I-radiculopathy yomlomo wesibeletho iyimbangela evamile yobuhlungu, izikhonkwane, nezinaliti kanye / noma ubuthakathaka engalweni yakho, kanye nobuhlungu bentamo nezinye izimpawu. Kuvame ukulethwa lapho izimpande zomgogodla zicindezelwa, kungaba yi-disney acute noma engavamile noma izinguquko eziguqukayo ezakhiweni zomgogodla. Izibonelo ze- spondylosis , enye igama lokushintsha okuguquguqukayo emgodleni, ingafaka izimpawu ezihlobene ne-arthritis ezifana ne- facet joint hypertrophy noma i-spurs bone, noma i-disc degeneration.
Uma une-radiculopathy yomlomo wesibeletho, ungase uzithole ubuhlungu obukhulu, ikakhulu ekuqaleni (emasontweni ambalwa okuqala ngemva kokuqala). Futhi ungase uphinde ubheke izikhonkwane nezinaliti (njengoba kushiwo ngenhla) noma ezinye izinzwa zesibindi esisesandleni sangaphambili nesandla sakho.
Kunzima, akunjalo? Udokotela wakho wazi kanjani ukuthi izimpawu zakho zisho ukuthini, ncamashi? Uma kungewona u-radiculopathy, yikuphi lokho? Ungakwazi kanjani ukuthi yiziphi izimpande zomgogodla obangela izibonakaliso zakho? Futhi kubaluleke kangakanani lokhu ohlelweni lokusiza izinhlungu jikelele?
Uma izimpawu zakho zilinganiselwe ebuhlungu kuphela, lokhu kubizwa ubuhlungu obukhulu bomlomo wesibeletho.
Ukwenza Ukuxilongwa
Ekuqeshweni kwakho, udokotela wakho cishe uzothatha umlando futhi akunike ukuhlolwa ngokomzimba. Izinto ozomtshela ngazo izimpawu zakho ezizizwa uzomtshela mayelana nephethini lobuhlungu, okuyinto isinyathelo esibalulekile kwinqubo yokuxilonga.
Ukuhlolwa kwebhuku kuzokusiza udokotela wakho ukuthi abone i- dermatomes kanye / noma i-myotomes lapho izimpawu zakho zikhona.
Lolu lwazi lusiza ukuba anqume ukuthi yiziphi izimpande zomgogodla ezicindezelayo noma ezicasuliwe. Ukuhlolwa kwesithombe sokuhlola (isibonelo, i-MRI) ngokuvamile akubhekwa njengadingekile, ngaphandle kwezimo ezikhethekile (okukhulunywe ngezansi).
Izimpawu Eziveza Ukutholakala Kwesifo Se-Radiculopathy Ngomlomo wesibeletho
Odokotela ngokuvamile bajabulela ukuxilongwa nge-radiculopathy yomlomo wesibeletho uma uveza ubuhlungu besandla, ubuhlungu bezintamo, ubuhlungu noma eduze kwe-scapula yakho.
Ezinye izibonakaliso ezinomsoco ezisebenzela njengogwaja kumdokotela wakho mayelana nokuthi kungenzeka yini ukuthi i-radiculopathy yomlomo ihlose izikhonkwane nezinaliti ezikhulunywe ngenhla kanye nezinguquko ezizwakalayo engalweni yakho njengokunganxibili.
Izimpawu zamamoto ezingase zixwayise udokotela wakho ahlanganise ubuthakathaka bendwangu kanye / noma i-tendon ejulile ejulile engalweni yakho. Ubuthakathaka emzimbeni wakho we-deltoid (okuyi-muscle efana ne-cap ejikeleze ihlombe lakho nengalo engenhla), ubuthakathaka emisipha yesandla sakho, kanye / noma ukuphikisana kwe-scapular nakho kungabonakaliswa. Ukuphika kwe-scapular ukuhluleka komngcele wangaphakathi (wangaphakathi) wangaphakathi we-shoulder blade-okunye okubizwa ngokuthi i-scapula bone-ukulala emigodini yakho.
Noma kunjalo, ezinye izimpawu ezingase zixwayise udokotela wakho afaka isikhumba noma ubuhlungu besifuba kanye / noma ikhanda.
Uma sezizwa izimpawu isiguli esinezo ezihambisana ne-radiculopathy yomlomo wesibeletho, odokotela abaningi bayakuqinisekisa ukuthi lokhu kuhlolisiswa nge-test manual ebizwa ngokuthi i-Spurling's. Izifundo eziningana ziphakamisa kakhulu ukuthi ukuhlolwa kuka-Spurling-ngokusekelwe kulokho okucacile njengesilinganiso sokuhlonza-kungabonisa ngokucacile ukuba khona kwe-radiculopathy yomlomo wesibeletho.
Nakuba ukuhlolwa kuka-Spurling (empeleni, ukuhamba) kuqondile, akusizi ubuhlungu kakhulu ukuhlolisisa ukuxilongwa komzimba wesibeletho ngoba umphumela wokuhlola ongalungile (okusho ukuthi isibonakaliso asibonakali) awukhipha ukuxilongwa kwe-radiculopathy yomlomo wesibeletho.
Ngokufanayo, i-North American Spine Society ithi ukuhlolwa kukaSpurling, kanye nokuhlolwa okufanayo okuvusa amadlingozi, kungathathwa njengengxenye yokuhlola; Ngokungafani nezifundo zokuhlola ze-Pro-Spurling, nokho, i-NASS iyeka ukufakazela ukuthi isibonakaliso esihle kuhlolo lwe-Spurling siqinisekisa ukuxilongwa.
Ukuhlolwa kokuxilongwa ngaphambi kokuhlinzwa
Uma uhlela ukuhlinzwa , futhi ukuxilonga kwakho komlomo wesibeletho kungenxa ye-arthritis noma izinguquko ezishintshayo (spondylosis), udokotela wakho cishe uzofuna ukuqinisekisa ngokusebenzisa ukuhlola okukodwa noma ngaphezulu kokuhlola izithombe ezingeni lomgogodla lapho izimpawu zakho zivela khona.
I-North American Spine Society ithi ukukhomba kuphela i-dermatome ethile lapho ubuhlungu, ukuzwa kwemizwa kanye / noma amandla obuthakathaka obhekana nakho akwanele ukwenza ukuxilongwa okunembile kwe-radiculopathy yomlomo wesibeletho.
Ngenxa yalesi sizathu, batusa ukuhlolwa kwe-tomography (CT scan), i-CT myelography (i-CTM) noma i-MRI (i-magnetic resonance testing test) ngaphambi kokuhlinzwa kokuhlinzwa komgogodla. Qaphela ukuthi i-NASS itusa lezi zivivinyo kuphela ngemuva kokuba inkambo yokwelashwa okulondoloziwe ingabonakali ekunciphiseni izimpawu.
Izindaba ezinhle ukuthi izimo eziningi ze-radiculopathy yomlomo wesibeletho zixazulula ngokwazo noma ngezokwelapha ngaphandle kwesidingo sokuhlinzwa.
Imithombo:
I-Corey DL1, i-Comeau D. I-radiculopathy yomlomo wesibeletho. I-Med Clin North Am. 2014 Jul; 98 (4): 791-9, xii. i-doi: 10.1016 / j.mcna.2014.04.001.
Ama-Eubanks, i-JD, i-radiculopathy yomlomo wesibeletho: ukuphathwa okungeyona inqubo yokwephutha kwentamo kanye nezimpawu ezinkulu. Am Fam Physician. 2010 Jan 1; 81 (1): 33-40.
I-Kuijper B. [I-radiculopathy yomlomo wesibeletho]. I-Ned Tijdschr Tandheelkd. 2014 Oct; 121 (10): 483-6. doi: 10.5177 / ntvt.2014.10.14134.
I-North American Spine Society (NASS). Ukuxilongwa nokwelashwa kwe-radiculopathy yomlomo wesibeletho kusuka ekuphazamiseni okuphazamisayo. I-Burr Ridge (IL): Inhlangano YaseNyakatho Melika YaseNorth America (NASS); 2010. 179 k.
URyan M., uDavid E. Fish, uDavid E. Ukuphikisana okukhulu: ukubuyekezwa kwe-anatomical, ukuxilongwa, kanye nokwelashwa. I-Curr Rev Musculoskelet Med. 2008 Mar.