Kutora Mifananidzo yeSciatica
MR Neurography, iyo inozivikanwa seye magnetic resonance neurography kana MRN, inoratidzwa mutauro weMRI unoratidza zvakajeka zviri kuitika nemishonga yako. Yakatanga kuumbwa kutanga kwema1990, uye kubvira ipapo zvidzidzo zvakawanda zvakaitwa zvinopupura kuti kukwanisa kwayo kubatsira vanachiremba zvechokwadi kuona mamiriro emitsipa.
Somuenzaniso, Zhang, et., Al., Akaongorora magnetic resonance neurographs ye 137 varwere vaiva nesciatica.
Vamwe vevarwere ivavo vaiva nehutano hwemutsipa hunoita, musana wechipfuva umo dhayi rehaniated kana chimwe chimiro chinosungirirwa pamusana panzvimbo iyo inobva pamutsipa wepelinha. Vanhu vakawanda vanodana zviratidzo zvinokonzerwa nekudzvinyirira kwemutsipa, mune mamwe mazwi - marwadzo, kushaya simba, kushaya simba, mapini nemasese, kutinhira, kushungurudza magetsi uye / kana mamwe manzwiro emagetsi ose pasi petsoka chete - sciatica. Vatsvakurudzi vakatsanangura kuti mumifananidzo yose 137, mufananidzo wacho wakajeka. Vakataura kuti vanogona kuona mutsara , uye kuti matavi awo makuru akasiyana uye ari nyore kuoneka.
Zhang's study, yakanzi "Morphological analysis in varwere vane sciatica: magnetic resonance imaging kudzidza vachishandisa matatu-dimensional high-resolution diffusion-yakakosha magnetic resonance neurography techniques," yakabudiswa mumagazini yaApril 2009 yemagazini Spine.
Nerve Entrapment uye Sciatica
MR neurography inogona kuratidzira kuti ndeipi inobatwa mumukati, uye inoshandiswa kuongororwa ne brachial plexus yezviratidzo zvinonzwa mumutsipa, mapepa uye / kana maoko.
Sezvo sciatica inosvika, inogona kuratidza piriformis syndrome iyo inoshandiswa nayo nerve yako yakasimba inomanikidzirwa nemusungo wakaoma kana usina kuchena unonzi piriformis .
Kusvikira pakugadzirwa kweMMN (uye iye zvino, pamwewo), radiologists inotsigira x-rays , MRI, CT kuongorora uye kushungurudza mishonga yekuziva kuti chii chinokonzera zvirwere zvehutano.
Kusvika pamwero mukuru, saka, maonero avo akaitwa zvisina kurongwa. Asi ikozvino, nechichiri chiitiko chitsva chekufungidzira, vamwe vanachiremba vanoti vanokwanisa kunyanya kuvimba nehutano nezvinetso zvehutano, kusanganisira zvinhu zvisingawanzoitiki zvisingatarisirwe mukuita.
Mukudzidza kwake ane musoro unoti "Magnet resonance neurography uye kuparadzanisa kuongorora mafungiro: mavambo, nhoroondo uye kukanganisa kwemazana ekutanga makumi mashanu nezviuru makumi mashanu nezviitiko nehuongorori hwehutano uye hunobatsira mune vanotarisira boka revanhu vane chiremba 5000," rakabudiswa mumagazini yaOctober 2009 bhuku rinonzi Neurosurgery , mutungamiri weMRN Aaron Filler anoti neurography inoratidzira zvinhu zvakasiyana-siyana zvinoenderana nekliniki kuongororwa kusanganisira kushandiswa kwemasikirwo emitsipa, hyperintensity (kureva, nerve irritation), kushungurudzika kwehutano, kusagadzikana, hukama hwemitsipa kusvika kune vanhu vazhinji, uye zvifananidzo zvinoratidza kupotsa ye mitsipa pakaputika pfungwa. Filler inotsanangura kuti izvi zvakawanikwa zvakaenzana nemhando dzezvinhu zvinoshungurudza mutsara zvinogona kuzarura.
Kunyange zvazvo MRN ikakwanisa kuratidza mamiriro ezvinhu epfungwa, imwe teknolojia inobatanidza, inozivikanwa sekupararira kwemashoko ekufungidzira, inoratidza mukati meuropi uye musipinha. Kazhinji, kupararira kwekufungidzira kunodzidzwa pamwe chete neRMN.
Zvichienderana: Ndezvipi Zvakafuridzirwa Ndezvipi Zvaunoratidzwa Pakati Pakaedzwa Kuongorora Kuona?
Sources:
Filler, A., Magnetic resonance neurography uye kuparidzirwa kwekufungidzira: mavambo, nhoroondo, uye makiriniki emakwikwi makumi mashanu ekutanga ane tsananguro yekubudirira uye kushandiswa kune vanotarisira boka rekudzidza 5000-varwere. N eurosurgery. 2009 Oct; 65 (4 Suppl): A29-43. doi: 10.1227 / 01.NEU.0000351279.78110.00.
Zhang Z1, Song L, Meng Q, Z Z, Pan B, Yang Z, Pei Z. Morphological analysis muvarwere vane sciatica: magnetic resonance imaging kudzidza vachishandisa matatu-dimensional high-resolution diffusion-yakakosha magnetic resonance neurography techniques. Simba (Phila Pa 1976). 2009 Apr 1; 34 (7): E245-50. doi: 10.1097 / BRS.0b013e318197162e. http://www.ncbi.nlm.nih.gov/pubmed/19333087