ستون فقرات از جمله مهم ترین قسمت های بدن می باشد که از پایه جمجمه شروع و تا دنبالچه ادامه می یاید. ستون فقرات یا ستون مهره ها از ۳۳ مهره تشکیل شده که وظیفه صاف و صحیح راه رفتن را بر عهده دارد. بیماری ها و درگیری های مربوط با ستون فقرات می تواند بخش های مختلف بدن را تحت تاثیر قرار داده و بدین تریب کیفیت زندگی ، آرامش و سلامت شما رابه خطر بیاندازد. در این مقاله اطلاعات جامعی از زبان دکتر مونا حجازی در رابطه با بیماری های شایع ستون مهره ها که افراد را دریگرخود میکند صحبت می کنیم.
بیماری های ستون فقرات
بهترین متخصص ستون فقرات تهران ، دکتر حجازی، بیماری های ستون فقرات را به صورت زیر تقسیم بندی و تعریف می کنند:
بیماری های ستون فقرات : ستون فقرات بدن انسان متشکل از مهره های گردنی ، مهره های پشتی ، مهره های کمری و مهره های خاجی و دنبالچه ای می باشد. از جوش خوردن مهره های خاجی و دنبالچه ای به هم استخوان واحدی را تشکیل داده اند.
مهره های ستون فقرات از طریق رباط ها و مفاصل به هم متصل شده اند و پایداری و استحکام ستون فقرات توسط همین رباط ها و مفاصل تامین می شود. البته عضلات دیواره شکم در بخش جلویی بدن و عضلات مجاور ستون فقرات نیز در این امر تاثیر گذار می باشند.
وظایف ستون فقرات
- حفاظت از نخاع شوکی
- تحمل نمودن وزن سر ، گردن و تنه
- ممکن نمودن حرکت سر ، گردن ، تنه و لگن
دلایل بروز اختلالات مربوط به ستون فقرات :
بیماری ها و مشکلاتی که برای ستون فقرات ایجاد می شود ، می تواند بر اثر بروز عوامل و شرایط خاصی بروز کند. برای برخی از این بیماری ها ، هنوز علم پزشکی توانسته دلیل مشخص و قطعی بیان کند و دلیل بروز آن ها هنوز ناشناخته و نامشخص هستند. اما برخی از دلایل واضح آن عبارتند از :
- تصادف و یا سقوط و افتادن از ارتفاع
- بیماری ها و مشکلات مادرزادی
- دلایل و علت های ژنتیکی
- تورم
- عفونت
- جراحت حتی صدمات کوچک و تروما
- فرسودگی و پارگی دژنراتیو که با افزایش سن به وجود می آید
بیماری های مرتبط با ستون فقرات
ستون فقرات در معرض دردهای بسیاری قرار دارد. این دردها عموما در سنین ۲۰ الی ۵۰ سالگی خوش خیم می باشد و با مصرف داروهای مسکن و استراحت نمودن قطعا بهبود خواهد یافت و انجام بررسی ها و درمان های اساسی ضرورتی ندارد.
در صورتی که درد با علائم و نشانه هایی از قبیل تب و لرز ، بروز درد شدید یا پیدایش یک نقص عصبی در اعضای بدن همراه گردد می بایست حتما به پزشک متخصص مراجعه نمود.
در این مقاله دو مورد از شایع ترین بیماری های ستون فقرات را مورد بررسی قرار می دهیم :
- ناراحتی و درد گردن
از شایع ترین بیماری های مرتبط با ستون فقرات ، درد در ناحیه گردن است. این درد شامل احساس سفتی گردن ، اختلال حس در گردن ، محدود شدن حرکات گردن ، ضعف اندام های فوقانی بدن و درد گردن می باشد.
- رماتیسم ستون فقرات
در ابتدا به منظور تشخیص این عارضه ، پزشک به بررسی سابقه خانوادگی بیمار می پردازد ، زیرا در صورت ابتلای یکی از اعضای خانواده فرد به بیماری رماتیسم ستون فقرات ( اسپوندیلیت انکیلوزان ) احتمال اینکه فرد نیز با این بیماری درگیر شود افزایش می یابد.
در مراحل بعدی پزشک متخصص ، سوالات متعددی از بیمار در زمینه نحوه درد و علائم آن و به طور کلی بررسی شرایط و وضعیت کامل بیمار می پردازد. سپس اقدام به معاینه فیزیکی بیمار می نماید.
پس از تشخیص احتمالی اسپوندیلیت انکیلوزان ، پزشک شما انجام رادیوگرافی در زوایای مختلفی از جمله قفسه سینه ، کمر و لگن را برای شما تجویز می نماید.
در برخی موارد نیز ممکن است متخصص مغز و اعصاب جهت تشخیص رماتیسم ستون فقرات ، سی تی اسکن ، ام آر آی و تست شوبر را تجویز نماید.
مقصود از تست های تشخیصی ، آنالیز نمودن میزان تغییرات استخوان و بررسی رشد زائده های استخوانی در ستون فقرات می باشد.
نشانه های ابتلا به اختلالات و مشکلات ستون فقرات :
علائم و نشانههای درگیری به به اختلال خاص ستون فقرات به فاکتور های خاصی بستگی داشته و می تواند بسته به نقظه اسیب دیده ، قسمت های مختلف بدن را تحت تاثیر قرار دهد. علائم رایج عبارتند از:
شانه یا پشت که به شکل غیر طبیعی گرد است
کمر درد یا گردن درد که می تواند تیز و کوبنده، کسل کننده و یا دردناک باشد
اختلال عملکرد مثانه یا روده
حالت تهوع و یا استفراغ
دردی که در بازوها یا پاها پخش می شود.
ظاهر ناهموار و غیر طبیعی، مانند قرار گرفتن یک شانه یا لگن بالاتر از دیگری
ضعف، بی حسی یا گزگز در بازوها یا پاها
چه افرادی بیش از بقیه در معرض بیماری های ستون فقرات قرار دارند ؟
عوامل خطر و فاکتورهای ریسک ، می توانند شانس و احتمال درگیری شما با این بیماری ها را افزایش دهند. این عوامل خطر عبارتند از :
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