Indlela Yokuphatha Ingculazi Ethukuthele, Ecindezelekile Emkhunjini Wakho
Ingabe udokotela wakho akutshele ukuthi izinzwa ezinamathele entanyeni yakho ziwumthombo wobuhlungu bakho bekhanda nentamo? Igama elisemthethweni lale nkinga ukuxilongwa kwe-cervical radiculopathy. Kungaba ukukhululeka ekugcineni ukuxilongwa, kodwa uyayiphatha kanjani?
Ukuya kuDokotela ngeNcinned Pinned
Uma uya kudokotela "ngobuhlungu obukhulu" entanyeni, udokotela wakho uzoqala ukulawula noma yikuphi amafulege abomvu afana nalokhu:
- Kunzima ukuhamba noma ubuthakathaka bomlenze
- Ukungasebenzi komzimba noma isisindo
- Umlando we-fever, ukulahlekelwa isisindo, umdlavuza, noma isimiso somzimba sokuzivikela esibuthakathaka
- Ubudala obungaphansi kuka-20 noma ngaphezulu kunama-50
- Okukhulu, ukuzwa okubuhlungu okungazelelwe (lokhu kungabonisa ukuthi umthambo wesibeletho usuhlakazekile )
- Ezinye izibonakaliso zezinzwa ezifana nobunzima bokukhuluma noma ukugwinya (lokhu kungabonisa ukushaywa umoya)
Uma ngabe kukhona izibonakaliso zengozi, udokotela wakho uzoyala ukuhlolwa kwegazi, ukucabanga kwekhanda kanye / noma intamo, ukukutshela ochwepheshe, noma kungenzeka ukuthumele ekamelweni eliphuthumayo. Konke kuxhomeke ekusola kwabo kanye nokuphuthumayo komzimba.
Uma kungekho amafulege abomvu, kanti udokotela wakho uthola ukuthi "i-pinned nerve" noma i-radiculopathy yomlomo wesibeletho, cishe uzotusa ukuphathwa okuqaphayo cishe amasonto amabili kuya kwangu-8.
Iyini ukuphathwa kwe-Conservative for a Pinned Nerve?
Ukulawulwa kokugcinwa kwemvelo kubhekisela ezindleleni ezingenasidingo ukusiza ukunciphisa ukukhathazeka kwakho kuze kube yilapho intukuthelo yesibindi kanye nokuxazulula izinkinga - ngokuvamile, kuhlanganisa inhlanganisela yombili imithi kanye nokwelapha ngokomzimba.
Imithi engahle ibekwe yinkinga yakho ihlanganisa:
- I-nonsteroidal anti-inflammatory ( NSAID ) njenge-ibuprofen noma i-Aleve (naproxen)
- I-steroid yomlomo njenge-prednisone uma ubuhlungu bukhulu
Ngokuzivocavoca, kungcono ukuthi ungahlanganyeli emisebenzini engokwenyama eyandisa ubuhlungu. Lokho kuthiwa, ukulala embhedeni noma isikhathi eside sokungasebenzi kungabambezela ukubuyiswa kwakho.
Ukubheja kwakho okuhle ukuqhubeka nomsebenzi wakho wansukuzonke kodwa ukhawule imisebenzi engakhululekile.
Lapho ubuhlungu obukhulu buphuthukiswa ngemithi, udokotela wakho uzokutusa ukwelashwa ngokomzimba ukuze akusize ugcine ububanzi bezintamo zokunyakaza futhi uqinise imisipha yakho yentamo / emuva / ehlombe. Ezinye zokwelapha udokotela wakho angase asiphakamise ukuthi unesibindi sakho esiphambanwe zibandakanya ukusetshenziswa kwekhanda lomlomo wesibeletho noma umcamelo noma umzila womlomo wesibeletho .
Kuthiwani Uma Izimpawu Zezinzwa Zami Eziphefumulelwe Zingahambi?
Uma emva kwamasonto ayisithupha kuya kwayishumi nambili, izimpawu zakho ziqhubeka, udokotela wakho uzophinde ahlolisise ukuxilongwa futhi enze i-imaging yomgogodla ophezulu nge-MRI noma CT scan. Angase futhi ancoma isifundo sokuqhutshwa kwezinzwa (NCS) kanye ne-electromyography (EMG) ukuze uqhubeke uqonda umthombo wobuhlungu bakho. Ngezinye izikhathi, ukuxilongwa kwakho kuyinkimbinkimbi futhi kudinga ukunakekelwa kochwepheshe we-spine.
Njengoba kunomsoco wokucindezela komlomo wesibeletho, naphezu kokwelashwa okwanele okwanele, izinketho zokwelapha zihlanganisa:
- i-block nerve block - i-steroid ijojowe endaweni eseduze nomgogodla iphinde isakaze phezu kwezimpande zesibindi esithintekile, ihlalise phansi
- ukuhlinzwa
Izinkomba zokuthi ukuhlinzwa kuyindlela enengqondo uma ngabe ukuxilonga kwakho komlomo wesibeletho kungaphuthuki ngokuphathwa okuzimele futhi / noma ubhekene nobuthakathaka obubi, njengokungathi kunzima ukuphakamisa ingalo yakho.
Udokotela wakho uzophinde abonane nodokotela ohlinzayo uma kukhona ukubandakanyeka kwentambo yomgogodla (okuthiwa i-myelopathy) emzimbeni we-necking. Ukuqaphela isidingo sokuhlinzwa kukhona okudingayo ukuxoxa ngokucophelela nodokotela wakho ukuqinisekisa ukuthi izinzuzo zidlula noma yikuphi ukulimala okungenzeka.
Okubalulekile
Izindaba ezinhle ukuthi iningi labantu lilahla kahle emndenini oshunyiwe. Lokhu kuthiwa, abanye baye baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde bavuselele imithi yabo yangaphambili kanye / noma ukwelapha ngokomzimba. Kubalulekile ukuhlola uhlelo lwakho lokuxilonga kanye nokwelapha nodokotela wakho ukuze ukwandise ukuphulukiswa nokududuzeka kwakho.
> Imithombo:
> Carette, S., & Fehlings, MG (2005). Ukuzikhandla Kwemitholampilo. I-Radiculopathy yomlomo wesibeletho. I-New England Journal of Medicine , 353 (4): 392-9.
> Eubanks, JD (2010). I-Radiculopathy yomlomo wesibeletho: Ukuphathwa Okungasebenzi Okuphambene Nesikhumba kanye Nezibonakaliso Eziningi. I-American Family Physician, Jan; 81 (1) 33-40.
Ikomidi elincane lezinhloko zezinhloko ze-International Headache Society. "I-International Classification of Headache Disorders: Edition 2". I-Cephalalgia ye- 2004; I-Suppl 1: 9-160.
> Robinson, J., & Kothari, MJ Ukwelashwa kwe-Radiculopathy yomlomo wesibeletho. Ku: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.