Khomo lachiberekero myelopathy: zizindikiro zimayambitsa, kuyezetsa magazi, chithandizo

The msana - ndi mbali yofunika ya thupi. Iye amachita monga wochititsa ndi, kupatsira zizindikiro ziwalo zonse za thupi ku mutu ndi dongosolo chapakati mantha. mogwirizana amenewa zipatso zimathandiza kayendedwe ka nthambi, zipangitsa uziyenda wabwinobwino wa kapepalako m'mimba, dongosolo urogenital ndi ena. kuwonongeka kwa dipatimenti imeneyi ndi zinadzala ndi zotsatira zoipa ndipo akhoza m'kamphindi kuika munthu mu chikuku.

Kodi mtundu wa matenda

Myelopathy - ndi generic mawu a mayiko onse, mwanjira ina bwanji msana ntchito chingwe.

Mfundo yaikulu kuchititsa chitukuko cha matenda monga:

• mawotchi choipa;
• matenda osiyanasiyana.

Timauza, chimene chinapangitsa matenda, mawu anawonjezera manambala oyambirira yoyenera.

Mwachitsanzo, myelopathy khomo lachiberekero, zikusonyeza kuti kutanthauzira kwa ndondomeko pathological zimawonedwa mu msana khomo lachiberekero.

n'chifukwa chiyani

Kuyambira chitukuko cha matenda palibe amene sangayesedwe. Mwadzidzidzi akutuluka ndipo akulowa munthu mu chisokonezo.

The zifukwa ambiri ochititsa msana choipa chingwe zotsatirazi:

• kuvulala chifukwa mathithi, ngozi, mantha;
• postoperative zosokonezeka;
• chophukacho protrusion chotupa;
• kupindika msana;
• otsika kupweteka kwa msana;
• spondiloartroz;
• spondylosis;
• fractures ndi dislocations wa vertebrae ya;
• Nthiti kuwonongeka;
• mitundu yonse ya matenda;
• autoimmune matenda;
• zokhudza zonse yotupa matenda;
• matenda magazi;
• msana mtima thrombosis;
• atherosclerosis;
• osteomyelitis;
• chifuwa chachikulu mafupa;
• hemorrhachis;
• demyelination.

Osati ntchito wamng'onong'ono mu yatsoka matenda kusewera matenda otengera kugwirizana ndi kudzikundikira asidi phytanic (matenda Refsum) ndi pamaso pa matenda motosensornyh (syndrome Roussy - Levy).

Mu matenda osiyanasiyana a msana zimawonedwa kuwonongeka msana maselo mitsempha kudwala ngati amatchedwa "amyotrophic lateral sclerosis syndrome" (ALS).

zizindikiro Common

Maonekedwe a zizindikiro za myelopathy khomo lachiberekero angagwe kapena pang'onopang'ono kapena pa nthawi ina. Yotsirizira kwambiri khalidwe la kanthu makina pa msana, monga pini, fupa lothyoka kusamutsidwa.

Munthu wodwala akhoza kuona:

1. ululu wa kutanthauzira zosiyanasiyana.
2. Kuchepetsa kapena imfa wathunthu wa zotengeka pansipa chotupa cha.
3. Dzanzi ndi kumva kulasalasa zala manja ndi miyendo.
4. Ziwalo za miyendo kapena thupi lonse.
5. Kuphwanya dongosolo m'mimba ndi dongosolo mkodzo.
6. Kufooka kwa minofu ena.

Pakhoza kukhala zizindikiro za vertebral myelopathy khomo lachiberekero:

1. Mavuto ndi kugwirizana kayendedwe.
2. Marble complexion.
3. Kugwiritsa thukuta.
4. Mtima mungoli chisokonezo.
5. Kugwiritsa emotionality, obsessions.
6. Kuopa kuyandikira kwa imfa ndi zinthu.

Bright chiyambi silipita matenda si mmene zinalili m'mbuyomu. Nthawi zina, madandaulo akhale osafunika ndi patsogolo kwa nthawi yaitali.

odwalawo kawirikawiri kukaona bungwe zachipatala magawo oyambirira kusayembekeza kutopa kuwonongeka kwa matenda ndi zifukwa zina.

Njira zina za matenda kumatengera zifukwa zambiri, koma mwamsanga izo wapezeka, anthu ambiri mwayi woti kubwerera ku moyo wathanzi ndi wosangalala.

Gawo

Mitundu zotsatirazi matenda zimachitika ndi maziko a zotsatira mwachindunji pa chingwe msana. Ali:

1. Otani ndi cheza. N'zochepa kwambiri. Angakhalepo monga chotsatira cha walitsa yapita khansa kapena poizoni mankhwala enaake, kutsogolera Arsenic ndi mankhwala ena oopsa. Msana choipa akuchita pang'onopang'ono. Maonekedwe zizindikiro amayamba kugwirizana ndi nkhani wakale Oncology, ndicho zikamera wa metastases.
2. Carcinomatous. Bwaloli paraneoplastic dongosolo chapakati mantha amenewa amapezeka pa maziko a malignancies zosiyanasiyana. Iyi ndi m'mapapo, chiwindi, magazi ndi m. P.
3. Opatsirana. Iwo loyenda kovuta kwambiri ndi bwino zimayamba ndi enteroviruses, matenda Lyme, AIDS, chindoko ndi ena.
4. Kagayidwe kachakudya. Ngati infrequently matenda kudziwika. Iwo amayamba ndi zosiyanasiyana disruptions kagayidwe kachakudya ndi mahomoni chosatha.
5. Demyelinating. The chifukwa cha CNS manyuroni. Iwo akhoza opatsirana chibadwa kapena zimachitika m'kati moyo.

zotupa oterowo ndi zochepa wamba kuposa psinjika.

Kugonjetsedwa kwa msana khomo lachiberekero

Kodi mitundu ambiri. Pali m'dera la woyamba 7 vertebrae.

Kodi chifukwa cha aliyense wa zifukwa pamwambapa, koma nthawi zambiri amapezeka chifukwa cha psinjika, mwachitsanzo. E. The kukakamiza chingwe msana.

Kungakhale chophukacho, zotupa ndi zinthu zina zomwe ndi zotsatira makina pa msana yofunikayi.

Nthawi zambiri kudwala zoyambitsa matenda:

• otsika kupweteka kwa msana;
• kupindika msana ndi m. p.

Kobadwa nako kapena kugula zopindika ziwiya lalikulu angasokoneze ntchito kwa chingwe msana, kuchititsa kutupa ake.

Odwala myelopathy khomo lachiberekero ali kwambiri kutchulidwa ndi aakulu madandaulo.

Angayambe ndi dzanzi m'dera mapewa ndi kufalikira thupi lonse. Nthawi zonse akhala kuphwanya dongosolo vestibular, kuchititsa:

• chizungulire, makamaka pamene kutembenuzira mutu kapena anatola;
• disorientation;
• zikamera wa "Chimphanga" pamaso pa;
• akulimbana ndi amantha ndi zina zotero.

Kawirikawiri zizindikiro za myelopathy msana khomo lachiberekero kusokonezedwa ndi IRR. Pambuyo mankhwala zinalephereka ikuchitika kufufuza zambiri, zimene zimathandiza kupeza chifukwa chenicheni.

m'mawere kudwala

kutanthauzira Ichi ndi chimodzimodzi yoopsa, koma nthawi zambiri mawonetseredwe ake matenda sakhala kutchulidwa.

Mosiyana myelopathy a msana khomo lachiberekero, wodwalayo zimakhala zosokoneza:

• kufinya kutengeka m'dera la nthiti ndi mtima;
• popereka inspiratory;
• ululu wa intensities osiyanasiyana;
• kufooka ndi kunjenjemera manja;
• Zolimbikitsa cha ululu pamene kupinda ndi thupi.

Nthawi zambiri akufotokozera mu chisokonezo magazi koma zinthu zina sangathe mulibemo.

Mawonekedwe zizindikiro chifuwa ndi ofanana kwambiri ndi osteochondrosis dipatimentiyi, ngakhale n'kovuta kwambiri kudwala msana.

Pogwira matenda n'kofunika kusiyanitsa izo kwa matenda a mtima ndi njira kupuma.

lumbar kutanthauzira

Ngati odwala agwidwa mawonekedwe matenda, mavuto anati mu mmunsi mwa thupi. Mchikakamizo cha zinthu n'zothandiza amakhudzidwa:

• miyendo (ziwalo, dzanzi, kumva kulasalasa, ndi ena);
• ziwalo m'chiuno (pali matenda kugwirizana ndi kuphwanya ntchito yawo).

Umene uli pamwamba matenda lumbar zambiri sikumangotikhudza. Kuchotserapo mitundu wosanganiza pamene onse kuonongeka msana.

Pamene psinjika kuti zimachitika kawirikawiri, nthawi zambiri ndi zotsatira zokhudza zonse pa chingwe msana kapena thupi lonse (poizoni poizoni, matenda, etc. etc.).

Zizindikiro za myelopathy a msana khomo lachiberekero anafa anati.

njira matenda

Popeza zizindikiro khalidwe la myelopathy khomo lachiberekero, ngati zamoyo zina, kuzindikira kuthetsa.

Ngati mukuona kuti thupi chinachake odwala kupita kwa dokotala wina, mafupa ndi akatswiri ena amene sangathe kudziwa chifukwa cha kuwonongeka kwa thanzi kapena kuyika matenda pachithunzichi.

Kuchiza ndi matenda a matenda wakhala katswiriyu. Mu malo oyamba izo Limasonkhanitsa zofunikila mbiri, T. E. History. Wodwala chofunika kudziŵitsa mwatsatanetsatane:

1. liti anayamba kudandaula.
2. Ngati muli nazo, kapena achibale matenda aakulu.
3. Kodi mtundu wa moyo amawalamulira (palibe zizolowezi zoipa, ndi zina zotero. N.).
4. kaya ngati kale pansi cheza ndipo anadziwitsa kumeneko ndi poizoni ndi zina zotero. d.

Malangizo amenewa katswiri deta angatanthauze pamaso pa myelopathy khomo lachiberekero, amene chofunika kutsimikiza kudzera Kafukufuku.

Kwenikweni ayenera kukumana ambiri ndi amuzolengedwa magazi. Ngati mukukayikira kuti matenda awerenge onani sterility ake.

Mu yomweyi, m'pofunika kuti matenda, kuphatikizapo:

• X-ray;
• electromyography;
• electroneurogram;
• Kujambula, CT jambulani msana;
• msana angiography ndi puncture.

Nkhani chifukwa adzatumizidwa ku zasayansi kwa bacteriological kufesa ndi kuzindikira matenda ena PCR.

Kamodzi ndi matenda zolondola ndi kudziwika zinthu n'zothandiza akapatsidwa mankhwala chofunika, katswiriyu umene zigwirizana pamodzi ndi akatswiri ena. Malinga chifukwa izi zikhoza kukhala:

• matenda venereal;
• oncologist;
• vertebrologist;
• osteopath ndi ena.

Onse a matenda a myelopathy khomo lachiberekero ndingakhoze kokha kukuuzani dokotala nawo.

mankhwala

A umodzi chithandizo chakudya kulibe. Chiwembu amasankhidwa payekha ndi kumatengera zifukwa zambiri, akuti:

• zimayambitsa matenda;
• kusalekerera;
• zaka ndi jenda wodwalayo;
• comorbidities ndi zina.

Zochizira khomo lachiberekero myelopathy ischemic zotsatirazi magulu a mankhwala ntchito:

• vasodilators;
• antispasmodic.

Njirazi ndi monga:

1. "No-nkhokwezi".
2. "Drotaverinum".
3. "Vinpocetine".
4. "Ksantinola nikotinad".

Pamene zotupa poizoni prescribers kulola excrete zinthu zoipa. Mu matenda - wothandizira mavairasi oyambitsa, antifungal ndi antibacterial. odwala ayenera kudziwa kuti mankhwala ndi nthawi yambiri ndipo si nthawi zonse bwino.

Pamaso pa kuvutika majini kuthetsa matenda ndi mankhwala sizingatheke. Pankhaniyi, mankhwala kamwedwe anasankha moyo, kuchotsa kapena mitigating mawonetseredwe matenda.

ntchito alowererepo

adasonkhananso ngati myelopathy khomo lachiberekero msana chikwiyire zinthu mawotchi thandizo la dokotala, monga:

• kutupa;
• cysts;
• chophukacho;
• vertebral kusamutsidwa ndi m. p.

Monga mmene kumapeto, kuchotsa chosaopsa zotupa mu mtima kwambiri wa mwayi kuti akunde matenda. Therapy kwa myelopathy khomo lachiberekero ku Oncology akudutsa ovuta kwambiri. Monga ulamuliro, kuti maulosi aliyense samabwera kwa madokotala.

Pakuti kuvulala zotsatira angakhale osiyana. Izi zidalira pa mlingo wa kuwonongeka ndi malo.

ntchitoyi

Chithandizo cha myelopathy khomo lachiberekero - theka njira. Pambuyo Kupha matenda makamaka kwa mtima kuyembekezera nthawi yaitali konzanso. Mwina monga:

• mitundu yonse ya zofikisa;
• physiotherapy;
• kutema mphini;
• physiotherapy;
• electrophoresis;
• atavala corsets akukonzekera;
• Anawona apadera zatsiku.

Mosapita zosavomerezeka kuchita kudzipatsa chithandizo zizindikiro ndi zimayambitsa myelopathy khomo lachiberekero. thoughtlessness amenewa ndi zinadzala ndi chotupa mwakhama mafupa ndi kulisiya ziwalo.

kupewa

Nthawi zambiri matendawa amapezeka akula, koma nthawi zambiri anapezeka ku achinyamata komanso ana.

Khomo lachiberekero myelopathy ndi matenda a ALS anamuona pa ambiri odwala kuphunzira. Pofuna pang'ono kuchepetsa Mwina wa pakuwonekera kwake, tiyenera kutsatira malangizo ochepa osavuta:

• M'mawa uliwonse anayamba ndi pang'ono zochangamutsa;
• ngati ntchito akugwirizana ndi kutalika kukhala mu malo mosapumira, imirirani ndi ntchito zosiyanasiyana zokambirana, inu mungakhoze basi kuyenda;
• palibe slouch;
• kuti monga mu zakudya za nyama ndi chichereŵechereŵe ndi mkaka mankhwala;
• kuchotsa makhalidwe oipa;
• kusiya olemedwa ndi otsika-khalidwe chakudya;
• kumadya zipatso ndi masamba;
• nthawi guzzle Inde mavitamini ndi mchere;
• pamaso pa matenda aakulu m'njira yake kuchitiridwa;
• kukambirana ndi dokotala wanu kuthekera ntchito mankhwala, kuteteza ndi kubwezeretsa chichereŵechereŵe (chondroprotectors).

Kumva matenda a "myelopathy khomo lachiberekero", sayenera yomweyo anagwetsa mtima ndi kuganiza za Oncology. Nthawi zambiri, ndi kudwala ndi mtima wabwino mu chikhalidwe. Izo ziyenera kusintha ndithu ndipo amakhulupirira mu machiritso awo, chifukwa mankhwala zatsimikiziridwa kuti mphamvu ya mankhwala ndi umafananirako maganizo a wodwala, ngakhale Mapa ndi akumane kwambiri.