Ciwon baya shine ciwon baya wanda ke gaban kashin baya. Don haka raɗaɗin da ake ji an keɓe su a matakin ƙashin baya goma sha biyu. Sau da yawa, ciwon baya na iya zama sakamakon alamun bayyanar cututtuka, a tsaye ko kuma ciwo na baya na aiki. Kafin yin maganin ciwon baya mai aiki, saboda haka ya zama dole a ware alamun ciwon baya na alamun da ke tasowa daga cututtukan zuciya, pleuropulmonary, abubuwan narkewar abinci ko daga cututtukan da ke cikin kashin baya da kuma ciwon baya.

Ma'anar ciwon baya

Ciwon baya yayi dai-dai da ciwon baya dake gaban kashin baya - ko thoracic. Don haka raɗaɗin da aka ji an keɓance su a matakin ƙashin baya goma sha biyu, waɗanda aka keɓe D1 zuwa D12 - ko T1 zuwa T12.

Nau'in dorsalgies

Za a iya kasa ciwon baya zuwa iri uku:

• Alamun ciwon baya, sau da yawa m;
• Ciwon baya na "Static", wanda ke da alaƙa da rashin girma ko a tsaye;
• "Ayyukan" ciwon baya, sau da yawa yana haɗuwa da ciwon tsoka da kuma yanayin tunani, yana farawa a hankali a kan lokaci.

Dalilan ciwon baya

Daga cikin abubuwan da ke haifar da ciwon baya na alamun bayyanar sun hada da:

• cututtuka na zuciya da jijiyoyin jini: rashin isasshen jini, pericarditis, thoracic aortic aneurysm;
• Pleuropulmonary pathologies: Bronchial ciwon daji, kamuwa da cuta ko invasive pleurisy (mesothelioma, Bronchial ciwon daji), mediastinal ƙari;
• pathologies na narkewa kamar: na ciki ko duodenal miki, hepatobiliary cuta, esophagitis, pancreatitis ko gastritis, ciwon daji na ciki, esophagus, pancreas;
• Ƙarƙashin yanayi na kashin baya: spondylodiscitis (kamuwa da cuta na diski na intervertebral da jikin vertebral kusa), spondyloarthropathy (cututtukan haɗin gwiwa), raunin osteoporotic, ƙwayar intraspinal, ƙwayar cutar ƙwayar cuta, ƙwayar cuta, cutar Paget (cututtuka na yau da kullum da na gida);
• Fayil na ƙwanƙwasa dorsal - lura cewa ɓangaren dorsal shine duk da haka mafi wuyar fayafai masu lalacewa.

Za a iya haifar da ciwon baya a tsaye ta:

• Kyphoscoliosis ko sau biyu nakasar kashin baya, yana haɗuwa da ɓarna na gefe (scoliosis) da kuma ƙetare tare da haɗin gwiwa na baya (kyphosis);
• Dystrophy na ci gaban kashin baya (ciki har da cutar Scheuermann) ko canza tsarin disco-vertebral da ke faruwa a cikin yara da matasa. A asalin ciwon girma, yana iya haifar da ci gaba a cikin girma.

Ciwon baya na aiki ba shi da ainihin dalilan da aka gano amma yana iya zama haɗuwa da abubuwa daban-daban na inji da na tunani:

• Lalacewar bayan gida lokacin da tsokoki na baya sun yi rauni sosai;
• Ƙunƙarar ƙwayar tsoka ta tsananta da damuwa da damuwa;
• Canje-canje a cikin gidajen vertebral tare da shekaru (discarthrosis);
• Ciki: nauyin ciki yana ƙaruwa kuma hormones na ciki yana haifar da shakatawa na ligaments na kashin baya;
• Matsala ko raunuka na tsokoki na baya bayan motsi mai tashin hankali ko girgiza;
• Kuma da yawa

Gano ciwon baya

Kafin ɗaukar nauyin ciwon baya na aiki, ya zama dole don ware ciwon baya na alamun bayyanar cututtuka - wanda ke tasowa daga cututtukan zuciya, pleuropulmonary, digestive dalilai ko yanayin kashin baya - da kuma ciwon baya wanda dole ne ya amfana daga takamaiman jiyya.

Da farko, ana tantance ciwon baya ta hanyar tambayar majiyyaci:

• Pain: wuri, kari, tasiri na matsalolin injiniya, matsayi, kwanan wata da yanayin farawa, juyin halitta, tarihi;
• Haɓakawa tare da ko ba tare da abinci ba, hankali ga magungunan anti-inflammatory marasa steroidal (NSAIDs), kasancewar "belt" irradiation (tare da hakarkarinsa), da dai sauransu. ;
• Bayanan ilimin halin dan Adam.

Binciken asibiti ya biyo bayan tambayoyin:

• Gwajin kashin baya: a tsaye, sassauci a cikin sassauci da tsawo, maki masu raɗaɗi akan palpation, yanayin musculature na thoracic;
• Janar jarrabawa: pleuropulmonary, zuciya da jijiyoyin jini, narkewa da kuma hanta;
• Nazarin jijiyoyi.

A ƙarshe, ya kamata a yi x-ray na kashin baya na thoracic.

Dangane da yanayin da ake bincikar cutar, ana iya yin wasu ƙarin gwaje-gwaje:

• Bincika alamun ilimin halitta na kumburi;
• Scintigraphy (binciken ginshiƙi ko gabobin da ke amfani da wani abu mai radiyo wanda ke manne da su kuma ana gudanar da shi a cikin ƙananan ƙima);
• CT scan na kashin baya na thoracic;
• Hoto na Magnetic Resonance Hoton (MRI) na kashin thoracic;
• Endoscopy na ciki;
• Binciken cututtukan zuciya…

Mutanen da ciwon baya ya shafa

Yayin da kusan 14% na yawan jama'a na iya sha wahala daga ciwon baya na aiki, mata masu aiki suna ganin sun fi shafar waɗannan ciwon baya.

Abubuwan da ke fifita ciwon baya

Abubuwa daban-daban na iya haɓaka ciwon baya:

• Rashin aiki na jiki;
• Rashin aiki;
• Rashin isasshen tsokar baya;
• Rashin motsi saboda shekaru ko asibiti, misali;
• Lokacin haila;
• Ciki ko kiba;
• Damuwa da damuwa;
• Rashin hankali ko cututtuka na psychosomatic.

M zafi

Ciwon baya na bayyanar cututtuka yakan haifar da zafi mai zafi a cikin tsokoki na baya. A cikin waɗannan yanayi, ana buƙatar shawarar likita na gaggawa don gano dalilin.

Yada zafi

Ciwon baya na aiki zai iya haifar da zafi mai yaduwa tsakanin ruwan kafada, ko kuma a keɓe sosai, kuma yana tsoma baki tare da numfashi. Zai yiwu a dame su da ciwon wuyan wuyansa lokacin da suke a matakin na ƙarshe na dorsal vertebrae, a haɗin gwiwa tare da tushe na wuyansa.

kullum ciwo

Lokacin da ciwon baya na aiki ya sake dawowa akai-akai ko ya wuce fiye da watanni uku, ana kiran shi ciwo mai tsanani.

Sauran alamu

• Tashin hankali ;
• Tingling abin mamaki;
• Tingling;
• Yana ƙonewa.

Baya ga ciwon baya mai alamar alama wanda ke buƙatar takamaiman magani, kulawar warkewa ya shafi ciwon baya na aiki.

Maganin ciwon baya mai aiki zai iya haɗawa:

• Ayyukan yau da kullum na aikin motsa jiki mai dacewa don ƙarfafa baya da ciki;
• Zama tare da physiotherapist ko osteopath don taimakawa wajen shakatawa tsokoki, laushi da kashin baya da kuma rage zafi;
• Yiwuwar gyare-gyare na ergonomics a wurin aiki lokacin da zai yiwu;
• Ana iya ba da shawarar analgesics a lokacin zafi mai zafi;
• Ayyukan motsa jiki na numfashi - kamar numfashi na ciki - ko shakatawa don shakatawa;
• Taimakon ilimin halin ɗan adam;
• Antidepressants kamar yadda ake bukata.

Don hana ciwon baya mai aiki, ana yin wasu matakan kiyayewa:

• Yin wasan motsa jiki da ya dace don ƙarfafa baya da haɓaka abs mai ƙarfi, a kowane zamani;
• Ɗauki madaidaicin matsayi lokacin aiki, kiyaye bayanka madaidaiciya;
• Kada ku kiyaye matsayi ɗaya da tsayi: gajere amma hutu na yau da kullun yana da fa'ida;
• Ɗaukar kaya masu nauyi a kusa da jiki sosai;
• Kada ku karkatar da kashin baya;
• Ka guje wa manyan sheqa waɗanda ke haifar da rashin kyaun matsayi da karkatar da kashin baya na wucin gadi;
• Barci a gefen ku kuma ku guje wa barci a kan ciki;
• Yi dabarun shakatawa don kawar da damuwa;
• A guji kiba.