Intlungu ebuyayo yinkathazo kwaye ayikho into engavamile. Ivelisa ingxaki ebonakalayo kwaye iyakubonisa ukuqala kokutshatyalaliswa kwe-spondylarthrosis-isifo esingasasigxina se-spine disease. Ubhekiselwa kwiqela "izifo ezinxulumene neminyaka," kuba malunga ne-80% yezigulane sele zikhulile, kodwa kukho ukuthambekela 'kokuhlaziya' esi sifo.
Iimpawu zokutshatyalaliswa kwe-spondylarthrosis
Esi sifo senziwa ngokusuka kwimvelaphi ye-osteochondrosis, ngenxa yomonakalo kwizihlanganisi ze-intervertebral. Ukuguqulwa kwentambo yomthambo spondylarthrosis kuqala ngokubonakala kweenguqu ezinjenge-disvertebral discs, zilahlekelwa ukuqina kunye nokubola, okubandakanya ukutshatyalaliswa kwezicubu zethambo le-vertebrae. Esi sifo senziwa kwifomu engapheliyo, kwaye inkqubo yokubhubhisa idlula kwi-vertebra enye ukuya kwelinye, icinywe ukuphela kwezibilini. Oku kubangela ukuba kwenzeke intlungu eqhubekayo emva. I-syndrome yesifo ngumqondiso obalulekileyo wokuqala kwesifo. Njengoko isifo sifana, ezi zilandelayo ziqhotyoshelwe kuyo:
- ukulahleka okukodwa kokuhamba;
- ubuthathaka emilenzeni;
- irradiation yentlungu kwiindawo ezahlukeneyo zomzimba;
- umsebenzi ongenakulungiseleli wenkqubo;
- i-neuralgia ye-nerve ye-sciatic.
Ukutshatyalaliswa kwe-spondylarthrosis yesilumko somlenze
Olu hlobo, njengomthetho, lwenzeka emva komthwalo osisigxina ohlala ixesha elide. Ukutshatyalaliswa kwe-spondylarthrosis ye-lumbar spine kufunyaniswa kwizigulana ezichitha ixesha elininzi zihleli okanye zimi. Ekupheleni kosuku, bazive bebuhlungu obuhlungu buhlungu kwintsimi ye-lumbar, eyona mqondiso omkhulu wokuqala kwesi sifo. Ukuba awuphendulanga ngexesha le-alamu, emva kwexesha, intlungu iya kuba yinkqantosi kwaye iimpawu ezintsha zivela:
- uxinzelelo olubuhlungu lweemisipha kwisithili esilungileyo, okukhokelela ekunyameni kokunyuka kokunyuka, kunokuncitshiswa ngoncedo lomsebenzi omncinane;
- intlungu ebukhali xa ushintsha isimo somzimba, okwenzeka emva komthwalo osisigxina;
- Iintlungu zidla ngokukhawuleza kwiindawo zomlenze, ingakumbi ngexesha lokuhamba;
- kwi-palpation, indawo ebangelwayo ibangela ukuvakalelwa okubuhlungu okunokuthi kuncitshiswe, ukuba kuncinane ukugoba phambili;
- xa uguqulela i-torso, ukugqithisa okuphawulekayo kuyava.
Ukutshatyalaliswa kwe-spondylarthrosis yesithwathwa se-thoracic
Olu hlobo lwesifo alufaneki. I-thoraic spine ikhusela iimbambo. Akunjalo njengeselula njengenye inxalenye yesigxina se-squelet, kwaye ngenxa yoko ingakhuselekanga umonakalo. Ukutshatyalaliswa kwe-spondylarthrosis yommandla we-thoracic yisifo esibi, imiphumo yonyango ephathwa ngonyango. Ibonakaliswa ngokwaloo mqondiso:
- ukutyumza intlungu engabandakanyeki kwindawo echaphazelekayo;
- ukuphefumula okufutshane, ukuphefumula okufutshane;
- ukuvakalelwa kwesifubeni;
- umda wokuhamba;
- ukubonakala kwintlungu engathandekiyo esiswini okanye kwesibindi;
- ukunyanzeliswa kwemisipha yomzimba;
- uphawu lwesifo luyanda emva kokuxhatshazwa komzimba;
- ukubunjwa kwe-scoliosis kunye ne-kyphosis;
- uphuhliso lwe-intercostal neuralgia.
Ukutshatyalaliswa kwe-spondylarthrosis yomkhuhlane wesibeleko
Uninzi lweengcali ziyavumelana noluvo lokuba i-spondylarthrosis ephosakeleyo yomgudu wesibeleko ivela kwimvelaphi ye-osteochondrosis esele ikhona. Ukuxilongwa ngokufanelekileyo ngexesha elifanelekileyo kwaye unyango olufanelekileyo lwesifo esichukumisayo luya kunceda ukuphepha iingxaki ezinzulu. Impawu eziphambili zesifo, okungafanelekanga, zilandelayo:
- isifo sesifo ngesimo sokuvakalelwa rhoqo entanyeni;
- i-spasm pathological of muscle eyenza ubuhlungu obungapheliyo, ukubuyisela kwi-nape nesandla;
- kunye nexesha, kunobunzima kummandla wegxala, ukuqina komanyathelo, ukulungelelanisa kuphazamiseko;
- ukuva kunye nombono onokukhubazeka;
- ukujika kunye nokuthambekela kwentloko isicatshulwa esiqhelekileyo siva;
- ubuthongo obuphazamisayo;
- Maxa wambi i-neuralgia ikhula.
Ukuxilongwa kwe-spondylarthrosis
Ingcaciso yesi sifo iqukethe ukuqokelela ngokucophelela kwe-anamnesis kwisigulane kunye nophando olusisiseko. Nika i-spondylography - i-ray-ray kwizinto ezicacileyo ezimbini. Ukongezelela, umgudu uhlolwa ngokusebenzisa i- computed tomography (CT), i-angiography, kunye ne-imagination magnetic resonance. Kwiimifanekiso ze-MRI, iimpawu zokukhubazeka kwe-spondylarthrosis zikhona ngendlela yokukhula kwethambo kunye ne-curvature eqinile yomgudu. Le ndlela yokuxilonga inceda ukufumana isifo kwizigaba ezahlukeneyo zekhosi.
Spondylarthrosis - unyango
Esi sifo asikwazi ukuphiliswa ngokupheleleyo, ngoko zonke iindlela zokwelapha zijoliswe kuphela ekupheliseni intlungu kunye nokunciphisa ukuqhubela phambili kwesi sifo. Xa ugqirha itholakala ngokuchanekileyo, unyango olwaneleyo lubekwe. Iquka iindlela ezahlukeneyo:
- Ukucoca i-syndrome yesifo, imithi ye-spondylarthrosis isetyenziswa.
- Ukuqinisa imisipha yangemva, izigulane zichazwe iinkqubo ze-physiotherapeutic, ukusetyenziswa kweyeza kunye nokusikwa.
- Kucetyiswa ukuba ugqoke i-corsets ekhethekileyo.
- Ubunzima obubukhali kunye nobude obude bupheliswa ngokufaka i-steroids ngqo kwi-epidural space.
- Isigulane siphathwa ngocwangco kwizigaba 3 no-4.
Ukutshatyalaliswa kwe-spondylarthrosis ye-lumbar spine - unyango
Uphulo olusebenzayo lwesifo luxhomekeke kwidatha yocwaningo lwezinto ezifanelekileyo, isigxina esipheleleyo sesigulane, kwaye siquka zonke iindlela ezichazwe ngasentla. Zijoliswe ekunciphiseni ukuvuvukala nentlungu. Ekubeni ukubola kwe-spondylarthrosis yesigxina se-lumbar kungakhokelela ekuphelelweni ngokupheleleyo komzimba osezantsi, ii-injection ze-intraarticular zisetyenziselwa ukuyiphatha.
Ukutshatyalaliswa kwe-spondylarthrosis yomhlaza wesibeleko somlomo wesibeleko
Ukuphelisa ngokupheleleyo i-spondylarthrosis yokuguqulwa komlenze wesibeleko akunakwenzeka, kodwa ukuba ukuxilongwa kwenziwa ngexesha - unokuthintela uphuhliso olongezelelweyo lwesifo. Izindlela ezimbini zisetyenzisiweyo:
- physiotherapy;
- unyango lweziyobisi.
- Indlela ye-Physiotherapy esetyenziswe ekuqaleni kwesi sifo. Iqukethe imisebenzi emininzi:
- ukuxilonga ngonyango;
- oluyinkimbinkimbi yokuzivocavoca;
- Umzila wamanzi ophantsi kwamanzi;
- i-acupuncture;
- ukusetyenziswa kweenkunkuma zempilo;
- iindlela eziqhelekileyo zokucoca isifo sesifo;
- osteopathy.
Unyango lwonyango lwe-spondylarthrosis olusisiphelweni somlonyeni wesibeleko lisetyenziswe ngethuba lokuxhatshazwa kwesi sifo. Zonke iyeza zineempembelelo ezibi kakhulu. Ngoko ke, kufuneka bathathwe ngokuthe ngqo. Ukususa isifo sesifo nokuphelisa inkqubo yokuvuvukala, oogqirha bancomela:
- iziyobisi ezingekho-steroidal ezichasayo;
- i-narcotic analgesics;
- amalungiselelo alkaloid;
- multivitamini;
- ioli kunye namafutha;
- amalungiselelo asekelwe kwi-chondroitin kunye ne-glucosamine.
Isigulane ngasinye sichazwa ngamachiza ngezifundo, zikhokelwa ngumbonakaliso kunye nokuchasene, kunye nokuqwalasela iimpawu zomntu ngamnye.
I-Spondylarthrosis ye-thoracic spine - unyango
Ukususwa kweempawu zesifo kwindawo ye-thoracic kwenziwa ngendlela enzima. Iqela lamayeza e-NSAID kunye nezifundo zonyango lwe-chondroprotective zinqunywe. Ekubeni olu hlobo lwesifo luhlala lune-intercostal neuralgia, amalungiselelo e-steroid angasetyenziselwa, kwaye kunye ne-syndrome yesifo esibi kakhulu, i-blocked novocain yenziwa. I-Spondylarthrosis yesithili se-thoracic idinga iiseshoni ezide zephilotherapy:
- I-HILT-unyango;
- i-electrostimulation;
- magnetotherapy ;
- cryotherapy.