Ciwon wuya matsala ce ta gama gari wacce ke damun mutane da yawa. Alamar na iya kasancewa tare da iyakacin motsi a cikin kashin mahaifa, tashin hankali na tsoka, da ciwon kai. Akwai dalilai da yawa na ciwon wuya. Cikakken ganewar asali yana da mahimmanci don zaɓar magani mai dacewa.
A cikin wannan labarin za mu gaya muku abin da za ku yi idan wuyanku ya yi zafi sosai, abin da zai iya haifar da ciwo da kuma yadda za a hana shi. Likitocin asibiti suna da gogewa sosai wajen magance ciwon wuya na asali daban-daban. An zaɓi cikakkiyar magani ɗaya ɗaya, la'akari da yanayin mai haƙuri, abubuwan da ke haifar da ciwo da sauran abubuwan da ke tasiri sakamakon jiyya.
Nau'in ciwo a cikin kashin mahaifa
Akwai nau'ikan ciwon wuya biyu:
- Vertebrogenic- faruwa tare da lalacewar intervertebral fayafai, matsawa na kashin baya da kashin baya tushen. Zafin zai iya yadawa daga wuyansa zuwa bayan kai da kuma zuwa yatsunsu. Raunin tsoka da kumbura a hannu ɗaya ko biyu na iya zama damuwa.
- Nonvertebrogenic- bayyana saboda wani tsari mai kumburi a cikin tsokoki na wuyansa. Wannan kuma ya haɗa da ciwo saboda cututtuka na thyroid gland da kuma kusa da Lymph nodes. A wannan yanayin, tsarin kumburi zai iya kasancewa tare da karuwa a cikin zafin jiki da zafi mai zafi.
Idan rashin jin daɗi bai tafi a cikin kwanaki da yawa ba kuma yana ƙaruwa da motsi, ya kamata ku tuntuɓi likita. Kwararren zai ƙayyade dalilin ciwon wuyan wuyansa kuma ya rubuta magani mai mahimmanci.
Dalilan ciwon wuya
Za a iya haifar da ciwo a cikin tsokoki na wuyansa da cututtuka da yawa: daga ƙwayar tsoka zuwa cututtuka masu tsanani na kashin baya da gabobin ciki. Wani lokaci yana da matukar wahala ga mai haƙuri ya ƙayyade yankin da aka shafa da kansa - a cikin makogwaro ko a cikin kashin baya na sama, tun da ana iya jin zafi a kowane bangare na wuyansa.
Mafi yawan abubuwan da ke haifar da ciwo mai tsanani:
- Myositis- kumburi na daya ko fiye da tsokoki na wuyansa, tare da ciwo mai tsanani, kumburi da iyakacin motsi na kai. Yana faruwa a sakamakon cututtuka masu yaduwa, raunin da ya faru da kuma yawan matsayi na jiki marasa dadi.
- Cervical osteochondrosis- degenerative-dystrophic cuta na kashin baya. Kashin mahaifa, tare da kashin lumbar, yana da hannu sosai. Sakamakon damuwa akai-akai, abinci mai gina jiki na vertebrae da intervertebral fayafai ya rushe. Nama na kasusuwa yana girma, fayafai na intervertebral sun lalace kuma suna fitowa a cikin nau'i na protrusions da hernias. Zafin yana faruwa ne saboda gaskiyar cewa fayafai masu kumbura suna damfara ligaments na kashin baya da kuma tushen jijiya na kashin baya. Jin zafi yana da ƙarfi sosai, kwatsam, kuma ana iya jin shi kawai a wuyansa a ɗaya ko bangarorin biyu. Hakanan zasu iya haskakawa zuwa wasu wurare - zuwa kai, baya na kai, hannu, baya, a ƙarƙashin kafada.
- Intervertebral hernia- wani ci-gaba nau'i na osteochondrosis, lokacin da matsawa na jijiya tushen faruwa. Wannan cuta yana da alamun bayyanar cututtuka na jijiyoyi: zafi a hannu, rage ƙarfin tsoka da rashin jin dadi na fata na babba.
- Spondylosis- wani ci-gaba mataki na osteochondrosis, a cikin abin da gefuna na vertebral jikunan sun cika da kashi protrusions - osteophytes. Daga baya, vertebrae fuse da juna. A wannan yanayin, fayafai na intervertebral suna kwance, kuma ban da zafi, mai haƙuri yana fuskantar ƙuntatawa mai tsanani lokacin motsa kansa.
- Rheumatoid spondylitis- autoimmune kumburi tsari a cikin gidajen abinci na cervical kashin baya. Sakamakon tabarbarewar tsarin garkuwar jiki, kwayoyinsa sun fara kai hari a jikinsu. Cutar tana tasowa sannu a hankali kuma tana yaduwa cikin haɗin gwiwa na kashin baya. Ba kasafai ake shafa yankin mahaifa ba. Kashin baya sun lalace kuma motsinsu ya lalace. Ciwo a cikin wuyansa ya bayyana, taurin motsi yana faruwa, wanda a hankali ya ɓace bayan yin motsi mai aiki. Bayan lokaci, zafi yana ƙaruwa kuma kashin baya ya zama marar motsi.
- Arthrosis na facet haɗin gwiwa na kashin mahaifa- lalata ƙananan haɗin gwiwa da ke tsakanin baka na mahaifa na mahaifa. A wannan yanayin, an lalatar da saman cartilaginous na ƙasusuwa biyu kusa da juna. Nisa tsakanin ɗayan kashin baya yana raguwa, kashi ɗaya ya fara shafa da wani, wanda ke haifar da ciwo. Yana faruwa sau da yawa bayan raunin da ya faru ko kuma cuta ce ta sana'a; tana tasowa lokacin aiki a cikin ƙasa mara nauyi tare da sunkuyar da kai ko tilastawa juya kai. Yana nuna kanta a matsayin zafi a wurin da aka yi wa rauni, yana haskakawa zuwa kafada da crunching lokacin motsi.
- Torticollis- nakasar wuyan haihuwa ko samu ta hanyar karkata ko juya kai gefe guda. Cutar tana da alaƙa da ilimin cututtukan ƙwayar cuta na tsokar sternocleidomastoid, wanda yake a gefe tare da saman anterolateral na wuyansa a bangarorin biyu. Yana bayyana kanta a matsayin karkatar kai da kafada da aka ɗaga a gefen da abin ya shafa, tare da jin zafi a wuyansa da bayan kai lokacin ƙoƙarin karkatar da kai zuwa wani gefe. Ciwo yana ƙaruwa tare da aikin jiki da damuwa.
- Myofascial ciwo ciwociwo ne mai zafi da ke hade da samuwar wurare masu zafi na gida a cikin tsoka, wanda ake kira "maganin tayar da hankali. "Yana faruwa ne saboda tsawaita tashin hankali na tsoka, rashin daidaituwar rarraba kaya, da kuma tsinke jijiyoyi ta hanyar sifofin da ke kewaye. A wannan yanayin, mai haƙuri yana jin zafi a cikin tsokoki a hutawa, wanda ke ƙaruwa tare da aikin jiki, yana matsawa a kan wasu maki a cikin tsokoki, wanda ke jin kamar ƙananan ƙananan ƙwayoyi. Ciwo daga waɗannan maki na iya yada zuwa wasu sassan jiki.
- Karyawar matsirauni ne na kashin baya wanda matsewar jikin kashin baya ke faruwa da kuma lalacewa ga canal na kashin baya. Yana faruwa lokacin shiga cikin wasanni masu ban tsoro, da kuma a cikin tsofaffi saboda raunin nama na kashi. Zai iya haifar da rauni na whiplash a cikin haɗari kuma yana iya zama haɗari mai haɗari.
Dalilan da ba safai ba na jin zafi a cikin kashin mahaifa sun haɗa da:
- Osteomyelitis- kumburin purulent wanda ke shafar bargon kashi, periosteum, da kuma kashin kansa. Mafi sau da yawa yana faruwa saboda kamuwa da cuta da kuma aikin tsarin rigakafi.
- Cutar tarin fuka ta kashin baya- cuta mai tsanani wanda Koch's bacilli ke haifar da shi kuma yana shafar sassa daban-daban na kashin baya, yawanci yana shafar yankin thoracic. Alamun farko na iya bayyana shekaru da yawa bayan kamuwa da cuta.
Idan rashin jin daɗi da ciwon wuya a cikin wuyansa yana tare da ciwon makogwaro, zazzabi da rauni, wannan na iya nuna alamar kamuwa da kwayar cutar kwayar cuta, laryngitis da sauran mura.
Ciwon wuya kuma na iya zama bayyanar:
- marasa lafiya da ciwon daji na gabobin wuyansa;
- cututtuka na gastrointestinal;
- kasashen waje a cikin makogwaro;
- cututtukan thyroid;
- angina pectoris, wanda ake kira angina pectoris;
- abscesses na taushi kyallen takarda na wuyansa;
- cututtuka na Lymph nodes.
Idan tsokoki na wuyansa a bangarorin sun ji rauni, dalilin zai iya zama ba kawai spasm ko rauni ba, har ma da wasu cututtuka masu yawa. Asibitoci suna bin tsarin tushen shaida don gano cutar. Wannan yana ba ka damar ƙayyade ainihin asalin alamar kuma rubuta magani mai mahimmanci.
Bincike
A mafi yawan lokuta, ciwon wuyan ba shi da takamaiman, wato, lalacewa ta hanyar ilimin cututtuka na tsokoki da haɗin gwiwa. Har ila yau, ciwo ciwo sau da yawa tasowa a sakamakon degenerative canje-canje a cikin cervical kashin baya - osteochondrosis. Sabili da haka, da farko, kuna buƙatar tuntuɓar likitan neurologist ko vertebrologist.
Don yin daidai ganewar asali da kuma ba da magani, likita ya yi hira da majiyyaci dalla-dalla game da alamunsa, tsananin su, wurin da abin ya faru. Hakanan yana fayyace kasancewar cututtuka na yau da kullun, cututtukan gado, raunuka, da magungunan da aka sha. Sa'an nan kuma ƙwararren ya gudanar da cikakken nazarin gani, palpation na wuyansa, da kuma kima na matsayi na jijiyoyi, ciki har da ƙayyade ƙarfin tsoka da hankali a cikin sassan. Don tabbatar da ganewar asali da kuma ware cututtukan da ba su da alaka da kashin baya, ana ba da shawarar mai haƙuri don samun cikakkiyar ganewar asali. Wannan na iya haɗawa da:
- cikakken adadin jini, gwajin jini don alamomin matakan kumburi, matakan hormone thyroid;
- X-ray na kashin baya na mahaifa;
- Duban dan tayi tare da nazarin yanayin jini;
- electroneuromyography;
- MRI, CT.
Hanyar da ta fi dacewa ita ce MRI. Tare da taimakonsa, an gano cututtukan cututtuka na kashin baya a farkon matakai kuma an gano alamun matsawa na kashin baya ko tushen jijiya.
A wurin ganawa na asibiti, likita zai yi magana dalla-dalla game da hanyoyin bincike na zamani, fassara sakamakon binciken kuma ya tsara maganin da ya dace.
Maganin ciwo a cikin kashin mahaifa
Likitan ya ƙayyade yadda za a bi da ciwon wuyan wuyan wuyansa daban-daban ga kowane mai haƙuri, la'akari da duk halaye na jiki da kuma yanayin cutar.
Mutanen da ke da irin wannan ganewar asali za a iya ba da magani daban-daban saboda suna da tarihin likita daban-daban: cututtuka na yau da kullum, matakin ci gaban jiki, zafi mai tsanani, shekaru.
Don kawar da ciwo mai tsanani na wuyansa da ke hade da cututtuka na tsarin musculoskeletal, ana amfani da magani mai mahimmanci. Maganin na iya haɗawa da: magani, gyaran jiki, tausa, aikin motsa jiki.
Maganin magani- shan magungunan da ke dauke da magungunan da ba na steroidal anti-inflammatory, masu shakatawa na tsoka, a wasu lokuta ana amfani da corticosteroids. Babban makasudin maganin miyagun ƙwayoyi shine don rage kumburi da rage zafi, kawar da ƙarin lalata nama.
Physiotherapy- saitin hanyoyin jiyya dangane da tasirin abubuwan da aka halitta da na halitta a cikin jiki - haske, ruwa, wutar lantarki, filin maganadisu, tasirin inji da zafin jiki. Waɗannan fasahohin ƙaddamar da haɓaka hanyoyin dawo da yanayin jiki.
Hanyoyin physiotherapeutic da ke taimakawa wajen maganin kashin mahaifa sun haɗa da:
- Maganin Laser hanya ce mara zafi; yana taimakawa wajen kawar da ciwo, kawar da kumburi da kumburin gida, da inganta farfadowa na nama.
- Maganin Magnetic yana taimakawa rage zafi da kumburi.
- Maganin girgizawa yana inganta motsi na ginshiƙin kashin baya, yana shakatawa tsokoki, kuma yana hanzarta dawo da nama.
- Acupuncture wata dabara ce ta magungunan gargajiyar kasar Sin wacce za ta iya rage zafi da tashin hankali cikin sauri da sauri.
Maganin hannu- maganin cututtuka tare da hannaye, wanda likita ya tabbatar da wasu, motsin motsi, mai laushi. Godiya ga wannan hanya, motsi na haɗin gwiwa da ginshiƙan kashin baya ya dawo, tsokoki suna shakatawa, kuma an rage zafi. Maganin aikin hannu ya dogara ne akan dabarun gabas don magance kashin baya.
Massage- daya daga cikin shahararrun kuma shahararrun hanyoyin magance osteochondrosis da sauran cututtuka na kashin baya. Tare da taimakon tausa, za ka iya sauƙaƙa wuyan wuyansa yayin motsi kwatsam, kawar da tashin hankali da mayar da motsi na haɗin gwiwa na kashin baya. Massage yana kwantar da tsokoki masu rauni, yana ƙarfafa su, kuma yana rage zafi. Ana kuma amfani da shi don hana cututtuka na kashin mahaifa.
Jiyya na Waraka- an wajabta shi akayi daban-daban, la'akari da nau'in cutar da matakinta. Ajin ya ƙunshi wasu fasahohi da motsa jiki na musamman waɗanda ke taimakawa haɓaka motsin haɗin gwiwa, kawar da kumburi, tashin hankali na tsoka, sannan ƙarfafa ƙwayar tsoka don hana ci gaban cutar.
Rigakafi
Rayuwa mai zaman kanta, aiki mai tsawo a kwamfutar da wasu dalilai masu yawa suna haifar da matsaloli tare da tsarin musculoskeletal - wannan yana haifar da ciwon wuyansa. Shawarwari masu sauƙi don rigakafin zasu taimaka wajen guje wa ci gaban cututtuka masu tsanani na kashin mahaifa da matsalolin su:
- Yi ɗan gajeren dumi kowane minti 30-40 yayin hutu daga aiki a kwamfutar.
- Barci akan katifa da katifa da matashin kai na kashin baya.
- Kula da hankali sosai ga ergonomics na wurin aiki: kujera ya kamata ya zama dadi tare da matashi na musamman don wuyansa, kwamfutar ya kamata a sanya shi a matakin ido ko dan kadan mafi girma.
- Kada ku yi magana a wayar tare da kunci a kafadar ku.
- Raba kaya daidai da hannaye biyu idan kuna ɗaukar wani abu mai nauyi.
- Ku ci daidaitaccen abinci, iri-iri iri-iri, haɗa da babban adadin kayan lambu da 'ya'yan itace a cikin abincin ku.
- Matsar da ƙari, ba jikinka isasshen aiki.
Darussan yoga na yau da kullun da yin iyo a cikin tafkin suna taimakawa tare da ciwon wuya. Ana ba da shawarar yin aikin motsa jiki tare da malami, wanda zai zana tsarin horo mai dacewa kuma ya kula da daidaitattun aiwatar da shi.