I-Radiculopathy ibinzana elichaza iimpawu ezinengqondo kunye neemoto ezinxulumene neengcambu zesisu zomlenze . ("Utywala" uthetha ingcambu kwaye ubhekisela kwingcambu yomgulane.)
Uxinzelelo lweengcambu zesisu zomnxeba kwenzeka xa isakhiwo esifana ne-disc intervertebral okanye i-spur bone eyenziwe njengempendulo yokugqoka kunye nokugqabhuka kwiindawo apho ingcambu yomgca ikhona khona.
Le ngxowankulu ngokuqhelekileyo ibangele kwisakhiwo kunye neengcambu zentsholongwane zidibanisa kunye kwaye zibangela ukucasula.
Kuye kunye ne -disc ne-bone, i-tumors, izifo, okanye i- vasculitis ezinye zezimbangela ze-radiculopathy, nangona iimeko ezinqabile.
Iingcambu zesisu zomgulane ezinomthamo zingabakho nawaphi na amanqanaba ukusuka kwiC1-2 ukuya kwi-S4-5, kodwa iindawo ezichaphazelekayo kakhulu ziL4-5 kunye ne-L5-S1 kumqolo ophantsi kunye neC5-6 kunye neC6-7 entanyeni. Ingcambu yesondlo ehambelana nenani elikhulu liyakunyanzeliswa. Ngokomzekelo, xa uxinzelelo lwenzeka kwinqanaba leC5-6, ingcambu yomgulane kwi-C6 icinezelwe, kodwa enye kwiC5 ayikho.
I-Radiculopathy evela kwingcambu yomgca weengcambu entanyeni ibizwa ngokuba yi-radiologypathy; kumqolo ophantsi, kuthiwa yi-radiumpathy.
Izinto zobungozi
Unomngcipheko ophezulu we-radiculopathy ukuba uhlala kunye kunye / okanye ukuba uqhuba ezininzi; Ukuhlala uxinzelele iidiski zakho, ezinokubangela ukuhlanjululwa kunye nokucasula kweengcambu zentliziyo.
Ezinye izinto ezibangela umngcipheko we-radiculopathy ziquka:
- Ukuba ngumntu
- Ukukhwehlela okungapheliyo
- Ukukhulelwa
- Ukuphakamisa okukhulu (rhoqo)
- Ukutshaya
Iimpawu
Ngokuxhomekeka kwimbangela yenkompo yakho yesondlo, kunye nendawo apho ikhona khona, iimpawu ezinxulumene nezidakamizwa ziyahlukahluka. Kodwa eziqhelekileyo zibandakanya intamo kunye / okanye intlungu yeentlungu, intloko kunye nobuhlungu obubukhali, ubuthathaka, ukuphazamiseka, ukubetha, okanye ezinye iintlobo zogesi ezisezantsi umlenze ( sciatica ) okanye ingalo.
Ezinye iimpawu zingabandakanya ukuguquka okungahambi kakuhle, ubuthathaka, ubunzima be-muscle, ukunyakaza okuncinci, kunye ne-radiculopathy yomlomo wesibeleko-ebuhlungu okanye obuhlungu obuhlungu xa ususa intamo yakho ngasemva.
Ukuxilongwa
Ngokwe-2011 yokuphononongwa kwiphepha le- Hospital Hospital for Special Surgery, malunga neepesenti ezingama-75 zamatyala e-radiculopathy angafunyanwa nje ngugqirha othabatha imbali yesigulane. Ugqirha wakho uya kuqonda i-radiculopathy ngesifo sayo esiqhelekileyo, esibuhlungu phantsi kwesinye isigxina okanye izikhonkwane kunye neenaliti ezihambelana nommandla ochaphazelekayo weentsimbi (udermome).
Ngokufanayo, oogqirha abaninzi baphatha uvavanyo lweengqondo kunye / okanye ukuhlolwa kweemvavanyo ezifana neMRI .
Ngexesha loviwo lwakho lomzimba, ugqirha uza kuvavanya intlungu, ukulahlekelwa yintliziyo, ukuxhalabisa, kunye namandla omzimba kummandla ngamnye. Ngokuchonga ukuba iziphi izidumba (s) kunye ne-myotome (s) ezichaphazelekayo, unokukwazi ukuba zeziphi iingcambu zomgcini weengcongolo ezonakalisiweyo. Isivivinyo somzimba singabandakanya iimvavanyo ezivelisa intlungu yakho ukunceda ugqirha ukuba acinge uhlobo lomonakalo weengcambu. Iimvavanyo zokuxilonga zinokukunceda ukuqinisekisa ukufumana iziphumo ezivela kwisifo somzimba, okanye ukujonga kwakhona indawo apho iimpawu zakho zivela khona.
Unyango Ongafunywanga
Unyango lwe-radiologypathy yomlomo wesibeleko kunye ne-lumbar uqala ngokungenasiphelo .
Enyanisweni, iSibhedlele soPhando oluPhezulu olukhankanywe ngentla luchaza ukuba malunga neepesenti ezingama-75 ukuya kuma-90 ekhulwini abantu abafumene ukuba bane-radiculopathy yabo yomlomo bangaphuculanga ngaphandle kokuhlinzwa. Bathi imithi ekhuselekileyo ingaba isebenzayo okanye ingabonakaliyo, kodwa ukuba ukusetyenziswa kakubi kwimiba echaphazelekayo (oko kukuthi inkqubo eninzi yezoleko ezibandakanya izinto ezifuna ukuthatha inxaxheba kwegulane) ithambekele ekufumaneni iziphumo ezilungileyo.
Oku kungabandakanya imishanguzo yentlungu kunye nokuhlanganiswa kwezinye iindlela eziquka:
Ulwaphulo lomzimba : Unyango oluthile lunokukunceda ululaze kwaye uqinise imisipha yakho; unako ukufumana umthamo ngexesha le-PT.
Ukuchithwa kwempahla: Ukugqoka ikollar ukukhupha intamo yakho inokuba yinxalenye yonyango lwakho. Ngokunciphisa ukunyakaza kwaye uvumele izicubu zakho ezipholileyo ziphumle, ikhola ingakunceda ukukhulula iimpawu zakho.
Ukumiswa: Unokunikezwa umlotha wesibeleko ukuba usebenzise ngexesha ulala. Umqubo uya kugcina iqondo elifanelekileyo leentambo entanyeni yakho, uthathe uxinzelelo lweengcambu zeengcambu.
Izilwanyana: Ukungena kukuncedisa ukunciphisa ukuvuvukala nentlungu, ukugcina ukhululekile ngakumbi. Nangona kunjalo, iinjongo ze-epidural steroid zinokuthi zidibanise iingxaki, kwaye oogqirha abaninzi bahamba ukusuka kule nyango.
Qaphela: I-chiropractic ayikhuthazwa kuba uphando lubonisa ukuba alusebenzi kakuhle kwi-radiculopathy-kwaye kwezinye iimeko kunokukwenza kube nzima. Ingaba yingozi kakhulu kubantu abanokungazinzi komgudu kunye / okanye izilonda zomzimba.
Ukuhlinzwa
Ukuba indlela engeyiyo yokuhlinzwa ingaphumeleli ukukhupha intlungu emva kweeveki ezintandathu ukuya kwezi-12, unokufuna ukuhlinzwa . Ukukhethwa kwenkqubo ethile kuya kuxhomekeka kuhlobo kunye nendawo yenkcenkceso yokuxinwa kwengcangci, ubuchule bakho ogqirha, kwaye ukuba ubukade unomsebenzi wokuhlinzwa.
Ugqirha wakho unokuqwalasela:
- I-Discectomy (eqhelekileyo) -Uku kukhishwa kwe-disc.
- I-Disectomy kunye ne-fusion-Oku kungadinga i- bone graft .
- Ukutshintsha i-Disc - Nangona kusekutsha, ukusetyenziswa kwayo kule ngxaki kuphakama.
- I-posterior laminoforaminotomy yomlomo wesibeleko-Oku kunokwenziwa ukuba unayo i-disc eyodwa kuphela kwaye uphuma ecaleni le-vertebra .
Iinkqubo ezincinci ezingenayo i-nucleotomy yencwadi, i-laser discectomy, kunye ne-endoscopic disectomy, ingaxutyushwa kwakhona, kuxhomekeke kwimeko yakho.
Imithombo:
AAOS. I-Radiculopathy yesibeleko (i-Pinched Nerve). Iwebhusayithi yeAAOS. Kuhlaziywa ngoFebruwari 2010. http://orthoinfo.aaos.org/topic.cfm?topic=A00332.
AAOS. I-Radiculopathy yomlomo wesibeletho: Izinketho zokuPhepha. Iwebhusayithi yeAAOS. Kuhlaziywa ngoFebruwari 2010. http://orthoinfo.aaos.org/topic.cfm?topic=A00540.
ECanale, Beaty. Izifo Zengqondo Zesibeleko. I-Canale ne-Beaty: I-Campbell's Operative Orthopedics. Ka 11. MDConsult. http://www.mdconsult.com/das/book/body/100188922-3/0/1584/316.html
Caridi, J., kunye. I-Radiculopathy: I-HSS J. Oktobha 2011. http://www.ncbi.nlm.nih.gov/pmc/article/PMC3192889/
Neuroscience Resources Pages. Radiculopathies. http://www.neuroanatomy.wisc.edu/SClinic/Radiculo/Radiculopathy.htm