UtanoZvirwere uye Conditions

DDDS - chii here? Chirwere, mifananidzo, kurapwa

Pakati chirwere dzevanhu zvirwere nomuzongoza zvokurwara kutora nzvimbo okupedzisira okurapa. Kurwadziwa musana mbiru, nekorasi, uye ipapo haazombotaurwi kwenguva yakareba, zvaizivikanwa navagere panyika zhinji. vanhu kazhinji hanya mushandirapamwe nyanzvi kuona chikonzero kwakabva pathological ezvinhu. Asi hazvina zvazvakabatsira. No matanho vanobviswa munguva kukonzera kusingarapiki mananara mumuviri, achidzikisa zvikuru unhu murwere woupenyu. pathologies kwakadaro zvinoshandawo DDDS.

Chirwere "DDDS" - chii?

Chinopedza chirwere of nomuzongoza (DDDS) - iri zvokurwara of peripheral zvikamu tsinga rwevharanda boka yakajairika zvirwere chisingaperi yevanhu, ane idzokororo hunhu uye kazhinji kunotungamirira kuremara. Most kazhinji chirwere rinowanikwa mune vanhu yokushanda zera. Sezvineiwo, hapana chakajairika nemaonero pamusoro pemavambo DDDS nhasi. Zvinorevei? Hapana zvakakwana uye inobudirira nzira Detective uye kurapa chirwere.

Zvinofungidzirwa kuti panowanikwa zvokurwara kunoitika nokuda kwezvikonzero zvinoverengeka:

  • nokuda omunharaunda overloading vertebral inofamba zvikamu (PDS);
  • nokuda decompensation zvokudya enyika.

Sezvo DDDS - chirwere kunotora makore, kuitika murwere kuchinja muviri kuva kusingarapiki. Naizvozvo, zvachose kuzoita murwere kakawanda hazviiti. Kuchirapa matanho chinangwa chete panguva kudzorera chakaipa kushanda musana uye kubviswa yokuora chirwere.

Chikonzero zvose - osteochondrosis

The chirwere inotungamirira kukundikana injini mashandiro anoita musana zvikamu, izvo rinobatanidza anotevedzana hadzina kufambiswa zvakanaka mune yose yevanhu muviri. Izvi zvinoitika sei? Zvinofungidzirwa kuti osteochondrosis mabasa chirwise panowanikwa DDDS. Chii zvokurwara ichi? Munguva Kishi nyika, zvokurapa tsika inonzi osteochondrosis chinopedza kuchinja cartilaginous hurongwa pamusoro musana mbiru. The chinokonzera chinopedza Disc chirwere vari:

  • nemagene kubatwa,
  • zvirwere zviri vascular zvitengeswa Zvifambiso,
  • kushaya muviri,
  • havaratidzi yakarongwa kubasa (zvakanaka cheya kana tafura)
  • basa remaoko pamwe rinorema vachisimudza,
  • kufuta.

Zvishoma nezvishoma kuchinja chimiro shwashwa kunotungamirira kutapudzwa ari kufamba pamusoro vertebrae, achidzikisa daro therebetween, kushaya zvokudya zvinovaka muviri yakabatana muzongoza munyama. Kana inoyerera muitiro havaregi kusimukira vertebral kana extravertebral syndrome. 4 Kusiyanisa zvikonzero iyo vakati chirwere aumbwa:

  • compression - chirwere anotanga kuratidza somugumisiro zvokuimba zadzisa kuti injini zvikamu zviri nomuzongoza rakazouya compression pamusoro etsinga nemidzi;
  • disfiksatsionnaya - zvokurwara unovapo nokuda kwakaderera gwenya kutara zvikamu zviri muzongoza;
  • disgemicheskaya chikonzero - zvokurwara kunoitika pamusoro yaitwa kuvhiringidza microcirculation kuti munyama yakabatana intervertebral discs yacho musana pa nzvimbo zvinokuvadza;
  • Aseptic-anogumbura chikonzero - zvokurwara kunoitika pamusoro yaitwa kuzvimba ari musana inofamba zvikamu.

The nemamiriro muzongoza

The nomuzongoza iri muzvizhinji kuna vertebrae, imwe neimwe iri inoumbwa muviri uye chinhu chakakombama. The vertebrae vari dzinongoda rimwe pamusoro mumwe uye dzinoumba mbiru nechepakati chikamu iyo inopfuura musana Canal - imwe mhando mugero zvapararira tsinga uye nemidziyo.

The vertebrae vanoparadzaniswa shwashwa - intervertebral Disc, rinoumbwa annulus fibrosus uye neerekitironi pulposus. Ring anotora pamusoro chikamu mutoro pamusoro Disc. Vechiduku muviri musimboti pulposus 90% mvura Zvisinei, pamwe nemvura kugutsikana kwayo kunoderedza pamusoro nguva. Musimboti pulposus - the kuvhunduka absorb, iyo anochinja chimiro chayo pasi mutoro, nokudaro ichipa mukana wokushandiswa pamusoro musana uye kuidzivirira kubva pakuparadzwa.

The vertebral Mbiru kubva kumativi ose akasimbisa nemarunda uye tsandanyama hurongwa. Strong tsandanyama nemarunda kuderedza mutoro pamusoro discs uye mapfundo. Zvisinei, nokufamba kwemakore, nokuda siyana zvinhu, pane kuderera shwashwa elasticity. Anofambisa mashandiro chirwere inotaura.

Sezvo pane pathological muitiro

Kukanganisa mamiriro, kufuta, uremu vachisimudza, refu vari mamiriro zvakaipa zvakanaka uye zvimwe zvinhu zvinoita kuti mushonga kugutsikana mune dhisiki hunotanga kutapudzwa, kunyangarika elasticity cartilaginous marongerwo. Pasi pokudzora kwomudzimu pamusoro zvinhu kunowedzera mutoro pamusoro annulus fibrosus, fibers awo akavhuniwa. kuina kushoma, vanga rinenge achiumbwa panguva yokuzorora.

Kana scarring anova pamwero, pane pindana nhumbi ropa kuti kufudza intervertebral discs. Zvishoma nezvishoma Disc kukwirira ipfupi, saka kuti daro pakati pedyo vertebrae ipfupi sag uye tatamuka nemarunda, anowedzera mutoro pamusoro intervertebral mapfundo. Zvinoguma kuparadzwa shwashwa. Zvinokonzera paumbwe DDDS. Zvinorevei? The fibers of fibrous mhete ari kumanikidzwa mhiri vertebral muviri, welded navo vertebra pamupendero Dzinochinjawo nzvimbo yazvo, kuumbwa mhou growths - osteophytes. The intervertebral Disc iri clamped, uye zvikuru kuderedzwa musana mufambo. Kazhinji kana izvi zvinoitika marwadzo syndrome.

Intervertebral heniya Disc zvinogonawo kukonzera kukura zvokurwara. Herniated chikamu inonzi neerekitironi pulposus, izvo dzakapasanura napakati annulus fibrosus, kuseri uye anoisa kumanikidza pamusoro etsinga midzi musana.

Definition uye kupatsanura pakati dorsopathies

Pathological ezvinhu musana dzisina chokuita chirwere zvomukati uye vari pamwe marwadzo ikashandiswa ari oga boka zvirwere anonzi dorsopathies. Maererano dzomunyika mitemo, zvose zvamarudzi dorsopathies mapoka mapoka matatu:

  • deforming dorsopathies - izvi zvinosanganisira deformation pamusoro nomuzongoza, nokuda kuchinja intervertebral discs: boka iri zvinosanganisira kyphosis, scoliosis, lordosis, spondylolisthesis, pasi kumashure kurwadziwa;
  • spondylopathies - izvi zvinosanganisira zvose wakapona uye anogumbura spondylopathies;
  • Other dorsopathies - zviratidzo marwadzo mutsipa, muviri kana maoko nemakumbo, izvo vasiri nokuda Disc misha kana kutyora musana.

Zvichienderana zvokurwara renzvimbo yaigara Munokudzwa: DDDS thoracal uye lumbar musana uye remuromo muzongoza DDDS. Chii, isu vachanzwisisa gare gare. A maitiro chepfungwa chirwere ndechokuti zviratidzo hosha iri neimwe nzvimbo localization, kune rumwe rutivi, akafanana chaizvo, pane dzimwe - vane zvavo nevamwe zvinhu.

mhando DDDS

Pathological ezvinhu kazhinji dzinoitika lumbar nomuzongoza. Maererano vanachiremba vakawanda, chikuru chikonzero ichi anofamba akarurama, nekuti iye, chokwadi, kubhadhara mutengo. Chokwadi, chirwere hariwanikwi mune Vacuum, uye zvinokonzerwa zvinoverengeka (chikafu kudzikira, zvirwere zviri nhengo dzinobudisa ino munyama pamusoro intervertebral discs, etc.).

  • DDDS remuromo nomuzongoza. Chii? Kazhinji, izvozvo dorsopathies zvisaitike pamutsipa, kuti Anterior chikamu mubhokisi, mumaoko. Vamwe varwere dzinoshuma unopfuta vachirwadziwa marwadzo pakati pamafudzi mashizha, rakafanana zviratidzo angina. Kana remuromo dorsopathies vakachengeta marwadzo rakawedzera kana akatendeuka kana tilting musoro. Mune zvokurwara ari thoracal nomuzongoza vanogona kurwadziwa muchipfuva.
  • DDDS lumbar nomuzongoza. It angaperekedzwa kutyora nehanya ari muhudyu uye yomukati pazvidya. Kurwadziwa kunogona kuitika panguva imwe chete makumbo maviri; kuoneka yadzikira aikanganiswa panzvimbo dzapasi shure uye aikanganiswa pamusoro guru toe. Shooting marwadzo, kuderera utetsa mupambare, rutsoka marwadzo, kuoma rezasi gumbo uye magaro, kurasikirwa pelvic mashandiro - zvose zviratidzo dorsopathies ari lumbar kana DDDS lumbosacral nomuzongoza.

kuchirapa matanho

The zvinoratidza pathological kwacho nomuzongoza kuvimba pavaipfuura chirwere, uyewo nharaunda uye kukura kwakaita lesion. The chikuru nekuratidza chirwere ndiye marwadzo. Sezvataurwa pamusoro apa, mhaka marwadzo anogona kuti kwetsandanyama, flattened herniated tsinga Midzi musana, uye vamwe. Kazhinji kurwadziwa kunoitika kwete chete munzvimbo yacho nomuzongoza, asiwo kune dzimwe nhengo dzomuviri. Kuwedzera marwadzo Munzvimbo anogona kuderedza nehanya, uye tsandanyama simba.

Zvipatara nokuti chinopedza nomuzongoza chirwere anogona kuderedza nzira chirwere uye kuvandudza unhu murwere woupenyu. The kunzwisisa kuti kuchirapa matanho kunangidzirwa rekuona kuti:

  • kumisa marwadzo,
  • kuderedza kuparadzwa shwashwa,
  • kuvandudza kuparadzirwa nomuzongoza dzakapoteredza zvinyoronyoro munyama,
  • kuderedza compression ari vertebrae kune mumwe,
  • kutsigira murwere motokari unyanzvi.

Kuchirapa nzira dzinosanganisira kushandiswa kwezvinodhaka, panyama marapirwo, physiotherapy.

DDDS: kurapwa pamwe mishonga

Mashoko anogona kubvisa marwadzo kuburikidza nokugamuchira zvinodhaka zvisiri steroidal Anti-anogumbura akadai "Ibuprofen" "ketoprofen" "Diclofenac". Kushandisa zvinodhaka izvi, zvisinei, zvinowanzobatanidzwa panowanikwa nemishonga. Muchiitiko chino, unogona kuita mabiko tisarudze zvinoreva - ndiye "Lornoxicam", "Nimesulide", "Meloxicam".

In zvinoitirwawo kurega kunotanga ari tsandanyama uye kuvhiringidza ropa akaparadzirwa kushandisa kushandisa lidocaine akabatana steroid mahormone. chiyero Izvi zvinobatsira kuderedza kurwadziwa.

Aoma kuderedza mamiriro uye kubvisa kurwadziwa nokushandisa kuchirapa unonyaradza marwadzo varinamire ( "Dorsaplast" "Nanoplast" and said.). Mukuwedzera, chigamba kuti hwamunoita marwadzo, iye achiri anopa uye Anti - nezvainoita njodzi nzvimbo remagineti. Shandisai chigamba ndaizoitwa mune kurwadziwa kukurumidza kusunungurwa uye prices. The chigadzirwa harina steroids, chishandisei takasununguka zvikuru: asi chigamba harina kudzivisa kufamba, zviri odorless, maverengerwo vakasara paganda uye zvipfeko.

Physiotherapy uye vachibatsira corsets

Panguva imwe chete nokushandiswa kwezvinodhaka vari kurapwa DDDS nokushingaira kushandisa vachibatsira corsets, izvo kuderedza marwadzo nokuramba munhu dzaparadzwa musana chidimbu. Kana pathological muitiro kunokanganisa remuromo nomuzongoza, uchishandisa pakora Schanz. The chigadzirwa kwete chete ane nokudziya kwepasi, asi kwekanguva akazoita mufambo pamusoro musana Munzvimbo, anobatsira tsandanyama spasm, anopa zvakanaka mamiriro ezvinhu kudzorerwa zvaparadzwa zvivako.

Mune zvokurwara pamusoro thoracal nomuzongoza uchishandisa Semi-correctors, izvo noungwaru anoparadzira mutoro mhiri nomuzongoza, pakuyamura zvakakanganisa nzvimbo. Kana dambudziko rikaitika mujinga pasi musana, kushandisa lumbosacral corsets. Kazhinji kushandisa kushandisa vachibatsira insoles, kubvisa chikamu matambudziko mutoro kune nomuzongoza.

Rega marwadzo uye rubatsiro sezvo physiotherapy. Idzi dzinosanganisira: electrophoresis, masaja, UHF, Ultrasound kurapa, rinobva kurapa.

Rega kuparadzwa shwashwa

Sezvataurwa pamusoro apa, kurapa nokuti DDDS nechinangwa kwete chete panguva kubvisa marwadzo. Zvakakosha kumisa kuparadzwa shwashwa rinenge pamwe kuongorora chirwere ichi. Nokuti ichi pane yose zvakawanda zvinodhaka - chondroprotectors. Izvi zvinosanganisira :. "Chondroitin Sulfate", "glucosamine", etc. Kakawanda, kuwedzera kunoita zvinodhaka vanobviswa pamwechete. Mumamiriro ezvinhu akadaro kunoda chaiwo chipimo chemushonga mishonga. Kazhinji, nezuva dose "Glucosamine" ndiyo 1000-1500 MG, "chondroitin sulfate" - 1000 MG.

Vandudza kweropa munyama iri Munzvimbo iyi, unogona kushandisa antiplatelet vamiririri uye angioprotectors, izvo zvinosanganisira zvinodhaka "Pentoxifylline," "Aktovegin". Mavhitaminzi kuti boka B (semuenzaniso, "Neyromultivit") kubatsira yokufudza metabolic pezvakaitwa mumuviri.

Nguva vapore kazhinji kushandisa nzira dzose musana traction, izvo zvinobatsira kuwedzera chinhambwe pakati vertebrae uye kuderedza matambudziko avo mumwe. Zvinokoshawo kuti tirambe kugara gwenya basa, kusimbisa tsandanyama maitiro achishandisa muviri mishonga.

Diagnostics

Pari, nzira kuziva chinopedza nomuzongoza chirwere haagoni kunzi vakakwana uye hwakavimbika. Kufanana chimwe chirwere, DDDS chirwere chinotanga kuongorora zvokurapa. Doctor vari kutaura murwere kunotema nzvimbo marwadzo, rinotaura zvinhu zvinogona chiwedzere marwadzo (semuenzaniso, shanduko muviri nzvimbo). Mazvikokota vachawanawo kubva murwere pamberi Kutamiswa musana kukuvara uye vakarondedzera zvirwere.

Zvadaro, chiremba anoongorora paravertebral tsandanyama kubudikidza palpation. Izvi zvinobvumira kuti ticherechedze pamberi tsandanyama Makakatanwa kana kufirwa vertebra. Laboratory chirwere kunosanganisira kudzidza ropa murwere uye rinoitwa kuti ndisimbise kuvapo kana kusavapo zvinotapuriranwa pezvakaitwa pamuviri.

Zvechokwadi, kupfuura mashoko nzira Diagnostics ose zvokurwara riri musana radiography, computed tomography (CT) uye simba renyika rinonzi magnetic resonance kuri (MRI). Electroneuromyography (electroneuromyographic) kuona mhaka etsinga lesion.

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