Ukulimala kwi-Spinal Nerve Roots

I-Anatomy yeNeck ne-Back Pain

Ubuninzi beentlungu ezithumela ulwazi kwi-brain kunye nolwazi oluvela kumbilini luye lugqithise ngolwazi ngomgca womgogodla, olufakwe kwithambo elikhuselayo le- vertebrae , phakathi kweziphi izivulo (foramina) ezivumela ukuhamba kweengcambu zeengcambu. Ezi zinzwa ziqhubeka zenza inkqubo ye-nervous system.

Ngamanye amaxesha izimpande zentliziyo zinganyanzeliswa ngokukhula kwebony kwi-vertebrae, okanye ukunyuka kwe-vertebra enye phezu komnye umncinci wokuvula (inamen) apho i-nerve igijima.

Xa oko kwenzeka, ingcambu yomdanga yenzakaliswa kwinto ebizwa ngokuba yi- radiculopathy . Iimpawu ezibangelwayo ziyahluka, kuxhomekeke kwindawo yendawo yengcambu.

I-Anatomy ye-Colinal Column

Nangona kukho ukuhlukahluka phakathi kwabantu ngabanye, inxalenye enkulu, sonke sinemihlathi emininzi entanyeni yethu, ebizwa ngokuba yi-vertebrae yomlomo wesibeleko. Ngezantsi kwezi zizitho zentsimbi (eziqhotyoshelwe kwiimbambo), kwaye i-vertebrae emihlanu ye-lumbar. I-vertebra yokugcina i-verbbra ifakwe kwisigrum, ithambo elikhulu elinceda lenze isangqa se-pelvic.

I-vertebrae idla ngokugqithiselwa kwinani kunye neleta, ukubala ukusuka phezulu kwintsipho ukuya ngasezantsi. Ngokomzekelo, i-C5 ithetha i-vertebra yesihlanu yomlomo wesibeleko ukusuka phezulu kwintsipho. I-T8 ithetha i-vertibra ye-thoracic phantsi kwe-C7 (i-vertebra yokugqibela yesibeletho).

Ngokuqhelekileyo, iingcambu zeengcambu zithiwa ngethambo phezu kwazo. Ngokomzekelo, ingcambu yomgca ephuma phakathi kwe-4 ne-5 ye-vertebrae ye-lumbar yayiza kuthiwa yi-L4.

Iimbilini zomlomo zihlukile, nangona kunjalo: nangona kukho i-vertebrae yesi-7 kuphela yesibeletho, kukho i-nervobrae ye-cervical, enye yokuqala ekhona ngaphezu kwe-vertebra yokuqala yomlomo wesibeleko. Ngoko entanyeni, iimbulunga zibhalwe emva kweertebrae phantsi kwazo. Ukuze kucace, kudla ngokucacileyo ukuba ucacise iingcambu zentsimbi ngokubhekiselele kokubili i-vertebrae, umz. (C7-T1), kodwa amaninzi amaninzi akwenzi oku kwimihla ngemihla.

Intambo yomthambo ngokwawo imele ihlele ku-L1 kubantu abadala, apho iphelela kwisakhiwo esibizwa ngokuba yi-conus medullaris. Amagulane aqhubeka edonsa phantsi kweli nqanaba, nangona, ejikeleza kwisigxobo se-cerebrospinal fluid. Le iqoqo leentsimbi libizwa ngokuba yi-cauda equina, isiLatini "ngomsila wehashe," apho izibilini ezifayo zifana nokude ziphume i-foramina phakathi kwe-vertebrae ye-lumbar.

Iimpawu zeRadioculopathy

Ingcambu nganye yomsongo ephuma kuloo ntambo yomgudu ifaka imilayezo esuka kwingqondo ukuze iqhube imisipha ethile, kwaye ifumana imiyalezo evela kwiindawo ezithile zesikhumba. Ngenxa yeli qiniso, kunokwenzeka ukuqonda ukuba yeyiphi i-radiculopathy eyenzekayo, ngokusekelwe kwiimpawu ezikhoyo. Ukongezelela, i-radiculopathies ihlala ibuhlungu, kanti ezinye iingxaki zentlungu ayikho.

Uninzi lwe-radiculopathies lubangelwa ukutshintsha okufihlakeleyo kwisakhiwo se-skeletal kwikholam ye-vertebral. I-vertibrae ye-thoracic inqatshelwe ukuba ishintshe kakhulu ngenxa yokuba ibambelelwe yi-ribcage. Ngenxa yesi sizathu, i-radiculopathies ebonakalayo ebonakalayo ivela kwintsimi yomlomo wesibeleko kunye ne-lumbar spine.

Radiculopathies yomlomo wesibeleko

Iimbilini ezithatha intambo yomgogodla entanyeni ziphuma e-vertbral foramina ukuba zenze umzekelo wokuxuba obizwa ngokuba yi-plexus brachial.

Ukusuka apho, iimbilini ziqhubeka zikhupha ikhumba kunye nezihlunu zengalo. Ngeenjongo ezibonakalayo, iingcambu ezibaluleke kakhulu kwiimbalo ziyiC5, C6, kunye neC7. Kubalulekile ukuba ukwazi ukuba malunga neepesenti ezingama-20 zazo zonke i-radiculopathies yomlomo zibandakanya amanqanaba amabini okanye ngaphezulu.

1. I-C5: I-deltoid (i-muscular muscle ephakamisa ingalo evela emzimbeni) ingenakulungiswa yimisipha evela kwi-C5. Ukongeza kwintlupheko yamanyathelo, le radiculopathy ingakhokelela ekungenikiyo kwiphepha kunye nengalo engaphezulu.

2. I-C6: I-radiospathy ye-C6 ingakhokelela ekubuthathaka kwi-biceps kunye ne-extensors ye-wrist. Ukongezelela, kukho ukungaqhelekanga kwintlukwano kwimiqondiso kunye neminwe ephakathi, kunye nenxalenye yempembelelo.

1. C7: Phantse ihafu (46 pesenti) yazo zonke i-radiculopathies yomlomo wesibeleko iquka le ingcambu yomgca. Ubuthakathaka obuninzi bubunzima be-triceps obuvulela ingalo. Kukho nokuba kukho ukulahlekelwa kwintlungu kwisahlulo sesandla, njengomnwe womnwe.

Lumbar Radiculopathies

Iimbilini eziphuma kwi-neural foramina kwi-lumbar spine ziyaqhubeka zenze i-lumbar plexus, i-anastomosis eyinkimbinkimbi yeentsholongwane ezahlukeneyo. Ukusuka apho, la mazinyo aqhubeka ekhupha ulusu kunye nezihlunu zomlenze.

1. I-L4: I- linoopsoas , eyenza iguqule umlenze, ingaba buthathaka, njengokuba i-quadriceps enokwandisa umlenze emadolweni. Amadolo kunye nenxalenye yomlenze ongezantsi ungabalwa.

2. I-L5: Ukukwazi ukuphakamisa inqaku leenyawo ukusuka emgangathweni kunokunciphisa, kwaye umphezulu onyawo unokuba ngumngcipheko. Le ingcambu yomgca ibandakanyeka kwi-40 ukuya kwi-45 ekhulwini ye-radibospathies yama-lumbosacral.

3. I-S1: Ukukwazi ukubeka inyawo kwisantya (njengokungathi uya kumela kwi-tiptoe) inobuthakathaka, kwaye kunokubakho i-numbness yezwane ezincinane kunye nenyawo lonyawo. Le ingcambu yesondlo ibandakanyeke kuma-45 ukuya kuma-50 ekhulwini we-radibospathies yama-lumbosacral.

Sifake ukuhlaziya i-anatomy yeentsholongwane eziphuma kwintambo yomgogodla. Nangona sixoxe ngezinye iimpawu, asizange siqale ukuhlola izinto ezininzi ezahlukahlukeneyo ze-neuropathy okanye unyango lwabo. Nangona ubuhlungu obuninzi bubuya bubodwa, ukuba ubuthathaka bukhula, luphawu lokuba unyango olunamandla luya kubizwa.

_Imithombo:

_{I-ARport i-AR, i-Sander HW, iNdlela yeCliniki kwi-Peripheral Neuropathy: i-Anatomic Localization kunye novavanyo lwe-Diagnostic Testing. Continuum; Umqulu 18, uNgo-1, Februwari 2012}

_{I-Blumenfeld H, i-Neuroanatomy ngokusebenzisa iiKliniki zeeKliniki. I-Sunderland: Abapapashi be-Sinauer Associates 2002}