Torakalgiya - chii here? Zvinokukonzera uye Treatment torakalgii

Kurwadziwa zvikuru muchipfuva yava chimwe chezvinhu zvakafanana zvikonzero zvinoita kuti vanhu kuti kurapwa. Vangave chokuita zvemwoyo chirwere kana matambudziko musana. Torakalgiya - chii here? Chii chinokonzera uye sei kuti uzvidzivirire marwadzo aya, tinodzidza zvakawanda.

Mhando kurwadziwa muchipfuva

torakalgii chirwere akaratidza simba, dzimwe nguva zvisingatsungiririki marwadzo ari mubhokisi, chokuita kuti nezvokupindira ari peripheral tsinga. Izvi zvinogona kuva compression kuti tsandanyama nemarunda kuti zvinovakomberedza. Zvinofanira kucherechedzwa kuti rinogona kuitika kwete chete mumuviri munhu akura, asi munguva kuyaruka panguva basa kukura, uyewo vakadzi pamuviri, kana maererano kukura mudumbu anowedzera mutoro pamusoro nomuzongoza. Kazhinji, kusiyaniswa norudzi chirwere:

• torakalgiya Vertebrogenic, kuti chokuita zvokurwara of muzongoza;
• nevertebrogennaya torakalgiya - mune iyi, kurwadziwa muchipfuva vangava chokuita nezvirwere zvakasiyana-siyana zvomukati: mwoyo (kazhinji coronary chirwere), nemudumbu (gastroduodenal reflux chirwere), zvirwere zvokufema maitiro, zvirwere zvetsandanyama nemapfupa;
• psychogenic torakalgiya - kazhinji chinhu nhengo neurosis uye vhunduka.

The zvinokonzera kurwadziwa muchipfuva

Kurwadziwa muchipfuva chingava mhedzisiro nezvikonzero zvakasiyana-siyana. Zvinoitwa chirwere ichi sezvo torakalgiya - kuti chirwere ichi chinogona kuva mugumisiro pathological yakasiyana zvachose pezvakaitwa. Kakawanda Chinokonzera vari:

• pasi musana kurwadziwa;
• herniation uye protrusion pamusoro intervertebral discs ari thoracal muzongoza;
• tsandanyama spasm;
• musana zvinokuvadza;
• uremu waigona, panyama zadzisa;
• rwarisa uye non-zvirwere zviri tsinga;
• chisimbwa, nemavhairasi zvirwere;
• osteoporosis;
• Kunetseka, kutura kutapata.

zviratidzo torakalgii

Symptomatology chirwere haisi siyana chaizvo. Kazhinji, izvozvo mamota pasi zvinotevera zviratidzo:

• paroxysmal kana Kuramba muchipfuva marwadzo, hachizi manzwiro ari intercostal dzezvimwe;
• Marwadzo anogona pfungwa rumwe muviri kana Worn shingles unhu;
• inorwadza nzvimbo zvakanaka palpated (torakalgiya musculo-tonic), vari makhiriniki pamwe njodzi etsinga, uyezve, pane rinowanzoshandiswa bindira ganda munzvimbo yayo innervation;
• amplification kurwadziwa panguva chimbichimbi kufamba, vangakosora, sneezing, befu;
• crunch vertebrae kufamba;
• murwere nemamiriro kuipa pashure yokuwana chando kana refu kugara kunofambira mberi chinzvimbo.

Sezvo torakalgiya vakasiya zviratidzo zvavo kwazvo akafanana marwadzo, kuri chomwoyo, zvinoda kwazvo nechirwere, nekuti misdiagnosis asvika sashanda kurapwa.

Kusiyana marwadzo chokuita nechirwere chemwoyo (coronary tsinga chirwere chemwoyo) uye vertebral torakalgii

zvekuchipatara mufananidzo

Nhasi, vanachiremba ina zvekuchipatara dzakasiyana akadai pathological mananara sezvo torakalgiya. Kuti maperembudzi chokuita dzichipfekeka mamiriro nomuzongoza zvakananga, anotsanangura kupatsanura ichi:

1. Torakalgiya, iyo kunokonzerwa kuvhiringidzika rezasi remuromo nomuzongoza. It kunoratidzwa kurwadziwa rokumusoro chikamu pechipfuva (pamusoro-uye subclavian nharaunda), zvichiratidza pamutsipa, pamafudzi, ruoko. On ongororo pane soreness majoini uri nedambudziko divi, soreness ikawanda trapezoid matauriro mapazi uye intercostal tsandanyama.
2. Torakalgiya Vertebrogenic chokuita pathological pezvakaitwa munzvimbo thoracal munzvimbo musana mbiru. Muchiitiko chino, ane zvishoma nezvishoma akadurura achirwadza, kudhonza hunhu, kazhinji retrosternal kana interscapular nzvimbo. Kazhinji marwadzo haina chokuita kufamba kana kurovedza muviri.
3. Scapular-rumbabvu nezvechisarudzo torakalgii. Kuti izvi zviitike, chirwere kunoratidzwa dzakasiyana-siyana nemarwadzo, vemunyika kunyanya interscapular kuruboshwe, peripapillary nzvimbo kana pamusoro divi mutsetse pechipfuva pazasi hapwa. The marwadzo ave mazhinji zvakasikwa kana kuva episodic. It runowanzotaurwa nezvarwo kufema chiito. Chimwe maitiro chinhu ndiyo yokutama marwadzo achitevedza micheto kwokudzvinyirira-kugumbuka.
4. Anterior bhokisi chirwere inozivikanwa mikukutu, achirwadza, kuramba kurwadziwa kazhinji kunowedzera rwokufamba vemunyika mu okologrudinnoy uye perednepodmyshechnoy munzvimbo.

Diagnostics

marwadzo Chest anogona kukonzerwa zvakawanda, uye nekuti nechirwere "torakalgiya" unoitwa chete mushure kubvisa cardiac uye pulmonary zvokurwara, ndiko, pashure kubvunza ane cardiologist uye pulmonologist. Kana chikamu nyanzvi idzi hapana abnormalities vakanga dzakaonekwa, kunze murabhoritari nemiedzo, akaita uwane kuongororwa, Zvakanakisa kusanganisira:

• rinobva resonance kuri;
• Maekisirei;
• densitometry (kudzidza maumbirwo mapfupa tishu);
• scintigraphy (tsvakurudzo kushandisa radioisotopes);
• electroneuromyography (rokuongorora, vachibvumira kuongorora kushanda peripheral tsinga).

Uye pachishandiswa kuongorora izvi vakaisa chirwere ichi sezvo torakalgiya. Zviratidzo uye pakurapa chirwere vachavawo pachako zvachiri neimwe nyaya. Danho iri Zvinokoshawo nekuti zvakaipa zvokuongorora kazhinji kunotungamirira refu, kazhinji zvinodhura uye maturo chose kurapwa.

Torakalgiya: kurapwa

Kurapa chirwere ichi havagoni kuva munhu aite. For Zvakanyanya Kunaka Panguva Yepamuviri zvabuda, zvinoda kunzwisisa kuti kuchirapa matanho, kusanganisira wenyama kurapa, masaja, kumonyanisa mishonga, kurovedza muviri kurapa. Kana zvakakodzera, mazita ichi zvinosanganisira musana traction (traction) uye reflexology.

Drug kurapa rinoshandisirwa iyi nyaya iri rikwanise nguva chirwere. Chinangwa charo kuvasunungura kurwadziwa uye kuzvimba. Nokuti chinangwa ichi, mushonga chinofanira pharmacological mapoka:

• Anti - "diclofenac", "Meloxicam", "Aertal";
• tsandanyama relaxants - "Mydocalm", "Sirdalud";
• neuroprotective - B mavhitamini, "Meksidol";
• hondroprotektory - "Hondrogard", "hondrolon".

Zvisinei, tinofanira kuyeuka kuti chete marapirwo havagoni akanyatsosiyana kugadzirisa dambudziko. In kuti azodzikamisa kushanda musana uye kuti decompress etsinga harinzwi zvakakodzera pakarepo mushure zvakazorodza kurwadziwa kuita masaja uye mumuviri kurapa.

physiotherapy

Zvakadaro chirwere sezvo torakalgiya, zviratidzo uye kurapwa izvo kazhinji kuvimba zvinhu zvakawanda, physiotherapy aripo mashiripiti bara. Hwaro nzira iri kushandiswa mumuviri mananara, akadai Ultrasound, remagineti, Laser, yakaderera-maitikiro dzenzvimbo. Pamwe mishonga, vanogona kukurumidza uye zvinobudirira kusunungura zviratidzo marwadzo uye neutralize kuzvimba. Chimwe chakanakira maitirwo izvi ndiko, isingawanzopotswi kunze, kusavapo contraindications.

Chinyorwa kurapa

Wide kukurumbira pakurapa zvirwere nomuzongoza akunda nhasi Chiropractic. Rinomiririra zvakawanda kuchirapa nzira inoita kuti ruoko kugadzirisa matambudziko hadzina kufambiswa zvakanaka vari nomuzongoza, mapfundo, tsandanyama nemarunda. Externally, zviito izvi nowenyika masaja, asi musiyano iri kukamurwa pamusoro localization wokuronga uye simba aaiitawo.

Kana vertebral torakalgiey aaiitawo Chiropractor rinotarisira kuwedzera motokari vhoriyamu iri intervertebral mapfundo vawedzere elasticity kuti tsandanyama nemarunda. Pamwe, uku kunoderedza compression pamusoro ane etsinga uye, sezvo zvakaguma ezvinhu ameliorated. Zvinofanira kucherechedzwa kuti kazhinji nyanzvi Chinyorwa kurapwa kunotibvumira kugadzirisa matambudziko havapinduri kurapwa nedzimwe nzira.

The chisingaperi chimiro

Kazhinji, kana iwe musatanga nenguva kurapwa kana kuipedzera kwete zvakazara, ipapo chisingaperi muitiro. Zvinofanira kurangarirwa kana kuwanikwa zvirwere zvakadai torakalgiya kuti anogona kukanganisa kwaita munhu herniated Disc mune ramangwana mutobvu kuti vakaremara.

Hongu, nokuti chirwere chimiro kunoratidzwa zvishoma kurwadziwa, uye kakawanda anongotaurwa "kushivirira". Zvisinei, kunyange kana kurwadziwa hazvisi kunetsa kwenguva refu, zvino akadzoka uye zvichava kunyange zvikuru, izvo zvinoreva - chikonzero haina akakundwa uye anoramba kuparadza muviri. Kuti izvi zvisaitike, unofanira achangopera zviratidzo yokutanga chirwere, kwete kuzvinzwira medicate uye havatarisiri kuti "kuzvipira vanopfuura", uye kutsvaka rubatsiro vakakodzera. Pashure pezvose, matanho nokukurumidza vanobviswa, zvikuru mikana kubvisa chirwere.