颈椎病的预防

发布时间:2019-09-26 21:10

  颈椎病,是中老年的常见病和多发病,尤其是40-60岁以上者为多见。颈椎共有七节,主要功能支持 头颅的作用,具有很大的活动范围,可以前曲、后仰、左右侧曲等活动。 
        颈椎及其棘间韧带肌腱、关节囊、椎间盘等可发生退行性变化或损伤,僵。 压迫和刺激颈部神经根、椎动脉、交感神经和脊髓等而出 现一系列临床症状。可因累及部位的不同而出现不同症状,绝大部份早期症状是颈部发 现颈项部有强硬的感觉、活动受限、颈部活动有弹响声,疼痛常有向肩部和上肢放射,手和手指有麻木、触电样 感觉,可因颈部活动而加重。也就是说不同的病变累及不同部位,就出现不同的症状,晚期可导致瘫 痪。颈椎病根据临床表现和X线片或CT即可明确诊断。

     秋冬季节对颈椎病预防非常重要:

    (1)要注意头颈部的正确姿势,每天坚持作前倾,后仰、左右旋转 1-2次,坚持10分钟。

    (2)保持良好的睡眠姿势,最好采用质地柔软的元宝型枕头,以维持颈椎棘突 向前的生理弧度。

    (3)枕头的高度应以10厘米左右为宜。

    (4)平时工作的体位,做到既不抬头又不低 头的舒适姿势。长时间工作时1小时要活动一下头颈部,使颈韧带肌肉得到适当休息。

    (5)仰头看电视 时勿使颈部疲劳,最好与眼睛保持同一水平。这些措施不仅可以预防颈椎病,还可防颈椎病的复发和病 情加重.

  人生总是从出生到生长发育-衰老-死亡的阶段变化着。退行性变是人体的一种正常生理变化。一般说人体生长过程的结束,也就意味着“退变”过程的开始。 
        在“退变”过程中,有的人无明显临床症状,有的却症状显露,这与病变的程度、椎管发育情况有关。“退变”是一条铁的规律,是不以人们的意志为转移的,只是临床症状显露中迟早的问题。有人调查表明:50岁左右的人群有25%的人患过或正患颈椎病,60岁左右则达50%,70岁的人颈椎病患病率几乎已是 100%。 
       这说明颈椎病为中、老年人的常见病和多发病,男多于女。近年来,由于临床对该症的病理机制有了深入的了解和先进的诊断手段,特别是影像学的发展,使该症的发现(诊断)率不断提高,而且罹患该病的年龄也渐年轻化,已不单属中老年常见疾病。 
       由于病理改变的部位和程度不同,被累及的组织也不同,故其所产生的临床症状也不尽相同。据此,临床又将颈椎病分为颈型、神经根型、脊髓型、椎动脉型、交感性及混合型六种类型。 
       以上类型的颈椎病,中医学有它独特的认识和诊断、治疗方法,只是未见颈椎病这一术语而已。一般来说,与颈型和颈神经根型颈椎病类似的内容归于“眩晕”、“耳鸣”、“头痛”等范畴;与脊髓型颈椎病有关的内容归于“萎证”的范畴。


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