Momwe Mungachitire ndi Mitsempha Yopsa Mtima, Yopanikizika M'thumba Lanu
Kodi dokotala wanu anakuuzani kuti mitsempha yotsekedwa m'khosi mwanu ndiye gwero la ululu wamutu ndi wa khosi? Dzina lovomerezeka la chikhalidwe ichi ndi chilakolako cha radiosispathy. Zingakhale zotsitsimula kuti mutha kupeza matenda, koma mumatani?
Kupita kwa Doctor kwa Mitsempha Yambiri
Mukapita kwa dokotala "ndikumva kupweteka kwambiri" m'khosi, dokotala wanu amayamba kutulutsa mbendera iliyonse yofiira monga:
- Kuvuta kuyenda kapena kufooka kwa mwendo
- Kutaya thupi kapena chikhodzodzo
- Mbiri ya malungo, kulemera kwa thupi, khansa, kapena chitetezo cha m'thupi
- Ali ndi zaka zoposa 20 kapena zoposa 50
- Zowawa, zowawa modzidzimutsa (izi zikhoza kukhala zowonetsa mitsempha ya chiberekero )
- Zizindikiro zina zokhudzana ndi ubongo monga zovuta kuyankhula kapena kumeza (izi zikhoza kusonyeza kupwetekedwa)
Ngati pali zizindikiro zilizonse zoopsa, dokotala wanu adzayesa kuyesa magazi, kujambula mutu ndi / kapena khosi, ndikukutumizani kwa katswiri, kapena mwina kukutumizani ku chipinda chodzidzimutsa. Zonse zimadalira kukayikira kwawo ndi kufunika kwake.
Ngati palibe mbendera zofiira, ndipo dokotala wanu amapeza "mitsempha yambiri" kapena chifuwa chachikulu cha pakhosi, amatha kulangiza kuti azikhala osamala kwambiri kwa masabata awiri kapena asanu ndi atatu.
Kodi Conservative Management ndi Nthendayi Yotani?
Gulu lodziletsa limatanthawuza njira zopanda phokoso zothandizira kuchepetsa vuto lanu mpaka kukhumudwa kwa mitsempha ndi kupanikizika - nthawi zambiri, zimaphatikizapo kuphatikiza mankhwala ndi mankhwala.
Mankhwala omwe angapangidwe chifukwa cha ululu wanu ndi awa:
- A antisteroidal anti-inflammatory ( NSAIDs ) monga ibuprofen kapena Aleve (naproxen)
- Steroid ya m'kamwa ngati prednisone ngati ululu uli wovuta
Pogwiritsa ntchito masewera olimbitsa thupi, ndibwino kuti musagwire ntchito zolimbitsa thupi. Izi zikunenedwa, kugona pabedi kapena kutalika kwa nthawi yosachita ntchito kungathe kuchepetsa kupumula kwanu.
Bwino wanu ndi kupitiliza kuchita zamakhalidwe anu tsiku ndi tsiku koma kuchepetsa ntchito zomwe sizikumveka bwino.
Mukamapweteka kwambiri ndi mankhwala, dokotala wanu amalimbikitsa chithandizo chamankhwala kuti akuthandizeni kusunga miyendo ya khosi komanso kulimbitsa minofu yanu. Zochiritsira zina zomwe dokotala angakupatseni kuti mitsempha yanu ikhale yophatikizirapo ikuphatikizapo kugwiritsa ntchito khola lachiberekero kapena mtolo kapena chikhomo cha khola .
Kodi Ndingatani Ngati Ndisamangokhalira Kuchita Zambiri?
Ngati patatha masabata asanu ndi limodzi kapena khumi ndi awiri, zizindikiro zanu zimapitirirabe, dokotala wanu adzayesa kufufuza momwe akudziwira ndi kupanga chithunzi cha msana wam'mimba ndi MRI kapena CT scan. Angathenso kupititsa patsogolo maphunziro a mitsempha (NCS) ndi electromyography (EMG) kuti mumvetsetse komwe kumapweteka kwanu. Nthawi zina, matenda anu ndi ovuta komanso amafunika kusamalira katswiri wa msana.
Ndi chithandizo chamankhwala chodziwika bwino cha kervical radiospathy, ngakhale mankhwala oyenera ochiritsira, njira zosamaliramo mankhwala ndizo:
- mitsempha ya mitsempha - steroid imayikidwa mu dera pafupi ndi msana ndikufalikira pa mizu ya mitsempha yowonongeka, kuigwetsa pansi
- opaleshoni
Zomwe mungachite kuti opaleshoniyo ndi njira yoyenera ngati njira yanu yothandiziridwa ndi chiberekero sichikuyenda bwino ndi kasamalidwe kodziletsa komanso / kapena mukukumana ndi kufooka kochulukirapo, monga kukhala ndi vuto lokwanira kutambasula dzanja lanu.
Dokotala wanu adzafunsanso dokotala wina ngati opaleshoni ya khosi imagwiritsa ntchito mimba ya msana (yotchedwa myelopathy). Kuzindikira kufunikira kochita opaleshoni ndi chinthu chomwe mukufunikira kukambirana mosamala ndi dokotala wanu kuti mutsimikizire kuti phindu liposa mphamvu iliyonse yovulaza.
Mfundo Yofunika Kwambiri
Nkhani yabwino ndi yakuti anthu ambiri amachokera ku mitsempha yambiri. Izi zikunenedwa, ena amatha kubwereza ndipo amayenera kubwereza mankhwala omwe amayamba nawo kale komanso / kapena mankhwala. Ndikofunika kupenda ndondomeko yanu yothandizira ndi kuchipatala ndi dokotala wanu kuti muzitha kuchiritsa komanso kutonthoza.
> Zotsatira:
> Carette, S., & Fehlings, MG (2005). Zochita zachipatala. Chiberekero cha Radiculopathy. New England Journal of Medicine , 353 (4): 392-9.
> Zowonongeka, JD (2010). Kachilombo ka Radiculopathy: Kusagwiritsidwa Ntchito kopanda Mitsempha ya Chingwe ndi Zizindikiro Zowonjezereka. American Family Physician, Jan; 81 (1) 33-40.
Mutu Wopweteka Mutu wa Komiti Yapadziko Lonse. "International Classification of Headache Disorders: Edition 2". Cephalalgia 2004; 24 Suppl 1: 9-160.
> Robinson, J., & Kothari, MJ Chithandizo cha Chithandizo cha Radiculopathy. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.