Inkcazo, iiMpawu, kunye neZonyango zeMigodi
Ukuba uxelelwe ukuba "unentsimbi" ithetha ntoni ngokuthe ngqo? Iyingozi? Ngaba uya kufuna ukuhlinzwa? Kukuphi emzimbeni onokubangela ukunyanzelwa kwemizwa?
Inkcazo: Amagxobhoza
Ixesha elibhekiselweyo ligxininiso lithetha uhlobo oluthile lomonakalo apho umbhobho wesigxina okanye isethi yamathambo unyanzelekile ngenxa yokulimala okanye izifo.
Kubalulekile ukuba uqaphele ukuba igama elithi "i-pinned nerv" lingasetyenziselwa ukubamba inkunzi-yonke ibinzana ngenxa yokulimala ngenxa yokunyanzeliswa, ukunyanzeliswa, okanye ukulula, kwaye akunakuthi ihlale ixinzelelekile kwi-nerve ephoxisiweyo.
Ukulimala kwimbilini kungabangela ukutshabalala okanye ukunyanzeliswa kwentsholongwane kwaye kungenzeka ngenxa yokulimala ngqo kwimbilini ngokwayo okanye kwisigubungelo sokukhusela (i- myelin sheath ) ejikeleze i-nerve.
Enye imigaqo engasetyenziselwa xa ichazwa ngamagxobhoza atyunjwe zibandakanya:
- Ukunyanzeliswa kwesisu
- Iimbambo zomzimba
- Ukufakelwa kwemizwa
- Ukunyanzelwa kwemigudu
- Iigulane
- Uxinzelelo lwe-neuropathy
- I-Radiculopathy (i- Radiculopathy ibhekisela kutshintsho kwi-sensation okanye kumsebenzi we-muscle ehambelana nokunyanzeliswa kwesibindi kwi-collar)
- I-Sciatica (i- Sciatica iyenzeka xa i-nerve ye-sciatic ibanjwe okanye ifakwe)
Iimpawu zeNtshontsho
Iimpawu zentshontsho echitshiweyo zihlala zihluke ngokuxhatshazwa. Izimpawu eziqhelekileyo zingaquka:
- Ukuvutha komlilo
- "Iiphini kunye neenaliti" ezivakalelwa
- Ubunzima obuphuma ngaphandle kwindawo emelekileyo
- Ubunzima obunokuthi buvelelwe kwindawo ebonakalayo engahambelaniyo, njengentlungu ebhokheni okanye ingalo yakho ngenxa yentsholongwane entanyeni yakho entanyeni
- Ukuvakalelwa kwesandla sakho okanye unyawo "ulele ubuthongo"
- Ubundlobongela okanye isisindo somzimba (ezihlobene neentsholongwane ezisezantsi)
Intlungu enxulumene neentsimbi ezinobuncwane inokuba ngumnene okanye unamandla kakhulu.
Ziyintoni eziqhelekileyo eziMigxobhozo?
Amagxobhozo anxibekileyo aqhelekileyo, kunye nama-40 ekhulwini abantu abafumana i-sciatica (ingcinezelo yentsholongwane enqabileyo) ngexesha elithile ebomini babo.
I-nerve ye-sciatic iyinambuzane enokuthi ichaphazeleke ngeentlungu ezisezantsi.
Ngemuva nangentamo yakho, umtya womgudu udlula entanjeni yakho emgodini ngomnquba omncinci (obizwa ngokuba yi-intervertebral foramen) kwi-vertebrae (amathambo emhlane nangentamo) ngaphambi kokuhamba kwindawo yawo kwimida. Icandelo elincinci le-foramen yindawo eqhelekileyo yokunyanzeliswa kwemizwa.
Ukuchonga iziphazamiso ezipakanyisiweyo
Ukuxilongwa kwentsholongwane yokuqhafaza kuqala ngomlando oqinileyo kunye nokuhlolwa komzimba. Ugqirha uya kukubuza malunga nayiphi na imeko yonyango okanye ukulimala okwandisa umngcipheko wokunyanzeliswa kwamagulane kwaye uya kujonga uvakalelo lwakho kunye namandla enjini apho unempawu. Xa i-nervined cervical in the spine ishicilelwe, iimpawu zivame ukuvela kwindawo ethile ebizwa ngokuthi i- dermatome .
I-Electomyography (EMG) kunye nezifundo zokuqhuba iimbilini zenziwa rhoqo ukuze zichonge ukuba umonakalo weentsimbi ukhona kunye nokuqonda ubunzima bomonakalo. I-ultrasound iyisisombululo sokuhlalutya esiphuthumayo sokuvavanya ingxaki yokugulisa i-nerve, ingakumbi kwi-syndromes ye-nervled syndromes yesigxina esiphezulu njenge-carpal tunnel syndrome.
Iimvavanyo ezinjenge-CT scan okanye i-MRI inokuyalelwa ukuba zikhangele izizathu zentshontsho enobunjengezifo ezifana ne-disenerative dis disease.
IiNdawo zoLondolozo lweMigudu yeNinzi
Ezinye ezivame ukucatshiswa okanye "ukunyanyiswa" kwamanzi ziquka:
- Iimbindi zeMedian: Le nerve iyagijima phakathi kwendawo yesandla sakho kunye nesandla kwaye ichaphazela ukuvakalelwa esandleni sakho. Ukunyanzeliswa kwentsholongwane yomlambo kwisikristhi kunokubangela i- carpal tunnel syndrome .
- Iimbilini ze-Ulnar: Iimbindi ze-ulnar ziwela ngaphesheya (kwicala elixhasayo) ingalo yakho idlulile ibhokhwe yakho kwaye iyathintela inzame phezu kwengxenye engxenyeni yengalo yakho (ngaphandle kwengxenye.) I-nern's ulnar yintoni ovakalelwa ngayo xa ushaya " ibhokhwe elihle "ekhokheni lakho.
- I-nerdial nerve: I-neral nerve ihamba phantsi (umlenze wesithupha) okanye ingalo yakho nesandla. Ukunyanzeliswa kubangelwa kukubangela intlungu kwisalathisi sesandla sakho okanye ingalo.
- Iimbilini zesintu: Iimbilini zesibhobho zisuka kwi-hip yakho ukuya emadolweni kwaye zibangela iintlungu kulo mmandla xa zityinwe.
- I-nerveal cutaneous nerve: Ukunyanzeliswa kwe-nerveal cutaneous nerve ( meralgia paresthetica ) kubangele ubuhlungu phambi nangaphandle kwethanga kwaye kunokubangelwa ngokugqithisa amabhande, ngokukhulelwa okanye ngokufumana ubunzima.
- Izityalo ze-Plantar: Izithambo zakho zityalo zifumaneka ezinyaweni zakho kwaye zivame ukubangela izikhonkwane kunye neenaliti ukuvalelwa ezinyaweni zakho ukuba zixinezelekile.
- I-nervous nerve: I-nerbial nerve ihamba kunye ne-tibia yakho (ithambo elikhulu elingaphantsi komlenze wakho osezantsi) idlule emadolweni nasezantsi phantsi kwe-ankle yakho (idlule emadolweni nasemlenzeni ophantsi).
- I-neroneal nerval: I-neroneal nerve igxila ngaphesheya komlenze wakho kwaye inokubangela ukuba unyawo lwezonyango lungonakaliswe (njengokuba emva kokutshintshwa kwe-hip.)
- Iisondlo zomlomo wesibeletho: Ukunyanzeliswa kwezibilini kwikholamu yakho yomphezulu (umlenze womlomo wesibeleko) ngokuqhelekileyo kukhokelela ekubandezelweni nasekubuthatheni ingalo. "Ukuphengulula" kwamagxa ehlombe kunokwenzeka. I-radiculopathy yomlomo ingabangela intloko okanye intlungu ephantsi kwebele.
- I-nerve ye-Sciatic: I-nerve ye-sciatic iyinzwa yesigxina esivambileyo ephuma emgodini wakho we-lumbo-sacral kwaye ihamba ngaphaya komlenze obangela intlungu ye-sciatica.
Iimbangela zeMisipha
I-nervered brains ingabangelwa ziintlobo ezahlukeneyo zokulimala okanye iimeko zonyango ezibangelwa ukuxinwa kwamathambo ngamathambo, i-cartilage, i-tendon, okanye i-softening tissu. Ezinye izinto ezinobungozi ziquka:
- I-arthritis: zombini i-osteoarthritis kunye ne-rheumatoid arthritis
- Ukunyuka okuphindaphindiweyo kunye nokuxhatshazwa ngokweqile (inyopho ephambili) yimbangela eqhelekileyo yokulimala komsebenzi)
- Izifo ezihlangeneyo
- Ukulimala entanyeni, emva, okanye kwimida
- Izahlulo
- Burns
- Ukukhulelwa
- Ukunyanya
- Izimo zonyango ezifana ne-hypothyroidism nesifo sikashukela
Izinketho zokwelapha kwiNtsholongwane
Ukunyangwa kwentsholongwane echitshiweyo kuya kuxhomekeka kwiimeko ezininzi, kubandakanywa indawo yentshontsho ekhonjiweyo, ubunzima beengxaki, ubunzima beentlungu kunye nokunye. Izinyango zokwelapha ziquka:
- Ukuphumla: Kwixesha elidlulileyo, ukuphumla kwendawo echaphazelekayo kwakusoloko kunconywa, kodwa kuye kwaba neengxoxo malunga nale nkqubo, ngokukodwa ngokuphathelele intlungu yangemva. Oko kwathiwa, ngokuphindaphindiweyo ukunyanzeliswa kwenzalo, njenge-carpal tunnel syndrome, ukuphumla kungakho konke okufunekayo ukuxazulula umlenze otyityiweyo ngamatyala aphantsi.
- I-Corticosteroids: I-Steroids ingasetyenziselwa ngomlomo, okanye ngokuphindaphindiweyo ngejojo (i- epidural steroid injections entanyeni okanye emva) ukunciphisa ukuvuvukala kwi-nervered compress.
- Iyeza zonyango: Imithi engeyiyo i-steroidal anti-inflammatory (njenge-Advil okanye ibuprofen) isetyenziswa rhoqo kwiintlungu. Xa ubuhlungu bubuhlungu, ngamanye amaxesha izidakamizwa zisetyenziselwa ukuphathwa kwexesha elifutshane lentlungu.
- Ulwaphulo lwamaziko: Ulwaphulo lwezonyango luqhele ukusetyenziswa njengonyango lokuqala kunye nolawulo lwentlungu ngenxa yokunyanzeliswa kwemizwa.
- Izixhobo zonyango / ububanzi: Iziplintshi zingasetyenziselwa ukunciphisa ukunyakaza (kunye nokunciphisa ukuvuvukala) malunga nentsholongwane.
- Ukutsalathisa: I-traction yentsholongwane ingasetyenziselwa i-nervous cervical nervous ukuze ivule isikhala apho izikhupha ziphuma khona intambo yomgogodla.
- Okunye unyango / unyango olongezelelweyo: Uphando olunjenge-acupuncture okanye ulwaphulo lwe-massage lunokuba luncedo kubantu abathile ekulawuleni intlungu edibene nenyopho. I-unit TENS inganceda ukunciphisa intlungu. Ezi zonyango zisetyenziselwa ukunciphisa intlungu kwaye azibonakali zinendima ebalulekileyo ekunciphiseni ukunyanzeliswa kwemizwa ngokwabo.
- Ugqirha: Kufuneka utyando olususwe ukuba lukhuphe izicubu ezibomvu eziye zakhokelela ekucindezelweni kweentliziyo, okanye ukusombulula umthombo wexinzelelo lweentliziyo ezifana ne-disc, i-break, okanye enye ingxaki.
Ubunzima beMisipha
Kukho iingxaki ezinokuthi zenzeke xa i-nerve igxininiswe kakhulu (njengengozi) okanye ngokungapheliyo (ngenxa yokuguqulwa kwesifo okanye izifo.) Ngenxa yesi sizathu, kubalulekile ukubona ugqirha wakho ngokukhawuleza ukuba unako ukuba u krokre ukuba unentsimbi.
Ixilongo elincinciweyo lisoloko lenza intlungu yesikhashana, utshintsho oluthile, okanye ubuthathaka, kodwa ezi zinokuhlala zingunaphakade ukuba ukunyanzeliswa kwesibindi kungekhona. Iipilisi ezinamathele zingakhokelela ekuhambeni kwexesha, kwi- peripheral neuropathy .
Ukugxekwa kweNgcini yeNgcini
I-nerved brace can vary from a minor and temporary time to a damaged sensory or weakness. Ukuxilongwa kwangaphambili kunye nokonyango kubalulekile ukunciphisa amathuba okuba umonakalo uya kuhlala unobungozi okanye kukhokelela kwezinye iingxaki.
Ngaphantsi kweNtshontsho
Ibinzana elithi "i-pinned nerve" isetyenziselwa ukuchaza intsholongwane okanye isethi seentsholongwane ezixinzelelweyo ngenxa yokulimala okanye izifo. Ixesha, nangona kunjalo, ngamanye amaxesha lusetyenziswa ngokungaqhelekanga njengokubamba-yonke ibinzana ukuchaza intlungu kwindawo ethileyo nokuba i-nerve ayibandakanyeki.
Iimpawu zesibindi esicinciweyo zihluke kwiimeko eziqhelekileyo zomsila ukuze uziva unqabile, izikhonkwane kunye neenaliti, umbane weentlungu kunye nokunye.
Unyango oluthile lwenzondelelo luya kuxhomekeka kwiimeko ezininzi. Kwezinye iimeko, utyando luyadingeka ukukhusela iingxaki zexesha elide.
> Imithombo:
> Arnold, W., no B. Elsheikh. I-Neuropathies yeNgxowa. Neurology Clinics . 2013. 31 (2): 405-24.
> Ropper. I-Adams kunye neMigaqo kaVictor ye-Neurology, 10e. Np: McGraw-Hill, 2014. Print.