Kurwadza kwemusana marwadzo ekumusana anowanikwa akatarisana nedorsal spine. Marwadzo anonzwikwa saka anoiswa munzvimbo pamwero wegumi nembiri dorsal vertebrae. Kakawanda, kurwadziwa shure kunogona kuva mugumisiro wechiratidzo, static kana kushanda kwemarwadzo ekudzokera shure. Usati warapa marwadzo ekudzokera shure, saka zvakakosha kuti uparadzanise zviratidzo zvinorwadza zvemusana zvinobva pamwoyo, pleuropulmonary, zvinokonzera kudya kana kubva pamatambudziko emusana uye static back pain.

Tsanangudzo yemarwadzo ekudzokera shure

Kurwadza kwemusana kunofanana nemarwadzo ekumusana anowanikwa akatarisana nedorsal spine - kana thoracic. Marwadzo anonzwa saka akaiswa munharaunda yegumi nembiri dorsal vertebrae, yakasarudzwa D1 kusvika D12 - kana T1 kusvika T12.

Mhando dzemarwadzo ekumusana

Kurwadza kwemusana kunogona kuiswa mumhando nhatu:

• Symptomatic kurwadziwa shure, kazhinji kacho;
• "Static" marwadzo ekudzokera shure, akabatanidzwa nechirwere chekukura kana static;
• "Kushanda" kurwadziwa shure, kazhinji kunobatanidza marwadzo emusuru uye pfungwa yepfungwa, inogadzirisa zvishoma nezvishoma nekufamba kwenguva.

Zvinokonzera kurwadziwa shure

Pakati pezvikonzero zvechiratidzo chemarwadzo ekudzokera shure zvinosanganisira:

• Cardiovascular pathologies: coronary insufficiency, pericarditis, thoracic aortic aneurysm;
• Pleuropulmonary pathologies: kenza yebronchi, inotapukira kana invasive pleurisy (mesothelioma, kenza yebronchial), bundu remukati;
• Digestive pathologies: gastric kana duodenal ulcer, hepatobiliary chirwere, esophagitis, pancreatitis kana gastritis, kenza yemudumbu, esophagus, pancreas;
• Mamiriro emusana wepasi: spondylodiscitis (utachiona hwe intervertebral disc uye miviri ye vertebral iri pedyo), spondyloarthropathy (joint disease), osteoporotic fracture, intraspinal tumor, chirwere chinouraya, benign tumor, Paget's disease (chirwere chisingaperi uye chemunharaunda);
• A dorsal herniated disc - cherechedza kuti dorsal segment ndiyo inonyanya kukanganiswa ne herniated discs.

Static back pain inogona kukonzerwa ne:

• Kyphoscoliosis kana kaviri deformation yemuzongoza, kubatanidza lateral deviation (scoliosis) uye kutsauka ne posterior convexity (kyphosis);
• Kukura kwemusana dystrophy (kusanganisira chirwere cheScheuermann) kana kuchinjwa kwedisco-vertebral chimiro chinoitika muvana nevechiri kuyaruka. Pamavambo ekukura kusagadzikana, zvinogona kukonzera sequelae mukukura.

Kushanda marwadzo ekudzokera shure hakuna zvikonzero zvinozivikanwa asi zvinogona kuva musanganiswa wezvakasiyana zvemakanika uye zvepfungwa zvinhu:

• Postural defects kana musana mhasuru dzakanyanya kusimba;
• Kushushikana kwetsandanyama kunowedzera nekushushikana uye kufunganya;
• Kuchinja kwemajoini emusana nezera (discarthrosis);
• Kubata pamuviri: uremu hwedumbu hunowedzera uye mahomoni ekuzvitakura anokonzera kuti ligaments yemuzongoza isununguke;
• Kutambanudza kana kukuvadza kumisungo yemusana nekuda kwekufamba kwechisimba kana kuvhunduka;
• Uye zvizhinji zvakare

Kuongororwa kwemarwadzo ekudzokera shure

Usati warapa marwadzo ekudzokera shure, zvakakosha kuparadzanisa zviratidzo zvinorwadza shure - zvichibva pamwoyo, pleuropulmonary, zvikonzero zvekugaya kana kubva pamatambudziko emusana - uye marwadzo ekumusana anofanirwa kubatsirwa nemishonga chaiyo.

Kutanga, kurwadziwa shure kunoongororwa nekubvunzurudza murwere:

• Marwadzo: saiti, rhythm, pesvedzero yemagetsi kushushikana, zvinzvimbo, zuva uye maitiro ekutanga, hongu, nhoroondo;
• Kuvandudzwa nekudya kana kwete, kunzwisiswa kune-non-steroidal anti-inflammatory drugs (NSAIDs), kuvapo kwerradiation "mubhanhire" (pamwe nembabvu), nezvimwewo. ;
• Psychological background.

Kuongororwa kwekliniki kunotevera kuongororwa:

• Kuongororwa kwepelinha: static, kushanduka mukutenderera uye kuwedzera, pfungwa dzinorwadza pa palpation, mamiriro e thoracic musculature;
• General kuongorora: pleuropulmonary, mwoyo, kugaya uye hepatic;
• Neurological kuongorora.

Pakupedzisira, x-ray ye thoracic musana inofanira kutorwa.

Zvichienderana nemaitiro ekuongorora, mamwe maedzo ekuwedzera anogona kuitwa:

• Tsvaga zviratidzo zvehupenyu zvekuzvimba;
• Scintigraphy (kuongororwa kwekoramu kana nhengo dzinoshandisa chinhu cheradioactive chinonamatira kwavari uye chinopiwa muhuwandu hushoma);
• CT scan ye thoracic musana;
• Magnetic resonance imaging (MRI) yechipfuva chechipfuva;
• Gastric endoscopy;
• Kuongororwa kwemoyo ...

Vanhu vanobatwa nemarwadzo ekumusana

Kunyange zvakapoteredza 14% yevanhu vangangove vachitambura nemarwadzo ekudzokera shure, vakadzi vanoshingaira vanoita sevanonyanya kukanganiswa nemarwadzo aya emusana.

Zvinhu zvinokurudzira kurwadziwa kwemusana

Zvinhu zvakasiyana-siyana zvinogona kukurudzira kurwadziwa shure:

• Kusaita muviri ;
• Kushaya basa;
• Kusakwana kumashure musculature;
• Kusafamba nekuda kwezera kana kuchipatara semuenzaniso;
• Nguva yekuenda kumwedzi;
• Kubata pamuviri kana kuwandisa;
• Kuzvidya mwoyo uye kushungurudzika;
• Zvirwere zvepfungwa kana zvepfungwa.

Kurwadza kwakanyanya

Symptomatic back pain inowanzokonzera kurwadziwa kwakanyanya kwemusana. Mumamiriro ezvinhu aya, mazano ekurapa anodiwa kuti aongorore chikonzero.

Kuparadzira marwadzo

Kushanda marwadzo ekudzokera shure kunogona kukonzera kupararira marwadzo pakati pemapendekete, kana kuti anowanikwa zvakanyanya, uye kukanganisa kufema. Zvinokwanisika kuvavhiringidza nemarwadzo emutsipa pavanenge vari pamwero wekupedzisira dorsal vertebrae, pakusangana nechepasi pemutsipa.

Kurwara kwenguva refu

Kana marwadzo emusana anoshanda achidzoka nguva dzose kana kuti anotora mwedzi inopfuura mitatu, anonzi kurwadziwa kusingaperi.

Zvimwe zviratidzo

• Makakatanwa ;
• Kunzwa kunzwa;
• Tingling;
• Kupisa.

Kunze kwechiratidzo chemarwadzo ekudzokera shure chinoda kurapwa kwakananga, kurapa kwekurapa kunonyanya kunetseka kunoshanda kurwadza kwemusana.

Kurapa kwemarwadzo ekudzokera shure kunogona kusanganisa:

• Muitiro wenguva dzose wekushanda kwemuviri wakagadziridzwa kusimbisa musana uye madumbu;
• Zvidzidzo pa physiotherapist kana osteopath kubatsira kuzorora mhasuru, kupfavisa musana uye kurwadziwa kwakadzikama;
• Kugadziriswa kunokwanisika kweergonomics kubasa kana zvichibvira;
• Analgesics inogona kurongerwa panguva yekuputika kunorwadza;
• Tsika yekufema maekisesaizi - sekufema kwedumbu - kana kuzorora kuti uzorore;
• Kuchengeta mupfungwa;
• Antidepressants sezvinodiwa.

Kuti udzivise marwadzo ekudzokera shure, mamwe matanho ekudzivirira ari kurongeka:

• Dzidzira mutambo wakakwana kuitira kusimbisa musana uye kukudziridza matumbu akasimba, pamazera ose;
• Tora chimiro chakakodzera paunenge uchishanda, uchichengeta musana wakatwasuka;
• Usachengeta nzvimbo imwe chete yakarebesa: kupfupika asi nguva dzose kuzorora kunobatsira;
• Takura mitoro inorema pedyo nemuviri sezvinobvira;
• Usaita kuti twist pamuzongoza;
• Dzivisa zvitsitsinho zvakakwirira izvo zvinotungamirira kuhurombo husina kumira uye chakagadzirwa curvature yemuzongoza;
• Rara nedivi uye udzivise kurara nedumbu;
• Dzidzira nzira dzekuzorora kuti ubvise kufunganya;
• Dzivisa kuwandisa.