DDDS - ke eng? Tepelletse maikutlong, mefuta e, kalafo

Har'a mafu a sa foleng batho ba lesapo la mokokotlo bolwetse lula sebakeng qetela ikatisetsa bongaka. Bohloko ka lenaneng la lesapo la mokokotlo, buuoang ka eona khafetsa, 'me ka nako eo nyamela bakeng sa ba bang ba nako e, tloaetseng baahi ba bangata ba lefatše. hangata batho ba hlokomoloha letsholo la ho setsebi sa ho fumana hore na sesosa sa tšimoloho ea maemo pathological. Empa ho ile ha pala. Ha ho mehato ba isoa ka nako teleng phahama ho liketsahalo etsolloa 'meleng, fokotsa haholo boleng ba bophelo ba mokuli. pathologies joalo e sebetsa DDDS.

Fumanoe "DDDS" - ke eng?

Holofatsang ea lesapo la mokokotlo (DDDS) - e bolwetse ea likarolo ho pheriferale tsamaiso ea methapo ea kutlo bo tsamaisanang le sehlopha sa ba atileng ka ho fetisisa mafu a sa foleng a batho, o na le botho ba iphetang 'me hangata isang bokooa. Hangata ka ho fetisisa lefu lena le hlaha ka batho ba lilemong tsa ho sebetsa. Ka bomalimabe, ho na le ho na ntlha e tloaelehileng ea le pono ka tšimoloho ea DDDS kajeno. E bolela eng? Ha ho na mekhoa e lekaneng le o atlehang oa ho e batlang le ho phekola lefu lena.

Ho lumeloa hore ho ketsahalo ya bolwetse le hlaha ka mabaka a 'maloa:

• ka lebaka la ho ea moo overloading likarolo vertebral tshisinyo (PDS);
• ka lebaka la ho decompensation ka tsamaiso ea lijo.

Ho tloha DDDS - lefu hore nka lilemo tse, ho nka sebaka ka mokuli liphetoho 'mele ba etsolloa. Ka lebaka leo, ho hlaphoheloa kakaretso ea mokuli maemong a mangata ke sa etsahala. mehato phekolo li reretsoe feela ho tsosolosa mosebetsi ho tloaelehile la mokokotlo 'me ho felisoa ha ho kula litleleniki tsa.

The le lebaka la ho tsohle - osteochondrosis

Lefu lena le etsa hore ho hlōleha ha mesebetsi enjene ea likarolo lesapo la mokokotlo, e akarelletsa irregularities latellanang 'meleng oohle oa batho. Hona see se etsahala? Ho lumeloa hore osteochondrosis liketso tsosang le ketsahalo e sa DDDS. ke eng bolwetse ee? Dinaheng tse CIS, mokhoa ya kalafi o bitsoa osteochondrosis holofatsang liphetoho ka dibopeho cartilaginous ba lenaneng la lesapo la mokokotlo. Sesosa sa lefu le holofatsang disk ke tsena:

• predisposition liphatsa tsa lefutso,
• mafu a ea vascular kganna phepelo,
• ho se ikoetlise,
• hampe hlophisitsoe joang mosebetsing (phutholoha setulo kapa tafole)
• mosebetsi oa matsoho le ho ts'ehetsana boima,
• nona haholo.

liphetoho butle-butle ka sebōpeho sa lefufuru isang fokotseha ka tsamaiso ya vertebrae e, fokotsa hole therebetween, khaello ea phepo e haufi ho lisele lesapo la mokokotlo. Haeba tshebetso e mathang ha e khaotse ho ntshetsa pele vertebral kapa extravertebral lefu. 4 Khetholla mabaka a eo o ile a re lefu Ho thehoa:

• compression - lefu lena le qala ho bontša ka lebaka la ho phetha molao feela overload tsa likarolo dilenaneo ea lesapo la mokokotlo e isang compression ea metso methapo ea kutlo;
• disfiksatsionnaya - bolwetse hlaha ka lebaka la ho fokola ba likarolo dilenaneo lokisa sepeiti la mokokotlo;
• disgemicheskaya lebaka - bolwetse le hlaha khahlanong le semelo sa likhathatso tsa microcirculation ya lisele tse haufi ho discs intervertebral ba lesapo la mokokotlo ka site ea bobe;
• Aseptic-hlabang lebaka - bolwetse le hlaha khahlanong le semelo sa ho ruruha ka likarolo lesapo la mokokotlo tshisinyo.

Sebopeho la mokokotlo

Lesapo la mokokotlo ke plurality tsa vertebrae, nngwe le nngwe ya eo Ho thehoa ke e le 'mele le e selikalikoe. The vertebrae ba le tšekamelo e mong ka holimo e mong le theha karolong e ngotsoeng karolong e bohareng ea eo e ntse e feta kanaleng lesapo la mokokotlo - e mosa ea kotopo o ne o salla methapo le lijana.

The vertebrae di arohane lefufuru - intervertebral disk, a qapa ea annulus fibrosus le khubung pulposus. Lesale o fetang karolo ea moroalo ka disk ena. Ka mocha phelang khubung pulposus 90% metsi, Leha ho le joalo, ka diteng mokelikeli lona decreases mor'a nako e itseng. Motheo pulposus - the absorber makala, e leng fetola sebopeho lona tlas'a mojaro, ka tsela eo ho fana ka fetoha le maemo la mokokotlo le sireletsa e tsoa ho e ho timetsoa.

The lenaneng la vertebral ho tloha ka mahlakoreng 'ohle matlafatsa ligaments le tsamaiso mesifa. mesifa le ligaments fokotsa mojaro ka discs le manonyeletso. Leha ho le joalo, ho theosa le lilemo, ka lebaka la ho lintlha tse sa tšoaneng, ho na le ea fokotseha lefufuru elasticity. Matha mochine ea linaha lefu.

E le ho na le ke tshebetso pathological

Tlōlo mele, nona haholo, boima ba 'mele ho ts'ehetsana, nako e telele lula ka mele fosahetseng lintlha sa phutholoha' me tse ling tse fella ka 'nete ea hore dikahare mokelikeli ka tiske qala ho fokotseha, nyamela elasticity cartilaginous sebopeho. Tlas'a tšusumetso ea lintlha tse ka holimo eketsa mojaro ka annulus fibrosus, likhoele tsa lona li robehileng. ho na le ke ntho e hlabang, lebali dinama tse nyenyane tse thehoa ka khefu ea.

Ha scarring fetoha tekanyo e khōlō, ho na le overlapping ba lijaneng tsa mali hore fepa discs intervertebral. Butle-butle le disk bophahamo e fokotsehile, e le hore sebaka se pakeng tsa vertebrae haufi e fokotsehile sag le otlolle ligaments, eketsa mojaro ka manonyeletso intervertebral. Phello ke ho timetsoa ha lefufuru. Ho etsa hore ho thehoe DDDS. E bolela eng? The likhoele tsa lesale fibrous ka khatello ea ka nģ'ane ho 'mele vertebral, welded bona vertebra bohale hape fetola boemo ba bona ka tsela e loketseng, ha thehoa sekame masatsoana - osteophyte. The disk intervertebral e clamped, le haholo fokotswa lesapo la mokokotlo tsamaiso. Hangata ha o hlahellang bohloko lefu.

Intervertebral hernia disk ka boela etsa hore tsoelo-pele ea bolwetse. Herniated karolo bitsoa khubung pulposus, e qhoma ka annulus fibrosus, ho tsoa ka nģ'ane ho eona 'me o beha hatella metso methapo ea kutlo ea thapo lesapo la mokokotlo.

Tlhaloso le tlhophiso ea dorsopathies

Pathological maemo lesapo la mokokotlo tse sa amanang le lefu lena la litho tsa ka hare le ho li tsamaea le bohloko ba kopanngoa ka sehlopha fapaneng tsa mafu a bitsoa dorsopathies. Ho latela melao-motheo ea machaba, mefuta eohle dorsopathies arotsoe ka lihlopha tse tharo:

• deforming dorsopathies - tsena kenyeletsa deformation la mokokotlo, ka lebaka la liphetoho tse discs intervertebral: sehlopha sena kenyeletsa kyphosis, scoliosis, lordosis, spondylolisthesis, bohloko tlaase morao;
• spondylopathies - tsena kenyeletsa tsohle spondylopathies sithabetsang le a hlabang;
• dorsopathies tse ling - matšoao a bohloko molaleng, 'mele kapa maoto le matsoho, tsee e seng ka lebaka la ho disk displacement kapa tlōlo ea thapo lesapo la mokokotlo.

Ho itšetlehile ka bolwetse ba sebaka se hlahang ho yona ke hlaheletseng: DDDS thoracic le lumbar lesapo la mokokotlo le cervical mokokotlo DDDS. Hore na ke eng, re tla utloisisa hamorao. A tsobotsi bath ya lefu lena ke hore matšoao a lefu lena ka 'ngoe libakeng tse ba selegae le, ka lehlakoreng le leng, ke tsoana haholo, ka tse ling tse - ba le makgetha a ho bona ikhethang.

mefuta DDDS

maemo Pathological atisa ho etsahala'ng ka lumbar lesapo la mokokotlo. Ho ea ka lingaka tse ngata, lebaka le ka sehloohong bakeng sa ena e tsamaea monna ea lokileng, ea bakeng sa e le hore a ha e le hantle, ba ela theko. Ya e le hantle, lefu lena le ha a hlahe ka vacuum cleaner, 'me e susumetsoa ke lintho tse' maloa (lijo senyeha, mafu a ea tsamaiso lymphatic ka lisele tsa discs intervertebral, joalo-joalo).

• DDDS cervical lesapo la mokokotlo. ha e le eng? E le busa, e dorsopathies hlahang ka molaleng, karolo anterior ya sefuba, ka matsoho. Ba bang bakuli ba tlaleha tukang opeloa bohloko pakeng tsa di-blades ka mahetla, tšoanang le matšoao a angina. Ha dorsopathies cervical hlokomela eketsehile ka makhetlo bohloko ha ho retelehela kapa ho sekamisetsa hlooho. Ka bolwetse ba lesapo la mokokotlo thoracic ka 'na ba bohloko sefubeng.
• DDDS lumbar lesapo la mokokotlo. Ho ka 'na ba tsamaea le tlōlo ea nahanela ya groin le lirope ka hare. bohloko e ka ba teng ka nako e maoto ka bobeli; hlaha fokotseha nahanela ka tlaase morao le nahanela ea monoana khōlō. Shooting bohloko, fokotseha ka nahanela mete, bohloko maoto, shoele litho ea leoto tlaase le maraong, ho lahleheloa ke mesebetsi pelvic - matšoao a tsohle dorsopathies le lumbar kapa DDDS lumbosacral lesapo la mokokotlo.

mehato phekolo

The liponahatso ea ho pathological ka lesapo la mokokotlo le itšetleha ka ho ba sethaleng sa lefu lena le, hammoho le sebaka se le isa tekanyong ea lethopa ka. Ponahatso e khōlō ea lefu lena le ke bohloko. Joalokaha ho boletsoe ka holimo, sesosa sa bohloko a ka etsa hore spasms mesifa, pantshisi-tse herniated methapo ea kutlo le metso ea thapo lesapo la mokokotlo, le ba bang. Hangata bohloko ho etsahala, e seng feela ka sebakeng la mokokotlo, empa hape ka isoa likarolong tse ling tsa 'mele. Ho phaella ho bohloko sebakeng se amehileng ka 'na fokotsa nahanela, le bofokoli mesifa.

Phekolo bakeng sa lefu le holofatsang lesapo la mokokotlo ka fokotsa tsela ea lefu lena le ho ntlafatsa boleng ba bophelo ba mokuli. E rarahaneng ya mehato phekolo ikemiseditse ho netefatsa hore:

• thibela bohloko,
• a liehe ho timetsoa ha lefufuru,
• ho ntlafatsa ajoa ka likopi mokokotlo potolohileng lisele tse bonolo,
• fokotsa compression ea vertebrae e mong ho e mong,
• ka morao ho bokgoni ba mokuli tsa likoloi.

mekhoa phekolo akarelletsa ho sebelisa lithethefatsi, phekolo ea sebele, ea physiotherapy.

DDDS: kalafo ka meriana

Poleloana e reng ka felisa bohloko ke fumana lithethefatsi bao e seng steroidal-ba khahlanong le a hlabang a kang "Ibuprofen" "ketoprofen" "Diclofenac". Tšebeliso ea lithethefatsi tsena li ka, Leha ho le joalo, ba atisa ho amahanngoa le ketsahalo e sa litla-morao. Tabeng ena, u ka retelehela ho khetha baeti ba fihlelang ho bolela - ke "Lornoxicam", "Nimesulide", "Meloxicam".

Ka ketsahalo ea stagnation ka mesifa le likhathatso tsa ajoa mali retelehela ho sebelisa lidocaine hammoho le li-hormone steroid. tekanyo sena se ba thusa ho imolla bohloko a hlobaetsang.

Mokhoa o sa fellang fokotsa boemo ba le ho felisa bohloko ka ho sebelisa phekolo analgesic samente ( "Dorsaplast" "Nanoplast" et al a.). Ho phaella moo, setsiba hore lopollang bohloko, o ne a ntse e fana ka le ho ba khahlanong - ama sebakeng se amehileng ea naha a khoheli a. Sebelisa setsiba kgothaletswa e le opeloa a hlobaetsang le hore nka imoloha potlako le ditefello. sehlahiswa ha e na steroid, sebelisa e phutholohile haholo: ho setsiba ha sitisa mokhatlo oa, e odorless, siea ha masalla ka letlalo le liaparo.

Ea physiotherapy le masapo corsets

Ka nako le tšebeliso ea lithethefatsi ka kalafo ya DDDS mafolofolo sebetsa corsets masapo, e fokotsa bohloko ka ho lokisa le senyehile lesapo la mokokotlo karolo. Haeba tshebetso pathological ama mokokotlo cervical, sebedisa molaleng Schanz. sehlahiswa ha feela o na le ho futhumala ha e le hantle, empa nakoana ho fokotsa le tsamaiso tsa lesapo la mokokotlo ka sebakeng se amehileng, lopollang mesifa spasm, e fana ka maemo a molemo ka bakeng sa poloko ya dibopeho senyehile.

Ka bolwetse la mokokotlo thoracic sebelisa seka-correctors, eo ka bohlale aba mojaro ka mose mokokotlo, Fokotsa sebakeng se amehileng. Ha bothata bona bo hlaha ka qetellong ea ka morao, sebelisa corsets lumbosacral. Atisa ho sebelisoa ha insoles masapo, ho tlosa karolo ea tshusumetso mojaro ho mokokotlo.

Emisa bohloko le thusa ka ea physiotherapy. Tsena li akarelletsa: electrophoresis, sililoa, UHF, oa ultrasound phekolo, phekolo a khoheli a.

Emisa ho timetsoa ha lefufuru

Joalokaha ho boletsoe ka holimo, phekolo bakeng sa DDDS o ikemiseditse eseng feela ha ba felisa bohloko. Ho ke ke bohlokwa hore ba khaotse ho ho timetsoa ha lefufuru dinama tse nyenyane tse le phumano ena. Etsoe sena ho na le ka kakaretso fapaneng ya lithethefatsi - chondroprotectors. Tsena li akarelletsa :. "Chondroitin Sulfate", "glucosamine", joalo-joalo Hangata, ho ntlafatsa phello ea lithethefatsi ba isoa hammoho. Le boemong bo joalo ho hloka ho litekanyetso li behoa nepahetseng ya meriana. Ka kakaretso, letsatsi le letsatsi lethal dose "Glucosamine" ke 1000-1500 mg,, "chondroitin sulfate" - 1000 mg,.

Ho ntlafatsa ajoa ka likopi mali ka lisele tsa sebakeng se amehileng, o ka sebelisa antiplatelet le angioprotectors, tse akarelletsang lithethefatsi "Pentoxifylline," "Aktovegin". Livithamine tsa sehlopha B (mohlala, "Neyromultivit") thusa leka-lekanya le thulaganyo tshilong ya dijo ka 'mele.

Nako ea tsosoloso atisa ho ea ka mokhoa o sa traction lesapo la mokokotlo, e thusang ho eketsa sebaka se pakeng tsa le vertebrae le ho fokotsa sekgahla sa hoo ka mong ho e mong. Ho boetse ke habohlokoa ho ho boloka ka linako tsohle dilenaneo mosebetsi, u matlafatse tsamaiso ea mesifa ka phekolo ea sebele.

tlhathoba

Ho fihlela joale, mokhoa oa ho khetholla holofatsang lesapo la mokokotlo a ke ke a bitsoa ea phethahetseng le ea ka tšeptjoang. Joaloka lefu leha e le efe, DDDS phumano e qala ka ho hlahloba ka ea tsa bongaka. Ngaka puisanong le mamello rerang lefelo la bohloko, e khetholla lintlha hore ka khona ho ntlafatsa bohloko (mohlala, phetoho boemong 'mele). The setsebi tla boela fumana ho tswa ho ba le mamello ho ba teng ha a isoa likotsi lesapo la mokokotlo le mafu a amanang le.

Ka mor'a moo, ngaka e ile ea hlahloba mesifa paravertebral ke palpation. Sena se nolofalletsa hore o khona ho utloa boteng ba tsitsipano mesifa kapa ho lahleheloa ke vertebra ka. Laboratori ea phumano e kenyeletsa ho ithuta ka mali oa mokuli 'me o etsoang tsoa e le hore ho theha ho ba teng kapa ho ba sieo ha dithulaganyo tšoaetsanoang ka' mele.

Ke 'nete hore mokhoa fetisisa rutang tsa tlhathoba ya bolwetse ke lesapo la mokokotlo radiography, ea computed tomography (CT) le gomoso a khoheli nka litšoantšo (MRI). Electroneuromyography (electroneuromyographic) ho fumana hore na sesosa sa methapo ea kutlo lethopa.