Msana chotupa: Zizindikiro ndi Chithandizo

Chimodzi mwa zifukwa ambiri kukaonana ndi adokotala - ndi ululu kumbuyo. Iwo akhoza chifukwa cha zifukwa zosiyanasiyana. Koma Dziwani kuti vutoli sitingakane. Pakuti zomverera kobwereza ululu kapena lakuthwa, ngakhale ndi choncho akutali, ululu nthawi zina ndi chifukwa kwambiri. Kungakhale yachibadwa zimamuchulukira vuto, ndipo mwinamwake kubisa msana chotupa.

Chimodzi mwa zifukwa ambiri kukaonana ndi adokotala - ndi ululu kumbuyo. Iwo akhoza chifukwa cha zifukwa zosiyanasiyana. Koma Dziwani kuti vutoli sitingakane. Pakuti zomverera kobwereza ululu kapena lakuthwa, ngakhale ndi choncho akutali, ululu nthawi zina ndi chifukwa kwambiri. Kungakhale yachibadwa zimamuchulukira vuto, ndipo mwinamwake kubisa msana chotupa. Zizindikiro zikhoza kukhala zofanana ndi sciatica ochiritsira. Komabe, tiyenera Mulimonsemo dokotala. Zimene zikhoza kukhala chotupa mu nsana, zizindikiro ndi chithandizo cha maphunziro tikambirana zina.

Zimayambitsa zotupa msana

Panopa, zifukwa zenizeni za maonekedwe a mapangidwe chotupa mu thupi kulibe. Koma pali zifukwa zingapo zimene azitaya yatsoka:

• kukhalapo kwa chotupa mapangidwe m'banja;
• ntchito mu ntchito woopsawo;
• kuchuluka cheza maziko;
• kukhudzana yaitali kwa dzuwa;
• kusuta.

Mfundo zonsezi azitaya kupitilira chotupa.

Pa zosayembekezereka ya zotupa mu msana nawonso anakhudzidwa ndi njira zotsatirazi:

• kuvulala kwa ndime msana;
• matenda aakulu a msana.

Mu magawo oyambirira ndondomeko chotupa amatchedwa choyambirira. maselo a khansa Mukungoyamba kuonekera mu ndime msana, koma ikukula msana chotupa. Zizindikiro mu magawo oyambirira wofatsa.

maselo anaonekera khansara mu thupi la vertebrae ndi mosavuta ananyamula thupi lonse, pali kwambiri magazi okwanira. N'zoona ziwiya, maselo a khansa kuphwanya mafupa minofu popangidwa metastases. Kotero kukula zilonda chotupa a msana, zizindikiro panthawi imeneyi adzakhala kale ofotokozedwa bwino, monga anapha msana.

Movement wa zotupa ndi mapangidwe awo

Neoplasms akhoza kukhala mwina chosaopsa kapena khansa.

Zosiyanasiyana zotupa msana:

• chigoba dongosolo zotupa;
• fupa zotupa;
• zotupa za chiyambi osiyanasiyana;
• metastatic zotupa;
• olanda.

Pakuti mtima wabwino monga:

• Osteohodroma. Chofewa ngati siponji fupa yokutidwa ndi chichereŵechereŵe. Ndi ambiri mwa anyamata pamene kukula.
• Osteoid osteoma. Pamene zikuoneka kukuchitika wa wandiweyani fupa amene akukula. Kumachitika mu kuposerapo, makamaka anyamata.
• Osteoblastoma. Sindikiza mafupa. N'kovuta kwambiri ndi ana.
• Chimphona selo chotupa. Iwo wapangidwa ndi maselo multinucleated chiphona. Zimachitika ambiri mwa akazi.
• Eosinophilic granuloma. kukula nthenda ya maselo a lotayirira connective minofu, chimene chimatichititsa mafupa.
• Hemangioma. Zimakhala pa msinkhu uliwonse. Izi anomalously anayamba Mitsempha.

• Aneurysmal fupa chotupa. Kutuluka fupa malo mafuta ndi venous kapangidwe ndi kukula kunja. Kumachitika ana ali mwana.

khansa yoyamba ya zotupa msana:

• Clasmocytoma. Izi osakaniza maselo ataya zizindikiro zimene kusiyanitsa iwo kwa ena.
• Chondrosarcoma. Umakula pang'onopang'ono. Amakhala chichereŵechereŵe. Nthawi zambiri amapezeka mu akulu.
• Osteosarcoma. Kodi kukula kwambiri ndipo wapangidwa ndi osteoid neoplastic zingaphatikizepo fibro ndi hondrosarkomatoznye zigawo zikuluzikulu.
• Ewing a sarcoma. Ana ali mwana. Origin osadziwika.
• Chordoma. Akufotokozera ku zoyamba za poyambira pa. Zimakhala pa m'badwo uliwonse, koma nthawi zambiri patatha zaka 30.

The sekondale zotupa msana ndi metastatic zotupa.

Monga ulamuliro, chingwe msana zimakhudzira ndi zotupa ziwalo zotsatirazi:

• impso;
• khansa ya m'mawere;
• Prostate;
• mabele England.

Metastatic, ngakhale chotupa ka zizindikiro thoracic msana adzaonetsera. Ndi kwambiri amakhudza kugwira ntchito kwa mtima, mapapo ndi mitsempha ya magazi. zolephera zotheka mu kachitidwe aka.

Taonani zimene kukhala, ngati pali chotupa msana, zizindikiro za m'madipatimenti zosiyanasiyana.

Zizindikiro ndi chotupa mu msana khomo lachiberekero

Neoplastic ndondomeko m'dera khomo lachiberekero kwambiri amakhudza mkhalidwe wonse wa munthu monga mwa pafupi ubongo.

A chotupa wa khomo lachiberekero zizindikiro msana vertebral ndime adzakhala ndi zotsatirazi:

• kulimbikira kupweteka khosi;
• zotheka tsankho ziwalo;

• ziwalo za minofu intercostal kungachititse kuti amangidwe kupuma;
• kukomoka;
• Kunyansidwa ndi kusanza mwina;
• kulira kwa mutu;
• chikomokere;
• chizungulire;
• Pomeza ndondomeko ndi akusokoneza.

Ngati kukakamiza mitsempha jugular, ululu limapezeka pa malo a chotupa cha. Pamene tilting mutu ndi mutu. Komanso, zizindikiro za khomo lachiberekero msana chotupa akadali monga zowawa kuwombera m'manja mwake, yochokera kwa khosi, ndipo ngakhale pachibwano.

ndi zizindikiro za chotupa thoracic chiyani?

A chotupa aumbike mwa dipatimenti imeneyi - zoopsa kwambiri. Chifukwa am'derali ziwalo zonse zofunika: mtima, impso, m'mapapo ndi ena. Kukula chotupa amasokoneza ntchito zawo. Chotupa zizindikiro msana thoracic adzakhala ndi zotsatirazi:

• matenda chitukuko dongosolo mtima;
• kufupika kwa mpweya;
• kuphwanya dongosolo m'mimba;
• magazi akutsikira;
• kusonyeza tsankho;
• mofulumira isanayambike kutopa.

Ndi zotheka kufalitsa ululu mu mtima dera, chifuwa, mimba kapena ululu manja.

Ngati anapezeka ndi thoracic msana chotupa, zizindikiro, mankhwala ayenera kuyang'anira ndi dokotala, kotero m'chipatala. Zikavuta angafunike mpweya yokumba.

Tikumbukenso, ngati pali chotupa zilonda za msana thoracic thupi mankhwala ali contraindicated. Popeza chikhalidwe akhoza mofulumira poipa, kupewa maganizo.

Zizindikiro za zotupa a msana lumbosacral

Zotupa mu gawo limeneli la ndime msana akhoza kwambiri bwanji m'chiuno ziwalo ndi mapazi tilinazo. Kukayikitsa pang'ono pa chitukuko cha matenda sitingakane.

Zizindikiro chotupa lumbar msana adzakhala motere:

• zonse kupweteka kwa msana;
• movutikira kuyenda;
• kulephera kwa msambo mu akazi;
• wonongeka a dongosolo genitourinary;
• utachepa tilinazo mu miyendo m'munsi;
• kusalankhula pokodza ndi defecation;
• mpheto za amuna.

Ngati chotupa limakula zizindikiro msana lumbar ndi zina zofanana kwambiri ndi zizindikiro za sciatica. Mwamtundu mizu msana.

Anaona zinthu zodabwitsa ngati:

• kupweteka kwambiri mu lumbago ndi ntchafu kapena matako;
• kuchepetsa tilinazo miyendo m'munsi pamodzi ndi kusintha mtundu. Komanso, phazi angakhale kulocha bluish, ozizira kukhudza.

Izi ndi kukhudzana kwambiri zikhoza ziwalo kapena kusowa wathunthu wa tilinazo mapazi. Zizindikiro sacral msana zotupa ofanana ndithu kwa iwo pamene chotupa ndi ili mu lumbar msana, zinadziwika kumbuyo m'munsi.

Zizindikiro za zotupa mu msana

Monga ife anafotokoza kale, chotupacho kungakhale chosaopsa kapena zilonda. Kuyambira wotani chotupa mu msana zimatengera mtundu wa mankhwala.

zizindikiro zosonyeza zotupa chosaopsa mu msana:

• chotupa ali kapisozi;
• chotupa chikamakula, umachuluka kukula, motero wayamba compress minofu ozungulira;
• Chosaopsa maselo chotupa kugawanitsa infrequently, chifukwa iwo kwambiri kusiyanitsidwa;
• akuchedwa kukula kwambiri;
• palibe metastases.

zotupa chosaopsa bwinobwino ankachitira. Kupyolera opaleshoni chotupa akhoza kuchotsedwa kwathunthu. Komabe, ili ndi ntchito yovuta kwambiri, chifukwa zonsezi ikuchitika pafupi kwambiri ndi chingwe msana, ndi zambiri mitsempha ndi mitsempha yaikulu magazi.

Makhalidwe a chotupa chotupa pa msana:

• alibe kapisozi;
• zinamera ziwalo moyandikana ndi minofu;
• maselo chotupa nthawi zambiri khumi;
• maphunziro ikukula mofulumira;
• ali metastasized.

Tsopano tiyeni tikambirane mbali wamba chotupa zilonda za msana ndi msana. zizindikiro:

• mwadzidzidzi kuwonda;
• malungo;
• ululu;
• Kufooka mwa thupi;
• kutopa amapezeka mofulumira kwambiri ngakhale pa ntchito otsika thupi;
• kusafuna kudya;
• nseru;
• kusokonezeka kwa ntchito kwa ziwalo;
• Pali zizindikiro kunja, ngati chotupa limakula outwards;
• ziwalo za manja ndi miyendo;
• dzanzi, kukokana kwa minofu.

Womangidwa kukhala ndi zizindikiro za chotupa zilonda msana. Photo ikusonyeza mmene chotupa zikuwoneka ngati kukula kunja.

Matenda a zotupa msana

Choyamba, wodwala ayenera kuyezedwa ndi dokotala.

Kodi zizindikiro angazindikire katswiri pa kuyenderako:

• zochepa sayenda;
• kupindika msana;
• kuphwanya kaimidwe, gait, kayendedwe;
• minofu ya manja;
• musanaganizire contractions minofu;
• mfundo wachifundo pazipita;
• maphunziro atsopano;
• kukhalapo kwa minofu kuphipha kapena kupanda kwake;
• kusowa tilinazo minofu;
• kuphwanya bongo kwambiri tendon.

Ngati kuyenderako panali kukayikitsa ndondomeko metastatic, kuchititsa mokwanira thupi bwino. Ndithudi, izo kutchulidwa ngati pali chotupa zilonda msana, matendawo.

palpation anafufuza njira:

• khansa ya m'mawere;
• chithokomiro;
• rectum;
• ku prostate.

Kulongosola bwino matenda Kwalamulidwa mayesero zasayansi. Izi zikuphatikizapo:

• wathunthu magazi;
• urinalysis.

Ndiye mtima wa chitumidwa kwa X-ray. Ngati pali maganizo kuti chotupa chikuchitika, m'pofunika kutumiza wodwalayo kufufuza bwino ndi oncologist ndi neurosurgeon.

Kuti sule ndi kutanthauzira za ndondomeko chotupa ndi kudziwa sitepe ake tisonyezeni MRIs. Izi ndi njira zambiri zothandiza pa kafukufuku. Iye amapereka magawo chithunzi osati chotupacho komanso kusintha ziwalo pafupi, digiri ya kumera mu zotengera wake magazi ndipo zimakhala ena.

Pofuna kudziwa mlingo wa ntchito chotupa pogwiritsa ntchito radioisotope chindodo. Kodi zimachitikadi:

1. Wodwalayo anali kutumikiridwa mankhwala m'nsinga wapadera kuti ali ndi chizindikiro nyukiliya. Iwo amasonkhana zimakhala chotupa.
2. Kenako, pogwiritsa ntchito yapadera Popanga madzi a gamma kamera chimasonyeza kuti kugulitsa mankhwala ziwalo.

Pofuna kudziwa ngati kapena ayi khansara, ndi kupeza matabwa ake, ntchito biopsy. Kuchita izi, ntchito singano wapadera amene anaikapo mozama chotupa cha. Kutenga kachidutswa kakang'ono minofu ndipo kenako kufufuza simungathe kutiona.

Njira ya chithandizo cha zotupa msana

Pakuti mtundu uliwonse wa njira chotupa chithandizo amasankhidwa payekha, kuganizira mbali zake ndi malo. Mwina osakaniza njira zingapo.

Tiyeni tione zimene muli mitundu yosiyanasiyana ya chithandizo.

1. Pharmacotherapy.

Mankhwala osokoneza bongo analgesics, lingatithandize kuthana ndi ululu. Izi chomwa mankhwalawa mankhwala ndipo sanali chomwa mankhwalawa. Monga ntchito mankhwala odana ndi yotupa mu mawonekedwe a jekeseni suppositories.

Izi mankhwala si chomwa mankhwalawa:

• "Analgin";
• "Diclofenac";
• "Ketanov";
• "Nurofen";
• "Aspirin".

mankhwala chomwa mankhwalawa:

• "Tramadol";
• "Morphine";
• "Promedol".

mankhwala chomwa mankhwalawa zikumatayidwa yekha zifukwa zapadera ndipo anagula maphikidwe wapadera.

2. Kuchotsa a zotupa.

Mwamsanga kutaya zotupa Sizotheka, tingathe pabwino kwambiri chingwe msana, ndi ziwalo zofunika kwambiri.

Kodi kuchotsa chotupa:

• chotupa atachotsedwa kwathunthu;
• kuchotsedwa gawo la gawo zilipo chotupa cha. Pakuti yotsala ya chikoka mwa njira ina;
• ntchito kuti lithandizire ululu ndipo kumachepetsa kuoneka zizindikiro zina. Ambiri, zilibe kwambiri zotsatira. Mungathe kuchotsa onse kapena mbali chotupa, koma kukhala metastases. Izi kuchepetsa ululu.

3. Non-opaleshoni njira mankhwala.

• Ngati mtima wabwino chotupa msana, zizindikiro ndi wofatsa kwambiri kapena kwina, okalamba Zikatero kawirikawiri osankhidwa njira chidwi. Zoperekedwa chotupa si patsogolo ndipo alibe zingasokoneze ziwalo zina.
• Morning.
• Cheza kapena radiotherapy. Ntchito ngati chotupa ndi inoperable kapena mbali yake. maselo a khansa kapena kuwononga zotsala cheza cha. Mtundu wa chithandizo akhoza kuchepetsa chotupa kukula, kuchepetsa mlingo wa kukula, bwanji chiwerengero cha metastases, amene si zotheka kuchotsa.
• Akulimbana mankhwala. Timatha kugwiritsa ntchito mankhwala kuti avulaze kochepa kwa thupi lonse. Popeza njira ntchito mankhwala amphamvu kwambiri poizoni mu mankhwala cheza - dzuwa, izo m'mavuto thupi lonse, osati pa ndondomeko chotupa.

njira Traditional amachitira zotupa

M'pofunikanso n'kunena mawu ochepa za mankhwala mankhwalawa zotupa msana.

Gwiritsani ntchito malangizo ochiritsa wowerengeka mu mankhwala a matenda monga limasonyeza mchitidwe yaitali, operewera. Koma ntchito maphikidwe izi sikuti mukulakwitsa mu mabungwe chosaopsa. Izi si kusiya mankhwala, amene wasankha dokotala.

Yambani ntchito zina kapena dziko mankhwala ofunika yekha atakambilana ndi dokotala. Usadalire yekha mankhwala otchuka, matenda ndi ayenera kuthamanga, ndiye kukunda mwayi ake adzakhala ochepa.

Tinganene kuti ena mwa zomera zimene zimagwiritsidwa ntchito pa matenda a zotupa msana:

• celandine;
• ginseng;
• thundu khungwa;
• viburnum;
• plantain;
• Malemu;
• St. John wa liziwawa ndi ena ambiri.

Kuti kupweteka kukonzekera liqueurs zosiyanasiyana ndi mlandu.

Pofuna kuchepetsa ululu ntchito akusisita:

M'pofunika kutenga zigawo izi: palafini, mafuta mpendadzuwa, moto tsabola wamtali. zosakaniza zonse kusakaniza ndi kumva izo mu mdima malo sabata. Akusisita ntchito kokha nthawi yogona.

Infusions ntchito kuteteza kukula chotupa. Apa pali mmodzi:

Kudakonzedweratu ku muzu wa ginseng. M'pofunika nyembazo ndi kuthira malita 0.5 a mowa wamphamvu. Adzapatsa m'malo a mdima kwa masabata atatu. Kutsatira muyenera magalamu 5, nthawi 2 tsiku. Patapita masiku 7 a atapatsidwa yafupika magalamu 2.5 pa tsiku. Kulandira pasanathe mwezi umodzi. Ndiye muyenera kupanga yopuma kwa masiku 12 ndi kubwereza N'zoona kachiwiri.

Tiyenera kukumbukira kuti mu kukhalapo kwa chotupa mu msana sayenera zovuta kuchita masewera olimbitsa thupi, kulenga katundu. Care ayenera kukhala wodekha ndi penyani zakudya anu ndi kusiya zizolowezi zoipa.

Kodi madokotala ananena zawo msana chotupa?

Izo zimatengera zinthu zambiri, kodi zotsatira za msana chotupa mtima. Nawa ena mwa iwo:

• Mtundu chotupa. Zilonda kapena chosaopsa.
• Ikani chotupa.
• Panthawi yake matenda ndi mankhwala. The kale anatulukira ndipo wayamba kulandira mankhwala, ndi bwino mwayi kuchira.
• Pamaso pa matenda aakulu.
• Wodwalayo zaka.
• Ngati pali metastases ku ziwalo zina.

Kupewa zotupa msana

Timaganizira za malamulo zofunika zochepa za mapangidwe kupewa msana chotupa:

• Muyenera pochitika kuunikidwa pachaka ndi oncologist ndipo mayeso kwa anthu amene ali pa chiopsezo. Ndicho, amene ali ndi chibadwa choipa, zinthu osauka, anthu atsekerezedwa mchikakamizo cheza ionizing, ndi zina zotero.
• mankhwala oyambirira a zotupa chosaopsa. Musalole iwo pokhala zilonda. Kulamulira kwa ndondomekoyi.
• mogwirizana Limited ndi mankhwala zoipa.
• Bvalani zovala zodzitetezera mu mapangidwe woopsawo.
• Pewani kuvulala msana. Kusunga malangizo chitetezo.
• Kusiya kusuta.
• Kupeŵa kutchera khutu ku dzuwa.
• Kukhala moyo wathanzi.

Mu kuwawa kulikonse kumbuyo ayenera kukaonana ndi dokotala. Kuposa kale kudziwa matenda, m'pamenenso mpata chithandizo bwino.