Ukuxilongwa Nokunakekelwa
Usola ukuthi inzwa ekhonjiwe entanyeni yakho iyona engumphumela wekhanda lakho? Inzwa ekhonjiwe entanyeni - eyaziwa ngokwemithi njengengqondo ye- cervical radiosis - ibangelwa yilezi zimo zempilo ezilandelayo:
• I -diski ye-herniated : ukuphuka kwediski ephakathi kwe-vertebrae emgodleni wakho
• isisu somgogodla womlomo wesibeletho : ukunciphisa umgogodla womgogodla
• isifo se- disenerative dising: impingement noma ukucasuka kwesibindi nge-bone spurs lapho i-arthritis iqala emgodleni
Izimpawu Zenhlanhla Enamathele Emgodini
Nakuba ngokuvamile kungabi uphawu oluqala oluchazwe, abantu abaningi abanezinzwa ezigxotshiwe entanyeni bahlushwa ikhanda. Uma izimpande ezisenyameni eziphezulu zihilelekile, ikhanda lekhanda lichazwa njengekhanda le- cervicogenic . Izindlebe ezibangelwa izinzwa eziphansi entanyeni zivame kakhulu. Ngokuvamile, ubuhlungu bukhona ohlangothini olufanayo njengoba izimpande zesibindi esithintekile. Ubuhlungu buvame ukuchazwa ngokuthi buhlungu futhi bukhanyisa kusukela ngemuva kwekhanda kuya ebunzini. Ngokuvamile kukhona ububele lapho ukucindezelwa kusetshenziselwa imisipha entanyeni ohlangothini olufanayo njengezinyosi ezikhonjiwe. Ama-spasms ama-muscle nawo avamile.
Izimpawu ezingeziwe zezinzwa ezigxotshiwe entanyeni zingabandakanya:
- ubuhlungu obufanayo obuhlangene namaphethelo
- ukuphazamiseka nokugubha
- ubuthakathaka
Ukuxilongwa kwe-Nick Pinned in the Neck
Ukuhlolwa okuphelele ngokomzimba ngudokotela wakho wokunakekela oyinhloko kungase kube yilokho okudingayo ukuze uhlolisise izinzwa ezigxotshiwe entanyeni yakho.
Isivivinyo esisodwa sokuhlonza sibizwa ngokuthi ukuhamba okuphambene nendawo, lapho umhlinzeki wakho wezokunakekelwa kwempilo ezocindezela phezulu phezulu kwekhanda lakho uma liphendukela ohlangothini oluthintekile. Uma lokhu kucindezela okuphansi kuveza izimpawu zakho (njengobuhlungu, ukuphazamiseka, noma ukushaya), lokhu kuphakamisa izinzwa ezikhonjiwe. Udokotela wakho uzophinde ahlole ukucabanga kwakho, njengoba ukwehla kwe-tendon reflexes ejulile (ikakhulukazi ye-triceps) kuvame ukubonwa.
Ukucabanga okunjengokufaneka kwemifanekiso yamagnetic resonance (MRI) noma i- computed tomographic myelography (i-CT myelography) ingaqinisekisa ukuxilongwa kwesibindi esinyanyisiwe kodwa akudingeki ngaso sonke isikhathi. Ukucabangela kusetshenziselwa ukulawula izimbangela ezinzima noma ezisongelayo ubuhlungu bentamo yakho njengokucindezela komgogodla noma izibonakaliso zokutheleleka, isifo noma isifo somdlavuza, noma esimweni sokuhlukunyezwa (njengemuva kwengozi yemoto).
Uma ukholelwa ukukhanda ikhanda kuyisibonakaliso sezinzwa zakho ezikhonjiwe , sicela ubheke udokotela wakho, ngakho-ke ukuhlolwa okufanele kungenziwa. Kunezinye izimo zezokwelapha ezingakwazi ukulingisa lokho kwensimbi ekhonjiwe, ngakho-ke qiniseka ukuthi uyifinyelele ukuhlolwa ngumchwepheshe wezempilo.
Ukwelashwa Kwendlala Enamathele Emkhunjini
Imithi efana ne- non-steroidal anti-inflammatories noma iziphumuli ze-muscle , njenge-Flexeril (cyclobenzaprine) ngokuvamile ihlelelwe ukukhululeka kobuhlungu obuvela emgodleni oboshiwe entanyeni.
I-steroids ye-oral isetshenziswa ngezinye izikhathi, kodwa ukusetshenziswa kwesikhathi eside kufanele kugwenywe ngenxa yemiphumela emibi engase ibe khona. Ngokuvamile, sicela uxhumane nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi, ngoba bonke banezimo ezimbi ezingase zibe khona.
Ukwelashwa ngokomzimba kuyindlela yokwelapha ehambisanayo nemithi, njengoba kuhlaziywa. Izivimbe zomswakama wezibeletho zomlomo wesibeletho, lapho i-steroid ijova khona emgodini okhuthele ukukhulula ukuvuvukala, ngezinye izikhathi isetshenziswa uma umuntu eqhubeka ezwa ubuhlungu naphezu kwemithi kanye nokwelapha ngokomzimba.
Uma abantu abane-radiculopathy yomlomo wesibeletho beqhubeka beba nezimpawu naphezu kwemithi engaphezulu (ngokuvamile amaviki amane kuya kwamasonto ayisithupha), bavame ukubizwa nge-imaging yomgogodla (uma kungenziwanga kakade) kanye / noma kumhlinzeki wesipiliyoni somgogodla.
Izwi elivela
Uma usola inzwa ekhonjiwe njengomthombo wekhanda lakho, khuluma nomhlinzeki wakho wezempilo. Ungavumeli lokhu kukhanda ikhanda kuphazamise impilo yakho futhi kungavimbela imisebenzi oyithandayo ukwenza.
Nakuba lokhu kungase kungabi yisimo esingaphulukiswa, ngosizo ludokotela wakho wokunakekelwa oyinhloko, uchwepheshe wezinsipho nomuthi wezokwelapha , ungathola umuthi wokwelapha noma isisombululo esisebenza kahle kuwe.
> Imithombo:
> Childress MA, Becker BA. Ukuphathwa okungabambisani kokudonswa kwe-cervical radiculopathy. Am Fam Physician . 2016 Meyi 1; 93 (9): 746-54.
> Ikomidi Lokuhlukanisa Amakhanda Ye-International Headache Society. "I-International Classification of Headache Disorders: I-3rd Edition (i-beta version)". I-Cephalalgia 2013; 33 (9): 629-808.
> Persson L, Carlsson J, & Anderberg L. Insizwa emilenzeni ene-radiculopathy yomlomo wesibeletho: okuzofundwa ngokutadisha izimpande ezithinta izigulane ezinganeni ezingu-275. Eur Spine J .2007 Julayi; 16 (7): 953-9.