Spondylitis - ndichiyani? Mitundu, Zizindikiro, Chithandizo spondylitis

matenda spondylitis ali osowa kwambiri. Malinga ndi kafukufuku, ndi kudwala anati mu 0.3-0.8% ya anthu. Choncho, ambiri sakudziwa nkomwe ngati iwo akumva matenda "spondylitis," chimene chiri. Zochita matenda, mawu amatchedwa yotupa matenda a msana. Kudwala matenda chapansipansi kuthamanga matenda bakiteriya. Panthawi yake mwina kwa madokotala kupewa chitukuko cha matenda ngati zosasangalatsa. Nchifukwa chake ziwerengero wabwino.

Zochita za matenda

Spondylitis - ndichiyani? kudwala Izi Chili gulu lonse la matenda yotupa msana, kunachitika mawonekedwe aakulu. Iwo amakhala ndi zotupa mayunitsi angapo yachiwiri.

Abweretsa kudwala angagone:

• chifuwa chachikulu;
• brucellosis;
• typhoid;
• purulent matenda.

Sitingathe kukusalani zinthu zina matenda. Koma nthawi zambiri pali tuberculous spondylitis.

Kutupa, ukuyenda mthupi kuchiwonongeko wa vertebral mafupa amachepetsa. Chifukwa, ndi mapindikidwe wa lonse chachimango cha positi.

Kudwala ndi matenda kawirikawiri angayambe anthu a misinkhu yosiyanasiyana. Kuyambira digiri ali ndi zizindikiro mokwanira akakufunsani, amene kwambiri complicates matenda. Koma ndi kugonjetsedwa limasonyeza angapo matenda positi amakhala kuzindikira khalidwe.

M'pofunika bwinobwino spondylitis - icho chiri. kudwala Izi anawonetseredwa ululu, kumverera kwa, kumverera stiffness malungo, kufooka ndi maonekedwe kaimidwe achindunji kwambiri. Ndi zoopsa kwambiri ngati matenda si chofunika. kupitilira ake kumabweretsa mapangidwe hump kapena okhota kupindika msana m'dera thoracic.

The zimayambitsa matenda

matenda spondylitis nthawi ukapezeka chifukwa cha ndondomeko matenda m'thupi.

Madokotala zimayambitsa zotsatirazi matenda:

1. Enieni. Malaise chikwiyire mabakiteriya ena, imbaenda kusintha vertebrae kuti: chifuwa chachikulu, brucellosis, gonorrheal, chinzonono, aktinomikoticheskaya.
2. Nonspecific. Tizilombo chifukwa mmene njira ya matenda pamaziko a purulent kutupa. matendawo akhoza zidzayambike ndi: mabakiteriya matumbo, Haemophilus influenzae, staphylococci. Chinthu chapadera cha matenda - ndi mapangidwe abscess paravertebral.
3. Rheumatoid. Kuti izi kutsogolera matenda kudwala chikwiyire hemolytic streptococcus Gulu A: angina, pyoderma, carditis.

Zimene zingapangitse matendawa ndi:

• adatchithisira chitetezo chokwanira;
• akuti makonzedwe yaitali mankhwala cytotoxic, corticosteroids;
• msana choipa;
• aakulu kukuchitika matenda enieni (chinzonono, TB m'mapapo mwanga).

gulu la matenda

Pali mitundu yosiyanasiyana spondylitis, ngati timaona ku mawonedwe a zoyambitsazo.

Ambiri mitundu 3:

• chifuwa chachikulu;
• aseptic;
• ankylosing.

Komanso, kudwala zingakhudze mbali iliyonse. Choncho kumasula:

• spondylitis wa lumbar msana;
• thoracic;
• khomo lachiberekero.

Zizindikiro zazikulu

Anthu ankakumana ndi matenda monga spondylitis, chimene icho chiri, akumvetsa. matenda limawonekera zizindikiro zosasangalatsa kwambiri ndi kwambiri zimakhudza khalidwe la moyo.

Matendawa amakhala ndi chipatala zotsatirazi:

• chowawa kusapeza kumbuyo, ntchafu dera, miyendo, chifuwa;
• kutupa ndime msana;
• kumuwotcha kapena kumva kulasalasa mu ntchafu, miyendo, kumbuyo;
• msana stiffness;
• kufunika zonse "pita ku chimbudzi";
• kuchepetsa sayenda;
• ululu gulu;
• kufupikitsa msana;
• zosayembekezereka wa tulo;
• kusonyezedwa kwa kupindika msana.

Spondylitis lumbar msana limapezeka matenda khalidwe ndithu ubongo:

1. Pakhoza kukhala tsankho kapena wathunthu ziwalo za miyendo m'munsi.
2. Zimenezi aonekera anasonyeza mkodzo ndi fecal incontinence.
3. Ululu m'dera Mapazi zina kuperekedwa ku crotch lapansi.
4. Kusapeza ndi lobaya khalidwe, zimachitika nthawi, "backache".
5. Yodziwika ndi zizindikiro likunena za kuledzera: malungo otsika kalasi, chizungulire, kufooka.

ankylosing spondylitis

kudwala uyu ali dzina lina - ankylosing spondylitis. Pa mtima wa chitukuko cha matenda ndi chitetezo mitsempha kuwonongeka. Ankylosing spondylitis zambiri umatha kulephera kuyenda kwa thupi. Nthawi zambiri, kudwala izi zimawonedwa anthu kudutsa pa zaka 20 akukula.

Ankylosing spondylitis msana pang'onopang'ono asagwiritse galimoto ntchito. Ndi matenda pali, monga ngati zinaphatikizidwa vertebrae. Chifukwa cha iwo apanga fupa limodzi.

Mpatuko kudwala pang'onopang'ono kwa nthawi yaitali. Poyamba akhudzidwa lumbar ndiye matenda chimakwirira ntchafu ndi groin. ossification msana pang'onopang'ono kukacha. Wokwanira zokhumudwitsa akafika gawo thoracic. Ndipotu, pamodzi ndi wotsikirapo sayenda pali vuto kupuma. Motero, wodwalayo akufotokozera matenda aakulu m'mapapo.

Zizindikiro za matenda kwambiri kumatheka ndi katundu yogwira kaya payekha yaitali. Zosasangalatsa kusapeza likuchotsedwa pogwiritsa ntchito mankhwala odana ndi yotupa ndi olimbitsa wapadera makalasi.

trachelokyphosis

matenda amenewa amatchedwa matenda Pott a. Nthawi zambiri, ndi kudwala ana ndi achinyamata. The causative wothandizila matenda ndi mokwanira kugonjetsedwa ndi mankhwala acid ndi ambiri.

Tuberculous spondylitis makamaka akufotokozera mu gawo thoracic monga matenda oyambitsidwa ndi tizilombo localizes mu mapapo, nthawizina mwanabele. Mabakiteriya kudutsa mu vertebrae ndi, imautsa mapangidwe nyumba chimauma kuti kufooka necrosis. minofu necrosis chimakwirira pafupi positi links.

Kudwala angayambe patsogolo kudzera zaka zingapo matenda. Yambani kukhala limagwirira matenda mwina paliponse, zoopsa, wofooka chitetezo chokwanira.

Symptomatology tuberculous spondylitis zotsatirazi:

1. The kutanthauzira m'dera kutupa anati kutupa ndi abscesses ozizira.
2. N'zochititsa chidwi okha galimoto ntchito.
3. The mwana amatopa msanga, sikuti iye kugona, wosakhazikika.
4. Ana, pali ochenjera gait. Iwo akuyesa tulutsani m'mimba ndi kuwongoka nsana wanu, kutsitsa katundu pa msana intuitively.
5. Pali madandaulo a ululu m'mimba.

Kukula kwa matenda kumabweretsa mapangidwe a hump, ndi zikamera matenda a ubongo, ndi zina ziwalo.

Wodwala Kwalamulidwa mankhwala antibacterial, zobwezeretsa mankhwala. Nthawi zina, opaleshoni bwino.

aseptic spondylitis

matenda mankhwala odziwika monga matenda Kümmel-Verney. Chifukwa cha matenda ndi zoopsa linkawonongeka. Aseptic spondylitis ndithu zosasangalatsa obisika. Pambuyo kuvulazidwa amalenga kunachititsa kuti nthendayo anagonjetsedwa, chifukwa popanda zizindikiro mu mtima ali anaona. Zingatenge zaka zingapo. Mwatsoka, nthawi ino kwa zinkakhala m'dera yokutidwa ndi foci necrotic.

Nthawi zambiri, ndi kudwala amawapeza mu anyamata ndi wazaka zapakati. Disease Kümmel-Verney nthawi zambiri isanafalikire mu dera thoracic, koma nthawi zina kumaonekera mu dera lumbar.

Muli chithunzi zosasangalatsa kwambiri pamene mtsempha wamagazi intravertebral anawononga pa zifukwa. Pankhaniyi, pali magazi zambiri n'zothandiza vasomotor chisokonezo. Kuyamba kukhazikitsa njira necrotic zikuchitika fupa kuvunda.

Komabe, linkawonongeka akhudzidwa akupitiriza kunyamula katundu ndi ntchito zonse. Zimenezi zimabweretsa mapindikidwe. Ngakhale kuvulala zazing'ono yokwanira mtima anatuluka psinjika fupa lothyoka la msana.

mankhwala

Lekani chitukuko matenda miyeso mabuku okha.

Ngati anapezeka ndi spondylitis msana, chithandizo zikuphatikizapo:

• ntchito mankhwala;
• physiotherapy;
• mafizo.

Therapy amadalira pa gwero lake, matenda chikwiyire. Choncho, mankhwala mankhwala amasankhidwa payekha.

Nthawi zambiri, wodwala kwa Kwalamulidwa:

1. NSAIDs. Kungakhale mankhwala: "Ibuprofen", "diclofenac", "Nimesulide".
2. Mankhwala, kuchotsa kutupa ndi alibe zotsatira steroid "Indomethacin", "Ortofen". Mankhwalawa kuchepetsa ululu, sati abwera liti kutentha, kuthetsa kutupa.
3. Corticosteroids. Mankhwala umalimbana kuchotsa kutupa ndi kubwezeretsa kagayidwe kusokonezedwa. Iwo amapereka kumanganso msana. Nthawi zambiri mankhwala "Prednisolone" analimbikitsa.
4. Mankhwala. ntchito zawo amalola kuti kulimbana ndi matenda. Perekani mankhwala zotsatirazi: "Cefixime", "norfloxacin" "Ceftriaxone", "Ofloxacin", "Levofloxacin".
5. Solutions kupereka kuchotsa poizoni m'thupi. Amalangiza: zikutanthauza Ringer ndi njira kapena sodium kolorayidi.

njira zina

Pambuyo pothetsa ululu mankhwala spondylitis ali zochitika izi:

1. Physiotherapy. Daily Zochita kulola kulimbikitsa minofu minofu.
2. Thermotherapy. The zinkakhala m'dera ndi kutenthetsa. Chifukwa, pazipita kuchepa ululu.
3. Achire malo osambira. zinthu izi tinapangidwa kumasuka minofu minofu ndi kuthetsa nkhawa.
4. Phonophoresis. Ndondomeko kumatha puffiness.
5. Kutikita. Normalizes magazi ndipo kumapangitsa kagayidwe. Zimathandiza kuti abwezeretse malo olondola a vertebrae lapansi.

Opaleshoni mankhwala sikawirikawiri ntchito. kufunikira kwake ukapezeka kokha pamene mankhwala ndi zinalephereka. Choncho n'kofunika kwambiri matenda monga spondylitis, panthawi yake pitani kuchipatala.