Thoracic osteochondrosis - gịnị ka ọ bụ? Ihe ịrịba ama ya na ọgwụgwọ ya

Osteochondrosis bụ ọrịa a na-ahụkarị nke ọrịa ọkpụkpụ azụ niile. Ebe ọ bụ na osteochondrosis bụ ọnya dystrophic-degenerative nke diski dị n'etiti vertebrae, n'ihi ya, nke a na-eduga na mgbanwe a na-apụghị ịgbanwe agbanwe na nhazi ha, yana ọdịdị nke diski n'onwe ha nke na-eme ka ọkpụkpụ thoracic.

Ka mmadụ na-etolite, mgbanwe ndị a na ọkpụkpụ azụ ya na-etolitewanye, na mgbe ọ dị ihe dị ka afọ 40-45, ihe fọrọ nke nta ka ọ bụrụ onye ọ bụla na-arịa ọrịa osteochondrosis spinal. Osteochondrosis nke spine thoracic n'onwe ya na-etolite obere oge karịa, dịka ọmụmaatụ, lumbar ma ọ bụ cervical spain, ebe ọ bụ na vertebrae dị na ya dị obere mkpanaka karịa na mpaghara vertebral ndị ọzọ. Tụkwasị na nke ahụ, mpaghara azụ na mpaghara obi nwere corset nke anụ ahụ na-emepe emepe, nke na-akwado ọkpụkpụ azụ na mpaghara thoracic dị mma karịa ndị ọzọ.

Kedu ihe bụ osteochondrosis thoracic a?

Osteochondrosis nke thoracic kpọmkwem na-anọchi anya nkewa nke diski n'etiti vertebrae na n'otu oge na mbelata na ọkpụrụkpụ ha na, n'ihi ya, na-esote pinching nke njedebe akwara dị na mpaghara intercostal nke obi mmadụ.

Otú ọ dị, anyị na-arịba ama ọzọ na n'ihi eziokwu ahụ bụ na physiological fixation site ọgịrịga na ụmụ mmadụ bụ nnọọ isiike, akụkụ nke spain n'ime obi ebe bụ nke kacha nta ike osteochondrosis. Ọ bụ osteochondrosis thoracic bụ ihe na-adịghị ahụkebe metụtara, dịka ọmụmaatụ, osteochondrosis cervical ma ọ bụ lumbar.

Ọtụtụ mgbe, na osteochondrosis nke spine thoracic, diski dị n'etiti vertebrae nke ọkpụkpụ azụ azụ, nke gụnyere iri na abụọ thoracic vertebrae, na-etinye aka na usoro pathology. Ma ọtụtụ mgbe, na osteochondrosis nke thoracic mpaghara, pathological mgbanwe na-eme na elu thoracic vertebrae. Enwere ọtụtụ ogo mmebi nke osteochondrosis thoracic, ma n'okpuru anyị ga-eleba anya na ha n'ụzọ zuru ezu.

Ihe na-ebute ụzọ maka mmepe nke thoracic osteochondrosis

Sayensị ọgbara ọhụrụ ewepụtabeghị nke ọma ihe na-ebute osteochondrosis thoracic. N'oge a, ọ bụ omenala na nkà mmụta ọgwụ iji chọpụta ihe ndị a na-ebute ụzọ, ma ọ bụ ihe a na-akpọ ihe ize ndụ, n'ihi nke osteochondrosis nke mpaghara thoracic na-eme na ọkpụkpụ azụ:

• eketa predisposition;
• oke mmega ahụ n'akụkụ a nke ọkpụkpụ azụ;
• mmerụ azụ azụ, dị ka ọdịda ma ọ bụ ọnya na mpaghara thoracic;
• mgbanwe na-eme na afọ na diski intervertebral ma na-eduga na mbelata hydration na anụ ahụ nke diski;
• ọgbaghara na-enye ọbara na mpaghara obi.

Ihe na-enye aka na ọrịa thoracic osteochondrosis

Ruo n'ókè dị ukwuu, a na-akwalite mmepe nke ọrịa osteochondrosis site na adịghị arụ ọrụ nke anụ ahụ, ya bụ, enweghi ibu nke anụ ahụ, na-eduga n'ịdalata ọrụ nke corset muscular na, n'ihi ya, na-abawanye ibu na diski intervertebral na ligaments.

Ihe ndị ọzọ kpatara mmepe nke osteochondrosis thoracic bụ:

• hypothermia nke ahụ;
• ọnụnọ nke ọnọdụ nrụgide na-adịghị ala ala;
• ọrịa ndị gara aga;
• ọnọdụ ọrụ anụ ahụ siri ike;
• nsogbu hormonal nke bilitere n'ime ahụ;
• mmebi nke usoro metabolic n'ime ahụ;
• ọnụnọ nke congenital ntụpọ nke spine, ya bụ ya thoracic mpaghara.

N'ihi ikpughe na nchikota nke ihe ndị a, ma ọ bụ mgbe ụfọdụ ọbụna otu, dystrophic-degenerative irreversible usoro na-etolite na diski n'etiti vertebrae ka oge na-aga:

• nucleus pulposus nke diski intervertebral nke na-amalite nwayọọ nwayọọ na-efunahụ mmiri ahụ ọ zoro ezo iji nye ọrụ mmanye mmanụ, nke na-emecha na-ebelata ọrụ na-akpata ujo nke diski a;
• N'ihi ụbara ibu dị na ya, mgbanaka fibrous nke vertebrae n'onwe ya na-aghọwanye ihe na-adịghị ike, nke na-eduga ná mbibi ya nke nta nke nta.

Mgbaàmà na ihe ịrịba ama nke thoracic osteochondrosis nke ọkpụkpụ azụ

Mgbaàmà nke ụlọ ọgwụ nke thoracic osteochondrosis na-adabere kpamkpam na ihe ndị a:

• afọ nke onye ọrịa;
• ogo mmebi nke ọrịa;
• usoro nke osteochondrosis nke ọkpụkpụ azụ azụ: mgbaghara ma ọ bụ njọ.

Isi ihe ịrịba ama nke osteochondrosis nke mpaghara thoracic bụ:

• mgbu n'ime obi na mpaghara ọkpụkpụ azụ, nke a na-akpọ dorsago;
• mmebi na-egbu mgbu na njedebe akwara nke ọkpụkpụ azụ - radiculopathy;
• abdominal syndrome;
• ọrịa obi obi ma ọ bụ mgbanwe na akwara obi, nwere ihe mgbu njirimara nke na-adịgide ọbụna n'okpuru mmetụta nke trinitroglycerin;
• ọrịa pulmonary, n'ụdị nkwụsịtụ na ngụgụ na ihe ịrịba ama nke hypoxia, ya bụ, nkwụsị.

A naghị ahụ mmụba nke okpomọkụ ahụ na onye ọrịa nwere osteochondrosis thoracic, nke bụkwa akara ngosi dị iche iche kpọmkwem. Dorsalgia na mpaghara obi, dị ka otu n'ime isi ihe mgbaàmà nke osteochondrosis, na-egosi ihe omume nke mgbawa na mgbanaka fibrous na nrụrụ nke nucleus pulposus. Mgbe ị na-afụ ụfụ, ihe mgbu na mpaghara a nke obi na-arịwanye elu na mgbaàmà na-abawanye.

Na mgbakwunye, njirimara njirimara nke thoracic osteochondrosis na mkpakọ myelopathy, ya bụ, nrụrụ nke njedebe akwara, bụ:

• mmetụta nke "ntụtụ na agịga" - paresthesia;
• mgbu n'akụkụ akwara abịakọrọ bụ ihe mgbaàmà nkịtị;
• ibelata uche na okpomọkụ na aka;
• Ọrụ moto na-adịghị mma nke ọkpụkpụ azụ bụkwa otu n'ime njirimara njirimara.

Ọ bụrụ na ịchọta mgbaàmà ndị dị otú ahụ, ịkwesịrị ịkpọtụrụ ọkachamara. Ọdịdị nke mgbaàmà na ngwakọta na ike ha dị ize ndụ karịsịa. N'otu oge ahụ, ọ bụ ihe na-ekwesịghị ekwesị ịgwọ ọrịa na-enweghị ikpochapụ ihe kpatara na ihe kpatara ọrịa ahụ.

Ọkwa ọrịa na thoracic osteochondrosis

Ọkwa ọ bụla nke ọrịa na thoracic osteochondrosis bụ nke e ji mara ya pathology, nke nwere naanị akara ngosi nke ya. Ọgwụ ọgbara ọhụrụ na-amata ọdịiche dị n'ogo anọ nke osteochondrosis nke mpaghara thoracic (n'otu aka ahụ - lumbar na cervical osteochondrosis) na, ya mere, oge anọ nke mmepe ya. Ka anyị lerukwuo ha anya.

Ogo mbụ nke e ji mara na mgbawa na-apụta n'ime mgbanaka fibrous, nke nucleus pulposus na-emesị banye n'ime ya. Oge mmepe nke ọrịa thoracic osteochondrosis bụ ihe ịrịba ama ndị a:

• ọdịdị nke mgbu na ọkpụkpụ azụ nke na-adịghị agafe ebe ọnya ahụ;
• mgbu ndị a nwere ike ịdịgide ma ọ bụ gosipụta dị ka lumbago;
• Mgbochi nke akwara na mpaghara thoracic nwere ike ime, yana mgbu na mpaghara obi.

Ogo nke abụọ A na-eji mmepe nke thoracic osteochondrosis mara site na ihe omume pathological nke mmụba intervertebral ngagharị yana ngosipụta ụlọ ọgwụ ndị a:

• subluxations pụtara na thoracic spain;
• mgbu na-abawanye n'oge mmegharị;
• ahụ erughị ala na-apụta mgbe a na-edobe ọnọdụ ahụ ogologo oge.

Ogo nke atọ mara site na mgbawa nke mgbanaka fibrous na ọpụpụ nke nucleus pulposus gafere oke ya. N'ime oge a nke ọrịa na osteochondrosis nke thoracic spain, intervertebral hernias na-amalite ịpụta, ihe ịrịba ama nke ụlọ ọgwụ dị nnọọ njọ. Ya bụ - neurovascular, muscular-tonic na reflex-dystrophic.

Na mgbakwunye na nke dị n'elu, akara nke atọ nke osteochondrosis nke mpaghara thoracic bụ mgbanwe na ọnọdụ ndị a nke ọkpụkpụ azụ:

• adịghị ike idozi nke spine;
• obere ngagharị nke mpaghara azụ azụ, gosipụtara n'ụdị kyphosis ma ọ bụ scoliosis.

Ogo nke anọ - usoro dystrophic-degenerative na-emetụta akụkụ niile gbara ọkpụkpụ azụ. Acha odo odo, interspinous na njikọ ndị ọzọ na-etinye aka na usoro pathological a, na fibrosis na-apụta n'ime akụkụ ndị gbara gburugburu ọkpụkpụ azụ azụ. N'ime oge a nke ọrịa na thoracic osteochondrosis, a na-ahụ ihe a na-akpọ ọnọdụ mgbaghara n'ụlọ ọgwụ.

Nsogbu

Site na mmepe nke ọrịa na thoracic osteochondrosis, nsogbu ndị metụtara nwere ike ịmalite:

• mbufụt nke njedebe akwara nke ọkpụkpụ azụ;
• ihe omume nke intervertebral hernias;
• mmepe nke vegetative-vaskụla dystonia;
• mmepe nke hernia Schmorl;
• ọrịa na spondyloarthrosis;
• pathological uto nke ọkpụkpụ growths - osteophytes;
• Mbelata dị ukwuu nke ọwara azụ azụ.

Ekwesiri iburu n'uche na oke nsogbu nke sitere na osteochondrosis thoracic na-adabere kpamkpam n'ọganihu nke usoro ọrịa ahụ na, n'ezie, na ịdị irè nke usoro ọgwụgwọ maka osteochondrosis nke spine thoracic.

Diagnostics na ụzọ ya

Na omume, a na-eji ọtụtụ ụzọ chọpụta osteochondrosis thoracic. N'ime ndị a, nke a na-ahụkarị bụ nyocha x-ray, nke nsonaazụ ya na-enye ihe ọmụma. Ihe ịrịba ama nke thoracic osteochondrosis nke achọpụtara na ọmụmụ a bụ ndị a:

• a na-akụghasị akụkụ nke diski n'etiti vertebrae;
• N'ọnụ ọnụ nke mkpuchi mkpuchi ahụ enwetala àgwà wavy;
• diski intervertebral agbanweela ọdịdị ha;
• osteophytes pụtara - ọkpụkpụ pathological n'ime ọkpụkpụ azụ;
• usoro na-adịghị mma nke vertebrae abawanyela ma na-amụba;
• ozu nke thoracic vertebrae agbanweela ọdịdị nkịtị ha;
• ịdị elu nke diski dị n'etiti vertebrae ebelatala nke ukwuu;
• diski herniated guzobere n'etiti vertebrae.

N'ọnọdụ ụfọdụ, a na-eme usoro nyocha nke thoracic osteochondrosis nke spine site na nyocha ọdịiche X-ray, nke na-ekpebi ihe ịrịba ama ndị a nke ọrịa a:

• n'ihe banyere pathology dị elu, onye na-ahụ maka ọdịiche na-ejupụta diski kpamkpam n'etiti vertebrae;
• site n'enyemaka nke onye na-ahụ maka ihe dị iche, a na-ahụ akụkụ nke nucleus pulposus, bụ nke na-adịghị mma na ọdịdị;
• Mgbe diski intervertebral mebiri emebi, onye na-ahụ maka ọdịiche na-abanye n'ụzọ dị ukwuu karịa oke ya, ruo na ịbanye n'ime akwara azụ.

Naanị nchọpụta ziri ezi na-enye gị ohere ikpebi ọgwụgwọ ziri ezi.

Ọgwụgwọ nke osteochondrosis

Ọgwụgwọ nke osteochondrosis thoracic ga-ekwe omume site na iji otu n'ime ụzọ ndị a, na-eburu n'uche nsonaazụ nke nchoputa nke osteochondrosis thoracic, ya bụ:

• conservative-ọdịnala ọgwụgwọ nke ọkpụkpụ azụ;
• ọgwụgwọ nke thoracic osteochondrosis na-eji traction;
• ntinye aka.

Ọgwụgwọ nke osteochondrosis thoracic, nke a na-akpọ conservative, dị mgbagwoju anya maka ọgwụgwọ ụdị osteochondrosis ọ bụla: ọgwụ, physiotherapy, mgbatị ahụ. A na-eji ọgwụ mgbochi mkpali na-abụghị steroidal iji belata ihe mgbu na ọkpụkpụ azụ, nke a maara maka osteochondrosis thoracic. Ekwesiri iburu n'uche na ọgwụ ndị a na-ekpochapụ usoro mkpali nke ọma, yana ọzịza na-eme, na-enyere aka belata usoro mkpakọ nke mgbọrọgwụ akwara. N'okwu ndị dị mgbagwoju anya nke osteochondrosis thoracic, dọkịta na-aga ahụ nwekwara ike ịnye ọtụtụ ọgwụ, dịka ọmụmaatụ, ụfọdụ ọgwụ mgbu siri ike na ihe na-eme ka ahụ dị ike na-egbochi ọdịdị ahụ ike.

Mgbe mgbu ahụ kwụsịrị ma ọ bụ na-achịkwa ya, ya bụ, n'oge mgbaghara, a na-enye ọgwụgwọ ọgwụgwọ physiotherapy, yana ọgwụgwọ mgbatị ahụ na ịhịa aka n'ahụ. Ihe ndị a niile bụ akụkụ dị mkpa nke ọgwụgwọ mgbagwoju anya. Otu n'ime usoro ọgwụgwọ physiotherapeutic bụ isi maka ọgwụgwọ na igbochi ọrịa ahụ bụ ọgwụgwọ magnetik pulsed site na ngwaọrụ ọgwụgwọ pụrụ iche maka ụlọ ọgwụ na ụlọ.

Naanị ọgwụgwọ magnetik nwere parampat pụrụ iche ka akwadoro maka ojiji n'oge mmejọ; enwere ngwaọrụ ọgwụgwọ iji luso ma nnukwu mgbu na-adịghị ala ala ọgụ. Usoro a dịkwa mma maka ịgwọ lumbosacral na spine cervical.

Na mgbakwunye na nke dị n'elu, a pụkwara iji ọgwụgwọ traction mee ihe nke ọma iji gwọọ osteochondrosis thoracic, ya bụ, ọgwụgwọ nke osteochondrosis thoracic site na traction pụrụ iche. Site na usoro a, akwara paravertebral, anụ ahụ na ligaments na-edobe traction, nke na-eduga n'ịbawanye anya na intervertebral. Ọbụna otu milimita na ọkara ga-ezuru iji belata ọzịza, wepụ mkpakọ, ma kwụsịkwa esemokwu na mọzụlụ dị n'akụkụ ọkpụkpụ azụ. N'ọnọdụ ọ bụla, ụkpụrụ bụ isi nke ọgwụgwọ mgbanwe bụ mgbagwoju anya ya. A ga-eme ọgwụgwọ ogologo oge na mgbe niile, nke a bụ naanị ụzọ isi nwee olileanya maka nsonaazụ.

Mana enyemaka ịwa ahụ dị ka ụdị ọgwụgwọ maka osteochondrosis bụ ihe amamihe dị na ya naanị mgbe ụzọ ndị dị n'elu maka ọgwụgwọ thoracic osteochondrosis anaghị enye nsonaazụ achọrọ.