Torakalgiya - ndichiyani? Zoyambitsa ndi Chithandizo torakalgii

kupweteka kwambiri chifuwa tsopano ndi chimodzi mwa zifukwa ambiri kuti anthu kupita kuchipatala. Iwo akhoza kugwirizana ndi matenda a mtima kapena mavuto msana. Torakalgiya - ndichiyani? Kodi chifukwa ndi momwe mungadzitetezere ku zowawa izi, timaphunzira zambiri.

Mitundu ya ululu pachifuwa

torakalgii matenda akuwonetseredwa amphamvu, nthawi zina mumamva kupweteka pachifuwa, kumagwirizana ndi nkhani ya mitsempha zotumphukira. Izi zikhoza kukhala psinjika minofu ndi Mitsemphayi yowazungulira. Tikumbukenso kuti angayambe osati mu thupi la munthu wachikulire, komanso zimachitika achinyamata m'nthawi ya kukula yogwira, komanso amayi apakati, pamene mogwirizana ndi kukula kwa mwana wosabadwayo kumawonjezera katundu pa msana. Monga ulamuliro, kusiyana ndi mtundu wa matenda:

• torakalgiya Vertebrogenic, zimene zimagwiritsa ndi kudwala msana;
• nevertebrogennaya torakalgiya - mu nkhani iyi, kupweteka m'chifuwa likhoza kulumikizidwa ndi matenda osiyanasiyana ziwalo za mkati: mtima (zambiri inatsekeratu matenda), m'mimba thirakiti (gastroduodenal Reflux matenda), matenda kupuma dongosolo, matenda a minofu ndi mafupa;
• psychogenic torakalgiya - zambiri ndi chiwalo gwero lachisokonezo ndi amantha.

Zimayambitsa kupweteka m'chifuwa

Kuwawa pachifuwa mwina chifukwa cha zifukwa zosiyanasiyana. Mbali ya syndrome ichi monga torakalgiya - kuti matenda zingakhale chifukwa cha njira chosiyana pathological. Nthawi zambiri chimachititsa ndi:

• otsika kupweteka kwa msana;
• herniation ndi protrusion wa zimbale intervertebral a msana thoracic;
• minofu kuphipha;
• msana choipa;
• zitsulo, zimamuchulukira thupi;
• matenda opatsirana ndipo sanali opatsirana ya ubongo;
• ziwengo, matenda tizilombo;
• kufooka kwa mafupa;
• nkhawa, polowetsedwa chitetezo chokwanira.

zizindikiro torakalgii

Symptomatology matenda si yosiyanasiyana. Monga ulamuliro, izo inali zizindikiro zotsatirazi:

• paroxysmal kapena kulimbikira chifuwa ululu, kugirigisha moto mu malo intercostal;
• Ululu maganizo pa mbali imodzi ya chikhalidwe thupi kapena matailosi ankavala;
• m'madera chowawa bwino palpated (torakalgiya musculo-zimandilimbikitsa), iwo nthawi zambiri ili pamodzi mitsempha akhudzidwa Komanso, pali zambiri dzanzi khungu m'chigawo cha innervation ake;
• amveke wa ululu kayendedwe mwadzidzidzi, kukhosomola, sneezing, chakuya mpweya;
• crunch vertebrae zoyenda;
• alili chatsitsa pambuyo kukhudzana ozizira kapena kukhala nthawi yaitali angathe malo amodzi.

Popeza torakalgiya kumanzere zizindikiro zawo ndi zofanana kwambiri ndi ululu, lochitidwa kwa matenda a mtima, pamafunika ndi matenda mokwanira, chifukwa misdiagnosis kubwera kwa mankhwala operewera.

Kusiyana ululu kugwirizana ndi matenda a mitima (inatsekeratu mtsempha wamagazi matenda a mtima) ndi vertebral torakalgii

chithunzi matenda

Masiku ano, madokotala anayi mitundu matenda zodabwitsa ngati pathological monga torakalgiya. Kuti matenda mwachindunji zokhudzana ndi boma zinchito msana, anafotokoza gulu ili:

1. Torakalgiya, omwe chifukwa cha chisokonezo msana m'munsi khomo lachiberekero. Iwo amakhala ndi ululu kumtunda chifuwa (pa ndi subclavian m'dera), yochokera kwa khosi, mapewa, mkono. Kuzionetsetsa pali soreness mu mafupa pa akhudzidwa mbali, soreness ndi kuchuluka kamvekedwe zone trapezoid ndi minofu intercostal.
2. Torakalgiya Vertebrogenic kugwirizana ndi njira pathological m'dera thoracic la ndime msana. Pankhaniyi, ali ndi kupweteka likunena anatsanulira, kukoka khalidwe, nthawi zambiri malo retrosternal kapena interscapular. Kawirikawiri ululu si kugwirizana ndi gulu kapena zolimbitsa thupi.
3. Scapular-nthiti njira torakalgii. Kuti zimenezi zitheke, matendawa amakhala ndi zosiyanasiyana ululu, isanafalikire makamaka mu interscapular kumanzere, m'dera peripapillary kapena pa mbali mzere wa pachifuwa pansipa armpit lapansi. ululu kungakhale yaitali mu chikhalidwe kapena kukhala episodic. Nthawi kugwirizana ndi kachitidwe kupuma. Chinthu china khalidwe ndi kusamuka mavuto ndiponso m'mbali mwa zofuna tcheru.
4. zapambuyo pachifuwa matenda yodziwika kuzimiririka, kupweteka, kulimbikira ululu kawirikawiri izi ndi kuyenda ndi isanafalikire mu okologrudinnoy ndi perednepodmyshechnoy malo.

diagnostics

ululu pachifuwa ingayambe ndi zifukwa zambiri, ndi chifukwa matenda "torakalgiya" wapangidwa pokhapokha kuthetsa mtima ndi m'mapapo mwanga kudwala, ndiye atakambirana ndi cardiologist ndi pulmonologist. Ngati gawo la akatswiri izi palibe kuvutika anali wapezeka, kuwonjezera pa mayesero choyezera, ikuchitika tinafotokoza mwatsatanetsatane, Choncho kuphatikizapo:

• kumveka maginito kulingalira;
• X-ray;
• densitometry (kuphunzira kapangidwe ka minofu fupa);
• scintigraphy (kufufuza ntchito radioisotopes);
• electroneuromyography (anayendera, kulola kuti asa- kugwira ntchito mantha dongosolo zotumphukira).

Ndipo pa maziko a Kafukufuku izi kuika matenda ichi monga torakalgiya. Zizindikiro ndi mankhwala a matenda nawonso makhalidwe chake pa nkhani iliyonse. Mbali imeneyi ndi yofunika chifukwa matenda zolakwika zambiri kumayambitsa yaitali, nthawi zambiri mtengo ndi chithandizo wopanda ntchito.

Torakalgiya: chithandizo

Chithandizo cha matenda sangakhale mu mchitidwe wina. Zotsatira mulingo woyenera, amafuna zovuta kwa njira achire, kuphatikizapo mankhwala thupi, kutikita, mpheto, mankhwala thupi mankhwala. Ngati ndi kotheka, mndandanda monga msana samatha (samatha) ndi reflexology.

mankhwala umagwiritsidwa ntchito mu nkhani iyi mu nthawi pachimake cha matenda. cholinga chake ndi kuthetsa ululu pachimake kutupa. Chifukwa chaichi, mankhwala ayenera kukhala magulu pharmacological:

• odana - "diclofenac", "Meloxicam", "Aertal";
• relaxants minofu - "Mydocalm", "Sirdalud";
• neuroprotective - mavitamini B, "Meksidol";
• hondroprotektory - "Hondrogard", "hondrolon".

Komabe, tiyenera kukumbukira kuti yekha mankhwala sangathe ukasintha vutolo. Pofuna kubwezeretsa ntchito ya msana ndi decompress mitsempha mathero, m'pofunika yomweyo pambuyo chithandizo cha ululu kuchita kutikita ndi mankhwala thupi.

physiotherapy

Mu matenda monga torakalgiya, zizindikiro ndi mankhwala nthawi zambiri zimadalira zinthu zambiri, physiotherapy alipo matsenga chipolopolo. Chifukwa cha njira imeneyi ndi ntchito zochitika m'thupi, monga ultrasound, maginito, laser, otsika-pafupipafupi mafunde. Pamodzi ndi mankhwala, iwo mwamsanga ndi mogwira matenda a ululu ndi kutupa n'chongoletsa. Ubwino wina wa njira izi ndi, kupatulapo osowa, pakalibe contraindications.

mankhwala Buku

Lonse kutchuka ku zochizira matenda a msana ali anapambana lero kuwongola mafupa a msana. Bwaloli osiyanasiyana njira zochiritsira zimathandiza dzanja kuti asinthe mmene monyanyira mu nsana, mafupa, minofu ndi Mitsemphayi. Kunja, zimenezi amatikumbutsa kutikita, koma kusiyana lagona pa malire ya kutanthauzira wa ziwembu ndi mphamvu mmene.

Pankhani ya vertebral torakalgiey amadza chiropractor Cholinga kusintha mabuku malonda zimfundo intervertebral ndi kuonjezera elasticity minofu ndi Mitsemphayi. Gulu ili kumachepetsa psinjika za mitsempha akhudzidwa ndi, monga Motero, chikhalidwe ameliorated. Tikumbukenso kuti nthawi za katswiri Buku chithandizo amatilola kuti athetse mavuto amene salabadira chithandizo mwa njira zina.

Mawonekedwe aakulu

Tinganene, ngati inu musayambe chithandizo yake kapena kuzipereka si zonse, ndiye pali aakulu ndondomeko. Kumbukirani akapezeka matenda monga torakalgiya kuti akhoza kusokoneza zikamera wa munthu chimbale herniated akutsogolereni m'tsogolo chilema.

Inde, chifukwa mawonekedwe aakulu amakhala ndi ululu pang'ono, ndipo nthawi zambiri kungoti "kulekerera". Komabe, ngakhale kupweteka sichikunditsutsa kwa nthawi yaitali, ndiye anabwerera ndipo adzakhala kwambiri zedi, kutanthauza - chifukwa sichinayambe anagonjetsedwa ndipo akupitiriza kuwononga thupi. Popewa izi, muyenera, mwamsanga pamene zizindikiro woyamba wa matenda, osati kudzimvera medicate ndipo sayembekezera kuti "kudziletsa chindipitirire" komanso kupempha thandizo oyenerera. Ndipotu njira mwamsanga atengedwa, mwayi kwambiri kuchotsa matenda.