Spondylitis - chii? Types, Zviratidzo, Treatment spondylitis

spondylitis chirwere apo neapo. Maererano nenhamba, kuti zvokurwara vakachengeta muna 0.3-0.8% vanhu. Naizvozvo, vazhinji havazivi kana vachida kunzwa chirwere "spondylitis," chii. In kurapwa tsika, ichi izwi anonzi anogumbura chirwere yacho nomuzongoza. Kukudziridza chirwere necheseri nokumhanya zvirwere zvinokonzerwa noutachiona. Panguva Chaiyo pekuhwa- nda vanachiremba kunzvenga kukura chirwere hachifadzi kwakadaro. Izvi rinotsanangura Nhamba zvakanaka.

Zvinoitwa chirwere

Spondylitis - chii? zvokurwara ichi rinobatanidza boka rose revanhu anogumbura zvirwere nomuzongoza, kuitika chirwere chimiro. It kunoratidzwa maronda anoverengeka chomupepanhau dzakabatana.

Inotsigira zvokurwara ingawanikwa:

• tiibhii;
• brucellosis;
• fivha;
• purulent chirwere.

Hatigoni siya zvimwe zvinokonzera chirwere. Asi kazhinji hapana tuberculous spondylitis.

Kuzvimba, kuitika mumuviri, zvinotungamirira kuparadzwa vertebral mapfupa arambe achirema kunodzikira. Somugumisiro, mashoko deformation yose dzichiri pambiru.

Zvokurwara haiwanzowaniki chirwere chinogona kuitika mune vanhu vemazera akasiyana. Kutanga dhigirii ane zvakakwana diffuse zviratidzo, izvo chaizvo zvinoomesa zviratidzo. Asi kukundwa anoverengeka chirwere romukova Links anova kucherechedzwa hunhu.

Zvakakodzera kunyatsonzwisisa spondylitis - chii. zvokurwara ichi akaratidza kurwadziwa kwakanyanya, kunzwa kuomarara, nefivhiri, simba kunzwa uye chitarisiko zvikuru chaizvo mamiriro. Zviri ngozi chaizvo kana hosha haubvi kukosha. kunoita Its inotungamirira paumbwe imwe ano kana chisina kutsetseka curvature pamusoro musana iri thoracal nharaunda.

The zvinokonzera chirwere

spondylitis chirwere nguva dzose chinovapo somugumisiro ane chirwere kwacho mumuviri.

Doctors ndeizvi zvinokonzera chirwere:

1. Dzakananga. Zvakawanda zvive wakatsamwisa nevamwe utachiona, iyo inotungamirira zvachinja vertebrae: tiibhii, brucellosis, gonorrheal, syphilitic, aktinomikoticheskaya.
2. Nonspecific. Tusingaoneki kukonzera hwokufananidzira weboka chirwere pachishandiswa purulent kuzvimba. Chirwere chinogona kukonzerwa: intestinal utachiona, Haemophilus influenzae, staphylococci. A pachena chepfungwa chirwere - ndiye paumbwe paravertebral pute.
3. Rheumatoid. To chirwere ichi kutungamirira zvokurwara wakatsamwisa hemolytic streptococcus Group A: angina, pyoderma, carditis.

Zvinokonzera chirwere vari:

• kutura kutapata;
• yakareba kwokubatsira cytotoxic zvinodhaka, corticosteroids;
• musana zvinokuvadza;
• chisingaperi nemadzinza kutapukirwa chaizvo (mwandabvu, pulmonary tibhii).

kupatsanura zvirwere

Kune mhando zhinji spondylitis, kana tikafunga kubva nemaonero zvinokonzera.

Zvinonyanyozivikanwa 3 mhando:

• tiibhii;
• aseptic;
• ankylosing.

Uyezve, mumwe zvokurwara ingachinja chero chikamu. Naizvozvo kusunungura:

• spondylitis of lumbar muzongoza;
• thoracal;
• remuromo.

Huru Zviratidzo

Vanhu nezvisarudzo zvinetso zvakadai spondylitis, chii, anonzwisisa. The chirwere rinowanika zvikuru zvisingafadzi zviratidzo uye yekudyidzana kunokanganisa huri upenyu.

Nokuti chirwere kunoratidzwa zvinotevera kiriniki:

• rwadza kusanzwa kumashure, hudyu nharaunda, makumbo, chipfuva;
• kuzvimba musana mbiru;
• kutsva kana tingling mu pazvidya, makumbo, shure;
• muzongoza kuomarara;
• dzose vanofanira 'kuenda chimbuzi ";
• rutapudzo kufamba;
• marwadzo panguva mafambiro;
• kupfupikisa ari muzongoza;
• panowanikwa matambudziko hope;
• mumwe nekuratidzwa curvature yacho nomuzongoza.

Spondylitis lumbar nomuzongoza anooneka zvikuru maitiro chetsinga zvirwere:

1. Pangave zvishomanana kana zvakakwana kuoma rezasi maoko nemakumbo.
2. Izvi zvinoita akaratidza Urinary uye fecal incontinence.
3. Marwadzo pamakumbo munzvimbo dzimwe nguva anopiwa crotch.
4. Kusagadzikana kuri anopedza hunhu, kuitika nguva nenguva, "backache".
5. Dzinoratidzwa zviratidzo anoratidza kudhaka: nefivha yakaderera-sosaiti, dzungu, utera.

ankylosing spondylitis

zvokurwara ichi ane zita mumwe - ankylosing spondylitis. At moyo kukura chirwere chiri zvirwere kukuvara shwashwa. Ankylosing spondylitis kazhinji kunoguma kutadza kufamba muviri. Kazhinji, zvokurwara iri kuchengetwa nevanhu, Rwaipfuura-gore 20 yechiitiko.

Ankylosing spondylitis of nomuzongoza zvishoma nezvishoma kuita motokari chaitika. With chirwere ichi pane, savanhu fused vertebrae. Somugumisiro zvinoumba chete pfupa.

Anovandudza zvokurwara zvishoma nezvishoma kwenguva refu. Pakutanga njodzi lumbar ipapo chirwere anofukidza pahudyu uye muhudyu. Ossificação em of nomuzongoza zvishoma nezvishoma rinobuda. Zvakakwana mwoyo kana wasvika thoracal mugove. Pashure pezvose, pamwe akaderedza mufambo pane kuome kufema. Somugumisiro, murwere hwapedyo chirwere zvirwere zvemapapu.

Zviratidzo zviri chirwere vari zvikuru chakaiswa yezviri mutoro kana oga kuripo. Kusingafadzi kusanzwa panobviswa nokushandisa Anti-anogumbura zvinodhaka uye anokosha jimunasitikisi makirasi.

trachelokyphosis

The chirwere unonzi chirwere Pott kuti. Kakawanda, zvokurwara vana uye kuyaruka. The causative mutumwa chirwere iri zvakakwana husingakwanisi asidhi uye vazhinji inorwisa mabhakitiriya.

Tuberculous spondylitis kunyanya ikabuda iri thoracal mugove sezvo chirwere kunokonzerwa tusingaoneki localizes mumapapu, dzimwe nguva ari node nodes. Utachiona kupinda mumba vertebrae, kutsamwisa paumbwe lumpy hurongwa kuti kukwegura necrosis. zvinyama necrosis rinofukidza pedyo romukova Links.

Zvokurwara angatanga mberi kuburikidza makore anoverengeka pashure chirwere. Tanga kusimukira chirwere mashandiro anogona mwero, kunotevera, simba kutapata.

Symptomatology tuberculous spondylitis zvinotevera:

1. The localization of kuzvimba nzvimbo vakachengeta kuzvimba uye chando abscesses.
2. Sezvineiwo zvishoma motokari chaitika.
3. Mwana anoneta nokukurumidza, haana kurara, kudzikama.
4. In vana, pane kungwaririra gait. Vari kuedza nokubudisa mudumbu uye ruramisa musana wako, achideredza mutoro pamusoro muzongoza intuitively.
5. Pane kunyunyuta kuti abdominal marwadzo.

Kuchiita hosha kunotungamirira paumbwe imwe ano, kuti kwaita chetsinga zvirwere, uye dzimwe nguva dzomuviri.

The murwere ushandiswe mishonga antibacterial, rokudzorera kurapa. Mune zvimwe zviitiko, kuvhiya inokurudzirwa.

aseptic spondylitis

chirwere ichi chiri pakurapa anozivikanwa somunhu chirwere Kümmel-Verney. Hwaro chirwere ndiye kunotevera vertebra. Aseptic spondylitis hachifadzi zvikuru uye unokuvadza. Pashure yokukuvara anosika fungidziro kuti hosha yakurirwa, nekuti hapana zviratidzo murwere zvinochengetwa. Zvingatora makore akawanda. Zvinosuruvarisa panguva iyi nguva njodzi nzvimbo akafukidzwa necrotic foci.

Kakawanda, zvokurwara kunokwanisa kuonekwa mune muduku uye repakati varume. Disease Kümmel-Verney kakawanda iri mupasi mune thoracal nharaunda, asi dzimwe nguva kunooneka pachayo iri lumbar nharaunda.

Pane risingafadzi chaizvo mufananidzo apo intravertebral tsinga payakarovera panguva zvinokuvadza. Muchiitiko chino, pane ropa zhinji afunge vasomotor vachivavhiringidza. Tanga kukudziridza necrotic pezvakaitwa zvichiitika mapfupa nemukuparadzwa.

Zvisinei, njodzi vertebra kuramba kutakura mutoro uye mabasa ose mabasa. Izvi zvinotungamirira deformation. Kunyange kukuvara kuduku zvakakwana kuti murwere yakabuda compression pakakuvara yacho nomuzongoza.

mishonga

Kumisa chirwere kukura anogona chete nzwisisika matanho.

Kana nechirwere spondylitis pamusoro nomuzongoza, kurapwa kunosanganisira:

• basa zvinodhaka;
• physiotherapy;
• jimunasitikisi.

Zvipatara kunobva pachido kunobva, chirwere makatsamwisa. Naizvozvo, mishonga zvinodhaka vanosarudzwa nomumwe.

Kakawanda, murwere ushandiswe:

1. NSAIDs. Zvingava zvinodhaka: "Ibuprofen", "diclofenac", "Nimesulide".
2. Zvinodhaka, kubvisa kuzvimba uye hauna steroid chaizvoizvo "Indomethacin", "Ortofen". Mishonga iyi kuderedza marwadzo, Iwo tembiricha, kubvisa kuzvimba.
3. Corticosteroids. Drugs zvainanga kubviswa pakazvimba uye kudzorerwa anetseka muviri. Vanopa kuti muzongoza pedutu. Kazhinji mushonga "Prednisolone" inokurudzirwa.
4. Mishonga. Kushandiswa kwavo kunoita kuti tirwise zvirwere. Ipa zvinotevera mishonga: "Cefixime", "norfloxacin" "Ceftriaxone", "Ofloxacin", "Levofloxacin".
5. Solutions kupa kubviswa tsvina kubva mumuviri. Vanokurudzira: zvinoreva Ringer anogadzirisa kana yavaibvisa chloride.

Zvimwe kwomuchipatara

Pashure kuchaitwa marwadzo kurapwa spondylitis ari zvinotevera zviitiko:

1. Physiotherapy. Daily muviri kubvumira kusimbisa tsandanyama tishu.
2. Thermotherapy. Munzvimbo iyi iri kudziyirwa. Somugumisiro, kunonyanyisa kuderera marwadzo.
3. Kuchirapa namabhati. Nyaya idzi dzakagadzirirwa kuzorora tsandanyama rinenge uye kubvisa kusanzwa.
4. Phonophoresis. The nzira anobvisa puffiness.
5. Massage. Normalizes kweropa uye zvinoita kuti muviri. Zvinobatsira kudzorera kwakarurama nzvimbo vertebrae.

Kuvhiya kurapwa haawanzopiwi kushandiswa. faniro Its inomuka chete kana zvinodhaka marapirwo ndiko kubudirira. Ndokusaka zvichikosha pane zvirwere zvakadai spondylitis, nenguva kutsvaka rubatsiro.