Ridge injuries are one of the most common types of injuries. One hour will remain wide and heavy spinal stop growth, tying together with the increase in the number of transport, the speed of the road collapse, the expansion of the height of the life and the other factors of the modern way and the rhythm of life.

Patients from the pockets of the ridge store 18% of all ailing traumatological hospitals. Mostly young people (middle age become 17-35 years). In addition, the development of ridge injuries is not only a medical and social problem, but an economic problem, as well as the development of a stiff inconvenience due to the development of the ridge is even more high.

Causes of spine injuries

Among the reasons for the spinal cord and spinal cord, which is located in the middle, then name:

• Road transport fit. In such cases, people can be injured in the yak in the capacity of the walker, as well as in the middle of the transport. Of particular importance is the introduction of worm trauma, as it is caused by a severe injury and because of such a force due to throwing the head back. Such furnishings are found when 2 transport vehicles are shut down, when galvanized on a high level of transport. For the prevention of this kind of ear head-ons in cars.
• Fall from the sky. It is practical for such podiatry to undergo spinal fractures and spinal cord fractures. Particularly not safe є vipadoks, if they have the patience to land on their feet, a large part of the ridge stop will be injured.
• Diver's injury. Rise up, if a lyudin is hanging from the water with his head down. With a lot of patience, banging your head against the waterway and seeming harder for more damage or loss of injury in the event of traumatization.
• Likewise, the reason for the defeat of the ridge and the spinal cord can be the sta of knives, in the gut, vibukhov, if a traumatized official gets into the area of ​​the ridge.

Classification of ridge injuries

Injury of the ridge and the spinal cord is classified, as a result of which there is no need to lie down in a medical tactics and prognosis. All injuries can be caused by damage (from damage to the integrity of small curves) and by damage (without such).
Due to the nature of the anatomical structures of the ridge, you see:

1. Injury the lumbar apparatus of the ridge stovp (lift and stretch the ligamentous structures). Carry up to an easy step.
2. Breaking the ridges. So it’s like a compressive injury, if the ridge is squeezed and a compressive fracture occurs (especially people with osteoporosis are sick to their mechanism). Also, fractures of these ridges can be splinter, edge, vertical, horizontal and vibuch.
3. Poshkojennya interbridge discs (cutting a fibrous ring from the inner part of the disc, gostr Gryzh Shmorl).
4. Fractures of outgrowths (spinous, transverse, sloped) and arches of ridges.
5. Vivikhs and divides of ridges, fractures.
6. Traumatic spondylolisthesis.

All fractures are divided into 2 groups:

• for changes, if the normal weight of the ridge is broken and the high risk of compression of the spinal cord;
• without compensation.

Injuries to the ridge are also important to make them stable and unstable. Stable fractures occur when only the front end of the ridge (ridge ridge) is reduced. At the same time, if at the time of the blow, the spinal cord was not drawn through the back of the ridge, then such a rizik is minimal.

An unstable vertebral fracture with one-hour delayed and anterior and posterior ridge ridge (arches and eddies). At the same time, if at the time of injuries the spinal cord was not compressed, then the high risk of slowing down will become overwhelmed and overwhelmed, so as if a collapse could lead to such inheritance.

Look at the spinal cord:

• strus (tse werewolf functional debris);
• hammering or contusions (organically reducing the nerve tissue);
• depression, which can be wicked by ridge ridge, disc, hematoma, bumpy and іn.;
• Partly and once again breaking up is the best way to get rid of it, the legacy of how to lie down in a ruinous state.

Symptoms of the ridge ear

Clinical symptoms of injuries of the ridge, in the first place, lie as a result of spinal cord injury, as well as localization of injuries, in the mind and mechanism.

Signs of stable injuries

To a stable level of the spine stop include:

• slaughter of soft fabrics;
• pozhkogennya zv'yazyki;
• stable fractures of the ridges (bodies, spinous, transverse outgrowths without replacement).

Characteristic clinical symptoms:

• poured sickness in the trauma;
• swelling, sinus, bruising in the area of ​​enlargement;
• the ruff can be surrounded by a slight or twisted, in the fallowness of the steps pain syndrome;
• in case of fractures of spinous outgrowths of the vine, there is a local bile, sometimes it is possible to miss its pathological decay;
• in some cases, admit signs of radiculitis;
• in case of fractures of transverse sprouts, there is soreness in the paravertebral zones;
• neurological symptomatology of the day, except for the development of secondary radiculitis.

Injury of a shyny ridge ridge

The posture of the upper segments of the spinal cord of the spinal cord is not safe for life. Guarding the function of the heart-vascular center, and possibly lead to death. In case of trauma on the level of 3-4 segments of the spinal cord, the patient is susceptible to tetraplegia (parallel hands and nig), all kinds of sensitivity are consumed in the lower part of the process. The diaphragm and the diaphragm are also guarded by the dichotomy of the diaphragm.

When 4-5 segments of the spinal cord are compressed, tetraplegia occurs, or even without dichromatic lesions. When there are 5-8 segments of the spinal cord, parallel development of the joints of the hands develops and the lower paraparesis is promoted, and there may be a deterioration in the function of the pelvic organs.

Posture of the thoracic and transverse ridge ridge

Shrinkage of the thoracic spinal cord in case of spine injuries, superficial damage to the legs, damage to the robotic and pelvic organs. There may be some parallels in the anterior cervical wall. There can be a dichotomy of destruction due to the parallels of the mid-ribs.

Poshkodzhennya on the Rivne transverse viddilu to produce up to a parallel group of languages ​​of lower cues (feet, homilies abo stegna). Also, sensitiveness is lower than localization of injuries, the function of the pelvic organs and the state system is disrupted.

Diagnostics of the ear of the ridge and the spinal cord is based on the examination of the patient, the diagnosis of scarg, the mechanism of injury inflicted on people, ін.).

natal injuries

Childbirth injuries - the whole group of mechanical items of fetal tissue, which are diagnosed before the hour is low. One of the most serious types of generic traumatism is the shrinkage of the ridge. In an hour, the number of such things has changed significantly, so the number of canopies has grown up in a cesarean rosette.

Factors that can cause birth injuries of the ridge:

• obstetrician assistance in canopies;
• overlay obstetric forceps;
• sidnichne and іnshі types of pathological presentation of the fetus;
• POSSIBILITY;
• great fruit;
• striking or protracted canopies;
• gliboka prematurity;
• abnormal development of the fetus.

Most often, the most painful part of the ridge and the rosette of the shoulders and the nerves of gossip. Symptoms to lie down as a rule. As a rule, such a trauma is accompanied by pain (the child is restless, constantly changing his position, reversal of the physiological reflexes of the pain). It can be spared the crookedness, shortened or podovzheniya shia. When the upper spinal segments of the spinal cord are depressed, it is possible to create a picture of spinal shock, spinal dislocation, a "frog" pose, or a non-tampering sequential release.

When the brachial nerve gossip is posed, the child may develop Kofferat's syndrome (paresis of the phrenic nerve), Duchenne-Erba, Dejerine-Klumpke, Kerer's parallels. All syndromes may have their own ideas and heritage.

Pshkozhennya in the thoracic іddіlі is manifested by dyshally depressions, but there is a paresis of intercostal mucosa, as well as lower paraparesis of a spastic character, a syndrome of "swollen abdomen".

Injury of the transverse i kryzhovoy viddiliv they do not have supravodzhutsya mlyavim paraparesis nig, damaged robotic pelvic organs.

Renovation of spine injuries in a new-born trivial. In people with disabilities, those who are of high plasticity and stage of regeneration are not sick, it seems to be more common for symptoms and inheritance of injuries, but in some cases there is a long stretch to grow.

First aid for spine injuries

It is necessary to mention 2 main points of additional help in case of a ridge injury:

• hope and correct fixation of the traumatized file;
• if possible, spend the sun.

It is necessary to lay the patient on a solid surface with his back, while not being allowed to sit, get up. It is not far from a small house, it is necessary to have a fixed view of the ridge. For a wide range of special commissions. If you do not have such an attachment with your hand, you can turn the cradle roller down and close it on the shoulder.

To transfer the injured guilt of a few people, just take one step and minimize the rue in the ridge. Such transportation can help to avoid secondary trauma to the spinal cord.

At the same time, it is necessary to control the pulse and behavior of the people. In case of damage it will be necessary to get help for the reanimation rules. In any case, do not leave the sufferer alone, and do not put him on the spot unless absolutely necessary. In the general order, it is necessary to get help.

Principles of rehabilitation and rehabilitation for ridge injuries

The sequins of ridge injuries can be easily found due to the freedom and correctness of the first aid, due to the type and mechanism of injuries, due to the concomitant ear of the spinal cord.

Likuvannya can be conservative and surgical. In case of mild trauma, the therapy is only conservative. indicate symptomatic lіkuvalny drugs(Analgesics, blood spores, zagalnozmytsnyuchі, antiapalny), strict post-treatment regimen, massage, exercise therapy, physiotherapy.

Have more important issues conservatively You can add a closed reposition (one-time correction of vivihivs, fractures, vitiations) from the advancing immobilization of nodular segments of the ridge (comi for shiynogo viddilu, corsets for thoracic or transverse).

Before surgical treatment go into the space of the spinal cord anyway high rhiziku due to the instability of the ridge. Likewise, the operation can be indicated for non-efficacy of conservative therapy. Pislya opertsiy zasosovuyut suvoru immobilizatsiyu or vityaguvannya.

Renovation of ridge injuries is a trivial and laborious process. In cases of spinal cord compression without spinal cord compression, exercise therapy is indicated in the first days of rehabilitation. To fix dichnoy gymnastics, step by step vikonuyut right for the pictures and the ridge. A doctor-reabilitologist should follow the busy schedule. Massage and physical therapy are also indicated.

If a person has a spinal cord injury, it will be updated drug addiction, Yake is focused on the regeneration of nerve tissue, electro-pulse therapy, golkovokolyuvannyam.

It’s a pity, don’t expect to be aware of the injuries of the function ridge. Ale bazhannya oduzhati, and also literate lykuvannya i reabilitation of the program Inodi to create a diva.

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Endoprosthetics of a sump: rehabilitation of surgery for replacement in home minds, advice about updating

Rehabilitation during the period of endoprosthetics of the sump is required, to renew the activity of the member, to fix the pain syndrome, to overcome the slowdown, to prepare a leg until you can help yourself.

Successful rehabilitation process for endoprosthetics of the bandage with special features. New procedures to be repaired as early as the coming day prompt engagement When the replacement of the prosthesis is carried out, the stench can be trivial from 2 to 3 types.

In some cases, for example, since people have weak immunity, the period of renewal is to be repaired in an hour before the operation. As a matter of fact, it is possible to maximize the preparation of tazostegnous loam until the replacement of the prosthesis and the unavailability of the prosthesis.

Vidnovlyuvalny procedures are primed on the offensive principles:

• good news;
• without interruption to the course;
• systematic employment with a doctor and independently;
• INDIVIDUAL PIDHID.

Rehabilitation: for whom is it needed?

Deyakis come in for endoprosthetics need to be carried out in the home mind, protector, absolutely self-indulgence may not be safe for health.

And the psychological peculiarity of people is such that they do not accept unhappy vision (a natural phenomenon in period of operation) You will instinctively take your leg.

Yak vidomo, disobedient to the idea, to bring to myazoi hypotrophy and an uncomfortable tonus overrozepodil. As a result of the growth of the formation of contractures, through which the deformation of the pelvic cysts and stegna can develop, accelerated during walking and compensatory scoliosis.

Come in for an endoprosthetics of a sludge loam to visit for a visual walk in a special health resort. In such centers, doctors control the amount of tension, the tissue and the loops of the tissue are broken correctly, the muscle tone is renewed and the pain syndrome.

Cob before operation period of renewal

Zero reabilitation phase of the field in the special right. Їх it is necessary to work before carrying out the operation the office or in the clinic. These are the ones you can take:

1. improvement of blood circulation;
2. increase the amount of coverage;
3. to activate the trophies of fabrics;
4. paint the finishing of the heart-vascular and dichotomous systems;
5. razroblyayut tazostegnovі members;
6. assimilate the pain syndrome;
7. clean up discomfort.

Brutal respect! The basic principle of the zero stage of rehabilitation is that the skin is right to the right, it is non-volatile and safe.

Zobіyuchi homіlku (NOT colіna), you need to beat 5 circular rucks against і for a year old arrow.

It is necessary with force to squeeze the picture in front of the front into the pidlog. The strain of the demand should not be less than 7 seconds. To the right, repeat itself nearly 10 times.

Do not take away from the pidlogs of the demand to bring in when the line is bent to the stegna. Then turn the leg and turn it in the rivne of the camp, slowly oversupply, right in front of the stegna. On the right, repeat from 7 to 10 times.

A day of speed і utrimuvati in a stressed camp is close to 8 seconds. It is necessary to make a minimum of 10 repetitions.

Straightened kintzivki smoothly spread on the sides, at all, they do not bend towards the surface. To the right, repeat 10 times.

I straighten my leg as I walk over the podlogi by a few centimeters, so that I need to put it on the surface. Repeat the right, no more than 10 times.

In order to achieve greater efficiency of rehabilitation at once with exercise therapy, before the ear of the operation, because of replacing the tazostegon loam, it is necessary to carry out a number of procedures for the electrostimulation of the stegovy and the day myazovoy system, І massage of lower cents.

1-4 і 4-8 days

At the first day of the operation, the ailing one went to the end of the post-regime, so that he was transported, the vicious gurney. The next day, you can step-by-step navantazhuvati a new member of the powerful masoyu tila for the help walker or the police. Inodі doctor signifies a part of the project.

The head of the team in the rehabilitation period is in the offensive:

• visonannya is right;
• self-contained pidyom z lzhka;
• hodinnya with militia or walkers;
• self-cleaning toilet;
• the patient himself is guilty of sitting and getting up from the style.

In order to unify the risk of an accelerated diagnosis at the first phase of the renewal after the operation, it is not recommended to swell without a spoon, crush the legs, sit down and lie on the boat, the operation was performed on the ball. It’s also not a good idea to take a hot bath before tim, as a patient plan to play a spati, raise your leg more than 90 degrees lower and gradually trim the roller down with a small slope.

In the first two days of the prosthesis of the tazostegna slope, the lykar signifies magneto therapy, or UHF, when a therapeutic injection of temperature and vipromyuvannya is carried out on the dilenka, de fused sutures.

Such procedures will produce a sun-sick and anti-fiery effect. More than that, you can go without a bandage in the ward. If there is any evidence, before such procedures are carried out, UFO-detection of the wound during the dressing process is carried out.

For prophylactic purposes, for the purpose of eliminating congestive symptoms in the legends and before the development of pneumonia, the new cob includes a dizzy gymnastics and vibrating massage of the breast.

Also, on the cob, renewed patients undergo massage, exercise therapy and work right for the slopes. At the same time, one should learn to work out the isometric to the right, as they walk in the path of communication, homily and stegna.

Likuvalnaya gymnastics for carrying out endoprosthetics to wear out skin for a day with a stretch of 15 quills (from 3 to 5 visits). In this way, it is possible to overcome the metabolic-trophic processes and mobilize the central nervous system. The whole kind of gymnastic is right to be effective in case of a bilateral lesion of tazostegnous joints.

It took 4 days for the endoprosthetics of the sump to fix the slope, while it is necessary to spiral around the railing with your hand, adding no more than one croc at a time.

For the speed of renewal period the field of endoprosthetics is a member of the doctor who signifies a massage and a course of exercise therapy.

Otzhe, go on gatherings it is necessary to go with the following rank:

1. put a healthy picture on the top gathering;
2. pull the leg with the prosthesis onto the gash;
3. put the reed, or the policeman on the chute, which is located below;
4. put the operated picture on the bottom of the crack;
5. rearrange the healthy picture.

On the way down the booth in the run-up to the operative period, he is guilty of fixing his legs, yak is healthy, but it is necessary to go down, spiraling to the operated picture. Quarter-n'yat day is often called the phase of "lovable possibilities", even weakness and gostry bil on the 5th day of rehabilitation take place. Otzhe, people want to innovate the sensitivity of the leg for prosthetics.

Important! At all stages, it is not possible to ignore the recommendations and navantazhuvat the recommendation. In іnshomu vypadku everything can end with a vyvich of a kulšovy hillock.

2-8 days

Reabilitation during the period of endoprosthetics of the sump for 2-3 days, if the woman is already known, includes a painless massage of the member, while stagnating light massage hands. Also, patients are assigned a special educational and physical culture complex with the right to:

• for other members of the community;
• additive on the back of the hands;
• for thoracic and diaphragmatic disorders.

With especial respect we should put ourselves before placing and fixing behind the additional special rollers of the leg during the operation to replace the prosthesis. The rollers are expanded from the calling party, Do not let the stegna rotate.

At tsei period navantazhennya on m'yazi is guilty of zbіlshuvatisya. Operated on the leg, then trenuvati, then renew the strength and turn the balance. If a patient can go to the police station, he can set up a reed.

Renovation for 4-6 days in the sanatorium, or the booth obov'yazkovo can include a complex to the right, straightened to the rosette of the meat system of the legs, the sprinkling of the tazostegnum hillock.

First recommended to the right - opir (with elastic lines). Viconuvati yogo is required 2 times a day in 3 steps. The brush is wrapped with one end of the line, the sieve is fastened to the bottom of the crystal or the table.

It is stepped on the right - a tazostegnum slope with support. For the whole it is necessary to sit up to the wall, on which the elastic line is fixed, and put the leg to the side. Kintsevka go ahead, to whom it is guilty but straightforward. The distance must be turned in the cob position.

The third to the right is to shy in the position of standing, there is a pole in the introduction of the picture in the bik. Before fastening, it is necessary to stand with the healthy side of the leg, and then move the leg towards the prosthetic leg and turn in the cob position.

In the sanatorium, during the rehabilitation period, the operation to replace the prosthesis includes training on special simulators. And walk, vicoristovyuchi reed is necessary until the moment, after leaving the ravnova, I will not be renewed again. Loss of treasure for a day not less than 10 khvili, three times a day, with a skin at once, an hour of walking, and a piece of tazostegnovy joint is normally acclimatized.

Pislya endoprosthetics of a sludge slope is guilty of being lodged. But rightly they brought some cinnamon and they didn't naughty, it was necessary to be pleased with the coach, or to marvel at the special video.

The optimal option for the operation is to become busy on exercise bikes, which in addition to the improvement of the muscular tone and the improvement of the looseness of the pelvic segment.

You can turn a combination of pedals only to that, and go forward. With a large number of people, it is not possible to grow very high. Through the month of delivery, it is possible to get more money. Also, before the cob, it is necessary to take the simulator to adjust it before the sprint.

пізній stage

The main rehabilitation for the operation with endoprosthetics, passing the course of treatment in a sanatorium or a health center, de special equipment.

The method of rehabilitation therapy for the treatment of patients individually, in the stage and form of ailment of the skin patient. To turn life into a healthy channel in a sanatorium, to take a healthy dose of healthy procedures, for example, likuvalny massage.

Дії Фахівця з manual therapy Directly on the renewal of the muscular and the lingual apparatus, the knowledge of the pain syndrome, the activation of blood circulation and the reduction of the pain syndrome.

Also, when the operation was carried out, for an hour when a total prosthetic device was robbed, for a patient's renewal, a doctor signifies a state of pain. Qia procedure allows you to change more views, Usuvayuchi spasm of sudin and polypsychiatric vitality of clitin tissue.

Physiotherapy is a procedure, when there is a flow of temperature, electrostrum, laser and ultrasound on the renewal zone. Mud therapy often activates metabolism; political authorities dirt.

Hydrotherapy is also even more important in the period of operation. If you want to turn your life around, you need to take care of the aquaerobic, take coniferous and salt baths and not forget about the soul of Charcot.

Totally endoprosthetics of a kulšovy slope is a difficult operation to achieve, as the category of patients is established, as the people of the abducted person will demand. To replace a weak person with an important issue, it is necessary not earlier, not in 2-3 months. However, such recommendations will not be dimmed, so that there may be an accelerated appearance.

• busy with gymnastics;
• special catering;
• massage;
• drug therapy.

I don’t forget about it, but it’s necessary to have more sleep and more.

Compressive fracture of the ridge, which we will observe, is one of the most important and not safe forms of the ridge. In case of such an injury, the "squeezing" of the ridges (one at once decilkoh) is seen, which leads to a change in the height of the ridge stop, through which the traces can become very important.

When the ridge itself was “pressed” into the ridge canal, then it’s even more ruinous. mid-row disc and compression of the spinal cord, which is the reason for the development of paresis and parallels of symptoms.

Most of them are not safe in the whole plan to get involved in a fracture of sheer ridges, the inheritance of which can be very serious, even to a lethal result. So, the most common variant is a fracture of 4, 5 or 6 of the ridge, the inheritance of which is described below.

We call it a "diver's injury", some of which are often found by the very lovers of the air. Otrimuyut її zzvychay through hitting the head on the bottom, with the most frequent result is death.

Before the speech, behind the cordon, the tse of poaching is often called "Russian trauma", only our spyvitchizniks are powerfully "taken on the chest", and at the same time they have a decent hang-up in an unhomed place.

About compression fractures in zagalny

The trauma is widened to the extent of the increase, as it is in the case of a sharp one-hour squeeze of the ridge. This is a specific design to produce before the grip grows on the discs and the ridges, as a result of which the front part of the ridge “flattens” and swells the shape of a wedge. As a result, a decrease in the height of the spinal stump, through which part of the spinal ridge can be pressed onto the spinal cord.

Most often, there is a compression fracture of the first and other transverse ridge, as well as 11 and 12 of the thoracic ridge. With a great deal of suffering, there can be one of the number of ridges, and at once the decal. Even more often the cause of similar injuries є car accidents or fall from the sky.

It is possible to ask about the widening of a kind of injuries in people who have been kidnapped, but most often they become a legacy of osteoporosis, when the cysts weaken and become screaming. In this situation, a compression fracture can occur in the role of an acceleration of the main ailment, if the security of this aniotrophy does not change.

In the case of the spinal cord fracture, fractures of the ridge, in which case the spinal cord is not penetrated, is subdivided by 3 steps. At the first step, there is a change in the height of the ridge of the ridge by half, at the other - by about half. At the third stage, the decrease is the most significant - by 50% more. At the moment of rejection of the fracture of the ailments, the ailments reach the strong bend.

Especially those who are in quiet weather, if they see a fracture of weakened ridges with very minor injuries, are insignificant and often just ignore.

In addition, wrahovuvati, which is a characteristic manifestation of defeat nerve structures in case of fractures, not the bile itself, but the appearance of neurological symptoms. For example, there can be some sense in the legs or hands, or just the weakness of the muscles.

About the legacy of compressor fractures

As they said, the compression fracture itself might be even worse. So, one of the most unsafe є is a fracture of the fifth shine ridge. The whole problem is in the fact that there are a lot of blood-bearing vessels and nerve canals in the wide ridge, so the trauma of this ridge often leads to even more serious inheritances.

So, unlucky "nirtsi" as the minimum risky to "earn" pathological segmental instability, yak winikє through the value of the change in the height of the injured ridge. I’ll be in the best possible way to describe a nemaє sense, ale and a short script in a given situation to finish it’s not safe.

Fractures in the chest viddili develop even more rarely, it is practical to start with the stench є inherited direct injuries. So, for example, a fracture of the 7th thoracic ridge will show itself to itself, I want to endure it with a strong, even bearable pain (I didn’t have spinal cord injuries). As a result, Lyudin often says "be patient, you will pass it yourself." It goes without saying, quite simply, not to go through, then a number of quicker steps are added, such as vilikuvati is already folded.

Deliver folding є fractures in the area across, splinters themselves at the end of the seizure is maximally nascent.

A fracture of the 12th ridge of the thoracic ridge, or 1-2 ridge of the transverse one (a fracture of the 3 and 4 ridge of the transverse ridge is practically impossible to develop) is not uncomfortable, as there were often no injuries to the back of the brain.

If there is a change in the size of one of the ridges in a given ridge, it is practical to produce until the appearance of severe degenerative changes, trauma to the nerve ends, through chronic pain syndromes.

About lykuvannya ridge fractures

Compressive fractures of til ridges - a manifestation in the region is inappropriate, ale the stench do not get hungry surgical engagement... On the right, you should be surrounded by a strict and trivial post-treatment regime, which can be trivial, as well as taking analgesics, which allow you to get around pain.

In the meantime, the ridge “grows up”, more patsintovy will happen to the mother on the right with the inheritance of a fracture. In the first place, the shape of the ridge has changed and now it can change with great new opportunities. Moreover, some small remuneration can be spared at once for the goodness of the gips and the first try to oversaturate. It’s worth seeing that the back muscles have seriously weakened in an hour of licking and left not in the ridge.

As soon as a ridge is fractured, it’s not just a trivial move without a collapse, but the robot is strained to reabilitate the body.

So, the basis rehabilitation period change the age of physical culture and massage, which allow you to change the waist to the back corset. Physiotherapeutic procedures will also be cool, which will help to restore the normal exchange of speech in the area of ​​injuries, and also the unrepentant prevention of the development of degenerative processes.

• Bіl at the back is in the leg, what is the reason?
• How to correct scoliosis in home minds?
• Why does the breast tissue in the middle hurt when you sleep?
• Causes and lesions of rotational dislocation ridge C1
• Vikoristannya reflexotherapy for treatment of osteochondrosis

• Arthrosis and periarthrosis
• Video
• Ridge crest
• dorsopathy
• іnshі ailing
• Spinal cord injury
• ailing suglobiv
• kyphosis
• myositis
• neuralgia
• chubby ridge
• osteoarthritis
• osteoporosis
• osteochondrosis
• protrusion
• radiculitis
• syndromes
• scoliosis
• spondylosis
• spondylolisthesis
• Ridge goods
• ridge injuries
• Right for the back
• Tse tsikavo

04 fierce 2019
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Catalog of klinik z likuvannya ridge

List of drugs and drugs

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Sensitivity of hands and nig

This year is negotiable even more unacceptable inheritance of an insult or a fracture of the ridges, but itself at the expense of sensitivity of hands and nig... You can also go through special links-ups to go to the brain to the pictures.

The high performance of the cores can be called, for example (pinched nerve, evils of the ridge) and internal (insult, infection, health).

The loss of the sensitivity of my hands behind my warnings is not handy, but the loss of the sensitiveness of Ale G. I do not think of immobility of the pictures on the score, I may on the pads of my fingers.

With such a spread, it is not easy to rob the fingers to see objects, temperature (it is not safe to see it or not).

Su jok therapy can be helpful with sensitive hands and small parts. right to other motor skills. lіkuvannya cold weather (cryotherapy), lіkuvannya warm (muddykuvannya. azakerit), holoreflexotherapy. "Applicator Kuznetsov" (low efficiency).

The sensitivity of the hands and the least of the methods will be maximally corny in the first month of the illness and injury, such as the renewal of rucks.

At the rehabilitation centers, there are special stands with hanging on new objects, until at any time you can go and go or go and get ready.

Here is an important nuance of obmatsuvati objects to be guilty of blamed for the eyes, then decipher them, and then turn the tactile sensation by ourselves.

I want to see myself, so sensitiveness is a pity in the edge, importantly. 6 years later, my right to see practically nothing is not seen, but closer to the person who saw it, it didn’t come.

So I want to give it myself, if you have a problem with your teeth, you can learn about the implantation of a tooth, or all at once.

Yak shvidko turn sensitiveness

In the process of deterioration of sensitiveness, the loss of sensitivity is involved, the presence of such a presence at the callous middle and at the vlast organism is consumed. Deterioration of sensitivity can be accepted for non-human forms, which are caused for such other reasons, and may lead to a postponed stroke. In light vipads, a lyudin suffered an attack of an insult, sometimes she could draw out the sensitivity of her pictures, in the most common vipadnih in a sick person she was prevented from being paralyzed.

Swiftly turn the sensitivity of the view, if you want to hold the eyes to the right, fix the fingers to the right, the motor skills are awkward to the brain. As soon as a person went to the insult without becoming paralyzed, then they would be right with the fingers of their fingers, independently of a healthy hand, in a heavy interruption I would become a sick person, if the help of a third party would be needed.

Stress is a factor if the naturally calm organisms of people break down in such stressful situations you can take a decision about how to send you and get shkoduvati. Calm down and over the way to get through through the hospital with more help effective drug Tenoten.

Yak turn the sensitivity of the message to the insult

The sensitivity of the cues is updated, as if regularly over them pratsyuvati, having put the vikonuvati to the right, massage your fingers on the crocheted ruts, right to swipe on two hands. Try to scrub the pictures lightly, then start before the warm-up. The triviality of the procedure is rubbing on the skin finger for 20 seconds.

Routing the blood circulation of the young children, now you can find it by the way you put your fingers out. For an hour, try to squeeze into the area of ​​the breasts or the abdomen, work to the right, as if it would be good for you. Turn the hands over, squeeze them to the bottom, mark the skin finger, hold the right fingers at least ten times.

And now I know to squeeze my little ones to the ground, vikonayte to the right with the spreading of the skin finger, with the little pieces on both hands in one and the same hour, to fix the robots of the wrapped hands. Wrap the fingers through the skin, repeat to the right five - ten times.

To the right of the main complex, you can start only after a viconano warm-up. The complex of the main ones, for the renewal of sensitivity, will fold from the gripping of the spring ball, to the lock, shifting from one moment to the other objects, etc. It is always a matter of self-esteem for children, and also for people who do not become busy according to the designer’s words, but step by step find out with him viconuvati right with plasticine. Such unpretentious children are busy, to achieve an effective approach to improve the sensitivity and motor skills of the children.

When people are insulting, they are most likely to fall, if people attack the insult, if I’m feeling sensitive for a trivial hour, the sick person may be consumed by the simplest and the loss of movement. You can go overboard in such a folding camp, but in any case you cannot lose heart and keep busy, if you have to do it, you didn’t have to repeat anything. It is recommended to memorize the skin, but only by being light and diligent; For the weather of the lykar, the ailment, you can try to fix the problem of physiotherapy. Physiotherapy can be carried out with a weak electric pulse, when complex treatment additional therapy is good to see a positive result.

Stronger pains for an insult - how are you going?

At tata buv hemorrhagic insult 10 months ago, the axis of the days passed - one side is not right (liva). During the first few days, the arms and legs on the left side of the tat should not be tampered with, although it is physically robotic to massage - it hurts to tears.

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Before especially folding problems of the surgery of the nerves of the hand, the plastics of the nerves in the cicatricial tissue bed, as well as unremarkable damage to the central abo (i) peripheral nerve end, occur. Due to the peculiarities of the ear and the fabric in the area of ​​the defect, two main situations can be seen: 1) if the plastic of the nerves is possible, and 2) if the problem of renewing the sensitivity of the fingers in the case of the young ones. (Scheme 27.3.

Scheme 27.3.1. Vibrating the method of renewing the sensitivity of a small number of fingers in the left will become the nerves and tissues of the brush.

Repeated plastics of the nerves show up when there is a backwash of soft tissues, there are significant scars in the area of ​​tissue defect and an altogether small amount of dastasis between the kidneys. Chances for good results and maximum growth, as the scale of the increase allows for the appearance of scar tissue in the zone of nerve defect.

Plasty of nerves with transposition of neural grafts. If the value of the nerve defect (a few centimeters) and the swelling of scar tissue changes, the blockade of the growth of axons through the graft becomes scarred. If the cicatricial cuff near the zone of the nerve patch cannot be suspended, then the chances of success are significantly increased in the case of previous neural grafts for nerve plasty, placed in the cicatricial zone.

Blood transplantation of neural transplants is indicated in quiet cases, since there is a simple option of plastic surgery for non-stagnation through a high degree of cicatricial blockade of transplants. Naybilsh is often given the situation of median nerve defects on the wrist canal and the proximal side of the hand.

Operation technology. The yak is supplied with blood by the neural graft of the vikoristoyt interstitial vascular bundle from the contralateral anterior, if necessary, included in the new fragment of the mucosa and (or) dilyanka shkiri.

The graft should be transferred to the defect zone and placed in such a way that the amount of dyastasis between the new ones of the median nerve was determined by the amount of dystasis in the intermediate portions of the donor nerve (Fig. 27.3.16, b). Then, the neural graft is placed on the dilenks, and the judge's hand is secured by unsuccessful ones (Fig. 27.3.16, c). Artery and one of the veins of the transplanted complex of tissues should be connected with visible elements of the neural grafts with the tips of the median nerve.

Small. 27.3.16. Scheme of plasty of the median nerve (CH) defect with blood supply with a neural graft from the exchange of the fore-aft nerve bundle.
a - roztashuvannya kintziv median nerve before the operation; b, c - placement and formation of fragments of the neural part of the graft; d - for the operation. A, V - artery and vein; N - nerve (explained in the text).

In case of a defect in the zone of the canal of the wrist and the base of the hand in the form of a donor jelly, there can be either a vikoristani or an interchangeable valve (or a shkirno-myazov). However, the newest folding and traumatic є transplantation of the oocyte valve from the lymph node of the hand to the peripheral nizhtsi.

Operation technology. Klaptik from the tip of the brush to form from the center to the periphery, outwardly m'yazu fabric from the tendon so that you should be careful to enter the peripheral part of the mucosa anatomically permanently and to reach the large veins of the lactic vascular bundle (Fig. 27.3.17, a). Dovzhinu valve viznachayut with urahuvannya size of the defect between the new edges of the nerve and arch of the rotation of the tissue complex.

The myazovy clap is moved to the canal of the wrist and is sewn to the navkolishnyh tissue. Through the transplanted mucosa, neural grafts should be carried out, and anastomosed with the ends of the median nerve (Fig. 27.3.17, b).

Small. 27.3.17. Scheme of plasty of the median nerve in the ribs in the position of the secondary biosynthesis of the valve in the lining of the brush on the peripheral lower leg.
CH - median nerve; LSK - lіktyovy zginach brush; L - myazovy klapot from the lactic zginach of the brush; Tr - neural transplants, carried out through the Relocation of the glandular clap; LA - lіktyovy sudinniy bundle (explained in the text).

Nerve plastics are not good. Implantation plastic surgery of nerves. A special situation is winery in quiet vapors, since the peripheral ends of the middle and (or) lactic nerves are common. This may be the result of an illiterate operation of the drive of Dupuytren's contracture, or of severe injuries or the result of transplantation of a denervated valve on the hand with a significant tissue tissue.

As the body of the fingers is backward, the reinnervation of the working surfaces of the hand can be extended by the path of implantation of the plastics of nerves.

Operation technology. The central end of the median (lactic) nerve is seen and refreshed. The neural graft (ligate the lithic nerve) should be carried out from the side of the finger in the right direction of the denervated zone, so that the end of the donor nerve of the vyshov in the minimum for the size of the growth in the functionally significant zone of the finger (hand) (Fig. 27.3.18, a) Then the central end of the neural graft is sutured from the central end of the main nerve, and the distal end is attached to the outer bundles (Fig. 27.3.18, b). The skin bundle vivodat behind the additional thin thread і the heads in the vicinity of the point, і, having seen the excess of the bundle with knives, glaze its fineness with the microcents on the subdermal rіvens (Fig. 27.3.18, c). Danish method Allowing to correct to achieve a high level of reinnervation of folding valves, transplanted on the fingers of the hand.

Small. 27.3.18. Scheme of stages of implantation plasty of the volar palmar digital nerve (SPN) for reinnervation of the lateral surface of the distal phalanx.
a - neural graft (Tr) of insertion into the wound of the distal phalanx; b - the end of the graft of breaks on the edges of the bundles; c - neural transplant beam implantation completed (explained in the text).
Transplant of sensitive valves. Transplantation of sensitive valves on the denervated surface of the fingers is possible in winter variants and in baguette types, as an alternative to folding options for plastics of nerves and tissue defects. You can be victorian nasty ways of transferring sensitiveness to the brush.

S-shaped plastic with control valves. It is shown for moving sensitive skirts from other rows to the dominant surface of the finger in young ailments, for not a few plastics of nerves.

Operation technology. Operation vikonuyut in two stages (Fig. 27.3.19). In the course of the first stage, mold two valves on the proximal (sensitive) and on the distal (denervated - Fig. 27.3.19, b, c). The shmats are minced and sewn to the edges of the defect (Fig. 27.3.19, d). In case of a large amount of wine, an oversize of shkіri і offending the valve, the spout is bruised. After 6-8 times, the embryo decay and the valve take root.

In the course of another stage of the operation, the surface ball of the shkiri extends approximately two thirds of the insensitive valve almost. When the size of the valve is visible, the dilens are hanging up to the point of being close to half of the valve, then trying to change the distal edge of the proximal valve, just assessed the yaku, the residual value between the hanging is enough. With a wide contour of the distal phalanx, the lichen slightly wiggle (Fig. 27.3.19, e, f). The Danish method allows the sensitivity of the distal phalanx to be close to normal, without affecting the 2-month period of the valve hyperesthesia.

Small. 27.3.19. A stage of reconstruction of soft tissues of the distal phalanx of the finger to improve the sensitivity of the denervated surface (after I. Niechajev, 1987).
a - d - 1st operation; e - f - 2nd operation. Points - denervated half of the finger; dark shading - sensitive half of the finger (explained in the text).

In another option, proponated by BJoshi in 1974, a clap from the dominant surface of the finger is seen and readded on the denervated surface of the finger like a pinto (Fig. 27.3.20, b).

Small. 27.3.20. Victorian valves for increasing the sensitivity of the working surface of the finger for the opening of the sensitive dominant surface.
1 - transposition of the valve from the protruding surface of the finger (according to JXittler, 1964); 2 - transplantation of the insular valve (according to BJoshi. 1974) (explained in the text).

Small. 27.3.21. Scheme of transplantation of the valve from the deep-interstitial surface of the second finger to the long-side surface of the first finger: before (a) and (b) operation.

Operation technology. On the lateral surface of the IV finger of the hand, a sharp flap is cut and seen on the vlado-finger fore-nerve bundle in the proximal straight line up to the level of the posterior palatine artery, the second palatine artery. Suddenly nizhka is seen from a ball of fluffy fatty cells, sparing thin veins, supportive arteries. If necessary, the exchange part of the hollow arc can be changed and mobileized. The posterior longitudinal palatine nerve is split to the point of valve rotation using microsurgical techniques. The valve should be held in the pediatric canal, if necessary, having made additional access, and sewn into the tissue defect in the first finger (27.3.22, c). For the success of the operation, it is important not to allow twisting and hindering of the vessel sag.

Small. 27.3.22. At the stage of transplantation (a, b, c) of the insular valve from the side of the IV finger onto the hollow surface of the first finger (explained in the text).

Transplanting a sensitive insular exchange l was Intermediate shkirno-fascial valve on the peripheral vertebral ligament can be transplanted to the area of ​​the first finger and reinnervated (Fig. 27.3.23).

Small. 27.3.23. Scheme of transplantation of the exchange valve on the peripheral vascular pressure and reinnervation behind the joint of the median nerve core.
Lua - exchange artery; Loa - lіktyova artery; LKN - lateral shkinny nerve in front of the plane; ЛвСН - hollow throat of the median nerve; KT - shkіrny graft, scho the donor defect is closed, and - before the operation; b - for the operation.

Small. 27.3.24. Scheme of visualization and transplantation of the valve, including the tissue of the first interdigital space of the foot (a), on the denervated surface of the fingers of the fingers of the hand (b).
Ta - til artery of the foot; B - suputnі arterії veni; H - gliboka gilka small-sized nerve; T - graft, NA - neural anastomosis zone; CA - zone of the anastomotic anastomosis.