Incazelo, Izimpawu, kanye Nezokwelapha Zezinzwa Ze-Pinned
Uma utshelwe ukuthi une "nerve", lokho kusho ukuthini ngempela? Ingabe kuyingozi? Uzodinga ukuhlinzwa? Kukuphi emzimbeni ongase uphonseke izinzwa?
Incazelo: Izinzwa eziphethwe
Leligama eligxotshiwe libhekisela kunhlobo oluthile lomonakalo lapho i- neripheral ne-set of neerves is compress ngenxa yokulimala noma izifo.
Kubalulekile ukuthi uqaphele ukuthi igama elithi "izinyopho ezincibilikisiwe" lingasetshenziswa njenge-catch-yonke ibinzana ngokulimala okubangelwa ukucindezelwa, ukucindezela, noma ukweluleka, futhi kungase kungabonakali ngaso sonke isikhathi ku-nerve ephoqelelwe.
Ukulimala kwesibindi kungahle kubangelwe ukuvuvukala noma ukucindezeleka kwesibindi futhi kungase kwenzeke ngenxa yokulimala ngqo kwimbangela ngokwayo noma ekugubungeni okuvikela (i- myelin sheath ) ejikeleza isisindo.
Eminye imigomo engasetshenziswa uma ichaza izinzwa ezipiniwe zihlanganisa:
- Ukucindezeleka kwemizwa
- Izisulu ezithintekile
- I-entrapment entrapment
- Ukumiswa kwamanzi
- I-nerve ephihliwe
- Ukucindezeleka kwe-neuropathy
- I-Radiculopathy (i- Radiculopathy ibhekisela ekushintsheni kokuzwa komzimba noma umsebenzi we-muscle ohlobene nokucindezeleka kwesisindo emgodleni wesibeletho somlomo wesibeletho)
- I-Sciatica (i- Sciatica ivela lapho inzwa ye-sciatic iboshelwe noma igwetshiwe)
Izimpawu zensimbi enamathele
Izimpawu zesibindi esinezinyosi zivame ukuhlukana nokulimala kwemisipha. Izimpawu ezivamile zingabandakanya:
- Ukuzwa okuvuthayo
- "Izikhonkwane nezinaliti" izinzwa
- Ubuhlungu obuphuma ngaphandle endaweni emelekile
- Ubuhlungu obungase buzwakale endaweni ebonakala sengathi ingavumelani, njengobunzima emgqeni wakho noma ingalo ngenxa yesibindi esinyanyisiwe entanyeni yakho
- Umzwa wesandla noma unyawo lwakho "olele"
- Ukukhubazeka kwesisu noma isisindo (okuhlobene nezinzwa ezigxotshiwe emgodleni ophansi)
Ubuhlungu obuhambisana nenzwa ekhonjiwe kungaba mnene noma bukhulu kakhulu.
Yeka ukuthi Zivame kangakanani ama-Pinned Nerves?
Izindebe ezincibilikisiwe zivame kakhulu, ngamaphesenti angaba ngu-40 abantu abane-sciatica (ukucindezeleka kwe-nerve sciatic emgodleni ophansi) ngesikhathi esithile empilweni yabo.
I-sciatic nerve iyinzwa yesifo esingahle ithinteke ngokuhlukunyezwa emuva.
Emuva nangentamo yakho, imizwa yomgogodla idlula emgodini wakho womgogodla emgodini omncane (obizwa ngokuthi i-intervertebral foramen) emantwini (amathambo emhlane nangentamo) ngaphambi kokuya endaweni yawo emikhawulweni. I-passage encane ye-foramen yindawo evamile yokucindezeleka kwemizwa ukuze kwenzeke.
Ukuqaphela I-Pinned Neerves
Ukuxilongwa kwezinzwa eziqubuziwe kuqala ngomlando oqaphele nokuhlolwa komzimba. Udokotela wakho uzokubuza nganoma yiziphi izimo zezokwelashwa noma ukulimala okwandisa ingozi yokucindezeleka kwemizwa futhi uzohlola ukuzwa kwakho nokuqina kwamandla endaweni lapho unayo izimpawu. Uma kunesibindi sokugcoba emgodleni, izimpawu zivame ukuvela endaweni ethiwa i- dermatome .
I-Electomyography (EMG) kanye nezifundo zokuqhuba izinzwa zivame ukukwenziwa ukuze kunqunywe ukuthi umonakalo wezinzwa uphakathi yini nokuthi uqonde ubukhulu bomonakalo. I-Ultrasound iyithuluzi lokuxilonga elivelayo lokuhlola ukungena kwesibindi, ikakhulukazi izifo zesifo sezinzwa eziphelela phezulu njenge-carpal tunnel syndrome.
Izivivinywa ezifana ne-CT scan noma i-MRI ingase ilandelwe ukuba ifune izimbangela zezinzwa ezincibilikisiwe ezifana nesifo se-disenerative.
Amasayithi Okuncintisana Amanxeba Ajwayelekile
Ezinye izivunguvungu ezivame ukucindezeleka noma "ezikhonjiwe" kufaka:
- Imisipha yeMedian: Le nerve igijima phakathi kwesifunda sombono wakho nesandla futhi isithinta inzwa esandleni sakho. Ukucindezeleka kwe-nerve median esikhwameni kungabangela i- carpal tunnel syndrome .
- I-nern ulnar: I-ulnar nerve igxila ngaphesheya (uhlangothi lwangaphandle) ingalo yakho idlule umlenze wakho futhi ithinta inzwa phezu kwengxenye yangakwesokunxele yengalo yakho (ngaphandle kwengxenye.) I-nern ulnar yilokho okuvezwa khona uma ushaya " funny bone "emgqeni wakho.
- I-radial nerve: I-radial nerve igxila phansi (isithupha lesithupha) noma ingalo yakho nesandla. Ukucindezeleka ngokuvamile kubangela ubuhlungu esifundeni sesithupha sesandla noma ingalo.
- I-nervous nervous: Le nerve yezinsikazi isuka ekhanda lakho kuya emadolweni futhi ibangele ubuhlungu kulesi sifunda uma ikhonjiwe.
- I-lateral nervous nerve: Ukucindezelwa kwesisindo somzimba esisemuva ( meralgia paresthetica ) kubangela ubuhlungu phakathi nangaphandle kwethanga futhi kungabangelwa ukugqoka amabhande, ukukhulelwa, noma ukuzuza isisindo.
- Izitshalo ze-Plantar: Izinzwa zakho zezitshalo zikhona ezinyaweni zakho futhi zivame ukubangela izikhonkwane nezinaliti izinzwa ezinyaweni zakho uma ucindezelekile.
- I-Tibial nerve: I-nerve tibial ihamba nge-tibia yakho (ithambo elikhulu kunawo wonke emlenzeni wakho ophansi) lidlule emadolweni akho phansi libheke emlenzeni wakho (odlule emadolweni nasemlenzeni ophansi.) Ukucindezeleka kungabangela ubuhlungu noma yikuphi endleleni.
- I-nerve Peroneal: I-nerve peroneal igijima eceleni komlenze wakho futhi ingabangela ukuhamba ngezidakamizwa uma kulinakele (njengokungathi ngemva kokufakwa esikhundleni se-hip.)
- Izinzwa zomlomo wesibeletho: Ukucindezelwa kwezinzwa emgqonyeni wakho ongaphezulu (umgogodla wesibeletho) kuvame ukuholela ebuhlungu nasebuthakathaka engalweni. "Ukuphikisana" kwamahlombe ehlombe kungase kwenzeke. I-radiculopathy yomlomo wesibeletho ingabangela futhi ikhanda noma ubuhlungu obujulile ngaphansi kwamabele.
- I-nerve ye-sciatic: Inzwa ye-sciatic iyi-nerve evame ukucindezeleka ephuma emgodini wakho wesifunda sakho se-lumbo-sacral futhi ihamba phansi ngemuva komlenze obangela ubuhlungu buka-sciatica.
Izimbangela Zezinzwa Zomthofu
Inzwa ekhonjiwe ingabangelwa ukulimala okuhlukahlukene noma izimo zezokwelapha eziholela ekucindezelweni kwemizwa ngamathambo, i-cartilage, i-tendon, noma ukuvuvukala kwezicubu ezilula. Ezinye izici zengozi zihlanganisa:
- I-arthritis: Kokubili i-osteoarthritis ne-rheumatoid arthritis
- Ukunyakaza okuphindaphindiwe nokulimala ngokweqile (izinzwa ezikhonjiwe kuyimbangela evamile yokulimala emsebenzini)
- Isifo esivumelanayo esixubileyo
- Ukulimala entanyeni, emuva, noma ekupheleni
- Ama-Fractures
- Ukushisa
- Ukukhulelwa
- Ukukhuluphala
- Izimo zezokwelapha ezifana ne-hypothyroidism nesifo sikashukela
Izinketho zokwelashwa zezinzwa ezicindezelekile
Ukwelashwa kwesibindi esincibilikisiwe kuzoxhomeka ezintweni eziningi, kufaka phakathi indawo yezinzwa ezikhonjiwe, amathuba okuba nezinkinga, ubukhulu bezinhlungu, nokuningi. Izinketho zokwelapha zihlanganisa:
- Ukuphumula: Esikhathini esidlule, ukuphumula kwendawo ethintekile kwakuvame ukuphakanyiswa, kodwa kube khona ingxabano ngale ndlela, ikakhulukazi ngokuqondene nobuhlungu emuva. Lokhu kusho ukuthi, ukuphumula okuphindaphindiwe ngokunyakaza, njengemoto ye-carpal tunnel syndrome, ukuphumula kungase kube yilokho okudingekayo ukuxazulula izinzwa ezinamathele ngamacala amancane.
- I-Corticosteroids: I-Steroids ingasetshenziswa ngomlomo, noma ngokuphindaphindiwe ngomjovo ( epidural steroid imijovo entanyeni noma emuva) ukunciphisa ukuvuvukala eduze kwe-nerve ecindezelweyo.
- Imithi yokwelashwa: Imithi engeyona i-steroidal anti-inflammatory (njenge-Advil noma ibuprofen) ivame ukusetshenziselwa ubuhlungu. Uma ubuhlungu bukhulu, ngezikhathi ezithile izidakamizwa zisetshenziselwa ukuphathwa okwesikhashana kwezinhlungu.
- Ukwelashwa ngokomzimba: Ukwelashwa ngokwemvelo kuvame ukusetshenziswa njengendlela yokwelapha kokuqala kanye nokuphathwa kobuhlungu bokucindezelwa kwesisindo.
- Amadivaysi / iziphazamiso zezokwelapha: Iziplintshi zingasetshenziselwa ukunciphisa ukunyakaza (nokuncipha ukuvuvukala) nxazonke zezinzwa.
- I-Traction: I- traction yomlomo wesibeletho ingasetshenziselwa inzwa yomlomo wesibeletho ukuze ivule isikhala lapho izinzwa ziphuma khona intambo yomgogodla.
- Ukwelapha okunye / okuhambisanayo: Ukwelapha okufana nokwelashwa noma ukusikhipha imithi kungasiza kwabanye abantu ekulawuleni ubuhlungu obuhambisana nenzwa ekhonjiwe. I-TENS unit ingasiza ekunciphiseni ubuhlungu. Lezi zindlela zokwelashwa zisetshenziselwa ukunciphisa ubuhlungu futhi azibonakali zinendima ebalulekile ekunciphiseni ukucindezelwa kwesibindi ngokwabo.
- Ukwelashwa: Kungase kudingeke ukuthi ukwelashwa kususwe izicubu ezincane eziye zaholela ekucindezelweni kwamagciwane, noma ukuxazulula umthombo wokucindezeleka kwamantombazane njenge-disc, i-fracture, noma enye inkinga.
Izinkinga zezinzwa ezigcobile
Kunezinkinga eziningana ezingase zenzeke uma inzwa igxilile kakhulu (njengengozi) noma ngezikhathi ezithile (ngenxa yezinguquko ezishisayo noma izifo.) Ngenxa yalesi sizathu, kubalulekile ukubona udokotela wakho ngokushesha ngangokunokwenzeka uma wena usolwa ukuthi une-nerve ekhonjiwe.
Inzwa ekhonjiwe kaningi ibangela ubuhlungu besikhashana, izinguquko zengqondo, noma ubuthakathaka, kodwa lezi zingase zihlale unomphela uma ukucindezelwa kwamagciwane kungakhulumi. Izinzwa ezinamathelayo zingase ziholele, ngokuhamba kwesikhathi, ekubhekaneni ne-neuropathy yomzimba .
Ukubikezelwa kwe-Pinched Nerve
Inzwa ekhonjiwe ingashintsha ekukhungeni okuncane neyesikhashana kuze kube umonakalo ongunaphakade noma ubuthakathaka. Ukuxilongwa kokuqala kanye nokwelashwa kubalulekile ukunciphisa amathuba okuba umonakalo uzoba unomphela noma uholele kwezinye izinkinga.
Ngezansi Ngemizwa Ye-Pinched
Igama elithi "inzwa" livame ukusetshenziselwa ukuchaza inzwa noma isethi sezinzwa ezicindezelwe ngenxa yokulimala noma izifo. Nokho, leli gama, ngezinye izikhathi lisetshenziswe njengokubamba-yonke ibinzana ukuchazwa ubuhlungu endaweni ethile ngisho noma inzwa ingabandakanyeki.
Izimpawu zensimbi ekhonjiwe zihluke ekuhlukunyezweni kwemisipha evamile ukuze uzizwe unqabile, izikhonkwane nezinaliti, ukukhanya kwemisindo, nokuningi.
Ukwelashwa okuqondile kwezinzwa ezincibilikisiwe kuzoxhomeka ezintweni eziningi. Kwezinye izimo, ukuhlinzwa kuyadingeka ukuvimbela izinkinga zesikhathi eside.
> Imithombo:
> Arnold, W., no B. Elsheikh. I-Neuropathies ye-Entrapment. Imitholampilo ye-Neurology . 2013. 31 (2): 405-24.
> Ropper. Adams kanye Nemigomo kaVictor ye-Neurology, 10e. Np: McGraw-Hill, 2014. Phrinta.