire Cholinga yekha pa kubwezeretsa ntchito yachibadwa msana ndi kuwonongedwa kwa matenda matenda.

Chifukwa onse - osteochondrosis

Matendawa kumabweretsa kulephera kwa ntchito galimoto ya zigawo msana, amene kumatanthauza kulephera kupita motsatizana mu thupi lonse la munthu. Kodi zimenezi zimachitika? Akukhulupirira kuti osteochondrosis zochita hule zosayembekezereka wa DDDS. Kodi kudwala izi? M'mayiko CIS, kuchita pa zamankhwala amatchedwa osteochondrosis osachiritsika kusintha mu nyumba cartilaginous la ndime msana. Chifukwa cha matenda osachiritsika chimbale ndi:

• kutengera za kumtundu,
• matenda a mtima abulusa okwanira,
• asamapereke,
• bwino m'bungwe kuntchito (wovuta mpando kapena gome)
• ntchito zamanja ndi zolemera
• onenepa.

kusintha pang'onopang'ono kapangidwe ka chichereŵechereŵe kumabweretsa ndichepe mu kuyenda cha vertebrae ndi kuchepetsa mtunda therebetween, kutupikana pafupi ndi zimakhala msana. Ngati ndondomeko akuthamanga sasiya osauka vertebral kapena extravertebral syndrome. 4 Kusiyanitsa zifukwa zimene ananena syndrome aumbike:

• psinjika - matenda ayamba kumawonetsera chifukwa cha mawotchi zimamuchulukira a zigawo galimoto ya msana zikubweretsa psinjika a mizu mitsempha;
• disfiksatsionnaya - kudwala ukapezeka chifukwa cha kufooka kwa zigawo galimoto Kukhazikitsa msana;
• disgemicheskaya chifukwa - kudwala amapezeka ndi maziko a chisokonezo cha microcirculation wa zimakhala pafupi ndi zimbale intervertebral a msana pa malo a choipa;
• Aseptic-yotupa chifukwa - kudwala amapezeka ndi maziko a kutupa mu zigawo msana apaulendo.

Kapangidwe ka msana

Msana ndi kuchuluka kwa vertebrae, omwe aumbike mwa thupi ndi Arc. The vertebrae ndi mtima umodzi pamwamba pa ena ndi kupanga ndime m'chigawo chapakati cha wakupambana ngalande msana - ndi mtundu wa mumphangayo chinamulowerera misempha ndi ziwiya.

The vertebrae anasiyanitsidwa chichereŵechereŵe - intervertebral chimbale lopangidwa ndi annulus fibrosus ndi phata pulposus. Mphete zimatengera pa mbali ya katundu pa chimbale cha. Mu wamng'ono chamoyo phata pulposus 90% madzi, Komabe, zili madzi yace amachepetsa pa nthawi. Phata pulposus - ndi absorber mantha, amene amasintha mawonekedwe ake ndi katundu, potero kupereka kusinthasintha msana ndi kuteteza ku chiwonongeko.

Danga vertebral kuchokera kumbali zonse analimbitsa Mitsemphayi ndi dongosolo akulu. akatumba amphamvu ndi Mitsemphayi kuchepetsa katundu pa zimbale ndi mafupa. Komabe, zaka, chifukwa zinthu zambiri, pali kuchepa chichereŵechereŵe elasticity. Akuthamanga limagwirira wa limati matenda.

Monga pali ndondomeko pathological

Violation kaimidwe, onenepa, zitsulo, yaitali kukhala mu kaimidwe cholakwika zinthu omangika ndi zina zimabweretsa chakuti zili madzi litayamba akuyamba kuchepa, kutha elasticity cartilaginous dongosolo. Mchikakamizo cha zinthu zakumwamba kumawonjezera katundu pa annulus fibrosus, ulusi wake wosweka. pali ndondomeko yotupa, minofu yovulazidwa aumbike pa kuswa.

Pamene amamuyambitsa timabala amakhala mwaunyinji, pali kulowererana ziwiya magazi kuti kudyetsa zimbale intervertebral. Pang'ono ndi chimbale kutalika yafupika, kotero kuti mtunda pakati vertebrae pafupi yafupika sag ndi Tambasula Mitsemphayi, kumawonjezera katundu pa mfundo intervertebral. Chifukwa ndi chiwonongeko cha chichereŵechereŵe. Akapsa mapangidwe DDDS. Kodi zikutanthauza chiyani? Ulusi wa mphete fibrous pa kufinya kupitirira thupi vertebral, welded iwo linkawonongeka m'mphepete kusintha udindo moyenera, anapanga zophuka Bony - osteophytes. The chimbale intervertebral ali clamped, ndi inachepetseratu msana kuyenda. Kawirikawiri izi zimachitika ululu syndrome.

Intervertebral chophukacho chimbale akhoza kuyambitsa chitukuko cha kudwala. Herniated gawo lotchedwa phata pulposus, amene anagumula annulus fibrosus, kunja kupitirira amasiyiratu kukakamiza mizu mitsempha ya chingwe msana.

Tanthauzo ndi gulu la dorsopathies

Pathological zinthu msana amene kumphatikiza ndi matenda a ziwalo mkati ndipo limodzi ndi ululu amaphatikizidwa mu gulu osiyana matenda otchedwa dorsopathies. Malinga ndi mfundo mayiko, mitundu yonse dorsopathies m'magulu atatu:

• deforming dorsopathies - zikuphatikizapo mapindikidwe a msana, chifukwa kusintha mu zimbale intervertebral: gulu monga kyphosis, kupindika msana, lordosis, spondylolisthesis, ululu otsika kumbuyo;
• spondylopathies - zikuphatikizapo onse spondylopathies zoopsa ndi yotupa;
• dorsopathies ena - zizindikiro za ululu khosi, thupi kapena miyendo, zimene siziri chifukwa chimbale kusamutsidwa kapena kuphwanya chingwe msana.

Malinga ndi kudwala kwa malo chiyambi amadziŵika: DDDS thoracic ndi lumbar msana ndi khomo lachiberekero msana DDDS. Chimene icho chiri, ife adzamvetsa ina. Mbali khalidwe la matenda ndi kuti zizindikiro za matenda aliyense m'madera a kutanthauzira, pa dzanja limodzi, ndi zofanana kwambiri, ina - ndi mbali zawo zapadera.

mitundu DDDS

zinthu Pathological amayambira mu lumbar msana. Malingana ndi madokotala ambiri, chifukwa chachikulu ichi akuyenda wolungama, chifukwa kuti zoona, kulipira mtengo. Kumene, matenda zimachokeradi mu zingalowe, ndipo zimakhudza zinthu zingapo (chakudya kuwonongeka, matenda a dongosolo lymphatic mu zimakhala za zimbale intervertebral, etc.).

• DDDS khomo lachiberekero msana. Ndi chiyani icho? Monga ulamuliro, izo dorsopathies akuwuka mu khosi, mbali zapambuyo a chifuwa, mu manja. Odwala ena akunena moto kupweteka ululu pakati pa masamba phewa, ofanana ndi zizindikiro za angina. Pamene dorsopathies khomo lachiberekero anati chodziwa ululu pamene kutembenukira kapena tilting mutu. Mu kudwala a msana thoracic mwina kubva pachifuwa.
• DDDS lumbar msana. Mwina limodzi ndi kuphwanya tilinazo wa groin ndi ntchafu lamkati. ululu kumachitika imodzi miyendo; kuoneka utachepa tilinazo mu m'munsi kumbuyo ndi tilinazo pachala chachikulu. Kuwombera ululu, kuchepa tilinazo Shin, ululu phazi ziwalo za mwendo m'munsi ndi matako, kusowa ntchito m'chiuno - zizindikiro zonse dorsopathies ndi lumbar kapena DDDS lumbosacral msana.

miyeso achire

Maonekedwe a ndondomeko pathological mu nsana zimadalira siteji ya matenda, komanso dera ndiponso kukula kwa chotupa cha. Chiwonetsero chachikulu cha matenda ndi ululu. Monga taonera, chifukwa cha ululu kungachititse kuti spasms minofu, flattened herniated mitsempha mizu ya chingwe msana, ndi ena. Zambiri ululu kumachitika osati m'dera la nsana, komanso kunditumiza ku ziwalo zina za thupi. Kuwonjezera kupweteka kwa zinkakhala m'dera kungachepetse tilinazo, ndi kufooka minofu.

Therapy kwa matenda osachiritsika msana amachepetsa njira ya matenda ndi kusintha khalidwe la moyo wodwalayo. The zovuta kwa njira achire umalimbana kuonetsetsa kuti:

• koletsa ululu,
• m'mbuyo chiwonongeko cha chichereŵechereŵe,
• kusintha makope msana ozungulira zimakhala zofewa,
• kuchepetsa psinjika a vertebrae kuti wina ndi mnzake,
• kumbuyo kwa luso mtima galimoto.

njira achire monga kugwiritsa ntchito mankhwala mankhwala thupi, physiotherapy.

DDDS: chithandizo ndi mankhwala

Akuti mukhoza kuthetsa ululu ndi kulandira mankhwala si steroidal odana ndi yotupa monga "Ibuprofen" "ketoprofen" "Diclofenac". Ntchito mankhwala Komabe, amaganizira pakutchulidwa mavuto. Pankhaniyi, mungathe amachita kusankha phwando zikutanthauza - ndi "Lornoxicam", "Nimesulide", "Meloxicam".

Mu chochitika cha stagnation mu mnofu ndi kusokonezeka kwa magazi kutsatira ntchito ya lidocaine osakaniza ndi madzimadzi steroid. Izi muyeso amathandiza kuthetsa ululu waukulu.

Pang'ono kuchepetsa vutoli ndi kuthetsa ululu ndi ntchito achire analgesic pulasitala ( "Dorsaplast" "Nanoplast" neri Al.). Komanso, chigamba kuti relieves ululu, iye amapereka ndiponso odana - amadza pa zinkakhala m'dera la munda maginito. Gwiritsani chigamba analimbikitsa monga mwa ululu waukulu mpumulo mofulumira ndi mitengo. mankhwala lilibe mankhwala, ntchito zabwino kwambiri: chigamba sikungalepheretse kayendedwe, ndi odorless, masamba palibe zotsalira pa khungu ndi zovala.

Physiotherapy ndi mafupa corsets

Imodzi ntchito mankhwala mankhwala DDDS mwakhama ntchito corsets mafupa omwe kuchepetsa ululu ndi kukonza ndi kuonongeka msana gawo. Ngati ndondomeko pathological amakhudza msana khomo lachiberekero, ntchito kolala Schanz. mankhwala osati ali ndi kutentha tingati koma mongoyembekezera amachepetsa sayenda a msana pa zinkakhala m'dera, relieves minofu kuphipha, amatipatsa zinthu yabwino kwa kubwezeretsa kwa nyumba kuonongeka.

Mu kudwala msana thoracic ntchito theka-correctors, amene mwanzeru kugawira katundu kudutsa msana, yonena zinkakhala m'dera. Ngati vuto kumachitika pansi pa nsana, ntchito corsets lumbosacral. Nthawi zambiri amachita ntchito insoles mafupa kuchotsa mbali ya amadza katundu kwa msana.

Lekani ululu komanso amapoletsa monga physiotherapy. Zikuphatikizapo: electrophoresis, kutikitirako UHF, ultrasound mankhwala mankhwala maginito.

Lekani chiwonongeko cha chichereŵechereŵe

Monga tanena amalimbikitsa DDDS umalimbana osati kuthetsa ululu. Nkofunika kuti asiye chiwonongeko cha chichereŵechereŵe minofu ndi matenda izi. Chifukwa cha ichi chonse osiyanasiyana mankhwala - chondroprotectors. Zikuphatikizapo :. "Chondroitin sulphate", "glucosamine", etc. zambiri, kumapangitsanso zotsatira za mankhwala atengedwa pamodzi. Zikatere zimafunika mlingo yeniyeni mankhwala. Nthawi zambiri, tsiku mlingo "Glucosamine" ndi 1000-1500 mg, "chondroitin sulphate" - 1000 mg.

Kusintha magazi mu zimakhala za zinkakhala m'dera, mungathe kugwiritsira ntchito antiplatelet ndi angioprotectors, monga mankhwala "Pentoxifylline," "Aktovegin". Mavitamini a gulu B (mwachitsanzo, "Neyromultivit") kuthandiza kukwaniritsa njira kagayidwe kachakudya mu thupi.

Nthawi ya konzanso zambiri amachita ndondomeko ya samatha msana, amene amathandiza kuti Talikitsani mtunda pakati pa vertebrae ndi kuchepetsa zimakhudza awo pa wina ndi mzake. M'pofunikanso kukhalabe zonse galimoto ntchito, kulimbikitsa dongosolo akulu mwa mankhwala thupi.

diagnostics

Pakali pano, njira kudziwa osachiritsika matenda msana sitinganene kuti wangwiro ndi odalirika. Monga matenda ena aliwonse, DDDS matenda akuyamba ndi Kupenda dokotala. Doctor kucheza ndi mtima ndiyo malo ululu, limatchula zinthu zimene patsogolo ululu (mwachitsanzo, kusintha malo thupi). The katswiri Mupezanso kuchokera mtima pamaso pa anasamutsa kuvulala msana ndi matenda okhudzana.

Kenako, Adokotala minofu paravertebral ndi palpation. Zimenezi zimathandiza kudziwa pamaso pa mavuto akulu kapena imfa ya linkawonongeka a. Laboratory matenda kumaphatikizapo phunziro magazi wodwalayo ndi ikuchitika kuti akhazikitse kukhalapo kapena kusapezeka kwa njira matenda m'thupi.

Inde, njira zambiri zothandiza pa diagnostics wa kudwala ndi msana radiography, yopangidwa tomography (CT) ndi kumveka maginito kulingalira (Kujambula). Electroneuromyography (electroneuromyographic) kudziwa chifukwa cha mitsempha chotupa.