Nhamo mumutsipa uye pfudzi ndeimwe yezviratidzo zvinowanzoonekwa mukurapa. Nhamo mumutsipa, kupa mumapfudzi nemaoko, inoratidzika mu50% yevanhu vakuru (20% yevarume, 30% yevakadzi) - izvi zvinotsanangurwa nekufamba kwepervical spine, iyo inogadzirisa kusanganisa kwayo kuchinja kunogadzirisa uye kushandiswa kwemagetsi. Yakanaka kana isingaperi (inoramba ichivandudza) marwadzo mufudzi inoda kuisa ruzivo rwekusiyanisa, sezvo inogona kuratidza kuora kwemararamiro, zvirwere zvinoshungurudza kana kuti zvirwere zvakakomba zvemupopi wechipfuva.
Anatomical structure
Mutsipa chikamu chakakosha chemuviri, kubatanidza chitunha uye musoro, kuita mabasa akawanda anokosha. Mutsipa wespelinha uri munharaunda yakasvibiswa, nzvimbo yomudzimai iyo inoumbwa nemavhuni manomwe, pakati pechishanu awo intervertebral disks inoiswa, pamwe chete nemidzi yemitsipa. Izvo zvakagadziriswa mumutsipa zvinosanganisira mitsemara, masimba, maseroti, marinha, lymph nodes, esophagus uye trachea.
Nei pane kurwadziwa mumutsipa nepfudzi?
Nhamo iri pamapfudzi inogona kukonzera: kurara muchinzvimbo chisina kunaka, kurara kusina kururama, kwenguva refu kushungurudzika - izvi ndizvo zvikonzero zvisingaiti. Kutungamira maitiro munzvimbo ye "etiological" yekutambudzika muchechi yepervical uye misumbu yebhande bendepa iri isina kukodzera kervical uye thoracic musana uye mapepa-blade periarthritis, iyo inosvika kusvika kumazana mashanu kubva kune makumi mashanu emakiriniki ose emakiriniki. Zvasara 15% zvinosanganisira zvirwere zvemanzwi, oncology, arthrosis uye arthritis.
Vertebrogenic (yakagumburwa nehutachiona hwemupenya) kurwadziwa mumutsipa nepfudzi:
- arthrosis wekubatanidzwa kwefudzi. Chirwere chechigodhi, chinowanzoonekwa kuti chiri pakati pevanhu vakuru. Osteoarthritis inofambira mberi zvishoma nezvishoma, asi muzvikamu zvekupedzisira inopa marwadzo akawanda, zvichikonzera kugadzikana kwekubatana kwekubatana uye kurwadziwa kunorwadza mufudzi, izvo zvinowedzera nekuchinja kwemamiriro okunze nekushingaira kwemuviri. Sezvo chirwere chetachiona chinokura, edema, hyperemia yeganda, kuwedzera kwekushisa kwemuviri;
- arthritis. Iko kunokonzerwa nekuputika kwechirwere chinonzi articular, kupera / kuora kwezvinyorwa zveputika. Inoratidzwa nekurwadziwa kwakanyanya mufudzi, chizivo, manzwiro ekudengenyeka uye kusakara mumakumbo okumusoro;
- osteochondrosis. Cervical osteochondrosis inokonzera mhuka dzomukati dzenhengo dze intervertebral discs, iyo inopa chiratidzo chechimiro chakaoma kunzwisisa: kurwadziwa kwakanyanya mumutsipa, kupa mumaoko, kushungurudza musoro, kuora kwemaonero, kurwadziwa mumoyo;
- intervertebral hernia. Zvichienderana nekuoma kwechiremera chacho, marwadzo anoyerera kunzvimbo inopindirana, ruoko, fudzi (kurudyi / kuruboshwe), medial scapula. Zviratidzo zvinoshamisa: "kutanga" kwakaoma mushure mekurwadziwa / kunyanya kuedza muviri, kuwedzera kurwadziwa mumutsipa uye pamapfudzi paunenge uchichera, uchikwiridzira, uchiputira musoro, uchisunungura mutsipa, kuderedza marwadzo - nekusimudza ruoko shure kwe musoro, kutengesa musoro;
- plexitis. Kuvhiringidza kweplexous mushu, iyo inoumbwa nematare anterior emakwenzi ekuresa. Cervical plexitis inokonzera kurwadziwa kwepopysiysi mumutsipa, kushaya simba kwemitsipa yemutsipa, kazhinji kacho - huccough yakakura kwenguva yakareba nekuda kwekubatanidzwa kwechidimbu mukuputika kweropa, kushaya kuputika;
- humeroparous periarthritis. Kuvhiringidza kwekaseti yemapaupa epafudzi uye mapepa emafudzi kunokonzera kurwadziwa kwakakura kukura papfudzi, kupa mumaoko;
- cervical spondylosis. Chimwe chezvinhu zvinopera simba, kusanganisira kuumbwa kweasteophytes, kushaya hutsanana kwezvinyorwa zvinopindirana uye zvinogadzirisa zvigadzirwa, kukundwa kwezviputi zvinopisa, ndizvo zvinokonzera kusagadzikana kwakaoma kana kuwirirana kwepamusoro pamutsipa nefudzi, kutarisa (kunopera) kwemazuva 7-8. Chronic spondylosis inogona kutungamirira kukurudzirwa kwetotolollis, kuomesa kwemutsipa wepelinha;
- myalgia. Inozivikanwa nokurwadziwa kwenguva refu uye kupararira mumasumbu. Chinangwa kurapwa kwemaalgia pamwe nekududzirwa kwechirwere chinhu chakakomba, sezvo vazhinji zvirongwa zverheumatic, endocrine, neurological, uye zvirwere zvinotapukira zvine kiriniki yakafanana. Zvinokonzera kurwadziwa kwemasumbu: kunyanya kunetseka mupfungwa kwemashure asina kudzidziswa, kusvibiswa kwepascular, kushungurudzika kwemagetsi, zvinokonzerwa nehupfu hwezvinhu. Varwere vanonyunyuta nezvekutambudzika kwakanyanya mumutsipa, mafudzi, ruoko, kuderedza shure, kukanganisa kufamba, kutonhora kwekushisa, kutuka, kurutsa, kushungurudza;
- stenosis yemugero wepinini. Chirwere chinotyisa chinogona kukonzera kukanganiswa kwemutsipa wepelinha uye chirwere chechirwere myelopathy (kukuvadza kune chikamu chemukati wemutsipa mukati memutsipa). Stenosis inopesana nechekucheka kwekudzikisa midzi yemutsipa wepelinha ine discformed disc / osteophytes, zvichiita kuti kutyisirwa kweropa, kushayikwa kweruzhinji rwemotokari;
- kuputika kwemutsana (kyphosis, lordosis, scoliosis);
- kuipa kwepamuviri (kuruboshwe / kurudyi). Zvinoratidzika se "kurwadza" kunorwadza, kunopisa kumutsipa;
- kusununguka kwecervical disc / mitsipa yakaoma. Kune hurombo hunopesana nehutano mumutsipa nepfudzi, kuwedzera simba mukati mekutendeuka kwemusoro;
- kuvhuvhuta / kuputika kwematoni. Inozivikanwa nekutaura kunorwadza kwakashata munzvimbo yakanetsa yefudzi / mutsipa, inosimbiswa kana ruoko ruchisimudzwa;
- kusagadzikana kwerutivi-motokari chikamu. Kubviswa kwekadhi yacho kunokonzera kufanana kwaro kufanana, kuderera kwehupamhi, kushandiswa kune nzvimbo yakakosha yezvikamu zvikuru zvepamu-motokari chikamu - izvi zvinoguma nekurwadziwa kunoramba kuri pamutsipa nefudzi.
Kushungurudzika kusina kubatwa mumutsipa nepfudzi:
- zvirwere zvenhengo dzomukati / zvirongwa: pneumonia, meningitis, retropharyngeal abscess yoruboshwe-rutivi / rworudyi-rutivi rwemunharaunda, sarachnoid hemorrhage, kuwedzera kwetachiona gland. Zviratidzo zvinoratidza: kupera kwemafambiro emusoro, kurwadza kwakanyanya / kuenzanisa mumutsipa uye pfudzi;
- zvirwere zvinotapukira: tuberculosis, poliomyelitis;
- inovhiringidza / inonyangadza neoplasm yemutsipa. Zvironda zveIsolate yemutsipa (thyroid, esophagus, pharynx, larynx, slanderers), zvipembenene zvinyorwa zvinowedzera kubva mumatumbu akaoma, uye zvipembenene zvemvere dzemakondomu emumuromo wemakondomu (mu hemoblastoses - primary, nemastastas - secondary). Precursors of oncology - kukura kunoramba kuripo mumutsipa nepfudzi, kwete "kusiya" pazororo, kuwedzerwa kuneta, kuderera kukuru kwehutano hwemuviri, febrile state. Zvinopfuura 75% zvezviremara zvinouraya zvepervical spine zvinonzi metastase ye prostate kana mammary gland, mukenza wemapapu.
Myofascial syndrome.
Iyo inoratidzirwa nehutachiona husina kusimba uye kuumbwa kwemisimbiso yemunharaunda yemunharaunda mumatumbu akakuvara. Myofascial pain is grouped in the muscles of the girdle shoulder (a muscle that lifts up scapula, trapezoidal, muscle-parted, muscle straightener), masticatory, suboccipital and facial muscles. Uturu hwakanyanya hunoiswa muziso, musoro, fudzi, mutsipa.
Chii chinoita kuti fudzi nemutsipa zvigure kumativi akanaka?
Marwadzo anokonzera kubatana kwepafudzi nemutsipa angaratidza nduru chirwere, mapapu kana chiropa chirwere. Pakusimudza / kubvisa ruoko kune marwadzo mumutsipa nepfudzi, kutinhira pamhepo yekufuridzira mu sternum, marwadzo mudumbu, kukwaya, kusabatana nechando.
Chii chinoita kuti mutsipa nemapfudzi zvikuvadze kuruboshwe?
Chikonzero chekutambudzika chinogona kukuvadza spleen kana mapapu. Kana urombo hwakapinza uri kuruboshwe bendekete nemutsipa runofambidzana nechisimba kana chechi yakasungwa, iyo inomuka chaiyo "pane imwe nzvimbo" (pakanga pasina kuparadzaniswa, kuwira, kusununguka kunofamba), unoda kudana ambulensi - zviratidzo izvi zvinoratidza myocardial infarction.
Pain mumutsipa uye mafudzi - kuongororwa uye kurapwa
Kana pane kuora mwoyo kwakanyanya mumutsipa wekervical, unoda kuona chiremba uye ugoongororwa zvakakwana, izvo zvichabatsira kubvisa zvirwere zvakakomba zvinoda kupindira pakarepo: epidural abscess, kuzvimba, kuputsika, meningitis, kubuda ropa kana kuparara. Kana kusavapo kwehutachiona hwehutachiona, chirwere chinotarisirwa kukurumidza kugadziriswa kwezviratidzo, kudzivirira kurwadziwa kusingaperi uye kuwedzera kukura.
Nzira dzokurapa:
- mishonga. Kugadzirisa marwadzo mufudzi, mafuta anogadzirisa zvinoshandiswa anoshandiswa, ayo anobatsira kuvandudza kupararira kweropa, kusagadzirisa kurwadziwa kwepfungwa, kukurumidza kugadziriswa kwemashutu. Kuvhiringidzika kunomiswa nemajekiseni anorwisa-inflammatory injections;
- physiotherapy: magnetotherapy, acupuncture, ultrasound / current exposure;
- shandisai therapy. Kudzidzira kwakasiyana-siyana kunobatsira kubvisa kukanganiswa uye kurwadziwa, kudzorera kufamba kwefudzi, kusimbisa musasa wekaseti, kupa mafungiro emiromo;
- manual therapy. Kurapa kushambadza kunosanganisira kutarisa kwepamusoro uye kushandiswa kwekuzorodza kwemitsipa yemutsipa.
Marwadzo mumutsipa uye mafudzi anofanira kuva chiitiko chekushanyira nyanzvi dzezvenyanzvi - neurologist, orthopedist, traumatologist, rheumatologist. Chero chiremba anogona kuziva chikonzero chekutambudzika kunorwadza uye, zvichienderana nehutachiona, sarudza yakanakisisa kurapa regimen.