Spinal arthrosis: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zimayambitsa arthrosis msana
• Momwe mankhwalawa amachitikira
• Zosankha za opaleshoni
• Chithandizo cha physiotherapy

Spinal arthrosis, yotchedwa spinal osteoarthritis kapena spondyloarthrosis, ndiye kuwonongeka kwa mafupa a msana, omwe amayambitsa zizindikilo monga kupweteka ndi zovuta kusunthira kumbuyo, ndipo zimatha kuyambitsidwa ndi kusintha kwa zaka zonse komanso kusintha kwa majini kapena kuchita mayendedwe olakwika ndi kumbuyo.

Zizindikiro za arthrosis ndizosiyana mwa munthu aliyense, zamphamvu zomwe zimasiyanasiyana kuyambira pang'ono mpaka zolimba, ndipo zimatha kubweretsa zolephera zantchito zatsiku ndi tsiku ndi ntchito. Chifukwa chake, nthawi zina, nyamakazi ya nyamakazi imatha kukhala chisonyezo chakusapezeka kuntchito kapena kupuma pantchito, koma izi zimachitika kawirikawiri, chifukwa munthuyo akamachiza moyenera, zizindikilozo zimayendetsedwa bwino.

Zovalazi zimatha kuchitika mdera lililonse la msana, pofala kwambiri m'chiuno ndi m'chiberekero, ndipo, ngakhale kulibe mankhwala, chithandizochi chitha kusintha kwambiri zizindikilo komanso moyo wamunthu, kuphatikiza kugwiritsa ntchito mankhwala opha ululu , anti -inflammatory, kuwonjezera pa njira zochitira opaleshoni pakakhala zovuta kusintha.

Zizindikiro zazikulu

Cartilage ndikofunikira kuti muchepetse zovuta ndikuchepetsa mkangano pakati pa malekezero a mafupa, ndipo pakakhala arthrosis, pakhoza kukhala zizindikilo monga:

• Kupweteka kwa msana komwe kumawonjezeka poyenda;
• Zovuta kusuntha dera chifukwa chowawa;
• Pakhoza kukhala kulira kapena dzanzi m'khosi kapena m'manja, pomwe pali khomo lachiberekero;
• Pakhoza kukhala kulira kapena kufooka kwa miyendo pakakhala lumbar arthrosis.

Poyesera kuti thupi lizing'ambika, nsonga zazing'ono zimatha kupangidwanso kumapeto kwake, zotchedwa milomo ya parrot, yomwe imatsina kapena kufinya misempha yomwe imadutsa m'chigawochi, monga imodzi yamphamvu, ndikupangitsa zambiri ululu.

Kuphatikiza apo, kupanikizika kwa ma cartilage disc mumsana, wotchedwa intervertebral discs, kumatha kuwapangitsa kuti atuluke msana, ndikupanga disc ya herniated. Onerani vidiyo yotsatirayi ndikuphunzira zonse zama disc a herniated:

Momwe mungatsimikizire matendawa

Kuzindikira kwa arthrosis ya msana kumapangidwa kuchokera kuzizindikiro zomwe zimaperekedwa ndikuwunika kwakuthupi komwe adachita dokotala, limodzi ndi mayeso ojambula zithunzi monga x-ray ya msana.

Nthawi zina, pangafunike kupanga MRI ya msana kuti izindikire kusintha monga ma disc a herniated kapena zolakwika zazing'ono zomwe sizimawoneka pa x-ray.

Zimayambitsa arthrosis msana

Spinal arthrosis ili ndi zotengera zamtundu komanso zobadwa nazo, komabe, pali chiopsezo chachikulu chokhazikitsa kusintha ndi:

• Kuvala kwachilengedwe pamalumikizidwe a msana chifukwa cha msinkhu;
• Kuyenda mobwerezabwereza komanso molakwika, monga kunyamula zinthu zolemera pamalo olakwika;
• Kuchita masewera olimbitsa thupi mopitirira muyeso;
• Amawombera msana, chifukwa chovulala komanso ngozi.

Chifukwa chake, ndikofunikira kwambiri kuti mchitidwe wolimbitsa thupi uzitsogoleredwa ndi akatswiri, komanso kuti mayendedwe obwerezabwereza kapena oyeserera opangidwa pantchito apangidwe ndikusamalira malo oyenera, kupewa kukula kwa nyamakazi. Onani zikhalidwe zomwe zimawononga msana ndi momwe mungapewere.

Momwe mankhwalawa amachitikira

Spondyloarthrosis ilibe mankhwala, koma mankhwala ake oyenera ndikofunikira kwambiri kuti achotse zizindikirazo ndikukhalitsa moyo wamunthu, ndi mankhwala monga:

• Kupweteka kumachepetsa, monga Paracetamol kapena Dipyrone, 2 mpaka 4 patsiku, kapena akamva zowawa;
• Opioids, omwe ndi ma analgesics amphamvu kwambiri, monga Codeine, Tramadol kapena Morphine, ngati ali ndi ululu wopweteka kwambiri;
• Glucosamine Sulfate kapena Chondroitin, zomwe ndi zowonjezera zakudya zomwe zingathandize kukonzanso katsamba;
• Anti-zotupa, monga Ketoprofen kapena Ibuprofen, m'mapiritsi kapena mafuta, ayenera kugwiritsidwa ntchito kwakanthawi kochepa, malinga ndi upangiri wa zamankhwala, chifukwa kugwiritsa ntchito mosalekeza kumatha kuvulaza ziwalo monga m'mimba ndi impso;
• Mankhwala oletsa jakisoni ndi corticosteroids, omwe amatchedwa kulowerera kapena zotchinga, amalowetsedwa mu cholumikizira kuti athane ndi ululu wakomweko, pakavuta.

Mankhwalawa amatha kuchitika munthawi yomwe zizindikiro zikuwonekera, kapena zitha kuchitika kwa moyo wonse, kwa iwo omwe ali ndi zizindikilo zosalekeza, ndipo ayenera kutsogozedwa ndi dokotala, orthopedist kapena rheumatologist.

Zosankha za opaleshoni

Opaleshoni yam'mimba imawonetsedwa ndi a orthopedist kapena neurosurgeon nthawi zina, pomwe sizinasinthe zizindikiritso zamankhwala am'mbuyomu, chifukwa chowopsa, ngakhale chaching'ono, choyambitsa zovuta, monga kutuluka magazi, matenda opatsirana kapena kuvulala kwa msana.

Njirazi zimakhala ndi ma radiofrequency, opareshoni wamba kapena oopsa pang'ono, opangidwa kuti athetse zolakwika, kuchepetsa zizindikilo ndikupangitsa kuti munthu wodwala matendawa azikhala moyo wopanda malire. Pezani chisamaliro chofunikira pambuyo pa opaleshoni ya msana.

Chithandizo cha physiotherapy

Physiotherapy ndichithandizo chofunikira kwambiri kwa iwo omwe ali ndi osteoarthritis ya msana, chifukwa machitidwe ndi zolimbitsa thupi zochitidwa ndi physiotherapist zimathandiza kuchepetsa kutupa, kugwirizanitsa mafupa ndi kulimbitsa minofu, kuti pakhale kuchepa kwakukulu ndi kupweteka msana.

Kuchita masewera olimbitsa thupi ndikofunikanso kutulutsa minofu ndikukhalitsa olumikizana bwino, ndipo mitundu yabwino kwambiri yochitira masewera olimbitsa thupi ndikusambira ndi madzi othamangitsa, chifukwa zochitika m'madzi zimagwiritsa ntchito minofu yomwe imakhudza kwambiri malo. Onani momwe physiotherapy ya osteoarthritis yachitidwira.