Tsis ntev tas los, cov kws kho mob tau txais cov lus tsis txaus siab txog qhov mob nrob qaum ntau, thiab cov poj niam uas muaj hnub nyoog yau feem ntau raug kev txom nyem los ntawm lawv. Yog hais tias tsis xis nyob hauv cov pob txha taub hau, ces nws tuaj yeem tshwm sim los ntawm qhov kab mob xws li hauv siab osteochondrosis, cov tsos mob ntawm cov ntsiab lus uas tau piav qhia tom qab.
Thoracic osteochondrosis - ua rau
Osteochondrosis ntawm tus txha nqaj qaum yog ib txoj kev ua tsis zoo uas tshwm sim nyob rau hauv cov nqaij ntawm qhov kev cuam tshuam ntawm cov pob nyeg intervertebral - cov ntsiab lus ntawm tus txha nqaj qaum nyob nruab nrab ntawm ob lub vertebral lub cev. Qhov kev txuam intervertebral yog ib hom pav ca hauv lub thoob, muaj cov xim zoo li cov kua roj gel, cov fibrous thiab vitreous cartilaginous cov leeg. Lub luag haujlwm tseem ceeb muab los ntawm cov qauv no yog:
- koom nrog thiab tuav cov kab mob vertebral uas nyob ib puag ncig;
- amortization ntawm sab caj npab, tiv thaiv los ntawm traumatization vim lub ntiajteb txawj nqus ntawm lub cev, loads;
- muab kev sib txuam ntawm vegebrae uas nyob ib sab ntawm ib leeg.
Yog hais tias qhov kev cuam tshuam ntawm cov nyhuv intervertebral yog nyob rau hauv lub teb chaws haumxeeb, cov nqaj qaum yog muab nrog elasticity, mobility, muaj peev xwm hloov tau ntau yam mechanical loads. Thaum pob txha mos mos hloov pauv, zoo nkauj, poob lub zog thiab elasticity, cov kev tso cai no tsis muaj kev pom tseeb. Yeej, qhov no tshwm sim tawm tsam tom qab ntawm kev cuam tshuam ntawm cov txheej txheem metabolic.
Qee cov kev hloov hauv kev txhawj xeeb ntawm cov pob txha uas ua rau lub hauv siab ua rau cov pob txha osteochondrosis tau piav qhia los ntawm qhov tseeb uas muaj hnub nyoog lawv cov kev noj haus los ntawm lawv cov hlab ntsha ce ce, thiab cov khoom pab tau ua tau ntawm cov nuj nqis ntawm cov neeg nyob sib ze (ligaments, vertebral lub cev). Lub caij nyoog ua rau cov txom nyem noj haus ntawm intervertebral qauv thiab mechanism ntawm lawv cov kev puas tsuaj yog tsis paub, tab sis cov kws kho mob pom ib tug xov tooj ntawm predisposing yam:
- kev tsim kabmob metabolic nyob rau hauv lub cev;
- ntau lub cev hnyav;
- irrational nutrition, haus dej haus cwj pwm;
- tsis muaj kev sib haum xeeb;
- kev ua dej num;
- ua txhaum;
- ca taw ;
- kev poobsiab mus rau nraub qaum, qaum;
- lossis ua haujlwm lossis ua kis las;
- cev xeeb tub;
- hnav cov khau tsis khab, khau nrog siab luj.
Cov hauv siab ntawm lub hauv siab osteochondrosis
Xws li tus kab mob, xws li hauv siab osteochondrosis, tsis tso cov tsos mob tam sim ntawd. nws tsim maj thiab ntev. Tsis tas li ntawd xwb, vim tias qhov me me ntawm qhov qaum ntawm qhov chaw no, qhov osteochondrosis ntawm thaj tsam hauv cov cheeb tsam ua rau pom nws tus kheej nyob rau theem qis, thaum tseem muaj cov kev hloov ntawm pathological. Nyob rau hauv tag nrho, plaub degrees ntawm pathology yog txawv, nyob ntawm seb lub deviations tsim.
Thoracic osteochondrosis ntawm 1 degree
Cov theem ua ntej yog qhov osteochondrosis ntawm cov leeg nraub qaum taub ntawm qib 1. Nyob rau theem no, ib feem dej dehydration thiab compaction ntawm lub hauv paus ntawm qhov kev kho pob intervertebral tshwm sim, qhov txo ntawm lawv qhov siab, uas ua rau txo rau hauv lawv cov elasticity thiab elasticity. Lub peev xwm ntawm sab leeg nraub qaum rau cov khoom seem li qub. Disk qhov projections pib.
Thoracic osteochondrosis ntawm qib 2
Thaum lub osteochondrosis ntawm cov pob txha 2 degree tsim, tus kab mob no yog thaum yus pom cov kab nrib pleb hauv lub nplhaib fibrous. Cov plhaus nkoos (thinning) ntawm cov discs tseem yog qhov tseem ceeb, tus nqi ntawm intervertebral kua qis dua, lub vertebrae pib rub ib leeg thaum twg lub pob ntawm lub nraub qaum nce. Qib no qee zaum hu ua discogenic radiculitis.
Thoracic osteochondrosis ntawm 3 degree
Osteochondrosis ntawm cov leeg nraub qaum ntawm cov kev kawm thib peb yog nrog kev puas tsuaj thiab kev tawg ntawm cov ntaub so ntswg ntawm lub disc, tawm ntawm qhov tseem ceeb, i.e. muaj ib qho kev tsim tawm ntawm cov pob txha tawm ntawm cov pob txha caj dab. Vim tias qhov no, cov hauv paus paj hlwb pib ua kom raug, cov vesicles nyob ib puag ncig yog cov nqus, cov leeg, cov hlab ntsha yog pinched.
Thoracic osteochondrosis ntawm 4 degree
Qhov kawg, feem ntau mob hnyav ntawm tus kabmob no yog kev hloov los ntawm kev tawm, kev sib, lub cev ntawm vertebral lub cev, ntxiv zuj zus hauv lawv thaj tsam, kev loj hlob. Lub hlwb cov ntaub so ntswg pib pib hloov los ntawm cov pob txha pob txha nyob rau hauv daim ntawv ntawm ib qho kev tawm dagzog-osteophytes, nias lub txha caj qaum. Yog li ntawd, qhov kev yoo mov ntawm tus txha nqaj qaum yog txo kom tsawg.
Osteochondrosis ntawm cov hlab ntsha tawg - cov tsos mob
Vim lub peculiarities ntawm lub localization ntawm pathological kev, lub osteochondrosis ntawm cheeb tsam hauv cov cheeb tsam muaj cov tsos mob ntawm ob qho tib si raug thiab atypical, rov qab tshwm sim ntawm lwm yam kab mob. Qhov no yog vim qhov tseeb uas vim yog lub nrig ntawm cov hlab ntsha thiab cov hlab ntsha lub cev, cov kev hloov hauv cov leeg hauv cov leeg txha nqaj qaum, cov dej num ntawm cov kab mob nyob ze yuav raug cuam tshuam.
Peb sau cov tsos mob uas raug thiab feem ntau hauv lub hauv siab osteochondrosis:
- mob hauv nraub qaum thiab hauv siab;
- kev xav ntawm lub hauv siab;
- kev xav ntawm tingling nyob rau hauv lub nqua;
- loog nyob hauv caj npab, ceg, caj dab, xub pwg;
- ua nruj, mob ib ce nyob sab nraub qaum;
- cov leeg khaus nyob hauv nruab nrab thiab nruab nrab ntawm nraub qaum;
- txwv ntawm kev sib kis ntawm tus txha nqaj nyob rau hauv cheeb tsam no (teeb meem nyob rau hauv txoj kab nqes ntawm lub cev).
Mob hauv osteochondrosis ntawm cov leeg hlwb
Nrog rau kev kuaj mob ntawm "hauv siab osteochondrosis" cov tsos mob uas muaj qhov hnov mob heev tuaj rau ntawm cov lus tsis txaus siab. Cov kev siv thiab ntev ntawm lawv nyob ntawm theem ntawm cov txheej txheem pathological. Kev ua rau thaj tsam ntawm lub cev nqaij daim tawv tuaj yeem hloov pauv sai, piv txwv, txav ntawm thaj tsam ntawm lub hauv siab mus rau lwm qhov, npog tag nrho lub mis. Feem ntau tau hnov mob hauv thaj chaw nruab nrab ntawm tus nplais. Qhov mob ntawm lub hauv siab osteochondrosis yog dull, nyem, ntse. Ua rau mob morbidity tau muab sau tseg thaum nruab hnub thiab thaum twg:
- raising tes;
- puv ntawm lub caj dab;
- hnav cov hnyav hnyav;
- ntse zog;
- kev ua kom lub cev loj dua;
- muaj zog kev tshoov siab, hnoos, txham;
- supercooling.
Puas yuav muaj qhov ua tsis taus pa nrog hauv siab osteochondrosis?
Vim kev xaav ntawm lub cev vertebral, kev hloov pauv hauv cov qauv hauv lub vas sab, nchuav ntawm paj hlwb thiab ntshav hlab ntsha nrog lub ntsws, dyspnoea qee zaum tshwm sim hauv hauv siab osteochondrosis. Tsis tas li ntawd, txij thaum ntawd nyob rau hauv cheeb tsam tho mob no muaj cov luag hauj lwm rau kev phais plawv ntawm lub plawv, hnyuv, daim siab, lub raum, qee yam plab hnyuv siab raum, tus kab mob feem ntau yog nrog cov tsos mob nram qab no:
- mob taub hau, kiv taub hau ;
- mob hauv plawv ;
- rhiab ntawm mammary qog;
- mob hauv hypochondrium (zoo ib yam li cov tsos ntawm pancreatitis, cholecystitis);
- epigastric mob, tsis txuam nrog kev noj mov;
- tsis xis nyob hauv caj pas, txoj hlab pas, txawv nqaij tawv txawv teb chaws;
- kev ua txhaum kev sib deev.
Mob hauv lub plawv nrog hauv siab osteochondrosis, feem ntau nias, nias, tuaj yeem pheej ua thaum paub tias, vim hais tias yog zoo li qhov tshwm sim ntawm angina pectoris, myocardial infarction. Lub peculiarity ntawm no ncus yog ntev ntev, hla kev cuam tshuam thaum noj tshuaj rau expansion ntawm cardiac hlab ntsha. Tsis muaj kev hloov ntawm daim cardiogram.
Syndromes hauv hauv siab osteochondrosis
Cov tsos mob ntawm lub hauv siab osteochondrosis rau cov poj niam, txuam nrog ib zaug ntawm cov kev tshwm sim, muaj ntau txoj. Muaj ob tug syndromes nrog ib txheej ntawm cov kab mob pathological los ntawm lub hauv siab osteochondrosis:
- dorsalgia;
- dorsago.
Dorsalgia ntawm cov leeg hlwb
Qhov ntev, tsis muaj suab npe nyob hauv siab hauv osteochondrosis hauv cov poj niam, feem ntau yog mob mob, rub, qhov mob hauv dorsalgia. Cov lus tsis txaus siab tuaj yeem tshwm sim rau li 2-3 lub lis piam, nrog kev tsis xis nyob ces khi dua (tshwj xeeb tshaj yog thaum taug kev), ces ua kom ntau dua (feem ntau yog thaum tsaus ntuj, nrog rau kev sib tw, sib zog nqus pa). Thaum muaj tus mob hauv lub siab, mob hauv siab osteochondrosis tuaj yeem muaj cov tsos mob ntawm kev ua pa nyuaj, txhav ntawm cov leeg.
Dorsago ntawm cov hlab ntsha
Paroxysmal tshwm sim ntawm tus kab mob no hu ua lo lus "dorsago" lossis "thoracic Chamber". Hauv qhov no, qhov mob tshwm sim sai sai, ua kom pom, feem ntau nco txog cov cim qhia ntawm lub plawv nres. Tus kab mob hauv siab osteochondrosis muaj cov tsos mob nram qab no:
- ntse, daggered cim ntawm qhov mob;
- qhov mob tau muaj nyob hauv thaj tsam ntawm cov tav tav, qhov chaw interscapular;
- feem ntau qhov tshwm sim tom qab ntev nyob hauv ib qhov teeb meem;
- mob ntxiv tuaj thaum lub npog tig;
- muaj teeb meem ua pa, muaj zog nrawm.
Osteochondrosis ntawm cov hlab ntsha tawg - lub txim
Yog hais tias kev kho cov kab mob pathology tsis tau pib rau lub sijhawm, cov osteochondrosis ntawm lub tuam tsev hauv tsev kho mob tej zaum yuav muaj qhov tshwm sim li nram no:
- zaub dysstonia;
- migraine;
- ua txhaum ntawm lub nruab nrog cev (nplooj siab, lub raum, thiab lwm yam);
- tsis hnov lus, tsis pom kev;
- epicondylitis ntawm lub luj tshib ;
- pauj thiab tuag tes tuag taw ntawm tes;
- curvature ntawm qaum;
- tsis zoo ntawm cov tawv nqaij;
- xiam oos qhab, etc.
Yuav kho tus mob hauv siab osteochondrosis?
Thaum pom cov tsos mob hauv plab osteochondrosis tshwm sim, nws raug pom zoo los sab laj nrog ib tug kws kho paj hlwb, uas tau rov qab kuaj thiab kuaj ntawm tus txha nqaj qaum nyob rau hauv ntau txoj haujlwm ntawm tus neeg mob, tuaj yeem ua ib qho kev kuaj mob. Yuav kom txiav txim siab txog kev puas tsuaj, xoo hluav taws xob, xaj hluav taws xob, magnetic resonance imaging lossis computed tomography. Cov tswv yim ntawm kev kho mob yog nyob ntawm qhov tau txais.
Feem ntau cov tsos mob ntawm lub hauv siab osteochondrosis yog muab tshem tawm los ntawm kev siv cov tshuaj tsis yog siv tshuaj (Ibuprofen, Nimesulid, Diclofenac, thiab lwm yam). Thaum ua kom mob siab, nrog mob mob siab, paravertebral blockades nrog Novocaine tshuaj tuaj yeem ua tau. Ntxiv rau, ua ib feem ntawm txoj kev kho kom zoo, cov tshuaj nram qab no tuaj yeem kho tau:
- leeg pob ntseg (Midokalm, Liorasal);
- chondroprotectors (Alflutop, Glucosamine);
- corticosteroids (Metipred, Belosalik), lwm yam.
Yuav kom txhim kho cov metabolic, tshem tawm cov leeg hypertonia, tiv thaiv ntau yam teeb meem, xws li txoj kev kho mob:
- kev xyaum kho gymnastics;
- zaws;
- kev tuav tswj tes;
- Spinal column extension;
- Cov txheej txheem physiotherapeicic (laser, ultrasound, thiab lwm yam).
Yuav tsum tau kho kev phais mob yog tias tus txha caj qaum quas zawg los ntawm ib qho chaw ntawm lub hlwb pob txha. Nyob rau hauv rooj plaub no, ib qho laminotomy yuav ua tau - kev txiav tawm ntawm vertebral arches, los yog discectomy - tshem tawm ib feem ntawm cov kev ntiv taw intervertebral lossis nws txoj kev tshem tawm nrog lub installation ntawm kev hloov ntshav. Hauv cov tsev kho mob nrog cov khoom siv niaj hnub no, phais manipulations yog ua rau me me kev hla kev me me.