![Onye ọrịa nwere ihe mgbu n'olu na-enyocha nyocha nke dọkịta](/images/akụkọ/939/Onye%20ọrịa%20nwere%20ihe%20mgbu%20n'olu%20na-enyocha%20nyocha%20nke%20dọkịta.webp)
Ihe mgbu n'olu bụ nsogbu nkịtị nke na-echegbu ọtụtụ ndị mmadụ. Ihe mgbaàmà ahụ nwere ike jikọta ya na oke mmegharị na spain cervical, mgbakasị ahụ ike, na isi ọwụwa. Enwere ọtụtụ ihe na-akpata mgbu olu. Nchọpụta nke ọma dị mkpa iji họrọ ọgwụgwọ kwesịrị ekwesị.
N'isiokwu a, anyị ga-agwa gị ihe ị ga-eme ma ọ bụrụ na olu gị na-afụ ụfụ, ihe nwere ike ịkpata mgbu na otu esi egbochi ya. Ndị dọkịta ụlọ ọgwụ nwere ahụmahụ dị ukwuu n'ịgwọ mgbu olu nke sitere na mmalite dị iche iche. A na-ahọrọ ọgwụgwọ zuru oke n'otu n'otu, na-eburu n'uche ọnọdụ onye ọrịa, ihe ndị na-akpata mgbu na ihe ndị ọzọ na-emetụta nsonaazụ ọgwụgwọ.
Ụdị mgbu na spine cervical
Enwere ụdị mgbu olu abụọ:
- Vertebrogenic- eme na mmebi nke diski intervertebral, mkpakọ nke eriri afọ na mgbọrọgwụ akwara. Mgbu ahụ nwere ike gbasaa site n'olu ruo n'azụ isi na mkpịsị aka. Adịghị ike akwara na adịghị ike na otu ma ọ bụ ogwe aka abụọ nwekwara ike ịbụ nchegbu.
- Ihe na-abụghị nke vertebrogen- apụta n'ihi usoro mkpali na akwara olu. Nke a na-agụnyekwa ihe mgbu n'ihi ọrịa nke thyroid gland na akụkụ lymph dị nso. N'okwu a, usoro mkpali ahụ nwere ike isonyere mmụba nke okpomọkụ ahụ na mgbu mgbu.
- Myositis- mbufụt nke otu ma ọ bụ karịa mọzụlụ olu, na-esonyere oke mgbu, ọzịza na oke mkpagharị isi. Na-eme n'ihi ọrịa na-efe efe, mmerụ ahụ na ọnọdụ ahụ na-adịghị ahụkebe mgbe niile.
- Cervical osteochondrosis- ọrịa degenerative-dystrophic nke ọkpụkpụ azụ. Ọkpụkpụ cervical, yana ọkpụkpụ lumbar, dị nnọọ mkpagharị. N'ihi nrụgide mgbe niile, ihe oriri nke vertebrae na diski intervertebral na-akụghasị. Ọkpụkpụ ọkpụkpụ na-etolite, diski intervertebral mebiri emebi ma na-apụta n'ụdị protrusions na hernias. Ihe mgbu ahụ bụ n'ihi eziokwu ahụ bụ na diski ndị na-egbuke egbuke na-ejikọta njikọ nke ọkpụkpụ azụ na mgbọrọgwụ akwara. Ihe mgbu ahụ siri ike, na mberede, a pụkwara inwe mmetụta naanị n'olu n'otu akụkụ ma ọ bụ abụọ. Ha nwekwara ike ịgbasa na mpaghara ndị ọzọ - na isi, azụ isi, ogwe aka, azụ, n'okpuru ubu ubu.
- Intervertebral hernia- ụdị osteochondrosis dị elu, mgbe mkpakọ nke mgbọrọgwụ akwara pụtara. A na-eji ọrịa a mara ihe ngosipụta nke akwara ozi: mgbu na ogwe aka, ike ike nke anụ ahụ na-ebelata na mmetụta uche nke akpụkpọ anụ nke elu.
- Spondylosis- ọkwa dị elu nke osteochondrosis, nke akụkụ nke akụkụ vertebral na-ejupụta na ọkpụkpụ ọkpụkpụ - osteophytes. N'ikpeazụ, vertebrae na-ejikọta ibe ha. N'okwu a, diski intervertebral na-agbaze, na mgbakwunye na mgbu, onye ọrịa ahụ na-enweta ihe mgbochi siri ike mgbe ọ na-ebugharị isi ya.
- Rheumatoid spondylitis- usoro mkpali nke autoimmune na nkwonkwo nke spine cervical. N'ihi arụghị ọrụ nke usoro ahụ ji alụso ọrịa ọgụ, mkpụrụ ndụ ya na-amalite ịwakpo ahụ nke ha. Ọrịa ahụ na-amalite nke nta nke nta ma gbasaa na nkwonkwo nke ọkpụkpụ azụ dum. A naghị emetụta mpaghara cervical. Vertebrae na-agbarụrụ ma na-emegharị ha anya. Mgbu n'olu na-apụta, nkwụsi ike nke mmegharị ahụ na-eme, nke na-eji nwayọọ nwayọọ na-apụ n'anya mgbe emechara mmegharị ahụ. Ka oge na-aga, ihe mgbu na-akawanye njọ ma ọkpụkpụ azụ na-aghọ ihe na-adịghị agagharị.
- Arthrosis nke nkwonkwo facet nke spine cervical- mbibi nke obere nkwonkwo dị n'etiti arches nke cervical vertebrae. N'okwu a, a na-ebibi akụkụ cartilaginous nke ọkpụkpụ abụọ dị n'akụkụ ibe ha. Ebe dị anya n'etiti vertebrae onye ọ bụla na-ebelata, otu ọkpụkpụ na-amalite ịgbanye ọzọ, nke na-akpata mgbu. Ọ na-emekarị mgbe mmerụ ahụ gasịrị ma ọ bụ ọrịa ọrụ; ọ na-etolite mgbe ọ na-arụ ọrụ na steeti guzoro na isi ala ma ọ bụ mmanye tụgharịa. Ọ na-egosipụta onwe ya dị ka ihe mgbu na saịtị nke ọnya ahụ, na-egbuke egbuke n'ubu na crunching mgbe ọ na-akpụ akpụ.
- Torticollis- nrụrụ aka ma ọ bụ enwetara n'olu site n'ịtụgharị ma ọ bụ tụgharịa isi n'otu akụkụ. Ọrịa ahụ jikọtara ya na pathology nke akwara sternocleidomastoid, nke dị n'akụkụ akụkụ anterolateral nke olu n'akụkụ abụọ. Ọ na-egosipụta onwe ya dị ka nkwụsị nke isi na ubu dị elu n'akụkụ akụkụ ahụ emetụtara, na-esonyere mgbu n'olu na azụ nke isi mgbe ị na-agbalị ịkwanye isi n'akụkụ ọzọ. Mgbu na-abawanye na mgbatị ahụ na nrụgide.
- Myofascial mgbu syndromebụ ọrịa mgbu na-ejikọta ya na nhazi mpaghara na-egbu mgbu na akwara, nke a na-akpọ "ihe na-akpata. "Ọ na-eme n'ihi mgbakasị ahụ akwara ogologo oge, nkesa ibu na-ezighi ezi, na ịpịkọta akwara site na akụkụ ndị gbara ya gburugburu. N'okwu a, onye ọrịa ahụ na-enwe ahụ mgbu na akwara na izu ike, nke na-eme ka mmega ahụ dịkwuo elu, na-agbanye isi ihe na uru ahụ, nke na-eche dị ka ihe mgbagwoju anya siri ike. Mgbu sitere na isi ihe ndị a nwere ike gbasaa na akụkụ ahụ ndị ọzọ.
- mgbaji mgbajibụ mmerụ ahụ nke ọkpụkpụ azụ nke mkpakọ nke vertebral ahụ na-eme na mmebi nke ọkpụkpụ azụ azụ. Na-eme mgbe ị na-etinye aka n'egwuregwu egwu, yana ndị agadi n'ihi adịghị ike nke ọkpụkpụ ọkpụkpụ. Enwere ike ịpụta site na mmerụ ahụ whiplash n'ihe mberede ma nwee ike na-eyi ndụ egwu.
- Osteomyelitis- purulent mbufụt nke na-emetụta ụmị ọkpụkpụ, periosteum, na ọkpụkpụ n'onwe ya. Ọtụtụ mgbe ọ na-eme n'ihi ọrịa na-arụ ọrụ nke usoro ahụ ji alụso ọrịa ọgụ.
- Ụkwara nta nke ọkpụkpụ azụ- ọrịa siri ike nke Koch's bacilli kpatara na-emetụta akụkụ dị iche iche nke ọkpụkpụ azụ azụ, na-emetụtakarị mpaghara thoracic. Mgbaàmà mbụ ya nwere ike ịpụta ọtụtụ afọ mgbe ọrịa gasịrị.
- benign na njọ etuto nke olu akụkụ;
- ọrịa eriri afọ;
- ndị mba ọzọ na akpịrị;
- ọrịa thyroid;
- angina pectoris, nke a na-akpọ angina pectoris;
- abscesses nke anụ ahụ dị nro nke olu;
- ọrịa nke lymph nodes.
- ọnụ ọgụgụ ọbara zuru oke, nyocha ọbara maka akara nke ọkwa mbufụt, ọkwa hormone thyroid;
- X-ray nke spine cervical;
- Ultrasound na nyocha nke ọnọdụ arịa ọbara;
- electroneuromyography;
- MRI, CT.
Ọgwụgwọ ọgwụ- ị na-aṅụ ọgwụ ndị nwere ọgwụ mgbochi mkpali na-abụghị steroidal, ihe na-eme ka ahụ dị jụụ, n'ọnọdụ ụfọdụ a na-eji corticosteroids. Ebumnuche bụ isi nke ọgwụgwọ ọgwụ bụ iji belata mbufụt ma belata ihe mgbu, na-ewepụ mbibi anụ ahụ ọzọ.
Physiotherapy- usoro ọgwụgwọ usoro dabere na mmetụta nke eke na artificially kere ihe na ahụ - ìhè, mmiri, electric ugbu a, magnetik, n'ibu na okpomọkụ mmetụta. Usoro ndị a na-amalite ma mee ka usoro mgbake nke anụ ahụ dịkwuo elu.
Usoro ọgwụgwọ physiotherapeutic nke na-enyere aka n'ịgwọ spain cervical gụnyere:
- Usoro ọgwụgwọ laser bụ usoro na-enweghị mgbu; ọ na-enyere aka iwepụ ihe mgbu, belata mbufụt na ọzịza mpaghara, ma na-eme ka anụ ahụ dịkwuo mma.
- Usoro ọgwụgwọ magnetik na-enyere aka belata mgbu na mbufụt.
- Usoro ọgwụgwọ ebili mmiri na-eme ka ngagharị nke kọlụm dị n'ọkpụkpụ azụ dịkwuo mma, na-eme ka ahụ dị jụụ, ma na-emekwa ka anụ ahụ gbakee ngwa ngwa.
- Acupuncture bụ usoro ọgwụgwọ ọdịnala ndị China nke nwere ike belata mgbu na ahụ mgbakasị ahụ nke ọma na ngwa ngwa.
Usoro ọgwụgwọ ntuziaka- ọgwụgwọ nke ọrịa na aka, nke dọkịta na-eme ka ụfọdụ, nwayọọ, jerking mmegharị. N'ihi usoro a, a na-eweghachi mmegharị nke nkwonkwo na ọkpụkpụ azụ, anụ ahụ dị jụụ, na mgbu na-ebelata. Usoro ọgwụgwọ ntuziaka na-adabere na usoro ọwụwa anyanwụ maka ịgwọ ọkpụkpụ azụ.
Ịhịa aka n'ahụ- otu n'ime ụzọ a ma ama na nke a ma ama maka ịgwọ osteochondrosis na ọrịa ndị ọzọ nke ọkpụkpụ azụ. Site n'enyemaka nke ịhịa aka n'ahụ, ị nwere ike belata ihe mgbu n'olu n'oge mmegharị mberede, belata esemokwu ma weghachite mmegharị nke nkwonkwo nke ọkpụkpụ azụ azụ. Ịhịa aka n'ahụ na-eme ka uru ahụ dị nro dị jụụ, na-ewusi ha ike, na-ebelata ihe mgbu. A na-ejikwa ya egbochi ọrịa nke spain cervical.
Agwọ ahụike- a na-edepụta ya n'otu n'otu, na-eburu n'uche ụdị ọrịa na ogbo ya. Klas ahụ nwere usoro ụfọdụ na ihe omume pụrụ iche nke na-enyere aka melite mmegharị nkwonkwo, na-ebelata ọzịza, ahụ ike ahụ, wee mee ka corset muscle sie ike iji gbochie ọganihu nke ọrịa ahụ.
- Mee obere ikpo ọkụ kwa nkeji 30-40 n'oge ezumike site na ịrụ ọrụ na kọmputa.
- Na-ehi ụra n'elu akwa matraasi na ọkpụkpụ ọkpụkpụ.
- Lezienụ anya nke ọma na ergonomics nke ebe ọrụ: oche kwesịrị ịdị mma na akwa akwa pụrụ iche maka olu, kọmputa kwesịrị itinye ya na ọkwa anya ma ọ bụ dịtụ elu.
- Ejila ntì gị na-ekwu okwu na ekwentị n'ubu gị.
- Kesaa ibu ahụ n'otu aka abụọ ma ọ bụrụ na ị na-ebu ihe dị arọ.
- Rie nri ziri ezi, dị iche iche, tinye nnukwu akwụkwọ nri na mkpụrụ osisi na nri gị.
- Bugharịa ọzọ, nye ahụ gị ọrụ zuru oke.
Ọ bụrụ na ahụ erughị ala ahụ agaghị apụ n'ime ọtụtụ ụbọchị ma na-abawanye na mmegharị ahụ, ị kwesịrị ịkpọtụrụ dọkịta. Onye ọkachamara ga-ekpebi ihe kpatara mgbu olu ma depụta ọgwụgwọ dị irè.
Ihe na-akpata mgbu olu
Mgbu dị n'olu olu nwere ike ịkpata ọtụtụ ọrịa: site na nsogbu ahụ ike na pathologies siri ike nke spine na akụkụ ahụ dị n'ime. Mgbe ụfọdụ, ọ na-esiri onye ọrịa ike ikpebi n'onwe ya na mpaghara ahụ emetụtara - na akpịrị ma ọ bụ n'elu ọkpụkpụ azụ, ebe ọ bụ na enwere ike inwe mgbu n'akụkụ niile nke olu.
Ihe kacha ebute oke mgbu:
Ihe na-adịghị ahụkebe na-akpata mgbu na spain cervical gụnyere:
Ọ bụrụ na ahụ erughị ala na mgbu n'olu na-esonyere akpịrị akpịrị, ahụ ọkụ na adịghị ike, nke a nwere ike igosi mmepe nke nje virus, laryngitis na oyi ndị ọzọ.
Mgbu olu nwekwara ike ịbụ ngosipụta nke:
Ọ bụrụ na mọzụlụ nke olu n'akụkụ na-afụ ụfụ, ihe kpatara ya nwere ike ọ bụghị naanị spasm ma ọ bụ mmerụ ahụ, kamakwa ọtụtụ ọrịa ndị ọzọ. Ụlọ ọgwụ na-agbaso usoro ihe akaebe na-egosi maka nyocha. Nke a na-enye gị ohere ikpebi mmalite nke mgbaàmà ahụ n'ụzọ ziri ezi ma dee ọgwụgwọ dị irè.
Nchọpụta nchọpụta
N'ọtụtụ ọnọdụ, ihe mgbu n'olu abụghị nke a kapịrị ọnụ, ya bụ, ọrịa pathology nke mọzụlụ na ligaments kpatara. Ọzọkwa, ọrịa mgbu na-amalitekarị n'ihi mgbanwe degenerative na spain cervical - osteochondrosis. Ya mere, nke mbụ, ịkwesịrị ịkpọtụrụ onye na-ahụ maka akwara ozi ma ọ bụ vertebrologist.
Iji mee nchọpụta ziri ezi ma nye iwu ọgwụgwọ, dọkịta na-agba onye ọrịa ajụjụ ọnụ n'ụzọ zuru ezu banyere mgbaàmà ya, ogo ha, ebe ha nọ, na ọnọdụ ihe merenụ. Ọ na-akọwapụtakwa ọnụnọ nke ọrịa na-adịghị ala ala, ọrịa ihe nketa, mmerụ ahụ, na ọgwụ ndị a na-ewere. Ọkachamara ahụ na-eduzi nyocha anya nke ọma, palpation nke olu, na nyocha nke ọnọdụ akwara ozi, gụnyere mkpebi nke ike ike na uche na njedebe. Iji kwado nchoputa ahụ ma wepụ ọrịa ndị na-adịghị emetụta ọkpụkpụ azụ, a na-atụ aro onye ọrịa ka ọ nweta nyocha zuru oke. Nke a nwere ike ịgụnye:
Usoro kacha enye nkọwa bụ MRI. Site n'enyemaka ya, a na-achọpụta ọrịa ọrịa nke ọkpụkpụ azụ n'oge mmalite na ihe ịrịba ama nke mkpakọ nke ọkpụkpụ azụ ma ọ bụ mgbọrọgwụ akwara.
N'oge nhọpụta ụlọ ọgwụ, dọkịta ahụ ga-ekwu n'ụzọ zuru ezu banyere usoro nchọpụta nke oge a, kọwaa nsonaazụ nke ọmụmụ ahụ ma depụta ọgwụgwọ kwesịrị ekwesị.
Ọgwụgwọ mgbu na spine cervical
Dọkịta ahụ na-ekpebi ka esi emeso oke mgbu olu n'otu n'otu maka onye ọrịa ọ bụla, na-eburu n'uche njirimara niile nke ahụ na usoro ọrịa ahụ.
Ndị nwere otu nchoputa ahụ nwere ike ịnye ọgwụgwọ dị iche iche n'ihi na ha nwere akụkọ ahụike dị iche iche: ọrịa na-adịghị ala ala, ọkwa nke mmepe anụ ahụ, ike mgbu, afọ.
Iji belata ihe mgbu n'olu siri ike metụtara ọrịa nke usoro musculoskeletal, a na-eji ọgwụgwọ mgbagwoju anya. Usoro ọgwụgwọ nwere ike ịgụnye: ọgwụ, ọgwụgwọ anụ ahụ, ịhịa aka n'ahụ, ọgwụgwọ mgbatị ahụ.
Mgbochi
Ndụ ịnọdụ ala, ọrụ ogologo oge na kọmpụta na ọtụtụ ihe ndị ọzọ na-eduga na nsogbu na sistem musculoskeletal - nke a na-akpata mgbu olu. Ndụmọdụ dị mfe maka mgbochi ga-enyere aka izere mmepe nke ọrịa siri ike nke spine cervical na nsogbu ha:
Klas yoga mgbe niile na igwu mmiri na ọdọ mmiri na-enyere aka na mgbu olu. A na-atụ aro ka ya na onye nkuzi rụọ ihe omume ahụ, onye ga-ewepụta usoro ọzụzụ kwesịrị ekwesị ma nyochaa izi ezi nke mmejuputa ya.