Rarrabewa, matakai da digiri na osteochondrosis

ciwon baya tare da osteochondrosis

Osteochondrosis ba tare da magani ba kawai yana haifar da ciwo mai tsanani a baya ko wuyansa, jin wahayi na rashin cikawa, ko rushewar zuciya. Yana da haɗari ta hanyar matse tushen jijiya, wanda zai iya haifar da gurɓatacce, rashin hankali, aiki mai tsauri, da rashin daidaituwar fecal da fitsari. Ci gaba a cikin kashin mahaifa, osteochondrosis yana haifar da lalacewa a cikin samar da jini zuwa kwakwalwa, wanda ke haifar da ciwon kai, dizziness, da aikin tunani a hankali. Bugu da ƙari, canje-canjen da ke faruwa a wani sashi na kashin baya ba da daɗewa ba ya yada zuwa wasu sassa, sa'an nan kuma zuwa dukan ginshiƙan kashin baya.

A cikin labarin za mu yi la'akari da iri da kuma rarrabuwa (digiri, matakai) na osteochondrosis. Wannan zai taimaka wa mutumin da ke da irin wannan ganewar asali don fahimtar halin da suke ciki a halin yanzu tare da ci gaban wannan cuta da kuma yiwuwar magani.

Nau'i da rarrabuwa na cutar

Osteochondrosis wani cin zarafi ne na abinci mai gina jiki, kawar da matattun kwayoyin halitta da samfurori na rayuwa (wanda ake kira "slags") a cikin diski (wani nau'i na musamman mai shayarwa) tsakanin kashin baya, da kuma a cikin sassan jikin vertebral. kusa da shi daga ƙasa da sama.

Menene osteochondrosis?

lafiya kashin baya da osteochondrosis

A cikin manya, ganewar asali na "osteochondrosis" an fahimta ne kawai a matsayin ci gaban dystrophic (wanda ke da alaƙa da rashin abinci mai gina jiki) a cikin guringuntsi na kashin baya. Idan, a cikin manya, matakai masu kama da osteochondrosis (nau'in nama na cartilaginous rufi daya da sauran kasusuwa na haɗin gwiwa, canje-canje masu zuwa a cikin kasusuwa da kansu) suna faruwa a daya daga cikin haɗin gwiwa (misali, a cikin gwiwa gwiwa), wannan shine ake kira deforming osteoarthritis.

A samartaka (daga 11 zuwa 18 shekaru), da kalmar "osteochondrosis" da ake amfani ba kawai ga kashin baya. Ana kiran wannan tsari na ƙarami (matasa) osteochondrosis. Lokacin da ya tasowa a cikin kashin baya, ana kiran shi cutar Scheuermann. Amma kuma yana iya samun wasu wurare (don ƙarin cikakkun bayanai, duba sashin da ya dace).

Rarraba osteochondrosis yayi la'akari:

  • a cikin sashe na rashin abinci mai gina jiki ya ci gaba (rabewa ta hanyar yanki);
  • yadda mummunan diski na intervertebral ya shafi (rarrabuwa na osteochondrosis ta lokuta);
  • ko a yanzu akwai kumburi mai tsanani ko kuma ya ragu (rarrabuwar cikin gida ta hanyar matakai).

Manya kuma suna da nau'in osteochondrosis daban. Wannan ita ce cutar Kienböck a cikin manya (osteochondrosis na kashin lunate, wanda ke tsakanin kasusuwan wuyan hannu).

Har ila yau, ganewar asali na iya nuna cewa osteochondrosis ne bayan-traumatic. Wannan yana nufin cewa farkon cin zarafi na tsarin diski na intervertebral, faranti na hyaline da ke tsakanin jikin kashin baya da diski, da kuma jikin vertebral da kansu, ya haifar da rauni. Raunin na iya zama nan take kuma mai tsanani (alal misali, tare da rauni mai ƙarfi ga kashin baya), amma bayan-traumatic osteochondrosis kuma na iya haɓaka sakamakon rauni na dindindin wanda ba shi da ƙarfi sosai (alal misali, karkatar da kullun tare da nauyi a cikin masu ɗaukar nauyi). ko 'yan wasan da ke yin karkata, suna ɗaga barbell ba tare da kulawar ƙwararren mai horo ba).

Osteocondritis na kashin baya

Osteochondrosis na kashin baya ya kasu kashi da dama. Wannan shine:

  1. Osteochondrosis na yankin mahaifa.
  2. Osteochondrosis na yankin thoracic.
  3. Lumbar osteochondrosis.
  4. Osteochondrosis na yankin sacral.
rachiocampsis

Mafi sau da yawa, lumbar da sacral osteochondrosis ana daukar su azaman cuta guda ɗaya - osteochondrosis na kashin baya na lumbosacral. Wannan shi ne saboda fasalin fasalin waɗannan sassan na baya (za mu yi la'akari da wannan a cikin sassan da suka dace).

A wasu lokuta, osteochondrosis na coccyx na iya tasowa lokacin da guringuntsi na articular tsakanin sacrum (a cikin manya yana da 5 fused vertebrae) da kuma coccyx (ya ƙunshi 3-5 vertebrae). Wannan cuta ya fi yawa a cikin mata bayan haifuwa ba tare da bata lokaci ba (musamman lokacin da mahaifiyar ke da ƙananan ƙashin ƙugu ko nauyin tayin ya fi 4 kg), amma yana iya tasowa tare da raunin da ya faru, ayyuka da rashin daidaituwa na wannan kashin baya. Saboda sifofi na tsarin haɗin gwiwa na sacrococcygeal (rashin ƙwayar ƙwayar cuta a cikinta - wani yanki na tsakiya na tsakiya wanda ke tsakanin kashin baya na cervical, thoracic da lumbar yankunan), ya fi dacewa a kira lalacewar guringuntsi na articular. shi arthrosis na sacrococcygeal haɗin gwiwa fiye da osteochondrosis.

Osteochondrosis kuma na iya tasowa a cikin fiye da ɗaya ɓangare na kashin baya. Lokacin da irin wannan tsari ya tasowa a cikin fiye da biyu, ana kiran shi tartsatsi.

Ana tattauna alamun kowane nau'in cuta dalla-dalla a cikin labarin "Alamomi da alamun osteochondrosis".

Kaɗan ƙarin game da ƙamus. Masana kimiyya (4) sun yi imanin cewa kalmar "intervertebral osteochondrosis" ba ta da karɓa. Da fari dai, a sakamakon wannan tsari, duka biyu na vertebral jikin suna shafar (wannan yana nunawa a cikin prefix "osteo-"), da kuma guringuntsi na jijiyoyi - sassan jikin vertebral ("-chondrosis"). Wato, ba wai kawai fayafai na intervertebral suna shan wahala ba, har ma da tsarin da ke kewaye da su. Saboda haka, zai zama daidai a ce "osteochondrosis na kashin baya", kuma ba a wata hanya ba.

Osteochondrosis na kashin baya na mahaifa

An bambanta yankin mahaifa ta hanyoyi masu zuwa:

ciwon wuyansa saboda osteochondrosis
  • wannan shine kawai ɓangaren kashin baya inda diski na intervertebral ba ya ko'ina tsakanin kashin baya: ba ya nan tsakanin 1st vertebra da baya na kai, da kuma tsakanin 1st da 2nd vertebrae na mahaifa;
  • sassan da ke cikin sassan da ke cikin layi suna rufe kullun da ke sama daga tarnaƙi: ya nuna cewa ƙarshen yana zaune a cikin "sirdi";
  • gefuna na jikin kashin mahaifa suna da tsawo kuma suna kama da ƙugiya mai nuni zuwa sama, shi ya sa ake kiran su "ƙugiya mai siffar ƙugiya". Irin wannan "ƙugiya" da wani ɓangare na vertebra da ke sama ba kawai a cikin hulɗa ba: a tsakanin su akwai haɗin gwiwa guda ɗaya kamar yadda a cikin gabobin jiki: daga sama, an rufe sassan da ke da alaƙa da guringuntsi, kuma capsule na articular yana kunshe da haɗin gwiwa. Wadannan haɗin gwiwa suna ba ku damar yin ƙarin, na asali kawai a cikin wannan sashin motsi - karkatarwa da juyawa. Amma suna "ɗauka" ƙarin matsalolin - arthrosis (na bakin ciki na guringuntsi) na iya tasowa a cikinsu. Kuma a nan ne aka kafa osteophytes. Wannan yana da haɗari: ƙwayoyin jijiya ko tasoshin jini da ke wucewa a cikin waɗannan sassan na iya matse su ta hanyar osteophytes.

Tare da ci gaban osteochondrosis a cikin mahaifa yankin, lokacin da intervertebral fayafai zama bakin ciki, da kuma vertebrae kansu ze sag, abinci mai gina jiki da kuma haɗin gwiwa tsakanin "ƙugiya" na karkashin vertebra da jiki na overlying vertebra suna damuwa. A wannan yanayin, arthrosis na wannan haɗin gwiwa ya zama rikitarwa na osteochondrosis.

A cikin sashin kashin mahaifa, kowane nau'in motsi yana yiwuwa:

  • tsawo da sassauƙa;
  • lanƙwasa gefe;
  • juya,

yayin da ƙarar waɗannan ƙungiyoyin ya yi yawa sosai. Wannan haɗari ne game da ci gaban osteochondrosis, wanda shine halayyar kawai ga yankin mahaifa.

Ana lura da mafi girman motsi a cikin haɗin gwiwa tsakanin 4th da 5th, da kuma 5th da 6th vertebrae na mahaifa (10, 11). Osteochondrosis ba ya shafar saman articular tsakanin 1st vertebra da bayan kai, kazalika da gungu na articular tsakanin 1st da 2nd vertebrae.

Mafi mahimmancin sifofi a yankin mahaifa sune:

me kashin baya ke da alhakinsa
  • a kan saman gefen dukkan kashin mahaifa na mahaifa, a cikin tafiyarsu ta juye-juye, akwai buɗaɗɗen buɗaɗɗen jijiyar vertebral ta wuce nan, ɗauke da jini zuwa kwakwalwa;
  • a cikin kashin mahaifa na farko (ya bambanta sosai da "tallakawa" kashin mahaifa) akwai jujjuyawar tushen kwakwalwa zuwa kashin baya;
  • kasa da 1 cervical vertebrae, tushen farkon mahaifa na jijiyoyi na kashin baya sun fara fitowa daga kashin baya. Bugu da ari, tsakanin vertebrae guda biyu (na sama da ƙasa), ɗayan jijiyoyi na kashin baya suna fita (tsakanin 1 da 2 vertebrae, 1 biyu na jijiyoyi suna fita, tsakanin 2 da 3 - na biyu, da sauransu). Uku na farko na zuwa wuyansa da gabobinsa (thyroid gland, pharynx, larynx, trachea), wani bangare na idanu da kunnuwa. Na huɗu na jijiyoyi na kashin baya suna zuwa babban tsokar numfashi - diaphragm, daga na biyar zuwa na bakwai suna shiga (ba da siginar jijiya) zuwa hannaye.

Tare da osteochondrosis da mataki na gaba - faifan herniated, kowane ɗayan waɗannan sifofin ana iya keta shi. Wadannan yanayi ne masu matukar barazana ga rayuwa. Amma mafi sau da yawa, osteochondrosis yana tasowa a cikin ƙananan yankunan mahaifa, yana keta ko dai 5, ko 6, ko 7 tushen jijiya na kashin baya, saboda abin da hankali (tactile, zafin jiki, girgiza) da motsi na daya daga cikin hannaye suna damuwa, kuma zafi yana faruwa. a cikinsa (tare da wancan gefen inda ƙwanƙolin intervertebral ya rage).

Osteochondrosis na yankin thoracic

thoracic osteochondrosis

Wannan nau'i na osteochondrosis yana da wuya sosai. Wannan shi ne saboda ƙananan motsi a cikin yankin thoracic.

Kowane ɗayan ƙwanƙwasa na thoracic yana haɗa ba kawai ga kashin baya (sama da ƙasa ba), amma har ma da haƙarƙari (kowane vertebra yana haɗuwa da nau'i na haƙarƙari). Wannan yana tabbatar da kwanciyar hankali na yankin thoracic kuma yana iyakance motsi na kashin baya.

Abubuwan buɗewa ta hanyar da jijiyoyi na kashin baya ke fita sun fi na sauran sassan. Tuni canal ɗin da kashin baya ke wucewa. Saboda haka, har ma mafi girma kunkuntar tare da ci gaban osteophytes (kashi "ƙaya" daga vertebrae) na iya ci gaba da cin zarafi na jini samar da kashin baya (kashin baya bugun jini).

A matsayin wani ɓangare na tushen thoracic na jijiyoyi na kashin baya (akwai 12 daga cikinsu, kamar vertebrae), yawancin jijiyoyi na tsarin juyayi na jiki sun wuce. Don haka, lokacin da ake cin zarafi na jijiyoyi a cikin yankin thoracic, to ban da rushe aikin gabobin da suke zuwa:

  • daga tushen tsakanin mahaifa na ƙarshe da na farko na thoracic vertebrae, wani ɓangare na zaruruwan jijiya yana zuwa ido (alalibi, tsokoki na madauwari na ido);
  • daga sassa biyu na farko - zuwa hannaye;
  • daga na biyu da saura goma - zuwa gabobin rami na kirji (zuciya, huhu, manyan tasoshin), zuwa gabobin kogon ciki (hanta, ciki) da sarari na retroperitoneal (pancreas, kodan) (1).

Hakanan za a sami alamun rushewar tsarin juyayi mai cin gashin kansa: arrhythmias, damuwa ko tsoron kamawar zuciya, gumi, jin zafi (abin da ake kira "fitilar zafi"), pallor, saurin numfashi.

Bugu da kari, kashi na hudu na kashin baya, wanda yake a matakin 2nd thoracic vertebra, wani yanki ne mai mahimmanci na samar da jini ga wannan sashin jiki. Tare da raguwa a diamita na canal na kashin baya, bugun jini na kashin baya (mutuwar wani ɓangare na kashin baya) zai ci gaba da sauri a nan fiye da cin zarafi na kashin baya a wasu wurare.

Osteochondrosis da wuya yana tasowa a cikin diski tsakanin 1 zuwa 2, haka kuma tsakanin 2 da 3 vertebrae. Mafi sau da yawa yana faruwa a cikin yanki na 6-7 thoracic vertebrae, inda akwai matsakaicin matsakaicin baya na kashin baya (kyphosis).

Osteochondrosis na lumbar kashin baya

osteochondrosis na lumbar

Osteochondrosis na kashin baya na lumbar yana faruwa a kusan kashi 50% na lokuta. Wannan shi ne saboda babban nauyin da ke kan wannan sashe na kashin baya (dole ne ya goyi bayan nauyin jiki), wanda ya fi girma tare da squats (aiki na tsoka da canji a tsakiyar nauyin jiki), dagawa nauyi, wasu motsin da ba daidai ba (misali, lokacin wasan ƙwallon ƙafa, lokacin da za ku kama kwallon, yin aikin tsoka, motsa tsakiyar nauyi ba zuwa tsakiyar ba, amma zuwa gefen haɗin gwiwa tsakanin vertebrae biyu).

Bugu da ƙari, yankin lumbar yana da hannu sosai kuma yana haɗa kashin baya na thoracic mara aiki da sacral maras motsi.

Mafi sau da yawa, raunin diski na intervertebral, wanda daga abin da osteochondrosis ya fara, ya dace da rata tsakanin 4th da 5th vertebrae (ana lura da saman lumbar lordosis a nan - kumburi na kashin baya), sau da yawa - tsakanin 5th lumbar. da kuma 1 sacral vertebrae. Waɗannan sassan sune mafi yawan lodi. Fayilolin da ke tsakanin 1st da 2nd da 2nd da 3rd vertebrae suna da rauni akai-akai saboda suna da motsi mai kyau.

Osteochondrosis na sacrum

osteochondrosis na sacrum

Keɓaɓɓen osteochondrosis na yankin sacral da wuya yana tasowa. Wannan shi ne saboda gaskiyar cewa an haɗa vertebrae a nan, kuma an tilasta wa dukan nauyin da za a rarraba nan da nan zuwa ga dukan sashen. Osteochondrosis a cikin sacrum yana tasowa lokacin da yankin lumbar ya sha wahala (saboda osteochondrosis, rauni ko wasu cututtuka), kuma nau'in vertebrae guda biyar da aka hade dole ne su yi tsayin daka.

Idan babu rashin daidaituwa na kashin baya, sacrum ya kamata ya kasance a kusurwar digiri na 30 zuwa madaidaicin jiki na jiki don kula da ma'auni tare da kasusuwan pelvic da aka karkatar. Amma idan na farko sacral vertebra protrudes gaba kadan fiye da zama dole (saboda wani nakasar anomaly ko rauni), wannan zai iyakance sarari ga tushen na kashin baya jijiyoyi kunno kai daga 1 sacral kashi, kazalika da tasoshin. Idan an haɗu da wannan tare da sacralization (girma na ƙarshen lumbar vertebra zuwa sacral na farko), to, wuraren da tushen sacral na 2nd sacral shima zai ragu. Sa'an nan kuma osteochondrosis da ya tasowa a nan (musamman osteophytes na baya) da matsalolinsa (intervertebral hernia) zai yi sauri ya ji kansa tare da ciwo mai zafi wanda aka gano a cikin perineum da cinyoyin ciki.

Ya kamata a lura cewa sacralization na kashin baya baya faruwa nan da nan bayan haihuwa. Fusion na ƙarshen lumbar vertebra na ƙarshe tare da sacrum yana farawa a cikin shekaru 13-14, kuma yana ƙare da shekaru 23-25. Akwai yanayi lokacin da sacral vertebra na farko ya kasance ba tare da haɗin gwiwa ba duk rayuwa, yana yin aikin 6th lumbar. Irin wannan anomalies haifar da ƙarin abubuwan da ake bukata don ci gaban osteochondrosis a nan, kuma sau da yawa a hade tare da wadanda ba ƙulli (cikakken ko m) na sacral canal - mai lankwasa tube a cikin abin da sacral jijiyoyi fita daga kashin baya ta hanyar sacral foramina.

Osteochondrosis na mahaifa da thoracic kashin baya

Osteochondrosis na mahaifa da thoracic kashin baya yana faruwa a lokacin da mutum bai kula da tsarin dystrophic da aka ci gaba a cikin fayafai tsakanin ƙananan ƙwayar mahaifa ba. A sakamakon haka, "da'irori a kan ruwa" sun fara bambanta daga irin wannan "dutse" - kashin baya (thoracic) ya fara shiga cikin tsari.

Halin da ake ciki lokacin da sassan daga yankunan mahaifa da thoracic, waɗanda ke da nisa da juna, suna fuskantar canje-canje a cikin faifai da kashin baya da ke kewaye da shi, suna tasowa akai-akai.

Osteochondrosis na lumbar da sacral

Dukan sacrum da kuma ƙarshen vertebra na lumbar shine tushen dukkanin kashin baya - suna ba da goyon baya da kuma kwarewa mafi girma. Idan ƙarin lodi ya faɗo a kai, musamman idan kwayoyin halitta, abubuwan da ake buƙata na hormonal sun haɓaka don wannan, ko kuma mutum yana fuskantar rashi na microvibration kullum, osteochondrosis na yankin lumbosacral yana tasowa (ƙarin wannan ana iya samun shi anan:Abubuwan da ke haifar da osteochondrosis").

Fayilolin da ke tsakanin lumbar vertebrae yawanci suna shan wahala da farko, sannan (bisa ga tsarin da aka bayyana a cikin sashin da ya gabata) sacrum yana shiga cikin tsari. Har ila yau, lumbosacral osteochondrosis ana kiransa yanayin sau da yawa lokacin da haɗin gwiwa tsakanin lumbar vertebra na ƙarshe da sacrum ya sami canje-canje na dystrophic.

Yadu ko polysegmental

yaduwa ko polysegmental osteochondrosis

Cutar tana tasowa a cikin kashi 12% na lokuta na osteochondrosis. Wannan shine nau'in cutar mafi tsanani, lokacin da tsarin dystrophic ya faru a cikin sassa da yawa (wani sashi shine nau'i biyu na vertebrae, babba da ƙananan, kewaye da abin da ya shafa intervertebral diski) na kashin baya. Dukansu sassan guda ɗaya (misali, osteochondrosis na diski tsakanin 4th da 5th da 6-7th vertebrae cervical) da kuma sassan da ba su da alaƙa na sassan daban-daban na iya shafar. Misali, osteochondrosis na diski tsakanin 4-5 cervical vertebrae (C4-C5) da diski tsakanin 4 da 5 lumbar vertebrae (L4-L5) na iya haɓaka.

Tun da polysegmental osteochondrosis ba ya faruwa cewa exacerbation tasowa a duk sassan a lokaci guda. Mafi sau da yawa, exacerbation tasowa a wani sashen, sa'an nan a cikin wani. Wannan ya haifar da fitowar irin wannan ganewar "gidan" kamar yawo osteochondrosis. Magunguna na hukuma ba su gane shi ba kuma suna nada mutumin da ya yi irin wannan "ciwon ƙwayar cuta" ga kansa ƙarin nazarin don fahimtar dalilin bayyanar cututtuka.

Matakai (lokaci)

matakai na osteochondrosis

Littattafan zamani sun bayyana osteochondrosis na kashin baya a matsayin tsari na yau da kullum wanda zai iya dawowa. Haɓakawa a lokacin ƙuruciya (musamman sakamakon raunin da ya faru ko motsi mara kyau, ɗaukar nauyi), yana ci gaba a cikin ƙima daban-daban, yana iya ragewa (remission na osteochondrosis yana faruwa), ko yana iya ci gaba da ci gaba. A cikin tsofaffi, akasin haka, ana lura da jinkirin yanayin cutar.

Masanan ilimin jijiyoyi sun bambanta matakai da yawa (lokaci) dangane da yadda ake canza tsarin diski na intervertebral:

  1. na haila.A nan, akwai raguwa a cikin adadin ruwa a cikin abun da ke ciki na tsakiya pulposus - cibiyar shayarwa na diski intervertebral, kuma ya bayyana a cikin zoben fibrous. Nucleus Pulposus ya lalace kuma yana jujjuyawar ligativer (zuwa ƙarshen ligativer na dogon lokaci, wanda ke gudana tare da saman firam na jikin gunkin. Irin wannan motsi na intradiscal na tsakiya pulposus yana haifar da haushi na jijiyoyi masu wucewa (a cikin yankin mahaifa - sinuvertebral). Ana nuna wannan ta ƙananan raɗaɗi a cikin wuyansa ko sashin da ya dace na baya, ƙaƙƙarfan motsi, ɗaukar matsayi na musamman wanda akwai wasu jin zafi. Idan osteochondrosis ya ci gaba a cikin yankin lumbar, an cire lumbar lordosis.
  2. II lokacihalin da samuwar subluxations, pathological motsi a cikin abin da ya shafa sashi na kashin baya. Wannan shi ne saboda gaskiyar cewa guringuntsi-kamar nama na diski (annulus fibrosus), wanda ke kusa da tsakiya pulposus, ya fara bushewa a hankali - tsayin diski yana raguwa. Inda annulus fibrosus ya fi dacewa, tsakiya na pulposus ya yi sauri, yana taimakawa wajen kara lalata shi (yawanci wannan yana faruwa a cikin jagorancin ligament mai rauni na baya). Wannan lokaci na osteochondrosis yana nunawa ta zafi a matakin sashin da ya shafa, tsokoki a sama da kasa da kashi suna ci gaba da tayar da hankali, suna ƙoƙari su riƙe vertebrae don kada su lalata kashin baya.
  3. III lokaciwanda ke da cikakkiyar fashewar zoben fibrous, don haka tsakiyan pulposus yana motsawa a cikinsa kuma yana fitowa tsakanin kashin baya (an sami ciwon intervertebral hernia). Ƙwaƙwalwar tsakiya na iya ko da shiga cikin lumen na canal na kashin baya (disc sequestration). Gurasar da ke rufe kashin baya sun zama bakin ciki saboda gaskiyar cewa Layer tsakanin su ya zama karami. Alamun mataki sun dogara ne akan hanyar da diski intervertebral ya rabu: idan a cikin hanyar budewa ta hanyar da tushen kashin baya ya fita, za a ji zafi wanda ya yada tare da zaruruwan jijiya (wato, idan osteochondrosis ya tasowa a cikin jijiyoyi). ƙananan sassan mahaifa ko na sama na thoracic, za a ji su a cikin hannu, kuma idan a cikin lumbar - to a cikin kafa), jin dadin jikin da ke ciki yana shan wahala; idan a cikin jagorancin canal na kashin baya tare da tsakiyar layi, ciwon baya ya zama akai-akai, motsi da hankali na gabobin sun damu, aikin gabobin ciki da ke karɓar innervation daga sashin da ya shafa yana shan wahala, idan tsakiya pulposus ya shiga cikin vertebra da ke sama ko ƙasa, za a sami hanyar asymptomatic na cutar;
  4. Lokacin IV.Ana maye gurbin nama na fayafai na intervertebral da abin ya shafa da tabo, saboda abin da motsi a cikin wannan sashin kashin baya ya iyakance ko ya ɓace. A cikin ɓangarorin maƙwabta, ana tilasta vertebrae don motsawa, kumburi da arthrosis suna tasowa tsakanin hanyoyin su. Osteophytes fara bayyana daga kasusuwa - fitar da kashi. Jijiya mai tsayi na iya ossify. Gefuna na kashin baya da suka lalace ta hanyar osteophytes da ossified ligaments kusa da su suna samar da nau'in madaidaicin kashi. Wannan shi ne spondylarthrosis.

Lokacin da tsokoki ke shiga cikin tsari, ƙoƙarin tabbatar da kashin baya, spasm yana faruwa a cikin su, ana matse tasoshin gida. Saboda haka, edema yana tasowa, wanda ke damfara tushen jijiya. Akwai zafi. Wannan shine -yajilokacin rashin lafiya. Idan kun fara jiyya a cikin wannan lokacin - iyakance ayyukan motsa jiki a cikin sashin da ya lalace, yi amfani da magungunan kashe zafi (suma masu kumburi ne), to.kai hariosteochondrosis yana ɓacewa a cikin kwanaki 5-7. Subacute ko2 lokacicututtuka.

Lokacin subacute yana ɗaukar kusan kwanaki 12-14. Idan a wannan mataki ba ku yi sanyi ba, kada ku ɗaga nauyi, kada ku yi motsi kwatsam, osteochondrosis yana shiga cikin gafara.

exacerbation na osteochondrosis

Kara tsanantaosteochondrosis da wuya yana tasowa "da kansa" idan mutum ya kula da sake cika ƙarancin microvibration a cikin jiki (ana samun wannan tare da taimakon babban motsin motsi da / ko hanyoyin sauti) da kuma kiyaye isasshen jini zuwa yankin da abin ya shafa.

Exacerbation na osteochondrosis na iya haifar da:

  • hypothermia;
  • ɗaukar nauyi;
  • damuwa mai tsanani;
  • motsi ba zato ba tsammani;
  • yin tausa ba tare da ƙwarewa ba;
  • shan barasa;
  • sanyi;
  • babban canji a zafi da sanyi (misali, nutsewa cikin ruwan sanyi bayan wanka ko sauna);
  • lankwasawa akai-akai;
  • dogon zama a cikin wani lanƙwasa matsayi.

Babban darajar osteochondrosis

A cikin ci gabanta, osteochondrosis yana wucewa ta wasu matakai. Ana kiran su digiri, kuma dangane da digiri, likita ya tsara magani.

Don fahimtar yadda cutar ke shafar aikin, ikon yin amfani da kai, dacewar mutum, likitocin gida sun bambanta digiri 5 na osteochondrosis:

Digiri

Tsananin zafi da sauran alamomi

Cin zarafin iya aiki da ƙarfin aiki

digiri 1

A mataki na farko, zafi ba shi da mahimmanci, yana faruwa a lokacin aiki, kuma ya ɓace a hutawa. Za a iya gano wuraren zafi kawai.

Ajiye lokacin yin kowane aiki

2 digiri

Ciwo ba mai tsanani ba, yana bayyana a hutawa, yana ƙaruwa tare da motsa jiki, amma idan kun dauki matsayi mai dadi ko dakatar da kaya, zafi ya tafi. A cikin digiri na biyu, canji a cikin tsari na kashin baya yana da hankali, ana jin tsokoki mai tsauri. Iyakance motsi na kashin baya

Idan muna magana ne game da ma'aikacin aikin da ba na jiki ko haske ba, ana kiyaye ƙarfin aiki. Idan mutum yayi aiki tukuru, ikon yin aiki yana da iyaka. Ana tilasta wa mutum ya dakata a wurin aiki, yana ƙoƙari ya guje wa motsa jiki

digiri 3

Ciwon ya fi fitowa fili, yana kara tsanantawa. An bayyana alamun cututtuka na jijiyoyi waɗanda ke keta ikon yin aiki.

An keta. Ma'aikatan ilimi ne kawai za su iya ci gaba da aiki. An rage ikon yin ayyukan gida, amma ana kiyaye kulawa da kai da ikon motsawa da kansa

4 digiri

Bugu da ƙari ga ciwo mai tsanani, alamun cututtuka na jijiyoyi kuma suna bayyana: dizziness, rashin hankali

Bace don kowane aiki. Yana iya motsawa a cikin harabar gida, yana dogara ne kawai akan sanduna. Yana ƙoƙari ya motsa kawai lokacin da ya zama dole don biyan bukatun ilimin lissafi.

5 digiri

Ana furta zafi da sauran alamun a lokacin hutu. An tilasta wa mutumin ya zauna a gado.

An rasa don kowane irin aiki. Mutum yana buƙatar kulawa.

Osteochondrosis na kashin baya, a cikin kowane sashi da aka kafa da kowane digiri ya kai, yana buƙatar ganowa kuma an ba da isasshen magani na lokaci. A lokaci guda, magani ya kamata ya zama cikakke, kuma ya haɗa da ba kawai shan magunguna don rage alamun bayyanar cututtuka ba, har ma da wasu (manyan) hanyoyin magani da nufin kawar da abubuwan da ke haifar da cutar.