Osteochondrosis bụ ọnya degenerative-dystrophic nke ọkpụkpụ azụ, nke na-eduga ná mbibi nke diski intervertebral na nsonaazụ kwekọrọ. Osteochondrosis "na-emetụta" ọkpụkpụ azụ dum, ma ihe mgbaàmà nke ọrịa ahụ na-apụtakarị mgbe mpaghara cervical, dị ka ihe kachasị mkpagharị, na mpaghara lumbar na-emetụta. Mpaghara thoracic na-ata ahụhụ kacha nta.
Ihe ịrịba ama nke olu osteochondrosis dị iche iche, ha na-adịkarịkwa ka ọrịa ndị ọzọ, nke na-eme ka nchọpụta dị iche na ịmata mmalite nke pathology siri ike. N'isiokwu a, anyị ga-eleba anya n'ụzọ zuru ezu otú osteochondrosis nke cervical spine si egosipụta onwe ya na ihe ga-enyere gị aka iche ọrịa a.
Ogo nke osteochondrosis
Osteochondrosis bụ ọrịa na-adịghị ala ala nke na-aga n'ihu nke na-eme n'oge mgbaghara na oke njọ. Mgbaàmà ndị a na-akpọ ụlọ ọgwụ anaghị apụta ozugbo, ma mgbe oge ụfọdụ gasịrị, mgbe usoro mmebi ahụ na-abanye na nke abụọ ma ọ bụ ọbụna 3rd.
Enwere naanị ogo 4 nke pathology:
- A na-ama ọkwa mbụ site na mgbanwe pathological n'ime diski intervertebral. Ọ na-efunahụ mmiri mmiri, nke na-eduga ná mgbanwe dystrophic, ibelata ịdị elu diski, na mgbawa nke capsule fibrous. Dị ka a na-achị, ọ dịghị ihe ịrịba ama na ọkwa a. Enwere ike ịchọpụta ọrịa naanị site na iji MRI nke ọkpụkpụ azụ. Nke a bụ ọkwa kachasị mma maka ịmalite ọgwụgwọ, ebe ọ bụ na n'ọnọdụ a, ọ ga-ekwe omume iweghachi diski mebiri emebi kpamkpam, nke a na-apụghị ime n'ọdịnihu.
- A na-eji osteochondrosis nke ogo nke abụọ mara site na mmebi nke diski intervertebral na-akawanye njọ. Ogologo ha na-ebelata nke ukwuu, nke na-eduga n'ịkụda akwara azụ na akwara. Ihe a niile na-akpata enweghị ntụkwasị obi nke akụkụ ahụ mebiri emebi nke kọlụm nke ọkpụkpụ azụ, ụbara agagharị nke vertebrae, nchụpụ ha na mbanye n'akụkụ ibe ha na axis spinal. Dị ka a na-achị, ọ bụ n'oge a ka ihe ịrịba ama mbụ nke ọrịa ahụ na-apụta n'ụdị mgbu na ihe ịrịba ama ndị ọzọ kpọmkwem iji mebie ọkpụkpụ cervical.
- Na ọkwa nke atọ, protrusions na herniation nke diski intervertebral na-etolite. A na-egosipụta nke ọma ihe mgbaàmà nke ọrịa ahụ.
- Oge nke anọ bụ nke ikpeazụ. N'okwu a, nhazi nke osteophytes na ọkpụkpụ azụ na-eme. Ahụ na-agbalị n'ụzọ ụfọdụ mee ka akụkụ ahụ mebiri emebi nke spine guzosie ike, nke mere osteophytes ji etolite, ossification nke ligaments na usoro ndị ọzọ na-eduga na nkwụsị nke vertebrae, ma, ọ dị mwute ikwu, usoro a na-esonyere na subluxations vertebral na ụdị dị iche iche na ogo nke ọkpụkpụ azụ.
Ọdịdị nke mgbaàmà nke cervical osteochondrosis
Ngosipụta nke osteochondrosis na spine cervical jikọtara ya na usoro 3 nke mmetụta ọjọọ nke pathology a:
- Mkpịsị aka kpọmkwem nke ọkpụkpụ azụ, nke na-agba ọsọ na ọwa mmiri nke ọkpụkpụ azụ. Ekwesiri ighota na nke a na-adighi oke na usoro mmebi nke di elu na nsogbu ya. Enwere ike ịkpata mkpakọ nke anụ ahụ ụjọ nke ọkpụkpụ azụ site na nnukwu hernia intervertebral, nke na-apụta ozugbo na lumen nke spinal canal; stenosis nke ọkpụkpụ azụ azụ (ịbelata) n'ihi mgbanwe mmebi; dislocations, subluxations, mgbaji nke vertebrae mebiri emebi.
- Mmetụta na-adịghị mma na akụkụ nke sistemu ụjọ nke mpụta (mkpọrọgwụ azụ azụ na akwara akwara) nke na-apụ na spain cervical. Enwere ike ịgbakọta ha n'etiti vertebrae dị n'akụkụ ma ọ bụ mkpụkọ hernial, ma nwee ike ibu ọkụ na mgbakasị ahụ. Ihe a niile na-eduga n'ọtụtụ mgbaàmà siri ike. Nke a bụ ihe na-ahụkarị nke ihe ịrịba ama nke osteochondrosis cervical.
- Mmetụta ọjọọ na arịa ọbara na-agafe n'akụkụ ebe ọkpụkpụ azụ mebiri emebi. Karịsịa, otu arịa akwara dị oke mkpa dị mkpa - akwara vertebral, nke na-agafe oghere nke usoro transverse nke cervical vertebrae n'ime oghere cranial ma na-enye ọbara na azụ nke atọ nke ụbụrụ na cerebellum.
Ka anyị tụlee n'ụzọ zuru ezu otu ọ bụla nke usoro na ihe mgbaàmà ha na-akpata.
Mgbaàmà jikọtara ya na ọnya ọkpụkpụ azụ
Dị ka ekwuru na mbụ, mkpakọ nke ọkpụkpụ azụ na osteochondrosis cervical dị nnọọ ụkọ. Nke a bụ ọnọdụ dị oke njọ nke nwere ike ịfu mmadụ ọ bụghị naanị ahụike ya, kamakwa ndụ ya.
Mmebi na spain cervical elu na-eyi ndụ egwu. Ebe akwara obi na iku ume na-ata ahụhụ, nke na-eduga na ọnwụ ozugbo. Site na mkpakọ na ọkwa nke akụkụ 3-4 nke ọkpụkpụ azụ, tetraplegia na-etolite (mkpọnwụ nke akụkụ niile na mọzụlụ n'okpuru mmerụ ahụ). Ahụ ike iku ume na diaphragm na-atakwa ahụhụ, nke nwere ike ibute njide iku ume na ọnwụ.
Ọ bụrụ na mmebi emee na ọkwa nke 4th-5th nke ọkpụkpụ azụ azụ, tetraplegia na-etolite, ma na-enweghị nsogbu iku ume. Mgbe a na-ejikọta akụkụ 5-8 nke ọkpụkpụ azụ azụ, ìgwè dị iche iche nke anụ ahụ dị n'elu na-ata ahụhụ na paraparesis nke ụkwụ na nkwụsị nke akụkụ pelvic na-eme.
Mgbaàmà ndị metụtara mmebi akwara
Ọrịa mgbu
Nke mbụ, ekwesịrị iburu n'uche na ọrịa mgbu, nke nwere ike ịdị ala (cervicalgia) na nnukwu n'ụdị lumbago (cervicalgia). Mgbu na-apụta n'olu, akụkụ occipital nke isi na eriri ubu. Ọ na-emekarị site na mgbakasị ahụ, mkpakọ na mbufụt nke mgbọrọgwụ akwara nke cervical spasm, yana pathological spasm nke mọzụlụ na mpaghara a, nke na-innervated ndị a irighiri akwara.
Ihe mgbu nke cervicalgia fọrọ nke nta ka ọ bụrụ mgbe niile, na-egbu mgbu, na-adịgasị iche na ike. Dị ka a na-achị, a pụrụ ịnagide ọrịa mgbu mgbu. Ọ na-apụta ma ọ bụ na-esiwanye ike site na mmegharị mberede, ntụgharị na tụgharịa isi. Mmegharị n'olu na-esonyere ụda mgbakasị mara mma.
Mgbu cervical na-apụta na mberede n'ụdị agbapụ ma ọ bụ ujo eletrik. Ọ dị oke ike, ọ na-aga n'otu aka. Ọ na-ewe sekọnd ole na ole ma ọ bụ nkeji, wee nye ohere maka cervicalgia. Ọ na-emekarị site na mmegharị mberede na mkpakọ nke irighiri akwara.
Ọrịa radicular
A na-emepụta irighiri akwara niile dị na nsọtụ elu (median, ulnar na brachial) site na eriri irighiri akwara na-apụta site na spain cervical. Ya mere, na ọnụnọ cervicobrachial osteochondrosis, akụkụ akwara ndị a nwere ike ịta ahụhụ. Agwakọta irighiri akwara ndị a niile, ya bụ, ha nwere ma sensory na ọrụ moto. Dabere na nke mgbọrọgwụ na-emetụta, mgbaàmà ga-adị iche. Dịka ọmụmaatụ, mmetụta nke mkpịsị aka nke abụọ ma ọ bụ nke atọ nwere ike ịla n'iyi, na mkpọnwụ nke otu ma ọ bụ karịa mọzụlụ nwere ike ime. A na-ekewa ihe ịrịba ama ndị a niile nke mmebi irighiri akwara n'ime ọrịa syndromes dị iche iche, nke naanị onye ọkà mmụta akwara nwere ike ikpebi.
Occipital neuralgia
Occipital neuralgia na-etolite mgbe akwara occipital nke ukwuu na nke dị ntakịrị, bụ nke 2nd, 3rd na 4th ụzọ abụọ nke irighiri akwara cervical, mebie. Mgbe a na-ejikọta akụkụ ndị a, na-ewe iwe ma ọ bụ na-egbuke egbuke n'ihi usoro degenerative-dystrophic na spine, isi ọwụwa na-apụta n'azụ isi, nke ụmụ nwanyị na-emekarị mkpesa.
Ihe mgbu a na-ahụkarị nke na ọ bụ naanị nkọwa ya na-enye ohere ka eme nchọpụta ziri ezi na 90% nke ikpe. A na-akpọkwa ya agbapụ cranialgia. Mwakpo nke mgbu na-apụta na mberede, nwere mpaghara otu (ọ na-adịkarịghị emerụ ahụ n'akụkụ abụọ), ndị ọrịa na-atụnyere ọdịdị mgbu ahụ na ọkụ eletrik. Mwakpo a na-ewe ọtụtụ nkeji, mana enwere ike ịmegharị ya ọtụtụ ugboro n'ụbọchị. Mgbu na-apụta n'elu elu posterolateral nke olu wee gbasaa elu ruo protuberance occipital (na-emeghachi usoro anatomical nke akwara occipital). N'otu oge ahụ, nsogbu uche na akpụkpọ anụ azụ nke isi nwere ike ịmalite (ọnụọgụ, ihe na-egbuke egbuke).
Ọrịa obi obi
Aha a bụ n'ihi na ngosipụta a nke osteochondrosis nke spine cervical yiri angina pectoris na ọrịa obi ndị ọzọ. Ihe kpatara ihe omume a bụ mmebi nke eriri akwara nke na-abanye n'ime akwara pectoralis na akwara phrenic, nke a na-etinye eriri ya n'ime pericardium nke obi.
Ihe kpatara mgbu ahụ bụ spasm nke nnukwu akwara pectoralis n'ihi mkpali pathological tinyere eriri akwara mebiri emebi. Agbanyeghị, ndị ọrịa na-enwekarị mgbagwoju anya mgbu na mgbu obi. N'adịghị ka mgbu obi, ọrịa mgbu na cervical osteochondrosis nwere ogologo oge (mgbe ụfọdụ ọtụtụ awa ma ọ bụ ụbọchị), nke na-adịghị eme na angina pectoris, anaghị ejikọta ya na mmega ahụ, ma enwere mmekọrịta na ọnọdụ ahụ. Mgbu ahụ na-esiwanye ike na mmegharị mberede, na-atụgharị isi, ụkwara, imi, nke na-adịghị eme na angina pectoris. Ọgwụ antianginal (nitroglycerin, wdg) agaghị adị irè.
Ihe dị mkpa! N'ọnọdụ ọ bụla, mgbaàmà ndị dị otú ahụ chọrọ nchọpụta dị iche iche nke ọma, n'ihi na ụdị dị iche iche nke angina na nkụchi obi na-emekwa. Ka ị ghara ịhapụ ọrịa siri ike, ị ga-ebu ụzọ mee ECG. Site na osteochondrosis, a gaghị edekọ mgbanwe nke pathological.
Mgbaàmà ndị metụtara mmerụ ahụ akwara vertebral
Mkpakọ nke akwara vertebral n'oge osteochondrosis cervical nwere ike ime ka ọnụ ọgụgụ dị ukwuu nke ngosipụta na-adịghị mma, nke a na-ejikọta ya na mbelata ọbara na hypoxia nke akụkụ ụbụrụ nke arịa a na-enye nri (azụ nke atọ nke ụbụrụ na cerebellum).
Ihe ịrịba ama nke vertebral artery syndrome:
- isi ọwụwa nke mgbasa ma ọ bụ ọdịdị na-akụda mmụọ na azụ nke isi, ụlọ arụsị na mpaghara parietal;
- dizziness;
- ọgbụgbọ na vomiting;
- ọgbaghara anya;
- na-eti mkpu na ntị, mbelata ịnụ ihe;
- nhazi na nguzozi na-emebi emebi;
- mmepe nke mwakpo ọdịda (ọdịda mberede na-enweghị nhụsianya n'ihi ntụgharị isi na mberede);
- ebe nchekwa ihe, mbelata arụmọrụ, ike itinye uche.
Ọ dị mkpa icheta! Site na mgbanwe ndị a na-akpọ na ọkpụkpụ azụ, a pụrụ ịgbachi akwara nke ukwuu nke na nke a ga-eduga na mmepe nke ọrịa strok na mpaghara vertebrobasilar nke ụbụrụ. Ya mere, ọ dị mkpa ka a na-enyo enyo pathology na oge ma mee ihe niile dị mkpa iji meziwanye ahụike nke ọkpụkpụ azụ ma gbochie mgbanwe ndị ọzọ pathological.
Ajụjụ a na-ajụkarị
Kedu ihe mgbaàmà na-esonyere osteochondrosis cervical?
Mgbaàmà nke osteochondrosis cervical nwere ike ịgụnye mgbu olu na isi ike, isi ọwụwa, dizziness, tinnitus, na nkwụsịtụ ma ọ bụ nkwụsị na ogwe aka na ubu.
Kedu ka ị ga-esi wepụ ihe mgbaàmà nke osteochondrosis cervical?
Iji belata ihe mgbaàmà nke osteochondrosis cervical, a na-atụ aro ka ịme mgbatị ahụ, nọgide na-enwe ọnọdụ ziri ezi, zere ịnọ ọdụ ogologo oge n'otu ọnọdụ, jiri ohiri isi na akwa akwa pụrụ iche, na-ejikwa usoro ọgwụgwọ anụ ahụ.
Ndụmọdụ bara uru
Ndụmọdụ #1
Lezienụ anya na mgbu n'olu, ubu na ogwe aka, nke nwere ike ịbụ ihe mgbaàmà nke osteochondrosis cervical. Mgbu ahụ nwere ike ịdị nkọ, gwụ ma ọ bụ kpọpụta ya n'ebe ụfọdụ.
Ndụmọdụ #2
Lezienụ anya na nhụjuanya ma ọ bụ adịghị ike na ogwe aka, mkpịsị aka, ma ọ bụ ubu, n'ihi na nke a nwekwara ike ịbụ n'ihi osteochondrosis cervical.
Ndụmọdụ #3
Lezienụ anya na isi ọwụwa, dizziness na tinnitus, n'ihi na mgbaàmà ndị a nwekwara ike jikọta ya na osteochondrosis cervical.