Thoracic kupindika msana. Kupindika msana msana - mankhwala. thoracic kupindika msana msana - Zizindikiro

Kupindika msana amatchedwa mapindikidwe a msana, kumene akufotokozera kupindika lateral ndi munthawi yomweyo kasinthasintha wa matupi vertebral. Monga ulamuliro, matenda amawapeza ana. Ndi kukula kwa kupindika msana mwanayo akhoza patsogolo. kusintha Pathological adzakhala kwambiri kutchulidwa.

Nthawi zambiri, matenda sakumvetsa ndi kuphwanya kaimidwe, pamene pali kupindika msana, matupi vertebral koma sizisintha malo awo. Kuika matenda ichi, kuyan'anila amenewa ndi kuvomerezedwa.

Tikumbukenso kuti kupindika msana angathe khomo lachiberekero-thoracic msana, komanso kupindika ya chifuwa, tinsalu ndi rump.

etiology

80% milandu chifukwa cha matenda akhala wosadziwika, kotero kulankhula za kupindika msana idiopathic. Ngati musankhe zinthu etiological chopatsa kupindika kobadwa nako akhoza kutchulidwa zotsatirazi:

• Zisudzo za vertebrae ya;

• Zisudzo za nthiti (osauka thoracic kupindika msana);

• pamaso pa vertebrae mwana, nthenda chitukuko cha njira zawo ndi amangomvera (monga kusintha pathological kutsogolera chakuti msana akufotokozera asymmetrically).

Zoyambitsa ndi mitundu ya anapeza kupindika msana

Chifukwa cha zinthu zimene zimakhudza thupi kuchokera kunja, kukhala kupindika msana, omwe amawapeza atabadwa.

Mukhoza kusankha mitundu zotsatirazi kupindika msana kobadwa nako:

1. Neurogenic - kumachitika pamene zotupa ya ubongo. Mukhale pambuyo poliyo osachiritsika msana choipa, khunyu la ubongo kapena myopathy. Matendawa amapha ziwalo za mitsempha galimoto. Zimenezi zimabweretsa kukanika minofu amene amathandiza thupi moyenera udindo.

2. rachitic - anati ndi akusowa vitamini D, yodziwika ndi hypotension, minofu, mafupa chilema, kufooka kwa mafupa.

3. malo amodzi - olumikizidwa kwa mapindikidwe pansi pamene mafupa a chiuno aikidwa mu danga cholakwika, imbaenda mapindikidwe a msana.

4. Idiopathic - kawirikawiri matenda ana patapita zaka 10.

thoracic kupindika msana: kusalekerera

Msana yachibadwa ali anaŵerama thupi, moti akufanana kalata S. Pamene kupindika msana kupindika msana pali masaizi osiyana. Kwakukulu ngodya kuchepetsa kwa olamulira chachikulu, kovuta kudwala ichi tiyenera tikonze.

Nthawi zambiri anapezeka amaganiza kupindika msana wa msana thoracic. Malinga ndi ngodya ya kupindika n'kopanda mwamphamvu kuti:

• opepuka - curving ngodya ukufika zosaposa 10 °;

• choopsa pafupifupi - chithunzi ndi 10-25 °;

• lolemera - kupindika akhoza kufika 50 °;

• lolemera kwambiri - yodziwika m'mbali mapindikidwe ndi kupindika ngodya zomwe kuposa 50 °.

Tikumbukenso kuti kumayambiriro kwa matenda, kupindika chimodzi chokha msana Tingaone mmbali, koma kenako anapanga ndi wina umene isanafalikire pansi woyamba, koma anatilangizira zosiyana. kumanzere amaganiza thoracic kupindika msana alibe kusiyana lofunika (kusiyana ndi kokha scoliotic Arc malangizo).

Maonekedwe a khomo lachiberekero-thoracic msana kupindika

Zimenezi zimatchedwa kupindika msana thoracic. Izi mawonekedwe a matenda amakhala ndi chakuti kupindika koyamba waku Arc ndi waufupi ndi phompho, ndi sekondale ndithu osaya ndi yaitali.

Tikumbukenso kuti kupindika msana ali osowa, koma ali ndi khalidwe matenda chithunzi, amene amagwirizana ndi okhudzidwa mu ndondomeko pathological, osati khomo lachiberekero vertebrae, koma mafupa nkhope.

Kuzionetsetsa, adokotala akhoza muzindikire torticollis lakuthwa, asymmetrical diso Kusinthaku kapena slanting mphuno kutanthauzira. Komanso, ama mapindikidwe a chifuwa kumtunda ndi malamba phewa. khosi wodwalayo Zikuwoneka kufupikitsidwa, m'mphepete mwa trapezius minofu yake zikuchepa amachita, n'zovuta kudzudzulidwa, makamaka mwambo kenako mankhwala.

Mu aakulu chifuwa chilema ndi thoracic vertebrae amati thoracic kupindika msana. Nkofunika kudziwa kudwala ili ndi nthawi pamene malekezero a mapangidwe msana (by zaka 20-21). Apo ayi, mankhwala akhoza kukhala opanda chiyembekezo.

Clinic thoracic kupindika msana

Matendawa akhoza kuonedwa ndi mumayesto deta kuti akamagwira mosamala mtima. Choncho, ngati muli kupindika msana wa msana thoracic, mukhoza zowoneka muzindikire mzere yokhota kumapeto mbali ya msana, asymmetrical mayikidwe a mapewa, anauka masamba ndi yotundumukira kunja kwa mpanda pamimba chifukwa kaimidwe pachithunzichi.

Kuwonjezera zizindikiro zithunzi, thoracic kupindika msana amakhala ndi madandaulo ena ya wodwala. Kawirikawiri, anthu ndi kupindika ngati msana chikondwerero chifuwa ululu komanso ululu m'dera pakati pa masamba phewa, sipangakhalenso amati ndi siudzalandilidwa ngathi lamulo la njira mitsempha. Odwala aakulu anati wonongeka a dongosolo kupuma, mtima.

Ndi kupitirira patsogolo, ndipo kumanzere amaganiza ndi bwino-kumbali kupindika msana wa msana thoracic kumayambitsa kuvutika anatomical mu dongosolo osati chifuwa komanso pamimba, limodzi ndi kusintha pathological mu dongosolo m'mimba.

diagnostics

thoracic kupindika msana, zizindikiro omwe mwina kudwala chimatanthauza, amafuna chithandizo chamankhwala, chifukwa mankhwala a kuyan'anila ndi zimene a mafupa ndi aluso mu mankhwala oyambirira chithandizo.

Mu magawo oyambirira a matenda pogwira X-ray mu zolosera awiri silingakhoze kokha kutsimikizira pamaso pa kupindika msana, komanso kudziwa zoyenerera njira mankhwala. Tiyenera kukumbukira kuti kupindika msana angayambe matenda concomitant kwambiri. Kusagwiritsa yogawa thupi kwa kupindika msana kumabweretsa kusintha osachiritsika mu vertebrae wa dorsopathies msana komanso osteochondrosis ndi intervertebral chophukacho.

Oterewa kupindika msana n'zotheka ndi apoyera. Kuwaona kuchokera kumwamba mapewa osiyana noticeable ndi mzere yokhota kumapeto a vertebrae, amene amakhala kukuonekera ngati wodwalayo amatsamira patsogolo.

Ngati mukufuna, izo zikuwoneka ngati kupindika msana wa msana thoracic, chithunzi cha kudwala izi anapereka m'munsimu.

kupindika msana chithandizo

Therapy bwino zimadalira matenda yake. Kodi mwamsanga kuti kudwala ichi, mwayi kwambiri kuti tizilankhulana.

Tikumbukenso kuti wodwala aliyense amapatsidwa munthu dongosolo zikunena achire. Pa nthawi imeneyi ya matenda ndiponso kuganizira peculiarities chifukwa cha ntchito yake. Childs, pamene anapezeka ndi kupindika msana wa msana thoracic, mankhwala ikuchitika mu magawo atatu:

• amadza Direct pa ndime vertebral, zomwe anapeza kupindika lateral;

• ndondomeko malangizo a kupindika msana;

• Kupeza malo olondola a msana analandira pambuyo mankhwala.

Tikumbukenso kuti ovuta kwambiri ndi gawo lotsiriza. Odwala samapereka tcheru mokwanira kwa ilo, kotero kupindika msana anayamba kachiwiri. N'chifukwa chake m'pofunika kumvera malamulo onse a dokotala, kukhala msana ndi kuthera kuwukonza kaimidwe. Therapy ayenera Integrated ndi monga mankhwala ndiwofatsa, ndipo ngati n'koyenera - opaleshoni.

physiotherapy

Imodzi mwa njira yakuti ndi ndiwofatsa achire zolimbitsa mankhwala. ndiwo kwenikweni mwapadera ya Zochita imene ana si konzanso komanso zotsatira mankhwala. cholinga chake chachikulu - kuchepetsa katundu pa msana, kuchotsa imbalances minofu, kulimbitsa mitsempha zida ndi mapangidwe kaimidwe zolondola.

Nthawi zambiri, Ndi bwino kuchita Zochita amene kulimbikitsa gulu minofu amene amathandiza msana, komanso ali ndi chikoka kukonza pa kupindika wake, patsogolo ntchito kupuma ndi khama zotsatira bracing pa thupi.

Nthawi zambiri akulimbikitsidwa kuchita mitundu zotsatirazi zokambirana:

• bodza pa nsana wanu, mawondo ndichotse, kuchotsa mafupa a chiuno, caving m'dera thoracic;

• ubwino ndi zikuuluka pa bala pa zomwe pang'onopang'ono atembenuza ndi torso pambali;

• bodza pa mimba yanu ndi kukweza thupi kotero kuti inagwa msana thoracic;

• osati anapita patsogolo kupindika, ndi zofunikira pa mapewa kuti ndodo, kuti clasp manja ake ndi kuyenda tsiku lililonse kwa maola 2;

• kuchita "njinga" ali ndi zotsatira zabwino mu kupindika msana.

Pamene pali kupindika msana wa msana thoracic thupi ayenera ikuchitika mosathamanga pang'onopang'ono. Pambuyo kalasi ndi zothandiza kupuma kwa mphindi 20, atagona pa mbali yake.

Odwala koma zolimbitsa mankhwala analimbikitsanso kuvala corset wapadera, kusambira.

kutikita

Pomwepo Ine ndiyenera kunena kuti pa nthawi imene wodwala akudwala kupindika msana kwa nthawi yaitali, ndipo mu ndime msana ali anasonyeza kusintha pathological, kutikita sudzapereka chifukwa positive. Childs, ndi kutumikiridwa pa 1 kapena 2 madigiri wa kupindika. Kutikita imagwiridwa mu chipatala kapena kuchipatala. Zogwiritsira zokambirana amasankhidwa payekha malinga mawonekedwe ndi kukula kwa matenda, kupatsa lililonse miyezi 6.

Pamene kudziwa kupindika msana wa msana thoracic, kutikita ikuchitika ndi nkhani lamulo la malangizo a mapindikidwe. Chifukwa mbali imodzi ya scoliotic minofu Chipilala ali mu kamvekedwe zonse, ndi madokotala amagwiritsa njira zimene zimalimbikitsa zosangalatsa. Kumbali inayo ulusi minofu ndi anatambasula ndi wofooka, kotero muyenera kutikita njira kuti ukawatsogolera mawu ndi kulimbikitsa.

Tikumbukenso kuti kudziletsa kutikita kwa kupindika msana ndi contraindicated chifukwa cha machenjerero ake osasamba imfayo kuwonjezeka mu kupsyinjika ndi kusokoneza alili.

Opaleshoni chithandizo cha kupindika msana

Ngakhale mkulu mlingo wa mankhwala amakono, kupindika msana aakulu ndi ovuta kukonza. The mankhwala ambiri ndi ntchito amadzala zitsulo.

Opaleshoni alowererepo ikuchitika m'njira ziwiri:

1. Front msana yolimbikitsa (kapena Mipikisano mlingo discectomy ndi munthawi yomweyo mapindikidwe kudzudzulidwa). opaleshoni amenewa anachita pogonekedwa ndi mankhwala ambiri. Zotsatira mulingo woyenera pambuyo opaleshoni - kuchepa mu ngodya ya scoliotic Arc wa ° 30 mpaka 54.

2. Galpelviktraktsiya molumikizana ndi malangizo a deformities. opaleshoni Uwu ndiye waphindu ndi kumathandiza kuchepetsa msana kupinda ngodya ya 22 °.

Pamene anapezeka ndi kupindika msana wa msana thoracic, mankhwala a opaleshoni nthawi amachepetsa nthiti hump. Chifukwa chake n'chakuti pambuyo anawonjezera ntchito intercostal danga, ndi kupsyinjika amachepetsa.

Ovuta kwambiri imatengedwa mankhwala opaleshoni ya kupindika msana ana, chifukwa msana wawo nthawi zonse kukula ndi ntchito ya nyumba zitsulo chingayambitse matenda a "crankshaft". N'chifukwa chake chithandizo cha kupindika msana ana phunziro kwa wapadera kapangidwe zazikulu, sipangakhalenso chinakula pamene kukula wodwalayo.