Azụ azụ

10 Julaị 2022

Enwere mmetụta mgbu nke isi na nke abụọ, nke ọ bụla n'ime ụdị ndị a nwere ike ịkpata ọnọdụ na ọrịa dịgasị iche iche. N’isiokwu a, anyị ga-agbalị ịtụle naanị ndị kacha mkpa.

Enweghị nkọwa (nke mbụ). Ụdị mgbu a na-emetụta kpọmkwem na nsogbu dị na ọkpụkpụ azụ na anụ ahụ gbara ya gburugburu.

Ihe na-akpata mgbu azụ jikọtara ya na ọkpụkpụ azụ:

Scoliosis. Mmebi nke nguzozi, na-eduga n'iji nwayọọ nwayọọ na-atụgharị nke ọkpụkpụ azụ, nkwụsị nke vertebrae na ahụ ike.
Osteochondrosis. Ihe kpatara mmepe nke ọrịa ahụ bụ mbelata nke ike nkwụsị nke ọkpụkpụ azụ: mmebi nke diski intervertebral, mgbawa nke mgbanaka fibrous na, n'ihi ya, mmebi nke diski diski. A na-ahụta mmetụta mgbu na mpaghara nke akụkụ ahụ nke ọkpụkpụ azụ, nke enwere mgbanwe mgbanwe pathological. Ya mere, na osteochondrosis nke spine thoracic, a na-etinye ihe mgbu azụ na mpaghara thoracic (azụ na-afụ ụfụ n'etiti ubu na n'okpuru ọgịrịga), na osteochondrosis nke ọkpụkpụ ọkpụkpụ, mmadụ na-enwe mgbu na mpaghara lumbar.
Intervertebral hernia. N'ihi mmebi nke diski intervertebral, ihe owuwu dị nro nke vertebrae na-apụta na enwere ike ịdaba (nke a na-ahụkarị na nke a na-agbaji). A na-etinye ihe mgbu ahụ na saịtị nke hernia.
Ankylosing spondylitis. A na-egosipụta ya site na mgbu azụ na njedebe dị nta na ọkpụkpụ azụ, nke na-eduga n'ọnọdụ a na-amanye "ehulata ihu" na onye ọrịa.
Osteomyelitis. Ihe na-akpata ọrịa ahụ bụ usoro na-efe efe nke mepụtara na ọkpụkpụ azụ azụ. Onye ọrịa ahụ na-eche na ihe mgbu na-ekpuchi ọ bụghị naanị ọkpụkpụ azụ, kamakwa akwara nke azụ.
Ọkpụkpụ mmerụ ahụ. N'okwu a, ihe kpatara mgbu azụ bụ mmerụ ahụ na nsogbu ndị na-eso ya. Mmetụta nke mmetụta mgbu na mpaghara ha na-ejikọta kpọmkwem na ụdị mmerụ ahụ na akụkụ ahụ metụtara nke ọkpụkpụ azụ.

Na 40-50% nke ikpe, ihe na-akpata mgbu azụ bụ mmebi nke nkwonkwo na nkwonkwo nke spine (mgbu mgbu). Ihe ọzọ 3-5% nke mgbu azụ siri ike jikọtara ya na mmebi nke mgbọrọgwụ nke ọkpụkpụ azụ (mgbu radicular).

Azụ mgbu jikọtara ya na pathological mgbanwe na mọzụlụ:

Fibromyalgia. Usoro mkpasu iwe na-etolite na mọzụlụ gbara ọkpụkpụ azụ, e ji symmetry mara ma nwee ike ịdị ala ala. N'okwu a, mọzụlụ nke azụ na-afụ ụfụ n'akụkụ ọkpụkpụ azụ dum. Ihe dị mkpa bụ na mgbu kachasị elu na-eme mgbe ị na-pịa ebe ụfọdụ.
Polymyositis. Hypothermia nwere ike ịkpasu ọrịa ahụ. N'ihi mmepe nke ọrịa ahụ, onye ọrịa ahụ na-enwe mmetụta adịghị ike na ahụ mgbu, nke na-abawanye mgbe ọ na-agbalị ime ntụgharị.
Polymyalgia Rheumatic. Etiology nke ọrịa ahụ edoghị anya. Ọrịa na-efe efe nke na-ebelata ihe mgbochi nwere ike bụrụ ihe na-akpalite. A na-egosipụta ya site na mgbu na-abawanye na mmepe nke ọrịa ahụ, nke nwere ike ikpuchi akụkụ niile nke azụ. Ihe mgbu azụ siri ike na-emebi mmegharị ahụ ruo n'ókè nke na onye ọrịa enweghị ike ịmegharị onwe ya. A na-ahụ anya asymmetry doro anya na azụ.
Ọrịa Charcot. Ihe mgbaàmà na-ebute site na mbufụt na irighiri akwara dị n'akụkụ ogidi ọkpụkpụ azụ. N'ihi usoro pathological, na mgbakwunye na oke mgbu, enwere mgbanwe na ụkwụ onye ahụ.

N'ime 50-60% nke ihe mgbu azụ na-abụghị nke a kapịrị ọnụ, mpaghara ha dị na mọzụlụ.

Specific (ihe mgbu nke abụọ). Ụdị mgbu a, n'agbanyeghị ebe dị n'azụ, anaghị enwekarị mmekọrịta kpọmkwem na ọrịa nke ọkpụkpụ azụ ma ọ bụ ọkpụkpụ muscular gbara ya gburugburu. Ihe na-akpata mgbu a kapịrị ọnụ dị nnọọ iche, mana nke kachasị dị ize ndụ bụ ọrịa oncological. Ya mere, mgbu nke na-egbukepụ n'azụ nwere ike ịkpata neoplasm na-adịghị mma na mpaghara nke mammary glands, ngụgụ ma ọ bụ prostate, nke na-akpalite metastasis nke ọkpụkpụ azụ.

Ọrịa ndị na-ebute mgbu kpọmkwem gụnyere:

Mgbọrọgwụ irighiri akwara n'ime obi. Ọtụtụ mgbe, nke a na-eduga na mmepe nke intercostal neuralgia. A na-ahụ ihe mgbu dị na nke a na saịtị nke pinching. Ya mere, intercostal neuralgia nwere ike igosipụta onwe ya: mgbu n'okpuru ubu ubu, mgbu n'azụ n'okpuru ọgịrịga (n'akụkụ ebe pinching mere). Mgbu nwere ogo dị iche - site na mgbu ruo nkọ, agbapụ. Ọtụtụ mgbe, ọrịa mgbu na-eme mgbe ị na-agagharị ma ọ bụ na-agbanye na mpaghara emetụtara. Eziokwu a bụ isi ihe dị iche n'etiti intercostal neuralgia na ọrịa nke obi na ngụgụ, nke nwekwara ike igosipụta site na mgbu n'okpuru aka ekpe (ma ọ bụ aka nri) ubu ubu si azụ.
Ọrịa nke eriri afọ tract. Ọtụtụ mgbe, ha na-akpalite mgbu n'akụkụ aka nri, n'ọnọdụ ụfọdụ ọ pụkwara ịgafe n'akụkụ aka ekpe nke ahụ. Ọtụtụ n'ime ihe mgbu dị na mpaghara lumbar na sacro-lumbar. Mmetụta mgbu siri ike zuru oke bụ njirimara nke pathologies jikọtara ya na ngosipụta nke ọrịa nke pancreas, colonic diverticulum, intestinal obstruction, retrocecal appendicitis, wdg.
Ọrịa ọnya afọ. Ulcerative ọnya nke akụkụ nke elu abdominal cavity (peptic ọnyá afọ duodenum na afo) nwere ike na-egosipụta onwe ha n'ụdị mgbu na thoracic na ala lumbar azụ. Ọ bụrụ na akụkụ ala nke oghere afọ na-emetụta (ulcerative colitis), a na-etinye ihe mgbu na mpaghara lumbar. Mmetụta mgbu nwere ike ịdị iche, mana ọnụ ọgụgụ kachasị elu na-erukarị n'abalị.
Appendicitis. Na nnukwu appendicitis, n'ọnọdụ ebe ihe mgbakwunye (appendix) dị n'azụ caecum, azụ na-afụ ụfụ na mpaghara lumbar. Ihe mgbu na-agbanwe agbanwe na okike ma nwee ike ịdị iche site na mgbu, dị nro ruo nkọ, siri ike.
Ọrịa akụrụ. Ọtụtụ mgbe ha na-egosipụta site na mgbu na mpaghara lumbar. Ngosipụta dị otú ahụ bụ ihe e ji mara pyelonephritis na glomerulonephritis na-adịghị ala ala. Ihe dị iche iche sitere na pathologies nke nwere njikọ kpọmkwem na kọlụm nke ọkpụkpụ azụ na-eme na ndabere nke nyocha nke ngosipụta ụlọ ọgwụ ndị ọzọ na nsonaazụ nyocha.
Ọrịa urolithiasis. Site na renal colic, azụ na-afụ ụfụ na mpaghara lumbar. A na-akpọ mgbu ahụ, nke siri ike, na-eme na mberede ma ọ bụghị dabere na ọnọdụ nke ahụ. Azụ na-afụ ụfụ na ala azụ yana staghorn nephrolithiasis. Ngosipụta nke ọrịa mgbu mgbu dị ala, ihe mgbu na-egbu mgbu na ọdịdị.
Ọrịa nke usoro ọmụmụ nwanyị na mgbu nke ịhụ nsọ. N'ọnọdụ ndị a, a na-ahụkarị ihe mgbu na azụ azụ.
Neoplasms na usoro akpa ume. N'okwu a, ihe mgbu na-apụta na ọkwa mgbe ngụgụ na-etolite germination nke akụkụ tumor (metastases) n'ime mpaghara pleural na mgbidi obi. Ọdịdị nke ihe mgbu ahụ siri ike, na-agwụ ike.
Ọrịa obi. Ihe na-akpatakarị mgbu na mpaghara azụ azụ bụ infarction myocardial na ọrịa strok. Dị ka a na-achị, ọrịa ndị a na-esonyere mgbu n'etiti ubu ubu.
Usoro inflammatory na nkwonkwo. Ọrịa ogbu na nkwonkwo na-efe efe nwere ike ime ka mgbu na-esi na nkwonkwo emetụta ya na mpaghara ndị dị nso, gụnyere mgbu azụ.

Maka ọtụtụ akụkụ, ihe na-akpata ngosipụta nke mgbu na azụ bụ otu maka nwoke na nwanyị abụọ, ma ọ dị mkpa ịkọwapụta ọtụtụ ọrịa ndị dị iche na mmekọahụ.

azụ mgbu na ụmụ nwoke

Ọ bụ ezie na ihe na-akpata mgbu azụ na-abụkarị otu ihe ahụ maka nwoke ma nwanyị, enwere ọtụtụ ọrịa ụmụ nwoke na-enwekarị ike ibute n'ihi ụdị ndụ ha.

Ihe ndị a na-ebute ụzọ gụnyere:

ọrụ metụtara ibuli na ibu ibu dị arọ;
egwuregwu ike (gụnyere nka ịgba egwu dị iche iche, ibuli elu, wdg);
àgwà ọjọọ.

N'ihi ya, ọrịa nke musculoskeletal na obi obi na ụmụ nwoke nwere ike ime ọtụtụ ugboro karịa ụmụ nwanyị.

Ọrịa "nwoke" akọwapụtara nke nwere ike ịkpata mgbu azụ bụ pathologies dị iche iche nke prostate.

Prostatitis bụ ọrịa na-egbu egbu nke gland prostate. Na mmalite nke ọrịa ahụ, a na-ahụta ọrịa ọrịa mgbu na ukwu, scrotum na n'okpuru afọ, ma na ọkwa nke abụọ na n'ọnọdụ ebe ọrịa ahụ na-adịghị ala ala, ihe mgbu na-agbasa na azụ.

Mpaghara nke ihe mgbu na nke a nwere ike itinye uche na mpaghara lumbosacral ma ọ bụ gbasaa na azụ dum. Nke a bụ n'ihi n'eziokwu na usoro mkpali na-emetụta njedebe akwara, nke na-ekpuchi akụkụ a n'ọtụtụ buru ibu.

Mmetụta mgbu na-emetụta kpọmkwem na ọkwa nke ọrịa ahụ. Ya mere, na nnukwu oge, a na-akọwa ihe mgbu dị ka nnukwu na obere oge. N'ụdị na-adịghị ala ala, ọrịa mgbu adịghị ekwupụta nke ọma ma na-adịgide adịgide.

Nchọpụta na ọgwụgwọ na nke a na-eme site na urologist.

azụ mgbu na ụmụ nwanyị

N'ọnọdụ ụfọdụ, mgbu azụ na ụmụ nwanyị nwere ike ịbụ nke ọdịdị dị iche iche jikọtara ya na njirimara nke ahụ na usoro na-eme na ya. Nke mbụ, anyị na-ekwu maka oghere ọmụmụ.

Dị ka a na-achị, mgbu metụtara ọrịa gynecological na mpaghara thoracic na lumbosacral mpaghara. Ihe kpatara na-emekarị gụnyere:

Oge nsọ nsọ. N'ime oge nsọ nwanyị, ọnọdụ hormonal nke nwanyị na-agbanwe, nke na-eduga n'ọdịdị nke ọtụtụ ngosipụta na-adịghị mma. Nke a bụ n'ụzọ bụ isi n'ihi mbelata ọkwa nke progesterone, bụ nke na-ahụ maka ike nke ọnụ ụzọ mgbu. Ịbelata ọnụ ụzọ mgbu na-eduga n'eziokwu na ọbụna obere mmetụta mgbu na-apụtawanye ìhè. Ọzọkwa, mgbanwe nke hormonal na-eduga na mgbakasị ahụ nke mgbidi eriri afọ na njigide mmiri, nke na-akpalite mmụba nke akụkụ ụfọdụ na olu na, n'ihi ya, mkpakọ nke njedebe akwara nke spine lumbar. Ngwakọta nke ihe ndị a na-akpalite ihe mgbu azụ.
Ime ime. Mgbu mgbu dị ala na nke a nwere ike kewaa ụzọ abụọ: mgbu nke mbụ trimester. Ọ bụrụ na mmetụta na-egbu mgbu na-esonyere ya na mgbaàmà ndị ọzọ (ọbara ọgbụgba, ahụ ọkụ, wdg), anyị nwere ike ikwu maka ihe ize ndụ nke ime ọpụpụ. Mgbu na ọkara nke abụọ nke ime ime. Ọtụtụ mgbe, ihe mgbu dị otú ahụ na-ejikọta ya na mgbanwe physiological, ya bụ: uto na-arụsi ọrụ ike nke nwa ebu n'afọ, nke na-akpalite mgbanwe n'etiti etiti ike ndọda na ọnọdụ nke ahụ, na nkwadebe nke pelvis maka ọrụ ọrụ na-abịanụ.
Ọrịa nke usoro ọmụmụ. Ọtụtụ n'ime ihe mgbu na-etinye uche na mpaghara lumbar, bụ nke a kọwara site na topography nke akụkụ ọmụmụ ụmụ nwanyị. Ihe na-ebutekarị ngosipụta nke ọrịa mgbu bụ ovarian cysts, adnexitis, afọ ime ectopic, endometriosis, wdg.
Menopause. N'oge menopause, mgbanwe dị ike na mgbanwe nke ọkwa hormonal na-eme. Nhazigharị ahụ dị otú ahụ na-ahapụ akara n'ọtụtụ usoro nke ahụ nwanyị. Nke mbụ, usoro skeletal na-ata ahụhụ, nke, n'okpuru mmetụta nke mgbanwe mgbanwe nke hormonal, na-aghọwanye ndị na-esighị ike ma na-ebute ụdị ọrịa dị iche iche.
Nnukwu obi. Ọnụ ọgụgụ buru ibu nke bust, jikọtara ya na uwe ime na-akwadoghị nke ọma, na-emepụta ibu ọzọ na kọlụm ọkpụkpụ azụ, na, n'ihi ya, nwanyị ahụ nwere azụ mgbu na mpaghara nke ubu na ala azụ.
Akwa ikiri ụkwụ. Ịwe akpụkpọ ụkwụ na ikiri ụkwụ dị elu na-eduga na mmepe nke ọtụtụ ọrịa ndị metụtara mgbanwe pathological na usoro musculoskeletal na mgbu azụ.

azụ mgbu na coronavirus

Ọrịa Coronavirus na-emetụta ọtụtụ akụkụ ahụ, mana ngụgụ bụ ndị mbụ na-ata ahụhụ. Ya mere, mgbe mgbe, ihe mgbu n'etiti ubu ubu ma ọ bụ n'okpuru ha bụ ngosipụta nke mbufụt nke mepụtara na anụ ahụ ngụgụ. Dabere na ngụgụ na-emetụta karịa, onye ọrịa ahụ ga-enwe mmetụta mgbu n'okpuru aka ekpe ma ọ bụ aka nri.

Na mgbakwunye na mmebi nke anụ ahụ ngụgụ, enwere ịṅụbiga mmanya ókè nke ahụ na mmụba nke okpomọkụ, nke nwekwara ike ịkpata mgbu (ihe mgbu) na azụ na akụkụ.

Azụ mgbu mgbe coronavirus kọwara site n'eziokwu na ọrịa ahụ nwere ike ọ bụghị nanị imebi ụjọ usoro, ma megide ndabere nke a n'ozuzu mbelata na mgbochi, ọrịa na-adịghị ala ala, gụnyere esịtidem akụkụ na musculoskeletal usoro, na-akawanye njọ.

Azụ mgbu mgbe ụra gasịrị

Ihe kpatara azụ gị na-afụ ụfụ ma ị rahụ ụra nwere ike ịbụ:

ọrụ metụtara mmega ahụ na ibuli ibu;
ụda akwara dị ala;
intervertebral hernia na osteochondrosis na akụkọ ihe mere eme;
ogologo oge hypothermia nke azụ;
mkpụkọ nke ọkpụkpụ azụ, nke butere mgbakasị ahụ ike na mgbakasị ahụ na-adịghị mma;
oke ahụ dị arọ, na-ebute mmụba nke ibu na azụ;
ọnọdụ nrụgide;
akwa akwa .

Mmetụta na-adịghị mma nwere ike inwe ike dị iche iche ma pụta n'okpuru ọgịrịga, na ala azụ, n'etiti ubu ubu na n'okpuru ha.

Iji kpochapụ ihe mgbu na-eme mgbe ụra gasịrị, ọ dị mkpa ka ewepu ihe niile na-akpali akpali ma kpọtụrụ dọkịta maka ọgwụgwọ.

Ihe mgbu azụ - kedu dọkịta ka m ga-akpọtụrụ?

Nchọpụta mbụ nke mgbu na mpaghara azụ bụ onye ọkachamara n'ozuzu na-eme. Ọ bụrụ na ọ dị mkpa, enwere ike ịnye ọtụtụ nyocha na nyocha nke ndị ọkachamara pụrụ iche:

ọkà mmụta akwara ozi;
gastroenterologist;
ọkachamara n'ọrịa ụmụ nwanyị;
ọkà mmụta urologist;
ọkà n'akparamàgwà mmadụ.

Iji mee nchọpụta ziri ezi, ọ dị mkpa ịme nyocha zuru ezu nke ọnọdụ onye ọrịa. Maka ebumnuche ndị a, dọkịta nwere ike ịnye ọtụtụ ọmụmụ ihe ndị ọzọ:

Nyocha ụlọ nyocha. Ọtụtụ mgbe, ndepụta a na-agụnye nyocha ọbara izugbe na nke biochemical, nyocha mmamịrị, nsị na, n'ọnọdụ ụfọdụ, nyocha nke ọkwa hormone. Ọmụmụ ihe ndị a na-enyere aka ịchọpụta usoro mkpali na ọrịa nwere ike ime. Ọ bụrụ na ị na-enyo enyo ụfọdụ ọrịa ma ọ bụ ihe oncological akụkụ, dọkịta nwere ike ịdepụta ọtụtụ kpọmkwem ọmụmụ (biopsy, tumor markers, wdg).
Nchọpụta ngwaike. Ha na-enyere aka ị nweta foto ọhụụ nke usoro ọrịa ahụ, nke a na-apụghị ịchọta site na nyocha anya na palpation. Radiography nke a na-enyekarị, MRI, ultrasound.

Ọgwụgwọ mgbu azụ

Maka nzube nke ọgwụgwọ ruru eru, n'ime consulting nke ọkachamara dị mkpa. A na-ahọrọ ọgwụgwọ nke ọma na ndabere nke nchoputa ma na-eburu n'uche ọnọdụ izugbe nke onye ọrịa. Ngwọta onwe onye nke mgbu azụ nwere ike ime ka ọrịa ahụ na-aga n'ihu ma ọ bụ na-agbanwe na ọkwa na-adịghị ala ala.

Mgbochi nke mgbu azụ

Usoro mgbochi bụ isi na-adabere n'ụzọ bụ isi na ihe kpalitere ọdịdị mgbu azụ. Nkwanye izugbe gụnyere:

ndụ ahụike;
nri zuru oke na ahụike;
iji ezi uche emega ahụ;
ọgwụgwọ nke ọrịa ndị a chọpụtara n'oge;
ngafe nke nyocha mgbochi mgbe niile, gụnyere ndị ọkachamara nke profaịlụ dị warara.