Ululu wammbuyo ndi ululu wammbuyo womwe uli moyang'anizana ndi msana wa dorsal. Zowawa zomwe zimamveka zimakhazikika pamlingo wa vertebrae khumi ndi ziwiri zakumbuyo. Kupweteka kwafupipafupi, kupweteka kwa msana kungakhale chifukwa cha zizindikiro, zokhazikika kapena zogwira ntchito. Musanayambe kuchiza kupweteka kwa msana, m'pofunika kudzipatula kwa zizindikiro zowawa za msana zomwe zimachokera ku mtima, pleuropulmonary, kugaya chakudya kapena kusokonezeka kwa msana ndi kupweteka kwa msana.

Tanthauzo la ululu wammbuyo

Ululu wammbuyo umafanana ndi ululu wammbuyo womwe uli moyang'anizana ndi msana wa dorsal - kapena thoracic. Zowawa zomwe zimamveka zimayikidwa pamlingo wa vertebrae khumi ndi ziwiri zam'mimba, zomwe zimatchedwa D1 ku D12 - kapena T1 ku T12.

Mitundu ya ululu wammbuyo

Ululu wammbuyo ukhoza kugawidwa m'magulu atatu:

• Zizindikiro za ululu wammbuyo, nthawi zambiri pachimake;
• "Static" ululu wammbuyo, wokhudzana ndi vuto la kukula kapena static;
• "Zogwira ntchito" zowawa zam'mbuyo, zomwe nthawi zambiri zimagwirizanitsa kupweteka kwa minofu ndi maganizo, zimayamba pang'onopang'ono pakapita nthawi.

Zomwe zimayambitsa kupweteka kwa msana

Zina mwa zomwe zimayambitsa zizindikiro za ululu wammbuyo ndi:

• Matenda a mtima: kulephera kwa mtima, pericarditis, thoracic aortic aneurysm;
• Pleuropulmonary pathologies: khansa ya bronchial, pleurisy yopatsirana kapena invasive (mesothelioma, khansa ya bronchial), chotupa cha mediastinal;
• M'mimba pathologies: chapamimba kapena duodenal chilonda, hepatobiliary matenda, esophagitis, kapamba kapena gastritis, khansa ya m'mimba, kum'mero, kapamba;
• Pansi pa msana: spondylodiscitis (matenda a intervertebral disc ndi matupi apafupi a vertebral), spondyloarthropathy (matenda ophatikizana), osteoporotic fracture, chotupa cha intraspinal, chotupa choopsa, chotupa choopsa, matenda a Paget (matenda aakulu ndi amtundu wa mafupa);
• Dongosolo la dorsal herniated disc - onani kuti gawo la dorsal ndilomwe silimakhudzidwa kwambiri ndi ma disc a herniated.

Ululu wammbuyo wosasunthika ukhoza kuyambitsidwa ndi:

• Kyphoscoliosis kapena kusinthika kwapawiri kwa msana, kugwirizanitsa ndi kupotoka kwapambuyo (scoliosis) ndi kupatuka ndi posterior convexity (kyphosis);
• Kukula kwa msana (kuphatikiza matenda a Scheuermann) kapena kusintha kwa disco-vertebral komwe kumachitika mwa ana ndi achinyamata. Kumayambiriro kwa zovuta zakukula, zimatha kuyambitsa sequelae akakula.

Ululu wammbuyo wogwirira ntchito ulibe zifukwa zenizeni zodziwikiratu koma ukhoza kukhala kuphatikiza kwamakina ndi malingaliro osiyanasiyana:

• Zolakwika zam'mbuyo pamene minofu yam'mbuyo imakhala yofooka kwambiri;
• Kupsinjika kwa minofu kumakulitsidwa ndi kupsinjika ndi nkhawa;
• Kusintha kwa mafupa a msana ndi zaka (discarthrosis);
• Mimba: kulemera kwa mimba kumawonjezeka ndipo mahomoni a mimba amachititsa kuti mitsempha ya msana ipumule;
• Kutambasula kapena kuvulaza kumbuyo kwa minofu chifukwa cha kusuntha kwachiwawa kapena kugwedezeka;
• Ndi zina zambiri

Kuzindikira kwa ululu wammbuyo

Musanayambe kuchiza zinchito ululu msana, m`pofunika kudzipatula symptomatic kupweteka kwa msana - kuchokera mtima, pleuropulmonary, m`mimba zimayambitsa kapena m`munsi matenda a msana - ndi malo amodzi ululu m`mbuyo amene ayenera kupindula ndi mankhwala enieni.

Choyamba, ululu wammbuyo umayesedwa pofunsa wodwalayo:

• Ululu: malo, rhythm, chikoka cha zovuta zamakina, maudindo, tsiku ndi momwe zimayambira, ndithudi, mbiriyakale;
• Kupititsa patsogolo chakudya kapena ayi, kukhudzidwa kwa mankhwala osagwiritsa ntchito steroidal anti-inflammatory (NSAIDs), kukhalapo kwa kuwala "mu lamba" (m'mphepete mwa nthiti), ndi zina zotero. ;
• Psychological maziko.

Kuwunika kwachipatala kumatsatira mayeso:

• Kuyeza kwa msana: static, kusinthasintha mu kupindika ndi kutambasula, mfundo zowawa pa palpation, chikhalidwe cha thoracic musculature;
• General kufufuza: pleuropulmonary, mtima, m`mimba ndi kwa chiwindi;
• Kufufuza kwa mitsempha.

Pomaliza, x-ray ya msana wa thoracic iyenera kutengedwa.

Kutengera ndi kuwunika kwa matenda, mayeso ena owonjezera atha kuchitidwa:

• Fufuzani kwachilengedwenso zizindikiro kutupa;
• Scintigraphy (kufufuza mzati kapena ziwalo pogwiritsa ntchito mankhwala a radioactive omwe amawagwirizanitsa ndi kuperekedwa mochepa kwambiri);
• CT scan ya msana wa thoracic;
• Kujambula kwa magnetic resonance (MRI) ya msana wa thoracic;
• Endoscopy ya m'mimba;
• Kufufuza za mtima ...

Anthu okhudzidwa ndi ululu wammbuyo

Ngakhale kuti pafupifupi 14% ya anthu amatha kuvutika ndi ululu wammbuyo wogwira ntchito, amayi ogwira ntchito amawoneka kuti amakhudzidwa kwambiri ndi ululu wammbuyo.

Zinthu zomwe zimathandizira kupweteka kwa msana

Zinthu zosiyanasiyana zingayambitse kupweteka kwa msana:

• Kusagwira ntchito kwathupi ;
• Kusowa ntchito;
• Kusakwanira kwa minofu yam'mbuyo;
• Kusayenda chifukwa cha msinkhu kapena kuchipatala mwachitsanzo;
• Nthawi ya msambo;
• Mimba kapena kunenepa kwambiri;
• Nkhawa ndi kupsinjika maganizo;
• Matenda a psychic kapena psychosomatic.

Kupweteka kwakukulu

Zizindikiro za ululu wammbuyo nthawi zambiri zimayambitsa ululu wopweteka kwambiri. Pazifukwa izi, upangiri wachangu wachipatala umafunika kuti ufufuze zomwe zimayambitsa.

Kufalitsa ululu

Kupweteka kwam'mbuyo kogwira ntchito kungayambitse kupweteka pakati pa mapewa, kapena kukhazikika, ndikusokoneza kupuma. N'zotheka kusokoneza iwo ndi ululu wa khosi pamene ali pamtunda wa vertebrae yotsiriza, pamphambano ndi pansi pa khosi.

Kupweteka kosautsa

Pamene kupweteka kwa msana kumagwira ntchito nthawi zonse kapena kupitirira miyezi itatu, kumatchedwa kupweteka kosalekeza.

Zizindikiro zina

• Kusamvana ;
• kumva kulasa;
• Kuluma;
• Kuwotcha.

Kupatula zizindikiro za ululu wammbuyo zomwe zimafuna chithandizo chapadera, chithandizo chamankhwala makamaka chimakhudza kupweteka kwa msana.

Chithandizo cha kupweteka kwa msana kungaphatikizepo:

• Mchitidwe wokhazikika wa masewera olimbitsa thupi omwe amasinthidwa kuti alimbikitse msana ndi m'mimba;
• Magawo ndi physiotherapist kapena osteopath kuthandiza kupumula minofu, kufewetsa msana ndi kuwawa kodekha;
• Kusintha kotheka kwa ergonomics kuntchito ngati kuli kotheka;
• Ma analgesics atha kuperekedwa pakabuka zowawa;
• Kuchita masewera olimbitsa thupi - monga kupuma kwa m'mimba - kapena kupumula kuti mupumule;
• chisamaliro chamaganizo;
• Antidepressants ngati pakufunika.

Pofuna kupewa kupweteka kwa msana, pali njira zingapo zodzitetezera:

• Yesetsani kuchita masewera olimbitsa thupi kuti mulimbikitse msana ndikukula m'mimba mwamphamvu, pazaka zonse;
• Landirani kaimidwe koyenera mukamagwira ntchito, ndikusunga msana wowongoka;
• Osasunga malo omwewo motalika kwambiri: kupuma pang'ono koma nthawi zonse kumakhala kopindulitsa;
• Nyamulani katundu wolemera pafupi ndi thupi momwe mungathere;
• Osapereka zopindika pa msana;
• Pewani zidendene zazitali zomwe zimapangitsa kuti musamayende bwino komanso kupindika kwa msana;
• Gona kumbali yako ndipo pewani kugona pamimba;
• Phunzirani njira zotsitsimula kuti muchepetse nkhawa;
• Pewani kunenepa kwambiri.