thoracic osteochondrosiswani dystrophic degenerative canji ne a cikin intervertebral fayafai na thoracic kashin baya.
Wannan sashe na kashin baya ya ƙunshi kashin baya 12. Ita ce mafi ƙarancin wayar hannu kuma tana da kariya da kyau ta hanyar corset na tsoka. Saboda waɗannan kaddarorin, osteochondrosis na thoracic wani nau'i ne na cututtukan cututtuka fiye da osteochondrosis na mahaifa ko lumbar kashin baya. Amma, idan aka yi la'akari da yanayin gabaɗaya na haɓakar haɓakar osteochondrosis, lokuta na osteochondrosis da ke cikin yankin thoracic suna ƙara zama gama gari.
Dalilin thoracic osteochondrosis
Babban dalilin osteochondrosis na thoracic, kamar sauran nau'in osteochondrosis, shine canje-canje na degenerative a cikin kyallen takarda da lalacewa na tafiyar matakai na rayuwa saboda rashin abinci mai gina jiki da nauyin rashin hankali akan fayafai na intervertebral. Thoracic osteochondrosis mafi sau da yawa yakan faru a sakamakon tsawaita zama a cikin matsayi maras kyau da rashin jin daɗi - a ofishin ofis, yayin tuki mota, da kuma gaban scoliosis, wanda ke haifar da ƙarancin nauyi akan kashin baya. Halin ciwon da ke faruwa tare da osteochondrosis na thoracic yana ƙayyade nau'i biyu na alamun wannan cuta - dorsago da dorsalgia.
Ana nuna bayyanar dorsago ta hanyar ciwo mai tsanani, wanda ke da yanayin harin kwatsam. Baya ga ƙayyadaddun motsi na baya, wahalar numfashi na iya faruwa.
Akasin haka, tare da dorsalgia, jin zafi a cikin yanki na fayafai da aka shafa yana dadewa, mai sauƙi kuma tare da iyakacin motsi a cikin lumbar-thoracic ko cervicothoracic kashin baya.
Canal na kashin baya a cikin yankin thoracic yana da kunkuntar sosai. Sabili da haka, ko da tare da ƙananan ƙananan haɓaka da hernias a cikin osteochondrosis na thoracic, matsawa na kashin baya na iya faruwa. Wannan yanayin yana da haɗari musamman sabodana iya haifar da matsaloli tare da zuciya, hanta, koda da kuma pancreas. Sabili da haka, lokaci-lokaci magani na thoracic osteochondrosis yana da mahimmanci don hana rikitarwa.
Bambance-bambancen osteochondrosis na thoracic shine cewa ana iya kuskuren alamun bayyanarsa da alamun wasu cututtuka. Don haka ana kiran wannan cuta "cutar hawainiya". Bugu da ƙari, cututtuka na zuciya da jijiyoyin jini irin su angina da ciwon zuciya, thoracic osteochondrosis yana kwaikwayon ciwo daga appendicitis, cholecystitis, renal colic, da kuma cututtuka na gastrointestinal tract kamar gastritis, peptic ulcer, colitis (gastralgic syndrome).
Idan ana zargin osteochondrosis na thoracic, dole ne a yi cikakken ganewar asali don samun damar bambance osteochondrosis na thoracic da sauran cututtuka.
Alamun thoracic osteochondrosis
Tare da thoracic osteochondrosis, jin zafi da rashin jin daɗi ya bayyana. Ana lura da shi a cikin zuciya, ƙirji, baya, gefe, da babba cikin ciki. Ciwo yana ƙaruwa tare da numfashi da numfashi, da kuma motsi. Ana iya jin ƙanƙarar hannun hagu da yanki mai tsaka-tsaki, wanda zai iya buƙatar ECG. Tare da osteochondrosis na thoracic, jin zafi mai kama da intercostal neuralgia na iya faruwa, wanda ke haskakawa zuwa scapula.
Sau da yawa, ciwon da ke haifar da osteochondrosis na thoracic yana kara tsananta da dare, kamar a cikin ciwon zuciya, yana haifar da tsoron mutuwa, sabili da haka ana iya kuskuren ciwon zuciya tare da angina pectoris da ake zargi. Bambance-bambancen su daga hare-haren angina shine cewa jin zafi a lokacin osteochondrosis na thoracic ba shi da nitrates, kuma ECG ba ya bayyana alamun cututtuka na wannan cuta. A lokaci guda, shan magungunan zuciya ba shi da tasiri kwata-kwata; ana samun taimako na jin zafi ta hanyar magance cutar da kanta.
Idan bayyanar cututtuka na osteochondrosis na thoracic sun dogara da wuri da kuma hanyoyin da suka haifar da tsarin pathological, mafi yawan lokuta cutar tana tare da matsawa na kashin baya. Mafi ƙarancin rikitarwa na thoracic osteochondrosis shine matsewar kashin baya.
Alamomin matsawa na radicular Tsarin (radiculopathy)
Sau da yawa osteochondrosis na thoracic yana bayyana ta hanyar radiculopathy, wanda ke tasowa lokacin da diski na intervertebral herniated ya bayyana. Zai iya faruwa a kowane mataki, amma hernias na mafi ƙananan ɓangaren wayar hannu sun fi kowa. Alamun radiculopathy suna bayyana nan da nan bayan aikin jiki kuma a hankali suna karuwa a cikin makonni da yawa.
Idan bayyanar cututtuka da bayyanar cututtuka na osteochondrosis na thoracic suna hade da haɓakawa ko zubar da diski da ke cikin ɓangaren babba na kashin baya, wannan zai zama ciwo a cikin kafada, haɗin gwiwa na kafada, scapula, kirji ko rami na ciki.
Ainihin, alamun alamun osteochondrosis na thoracic sun dogara ne akan jagorancin hernia: yana da gefe ko tsaka-tsaki. Maganin osteochondrosis na thoracic, wanda ke da rikitarwa ta hanyar haɓakawa ko kuma hernia na gefe, zai kasance tare da ciwo na gefe ɗaya, Bugu da ƙari, asarar hankali na gida da jin zafi a matakin hernia na iya bayyana. Lokacin da hernia na gefe ya faru, alamun matsawa ba su da yawa kuma suna iya juyawa. Zafin zai tsananta tare da motsi na kashin baya, tari, ko ɗaukar numfashi mai zurfi. Lokacin da tsaka-tsaki na tsakiya ya faru, zafi yana dadewa kuma yana dagewa, zai iya wucewa har tsawon makonni. Babban haɗari a cikin wannan yanayin na iya zama saboda matsawa na tsarin kashin baya.
Thoracic osteochondrosis da matsawa na kashin baya (compressive myelopathy)
Myelopathy na kashin baya na thoracic na iya zama da wuya sosai. Wannan ya faru ne saboda fasali na aiki da na jiki. A wannan yanayin, alamun osteochondrosis na thoracic sune zafi na gida ko kewaye, rashin ƙarfi, rauni a cikin ƙafafu, da rashin aiki na gabobin pelvic. Zafin zai iya haskakawa zuwa makwancin gwaiwa, ciki, sararin intercostal ko yada zuwa kafafu.
Bayyanar cututtuka na thoracic osteochondrosis
Thoracic osteochondrosis a matsayin cuta mai zaman kanta ko a hade tare da osteochondrosis na wasu sassan kashin baya yana da yawa. Duk da haka, bayyanar cututtuka na irin wannan nau'in osteochondrosis, idan aka kwatanta da osteochondrosis na mahaifa da lumbar kashin baya, ana lura da su da yawa akai-akai, kuma cututtukan da aka gano ba a bayyana su a fili ba.
thoracic osteochondrosis ba a bayyanar da asibiti ta hanyar "sauƙaƙƙi" na SDS ko ƙaura na kusa da kashin baya. Hanyoyin arthrosis a cikin babba da ƙananan sassa na kashin baya na thoracic, wanda a cikin tsari da aiki yana kusa da ƙananan ƙwayar mahaifa da ƙananan lumbar, a gefe guda, ana nuna alamun cututtuka masu dacewa da alamun cututtuka na mahaifa da lumbar osteochondrosis. A lokaci guda, suna nuna alamun alamun asibiti masu mahimmanci kawai a cikin kashin baya na thoracic. Waɗannan sun haɗa da intercostal neuralgia, costovertebral da costotransverse arthrosis, waɗanda ke bayyana da zafi na sãɓãwar launukansa tsanani, tsanani da zurfi wahayi da tari. Sau da yawa m, ƙasa da sau da yawa paroxysmal. Tare da intercostal neuralgia, an ƙaddara maki zafi tare da wuraren intercostal. Tare da costovertebral da costotransverse arthrosis, zafi yana ƙaruwa tare da matsa lamba akan haƙarƙarin kuma yana cikin yanki na layin paravertebral.
Vertebrogenic cututtukaa matakin thoracic - da farko bayyanar cututtuka: muscular-tonic, neurodystrophic da vasomotor. Wuya don bambance vertebrogenic muscular-tonic, dystrophic da jijiyoyin bugun gini reflex bayyanar cututtuka na thoracic matakin, tare da jin zafi a baya, an bayyana a matsayin dorsalgia, kuma a cikin yankin na gaban kirji bango - kamar pectalgia, idan wani karin takamaiman ciwo. ba za a iya kafa.
Maganin osteochondrosis na thoracic, tare da rikice-rikice da rikice-rikice na jijiyoyi, yana da alamun cututtuka na visceral na zuciya, gastrointestinal tract, da tsarin genitourinary. Jin zafi a cikin yankin zuciya (pseudoanginal syndrome) na iya faruwa a matsayin mayar da martani ga fushin masu karɓa na ƙwayar mahaifa da na sama na thoracic. Vertebrogenic pseudoanginal zafi ya bambanta da ciwon angina ba kawai a wuri ba, har ma a cikin tsawon lokacin hare-haren, a cikin dogara ga matsayi na kashin baya, da kuma rashin tasiri na nitrates. Waɗannan su ne abin da ake kira pectalgia, kociwon bangon kirji na baya. Ya kamata a yi la'akari da ciwon bangon kirji na baya a cikin bambance-bambancen guda uku, wanda ke haifar da ƙwayar mahaifa, thoracic da cervicothoracic pathology. Tare da duk waɗannan zaɓuɓɓukan, ciwo mai raɗaɗi da tsokawar tsoka-tonic, dystrophic da neurovascular canje-canje suna tasowa a cikin babban tsoka na pectoralis da sauran kyallen takarda na bangon kirji na baya. Ciwon yana ƙaruwa tare da motsa jiki na jiki a kan tsokoki na kirji, lokacin juya kai da gaji, amma ba bayan motsin rai ba, damuwa na jiki gaba ɗaya ko cin abinci, kamar ciwon angina.
Ciwon ciki, wanda ke faruwa a sakamakon ƙaddamar da babban diski na herniated na baya a cikin kashin thoracic, yana da wuya sosai. A lokaci guda, matsawa na tushen yana bayyana ta hanyar ɗaurin gindi da hypalgesia a cikin dermatome daidai, da kuma matsawa ko matsawa ischemia na kashin baya (myelopathy) yayi kama da bayyanar cututtuka na ciwon daji na extramedullary: zafi, hypoalgic, mota da cututtuka na kashin baya. .
A mafi yawancin lokuta, tare da osteochondrosis na thoracic, cutar tana tasowa sannu a hankali kuma da farko tana bayyana kanta kawai a cikin ƙananan ciwo, a cikin baya kuma tana ƙaruwa bayan tsayin tsayin daka ko sauran tsayawa a wuri ɗaya. Bayan lokaci, tsananin zafi yana ƙaruwa kuma yana bayyana ko da tare da ɗan gajeren kaya mai tsayi, kuma alamun cututtuka na jijiyoyi suna faruwa sau da yawa. A cikin matakai na ci gaba na osteochondrosis na thoracic, zafi ya zama mai ban sha'awa kuma baya dogara da matsayi na jiki har ma yana ƙaruwa da dare.
Jiyya na thoracic osteochondrosis
Don magance osteochondrosis na thoracic, ana iya amfani da hanyoyin maganin reflex. Don dawo da motsi na baya da kuma kawar da spasms da hypertonicity tsoka, acupuncture ko, kamar yadda suke faɗa a cikin ƙasashen Ingilishi, ana amfani da acupuncture. Yin amfani da wannan hanya mai mahimmanci yana ba ku damar inganta aikin tasoshin jini, wanda ke da tasiri mai tasiri akan abinci mai gina jiki da kuma samar da jini ga kyallen takarda na diski na intervertebral. Ana iya haɓaka tasirin acupuncture da aka yi amfani da shi don osteochondrosis na thoracic ta hanyar amfani da haɗin gwiwa tare da jiyya na hannu, injin motsa jiki, ilimin motsa jiki, tausa, da moxotherapy. Waɗannan hanyoyin suna nuna babban inganci da aminci, sabili da haka sun zama tushen tsarin kulawa wanda aka tsara wa marasa lafiya daban-daban. Yin amfani da waɗannan hanyoyin, yana yiwuwa a dakatar da ci gaba da cutar, mayar da fayafai na intervertebral zuwa ayyuka na al'ada, ƙarfafa farfadowa na nama (zoben fibrous na diski da tsakiya pulposus), gaba daya kawar da bayyanar cututtuka marasa kyau na cutar, kamar zafi. , da kuma hana rikitarwa na osteochondrosis, wanda zai iya bayyana a matsayin hernias da protrusions.
Idan akwai osteochondrosis na thoracic, motsa jiki na warkewa ba karamin mahimmanci bane, wanda ba kawai ya dace da babban maganin ba, har ma yana taimakawa wajen samar da corset na tsoka daidai, don haka hana sake dawowa nan gaba.