DDDS - ihe ọ bụ? Nchoputa, ụdị, ọgwụgwọ

Otu n'ime ihe ndị na-adịghị ala ụmụ mmadụ na ọrịa nke ọkpụkpụ azụ daa ọrịa ogide ikpeazụ ebe ọgwụ omume. Mgbu na spinal kọlụm, ugboro ugboro, na mgbe ahụ kpamkpam n'ihi na ụfọdụ oge, maara ọtụtụ ndị bi na mbara ala. ndị mmadụ na-eleghara ndị mkpọsa a ọkachamara na-ekpebi ihe na-akpata si malite enweghị nchịkwa ọnọdụ. Ma o nweghị isi. Ọ dịghị ihe na-e na oge enye ịrị elu na irreversible phenomena ke idem, ukwuu mbenata ọrịa àgwà nke ndụ. Dị otú ahụ pathologies emetụta DDDS.

Diagnosis "DDDS" - ihe ọ bụ?

Degenerative ọrịa nke ọkpụkpụ azụ (DDDS) - a daa ọrịa nke elu akụkụ nke ụjọ usoro bụ nke otu n'ime ihe ndị kasị-adịghị ala ala ụmụ mmadụ na ọrịa, nwere a ntighari agwa na-akpatakarị nsogbu. Ọtụtụ mgbe ọrịa emee na ndị mmadụ nke na-arụ ọrụ afọ. Dị mwute ikwu na, na e nweghị nkịtị si ele ihe anya na mbido nke DDDS taa. Gịnị ka ọ pụtara? E nweghị ezigbo na ụzọ dị irè nke ịchọputa na n'imeso ọrịa.

Ọ na-kweere na omume nke daa ọrịa emee n'ihi ọtụtụ ihe:

• n'ihi obodo overloading vertebral ngagharị agba (PDS);
• n'ihi decompensation nri na usoro.

Ebe ọ bụ na DDDS - ọrịa na-ewe ọtụtụ afọ, na-ewere ọnọdụ na ọrịa ahụ mgbanwe ibu irreversible. Ya mere, ngụkọta mgbake nke onye ọrịa na ọtụtụ ikpe agaghị ekwe omume. Therapeutic jikoro na-iji naanị na eweghachiri nkịtị ọrụ nke spain na iwepụ adakarị ọrịa.

Ihe kpatara nke niile - osteochondrosis

The ọrịa na-eduga ná ọdịda nke moto ọrụ nke spinal agba, nke gụnyere ndị nọchiri ụfọdụ n'ime dum mmadụ. Olee otú nke a si mee? Ọ na-kweere na osteochondrosis omume ịkpalite omume nke DDDS. Gịnị bụ nke a daa ọrịa? Na CIS mba, ahụ ike na-eme na-akpọ osteochondrosis degenerative mgbanwe cartilaginous owuwu nke spinal kọlụm. The akpata degenerative diski ọrịa bụ:

• mkpụrụ ndụ ihe nketa pụrụ ịrịa,
• ọrịa nke vaskụla ọkọnọ draịva,
• enweghị mmega,
• agụghị oké haziri ahazi ọrụ (iru ala oche ma ọ table)
• anụ ahụ na-arụ ọrụ na-arọ na-ebuli,
• ibu.

Jiri nwayọọ nwayọọ na mgbanwe na Ọdịdị nke cartilage na-eduga ná ibelata na agagharị nke vertebrae, na-ebelata anya therebetween, erighị n'akụkụ ọkpụkpụ azụ arọ. Ọ bụrụ na ndị na-agba ọsọ usoro anaghị akwụsị na-emepe emepe vertebral ma ọ bụ extravertebral syndrome. 4 Ịmata Ọdịiche ihe mere nke kwuru syndrome a kpụrụ:

• mkpakọ - ọrịa amalite na-egosipụta dị ka a n'ihi nke n'ibu bufee nke moto agba nke ọkpụkpụ azụ na-eduga na mkpakọ nke akwara mgbọrọgwụ;
• disfiksatsionnaya - daa ọrịa na-ebilite n'ihi na-agwụ ike nke moto gwara agba nke ọkpụkpụ azụ;
• disgemicheskaya kpatara - daa ọrịa emee megide a ndabere nke nsogbu nke microcirculation nke anụ ahụ n'akụkụ aka intervertebral discs nke ọkpụkpụ azụ na saịtị nke mmerụ;
• Aseptic mkpali kpatara - daa ọrịa emee megide a ndabere nke mbufụt na spinal ngagharị agba.

Ọdịdị nke ahụ n'ọkpụkpụ azụ

Ọkpụkpụ azụ bụ a plurality nke vertebrae, ọ bụla nke na-kpụrụ a na ahu na ihe aak. The vertebrae na-ewekarị otu n'elu ndị ọzọ na-etolite a na kọlụm na akụkụ bụ isi nke nke na-aga spinal kanaal - a ụdị ọwara jupụtara irighiri akwara na arịa.

The vertebrae na-kewapụrụ cartilage - intervertebral diski, esịnede nke annulus fibrosus na ntọala pulposus. Ring-ewe ihe karịrị akụkụ nke ibu na diski. Na-eto eto organism ntọala pulposus 90% mmiri, Otú ọ dị, na mmiri mmiri ọdịnaya ya mbelata karịrị oge. Ntọala pulposus - ujo absorber, nke na-agbanwe ya udi n'okpuru ibu, si otú enye mgbanwe nke ọkpụkpụ azụ na-echebe ya site na mbibi.

The vertebral kọlụm si n'akụkụ niile ike ka ụdọ na muscular usoro. Strong uru na akwara njikọ belata ibu na discs na nkwonkwo. Otú ọ dị, ihe karịrị afọ, n'ihi na ihe dị iche iche, e nwere a ọnụ cartilage elasticity. Na-agba ọsọ usoro nke ọrịa na-ekwu.

Dị ka e nwere bụ a-enweghị nchịkwa na usoro

Mebiri postcho, buru ibu, ibu ígwè, ogologo ọnụnọ na-ezighị ezi ịnọ otú iru ala na ihe ndị ọzọ-eme na eziokwu ahụ bụ na mmiri mmiri ọdịnaya disk amalite ibelata, akwụsị ekwedo cartilaginous Ọdịdị. N'okpuru nduzi nke n'elu ihe enwekwu ibu na annulus fibrosus, ya emep uta eri na-agbaji. e nwere ihe mgbu usoro, onya anụ ahụ a kpụrụ na ezumike.

Mgbe n'ichihịa-aghọ nnukwu ọnụ ọgụgụ, e nwere onye na overlapping nke ọbara arịa na-eri nri na intervertebral discs. Nke nta nke nta na diski elu na-ebelata, nke mere na anya n'etiti n'akụkụ vertebrae na-ebelata sag na gbatia akwara, enwekwu ibu na intervertebral nkwonkwo. N'ihi bụ mbibi nke cartilage. -Akpali e guzobere DDDS. Gịnị ka ọ pụtara? The emep uta eri nke fibrous mgbanaka na a nsogbu nke karịrị ndị vertebral ahụ, welded ha vertebra ọnu-agbanwe ha kwesịrị ya, kpụrụ bụrụ naanị ọkpụkpụ ọkpụkpụ growths - osteophytes. The intervertebral diski clamped, na adi belata spinal agagharị. Ọtụtụ mgbe, mgbe nke a emee mgbu syndrome.

Intervertebral hainia diski nwekwara ike ime ka mmepe nke daa ọrịa. Herniated akụkụ-akpọ ntọala pulposus, nke mebiri site annulus fibrosus, si n'ofè ya na-ewepụta nsogbu na akwara mgbọrọgwụ nke ọgidigi azụ.

Definition na nhazi ọkwa nke dorsopathies

Enweghị nchịkwa spinal ọnọdụ nke na-adịghị metụtara ọrịa nke esịtidem akụkụ na-ebu ihe mgbu na-jikọtara na a iche iche otu nke ọrịa a na-akpọ dorsopathies. Dị na mba ụkpụrụ, nile di iche iche dorsopathies ekewa atọ dị iche iche:

• deforming dorsopathies - a na-agụnye deformation nke ọkpụkpụ azụ, n'ihi na mgbanwe na intervertebral discs: otu a na-agụnye kyphosis, scoliosis, lordosis, spondylolisthesis, ala azụ mgbu;
• spondylopathies - a na-agụnye niile traumatic na mkpali spondylopathies;
• Ọzọ dorsopathies - mgbaàmà nke olu mgbu, ahụ ma ọ bụ aka na ụkwụ, nke na-abụghị n'ihi na diski Ndahie ma ọ bụ mebiri nke ọgidigi azụ.

Dabere na daa ọrịa nke ebe nke si malite bụ na-akwanyere ùgwù: DDDS thoracic na lumbar spain na cervical spain DDDS. Ihe ọ bụ, anyị ga-aghọta mgbe e mesịrị. A mara mma nke ọrịa bụ na mgbaàmà nke ọrịa na onye ọ bụla nke ebe nke orunótu, na otu aka, ndị yiri nnọọ, na ndị ọzọ - nwere onwe ha pụrụ iche atụmatụ.

ụdị DDDS

Enweghị nchịkwa ọnọdụ ukar na lumbar spain. Dị ka ọtụtụ n'ime ndị dọkịta, isi kpatara nke a na-eje ije nwoke ezi omume, n'ihi na Ọ na, n'eziokwu, na-aṅa ndị price. N'ezie, ọrịa apụtaghị na a agụụ, na a na-enwe mmetụta ọtụtụ ihe (nri arịa ọrịa, ọrịa nke lymphatic usoro ke anụ ahụ nke na intervertebral discs, wdg).

• DDDS cervical spain. Gịnị ka ọ bụ? Dị ka a na-achị, ọ dorsopathies ịda n'olu, ihu akụkụ nke obi, na aka. Ụfọdụ ọrịa na-akọ a na-ere igbu mgbu mgbu n'etiti ubu pupụtara, yiri ihe mgbaàmà nke rịaworo. Mgbe cervical dorsopathies hụrụ ubara mgbu mgbe mbịne ma ọ bụ tilting isi. Na daa ọrịa nke thoracic spain nwere ike mgbu.
• DDDS lumbar spain. Ọ nwere ike so a mebiri nke uche nke ukwu na n'ime thighs. Ihe mgbu nwere ike n'out oge na ụkwụ abụọ; apụta ebelata uche na ala azụ na uche nke mkpịsị ụkwụ ukwu. Agbapụ mgbu, ọnụ ke uche ukwu, ụkwụ mgbu, mkpọnwụ nke ala ụkwụ na ike, ọnwụ nke pelvic ọrụ - niile mgbaàmà dorsopathies na lumbar ma ọ bụ DDDS lumbosacral spain.

ọgwụgwọ jikoro

The ngosipụta nke-enweghị nchịkwa na usoro ke spain adabere na ogbo nke ọrịa, nakwa dị ka n'ógbè na ókè nke lesion. Isi ediyarade nke ọrịa bụ ihe mgbu. Dị ka e kwuru n'elu, na-akpata ihe mgbu nwere ike ime ka muscle apịajighị apịaji, esisịt herniated akwara mgbọrọgwụ nke ọgidigi azụ, na ndị ọzọ. Ọtụtụ mgbe, ndị mgbu emee bụghị nanị na ebe nke ọkpụkpụ azụ, ma na-agafere n'akụkụ ndị ọzọ nke ahu. Ke adianade mgbu nọ n'ógbè ihe pụrụ ibelata uche, na ike ahu ike.

Agwọ maka degenerative spain ọrịa nwere ike jiri N'ezie nke ọrịa na melite ọrịa àgwà nke ndụ. The mgbagwoju nke ọgwụgwọ jikoro iji hụ na:

• kwụsị mgbu,
• jiri nwayọọ na mbibi nke cartilage,
• mma mgbasa spain gburugburu adụ anụ ahụ,
• belata mkpakọ nke vertebrae na onye ọ bụla ọzọ,
• ndabere onye ọrịa moto nkà.

Therapeutic ụzọ gụnyere iji ọgwụ ọjọọ eme, ọgwụgwọ anụ ahụ, physiotherapy.

DDDS: ọgwụgwọ na ọgwụ

Expression nwere ike mgbu site na ịnweta na-abụghị steroidal mgbochi mkpali ọgwụ ọjọọ ndị dị ka "Ibuprofen" "ketoprofen" "Diclofenac". Jiri nke ọgwụ ndị a, Otú ọ dị, na-emekarị jikọtara omume nke mmetụta. Na nke a, i nwere ike na-amalite nhọrọ n'ikuku pụtara na - bụ "Lornoxicam", "Nimesulide", "Meloxicam".

Na omume nke ọnọdụ na-achọghị na muscle na nsogbu ọbara ekesa iji ojiji nke lidocaine na Nchikota na steroid homonụ. Nke a na ezu-enyekwa aka ebelata nnukwu mgbu.

Ikpe belata ọnọdụ na ihe mgbu site na iji ọgwụgwọ analgesic plaster ( "Dorsaplast" "Nanoplast" et al.). Ke adianade do, kwachie na aka mgbu, ọ ka na-enye na mgbochi - mmetụta na otụk ebe nke ndọta. Jiri kwachie na-atụ aro ka na nnukwu mgbu maka ngwa enyemaka na udu. The ngwaahịa anaghị nwere Steroid, iji ya nnọọ ala: ndi patch adịghị egbochi ije, ọ bụ odorless, doo fọduru na akpụkpọ na uwe.

Physiotherapy na orthopedic corsets

N'out oge na iji ọgwụ ọjọọ eme na ọgwụgwọ DDDS ifịk ifịk ide orthopedic corsets, nke ibelata ihe mgbu site gwara a mebiri emebi spinal nke. Ọ bụrụ na-enweghị nchịkwa na usoro na-emetụta ndị cervical spain, na iji olu akwa Schanz. The ngwaahịa ọ bụghị nanị na a na-ekpokwu ọkụ mmetụta, ma nwa oge ebelata agagharị nke ọkpụkpụ azụ nọ n'ógbè ihe, aka muscle spasm, na-enye mma ọnọdụ maka mweghachi nke mebiri emebi owuwu.

Na daa ọrịa nke thoracic spain eji ọkara correctors, nke amamihe ekesa ibu gafee spain, na-ebelata otụk ebe. Ọ bụrụ na nsogbu na-adị na ala nke na azụ, na-eji lumbosacral corsets. Ọtụtụ mgbe na-amalite n'iji orthopedic insoles, wepụ akụkụ nke mmetụta ibu ọkpụkpụ azụ.

Kwụsị ihe mgbu ma na-enyere dị ka physiotherapy. Ndị a gụnyere: electrophoresis, ịhịa aka n'ahụ, UHF, ultrasound ọgwụ, magnetik ọgwụ.

Kwụsị mbibi nke cartilage

Dị ka e kwuru n'elu, ọgwụ ndị DDDS a na-iji bụghị naanị na na iwepu mgbu. Ọ dị mkpa ka ha kwụsị mbibi nke cartilage anụ ahụ na nke a nchoputa. N'ihi nke a, a dum nso nke ọgwụ ọjọọ - chondroprotectors. Ndị a gụnyere :. "Chondroitin sulfate", "glucosamine", wdg Ọtụtụ mgbe, aka na mmetụta nke ọgwụ ọjọọ na-e ọnụ. N'ọnọdụ dị otú ahụ na-achọ a kpọmkwem onunu ogwu nke ọgwụ. N'ozuzu, a kwa ụbọchị dose "Glucosamine" bụ 1000-1500 mg, "chondroitin sulfate" - 1000 mg.

Mma ka ọbara na-anụ ahụ nke na-emetụta ebe, ị nwere ike iji antiplatelet elekọta mmadụ na angioprotectors, nke na-agụnye ọgwụ ọjọọ "Pentoxifylline," "Aktovegin". Vitamin nke otu B (e.g., "Neyromultivit") enyere ghara imegide ndị metabolic Filiks ke idem.

Oge nke ghara ịgbanwe mgbe amalite usoro nke spinal traction, nke na-enyere dịkwuo anya n'etiti vertebrae ma belata ha mmetụta na onye ọ bụla ọzọ. Ọ bụkwa ihe dị mkpa ịnọgide na-enwe mgbe nile na moto ọrụ, na-ewusi muscular usoro site ọgwụgwọ anụ ahụ.

nchọpụta nsogbu

Iji ụbọchị, usoro mata degenerative spain ọrịa ike-akpọ nke zuru okè na a pụrụ ịdabere. Ka ọ bụla ọzọ ọrịa, DDDS nchoputa-amalite na a ọgwụ nnyocha. Doctor na mkparịta ụka na-enwe ndidi na-ekpebi na ọnọdụ nke ihe mgbu, na-egosipụta ihe na-ike welie mgbu (eg, mgbanwe ahụ ọnọdụ). The ọkachamara ga-chọpụta site ọrịa ọnụnọ nke bufee spinal unan na metụtara ọrịa.

Ọzọ, ndị dọkịta na-enyocha ndị paravertebral uru site palpation. Nke a-enye gị ohere ịchọpụta ọnụnọ nke muscular erughị ala ma ọ bụ ọnwụ nke a vertebra. Laboratory nchoputa na-agụnye ọmụmụ onye ọrịa ahụ ọbara na a rụrụ iji gosi na ọnụnọ ma ọ bụ na-anọghị nke na-efe efe Filiks ke idem.

N'ezie, ndị kasị ọmụma usoro nchọpụta nsogbu n'ịmụ banyere ọrịa bụ spinal radiography, agbakọrọ tomography (CT) na magnetik resonance Onyonyo (MRI). Electroneuromyography (electroneuromyographic) iji chọpụta ihe kpatara nke akwara lesion.