![MRI nke spine cervical na ihe ịrịba ama nke osteochondrosis](/images/akụkọ/800/MRI%20nke%20spine%20cervical%20na%20ihe%20ịrịba%20ama%20nke%20osteochondrosis.jpg)
A na-achọpụta osteochondrosis cervical n'ime ụmụ nwanyị karịa karịa ụmụ nwoke. Ma nke a bụ n'ihi na ọ bụghị naanị n'ihi ike dị ala nke akụrụngwa akwara ligamentous, adịghị ike nke corset muscular. N'ime ndụ ya niile, ahụ nwanyị na-enwe mgbanwe na ọkwa homonụ, nke nwere ike imetụta ọnọdụ nke cartilage na ọkpụkpụ ọkpụkpụ n'ụzọ dị njọ. Mana usoro ọgwụgwọ na-achọghị nchekwa na ịwa ahụ nke cervical osteochondrosis na nwoke na nwanyị anaghị adị iche.
Njirimara nke nwanyi osteochondrosis
Osteochondrosis nke spine cervical n'ime ụmụ nwanyị na-etolite ma na-aga n'ihu dịka otu ihe ahụ si dị na ụmụ nwoke. Diski intervertebral na-efunahụ ike ha iji jide mmiri, na-amalite nwayọọ nwayọọ daa, gụnyere akụkụ ọkpụkpụ, ligaments, akwara na usoro mbibi. Ma n'ihi akwara olu na-adịghị ike, akụkụ vertebral na-esighị ike karị, mgbaàmà mbụ nke ọrịa ahụ na ụmụ nwanyị na-apụta ngwa ngwa. Ugbua na mmalite mmalite nke mmepe, enwere ike ịkpọ erughị ala nke na-egbochi njem.
Ekwesiri iburu n'uche na nguzogide nrụgide dị ala nke ụmụ nwanyị nọ n'afọ ọ bụla. N'ịmụta banyere enweghị ike ịgwọ ọrịa osteochondrosis kpamkpam, ha nwere ike weta onwe ha na ọnọdụ ịda mbà n'obi na ahụmahụ. Ya mere, antidepressants, antipsychotics, tranquilizers na sedatives na-etinyekarị na usoro ọgwụgwọ.
Ihe na-akpata ọrịa na ụmụ nwanyị
Isi ihe kpatara mmebi diski intervertebral ugboro ugboro n'ime ụmụ nwanyị bụ mbelata ma ọ bụ mmụba na ọkwa homonụ n'ime ahụ. Mgbe mmalite nke menopause eke, mmepụta nke estrogens, bụ ndị na-etinye aka na nhazi nke biosynthesis nke cartilage na ọkpụkpụ ọkpụkpụ, ji nwayọọ nwayọọ na-ebelata. Mbelata nke estrogen etoju na menopause na-eduga ná mmebi nke diski, na-akpalite mmepe nke osteoporosis (mmụba fragility nke ọkpụkpụ).
Ụmụ nwanyị na-enyocha ibu ha, n'ihi ya, ha na-ajụkarị nri ndị nwere calcium - ude utoojoo, cheeses, peas, soybeans, agwa. Ma ọ bụrụ na a na-agbaso nri ahụ, ọ bụghị naanị na ịdị arọ ahụ na-ebelata, kamakwa ụkọ nke ihe ndị dị mkpa na vitamin na-eme, nke na-akpalite mbibi nke diski intervertebral n'oge.
Mgbaàmà
Na ọkwa x-ray mbụ, a na-egosipụta ihe ịrịba ama nke osteochondrosis nke ọma. Naanị elu na-enweghị isi nke diski intervertebral ka a na-ahụ. Ya mere, nwanyị na-enwe mmetụta naanị ntakịrị ahụ erughị ala n'olu nke na-eme mgbe mgbatị ahụ gasịrị ma ọ bụ ogologo oge nọrọ n'ọnọdụ na isi ya gbadaa. Ma nke nta nke nta, ike mgbu na-abawanye. Ọ na-apụta ọ bụghị naanị mgbe ị na-atụgharị ma na-atụgharị isi, kamakwa na izu ike. Na enweghị enyemaka ahụike, pathology na-aga n'ihu na-aga n'ihu. N'ihi mmebi nke osteophytes, diski a chụpụrụ nke akwara vertebral, ngosipụta ụlọ ọgwụ ndị a na-eme:
- jumps na ọbara mgbali;
- isi ọwụwa (migranet cervical), dizziness, tupu ịda mbà;
- ibelata anya na-ahụ anya na ịnụ ihe, ọhụụ abụọ nke ihe n'ihu anya, tinnitus;
- ike ọgwụgwụ, enweghị mmasị, nsogbu ihi ụra;
- mmetụta nke akọrọ, "coma" na akpịrị.
![Dizziness bụ ihe mgbaàmà nke osteochondrosis cervical na ụmụ nwanyị.](/images/akụkọ/800/Dizziness%20bụ%20ihe%20mgbaàmà%20nke%20osteochondrosis%20cervical%20na%20ụmụ%20nwanyị.%20.jpg)
Ọzọkwa, mgbe ị na-atụgharị ma ọ bụ na-atụgharị isi, a na-anụ ụda, na mmegharị nke mpaghara cervical dị oke.
Nchọpụta nke pathology
Enwere ike ịme nchọpụta nke mbụ na nyocha nke mpụga, mkpesa ndị ọrịa, na nsonaazụ nke ọtụtụ nyocha ọrụ iji chọpụta oke mmegharị, ntụgharị uche na uche. Iji kwado ya, a na-eme redio na 2 ntule. Ọmụmụ ihe na-enye ihe ọmụma ọ bụghị naanị maka nchọpụta osteochondrosis, kamakwa maka ịmepụta ọkwa ya, ogo mmebi nke diski na vertebrae. Discography na-enye ohere iji nyochaa nke ọma diski intervertebral emetụtara, ma ọ bụrụ na enwere enyo nke mmebi nke ụzọ akwara, a na-egosi ndị ọrịa nyocha electrophysiological:
- kpalitere ikike;
- electroneurography;
- electromyography.
![Intervertebral hernia nke spine cervical na MRI](/images/akụkọ/800/Intervertebral%20hernia%20nke%20spine%20cervical%20na%20MRI.jpg)
CT, MRI na-eje ozi dị ka ụzọ nyocha ọzọ, nke a na-ejikarị enyocha ọnọdụ nke ọkpụkpụ azụ, chọpụta nsogbu - protrusions ma ọ bụ intervertebral hernias. A na-eme ọmụmụ ihe ndị a iji mata ọdịiche dị n'etiti osteochondrosis cervical site na tuberculous spondylitis, osteomyelitis, benign and malignant neoplasms, ankylosing spondylitis, rheumatism.
Enyemaka mbụ maka mmejọ
N'oge nlọghachi nke cervical osteochondrosis, enwere nnukwu mgbu n'olu nke na nwanyị ahụ na-atụ egwu ịtụgharị ma ọ bụ tie isi ya. Iji belata ike ya, dinara ala n'elu ala siri ike. Ọ dị mkpa iburu ọnọdụ nke ahụ nke ihe mgbu na-ebelata. Ọ bụrụ na, na nkwenye nke dọkịta, a zụtalarị ihe mkpuchi Shants ma ọ bụ bandeeji siri ike, mgbe ahụ, a ga-eyi ya mgbe ọ na-agagharị.
![Ihe olu Shants na-edozi vertebrae n'oge oke osteochondrosis cervical.](/images/akụkọ/800/Ihe%20olu%20Shants%20na-edozi%20vertebrae%20n'oge%20oke%20osteochondrosis%20cervical.%20.jpg)
Iji kwụsị ọgụ mgbu ga-ekwe ka ị were mbadamba ọgwụ ọ bụla na-abụghị steroidal anti-inflammatory (NSAID). Ude na gels nwere NSAID nwere mmetụta analgesic akpọpụtara.
Mgbe ị na-enye enyemaka mbụ, iji oyi ma ọ bụ okpomọkụ adịghị mma. Ọtụtụ mgbe, nlọghachi azụ na-eme n'ihi spasm muscle, na mkpakọ oyi ga-eme ka esemokwu nke akwara skeletal dịkwuo elu. Igwe ọkụ na-ekpo ọkụ bụ ụzọ dị irè isi kpochapụ mgbaàmà, ma ọ bụ naanị na enweghị usoro mkpali na anụ ahụ dị nro nke olu.
Otu esi agwọ osteochondrosis cervical na ụmụ nwanyị
Osteochondrosis nke mpaghara mpaghara ọ bụla agwọbeghị kpamkpam. Onye na-ahụ maka akwara ozi ma ọ bụ vertebrologist ga-akọwara nwanyị ihe ọ pụtara na ụkpụrụ nke ọgwụgwọ na-abịa. Ebumnuche ọgwụgwọ bụ iji nweta ọkwa nke mgbaghara kwụsiri ike. N'oge a, mmetụta ọ bụla na-egbu mgbu na-adịkarị obere, a na-echekwa oke mmegharị ahụ kpamkpam.
![Maka nhọpụta ọgwụgwọ maka osteochondrosis cervical, ị kwesịrị ịkpọtụrụ dọkịta](/images/akụkọ/800/Maka%20nhọpụta%20ọgwụgwọ%20maka%20osteochondrosis%20cervical,%20ị%20kwesịrị%20ịkpọtụrụ%20dọkịta.jpg)
Ọ gaghị ekwe omume ịkebe naanị ịṅụ ọgwụ ọjọọ, ebe ọ bụ na emepụtabeghị ihe ndị na-eweghachi diski na vertebrae. Ọ dị mkpa ịgbaso iwu niile nke dọkịta - gaa physiotherapy, ịhịa aka n'ahụ, mgbatị ahụ na mgbatị ahụ.
Site na ụbọchị mbụ nke ọgwụgwọ, a na-atụ aro ka ndị ọrịa na-eyi Shants collars - ngwaọrụ orthopedic nke na-eme ka diski na vertebrae guzosie ike. Ha na-egbochi nchụpụ nke ihe owuwu vertebral, si otú a na-ebelata ohere nke nlọghachi azụ.
![Iji gwọọ osteochondrosis cervical, ụmụ nwanyị kwesịrị iyi akwa Shants](/images/akụkọ/800/Iji%20gwọọ%20osteochondrosis%20cervical,%20ụmụ%20nwanyị%20kwesịrị%20iyi%20akwa%20Shants.jpg)
Nchịkọta ọgwụ maka ọgwụgwọ
Mgbe ụfọdụ n'oge exacerbations nke cervical osteochondrosis, ọkụ, ịkpọpu ihe mgbu na-eme n'ihi mmebi nke mgbọrọgwụ akwara. Enwere ike ikpochapụ ha naanị site na nchịkwa intramuscular nke ngwọta NSAID. Ma ọ bụrụ na ha adịghị arụ ọrụ, a na-eji mgbochi ọgwụ na anestetiiki na ndị na-ahụ maka hormonal. A naghị ejikarị Glucocorticosteroids n'ihi mmetụta ọjọọ ha na akụkụ ahụ dị n'ime, cartilage, na ọkpụkpụ ọkpụkpụ.
Iji wepụ ihe mgbu nke ịdị nro dị nro, a ga-ahapụ nwanyị ka ọ were NSAID n'ụdị mbadamba ma ọ bụ capsules. A na-edenye ndị na-abụghị steroidal n'ụdị gels na ointments maka obere mgbu, yana iji belata doses nke usoro ọgwụgwọ.
Otu ọgwụ maka ọgwụgwọ osteochondrosis cervical | Omume ọgwụgwọ |
---|---|
Chondroprotectors | Weghachite akụkụ nke cartilaginous discs intervertebral |
Pụtara na-eme ka mgbasa ọbara dịkwuo mma | Wepụ enweghị oxygen na nri na-edozi ahụ, na-akpali akpali |
B vitamin | Normalize nnyefe nke mkpali na Central, mpụta ụjọ usoro |
Ihe na-eme ka ahụ dị jụụ | Mee ka ahụ ike skelet dị jụụ, wepụ ihe mgbu ahụ |
Mmanụ na-ekpo ọkụ | Mee ka mgbasa ọbara dịkwuo ngwa, nwee mmetụta analgesic, mgbochi exudative |
Antidepressants, tranquilizers, ogwuura | Wepu oke nchekasị, enweghị nchekasị, nsogbu ụra |
Mmega ahụ ọgwụgwọ, mgbatị ahụ, mmega ahụ
Ụzọ kachasị dị irè isi gwọọ osteochondrosis bụ ọgwụgwọ mmega ahụ kwa ụbọchị. Site n'enyemaka nke ibu dosed na spine cervical, a na-eme ka corset muscular sikwuo ike, ọbara nke anụ ahụ nwere nri na-eme ka ọ dịkwuo mma, na-ebelata ihe ize ndụ nke mmebi ahụ. Ọ dị mkpa ịmalite mgbatị ahụ ozugbo ọ kwụsịrị nnukwu mgbu. Dọkịta na-ahụ maka ọgwụgwọ mmega ahụ na-ewepụta usoro mmega ahụ n'otu n'otu maka nwanyị, na-eburu n'uche ahụ ike ya na ịdị njọ nke pathology. A na-eme mmegharị niile nke ọma, yana obere njupụta. Nke a ga-eme ka uru ahụ dị ike n'emebighị anụ ahụ cartilage. Kedu ihe omume ndị dọkịta physiotherapy na-atụ aro:
- nọdụ ala kwụ ọtọ, tinye aka gị n'okpuru agba gị. Gbalịa ịkwatu isi gị, jiri ahịhịa na-eguzogide;
- n'oche oche, tinye aka gị na ntì gị. Tụgharịa isi gị n'akụkụ, jiri ahịhịa na-eguzogide;
- bilie, tukwasi aka n'úkwù-gi. Bugharịa isi gị n'otu ụzọ, mgbe ahụ n'akụkụ nke ọzọ, na-atụgharịghị ya azụ nke ukwuu.
Site na osteochondrosis, a na-atụ aro ndị ọrịa igwu mmiri, yoga, Pilates, aerobics mmiri, ịga ije Nordic. Amachibidoro ịgba ígwè, ịgba ọsọ, ibuli ibu.
![Nwatakịrị nwanyị ahụ na-etinye aka na ọgwụgwọ anụ ahụ maka ọgwụgwọ osteochondrosis cervical](/images/akụkọ/800/Nwatakịrị%20nwanyị%20ahụ%20na-etinye%20aka%20na%20ọgwụgwọ%20anụ%20ahụ%20maka%20ọgwụgwọ%20osteochondrosis%20cervical.jpg)
Nri na nri
Site na osteochondrosis cervical, ndị ọkachamara n'ihe banyere nri na-atụ aro ịkwụsị ịṅụ mmanya, kọfị, na tii siri ike. Ihe ọṅụṅụ ndị a na-egbochi nnabata nke calcium, na-ewepụ ya ngwa ngwa n'ime ahụ. Ekwesịrị inye mmasị na mmiri ịnweta nnu dị nro, compotes mkpụrụ osisi na jelii, ihe ọṅụṅụ akwụkwọ nri, ihe ọṅụṅụ mkpụrụ osisi beri. Oke kacha mma ị drinkụ mmiri bụ 2-2. 5 lita kwa ụbọchị.
Ọ dị mkpa ịhapụ nri ngwa ngwa, ngwaahịa agwụchachara, anụ a na-ese anwụrụ, anụ abụba. Nri nri kwa ụbọchị kwesịrị ịgụnye mkpụrụ osisi na akwụkwọ nri ọhụrụ, ọka wit, achịcha ọcha ma ọ bụ rye akpọnwụwo, na ngwaahịa mmiri ara ehi gbachara agbarụ. Uru toki, ara ọkụkọ, anụ oke bekee, nwa atụrụ. 2-3 ugboro n'izu, ị ga-eri ụfọdụ azụ mmanụ, dị ka salmon ma ọ bụ Norwegian herring.
Ọ ka mma ịhapụ kpamkpam ihe oriri e ghere eghe. A na-esi nri ndị kachasị baa uru na foil, stewed na mmiri ma ọ bụ steamed.
Physiotherapy
N'oge nhazigharị, a na-ekenye ndị ọrịa 5-10 sessions nke physiotherapy. Electrophoresis ma ọ bụ ultraphonophoresis na chondroprotectors, ngwọta nke calcium salts, vitamin nke otu B ka a na-eme iji weghachi anụ ahụ cartilage, melite innervation, na ịbawanye ike nke akwara akwara akwara. Otu usoro ahụ, mana naanị na glucocorticosteroids, analgesics, anesthetics na subacute oge, na-ezubere iji belata mgbu na mbufụt.
![Ọgwụgwọ osteochondrosis cervical na nwanyị nwere laser](/images/akụkọ/800/Ọgwụgwọ%20osteochondrosis%20cervical%20na%20nwanyị%20nwere%20laser.jpg)
Usoro physiotherapy ndị a nwekwara ike imeziwanye ọdịmma nwanyị:
![Ngwa n'olu sitere na ozokerite na paraffin maka osteochondrosis cervical](/images/akụkọ/800/Ngwa%20n'olu%20sitere%20na%20ozokerite%20na%20paraffin%20maka%20osteochondrosis%20cervical.jpg)
- ọgwụgwọ UHF;
- magnetotherapy;
- eriri galvanic;
- ọgwụgwọ laser;
- usoro ọgwụgwọ ujo.
A na-eji ozokerite, bischofite, paraffin eme ihe. N'iji apịtị ọgwụgwọ na mmiri ịnweta mmiri, nhazi nke leeches ahụike egosila onwe ya nke ọma na ọgwụgwọ osteochondrosis cervical.
Ịhịa aka n'ahụ
N'oge ịhịa aka n'ahụ, a na-eme mmetụta nke ígwè ọrụ na akwara nke azụ dum, ọ bụghị naanị mpaghara cervical. Ma ọ bụ na ha ka ọkachamara na-elekwasị anya n'ụzọ pụrụ iche. N'ihi igwakota agwa, ịhịa aka n'ahụ, ịmegharị mmegharị na ịkpụ, akwara spasmodic na-eme ka ahụ dị jụụ, akwara na-ewusi ike, na mgbasa ọbara na-akawanye mma. Na ọgwụgwọ osteochondrosis, a na-eji ụdị akwụkwọ ntuziaka na ịhịa aka n'ahụ ndị a:
- oge gboo;
- isi;
- agụụ;
- Swedish;
- Nkeji.
![Ịhịa aka n'ahụ nke spine cervical na osteochondrosis](/images/akụkọ/800/Ịhịa%20aka%20n'ahụ%20nke%20spine%20cervical%20na%20osteochondrosis.jpg)
Ụlọ ahịa ọgwụ na ụlọ ahịa ọgwụ na-ere ndị ịhịa aka n'ahụ ọkụ eletrik. Ejiri ha na nozzles pụrụ iche, ndị na-ahụ maka ọsọ ọsọ. Na mma ogologo aka nke ngwaọrụ na-enye gị ohere ịhịa aka n'azụ azụ n'onwe gị.
Ngwọta ndị mmadụ
Na nkà mmụta ọgwụ ndị mmadụ, maka ọgwụgwọ osteochondrosis, mmanụ ndị a na-eme n'ụlọ, mmanya na-egbu egbu na mmanụ, compresses, decoctions, na tinctures na-eji. Ndị nnọchianya nke ọgwụ gọọmentị na-enwe obi abụọ banyere ụzọ ọgwụgwọ ndị dị otú ahụ maka pathology degenerative-dystrophic n'ihi ịdị irè ha dị ala. Ndị na-ewepu bụ herbal teas si chamomile, St. John's wort, infusion nke rose hips.
![Chamomile decoction - ọgwụgwọ ndị mmadụ na ọgwụgwọ nke osteochondrosis cervical](/images/akụkọ/800/Chamomile%20decoction%20-%20ọgwụgwọ%20ndị%20mmadụ%20na%20ọgwụgwọ%20nke%20osteochondrosis%20cervical.jpg)
Akụkụ nke ọgwụgwọ ụmụ nwanyị meworo agadi
A na-eme ọgwụgwọ nke ndị ọrịa afọ site na iji otu usoro ahụ dịka ọgwụgwọ ụmụ nwanyị na-eto eto. Ma mgbe ị na-ekpebi usoro onunu ogwu, onye na-ahụ maka akwara na-eburu n'uche ọnụnọ nke pathologies na-adịghị ala ala na ndị agadi, mbelata nke ọrụ imeju, akụrụ na eriri afọ. Dọkịta na-ahọrọ ọgwụ ọjọọ, iji ya na-enwe mmetụta dị nro na akụkụ ahụ dị n'ime, na ihe ize ndụ nke mmeghachi omume ọjọọ na-ebelata.
Kedu ihe dị ize ndụ cervical osteochondrosis
Ihe ịrịba ama na-eduga nke osteochondrosis cervical yiri nke ahụ n'ụdị abụọ ahụ. Ma mgbaàmà akwara ozi na-apụtakarị na ụmụ nwanyị. A na-achọpụtakarị ha na mmebi nke mgbọrọgwụ azụ azụ na akwara vertebral, nke na-enye ụbụrụ nri nri.
Site na cervical osteochondrosis nke 2nd na 3rd siri ike, mgbe mgbe, a na-emebi mgbọrọgwụ azụ azụ, nke na-eduga n'ọdịdị nke nnukwu mgbu, nkwụsị nke reflexes, na mbelata uche. Nsogbu siri ike nke pathology bụ hernia intervertebral, radicular syndrome, discogenic myelopathy.
Omume mgbochi
N'ime ụmụ nwanyị na-ahọrọ akpụkpọ ụkwụ dị warara na ikiri ụkwụ dị elu, a na-achọpụtakarị osteochondrosis cervical. Mgbe ị na-eyi ya, a na-ekesa ibu dị na kọlụm spinal na-ezighi ezi, nke na-eduga na microtrauma nke anụ ahụ cartilaginous. Ụmụ nwanyị na-enwekarịkwa hypothermia, ha na-enwe nnukwu esemokwu ụlọ nkịtị. Na ihe ndị a bụ ihe ndị dị mkpa maka mmepe nke pathology. Ya mere, mwepu ha na ụzọ ndụ a na-emebu na-aghọ ezigbo mgbochi nke osteochondrosis nke mpaghara ọ bụla na nsonaazụ ya.