DDDS - He aha ka mea? ʻike, ano, lapaʻau

Mawaena o ka maʻi kanaka maʻi o ka spine pathology noho hope wahi i loko o 'inikua hana. Pain i loko o ka spinal kolamu, recurring, a laila, nalo no kekahi wa o ka manawa, maʻa i ka nui o na kamaaina o ka Honua. kanaka pinepine malama ole i ke kai eʻe i ka hoʻomalu, e hooholo i ke kumu o ke kumu o pathological ana. Akā, i ole no kuʻu kaumaha. i lawe No ana i ka manawa hāʻawi ala i irreversibleʻike manaʻo i loko o ke kino, nui hoemi i ke ahonui o ka mea e like ai o ke ola. Oia pathologies pili DDDS.

ʻike, "DDDS" - He aha ka mea?

Degenerative mai o ka spine (DDDS) - he pathology o kaʻike ākea māhele o ka'emi'ōnaehana e pili ana i ka pae ana o ka loa e like me ka maʻi kanaka maʻi, i ka recurrent ano a me ka pinepine hiki aku ai i ke kīnā o ke kino. Loa pinepine i ka maʻi i loko o ia lŘlŘ kanaka o ka hana makahiki. Eia naʻe,ʻaʻohe mea e like me ka wahi o ka Hawaii ma ke kumu o DDDS i keia la. He aha aʻole ia ke ano o? Aia nō i kūpono pono a me kāu kiʻina hana o kaʻimiʻana a me ka hana maikaʻi i ka maʻi.

Ua Ua manaoio aku i ka hanana o ke pathology ia lŘlŘ no kekahi mau kumu:

• ma muli o ia i nā overloading vertebral noi Hoʻohana (PDS);
• ma muli o ka decompensation ma ka ai nenoai.

Mai ka DDDS - maʻi e mau no ka makahiki, lawe ana wahi i loko o ka hoʻomanawanui ka kino loli e irreversible. Nolaila, o ka huina o ke ola ana o ka hoʻomanawanui i loko o ka hapanui hihia ole i ke Akua. Pākōlea ana i nona wale nō ma ka maʻamau hana o ka spine, a me ka hoʻopau o ka lapaʻau maʻi hoihoi.

Ke kumu no nā mea a pau - osteochondrosis

Ka maʻi hiki aku ai i ka holo pono o ka Hawaii mana o spinal Hoʻohana, i entails ka mea i hahai ana ka mea mamuli o kekahi paewaewa ma ka holoʻokoʻa kanaka kino. Pehea ke ano o keia hana? Ua Ua manaoio ia osteochondrosis hana kāhea ka hanana o DDDS. He aha ka keia pathology? Ma ka Moscow aina, ua kapaia ka 'inikua hana osteochondrosis degenerative loli ma cartilaginous nā hale o ka spinal kolamu. Ke kumu o degenerative iwi kuamoʻo maʻi i:

• aaiaoe predisposition,
• kāna hana o ka vascular lako kipaku aku ai,
• nele o ka hoʻokō ',
• poorly o kāna mau hoʻolālā wahiʻoihana (ke koikoi noho a papaʻaina)
• physical hana me ka kaumaha punohu,
• overweight.

Gradual loli i loko o ka 'ole o ka cartilage hiki aku ai, e emi ma ka ka hoʻoneʻe o ka vertebrae, hoemi i ka mamao therebetween, malnutrition e pili ana i ka spine nā'aʻaʻa. Inā ka holo kaʻina 'Aʻole i pau ka ulu' vertebral a extravertebral maʻi pale. 4 E maopopo ka ÿokoÿa kumu no ka i olelo mai maʻi pale ua hana:

• mīkini'opihia - ka maʻi hoʻomaka e hoike i ka hopena o ka me mechanical overload o Hawaii Hoʻohana o ka spine alakai i ka mīkini'opihia o ke aʻalolo aa;
• disfiksatsionnaya - pathology aicieeaao aie i ka mea hoʻonāwaliwali maoli nō o ka Hawaii ke haka pono maila Hoʻohana o ka spine;
• disgemicheskaya kumu - pathology ia lŘlŘ ku ei ke kāʻei kua o ka haunaele o ka microcirculation o nā'aʻaʻa pili ana i ka intervertebral iwi kuamoʻo o ka spine ma ke kahua o ka hewa;
• Aseptic-hoʻoʻino kumu - pathology ia lŘlŘ ku ei ke kāʻei kua o ka li nui i loko o ka spinal noi Hoʻohana.

Ka 'ole o ka spine

Ke spine mea he iiiaanoaa o vertebrae, kela mea keia mea o ka i ua hana ma ke kino a me ka piʻo. Ke vertebrae i manaʻo kekahi ma luna o ka mea'ē aʻe, a hana i kekahi kia i loko o ke kikowaena loa o ka i hele spinal Canal - he ano o ka tunnel permeated nä olonä a me nā ipu.

hookaawale ae ke vertebrae e cartilage - intervertebral iwi kuamoʻo, haku o ka annulus fibrosus a me nucleus pulposus. Ke komo lima o lawe ma luna o kekahi hapa o ka hali ukana ma ka iwi kuamoʻo. Ma ka'ōpio meaola nucleus pulposus 90% wai, nae, a me ka kinowai maʻiʻo mea emi ma manawa. Ka nucleus pulposus - ka kŰia absorber, a hoʻololi kona helehelena ma lalo o haawe ana, hiki hoʻolako kohoʻia o ka spine, a mālama iā ia, mai ka make.

Ke vertebral kia ao, mai nāʻaoʻao hooikaika na ligaments a me muscular kahua. Ikaika nāʻiʻo a me ligaments emi i ka haawe ana ma luna o nā iwi kuamoʻo a me ami. Eia naʻe, ma ka makahiki, ma muli o ka likeʻole aʻe, aia no he emi cartilage elasticity. Holoʻano papa hana o ka maʻi Hawaii.

E like me ka mea, he pathological kaʻina

Kue kulou, overweight, ke kaupaonaʻana punohu, lōʻihi noho i loko o ka hewa kulou ke koikoi a me ka 'ē aʻe palapala i loko o ka mea ana i ke kinowai ka maʻiʻo ma ke pā hōkū hoʻomaka e emi, nalo elasticity cartilaginous' ole. Ma lalo o ka aoao o ka mea ma luna aʻe maoli ka haawe ana ma luna o ka annulus fibrosus, kona olona, i wāwahi. he mea he hoʻoʻino kaʻina, me ka makaʻu no'aʻaʻa ua hana ma kaʻoluʻolu o.

I ka scarring i nui me ka unahiʻole,ʻaʻohe mea he overlapping o ka ipu koko e hānai i ka intervertebral iwi kuamoʻo. Ke kiʻekiʻe o ua hoemiia ka iwi kuamoʻo kiʻekiʻe, no laila, i ka mamao ma waena o pili vertebrae ua hoemi sag a me aeo ligaments, maoli ka haawe ana ma luna o ka intervertebral ami. Ka hopena o ka make ana o ka cartilage. Triggers ke kahua o DDDS. He aha aʻole ia ke ano o? Ke olona, o ka fibrous ke komo lima ma ka puʻe ma kela aoao o ka vertebral kino, welded ia vertebra maka i hoʻololi 'ana i kā lākou mau pono kulana, i hana pokou ka ulu o ke - osteophytes. Ke intervertebral iwi kuamoʻo ua clamped, a me ka a loa hoemi spinal ka hoʻoneʻe. Pinepine ia keia ia lŘlŘ eha maʻi pale.

Intervertebral hernia iwi kuamoʻo hiki no hoi i ka ulu ana o ka pathology. Herniated hapa i kapaia o nucleus pulposus, a wawahi ae la ma ka annulus fibrosus, mai kela aoao o ka mea, a ukuhi i puʻe ma luna o ke aʻalolo aʻa o ka spinal kaula.

Definition a me ka Mea Maluna o dorsopathies

Pathological spinal kumu i mea ole pili i ka maʻi o ka na nā loko, a pū 'oe me ka eha e hui ma ka pūʻulu kaawale o ka mai i kapaia dorsopathies. I kulike ai me ka hoʻonohonoho 'mau hae, a pau keia ano dorsopathies māheleʻia i loko oʻekolu pūʻulu.

• ino dorsopathies - kēia nā deformation o ka spine, ma muli o ka loli ma ka intervertebral iwi kuamoʻo: keia pae nā kyphosis, scoliosis, lordosis, spondylolisthesis, haʻahaʻa kaʻeha hoʻi;
• spondylopathies - kēia nā mea a pau traumatic a me ka hoʻoʻino spondylopathies;
• Other dorsopathies - symptoms o ka'ā'īʻeha, i ke kino a me ka lala, i mea ole no i ka iwi kuamoʻo pohupani hale 'ole' aʻe 'ana o ka spinal kaula.

Ke kaumaha ma muli o ka pathology o ka wahi o ke kumu, ua kilakila: DDDS thoracic a me ka lumbar spine a me cervical spine DDDS. He aha ia mea, ua e ike hope. A ano hiʻona o ka maʻi o ia ka symptoms o ka maʻi i loko o kēlā me kēia no ka mau o ka IIeEeAIEUAA, ma ka kekahi lima, i mea i like loa, ma o ka 'ē aʻe - i kā lākou mau kiʻiona hiʻona.

ano DDDS

Pathological olelo pinepine ana i loko o ka lumbar spine. E like me ka hapanui o na kumu ao, i ke kumu nui no keia ua hele pololei kanaka, no ka mea ka mea, ma ka mea, uku i ka uku. O ka holo ana, i ka maʻi, aole ia e hana ana i loko o ka holo, a ua 'ole ma kekahi mau aʻe (ai mea hōʻemi, kāna hana o ka lymphatic'ōnaehana i loko o nā nā'aʻaʻa o ka intervertebral iwi kuamoʻo, etc.).

• DDDS cervical spine. He aha ka mea? E like me ka rula, e dorsopathies ala i loko o ka'ā'ī, ka anterior hapa o ka pahu, i loko o nā lima. Kekahi nā mea maʻi e hoʻokaʻaʻike mai i ka umu ahi e achingʻeha ma waena o ka poohiwi kōmi ', like me ka symptoms o angina. I ka cervical dorsopathies malama loa ka eha, ka wā haliu ae la ia a me ka lń i ke poo. Ma ka pathology o ka thoracic spine i ka mahina umauma eha.
• DDDS lumbar spine. Ua hiki e ukali ma ka 'aʻe' ana i ka pā lonoaʻili o ka groin a me ka loko'ūhā. Kaʻeha e hana ka poʻe i loko o nā wāwae; hōʻike ua hoʻemi pā lonoaʻili ma ka lalo hoʻi, a me ka pā lonoaʻili o ka mea nui manamana. Kēia huakaʻi eha, emi ma ka pā lonoaʻili mau pale, wāwaeʻeha, lōlō o ka lalo wāwae a me lākou kīkala, make o pelvic oihana - a pau symptoms dorsopathies ka lumbar a DDDS lumbosacral spine.

pākōlea ana

I ka hoike ana mai o ka pathological kaʻina hana i loko o ka spine hilinaʻi ma ka kahua o ka maʻi, e like me ka pono me ka'āina, a me ka nui o ka lesion. I ka papa kuhikuhiE hoike ana o ka maʻi, he eha. I kaulana ma luna, ke kumu o ka eha i e ka Muscle spasms, flattened herniated nā aʻalolo aa o ka spinal kaula, a me kekahi poe e ae, pinepine i ka eha ia lŘlŘ ole wale i loko o ka wahi o ka spine, akā, i hoolilo ai i nā māhele o ke kino. Ma waho aʻeo ia kaʻeha ma ka hoʻohuli ai i nā wahi e emi pā lonoaʻili, a me ka Muscle nawaliwali.

Inc no degenerative spine maʻi hiki 'ūlōlohi i ka papa o ka mai a me ka hoʻoikaika' ana i ke ahonui o ka mea e like ai o ke ola. Ka luna 'o pākōlea ana pahuna e hōʻoia i ka:

• pau ana i ka eha,
• 'ūlōlohi i ka make ana o ka cartilage,
• hoʻoikaika holo spine puni pahee nā'aʻaʻa,
• emi i ka mīkini'opihia o ka vertebrae i kekahi i kekahi,
• hope i ka hoʻomanawanui Hawaii mākau.

Pākōlea ki ina hana like nā i ka hoʻohana 'ana o ka ai', physical Inc, physiotherapy.

DDDS: lapaʻau me ka lāʻau

'Aoʻao o ke hoʻopau ka eha ma ka loaa ole-steroidal Anati-hoʻoʻino ai' e like me "Ibuprofen" "ketoprofen" "Diclofenac". Hoʻohana ana i kēia mau ai ', nae, ua pinepine me ka hanana o kaʻaoʻao loa pili. Ma keia hihia, e hiki, Kamuela ia e wae? Eaia ia hoʻi - ka "Lornoxicam", "Nimesulide", "Meloxicam".

Ma ka hanana o stagnation i loko o ka Muscle a me ka hana maʻamau o ke koko holo io ana i ka hoʻohana 'ana o lidocaine ma ka pu ana me ka steroid hormones. Kēia ana kōkua e höʻike aku huʻi kaʻeha.

Hapa 'ia' alleviate i ke ano a me ka hoʻopau eha ma ka hoʻohana 'ana i pākōlea analgesic puna ( "Dorsaplast" "Nanoplast" listen'ōlelo.). Eia hou, ke one e relieves ka eha,ʻo ia nō ua hoakaka a Anati - hopena ma luna o ka loli ana o kahi o kaʻume mākenēki kula. E hoʻohana i ke one paipai me ka huʻi eha no ka poe ola, ke ola a me ka holo 'awelika. Ke huahana Aʻole i apo ia steroid, hana ia loa 'oluʻolu: ke one, aole ia e keakea mai ana, ia mea odorless, na lauʻaʻohe mea i koe ma ka ili a me ka aahu.

Physiotherapy a orthopedic corsets

Ka poʻe me ka hoʻohana 'ana o ai' i loko o ka iapaau ana DDDS 'Imi pili orthopedic corsets, a ho'ēmi i kaʻeha ma ka hoʻopunipuni kekahi poino spinal Hoʻohana. Inā ka pathological kaʻina e loli ai i ka cervical spine, ka hoʻohana 'ana i ka pūliki koa Schanz. Ke huahanaʻAʻole wale i kekahi e lalana ana ia ia, akā, hulina i ho'ēmi i kā ka ka hoʻoneʻe o ka spine i loko o ka maikaʻiʻole ia ma ia wahi, relieves Muscle spasm, hoakaka 'ano kūpono no ka hoihoi hou ia ana o ka poino hale.

Ma ka pathology o thoracic spine ka hoʻohana kalaka nui-correctors, a intelligently hāʻawi i ka haawe ana ma ka spine, hoomahaia i ka hoʻohuli ai i nā wahi. Inā ka pilikia ia lŘlŘ ma ka lalo o ka hope, e hoʻohana i ka lumbosacral corsets. Pinepine Hawaii i ka hoʻohana 'ana i orthopedic insoles, wehe hapa o ka hopena e haawe i ka spine.

Pau ana ka eha a me kōkua me physiotherapy. Mau nā: electrophoresis, lomilomi, UHF, ultrasound Inc,ʻume mākenēki Inc.

Pau ana i ka make ana o ka cartilage

E like me ka olelo ma luna, Inc no DDDS ua pahuna ole wale ma ke kāpaeʻana i ka eha. He nui, e hooki aku i ka make ana o ka cartilage'aʻaʻa me kēiaʻike. No keia mea, he okoa huahelu o ka ai '- chondroprotectors. Mau nā :. "Chondroitin sulufahate", "glucosamine", etc. pinepine, e hōʻoi 'i ka hopena o ka ai' i lawe pu. Ma ia wahi, i hiki pono ka kūlike loa laʻau heluna o nā lāʻau. Nui, he kela la i keia mahele lāʻau "Glucosamine" He 1000-1500 mg, "chondroitin sulufahate" - 1000 mg.

Hoʻoikaika 'ana i ke koko holo i loko o nā nā'aʻaʻa o ka hoʻohuli ai i nā wahi, e hiki ke hoʻohana antiplatelet konohiki a me angioprotectors, i loaʻa ai' "Pentoxifylline," "Aktovegin". Nā wikamina o ka pūʻulu B (e laʻa me, "Neyromultivit") kōkua ke koena i ka metabolic keʻano o ka hanaʻana i loko o ke kino.

Ke au o ka hoʻopulapula pinepine akoakoa ai i ke kaʻina hana o ka spinal traction, i kokua, e hoomahuahua i ka mamao ma waena o ka vertebrae, a ho'ēmi i kā lākou hopena ma luna o kekahi i kekahi. Ua mea i nui, e malama i ikaika Hawaii haʻawina, e hooikaika i ka muscular'ōnaehana ma ka mea o physical Inc.

lapaʻau '

I ka lā, hiki ole ke kapaia hemolele a me ka ike loea i ka papa hana e hōʻike degenerative spine maʻi. Like kekahi'ē aʻe maʻi, DDDSʻike, hoʻomaka me ka 'inikua ninaninau. Kauka i kamailio me ka hoʻomanawanui e hoʻoholo i ka wahi o ka eha, e hōʻike ana kumumea i hiki ka hōʻoi 'i ka eha (e like, loli ma ke kino kūlana). Ke hoʻomalu e hoi loaʻa mai, mai ka hoʻomanawanui i ke alo o ka hoolilo spinal nā palapū, a pili maʻi.

Next, ke kauka nana ka paravertebral nāʻiʻo ma palpation. Ua apono 'oe, e huai ae i ke alo o muscular hoʻopilikia' ole poho o ka vertebra. Keʻena hoʻokolohuaʻike, komo ai i ka hoʻopaʻa 'ana i ke ahonui o ka koko, a ua lawe mai i mea e hookupaa i ke alo a kaawale o infectious keʻano o ka hanaʻana i loko o ke kino.

O ka holo ana, o ka loa informative ano o ka lapaʻau 'ana o ka pathology mea spinal radiography, Me tomography (HI) a me kaʻume mākenēki resonance kiʻi (MRI). Electroneuromyography (electroneuromyographic) e ho oholo i ka aoao o ke aʻalolo lesion.