ImpiloIzifo nemibandela

Ukwa sokukhubazeka komgogodla. emgogodleni ukwelashwa ukwa. Usizo lokuqala, ukuhlinzwa, ukuvuselelwa

Naphezu amandla ayo, umuntu uhlelo zemisipha ngokuvamile ngaphansi imithwalo eliphezulu, okuyinto kungaholela ukulimala. I ukulimala kakhulu sína futhi ezinzima kuyinto ukwa sokukhubazeka komgogodla. Ukwelashwa nokuvikelwa ukwa yomgogodla kuzoncika kobukhulu ukulimala kanye kwasendaweni. Lapho nomonakalo onjalo Ngokuvamile inqubo enyameni ezungezile, isib, imisipha, umgogodla, umsipha. It kakade angase abhekane nezinkinga ezingathí sina.

Sizozama ukubhekana izinhlobo ezahlukene emgogodleni waphuka, usizo lokuqala kanye nokwelashwa ukulimala.

Izinhlobonhlobo waphuka vertebral

Ngokuvamile abantu baphuka izinqulu vertebral are of nhlobonhlobo hlobo kanye degrees. ukwa ngezigaba okwenziwe ezicini ezithile. Banikezwe indlela yokulimala, singakwazi ukuhlukanisa ezinhlotsheni ezintathu zokulimala takiz:

  1. Kokucindezela ukwa. Kwenzeka ngenxa yokucinana ka amathambo ngaphansi amabutho esibuhlungu. Ngokuvamile nomonakalo onjalo ugcina falling emhlane wakhe, emilenzeni noma ezinqeni.
  2. umonakalo Flexion-ekstenzivnye, noma bebizwa flexor-extensor. ukulimala okunjalo ubhekwa siyisinqumo esinzima kunazo zonke, kusekelwe flexion nokwelulwa yomgogodla ngenxa ingozi noma ekwindla ka into esindayo emhlane wakhe.
  3. ukulimala rotary. Ingqikithi wabo ukunyakaza obungangatshazwa mayelana eksisi longitudinal sokukhubazeka komgogodla. Lokhu kwenzeka ngenxa buhlungu oqondile.

Kokucindezela ukwa, esikhundleni salokho, ihlukaniswe yaba amazinga eziningana:

  • Ibanga 1 kuyahluka ukwehla ukuphakama vertebral ingaphansi kuka-50%.
  • degree 2nd - ukuphakama kuyehla ngesigamu.
  • Ngezinye 3 degrees ukuphakama vertebral kwehle ngo-ezingaphezu kuka-50%.

Uma ukwa emgogodleni vertebra obonakele eyodwa kuphela, lokho kulimala ibizwa ngokuthi ukwa olulodwa. Lapho izilonda amaningi abathintekayo ubuqotho amathambo eziningana.

Lezi zinhlobo ezilandelayo waphuka bungabonakala lapho sicabangela kwasendaweni ukulimala:

  1. Ukwa yomgogodla wesibeletho.
  2. thoracic emgogodleni ukwa.
  3. Ukulimala amathambo lumbar.

Ngaphezu kwalezi zinhlobo, ungase futhi ukhethe amaningi:

  • ukwa Esitebeleni. With amathambo obonakele enjalo musa ukuthutha, azithintwa zezicubu ezizungezile.
  • umonakalo engazinzile. Kulokhu, amathambo nazo ezilahlekelwe kungenzeka perelomovyvih.

Uma sicabangela ukusonteka of amathambo, le ukwa kungenziwa labizwa ngokuthi elandelayo:

  • I ukwa nhlonhlo emise. Trauma kuyinto ichopho nhlonhlo ebhekene phambili, maqondana kumila nomgogodla.
  • Ukuhlukana. Umonakalo onjalo kungaba kuqhume lapho vertebral umzimba izingcezwana dengwane bacondze etindzaweni letehlukene, ngisho ngezinye izikhathi ngesimo iconsi ukulengiswa. Ngokuvamile abantu baphuka izinqulu ezinjalo engazinzile, ngokuvamile kufanele iphendukele ukuhlinzwa.

Symptomatology ka ukwa umgogodla

Ukuze imiphumela waphuka kukhona okungenani ezinzima, kubalulekile ukuhlola ngesikhathi ukunikeza usizo efanele yokuqala futhi bathuthe isisulu esibhedlela. Izimpawu ukwa zande, kodwa abalulekile kakhulu futhi esobala yilezi ezilandelayo:

  1. nobuhlungu obukhulu endaweni elimele. Ubuhlungu ngokuvamile kuyaqina lapho uzama ukushintsha isikhundla umzimba noma wenze isandla ukuthutha noma unyawo.
  2. Okuvumelekile ukunyakaza. Ngenxa ukwa vertebral ubuqotho ezicacile zomzimba woniwa ke yonke imizamo ukuze wenze ubuhlungu ukunyakaza sekupheleni.
  3. With soshintsho eqinile kungabonakala nasemkhakheni ukusonteka we umnyango, okuyinto lilimele.

Akubalulekile ukuhambisa isisulu uma kukhona ukwa esolwa yomgogodla. Ukwelashwa nokuvikelwa waphuka yomgogodla nempumelelo yayo ixhomeke enikeziwe usizo lokuqala nokuba yinkimbinkimbi ukulimala.

Izimbangela waphuka

Noma yimuphi ukwa kwenzeka ngenxa ngokweqile umfutho wamandla ithambo kumiswa. Lokho yomgogodla siphukile, kumele ube kwale mibandela elandelayo:

  • A amandla elikhulu nomthelela.
  • Engaqinile ithambo uhlelo.

Ngokuvamile, waphuka umgogodla zenzeka ngenxa bokuwa besuka endaweni ephakeme, ngenxa yezemidlalo noma ngcono imisebenzi professional kanye umthengi. Amathuba kokuthola ophukayo ezinjalo ngenxa engozini yemoto.

Kunezimo lapho ithambo iba engazinzile ngenxa izinqubo sokugembula emzimbeni. Kulokhu, ngisho ukuchayeka ezincane kungaholela ukulimala ezinjalo. Lokhu kungenzeka uma lezi zifo ezilandelayo:

  • Lokhu kwakubangelwa ukukhumuzeka kwamathambo.
  • Ukuba khona izimila.
  • Isifo sofuba.
  • Ukwephulwa ohlelweni endocrine.

Kungakhathaliseki ukuthi sasiyini isizathu kwaba, usizo lokuqala for waphuka yomgogodla kumele inikezwe kahle ukuze kungabonakali sengathi sihambisana kuholele kwaba nemiphumela emibi nakakhulu.

ekuxilongweni ukwa

Ubuhlungu ukuthi kwenzeka ngesikhathi ukwa akuyona isici esithile i lokho kulimala, ngakho-ke kuyadingeka ukuba ubambe iqhaza kunhlolovo esilandelayo ukuze wenze i ukusazi ngokunembile isifo esikuphethe:

  1. Emgogodleni X-ray ukukwenza. Lokhu kuzothatha projection eqondile lateral, ukuthola indawo esiqondile umonakalo futhi ukucacisa ngobucayi ukulimala.
  2. I-CT scan ngokuvamile ebekiwe emva ze-X ray ukuba njengoba enemininingwane ngangokunokwenzeka ukubukeza endaweni ezilimele.
  3. Myelography kubonisa isimo emgogodleni emva ukwa.
  4. Examination ngumuntu wezinzwa kuyadingeka ukuhlola luvelo umsebenzi kwalapho kuhlangana khona imizwa, kanye nomgogodla.
  5. udokotela MRI angabeka uma kukhona izinsolo ukulimala izakhiwo umgogodla.
  6. Densitometry wenziwa Ezimweni ezingavamile, ukuze ekuvimbeleni ukukhumuzeka kwamathambo.

Phela udokotela ucwaningo ungenza uphethwe, ukucacisa yinkimbinkimbi ukwa, ukuhlolwa ingozi, akhethe okuhle amacebo ukwelashwa.

Ukwa yomgogodla wesibeletho

Emgogodleni wesibeletho kuyisinyathelo sokuqala ikholomu umgogodla. Iqukethe eziyisikhombisa amathambo. Kaningi, ngenxa yokuwa ekhanda kukhona ukwaphuka we vertebra kuqala, olubizwa ngokuthi Atlas.

Ingozi waphuka enjalo ukuthi kungabangela umonakalo hhayi kuphela emgogodleni, kodwa futhi abanye izingxenye zobuchopho. Ngokwesibonelo, uma ezilimele oblongata medulla, igcwele ukwephulwa ukuphefumula futhi ukushaya kwenhliziyo.

Thola ophukayo lesibili vertebra wesibeletho kunzima kakhulu, isiguli ngokuvamile ekhononda zobuhlungu ngesikhathi ikhanda ngokushintshana. Kuye ngezinga of ukwa ukuhlukumezeka enjalo ingaholela ezinkingeni zezinzwa noma ukulimala kabi emgogodleni, okuyinto engahambelani ngempilo.

Ukulimala asele amathambo wesibeletho, ngokuvamile kwenzeka ngenxa ukugoba abukhali entanyeni. Uma ukulimala kuthinta nemisipha, kukhona ingozi umgogodla cord yokulimala.

Ukwa yomgogodla lumbar

Izinhlobo ezivamile yokulimala yomgogodla kukhona kokucindezelwa waphuka we thoracic kanye amathambo lumbar. Ngokuvamile kakhulu kwenzeka ngenxa ukuwa ezinqeni noma ugxuma usuka endaweni ephakeme kakhulu.

Uma lesi sifo has kwamathambo, i-lumbar nomgogodla ukwa singenzeka ngenxa ephansi amandla iconsi. Ingozi iba ukuthi uma engenzi zonke zisebenze udokotela, ukuthatha ubuhlungu emuva izimpawu izinguquko ezihlobene nokukhula.

ezosizo oluphuthumayo

Uma usola ophukayo yomgogodla edingekayo ukuze sisize ukulungisa isisulu. Ngaphandle kokuba uvakashele esibhedlela kuleli cala, abakwazi ukwenza, ngakho udinga kahle afeze zokuhamba.

Usizo lokuqala kuyoba kanje:

  1. Stow ngobunono ngemuva isisulu kunoma iyiphi eqinile: kungase kube iphaneli umnyango, ipulangwe noma omunye umsebenzi etholakalayo.
  2. Vikela kwemilenze esifubeni.
  3. Uma ubuhlungu esifundeni wesibeletho, kubalulekile ukuba le mishini yenze.
  4. Ekuqa- amathambo kabuhlungu emgogodleni thoracic noma lumbar ukubeka umcamelo ezithambile ukulimala.
  5. kungenzeka Ngemva kokunikeza baxhashazwe nesineke inikezwe isidambisa-zinhlungu i-ukukhululeka ubuhlungu.
  6. Awukwazi ukuthutha esigulini ngesimiso awulutho kuNkulunkulu.

Kahle unikele usizo lokuqala ongasindisa impilo isisulu.

Akuvunyelwe ezimeni ukwa esolwa emgogodleni

Lokhu ukulimala kuyingozi ngokwanele, ngakho kukhona ezinye izenzo ngokuphelele contraindicated ku:

  • Awukwazi ukuphoqelela isisulu ukuthi ahlale phansi noma bame ngezinyawo.
  • Akuvunyelwe uzame ukwehlisa a amathambo endaweni.
  • It is hhayi Kunconywa ukunikeza imithi, uma isisulu ilahlekelwa ukwazi noma kahle ukugwinya umsebenzi.
  • Ingabe singakwazi ukudonsa lezi ingalo noma umlenze, noma uzama ukudlulisa isiguli ngokwakhe.

Noma yimaphi kula izenzo kungaholela eziyingozi, ngakho musa engozini impilo umuntu uma kukhona ukwa sokukhubazeka komgogodla.

emgogodleni ukwelashwa ukwa

Ngaphandle yokwelapha ngendlela isikhungo sokwelapha ongeke ukwenze khona ukulimala ezinjalo. onguchwepheshe oqeqeshiwe kuphela angakunika umuthi ukwelashwa okufanele ukuthi uyogwema zonke izinkinga.

Ukwelapha kungaba kwenziwe ngezindlela ezimbili:

  1. Olandelanayo.
  2. Surgery.

Ngisiphi isiqhema kuyadingeka ukuze iphendukele sibhekane ngempumelelo nge ukwa incike ngobucayi ukulimala futhi indawo yayo.

ukwelashwa ngoludala

Ngokuvamile, izifundo ezigcwele nokwelashwa ukwa kuthatha cishe izinyanga ezingu-3, sidlule ngaphansi kweso njalo udokotela kanye survey njalo ukukhomba inqubo splicing amathambo lilimele.

ukwelashwa ukwa kuhlanganisa izinyathelo ezilandelayo:

  1. Ukususa ubuhlungu. Lokhu ukulimala kubangela ubuhlungu obukhulu, kanjalo isiguli kumele inikezwe amaphilisi ezinhlungu, ngeke kuthinte izinga yokutakula, futhi isimo sizoba ngcono.
  2. Umsebenzi komkhawulo. Ukuze umsebenzi usheshe afanayo amathambo kufanele kwenzeke ukuba kukhawulwe iyiphi ukuhamba. Awukwazi ukwenza izenzo ukwandisa umthwalo phezu emgogodleni, Hlala ephansi futhi ume. Ngaphandle mthetho accretion ngesilinganiso ukwehla.
  3. Nenkanuko edlulele. Ngemva ukwa umgogodla, kungase kuphakame yezinkinga eziningi zezinzwa. Ukuze ugweme kubo, kubalulekile ukuba ulungise yomgogodla endaweni efanayo. Ngenxa yalezi zinjongo, ungasebenzisa corset we ukwa emgogodleni. Verteroblastika - inqubo angasetshenziswa ukubuyisela ubuqotho sokukhubazeka komgogodla. Ukuze wakhe yakhetha esimweni ophukayo kokucindezelwa emitholampilo eminingi. Iphuzu liwukuthi lokhu: kuyinto wokubhoboza esikhumbeni emzimbeni vertebral sifakwe induku metal ngokusebenzisa ingaphakathi ligcwele isixazululo ukuqinisa isakhiwo vertebral. Le nqubo wenziwa ngaphansi izinzwa wendawo.
  4. Kyphoplasty isetshenziswa ukubuyisela ukuphakama vertebral. Udokotela wenza sebeziqhumbuza esikhumbeni bese ifaka phakathi vertebral umzimba ibhaluni ukuthi ulele kuphakeme lesifanele wokubuyiselwa usayizi vertebral. Khona-ke usimende evamile, ngokuphepha uvala isikhundla.

ukwelashwa kuhlinzwa

Ngeshwa, awukwazi njalo sibhekane ngokuphumelelayo ezibuhlungu ezifana izindlela olandelanayo. Uma unesifo ukwa yomgogodla, ukuhlinzwa kungadingeka uma kwenzeka ukuthi kukhona ingozi yezinkinga zezinzwa.

Phakathi ukuhlinzwa udokotela ohlinzayo owenza resection zezitho vertebra, okuyinto ukulimaza izimpande emsipheni kanye umgogodla, endaweni yabo ukubeka metal izimila.

yezinkinga ukuhlinzwa

Ngisho ikhumbula ukuthi imishini yesimanje isethubeni elikhulu, futhi odokotela abahlinzayo - isipiliyoni leyo misebenzi, isiphazamiso siphathelene yingozi, njengoba iseduzane ofinyelelekayo kuyinto emgogodleni nezinzwa.

Ngenxa yalokho ekwelapheni nezinkinga ezilandelayo zingavela kokucindezelwa ukwa:

  1. Kyphosis. Lokhu ukubukeka idolo kabuhlungu emgogodleni thoracic. Lokhu inkinga kuvamile ezigulini esezikhulile. Isiguli ngokuvamile uzwa ubuhlungu, kungase kube khona izinkinga esimiso senhliziyo nemithambo yegazi, pheshana emathunjini noma emaphashini. ukukhathala Fast kusa kithi, kukhona iphika.
  2. Ukungazinzi Segmental kwenzeka kaningi icala lehle ngamaphesenti angaphezu kuka-30% ngenxa ukwa ukuphakama vertebra. Nale inkinga hhayi kuphela ubuhlungu uphumule futhi ngesikhathi ukunyakaza, kodwa kubuye kube ukuqala izinqubo esiwohlozayo-dystrophic kabuhlungu emgogodleni.
  3. Izinsalela ezakhiwe waphuka eziyinkimbinkimbi bangase singaholela ezinkingeni zezinzwa. Zingase kwenzeke ngokushesha noma ngemuva kwesikhathi esithile. Izimpawu zalezi zinkinga kukhona ubuhlungu ngesikhathi ukunyakaza futhi uphumule, kanye nokwehla noma ukulahleka ephelele ukuzwa futhi ndikindiki emikhawulweni.

Isikhathi more isidlulile kusukela ukwa ngaphambi kokuqala ukwelashwa, aba maningi amathuba yezinkinga ezihlukahlukene.

imiphumela waphuka

ukuqagela Esinembile kunzima ukunikeza, uma kukhona ukwa sokukhubazeka komgogodla. Imiphumela ingaba ngempela ebuhlungu. Ezinye izisulu ungagijimi esibhedlela ngingofayo kusukela ukushaqeka umgogodla, kwenzeka ngenxa yokulimala noma umgogodla intambo ukudabuka.

Uma kuthintwa emgogodleni, okungukuthi ingozi ukukhubazeka. Iziguli zingenza isikhathi eside noma ukuphila ukulahlekelwa ikhono ukuhambisa ngokuzimela.

Uma ukwa elula yomgogodla, imiphumela ingaba efomini osteoarthritis noma hernia intervertebral. Ukuze ugweme imiphumela enjalo, noma ukunciphisa ukuba ubuncane, kubalulekile ukuqapha imithi yabo, athobele zonke izincomo odokotela, ikakhulukazi amalungu omzimba.

Ukuvuselelwa ngemva emgogodleni ukwa

Akukhona njalo kungenzeka ukugwema ukulimala: ingozi, ukuphahlazeka - futhi lapho une ukwa sokukhubazeka komgogodla. emgogodleni ukwelashwa ukwa kumele iphele isikhathi nokuvuselelwa. Inhloso lesi sigameko esiyingqophamlando Iwukubuyisela amathambo abalimala kanye nokubuya yangaphambili yokuphila ugingqe.

Ngenxa yalezi zinjongo, odokotela iphendukele izindlela ezilandelayo:

  • Physiotherapy.
  • Electrostimulation.
  • Umlayezo.
  • umphumela ongajwayelekile.
  • umsebenzi zokwelapha.

Kuphela vertebral ukwa kungenziwa ihlanganiswe ngokuphelele indlela ukunqoba, ukuvuselelwa ukusheshisa le nqubo zokuphulukisa, ukuvimbela yezinkinga ukubuyisela ukuhamba.

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