Tsanangudzo, Zviratidzo, uye Kurapa Kwemitsipa Yakawanda
Kana iwe wakaziviswa kuti une "pinched nerve" zvinorevei chaizvoizvo? Zvine ngozi here? Iwe unoda kuvhiyiwa here? Ndeipi mumuviri inogona kudonha misungo inoitika?
Tsanangudzo: Kuputika Mitsipa
Izwi rinonzi pinched nerve rinoreva imwe rudzi rwekukuvadza umo murwere wepakati kana nheyo yemitsipa inomanikidzwa semugumisiro wekukuvara kana zvirwere.
Zvakakosha kucherechedza kuti izwi rokuti "pinched nerve" rinogona kushandiswa sekubata-mutsara wose wekukuvadzwa kunokonzerwa nekudzvinyirira, kusanganisa, kana kutambanudza, uye hazvirevi nguva dzose zvinongoratidzika kumutsara uri kuomeswa.
Kukuvadza kwenzara kunogona kukonzerwa nokuputika kana kuomesa kwehutano uye kunogona kuitika kana nekuda kwekukuvadza zvakananga kumusana pachako kana kuti chifukidzo chekudzivirira ( myelin sheath ) chinopoteredza nerve.
Mamwe mazwi anogona kushandiswa paanotsanangura zvinokonzerwa nemapundu anosanganisira:
- Nerve compression
- Matsipa akabatwa
- Nerve entrapment
- Nerving impingement
- Nerve yakashata
- Kushushikana neuropathy
- Radiculopathy ( Radiculopathy inoreva kuchinja kwekunzwa kana musimba basa rinoenderana nekumanikidzwa kwemishonga mumutsipa wekervical kana lumbar spine)
- Sciatica ( Sciatica inoitika apo sciatic nerve yakabatwa kana inopisa)
Zviratidzo zvePinched Nerve
Zviratidzo zvendangariro yakapetwa kazhinji zvinowanzosiyana nekukuvara kwakanyanya kwemumusimba. Zviratidzo zvinowanzogona kusanganisira:
- Inzwi rinopisa
- "Mishonga nemasero" zvinonzwa
- Pain iyo inoyerera kunze kubva panzvimbo yakakuvara
- Nhamo iyo inogona kunzwika mune imwe nzvimbo inoratidzika isingabatanidzi, yakadai sekurwadziwa muhokwe yako kana ruoko nekuda kwesimba rakapetwa mumutsipa wako
- Manzwiro echanza kana rutsoka rwako "anovata hope"
- Chirwere kana chivako chisingaiti (chinokonzerwa nekupinza mutsara mumutsipa wakaderera)
Utano hunobatanidza nehutemwa hunopinza hunogona kuva hunyoro kana hunyanyisa.
Iko Inowanzonzi Ipi Pinched Nerves?
Mishonga inoputika yakawanda kwazvo, uye kusvika kusvika ku40 muzana yevanhu vane sciatica (kunyanya kwehutano hwesaini mumucheto wepasi) mune imwe nguva munguva yehupenyu hwavo.
Nzira yakagadzirwa nehutachiona ndiyo nheyo inogona kuve yakakanganiswa nekutambudzika kwepashure.
Mutsipa wako uye mutsipa wako, maronda emusana anopfuurira kubva pamutsipa wako wepelinha kuburikidza nehomwe duku (inonzi intervertebral foramen) mumitambo (mapfupa emusana nemutsipa) vasati vaenda kunzvimbo yavo kumagumo. Nzira yakamanikana yeforamen inzvimbo inowanzoita kuti kushungurudzika kwemitsipa kuitike.
Kuongororwa Pine Mitsetse
Kuongororwa kwepiniki yakagadzirwa kunotanga nekunyatsocherechedza uye kuongorora muviri. Chiremba wako achakubvunza nezvemhando ipi zvayo yezvehutano kana kukuvadzwa kunowedzera dambudziko rekunyengedzwa kwehutano uye kuchaongorora kushushikana kwako uye simba remhepo munzvimbo yaunenge uine zviratidzo. Kana chirwere chepineka chiri mumupemha chichifungidzirwa, zviratidzo zvinowanzoitika mune imwe nzvimbo inonzi dermatome .
Electomyography (EMG) uye zvidzidzo zvekushandiswa kwehutano zvinowanzoitwa kuti zvione kana nharo yakasvibiswa iripo uye kuti inzwisise kuoma kwekukuvara. Ultrasound is an emerging diagnostic tool for evaluating the nerve entrapment, kunyanya inokonzerwa nemishonga yakagadzirisa zvirwere zvepamusoro zvakadai sa carpal tunnel syndrome.
Miedzo yakadai seC CT scan kana MRI inogona kurairwa kutarisa zvinokonzera mutsara wakagadziriswa wakadai sehutachiona hutachiona.
Common Nerve Compression Sites
Zvimwe zvinowanzoomeswa kana "pinched" mitsipa zvinosanganisira:
- Mutsara weMedhia: Nyizi iyi inomhanya mukati memuganhu wekono chako uye wrist uye inokanganisa manzwiro muruoko rwako. Kuoma kwemuviri wepakati pamusana kunogona kukonzera carpal tunnel syndrome .
- Ulnar nerve: Mutsara wemagetsi unoyerera kunze kwekunze (kurutivi rwechipiri) ruoko rwako rwakapfuura muromo wako uye runokanganisa manzwiro pamusoro pechikamu chechipiri chebasa rako (kunze kwechikamu.) Mutsara wemagunha ndizvo zvaunofunga kana iwe uchirova " funny bone "muhota yako.
- Mutsara wemhepo: Mutsara unonzi radial unotsika pasi uri pakati (iyo chigunwe chechipiri) kana ruoko rwako noruoko. Kudzvinyirira kunowanzokonzera marwadzo pachigunwe chechigunwe chechiko kana ruoko.
- Mharadzano yevakadzi: Mutsara wechikadzi unobuda kubva muchiuno chako kusvika pamabvi ako uye unokonzera marwadzo munharaunda ino kana uchinamatira.
- Kumbomira musikana wenyonganyonga: Kufuridzira kwechirwere chechikadzi chinokonzera mutsara ( meralgia paresthetica ) chinokonzera marwadzo mberi nekunze kwehudyu uye kunogona kukonzerwa nokupfeka mabhanhire, nekuzvitakura, kana kuwedzera kuwanda.
- Plantar nerves: Zvipembenene zvako zvinomera zviri mutsoka dzako uye kazhinji zvinokonzera pini uye nenyuchi kushungurudzwa mutsoka dzako kana kuomerera.
- Nhubial nerve: Mutsipa wetibial unofamba pamwe nehubia yako (fufu rinorema mujinga rako riri pasi) rakapfugama namabvi ako nechezasi kuchiuno chako (yapfuura mabvi uye pasi petsoka.) Kunyanya kunogona kukonzera marwadzo chero kupi zvako munzira.
- Mutsara unonyatsooneka: Mutsara we peroneal unomhanya parutivi rwegumbo rako uye unogona kukonzera netsoka yemishonga kana yakakuvadzwa (sekunge mushure mekunyanya kunyura.)
- Kervical nerve: Kufuridzira kwemitsipa mumusoro wako wepamusoro wesimbi (cervical spine) inowanzotungamirira kurwadziwa uye kushaya simba mune ruoko. "Kupenya" kwemafudzi emafudzi kunogonawo kuitika. Kervical radiculopathy inogonawo kukonzera misoro kana kurwadziwa mukati mazamu.
- Sciatic nerve: Sciatic nerve inowanzoomeswa nerve inobva mumugwagwa wako munharaunda yako ye lumbo-sacral uye inofamba ichidzika pasi kwegumbo rinokonzera marwadzo e sciatica.
Zvinokonzerwa nePinched Nerves
Mutsara unokonzerwa nawo unogona kukonzerwa nekukuvara kwakasiyana-siyana kana mishonga inokonzera kukanganiswa kwemitsipa nemapfupa, cartilage, tendons, kana kuti zvinyoro zvinyoro zvinyoro. Zvimwe zvinokonzera ngozi zvinosanganisira:
- Arthritis: Yose osteoarthritis uye rheumatoid arthritis
- Kudzokorora uye kukuvara kwepamusoro (kunyanya kushungurudzika nenyonga ndiyo inokonzera kukonzera kwe----kukuvara kwebasa)
- Degenerative joint joint
- Kukuvadza kumutsipa, shure, kana kumagumo
- Fractures
- Burns
- Kuberekwa
- Kuwedzera muviri
- Mishonga yakadai sa hypothyroidism uye chirwere cheshuga
Kurapa Kwokuda Kwemishonga Yakamanikidzwa
Kurapa kwenzara yakapetwa kunobva pane zvinhu zvakawanda, kusanganisira nzvimbo ye pinped nerve, mukana wezvinetso, ukuru hwekutambudzika, nezvimwe. Mishonga yekurapa inosanganisira:
- Zororo: Munguva yakapfuura, zororo kune nzvimbo yakakanganiswa kazhinji dzaikurudzirwa, asi pane imwe nharo pamusoro pemutambo uyu, kunyanya maererano nekurwadziwa shure. Izvozvo zvakati, nekudzokorora kudengenyeka kwakakonzerwa nekukuvadzwa, kwakadai seCarpal tunnel syndrome, zororo rinogona kunge riri rose rinodikanwa kugadzirisa mutsara wepiniki nematambudziko maduku.
- Corticosteroids: Steroidhi inogona kushandiswa mumuromo, kana kakawanda nekujowa ( epidural steroid injections mumutsipa kana kumashure) kuti kuderedza kuputira kumativi ose ane mitsipa yakaoma.
- Mishonga yemarwadzo: Mishonga isina-steroidal anti-inflammatory (yakadai saArail kana ibuprofen) inowanzoshandiswa pakurwadziwa. Kana kurwadziwa kwakaoma, dzimwe nguva nharotics inoshandiswa kwekutengesa kwenguva pfupi kurwadziwa.
- Kurapa kwepanyama: Kurapwa kwepanyama kunowanzoshandiswa sekurapa kwokutanga pamwe nekurwadziwa kwekutambudzika kwekunyengedzera kwehutano.
- Zvirwere zvemapirini / zvipuka: Tsvina inogona kushandiswa kuderedza kufamba (uye kuderedza kutuka) kumativi ose emagunha.
- Kutambudza: Cervical traction inogona kushandiswa kune mishonga yakagadzirwa nekervical kuitira kuti uzarure nzvimbo iyo mitsipa inobva mumutsipa wepelinha.
- Mamwe maitiro ekurapa kana kuwedzera: Kurapwa kwakadai sekugadziriswa kana kurapa kunogona kubatsira kune vamwe vanhu vari kutarisa marwadzo anowanikwa nejinga rakagadzirwa nepine. CHIKAMU cheTENS chingabatsirawo kuderedza marwadzo. Aya mazano anoshandiswa kunyanya kuderedza marwadzo uye asingaoneki ane basa rinokosha pakuderedza kushungurudzika kwehutano pachavo pachavo.
- Kuvhiya: Kuvhiya kunogona kudiwa kuti kubvisa zvisikwa zvitsva zvakakonzera kushungurudzika kwemitsipa, kana kuti kugadzirisa chinokonzera kushungurudzika kwemitsipa yakadai sedhayi, kana kupomerwa, kana zvimwe zvinetso.
Matambudziko ePinched Nerves
Pane zvipingamupinyi zvakawanda zvinogona kuitika kana nharo yakanyanyiswa zvakanyanyisa kana (sezvakaitika pangozi) kana kusingaperi (nemhaka yekuchinja kwechirwere kana chirwere.) Nokuda kwechikonzero ichi, zvakakosha kuona chiremba wako nekukurumidza kana zvichibvira kana iwe fungidzira iwe une pinched nerve.
Nhungurudzo yakanyungudzwa kazhinji inokonzera kurwadziwa kwenguva pfupi, kuchinja kwechinangwa, kana kushaya simba, asi izvi zvinogona kuva zvekusingaperi kana kushungurudzika kwesimba kusingatauri. Kunyanya kunetseka kunogona kutungamirirawo, nekufamba kwenguva, kushaya chirwere chepfungwa .
Zviratidzo zvePinched Nerve
Mutsara unomedzwa unogona kusiyana kubva pane zviduku zvishoma uye zvenguva pfupi kunokanganisa zvachose kana kushaya simba. Kunyanya kuongororwa uye kurapwa kunokosha kuderedza mukana wekuti uipi huchagara huripo kana huchitungamirira kune mamwe matambudziko.
Pasi Pasi Pamusoro Pemitsipa
Izwi rokuti "pinched nerve" rinowanzoshandiswa kurondedzera mutsara kana mutsara wemisungo iyo iri kuomeswa nekuda kwekukuvara kana zvirwere. Izwi racho, zvisinei, dzimwe nguva rinoshandiswa zvisiri nyore sekubata-mutsara wose kurondedzera kurwadziwa mune imwe nzvimbo kunyange kana musungo usingabatanidzwi.
Zviratidzo zvendangariro yakapetwa yakasiyana neyomuviri wepanyama mushure mekuti iwe unganzwa kusina simba, pini uye masingano, mazai ehutambudzo, nezvimwe.
Mushonga chaiwo wepiniki yakagadzikana huchaenderana nezvimwe zvinhu. Mune zvimwe zviitiko, kuvhiyiwa kunodiwa kuti urege kudzivirira kwenguva refu.
> Sources:
> Arnold, W., uye B. Elsheikh. Entrapment Neuropathies. Neurology Clinics . 2013. 31 (2): 405-24.
> Ropper. Adams naVictor's Principles of Neurology, 10e. Np: McGraw-Hill, 2014. Print.