Kutengera Zithunzi za Sciatica
MR Neurography, yomwe imadziwikanso kuti magnetic resonance neurography kapena MRN, ndi mtundu wa MRI umene umasonyeza bwino zomwe zikuchitika ndi mitsempha yanu. Choyamba chinayambika kumayambiriro kwa zaka za m'ma 1990, ndipo kuyambira pamenepo maphunziro ochuluka achitika omwe amatsimikizira kuti amatha kuthandiza madokotala kuona moyenera mitsempha.
Mwachitsanzo, Zhang, et., Al., Anafufuza maginito okhudzana ndi maginito a odwala 137 omwe anali ndi sciatica.
Ena mwa odwalawa anali ndi mitsempha ya mitsempha ya mitsempha, imenenso imatuluka mumtsempha momwe timagwiritsira ntchito timadzi timene timagwiritsa ntchito msana. Anthu ambiri amachititsa kuti zizindikiro za mitsempha ya mitsempha ya m'mitsempha, m'mawu ena, amve kupweteka, kufooka, kusowa, mapepala ndi singano, kuyimba, kugwedezeka kwa magetsi komanso / kapena magetsi ena onse pamtunda umodzi yekha - sciatica. Ofufuzawa anafotokoza kuti muzithunzi zonse 137, chithunzicho chinali chowonekera. Anati iwo amatha kuona mitsempha yodabwitsa , ndipo nthambi zake zazikulu zimasiyanitsidwa ndi zosaoneka.
Phunziro la Zhang, lomwe lili ndi mutu wakuti "Morphological analysis kwa odwala omwe ali ndi sciatica: kuphunzira maginito opotoza kujambula pogwiritsa ntchito njira zamagetsi zowonongeka," inatuluka mu magazini ya Spine ya April 2009 .
Nerve Entrapment ndi Sciatica
MR neurography angasonyeze komwe mitsempha yathyoledwa, ndipo imagwiritsidwa ntchito poyang'ana plexus ya bongo yomwe imakhala pamphuno, mapewa ndi / kapena mikono.
Malinga ndi sciatica amapita, ikhoza kusonyeza matenda a piriformis omwe ndi mkhalidwe umene mitsempha yanu imakhala yolimbikitsidwa ndi minofu yolimba kapena yosasintha yomwe imadziwika kuti piriformis .
Mpaka pano chitukuko cha MRN (komanso pakalipano,), akatswiri a radiologist adadalira ma-x-ray , MRI, CT ndi mayesero opangira mitsempha kuti adziwe zomwe zimayambitsa zizindikiro za mitsempha.
Choncho, pamlingo waukulu, zifukwa zawo zinapangidwa mwachindunji. Koma tsopano, ndiyeso yatsopano yojambula, madokotala ena amanena kuti amatha kupeza chitsimikizo chotsimikizika ndi mavuto a mitsempha, kuphatikizapo zinthu zosawerengeka zomwe nthawi zambiri sichisamala.
Mu phunziro lake lomwe lili ndi mutu wakuti "Magnet resonance neurography ndi kufalitsa zojambula zojambula: chiyambi, mbiri ndi zochitika zapakati pa 50,000 milandu ndi kufufuza zogwira mtima komanso ntchito mu gulu 5000 ophunzirira odwala," yomwe inafalitsidwa mu October 2009 nkhani ya Magazini yotchedwa Neurosurgery , yemwe ndi woyambitsa MRN Aaron Filler, amanena kuti matenda a ubongo amasonyeza kuti pali zinthu zambiri zogwirizana ndi matenda odwala matenda a mitsempha, kuphatikizapo mitsempha yambiri (ie, mitsempha yachisoni), kutupa kwa mitsempha, kutaya mtima, kugonana kwa mitsempha kupita kuzinthu zambiri, wa mitsempha pazithunzi zovuta. Lembani ndemanga kuti izi zowonjezera zikufanana ndi mitundu ya zinthu zomwe zimayesetseratu kuyesera.
Ngakhale kuti MRN ndi yabwino yosonyeza mkhalidwe wa mitsempha yamtundu wina, katswiri wina wamakono, womwe umadziwika kuti kujambulidwa, amasonyeza mkati mwa ubongo ndi msana. Kawirikawiri, kufotokoza zojambulidwa kumaphunziridwa kumbali ya MRN.
Zokhudzana: Kodi Mwayimbira Motani Nthawi Zambiri Poyesa Kuyeza Kujambula?
Zotsatira:
Filler, A., Magnetic resonance neurography ndi kufalitsa zojambula zojambula: chiyambi, mbiri, ndi zotsatira za matenda a 50,000 zoyamba ndi kufufuza kuti zogwira ntchito ndi gulu la ophunzira oposa 5000. N eurosurgery. 2009 Oct; 65 (Suppl): A29-43. lembani: 10.1227 / 01.NEU.0000351279.78110.00.
Zhang Z1, Song L, Meng Q, Li Z, Pan B, Yang Z, Pei Z. Kufufuza kwa odwala omwe ali ndi sciatica: Kuphunzira kujambula kwa maginito pogwiritsa ntchito maginito omwe amachititsa kuti magetsi asagwiritsidwe ntchito. Mpaka (Phila Pa 1976). 2009 Apr 1; 34 (7): E245-50. lembani: 10.1097 / BRS.0b013e318197162e. http://www.ncbi.nlm.nih.gov/pubmed/19333087