Remuromo myelopathy: zviratidzo, zvinokonzera, kuongorora, kurapwa

The musana - chikamu chinokosha muviri. Iye anoita somunhu kondakita, achitumira anonongedzera kuti nhengo dzomuviri zvose kubva musoro uye nechepakati tsinga. kudyidzana rinobatsira kwakadaro kunoita sangano maoko nemakumbo, dzinovimbisa kunowanzoitika kushanda nemudumbu, urogenital maitiro uye nevamwe. Chero kukuvara dhipatimendi iri hwakazara migumisiro yakaipisisa uye anogona pakarepo kuisa munhu ari pawiricheya.

Imhandoi chirwere

Myelopathy - a Generic izwi zvose rinoti, imwe nzira kana imwe zvinokanganisa musana basa.

The Pane zvinhu kukonzera kukura chirwere zvinosanganisira:

• zvokuimba zvinokuvadza;
• siyana zvirwere.

Zvichienderana chikonzero, izvo zvakakonzera chirwere, izwi anowedzera yakakodzera chivakashure.

Somuenzaniso, muromo wechibereko myelopathy, kunoratidza kuti localization pamusoro pathological kwacho ari kuchengetwa mune remuromo nomuzongoza.

nei

Kubva kukura chirwere hapana angati. It pakarepo anooneka uye anopinda munhu akavavhiringidza.

Rakajairika Zvikonzero afunge musana kukuvara zvinosanganisira zvinotevera:

• kukuvadzwa nokuda mapopoma, tsaona, kuvhunduka;
• postoperative yematambudziko;
• heniya protrusion mota;
• scoliosis;
• pasi musana kurwadziwa;
• spondiloartroz;
• spondylosis;
• mitswe uye dislocations of vertebrae;
• Mbabvu dhemeji;
• mhando dzose chirwere;
• autoimmune chirwere;
• systemic anogumbura zvirwere;
• kweropa zvirwere;
• musana vascular thrombosis;
• atherosclerosis;
• osteomyelitis;
• tiibhii mapfupa;
• hemorrhachis;
• demyelination.

Not mudukusa muchinangwa panowanikwa chirwere kuridza nhaka chirwere chokuita kuunganidza phytanic asidhi (Refsum nehosha) uye kuvapo motosensornyh zvirwere (chirwere Roussy - Levy).

In nezvirwere zvakasiyana-siyana pamusoro musana iri kuchengetwa kukuvara musana masero etsinga zvokurwara yakadaro inonzi "chinonzi amyotrophic lateral sclerosis chirwere" (ALS).

Common zviratidzo

Kuonekwa zviratidzo remuromo myelopathy zvingaitika kana zvishoma nezvishoma kana pane imwe nguva. The yokupedzisira chinonyanya yo zvokuimba chiito pamusoro nomuzongoza, akadai nembambo, kutsemuka misha.

Munhu anorwara vanogona:

1. Kurwadziwa-siyana localization.
2. Zvinoderedza kana kurasikirwa manzwiro pasi lesion wakakwana.
3. Chiveve uye tingling pakati minwe, maoko nemakumbo.
4. Kuoma Mbabvu kana muviri wose.
5. Kutyora zvomudumbu emuviri uye Urinary hurongwa.
6. Neutera zvimwe tsandanyama.

Panogona kuva zviratidzo vertebral remuromo myelopathy:

1. Nezvinetso Kufambisa nemafambiro.
2. Marble ruvara rweganda.
3. Kunwisa vangadikitira.
4. Mwoyo mutinhimira vachivavhiringidza.
5. Kunwisa emotionality, zvikaramba zviripo.
6. Kutya kwaaizoita rufu uye zvinhu.

Bright kutanga kuitwawo chirwere haisi nguva dzose zvazviri. Mune zvimwe zviitiko, zvichemo angava chisingakoshi uye mberi kwenguva yakareba.

Varwere ava Kashoma kushanyira chevanorwara wezvokurapa mukutanga mumatanho kunyora vakagura kuneta Kuipa utano nezvimwewo zvikonzero.

The mberi weboka chirwere anoenderana zvinhu zvizhinji, asi nokukurumidza riri kuona, zvikuru vanhu vawane mukana kudzokera upenyu hwakanaka uye hunogutsa.

kupatsanura

Zvinotevera mhando zvirwere kuitika tikafunga zvakananga zvainoita musana. Ivo:

1. Muchetura uye nemwaranzi. Ko apo neapo. Angamuka sezvo migumisiro rapfuura irradiation mune kenza kana chepfu mekuri, kutungamirira, Arsenic nezvimwe yeimwe ngozi. Musana kukuvara ari kufambira mberi zvishoma nezvishoma. The pakuonekwa rokutanga zviratidzo kazhinji chokuita zvapfuura Zvikamu zviri oncology, dzinova kwaita metastases.
2. Carcinomatous. Rinomirira paraneoplastic nechepakati tsinga kuti inoitika yaitwa malignancies siyana. Izvi zvinogona kuva zvemapapu, chiropa, ropa uye m. P.
3. Rwarisa. Zvinonzi inoyerera runako zvakaoma uye zvinogona kukonzerwa enteroviruses, chirwere cheLyme, AIDS, njovhera uye nevamwe.
4. Metabolic. Kana Kazhinji chirwere vasabatwa. It anokonzerwa dzakasiyana-siyana metabolic uye hormone disruptions inogara.
5. Demyelinating. Mugumisiro CNS Tutsinga tunofambisa mashoko utwu. It hunogona kutapukira majini kana kuitika nedanho upenyu.

maronda akadaro mashoma zvikuru pane compression.

The kukundwa of remuromo muzongoza

Ndicho siyana. Pane munzvimbo yokutanga 7 vertebrae.

Zvinogona kukonzerwa chero apa zvikonzero, asi kazhinji kunoitika pamusana compression, kureva. E. The vomanikidza musana.

Zvingava heniya, namamota uye zvimwe zvinhu zvine zvokuimba zvazvinoita nomuzongoza ichi chinokosha.

Kazhinji zvokurwara vakamutsamwisa zvirwere zvakadai:

• pasi musana kurwadziwa;
• scoliosis uye m. p.

Vachiberekwa kana akawana zvikanganiso midziyo guru kunogona kuvhiringidza kushanda musana, zvichikonzera kuzvimba kwayo.

Varwere remuromo myelopathy ndiyo inonyanya kutaurwa uye kwazvo zvichemo.

Vanogona kutanga chiveve ari pamafudzi nzvimbo uye kupararira mumuviri wose. Nguva dzose kunge kutyora vestibular ezvinhu, zvichikonzera:

• dzungu, kunyanya kana akashandura musoro kana vakanongazve;
• nekuvhiri- ngika;
• kuti chidzoke kuti "enhunzi" pamberi;
• tichibatwa vhunduka uye zvakafanana.

Kazhinji zviratidzo myelopathy remuromo nomuzongoza kuvhiringidzwa IRR. Pashure kundikana kurapwa rinoitwa uwane kutsvakurudza, izvo zvinoita kuti uzive chikonzero chaicho.

zamu zvokurwara

localization ichi hakuna zvishoma ngozi, asi kazhinji kacho kurapwa kuonekwa zvisinganyanyi raidudzwa.

Kusiyana myelopathy of remuromo nomuzongoza, murwere anogona kuvhiringidza:

• kudzvinya manzwiro munzvimbo mbabvu uye mwoyo;
• kwokuomerwa inspiratory;
• marwadzo intensities siyana;
• simba uye kudedera maoko;
• nokusimbaradza kusanzwa apo vachikotama uye muviri.

Kakawanda zvinoita kweropa vachivavhiringidza, asi nezvimwewo hazvigoni dziripowo.

Zviratidzo zamu muchimiro chakafanana zvikuru imwe osteochondrosis redhipatimendi ichi, kunyange zviri zvikuru zvisingawanzoitiki zvokurwara yacho nomuzongoza.

Pakuita chirwere kunokosha kusiyanisa kubva nezvirwere zvomwoyo uye kufema hurongwa.

lumbar localization

Kana murwere hwasvika chimiro ichi chirwere, matambudziko kuchengetwa yepazasi chikamu muviri. Pasi pokudzora afunge zvinhu vanokanganiswa:

• makumbo (muviri, chiveve, tingling, uye vamwe);
• pelvic nhengo (pane zvakasiyana-siyana zvirwere chokuita mitemo basa ravo).

Kuti riri kumusoro lumbar chirwere kazhinji asingadi kukanganisa. Anosiyiwa vari vakavhengana siyana apo vose dzaparadzwa musana.

Kana compression chinoitika kashoma, kazhinji chinhu systemic zvainoita musana kana muviri wose (nemwaranzi, muchetura, zvirwere, nezvimwewo Nezvimwewo).

Zviratidzo myelopathy pamusoro remuromo nomuzongoza iri zvishoma kuchengetwa.

nzira nechirwere

In pasina maitiro zviratidzo remuromo myelopathy, kufanana nedzimwe mhando, Ziva kugadzirisa.

Kana uchifunga kuti muviri chinhu kuti varwere kuenda chiremba, vachibatsira uye dzimwe nyanzvi vasingagoni kuziva zvinokonzera Kuipa utano kana kuisa kururama kuongorora chirwere kunyange.

Treatment uye chirwere chirwere yave wetsinga. Pakutanga zvakanga anounganidza detailed kare, t. E. History. The murwere anofanirwa kuudza mashoko:

1. Rinhiko kare vakatanga kunyunyuta.
2. Kana uine nazvo, kana hama dzepedyo chisingaperi zvirwere.
3. Rudzii mararamiro anotungamirira (hapachina tsika dzakaipa, uye zvichingodaro. N.).
4. kana ari kare pasi nemwaranzi uye atsvaka ikoko zvine chepfu uye zvakafanana. d.

Zvichienderana izvi date nyanzvi anogona kureva kuvapo remuromo myelopathy, izvo zvaida kuti asimbise kuburikidza kuongorora.

Hako vanofanira narwo rwevanhu uye nokukanganisika bvunzo ropa. Kana uchifungidzira kuti chirwere chinogona kupiwa kuongorora kusabereka kwayo.

In zvakafanana, zvinokosha kuti chirwere, kusanganisira:

• Maekisirei;
• electromyography;
• electroneurogram;
• MRI, CT scan of muzongoza;
• musana angiography uye ponji.

The zvichiguma zvinhu achatumirwa murabhoritari kuti bacteriological nokudyara uye kuziva zvimwe zvirwere PCR.

Kamwe kuongororwa zvakarurama uye kuziva miedzo afunge zvinhu riri basa raida kurapwa, wetsinga iyo uchanamatira pamwe nedzimwe nyanzvi. Zvichienderana chikonzero ichi angava:

• venereal zvirwere;
• oncologist;
• vertebrologist;
• osteopath uye nevamwe.

All nechirwere muromo wechibereko urege myelopathy chete anogona kuudza kupinda chiremba.

zvinodhaka kurapa

A chete kurapwa zvaiitwa haako. The zano anosarudzwa nomumwe uye anoenderana zvinhu zvakawanda, zvinoti:

• zvinokonzera chirwere;
• nekuomarara;
• zera uye vakadzi murwere;
• comorbidities nezvimwe.

Nokuti pakurapa remuromo myelopathy ischemic anotevera mapoka zvinodhaka anoshandiswa:

• vasodilators;
• antispasmodic.

Idzi dzinosanganisira:

1. "No-silos".
2. "Drotaverinum".
3. "Vinpocetine".
4. "Ksantinola nikotinad".

Kana chepfu maronda prescribers kubvumira excrete zvinokuvadza. In noutachiona - antiviral, antifungal uye antibacterial nevamiririri. Vanaamai vakadaro vanofanira kuziva kuti kurapa ndiyo nguva yakawanda uye kwete kubudirira nguva dzose.

In pamberi masero abnormalities kupedza chirwere pamwe mishonga hazvibviri. Panyaya iyi, mishonga zvaiitwa yasarudzwa hwose, kubvisa kana mitigating kuti zvekuchipatara kuratidzwa.

kushanda kupindira

kushandisa kana myelopathy remuromo nomuzongoza makatsamwisa zvemaziso zvokufunga achibatsirwa nachiremba, yakadai se:

• bundu;
• cysts;
• heniya;
• vertebral misha uye m. p.

Sezvo tsika inoratidza achibvisa benign mapundu murwere yakawanda mikana kukunda zvirwere. Zvipatara nokuti muromo wechibereko myelopathy mu oncology rinopfuura rakaoma zvikuru. Kazhinji, kuti chero zvaizoitika regai kuuya kubva vanachiremba.

Mukukuvara Zvingaguma zvakasiyana. Zvose zvinoenderana ukuru kukuvara uye nzvimbo.

kutsigira mabasa

Mabatirwo remuromo myelopathy - hafu nzira. Pashure kubviswa mukuru chirwere murwere vakamirira kwenguva yakareba vapore. Zvingasanganisira:

• nemhando dzose kukwizwa;
• physiotherapy;
• jekiseni;
• physiotherapy;
• electrophoresis;
• vachipfeka corsets kugadzirira;
• Ndaona specialized nekwevanorwa pfungwa.

Categorically isanzwiwa tichiita kuzvidzora pakurapa zviratidzo uye zvinokonzera remuromo myelopathy. thoughtlessness kwakadaro hwakazara zvakakomba lesion pakati mumwongo uye kusingarapiki dzomuviri.

dziviriro

Most kazhinji chirwere kunoitika vakura, asi ari kazhinji chirwere mune vechiduku uye kunyange vana.

Remuromo myelopathy pamwe chirwere kuti ALS kuchengetwa vakawanda varwere vakadzidza. Kuti zvishoma kuderedza ndingangokuvara parinowanika, vanofanira kutevera zvishomanana mirayiridzo:

• Ose mangwanani zvakatanga zvishoma inodziya-up;
• kana basa iri chokuita kureba kugara nokugara chinzvimbo, simuka kuita zvakasiyana-siyana kurovedza, unogona chete kufamba;
• hapana slouch;
• kuti zvinyorwe zvokudya nyama uye shwashwa uye mukaka zvinogadzirwa;
• kurasa tsika dzakaipa;
• kusiya inorema uye yakaderera-unhu zvokudya;
• udye michero nemiriwo yakawanda;
• nguva nenguva guzzle kosi mavhitamini uye zvicherwa;
• pamberi chisingaperi ezvinhu mune nenguva nenzira kubatwa;
• kukurukura nachiremba wako mukana kushandisa zvinodhaka, kudzivirira uye nokudzosa shwashwa (chondroprotectors).

Kunzwa zvokuongorora kuti "muromo wechibereko myelopathy", haafaniri pakarepo kupa nzira mwoyo uye kufunga oncology. Kazhinji, kuti zvokurwara iri benign zvakasikwa. Zvinofanira kugadziridzwa chokwadi uye vanodavira pachavo kurapwa kwavo, nokuti mushonga vakaratidza kuti kubudirira mishonga ine chokuita murwere manzwiro, kunyange kana for iri zvisingafadzi. chaizvo.