Kujambula nyimbo ndi mawu omwe amamveketsa zizindikiro zomveka bwino komanso zamagalimoto zokhudzana ndi mizu ya m'mimba . ("Wopambana" amatanthauza mzu ndipo amatanthauza mitsempha ya msana.)
Mitsempha ya mitsempha ya m'mimba imapezeka pamene chimangokhala ngati intervertebral disc kapena fupa la fupa lomwe limapanga ngati kuvomereza kuvala ndi kudula malo osungunuka pamalo omwe mitsempha imapezeka.
Kuwombera uku kumabweretsa chikhalidwe ndi mitsempha ya mitsempha yokhudzana ndi wina ndi mzake ndi kuyambitsa kukwiya.
Kuphatikizidwa ndi disni ya herniated ndi fupa la fupa, zotupa, matenda, kapena zotupa ndi zina zomwe zimayambitsa radiculopathy, ngakhale zovuta zoterozo sizodziwika.
Zokakamizidwa m'mitsempha yamtsempha imatha kupezeka pamtunda uliwonse kuchokera ku C1-2 mpaka S4-5, koma malo okhudzidwa kwambiri ndi L4-5 ndi L5-S1 kumbuyo kwenikweni ndi C5-6 ndi C6-7 m'khosi. Mitsempha ya mitsempha yokhudzana ndi chiwerengero chachikulu ndi yomwe imayesedwa. Mwachitsanzo, pamene kupanikizika kumachitika pa msinkhu wa C5-6, mitsempha ya msana mumtunda wa C6 imakanikizidwa, koma imodzi ku C5 siyi.
Kuchuluka kwa mankhwala osokoneza bongo kuchokera ku mizu ya msana m'mphuno kumatchedwa cervical radiculopathy; kumbuyo kwenikweni, amatchedwa radiumpathy.
Zowopsa
Muli pachiopsezo chachikulu cha mankhwala osokoneza bongo ngati mutakhala pansi komanso / kapena ngati mutayendetsa galimoto zambiri; Kukhala pansi kumagwiritsira ntchito ma disks, omwe angayambitse kuyamwa ndi kukwiya kwa mizu ya mitsempha.
Zina mwazimene zimapangitsa kuti mukhale ndi chithandizo cha radiculopathy ndi:
- Kukhala wamwamuna
- Chifuwa chachikulu
- Mimba
- Kukwezeka kwakukulu (chizolowezi)
- Kusuta
Zizindikiro
Malingana ndi chifukwa cha mizu yanu yokhudzana ndi mitsempha, pamodzi ndi kumene ili, zizindikiro zowonjezereka zimasiyana. Koma chofala kwambiri chimaphatikizapo khosi ndi / kapena kupweteka kwa m'mapewa, kupweteka mutu ndi kupweteka kwakukulu, kufooka, kupweteka, kugwedeza, kapena zochitika zina zamagetsi zomwe zimadutsa mwendo ( sciatica ) kapena mkono.
Zizindikiro zina zimaphatikizapo kutaya mtima, kufooka, kuuma kwa minofu, kuyenda kochepa, ndi_ndi kupwetekedwa kwa chiberekero-kupweteka kapena kupweteka kwambiri mukakweza khosi lanu.
Kudziwa
Malingana ndi ndemanga ya 2011 yomwe inalembedwa m'nyuzipepala ya Hospital for Special Surgery, pafupifupi 75 peresenti ya milandu ya radiculopathy ingapezeke ndi dokotala wodwala mbiri yakale. Dokotala wanu amatha kuzindikira kuwala kwa radio ndi chizindikiro chake chodziwika bwino, chomwe chimapweteka pansi pamtunda umodzi kapena piritsi ndi singano zomwe zimagwirizana ndi dera lomwe limakhudzidwa ndi mitsempha.
Ngakhale chimodzimodzi, madokotala ambiri amapereka mayeso a mitsempha ndi / kapena mayeso monga MRI .
Pamene mukuyezetsa thupi, adokotala adzayesa kupweteka, kutaya mtima, kuganiza bwino, ndi mphamvu zamtundu uliwonse m'madera onse. Pozindikira kuti ndi zifukwa ziti zomwe zimayambitsa matendawa, amatha kudziŵa kuti mizu ya msana wam'mimba imadalitsidwa. Kuyezetsa thupi kungaphatikize mayesero omwe amabweretsa ululu wanu kuthandiza dokotala kudziwa momwe mitsempha yawonongeka. Mayeso odziwa matenda angathe kuthandizira kupeza zotsatira za kuunika kwa thupi, kapena kuwonetsa malo omwe zizindikiro zanu zingayambe.
Chithandizo chopanda chithandizo
Kuchiza kwa chiberekero ndi lumbar radiculopathy kumayambira osati mwachisawawa .
Ndipotu, Chipatala cha Kuchita Opaleshoni Yapadera chomwe tatchula pamwambapa chimafotokoza kuti pafupifupi 75 peresenti mpaka 90 peresenti ya anthu omwe amapezeka kuti ali ndi kachilombo ka radizilpathy amatha kusintha popanda opaleshoni. Amati mankhwala ochiritsira akhoza kukhala othandiza kapena osasamala, koma kuti kugwiritsa ntchito mwamphamvu mankhwala osiyanasiyana (mwachitsanzo, njira yowonongeka yomwe ili ndi zinthu zomwe zimafuna kuti odwala achite nawo) zimakhala ndi zotsatira zabwino.
Izi zingaphatikizepo mankhwala opweteka komanso kuphatikizapo njira zina monga:
Thandizo la thupi: Mankhwalawa angakuthandizeni kutambasula ndi kulimbitsa minofu yanu; mukhoza kutenga traction pamene mu PT.
Kupanda malire: Kuvala kolala kuti imitse khosi lanu kungakhale mbali ya mankhwala anu. Mwa kuchepetsa kuyenda ndi kulola minofu yanu yofewa kupuma, kolala ikhoza kuthandizira kuthetsa zizindikiro zanu.
Kuika malo: Mukhozanso kupatsidwa mwendo wam'chiberekero mukamagona. Mtsamiro umakhala wovuta kwambiri m'khosi mwako, ndikupeputsa mizu ya mitsempha.
Majekeseni: Kupweteka kungakuthandizeni kuchepetsa kutupa ndi ululu, kukupangitsani kukhala omasuka. Komabe, jekeseni wa epidural steroid ikhoza kugwirizanitsa mavuto, ndipo opweteka ambiri madokotala akuchoka kutali ndi mankhwalawa.
Zindikirani: Chiropractic sichivomerezedwa chifukwa kafukufuku amasonyeza kuti sizothandiza pa radiculopathy-ndipo nthawi zina zingapangitse kuipiraipira. Zingakhale zoopsa kwambiri kwa anthu okhala ndi msinkhu wa msana ndi / kapena zilonda zammimba.
Opaleshoni
Ngati njira yopanda opaleshoni imalephera kuthetsa ululu pakatha masabata asanu ndi limodzi kapena khumi ndi awiri, mungafunike opaleshoni . Kusankha njira yeniyeniyo kumadalira mtundu ndi malo a mitsempha ya mitsempha ya msana, chidziwitso cha opaleshoni yanu, ndipo ngati kale munachitidwa opaleshoni ya msana.
Dokotala wanu angaganizire:
- Discectomy (yofala kwambiri) -Umene ndikutulutsidwa kwa diski.
- Kusokonezeka ndi kusakanikirana-Izi zingafunike kuthandizira fupa .
- Kusintha malangizo - Ngakhale akadali watsopano, ntchito yake pa nkhaniyi ikukula.
- Mankhwala amtundu wotchedwa laminoforaminotomy-Izi zingatheke ngati mutangotulutsa timu imodzi yokha ndipo ikubwera kumbali ya vertebra .
Njira zowonongeka zochepa monga khungu lopangidwa ndi mankhwala, laser discectomy, ndi endoscopic disectomy zingathenso kulinganiziridwa, malingana ndi vuto lanu.
Zotsatira:
AAOS. Chiberekero cha Radiculopathy (Pinched Nerve). Webusaiti ya AAOS. Ndasinthidwa komaliza Feb 2010. http://orthoinfo.aaos.org/topic.cfm?topic=A00332.
AAOS. Chibadwa cha Radiculopathy: Njira Yopangira Opaleshoni. Webusaiti ya AAOS. Ndasinthidwa komaliza Feb 2010. http://orthoinfo.aaos.org/topic.cfm?topic=A00540.
Canale, Beaty. Matenda a Chiberekero. Canale ndi Beaty: Campbell's Opera Orthopedics. 11th ed. MDConsult. http://www.mdconsult.com/das/book/body/100188922-3/0/1584/316.html
Caridi, J., et. Katswiri wa Radiculopathy: Wowonongeka HSS J. Oct. 2011. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192889/
Masamba Othandizira Othandizira Amtima. Radiculopathies. http://www.neuroanatomy.wisc.edu/SClinic/Radiculo/Radiculopathy.htm