Thoracic osteochondrosis cuta ce na yau da kullun na kashin baya wanda canje-canje na degenerative-dystrophic ke faruwa a cikin fayafai na intervertebral.
Kashin baya na thoracic yana da rauni sau da yawa ta hanyar osteochondrosis idan aka kwatanta da kashin mahaifa da lumbar. An bayyana wannan ta gaskiyar cewa yana da ƙarancin aiki, kwanciyar hankali kuma yana ƙarfafa shi ta hanyar corset na muscular. Har ma da wuya su ne rikitarwa - protrusion da diski herniation.
Koyaya, wannan cuta tana ba da alamun bayyanar cututtuka masu yawa waɗanda ke rage ingancin rayuwa sosai don haka yana buƙatar magani. Yin amfani da magunguna kawai yana kawar da alamun bayyanar cututtuka kuma yana ba da sakamako na wucin gadi wanda bai shafi ci gaban cutar ba.
Don dogara da kawar da bayyanar cututtuka, kuna buƙatar yin tasiri ga dalilin ci gaba da matakai na degenerative a cikin fayafai. Don wannan dalili, asibitin yana amfani da magunguna masu rikitarwa, wanda ke ba da sakamako mai kyau a cikin fiye da 90% na lokuta. Ya haɗa da hanyoyin reflexology na gabas da physiotherapy - acupressure, acupuncture, moxotherapy da sauran hanyoyin warkewa.
Alamomi, alamu
Tare da osteochondrosis, lalatawar fayafai na intervertebral yana faruwa kuma vertebrae ya taru, wanda ke haifar da tsutsa tushen jijiya na kashin baya. Wannan yana haifar da ciwo tsakanin kafada (yawanci ana kwatanta shi azaman gungumen azaba).
Ciwon ciwo a cikin osteochondrosis na thoracic na iya zama m, mai tsanani ko na kullum, matsakaici.
A cikin yanayin farko, ciwo mai tsanani yana faruwa ba zato ba tsammani kuma ana kiransa dorsago. A cikin akwati na biyu, ana jin zafi kullum, yana da hali mai zafi kuma ana kiransa dorsalgia.
Haushi daga tushen da aka tsinke yana yadawa tare da jijiya, yana haskakawa cikin kirji kuma ya zama sanadin intercostal neuralgia - soka, yanke ko zafi a cikin kirji, wanda ke ƙaruwa da numfashi, motsi, tari, atishawa, dariya.
Wani alamar alama na osteochondrosis na thoracic shine zafi a cikin yankin zuciya, wanda ke tare da alamun cardioneurosis - bugun jini, bugun zuciya, ƙara yawan ƙwayar zuciya.
Tushen jijiya mai tsinke yana haifar da rugujewar shiga ciki, rashin ƙarfi, rauni na hannu, jin sanyi a hannu, cyanosis (blue discoloration) ko ɓarnar fata. Wadannan alamomin yawanci suna da gefe guda.
Ciwo tare da osteochondrosis kuma na iya haskakawa zuwa kafada, a ƙarƙashin kafada, da kuma ga hannun gaba.
Sauran alamun cutar sune taurin kai, tashin hankali a baya, rashin jin daɗi a cikin yankin paravertebral, kafadu, yanki na cervical-collar, wahalar numfashi, jin kullun a cikin kirji.
Jijiyoyin da ke tasowa daga kashin baya a cikin yankin thoracic suna taka muhimmiyar rawa wajen shigar da jiki duka. Saboda haka, alamun osteochondrosis na iya faruwa a wuraren da ba su da alaƙa da kashin baya. Saboda wannan dalili, ana kiranta "cutar hawainiya. "
Waɗannan alamomin sun haɗa da:
- ƙwannafi, kumburi,
- rashin ci, tashin zuciya,
- rashin narkewar abinci (dyspepsia),
- tari,
- sanyi ƙafa,
- ciwon jiki,
- zafi a cikin dama hypochondrium,
- rashin jin daɗi a cikin ciki,
- gumi
Bugu da ƙari, osteochondrosis na thoracic yana bayyana ta hanyar rashin isasshen jini zuwa kwakwalwa - ciwon kai, rashin kwanciyar hankali, damuwa, rashin kwanciyar hankali, da rashin daidaituwa.
Dalilan ci gaba, matakai
Babban rawar da ke cikin ci gaban cutar yana taka rawa ta hanyar ƙwayar tsoka da tashin hankali (hypertonicity) na tsokoki na baya. Wadannan spasms suna faruwa ne a lokacin zaman rayuwa, rashin kyau, ko tsawan zama a tsaye, matsayi mara dadi (misali, a tebur na ofis ko yayin tuki).
A daya hannun, monotonous, aiki mai wuyar gaske kuma yana haifar da abin da ya faru na cizon tsoka na baya (misali, aiki tare da ɗaga hannu).
Ƙunƙarar ƙwayar tsoka tana hana wurare dabam dabam kuma yana hana gudanawar jini zuwa kashin baya. Saboda wannan, abinci mai gina jiki na fayafai na intervertebral ya lalace.
Fayafai na intervertebral su ne santsi masu shanyewar nama da aka samu tsakanin kashin baya. A tsakiyar kowane fayafai akwai ƙwanƙwasa ƙwanƙwasa, tsaka-tsakin tsaka-tsakin ruwa wanda ke ɗauke da danshi mai yawa. Ruwa yana ba da juriya ga kaya da juriya ga matsawa.
Tare da kewayen waje na kowane faifai ana ƙarfafa shi da ƙaƙƙarfan zobe na fibrous. Abubuwan haɗin haɗin fayafai sun ƙunshi galibi na collagen - wannan abu yana haɗawa a cikin jiki kuma dole ne a ba da shi koyaushe zuwa ga gidajen abinci, fayafai na intervertebral da sauran abubuwan haɗin gwiwa, kyallen jikin cartilaginous don ci gaba da haɓaka su.
Ƙunƙarar tsoka ta tsoma baki tare da kwararar jini, wanda ke haifar da rashin isashen collagen zuwa fayafai don gyara nama na al'ada. Rashin iskar oxygen yana haifar da raguwa a cikin tafiyar matakai na rayuwa.
Sakamakon rikice-rikice na rayuwa, sabuntawar nama na fayafai na intervertebral yana raguwa, kuma lalacewa yana ƙaruwa. Wannan yana haifar da dystrophy da canje-canje na degenerative - fayafai sun zama bushewa, fashe, bushewa, ɓata, kuma rasa abubuwan da ke ɗaukar girgiza da ƙarfi.
Ƙunƙarar ƙwayar tsoka na baya shine babban dalilin da ya haifar da damuwa mai yawa akan kashin baya a cikin yankin thoracic. Idan a cikin yankin mahaifa an danna fayafai na intervertebral ta nauyin kai, wanda ya karu tare da matsayi mara kyau, kuma yankin lumbar yana danna ta nauyin jiki, wanda ya karu tare da nauyin nauyi, to, a cikin yankin thoracic spasms tsoka suna taka muhimmiyar rawa. a cikin ci gaban cutar. Wadannan spasms ba wai kawai suna hana kwararar jini ba, har ma suna danne kashin baya da kuma damfara fayafai na intervertebral duka a rana da dare. Fayilolin intervertebral a zahiri an hana su damar ba kawai don sabunta salon salula ba, har ma don hutawa mai sauƙi da dawowa. Saboda haka, abu na farko da ya kamata likita ya yi lokacin da za a magance osteochondrosis na thoracic shine don shakatawa tsokoki na baya, kawar da spasms tsoka, da hypertonicity. Idan ba tare da wannan ba, ingantaccen magani na cutar ba zai yiwu ba.
Lalacewar fayafai na intervertebral yana haifar da rata tsakanin kashin baya ya zama karami, kashin baya yana kusanci tare kuma yana tsunkule tushen jijiya. Wannan yana haifar da ciwo, wanda ke haifar da ƙwayar tsoka da kuma ƙara matsa lamba akan fayafai. Sabili da haka, tare da bayyanar zafi, ci gaban cutar, a matsayin mai mulkin, yana hanzarta.
Wadannan canje-canje na degenerative-dystrophic sun dace da matakin farko na osteochondrosis.
Muhimmanci!
A cikin tsufa, osteochondrosis na thoracic yawanci yana tasowa akan bangon bushewar gabaɗaya da rikicewar rayuwa a cikin jiki. Ana bayyana wannan, musamman, ta hanyar raguwar tsayi a cikin tsofaffi, wanda ke faruwa saboda raguwar fayafai na intervertebral.
A mataki na biyu, zoben fibrous na waje ya zama maras kyau. Naman sa ya zama sako-sako, ya raunana, kuma ba zai iya jurewa da rike nauyin ciki ba. A sakamakon haka, fitowar diski yana faruwa (yawanci na gida) a cikin nau'i na protrusion.
Fitowar da aka nufa zuwa ga kashin baya ana kiranta dorsal. Fitowar da aka nufa zuwa gefe ana kiranta a gefe. Halin da ba a sani ba shine fitowar faifan iri ɗaya tare da kewayen duka.
Bayyanar fitowar yawanci yana haifar da ƙara yawan ciwo. Hoton X-ray a fili yana nuna raguwa a tsayin rata tsakanin kashin baya, da kuma ci gaban osteophytes - fitar da kashi. Suna kafawa tare da gefuna na kashin baya don rama nauyin da ke kan kashin baya yayin da fayafai na intervertebral ke jurewa da su ƙasa da ƙasa.
A mataki na uku na cutar, zoben fibrous na diski ba zai iya jure wa matsa lamba na ciki da ruptures ba. Ta hanyar tazarar da aka samu, wani ɓangare na tsakiya pulposus na diski yana matse waje - wani hernia intervertebral yana faruwa.
A mataki na hudu na cutar, kewayon motsi a baya yana raguwa sosai, ciwo mai zafi ya zama akai-akai, kuma babban hoto na cututtuka na jijiyoyi yana tasowa.
Bincike
A farkon alƙawari, likita ya tambayi mai haƙuri game da alamun bayyanar cututtuka, yanayin da suka faru, nazarin tarihin likita, gudanar da bincike na waje, kula da matsayi, kasancewar ko rashi na kashin baya (scoliosis, kyphosis).
Dalilin ciwon ciwo (dorsago, dorsalgia) na iya zama duka osteochondrosis da ƙaurawar vertebral (spondylolisthesis), ankylosing spondyloarthrosis, ankylosing spondyloarthrosis.
Osteochondrosis na yankin thoracic yawanci yana tare da tashin hankali na tsoka a baya da hypertonicity na tsokoki na kashin baya. Likitan yana yin bugun jini kuma yana amfani da matsi masu zuwa don nemo maki (masu haifar da tashin hankali) waɗanda suka dace da cibiyoyin ƙwayoyin tsoka.
Don samun ƙarin cikakkun bayanai, likita ya rubuta x-ray ko MRI.
X-haskoki don osteochondrosis na thoracic suna ba da mafi yawan bayanai - yana taimakawa wajen bambance cutar daga spondylolisthesis, ganin osteophytes, da kuma rage rata tsakanin kashin baya.
Hoton rawanin maganadisu mafi kyawu yana nuna taushi, nama mai haɗi. Tare da taimakonsa, likita zai iya bincika dalla-dalla tsarin fayafai na intervertebral, duba protrusion, hernia (girmansa, wurinsa, siffarsa), da kuma yanayin ligaments, haɗin gwiwa na intervertebral, tasoshin jini, tushen jijiya, da duba stenosis na kashin baya (ko haɗarinsa).
Dangane da bayanan MRI, likita ya yi ganewar asali kuma ya ƙayyade tsarin kulawa na mutum.
Jiyya na osteochondrosis na yankin thoracic
Magungunan ƙwayoyi
Don kawar da ciwo a baya da intercostal neuralgia a cikin osteochondrosis na thoracic, ana iya amfani da magungunan anti-inflammatory marasa steroidal a cikin nau'i na man shafawa, allunan ko injections. Babban tasirin waɗannan kwayoyi shine anti-mai kumburi, don haka amfani da su ya dace a lokuta inda tushen jijiya ya kasance tare da kumburinsa, wato, tare da radiculitis na thoracic. NSAIDs kuma suna rage kumburin ƙwayar tsoka a kan bangon spasms da hauhawar hauhawar jini.
Idan akwai ciwo mai tsanani, ana iya amfani da paravertebral ko epidural blockage - allurar analgesic. A cikin shari'ar farko, ana yin allurar ne a wurin da aka danne tushen jijiya, a cikin akwati na biyu, a cikin yanki tsakanin periosteum na vertebra da membrane na kashin baya.
Don sauƙaƙe tashin hankali na tsoka da rage matsa lamba akan tushen jijiya, tasoshin jini, da fayafai na intervertebral, ana amfani da masu shakatawa na tsoka da antispasmodics.
An wajabta rukunin bitamin don ciyar da kyallen jijiyoyi da hana atrophy su.
Don rage jinkirin aiwatar da lalata kyallen takarda, ana iya wajabta chondroprotectors.
Wadannan magunguna suna da sakamako na alamun bayyanar cututtuka kuma suna iya rage jinkirin ci gaban cutar, amma a gaba ɗaya ba su da wani tasiri a kan tsarin canje-canje na degenerative a cikin fayafai na intervertebral.
Maganin marasa magani
Magungunan marasa magani na osteochondrosis na thoracic sun haɗa da hanyoyin ilimin motsa jiki, reflexology, da farfadowa na jiki.
Babban burin jiyya shine taimako na tsarin kumburi, inganta yanayin jini da sake dawo da tsarin rayuwa a cikin fayafai na kashin baya, haɓakar sabuntawar salula na kyallen takarda. Asibitin yana amfani da hadaddun magani ta amfani da hanyoyin magungunan gabas don wannan dalili.
Muhimmanci!
Ayyukan motsa jiki na jiki suna taimakawa wajen samar da kuma ƙarfafa ƙwayar tsoka, kawar da nauyin da ba daidai ba a kan kashin baya, da kuma yin aiki a matsayin rigakafin cunkoso da kuma samuwar ƙwayar tsoka.
Tiyata
Ga manyan hernias, musamman na dorsal, tare da barazanar jijiyar kashin baya, kuma musamman idan yana nan, ana iya nuna aikin tiyata-discectomy-.
An cire wani ɓangare na diski ko kuma a cire gabaɗayan faifan kuma a maye gurbinsu da na'urar roba. Duk da cewa discectomy wani nau'i ne na aikin tiyata na yau da kullum, ana yin ayyuka a yankin thoracic da wuya.
Jiyya a asibitin
Ana gudanar da jiyya na osteochondrosis na thoracic a cikin asibiti a cikin hadaddun zaman, wanda ya haɗa da hanyoyi da yawa - acupuncture, acupressure, moxotherapy, jiyya na dutse, farfesa, hirudotherapy ga alamun mutum.
Ana samun babban inganci saboda haɗin kai na hanyoyin mutum da kuma kawar da dalilin cutar.
- Acupressure. Ta hanyar dannawa da karfi a kan abubuwan da ke haifar da baya, likita ya kawar da ƙwayar tsoka, tashin hankali, cunkoso, inganta yanayin jini kuma ya mayar da jini maras kyau zuwa kashin baya. Godiya ga wannan, nauyin da ke kan fayafai na intervertebral yana raguwa, kuma ana haɓaka hanyoyin tafiyar da metabolism da farfadowa na nama yayin da kwararar oxygen da collagen ke ƙaruwa.
- Acupuncture. Shigar da allura a cikin abubuwan bioactive na baya, kafafu, hannaye, kai, kirji yana kawar da alamun da ke hade da rashin ƙarfi na ciki - rashin ƙarfi, rauni a hannu. Tare da taimakon wannan hanya, intercostal neuralgia da sauran cututtuka na vertebrogenic an rage. Bugu da ƙari, acupuncture yana haɓaka tasirin acupressure kuma yana da tasirin kumburi da kumburi.
- Moxibustion far. Ana yin ɗumamar maki masu tasiri a cikin yankin kashin baya tare da cigarin tsutsotsin tsutsa. Wannan hanya tana kunna tafiyar matakai na rayuwa, yana ƙara yawan jini zuwa fayafai na intervertebral, yana ƙarfafawa da kuma hanzarta dawo da su.
- Vacuum farfesa. Cupping tausa da cupping haifar da jini kwarara da kuma taimaka inganta jini wurare dabam dabam.
- Maganin hannu. Yin amfani da laushi mai laushi na kashin baya, likita yana sauke fayafai na intervertebral, yana ƙara tazara tsakanin kashin baya, ya saki tushen jijiya, yana kawar da zafi, kuma yana ƙara yawan motsi a baya.
Tausasawa mai laushi, ko ƙwanƙwasa, ita ce kawai dabarar jiyya ta hannu da aka nuna don osteochondrosis na thoracic. Kafin farawa, dole ne likita ya kwantar da tsokoki na baya sosai, kawar da spasms kuma yantar da kashin baya. Don yin wannan, tsokoki suna dumi sosai kuma suna annashuwa ta hanyar tausa. Idan ba a yi haka ba, aikace-aikacen ƙoƙari na jiki zai iya haifar da rauni - rupture, sprain ko fracture. Hanyoyi na kayan aiki na kashin baya don osteochondrosis ba su da tasiri kuma har ma da haɗari, don haka ba a amfani da su a asibiti.
Hirudotherapy
Sanya leech na magani yana inganta yanayin jini na gida, samar da jini zuwa fayafai na intervertebral, kuma yana da tasirin anti-mai kumburi.
Stonetherapy
Ana shimfiɗa duwatsu masu laushi masu zafi zuwa wani zafin jiki tare da kashin baya don dumi mai zurfi da shakatawa da tsokoki na kashin baya, inganta yanayin jini da kuma motsa jini.
Tsawon lokacin zaman jiyya a cikin asibitin shine 1-1. 5 hours, dangane da alamun mutum. Tsarin jiyya yawanci ya haɗa da hadaddun zaman 10-15. Bayan kammalawa, ana yin MRI mai sarrafawa don kimanta sakamakon da aka samu.
Matsaloli
Babban rikitarwa na thoracic osteochondrosis shine kashin baya na kashin baya saboda diski na herniated tare da haɓakar gurɓataccen jiki.
Sauran yiwuwar rikitarwa suna da alaƙa da rushewar innervation na jiki saboda tsunkulewar tushen jijiya na kashin baya: haɓaka cututtuka na gastrointestinal tract, kodan, zuciya, da tsarin haihuwa.
Rigakafi
Don hana ci gaban osteochondrosis na thoracic, ya kamata ku guje wa salon rayuwa kuma ku kula da yanayin ku.
Muhimmanci!
Idan yaro ko matashi yana da scoliosis, yana da kyau a yi maganin wannan cuta ba tare da fatan cewa zai tafi da kansa ba. Curvature na gefe na kashin baya yana faruwa azaman ciwo mai girma amma yana iya ɗaukar tsawon rayuwa.
A wannan yanayin, m tsoka tashin hankali da spasms zai zama makawa, wanda bi da bi zai haifar da ci gaban osteochondrosis da kuma, yiwu, da rikitarwa. Kuma wannan baya ga gaskiyar cewa scoliosis kanta yana cike da rikitarwa daga tsarin numfashi, narkewa da kuma tsarin zuciya.