DDDS - kuyini? Sifo, izinhlobo, ukwelashwa

Ezinye zezifo ezingelapheki sabantu zokugula emgogodleni luthathe indawo yokugcina zokwelapha. Ubuhlungu ikholomu umgogodla, okuvela, bese inyamalala kwabanye kwesikhathi, ijwayelekile izakhamuzi eziningi emhlabeni. abantu bavamise ukungayinaki umkhankaso kuchwepheshe ukuze kutholakale imbangela yokushona umsuka izimo zokucabanga okubangelwa isifo. Kodwa kwaba nhlanga zimuka nomoya. Ayikho kuthathwa izinyathelo ezifanele ngesikhathi Sinike kuphakame imihlola engelapheki emzimbeni, ukunciphisa kakhulu izinga lesiguli zokuphila. pathologies okunjalo osebenza DDDS.

Sifo "DDDS" - kuyini?

isifo esiwohlozayo yomgogodla (DDDS) - a zokugula zezitho neuropathy isimiso sezinzwa ongoweGceke iqembu sezifo ezivamile abantu esingelapheki, has a uhlamvu yansukuzonke futhi ngokuvamile uholela ekubeni ukukhubazeka. Ngokuvamile lesi sifo kwenzeka abantu abaseminyakeni yokusebenza. Ngeshwa, akukho iphuzu ezivamile umbono ngomsuka DDDS namuhla. Kusho ukuthini? Azikho izindlela ezanele futhi ngempumelelo ukuthola futhi ekwelapheni lesi sifo.

Kukholakala ukuthi okuvela zokugula kwenzeka ngenxa yezizathu eziningana:

• ngenxa yendawo nokulayishwa vertebral ezinyakazayo izingxenye (PDS);
• ngenxa decompensation kumasistimu ukudla.

Kusukela DDDS - isifo okuqhubeka iminyaka, ezenzeka izinguquko emzimbeni wesiguli ungasenakululama. Ngakho-ke, ukusimama ingqikithi isiguli ezimweni eziningi engenakwenzeka. izinyathelo zokwelapha yenzelwa kuphela ekubuyiseleni umsebenzi evamile yomgogodla nokuqedwa kokugula emtholampilo.

Isizathu sokuba wonke - osteochondrosis

Lesi sifo kuholela ukwehluleka motor nemisebenzi izingxenye umgogodla, okuyinto luhambisana nomthwalo semfene ilandelana wonke umzimba womuntu. Kwenzeka kanjani lokhu? Kukholakala ukuthi osteochondrosis izenzo kushiya izindawo elivela kuzo DDDS. Kuyini lokhu zokugula? Esikhathini amazwe CIS, kwezokwelapha libizwa osteochondrosis izinguquko esiwohlozayo e izakhiwo cartilaginous ka ikholomu umgogodla. Imbangela esiwohlozayo disc isifo yilezi:

• yofuzo,
• iziyaluyalu we semithambo ukunikezela ngemoto,
• ukungawuvivinyi umzimba,
• yokusebenza kahle ehleliwe (esihlalweni ungakhululekile noma ithebula)
• umsebenzi ngokomzimba uthwala izinto ezisindayo,
• ukhuluphele.

izinguquko Kancane Kancane isakhiwo uqwanga kuholela ehle ukuhamba amathambo, ukwehlisa therebetween ibanga, ukungondleki eduze ezicutshini emgogodleni. Uma inqubo egijima akagcini ekuthuthukiseni vertebral noma extravertebral syndrome. 4 Hlukanisa izizathu eyasho kwakhiwa sifo:

• kokucindezelwa - lesi sifo iqala ukuba baqinise amakhanda ngenxa sindisa mechanical motor izingxenye yomgogodla okuholela kokucindezelwa izimpande ezinzwa;
• disfiksatsionnaya - zokugula kuphakama ngenxa buthakathaka motor kokungathembeki izingxenye yomgogodla;
• disgemicheskaya isizathu - zokugula kwenzeka ngokumelene isizinda ukuphazamiseka microcirculation kwezicubu eseduze akwazi ukugcina intervertebral yomgogodla endaweni ukulimala;
• Aseptic ukuvuvukala isizathu - zokugula kwenzeka ngokumelene ingemuva ukuvuvukala kule umgogodla ezinyakazayo izingxenye.

Isakhiwo yomgogodla

Emgogodleni kuyinto sebuningini amathambo, kwakhiwa ngasinye sazo ngumtimba kanye arc. Amathambo okungadingeki eyodwa ngaphezu kwamanye futhi zenze insika ku Ingcenye ephakathi yesigaba oludlula umsele umgogodla - uhlobo Umhubhe kwakwande nezinzwa nempahla.

Amathambo abahlukene uqwanga - disc intervertebral eyayakhiwa fibrosus annulus futhi pulposus-nucleus. Ring uyangenelela ingxenye umthwalo disc. Nokho, ngo-umzimba abasha nucleus pulposus 90% amanzi, okuqukethwe ketshezi yalo incipha ngokuhamba kwesikhathi. I pulposus nucleus - lo mfutho ukushaqeka, okuyinto lishintshe indlela elakheke ngayo ngaphansi komthwalo, ngalokho lunikeze nezimo of yomgogodla futhi awuvikele ekubhujisweni.

Ikholomu vertebral bevela kuzo zonke izinhlangothi futhi waqinisa nemisipha futhi uhlelo kwemisipha. imisipha nemisipha ukunciphisa umthwalo phezu akwazi ukugcina nezihlanganiso. Nokho, eminyakeni edlule, ngenxa izici ezihlukahlukene, kukhona kuyaqina ukwehla uqwanga. Isebenzisa mshini isifo uthi.

Njengoba kukhona inqubo sokugembula

Ukwephulwa ukuma, ukhuluphele, izinsimbi, ukuhlala isikhathi eside ukuma okungalungile izici ungakhululekile nezinye nomphumela yokuthi okuqukethwe uketshezi kule disk uqala wehlise, zinyamalale kuyaqina isakhiwo cartilaginous. Ngaphansi kwethonya la maqiniso angenhla kwandisa umthwalo phezu fibrosus annulus, Imicu yotshani yayo ayaphuka. kukhona ukuvuvukala, kwakheka isibanda izicubu is ngesikhathi sekhefu.

Lapho nezibazi kuba ngezinga elikhulu, kukhona ezedlulayo we nemithambo yegazi le akwazi ukugcina intervertebral. Kancane kancane ukuphakama disc kuyehla, ukuze ibanga phakathi amathambo eduze kuyehla ehle futhi elula nemisipha, kwandisa umthwalo emalungeni intervertebral. Umphumela ukubhujiswa uqwanga. Izingcupho kumiswa DDDS. Kusho ukuthini? I Imicu yotshani indandatho fibrous ngesikhathi ingcindezi ngale umzimba vertebral, ashiselwe kubo vertebra onqenqemeni futhi ushintshe isikhundla sazo esifanele, kwakhiwa bony neziqu - osteophyte. I disc intervertebral is uqale ukucindezela, kanye wancipha ukuhamba umgogodla. Ngokuvamile uma lokhu kwenzeka ubuhlungu syndrome.

Intervertebral hernia disc ingabagulisa ukuthuthukiswa zokugula. ingxenye herniated ngokuthi i-nucleus pulposus, okuyinto wafohla fibrosus annulus, ngalé futhi ubeka ingcindezi izimpande emsipheni we nomgogodla.

Incazelo kanye nokubekwa ngezigaba dorsopathies

izimo zokucabanga okubangelwa isifo umgogodla lapho awahlobene ne isifo izibilini ahambisana ubuhlungu ehlangana iqembu ahlukene izifo ngokuthi dorsopathies. Ngokuhambisana namazinga omhlaba, zonke izinhlobo dorsopathies zihlukaniswe amaqembu amathathu:

• deforming dorsopathies - lezi zihlanganisa ukusonteka yomgogodla, ngenxa yezinguquko le akwazi ukugcina intervertebral: leli qembu zihlanganisa kyphosis, ukugobeka komhlandla, lordosis, spondylolisthesis, ukhwaliti ubuhlungu emuva;
• spondylopathies - lezi zihlanganisa zonke spondylopathies kuhlasimulise futhi ukuvuvukala;
• Okunye dorsopathies - izimpawu of nobuhlungu entanyeni, umzimba noma nemilenze, engewona nokho ngenxa disc ukufuduka noma ukwephulwa emgogodleni.

Kuye zokugula lendawo Lokudabuka ababonakali ngezikhundla: DDDS thoracic kanye lumbar nomgogodla nomgogodla wesibeletho DDDS. Ukuthi kuyini, siyowuqonda kamuva. Isici nobuntu isifo ukuthi izimpawu zesifo ngamunye ezindaweni kwasendaweni, ngakolunye uhlangothi, zifana kakhulu, ngakolunye - babe izici zawo siqu ehlukile.

izinhlobo DDDS

izimo zokucabanga okubangelwa isifo ngokuvamile zenzeka lumbar nomgogodla. Ngokusho odokotela abaningi, isizathu esiyinhloko salokhu ohamba umuntu waba qotho, njengokuba, eqinisweni, ukukhokha intengo. Yiqiniso, lesi sifo ingekho a cleaner, futhi kuthonywa izici eziningana (ukudla ukuwohloka, iziyaluyalu kohlelo lymph e izicubu akwazi ukugcina intervertebral, njll).

• DDDS nomgogodla wesibeletho. Kuyini lokhu? Njengomthetho, ke dorsopathies zingaveli entanyeni, ingxenye anterior kwesifuba, ezandleni. Ezinye iziguli ukubika evutha ezidabukile ubuhlungu phakathi izindwani ehlombe, efana izimpawu angina. Lapho dorsopathies wesibeletho waphawula ubuhlungu kakhudlwana lapho ukuvula noma ngokutshekisa ikhanda. Esikhathini zokugula yomgogodla thoracic Ungezwa ubuhlungu esifubeni.
• DDDS lumbar nomgogodla. Kungase kuhambisane kokunikezwa kwe-nozwela imbilapho namathanga kwangaphakathi. Ubuhlungu kungenzeka kanyekanye imilenze yomibili; avele ukuzwela wancipha kule aphansi emuva nozwela uzwane enkulu. ubuhlungu yokudubula, ukwehla ukuzwela shin, unyawo ubuhlungu, ukukhubazeka we umlenze aphansi nezinqe, ukulahlekelwa imisebenzi okhalo - zonke izimpawu dorsopathies le lumbar noma DDDS emgogodleni lumbosacral.

izinyathelo zokwelapha

I kuwukubonakaliswa inqubo sokugembula kabuhlungu emgogodleni kuxhomeke nesigaba lesi sifo, kanye nesifunda kanye nezinga lesion. Ukubonakaliswa eyinhloko lesi sifo ubuhlungu. Njengoba kuphawulwe ngenhla, imbangela yobuhlungu kungenza zibe imisipha, isicaba herniated ezinzwa izimpande emgogodleni, nabanye. Ngokujwayelekile ubuhlungu kwenzeka hhayi kuphela endaweni yomgogodla, kodwa futhi adluliselwe kwezinye izingxenye zomzimba. Ngaphezu ubuhlungu endaweni ethintekile kungehlisa ubukhali, futhi ukuba buthakathaka kwezicubu.

Ukwelashwa esiwohlozayo emgogodleni isifo engabambezela Yiqiniso lesi sifo futhi bathuthukise izinga lesiguli zokuphila. I eziyinkimbinkimbi izinyathelo zokwelapha luhlose ukuqinisekisa ukuthi:

• ukumisa ubuhlungu,
• ukubambezela ukubhujiswa uqwanga,
• nokujikeleza kwegazi emgogodleni ezizungezile kwezicubu ezithambile,
• ukunciphisa kokucindezelwa ka amathambo komunye nomunye,
• emuva esigulini motor amakhono.

izindlela zokwelapha zihlanganisa ukusetshenziswa kwezidakamizwa, ukubhucunga nokunyakazisa umzimba, Physiotherapy.

DDDS: ukwelashwa ngemithi

Isengezo ongaqeda ubuhlungu ngokuthola imithi non-steroidal anti-inflammatory ezifana "ibuprofen" "ketoprofen" "Diclofenac". Ukusebenzisa le mithi, kodwa, zivame ezihlobene okuvela amathuba okuba nemiphumela engemihle. Kulokhu, ungakwazi iphendukele reception abakhethayo kusho - kuyinto "Lornoxicam", "Nimesulide", "Meloxicam".

Esimeni yokujama tsi e imisipha futhi ukuphazamiseka kwegazi asesebenzisa ukusetshenziswa lidocaine lihambisana hormone steroid. Lesi isilinganiso Kusiza ekudambiseni ubuhlungu oyingozi.

Kancane ekudambiseni isimo futhi uyoqeda ubuhlungu ngokusebenzisa zokwelapha analgesic usimende ( "Dorsaplast" "Nanoplast" et al.). Ngaphezu kwalokho, isichibi ukuthi aqede ubuhlungu, wayesalokhu inikeza anti - umthelela Endaweni ethintekile kazibuthe. Sebenzisa patch Kunconywa njengoba e ahlekise impumuzo esheshayo futhi amanani. Umkhiqizo ayiqukethe steroid, ulisebenzise sisekhaya: isichibi akusho sivimbele ukuqhubekela, ke ayinaphunga, engashiyi ezisalayo esikhunjeni kanye izingubo.

Physiotherapy kanye wamathambo corsets

Kanyekanye ukusetshenziswa kwezidakamizwa ekwelapheni DDDS ngenkuthalo ukusebenzisa corsets wamathambo, okuyinto ukunciphisa ubuhlungu by ukulungisa ezilimele ingxenye umgogodla. Uma inqubo sokugembula kuthinta nomgogodla wesibeletho, usebenzisa collar Schanz. Umkhiqizo akanalo nje umphumela ukufudumala, kodwa kunciphisa okwesikhashana ukuhamba yomgogodla endaweni ethintekile, aqede imisipha spasm, inikeza izimo ezikahle wokubuyiselwa izakhiwo ezilimele.

Esikhathini zokugula we emgogodleni thoracic usebenzisa semi correctors, okuyinto ngokukhalipha ihambisa umthwalo yonkana yomgogodla, ekupholiseni endaweni ethintekile. Uma inkinga kwenzeka ezansi ngemuva, sebenzisa corsets lumbosacral. Ngokuvamile ziphendukela ukusetshenziswa insoles wamathambo, nokususa ingxenye umthwalo umthelela nomgogodla.

Misa ubuhlungu futhi usize njengoba Physiotherapy. Lezi zihlanganisa: electrophoresis, massage, UHF, ukwelashwa ultrasound, ukwelashwa kazibuthe.

Misa ukubhujiswa uqwanga

Njengoba kushiwo ngenhla, sokuvivinya DDDS kuhloswe hhayi kuphela ukuqeda ubuhlungu. Kubalulekile ayeke ukubhujiswa uqwanga izicubu nale uphethwe. Ngenxa yalokhu kukhona lahlukene izidakamizwa - chondroprotectors. Lezi zihlanganisa :. "Chondroitin sulfate", "glucosamine", njll Ngokuvamile, ukuthuthukisa umphumela izidakamizwa zithathwa ndawonye. Esimweni esinjalo kudinga umthamo eqondile kwemithi. Ngokuvamile, umthamo "Glucosamine" nsuku zonke 1000-1500 mg, "chondroitin sulfate" - 1000 mg.

Thuthukisa kwegazi izicubu endaweni ethintekile, ungasebenzisa ejenti antiplatelet futhi angioprotectors, okuhlanganisa nezidakamizwa "Pentoxifylline," "Aktovegin". Amavithamini of iqembu B (isb, "Neyromultivit") ukusiza silinganise izinqubo umzimba emzimbeni.

Isikhathi ukuvuselelwa ngokuvamile ziphendukela inqubo traction umgogodla, esiza ukwandisa ibanga phakathi amathambo futhi sinciphise umthelela wabo nomunye. Kubalulekile futhi ukuba silondoloze njalo motor umsebenzi, ukuqinisa uhlelo kwemisipha esebenzisa ukuze athole ukwelashwa komzimba.

ukuhlola

Kuze kube manje, indlela ukuhlonza esiwohlozayo emgogodleni isifo singalapheki ngokuthi ephelele futhi eqotho. Njenganoma iyiphi enye isifo, DDDS uphethwe iqala lapho ngihlolwa. Doctor e ingxoxo isiguli inquma indawo ubuhlungu, Lembula nezici ukuthi kungaba ngcono ubuhlungu (isib, ushintsho isikhundla umzimba). Lo chwepheshe uyophinde ukuthola kusuka isiguli ukuba khona idluliselwe balimala eqolo izifo ezihlobene.

Ngokulandelayo, udokotela ehlola imisipha paravertebral ngu palpation. Lokhu kukuvumela ukuthola khona ukungezwani kwemisipha noma ukushonelwa vertebra. Laboratory uphethwe kuhilela isifundo umthamo wegazi lesiguli kanye wenziwa ukuze amise khona noma ukungabi khona izinqubo ezithathelwanayo emzimbeni.

Yiqiniso, indlela kakhulu ulwazi ka ukuhlola zokugula kuyinto esimweni umgogodla, tomography ngekhompyutha (CT) futhi i-magnetic resonance imaging (MRI). Electroneuromyography (electroneuromyographic) ukunquma imbangela lesion emsipheni.