Spondylitis - ihe ọ bụ? Ụdị, Mgbaàmà, Ọgwụgwọ spondylitis

spondylitis ọrịa bụ nnọọ obere. Dị ka ọnụ ọgụgụ, daa ọrịa hụrụ 0.3-0.8% nke ndị mmadụ. N'ihi ya, ọtụtụ na-adịghị ọbụna mara na ọ bụrụ na ha na-anụ nchoputa "spondylitis," ihe ọ bụ. Na-adakarị omume, nke a na okwu ahụ na-akpọ mkpali ọrịa nke ọkpụkpụ azụ. Emepe emepe ọrịa na ndabere na-agba ọsọ nke nje na-efe efe. Bịara n'Ezi Oge recourse dọkịta zere mmepe nke ndị dị otú ahụ wetara ọrịa. Nke a na-akọwa ezi ọnụ ọgụgụ.

Njirimara nke ọrịa

Spondylitis - ihe ọ bụ? Nke a daa ọrịa na-agwakọta a dum ìgwè nke mkpali ọrịa na nke spain, na-ewere ọnọdụ na-adịghị ala ala ụdị. Ọ e ji ọnya nke ọtụtụ kọlụm nkeji.

Akpata daa ọrịa nwere ike na-edina:

• ụkwara nta;
• brucellosis;
• ịba;
• purulent ọrịa.

Anyị nwere ike ewepu ndị ọzọ na-akpatara ndị ọrịa. Ma mgbe e nwere tuberculous spondylitis.

Mbufụt, na-ewere ọnọdụ ke idem, na-eduga ná mbibi nke vertebral ọkpụkpụ njupụta ebelata. Dị ka a N'ihi ya, deformation nke dum na-emepe emepe post.

Pathology bụ obere ọrịa na nwere ike ime ka ndị mmadụ dị iche iche afọ. Malite ogo nwere zuru ezu asị ibe mgbaàmà, nke ukwu sikwuoro nchoputa. Ma, ya na-emeri nke ọtụtụ ọrịa post njikọ aghọ recognizable agwa.

Ọ dị mkpa ịghọta n'ụzọ doro anya spondylitis - ihe ọ bụ. Nke a daa ọrịa gosipụtara oké ahụ ụfụ, na-eche nke isi, ahụ ọkụ, adịghị ike mmetụta na ọdịdị nnọọ kpọmkwem postcho. Ọ dị nnọọ ize ndụ ma ọ bụrụ na ọrịa ahụ abụghị nke mkpa. Ya progression-eduga ná guzobe nke a mkpumkpu azụ ma ọ bụ na angular curvature nke ọkpụkpụ azụ na thoracic mpaghara.

Na-akpata ọrịa

spondylitis ọrịa mgbe niile na-ebilite n'ihi nke ọrịa na-efe usoro ke idem.

Dọkịta na-na-esonụ na-akpatara ndị ọrịa:

1. Specific. Malaise iwe na ụfọdụ bacteria, nke na-eduga mgbanwe vertebrae: ụkwara nta, brucellosis, gonorrheal, syphilitic, aktinomikoticheskaya.
2. Nonspecific. Microorganisms ime ka ahụkarị N'ezie nke ọrịa na ndabere nke purulent mbufụt. The ọrịa nwere ike triggered site na: nsia bacteria, Haemophilus influenzae, staphylococci. A akụkụ pụrụ iche nke ọrịa - bụ guzobere paravertebral etuto.
3. Ọrịa ogbu. Iji a oria ụzọ daa ọrịa kpasue hemolytic streptococcus Group A: rịaworo, pyoderma, carditis.

So akpata ọrịa na-:

• rada ọgụ;
• ogologo okwu ochichi nke cytotoxic ọgwụ ọjọọ, corticosteroids;
• spinal mmerụ;
• adịghị ala ala hotbed nke kpọmkwem na-efe efe (gonorrhea, akpa ume ụkwara nta).

nhazi ọkwa nke ọrịa

E nwere ọtụtụ iche spondylitis, ma ọ bụrụ na anyị na-ewere ya na ya si ele ihe anya nke na-akpata.

The kasị 3 ụdị:

• ụkwara nta;
• aseptic;
• ankylosing.

Ọzọkwa, a daa ọrịa nwere ike imetụta ọ bụla akụkụ. Ya mere hapụ:

• spondylitis nke lumbar spain;
• thoracic;
• cervical.

Isi mgbaàmà

People chere ihu na nsogbu ndị dị ka spondylitis, ihe ọ bụ, na-aghọta. The ọrịa na-egosi nnọọ wetara ihe mgbaàmà na budata emetụta àgwà nke ndụ.

N'ihi na ọrịa e ji ndị na-esonụ ọgwụ:

• na-egbu mgbu erughị ala na azụ, hip ebe, ụkwụ, obi;
• mbufụt nke spinal kọlụm;
• ere ọkụ ma ọ bụ tingling ke thighs, ụkwụ, azụ;
• ọkpụkpụ azụ isi;
• mgbe nile mkpa ọ dị 'na-aga ụlọ mposi ";
• Mbelata agagharị;
• mgbu n'oge ije;
• shortening nke ọkpụkpụ azụ;
• omume nke na-ehi ụra nsogbu;
• a ngosipụta nke curvature nke spain.

Spondylitis lumbar spain egosi nnọọ ihe e ji mara akwara ozi ọgba aghara:

1. E nwere ike ịbụ a ele mmadụ anya n'ihu ma ọ bụ zuru ezu mkpọnwụ nke ala ụkwụ.
2. Usoro a na-egosi owụt urinary na Nsị incontinence.
3. Mgbu na ụkwụ ebe a na-mgbe ụfọdụ e nyere na crotch.
4. Erughị ala bụ agba agwa, ime oge, "backache".
5. Ji mgbaàmà na-egosi nke igbu egbu: ala-ọkwa fever, dizziness, adịghị ike.

ankylosing spondylitis

Nke a daa ọrịa nwere aha ọzọ - ankylosing spondylitis. Na obi nke mmepe nke ọrịa bụ ihe dịghịzi ọgọdọ mebiri. Ankylosing spondylitis mgbe agwụ ịnọrọ nke ahu. Ọtụtụ mgbe, nke a daa ọrịa a hụrụ na ndị ikom, na-agafe na afọ 20 milestone.

Ankylosing spondylitis nke ọkpụkpụ azụ nwayọọ nwayọọ machibido moto ọrụ. Ọrịa a na e nwere, dị ka ọ na-gwakọtara vertebrae. N'ihi na ha na-etolite a otu ọkpụkpụ.

Amalite daa ọrịa nwayọọ nwayọọ ruo ogologo oge. Ná mmalite otụk lumbar mgbe ọrịa na-ekpuchi apata na ukwu. osifikeshịọn nke ọkpụkpụ azụ nwayọọ nwayọọ adahade. Ịpụta ihe ọ na-akụda mmụọ mgbe ya eruo ihe ndị thoracic òkè. Mgbe niile, tinyere belatara agagharị e isi ike na ume. N'ihi ya, ọrịa amalite-adịghị ala ala akpa ume ọrịa.

Mgbaàmà nke ọrịa na-ukwu enwekwukwa na-arụsi ọrụ ike ibu ma naanị ruo ogologo oge. Wetara erughị ala na-tutu amama site na iji mgbochi mkpali ọgwụ ọjọọ na pụrụ iche egwuregwu mmega klaasị.

trachelokyphosis

The ọrịa a na-akpọ Pott oria. Ọtụtụ mgbe, ndị daa ọrịa na ụmụ na-eto eto. The causative gị n'ụlọnga nke ọrịa bụ ya zuru ezu eguzogide acid na ọtụtụ ọgwụ nje.

Tuberculous spondylitis tumadi amalite na thoracic òkè dị ka ọrịa mere site microorganisms localizes na akpa ume, mgbe ụfọdụ, na Lymph. Nje bacteria banye n'ime n'ime vertebrae, akpasu guzobe lumpy owuwu na ịka nká necrosis. anụ ahụ necrosis ekpuchi nso post njikọ.

Pathology pụrụ ịmalite inwe ọganihu site na ọtụtụ afọ mgbe ọrịa. Malite na-emepe emepe ọrịa usoro nwere ike eme ihe gabiga ókè, trauma, ebelatawo ọgụ.

Symptomatology tuberculous spondylitis na-esonụ:

1. The orunótu nke mbufụt ebe hụrụ ọkọ na oyi na-atụ ahụ etuto.
2. Budata oke moto ọrụ.
3. The nwa akpa mba ngwa ngwa, ọ na-ehi ụra, na-erughị ala.
4. Na ụmụaka, e nwere a dị akọ gait. Ha na-agbalị riputasi afo na-agbatịnụ gị azụ, ẹsụhọde ibu na spain mmuo.
5. E nwere mkpesa nke abdominal mgbu.

Ná nke ọrịa na-eduga ná guzobe a mkpumkpu azụ, ntoputa nke akwara ozi ọrịa, na mgbe ụfọdụ mkpọnwụ.

Onye ọrịa na-kenyere antibacterial ọgwụ ọjọọ, ume ọhụrụ ọgwụ. Mgbe ụfọdụ, ịwa ahụ na-atụ aro.

aseptic spondylitis

Ọrịa a na-ọgwụ maara dị ka a na ọrịa Kümmel-Verney. The ndabere nke ọrịa bụ trauma vertebra. Aseptic spondylitis nnọọ wetara na-eji nwayọọ. Mgbe ihe ọjọọ na-emepụta na nro na ọrịa na-meriri, n'ihi na ọ dịghị mgbaàmà na-enwe ndidi na-hụrụ. Ọ nwere ike iwe ọtụtụ afọ. Dị mwute ikwu na, mgbe oge a nke oge otụk ebe kpuchie necrotic foci.

Ọtụtụ mgbe, ndị daa ọrịa na-chọpụtara na-eto eto na ikom katatụrụ. Disease Kümmel-Verney ọtụtụ mgbe a na-metụtara nanị akụkụ ụfọdụ na thoracic na mpaghara, ma mgbe ụfọdụ, na-egosipụta onwe na lumbar mpaghara.

E nwere a na nnọọ wetara picture mgbe intravertebral akwara e mebiri n'oge ọjọọ. Na nke a, e nwere ọtụtụ ọbara ọgbụgba akpali iche vasomotor disturbances. Ịmalite na necrotic Filiks na-eme ọkpụkpụ mgbasa ya.

Otú ọ dị, ndị emetụtara vertebra nọgidere na-ebu ibu na ịrụ niile na ọrụ. Ọnọdụ a na-eduga ná deformation. Ọbụna obere unan zuru ezu iji ndidi pụta mkpakọ mgbaji ọkpụkpụ nke ọkpụkpụ azụ.

ọgwụ

Kwụsị ọrịa development ike na mbara jikoro.

Ọ bụrụ na chọpụtara na spondylitis nke ọkpụkpụ azụ, ọgwụgwọ na-agụnye:

• ọrụ ọgwụ;
• physiotherapy;
• jimnazum.

Agwọ bụ kpam kpam dabere na isi iyi, ọrịa a kpasuru iwe. Ya mere, ọgwụ ọgwụ ọjọọ na-ahọrọ n'otu n'otu.

Ọtụtụ mgbe, onye ọrịa na-kenyere:

1. NSAIDs. Ọ pụrụ ịbụ ọgwụ ọjọọ: "Ibuprofen", "diclofenac", "Nimesulide".
2. Ọgwụ ọjọọ, iwepu mbufụt na adịghị nwere a steroid mmetụta "Indomethacin", "Ortofen". Ọgwụ ndị a-ebelata ihe mgbu, Afọ agbarụwo okpomọkụ, iwepu mbufụt.
3. Corticosteroids. Drugs iji na mwepụ nke ọkọ na nke mweghachi nke nsogbu metabolism. Ha na-enye ọkpụkpụ azụ nwughari. Ọtụtụ mgbe, ndị ọgwụ ọjọọ, "Prednisolone" na-atụ aro.
4. Ọgwụ nje. Ha were na-enye ohere ị na-alụ ọgụ anya na-efe efe. Kenye ndị na-esonụ ọgwụ: "Cefixime", "norfloxacin" "Ceftriaxone", "Ofloxacin", "Levofloxacin".
5. Solutions enye mwepụ nke toxins si ahu. Nwere ike ikwu: pụtara Ringer si ngwọta ma ọ bụ sodium chloride.

ọzọ therapies

Mgbe mkpochapu mgbu ọgwụgwọ spondylitis bụ na ihe ndị a:

1. Physiotherapy. Daily omume ekwe ka ike muscle anụ ahụ.
2. Thermotherapy. Otụk ebe a na ụtọ. N'ihi ya, kacha ọnụ mgbu.
3. Therapeutic baths. Ndị a na-eme na-iji zuru ike muscle anụ ahụ na-ewepụ erughị ala.
4. Phonophoresis. The usoro eliminates puffiness.
5. Ịhịa aka n'ahụ. Apụta ihe ka ọbara na-akpali metabolism. Ọ na-enyere iji weghachi ezi ọnọdụ nke vertebrae.

Ịwa ahụ ọgwụgwọ na-adịkarịghị eji. Ya mkpa na-ebilite naanị mgbe ọgwụ ọgwụ bụ kụrụ afọ n'ala. Ọ bụ ya mere nnọọ mkpa na ọrịa ndị dị ka spondylitis, na-adọ na-achọ ọgwụ ndụmọdụ.