Kupweteka kumbuyo ndizovuta komanso osati zosachitika. Zimabweretsa mavuto osaoneka bwino ndipo zikhoza kuwonetsa kuyambika kwa matenda opweteka a spondylarthrosis. Amatchulidwa ku magulu a "matenda okalamba", chifukwa odwala pafupifupi 80% ali okalamba, koma pali chizoloŵezi "chotsitsimutsa" matendawa.
Zizindikiro za kuwonongeka kwa spondylarthrosis
Matendawa amachokera kumbali ya osteochondrosis, chifukwa cha kuwonongeka kwa mapangidwe a intervertebral. Mphuno yamtsempha spondylarthrosis imayamba ndi maonekedwe a dystrophic kusintha mu intervertebral discs, amatha kutaya ndi kutaya, zomwe zimaphatikizapo kugonjetsedwa kwa mafupa a vertebrae. Matendawa amapezeka mu mawonekedwe osatha, ndipo njira yoononga imadutsa kuchokera ku vertebra imodzi kupita ku chimzake, pofera mitsempha ya mitsempha. Izi zimapangitsa kuti zikhale zowawa nthawi zonse kumbuyo. Matenda opweteka ndiwo chizindikiro chachikulu cha kuyamba kwa matendawa. Pamene matendawa akuyamba, zotsatirazi zikuphatikizidwapo:
- kutayika pang'ono kwa kuyenda;
- kufooka kwa miyendo;
- kuperewera kwa ululu m'magulu osiyanasiyana a thupi;
- zosokoneza zosokoneza ntchito;
- neuralgia wa mitsempha ya sciatic.
Deforming spondylarthrosis ya msana wam'mimba
Matendawa, monga lamulo, amapezeka pambuyo pa katundu wautali wautali. Deforming spondylarthrosis ya msana wam'mimba amapezeka mu odwala omwe amathera nthawi yambiri atakhala kapena akuima. Kumapeto kwa tsikuli, amamva ululu wopweteka kwambiri m'madera omwe amapezeka m'madera ozungulira, omwe ndi chizindikiro chachikulu cha kuyamba kwa matendawa. Ngati simunayankhe pa nthawi ya alamu, pakapita nthawi, ululu umakhala wamuyaya ndipo zizindikiro zatsopano zikuchitika:
- Kupweteketsa kwa minofu m'deralo, komwe kumayambitsa kuuma kwa m'mawa, kungachepetsedwe mothandizidwa ndi zochepetsera zochepa;
- kupweteka kwakukulu pamene akusintha malo a thupi, omwe amapezeka pambuyo pa katundu wautali wautali;
- Nthawi zambiri ululu umatuluka kumtunda, makamaka pakuyenda;
- pa palpation, dera lotentha limayambitsa zowawa zazikulu zomwe zingathe kuchepetsedwa, ngati kugwedezeka pang'ono;
- pamene kusinthasintha kwazitsulo, chivundikiro cha khalidwe chimveka.
Deforming spondylarthrosis ya msana wa thoracic
Mtundu uwu wa matenda ndi wosawerengeka. Mphuno ya thoracic imateteza nthiti. Zilibe zogwiritsidwa ntchito ngati mbali zina za mitsempha ya mafupa, choncho zimakhala zosagonjetsedwa kwambiri. Deforming spondylarthrosis ya dera la thoracic ndi matenda aakulu, zotsatira zake zomwe zimachitika opaleshoni. Zimadziwika ndi zizindikiro zotere:
- Kupweteka kwapadera kwa malo omwe akukhudzidwa;
- mpweya wochepa, mpweya wochepa;
- kumverera kozizira mu chifuwa;
- kuchepetsa kuyenda;
- kuoneka kosavuta kumva m'mimba kapena chiwindi;
- kupanikizika kwa mitsempha yowonongeka;
- Chizindikiro cha ululu chimawonjezeka pambuyo povutitsidwa;
- mapangidwe a scoliosis ndi kyphosis;
- chitukuko cha intercostal neuralgia.
Deforming spondylarthrosis ya msana wa msana
Akatswiri ambiri amavomereza kuti lingaliro lachipatala chotchedwa spondylarthrosis la khola lachiberekero limayambira pambali ya kale osteochondrosis. Kufufuza kwa nthawi yoyenera ndi kuchiritsidwa bwino kwa matenda opweteka kudzakuthandizani kupeŵa mavuto aakulu. Zizindikiro zazikulu za matendawa, zomwe siziyenera kunyalanyazidwa, ndi izi:
- matenda opweteka ngati mawonekedwe opweteka nthawi zonse m'khosi;
- kupweteka kwa minofu ya minofu kukuyambitsa kupweteka kosalekeza, kubwereranso ku nape ndi dzanja;
- Panthawi, palifooka m'dera la mapewa, kuuma kwa kayendetsedwe ka kayendetsedwe kake, kugwirizana sikutha;
- kumva ndi masomphenya zingakhale zovuta;
- Potsutsana ndi malingaliro a mutu mutu wachinsinsi umamveka;
- kugona kosokonezeka;
- Nthawi zina neuralgia imayamba.
Kuzindikira kwa spondylarthrosis
Tsatanetsatane wa matendawa ndi kusonkhanitsa mosamala anamnesis muzofufuzidwa ndi odwala. Perekani spondylography - x-ray mu ziwonetsero ziwiri. Kuonjezerapo, msanawo umafufuzidwa pogwiritsa ntchito computed tomography (CT), angiography, ndi maginito imaging resonance. Mu zithunzi za MRI, zizindikiro za kuwonongeka kwa spondylarthrosis zimakhala ngati zovuta zowonjezera mafupa komanso zowonongeka kwa msana. Njira imeneyi yothandizira imathandizira kupeza matendawa pamagulu osiyanasiyana.
Spondylarthrosis - mankhwala
Matendawa sangakhoze kuchiritsidwa kwathunthu, kotero kuti njira zonse zothandizira zimangokhala kuthetsa ululu ndi kuchepetsa kukula kwa matendawa. Dokotala akapeza kuti ali ndi vuto, mankhwala amatha. Zimaphatikizapo njira zosiyanasiyana:
- Kuti muthe kupweteka kwa matendawa, mankhwala a spondylarthrosis amagwiritsidwa ntchito.
- Pofuna kulimbitsa minofu yam'mbuyo, odwala amapatsidwa njira zothandizira thupi, kuchita masewera olimbitsa thupi ndi kusisita.
- Ndibwino kuti muzivala corsets yapadera.
- Kupweteka kosalekeza komanso kwa nthawi yayitali kumachotsedwa poika steroid mwachindunji kumalo opatsirana.
- Wodwala amachizidwa ndi opaleshoni pamasitepe 3 ndi 4.
Deforming spondylarthrosis ya mphuno yam'mimba - mankhwala
Thandizo lothandiza la matendali limadalira chidziwitso cha kafukufuku wamagetsi, chisamaliro chonse cha wodwala, ndipo chimaphatikizapo njira zonse zomwe tazitchula pamwambapa. Amafuna kuthetsa kutupa ndi ululu. Popeza kupunduka kwa spondylarthrosis kwa msana wamphongo kungachititse kuti thupi lizikhala lopanda mphamvu, jekeseni za intraarticular zimagwiritsidwa ntchito pochiza.
Deforming spondylarthrosis wa khola lachiberekero - mankhwala
Kuchiza kwathunthu deforming spondylarthrosis ya khola lachiberekero sizingatheke, koma ngati matendawa apangidwa pa nthawi - mungapewe chitukuko china. Njira ziwiri:
- thupi;
- mankhwala osokoneza bongo.
- Mankhwala omwe amagwiritsidwa ntchito kumayambiriro kwa matendawa. Zili ndi ntchito zingapo:
- minofu yothandizira;
- zovuta zochitika zochiritsira;
- Kuthamanga kwa msana pansi pa madzi;
- kuchitsulo;
- kugwiritsa ntchito zolemba zachipatala;
- njira zochepetsera matenda opweteka;
- osteopathy.
Chithandizo chachipatala cha deforming spondylarthrosis cha khola lachiberekero chimagwiritsidwa ntchito panthawi ya kuchuluka kwa matendawa. Mankhwala onse ali ndi zotsatira zoopsa. Choncho, iwo ayenera kutengedwa mwatchutchutchu. Kuti achotse matenda opweteka komanso kuthetsa kutupa, madokotala amalangiza kuti:
- mankhwala osakanikirana ndi otsekemera;
- osati mankhwala osokoneza bongo;
- chokha;
- multivitamins;
- mafuta ndi lotions;
- Kukonzekera kuchokera ku chondroitin ndi glucosamine.
Wodwala aliyense amalembedwa mankhwala mwazochitika, kutsogoleredwa ndi zizindikiro ndi zotsutsana, komanso kuganizira za umunthu wa thupi.
Spondylarthrosis ya thoracic msana - mankhwala
Kuchotsa zizindikiro za matenda mu thoracic kumapangidwanso m'njira zovuta. Gulu la mankhwala a NSAID ndi maphunziro a chondroprotective treatment akulamulidwa. Popeza kuti matendawa nthawi zambiri amatha kusokoneza neuralgia, kukonzekera steroid kungagwiritsidwe ntchito, ndipo ndi matenda opwetekedwa kwambiri, novocain blockade ikuchitidwa. Spondylarthrosis ya dera la thoracic imafuna magawo ambiri a physiotherapy:
- HILT-mankhwala;
- chotsutsana;
- magnetotherapy ;
- cryotherapy.