Radiculopathy ishoko rinotsanangura zviratidzo zvine simba uye motokari zvine chokuita nekumanikidzwa kwemasero emagunha . ("Radicular" inoreva midzi uye inoreva kumutsipa wespinha midzi.)
Mutsipa wepenza nenyuchi kuwedzera kunoitika apo chimiro chakadai se-intervertebral disc kana bone spur yakaumbwa senzira yekupfeka uye kubvarura inoputika pane nzvimbo iyo midzi yevhu inowanikwa.
Izvi zvinowanzokonzera chimiro uye miviri yeropa inosangana uye ichikonzera kutsamwa.
Pamwe chete nedhizinesi rehaniated uye bone spurs, zvipembenene, zvirwere, kana vasculitis zvimwe zvinokonzera radiculopathy, kunyange zvakadaro mamiriro ezvinhu haawanzoitiki.
Kumanikidzwa kwemagunha emasipiresi inogona kuitika pane imwe nhanho kubva kuC1-2 kusvika kuS4-5, asi nzvimbo dzinowanzowanikwa ndeye L4-5 uye L5-S1 muzasi uye C5-6 neC6-7 mumutsipa. Mutsipa unobatanidzwa nehuwandu huwandu ndiyo iyo inowedzerwa. Semuenzaniso, apo kuwandisa kunoitika pamusana weC5-6, mutsara wemutsipa muC6 unomanikidzwa, asi imwe paC5 haisi.
Radiculopathy kubva kumutsamwende wesimbi yemutsipa midzi mumutsipa unonzi cervical radiculopathy; mumashure mashoma, inonzi lumbar radiculopathy.
Risk Factors
Iwe uri pangozi yepamusoro ye radiculopathy kana iwe uri sedentary uye / kana kana iwe uchityaira zvakawanda; chigaro chinogadzirisa madhishi ako, izvo zvinogona kukonzera kukanganisa nekutsamwa kwemasinga emidzi.
Zvimwe zvinhu zvinowedzera dambudziko rako re radiculopathy zvinosanganisira:
- Kuva murume
- Kuora mwoyo kusingaperi
- Kuberekwa
- Kusimudza (tsika)
- Kusvuta
Zviratidzo
Zvichienderana nechinokonzerwa nemakemikari ako emitsipa, pamwe chete uye kwaanenge aripo, zviratidzo zvinoshandiswa zvakasiyana-siyana zvinogona kusiyana. Asi yakawanda inosanganisira mutsi uye / kana kurwadziwa kwepamuviri, kuora musoro uye kurwadza kwakapinza, kushaya simba, kupera, kumira, kana mamwe manzwiro emagetsi anokwira pasi petsoka ( sciatica ) kana ruoko.
Zvimwe zviratidzo zvinogona kusanganisira kukanganisa kusina simba, kushaya simba, kuomesera kwemisimba, kumira zvishoma, uye-nevechirwere radiculopathy-inorwadza kana kurwadza kunorwadza paunowedzera mutsipa wako kumashure.
Kuziva
Maererano nekuongorora kwe2011 kwakabudiswa mupepanhau Hospital for Special Surgery, inenge 75 kubva muzana yematambudziko e-radiculopathy anogona kuongororwa nechiremba achitora nhoroondo yemurwere. Chiremba wako angangodaro anoziva radiculopathy nechiratidzo chake chinowanikwa, iyo inorwadza kune imwe mhedziso kana pini uye masingano anoenderana nharaunda iyo yakagadziriswa nerve inoshumira (dermatome).
Zvakangofanana, vanachiremba vakawanda vanoongorora kuongorora kwepfungwa uye / kana kuti kuongorora miitiro yakadai seMRI .
Panguva yekuongorora kwako mumuviri, chiremba anoedza kurwadziwa, kurasikirwa kwekunzwa, mafungiro, uye simba remusimba munzvimbo imwe neimwe. Nokuziva kuti ndeapi dermatome (s) uye myotome (s) inokanganisa, inogona kusarudza kuti mutsara wemagunha midzi (s) yakanganisa. Kunyatsoongorora kunogona kusanganisira kuedza kunounza marwadzo ako kubatsira chiremba kutarisa kuti maitiro emutsipa anokanganisa sei. Miedzo yekuongorora inogona kubatsira kusimbisa zvitsva kubva kuongororwa kwemuviri, kana kuti kutsvaga nzvimbo iyo zviratidzo zvako zvingave zvichiitika.
Non-Surgical Treatment
Kurapa kwechibereko chemuviri uye lumbar radiculopathy inotanga kusinganzwisisiki .
Kutaura zvazviri, Chipatara Chekuvhiya Kunokosha kuongororwa pamusoro apa kunotaura kuti vanenge 75 muzana kusvika 90 muzana yevanhu vanoonekwa kuti vane chirwere chechirwere chinonzi radiculopathy vanovandudza pasina kuvhiyiwa. Vanoti kurapa kwakachengetedza kunogona kunge kwakashanda kana kusatenda, asi kuti kushandiswa kwechisimba kwemhando dzakawanda dzokurapwa (zvichireva nzira yakasiyana-siyana inogadzirisa zvinhu zvinoda kuti murwere atore pamwe) inotora kuwana zvakanakisisa zvingaguma.
Izvi zvinogona kusanganisira mishonga yekurwa uye kusanganiswa kweimwe nzira dzinosanganisira:
Kurapa Kwepanyama: Kurapa kwepanyama kunogona kukubatsira kutambanudza nekusimbisa masimba ako; iwe unogona kuwana traction apo uri mu PT.
Kusagadzikana: Kupfeka kororo kuti udzikise mutsipa wako kunogona kuva chikamu chekurapa kwako. Nokugadzirisa kufamba uye kubvumira zvinyorwa zvako zvishoma kuti zvizorore, kora yacho inogona kubatsira kubvisa zviratidzo zvako.
Kugadzirisa: Unogonawo kupiwa mushonga wechibereki kuti ushandise paunenge uchirara. Mutsipa uchange uine huwandu hwakaenzana hwekuvhara mumutsipa wako, uchimanikidzira mutsara midzi.
Injection: Kusuruvara kunogona kubatsira kuderedza kuzvimba nekurwadziwa, zvichiita kuti uwedzere kunatswa. Zvisinei, majekiseni epidural steroid angave akabatana nezvinetso, uye kurwadziwa kwakawanda vanachiremba vari kutama kure nekurapa uku.
Cherechedza: Chiropractic haina kukurudzirwa nokuti zvidzidzo zvinoratidza kuti hazvibudiriri kwe radiculopathy-uye mune dzimwe nguva zvinogona kuita kuti zviipire. Inogona kunge isingakoshi kune vanhu vane musana wemasipire uye / kana masero makuru.
Surgery
Kana nzira isiri yekuvhiya isingakwanisi kugadzirisa marwadzo mushure memasvondo matanhatu kusvika ku12, unogona kuvhiyiwa . Kusarudzwa kwehutano chaihwo kunogona kutarisa pamhando uye nzvimbo yepinini yemazino ekugadzirisa midzi, ruzivo rwechiremba wako, uye kana iwe wakamboita chirwere cheperesi.
Chiremba wako angafunga nezve:
- Discectomy (inowanzozivikanwa) -Uyu ndiko kushandiswa kwekuvhara kwe disc.
- Dambudziko rekudzivirira pamwe nekukanganiswa-Izvi zvinogona kudikanwa nefupa .
- Disc replacement - Kunyange zvazvo ichiri chitsva, kushandiswa kwayo kwenyaya iyi kuri kuwedzera.
- Posterior cervical laminoforaminotomy-Izvi zvinogona kuitwa kana iwe uine dhayi rimwe chete uye uri kuuya nechepamusoro pe vertebra .
Minimally invasive miitiro yakadai semashandisirwo emagetsi euroticotomy, laser discectomy, uye endoscopic disectomy inogonawo kufungwa, zvichienderana nemhosva yako.
Sources:
AAOS. Cervical Radiculopathy (Pinched Nerve). Website yeAAOS. Yakagadziridzwa Kuvandudzwa Feb Feb 2010. http://orthoinfo.aaos.org/topic.cfm?topic=A00332.
AAOS. Cervical Radiculopathy: Surgical Treatment Options. Website yeAAOS. Yakagadziridzwa Kuvandudzwa Feb Feb 2010. http://orthoinfo.aaos.org/topic.cfm?topic=A00540.
Canale, Beaty. Cervical Disc Disease. Canale uye Beaty: Campbell's Operative Orthopedics. 11th ed. MDConsult. http://www.mdconsult.com/das/book/body/100188922-3/0/1584/316.html
Caridi, J., et et. al.Cervical Radiculopathy: Ongororo HSS J. Oct. 2011. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192889/
Neuroscience Mapeji Mapeji. Radiculopathies. http://www.neuroanatomy.wisc.edu/SClinic/Radiculo/Radiculopathy.htm