Muva nje, odokotela bebelokhu bethola izikhalazo mayelana nobuhlungu emuva, futhi abesifazane besencane bavame ukuhlupheka nabo. Uma kungenakwenzeka ukuthi kutholakala endaweni yangasese emthonjeni we-thoracic, kungabangela isifo esinjalo njengesifuba se-osteochondrosis, izimpawu zazo ezichazwe ngokuningiliziwe kamuva.
I-oracochrosros ye-Thoracic - imbangela
I-Osteochondrosis yomgogodla yi-pathology lapho ukuguqulwa okungalungile kwenzeka khona emavikini e-disversionbral discs - izakhi zekholomu lomgogodla eliphakathi kwamagciwane amabili we-vertebral. I-disk intervertebral uhlobo lwensiza yochungechunge elincane, oluqukethe i-gel-like collagen core, ama-fibrous and vitreous tisties tissues. Imisebenzi esemqoka enikezwa yizi zakhiwo yilezi:
- ukujoyina nokubamba izidumbu ze-vertebral eduze;
- ukukhishwa kwamakholomu emgodini womgogodla, ukuvikela kusuka ekuhlukunyezweni ngenxa yokuvuthwa komzimba, imithwalo;
- ukuhlinzeka ukuhamba kwe-vertebrae eseduze eduze komunye nomunye.
Uma ama-disk intervertebral asesimweni esisebenzayo, umgogodla unikezwa ukuqina, ukuhamba, ikhono lokudlulisa imithwalo ehlukahlukene yemishini. Lapho isakhiwo se-cartilage sishintsha isimo, ukuthungwa, ukulahlekelwa amandla nokuqina, le misebenzi ayikwazi ukugcwaliseka ngokugcwele. Ngokuyinhloko, lokhu kwenzeka ngokumelene nesizinda sokuphazanyiswa kwezinqubo zokusebenzisa umzimba.
Izinguquko ezithile ze-pathological in disvertebral discs ezibangelwa isifuba se-osteochondrosis zichazwa ukuthi lapho ukukhula kwabo kwemikhumbi yabo ngokwemigqa yabo yegazi kuphela, futhi ukunikezwa kwempahla ewusizo kungenziwa kuphela ngezindleko zomakhelwane (izigulane, imizimba ye-vertebral). Izimbangela eziqondile zokudla okungenamsoco kwezinhlaka zokuvimbela izidakamizwa kanye nendlela yokubhujiswa kwazo aziwa, kodwa odokotela babona izinto eziningana ezibalulekile:
- ukucindezeleka kwesimiso emzimbeni emzimbeni;
- isisindo somzimba ngokweqile;
- ukudla okungenangqondo, ukuphuza umuthi;
- ukuntuleka kokuhamba;
- umsebenzi wokuhlala phansi;
- ukwephulwa kokumiswa;
- izinyawo eziphansi ;
- ukuhlukumeza emuva, umgogodla;
- umsebenzi omzimba ojulile noma ukuqeqeshwa kwezemidlalo;
- ukukhulelwa;
- sigqoke izicathulo ezingakhululekile, izicathulo ezinezithende eziphakeme.
Izigigaba zesifuba i-osteochondrosis
Isifo esinjalo, njengesifuba se-osteochondrosis, asinikezi izimpawu ngokushesha. ikhula kancane kancane futhi isikhathi eside. Ngaphezu kwalokho, ngenxa yokuhamba kancane komgogodla kule ndawo, i-osteochondrosis yesifunda se-thoracic ibonakala ngezigaba eziseduze, lapho kunezinguquko eziphawulekayo zokwelapha. Kuphelele, amazinga amane okukhubazeka ahlukanisiwe, kuye ngokuthi ukwehlukana kwenzelwe.
I-oracochrosros ye-Thoracic yezinga eli-1
Isigaba esinqunyiwe yi-osteochondrosis yomgogodla we-thoracic wezinga lokuqala. Kulesi sigaba, ukuphuma kwamanzi emzimbeni kanye nokuzibandakanya okuyingxenye ephakathi kwezinhlaka ze-intervertebral kwenzeka, kunciphisa ukuphakama kwawo, okuholela ekunciphiseni ukuqina nokuqina kwazo. Ikhono lekholomu lomgogodla ukulwa nemithwalo evamile ehlala. I-Disk projection iqala ukwakha.
I-oracochrosros ye-Thoracic yezinga lesi-2
Lapho i-osteochondrosis ye-thoracic 2 degree iqala, lesi sifo sibonakala ngokubonakala kwemifantu emgqeni we-fibrous. I-subsidence (thinning) yama-discs iyaqhubeka, inani le-intervertebral fluid liyancipha, ama-vertebrae aqala ukuxubana omunye nomunye lapho umthwalo osemuva unyuka. Lesi sigaba ngezinye izikhathi sibizwa ngokuthi i-discogenic radiculitis.
I-oracochrosros ye-Thoracic ye-3rd degree
I-Osteochondrosis yomgogodla we-thoracic we-degree yesithathu ihambisana nokubhujiswa nokwahlukana kwezicubu ezinamafutha e-disc, ukuphuma kwezingxenye eziyinhloko, i.e. kukhona ukubunjwa kwe-hernial protrusion ye-disc intervertebral. Ngenxa yalokhu, izimpande zesibindi ziqala ukuxubha, ama-vesicle aseduze aqiniswa, imithanjeni, imithanguzo ikhonjiwe.
I-oracochrosros ye-Thoracic ye-4th degree
Isigaba sokugcina, esibi kakhulu sesifo sibonakala ngokufuduka, ukuphikisana, ukuguqulwa kwemizimba ye-vertebral, ukunyuka okunye endaweni yabo, ukukhula. Ama-disc ama-fibrous disc aqala ukushintshwa ngamathambo esithambo njengama-outset-ama-osteophyte, acindezela intambo yomgogodla. Ngenxa yalokho, ukuhamba komgogodla kuncishiswe kakhulu.
I-Osteochondrosis ye-thoracic spine - izimpawu
Ngenxa yezimpawu ezibonakalayo zokwenziwa kwezinqubo ze-pathological, i-osteochondrosis yesifunda se-thoracic inezibonakaliso zombili ezijwayelekile nezesimo esibucayi, ephindaphinda ukubonakaliswa kwezinye izifo. Lokhu kungenxa yokuthi ngenxa yokucindezelwa kwemithambo yegazi namagundane wezinzwa, izinguquko zesakhiwo emkhomeni womgogodla, imisebenzi yezitho zangaphakathi eziseduze ziphazamiseka.
Sibala izimpawu ezijwayelekile futhi ezivame kakhulu esifubeni se-osteochondrosis:
- ubuhlungu ngemuva nangesifuba;
- ukuzwa ukucindezela esifubeni;
- ukuzwa kwezingoma ezinyangeni;
- ukungena emandleni, emilenzeni, entanyeni, emahlombe;
- ubunzima, ama-aches ngemuva, izitho;
- izimpande ze-muscular ezingxenyeni ezingenhla nezingaphakathi ezingemuva;
- umkhawulo wokuhamba komgogodla kule ndawo (ubunzima emthambekeni womzimba).
Ubuhlungu ku-osteochondrosis yomgogodla we-thoracic
Uma kutholakala ukuthi "isifuba se-osteochondrosis" izimpawu ezihambisana nezinzwa ezibuhlungu zivela phambili phakathi kwezikhalazo. Ukuqina nobude babo buxhomeke esiteji senqubo yokugula. Ukujwayela kwendawo yangasese kungashintsha ngokuphindaphindiwe ngokushesha, isibonelo, ukuhamba ukusuka endaweni eyodwa kwesifuba kuya kwesinye, ukumboza lonke isifuba. Ngokuvame ukuzwa ubuhlungu endaweni phakathi kwe-scapula. Uhlobo lobuhlungu esifubeni u-osteochondrosis lubuhlungu, lufucuza, lubukhali. Ukuhlushwa okuqhubekayo kubonakala ebusuku futhi lapho:
- ukuphakamisa izandla phezulu;
- uphenduka entanyeni;
- sigqoke izisindo ezinzima;
- ukunyakaza okubukhali;
- umsebenzi owenziwe ngokomzimba;
- ugqozi oluqinile, ukukhwehlela, ukuklolodela;
- supercooling.
Kungaba yini ukuphefumula okuphefumula ngesifuba se-osteochondrosis?
Ngenxa yokufuduka kwezindikimba ze-vertebral, izinguquko zesifo se-thorax, ukugcoba kwezintambo zamagciwane nemithambo yegazi ehambisana namaphaphu, i-dyspnoea ngezinye izikhathi ivela e-osteochondrosis esifubeni. Ngaphezu kwalokho, kusukela esifundeni se-thorac kunezinhlaka ezithinta ukuhlanzwa kwenhliziyo, amathumbu, isibindi, izinso, ezinye izitho, lesi sifo ezimweni eziningi sihambisana nezimpawu ezilandelayo:
- ikhanda, isizungu ;
- ubuhlungu enhliziyweni ;
- ububele bezintuthwane ezincelisayo;
- ubuhlungu ku-hypochondrium (okufana nokubonakala kwe-pancreatitis, cholecystitis);
- ubuhlungu be-epigastric, engahlotshaniswa nokudla;
- ukungathandeki emqaleni, isisu, ukuzwa komzimba wangaphandle;
- ukwephula imisebenzi yezocansi.
Ubuhlungu enhliziyweni ngesifuba se-osteochondrosis, ngokuvamile ukucindezela, ukucindezela, kungadukisa uma kutholakala, ngoba kufana nokubonakaliswa kwe-angina pectoris, i-infarction ye-myocardial. Ukungaziwa kwalezi zinkinga yesikhathi eside, ukungabi khona komthelela lapho uthatha imithi yokwandiswa kwezikebhe zenhliziyo. Azikho izinguquko ku-cardiogram.
Ama-syndromes esifubeni i-osteochondrosis
Izimpawu zesifuba se-osteochondrosis kwabesifazane, ezihambisana nenqubo eyodwa yezinto ezenzekayo, ziningi ezimweni eziyinkimbinkimbi. Kunezinhlobo ezimbili ze-syndromes ezineqoqo lezinkinga ezithile ze-pathological ezibangelwa isifuba se-osteochondrosis:
- i-dorsalgia;
- dorsago.
I-Dorsalgia yomgogodla we-thoracic
Ukuhlala isikhathi eside, hhayi ubuhlungu obubi kakhulu esifubeni se-osteochondrosis kwabesifazane, okuvame ukubhekwa njengokukhukhumeza, ukudonsa, okuyi-dorsalgia. Izikhalazo zingaba khona amasonto amabili, futhi ukungazizwa kahle (ke ikakhulu lapho uhamba), bese uqinisa (ikakhulukazi ebusuku, ngokuphefumula, ukuphefumula okukhulu). Ngaphambi kwalesi sifo, i-chest osteochondrosis ingaba nezimpawu ezihambisana nobunzima bokuphefumula, ukuqina komzimba.
I-Dorsago yomgogodla we-thoracic
Ukubonakaliswa kwe-paroxysmal yesifo kubizwa ngokuthi igama elithi "dorsago" noma "igumbi le-thoracic". Kulesi simo, ubuhlungu bubonakala ngokuzumayo, ngokubukhali, ngokuvamile bukhumbuza izimpawu zesifo senhliziyo. Ukuhlaselwa kwesifuba i-osteochondrosis kunezibonakaliso ezilandelayo:
- uhlamvu olubukhali, olunamahloni;
- ubuhlungu bubonakala endaweni phakathi kwezimbambo, indawo engaphakathi;
- ngokuvamile ukuhlaselwa kubonakala ngemuva kokuhlala isikhathi eside ku-pose eyodwa;
- ubuhlungu obandayo buyenzeka lapho i-torso ijikeleza;
- kunzima ukuphefumula, ukucindezeleka kwemisipha eqinile.
Osteochondrosis we-thoracic spine - imiphumela
Uma ukwelashwa kwe-pathology kungaqalwanga ngesikhathi, i-osteochondrosis yomnyango we-thoracic ingaba nemiphumela elandelayo:
- i-dystonia yemifino yemvelo;
- i-migraine;
- ukwephulwa kwezitho zangaphakathi (isibindi, izinso, njll);
- ukwehlisa ukuzwa, umbono;
- i-epicondylitis yehlangothini lomgodi ;
- i-paresis nokukhubazeka kwezandla;
- ukuvuthwa komgogodla;
- ukulahlekelwa ukuzwela kwezicubu zesikhumba;
- ukukhubazeka, njll.
Indlela yokuphatha isifuba se-osteochondrosis?
Uma izimpawu zesifuba se-osteochondrosis zivela, kunconywa ukuba uthintane ne-neurologist, osuvele ehlolwe emuva futhi ehlolwe umgogodla ngezikhundla eziningana zesiguli, angenza ukuxilongwa okuyisisekelo. Ukuze unqume izinga lokulimala, ama-x-rays, ukucabanga kwe-resonance magnetic noma i-tomography ehlanganisiwe kunqunywe. Amacebo okwelashwa ancike emiphumeleni etholakalayo.
Ngokuvamile izimpawu ezibuhlungu zesifuba se-osteochondrosis ziqedwa ngokuthatha izidakamizwa ezingekho-steroidal ezilwa nokuvuvukala (Ibuprofen, Nimesulid, Diclofenac, njll). Uma kunzima, kuhambisane nobuhlungu obukhulu, i-paravertebral blockades ne-Novocaine isisombululo singenziwa. Ngaphezu kwalokho, njengengxenye yokwelashwa okulondolozayo, imithi elandelayo ingabekwa:
- imisipha yokuphumula (Midokalm, Liorasal);
- ama-chondroprotectors (i-Alflutop, i-Glucosamine);
- i-corticosteroids (i-Metipred, i-Belosalik), njll.
Ukuze kuthuthukiswe izinqubo zokusebenzisa umzimba, ukuqeda imisipha ye-muscle, ukuvimbela izinkinga ezihlukahlukene, izindlela zokuphatha ezifana nalezi ziyasetshenziswa:
- ukuvivinya umzimba;
- ukusikhipha;
- ukwelapha okubhaliwe;
- Ukwandisa ikholomu yomgqobo;
- Izinqubo ze-Physiotherapeutic (laser, ultrasound, njll).
Ukwelashwa okudingekayo kuyadingeka uma intambo yomgogodla ifakwa ngechungechunge le-disc intervertebral. Kule ndaba, kungenzeka ukuthi i-laminotomy ingenziwa - ukungaxhunyiwe kwamagceke we-vertebral, noma i-discectomy - ukususwa kwezingxenye ze-disc intervertebral noma ukususwa okuphelele ngokufakwa kokufakelwa. Emitholampilo enezixhobo zanamuhla, ukukhwabanisa okuhlinzekwayo kwenziwa ngezindlela ezincane ezithuthumayo ngokusebenzisa imibono encane.