Myelopathy wesibeletho: izimpawu, izimbangela, ukuhlolwa, ukwelashwa

I umgogodla cord - kuyingxenye ebalulekile emzimbeni. Uthatha isinyathelo wokuba umbhidisi, okuxhunyanwa izimpawu zonke izingxenye zomzimba kusukela ekhanda futhi uqondiswe isimiso sezinzwa esiyinhloko. ukuxhumana okunjalo elikhiqizayo evumela ukuhamba kwamalungu omzimba, kuqinisekisa ukusebenza evamile pheshana emathunjini, uhlelo urogenital nabanye. Noma yimuphi umonakalo kule umnyango zigcwele ebuhlungu futhi kungaba ngomzuzwana ukubeka umuntu ohamba ngesihlalo esinamasondo.

Hlobo luni isifo

Myelopathy - yigama elididiyelayo kuzo zonke izifundazwe, ngandlela-thile kuphazamise umgogodla intambo umsebenzi.

Izinto eziyinhloko okubangela ukuthuthukiswa sifo zihlanganisa:

• ukulimala ngemishini;
• izifo ezehlukene.

Kuye imbangela, labo ababebanga ukuba ukugula, igama elithi unezela Isiqalo ezifanele.

Ngokwesibonelo, myelopathy wesibeletho, kusikisela ukuthi kwasendaweni yenqubo sokugembula siyenzeka kabuhlungu emgogodleni wesibeletho.

kungani kukhona

Kusukela ukuthuthukiswa sifo sonke sibhekana. kungazelelwe Kubonakala futhi engena muntu ku ukudideka.

Izizathu ezivamile ingqondo umgogodla cord yokulimala zihlanganisa lokhu okulandelayo:

• ukulimala ngenxa yokuwa, izingozi, ukushaqeka;
• yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa;
• hernia protrusion isimila;
• ukugobeka komhlandla;
• ukhwaliti ubuhlungu emuva;
• spondiloartroz;
• spondylosis;
• Ngokuvamile abantu baphuka izinqulu futhi dislocations ka amathambo;
• Izimbambo umonakalo;
• zonke izinhlobo ukutheleleka;
• isifo sokuhlasela kwamasosha omzimba;
• izifo letindzala ukuvuvukala;
• iziyaluyalu kwegazi;
• umgogodla thrombosis semithambo;
• isifo sokuqina kwemithambo yegazi;
• osteomyelitis;
• sofuba amathambo;
• hemorrhachis;
• demyelination.

Hhayi indima okungenani e okuvela isifo ukudlala nesifo esiwufuzo elihlobene ne ekuqongeleleni phytanic acid (isifo Refsum) futhi khona motosensornyh iziyaluyalu (syndrome Roussy - Levy).

In izifo ezihlukahlukene yomgogodla siyenzeka umonakalo umgogodla ezinzwa zokugula ezinjalo ngokuthi "yesifo sokuwohloka kwezinzwa nemisipha syndrome" (ALS).

izimpawu ezivamile

Ukubukeka izimpawu myelopathy wesibeletho kungenzeka noma kancane kancane noma ngesikhathi esisodwa. Lesi sakamuva isici kakhulu isenzo mechanical ku yomgogodla, ezifana pin, ukwa ukufuduka.

Umuntu ogulayo bangezwa:

1. ubuhlungu okunzima kwasendaweni ahlukahlukene.
2. Ukuncishiswa noma ukulahleka ephelele ukuzwa ngezansi lesion.
3. Ukuba ndikindiki neminwe, izandla nezinyawo.
4. Ukukhubazeka nemilenze noma umzimba wonke.
5. Ukwephula lomgudu wokugaya ukudla bese uhlelo urinary.
6. Ukuba buthaka kwezindlela imisipha ethile.

Kungaphindze kube netikhatsi izimpawu of vertebral myelopathy wesibeletho:

1. Izinkinga kusebentisana ukunyakaza.
2. Marble ukubonakala.
3. ukujuluka ngokweqile.
4. Inhliziyo isigqi thuthuva.
5. emotionality ngokweqile, obsessions.
6. Ukwesaba ukufa okwakusondela izinto.

isiqalo Bright esihambisana isifo akunjalo ngaso sonke isikhathi. Kwezinye izimo, izikhalazo kungabi kubi bathuthuke isikhathi eside.

Lezi ziguli akuvamile uvakashela isikhungo sezokwelapha kusaqalwa yokubhala off Ukuwohloka ukukhathala yezizathu zempilo nezinye.

Inkambo kwaleso sifo kuxhomeke ezicini eziningi, kodwa uma usheshe wabonakala, abantu ngaphezulu ithuba ukubuyela impilo enempilo futhi ekufezeni.

ngezigaba

Lezi zinhlobo ezilandelayo izifo zenzeka ngokumelene isizinda nomthelela nqgo emgogodleni. Ziyakwazi:

1. Toxic nemisebe eyingozi. Ingabe ezingavamile kakhulu. Kwangathi kuphakama ngenxa ngemisebe lwangaphambilini umdlavuza noma okunoshevu mercury phambili, i-arsenic nezinye izingxube zamakhemikhali yingozi. Spinal intambo ukulimala uyathuthuka kancane. Ukubukeka izimpawu zokuqala ngokuvamile uhlanganiswa iziqephu odlule of Oncology, okungukuthi ukuvela metastases.
2. Carcinomatous. Limelela paraneoplastic isimiso sezinzwa esiyinhloko ukuthi kwenzeka kungemuva komdlavuza ahlukahlukene. Lokhu kungaba iphaphu, isibindi, igazi m. P.
3. Ezithathelwanayo. It luyaphi nzima futhi kungadalwa enteroviruses, isifo saseLyme, ingculaza, ugcunsula kanye nabanye.
4. Umzimba. Uma njalo kutholakala ukuthi uphethwe yini ukuthola. Sibangelwa ezihlukahlukene ukuphazamiseka umzimba namangqamuzana engapheli.
5. Demyelinating. Waba yini umphumela wesibindi CNS izinzwa. It angadluliselwa zofuzo noma zenzeka enqubeni zokuphila.

izilonda ezinjalo ingasaphathwa ezivamile kuka kokucindezelwa.

Ukunqotshwa kwe-nomgogodla wesibeletho

Ingabe amafomu ezivamile. Kukhona endaweni wokuqala 7 amathambo.

Ingabe kubangelwe yanoma yiziphi izizathu ngenhla, kodwa ngokuvamile iningi kwenzeka ngenxa yokucinana, isb. E. ingcindezi emgogodleni.

Kungenzeka umbhunu, izimila nezinye izinto ezinethonya mechanical kule emgogodleni ezibalulekile.

Ngokuvamile Pathology avuse izifo ezifana:

• ukhwaliti ubuhlungu emuva;
• ukugobeka komhlandla m. p.

ukukhubazeka azalwa naso noma bathenga of imikhumbi emikhulu zingaphazamisa ukusebenza emgogodleni, okubangela ukuvuvukala yayo.

Iziguli myelopathy wesibeletho yiwona izikhalazo buphawuleka kakhulu futhi ezinzima.

Bangaze baqale nge ndikindiki emahlombe endaweni ezigcwala wonke umzimba. Ukuba kwakulokhu kukhona ukwephulwa kohlelo vestibular, okubangela:

• isiyezi, ikakhulukazi uma turning ikhanda noma wacosha;
• disorientation;
• ukuvela "Izimpukane" phambi kwamehlo;
• neziqubu uvalo nokunye okunjalo.

Ngokuvamile izimpawu myelopathy nomgogodla wesibeletho kudidaniswe IRR. Ngemva ukwelashwa akuphumelelanga Kwenziwa uphenyo olunemininingwane ethe xaxa, okuvumela ukuba uthole isizathu sangempela.

wamabele zokugula

Lokhu kwasendaweni akukanciphi yingozi, kodwa ezimweni eziningi zako emitholampilo mancane evelele.

Ngokungafani myelopathy yomgogodla wesibeletho, isiguli zingadida:

• ecindezela ukuzwa endaweni izimbambo futhi inhliziyo;
• kobukhulu inspiratory;
• yobuhlungu kwemibala ezihlukahlukene;
• ubuthakathaka futhi ethuthumela izandla;
• nokuqinisa ubuhlungu lapho eguqa futhi umsebenzi.

Ngokuvamile yenzeka thuthuva kwegazi, kodwa nezinye izici nako ayikwazi ezikhishiwe.

Ifomu izimpawu webele kuyafana i osteochondrosis womnyango, nakuba kuba zokugula ngempela ezingavamile sokukhubazeka komgogodla.

Lapho efeza uphethwe kubalulekile ukuhlukanisa ke kusukela izifo zenhliziyo kanye umgudu wokuphefumula.

lumbar kwasendaweni

Uma isiguli usunificile leli fomu lesi sifo, izinkinga ebonwe engxenyeni engezansi yomzimba. Ngaphansi kwethonya izici ingqondo iyathinteka:

• imilenze (ukukhubazeka, ukuba ndikindiki, ukuluma, futhi abanye);
• izitho kwezitho zangasese (zikhona ezihlukahlukene yizifo ezihlobene nokungabikho ukuhlukumeza yomsebenzi wabo).

Lokho ingaphezu isifo lumbar ngokuvamile akuphazamisi. Okuhlukile amafomu okuxubile lapho zonke ezilimele nomgogodla.

Lapho zlib lokho kwenzeka akuvamile, avame kuba nomphumela letindzala ku emgogodleni noma umzimba wonke (kwemisebe, ubuthi, izifo, njll Njll).

Izimpawu myelopathy yomgogodla wesibeletho ingxenye uyalandelwa.

izindlela ukuxilongwa

In the ukungabikho izimpawu nobuntu myelopathy wesibeletho, efana nezinye izinhlobo, bona baxazulule.

Uma unomuzwa wokuthi umzimba yinto iziguli ukuya owelapha, amathambo kanye nezinye izifundiswa abangakwazi kutholakale imbangela yokushona Ukuwohloka impilo noma ukubeka sokutholakala ukuthi une-azilungile.

Ukwelashwa futhi sitholakele isifo bekulokhu wezinzwa. Endaweni yokuqala eliluqoqayo umlando ezinemininingwane, t. E. Umlando. Isiguli liyadingeka ukwazisa imininingwane:

1. isikhathi esingakanani edlule isikhalazo.
2. Uma une-ke, noma izihlobo eziseduze nezifo ezingamahlala khona.
3. Hlobo luni lwendlela yokuphila Uyabahola (likhona yini imikhuba emibi, nokunye. N.).
4. kungakhathaliseki ukuthi ngaphambili ngaphansi ngemisebe futhi waxhumana lapho ezinobuthi kanye nokunye okufana nalokho. d.

Ngokusekelwe kulezi Uchwepheshe idatha angaphakamisa khona myelopathy wesibeletho, edingekayo ukuze uqinisekise ngokusebenzisa survey.

Nakanjani kudingeka alandele jikelele kanye kwamakhemikhali kwegazi. Uma usola ukuthi ukutheleleka angabelwa ukuhlola inzalo yayo.

Ngo parallel, kubalulekile lokwenza ukuxilongwa, kuhlanganise:

• X-ray;
• electromyography;
• electroneurogram;
• MRI, CT scan nomgogodla;
• angiography umgogodla futhi wokubhoboza.

Indaba okuholela izothunyelwa laboratory ukuhlwanyelwa bacteriological futhi ukukhomba ezinye izifo-PCR.

Uma uhlelo ukusazi ngokunembile isifo esikuphethe futhi ukuthola izici ingqondo inikezwa ukuphathwa edingekayo, udokotela wezinzwa okuzokwenza ubamba ndawonye nabanye ochwepheshe. Kuye Isizathu salokhu kungaba:

• Izifo Venereal;
• Isazi somdlavuza;
• vertebrologist;
• Udokotela wemisipha namathambo nabanye.

Konke sitholakele myelopathy wesibeletho ungenziwa kuphela ukutshela udokotela ukuba khona.

ukwelashwa

A olulodwa ukwelashwa lwemithi alikho. Isikimu ikhethwa ngamunye futhi kuxhomeke ezicini eziningi, okuyilezi:

• izimbangela isifo;
• kobukhulu;
• ngobudala nobulili isiguli;
• comorbidities nezinye.

Ukuze ekwelapheni wesibeletho myelopathy ischemic elandelayo amaqembu izidakamizwa ezisetshenziswa:

• vasodilators;
• antispasmodic.

Lezi zihlanganisa:

1. "Cha-silos".
2. "Drotaverinum".
3. "Vinpocetine".
4. "Ksantinola nikotinad".

Lapho izilonda anobuthi prescribers ngokuvumela unekhemikhali izinto eziyingozi. Ngo ezithathelwanayo - ejenti elwa namagciwane, antifungal kanye elwa namagciwane. Iziguli ezinjalo kufanele uqaphele ukuthi ayikho indlela yokuyelapha isikhathi esiningi futhi ngaso sonke isikhathi yimpumelelo.

Ephambi kwezinduna kwezinso zofuzo ukuqeda isifo ngemithi akunakwenzeka. Kulokhu, eziyalezweni ukwelashwa akhethiwe esaphila, ukuze kuqedwe ukufa kwabantu noma ukunciphisa izenzo emtholampilo.

kokungenela op

zikhalele uma myelopathy nomgogodla wesibeletho sokucasuka izici mechanical kuya ngosizo udokotela ohlinzayo, njenge:

• ukuvuvukala;
• izinhlumba;
• hernia;
• ukufuduka vertebral m. p.

Njengoba umkhuba ubonisa, nokususa izimila benign Isiguli eziningi amathuba ukunqoba lesi sifo. Ukwelashwa myelopathy wesibeletho in Oncology sihamba nzima nakakhulu. Njengomthetho, ukuze senze ukuqagela aziveli odokotela.

Ukuze ukulimala umphumela zingase zihluke. Konke kuncike izinga lomonakalo nendawo.

imisebenzi Ukusekela

Ukwelashwa nokuvikelwa myelopathy wesibeletho - isigamu indlela. Ngemva ukuqedwa isifo oyinhloko isiguli elinde isikhathi eside ukuvuselelwa. Lungase luhlanganise:

• zonke izinhlobo ukubhucungwa;
• Physiotherapy;
• ukutshopa;
• Physiotherapy;
• electrophoresis;
• egqoke corsets ukulungisa;
• Seen sanatoriums ezikhethekile.

Sebekubeke ingamukeleki bahlanganyele self-ekwelapheni izimpawu kanye izimbangela myelopathy wesibeletho. thoughtlessness okunjalo igcwele lesion ezibucayi kuyofika emnkantsheni amathambo ukukhubazeka engelapheki.

zokuvimbela

Ngokuvamile lesi sifo kwenzeka lapho isikhulile, kodwa ngokuvamile kutholakala nentsha ngisho nezingane imbala.

myelopathy wesibeletho kanye syndrome-ALS ebonwe iningi iziguli wafunda. Ukuze kancane ukunciphisa amathuba lapho ivela khona, kufanele ulandele iziqondiso ezilula ezimbalwa:

• Njalo ekuseni uqalise nge kancane gaphambi;
• uma umsebenzi ihlobene ubude ukuhlala endaweni awulutho, sukuma wenze ezihlukahlukene umzimba, ungakwazi nje ukuhamba;
• kungekho slouch;
• ukukufaka ekudleni inyama bese uqwanga nobisi imikhiqizo;
• ukuqeda imikhuba emibi;
• ukulahla ukudla esindayo futhi yekhwalithi ephansi;
• udle kakhulu izithelo nemifino;
• ngezikhathi guzzle Yiqiniso amavithamini namaminerali;
• ebukhoneni kwezimo ezimbi kakhulu ezingalapheki ngendlela esifike aphathwe;
• ukuxoxa nodokotela wakho kungenzeka usebenzisa izidakamizwa, ukuvikela nokulondoloza uqwanga (chondroprotectors).

Ukuzwa sitholakele "myelopathy wesibeletho", akufanele ngokushesha akhale yithemba bese ucabanga of Oncology. Ezimweni eziningi, le zokugula kuyinto ingozi emvelweni. Kumele kushintshwe ukucabanga kwakhe futhi ukholwa ekuphiliseni yabo, ngoba umuthi kungase kutholakale ukuthi ukusebenza kwe-yokuyelapha eduze okuhlobene kwemizwa lesiguli, ngisho noma isimo sezulu singaba njani okungekuhle kakhulu.