Osteochondrosis nke thoracicbụ mgbanwe dystrophic degenerative na diski intervertebral nke ọkpụkpụ azụ thoracic.
Akụkụ a nke ọkpụkpụ azụ nwere vertebrae iri na abụọ. Ọ bụ ekwentị kacha nta ma na-echebe ya nke ọma site na muscular corset. N'ihi ihe ndị a, thoracic osteochondrosis bụ ọrịa dị ụkọ karịa osteochondrosis nke cervical ma ọ bụ lumbar spain. Ma, n'inyere usoro n'ozuzu na-aga n'ihu na mmụba nke osteochondrosis, ikpe osteochondrosis nke dị na mpaghara thoracic na-arịwanye elu.
Ihe na-akpata thoracic osteochondrosis
Isi ihe kpatara osteochondrosis thoracic, dị ka ụdị osteochondrosis ndị ọzọ, bụ mgbanwe mmebi na anụ ahụ na mmebi nke usoro metabolic n'ihi erighị ihe na-edozi ahụ na ibu na-enweghị isi na diski intervertebral. Thoracic osteochondrosis na-emekarị n'ihi ịnọ ọdụ ogologo oge na ọnọdụ enweghị isi na enweghị ahụ iru ala - na tebụl ụlọ ọrụ, mgbe ị na-anya ụgbọ ala, yana n'ihu scoliosis, nke na-emepụta ibu na-enweghị isi na ọkpụkpụ azụ. Ọdịdị nke mgbu na-eme na thoracic osteochondrosis na-ekpebi ụdị abụọ nke mgbaàmà nke ọrịa a - dorsago na dorsalgia.
A na-egosipụta ngosipụta nke dorsago site na nnukwu ihe mgbu, nke nwere ọdịdị nke mwakpo mberede. Na mgbakwunye na obere mmegharị azụ, ihe isi ike iku ume nwere ike ime.
N'ụzọ megidere nke ahụ, na dorsalgia, ihe mgbu dị na mpaghara diski ndị emetụtara na-adịte aka, dị nro ma na-ejikọta ya na njedebe dị nta na lumbar-thoracic ma ọ bụ cervicothoracic spine.
Ọwara azụ azụ na mpaghara thoracic dị warara nke ukwuu. Ya mere, ọbụna na obere-sized protrusions na hernias na thoracic osteochondrosis, mkpakọ nke eriri afọ nwere ike ime. Ọnọdụ a dị ize ndụ karịsịa n'ihi nanwere ike ịkpata nsogbu na obi, imeju, akụrụ na pancreas. Ya mere, ọgwụgwọ thoracic osteochondrosis n'oge dị oke mkpa iji gbochie nsogbu.
Ihe dị iche iche nke thoracic osteochondrosis bụ na mgbaàmà ya nwere ike ịhie ụzọ dị ka ihe mgbaàmà nke ọrịa ndị ọzọ. Ya mere, a na-akpọ ọrịa a "ọrịa chameleon. "Na mgbakwunye na ọrịa obi vaskụla dị ka angina na nkụchi obi, thoracic osteochondrosis na-eṅomi mgbu sitere na appendicitis, cholecystitis, renal colic, yana ọrịa nke eriri afọ tract dị ka gastritis, peptic ọnyá afọ, colitis (gastralgic syndrome).
Ọ bụrụ na a na-enyo enyo osteochondrosis nke thoracic, a ga-emerịrị nyocha nke ọma ka e wee nwee ike ịmata ọdịiche dị na osteochondrosis nke thoracic na ọrịa ndị ọzọ.
Mgbaàmà nke thoracic osteochondrosis
Site na osteochondrosis thoracic, mmetụta mgbu na ahụ erughị ala na-apụta. A na-ahụ ya n'ime obi, obi, azụ, akụkụ na elu afọ. Ihe mgbu na-esiwanye ike site na iku ume na iku ume, yana site na mmegharị. Enwere ike inwe mmetụta nkwụsị nke ogwe aka ekpe na mpaghara interscapular, nke nwere ike ịchọ ECG. Site na osteochondrosis thoracic, ihe mgbu yiri intercostal neuralgia nwere ike ime, nke na-agbapụta na scapula.
Ọtụtụ mgbe, ihe mgbu nke thoracic osteochondrosis na-akawanye njọ n'abalị, dị ka nkụchi obi, na-akpata egwu ọnwụ, ya mere enwere ike ịhie ụzọ maka mgbu obi na angina pectoris a na-enyo enyo. Ọdịiche ha na ọgụ angina bụ na ihe mgbu n'oge thoracic osteochondrosis adịghị ebelata site na nitrates, na ECG anaghị ekpughe ihe ịrịba ama pathological e ji mara ọrịa a. N'otu oge ahụ, ịṅụ ọgwụ obi adịghị arụ ọrụ nke ọma; a na-enweta ihe mgbu site n'ịgwọ ọrịa ahụ n'onwe ya.
Ọ bụrụ na mgbaàmà nke thoracic osteochondrosis na-adabere na ọnọdụ na usoro nke kpatara usoro pathological, ọtụtụ mgbe ọrịa ahụ na-esonyere mkpakọ nke mgbọrọgwụ ọkpụkpụ. Mgbagwoju anya nke thoracic osteochondrosis na-adịkarị obere bụ mkpakọ nke eriri azụ.
Ihe mgbaàmà nke mkpakọ nke akụkụ radicular (radiculopathy)
Ọtụtụ mgbe a na-egosipụta osteochondrosis thoracic site na radiculopathy, nke na-etolite mgbe diski intervertebral herniated pụtara. Ọ nwere ike ime n'ọkwa ọ bụla, mana hernias nke akụkụ dị ala nke mkpanaka na-adịkarị. Mgbaàmà nke radiculopathy na-apụta ozugbo emegachara ahụ ma jiri nwayọọ nwayọọ na-abawanye ọtụtụ izu.
Ọ bụrụ na ihe mgbaàmà na ngosipụta ụlọ ọgwụ nke thoracic osteochondrosis jikọtara ya na protrusion ma ọ bụ herniation nke diski dị n'akụkụ elu nke spine thoracic, nke a ga-abụ ihe mgbu n'ubu, nkwonkwo ubu, scapula, obi ma ọ bụ oghere afọ.
N'ụzọ bụ isi, ihe mgbaàmà nke thoracic osteochondrosis na-adabere na ntụziaka nke hernia: ọ bụ n'akụkụ ma ọ bụ etiti. Thoracic osteochondrosis, nke mgbagwoju anya site na protrusion ma ọ bụ n'akụkụ hernia, ga-esonyere ya na ihe mgbu nke otu, na mgbakwunye, nkwụsị nke mmetụta uche na mgbu na ọkwa nke hernia nwere ike ịpụta. Mgbe hernia dị n'akụkụ pụtara, ihe mgbaàmà nke mkpakọ dị ntakịrị ma gbanwee. Mgbu ahụ ga-akawanye njọ site na mmegharị nke ọkpụkpụ azụ, ụkwara, ma ọ bụ iku ume. Mgbe hernia nke etiti na-eme, ihe mgbu na-adị ogologo ma na-adịgide adịgide, ọ nwere ike ịdịru izu. Ihe ize ndụ bụ isi na nke a nwere ike ịbụ n'ihi mkpakọ nke akụkụ ọkpụkpụ azụ.
thoracic osteochondrosis na mkpakọ nke eriri afọ (mkpakọ myelopathy)
Myelopathy nke spine thoracic nwere ike ịdị obere. Nke a bụ n'ihi njirimara ọrụ yana anatomical. N'okwu a, ihe mgbaàmà nke osteochondrosis thoracic bụ mgbu mpaghara ma ọ bụ gburugburu ebe obibi, nhụjuanya, adịghị ike na ụkwụ, na arụ ọrụ nke akụkụ pelvic. Mgbu ahụ nwere ike ịgbasa na ukwu, afọ, oghere intercostal ma ọ bụ gbasaa na ụkwụ.
Ngosipụta ụlọ ọgwụ nke thoracic osteochondrosis
Thoracic osteochondrosis dị ka ọrịa nọọrọ onwe ya ma ọ bụ yana nchikota osteochondrosis nke akụkụ ndị ọzọ nke ọkpụkpụ azụ bụ ihe a na-ahụkarị. Otú ọ dị, a na-ahụta ihe ngosi ụlọ ọgwụ nke ụdị osteochondrosis a, ma e jiri ya tụnyere osteochondrosis nke cervical na lumbar spine, a na-ahụta nke ọma ugboro ugboro, na ọrịa ndị achọpụtara adịghị egosipụta nke ọma.
A naghị egosipụta thoracic osteochondrosis nke ụlọ ọgwụ site na "ịtọhapụ" nke SDS ma ọ bụ nchụpụ nke vertebrae dị n'akụkụ. Usoro arthrosis na akụkụ elu na nke dị ala nke spine thoracic, nke na nhazi na ọrụ dị nso na akụkụ cervical na elu lumbar, n'otu aka ahụ, a na-eji mgbaàmà ndị kwekọrọ na mgbaàmà maka cervical na lumbar osteochondrosis. N'otu oge ahụ, ha na-egosipụta njirimara ụlọ ọgwụ nke dị naanị na ọkpụkpụ thoracic. Ndị a na-agụnye intercostal neuralgia, costovertebral na costotransverse arthrosis, nke na-egosipụta site na mgbu nke ike dị iche iche, na-esiwanye ike site na mkpali miri emi na ụkwara. Ọtụtụ mgbe na-adịgide adịgide, obere mgbe paroxysmal. Na intercostal neuralgia, a na-ekpebi ihe mgbu n'akụkụ oghere intercostal. Na costovertebral na costotransverse arthrosis, ihe mgbu na-abawanye na nrụgide na ọgịrịga ma na-etinye ya na mpaghara nke paravertebral akara.
Vertebrogenic syndromesna thoracic larịị - bụ isi reflex ngosipụta: muscular-tonic, neurodystrophic na vasomotor. Ọ siri ike ịmata ọdịiche nke vertebrogenic muscular-tonic, dystrophic na vaskụla reflex ngosipụta nke thoracic larịị, na-esonyere mgbu na azụ, na-akọwa dị ka dorsalgia, na n'akụkụ nke ihu mgbidi obi - dị ka pectalgia, ma ọ bụrụ na a kapịrị ọnụ ọrịa. enweghị ike guzobe.
A na-eji osteochondrosis nke thoracic, yana ọrịa static na akwara ozi, site na mgbagha visceral reflex nke obi, eriri afọ, na sistem genitourinary. Mgbu na mpaghara obi (pseudoanginal syndrome) nwere ike ime dị ka mmeghachi omume reflex na mgbakasị nke ndị na-anabata nke cervical na elu thoracic emetụtara. Vertebrogenic pseudoanginal mgbu dị iche na anginal mgbu ọ bụghị naanị na ọnọdụ, kamakwa na oge nke ọgụ, na ha dabere na ọnọdụ nke spain, na na-adịghị arụ ọrụ nke nitrates. Ndị a bụ ihe a na-akpọ pectalgia, ma ọ bụọrịa mgbidi obi n'ihu. Ekwesịrị ịtụle ọrịa mgbidi obi n'ihu n'ụdị atọ, nke sitere na cervical, thoracic na cervicothoracic pathology. Site na nhọrọ ndị a niile, na-egbu mgbu na reflex muscular-tonic, dystrophic na neurovascular mgbanwe na-etolite na pectoralis isi akwara na anụ ahụ ndị ọzọ nke mgbidi azụ azụ. Ihe mgbu na-esiwanye ike na mgbatị anụ ahụ na mọzụlụ nke obi, mgbe ọ na-atụgharị isi na ọkpụkpụ, ma ọ bụghị mgbe mmetụta uche, nchekasị anụ ahụ n'ozuzu ma ọ bụ iri nri, dị ka mgbu angina.
Ọrịa mkpakọ, nke na-eme n'ihi mwepu nke nnukwu diski herniated dị n'azụ na azụ azụ azụ, dị obere. N'otu oge ahụ, mkpakọ nke mgbọrọgwụ na-egosipụta site n'úkwù mgbu na hypalgesia na dermatome kwekọrọ, na mkpakọ ma ọ bụ mkpakọ ischemia nke ọgidigi azụ (myelopathy) yiri ihe mgbaàmà nke extramedullary akpụ: mgbu, hypoalgic, moto na pelvic spinal ọrịa. .
N'ọtụtụ ọnọdụ, na thoracic osteochondrosis, ọrịa ahụ na-amalite nwayọ nwayọ ma na-egosipụta onwe ya naanị na obere mgbu, a na-ahụ ya n'azụ ma na-esiwanye ike mgbe ogologo oge kwụ ọtọ ma ọ bụ nọrọ n'otu ọnọdụ. Ka oge na-aga, oke mgbu na-abawanye ma na-apụta ọbụna na obere ibu dị mkpụmkpụ, na mgbaàmà akwara na-emekarị. Na ọkwa dị elu nke osteochondrosis thoracic, mgbu ahụ na-afụ ụfụ na ọ dịghị adabere n'ọnọdụ nke ahụ ma na-esiwanye ike n'abalị.
Ọgwụgwọ nke thoracic osteochondrosis
Iji gwọọ osteochondrosis thoracic, enwere ike iji ụzọ ọgwụgwọ reflex mee ihe. Iji weghachite mmegharị azụ ma kpochapụ spasms na hypertonicity muscle, acupuncture ma ọ bụ, dị ka ha na-ekwu na mba ndị na-asụ Bekee, a na-eji acupuncture eme ihe. Iji usoro a dị irè na-enye gị ohere imeziwanye arụ ọrụ nke arịa ọbara, nke nwere mmetụta bara uru na nri na-edozi ahụ na ọbara nye anụ ahụ nke diski intervertebral. Enwere ike ịbawanye arụmọrụ nke acupuncture eji agwọ osteochondrosis thoracic site na ijikọta usoro ọgwụgwọ ntuziaka, ọgwụgwọ agụụ, physiotherapy, ịhịa aka n'ahụ, na moxotherapy. Ụzọ ndị a na-egosipụta arụmọrụ dị elu na nchekwa, ya mere na-etolite ntọala maka usoro ọgwụgwọ nke enyere ndị ọrịa n'otu n'otu. N'iji usoro ndị a, ọ ga-ekwe omume ịkwụsị ọganihu nke ọrịa ahụ, weghachite diski intervertebral na ọrụ nkịtị, na-akpali mmepụta anụ ahụ (mgbanaka fibrous nke diski na nucleus pulposus), kpochapụ kpamkpam mgbaàmà na-adịghị mma nke ọrịa ahụ, dị ka mgbu. , ma gbochie nsogbu nke osteochondrosis, nke nwere ike igosi dị ka hernias na protrusions.
N'ihe banyere osteochondrosis thoracic, mmega ọgwụgwọ abụghị obere ihe dị mkpa, nke ọ bụghị naanị na-emeju ọgwụgwọ bụ isi, kamakwa na-enyere aka ịmepụta corset muscle ziri ezi, si otú a na-egbochi nlọghachi n'ọdịnihu.