Torakalgiya - kuyini? Izimbangela Nezingozi Ukwelashwa torakalgii

nobuhlungu obukhulu esifubeni manje esinye sezizathu ezivamile ezibangela abantu ukuba afune usizo lwezokwelapha. Zingase ezihlobene nesifo senhliziyo noma izinkinga umgogodla. Torakalgiya - kuyini? Iyini imbangela nendlela uzivikele lezi izinhlungu, sifunda okwengeziwe.

Izinhlobo ubuhlungu besifuba

torakalgii syndrome wabonakaliswa eqinile, ubuhlungu ngezinye izikhathi kunzima esifubeni, kuhlobene ukubandakanywa izinzwa neuropathy. Lokhu kungase kube kokucindezelwa imisipha kanye nemisipha ewazungezile. Kufanele kuqashelwe ukuthi lesi simo singenzeka yini kuphela isidumbu sowesilisa avuthiwe, kodwa futhi zenzeka intsha esikhulakhulile ngesikhathi sokukhula asebenzayo, kanye nabesifazane abakhulelwe, lapho ngokuqondene ukukhula umbungu kwandisa umthwalo phezu emgogodleni. Njengomthetho, zihlukaniswa uhlobo lwesifo:

• torakalgiya Vertebrogenic, ukuthi lihlotshaniswa zokugula yomgogodla;
• nevertebrogennaya torakalgiya - e Kulokhu, ubuhlungu besifuba kungenzeka ukuthi umataniswe bephethwe izifo ezihlukahlukene kwezitho zangaphakathi: inhliziyo (ngokuvamile isifo senhliziyo), pheshana emathunjini (gastroduodenal Reflux isifo), zokuphefumula izifo uhlelo, izinkinga zemisipha;
• torakalgiya psychogenic - avame kuba neurosis isitho kanye uvalo.

Izimbangela ubuhlungu besifuba

Ubuhlungu esifubeni kungase kube ngenxa yezizathu ezihlukahlukene. Isici yilesi sifo njengoba torakalgiya - ukuthi lesi sifo kungaba umphumela izinqubo ezahlukene ngokuphelele sokugembula. Ngokuvamile ibangela yilezi:

• ukhwaliti ubuhlungu emuva;
• herniation futhi protrusion we akwazi ukugcina intervertebral yomgogodla thoracic;
• imisipha spasm;
• Ukulimala umgogodla;
• ukuphakamisa izinsimbi ezisindayo, sindisa ngokomzimba;
• zezifo ezithathelwanayo namakhambi non-esithathelanayo isimiso sezinzwa;
• njengemithi yokungezwani komzimba nokuthile, izifo ezibangelwa amagciwane;
• kwamathambo;
• ukucindezeleka, kwehlisa amasosha omzimba.

izimpawu torakalgii

Symptomatology lesi sifo akusona zahlukahlukene kakhulu. Njengomthetho, ke yangempela zimpawu ezilandelayo:

• paroxysmal noma eziphikelelayo ubuhlungu besifuba, a ukuncinza ezikhaleni intercostal;
• Ubuhlungu singagxila kolunye uhlangothi umzimba noma ezimise okwama-tile bakhathale uhlamvu;
• izindawo ezibuhlungu palpated kahle (torakalgiya musculo-tonic), ngokuvamile esemgwaqweni emsipheni ethintekile, ngaphezu kwalokho, lapho ngokuvamile kudambise isikhumba esifundeni innervation yayo;
• yokukhulisa ubuhlungu ngesikhathi ukunyakaza ngokushesha, ukukhwehlela, sneezing, umoya kakhulu;
• ziwe amathambo motion;
• isimo lesiguli liwohloka ngemva zizwa amakhaza noma kokuhlala isikhathi eside esimweni static.

Njengoba torakalgiya kwesokunxele izimpawu zabo zifana kakhulu ubuhlungu, umuntu azalwa nalo lokuhlaziya isifo senhliziyo, okubaluleke kakhulu kudinga umuntu uphethwe obuphelele, ngoba amaphutha ekuxilongweni ukuza ukwelashwa ayizwakali.

Umehluko izinhlungu ezihambisana nesifo senhliziyo nemithambo yayo (yenhliziyo Umthambo isifo wenhliziyo) kanye torakalgii vertebral

emitholampilo isithombe

Namuhla, odokotela ngezindlela ezihlukene ezine basemtholampilo ezifana izenzakalo sokugembula njengoba torakalgiya. Ukuthi isifo kuhlobane ngokuqondile isimo sokusebenza yomgogodla, uchaza lokhu ngezigaba:

1. Torakalgiya, okuyinto kwabangelwa abahluphayo aphansi emgogodleni wesibeletho. It libhekene ubuhlungu engxenyeni engenhla kwesifuba (phezu-futhi subclavian endaweni), imbuthuma entanyeni, emahlombe, ingalo. On luhlolo kukhona soreness emalungeni phezu abathintekayo ecaleni, soreness, anda ithoni zone trapezoid nemisipha intercostal.
2. Torakalgiya Vertebrogenic elihlobene ne izinqubo sokugembula esifundeni thoracic ka ikholomu umgogodla. Kulokhu, has a ngiyaqaqanjelwa kancane kancane batheleka, edonsa uhlamvu, ngokuvamile indawo retrosternal noma interscapular. Ngokuvamile ubuhlungu ongakaphathelani ukunyakaza noma umzimba.
3. Scapular-ubambo inketho torakalgii. Kuze kube yimanje, lesi sifo libhekene ezihlukahlukene ubuhlungu, owenziwe waba owasendaweni ikakhulu interscapular ngakwesokunxele, endaweni peripapillary noma phezu ohlangothini umugqa kwesifuba ngezansi ikhwapha. Ubuhlungu zibe zinde ngokwemvelo noma episodic. It ngokuvamile uhlanganiswa isenzo zokuphefumula. Esinye isici isici kuyinto yokufuduka ubuhlungu kanye emaphethelweni azwela umfutho.
4. anterior esifubeni syndrome libhekene zomile, bezwe izinhlungu, ubuhlungu ophikelelayo ngokuvamile kwandisa ne ukunyakaza futhi isebenze okologrudinnoy futhi perednepodmyshechnoy izindawo.

ukuhlola

Ubuhlungu besifuba kungahle kubangelwe izizathu eziningi, futhi ngoba uphethwe "torakalgiya" yenziwa kuphela ngemva ukuqeda zokugula zenhliziyo yamaphaphu, okungukuthi, ngemuva kokuxoxisana wenhliziyo kanye Pulmonologist. Uma ingxenye yalezi izazi kungekho kwezinso zitholiwe, ngaphezu ukuhlolwa laboratory, eyenziwa uthole ukucwaningwa okuningiliziwe, kungakuhle kakhulu kuhlanganise:

• -magnetic resonance imaging,
• X-ray;
• densitometry (Ukutadisha yethambo izicubu);
• scintigraphy (ucwaningo usebenzisa radioisotopes);
• electroneuromyography (ukuhlolwa, okuvumela ukuhlola ukusebenza neuropathy isimiso sezinzwa).

Futhi ngesisekelo lezi survey ukubeka lokhu uphethwe njengoba torakalgiya. Izimpawu kanye nokwelashwa isifo uyophinde ube izici zayo siqu esimweni ngasinye. Lesi sigaba nakho kubalulekile ngoba uphethwe esingafanele-ngokuvamile kuholela eside, kaningi ibiza nokwelashwa yalutho.

Torakalgiya: ukwelashwa

Ukwelashwa yalesi sifo ayikwazi ukuba noma yisiphi isenzo esisodwa. Ukuze uthole imiphumela ezifanele, kudinga eziyinkimbinkimbi izinyathelo zokwelapha, ezihlanganisa ukuvivinya umzimba, massage, ukuxhaphaza, imithi, ukuvivinya umzimba yokwelapha. Uma kudingekile, lolu hlu zihlanganisa traction umgogodla (traction) kanye Reflexology.

ukwelashwa sisetshenziswa kulokhu esikhathini acute lesi sifo. Inhloso yayo okudambisa ubuhlungu acute nokuvuvukala. Ngenxa yale njongo, umuthi kufanele kube namaqembu kwemithi:

• anti - "diclofenac", "Meloxicam", "Aertal";
• imisipha relaxants - "Mydocalm", "Sirdalud";
• neuroprotective - B amavithamini, "Meksidol";
• hondroprotektory - "Hondrogard", "hondrolon".

Nokho, kufanele sikhumbule ukuthi ukusetshenziswa kwemithi yokwelapha kuphela abakwazi ngokuphelele ukuxazulula le nkinga. Ukuze ukubuyisela umsebenzi yomgogodla futhi decompress le eziyimpumelelo emsipheni, kubalulekile ngokushesha ngemva ngempumuzo ubuhlungu ukwenza massage and athole ukwelashwa komzimba.

Physiotherapy

Ngo isifo esinjengo torakalgiya, izimpawu kanye nokwelashwa okuvame kuzoncika ezintweni eziningi, Physiotherapy likhona magic inhlamvu. Ngesisekelo le ndlela kuyinto ukusetshenziswa imihlola ngokomzimba, ezifana ultrasound, amandla kazibuthe, laser, ongaphakeme-imvamisa imisinga. Kanye imithi, bangakwazi ngokushesha nangempumelelo izimpawu zobuhlungu iwukudambisa ukuvuvukala. Enye inzuzo yokuhamba kwesikebhe lezi izinqubo kuyinto, ngaphandle ezingavamile, ukungabi bikho kokukhanya Izimo.

ukwelashwa imanuwali

ukuthandwa Wide ekwelapheni izifo yomgogodla unqobile namuhla kwamathambo. Limelela uhla amasu zokwelapha evumela isandla ukulungisa umthelela ukushayisana yomgogodla, amalunga, imisipha kanye nemisipha. Ngaphandle, lezi zenzo asikhumbuza massage, kodwa umehluko itholakala umkhawukho wesikhathi kwasendaweni iziza namandla umthelela.

Endabeni vertebral torakalgiey umthelela Udokotela Weqolo ihlose ukuthuthukisa sezimoto emgwaqeni emalungeni intervertebral futhi ukwandisa kuyaqina imisipha kanye nemisipha. Bebonke, lokhu kunciphisa kokucindezelwa we emsipheni ethintekile kanye, ngenxa yalokho, isimo ameliorated. Kufanele kuqashelwe ukuthi ngokuvamile kakhulu ekwelapheni professional inhlukano kusivumela ukuxazulula izinkinga ungaphenduli yokwelapha by ezinye izindlela.

Ifomu okungamahlalakhona

Njengoba ojwayelekile, uma ungaqali ukwelashwa esifike ngesikhathi noma usisebenzisa hhayi ngokugcwele, khona-ke kukhona inqubo ezingamahlalakhona. Kumele kukhunjulwe uma kutholakala izifo ezifana torakalgiya ukuthi zingayisongela ukuvela disc herniated isahola esizayo ukukhubazeka.

Yebo, ngoba ifomu ezingamahlalakhona elinesimo ubuhlungu kancane, futhi ngokuvamile nje "ukubekezelela". Nokho, ngisho noma ubuhlungu akazihluphi isikhathi eside ke zabuya liyoba nakakhulu, okusho - imbangela engakaze wanqoba futhi lokhu kuyaqhubeka kuwohloza emzimbeni. Ukuze ugweme lokhu, kumelwe, ngokushesha nje lapho izimpawu zokuqala zesifo, hhayi ukuzithiba medicate futhi ungalindeli ukuthi "self-pass", futhi bafuna usizo kumuntu ofanelekayo. Phela, izinyathelo ngokushesha ayabanjwa, amathuba ngaphezulu ukuqeda lesi sifo.