Osteochondrosis shine cutar da aka fi sani da duk cututtukan kashin baya. Tun da osteochondrosis kai tsaye ciwon dystrophic-degenerative raunuka na fayafai da ke tsakanin kashin baya, sakamakon haka, wannan yana haifar da canjin da ba za a iya jurewa ba a cikin tsarin su, da kuma siffar fayafai da kansu waɗanda ke yin kashin thoracic.
Yayin da mutum ya tsufa, waɗannan canje-canjen a cikin kashin baya suna ƙaruwa, kuma kusan shekaru 40-45, kusan kowa yana fama da osteochondrosis na kashin baya. Osteochondrosis na kashin baya na thoracic kanta yana tasowa sau da yawa fiye da, alal misali, lumbar ko mahaifa, tun da vertebrae a cikinsa ba su da yawa fiye da sauran yankunan vertebral. Bugu da ƙari, yankin baya a cikin kirjin kirji yana da haɓakar ƙwayar tsoka, wanda ke tallafawa kashin baya a cikin yankin thoracic fiye da sauran.
Menene wannan thoracic osteochondrosis?
thoracic osteochondrosis kai tsaye yana wakiltar rabuwar fayafai tsakanin kashin baya tare da raguwa a lokaci guda a cikin kauri kuma, sakamakon haka, tsinkayar ƙarshen jijiyar da ke cikin yankin intercostal na kirjin ɗan adam.
Duk da haka, mun sake lura cewa saboda gaskiyar cewa gyaran physiological ta haƙarƙari a cikin mutane yana da tsayi sosai, ɓangaren kashin baya a cikin kirji shine mafi ƙarancin kamuwa da osteochondrosis. Yana da osteochondrosis na thoracic wanda wani lamari ne da ba kasafai ba dangane da, misali, mahaifa ko lumbar osteochondrosis.
Yawancin lokaci, tare da osteochondrosis na thoracic kashin baya, fayafai tsakanin kashin baya na kashin baya, wanda ya hada da kashin baya na thoracic goma sha biyu, suna shiga cikin tsarin ilimin cututtuka. Amma mafi sau da yawa, tare da osteochondrosis na thoracic yankin, pathological canje-canje faruwa a cikin babba thoracic vertebrae. Akwai da dama digiri na lalacewa ga thoracic osteochondrosis, kuma a kasa za mu duba su daki-daki.
Abubuwan da ke haifar da ci gaban osteochondrosis na thoracic
Har yanzu kimiyyar zamani ba ta tabbatar da ainihin abubuwan da ke haifar da osteochondrosis na thoracic ba. A halin yanzu, yana da al'ada a cikin magani don gano abubuwan da ke haifar da lalacewa, ko abin da ake kira abubuwan haɗari, wanda osteochondrosis na yankin thoracic ke faruwa a cikin kashin baya:
- predisposition na gado;
- yawan aiki na jiki a wannan bangare na kashin baya;
- raunuka na kashin baya, irin su fadowa ko raunuka a yankin thoracic;
- canje-canjen da ke faruwa tare da shekaru a cikin fayafai na intervertebral kuma suna haifar da raguwar hydration a cikin kyallen takarda na fayafai;
- matsalar samar da jini a yankin kirji.
Abubuwan da ke haifar da ba da gudummawa ga cutar osteochondrosis na thoracic
Har ila yau, ci gaban cutar osteochondrosis gaba ɗaya yana haɓaka ta hanyar rashin aiki na jiki, wato, rashin nauyin ƙwayar tsoka, wanda ke haifar da rauni na ayyuka na corset na muscular kuma, a sakamakon haka, zuwa ƙarar kaya a kan fayafai na intervertebral da ligaments.
Ƙarin dalilai na ci gaban osteochondrosis na thoracic sune:
- hypothermia na jiki;
- kasancewar yanayi na damuwa na yau da kullun;
- cututtuka na baya;
- mawuyacin yanayin aiki na jiki;
- cututtuka na hormonal da suka taso a cikin jiki;
- rushewar tsarin rayuwa a cikin jiki;
- kasancewar lahani na kashin baya, wato yankin thoracic.
Sakamakon bayyanar da haɗuwa da waɗannan abubuwan, ko kuma wani lokacin ma ɗaya kawai, dystrophic-degenerative da ba za a iya jujjuya su ba a cikin fayafai tsakanin vertebrae na tsawon lokaci:
- tsakiya pulposus na intervertebral disc sannu a hankali ya fara rasa ruwan da ya ɓoye don samar da aikin mai mai, wanda a ƙarshe yana rage girman aikin wannan diski;
- Saboda karuwar nauyin da ke kan shi, zoben fibrous na vertebrae da kansa ya zama mai rauni, wanda hakan zai haifar da lalacewa a hankali.
Alamun da alamun thoracic osteochondrosis na kashin baya
Alamun asibiti na osteochondrosis na thoracic gaba daya sun dogara da dalilai masu zuwa:
- shekarun marasa lafiya;
- mataki na lalacewa ta hanyar cutar;
- matakai na osteochondrosis na thoracic kashin baya: remission ko exacerbation.
Babban alamun osteochondrosis na yankin thoracic sune:
- zafi a cikin kirji a cikin yankin kashin baya, abin da ake kira dorsago;
- lalacewa mai raɗaɗi ga jijiyoyi na kashin baya - radiculopathy;
- ciwon ciki;
- ciwon zuciya ko canje-canje a cikin tsokar zuciya, tare da yanayin zafi wanda ya ci gaba har ma a ƙarƙashin rinjayar trinitroglycerin;
- ciwon huhu, a cikin nau'i na cunkoso a cikin huhu tare da alamun hypoxia, wato, shaƙewa.
Ƙara yawan zafin jiki a cikin majiyyaci tare da osteochondrosis na thoracic ba a lura ba, wanda kuma alama ce ta bambanta kai tsaye. Dorsalgia a cikin yankin kirji, a matsayin daya daga cikin manyan alamun osteochondrosis, yana nuna abin da ya faru na fashewa a cikin zoben fibrous da nakasar tsakiya na pulposus. Lokacin da palpating, zafi a cikin wannan yanki na kirji kawai yana ƙaruwa kuma alamun suna karuwa.
Bugu da ƙari, halayen halayen halayen osteochondrosis na thoracic tare da matsawa myelopathy, wato, nakasar ƙarshen jijiya, sune:
- abin mamaki na "fitila da allura" - paresthesia;
- zafi tare da matsa lamba jijiyar alama ce ta kowa;
- rage hankali ga zafin jiki da taɓawa;
- Rashin aikin motsa jiki na kashin baya kuma yana ɗaya daga cikin alamun bayyanar.
Idan kun gano irin waɗannan alamun, kuna buƙatar tuntuɓar gwani. Bayyanar bayyanar cututtuka a hade da tsananin su yana da haɗari musamman. Hakanan, bai dace ba don magance alamun cutar ba tare da kawar da musabbabin cutar ba.
Digiri na cuta tare da thoracic osteochondrosis
Kowane mataki na cutar tare da osteochondrosis na thoracic yana da alamun kansa, wanda ke da alamun asibiti kawai. Magungunan zamani sun bambanta digiri hudu na osteochondrosis na yankin thoracic (kamar dai - lumbar da osteochondrosis na mahaifa) kuma, daidai da, lokuta hudu na ci gabanta. Bari mu dubi su da kyau.
Digiri na farko wanda ke da alaƙa da gaskiyar cewa tsagewa suna bayyana a cikin zoben fibrous, wanda tsakiya pulposus daga baya ya shiga. Wannan lokacin ci gaban cutar thoracic osteochondrosis yana da alamun da ke biyowa:
- bayyanar zafi a cikin kashin baya wanda ba ya wuce wurin da aka samu na rauni;
- waɗannan raɗaɗin na iya zama ko dai na dindindin ko bayyana a matsayin lumbago;
- Ƙunƙarar ƙwayar tsoka a cikin yankin thoracic na iya faruwa, tare da ciwo a cikin yankin zuciya.
Digiri na biyu Ci gaban osteochondrosis na thoracic yana da alaƙa da abin da ya faru na pathological na ƙara yawan motsin intervertebral tare da bayyanar asibiti masu zuwa:
- subluxations suna bayyana a cikin kashin baya na thoracic;
- zafi yana ƙaruwa yayin motsi;
- rashin jin daɗi yana bayyana lokacin da aka kiyaye matsayi na dogon lokaci.
Digiri na uku halin da fashewar zoben fibrous da kuma fita daga tsakiya pulposus fiye da iyakarsa. A wannan lokaci na cutar tare da osteochondrosis na thoracic kashin baya, intervertebral hernias fara bayyana, da asibiti ãyõyinsu ne quite tsanani. Wato - neurovascular, muscular-tonic da reflex-dystrophic.
Baya ga abin da ke sama, mataki na uku na osteochondrosis na yankin thoracic yana nuna canji a cikin yanayin kashin baya:
- rashin ƙarfi na kashin baya;
- iyakataccen motsi na yankin kashin baya, wanda aka bayyana a cikin nau'i na kyphosis ko scoliosis.
Digiri na hudu - tsarin dystrophic-degenerative yana rinjayar duk tsarin da ke kewaye da kashin baya. Yellow, interspinous da sauran ligaments suna shiga cikin wannan tsari na pathological, kuma fibrosis yana faruwa a cikin tsarin da ke kewaye da kashin baya. A lokacin wannan lokacin cutar tare da osteochondrosis na thoracic, ana lura da abin da ake kira yanayin remission a asibiti.
Matsaloli
Tare da ci gaba da cutar tare da osteochondrosis na thoracic, matsalolin haɗin gwiwa na iya haɓaka:
- kumburi na jijiyoyi na kashin baya;
- abin da ya faru na intervertebral hernias;
- ci gaban vegetative-vascular dystonia;
- ci gaban hernia na Schmorl;
- cuta tare da spondyloarthrosis;
- pathological girma na kashi girma - osteophytes;
- gagarumin raguwa na canal na kashin baya.
Ya kamata a lura cewa tsananin rikitarwa da ke tasowa daga osteochondrosis na thoracic gaba daya ya dogara da ƙimar ci gaban tsarin cutar kuma, ba shakka, akan tasirin hanyoyin magani don osteochondrosis na kashin thoracic.
Bincike da hanyoyin sa
A aikace, ana amfani da hanyoyi da yawa don gano osteochondrosis na thoracic. Daga cikin waɗannan, mafi yawan shine gwajin x-ray, wanda sakamakonsa yana da cikakken bayani. Alamun thoracic osteochondrosis da aka gano a cikin wannan binciken sune kamar haka:
- ƙwanƙolin fayafai tsakanin kashin baya suna rushewa;
- gefuna na faranti na murfin sun sami halin wavy;
- Fayilolin intervertebral sun canza siffar su;
- osteophytes bayyana - pathological kashi girma a cikin kashin baya;
- Hanyoyin da ba su dace ba na kashin baya sun karu kuma sun karu;
- Jikin kashin baya na thoracic sun canza siffar su ta al'ada;
- tsayin fayafai tsakanin vertebrae ya ragu sosai;
- herniated fayafai kafa tsakanin vertebrae.
A wasu lokuta, ana yin hanyar gano osteochondrosis na thoracic na kashin baya ta hanyar nazarin bambanci na X-ray, wanda ke ƙayyade alamun wannan cuta:
- a cikin yanayin ci gaba na ilimin cututtuka, ma'anar bambanci ya cika diski a tsakanin kashin baya;
- tare da taimakon wani nau'in nau'i na nau'in nau'i na nau'i na nau'i na pulposus na tsakiya yana bayyane, wanda ba daidai ba ne a cikin yanayi;
- Lokacin da faifan intervertebral ya lalace, wakilin bambanci ya fi shiga fiye da iyakokinsa, har zuwa shiga cikin canal na kashin baya.
Madaidaicin ganewar asali kawai yana ba ku damar ƙayyade ainihin magani.
Jiyya na osteochondrosis
Jiyya na osteochondrosis na thoracic yana yiwuwa ta amfani da ɗaya daga cikin hanyoyin da za a yi amfani da su, la'akari da sakamakon da aka gano na osteochondrosis na thoracic, wato:
- masu ra'ayin mazan jiya-maganin gargajiya na kashin baya;
- jiyya na thoracic osteochondrosis ta amfani da gogayya;
- aikin tiyata.
Jiyya na thoracic osteochondrosis, wanda ake kira Conservative, yana da rikitarwa don maganin kowane nau'i na osteochondrosis: magunguna, physiotherapy, aikin motsa jiki. Magungunan da ba steroidal anti-inflammatory suna da nufin kawar da ciwo a cikin kashin baya, wanda aka sani da osteochondrosis na thoracic. Ya kamata a lura cewa waɗannan magunguna suna kawar da matakai masu kumburi da kyau, da kuma kumburi da ke faruwa, suna taimakawa wajen rage tsarin matsawa na tushen jijiya. A cikin mafi rikitarwa lokuta na osteochondrosis na thoracic, likitan da ke halartar zai iya kuma rubuta magunguna da yawa, misali, wasu magunguna masu ƙarfi da masu shakatawa na tsoka waɗanda ke toshe bayyanar spasms na tsoka.
Lokacin da ciwon ya ragu ko kuma an kula da shi, wato, a lokacin da ake cirewa, ana ba da magani na physiotherapy, da kuma motsa jiki da tausa. Duk waɗannan abubuwa ne masu mahimmanci na hadadden magani. Ɗaya daga cikin manyan hanyoyin physiotherapeutic na magani da rigakafin cutar shine bugun jini ta hanyar na'urorin warkewa na musamman don amfani da asibiti da gida.
Maganin maganadisu kawai tare da sigogi na musamman an yarda da su don amfani yayin exacerbations; akwai na'urorin warkewa don magance duka ciwo mai tsanani da na kullum. Wannan tsarin kuma ya dace da maganin lumbosacral da kashin mahaifa.
Baya ga abin da ke sama, ana kuma iya samun nasarar yin amfani da maganin gogayya don magance osteochondrosis na thoracic, wato, maganin osteochondrosis na thoracic ta hanyar gogayya ta musamman. Tare da wannan hanya, ƙwayoyin paravertebral, kyallen takarda da ligaments suna fuskantar raguwa, wanda ke haifar da karuwa a cikin nisa na intervertebral. Ko da millimeters daya da rabi zai isa ya rage kumburi, kawar da matsawa, da kuma kawar da tashin hankali a cikin tsokoki kusa da kashin baya. A kowane hali, babban ka'idar magani mai ra'ayin mazan jiya shine rikitarwa. Dole ne a gudanar da magani na dogon lokaci kuma a kai a kai, wannan ita ce kawai hanyar da za a yi fatan samun sakamako.
Amma aikin tiyata a matsayin nau'in magani na osteochondrosis yana da kyau kawai lokacin da hanyoyin da ke sama na magance osteochondrosis na thoracic ba su ba da sakamakon da ake so ba.