Peb tus txha caj qaum, txawm hais tias peb tham txog nws lub xeev ib txwm, tsis txawm. Nws qhia tau hais tias ob peb khoov ib zaug, ob qho tib si rau pem hauv ntej thiab rov qab, thiab lawv tsis yog pathological, tab sis yog yam ntxwv raws li kev them nyiaj yug. Raws li rau lub pob rov qab, nws yog hu ua kyphosis. Nws yog nyob rau hauv ob qho tib si nyob rau hauv lub thoracic thiab nyob rau hauv lub sacral cheeb tsam ntawm tus txha nraub qaum. Yog tias lub pob no dhau lawm, nws ua rau kev txiav txim siab hais txog lub pob txha nraub qaum.
Vim li cas nws tshwm? Yuav kuaj tau li cas? Cov teeb meem kev noj qab haus huv dab tsi tuaj yeem ua rau muaj kev ua txhaum loj ntawm lub cev? Txoj kev kho thiab kev tiv thaiv dab tsi niaj hnub no? Peb yuav teb cov lus nug no thiab lwm yam lus nug hauv qab no.
Qhov no tshwm sim li cas?
Ib tug neeg muaj lub cev, yeej tsis muaj qhov tsis xws luag txij thaum yug los. Feem ntau, qhov teeb meem postural ntau dhau no tshwm sim rau ob qho laj thawj:
- Kov ntawm qaum nws tus kheej.
- Hloov cov ntaub so ntswg nyob ib puag ncig tus txha nraub qaum.
Yuav ua li cas curvature ntawm tus txha nraub qaum txhim kho ntawm no? Nws feem ntau yog qhov tshwm sim ntawm pathological kyphosis lossis kyphoscoliosis. Qhov no yog qhov chaw hloov chaw tshwm sim.txha caj qaum me ntsis mus rau sab, uas yog tom qab ntawd nrog kev sib hloov (uas yog, kev sib hloov) ntawm vertebrae nyob ib ncig ntawm nws tus kheej axis. Raws li qhov tshwm sim, lawv qhov chaw spinous hloov pauv thiab tawm mus rau sab nraud, ua ib qho hump ntawm lawv nraub qaum.
Ob leeg pob txha thiab pob txha-dislocations ntawm vertebrae feem ntau ua rau pom qhov tsis xws luag. Feem ntau, ib tug wedge-shaped deformity ntawm lub cev ntawm ob peb tus neeg nyob sib ze vertebrae tau sau tseg ib zaug. Nyob rau hauv cov ntaub ntawv no, pem hauv ntej ntawm lub vertebra zoo li yuav crushed, vim hais tias ntawm nws lub cev tsim ib tug yuav luag daim duab peb sab. Qhov no yog qhov tshwm sim ntawm pathological, raug mob pob txha, qee yam kab mob ntawm tus txha nraub qaum, nrog rau cov kab mob hauv lub cev ntawm nws qhov tsim.
Ib tug neeg uas muaj lub pob zeb tsis tas yuav raug kev txom nyem los ntawm cov kab mob vertebrogenic. Lub stoop muaj zog kuj tuaj yeem tsim ib qho zoo li ntawm lub hump. Tshaj kyphosis nyob rau sab sauv, thoracic, txha nraub qaum ntawm no ploj tsuas yog nrog qee cov leeg nqaij. Los yog thaum noj kab rov tav txoj hauj lwm ntawm lub cev. Qhov no yog qhov txawv ntawm ib tug neeg nrog ib tug hump (uas yog nyob mus ib txhis) los ntawm ib tug neeg uas muaj zog stoop (ib ntus tshwm sim).
Nws yog ib qho tsim nyog yuav tsum tau ua ib leeg tawm xws li cov kab mob xws li hump, uas tsis muaj txoj hauv kev txuas nrog cov teeb meem vertebral thiab kab mob. Qhov kev tsis zoo no tuaj yeem txhim kho ob qho tib si nrog deformation ntawm cov leeg nqaij sab nraub qaum, thiab nrog kev hloov pauv hauv cov rog subcutaneous.
Yog vim li cas
Vim li cas tus hump loj hlob? Cia peb xav txog cov cim tseem ceeb ntawm kev tsim cov kab mob vertebrogenic (txuas nrog qhov curvature ntawm tus txha caj qaum):
- Kab mob Neurologic althiab pathologies uas tuaj yeem ua rau tuag tes tuag taw ntawm cov leeg ntawm lub cev.
- Scheuermann's disease - Mau. Kuj tseem hu ua juvenile dorsal kyphosis. Muaj sclerosis ntawm vertebrae thiab lawv cov deformation tom qab.
- Kev ua txhaum ntawm lub cev (ICD-10 teev ntau yam kab mob ntawm pawg no). Nws raug kuaj pom ua ke nrog cov leeg tsis muaj zog corset feem ntau hauv cov menyuam hnub nyoog kawm ntawv.
- Ib hom kab mob osteoporosis, ua rau muaj kev cuam tshuam ntawm cov kab mob pathological. Ob lub hnub nyoog ntsig txog thiab tshwm sim los ntawm Itsenko-Cushing syndrome / kab mob.
- Tuberculosis ntawm qaum, ua rau kev puas tsuaj ntawm lub cev vertebral.
- kab mob sib kis ua rau cov pob txha yaj.
- Kev puas tsuaj ntawm lub cev vertebral nyob rau hauv qhov chaw ntawm ntau yam metastases lossis thawj cov qog ntawm tus txha nqaj qaum, loj hemangiomas.
- Ankylosing spondylitis, uas yog nrog fusion thiab ossification ntawm vertebrae.
- Ib daim ntawv nyuaj ntawm rickets raug kev txom nyem thaum yau, uas tom qab ntawd ua rau cov pob txha mos thiab nws cov deformation tom qab.
- Degenerative-dystrophic pathological hloov pauv hauv qaum, suav nrog osteochondrosis.
- Ntau yam pathologies, cov kab mob sib txuas uas ua rau muaj kev hloov pauv hauv kev txhawb nqa lub peev xwm ntawm cov ligaments paravertebral.
- Congenital anomalies nyob rau hauv cov qauv ntawm lub vertebrae.
- Qhov tshwm sim ntawm ntau yam kev raug mob qaum.
Ib tug neeg uas muaj lub ntsej muag tuaj yeem kis tau qhov tsis xws luag ob qho tib si rau ib qho ntawm cov laj thawj uas tau teev tseg, thiab rau lawv ua ke. Tab sis tsis yog tag nrhoyog vim li cas rau tsim ib tug hump.
Tshwj xeeb yog vim li cas
lub cev tsis zoo (coded M40-M43 hauv ICD-10) lossis lwm yam teeb meem cuam tshuam nrog tus txha nraub qaum tsis yog tib yam hauv kev tsim cov hump. Xav txog lwm yam, tsis tshua muaj tsawg:
- mob lossis degenerative hloov pauv hauv cov leeg nqaij. Lawv qhov ua rau yog rov ua dua, systematic microtrauma. Cov yav tas feem ntau tshwm sim nrog irrational, ntau lub cev exertion. Tus mob no hu ua myogelosis. Thiab nws dhau los ua qhov ua rau ntawm kev tsim ntawm lub hump me ntsis tsawg dua li qhov deformation ntawm lub thoracic qaum. Oddly txaus, cov neeg uas ua lub neej nquag raug kev txom nyem los ntawm qhov teeb meem no - bodybuilders thiab professional ncaws pob.
- Qhov tshwm sim ntawm ntau yam benign neoplasms nyob rau hauv thaj tsam ntawm lub ncauj tsev menyuam-thoracic cheeb tsam ntawm tus txha nraub qaum. Tshwj xeeb, qhov tsos ntawm atheroma loj lossis loj hlob lipoma.
- Ntawm cov neeg uas muaj lub nraub qaum, feem ntau muaj cov poj niam uas muaj hnub nyoog ua ntej thiab tom qab yug menyuam. Vim li cas? Vim qhov txo qis hauv kev tsim cov poj niam txiv neej cov tshuaj hormones, redistribution thiab kev hloov hauv lub xeev ntawm cov rog subcutaneous tshwm sim. Raws li qhov tshwm sim ntawm qhov no, cov menyuam muaj roj ntau ntau yog tsim nyob rau hauv thaj tsam ntawm 7th cervical vertebra. Nws yog qhov nthuav tias ua ntej nws hu ua "tus poj ntsuam". Qhov no yog vim qhov tshwm sim ntawm cov poj niam uas muaj hnub nyoog siab tshaj (feem ntau lub sijhawm no tus txij nkawm twb tuag lawm)
Cov teeb meem no ua rau dab tsi?
Txawm tias nyob hauv lub ntiaj teb niaj hnub no, cov neeg humpbacked tau dhau loskhoom ntawm kev mloog ntau ntxiv, thiab txawm tias kev sib tham, thuam. Yuav ua li cas hloov mus rau kev ncaj ncees kev txom nyem rau tus neeg mob nws tus kheej. Tab sis ntxiv rau lub xeev kev nyuaj siab, qhov tsis xws luag no muaj teeb meem loj nrog kev noj qab haus huv ntawm lub cev:
- Txoj kev nkhaus ntawm tus txha nraub qaum hauv cheeb tsam tsev menyuam ua rau lub hauv siab deformity feem ntau. Thiab qhov no yog vim li cas rau nyem cov kab mob hauv nruab nrog cev, txo qhov ntim ntawm lub ntsws. Nws kuj tuaj yeem ua rau muaj kev ua txhaum ntawm lub plawv.
- Hunchback cov neeg tau txo qis zog. Kuj tseem muaj kev nyiam rau bronchial, pulmonary kab mob, raws li qhov deformation infringes, squeezes lawv.
- Hloov pauv qhov kev ncua deb ntawm cov vertebrae ua rau compression (los yog compression) ntawm cov kwj deg. Tsis tas li ntawd, qhov nqaim ntawm tus txha caj qaum tuaj yeem ua rau compression ntawm tus txha caj qaum. Qhov no yog fraught nrog mob ntev, tsis muaj zog rhiab heev nyob rau hauv qis ib nrab ntawm lub cev, tsis muaj zog, thiab txawm nqaij leeg tuag tes tuag taw.
- Nyob rau hauv cov xwm txheej uas deformation ntawm lub ncauj tsev menyuam cheeb tsam tshwm sim (los yog thaum muaj ntau yam compressive formations tshwm nyob rau hauv lub cheeb tsam no - lipomas los yog atheromas), patency ntawm tseem ceeb vertebral hlab ntsha tej zaum yuav impaired. Qhov no yog lub npe ntawm ib lub nkoj ua ke uas nce mus rau hauv lub kwj dej tshwj xeeb ntawm cov vertebrae. Nws lub hom phiaj tseem ceeb yog muab cov ntshav mus rau qhov chaw tom qab ntawm lub hlwb. Thaum tuav cov hlab ntsha no, tus neeg mob yuav mob taub hau, kiv taub hau, xeev siab thiab lwm yam tsos mob tsis zoo.
Kuv yuav ua li cas?
Thawjtig, peb nco ntsoov tias tsis muaj tus kab mob zoo li no - "hump ntawm nraub qaum." Nws tuaj yeem yog qhov deformation ntawm tus txha nraub qaum, lossis kev hloov ntawm cov leeg nqaij, neoplasm. Thiab tag nrho cov no yog qhov tshwm sim ntawm qee yam mob, kab mob, pathologies, thiab tsis yog kab mob ywj pheej.
Yog tias koj pom cov ntsaws ruaj ruaj rau ntawm koj nraub qaum, xav tias muaj kev hloov pauv, nkhaus ntawm tus txha nraub qaum, tsis muaj teeb meem koj yuav tsum tsis quav ntsej qhov teeb meem lossis kho tus kheej. Koj yuav tsum tau txiav txim siab qhov ua rau ntawm tus mob no, uas yuav pab tiv thaiv qhov tshwm sim.
Ua ntej tshaj, koj yuav tsum tiv tauj ib tus kws tshaj lij no:
- Tus kws kho mob.
- Surgeon.
- Orthopedist.
- Vertebrologist.
- Neurologist.
Koj yuav raug xa mus tam sim rau kev kuaj mob, lossis xa mus rau tus kws kho mob tshwj xeeb uas kho koj qhov teeb meem tshwj xeeb. Koj yuav tsum tsis txhob ua siab deb yog tias koj pom ib tug hump nyob tom qab ntawm cov menyuam yaus!
ntsuas ntsuas
thawj hom kev kuaj mob, tau kawg, yuav yog kev kuaj pom ntawm tus neeg mob. Tab sis kom nkag siab seb lub hump ntawm nraub qaum yog los ntawm scoliosis lossis los ntawm lwm qhov laj thawj, tsuas yog cov kev kuaj hauv qab no yuav pab tau:
- Y Computed tomography, x-ray, magnetic resonance imaging. Cov no yog qhov kev ntsuas thib ob hauv kev txiav txim. Feem ntau, lawv qhia meej txog daim duab kho mob. Yog tias tsis yog, teem caij xeem tom ntej.
- Biopsy, puncture, scintigraphy lossis EMG.
- Kev tshawb fawb soj ntsuam los txiav txim lub xeev ntawm cov tshuaj hormones keeb kwm yav dhau, ntxhiaCov metabolism hauv lub cev, nrog rau cov ntsuas dav dav ntawm qhov muaj qhov mob thiab ntau yam mob rheumatoid.
Kev cuam tshuam kho mob
Puas muaj peev xwm tshem tawm cov hump tom qab? Nws tsis yooj yim sua kom muab cov lus teb meej rau cov lus nug no. Nws nyob ntawm ntau yam nyob rau hauv ib zaug - qhov xwm txheej, qhov ua rau ntawm kev tsim ntawm qhov tsis xws luag, theem ntawm tus kab mob, qhov ua rau aggravate tus neeg mob tus mob, thiab tus kheej yam ntxwv ntawm lub cev. Txawm li cas los xij, nyob rau hauv txhua rooj plaub, tus neeg mob yuav tsum tau txais kev kho mob nyuaj. Nws muab faib ua ob qho kev qhia:
- ntsuas cov tsos mob. Tshem tawm ntawm qhov mob syndrome, txo qhov hnyav ntawm cov tsos mob uas tsim txom ib tug neeg.
- Kev kho mob ntawm tus kab mob hauv qab uas ua rau hump.
Nrog kev pab los ntawm cov tshuaj kws kho mob nkaus xwb, tau kawg, nws yuav tsis tuaj yeem tshem tawm qhov tsim nyob rau hauv feem ntau. Yog tias qhov no yog qhov curvature ntau dhau ntawm tus txha nraub qaum, ces nws tsis yooj yim sua kom tshem tawm nws yam tsis tau hloov txoj hauj lwm thiab kho cov duab ntawm cov vertebrae deformed. Tshuaj, kho lub cev, qoj ib ce yuav tsis muaj peev xwm muab qhov no.
Raws li cov menyuam yaus thiab cov tub ntxhais hluas, nws yooj yim dua rau tshem tawm lub nraub qaum dua li cov neeg laus. Yog hais tias qhov tsis xws luag yog tshwm sim los ntawm kyphosis thiab tseem tsis tau nrog los ntawm kev hloov ntawm lub vertebrae, systematic kho mob intensive gymnastics yog muab. Nws tsis tsuas yog kho lub cev, tab sis kuj tso cai rau koj ntxiv dag zog rau cov leeg corset. Qhov no nws thiaj li kho tus cwj pwm nkhaus heev.
Surgery
Hauv qee kis, kev phais yog qhov tseem ceeb:
- Qhia thiabnce curvature ntawm tus txha caj qaum.
- mob hnyav mob hnyav, mob hnyav rau tus neeg mob.
- Tshwj xeeb ntawm tus txha caj qaum compression.
- Qhov ua rau hump, tsis hais txog qhov nkhaus ntawm tus txha caj qaum, yog atheromas thiab lipomas.
kev kho mob
Ib zaug ntxiv, peb nco ntsoov tias feem ntau nws tsis tuaj yeem tshem tawm cov hump nrog tshuaj ib leeg. Tshwj xeeb tshaj yog yog hais tias nws cov tsos yog tshwm sim los ntawm ib tug curvature ntawm tus txha nraub qaum. Tab sis lub luag hauj lwm ntawm cov tshuaj nyob rau hauv kev kho mob yuav tsum tsis txhob underestimated ib tug. Lawv pab tiv nrog o, mob syndrome, txo qhov mob ntawm ntau yam kab mob neurological. Cov tshuaj tuaj yeem txhim kho tus neeg mob tus mob, nres qhov kev loj hlob ntawm tus kab mob.
Lub hom phiaj ntawm qee yam kev kho mob yog ua raws li qhov ua rau mob ntawm tus neeg mob:
- muscular tonic syndrome.
- Ntxhais paj hlwb.
- Cov txheej txheem inflammatory cuam tshuam rau tus txha nraub qaum.
- Kev sib tsoo ntawm lub cev vertebral.
Nyob ntawm qhov no, cov tshuaj hauv qab no tuaj yeem raug sau:
- Non-steroidal painkillers thiab tshuaj tiv thaiv kab mob.
- Trophic thiab vascular npaj.
- Muscle relaxants.
- YCorticosteroids.
Vitamin B.
Yog tias kuaj pom muaj kab mob ntawm tus txha nqaj qaum, ces cov tshuaj tua kab mob tau ntxiv. Rau tuberculosis ntawm tus txha caj qaum, kev kho mob ntxivsaib xyuas los ntawm tus kws kho mob phthisiatrician, cov tshuaj tshwj xeeb raug sau tseg. Nyob rau hauv lub xub ntiag ntawm cov txheej txheem mob purulent, ib qho tshuaj kho mob yuav tsis txaus - yuav tsum tau muaj kev phais sai sai.
Kev kho mob hnyav tshaj plaws yog raug sau tseg thaum kuaj pom muaj kab mob ntawm cov leeg txha caj qaum. Ntawm no, cov keeb kwm hormonal nyob rau hauv tus neeg mob lub cev, cov ntxhia metabolism yog tsim nyog kho.
Thaum pob txha yog tshwm sim los ntawm cov qog nqaij hlav los yog lawv cov metastases, chemotherapy yog qhov yuav tsum tau ua. Tus neeg mob kuj tau soj ntsuam los ntawm tus kws kho mob oncologist.
Tiv thaiv teeb meem
Vim tias muaj ntau yam laj thawj rau kev tsim cov hump, nws tsis tuaj yeem tham txog cov lus qhia txog kev tiv thaiv dav dav. Txawm hais tias kev kawm ntawm lub cev, kev ua neej nyob hauv ib qho mob tuaj yeem muaj txiaj ntsig, thiab lwm qhov nws tuaj yeem ua rau muaj kev phom sij thiab ua rau muaj kev cuam tshuam ntau dua ntawm cov hump.
Ntawm no yog cov lus qhia kws kho mob muab los tiv thaiv qhov teeb meem no:
- Tsis txhob las mees tej yam tsis kaj siab, tsis to taub cov tsos mob nyob rau hauv lub nraub qaum, txha nraub qaum - systematic mob ntawm ib tug txawv xwm, ib tug xav tias hnyav, kub hnyiab, thiab lwm yam. Nco ntsoov sab laj nrog kws kho mob!
- Raws li cov menyuam yaus thiab cov tub ntxhais hluas, nws yuav tsum tau qhia rau lawv tias nws tseem ceeb npaum li cas rau kev tswj lub cev, zaum kom raug ntawm lub rooj thaum kawm thiab tom tsev. Scoliosis thiab hump ntawm nraub qaum yog ib qho ua rau thiab muaj txiaj ntsig. Yog tias tsis muaj contraindications hnyav, tus menyuam yuav tsum tau qhia txog lub neej nquag, kev ua kis las, kev tawm dag zog thaum sawv ntxov uas pab cob qhia cov leeg nqaij corset, kom yog lub cev zoo.
- Poj niamntawm lub hnub nyoog so haujlwm, ib hom hump feem ntau yog tsim los ntawm cov roj txheej. Qhov no yog ib qho hormonal tsim. Yog li ntawd, tus poj niam yuav tsum tsis txhob hnov qab txog kev tiv thaiv ntawm gynecologist, endocrinologist, mloog cov lus qhia ntawm cov kws kho mob tshwj xeeb.
- Raws li txhua tus neeg hauv cov hnub nyoog laus, vim kev ua neej nyob tsis muaj zog, lawv tuaj yeem tsim cov ntsev tso rau ntawm lawv nraub qaum, yuam kev rau lub hump. Tig mus rau qee lub sijhawm taug kev, Nordic taug kev, caij ski, kev kho mob kom zoo tshaj plaws ntawm koj lub peev xwm kom tsis txhob khiav mus rau qhov teeb meem.
- Yog tias koj ua haujlwm, koom tes nrog kev ua kis las, mus ntsib lub gym, ua raws li tus kheej txoj haujlwm tau kos los ntawm tus kws qhia. Tsis txhob tso koj tus kheej rau cov khoom hnyav uas ua rau myogelosis. Nrog rau kev tsim kev phom sij ntawm lub hump.
- Qhov teeb meem yuav haunt cov neeg mob osteochondrosis. Rau nws txoj kev tiv thaiv, koj yuav tsum xaiv ib lub txaj orthopedic thiab hauv ncoo, siv cov kev kho mob zaws ob peb zaug hauv ib xyoos.
Npaj rau tom qab tsis yog kab mob. Qhov no yog qhov tshwm sim ntawm ntau yam kab mob thiab cov xwm txheej uas peb tau paub. Raws li, kev kho mob, kev tiv thaiv rau lawv txhua tus yuav yog qhov tshwj xeeb.
