DDDS - he aha te mea te reira? Tātaritanga, momo, maimoatanga

I roto i te mate tangata ma'i o te māuiuitanga tuaiwi noho wahi whakamutunga i roto i te mahi hauora. Mamae i roto i te tīwae filosilivá, auau, a ka riro hoki etahi wā o te wā, mōhio ki maha nga tangata o te ao. maha whakarerea e te iwi te pakanga ki te tohunga ki te whakatau i te take o te takenga mai o ngā āhuatanga pathological. Otiia ki te kahore he pai. E tangohia No mehua i hoatu ara wa ki ari tina heke i roto i te tinana, nui te whakaiti kounga o te manawanui o te ora. Pērā pathologies pā DDDS.

Tātaritanga "DDDS" - he aha te mea te reira?

mate degenerative o te tuaiwi (DDDS) - he māuiuitanga o nga wahi piringa o te pūnaha io e no ki te rōpū o te nuinga noa nga mate tangata ma'i, kua he pūāhua recurrent, me te maha arata'i ki hauātanga. Nuinga o ngā wā puta i te mate i roto i te iwi o te mahi tau. Kia aroha mai, i reira he kahore wāhi noa o tirohanga i runga i te takenga mai o DDDS teie mahana. Eaha te auraa? E kore tikanga rawaka me te whai hua o te kimi me te penei te mate.

Kei te whakapono te reira e te takanga o te māuiuitanga puta hoki te maha o ngā take:

• e tika ana ki rohe ngāwari wāhanga nekehanga vertebral (PDS);
• e tika ana ki te decompensation i roto i ngā pūnaha kai.

Mai te DDDS - mate e pumau mo tau, tango wahi i roto i riro tina heke huringa tinana o te manawanui. Na reira, ko te tapeke whakaora o te manawanui i roto i nuinga o te wā e taea. E hāngai mehua Therapeutic anake i whakaora i te mahi noa o te tuarā me te whakakorenga o te mate haumanu.

Ko te take mo te katoa - osteochondrosis

arata'i te mate ki te kore o nga mahi nekeneke o wāhanga filosilivá, e tura'ii te kōtītiti ngā i roto i te tinana tangata katoa. Kia pehea te e tupu tenei? Kei te whakapono te reira e mahi osteochondrosis tīmata te takanga o DDDS. He aha te mea tenei māuiuitanga? I roto i nga whenua Kihi, ka karanga te mahi hauora te osteochondrosis huringa degenerative i roto i ngā hanganga cartilaginous o te tīwae tuaiwi. Te take o te mate kōpae degenerative he:

• predisposition ira,
• disorders o nga puku supply iaia,
• kore o te mahi,
• painga wāhi mahi whakaritenga (heamana fiemālie ripanga ranei)
• mahi tinana ki toronga taimaha,
• taumaha.

huringa äta i roto i te hanganga o te wheua ngohe arata'i ki te whakaiti i roto i te nekeneke o te pekehoe, whakaiti i te therebetween tawhiti, pohokore pātata ki te kopa tuaiwi. Ki te kore e te tukanga rere mutu whakawhanake syndrome vertebral extravertebral ranei. 4 wehe ke take mō i mea i hanga syndrome te:

• kōpeketanga - tīmata te mate ki te faaite mai rite te hua o te kikī aunoa o wāhanga nekeneke o te tuaiwi ārahi ki kōpeketanga o nga pakiaka io;
• disfiksatsionnaya - whakatika tika ki te vaivai o wāhanga nekeneke whakatika o te tuaiwi māuiuitanga;
• puta māuiuitanga ki te whakamārama o te ngangau o microcirculation o te kopa pātata ana ki te kōpae intervertebral o te tuarā i te pae o te whara - disgemicheskaya take;
• puta māuiuitanga ki te whakamārama o te mumura i roto i te wāhanga nekehanga filosilivá - iroiti-inflammatory take.

Ko te hanganga o te tuaiwi

Ko te tuaiwi Ko te plurality o pekehoe, ia o nei i hanga e te tinana me te pewa. E ineine te pekehoe tetahi i runga i te tahi atu, me te hanga i te tīwae i roto i te wahi pokapū o e haere awa filosilivá - he ahua o te kauhanga î raru me nga oko.

Kua wehea te pekehoe wheua ngohe - kōpae intervertebral, tito o te fibrosus annulus me pulposus karihi. e Ring mo wahi o te pikaunga i runga i te kōpae. I roto i te rauropi taitamariki karihi pulposus 90% te wai, Heoi, ki te ihirangi wai tona heke i runga i te wā. Ko te pulposus karihi - te absorber ru, e taui tona āhua i raro i pikaunga, reira whakarato ngāwari o te tuaiwi, ka tiaki i te reira i te whakangaromanga.

Ko te tīwae vertebral i taha katoa whakakaha nga mea tuhonohono, me te pūnaha uaua. uaua kaha, e nga here whakaiti te kawenga i runga i te kōpae me hononga. Heoi, i runga i nga tau, e tika ana ki ngā āhuatanga, i reira te mea he elasticity heke wheua ngohe. Rere tikanga o āhua mate.

Ka rite ki reira he he tukanga pathological

tūranga Tūkinotanga, taumaha, aranga ki taimaha, noho roa i roto i te tūranga he hua āhuatanga fiemālie, me te tahi atu i roto i te meka e te ihirangi wai i roto i te kōpae tīmata ki te whakaiti, ngaro elasticity hanganga cartilaginous. I raro i faarahi te mana o te āhuatanga i runga ake i te kawenga i runga i te fibrosus annulus, kua pakaru ona muka. reira he he tukanga inflammatory, i hanga nawe kikokiko kei i te mea kiano i matao.

A, no te riro mātānawe tauine nui, i reira te mea he inaki o nga oko toto e whangai i te kōpae intervertebral. Ina e te heke te teitei kōpae, kia heke te tawhiti i waenganui i pekehoe pātata te Tawharuwharu me totoro mea tuhonohono e, faarahi te kawenga i runga i te hononga intervertebral. Te hua, ko te whakangaromanga o te wheua ngohe. Pāngia e te hanganga o DDDS. Eaha te auraa? Ko te muka o te mowhiti kaiota i te pēhanga ki tua atu i te tinana vertebral, paiherea ratou pūwaha mata huri ano ratou tūranga tika, i hanga growths a Ihakara - osteophytes. Kei te whakauria te kōpae intervertebral, me te nekeneke tuaiwi matemate iti. E mea pinepine, no te puta tenei mamae syndrome.

whaturama Intervertebral taea meinga hoki kōpae te whanaketanga o te māuiuitanga. wahi Herniated huaina karihi pulposus, i wahia i roto i te fibrosus annulus, i roto i tua atu i te reira, ka e pēhanga ki runga ki nga pakiaka karere o te ua.

Whakamarama me te whakarōpū o dorsopathies

tikanga filosilivá pathological kahore e i pā ana ki te mate o nga whekau, me te e haere tahi i te mamae e ngā i roto i te rōpū motuhake o mate i huaina dorsopathies. I roto i te runga i ngā paerewa o te ao, dorsopathies wehea momo katoa ki ngā rōpū e toru:

• deforming dorsopathies - enei ngā deformation o te tuaiwi, e tika ana ki ngā rerekētanga i roto i te kōpae intervertebral: tenei rōpū ngā kyphosis, scoliosis, lordosis, spondylolisthesis, iti te mamae hoki;
• spondylopathies - ngā enei spondylopathies ngaukino, me te inflammatory katoa;
• Ētahi atu dorsopathies - tohumate o te mamae kaki, i te tinana wahi ranei, e kore e tika ana ki te kōpae displacement takahi o te ua ranei e.

Tei runga i te māuiuitanga o te wahi o te take e rongonui: DDDS rei me te lumbar tuarā me te tuarā waha DDDS. He aha te mea, ka tatou matau i muri. He āhuatanga āhuatanga o te mate, ko e te tohu o te mate i roto i ia o nga wāhanga o localization, i runga i te ringa kotahi, he tino rite, i runga i te tahi atu - i to ratou ake ngā āhuatanga motuhake.

momo DDDS

te tupu pinepine tikanga pathological i roto i te lumbar tuaiwi. E ai ki te nuinga o tākuta, kei te haere ana i te take matua mō tenei tangata tika, hoki e ia, i roto i te meka, te aufauraa i te utu. O te akoranga, e kore e te mate puta i roto i te korehau, a kua awe e maha o ngā āhuatanga (ino kai, disorders o te pūnaha lymphatic i roto i te kopa o te kōpae intervertebral, me ētahi atu).

• DDDS tuaiwi waha. He aha te mea te reira? Ka rite ki te tikanga, dorsopathies puta i te reira i roto i te kaki, i te wahi he mārōrō, o te pouaka, i roto i te ringa. pūrongo ētahi tūroro i te mamae mura maru i waenganui i nga matatahi pokohiwi, rite ki te tohu o te angina. A, no te kite dorsopathies waha ake te mamae, no te tahuri tilting te upoko ranei. I roto i te māuiuitanga o te tuaiwi rei kia wheako mamae pouaka.
• DDDS lumbar tuaiwi. kia kia haere tahi te reira e te takahi o te tūtohutanga o te tapatapa me huha roto. kia puta te wā kotahi te mamae i roto i te waewae e rua; puta tūtohutanga heke i roto i te raro hoki me te tūtohutanga o te koromatua. Pihinga mamae, heke i roto i te tūtohutanga tāhau, mamae waewae, pāpāngia o te waewae o raro me papa, mate o mahi papatoiake - tohu katoa dorsopathies te lumbar DDDS tuaiwi lumbosacral ranei.

mehua haumanu

Ko te mau faaiteraa o te tukanga pathological i roto i te tuarā whakawhirinaki i runga i te atamira o te mate, me te te rohe me te whānuitanga o te lesion. Ko te faaiteraa matua o te mate, ko te mamae. Ka rite ki tuhia i runga ake, te take o kia hanga nga mamae uaua te mamae, papatahi pakiaka herniated karere o te ua, me etahi atu. E mea pinepine puta te mamae e kore anake i roto i te rohe o te tuaiwi, engari whakawhiti ano ki ētahi atu wāhanga o te tinana. I tua atu ki te mamae i roto i te wāhi kua pā kia whakaiti tūtohutanga, me uaua ngoikore.

Therapy mō te mate tuaiwi degenerative taea pōturi te akoranga o te mate, me te whakapai ake i te kounga o te manawanui o te ora. Ko te matatini o te mehua haumanu hāngai ki te whakarite i taua:

• mutu te mamae,
• pōturi te whakangaromanga o te ngohe,
• whakapai ake tohanga tuaiwi a tawhio noa te kopa ngohengohe,
• whakaiti i te kōpeketanga o te pekehoe ki tahi i te tahi,
• hoki ki te pūkenga nekeneke manawanui.

tikanga haumanu ngā te whakamahi o te raau taero, therapy tinana, i tua.

DDDS: maimoatanga ki ngā rongoā

Ka taea e Expression whakakore mamae na roto i te fariiraa i taero kore-steroidal anti-inflammatory pērā i "Ibuprofen" "ketoprofen" "Diclofenac". Whakamahi a enei taero, Heoi, kei te maha e pā ana ki te takanga o ngā pānga taha. I roto i tenei take, ka taea e koe huihui ki te tikanga fariiraa whiriwhiri - he "Lornoxicam", "Nimesulide", "Meloxicam".

I roto i te kaupapa o te stagnation i roto i te uaua, me te ngangau o te toto tohanga paitanga ki te whakamahi o te lidocaine i roto i ngā ki hormones pūtaiaki. āwhina ana tēnei mehua ki atawhai mamae whakapeka.

Wāhanga hiki te huru, me te whakakore i te mamae na roto i te te whakamahi i haumanu te raima analgesic ( "Dorsaplast" "Nanoplast" et al.). I tua atu, i te papaki e relieves te mamae, ia whakarato tonu me anti - pānga i runga i te wāhi kua pā o te papa autō. Whakamahia te papaki tūtohutia rite i roto i te mamae whakapeka mō te tauturu tere, me reiti. E kore e te hua i roto i steroids, te whakamahi i te reira tino hāneanea: e kore e te papaki arai kaupapa, ko reira koreami, rau kahore toenga i runga i te kiri, me te kakahu.

I tua me te orthopedic corsets

Tukutahi ki te whakamahi o te raau taero i roto i te maimoatanga DDDS kaha te tono corsets orthopedic, e whakaiti mamae e whakatika i te wāhanga tuaiwi pakaru. Ki te pā te tukanga pathological te tuaiwi waha, mā te whakamahi i te kara Schanz. Ko te hua e kore anake e te pānga warming, engari poto whakaiti te nekeneke o te tuarā i roto i te wāhi kua pā, relieves uaua spasm, whakarato tikanga pai mo te faaho'iraa mai o ngā hanganga pakaru.

I roto i te māuiuitanga o te tuaiwi rei te whakamahi i āhua-correctors, e mohio tohatoha te kawenga puta noa i te tuarā, kairīwhi te wāhi kua pā. Ki te puta te raruraru i te raro o te hoki, te whakamahi i te corsets lumbosacral. E mea pinepine huihui ki te whakamahi o insoles orthopedic, te tango i tetahi wahi o te kawenga pānga ki te tuaiwi.

Kāti mamae, me te āwhina i rite i tua. Ko ētahi o ēnei: electrophoresis, mirimiri, UHF, ultrasound therapy, therapy autō.

Kāti te whakangaromanga o te wheua ngohe

Ka rite ki whakahuatia i runga ake, e hāngai therapy hoki DDDS te kore anake i te whakakore i te mamae. He mea nui ki te aukati i te whakangaromanga a te wheua ngohe kikokiko ki tenei tātaritanga. Hoki tenei i reira ko te whānuitanga katoa o taero - chondroprotectors. Ko ētahi o ēnei :. "Chondroitin pūkawa", "glucosamine", me ētahi atu mea pinepine, ki te whakarei ake e tangohia tahi te pānga o te raau taero. I roto i te āhuatanga i taua titau te inenga pū o ngā rongoā. Ko te tikanga, he rā horopeta "Glucosamine" ko 1000-1500 mg, "pūkawa ngāwha chondroitin" - 1000 mg.

Te whakapai ake tohanga toto i roto i te kopa o te wāhi kua pā, ka taea e koe te whakamahi i āpiha antiplatelet me angioprotectors, e ngā taero "Pentoxifylline," "Aktovegin". Huaora o rōpū B (hei tauira, "Neyromultivit") tauturu i taurite te tukanga pūkoro i roto i te tinana.

maha huihui te wā o te whakanohonoho ki te tukanga o te te pamu filosilivá, e āwhina ki te whakapiki ake i te tawhiti i waenganui i te pekehoe me whakaiti ratou pānga i runga i ia atu. He mea nui hoki ki te mau tonu te mahi nekeneke tamau, te whakakaha i te pūnaha uaua i te tikanga o te therapy tinana.

tātaringa

Ki te rā, e kore e taea e huaina te tikanga ki te tāutu i mate tuarā degenerative tino, me te pono. Ka rite ki tetahi atu mate, haamata DDDS tātaritanga ki te whakamātautau hauora. Doctor i whakahaere ki te manawanui whakatau te wāhi o te mamae, tāutu āhuatanga e taea whakarei i te mamae (hei tauira, huringa i roto i te tūranga tinana). Ka kitea hoki te mātanga i roto i te manawanui ki te aroaro o nga whara filosilivá whakawhiti me mate e pā ana.

Next, tirohia te tākuta te uaua paravertebral i palpation. Tenei taea ki a koe te kitea te aroaro o te mānukanuka uaua mate o te pūwaha ranei. Laboratory tātaritanga tā te ako toto o te manawanui, me te e kawea atu i roto i te tikanga ki te whakatū i te aroaro ngaro ranei o tukanga hopuhopu i roto i te tinana.

O te akoranga, te tikanga tino kōrero o tātaritanga o māuiuitanga he Radiography filosilivá, tomography computed (CT) me te kōwarotanga autō atahanga (MRI). Electroneuromyography (electroneuromyographic) ki te whakatau i te take o te lesion karere.