Vanhu vanopfuura makumi mashanu kubva muzana kubva munyika yose vanotambura nemarwadzo emarwadzo anokonzerwa nezvikamu zvakasiyana-siyana zve osteochondrosis. Kana iwe usingarevi chiremba panguva yakakodzera uye usati watanga kurapa kwakakwana, mamiriro emusana, kuchinja kwahwo uye kufamba, hutano huno huchakurumidza kuwedzera. Mumatambudziko akaoma, zvinetso zvakakomba zvinoitika.
Chii chinoratidzirwa chepelin disks?
Izvi zvinoratidzirwa hazvirevi sechirwere chakazvimirira mumishonga. Iko kushandiswa kwe intervertebral discs inzvimbo yepakati ye osteochondrosis, yakatangwa nekuumbwa kwehania. Chikonzero chechiitiko ichi chikuvadza mukati memicheka ye mukati yevhareti yakagadzirwa. Bhokisi racho rekunze, iro rinotakura gelatinous nucleus, rinoramba rakasimba, asi diski inopinda mumugero wemugwagwa. Pasina kurapa kwakakwana, ring rinoputika rinoputika uye mutsara unomuka.
Dorsal protrusion ye disc - chii ichocho?
Iyi maitiro ehutachiona ndechimwe chezvirwere zvakajairika kune vanhu mushure mezera remakore makumi matatu, kunyanya nemararamiro ehupenyu, uye inoonekwa seimwe yemhando dzakasiyana dze osteochondrosis. Kudzora kana kuperevedza kwemavara emusana-chii ichocho: kuputika kweketini yakagadzirwa mukati-kati (kubva pamimba kusvikira kumashure).
Nehutachiona hwechirwere ichi, zvivako zvepelinha zvakagadziriswa, zvinotungamirira kukuvhiringidza kune ngozi uye kusakanganiswa kwebasa rayo. Izvi zvinowanzokonzera kukanganisa kumagumo ekuguma uye midzi. Izvi zvinokonzerwa nekuderera kwekunzwa, kunzwa kurwadziwa kwakanyanya, kuchinja mumagetsi emagetsi nemimwe migumisiro yakaipa.
Foramen protrusions
Rudzi rwakarondedzerwa rwechirwere runofungidzirwa seimwe yemhando dzechirwere chinonzi dorsal lesion. Foraminar protrusion ye intervertebral disc inotungamirirwa zvakananga mumutsipa unobuda munzvimbo. Iko kushandiswa kunogona kuonekwa munzvimbo yose yesimbi yemugwagwa kana munzvimbo dzayo pachayo:
- Intraforaminalnoy protrusion - disk yemusana unobuda kumucheto wemukati. Rudzi rwakanyanya kunaka uye rune ngozi rwehutano.
- Zvimwe-granular protrusion - kuputika kweketeni ye fibrous pedyo nechekunze kwekunze kwepinini yemugwagwa. Zviri nani kurapa uye kazhinji kusangana nematambudziko.
Circular protrusions of discs
Izvi zvakasiyana-siyana zvechirwere zvinowanikwa muna 85-90% yevarwere vane chirwere chinonzi neuropathologist pamwe nekuongororwa kwe "osteochondrosis". Circular protrusion of the spinal discs - chii ichocho: kuputika kweketini ye fibrous pamwe nechepamusoro. Iyo yakareba yezvikamu zvinoputika zviri mumakero matatu kusvika ku12 mm. Circular protrusions ye intervertebral discs yakasiyana nekufanana kwavo. Musiyano pakati pekuchengetedzwa munzvimbo dzakasiyana haupfuuri 1 mm.
Kusiyana kwekudzivirira kwe disk
Ichi ndicho chimwe chezvinhu zvakakomba uye zvinotyisa maererano nezvinetso zvemaitiro ehutachiona. Kurwiswa kwakanyanya kusina kukwana kana kuwanda kwemupenya munzira dzakasiyana. Inogona kukanganisa zvose midzi midzi uye kuguma, uye nzvimbo yemugero wemugero, iyo inotungamirira kumigumisiro isingagadziriswi. Dzimwe nguva rudzi rwechirwere rwuri kurwara rwunopera mukuremara.
Dhidhi disk protrusion
Kuoma kwezviratidzo uye kusimba kwechirwere chechirwere chiri mubvunzo chinoenderana nenzvimbo yekudzivirira. Kupindira kwemasvikiro kana kuti pakati pepinini-shanduko-chii ichocho: kupera kwemukati wepaspus, kunotungamirirwa kusvika pakati pemugero wepasina. Ichi chimiro chekurwara hachiwanzoongororwa, asi chinosangana nematambudziko akaoma. Kupindira kwemasvikiro kunobata zvakanyanya kushanda kwemutsipa wepelinha uye midzi midzi. Pasina kurapwa panguva yakakodzera, zvinogona kutungamirira mukuputsa mabasa avo, kuremara.
Paramedian disc protrusion
Rudzi rwakarondedzerwa rwekubuda kwereti ye fibrous kunze kwemafupa emapfupa haisi ngozi kune imwe yenzira yapfuura yechirwere. Mushonga wemapurisa wekasiyamu yemukona wemaspinal - chii ichocho: kuputika kwezvinyorwa zvinenge zviri mukati mechirwere chemugero wepasipera nekutsauka kubva pakati. Icho chimiro chechirwere chetachiona chinongororwa mumapoka maviri. Kune rumwe rutivi rworuboshwe-uye rworudyi rwemapamedi anorwisana, iyo yekupedzisira yemarudzi inowanzozivikanwa nekuda kwezvinhu zvakasikwa. Kupera kwakadaro hakuwanzoongororwa, munenge ma5% ematambudziko ekurapa kune vertebrookist kana neurologist.
Ventral protrusion
Nzira yakakurumbira yezvinetso zve osteochondrosis. Ventral kana anterior protrusion yep spinal discs - chii ichocho: kuputika kweketini ye fibrous muchero kubva kumashure kusvika kumimba. Urwu hutano hwehutano hunowanzoitika husingazivikanwi uye hahuwanzodi kurapwa. Ventral protrusion ye intervertebral disc haibvumiri musana wemusana kana nhengo dzenzara. Iyo haibatsiri mabasa ezvikamu zvinokosha uye haisviki pakuputira maitiro.
Kudzivirira - zviratidzo
Chirwere chemakiriniki chechirwere chinoratidzirwa chinotarisana nenzvimbo yekudzivirirwa kwekanyamuti kanomwe. Hedheni uye kuputika kwe-intervertebral disc dzine zviratidzo zvakasiyana zvakafanana, saka kujekesa kusiyana kwekutsvaga kuchafanirwa kuburikidza nedzidzo dzakasiyana-siyana uye zvidzidzo. Kana osteochondrosis inowanikwa munzvimbo dzakasiyana, zvinokosha kuti uite magnetic resonance scan yemushure.
Kudzivirirwa kwe-intervertebral disc yemudzinza
Mukurwisana nemamiriro ekupedzisira ekudengenyeka kwemhete ye fibrous mukumusoro kwekumusoro, kune chirwere chinonzi chirwere chinonzi chirwere muzvikamu zvinotevera:
- maoko pamaoko;
- mutsipa;
- mushure memusoro;
- mapepa;
- musoro;
- pedyo nenzeve lobes.
Kana kuputika kwechirwere chepervical spine discs kunokanganisa nharo kuguma kana midzi, inopindirana nezviratidzo zvinotevera zvinotevera:
- kurira muminwe;
- chizoro;
- periodic numbness yemakumbo okumusoro;
- kuneta;
- kugona;
- kukurumidza kuneta.
Kufuridzirwa kwehutano hwemhino
Kuvapo kwepulpustura pulpusus nucleus pakati pekumusoro kunowedzera nekurwadziwa kwakanyanya munzvimbo dzakadaro;
- pakati pe scapulae;
- dhipatimendi rinonyangadza;
- intercostal space;
- mapepa uye forearms;
- mudumbu.
Kudzivirirwa kwechiedza chechiedza - zviratidzo zvechimiro chakasikwa:
- kuoma mukufamba;
- kusagadzikana kwemupfungwa;
- kuora mwoyo kwekunzwisisa, kupera kwemashure;
- kurira mubhokisi (vanhu vanowanzovhiringidza nemarwadzo emwoyo);
- kunetseka kufema;
- kushaya simba kwemisungo yechipatara rekupedzisira uye yekare;
- kuneta, kugona;
- kusafarira;
- kuora mwoyo kwechido.
Lumbar intervertebral disc protrusion
Izvozvo zvinoratidzika zviratidzo zvinoperekedzwa nekufuratira munzvimbo yakaderera shure. Iko kushandiswa kwe-intervertebral discs yenharaunda yekomba kunoratidzika nenzira yekunetseka kwakanyanya kwakanyanya munzvimbo yakatarisana, iyo inopa muhudyu, kazhinji kacho yakarurama. Mukuwedzera kune chirwere ichi, pane zviratidzo zvehutano:
- kuoma, kupera kwemuzasi;
- kumira mumakumbo etsoka neminwe;
- kushungurudzika kwekugadzira zvirongwa;
- change in gait, lameness;
- kuwedzera kunzwisisika kusinganzwisisiki nemitenwe, ascents uye kuburuka pamasitepisi, kumwe kushanda nesimba;
- kuvimbiswa.
Kudzivirirwa kwemakumbo epamusoro - kurapwa
Kurapa kwezvinhu zvakakanganisika zvindori zvinogadzirwa zvinopa imwe nzira yakagadzirwa yakagadzirwa. Sarudza maitiro ekurapa kushandiswa kwemakumbo emagunha mune imwe mamiriro ezvinhu, kudai nyanzvi yezvehutano ine ruzivo kana vertebrologist inotarisana nemigumisiro yekusiyana kwekutsvaga. Nekuwana nguva yakakwana kune unyanzvi uye kusarudza chirongwa chakarurama mune zvinopfuura 90% zvezviitiko, zvinokwanisika kupedza zvachose dambudziko rakatsanangurwa.
Nzira dzepamusoro nzira yekurapa kushandiswa kwema discs:
- kutora mishonga;
- physiotherapy;
- hardware treatment;
- muviri muviri.
Kuchengetedza kurapa kwehutano kunosanganisira kushandiswa kwemapoka anotevera emishonga:
- Nonsteroidal anti-inflammatory drugs. Zvose mishonga yemagetsi nemunharaunda - Movalis, Diklobene, Dolgit, Indomethacin, Ketonal, Nimesulid, Diclofenac uye mamwe anoshandiswa. Mishonga yakadai inopa kuponeswa kwezvinokonzera kupisa uye kumira kwemaitiro emutumbi mukuru, zvinodzivirira kuumbwa kwepamusoro .
- Painkillers. Izvi zvinoratidzira uye zvinogadzirisa zvinodhaka zvinoreva kushandiswa kwechirwere cheprotrusion discs. Mazita anobudirira - Midokalm, Ketanov, Butadion, Solpadein, Pentalgin, Olfen uye zvimwe zvakasiyana. Kana mapiritsi, mapepa, mafuta uye mamwe mishonga asingabatsiri, mabhaktika anorayirwa, kusanganisira maitiro emitambo. Muchiitiko ichi, chirongwa chekushongedza chirwere chinoshandiswa muplexus. Kubudirira anesthetics ndeyeNovocain uye Lidocaine, mazita avo anonyanya kushandiswa uye magetsi.
- Tsvina dzinozorodza. Iboka iri remishonga rinodikanwa kuti rinyaradze matanda akaoma akakomberedza nzvimbo dzakasvibiswa dzomusana, rongedza maitiro nematononi. Kubudirira kwemisumbu kunonoka - Catadolon kucheka, Baclosan, Sirdalud, Muscomed, Structum, Tizalud, Ditilin nevamwe.
- Vitamine zveboka B. Mishonga iyi inobatsira kudzorera hutatu hwemashutu, kusimbisa mararamiro emagetsi uye kubatsira pakudzorerwa kwehutachiona hwakakonzerwa neketini ye fibrous. Mavhitamini anonyanya kunyanya kushandiswa sarudzo dzisina kuiswa, dzimwe nguva mahwendefa anorumbidzwa - Neurovitan, Milgamma compositum, Neovitam, Angiovit, Gerimax, Kombilipen, Neuromultivitis, Trigamma nezvimwe.
Physiotherapy inosanganisira:
- massage;
- laser therapy;
- kushandiswa kwemagetsi;
- magnetic therapy ;
- kudziya;
- shock-wave therapy.
Kuti udzokere dhoni yakafuridzirwa kunzvimbo yayo, kubvisa kukanganiswa kwehutano miviri uye kuguma, chirwere chepeminha kana kushevedzera kwakanyanya kunowanzoshandiswa. Izvi zvinongoratidzwa chete mune zvipatara zvakavimbiswa zvezvipatara pamichina yakakosha. Kugadzirisa kunoitwa pasi pekutarisa kweyanyanzvi anoziva.
Chikamu chekupedzisira chekurapa kwekudzivirira nekudzorerwa kwekufamba kwepamusoro ndiko kwenyama yekudzidzira. Ongororo yezvino yezvokurapa yakaratidza kubudirira kwe yoga mune dambudziko riri mubvunzo. Zvakakosha kudzidzisa zuva rega rega uye nguva dzose, kutanga neasanas asese. Kuwedzera kuoma kwekurovedza kunofanira kunge kuri kuwedzera, kusabvumira kuonekwa kwekunzwa kunorwadza.