DDDS - abin da yake da shi? Ganewar asali, iri, maganin

Daga cikin na kullum adam cututtuka na kashin baya Pathology zauna karshe wuri a cikin likita yi. Pain a cikin kashin baya shafi, maimaituwa, sa'an nan vuya ga wasu lokaci, saba wa da yawa mazaunan duniya. sau da yawa mutane shagala da gangamin wani gwani a gano dalilin asalin pathological yanayi. Amma ga wani wadãtar. Babu matakan da ake dauka a lokacin bayar da Yunƙurin zuwa komowar mamaki a cikin jiki, ƙwarai rage haƙuri da ingancin rayuwa. Irin wannan pathologies ya shafi DDDS.

Ganewar asali "DDDS" - abin da yake da shi?

Degenerative cuta daga cikin kashin baya (DDDS) - a Pathology na gefe sassa na juyayi tsarin cewa nasa ne da kungiyar da ya fi na kowa kullum adam cututtuka, yana mai maimaitawa hali kuma sau da yawa take kaiwa zuwa tawaya. Mafi sau da yawa cutar ta auku a cikin mutane na aiki da shekaru. Abin baƙin ciki, akwai wani na kowa ra'ayi a kan asalin DDDS yau. Abin da ake nufi? Babu isasshen kuma tasiri hanyoyin da ganowa da kuma zalunta da cutar.

An yi imani da cewa abin da ya faru na Pathology faruwa ga dalilai da dama:

• saboda gida overloading vertebral motsi segments (PDS).
• saboda decompensation a abinci tsarin.

Tun da DDDS - cutar da cewa yana for shekaru, shan wuri a cikin haƙuri ta jiki canje-canje zama babu ja. Saboda haka, duka dawo daga mãsu haƙuri a mafi yawan lokuta ba zai yiwu ba. Warkewa matakan da ake da nufin ne kawai a maido da al'ada aiki na kashin baya da kuma kawar da na asibiti da rashin lafiya.

Dalilin duk - osteochondrosis

Haka kuma cutar take kaiwa zuwa da gazawar da mota da ayyuka na kashin baya segments, wanda entails m tafka magudi a cikin dukan jikin mutum. Ta yaya wannan ya faru? An yi imani da cewa osteochondrosis ayyukan fararwa da ya faru na DDDS. Menene wannan Pathology? A CIS kasashe, da likita yi ne ake kira osteochondrosis degenerative canje-canje a cartilaginous Tsarin daga cikin kashin baya shafi. A sabili da degenerative Disc cuta ne:

• kwayoyin predisposition,
• cuta na jijiyoyin bugun gini wadata tafiyarwa,
• rashin motsa jiki,
• talauci tsari wurin aiki (m kujera ko tebur)
• jiki aiki da nauyi dagawa,
• kiba.

Sauka a hankali canje-canje a cikin tsarin guringuntsi take kaiwa zuwa rage a cikin motsi na vertebrae, rage nesa therebetween, tamowa dab da kashin baya kyallen takarda. Idan guje tsari ba a daina tasowa vertebral ko extravertebral ciwo. 4 rarrabe dalilai domin wanda ya ce ciwo ne kafa:

• matsawa - cutar fara bayyana a sakamakon inji obalodi na mota segments na kashin baya abu don matsawa da jijiya tushen;
• disfiksatsionnaya - Pathology taso saboda da weakening na mota kayyade segments na kashin baya.
• disgemicheskaya dalilin - Pathology faruwa da wani bango da tashin hankali na microcirculation daga kyallen takarda dab da intervertebral fayafai na kashin baya a shafin na rauni;
• Aseptic-kumburi dalilin - Pathology faruwa da wani bango da kumburi a cikin kashin baya motsi segments.

A tsarin da kashin baya

A kashin baya ne a jam'i na vertebrae, kowanne daga abin da aka kafa ta a jiki da kuma wani baka. A vertebrae an zubar daya sama da sauran da kuma samar da wani shafi a cikin tsakiyar ɓangare na abin da ya wuce kashin baya canal - wani irin rami Ribar jijiyoyi da tasoshin.

A vertebrae rabu guringuntsi - intervertebral Disc, hada da annulus fibrosus da kuma tsakiya pulposus. Zobe daukan kan ɓangare na nauyi a Disc. A cikin matasa kwayoyin tsakiya pulposus 90% ruwa, duk da haka, tare da ruwa abun ciki daga gare rage-rage a kan lokaci. A tsakiya pulposus - da buga absorber, wanda ya musanya da siffar karkashin load, game da shi, samar da sassauci daga cikin kashin baya da kuma kare shi daga hallaka.

A vertebral shafi daga dukkan bangarorin ƙarfafa jijiyoyin da murdede tsarin. Strong tsokoki da jijiyoyin rage load a kan fayafai da kuma gidajen abinci. Duk da haka, a tsawon shekaru, saboda daban-daban dalilai, akwai wani karu guringuntsi elasticity. Gudanar inji na cuta jihohi.

Kamar yadda akwai wani pathological tsari

Take hakkin hali, kiba, nauyi dagawa, dogon zaman a daidai hali m da kuma sauran abubuwan haifar da da cewa da ruwa abun ciki a cikin faifai fara rage, bace elasticity cartilaginous tsarin. Ƙarƙashin rinjayar na sama dalilai qara load a kan annulus fibrosus, ta zaruruwa suna karya. akwai wani kumburi tsari, tabo nama yana kafa a lokacin hutu.

Lokacin da scarring zama manyan sikelin, akwai wani overlapping na jini da cewa ciyar da intervertebral fayafai. A hankali da Disc tsawo an rage, saboda haka cewa nesa tsakanin m vertebrae an rage sag da kuma mikewa jijiyoyin, qara load a kan intervertebral gidajen abinci. A sakamakon haka ne halakar guringuntsi. Triggers samuwar DDDS. Abin da ake nufi? A zaruruwa na fibrous zobe a matsa lamba fiye da vertebral jiki, welded su vertebra gefen kuma canza su da wuri daidai, kafa fitar kasusuwan jikinsu growths - osteophytes. A intervertebral Disc ne clamped, da kuma cin zarafi ba rage kashin baya motsi. Sau da yawa idan wannan ya auku zafi ciwo.

Intervertebral hernia Disc kuma iya sa da ci gaban Pathology. Herniated kashi kira tsakiya pulposus, wanda ya karya ta cikin annulus fibrosus, daga bayan shi kuma yana sanya matsa lamba a kan jijiya tushen da laka.

Definition da rarrabuwa na dorsopathies

Pathological kashin baya yanayi wanda ba hade da cuta daga cikin kayan ciki da suna tare da zafi suna hade a wani raba rukuni na cututtuka kira dorsopathies. A daidai da} asashen duniya, da kowane irin dorsopathies kasu kashi uku kungiyoyin:

• deforming dorsopathies - wadannan sun hada da nakasawa da kashin baya, saboda canje-canje a cikin intervertebral fayafai: wannan kungiya sun hada da kyphosis, scoliosis, lordosis, spondylolisthesis, low ciwon baya.
• spondylopathies - wadannan sun hada da duk traumatic da kuma kumburi spondylopathies.
• Sauran dorsopathies - bayyanar cututtuka na wuyansa zafi, cikin jiki ko kuma wata gabar jiki, wanda ba saboda Disc kawar da ko take hakkin da laka.

Dangane da Pathology na wurin asalin suke da daraja: DDDS thoracic da lumbar kashin baya da kuma mahaifa kashin baya DDDS. Abin da shi ne, za mu fahimci daga baya. A halayyar alama da cuta ne cewa bayyanar cututtuka da cutar a kowane daga cikin yankunan na sarrafawa, a daya hannun, suna kama, a kan sauran - suna da nasu rarrabe fasali.

iri DDDS

Pathological yanayi sau da yawa faruwa a cikin lumbar kashin baya. Kamar yadda mafi likitoci, da Babban dalilin wannan ne tafiya a mike mutum, ga abin da ya, a gaskiya, da biyan diyyar. Hakika, da cuta ba ya faruwa a injin, kuma an rinjayi da dalilai da dama (abinci tabarbarewar, cuta na lymphatic tsarin a cikin tsokoki na intervertebral fayafai, da dai sauransu).

• DDDS mahaifa kashin baya. Mene ne wannan? Kamar yadda mai mulkin, shi dorsopathies tasowa a cikin wuyansa, cikin agara kashi daga cikin kirji, a cikin hannayensu. Wasu marasa lafiya da bayar da rahoton wani kona aching zafi tsakanin kafada ruwan wukake, kama da bayyanar cututtuka na angina. Lokacin da mahaifa dorsopathies lura da karin zafi a lokacin juya ko karkatar da kai. A Pathology na thoracic kashin baya iya samun ciwon kirji.
• DDDS lumbar kashin baya. Yana iya a tare da wani take hakkin ji na ƙwarai cikin makwancin gwaiwa da ciki cinyoyinsa. A zafi na iya faruwa lokaci guda a kafafuwansa biyu; bayyana rage ji na ƙwarai a cikin ƙananan baya da kuma ji na ƙwarai daga babban kafana. Nasarawa zafi, karu a ji na ƙwarai shin, ƙafa zafi, inna daga cikin ƙananan kafar da kuma gindi, asarar pelvic ayyuka - duk cututtuka dorsopathies da lumbar ko DDDS lumbosacral kashin baya.

warkewa matakan

A manifestations na pathological tsari a cikin kashin baya ya dogara ne a kan mataki na cuta, kazalika da yankin da kuma har na rauni. Babban bayyanuwar da cuta ne zafi. Kamar yadda muka gani a sama, a cikin hanyar da zafi iya yin tsoka spasms, mĩƙe herniated jijiya tushen da laka, da sauransu. Sau da yawa zafi na faruwa ba kawai a yankin na kashin baya, amma kuma canjawa wuri zuwa wasu sassa na jiki. Bugu da kari ga zafi a cikin shafa yankin na iya rage ji na ƙwarai, kuma tsoka rauni.

Far ga degenerative kashin baya cuta iya rage cikin shakka daga cikin cutar da kuma inganta haƙuri da ingancin rayuwa. A hadaddun na warkewa matakan da nufin tabbatar da cewa:

• dakatar da zafi,
• rage halakar guringuntsi,
• inganta wurare dabam dabam kashin baya da suke kewaye da taushi tsokoki,
• rage matsawa na vertebrae da juna,
• baya ga mãsu haƙuri motor basira.

Warkewa hanyoyin hada da amfani da kwayoyi, jiki far, physiotherapy.

DDDS: jiyya da magunguna

Zancen iya kawar da ciwo da samun da ba-steroidal anti-kumburi kwayoyi kamar "Ibuprofen" "ketoprofen" "Diclofenac". Amfani da wadannan kwayoyi, duk da haka, sukan hade tare da ya faru na illa. A wannan yanayin, za ka iya koma ga zabe liyafar nufin - shi ne "Lornoxicam", "Nimesulide", "Meloxicam".

A taron na stagnation a tsoka da kuma tashin hankali na jini zagayawa resorting to da yin amfani da lidocaine a hade tare da steroid ji ba gani. Wannan gwargwado taimaka wajen taimaka m zafi.

Partially rage yanayin da kashe zafi ta yin amfani da warkewa analgesic plaster ( "Dorsaplast" "Nanoplast" et al.). Bugu da kari, da faci cewa sauqaqa da zafi, ya har yanzu na samar da da kuma anti - tasiri a kan ya shafa yankin na Magnetic filin. Yi amfani da faci shawarar yadda a m zafi domin saurin taimako da rates. A samfurin ba ya dauke da steroids, amfani da shi sosai dadi: da faci ba hana motsi, shi ne odorless, ya fita ba saura a kan fata da kuma tufafi.

Physiotherapy da orthopedic corsets

Lokaci guda tare da yin amfani da kwayoyi a cikin magani DDDS rayayye tambaya orthopedic corsets, wanda rage zafi ta kayyade a lalace kashin baya sashi. Idan pathological aiwatar rinjayar da mahaifa kashin baya, ta yin amfani da abin wuya Schanz. A samfurin ba kawai yana da wani Warming sakamako, amma dan lokaci rage da motsi na da kashin baya, a cikin shafa yankin, sauqaqa tsoka spasm, samar da sharadi gwargwado ga maido da lalace Tsarin.

A Pathology na thoracic kashin baya yin amfani da Semi-correctors, wanda intelligently gudamawar da kaya a fadin kashin baya, ya ɗauke ya shafa yankin. Idan matsalar na faruwa a kasa na da baya, amfani da lumbosacral corsets. Sau da yawa koma ga yin amfani da orthopedic insoles, cire sashi daga cikin tasiri kaya zuwa kashin baya.

Tsaya zafi da taimaka kamar yadda physiotherapy. Wadannan sun hada da: electrophoresis, tausa, UHF, duban dan tayi far, Magnetic far.

Dakatar da lalata guringuntsi

Kamar yadda aka ambata a sama, far ga DDDS ne da nufin ba kawai a kawar da zafi. Yana da muhimmanci a dakatar da lalata guringuntsi nama tare da wannan ganewar asali. Domin wannan akwai dukan kewayon kwayoyi - chondroprotectors. Wadannan sun hada da :. "Chondroitin sulfate", "glucosamine", da dai sauransu Sau da yawa, don bunkasa sakamako na kwayoyi da ake dauka tare. A irin wannan halin da ake ciki na bukatar a daidai sashi na magunguna. Kullum, a kullum kashi "Glucosamine" ne 1000-1500 MG, "chondroitin sulfate" - 1000 MG.

Inganta jini wurare dabam dabam a cikin tsokoki na shafa yankin, za ka iya amfani da antiplatelet jamiái da angioprotectors, wanda sun hada da miyagun kwayoyi "Pentoxifylline," "Aktovegin". Vitamins na kungiyar B (msl, "Neyromultivit") taimake daidaita tafiyar matakai na rayuwa a cikin jiki.

A lokacin na fi sau da yawa koma zuwa ga hanya na kashin baya gogayya, wanda taimaka wajen kara tazarar dake tsakanin vertebrae da kuma rage tasiri a kan juna. Yana da muhimmanci a kula da m mota aiki, ya karfafa da murdede tsarin ta hanyar jiki far.

bincikowa da

A ranar, da Hanyar tantance degenerative kashin baya cuta ba za a iya kira cikakken ne kuma abin dogara. Kamar kowane sauran cuta, DDDS ganewar asali fara da wani likita jarrabawa. Doctor a tattaunawar da haƙuri kayyade wuri na zafi, gano abubuwan da za su iya bunkasa zafi (misali, canji a jikin matsayi). A gwani kuma za ta sami fita daga haƙuri gaban canjawa wuri kashin baya da kuma raunin da alaka cututtuka.

Next, likita na nazarin paravertebral tsokoki da palpation. Wannan ba ka damar gane gaban murdede tashin hankali ko asarar mai vertebra. Laboratory ganewar asali ya shafi binciken haƙuri da jini da kuma yana da za'ayi domin kafa gaban ko babu dauke da kwayar cutar matakai a cikin jiki.

Hakika, mafi m Hanyar bincikowa da na Pathology ne kashin baya radiography, lissafta tomography (CT) da kuma Magnetic rawa Dabarar (MRI). Electroneuromyography (electroneuromyographic) domin gano dalilin da jijiya rauni.