Kuongororwa Cervical Radiculopathy

Kervical radiculopathy inowanzokonzera kurwadziwa, pini, uye nheyo uye / kana kushaya simba mumaoko ako, pamwe nekurwadziwa kwemutsipa uye zvimwe zviratidzo. Inowanzounzwa apo musana wemagunha midzi unomanikidzwa, zvichida nehutachiona kana husingaperi hunonzi herniation kana kuti kuchinja kunogadziriswa mumakumbo emumusana. Mienzaniso ye spondylosis , iyo imwe zita rekuchinja kunokanganisa mumharapara, inogona kusanganisira zviratidzo zvine chokuita neArthritis zvakadai sechikamu chakabatana hypertrophy kana bone spurs, kana kuti kuora kwechikwata.

Kana iwe uine cervical radiculopathy, unogona kuzviwana uri kurwadziwa kwakanyanya, kunyanya pakutanga (mumavhiki mashomanana apfuura mushure mokutanga). Uye iwe unogonawo kuona mapepa nemasese (sezvataurwa pamusoro) kana zvimwe zvinetso zvehutano muhuma yako uye ruoko.

Zvakaoma, zvakarurama? Chiremba wako anoziva sei zviratidzo zvako zvinoreva, chaizvoizvo? Kana isiri radiculopathy, zvino chii? Anokwanisa sei kuziva kuti chirwere chemutsipa midzi chii chinokonzera zviratidzo zvako? Uye izvi zvakakosha zvakadini muhutano hwehupfumi hwehutano?

Kana zviratidzo zvako zvisingakwanisi kurwadziwa chete, izvi zvinonzi chirwere chepervical radicular pain.

Kuita Kuziva

Pakugadza kwako, chiremba wako angangotora nhoroondo uye kukupa kuongorora muviri. Zvinhu zvaunomuudza pamusoro pezviratidzo zvaunonzwa zvinomuudza pamusoro pemarwadzo ekurwadziwa, iyo inhanho inokosha mukugadzirisa chirongwa.

Bhuku rekuongorora rinobatsira chiremba wako kuti aone dermatomes uye / kana myotomes umo zviratidzo zvako zviripo.

Idzi ruzivo runomubatsira kuti aone kuti ndeypi musana wemutsipa midzi iri kuomeswa kana kutsamwa. Chirwere chekufungidzira kwekufananidzira (somuenzaniso, MRI) kazhinji hachina kuonekwa seinodiwa, kunze kwepamamiriro ezvinhu chaiwo (akarondedzerwa pasi apa).

Zviratidzo Zvinopfurikidza Zvichida Cervical Radiculopathy Kuziva

Vanachiremba vanowanzowana hutano hwehutachiona hwehutachiona hwehutachiona paunouya nekunetseka kwemaoko, kurwadziwa kwemutsipa, marwadzo mukati mako kana kupoteredza sapapula yako (bandu).

Zvimwe zviratidzo zvekunzwa zvinoshanda semureza kune chiremba wako nezvehutano hwehutachiona hwehutachiona hunosanganisira mapepa nemasese zvakakurukurwa pamusoro apa pamwe nekuchinja kwechinangwa mumaoko ako akadai sekushaya simba.

Zvimotokari zvinogona kuchenesa chiremba wako zvinosanganisira kushaya simba uye / kana kusadzika kwemawere tendon reflexes mumaoko ako. Kushaya simba mumuviri wako we deltoid (iyo inonzi cap-semusumbu inenge yakakomberedza fudzi rako nepamusoro), kushaya simba mukati mezvisikwa zvemaoko ako, uye / kana mapapiro emakona zvinogonawo zviratidzo. Kupera kwepapiro ndiko kusakwanisa kwemukati (mukati) mukati memuganhu wepafudzi-mapaundi anozivikanwa sewe scapula bone-kuti urembedze pamabvu ako.

Kunyange zvakadaro, zvimwe zviratidzo zvinogona kutarisa chiremba wako anosanganisira chifu kana kurwadziwa kwepamuviri uye / kana musoro.

Kana uchinge wakaziva zviratidzo zvirwere zvinenge zvichienderana nemushonga worudo rwechirwere, vanachiremba vazhinji vanosimbisa izvi zvinoshandiswa kuburikidza nemuedzo webhuku unonzi Spurling's. Nedzidzo dzakawanda dzakaratidza zvakasimba kuti kuongorora kweSpurling-kubva pane zvakananga sechirwere chekuongorora-kunogona kusimbisa kuvepo kwehutachiona hwehutachiona.

Kunyange zvazvo kuongorora kweSpurling (chaizvoizvo, kufamba) kune zvakananga, hazvisi kunyanya kuoma kuti uwane hutachiona hwehutachiona hwehutachiona nokuti chikonzero chekuedza icho chisina kunaka (chinoreva chiratidzo chisina kuratidzika) hachibvumi kuongororwa kwechirwere chepachirwere chechiredzi.

Zvakangofanana, North American Spine Society inotaura kuti kuedza kweSpurling, pamwe nemimwe miedzo inoparadza, inogona kuonekwa sechikamu chekuongorora; Kusiyana nepro-Spurling's test studies, zvisinei, iyo NASS inopedzisira ichitaura kuti chiratidzo chakanaka pachiitiko cheSpurling chinosimbisa kuongororwa.

Kuongorora Kuongororwa Kusati Kuvhiya

Kana uchitarisira kuvhiyiwa , uye chirwere chako cheservic radiculopathy chinokonzerwa neArthritis kana chirwere chekugadzirisa (spondylosis), chiremba wako angangoda kusimbisa achishandisa imwe kana kupfuura kufungidzira kufungidzira kunongedzera kwepamuviri apo zviratidzo zvako zvinobuda.

Iyo North American Spine Society inotaura kuti kungoziva chete dermatome inosuruvarisa, kurwadziwa kwehutano uye / kana kushayiwa simba kwezvikepe hazvina kukwana kuti kuve nekunyatsoongorora kwechirwere chechirwere chepachirwere.

Nokuda kwechikonzero ichi, vanokurudzira computed tomography (CT scan), CT myelography (CTM) kana MRI (magnetic resonance imaging test) vasati vaita chirwere chekupererwa kwepelinha. Cherechedza kuti NASS inokurudzira miedzo iyi chete mushure mekunge chirongwa chekurapa chinoratidza kuti hachina kukwanisa kubvisa zviratidzo.

Nhau dzakanaka ndeyokuti maitiro akawanda emudzinza rerocipathy anogadzirisa ivo pachavo kana nechirwere chemuviri kunze kwekudiwa kwekuvhiyiwa.

Sources:

Corey DL1, Comeau D. Cervical radiculopathy. Med Clin Clinic North. 2014 Jul; 98 (4): 791-9, xii. doi: 10.1016 / j.mcna.2014.04.001.

Eubanks, JD, Cervical radiculopathy: kusagadzirirwa kwekutambura kwemutsipa uye zviratidzo zvekare. Ndiye Chiremba weNzara. 2010 Jan 1; 81 (1): 33-40.

Kuijper B. [Cervical radiculopathy]. Ned Tijdschr Tandheelkd. 2014 Nharo; 121 (10): 483-6. doi: 10.5177 / ntvt.2014.10.14134.

North American Spine Society (NASS). Kuongororwa uye kurapwa kwechibereki radiculopathy kubva pakuvhiringidzika kunokonzera. Burr Ridge (IL): North American Spine Society (NASS); 2010. 179 p.

Ryan M., David E. Nhove, David E. Kupikopika: kuongororwa kwemaitiro, kuongororwa, uye kurapwa. Curr Rev Musculoskelet Med. 2008 Mar.