Spondylitis - ntoni na? Types, Iimpawu, Treatment spondylitis

isifo spondylitis inqabile kakhulu. Ngokutsho manani, lo leengxaki awayezibona 0.3-0.8% yabantu. Ngoko ke, abaninzi nkqu ukwazi ukuba uve uxilongo "spondylitis," yintoni na. Ukuziqhelisa lwezonyango, lo gama kuthiwa sisifo yokukrala lomqolo. Ukuphuhlisa izifo kulawulo ngemvelaphi kwezifo. noncedo ngexesha oogqirha ukuphepha uphuhliso eso sifo krakra. Oku kuchaza manani elungileyo.

Iimpawu zesi sifo

Spondylitis - ntoni na? Le ngezifo idibanisa lonke iqela izifo yokukrala yomqolo, ivela ngathi ezigulo ezondeleyo. Lubonakala yi izitshanguba leeyunithi column eziliqela.

Bha ngezifo engase ilale:

• tuberculosis;
• lweBrucellosis;
• esifo;
• isifo ubovu.

Asikwazi ngaphandle ezinye zokugula. Kodwa kukho spondylitis tuberculous.

Nangokurhala, ivela emzimbeni, esa entshabalalweni of liyancipha kwamathambo vertebral. Ngenxa yoko, le deformation lonke iposi okhula.

Pathology sisifo inqabile ezingakhona abantu abakubudala ezahlukeneyo. Ukuqala degree uneempawu ngokwaneleyo kwentamo, nto leyo kakhulu nzima uxilongo. Kodwa ngokoyiswa amakhonkco kwisithuba izifo ezininzi kuba ubhalo ukuluqonda.

Kuyimfuneko ukuba ukuqonda ngokucacileyo spondylitis - yintoni na. Le ngezifo wabonisa intlungu obukhulu, imvakalelo ukuqina, ifiva, imvakalelo ubuthathaka kunye nenkangeleko somzimba kakhulu ezithile. Kuyingozi kakhulu ukuba isifo ayikho kubalulekile. progression yayo kukhokelela ukuyilwa idolo okanye ugobile emboxo yomqolo kummandla thoracic.

Izinto ezibangela izifo

isifo spondylitis usoloko kuvela njengesiphumo senkqubo ezosulelayo emzimbeni.

Oogqirha ezi zinto zilandelayo izifo:

1. Ethile. Umkhuhlane nomsindo iintsholongwane ezithile, nto leyo ekhokelela utshintsho amathambo: isifo sephepha, iBrucellosis, gonorrheal, syphilitic, aktinomikoticheskaya.
2. Nonspecific. Amagciwane ukuba ikhondo wendlela sifo ngokusekelwe ubovu komtshiso oko. Le sifo kuxhokonxwa: iintsholongwane isisu, Haemophilus influenzae influenzae, staphylococci. A isici esasenza isifo - lo ukuyilwa ithumba paravertebral.
3. Omzimba. Ukuze oku kukhokelela sifo ngezifo Bamqumbisa hemolytic iStreptococcus Group A: angina, pyoderma, carditis.

Ekwakhiwe ze zesifo:

• base- okukwazi;
• ulawulo lwexesha elide lwamachiza cytotoxic, corticosteroids;
• ukulimala spinal;
• zathi ezingapheliyo lwezifo ezithile (gonorrhoea, isifo sephepha pulmonary).

nokubekwa kwezifo

Kukho iintlobo ezininzi spondylitis, xa sicinga ngalo ukusuka kwindawo umbono izizathu.

Avamise kakhulu iintlobo ezi-3:

• tuberculosis;
• aseptic;
• ankylosing.

Ngaphezu koko, a ngezifo kungachaphazela nayiphi na inxalenye. Ke ukumkhulula:

• spondylitis yomqolo empontshwa;
• thoracic;
• wesibeleko.

The main Iimpawu

Abantu bajongene neengxaki ezifana spondylitis, yintoni na, uyaqonda. Kugula ivela Iimpawu zingambi kakhulu kwaye kuchaphazela ngokubonakalayo umgangatho wobomi.

Kuba sifo sizibonakalisa yi kwikliniki kulandelayo:

• kabi esibuhlungu ngasemva, indawo womlenze, imilenze, esifubeni;
• ukudumba kumhlathi spinal;
• evuthayo okanye ukuntlontlozela kwi namathanga ebronzi, imilenze, back;
• kwalapho ukuqina;
• imfuneko rhoqo ukuba "yiya yangasese";
• ukuncitshiswa ukuhamba;
• ubuhlungu xa intshukumo;
• kokunciphisa lomqolo;
• isenzeko kokulala okanye iingxaki;
• ibonakalisa ugobile lomqolo.

Spondylitis empontshwa umqolo ivela ukuphazamiseka kakhulu kuphawu luvo:

1. Kukho inokuba ukukhubazeka buso okanye epheleleyo nemilenze.
2. Le nkqubo uvela wavakalisa ngumchamo wokuchama kunye gciwane.
3. Intlungu kule ndawo iinyawo ngezinye kwi uhanjiso.
4. Ukuzilimaza isimilo abuhlungu, kwenzeka ngamaxesha athile, "backache".
5. Luphawulwa iimpawu lidiza kunxilwe: yicesina ephantsi-grade, isiyezi, buthathaka.

ankylosing spondylitis

Le ngezifo inomnye igama - ankylosing spondylitis. Xa intliziyo uphuhliso sifo i umonakalo lungu omzimba. Ankylosing spondylitis kudla iphela nokungakwazi komzimba. Ngokufuthi, le leengxaki emsebenzini ngabantu, edlula unyaka-20 imbali.

Ankylosing spondylitis yomqolo ngokuthe ukuthintela umsebenzi motor. Nesi sifo kukho, sanga ezinyibilikiswe omqolo. Ngenxa yoko zakha ithambo enye.

Liphuhlisa ngezifo kancinci ixesha elide. Ekuqaleni empontshwa ochaphazelekayo ngoko sifo iquka umlenze ubudoda. Ukuqina yomqolo kancinci liphume. Kwanele Iyandikhathaza xa ifikelela ingxenye thoracic. Ngapha koko, kunye nokuphungulwa ukushukumiseka kukho ubunzima ukuphefumla. Ngenxa yoko, isigulana iphuhlisa zizifo zamaphaphu ezondeleyo.

Iimpawu zesi sifo luyenyuka kakhulu kunye umthwalo esebenzayo nokuba yedwa kuyoluka. kuyaphela ezingemnandi iyapheliswa ngokusebenzisa amachiza-ukudumba nakwimithambo ezizodwa iiklasi.

trachelokyphosis

Le izifo kuthiwa sisifo Pott kaThixo. Amaninzi, le leengxaki abantwana nabafikisayo. I-arhente causative kwesi sifo iyamelana ngokwaneleyo elwa acid abaninzi.

spondylitis Tuberculous kakhulu senzeka kwinxalenye thoracic njengoko sisifo esibangelwa amagciwane localizes emiphungeni, maxa wambi kwiindawo nkovu. Iintsholongwane ingangena kuwo amathambo, musani ukubacaphukisa ukwakhiwa kwezakhiwo sofele ukuba idlulele kuzo necrosis. ijwabu necrosis lugubungela links iposi ekufutshane.

Pathology zingaqalisa ukuba baqhubele kwiminyaka eliqela emva kokosuleleka. Qala ukuphuhlisa indlela isifo ukuze bawasebenzisa, kwentlungu, Wanciphisa nezifo.

Symptomatology spondylitis tuberculous ilandelayo:

1. Eli lizwe kwindawo ukudumba waphawula ukufukuka kunye amathumba ezibandayo.
2. Ngokuphawulekayo kuphela umsebenzi motor.
3. Umntwana uyakhathala ngokukhawuleza, akayi akalali, noko amnye ebantwini.
4. Xa abantwana, kukho iqinelwa balumke. Bazama ukuba babambelele phandle esiswini kwaye ukuqondisa umva wakho, ukuthoba umthwalo umnqonqo ungaziva.
5. Kukho izikhalazo iintlungu esiswini.

Ukuqhubela phambili kwesi sifo kukhokelela ukuyilwa idolo, ukuvela zizigulo zemithambo, kwaye maxa wambi ukukhubazeka.

Isigulane emiselweyo iziyobisi antibacterial, unyango restorative. Kwezinye iimeko, utyando kuyacetyiswa.

aseptic spondylitis

Esi sifo bukagqirha eyaziwa njenge sifo Kümmel-Verney. Sisiseko sifo trauma vertebra. Aseptic spondylitis kakhulu kabi obungena. Emva kokwenzakala kudala wento engekhoyo wokuba esi sifo woyisiwe, ngenxa yokuba kungekho iimpawu kwi kumguli zikhona. Oku kungathatha iminyaka emininzi. Ngelishwa, ngeli thuba elithile ukuya kummandla ochaphazelekayo wambu nakujoliso olutsha necrotic.

Amaninzi, le leengxaki banesifo kumadoda asematsha kunye eliqina. Disease Kümmel-Verney kwiimeko ezininzi yenzelwe kwingingqi thoracic, kodwa ngamanye amaxesha esizibonakalisa kummandla empontshwa.

Kukho umfanekiso mnandi kakhulu xa umthambo intravertebral yayonakele ngexesha yokwenzakala. Kulo mzekelo, kukho ezininzi ukopha eshukumisa nokuphazamiseka vasomotor. Qala ukuphuhlisa iinkqubo necrotic kwenzeka kuphela ithambo.

Nangona kunjalo, lo vertebra ochaphazelekayo iyaqhubeka ukuba bawuthwale umthwalo kwaye enze yonke imisebenzi. Le meko ikhokelela deformation. Nkqu iingozi ezincinane kwanele isigulane wavela ucinezelo ukwaphulwa yomqolo.

amayeza

Misa uphuhliso isifo akakwazi amanyathelo kuphela comprehensive.

Ukuba unesifo spondylitis yomqolo, unyango iquka:

• sabelo yemithi;
• ukuyifundisa;
• imithambo.

Therapy uxhomekeke ngokupheleleyo kwi umthombo, esi sifo wavusa. Ngoko ke, amachiza amayeza zikhethiwe ngamnye.

Amaninzi, isigulane emiselweyo:

1. NSAIDs. Kusenokuba iziyobisi: "ibuprofen", "diclofenac", "Nimesulide".
2. Iziyobisi, ukuphelisa ukudumba kwaye ayiyi kuba nesiphumo steroid "Indomethacin", "Ortofen". La mayeza ubuhlungu, inqaba ubushushu, ukuphelisa komtshiso oko.
3. Corticosteroids. Iziyobisi ejoliswe ukususwa ukufukuka kunye nokuvuselelwa ukutya aphazamiseka. Zinika kuvuselelwa lomqolo. Amaxesha amaninzi ichiza "Prednisolone" ekucetyiswa.
4. Antibiotics. ukusebenzisa kwabo ikuvumela ukuba ulwe usulelo. Yabela amayeza zilandelayo: "Cefixime", "norfloxacin" "Ceftriaxone", "Ofloxacin", "Levofloxacin".
5. Solutions ukubonelela ukususwa ubuthi emzimbeni. Ncoma: ithetha Iringa kaThixo isisombululo okanye sodium chloride.

amakhambi ezongezelelweyo

Emva ekupheliseni spondylitis unyango iintlungu na ezi ziganeko zilandelayo:

1. Ukuyifundisa. umthambo Daily ukuvumela ukomeleza ijwabu kwezihlunu.
2. Thermotherapy. Le ndawo ochaphazelekayo wotha. Ngenxa yoko, iintlungu ukuhla esiphezulu.
3. emachibini ngamayeza nokunyanga. Ezi zinto zenzelwe ukuba bakhululeke inyama kwezihlunu kwaye ukuphelisa nobunzima.
4. Phonophoresis. Le nkqubo khipha sivakale sidumbile.
5. Umyalezo. Normalizes kwegazi kudaleke nethe. Kuyanceda ukubuyisela kwindawo oluchanekileyo omqolo.

unyango Surgical iyasetyenziswa enqabile. kuvela ngokuswela Its kuphela xa unyango ngamachiza asiphumelelanga. Ngoko ke kubaluleke kakhulu izifo ezifana spondylitis, ngexesha kufuna iingcebiso zobugqirha.