Tiibhii of nomuzongoza, zvinokonzera, zviratidzo, kurapwa

Pott nehosha - ndiko extrapulmonary tiibhii pamusoro nomuzongoza, ichimutongesa nezvikonzero zvakasiyana-siyana. Rezasi thoracal uye yokumusoro lumbar vertebrae chirwere chinobata kazhinji.

Vazhinji zvirwere muvamwe varume. Asi zvinonzi chirwere muzvikamu vazhinji vemo. Tuberculous spondylitis hwapedyo zvikuru zvishoma nezvishoma, saka aiona abnormalities vachiri Danho kwakaoma.

The etiology uye mavambo spondylitis

Mabhakitiriya anosvika nzvimbo chirwere kuburikidza muropa. Nemadzinza ose kuzvimba kunotanga cancellous pfupa. The 5% spondylitis iri dzakaonekwa seri hukawanika ari vertebral miviri.

Sezvo chirwere musana tiibhii iri kuwedzera zvishoma uye richipararira. Kushoma hunosanganisira kana kupfuura contiguous mhou okunze ane kuwedzera pasi Anterior longitudinal shwashwa, kana zvakananga kupfurikidza intervertebral disk. Dzimwe nguva vanogona kuva zvakawanda zvinobatanidzwa, avo mugove utano tishu.

Sezvo mberi tiibhii of muzongoza? Bone zvinoriumba vanorasikirwa simba ravo zvemaziso nokuda kuwedzera Kushatiswa muviri uremu. Kunwisa kwakaderera pakati Links kunotungamirira kune chisina kutsetseka wakarebesa.

Kusimba kusarurama kunoenderana dhigirii kuparadzwa, padanho lesion uye uwandu miviri mapfupa munyaya pathological muitiro.

Clinical kuratidzwa spondylitis

The kutanga Zviratidzo hadzinzwisisiki uye kazhinji anoratidza kwete chete tiibhii yacho nomuzongoza. Zviratidzo zvingava zvakafanana zvakafanana nevamwe pathologies, zvose kuitika mumuviri. Ava kuratidzwa se:

• mukuru zvakawanda zvive;
• nyore fatigability;
• kurasikirwa Nzara uye uremu;
• Vana - kurasikirwa nechido kutamba pakachena mhepo;
• masikati kana manheru inobvira fivha.

Local zviratidzo - chinhu marwadzo, chinyamunhari chinorwadza uye soreness. Ndivo zvishoma raidudzwa pane dzimwe zvirwere. Kurwadziwa kazhinji chinogona kuzivikanwa kwete chete tiibhii mapfupa ari nomuzongoza. Zviratidzo zviri chirwere angava akasiyana, dzimwe nguva varwere chokunyunyuta pamusoro kuomarara.

Pasinei vazhinji arwarewo nechirwere ichi pakutanga mumatanho, kurapwa zviratidzo sevasingazivi. Vazhinji zviratidzo hatisi, kunyange rikwanise weboka chirwere.

External zviratidzo tuberculous spondylitis

Human gait anochinja anenge pakarepo. Matanho vari pfupi, murwere kwakaoma kutama.

Compression of etsinga nemidzi kunotungamirira pokukundwa tsinga. Kunoratidza pacharo:

• overactive mudzira hunenge;
• tsandanyama simba;
• spastic gait.

In akazotevera nzendo musana tiibhii nedzevakuru angaperekedzwa achiipa kubva mudzira hunenge zvinotevera urongwa:

• gait anova zveufende;
• pane chinetso maoko nemakumbo, zvakakodzera kufamba anotsigira;
• Tsandanyama atrophy, murwere haasi kukwanisa kumuka, asingagoni kufamba.

Zvinokonzera chirwere

Zvinokonzerwa noutachiona of nomuzongoza ndiyo inonyanya mhando pathologies. Vari anokonzerwa tusingaoneki siyana. A pamazita chirwere kwakadaro kunosanganisira zvirwere zvakadai:

• spondylitis;
• discitis;
• spondylodiscitis;
• nhengo dzomuviri pute.

Kazhinji kukuvadza zvinenge dzevanhu nomumvura muropa kuti vertebrae pane kutsamwisa tiibhii yacho nomuzongoza. Zvinokonzera chirwere:

• Kukuvadzwa;
• yaivhuvhuta kushanda mamiriro;
• zvirwere zvinotapuriranwa.

The kukonzera chirwere - zvakananga nevanhu ane kare kutapukirwa munhu.

Huru mapoka njodzi

The kupinda zvigare mumapapu munhu utano munhu chinokurwadzai kukura chirwere kwete mumapapu, asiwo pfupa hurongwa muviri.

boka varwere pangozi:

• vanosvuta munhu;
• isisina;
• AIDS kana zvimwe zvirwere akafanana anokonzera nyonganyonga yacho zvirwere;
• chirwere cheshuga;
• vaya zvinodhaka.

Chirwere chinogona kuitika kunyange pashure kuvhiyiwa.

Kupatsanura zvirwere uye zvokukura kukura

Pane vaviri siyana zvinoratidza chirwere uye vashanu mumatanho okukura. Tiibhii of nomuzongoza ndiwo pfupa uye synovial. Kunzwa chirwere akadaro kuzotyisa. Zvinokanganisawo pfupa shwashwa, anoparadza uye anobvisa navo nokukonzera zvokurwara akadai hosha yemajoini uye arthrosis, kuwedzera chirwere.

Zvokukura kukura tibhii of muzongoza:

1. Pakutanga inofambidzana utachiwana hwakanaka munhu.
2. 2 danho utachiona muwande nokukurumidza, achiparadza masero utano.
3. Humwe unhu pakuonekwa rokutanga zviratidzo.
4. At danho 4 chokuwanziridza zvigare kunosvika apogee, kuti nomuzongoza zvinovhiringidzika.
5. Yokupedzisira danho iri kuzodzosera kutenderera umo munhu pachake anova Vector chirwere.

Kuchiita hosha ane anotevedzana muzvikamu zvitatu:

1. Primary osteitis.
2. Artritichnaya danho.
3. Postartritichnaya danho.

Kana musingadi kutanga kurapwa, chirwere unogona yekudyidzana kunonoka kuti ichaita kwete chete kune akaremara, asiwo murwere rufu.

diagnosing spondylitis

The chirwere kuti "tiibhii" inogona kupfeka kurapwa uye radiological kuzviongorora.

Zvadaro, murwere kaviri ari differential chirwere, kusanganisira nhoroondo zvokurapa, zviratidzo kunatsiridzwa. Vakaremara of muzongoza:

1. Dzichibereka chirwere (varwere muduku).
2. Heniya SHmorlja uye chirwere Scheuermann màu (dzimwe nguva munogona kuyaruka).

In tibhii pamusoro X-ray munda kudzidza damerau vertebrae ipfupi okuchengetera nzvimbo.

Kuziva abnormalities, zvinokosha kuita rabhoritari miedzo:

• bvunzo ropa;
• kuita ESR uye CRP;
• kuongorora chiropa uye itsvo;
• biopsy, nokukwereta zvimedu zvinyama nokuda microbiological kuongororwa uye chirwere yakarurama zvokurwara.

Current kurapa

Kusati kwatombova vakawanda vanhu vakafa inorwisa mabhakitiriya, pamwe nechirwere kuti "tiibhii yacho nomuzongoza." Treatment nhasi yasvika dzakakwirira zvakadaro kuti vanhu vanogona kurarama kwemakore akawanda nechirwere ichi, kuramba zvisingatomboiti ezvinhu uye chaidzo dzose kuongorora. Kuburikidza pakatanga yevanorwara zvikuru anokwana zviyero, kushandiswa musana zvishandiso, kurapa chirwere zvinobvira.

Nzira Mabatirwo tuberculous spondylitis ndiyo mishonga. Kuvapo chetsinga dhefisiti zvinoomesa apore.

Kana maperembudzi akaonekwa uye kurapwa kare huchiri, asati pachava pfupa kuparadza uye wakarebesa, murwere kazhinji anonaya zvachose.

Current kurapwa rakakamurwa mhando mbiri:

• kuchinja kurapa;
• Kuvhiya.

Both mhando zvichaita zvachose kuunza kunobatsirawo. Asi kuchinja kurapa hapasi kuita zvinodiwa zvainoita pathological muitiro. Kushanda kurapa kuri nani sei munhu ane chirwere che "tiibhii yacho nomuzongoza." The oparesheni rinoitwa Vanachiremba vanokwanisa, ipapo murwere apo kutarisirwa vomuchipatara.

kuchinja kwomuchipatara

Kurapa varwere Neural dhefisiti ipfupi kuti Anti-TB kurapwa. Voitakura kunze nokushandiswa kwezvinodhaka akadai "INH", "Rifampicin", "Pyrazinamide" uye "Ethambutol". All izvi dzinoshandiswa vomuzana mutsetse mishonga anokanganisa zvakananga TB yacho muzongoza. Zviratidzo chirwere zviratidzo zvishoma nezvishoma kuenda kana kurapwa rinoitwa nemazvo. Zvichienderana chirwere kuratidzwa uye zviratidzo, zvinodhaka zvinogona kutsiviwa kana vakawedzera. The chipimo chemushonga iri kugadziridzwa zvichienderana murwere ezvinhu, zera uye uremu.

Treatment pamwe Anti-TB madhiragi panguva bedrest inopa-refu zvabuda uye anobvisa kuramba wava kusvutazve.

Varwere mazhinji matanho zvinoda kupfuura chakakomba nzira. The chikuru treatment - mishonga uye mubhedha zororo. Varwere zvaiiswa muchipatara pasi kuramba pokudzora navanachiremba nevakoti. Kuchinja mabatiro hapasi kupa zvakanaka mugumisiro. Mune zvimwe zviitiko, kuvhiya kunokosha.

Kushanda Approach kurapa chirwere

Kuvhiya runodiwa kuti decompression pamusoro Neural hurongwa uye abudise kuti abscesses. Kazhinji, vana ndivo nzira anoitwa kuti aruramise deformations chokuita kukura.

Mushonga urwere oga hazvibviri, nokuti zvinoda zororo rakakwana uye kunzwisisa kurapwa. Kana kuchinja kurapa haana akabatsira kurapa tibhii yacho nomuzongoza, zviratidzo nedzevakuru dzinotanga kuderera uye pane kudiwa kuvhiya kupindira.

Pamberi chiremba kubvisa basa vertebra, iyo yakarohwa ne chirwere. Munzvimbo yacho yakaiswa rimwe nokuisazve. Jira zvinodiwa transplantation inotorwa kubva murwere fibula. Izvi kuitira kuti ngozi kurambwa ari kushoma paiva mukana mukuru kuti kuvhiyiwa kuchabatsira.

Zvinofanira kurangarirwa kuti migumisiro chirwere angava kusingarapiki, uye kuvhiya chiito anogona kupesvedzera tiibhii yacho nomuzongoza. Photo varwere rakapihwa zvirwere zvakajeka anopa mienzaniso paumbwe zvokurwara uye nemigumisiro yayo yakajeka.

Data vakawana kuburikidza X-ray uye MRI zvidzidzo, vakwanise vanovhiya kufanotaura zvaizoitika uye kuona bhuku kwema, uyewo yekuzvidzivirira zvirwere mushure musangano.

Zvinotora makore anenge 4 uzonyatsotanga. Kureva, kunyange anoita vavhiyiwa hazvivimbisi nokukurumidza kuzoita muviri. Vakanga vakawanda fatalities.

Chii mukana kubata spondylitis?

musana tiibhii kunoitawo kuti vamwe vashingaire kana kwete? nyaya iyi vavhiringidzika zhinji. Asi mhinduro chaiyo yomubvunzo uyu haako. On dambudziko iri kwemakore vanachiremba zvikuru vanokwanisa.

Chokwadi, unofanira kungwarira vanhu vane chirwere ichi kana kutora matanho okudzivirira kana munhu anorwara vanouya hama yako kana shamwari.

Voga anokuvadza tusingaoneki kunoitika chete kana:

• Kana murwere ane pakachena muchimiro tibhii;
• munhu utano neVadzidzi murwere, kwete kuchengeta mitemo enyevero;
• kudya pamwe chete dhishi kunowedzera mukana wokutapukirwa kuburikidza zvomudumbu turakiti.

Chirwere spondylitis anogona utero kana amai ari kurwara, hweHIV kunoitika kuburikidza placenta. Mukana urwere zvakakwirira kutenga nokuda zvakananga nevanhu munhu anorwara.

matanho uye matanho

In tuberculous chirwere pamusoro musana kunokosha dziviriro. nzira yayo inodiwa kubvisa njodzi haizopereri kukura chirwere. Zvakakosha chaizvo kuti zororo, kuti tisanyanyozvidya kushushikana pamusoro seboka.

Also edza:

• kuti pasi hypothermia;
• kuvandudza kutapata;
• zvakanaka mudye zvakanaka;
• nzvenga kukuvara.

The chikuru chokudzivirira chiyero ndiyo nguva kuti kubaya pamusoro tibhii. Jekiseni riri fanira. Zvakakodzera kudzivirira muviri kubva ngozi zvinotapukira. Ita naye kutanga kare paucheche, uye muitiro rinoitwa mumazuva okutanga muupenyu.

Kumabasa, panewo ngozi kurwara spondylitis. Medical mudonzvo kushanda munzvimbo iyi, ane chepamusorosoro mukana wokutapukirwa. Vanofanira kuva kugara iongororwe uye preventively achitora Anti-TB zvinodhaka.