Whati o te tuaiwi. tuaiwi maimoatanga whati. āwhina Tuatahi, pokanga, whakanohonoho

Ahakoa tona kaha, kei te maha i raro i te pūnaha musculoskeletal tangata ki pikaunga tiketike, e kia hua i roto i whara. Ko te whara tino nui, me te nui, ko te whati o te tuaiwi. Maimoatanga o te whati , ka whakawhirinaki o te tuarā i runga i te pakeke o te whara me te localization. Kei te maha, no te whai wāhi taua kino i roto i te tukanga o te a tawhio noa kikokiko, hei tauira, uaua, ua, nape. Kia kē fehangahangai te reira i raruraru atu nui.

Ka tamata tatou ki te mahi ki ngā momo rerekē o piere tuarā, āwhina tuatahi me te maimoatanga o te whara.

Ngā momo o piere vertebral

Ko o ngā momo me te nekehanga piere vertebral. whati whakarōpū i hanga i roto i te tahi mau tuhaa. Homai te huarahi o te whara, ka taea e tatou te wehewehe toru ngā momo o wharanga takiz:

1. whati Kōpeketanga. puta te reira i rite ki te hua o te kōpeketanga o te pekehoe raro ope ngaukino. E mea pinepine taua kino mutu ake hinga ki runga ki tona hoki, waewae papa ranei.
2. kino Flexion-ekstenzivnye, ranei e huaina ratou flexor-extensor. whakaaro taua mate te ki hei te uaua tino, kua hāngai ki runga ki flexion me te toronga o te tuaiwi rite ki te hua o te aituā te hinga o te ahanoa taimaha i runga i tona hoki ranei.
3. whara Rotary. Ratou ngako Ko nekehanga faahiahia e pā ana ki te tuaka wä roa o te tuaiwi. tupu tenei he patu tika hoki o.

Kōpeketanga whati, i roto i te tahuri, kua wehea ki te maha taumata:

• Grade 1 rerekē hekenga i roto i te tiketike vertebral he iti iho i te 50%.
• tohu 2 - heke te teitei e te hawhe.
• I 3 nekehanga heke teitei vertebral e neke atu i te 50%.

Ki te te whatinga tuaiwi kotahi anake papaka pūwaha, ka karanga taua mate ko te whati kotahi. A, no te pānga pāpaka maha te tapatahi o te maha pekehoe.

Ka taea te tāutuhia e te momo e whai ake nei o piere ka whakaaro te localization whara:

1. Whati o te tuaiwi waha.
2. whati tuaiwi rei.
3. Tūkino ki te pekehoe lumbar.

I tua atu ki enei momo, ka taea hoki e koe te tīpako maha:

• whati pūmau. Ki te taua pekehoe tūkinotia kore e neke, e kore e pāngia e te kikokiko e karapoti ana.
• kino iu. I roto i tenei take, kia kia perelomovyvih te pekehoe e ngā.

Ki te whakaaro tatou ki te deformation o te pekehoe, e taea te whakarōpūtia te whatinga e whai ake:

• Ko te whatinga poro-āhua. Whētuki Ko te matamata poro anga whakamua, ki te turanga o te ua.
• Tākongakongatanga. Ka taea e taua kino e taikaha ka ngā nga whatiwhatinga tinana vertebral i roto i ngā tohutohu rerekē, a tae noa te tahi mau taime i roto i te puka o te taka pa. he kotiti peheé piere, maha whai ki huihui ki te pokanga.

Tohutanga o whati tuaiwi

Ki he te iti rawa nui nga mau hopearaa o piere, he mea e tika ana ki te tātari i roto i te wa ki te whakarato āwhina tuatahi tika, me te kawe i te pārurenga ki te hōhipera. tokomaha kia tohu o te whati, engari te nui tino me kitea e te whai ake:

1. mamae kino i roto i te rohe i whati. te tikanga whiwhi kaha te mamae ina ngana koe ki te huri i te tūranga o te tinana ranei, ki te hanga i te ringa nekehanga waewae ranei.
2. Tikanga o ngā nekehanga. Ka rite ki te hua o te whati vertebral tapatahi anatomic takahi te, ka nganatanga katoa ki te hanga i te mamae kaupapa mutunga.
3. Ki te wāhi koki kaha e taea te kite deformation o te tari, pakaru nei te.

Ehara i te mea e tika ana ki te neke i te pārurenga ki te reira ko te whatinga whakapae o te tuaiwi. Maimoatanga o piere o te tuaiwi, me tona angitu te nuinga tei runga i te āwhina tuatahi whakaratohia me matatini o te whara.

Take o piere

puta tetahi whatinga rite ki te hua o nui kaha pānga kaha o wheua hanganga. Ko whati te tuarā, me whai koe i te tikanga e whai ake nei:

• He kaha nui o te pānga.
• pūnaha wheua ngoikore.

Tikanga, piere filosilivá puta tika ki te hinga i te teitei, rite ki te hua o hākinakina whakarei ranei mahi ngaio, me te kiritaki. Tūponotanga o te taenga o te whati pērā i te hua o te aituā waka.

He āhuatanga i reira riro iu rite ki te hua o ngā tukanga pathological i roto i te tinana i te wheua. I roto i tenei take, ara e taea e te puaretanga iti arahi ki te whara taua. kia puta tenei ka te mate e whai ake nei:

• Osteoporosis.
• Ko te aroaro o te pukupuku.
• Mate kohi.
• Maumaui i roto i te pūnaha endocrine.

Ko nga mea katoa te take i, kia āwhina tuatahi mō ngā piere o te tuaiwi e whakaratohia tika kia rite kore ki te arahi ki ara hopearaa atu mamafa.

Tātarihia te whati

e kore te mea he āhuatanga motuhake o te whara taua mamae e puta i roto i te whati, na ko reira e tika ana ki te pupuri i te rangahau i muri ki te hanga i te tātaritanga tika:

1. mahi tuarā X-hihi. Tenei ka tango i te haurangi tika, me te lateral, ki te kitea te wāhi tangohia o te kino, ka whakatau i te pakeke o te whara.
2. Kei te nuinga o te wā whakaritea CT scan i muri i te X-hihi ki rite taipitopito rite taea ki te arotake i te wāhi pakaru.
3. E whakaatu ana Myelography te mana o te ua i muri i te whati.
4. hiahiatia Examination e ha toketā neave ko ki te whakamatautau i te tūtohutanga me mahi o mutunga karere, me te ua.
5. kia whakahau tākuta MRI ki te reira he māharahara o te kino ki te hanganga tuaiwi.
6. whakamana Densitometry te i roto i wā onge, ki te ārai i osteoporosis.

I muri i taea te hanga katoa te tākuta rangahau te tātaritanga, ki te whakatau i te whīwhiwhi o te whatinga, aromatawai o te mōrea me te whiriwhiri i te maimoatanga tātai tika.

Whati o te tuaiwi waha

Ko te tuarā waha ko te taahiraa tuatahi i roto i te tīwae tuaiwi. Kei reira e whitu pekehoe. Tino maha, kia rite ki te hua o te taka ki runga ki te matenga reira ko te whatinga o te pūwaha tuatahi, ka karanga te pukapuka mahere whenua.

Ko te mōrea o taua piere he e taea ai te kino ki te ua e kore e anake, engari ano hoki etahi wahi o te roro. Hei tauira, ki te te pakaru reira te oblongata medulla, he reira mahi wehe ki ofatiraa o te manawa, me te mokowhiti.

Rapu he whati o te rua te pūwaha waha he uaua ake, te tikanga amuamu te manawanui o te mamae i roto i te matenga hurihanga. Tei runga i te tohu o te whati taua whētuki taea arahi ki raruraru neurological kino nui ki te ua, i te mea hotokore ki te ora ranei.

Tūkino ki te pekehoe waha toe, tikanga puta tika ki te tauhia koi o te kaki. Ki te pā te whara mea tuhonohono e, i reira te mea he ati o te whara ua.

Whati o te tuaiwi lumbar

Ko te momo tino noa o wharanga o te tuaiwi he piere kōpeketanga o te rei, me te pekehoe lumbar. Te reira i te nuinga o maha puta rite ki te hua o te hinga i runga i te papa ranei peke i te tiketike nui.

Ki te he osteoporosis te mate, ka taea e te whati tuaiwi lumbar puta rite ki te hua o te maturuturunga iho iti-pūngao. Ko te ati, ko te e kore e tono katoa kotahi reira ki te tākuta, tango he mamae hoki mo nga tohu o ngā huringa e pā ana-tau.

āwhina Emergency

Ki te whakapae koe he whati o te tuaiwi e tika ana ki te āwhina i te whakatika i te patunga. Te kore he ki te haere ki te hōhipera i roto i tenei take, e kore e taea e, na e hiahia ana koe ki te tika te kawe i roto i transportation.

ka hei āwhina Tuatahi e whai ake:

1. Stow neatly i te hoki o te patunga i runga i tetahi mata totoka: kia waiho ai hei rōpū tatau, kahupapa tetahi atu rauemi e wātea ana ranei.
2. Haumaru i te waewae, me te utumu.
3. Ki te te mamae i roto i te rohe waha, he mea e tika ana ki te immobilize.
4. I te tahuri o te pekehoe i roto i te tuaiwi rei lumbar ranei ki te hoatu i te urunga ngohengohe mo te whara.
5. I muri hoatu i te immobility manawanui kia hoatu he analgesic mo mamae te tauturu.
6. E kore e taea e koe te kawe i te manawanui i roto i te tūranga e noho ana.

Tika hoatu āwhina tuatahi taea te whakaora i te ora o te patunga.

Kei te tapui te reira i roto i te wā o te whati whakapae o te tuaiwi

Ko tenei whara nui nui, na reira e te tahi mau mahi e tino contraindicated i roto i:

• E kore e taea e koe te faahepo i te pārurenga ki te noho ki raro, ranei e tu ake.
• Kei te riria te reira ki te ngana ki te whakaiti i te pekehoe i wahi.
• E kore e tūtohu ana ki te hoatu rongoā, ki te ngaro te pärurenga mahara mahi horomia waimaero ranei.
• Kaua e wahia te ringa waewae ranei, e ngana ana ki te whakawhiti i te manawanui ki a ia ranei.

Tetahi o enei mahi kia arahi ki pōauautanga nui, na e kore e aituä i te hauora o te tangata, ki te reira ko te whatinga o te tuaiwi.

tuarā maimoatanga whati

Kahore therapy i roto i te whare hauora e kore e taea te mahi i roto i te aroaro o te whara taua. Ka taea e te mātanga tohu anake whakahau maimoatanga tika e e ape i te pōauautanga katoa.

Ka taea te kawea te maimoatanga i roto i rua ahunga:

1. Whakauka.
2. Surgery.

Ko tēhea rōpū he tika ki te huihui ki tino tōtika akakoromaki i whati tei runga i te pakeke o te whara, me tona wāhi.

maimoatanga momo

Tikanga, he akoranga tonu o te maimoatanga o te whati e pā ana ki te 3 marama, haere reira i raro i te te tirotiro tamau o te tākuta, me te rangahau auau ki te tautuhi i te tukanga o te splicing te pekehoe pakaru.

maimoatanga whati ngā te whai i ēnei:

1. Hei whakakahoretia o te mamae. Tenei whara ai mamae kino, te tikanga kia pera hoatu te manawanui painkillers, e kore e pā ratou te auau o te ora, a ka whakapai ake i te āhua.
2. herenga Mahi. Ki te tere ake te tukanga o ōrite te pekehoe kia kia taea ki te whakawhāiti i tetahi nekeneke. E kore e taea e koe te mahi mahi e whakanui i te kawenga ki runga ki te tuaiwi, noho raro me te tu. Te kore tenei ture auau puuranga o heke.
3. Warea. I muri i te whati filosilivá, kia ara ake maha pōauautanga neurological. Ki te karo i ratou, he mea e tika ana ki te whakatika i te tuarā i roto i te tūranga kotahi. Hoki enei take, ka taea e koe te whakamahi i te koere o te whati tuaiwi. Verteroblastika - he tukanga e taea te whakamahi ki te whakahoki i te tapatahi o te tuaiwi. Ki haere ia ki roto i te take o te whatinga kōpeketanga i roto i haumanu maha. Ko tenei te rārangi raro: ko te poka i te kiri, me te ki te tinana vertebral te whakaurua ki tonu te tokotoko whakarewa i roto i te kōhao e ki te otinga ki te whakapakari i te hanganga vertebral. whakamana ana tēnei tukanga te i raro i rehunga rohe.
4. whakamahia Kyphoplasty te ki whakahokia teitei vertebral. hanga te tākuta vahi i roto i te kiri, me te kōkuhu ki te poihau tinana vertebral rimurapa e te ki te tiketike tika mo te faaho'iraa mai rahi vertebral o. Katahi te sima mua, he wehi maukati tūranga.

maimoatanga hāparapara

Kia aroha mai, e kore e taea e koe fekuki tonu ki taua traumas tikanga momo. Ki te pāngia ki te whatinga o te tuaiwi, Kia rapua ai pokanga i roto i te kaupapa i reira ko te mōrea o pōauautanga neurological.

I roto i te pokanga te taote hanga he resection o nga wahi pūwaha, e kino ki te pakiaka io me te ua, me te i roto i to ratou wahi hoatu implants whakarewa.

fifi o te pokanga

Ahakoa tango ki pūkete e taputapu hou he pūmanawa nui, me tākuta - te wheako o taua ngā mahi, pā ana te pokanoa ki te pea kino, pera i roto i te tata noaa ko te ua me te raru.

Ka rite ki te hua o te maimoatanga o te pōauautanga e whai ake nei e taea whakatika kōpeketanga whati:

1. Kyphosis. Tenei ahua o te koropuku i roto i te tuaiwi rei. he noa i roto i te tūroro paari tenei pōauautanga. maha mamae te manawanui mamae, i reira kia kia raruraru i roto i te pūnaha Cardiovascular, te wahi gastrointestinal pūkahukahu ranei. whakatakoto ana ngenge nohopuku i roto i, i reira he hāhā o te manawa.
2. puta te nuinga o maha tapepe Segmental i roto i te take i peka e neke atu i te 30% rite ki te hua o te teitei whati o te pūwaha. Ki tenei pōauautanga i kore anake mamae i okiokinga me te wā kaupapa, engari ano hoki te tīmatanga o ngā tukanga degenerative-dystrophic i roto i te tuaiwi.
3. whatiwhatinga wheua i hanga e te piere matatini kia arahi ki pōauautanga neurological. ai ratou puta tonu etahi wa i muri ranei. Ko te tohu o taua disorders he mamae i roto i te kaupapa, me te i okiokinga, me te te whakaiti oti ngaronga o sensation ranei me te kōpā i roto i nga topito.

Kua haere te atu te wā mai i te whatinga i mua i haamata maimoatanga, te nui te mōrea o ngā pōauautanga.

nunu'a o piere

he uaua matapae Accurate ki te hoatu, ki te reira ko te whatinga o te tuaiwi. Ka taea e te mau hopearaa e tino fifi. e kore e ētahi pārurenga rere ki te hōhipera, me te mate i te ru filosilivá, tupu te reira rite ki te hua o te whara whaturama ua ranei.

Ki te pa te ua, e ko te tūpono o te pāpāngia. Ka taea e Tūroro hoki te wa roa mō te ora ranei ki te ngaro i te kaha ki te neke takitahi.

Ki te he whati ohie o te tuarā, ka taea e te mau hopearaa e i roto i te puka o te osteoarthritis whaturama intervertebral ranei. Ki te karo i taua mau hopearaa, ki te whakaiti i a ratou ki te iti ranei, he mea e tika ana ki te aroturuki ratou maimoatanga, te ū ki te kupu tohutohu katoa o kaiwhakaako, ina koa i roto i te wā o te whakanohonoho.

Rehabilitation muri tuarā whati

Ehara i te mea i nga wa katoa e taea ana ki te karo i whara: he aituā, tukinga - me whai koe i reira he whati o te tuaiwi. Me mutu tuarā maimoatanga whati wā whakanohonoho. Ko te whāinga o tenei taumata, ko ki whakahoki te pekehoe whara me te hoki o te āhua noho awhiowhio mua.

Hoki enei take, huihui nga tākuta ki te tikanga e whai ake nei:

• I tua.
• Electrostimulation.
• Mirimiri.
• pānga rerekē.
• mahi haumanu.

Anake vertebral taea te integrated tino whati huarahi ki te riro, whakanohonoho whakatere te tukanga whakaora, te ārai pōauautanga, me te whakahoki nekeneke.