I-Radiculopathy yigama elichaza izimpawu ezizwakalayo nezithuthuthu eziphathelene nezimpande zomgogodla . ("Okuvamile" kusho impande futhi ibhekisela empandeni yama-spinal nerve.)
Ukucindezeleka kwezimpande zomgogodla kwenzeka lapho isakhiwo esifana ne-disc intervertebral noma i-spur bone eyenziwe njengempendulo yokugqoka nokudiliza isikhala esikhaleni lapho izimpande zemizwa zikhona khona.
Lezi zingxabano ngokuvamile ziholela esakhiweni futhi izimpande zesibindi zihlangana futhi zibangele ukucasuka.
Kanye ne -disc herniated ne-bone spurs, izifo, izifo, noma i- vasculitis yizinye izimbangela ze-radiculopathy, nakuba amacala anjalo ayengavamile.
Izimpande zamagundane ezinomgogodla zingagxila kunoma yiliphi izinga kusukela ku-C1-2 kuya ku-S4-5, kodwa izindawo ezivame ukuguquka yiL4-5 no-L5-S1 emhlane ophansi no-C5-6 no-C6-7 entanyeni. Izimpande zomswakama ezihambisana nenombolo enkulu yilowo ocindezelwayo. Isibonelo, lapho ukucindezeleka kwenzeka ezingeni le-C5-6, izimpande zomgogodla ku-C6 zicindezelwe, kodwa enye ku-C5 ayikho.
I-Radiculopathy evela emisuka yomsipha womgogodla entanyeni ibizwa ngokuthi i-radiculopathy yomlomo wesibeletho ; emhlane ophansi, kuthiwa yi-radiculopathy lumbar .
Izingozi Zezingozi
Usengozini enkulu yokuxoshwa kwe-radiculo uma uhlala phansi futhi / noma uma ushayela okuningi; ukuhlala kuphazamisa ama-discs akho, okungabangela ukugcoba nokucasula kwezimpande zesibindi.
Ezinye izici ezandisa ingozi ye-radiculopathy zihlanganisa:
- Ukuba owesilisa
- Ukukhwehlela okungapheliyo
- Ukukhulelwa
- Ukuphakamisa okukhulu (isimiso)
- Ukubhema
Izimpawu
Kuye ngenxa yezimpande zakho ezicindezelekile ze-nerve, kanye nendawo lapho zitholakala khona, izimpawu ezihambisana nezidakamizwa ziyahlukahluka. Kodwa okuvamile kubandakanya ubuhlungu bentamo kanye / noma yehlombe, ubuhlungu bekhanda kanye nobuhlungu obubukhali, ubuthakathaka, ukuphazamiseka, ukuxubha, noma ezinye izinzwa zikagesi eziwela phansi umlenze ( sciatica ) noma ingalo.
Ezinye izimpawu zingase zihlanganise izimo ezikhungathekile, ubuthakathaka, ukuqina komfutho, ukunyakaza okulinganiselwe, futhi-ne-radiculopathy yomlomo wesibeletho-ubuhlungu obuhlungu noma obubuhlungu uma ususa intamo yakho emuva.
Ukuxilongwa
Ngokusho kokubuyekezwa kuka-2011 okushicilelwe ephepheni leSibhedlela Sokuhlinzwa Okukhethekile, amacala angaba ngu-75 wamacala e-radiculopathy angatholakala ukuthi uvele nje udokotela ethatha umlando wesiguli. Udokotela wakho cishe uzobona i-radiculopathy ngesimpawu sayo esivame kakhulu, okuyinto ebuhlungu phansi komunye umkhawulo noma izikhonkwane nezinaliti ezihambisana nendawo ezithinteka ngayo izinzwa (i-dermatome).
Ngokufanayo, odokotela abaningi bahlola ukuhlolwa kwegazi kanye / noma ukuhlolwa kwe-oda njenge- MRI .
Phakathi nokuhlolwa kwakho ngokomzimba, udokotela uzovivinya ubuhlungu, ukulahlekelwa umuzwa, ukucabangela, nokuqina kwemisipha kuzo zonke izindawo. Ngokukhomba ukuthi yiliphi i-dermatome (s) ne-myotome (s) ezithintekayo, inganquma ukuthi iziphi izimpande zamagciwane ezisemgodleni ezilimazayo. Ukuhlola okungokomzimba kungabandakanya ukuhlolwa okuveza ubuhlungu bakho ukusiza udokotela ukuba anqume ukuthi umonakalo wezimpande zesisindo ungakanani. Izivivinyo zokuxilonga zingasiza ekuqinisekiseni ukuthola okuvela ekuhlolweni kwangokwenyama, noma ngokunye ukukhomba indawo lapho izimpawu zakho zingase zivele khona.
Ukwelapha Okungahlosiwe
Ukwelashwa kwe-radiologicalpathy yomlomo wesibeletho kanye ne-lumbar kuqala ngokungenasidingo .
Empeleni, Isibhedlela Sokuhlinza Okukhethekile Esichazwe ngenhla sibika ukuthi cishe amaphesenti angama-75 kuya kubantu abangamaphesenti angu-90 abatholwa ukuthi bane-radiculopathy yomlomo wesibeletho baphumelela ngaphandle kokuhlinzwa. Bathi izindlela zokwelashwa ezingavamile zingase zisebenze noma zenzeke, kodwa ukuthi ukusetshenziswa okunamandla kwezikhungo zokwelashwa ezisebenzayo (ie izindlela eziningi eziqondiswa kwezigwegwe ezihlanganisa izinto ezidinga ukuhlanganyela kwesiguli) zivame ukuthola imiphumela emihle kakhulu.
Lokhu kungafaka imithi yezinhlungu kanye nenhlanganisela yezinye izindlela ezibandakanya:
Ukwelashwa Kwemvelo: Ukwelashwa ngokwemvelo kungakusiza ukuthi welule futhi uqinise imisipha yakho; ungathola i- traction ngenkathi ku-PT.
Immobilization: Ukugqoka ikhola ukuze imise intamo yakho ingase ibe yingxenye yokwelashwa kwakho. Ngokunciphisa ukuvumela nokuvumela izicubu zakho ezithambile ukuba ziphumule, ikhola ingasiza ukukhulula izimpawu zakho.
Ukubeka i-position: Ungase unikezwe umlotha wesibeletho ongayisebenzisa ngenkathi ulele. Umcamelo uzogcina izinga eliphakeme lekhasi entanyeni yakho, ucindezele izimpande zesisindo.
Izilonda: Injection ingasiza ekunciphiseni ukuvuvukala nobuhlungu, kukugcina ukhululekile kakhulu. Kodwa-ke, ukujola kwe-epidural steroid kungenzeka kube nezinkinga ezihlobene, futhi odokotela abaningi ababuhlungu basuka kulolukwelapha.
Qaphela: I-Chiropractic ayinconywa ngoba ucwaningo lubonisa ukuthi aluphumelelanga nge-radiculopathy-futhi kwezinye izimo kungenza kube kubi nakakhulu. Kungaba yingozi kakhulu kubantu abanokukhubazeka komgogodla kanye / noma izilonda zesisindo.
Ukuhlinzwa
Uma indlela engeyona yokuhlinzwa ihluleka ukukhulula ubuhlungu ngemva kwamasonto ayisithupha kuya kwangu-12, ungadinga ukuhlinzwa . Ukuzikhethela kwenqubo ethize cishe kuyoxhomekeka kuhlobo nendawo yokucindezeleka kwezimpande zomgogodla, ubuchwepheshe bakho obuhlinzayo, futhi uma uke wahlinzwa ngokuhlinzwa.
Udokotela wakho angase acabange:
- I-Discectomy (evame kakhulu) -Lokhu kukhishwa kwe-disc.
- I-Disectomy ne-fusion-Lokhu kungadinga ukufakelwa kwethambo .
- Ukushintshwa kwe-Disc - Nakuba kusekhona okusha, ukusetshenziswa kwayo kulo magazini kuphakama.
- I-posterior emndenini i-laminoforaminotomy-Lokhu kungenziwa uma une-disc eyodwa kuphela ye-disc futhi iphuma eceleni kwe-vertebra .
Izinqubo ezincane ezingenasidingo ezifana ne-nucleotomy yomsindo ngamunye, i-laser discectomy, ne-endoscopic disectomy nazo zingacatshangwa, kuye ngokuthi kunjalo.
Imithombo:
I-AAOS. I-Radiculopathy yomlomo wesibeletho (i-Pinched Nerve). Iwebhusayithi ye-AAOS. Kugcine ukubuyekezwa Feb 2010. http://orthoinfo.aaos.org/topic.cfm?topic=A00332.
I-AAOS. I-Radiculopathy yomlomo wesibeletho: Izinketho zokuhlinza zokuhlinza. Iwebhusayithi ye-AAOS. Kugcine ukubuyekezwa Feb 2010. http://orthoinfo.aaos.org/topic.cfm?topic=A00540.
I-Canale, i-Beaty. Izifo Zama Disc Cervical. I-Canale ne-Beaty: I-Campbell's Operative Orthopedics. 11th ed. I-MDConsult. http://www.mdconsult.com/das/book/body/100188922-3/0/1584/316.html
Caridi, J., et. I-Radiculopathy yama-Radiculopathy: Ukubuyekezwa kwe-HSS J. Okthoba 2011. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192889/
Amakhasi wezinsiza ze-Neuroscience. Radiculopathies. http://www.neuroanatomy.wisc.edu/SClinic/Radiculo/Radiculopathy.htm