Ubuhlungu obubuyela emuva kuyisiyaluyalu futhi akuyona into engavamile. Kuletha ukungathandeki okubonakalayo futhi kungabonisa ukuqala kokukhubazeka kwe-spondylarthrosis - isifo somgogodla esingaguquki. Ukhulunyelwa eqenjini lezifo "ezihlobene nobudala," ngoba cishe iziguli ezingu-80% sezikhulile, kodwa kukhona ukuthambekela 'kokuvuselela' lesi sifo.
Izimpawu ze-deforming spondylarthrosis
Lesi sifo senziwa ngokumelene nesizinda se-osteochondrosis, ngenxa yomonakalo ohlangothini lwe-intervertebral. Ukuguqulwa kwentambo yomgogodla spondylarthrosis kuqala ngokubonakala kwezinguquko ze-dystrophic kuma-disc intervertebral, zilahlekelwa ukuqina nokuqina kwazo, okufaka ukunqotshwa kwezicubu zethambo lama-vertebrae. Lesi sifo siba ngesimo esingapheli, futhi inqubo yokubhubhisa idlula ukusuka kwelinye i-vertebra kuya kwenye, icindezela ukuphela kwezinzwa. Lokhu kubangela ukuthi kwenzeke ubuhlungu obuhlala njalo ngemuva. I-syndrome yezinhlungu iyisibonakaliso esibalulekile sokuqala kwesifo. Njengoba lesi sifo siqala, okulandelayo kufakwe kuwo:
- ukulahlekelwa okuncane kokuhamba;
- ubuthakathaka emilenzeni;
- irradiation of ubuhlungu ezingxenyeni ezahlukene zomzimba;
- umsebenzi wesistimu we-excretory okhubazekile;
- i-neuralgia yesibindi sciatic.
I-spondylarthrosis yokuguqula i-lumbar spine
Lesi sifo, njengombuso, senzeke ngemva komthwalo wesitembu eside. I-spondylarthrosis yokuguqula i-lumbar spine itholakala kwiziguli ezichitha isikhathi esiningi zihlezi noma zimi. Ekupheleni kosuku, bazizwa bebuhlungu obuhlungu obuhlungu obukhungweni esifundeni se-lumbar, okuyisibonakaliso esikhulu sokuqala kwalesi sifo. Uma ungaphenduli ngesikhathi se-alamu, ngokuhamba kwesikhathi, ubuhlungu buba njalo futhi izimpawu ezintsha zenzeka:
- ukuphazamiseka okubuhlungu kwemisipha esifundeni se-lumbar, okuholela ekuqineni kokunyakaza kokuhamba, kunganciphisa ngosizo lokuqeqeshwa okuncane;
- ubuhlungu obunzima uma kushintsha isikhundla somzimba, okwenzeka emva komthwalo osindayo okwesikhathi eside;
- ubuhlungu buvame ukufika endaweni yethanga, ikakhulukazi ngesikhathi sokuhamba;
- ekwenzeni, indawo evulekile yenza izinzwa ezibuhlungu ezinamandla ezinganciphisa, uma kancane ukugoba phambili;
- uma uguqule i-torso, i-crunch ephawulekayo iyazwakala.
I-spondylarthrosis yokuguqula isimo somthola we-thoracic
Lolu hlobo lwesifo aluvamile. Umgogodla we-thoracic uvikela izimbambo. Akulona njengeselula njengamanye izingxenye zensika ye-skeleton, ngakho-ke imelana nokulimala. I-spondylarthrosis ehlukumezayo yesifunda se-thoracic yisifo esibi, imiphumela yaso ephathwa ngokuhlinzwa. Kubonakala ngezibonakaliso ezinjalo:
- ukuphulukisa ubuhlungu obungasetshenzisiwe endaweni engathintekile;
- ukuphefumula, umoya wokuphefumula;
- umuzwa wokucindezela esifubeni;
- umkhawulo wokuhamba;
- ukubukeka okungenakwenzeka kahle esiswini noma kwesibindi;
- ukucindezelwa kwemisipha ye-dorsal;
- uphawu lwezinhlungu luyanda ngemva kokuphazamiseka okuqinile;
- ukwakheka kwe-scoliosis kanye nokuphoqeleka;
- ukuthuthukiswa kwe-intercostal neuralgia.
I-spondylarthrosis yokukhubazeka yomgogodla wesibeletho
Iningi labachwepheshe bayavumelana nombono wokuthi i-spondylarthrosis ekhubazayo yomgogodla womlomo wesibeletho iqala ngokumelene nesimo se-osteochondrosis esivele ikhona kakade. Ukuxilongwa ngesikhathi esifanele nokuphathwa kahle kwesifo esicasulayo kuzosiza ekugwemeni izinkinga ezinkulu. Izibonakaliso eziyinhloko zesifo, okungafanele zinganakiwe, yizi ezilandelayo:
- i-syndrome yezinhlungu ngendlela yokuzwa okuqhubekayo entanyeni;
- spasm pathological of the imisipha okwenza ubuhlungu obungapheli, ukubuyisela nape kanye isandla;
- kanye nesikhathi, kunama-numbness endaweni yehlombe, ukuqina kohambo, ukusebenzisana kuphelelwe amandla;
- ukuzwa kanye nombono kungaphumeleka;
- Ukuphendulela kanye nokuthambekela kwekhanda i-crunch ephawulekayo izwakala;
- ukulala okuphazamisayo;
- Ngezinye izikhathi i-neuralgia iqala.
Ukuxilongwa kwe-spondylarthrosis
Incazelo yalesi sifo iqukethe ukuqoqwa ngokucophelela kwe-anamnesis ekucwaningeni kwesiguli nesezinsimbi. Nika isiponyolography - i-x-ray ekuhloleni okubili. Ukwengeza, umgogodla uhlolisiswa usebenzisa i- computed tomography (CT), i-angiography, ne-imaginous magontic resonance. Emifanekisweni ye-MRI, izimpawu zokukhubazeka kwe-spondylarthrosis zikhona ngesimo sokukhula kwamathambo okugulisa kanye nokuvinjelwa okuqinile komgogodla. Le ndlela yokuxilongwa isisiza ukuthola lesi sifo ngezigaba ezahlukene zenkambo yayo.
I-Spondylarthrosis - ukwelashwa
Lesi sifo asikwazi ukwelashwa ngokuphelele, ngakho-ke zonke izinyathelo zokwelapha zihloswe kuphela ekuqedeni ubuhlungu nokunciphisa ukuqhubeka kwesifo. Lapho udokotela ehlonishwa kahle, ukwelashwa okwanele kunqunywe. Ihlanganisa izindlela ezihlukahlukene:
- Ukuze ukhiphe ubuhlungu be-syndrome, imithi ye-spondylarthrosis isetshenziswa.
- Ukuqinisa imisipha yangemuva, iziguli zenzelwe izinqubo ze-physiotherapeutic, ukuvivinya umzimba nokusikhipha.
- Kunconywa ukugqoka ama-corsets akhethekile.
- Ubuhlungu obunzima futhi obude buqedwa ngokusungula i-steroids ngqo esikhaleni se-epidural.
- Isiguli siyaphathwa ngenqubo yokuhlinzwa ngezigaba 3 no-4.
I-spondylarthrosis yokukhubazeka ye-lumbar spine - ukwelashwa
Ukwelashwa okuphumelelayo kwalesi sifo kuncike ekutheni ucwaningo olusebenzayo, inhlalakahle jikelele yesiguli, futhi luhlanganisa zonke izindlela ezibalwe ngenhla. Zihloselwe ukukhulula ukuvuvukala nobuhlungu. Njengoba ukukhubazeka kwe-spondylarthrosis ye-lumbar spine kungabangela ukuphelelwa amandla okuphelele kwegciwane elingaphansi, imijovo ye-intraarticular isetshenziselwa ukuyiphatha.
I-spondylarthrosis yokukhubazeka yomuthi wesibeletho - ukwelashwa
Ukuphulukisa ngokuphelele le spondylarthrosis yokukhubazeka yomgogodla womlomo wesibeletho akunakwenzeka, kepha uma ukuxilongwa kwenziwa ngesikhathi - ungavimbela ukuthuthukiswa okuqhubekayo kwesifo. Kusetshenziswa izindlela ezimbili:
- i-physiotherapy;
- ukuphathwa kwezidakamizwa.
- Physiotherapy indlela esetshenziswa ekuqaleni kwesifo. Iqukethe imisebenzi eminingana:
- massage yezokwelapha professional;
- okuyinkimbinkimbi yokuzivocavoca;
- I-traction yomgogasi ngaphansi kwamanzi;
- i-acupuncture;
- Ukusetshenziswa kwezingubo zezokwelapha;
- izindlela zomuntu zokweba isifo sobuhlungu;
- ukuphefumula.
Ukwelashwa kwe-spondylarthrosis yokukhubazeka komgogodla womlomo wesibeletho isetshenziswa ngesikhathi sokuqeda lesi sifo. Yonke imithi ibe nemiphumela emibi kakhulu. Ngakho-ke, kufanele zithathwe ngokuqondile. Ukususa isifo sobuhlungu nokuqeda inqubo yokuvuvukala, odokotela batusa:
- izidakamizwa ezingekho-steroidal anti-inflammatory;
- ama-analgesics angewona ama-narcotic;
- amalungiselelo alkaloid;
- multivitamini;
- amafutha nama-lotions;
- amalungiselelo asekelwe ku-chondroitin ne-glucosamine.
Isiguli ngasinye sinemithi enqunywe yizifundo, eziqondiswa yizinkomba nokuphikisana, futhi zicabangela izici zomuntu ngamunye.
I-Spondylarthrosis ye-thoracic umgogodla - ukwelashwa
Ukususwa kwezimpawu zesifo endaweni ye-thoracic futhi kwenziwa ngendlela eyinkimbinkimbi. Iqembu lemithi ye-NSAID kanye nezifundo zokwelashwa kwe-chondroprotective zinqunywe. Njengoba lolu hlobo lwezifo luvame ukuba ne-intercostal neuralgia, amalungiselelo e-steroid angasetshenziswa, futhi nge-syndrome evezwe kakhulu, kuvinjelwa i-novocain. I-Spondylarthrosis yesifunda se-thoracic idinga izikhathi ezinde ze-physiotherapy:
- Ukwelashwa kwe-HILT;
- i-electrostimulation;
- i-magnetotherapy ;
- cryotherapy.