I-radiculopathy yesibeleko yinto eqhelekileyo yentlungu, izikhonkwane, kunye neenaliti kunye / okanye ubuthathaka kwingalo yakho, kunye nentlungu yentamo kunye nezinye iimpawu. Ngokuqhelekileyo iveliswa xa ingcambu yomgulane igxininiswe, mhlawumbi ngedaka elimnandi okanye elingasigxina okanye ukuguqulwa kwezinto ezinobungozi emagqabini. Imizekelo ye- spondylosis , enye igama lokuguqulwa komonakalo emgodini, ingaquka iimpawu ezinxulumene ne-arthritis ezifana ne- facet hypertrophy ehlangeneyo okanye i-spursy break, okanye i-disc degeneration.
Ukuba unesifo se-radiologypathy, ungase ufumane intlungu ebuhlungu, ngokukodwa ekuqaleni (kwiiveki ezimbalwa zokuqala emva kokuqala). Kwaye ungaphinda uqaphele izikhonkwane kunye neenaliti (njengoko kuchazwe ngasentla) okanye ezinye iimbono zesifo kwi-forearm yakho nesandla.
Kunzima, kunene? Ugqirha wakho uyazi njani iimpawu zakho, ngokuthe ngqo? Ukuba akusiyo i-radiculopathy, yintoni na? Unokwazi ukuba yiyiphi ingcambu yomgudu oyimpembelelo eyabangela iimpawu zakho? Kwaye kubaluleke kangakanani le nkqubo kwinkqubo yokuphucula intlungu?
Ukuba iimpawu zakho ziphelelwe intlungu kuphela, oku kuthiwa ubuhlungu besifo somlomo wesibeleko.
Ukwenza Uxilongo
Ekuqeshweni kwakho, ugqirha wakho uya kuthatha imbali kwaye akunike uvavanyo lomzimba. Izinto ozixelelayo malunga neempawu ozivelayo uya kumxelela malunga neprogram yentlungu, eyona nto ibalulekileyo kwinkqubo yokuxilonga.
Uvavanyo lwencwadi luya kunceda ugqirha wakho achaze i- dermatomes kunye / okanye i-myotomes apho kukho iimpawu zakho.
Le ngcaciso imnceda ukuba acinge ukuba yiyiphi ingcambu yomgca wesigulane ixinyiwe okanye icatshukiswa. Uvavanyo lokucinga ngomzobo (umzekelo, i-MRI) ngokuqhelekileyo ayithathwa njengeyimfuneko, ngaphandle kweemeko ezizodwa (kuxutyushwa ngezantsi).
Iimpawu ezifakela i-Radiculopathy ye-Cervical Discover
Ngokugqithiseleyo oogqirha banokufumana ukuxilongwa kwe-radiculopathy yomlomo xa ubonisa intlungu yesandla, intlungu yentamo, intlungu okanye malunga ne-scapula yakho.
Ezinye iimpawu zengqondo ezisebenzela njengeflegi kumgqirha wakho malunga nokuba nobuhlungu be-radiosispathy yomlomo ziquka izikhonkwane kunye neenaliti ezixoxwa ngasentla kunye nezinguqu zengqondo kwiingalo zakho ezifana ne-numbness.
Izimpawu zeenqwelo-moya ezingabonisa ukuba ugqirha wakho ubandakanyeka ubuthathaka bentsimbi kunye / okanye i-tendon enzulu engavamile engqondweni yakho. Ubuthathaka kwi-muscle yakho ye-deltoid (into efana ne-cap-like muscle ejikeleze ihlombe lakho nangengalo engaphezulu), ubuthathaka kwimisipha yangaphakathi yesandla sakho, kunye / okanye i-wings wingqungquthela nayo inokubonisa. Iphiko le-scapular isingenakwenzeka kumda wangaphakathi (wangaphakathi) umda wegxeni-mhlawumbi ubizwa ngokuba yi-scapula bone-ukulala phantsi kwembambo zakho.
Sekunjalo, ezinye iimpawu ezingalumkisa ugqirha wakho kubandakanya isifuba okanye intlungu yesisu kunye / okanye intloko.
Emva kokubona iimpawu zesigulane sichaphazela ukuxilongwa kwe-radiologypathy yomlomo wesibeleko, oogqirha abaninzi banokuqinisekisa ukuba olu xilongwe ngolu vavanyo lwamaxwebhu oluthiwa yi-Spurling's. Izifundo ezininzi zibonisa ukuba uvavanyo lwe-Spurling-olusekelwe kwisimo salo njengesilinganiselo sokuxilonga-singakuqinisekisa ngokucacileyo ubukho be-radiculopathy yomlomo wesibeleko.
Nangona uvavanyo lwe-Spurling (ngokwenene, ukuqhuba) lucacile, aluxhomekekanga kakhulu ekufumaneni i-radiculopathy yesibeleko ngenxa yesiphumo sokuvavanya esibi (esichazela ukuba uphawu alubonakali) aluyikulawula ukuxilongwa kwe-radiculopathy yomlomo wesibeleko.
Ngokufanayo, iNorth American Spine Society ithi ukuhlolwa kwe-Spurling, kunye neemvavanyo ezinjalo ezivuthayo, kunokubhekwa njengengxenye yovavanyo; ngokungafani nezifundo zovavanyo lwe-Pro-Spurling, nangona kunjalo, i-NASS iyanqanda ukubonisa ukuba uphawu oluhle kwi-Test of Spurling test luqinisekisa ukuxilongwa.
Ukuvavanya ukuxilongwa phambi koPhando
Ukuba uceba ukwenza utyando , kwaye i-radiculopathy yakho yesibeleko ingenxa ye-arthritis okanye utshintsho lokuguqulwa kwesifo (spondylosis), ugqirha wakho uya kufuna ukuqinisekisa ngolu hlobo olulodwa okanye ngaphezulu kweemvavanyo zokucinga ze-imaginal umgangatho wesipelini apho iimpawu zakho zivela khona.
Umbutho weNorth American spine Society uthi nje ukuchonga isalathisi esithile apho intlungu, ukukhathazeka kwemizwa kunye / okanye ubuthakathaka obuthathaka obunamava akwanele ukwenza ukuxilongwa ngokuchanekileyo kwimizimba ye-radiosispathy yomlomo.
Ngesi sizathu, bancoma i-tomography (CT scan), i-CT myelography (i-CTM) okanye i-MRI (i-magnetic resonance test test) ngaphambi kokuba iqhutywe ngogqirha. Qaphela ukuba ii-NASS zicebisa ezi mvavanyo kuphela emva kokuba ikhosi yezobugqirha ebonakaliswayo ayikwazi ukukhulula iimpawu.
Iindaba ezilungileyo kukuba iimeko ezininzi ze-radiculopathy zentsholongwane zizinzela ngokwazo okanye zonyango lwangaphandle ngaphandle kwemfuneko yokuhlinzwa.
Imithombo:
Corey DL1, Comeau D. I-radiculopathy yomlomo wesibeleko. Med Clin kwiNyakatho Am. 2014 Julayi; 98 (4): 791-9, xii. i-doi: 10.1016 / j.mcna.2014.04.001.
I-Eubanks, i-JD, i-radiculopathy yomlomo wesibeletho: ukungabikho komsebenzi wokuphathwa kwentlungu yentlungu kunye neempawu ezixakekayo. I-Phys Physician. 2010 Jan 1; 81 (1): 33-40.
Kuijper B. [I-radiculopathy yomlomo wesibeletho]. Ned Tijdschr Tandheelkd. 2014 Oct; 121 (10): 483-6. i-doi: 10.5177 / ntvt.2014.10.14134.
Umbutho waseMntla waseMntla waseMerika (i-NASS). Ukuxilongwa kunye nokunyangwa kwe-radiculopathy kwintsholongwane ngenxa yokuphazamiseka kwesifo. IBurr Ridge (IL): UmNyango waseNorth American Spine Society (NASS); 2010. 179 iphe.
URyan M., uDavid E. Iintlanzi, uDavid E. I-scapular winging: ukuhlaziywa kwe-anatomical, ukuxilongwa, kunye neyeza. Curr Rev Musculoskelet Med. 2008 uMatshi