Kachilombo ka radiosispathy ndi omwe amachititsa ululu, mapini, ndi singano ndi / kapena kufooka mdzanja lanu, komanso ululu wa m'khosi ndi zizindikiro zina. Kaŵirikaŵiri zimachitika pamene mitsempha ya msana imakanikizidwa, kaya ndi mankhwala ovuta kwambiri kapena osadziwika aakulu kapena ndi kusintha kosasintha m'magulu a msana. Zitsanzo za spondylosis , yomwe ili dzina lina la kusintha kosasintha kwa msana, lingakhale ndi zizindikiro zokhudzana ndi nyamakazi monga chiwalo chophatikizana kapena matenda osokoneza mafupa.
Ngati muli ndi kachilombo koyambitsa matendawa, mungavutike kwambiri, makamaka poyamba (m'masabata angapo atangoyamba kumene). Ndipo mungawonenso mapepala ndi singano (monga tafotokozera pamwambapa) kapena zina zotupa m'mphuno ndi dzanja lanu.
Zovuta, chabwino? Dokotala wanu amadziwa bwanji zomwe zizindikiro zanu zimatanthauza, ndendende? Ngati sichiri chithunzithunzi, ndiye chiani? Kodi angadziwe bwanji kuti mizu ya msana imayambitsa matenda? Nanga izi ndizothandiza bwanji pulogalamu yopuma yopweteka?
Ngati zizindikiro zanu zimangokhala zopweteka zokha, izi zimatchedwa kupwetekedwa mtima kwachiberekero.
Kupanga Kuzindikira
Pogwiritsidwa ntchito, dokotala wanu akhoza kutenga mbiri yanu ndikukupatsani mayeso. Zomwe mumamuuza zokhudza zizindikiro zomwe mumamva zimamuuza za vutoli, lomwe ndilofunika kwambiri mu njira yothandizira.
Phunziroli lidzakuthandizani dokotala kutchula dermatomes ndi / kapena myotomes momwe zizindikiro zanu zilili.
Mfundoyi imamuthandiza kuzindikira kuti mumphuno wamtsempha umakhala wokakamizidwa kapena wokhumudwa. Chiyeso chojambula chithunzi (mwachitsanzo, MRI) sichiyenera kuonedwa kuti ndi chofunikira, kupatula pa zochitika zapadera (tafotokozedwa m'munsimu).
Zizindikiro Zomwe Zimatulutsa Chidziwitso cha Radiculopathy Cervical
Kawirikawiri madokotala amadziŵa kuti matenda a radiculopathy ali ndi kachilombo ka HIV pamene mukupereka kupweteka kwapakhosi, kupweteka kwa khosi, kupweteka kapena kuzungulira fupa lanu.
Zizindikilo zina zomwe zimakhala ngati mbendera kwa dokotala wanu zokhudzana ndi matenda a radiondacathy monga chikhomo ndi singano zomwe takambirana pamwambapa ndi kusintha kwa manja mwanu monga chimfine.
Magalimoto omwe angawonetse dokotala wanu akuphatikizapo zofooka za manja ndi / kapena maganizo osadziwika a tendon mmanja mwanu. Kufooka mu mitsempha yanu (yomwe ili ngati minofu ya kapu yomwe ili pafupi ndi phewa lanu ndi mkono wapamwamba), kufooka kwa minofu ya dzanja lanu, ndi / kapena mapiko azing'ono ndizonso zisonyezero. Mapiko amodzi ndi osapitirira malire a mkati mwa mapewa omwe amadziwika kuti scapula bone-kugona pa nthiti zanu.
Komabe, zizindikiro zina zomwe zingawonetse dokotala wanu monga chifuwa kapena ululu wa m'mawere ndi / kapena mutu.
Podziwa zizindikiro zomwe wodwala ali nazo zomwe zimagwirizana ndi matenda a radiosis, madokotala ambiri amatsimikizira izi pogwiritsa ntchito mayeso omwe amatchedwa Spurling's. Kafukufuku wambiri amasonyeza kuti mayeso a Spurling -wotsimikiziridwa kuti ali ndi chidziwitso-akhoza kutsimikiziranso kukhalapo kwa phokoso la radiculopathy.
Ngakhale kuyesa kwa Spurling (kwenikweni, kuyendetsa) kumakhala kovuta, sikuli kovuta kwambiri kuti munthu azindikire kuti mankhwalawa ndi othandiza kwambiri chifukwa chakuti zotsatira zowonongeka zomwe sizisonyeza (sizitanthauza kuti chizindikiro sichiwonekera) sizimatulutsa matenda a chiwindi.
Komabe, bungwe la North American Spine Society linanena kuti mayesero a Spurling, pamodzi ndi mayesero ofanana ndi otsutsa, angatengedwe ngati gawo la kuwunika; mosiyana ndi kafukufuku wotsutsana ndi a Pro-Spurling, komabe, a NASS amalephera kunena kuti chizindikiro choyesa pa yesipiringili chikuyesa kutsimikizira .
Kuyezetsa Kufufuza Pisanachitike Opaleshoni
Ngati mukufuna kukonza opaleshoni , ndipo kachilomboka kameneka kamakhala chifukwa cha nyamakazi kapena matenda osokoneza bongo (spondylosis), dokotala wanu angafune kutsimikizira pogwiritsa ntchito chithunzi chimodzi kapena zambiri zoganizira za msana zomwe zimayambitsa matenda anu.
Nyuzipepala ya North America Spine imanena kuti kungodziwa chizindikiro chenicheni chomwe ululu, mitsempha zowopsya komanso / kapena kufooka kwa magalimoto ndizokwanira sikokwanira kuti azindikire bwino za chifuwa chachikulu cha pakhosi.
Pachifukwachi, amalimbikitsa tomato (CT scan), CT myelography (CTM) kapena MRI (magnetic resonance testing test) musanayambe opaleshoni ya mimba. Dziwani kuti NASS ikuyesa mayeserowa pokhapokha pokhapokha pokhapokha pokhapokha ngati njira yowonongeka yowonongeka imatha kuthetsa zizindikiro.
Nkhani yabwino ndi yakuti nthawi zambiri matendawa amatha kudzipangira okha kapena ndi mankhwala ena popanda kufunikira opaleshoni.
Zotsatira:
Corey DL1, Comeau D. Cervical radiculopathy. Med Clinic North Am. 2014 Jul; 98 (4): 791-9, xii. lembani: 10.1016 / j.mcna.2014.04.001.
Zowonongeka, JD, Chizunguliro cha radiervicathy: Kusagwiritsidwa ntchito mopanda chithandizo cha ululu wa khosi ndi zizindikiro zowonjezereka. Am Phys Physician. 2010 Jan 1; 81 (1): 33-40.
Kuijper B. [Cervical radiculopathy]. Ned Tijdschr Tandheelkd. 2014 Oct; 121 (10): 483-6. do: 10.5177 / ntvt.2014.10.14134.
Bungwe la North American Spine Society (NASS). Kuzindikira ndi chithandizo cha matenda a radiervicathy kuchokera ku khola lachiberekero ku matenda osokoneza bongo. Burr Ridge (IL): Bungwe la North America Spine (NASS); 2010. 179 p.
Ryan M., David E. Nsomba, David E. Mapiko ake amatsitsimutsa: kubwereza, kutulukira, ndi mankhwala. Curr Rev Musculoskelet Med. 2008 Mar.