Ubuhlungu entanyeni nasehlombe ngenye yezimpawu ezivame kakhulu emisebenzini yomtholampilo. Ubuhlungu entanyeni, ukunikeza emahlombe nezandla, kubonakala ku-50% wabantu abadala (amadoda angama-20%, abesifazane abangu-30%) - lokhu kuchazwa ukuhamba komgogodla womlomo wesibeletho, okubeka phambili ukuthi ubungozi bawo bezinguquko ezishintshayo kanye nemiphumela yomshini. I-acute noma engapheliyo (ukuvuselela njalo) ubuhlungu ehlombe kudinga ukuxilongwa okuphawulekayo okuhlukile, njengoba kungase kubonise inqubo ye-tumor, izifo ze-somatic noma i-pathologies ejulile yekholomu lomgogodla.
Isakhiwo esithathwa njenge-anatomical
Intamo iyingxenye ebalulekile yomzimba, ixhuma i-trunk nekhanda, yenza inqwaba yemisebenzi ebalulekile. Umthambo womgogodla utholakala emgodini we-vertebral, isifunda somlomo wesibeletho esakhiwa yi-vertebrae eyisikhombisa, phakathi kwezinhlanu ze-intervertebral disks ezibekiwe, eceleni kwezimpande zezinzwa. Isakhiwo se-anatomical entanyeni sinezivilini, imisipha, isisu, i-larynx, i-lymph nodes, i-esophagus kanye ne-trachea.
Kungani kukhona ubuhlungu entanyeni nasehlombe?
Ubuhlungu ehlombe bungabangela: ukulala endaweni engakhululekile, ukuma okungekho emthethweni, ukucindezeleka isikhathi eside - lezi zizathu ezingenacala kakhulu. Izikhundla ezihamba phambili "ezilinganisweni" zobuhlungu ezivela esifundeni somlomo wesibeletho kanye nemisipha yebhande lezinyosi ziyi-pararthritis engafanelekile yomlomo wesibeletho nesifo se-thoracic, okuyi-akhawunti engama-85% kuwo wonke amacala omtholampilo. Ama-15% asele ahlanganisa izifo ze-somatic, i-oncology, i-arthrosis ne-arthritis.
I-vertebrogenic (eyenziwa yi-pathology of the spine) ubuhlungu entanyeni nasehlombe:
- i-arthrosis yenhlanganisela yamahlombe. Izifo ezithathelwanayo, ngokuvamile ezixilongwa kubantu abaphakathi. I-osteoarthritis iyaqhubeka kancane, kodwa ezinyathelweni zokugcina inika ubuhlungu obuningi, okwenza kube nomkhawulo wokuhamba okuhlangene nokuhlunguphazeka ehlombe, okwandisa ukushintshashintsha kwesimo sezulu nokuzikhandla ngokomzimba. Njengoba inqubo ye-pathological iqala, i-edema, i-hyperemia yesikhumba, ukwanda kokushisa komzimba;
- i-arthritis. Ivela ngenxa yokuvuvukala kwe-carticlage ye-articular, ukuwohloka / ukuwohloka kwamajoyina ezinqamulelayo. Kubonakala ngobuhlungu obukhulu ehlombe, isizungu, umuzwa wokugubha kanye nokugaya emilenzeni engenhla;
- i-osteochondrosis. I-osteochondrosis yomlomo wesibeletho ithinta izicubu zomzimba we-disvertebral discs, okunikeza uphawu lwesimo esiyinkimbinkimbi: ubuhlungu obukhulu entanyeni, ukunikeza ingalo, ukukhanda ikhanda, ukuwohloka kombono, ubuhlungu enhliziyweni;
- i-hernia ye-intervertebral. Ngokuya ngobukhulu besilonda, ubuhlungu buya endaweni ye-interlapar, ingalo, ihlombe (kwesokudla / kwesobunxele), i-scapula engaphakathi. Ukubonakaliswa okuvamile: "ukuqala" okumangalisayo ngemva kokuhlukumezeka / ukuzama ukuqina okujulile, ukwanda kakhudlwana entanyeni nasehlombe lapho kuhlambalaza, ukukhwehlela, ukuguqula ikhanda, ukuguquguquka kwentamo, ukunciphisa ubuhlungu - ngokuphakamisa isandla ngemuva kwekhanda, ukuhanjiswa kwekhanda;
- i-plexitis. Ukuvuvukala kwe-plexuses ye-nerve, eyenziwa ngamagatsha angaphambili we-recipe cerebrospinal. I-plexitis yomlomo wesibeletho ibangela ubuhlungu be-paroxysmal entanyeni, ubuthakathaka bemisipha yentamo, kaningi kangako - isikhwameni eside isikhathi eside ngenxa yokuzibandakanya kwe-diaphragm ekuvuvukeni kwesibindi, ukwehluleka kokuphefumula;
- i-perierthritis ye-humeroparous. Ukuvuvukala kwe-capsule ye-shoulder joint kanye ne-shoulder tendon kubangela ubuhlungu obunzima obukhulayo ehlombe, ukunikela esandleni;
- spondylosis yomlomo wesibeletho. Iqoqo lezinkinga eziguqukayo, kuhlanganise nokubunjwa kwama-osteophyte, ukuxhuma kwamagundane e-intervertebral kanye nezinsimbi zamagciwane, ukunqotshwa kwezicubu ezivuthayo, kubangelwa ubuhlungu obukhulu bomhlaba obunzima phakathi kwentamo nehlombe, ukucindezeleka (kokunyamalala) izinsuku ezingu-7-8. I-spondylosis engapheli ingabangela ekuthuthukiseni i-torticollis, ukucindezela komgogodla;
- i-myalgia. Efaniswa nobuhlungu obude nobukhulu obukhulu emisipha. Ukwelashwa okusemthethweni kwe-myalgia ngencazelo yokuhlukaniswa kwesifo kuyisimo esiyinkimbinkimbi, ngoba izifo eziningi ze-rheumatic, endocrine, neurological, nezifo ezithathelwanayo zinomtholampilo ofanayo. Izimbangela zobuhlungu besisu: ukucindezeleka ngokweqile ngokomzimba kwemisipha engafundiwe, ukuphambanisa kwamasongo, ukuphazamiseka kwamasabetri, umphumela wezinto ezinobuthi. Iziguli zikhononda ngobuhlungu obunzima entanyeni, ehlombe, engalweni, ehlehla emuva, ekunciphiseni ukunyakaza, ukushisa kwezinga lokushisa, ukujuluka, ukuhlanza, isicanucanu;
- stenosis yomgogodla womgogodla. Isifo esiyingozi esingabangela ukucindezelwa komgogodla nomjovo wesibeletho somlomo wesibeletho (umonakalo engxenyeni yomgogodla endaweni entanyeni). Ukuqina kwesifo kubangelwa ngemuva kokucindezela izimpande zomgogodla nge-disformed disc / osteophyte, okwenza kube nokuphazanyiswa kwesibindi, ukulahlekelwa okuncane kokuzwa komzwelo;
- ukuvuthwa komgogodla (kyphosis, lordosis, scoliosis);
- ukulimala kwehlombe (kwesokunxele / kwesokudla). Kubonakala sengathi "ubuhlungu" bubuhlungu, bukhipha entanyeni;
- ukuxoshwa kwe-disc yomlomo / ukuhlukunyezwa kwentamo. Kukhona ubuhlungu obungenangqondo ngokugxila entanyeni nasehlombe, ukuqina ngamandla ngesikhathi sekhanda;
- ukuvuvukala / ukwephulwa kwamathenda. Eyaziwa ngokuba nobuhlungu obungenangqondo endaweni enenkinga yehlombe / intamo, iqiniswa uma ingalo iphakanyiswa;
- ukungasebenzi komkhakha we-vertebral-motor. Ukuguqulwa kwe-disc kwenza ukuthi kufakwe ukulinganisa okulinganayo, ukwehla ukuphakama, ukushintsha endaweni ehambisanayo yezingxenye eziyinhloko zegciwane lesigqagqumu-lokhu kuholela ebuhlungu obuqhubekayo entanyeni nasehlombe.
Ubuhlungu obungenakuphikiswa kwama-hornybrogenic entanyeni nasehlombe:
- izifo zezitho zangaphakathi / izinhlelo: i-pneumonia, i-meningitis, i-abstopharyngeal abscess yendawo yangakwesobunxele / engakwesokunene, indawo yokwehla kwesisu, ukukhuliswa kwegciwane le-thyroid. Ukubonakaliswa okuvamile: ukukhawuleka kokunyuka kwekhanda, ubuhlungu obukhulu / obulinganisiwe entanyeni nasehlombe;
- izifo ezithathelwanayo: isifo sofuba, i-poliomyelitis;
- i-neoplasm eyingozi / enobunzima entanyeni. Gcoba izicubu zentanyeni (i-thyroid, i-esophagus, pharynx, larynx, i-glands), izicubu ezingasetshenzisiwe ezivela ezinhlobonhlobo ezithambile, nezilonda zesisu ezinomdlavuza wesibeletho (ku-hemoblastoses - primary, nge-metastase-secondary). Abaqaphi be-oncology - ubuhlungu obuqhubekayo obuqhubekayo entanyeni nasehlombe, hhayi "ukushiya" ekuphumuleni, ukukhathala okwandayo, ukwehla okukhulu kwesisindo somzimba, isimo se-febrile. Amaphilisi angaphezu kuka-75% omgogodla womlomo wesibeletho yi-metastase ye-prostate noma i-mammary gland, umdlavuza wamaphaphu.
I-Myofascial syndrome.
Libhekene nokukhubazeka kwemisipha kanye nokwakhiwa kwezigxobo zasendaweni zomzimba emisipha ethintekile. Izinhlungu zemvelo zihlanganiswe emisipha yebhande elisehlombe (umsizi ophakamisa isisindo, i-trapezoidal, i-muscle ehlukene, i-muscle straightener), i-masticatory, i-suboccipital ne-muscle muscle. Ubuhlungu be-Reflex bubekwe iso, ikhanda, ihlombe, intamo.
Kungani ihlombe nentamo ivuthwa ngakwesokudla?
Ubuhlungu obuthinta ukuhlangana kwesigxoko sokunene nentamo kungabonisa indlala yesibindi, isifo samaphaphu noma isibindi. Lapho ukhulisa / uhoxisa isandla ebuhlungu entanyeni nasemahlombe, ukuxubha ekuphefumuleleni ku-sternum, ubuhlungu besisu, ukukhwehlela, okungahambisani nokushisa okuvamile, kwengezwe.
Kungani intamo nehlombe belimaza ngakwesobunxele?
Isizathu sobuhlungu singalimaza uhlangothi noma amaphaphu. Uma ubuhlungu obubukhali ehlombe nasentanyeni kwesokunxele buhambisana nobunzima noma ukuqina kwesifuba, okuvela ngokusobala "endaweni epholile" (kwakungekho ukuhlakazeka, ukuwa, ukunyakaza okungahambi kahle), udinga ukubiza i-ambulensi - lezi zimpawu zibonisa ukungena kwe-myocardial.
Ubuhlungu entanyeni nasehlombe - ukuxilongwa nokuphathwa
Uma kunzima kakhulu emgodini womlomo wesibeletho, udinga ukubona udokotela bese uhlolwa ngokugcwele, okuzosiza ukuqeda izifo ezimbi ezidinga ukungenelela ngokushesha: i-abscess epidural, ukuvuvukala, ukuphuka, i-meningitis, ukuphuma kwe-subarachnoid noma i-thrombosis. Uma kungenalo i-pathology eyingozi, ukwelashwa kuhloswe ukusheshisa ukulungiswa kwezimpawu, ukuvimbela ubuhlungu obungapheli kanye nokukhuphuka okuqhubekayo.
Izindlela zokwelashwa:
- imithi. Ukuze kukhululwe ubuhlungu ehlombe, kusetshenziselwa amafutha okugcoba, okusiza ekuthuthukiseni ukujikeleza kwegazi, ukunciphisa ubuhlungu be-syndrome, ukusheshisa ukuvuselelwa kwezicubu. Ukuvuvukala kumiswe ngamagciwane okulwa nokuvuvukala kwamathumba;
- i-physiotherapy: i-magnetotherapy, i-acupuncture, i-ultrasound / ukuvezwa kwamanje;
- sebenzisa imithi yokwelapha. Ukuzivocavoca okukhethekile kusiza ukususa ukungezwani nobuhlungu, ubuyele ukuhamba kwehlombe, ukuqinisa i-corset yemisipha, unikeze ukuguquguquka kwemigqa;
- imithi yokwelashwa. Ukusikhipha imithi kuhlanganisa ukunwetshwa komgogodla nokuxhaphazwa kokuphumula kwemisipha yentamo.
Ubuhlungu entanyeni nasehlombe kufanele kube yisikhathi sokuvakashela ochwepheshe abakhethekile - isazi sezinzwa, isazi sezinzwa, isifo sezinambuzane, isifo se-rheumatologist. Udokotela kuphela ongakwazi ukubona imbangela yezinzwa ezibuhlungu futhi, kuye ngokuthi utholakala kanjani, khetha ukhetho olufanele lwezokwelapha.