Thoracic osteochondrosis bụ ọrịa na-adịghị ala ala nke ọkpụkpụ azụ nke mgbanwe degenerative-dystrophic na-eme na diski intervertebral.
Ọkpụkpụ thoracic na-adịkarị obere ka osteochondrosis na-emetụta ya ma e jiri ya tụnyere cervical na lumbar spine. A kọwara nke a site n'eziokwu na ọ dịtụghị arụ ọrụ, kwụsie ike na nke ọma site na muscular corset. Ọbụna ihe na-adịghị ahụkebe bụ nsogbu ya - protrusion na diski herniation.
Otú ọ dị, ọrịa a na-enwe mgbaàmà dị ukwuu nke na-ebelata ogo ndụ nke ukwuu ma ya mere ọ chọrọ ọgwụgwọ. Iji ọgwụ eme ihe naanị na-eme ka mgbaàmà ahụ kwụsị ma na-enye mmetụta nwa oge nke na-adịghị emetụta mmepe nke ọrịa ahụ.
Iji kpochapụ ihe mgbaàmà ntụkwasị obi, ịkwesịrị imetụta ihe kpatara mmepe nke usoro mmebi na diski. Maka ebumnuche a, ụlọ ọgwụ na-eji ọgwụgwọ mgbagwoju anya, nke na-enye nsonaazụ dị mma karịa 90% nke ikpe. Ọ na-agụnye ụzọ nke Oriental reflexology na physiotherapy - acupressure, acupuncture, moxotherapy na usoro ọgwụgwọ ndị ọzọ.
Mgbaàmà, akara
Site na osteochondrosis, mwepu nke diski intervertebral na-apụta na vertebrae na-agbakọta ọnụ, nke na-eduga na ntanye nke mgbọrọgwụ akwara azụ azụ. Nke a na-ebute mgbu n'etiti eriri ubu (a na-akọwakarị ya dị ka osisi na-arapara).
Ọrịa mgbu na thoracic osteochondrosis nwere ike ịbụ nnukwu, siri ike ma ọ bụ na-adịghị ala ala, na-agafeghị oke.
N'okwu nke mbụ, nnukwu mgbu na-apụta na mberede na a na-akpọ dorsago. N'okwu nke abụọ, a na-enwe mmetụta mgbu mgbe niile, nwere àgwà na-egbu mgbu ma na-akpọ dorsalgia.
Iwe site na mgbọrọgwụ mgbọrọgwụ na-agbasa n'akụkụ akwara, na-egbuke egbuke n'ime obi wee ghọọ ihe kpatara intercostal neuralgia - ịcha, ịcha ma ọ bụ na-ere ọkụ n'ime obi, nke na-esiwanye ike na iku ume, mmegharị ahụ, ụkwara, imi, na-achị ọchị.
Ihe mgbaàmà ọzọ nke thoracic osteochondrosis bụ ihe mgbu na mpaghara obi, nke na-esonyere ya na ihe ịrịba ama nke cardioneurosis - palpitations, obi mgbawa, ụba obi.
Mgbọrọgwụ akwara chịkọtara na-eduga n'ọgba aghara nke innervation, adịghị ike, adịghị ike nke aka, mmetụta nke oyi n'aka, cyanosis (mgbanwe na-acha anụnụ anụnụ) ma ọ bụ ịcha akpụkpọ ahụ. Mgbaàmà ndị a na-abụkarị otu akụkụ.
Mgbu na osteochondrosis nwekwara ike ịgbapụta n'ubu, n'okpuru ubu, na n'ihu.
Ihe mgbaàmà ndị ọzọ nke ọrịa ahụ bụ isi ike, esemokwu na azụ, nhụjuanya na mpaghara paravertebral, ubu, mpaghara cervical-collar, ume iku ume, mmetụta nke ọkpụkpụ n'ime obi.
Ụbụrụ nke na-esi na ọkpụkpụ azụ na mpaghara thoracic na-arụ ọrụ dị mkpa na ntinye nke ahụ dum. Ya mere, ihe mgbaàmà nke osteochondrosis nwere ike ime na mpaghara ndị yiri ka enweghị njikọ na ọkpụkpụ azụ. N'ihi nke a, a na-akpọ ya "ọrịa chameleon. "
Mgbaàmà ndị a gụnyere:
- nrekasi obi, bloating,
- ọnwụ nke agụụ, ọgbụgbọ,
- afọ ntachi (dyspepsia),
- ụkwara,
- ụkwụ oyi,
- ahụ mgbu,
- mgbu na hypochondrium ziri ezi,
- erughị ala na afo,
- ọsụsọ
Na mgbakwunye, a na-egosipụta osteochondrosis thoracic site n'inweta ọbara na-adịghị mma n'ụbụrụ - isi ọwụwa, nrụgide nke nrụgide, dizziness, enweghị nkwụsị nke gait, na nkwụsị nke nhazi.
Ihe kpatara mmepe, nkebi
Ọrụ bụ isi na mmepe nke ọrịa ahụ na-arụ site na spasms muscle na esemokwu (hypertonicity) nke azụ azụ. Ọgba aghara ndị a na-eme n'oge ndụ ịnọdụ ala, ọnọdụ adịghị mma, ma ọ bụ ogologo oge ịnọ n'ọnọdụ kwụ ọtọ, enweghị ntụsara ahụ (dịka ọmụmaatụ, na tebụl ụlọ ọrụ ma ọ bụ mgbe ị na-anya ụgbọ ala).
N'aka nke ọzọ, arụ ọrụ anụ ahụ siri ike na-enweghị atụ, na-akpalitekwa ọnọdụ nke spasms muscle na-adịgide adịgide nke azụ (dịka ọmụmaatụ, na-arụ ọrụ na ogwe aka elu).
Ọkpụkpụ akwara na-egbochi mgbasa ma na-egbochi ịgbaga ọbara na ọkpụkpụ azụ. N'ihi nke a, ihe oriri nke diski intervertebral na-akawanye njọ.
Diski intervertebral bụ paịlị na-eme ka ọ wụ akpata oyi n'ahụ nke anụ ahụ jikọtara nke a na-ahụ n'etiti vertebrae. N'etiti diski ọ bụla bụ pulpous, ọkara mmiri mmiri nke nwere ọtụtụ mmiri. Mmiri na-enye iguzogide ibu na iguzogide mkpakọ.
N'akụkụ mpụta nke diski ọ bụla ka a na-eji mgbanaka fibrous siri ike kwado. Ngwakọta njikọ nke diski ahụ bụ nke kachasị nke collagen - ihe a na-arụ ọrụ n'ime ahụ ma a ghaghị inye ya mgbe niile na nkwonkwo, diski intervertebral na njikọ ndị ọzọ, cartilaginous anụ ahụ maka ịmaliteghachi ha na-aga n'ihu.
Ọkpụkpụ akwara na-egbochi ịgbasa ọbara, na-ebute ezughị oke collagen na-erute diski maka nrụzi anụ ahụ nkịtị. Enweghị oxygen na-eduga na mbelata nke usoro metabolic.
N'ihi nsogbu nke metabolic, mweghachi anụ ahụ nke diski intervertebral na-ebelata, na iyi ha na-abawanye ngwa ngwa. Nke a na-eduga na dystrophy na degenerative mgbanwe - discs na-aghọ nkụ, gbawaa, nkụ, gbawaa, na-atụfu ha ujo-absorbing Njirimara na elasticity.
Ọkpụkpụ azụ azụ bụ isi ihe na-akpata oke nrụgide na ọkpụkpụ azụ na mpaghara thoracic. Ọ bụrụ na na mpaghara cervical diski intervertebral diski a na-agbanye site na ịdị arọ nke isi, nke na-abawanye na ọnọdụ na-ezighi ezi, na mpaghara lumbar na-agbanye site na ịdị arọ ahụ, nke na-abawanye na oke ibu, mgbe ahụ na mpaghara thoracic spasms muscle na-arụ ọrụ pụrụ iche. na mmepe nke ọrịa. Ọ bụghị nanị na spasms ndị a na-egbochi ịgba ọsọ ọbara, kamakwa na-eme ka ọkpụkpụ azụ sie ike ma na-apịa diski intervertebral ma n'ehihie ma n'abalị. A na-anapụ diski intervertebral ohere ọ bụghị naanị maka mmegharị ekwentị, kamakwa maka izu ike na mgbake dị mfe. Ya mere, ihe mbụ dọkịta kwesịrị ime mgbe ị na-agwọ ọrịa osteochondrosis nke thoracic bụ ime ka ahụ ike azụ azụ dị jụụ, wepụ ihe mgbu ahụ, na hypertonicity. Enweghị nke a, ọgwụgwọ dị irè nke ọrịa ahụ agaghị ekwe omume.
Mwepu nke diski intervertebral na-eduga na oghere dị n'etiti vertebrae na-adị ntakịrị, vertebrae na-abịaru nso ma na-akụda mgbọrọgwụ akwara. Nke a na-ebute mgbu, nke na-akpata spasm muscle reflex ma na-abawanye nrụgide na diski. Ya mere, na ọdịdị nke mgbu, mmepe nke ọrịa, dị ka a na-achị, na-eme ngwa ngwa.
Mgbanwe ndị a degenerative-dystrophic kwekọrọ na ọkwa mbụ nke osteochondrosis.
Ihe dị mkpa!
N'oge ime agadi, osteochondrosis thoracic na-etolitekarị megide ndabere nke akpịrị ịkpọ nkụ n'ozuzu na nsogbu metabolic na ahụ. A na-egosipụta nke a, karịsịa, site na mbelata nke ịdị elu nke ndị agadi, nke na-eme n'ihi nrịanrịa nke diski intervertebral.
Na ọkwa nke abụọ, mgbanaka fibrous dị n'èzí na-aghọ nke na-enweghị eriri. Anụ ahụ ya na-aghọ nke tọgbọrọ chakoo, adịghị ike, ọ nweghịkwa ike ịnagide idobe ibu dị n'ime ya. N'ihi ya, mwepu nke diski ahụ na-eme (na-emekarị mpaghara) n'ụdị nkwụsị.
A na-akpọ protrusion na-eduga n'ọkpụkpụ azụ azụ azụ. A na-akpọ protrusion na-eduga n'akụkụ n'akụkụ. Ihe na-adịghị ahụkebe bụ mpụta otu nke diski n'akụkụ niile.
Ọdịdị nke protrusion na-ebutekarị ihe mgbu. Ihe oyiyi X-ray na-egosi n'ụzọ doro anya mbelata dị elu nke ọdịiche dị n'etiti vertebrae, yana mmepe nke osteophytes - ọkpụkpụ ọkpụkpụ. Ha na-etolite n'akụkụ ọnụ nke vertebrae iji kwụọ ụgwọ maka ibu dị na spain ka diski intervertebral na-anagide ha obere obere.
Na ọkwa nke atọ nke ọrịa ahụ, mgbanaka fibrous nke diski enweghị ike iguzogide nrụgide dị n'ime na mgbawa. Site na oghere a na-esi na ya pụta, a na-ewepụ akụkụ nke nucleus pulposus nke diski ahụ - hernia intervertebral na-eme.
N'ọkwa nke anọ nke ọrịa ahụ, mmegharị ahụ dị n'azụ na-ebelata nke ọma, ọrịa mgbu na-adịgide adịgide, na-enwekwa nnukwu foto nke nsogbu akwara ozi.
Nchọpụta nchọpụta
N'oge nhọpụta mbụ, dọkịta ahụ na-ajụ onye ọrịa banyere mgbaàmà ahụ, ọnọdụ nke ọnọdụ ha, na-amụ banyere akụkọ ahụike ahụike, na-eme nyocha nke mpụga, na-aṅa ntị na nhazi, ọnụnọ ma ọ bụ enweghị ọkpụkpụ ọkpụkpụ (scoliosis, kyphosis).
Ihe na-akpata ọrịa mgbu (dorsago, dorsalgia) nwere ike ịbụ ma osteochondrosis na vertebral displacement (spondylolisthesis), ankylosing spondyloarthrosis, ankylosing spondyloarthrosis.
Osteochondrosis nke mpaghara thoracic na-esonyere ya na mgbakasị ahụ akwara na azụ na hypertonicity nke akwara azụ. Dọkịta ahụ na-eme palpation ma na-eji nrụgide na-aga n'ihu chọta ihe mgbu (na-akpalite) isi ihe kwekọrọ na etiti nke spasms muscle.
Iji nweta ozi zuru oke, dọkịta na-enye iwu x-ray ma ọ bụ MRI.
X-ray maka thoracic osteochondrosis na-enye ozi kachasị n'ozuzu - ọ na-enyere aka ịmata ọdịiche dị n'ọrịa ahụ site na spondylolisthesis, ịhụ osteophytes, na ibelata ọdịiche dị n'etiti vertebrae.
Onyonyo resonance magnetik na-egosi nke ọma dị nro, njikọ njikọ. Site n'enyemaka ya, dọkịta ahụ nwere ike nyochaa n'ụzọ zuru ezu nhazi nke diski intervertebral, hụ protrusion, hernia (nha ya, ọnọdụ ya, ọdịdị ya), yana ọnọdụ nke njikọ, nkwonkwo intervertebral, arịa ọbara, mgbọrọgwụ akwara, na hụ stenosis nke ọkpụkpụ azụ (ma ọ bụ ihe ize ndụ ya).
Dabere na data MRI, dọkịta na-eme nchọpụta ma chọpụta atụmatụ ọgwụgwọ onye ọ bụla.
Ọgwụgwọ nke osteochondrosis nke mpaghara thoracic
Ọgwụgwọ ọgwụ
Iji belata ihe mgbu na azụ na intercostal neuralgia na thoracic osteochondrosis, a pụrụ iji ọgwụ mgbochi mkpali na-abụghị steroidal n'ụdị ointments, mbadamba ma ọ bụ injections. Isi mmetụta nke ọgwụ ndị a bụ mgbochi mkpali, n'ihi ya, ojiji ha ziri ezi na ikpe ebe a pinched akwara mgbọrọgwụ na-esonyere ya mbufụt, ya bụ, na thoracic radiculitis. Ndị NSAID na-ebelatakwa mbufụt nke anụ ahụ ahụ megide ndabere nke spasms na ọbara mgbali na-adịgide adịgide.
N'ihe banyere nnukwu ọrịa mgbu, enwere ike iji paravertebral ma ọ bụ mgbochi epidural mee ihe - ịgba ọgwụ mgbochi. N'okwu nke mbụ, a na-eme injection ahụ na saịtị ebe a na-agbanye mgbọrọgwụ akwara, na nke abụọ, na mpaghara dị n'etiti periosteum nke vertebra na akpụkpọ anụ nke ọkpụkpụ azụ.
Iji belata esemokwu ahụ ma belata nrụgide na mgbọrọgwụ akwara, arịa ọbara, na diski intervertebral, a na-eji ihe na-eme ka ahụ ike na antispasmodics.
A na-edepụta ogige vitamin iji na-azụ anụ ahụ akwara ma gbochie atrophy ha.
Iji belata usoro mbibi nke anụ ahụ njikọ, enwere ike ịnye ndị chondroprotectors.
Ọgwụ ndị a nwere mmetụta symptomatic ma nwee ike belata mmepe nke ọrịa ahụ, mana n'ozuzu ha enweghị mmetụta ọ bụla na usoro mgbanwe degenerative na diski intervertebral.
Ọgwụgwọ na-abụghị ọgwụ
Ọgwụgwọ na-abụghị ọgwụ nke thoracic osteochondrosis gụnyere ụzọ nke physiotherapy, reflexology, na ọgwụgwọ anụ ahụ.
Ebumnuche bụ isi nke ọgwụgwọ bụ enyemaka nke usoro mkpali, mmelite nke mgbasa ọbara na mweghachi nke usoro metabolic na diski azụ, mkpali nke mmeghari ohuru nke sel njikọ. Ụlọ ọgwụ ahụ na-eji ọgwụgwọ mgbagwoju anya na-eji usoro ọgwụ ọwụwa anyanwụ maka nzube a.
Ihe dị mkpa!
Usoro ọgwụgwọ anụ ahụ na-enyere aka ịmepụta ma na-ewusi corset muscle ike, wepụ ibu ndị na-enweghị isi na ọkpụkpụ azụ, ma na-eje ozi dị ka mgbochi nke nchịkọta na ịmepụta spasms muscle.
Ịwa ahụ
Maka nnukwu hernias, karịsịa ndị azụ azụ, na-eyi egwu nke ọkpụkpụ azụ azụ, na karịsịa ma ọ bụrụ na ọ dị, a pụrụ igosi ọrụ ịwa ahụ-discectomy.
A na-ewepụ akụkụ diski ahụ ma ọ bụ wepụ diski ahụ dum wee jiri prosthesis dochie ya. N'agbanyeghị eziokwu ahụ bụ discectomy bụ ụdị ọgwụgwọ a na-ahụkarị, a na-arụ ọrụ na mpaghara thoracic nke ukwuu.
Ọgwụgwọ na ụlọ ọgwụ
A na-eme ọgwụgwọ thoracic osteochondrosis na ụlọ ọgwụ na nnọkọ mgbagwoju anya, nke gụnyere ọtụtụ usoro - acupuncture, acupressure, moxotherapy, ọgwụgwọ nkume, ọgwụgwọ agụụ, hirudotherapy maka ihe ngosi nke onye ọ bụla.
A na-enweta arụmọrụ dị elu n'ihi mmekọrịta nke ụzọ onye ọ bụla na mkpochapụ ihe kpatara ọrịa ahụ.
- Acupressure. Site n'ịgbasi ike na isi ihe na-akpalite azụ, dọkịta ahụ na-ewepụ spasms muscle, esemokwu, nkwụsịtụ, na-eme ka mgbasa ọbara dịkwuo mma ma na-eweghachi ọbara na-enweghị mgbochi na ọkpụkpụ azụ. N'ihi nke a, a na-ebelata ibu dị na diski intervertebral, a na-emewanyekwa usoro nke metabolism na anụ ahụ ka ntinye nke oxygen na collagen na-abawanye.
- Acupuncture. Ịtinye agịga n'ime isi ihe bioactive nke azụ, ụkwụ, ogwe aka, isi, obi na-ewepụ ihe mgbaàmà jikọtara ya na innervation - adịghị ike, adịghị ike na ogwe aka. Site n'enyemaka nke usoro a, intercostal neuralgia na ndị ọzọ vertebrogenic mgbu na-ebelata. Na mgbakwunye, acupuncture na-eme ka mmetụta nke acupressure dịkwuo mma ma nwee mmetụta mgbochi mkpali na mgbochi edematous.
- Usoro ọgwụgwọ Moxibustion. A na-eji sịga wormwood na-ekpo ọkụ na-ekpo ọkụ nke ihe ndị na-eme ihe na-eme ihe na mpaghara azụ azụ. Usoro a na-eme ka usoro metabolic rụọ ọrụ, na-eme ka ọbara na-eruba na diski intervertebral, na-akpali ma na-eme ka mgbake ha dịkwuo elu.
- Usoro ọgwụgwọ agụụ. Ịhịa aka n'ahụ na cupping na-eme ka ọbara na-erugharị ma nyere aka melite mgbasa ọbara.
- Usoro ọgwụgwọ ntuziaka. N'iji nwayọọ nwayọọ traktị nke ọkpụkpụ azụ, dọkịta ahụ na-ebutu diski intervertebral, na-eme ka anya dị n'etiti vertebrae, na-ahapụ mgbọrọgwụ akwara a gbakọtara, na-ebelata ihe mgbu, ma na-eme ka mmegharị ahụ dị n'azụ.
Ntugharị dị nro, ma ọ bụ traction, bụ naanị usoro ọgwụgwọ akwụkwọ ntuziaka egosiri maka osteochondrosis thoracic. Tupu ịmalite, dọkịta ga-emerịrị ahụ ike nke azụ azụ, wepụ spasms ma hapụ ọkpụkpụ azụ. Iji mee nke a, a na-ekpo ọkụ nke ọma na ahụ ike site na ịhịa aka n'ahụ. Ọ bụrụ na emeghị nke a, ntinye nke mgbalị anụ ahụ nwere ike ibute mmerụ ahụ - mgbawa, mgbawa ma ọ bụ mgbaji. Ụzọ ngwaike nke traction spinal maka osteochondrosis adịghị arụ ọrụ na ọbụna dị ize ndụ, n'ihi ya, a naghị eji ya na ụlọ ọgwụ.
Hirudotherapy
Ndokwa nke leeches ọgwụ na-eme ka mgbasa ọbara dị n'ógbè ahụ dịkwuo mma, na-enye ọbara na diski intervertebral, ma nwee mmetụta mgbochi mkpali.
Stonetherapy
A na-edokwasị nkume ndị dị nro na-ekpo ọkụ na ụfọdụ okpomọkụ n'akụkụ ọkpụkpụ azụ iji kpoo ọkụ ma mee ka akwara azụ ahụ dị jụụ, meziwanye mgbasa ọbara ma kpalie mgbaba ọbara.
Ogologo oge ọgwụgwọ na ụlọ ọgwụ bụ 1-1. 5 awa, dabere na ihe ngosi nke onye ọ bụla. Usoro ọgwụgwọ na-agụnyekarị oge 10-15 mgbagwoju anya. Mgbe emechara, a na-eme MRI nchịkwa iji nyochaa nsonaazụ ọgwụgwọ enwetara.
Nsogbu
Ihe mgbagwoju anya nke osteochondrosis thoracic bụ ọkpụkpụ azụ azụ n'ihi diski herniated na mmepe nke ahụ mkpọnwụ.
Nsogbu ndị ọzọ nwere ike ime na-ejikọta na nkwụsị nke innervation nke ahụ n'ihi ntanye nke mgbọrọgwụ akwara azụ: mmepe nke ọrịa nke eriri afọ tract, akụrụ, obi, na usoro ọmụmụ.
Mgbochi
Iji gbochie mmepe nke osteochondrosis thoracic, ị kwesịrị ịzere ibi ndụ nkịtị ma nyochaa ọnọdụ gị.
Ihe dị mkpa!
Ọ bụrụ na nwatakịrị ma ọ bụ onye nọ n'afọ iri na ụma nwere scoliosis, ọ bụ ihe amamihe dị na ya ịgwọ ọrịa a n'atụghị anya na ọ ga-apụ n'onwe ya. Ọkpụkpụ azụ azụ na-apụta dị ka mgbu na-eto eto mana ọ nwere ike ịdịru ogologo ndụ.
N'okwu a, ahụ ike na-adịgide adịgide na spasms ga-abụ ihe a na-apụghị izere ezere, nke n'aka nke ya ga-eduga na mmepe osteochondrosis na, ikekwe, nsogbu ya. Na nke a bụ na mgbakwunye na eziokwu ahụ bụ na scoliosis n'onwe ya jupụtara na nsogbu sitere na usoro iku ume, digestive na obi.