Nzira Yokurapa Hasha, Yakamanikidzwa Nherera Mumakumbo Ako
Ko chiremba wako akuudza iwe kuti chirwere chinopinda mumutsipa wako chinokonzera kurwadziwa kwemusoro nemutsipa? Zita rakagadziriswa yemamiriro aya ndeyechirwere radiculopathy. Zvinogona kuva zororo kuti pakupedzisira uwane chirwere, asi iwe unochibata sei?
Kuenda kuMutori wePinched Nerve
Paunopinda kuna chiremba ne "kurwadziwa kwakanyanya" mumutsipa, chiremba wako anotanga kutonga kunze chero mapegi matsvuku akadai se:
- Kutambudzika kufamba kana kukanganisa gumbo
- Chirwere kana chirwere chisina kumira
- Nhoroondo yefivhiri, kuora muviri, kenza, kana simba rakaoma rekudzivirira muviri
- Zera rinopfuura 20 kana kupfuura kupfuura 50
- Zvakawanda, zvinokonzera kushungurudzika (izvi zvinogona kuva zviratidzo zvemuviri wemishonga episiti dissection )
- Zvimwe zviratidzo zvehupenzi zvakadai sekutambudzika kutaura kana kumedza (izvi zvinogona kuratidza chirwere)
Kana pane zviratidzo zvengozi zviripo, chiremba wako anorayira kuongorora ropa, kufungidzira kwe musoro uye / kana mutsipa, kukutsanangurira kune nyanzvi, kana kuti zvichida kukutumira kune imwe nzvimbo yekukurumidzira. Izvo zvose zvinoenderana nekushushikana kwavo uye mamiriro ekukurumidzira.
Kana pasina mahwendefa matsvuku, uye chiremba iwe uongororwe "unobata mutsara" kana chirwere cheservic radiculopathy, angangodaro anorayira kuchengetedza kwakachengetedza kwemavhiki maviri kusvika masere.
Chii chinonzi Conservative Management yePinched Nerve?
Conservative management inoreva nzira dzisingasviki dzinobatsira kusunungura kusuruvara kwako kusvikira kushungurudzika kwehutano nekugadzirisa zvinogadzirisa - kazhinji, zvinosanganisira kusanganiswa kwemishonga nemishonga.
Mishonga inogona kunyorerwa pamarwadzo ako inosanganisira:
- A nonsteroidal anti-inflammatory ( NSAIDs ) se ibuprofen kana Aleve (naproxen)
- Steroid yemuromo sezvinonzi prednisone kana kurwadziwa kwakaoma
Mukureva zvekurovedza muviri, zvakanakisisa kuti usaita zvekuita zvekuita zvinowedzera marwadzo. Izvo zvinotaurwa, kurara pamubhedha kana nguva refu yekusagadzikana kunogona kuderedza kupora kwako.
Bheti yako yakanakisisa ndeyekuenderera mberi kwezvinhu zvako zvezuva nezuva asi wega zvinhu zvisingafadzi.
Kana urombo hunobudirira hunovandudzwa nemishonga, chiremba wako achakurudzira chirongwa chekubatsira kuti uchengetedze mutsipa wechipfuva uyewo kusimbisa musana wako / mushure / mushure mafudzi. Zvimwe kurapwa izvo chiremba wako angaratidza kuti iwe unobata mutsara unosanganisira kushandiswa kwemushonga wemudzimai wemukati kana mutsago kana chiberekedzo chechibereki .
Zvakadini Kana Zvinyorwa Zvangu Zvisingaiti Zvisingaendi?
Kana mushure memavhiki matanhatu kusvika gumi namaviri, zviratidzo zvako zvinoramba zvichiitika, chiremba wako angangodzokororazve kuongororwa uye kufungidzira kwepamusoro pepine ne MRI kana CT scan. Anokwanisawo kukurudzira nerve conduction study (NCS) uye electromyography (EMG) kuti uwedzere kunzwisisa iyo inobva pakurwadziwa kwako. Dzimwe nguva, kuongorora kwako kwakaoma kunzwisisa uye kunoda kutarisira nyanzvi yepfungwa.
Nekuramba uchiita rervical radiculopathy, pasinei nekurapa kwakakwana kwemishonga, nzira dzokurapa dzinosanganisira:
- chirwere chepidural block - steroid inoroverwa mune imwe nzvimbo pedyo nepamusoro pepamusoro uye inopararira pamusoro pehutachiona hwemutsipa, kuideredza
- kuvhiyiwa
Zviratidzo zvekuvhiya inzira inonzwisisika ingadai iri iyo kana chibereki chako chechirwere chisina kusimbiswa nekugadzirisa kuchengetedza uye / kana uri kuwedzera kukundikana kuwedzera, sekunge kuwedzera kuoma kusimudza ruoko rwako.
Chiremba wako achazobvunzazve chiremba kana chirwere chepaupine (chinonzi myelopathy) pamusana pekufungidzira kwemutsipa. Kusarudza kudiwa kwekuvhiyiwa chimwe chinhu chaunoda kuti ukurukure zvakanyatsonaka nachiremba wako kuti ave nechokwadi chokuti zvikomborero zvinopfuura zvingangova zvinokuvadza.
The Bottom Line
Mashoko akanaka ndeokuti vazhinji vevanhu vanodzoka zvakanaka kubva kune mitsetse yakasungirirwa. Izvozvo zvichiti, vamwe vanodzokorora uye vanofanira kudzokorora maitiro avo epamberi emishonga pamwe / kana kuti kurapa kwepanyama. Zvakakosha kudzokorora chirongwa chako chekucherechedza uye chirongwa chekurapa nechiremba wako kuitira kuti uwedze kurapa kwako nekunyaradza.
> Sources:
> Carette, S., & Fehlings, MG (2005). Clinical Practice. Cervical Radiculopathy. New England Journal of Medicine , 353 (4): 392-9.
> Eubanks, JD (2010). Cervical Radiculopathy: Isingashandisi Mutemo weNeck Pain uye Radicular Symptoms. American Family Physician, Jan; 81 (1) 33-40.
Kusarudzwa kweMusoro Kumusoro weCommission Committee ye International Headache Society. "Kushandiswa Kwemarudzi Ese kweHemisache Matambudziko: 2nd Edition". Cephalalgia 2004; 24 Suppl 1: 9-160.
> Robinson, J., & Kothari, MJ Mushonga weCervical Radiculopathy. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.