DDDS - yintoni na? Uxilongo, iintlobo, unyango

Phakathi izifo ezingapheliyo yabantu le ngezifo umnqonqo abahlala kwindawo lokugqibela yezonyango. Intlungu kwikholam spinal, ephindaphindekayo, uze emva koko shwaka kwabanye sihlandlo sexesha, eziqhelekileyo kubemi abaninzi emhlabeni. Abantu badla lokukhathalela phulo ukuya specialist ukufumanisa unobangela imvelaphi iimeko zophendlo lwezifo. Kodwa watsho phantsi. Akukho manyathelo weyele kwexesha kunokubangela ngezenzeko vuhlayiseki emzimbeni, kuncitshiswe kakhulu umgangatho yesigulane yobomi. ezimbi ezinjalo kuyasebenza DDDS.

Uxilongo "DDDS" - ntoni na?

isifo sisiba mandundu yomqolo (DDDS) - i ngezifo ze iinxalenye peripheral e-nervous system omelwe ukwenziwa iqela nezifo zabantu ezondeleyo kakhulu eqhelekileyo, inophawu nezolo kwaye kukhokelela nokukhubazeka. Isikakhulu sifo kwenzeka xa abantu abasebenzayo. Ngelishwa, akukho kwincopho eqhelekileyo iimbono malunga ngemvelaphi DDDS namhlanje. Kuthetha ukuthini? Akukho iindlela olwaneleyo nolusebenzayo lokubhaqa nokunyanga isifo.

Kukholelwa ukuba lubandakanywe leengxaki kwenzeka ngenxa yezizathu ezininzi:

• ngenxa sithwalisa wengingqi namacandelo motion vertebral (PDS);
• ngenxa decompensation kwiinkqubo ukutya.

Ekubeni DDDS - isifo olungapheliyo iminyaka, ngokuthatha kwindawo utshintsho emzimbeni wakhe isiba mandundu. Ngoko ke, ukumimitheka lilonke isigulane kwiimeko ezininzi akunakwenzeka. Amanyathelo therapeutic zijoliswe kuphela ukubuyisela umsebenzi eqhelekileyo yomqolo kunye nokuphelisa yokugula onyango.

Isizathu sokuba bonke - osteochondrosis

Esi sifo kukhokelela ukusilela kwemisebenzi mafutha le amacandelo spinal, obuquka Izitenxo wempumelelo ngo lonke emzimbeni womntu. Yenzeka njani le nto? Kukholelwa ukuba izenzo osteochondrosis engabangela okuvela DDDS. Yintoni na le zokugula? Kumazwe ico, lo yezonyango kuthiwa utshintsho sisiba mandundu osteochondrosis kwizakhiwo cartilaginous wentsika spinal. Unobangela izifo disc sisiba mandundu zezi:

• yofuzo,
• ukuphazamiseka ye semithambo supply drives,
• ukungazilolongi,
• kakubi emsebenzini nemibutho (isitulo engonwabanga okanye itheyibhile)
• umsebenzi wezandla kunye onzima,
• amavila.

utshintsho ngokuthe ngcembe kwi isakhiwo intlala kukhokelela bancipha nokushukumisa omqolo, ukunciphisa therebetween umgama, ukungondleki ezikufutshane emzimbeni lomqolo. Ukuba inkqubo esebenzayo akayeki ekuphuhliseni vertebral okanye extravertebral syndrome. 4 Ukwahlula izizathu apho uthe syndrome yakheke:

• ucinezelo - esi sifo uqala ukubonisa ngenxa ukucima kombane ngomatshini uziziqwempu lwemoto yomqolo ekhokelela ucinezelo beengcambu-luvo;
• disfiksatsionnaya - ngezifo kuvela ngenxa buthathaka inxalenye mafutha ukulungiswa yomqolo;
• disgemicheskaya sizathu - ngezifo kwenzeka nxamnye kwimvelaphi ukuphazamiseka microcirculation izicwili ezikufutshane IiCD intervertebral yomqolo kwisayithi yokulimala;
• sizathu Aseptic-ukudumba - ngezifo kwenzeka ngokuchasene nemvelaphi ukudumba kwi ziqwempu motion spinal.

Ubume yomqolo

Umnqonqo i nobuninzi omqolo, nganye ezenziwa umzimba i arc. Amalungu omqolo lithanda enye ngezantsi enye ngasentla kwaye enze ikholam kule umbindi bekuza emisele spinal - uhlobo kwetonela eligcwele luvo kunye nempahla.

Amalungu omqolo bahlukene intlala - intervertebral disc, iqulunqwe fibrosus annulus kunye pulposus isiqalo. Ring kuthatha phezu inxalenye umthwalo disc. Xa eziphilayo young isiqalo pulposus 90% amanzi, nangona kunjalo, kunye nomxholo engamanzi kwayo kuyancipha ngokuhamba kwexesha. Ngumongo pulposus - le absorber kukothuka, nto leyo etshintsha imilo layo phantsi komthwalo, ngokwenjenjalo linike bhetyebhetye yomqolo; ewe ekutshatyalalisweni.

Ikholam vertebral evela kumacala onke bya le nemisipha kunye nenkqubo dystrophy. imisipha kunye nemisipha ukunciphisa umthwalo idiski namalungu. Noko ke, kule minyaka, ngenxa yezizathu ezahlukeneyo, kukho luthambe nciphisa intlala. Iqhuba inkqubo kwezifo ithi.

Njengoko kukho inkqubo zophendlo lwezifo

Ukuhlukunyezwa ukuma, utyebile, ephakamisa ubunzima, elapho kule ukuma engalunganga engonwabanga kunye nezinye izinto kungakhokelela yokuba umxholo ulwelo kwi diski iqala ukunciphisa, unyamalale luthambe isakhiwo cartilaginous. Phantsi yempembelelo ezi nkalo zingasentla kwandisa umthwalo fibrosus annulus, imicu yayo baphuke. kukho inkqubo kwiintetho ezikralayo, alaqhenqetha: kukuqulungana izicwili senziwa kwekhefu.

Xa loloyiko kuba ngezinga elikhulu, kukho zidlulela kwemithambo yegazi kwalusa akwazi intervertebral. Ngokuthe ngcembe lo ukuphakama disc lifinyele, ukuze umgama phakathi omqolo esecaleni lifinyele ehle kunye ukuzolula nemisipha, kwandisa umthwalo emalungwini intervertebral. Isiphumo ukutshatyalaliswa intlala. Ekwenyukeni ukwakheka DDDS. Kuthetha ukuthini? Le Imicu khonkcweni ezinezikhondo noxinzelelo ngaphaya umzimba vertebral, welding kubo vertebra ngohlangothi kwakhona ukutshintsha indawo yazo efanelekileyo, neziqu nokudleka kwakhiwa - osteophytes. I intervertebral disc le ska, kwaye wancipha ukuhamba spinal. Amaxesha amaninzi xa oku kusenzeka intlungu syndrome.

Ithemba Intervertebral disc nako kunokubangela kuphuhliso ngezifo. inxalenye Herniated kuthiwa ngumongo pulposus, leyo waqhekeza ngokusebenzisa fibrosus annulus, ngaphandle yaye ibeka uxinzelelo kwiingcambu zemithambo-luvo umnqonqo.

Inkcazo kunye nokubekwa dorsopathies

iimeko yezifo spinal ezo nto ezinxulumene ne isifo izibilini zikhatshwa iintlungu adityaniswa iqela eyahlukileyo izifo kuthiwa dorsopathies. Ngokuhambelana nemigangatho yezizwe ngezizwe, zonke iintlobo dorsopathies yahlulwe ngokwamaqela amathathu:

• deforming dorsopathies - ezi ziquka deformation yomqolo, ngenxa yotshintsho IiCD intervertebral: eli qela ziquka kyphosis, zokufota, lordosis, spondylolisthesis, libya iqolo;
• spondylopathies - ezi ziquka zonke spondylopathies zonxinzelelo kunye arhabaxa;
• Okunye dorsopathies - iimpawu nobuhlungu entanyeni, umzimba okanye omzimba, izinto ezo ngenxa idiskhi ukubana okanye waphula umnqonqo.

Kuxhomekeka ngezifo, indawo imvelaphi ahluka: DDDS thoracic kunye empontshwa umqolo kunye umqolo wesibeleko DDDS. Ntoni na, siya kuqonda kamva. A phawu uphawu esi sifo kukuba iimpawu zesi sifo nganye iindawo zalapha, kwelinye icala, ziyafana kakhulu, kwelinye - iimpawu zazo ahlukile.

iintlobo DDDS

iimeko yezifo akholisa ukubakho empontshwa lomqolo. Ngokutsho oogqirha, esona sizathu siphambili oku uhamba ethe tye, kuba yena, enyanisweni, ngexabiso. Kakade, esi sifo awufumaneki emoyeni, yaye iphenjelelwa yimiba ezininzi (ukonakala ukutya, ukuphazamiseka kwenkqubo emithanjeni kwi nezihlunu le IiCD intervertebral, njalo njalo).

• DDDS kwalapho wesibeleko. Yintoni na? Ngokuqhelekileyo, oko dorsopathies evela entanyeni, inxalenye Icipande esifubeni, ezandleni. Ezinye izigulane ingxelo etshayo iintlungu iqaqamba phakathi yabe zamagxa, efana iimpawu angina. Xa dorsopathies wesibeleko ebona intlungu okwandileyo xa kugqiba okanye tilting intloko. Xa ngezifo yomqolo thoracic ukuze iintlungu esifubeni.
• DDDS empontshwa kwalapho. Kusenokwenzeka ukuba sikhatshwe yaphula uvakalelo le nasemiphakathweni namathanga ngaphakathi. Intlungu kungenzeka ngexesha elinye emilenzeni; kuvela Uvakalelo sehla ezisezantsi emva kwaye Uvakalelo nakubhontsi. ubuhlungu sokudubula, ukuncipha uvakalelo shin, iintlungu ezinyaweni, ukushwabana ezisezantsi umlenze kunye ngeempundu, ukulahlekelwa imisebenzi zangasese - zonke iimpawu dorsopathies empontshwa okanye DDDS umqolo lumbosacral.

amanyathelo zonyango

Wabonakala zenkqubo zophendlo lwezifo kwi umnqonqo zixhomekeke nenqanaba sifo, kwakunye kummandla kunye nobungakanani sisilonda. Nokubonakaliswa iphambili sifo intlungu. Njengoko sele kutshiwo ngentla apha, ebangele ukuba ntlungu ukwenza aqaqambayo, atshabalalisa iingcambu-luvo herniated ye umnqonqo, kunye nabanye. Ngokuqhelekileyo intlungu kwenzeka kuphela kummandla yomqolo, kodwa kutshintshelwa kwamanye amalungu omzimba. Ukongezelela kwintlungu kummandla ochaphazelekayo ukunciphisa ubuntununtunu, kunye buthathaka kwezihlunu.

Therapy isifo umqolo sisiba mandundu ezinokucothisa ekuhambeni isifo kwaye kuphuculwe umgangatho yesigulane yobomi. Zakhiwo yamanyathelo unyango ejolise ukuqinisekisa ukuba:

• Ukumisa ubuhlungu,
• inciphise ukutshatyalaliswa intlala
• nokujikeleza kwegazi umqolo olungqonge izicwili ezithambileyo,
• ukunciphisa ucinezelo ngayo amalungu omqolo omnye komnye,
• Angabuye izakhono motor nomonde.

iindlela zonyango ziquka ukusetyenziswa kweziyobisi, unyango ngokwasemzimbeni, ukuyifundisa.

DDDS: unyango kunye namayeza

Binzana ukuphelisa intlungu ngokufumana iziyobisi non-steroidal anti-ukudumba ezifana "ibuprofen" "ketoprofen" "Diclofenac". Ukusebenzisa la machiza, Noko ke, badla ezinxulumene lubandakanywe yeziphumo ebezingalindelekanga. Kulo mzekelo, uyakwazi ukubhenela yokwamkela sikhethe uthetha - yi "Lornoxicam", "Nimesulide", "Meloxicam".

Kwimeko apho kungekho kukhula kwi esihlunwini kunye ukuphazamiseka nokuhamba kwegazi sokudala nokusetyenziswa lidocaine zidityaniswe kunye iihomoni steroid. Lo mlinganiselo kunceda kuphele iintlungu ahlekise.

Ngokuyinxenye ukunciphisa le meko kwaye uza kuziphelisa zonke iintlungu ngokusebenzisa zonyango iintlungu udaka ( "Dorsaplast" "Nanoplast" et al.). Ukongeza, eso sifakiweyo ukuba ancede intlungu, nangoku inikeza kunye anti - nefuthe kummandla ochaphazelekayo lo mhlaba otsalayo. Sebenzisa isiziba kucetyiswa ziintlungu xa kusiyiwa isiqabu ngokukhawuleza kunye namanani. Le mveliso ayiqulathanga steroids, sebenzisa yona ukhululekile kakhulu: nesiziba akaphazamisani intshukumo, oko kukuthi, esha amagqabi akukho intsalela kwi kulusu kunye nempahla.

Ukuyifundisa and amathambo corsets

Ngaxeshanye kunye nokusetyenziswa kweziyobisi kwi unyango DDDS asebenza ngenkuthalo corsets wamathambo, leyo ukunciphisa intlungu imibhobho icandelo spinal ezonakeleyo. Ukuba inkqubo zophendlo lwezifo luchaphazela emqolo wesibeleko, esebenzisa ikhola Schanz. Le mveliso uye kuphela isiphumo uyafudumala, kodwa kunciphisa okwethutyana nokushukumisa umnqonqo kummandla ochaphazelekayo, nokuphelisa spasm kwezihlunu, inika iimeko efanelekileyo nokubuyiselwa izakhiwo ezonakeleyo.

Xa ngezifo spine thoracic usebenzisa semi-correctors, nto leyo isasaze ngengqiqo umthwalo ngapha emqolo, ukhulula kummandla ochaphazelekayo. Ukuba ingxaki kwenzeka emazantsi ngasemva, sebenzisa corsets lumbosacral. Amaxesha amaninzi babhenela ukusetyenziswa insoles wamathambo, ngokususa ingxenye lomthwalo ifuthe kwalapho.

Misa iintlungu uncedo ukuyifundisa. Ezi ziquka: electrophoresis, yokuthanjiswa, UHF, unyango ultrasound, unyango ngemagnethi.

Misa ukutshatyalaliswa intlala

Njengoko kukhankanyiwe ngasentla, unyango ngenxa DDDS ijolise hayi kuphela ukususa intlungu. Kubalulekile ukuba uyeke ukutshatyalaliswa intlala inyama nale kwesifo. Kuba oku kukho lonke uluhlu lwamachiza - chondroprotectors. Ezi ziquka :. "Chondroitin Sulfate", "glucosamine", njl Ngokufuthi, ukuphucula ifuthe amachiza zithathwa kunye. Kwimeko enjalo idinga idosi ngqo amayeza. Ngokuqhelekileyo, idosi "Glucosamine" imihla 1000-1500 mg, "sulfate chondroitin" - 1000 mg.

Ukuphucula igazi kwegazi kwi nezihlunu kummandla ochaphazelekayo, ungasebenzisa arhente antiplatelet kunye angioprotectors, eziquka iziyobisi "Pentoxifylline," "Aktovegin". Iivithamini kweqela B (umz: "Neyromultivit") ukunceda ukulungelelanisa iinkqubo pathways emzimbeni.

Ithuba yesiqhelo badla babhenele kwinkqubo imoto spinal, nto leyo inceda ukunyusa umgama phakathi omqolo nokunciphisa ifuthe lazo enye kwenye. Kubalulekile kwakhona ukuba bagcine umsebenzi motor rhoqo, ukomeleza inkqubo dystrophy esebenzisa impilo yomzimba.

ekuxilongweni

Ukuza kuthi ga ngoku, indlela ukuchonga isifo umqolo sisiba mandundu ayikwazi kubizwa ngokuba ogqibeleleyo nethembekileyo. Njengazo naziphi na ezinye izifo, DDDS uxilongo luqala axilongwe. Doctor kwincoko isigulane imisela indawo ngentlungu, ichaze ngoyo intlungu (umzekelo, utshintsho omzimba). Le specialist uya kuphuma isigulane ubukho zokonzakala emqolo wasiwa kunye nezifo ezinxulumene.

Okulandelayo, ugqirha wasikhangela izihlunu paravertebral yi Ngokucofa. Oku kukuvumela ukuba ukubona ubukho imisipha okanye ukufelwa vertebra. sifo Laboratory ibandakanya isifundo igazi yomguli yaye yenziwa ukuze kuqinisekiswe ubukho okanye ukungabikho iinkqubo ezosulelayo emzimbeni.

Kakade ke, indlela kakhulu efundisayo kuxilongo kwezimilo na ray spinal, Itomography ngekhompyutha (CT) kunye nemagnethi livakale umfanekiso (MRI). Electroneuromyography (electroneuromyographic) ukufumanisa unobangela sisilonda-luvo.