Phòng thoái hóa đốt sống cổ

'hong thoai hoa

dot song co

Tho^i h6a deft sS^ng cd ng^y

cAng cd xu hildng gia

tdng, b$nh g^p chu yiu

d ngUCti trudng th^nh, dnh hudng

nhiSu din si^c kh6e, chfTt lUcfng

cuOc Bong, d^c bi$t c6 th^ gfiy ngn

biS^n chi3fng nguy hiSm.

D$c diem va bieu hi^n

thoiki hda dd't sd'ag co

C$t sd'ng ciia con ngufri c6 32

- 33 dd't, trong A6 7 dd't stfng co,

dUdc ky hi^u tCr C, - d. GiUa hai

dtft song tit C2 trd xutfng c6 cdc

dia d^m gian dd't sd'ng. Moi d!a

d0m duac cS'u tao bdi nhfin nhdy,

vdng si^i, mgm syn, c6 chilu cao

3mm b^ng 2/5 chi^u cao thSn dd't

sd'ng. Xung quanh dd't sd'ng cd

cdc dfiy ch^ng, gfin cu bdm vdo.

Dia d^m cQt sfi'ng c6 Id bd phdn

chfnh d^ Hdn k6't cdc dd't sd'ng.

Mdm sun gdn chdt vdo tdm cung

cua thdn A6t sd'ng bAng mgt ldp

calci cd nhiSu Id nhd cd tdc dung

dinh dudng cho dia d?m vd bdo v§

xUtfng khdi bi nhfin nh^y dp vao,

bao v$ dia d$m khdi bi nhiem

khu^n tu xuung di tdi. Nhdn nhdy

di chuydn khi c^t sd'ng cu" dOng vd

cd tdc di^ng tdm gidm xdc khi cd

l^c tdc dOng vdo dd't sd'ng. Thodi

hda dd't sd'ng c^ Id tinh trang

vidm ddy vd Idng d^ng calci d cdc

ddy chdng doc c6, ldm hep cdc 16

ra cua cdc rS thdn kinh th^ hi^n

bdng cdc tri$u chUng ldm sdng.

Su chfen dp rl thdn kinh va tuy

song cdn cd thi dUa dd'n sU thoat

vi cua cdc nhdn dia dem chen vao

tuy sd'ng gdy ndn cdc bi^n chUng,

th^m chi bi^n chUng nguy hiem.

NgUdi bi thodi hda dd't sd'ng c6

thudng bi dau c6 khi v^n ddng,

con dau kdo ddi tii gdy lan ra

tai, ddu, vung trdn, dau tCr gdy

lan xud'ng bd vai.,. ldm cho hoat

ddng phdn co bi han che (xoay,

cui, ngUa). Thodi hda dd't sd'ng

c6 thudng gdp d ngudi cd cong

vi$c luon ddi hdi cui nhieu, ngu^a

nhilu, ngdi nhilu (cdng tdc van

phong) hodc d ngUdi thudng xuyen

mang vdc n&ng trdn dau hay ngdi

trudc mdn hinh vi tinh hoac xem

vd tuyen qud Idu (vi tri vd tuyen

dd' cao qud), kdo ddi nhieu ngay,

nhieu thdng, nhieu nam, lam sai

l^ch cdu true binh thudng cua cd,

dan tdi bien ddi md xUang, day

chdng, cd vd de dan den thoai

hda cac md CQt sd'ng hoac hinh

thdnh cdc gai xUdng dd't sd'ng cd.

NhUng ngudi do it van ddng ldm

cho vung cd vd vung gdy khdng

duoc thudng xuyen cd ddng, hoac

chi gifl nguyen mgt tU the' lam

cho mdu it liai thdng, hodc do an

ud'ng thieu chd't, nha't la thie'u

calci ldm cho cdc td chUc bi nudi

dudng kdm. Ngodi ra cdn cd the

do tu the' ndm ngu, chi ndm rngt

hodc hai tu the, khdng cd thdi

-» PGS.TS. BUI KHAC HAU

quen chuyin minh hoac do dung

gdi khdng phu hop (ran qud, mim

qud, cao qud.,.) ldm anh hudng

din vide luu thdng mdu den nuoi

dudng. Thodi hda ddt sdng cd,

ne'u khdng ducfc chan dodn sdm,

dieu tri kip thdi va dung phUOng

phdp s§ gdy nhieu bien chUng,

thgm chi gdy nen rngt sd bil^n

chlJng nguy hilm.

Thodi hda ddt sdng cd khi dang

d giai doan dau thi cam thd'y cd

cdng, hoi dau khi cui xudng va

bdt ddu khd xoay chuyin, sau

mdt thdi gian tha'y dau nhdc vung

cd, dau nhdc lan dan xudng vai,

gdy, tai, ddu. Giai doan tilp theo,

ngUdi b$nh xud^t hign dau ddu,

xoay cd thdy dau, vUdng, nhdt Id

thinh thodng bi veo cd. Cdc tri^u

chiJng dau nhUc, te, mdi d viing

chdm, trdn, lan xudng cdnh tay

(mot ben hay cd hai tuy theo sU

chdn dp vdo ddy thdn kinh) vd

bdt dau cd td cdnh tay, bdn tay,

ngdn tay. Bie'n chdng do thodi hda

ddt sd'ng cd cd thi gay ra nhU rdi

loan tien dinh do thodi hda ddt

sd'ng cd ldm tdn thUOng vao lo tilp

hop (dau dau, chdng mdt, budn

ndn, ndn moi khi ddng len, ngdi

xudng, thay ddi tu th i lue ndm),

ldm cho ngudi benh mdt mdi, in

kdm, ngu kem, lo Idng, tram cam,

ddc bi§t la ngudi cao tudi rat de

bi ngd gdy tai nan. Day Id mpt

vdng luan quan, cdng lo Idng, mdt

mdi, ngii kdm thi b^nh cang ndng

them. Bien chd'ng ddng ngai nhdt

la thodt vi dia d$m dd't sdng cd.

md khi gSp phdi bien chdng ndy

thi viec dieu tri khdng don gidn

chut ndo, nhdt Id cd chdn dp tuy

sd'ng, thdm chf cdn cd the gdy bai

lidt mpt hodc hai tay, rd'i loan cam

giac tUchi, rd'i loan thuc vdt, chdnlty

THV6C & siic KHOE so 500 (15.5.2014)