Mgbu olu (cervicalgia) - akpata, nchọpụta, ọgwụgwọ

Ihe mgbu olu bụ nsogbu nke ihe fọrọ nke nta ka ọ bụrụ onye ọ bụla zutere. Nke a bụ akụkụ kachasị mkpagharị na nke na-esighi ike nke ọkpụkpụ azụ, na ọrịa syndromes na-egbu mgbu nke ike dị iche iche nwere ike ibilite maka ihe dị iche iche. Ihe mgbu olu adịghị egosikarị ọrịa siri ike. Ka o sina dị, cervicalgia na-emegharị ugboro ugboro, nke na-adịgide adịgide, kwesịrị ịbụ ihe mgbaàmà iji chọpụta ihe kpatara ọnọdụ a.

Ọtụtụ mgbe, ndị a bụ ahụ mgbu; ihe kpatara ya nwekwara ike ịbụ mgbanwe mmebi na ọkpụkpụ azụ, mmerụ ahụ na ndị ọzọ (na-abụghị vertebrogenic) na-akpata: angina pectoris, nje, endocrine, rheumatic, ọrịa oncological, pathology nke lymph nodes, wdg.

Ihe mgbu olu nwere ike iso ya na dizziness, adịghị ike, isi ọwụwa, spasms muscle, mgbu na nhụjuanya na ogwe aka, wdg.

Nhazi, ụdị na ọdịdị nke ọrịa mgbu

Enwere otutu nhazi nke cervicalgia:

• Dabere na oge nke usoro ya, ọ nwere ike ịbụ nnukwu (ihe na-erughị izu 4), subacute (ọnwa 1-4) na-adịghị ala ala (ihe karịrị ọnwa 4).
• Dị ka ọdịdị nke ọrịa mgbu mgbu, na-egbu mgbu, dull, agbapụ mgbu dị iche.
• Dị ka ebe si kwuo, a na-amata ihe mgbu n'ihu, azụ na akụkụ nke olu. Mgbe ihe mgbu na-apụta n'isi, ha na-ekwu maka cervicocranialgia, na ubu - nke cervicobrachialgia.
• N'ihi ihe omume ha, enwere ike kewaa ihe mgbu olu niile na nnukwu ìgwè abụọ - vertebrogenic na ndị na-abụghị vertebrogenic:

• Vertebrogenic: na-eme n'ihi ọrịa, mmerụ nke ọkpụkpụ azụ. Nke a bụ ihe na-akpatakarị cervicalgia. Dị ka ọnụ ọgụgụ si kwuo, ọ bụ> 70%. Ihe na-akpatakarị bụ mgbu anụ ahụ. Enwere ike ibute ya site na ọnọdụ ndị dị ka myofascial, muscular-tonic syndromes, myositis, myopathy cervical, ọnọdụ adịghị mma, wdg.
• Nonvertebogenic: kpatara site na ihe ndị ọzọ (myocardial ischemia, nje, endocrine, oncological ọrịa, mmebi nke lymph nodes, rheumatism, wdg).

Ka anyị leba anya n'otu n'otu n'ụzọ zuru ezu.

Ihe na-akpata mgbu olu

Mmerụ ahụ (agbaji agbaji, whiplash)

Usoro nke mmerụ ahụ whiplash na-ejikọta ya na nhụta dị nkọ nke olu n'ihu ma ọ bụ azụ azụ na nkwụghachi azụ n'akụkụ nke ọzọ. Ụdị mmebi a na-ahụkarị maka ihe mberede. N'okwu a, ịgbatị ngwa na akwara akwara-ligamentous na mọzụlụ na-eme, mbibi nke vertebrae (mkpakọ mgbawa) na diski intervertebral, subluxations na dislocations nke cervical vertebrae, na nguzobe nke hernias.

Enwere mkpesa nke mgbu n'olu, na-egbuke egbuke n'ubu, isi, na mpaghara interscapular; mmachi nke mmegharị; dizziness; ọgbụgbọ. M.b. ọhụhụ na-adịghị mma, ilo (dysphagia).

Mmerụ ahụ ndị ọzọ nwere ike ịkpata gụnyere ọnya, ọnya, na akwara olu gbajiri agbaji. Ihe ga-esi na mmerụ ahụ pụta nwere ike ịbụ cervicalgia, migraine, spasm muscle, adịghị ike n'olu agagharị, ike ọgwụgwụ, na ọhụụ ọhụụ.

Dystrophic ọrịa nke ọkpụkpụ azụ

A na-eji osteochondrosis mara ya site na mgbanwe degenerative-dystrophic metụtara afọ na nkwonkwo nke ọkpụkpụ azụ nke na-eme n'ihi mbelata elasticity, ibelata na mbibi nke diski intervertebral.

A na-eji nwayọọ nwayọọ na-emebi ọrụ nke na-akpata ujo nke diski. Nke a na-eduga n'ịbawanye ibu na nkwonkwo intervertebral (facet), arthrosis, radiculopathy - ọrịa mgbu n'ihi ntanye nke mgbọrọgwụ akwara site na ọkpụkpụ ọkpụkpụ (osteophytes), na esemokwu n'olu olu. Mgbe akwara vertebral na-akpakọba, mkpọtụ na ntị, na-amagharị ntụpọ n'ihu anya, ọhụụ na-adịghị mma, na isi ọwụwa na-apụta.

Nke nta nke nta, diski intervertebral na-efunahụ ike ha. Mgbe a na-akpakọ ha, protrusion (protrusion) na-apụta n'ime ọwa azụ azụ na-enwekwu nhazi nke hernia. Nke a na-eduga ná mkpakọ na mmepe nke pathological mgbanwe na ọkpụkpụ azụ (myelopathy). N'ihi ya, ọrịa mgbu na-akawanye njọ, nghọta nke ogwe aka, ụkwụ, na akpụkpọ anụ na-enwe nsogbu na mmepe nke nhụjuanya na paresthesia. Adịghị ike na-apụta n'aka, ntụgharị akaị na-agbanwe.

The mgbu bụ otu akụkụ, agbapụ na ọdịdị, na-abawanye mgbe tilting na-egbu mgbu n'akụkụ, na-atụba azụ isi, otú onye ọrịa kensinammuo ehulata isi ya n'ihu na n'akụkụ megidere ọnọdụ nke mgbu. Osteochondrosis nwere ike iso na cervicobrachialgia; cervicocranialgia.

Spondylosis na-esokarị osteochondrosis. Site na pathology a, ọkpụkpụ ọkpụkpụ (osteophytes) na-etolite na nsọtụ nke ahụ vertebral. N'otu oge ahụ, enwere mbelata nke diski intervertebral n'ogo. Mgbe fuse vertebrae dị n'akụkụ, mmegharị nke olu dị oke.

Site na spondylolisthesis, nchụpụ (slipping) nke vertebra na-ekpuchi elu na-eme n'ihe metụtara nke dị n'okpuru. Nke a pathology gosipụtara onwe ya dị ka mgbu na mpaghara ebe. A na-akwado nyocha ahụ site na x-ray.

Ọrịa akwara

Mgbu akwara - myofascial syndrome

Mfefe akwara olu ogologo oge, akwara gbasasịrị, na hypothermia mpaghara na-eduga na mgbu akwara. Ha na-esonyere ya na obere ngagharị na spasm nke akwara olu. Mgbe ha na-akpụ akpụ (na-enwe mmetụta) mọzụlụ ahụ, ha na-enwe mmetụta siri ike na ọnya.

Ọrịa mgbu na ọrịa myofascial bụ nke siri ike na-agafeghị oke, na-adịte aka, na-emegharị olu, na-apụkwa n'onwe ya ma ọ bụrụ na a naghị agwọ ya.

Ọrịa muscular-tonic (akwara spasm nke mpaghara cervicothoracic)

Egosiputara n'ụlọ ọgwụ site na mgbakasị ahụ akwara na-adịte aka na nke na-adịgide adịgide, mkpirisi reflex ha - spasm muscle. Anụ ahụ ndị ahụ na-adaba n'imetụ aka, zaa aza, na-egbu mgbu.

A na-emepụta isi ihe na-akpali akpali - akụkụ nke ihe mgbu na-apụtakarị. Cervicalgia na-esiwanye ike mgbe ọ na-atụgharị isi, ntụgharị na mgbatị nke spine cervical. Enwere ike iso ya na nhụsianya nke mkpịsị aka nke anọ na nke ise.

Mosite

Site na myositis olu, mbufụt nke eriri akwara na-etolite. Ọrịa a na-emekarị megide ndabere nke hypothermia. Ọ na-egosipụta onwe ya dị ka ihe mgbu siri ike n'oge mmegharị na ụda akwara na-adịghị mma. N'ihi ọdịiche dị na ụda akwara, isi na-agbada n'otu akụkụ, na-etolite torticollis nke abụọ.

Myopathy cervical

Ihe e ji mara myopathy ma ọ bụ degenerative pathology nke akwara anụ ahụ bụ mbelata nke myofibrils, adịghị ike nke anụ ahụ na-aga n'ihu, mmachi mmegharị, ụda mbelata, na mmepe nke atrophy muscle na-esote dochie eriri akwara site na abụba abụba ma ọ bụ njikọ anụ ahụ.

Cervical plexitis

Cervical plexitis bụ nsogbu nke akwara cervical plexus. Ọtụtụ mgbe, ọ na-etolite megide ndabere nke mmerụ ahụ ma ọ bụ hypothermia. A na-ahụ ihe mgbu ahụ na mpaghara anterolateral elu nke olu, ọ na-agbapụtakwa na ntị, obi, na azụ nke isi. Mgbu ahụ na-akawanye njọ mgbe ụkwara, na-ekwu okwu, na-esonyere ya na nhụjuanya na-egbuke egbuke, paresthesia - mmebi nke mmetụta uche n'ụdị nhụjuanya, ọkụ, tingling.

Ọnọdụ adịghị mma

A na-akpaghasị ọnọdụ ọnọdụ mgbe mmadụ nọrọ ogologo oge na kọmpụta ma ọ bụ nọrọ n'ọnọdụ ọzọ na-enweghị isi. Ihe ndị na-ebute ụzọ na-agụnyekwa iji ohiri isi dị nro ma ọ bụ dị elu maka ihi ụra. N'ịbụ ndị na-adịghị mma, ibu dị na ligaments na mọzụlụ nke olu na-abawanye, isi na-aga n'ihu, na ntudo na-etolite.

Ihe kpatara ya

Mgbu n'olu nwekwara ike ịkpata ihe ndị ọzọ, ndị na-abụghị vertebrogenic akpata, dịka ọmụmaatụ, ọrịa akwara obi (ọrịa obi na-arịa ọrịa obi. N'ụdị atypical, ihe mgbu nwere ike ịpụta n'olu, ogwe aka ekpe, ubu. Ọrịa a na-eji mgbanwe na ECG. Mgbaàmà nke ụlọ ọgwụ na-agụnye ịdị arọ n'ime obi, mkpụmkpụ ume, adịghị ike na obere mmega ahụ.

Site na meningitis (mbufụt nke meninges dị nro), mgbu n'olu na isi na-esonyere olu isi ike, ahụ ọkụ, na vomiting. A na-ahụ foto ụlọ ọgwụ yiri nke ahụ na meningism. Iji mata ọdịiche dị n'ọnọdụ ndị a, a na-agbapụta ọkpụkpụ azụ.

lymphadenitis cervical, ma ọ bụ ụbara lymph nodes, bụ ihe na-ebutekarị cervicalgia (ihe dịka 50% nke ikpe niile) na ụmụaka. Ihe mgbaàmà a na-apụta na ọrịa dị iche iche na-efe efe na nke na-efe efe (tonsillitis, pharyngitis, otitis, stomatitis, ARVI, influenza, rhinosinusitis, measles, mononucleosis, ụkwara nta), na oncological pathology. Ihe mgbu na-akawanye njọ mgbe ilo, palpation (palpation) nke ọnụ ọgụgụ lymph.

Mgbu olu nwere ike iso ụmụaka rheumatoid ogbu na nkwonkwo. Ọrịa anụ ahụ na-ejikọta autoimmune a na-amalite tupu afọ 16 ma bụrụ nke e ji mebie nkwonkwo na ngosipụta nke ọzọ.

Collagenoses sistemu ndị ọzọ nwere ike ibute mgbu olu:

• Ankylosing spondylitis bụ ọrịa anụ ahụ jikọtara nke na-emetụta ọkpụkpụ azụ. Site na ọrịa a, vertebrae onye ọ bụla nwere ike jikọta ọnụ.
• Dermatomyositis bụ mbufụt nke anụ ahụ anụ ahụ na akpụkpọ ahụ, dị ka photodermatosis, tumadi na akụkụ ahụ ekpughere.
• Scleroderma gụnyere mgbanwe fibrous-sclerotic na akpụkpọ ahụ, mọzụlụ, nkwonkwo, arịa ọbara na akụkụ ahụ dị n'ime.

A na-ahụ Cervicalgia na torticollis, ọrịa orthopedic nke nwere ngbanwe nke olu site na axis vetikal. A na-achọpụta ọrịa na-adịghị mma a mụrụ n'oge nwata ma na-adịkarị na ụmụ agbọghọ.

Mgbu olu na-esonyere ọrịa tumor; usoro purulent-inflammatory: abscesses (njedebe oke nke anụ ahụ dị nro), phlegmons (mbufụt nke anụ ahụ dị nro na-enweghị oke doro anya); pathology nke thyroid gland; salivary glands; plexites; osteoporosis; tracheitis (mbufụt nke mucosa tracheal); esophagitis (mbufụt nke mucosa esophageal); atherosclerosis; Ọrịa Reiter; ozu mba ozo.

Site na pathology nke thyroid gland (diffuse toxic goiter, Hashimoto's thyroiditis), ọrịa mgbu na-ejikọta ya na ụbara okpomọkụ nke ahụ, mmetụta nke okpomọkụ, ịba ụba ọsụsọ, ịba ụba obi, ụbara mgbakasị ahụ, na anya mmiri.

Sialadenitis bụ mbufụt nke gland salivary. Ihe mgbu na-akawanye njọ mgbe ị na-ata nri na ilo. Enwere ọzịza na mpaghara ebe gland salivary dị, ọnụ nkụ, adịghị ike, oyi, na ahụ ọkụ.

Site na ụkọ nke mineral (nke bụ calcium, phosphorus) na vitamin (D 3), ọkpụkpụ ọkpụkpụ na-amalite (osteoporosis). Ihe ize ndụ nke ime ya na-abawanye na ụmụ nwanyị n'oge menopause. Osteoporosis nke spine cervical na-esonyere cervicalgia.

A na-amata tracheitis site na mgbu na-arịwanye elu mgbe ụkwara, ebe esophagitis na-enwekwu mgbu mgbe ị na-eri nri.

Site na atherosclerosis (mmebi nke mgbidi nke nnukwu akwara na nguzobe nke atherosclerotic plaques nke na-egbochi ịgbasa ọbara nkịtị) na ọrịa akwara ndị ọzọ, mgbu olu na-ejikọta ya na dizziness na tinnitus.

Ọrịa Reiter bụ ihe mgbagwoju anya gosipụtara site na triad kpochapụwo: mmebi nke sistemu genitourinary (urethritis + prostatitis), nkwonkwo, conjunctivitis. Ọ na-ebutekarị site na ọrịa mycoplasma ma nwee usoro na-adịghị ala ala.

Mpaghara nke mgbu olu - olee nsogbu ha na-egosi?

Mpaghara nke ihe mgbu na-enyere aka ikpebi n'ụzọ ziri ezi ihe kpatara cervicalgia ma mee ihe ndị dị mkpa na oge.

Isi ihe na-ebute mgbu olu n'ihu bụ:

• Pathology nke thyroid gland.
• Sialadenitis.
• Ọkpụkpụ retropharyngeal bụ mbufụt nke anụ ahụ dị na oghere retropharyngeal. Mgbu n'olu na-akawanye njọ mgbe ị na-eloda, na-esonyere na-acha ọbara ọbara nke akpụkpọ ahụ n'ihu elu nke olu, mmụba nke okpomọkụ ruo ọkwa febrile (38-39 °).
• Cervical plexitis.
• Ọrịa anụ ahụ jikọtara sistemu (dermatomyositis, scleroderma). Ihe mgbu na-egbu mgbu, na-adọta, na-egbukepụ n'olu na ọkpụkpụ azụ.
• Cervical lymphadenitis.
• Ụdị atypical nke ọrịa obi ischemic.
• Tracheitis, esophagitis.
• Mgbaji mgbaji nke cervical vertebrae.

Ihe na-akpata mgbu n'azụ olu:

• Osteochondrosis, mkpughe diski, hernia spinal, spondylosis, spondylolisthesis.
• Ọrịa myofascial.
• Ankylosing spondylitis.
• Ụkwara nta nke ọkpụkpụ azụ.
• Osteomyelitis.
• Ọrịa Reiter.
• Mkpakọ mgbawa nke akụkụ vertebral cervical, mgbaji nke arches na usoro nke vertebrae.

Mgbu dị n'akụkụ olu nwere ike ime na atherosclerosis; ọrịa myofascial; ahụ mba ọzọ; usoro akpụ na pharynx, larynx, thyroid gland. Cervicalgia n'akụkụ nwere ike iduga torticollis nke abụọ, dịka onye ọrịa na-agbalị mgbe niile ịkwanye isi ya n'akụkụ na-egbu mgbu.

Onye ga-akpọtụrụ maka mgbu olu

Onye na-agwọ ọrịa, pediatrician, ma ọ bụ ọkà mmụta akwara ozi ga-enyere aka na mgbu olu. Ọ bụrụ na nhụjuanya n'olu kpatara mmerụ ahụ, mgbe ahụ, ị ga-akpọtụrụ onye na-ahụ maka traumatologist ma ọ bụ dọkịta na-awa ahụ. Dabere na ihe kpatara mgbu ahụ, onye na-ahụ maka ọgwụgwọ na onye na-ahụ maka ụmụaka nwekwara ike iziga onye ọrịa ahụ ndị ọkachamara dị ka onye na-ahụ maka ọrịa rheumatologist, ọkachamara ọrịa na-efe efe, ọkà n'ọrịa obi, oncologist, ma ọ bụ otolaryngologist.

Nchọpụta nke ọrịa, ule na nyocha

Iji chọpụta ihe kpatara cervicalgia, dọkịta ahụ na-enyocha onye ọrịa ahụ, jụọ ya banyere mkpesa ndị dị ugbu a, na-akọwa ogologo oge nke mgbaàmà ahụ, ọdịdị nke mgbu ahụ, nhazi ya, irradiation, nchikota na mgbaàmà ndị ọzọ, na-eme palpation. Ịchọpụta ihe kpatara cervicalgia dị mkpa maka ọgwụgwọ kwesịrị ekwesị.

Ọ bụrụ na ọ dị mkpa, edepụtara ihe ndị a:

• ndụmọdụ nke ndị ọkachamara warara;
• Usoro nyocha nke ngwá ọrụ: ECG, Holter Monitoring, EMG - electromyography (ikpebi ọrụ bioelectrical nke akwara na nnyefe neuromuscular), electroneurography (ịchọpụta ọsọ nke mkpali akwara n'akụkụ eriri akwara akụkụ).
• X-ray nke spine cervical, CT, MRI;
• myelography - ọdịiche dị na redio nke oghere subarachnoid (subarachnoid) nke ọkpụkpụ azụ.
• Ultrasound (nyocha nke ultrasound) nke gland salivary, thyroid gland; duplex scanning (iji chọpụta ọnọdụ arịa ọbara na erugharị ọbara).

Ụzọ ọgwụgwọ

Ọgwụgwọ cervicalgia kwesịrị ịbụ nke zuru oke. Enwere ọgwụgwọ na-agbanwe agbanwe iji belata mgbu ahụ mgbu, spasm, ịkwụsị usoro mkpali, yana ịwa ahụ a na-eme iji mee ka ọkpụkpụ azụ sie ike ma hụ na ọpụpụ nke pus.

Ụzọ ọgwụgwọ mgbanwe:

• Ọgwụgwọ ọgwụ. N'ịbụ onye ọkachamara n'ịgwọ ahụike nyere iwu, ọgwụ onwe onye anaghị anabata! Maka ọrịa akwara akwara, nke a nwere ike ịbụ ọgwụgwọ mpaghara (iji mmanụ anestetiiki, gels) ma ọ bụ iji ọgwụ sistemu eji eme ihe iji belata mgbu akwara na spasms.
• Ụzọ ọgwụgwọ physiotherapeutic mmetụta. Ndị a na-agụnye magnetotherapy, phonophoresis, electrophoresis na ọgwụ ọgwụ, ultrasound, laser, UHF (usoro okpomọkụ), cryotherapy (ikpughe oyi), SMT (sinusoidal modulated iyi), UVT (ujo wave therapy), MLT (magnetic field + laser ikpughe), ngwa paraffin / ozokerite na ndị ọzọ.
• Ọgwụ mgbatị ahụ. A na-ahọrọ usoro mmega ahụ n'otu n'otu dabere na ihe kpatara mgbu ahụ. Usoro ọgwụgwọ mmega ahụ na-enyere aka mee ka mọzụlụ nke olu olu, azụ, na nguzozi ziri ezi sie ike.
• Ịhịa aka n'ahụ. Enwere ike ịme ya iche iche ma ọ bụ jikọtara ya na ọgwụgwọ mgbatị ahụ na ọgwụgwọ ntuziaka. Na-eme ka mgbasa ọbara dịkwuo mma, na-ebelata spasms muscle, na-eme ka ụda anụ ahụ dịkwuo mma.
• Usoro ọgwụgwọ ntuziaka. Na-enye gị ohere ibelata mgbakasị ahụ akwara, mgbu, ma wepụ ihe mgbochi.

Ihe dị mkpa: ọgwụgwọ mgbatị ahụ, ịhịa aka n'ahụ, ọgwụgwọ ntuziaka na-egbochi n'oge nnukwu oge mgbu, yana n'ọnọdụ mmerụ ahụ!

• Reflexology ma ọ bụ na-emetụta ihe acupuncture na-eji agịga, cauterization, hirudotherapy. Nchikota isi ihe, ogologo oge na ọnụ ọgụgụ nke usoro ga-adị iche iche maka pathologies dị iche iche.
• Usoro Orthopedic. Nke a bụ enweghị ike imegharị ya site na iji bandeeji ma ọ bụ olu akwa Chance. A na-eme ya maka mgbaji mgbaji nke cervical vertebrae, na nnukwu oge maka ọrịa akwara, osteochondosis.
• Taping ma ọ bụ kinesio taping bụ itinye patches pụrụ iche (teepu) na akpụkpọ olu. A na-eji ya mee ihe iji belata ihe mgbu, ọzịza, kpochapụ spasms muscle na njedebe akwara azụ, meziwanye mgbasa ọbara na lymph, ma weghachite mgbe mmerụ ahụ na arụ ọrụ gasịrị. Atụmatụ maka itinye teepu dị iche iche maka pathologies dị iche iche. Dabere na usoro ngwa ahụ, teepu na-eme ka mmịpụta lymphatic dịkwuo mma, na-enwe mmetụta mgbochi mkpali na analgesic, na-emezi ụda ahụ ike, na-eme ka nkwonkwo guzosie ike.

A na-eme ọgwụgwọ ịwa ahụ maka hernias spinal (ọ bụrụ na ọgwụgwọ mgbanwe adịghị arụ ọrụ), neoplasms, abscesses, cellulitis, na ndị mba ọzọ n'olu.

Kedu ọgwụ iji gwọọ

Ndị ọkachamara na-agwọ ọrịa na-abụghị vertebral; otu ọ bụla na-akpata nwere ọgwụgwọ nke ya. Iji belata mgbu anụ ahụ n'olu, a na-eji otu ọgwụ ndị a:

• NSAIDs (ọgwụ ndị na-abụghị steroidal anti-inflammatory). Ha na-egbochi enzyme cycloxygenase (COX). Enwere COX 1 na COX 2. Ojiji nke NSAIDs bụ ọgwụgwọ mgbaàmà nke na-eme ka ọ kwụsịlata mgbu na ihe ịrịba ama ndị ọzọ nke mbufụt. Iji belata ihe ize ndụ nke mmetụta dị n'akụkụ, a na-atụ aro ka iji NSAID na nhọrọ nhọrọ na COX 2.
• Ọgwụ anestetiiki mpaghara. A na-agbanye ha n'ime mpaghara ebe akwara na-apụ (ihe mgbochi).
• Ihe na-eme ka ahụ dị jụụ. Na-enyere aka belata spasms muscle ma mee ka ahụ dị jụụ.
• Nkwadebe na-eme ka microcirculation anụ ahụ dịkwuo mma.
• Steroid homonụ (glucocorticoids). Na-ebelata mbufụt, ọzịza anụ ahụ, mgbu. A na-ejikarị ya mgbe NSAID adịghị arụ ọrụ ma ọ bụ jikọtara ya na ha.
• Vitamin B, C (ascorbic acid), D na mineral: calcium, phosphorus, potassium, magnesium. Calcium bụ vitamin na mineral mgbagwoju akwadoro maka ọgwụgwọ na mgbochi osteoporosis na mgbaji.
• Chondroprotectors. Meziwanye trophism (nri) nke anụ ahụ cartilage, kwalite mmeghari nke cartilage.
• Anticonvulsants. Edebere ya maka mgbakasị ahụ na spasms muscle.

A na-enye ọgwụgwọ ọgwụ naanị mgbe nyocha zuru oke na njirimara nke ihe kpatara cervicalgia.

Na-egbochi mgbu olu

Iji gbochie mgbu olu, a na-atụ aro ịgbaso iwu dị mfe:

• Hazie ebe ọrụ gị nke ọma (ọkụ ọkụ, ọkwa nlele, anya nke onye nleba anya na anya na paramita ndị ọzọ ga-agbaso ụkpụrụ ndị a na-anabatakarị).
• Belata ihe ize ndụ: zere drafts, hypothermia; ekwela ka mgbada ma ọ bụ igbatu isi na mberede, wdg.
• Lelee ọnọdụ gị, gụnyere mgbe ị na-arụ ọrụ na kọmputa.
• N'oge ezumike, mee mgbatị ahụ iji mee ka mọzụlụ nke olu na eriri ubu sikwuo ike.
• Mee ka mmega ahụ dịkwuo elu.
• Maka ihi ụra, ọ ka mma iji ọ bụghị elu, ma mgbe niile, ma ọ bụ ọbụna ka mma, ohiri isi orthopedic.
• Ibu ahụ ziri ezi.
• Gaa nyocha ahụike n'oge.

Ịgbaso usoro mgbochi ga-enyere aka ịnọgide na-enwe ahụike na ịdị mma ruo ọtụtụ afọ. Ịhụ dọkịta mgbe ihe ịrịba ama mbụ nke mgbaàmà pathological pụtara na ọgwụgwọ n'oge ga-enyere aka izere oge na-adịghị ala ala nke usoro na mmepe nke nsogbu.