Nzira kudzvinyirira inowanzokonzera chigunha
Unhu uye kugunun'una zvinetso zvinowanzosangana, uye ruzivo rwehutano rwechigunwe uye ruoko rwakaoma. Kana iwe uchinzwa kusina simba muhudyu kana ruoko rwako, kushungurudzika kwehutano kungangoita chikonzero. Kunyange zvazvo zvisiri zvishoma, zvinokosha kuziva kana chinokonzera chinhu chine ngozi. Ruoko rusingaiti runogona kuratidza zvinetso zvakakomba zvakadai sokurohwa , kana kunyange kurwisa mwoyo kana aortic dissection .
Zvisinei, kupera kunowanzobatanidzwa nedzimwe zviratidzo mumatambudziko aya. Unhu hunofanirwa kuongororwa nokukurumidza kana zvichibvira kana ukasvika pakarepo, huri pamwe nemamwe matambudziko akadai sehutera , hauna chikonzero chakajeka (zvakadai sokukotsira paruoko), kana kuti kunosangana nemutsipa kana chifu chisina kunaka.
Icho Chinyorwa Chaizvo Chaizvo
Kune mibvunzo miviri iri kutamba: zvinoreva izwi rokuti numbness uye zvikamu zvechivimbo chinenge chisina kujairika. Nokusakara, iwe unoreva "mapini nemasese" kunzwa, unozivikanwa separesthesia , kana iwe unoreva kusakwana kwekunzwa? Paunofunga nezvechigunwe chako, zvose zvikamu zvechigunwe zvakafanana zvakakanganisika, kana kuti zviri mberi, kumativi, kana kumashure kwechigunwe? Mubvunzo wechipiri unogona kuva wakakosha mukubatsira kusiyanisa chikonzero chekushaya simba.
Kunzwisisa Mvura yeMedan
Ruoko runogamuchira ruzivo rwaro rwemutsara kubva kumaketani anobuda pakati pemapfupa mumutsipa.
Iyi matavi anokanganisa uye anopindira mune plexus yakaoma, zvino inenge yakatsanangurwa zvakanaka inonzi "median, radial, uye ulnar nerve". Kunyange zvazvo noutsi nhatu dzese dzinobatanidzwa nekusimudza chigunwe, mhepo chete inonzi radial uye inopindira inobatanidzwa nekunzwa kusvika pachigunwe.
Nhengo dzomukati dzinopa kunzwisiswa kune iyo inonzi "chikamu" chikamu chechigunwe-chikamu chechigunwe chemuviri uye chikamu chakavanzika paunoita chibhakera.
Mutsara unopawo chiso chemuchindwe chendaneti neminwe yepakati.
Mutsara wemuviri unowanzotora piniki, zvichiita kuti uwedzere kuderedzwa kutakura zviratidzo zvemagetsi kumashure kubva paganda kusvika kumutsipa wepelinha uye uropi. Chigumisiro ndechokushaya simba. Dzimwe nguva, utera hunogonawo kuguma, kunyanya mumisungo inonamatira chigunwe kumucheto muduku.
Nzvimbo yakakurumbira yehutano hwemukati yekunyanya kunyoreswa iri mumugwagwa weCarpal , nharaunda yakamanikidzika muhangu apo mutsara wepakati unofamba uchienda kune dzimwe nzira dzakawanda kusvika kuminwe. Kana iyo tendon inopera, kuvhara mumugwagwa wakamanikana kunogona kutungamirira kune mitsetse yakapetwa. Izvi dzimwe nguva zvinorwadza, asi kwete nguva dzose.
Nhengo dzomukati inogonawo kuvharidzirwa mune imwe nzvimbo mune imwe ruoko, asi izvi zvinowanzokonzera kushaya simba kana kushaya simba muruoko kana chiuno pamwe chete noruoko nechigunwe.
Kunzwisisa Radial Nerve
Nzvimbo yepamusoro yesimbi inonzi radial inoita kuti ibudise manzwiro kubva kumashure kwechanza, chigunwe, uye mimwe miviri yekutanga kuuropi. Kana chirwere chemhepo chinoputika chikavhiringidzika, kupera kwemashure kwechigarire kunogona kuguma.
Kukuvadza kweropa remhepo kunonyanya kushandiswa kudarika nhengo dzomukati. Dambudziko racho rinowedzerawo pachena, pamwe chete.
Panzvimbo pokunyengera kusinganzwisisiki kunokonzera mitsipa, chikonzero chinogona kunge chiri kuputika kuputika muruoko, somuenzaniso.
Mukuwedzera, kunze kwekunge kukanganisa kuri kungoitwa nebazi risina kufanira, pane imwe nguva ingangove yakawanda yehutachiona husina simba. Muchigunwe, izvi zvinonyanya kuonekwa mumutsipa unokwevera chigunwe kubva pamunwe wekutanga, sokunge kufanana nenyundo yakagadzika yepfuti.
Kunzwisisa Utnar Nerve
Kukuvadza kumusana wemarara sezvaunofamba kubva pamutsipa wako kusvika kuminwe yako kunogona kukonzera kupera uye kunamatira parutivi rworuoko rwako, kunyanya ringin'i yako neminwe duku. Mumwe muenzaniso ndewe paunoshuva "funny bone" uye unonzwa kusagadzikana kuputika pasi kune minwe yako.
Sezvakaita mutsara wepakati, mutsara wemagunha unogona kuvharidzirwa, kunyanya sezvo ichipfuura pasi pasi. Kana izvi zvikaitika, munhu anoita kubatana kwemukomana , izvo zvinogona kukonzera kupera uye kumira mukati mechindori nemunwe muduku, pamwe nekushaya simba musimba.
Kunzwisisa Spinal Cord, Nerve Roots, uye Brachial Plexus
Mitsipa inomhanya kubva paruoko kusvika paruoko, uyezve kumutsipa wespelinha. Kufanana nemigwagwa inosvika kuguta guru, magetsi akawanda (munyaya ino magetsi magwaro) anopindirana apo iwe unoswedera pedyo nepakati pechiito-uropi. Mitsipa yaimbova yakaparadzana zvakakwana inotanga kumhanya pamwe chete, pakupedzisira inoshandura mu brain brain, nzvimbo isina kukurira zvakapoteredza chigunwe chako, iyo inoyerera mashoko ose pakati pemuviri neuropi.
Nokuda kwechikonzero ichi, pedyo nechinetso ndechokuti uropi, zvinowanzove kuti kune imwe chete yekufamba kwemashoko ichavhiringidzika, semotokari inotungamidza panzira.
Asati apinda mumugwagwa unofanirwa weropa remutsipa, ruzivo rwemagetsi hunofamba nenzira yakaoma zvikuru-rampu inozivikanwa sa brachial plexus. Kunyange zvazvo zvichibvira kuti chironda chiduku zvikuru pano chinogona kubudisa kupera kwechigunwe chimwe chete, hazvigoneki, uye kazhinji zvinowanzova zvisinganyanyi kuitika kana ruzivo rwunopinda mumutsipa wepelinha. Hakusi chete zvimwe zvikamu zvemuviri zvingave zvisina simba, asi utera hungangobatsirawo.
Zvakakosha kutaura pamusoro pezvishoma pane zvekutonga. Sensory uye motokari mashoko anoparadzaniswa mumutsipa wepelinha, kutangira kubva pane maitiro emishu inopinda. Motokari inopinda inotangira uye ruzivo rwemashoko kumusana wechembere. Nokuda kwechikonzero ichi, zvinokwanisika kuva nerufu chete runoguma kubva kune cordon lesion. Kunyange zvakadaro, kupera uku kwaizoita kuti pave nehuwandu hwemuviri.
Miedzo yekuongorora kukosha uye kugunzva
Miedzo inorayirwa inowanzotaurirwa kutsvaga chikonzero chaiicho chekushaya simba uye kukomba, nechinangwa chokugadzirisa hurongwa hwakanaka hwokurapa. Iwe haufaniri kutarisira kuva nematambudziko aya ose, asi vashoma chete vakasarudzwa avo vanogona kunge vanobatsira mumamiriro ako ega.
- Electromyography (EMG) kana nerve conduction study (NCV) : Aya maedzo anoongorora basa remitsipa mumaoko ako nemakumbo. EMG chirwere chinosanganisira kushandiswa nenyuchi mumisumbu yakakanganiswa, asi NCV inosanganisira kushandisa magetsi kune ganda uye kushandisa zviduku zvinotyisa. Zvose izvi zvidzidzo zvisinganyatsonzwisisiki kwemaminitsi mashomanana, asi vanhu vazhinji vanogona kubvumira zviedzo pasina dambudziko, uye hakufaniri kuve nekurwadziwa kana kusagadzikana kusara mushure mokunge miedzo yapera.
- Iwe unogona kunge uine huro hweC CT scan kana uropi hweMRI kana pane chiitiko chokuti kupera kana kumira kunokonzerwa neharo, multiple sclerosis, hutambudzi hwemusoro, uropi hwehupfungwa, kana chimwe chiitiko cheutano chinosanganisira uropi.
- Kushandiswa kwechimbichimbi kunogona kudiwa mune zvisingawanzoitika, zvakadai sekuti kana chiremba wako ane hanya nehosha inokurumidza kukurumbira inonzi Guillain-Barre Syndrome (GBS). GBS inoratidzirwa nekusasimba kwakasimba kwemakumbo, inoteverwa neutera simba uye kushaya simba kwemisumbu yemuviri, kusanganisira mishonga inodzora kufema. GBS inowanzotanga nekuneta kupera kana kumira kwetsoka kana maoko.
Kubva kunhuwa, kushaya zvokudya zvinovaka muviri, uye zvimwe zvirwere zvinogona kukuvadza mishonga dzomukati, chiremba wako anogona kuraira kuongorora ropa. Zvisinei, mamiriro aya anowanzokonzera muviri wose kamwechete, naizvozvo zvingava zvisingashamisi kuti rumwe rutivi rwemuviri ruve rwakakanganiswa kupfuura rumwe.
Mienzaniso inosanganisira zvinotungamirira kukuvadza uye vitamini B12. Chirwere cheshuga uye chirwere chetachiona chinogona kukonzera chirwere chepfungwa chinokonzerwa neuropathy.
Shoko Rinobva
Kazhinji yenguva, zvigunwe zviduku zvinongova nemigumisiro yekunyonganiswa kwehutano hwepakati. Izvo zvichitsamwisa, hazvisi ngozi, hazvipi zvimwe zviratidzo zvinonyevera zviripo. Saizvozvowo kana kupera ndiko dambudziko rega, hapana kunyanya kunetseka kunowanzodanwa. Kunyange kana pamusana pekurohwa, vanachiremba havagoni kupa mishonga kunze kwekuti zviratidzo zvakakomba zvisati zvavapo. Ropa rakasimba rakaonda rinogona kupiwa nokuda kwekurohwa, asi izvi zvinowedzera dambudziko rekubuda ropa muuropi, saka rinoshandiswa zvine njere.
Kana kushaya mutsara kana mimwe yako kuchiripo, iri pfungwa yakanaka yekushanyira chiremba wako kuti aongorore, asi kunze kwekuti zvimwe zviratidzo zvekushaya simba kana kuti kamwe kamwe zvichange zviripo, hazvigone kuva dambudziko.
> Sources:
> Azhary H, Farooq MU, Bhanushali M, Majid A, Kassab MY. Peripheral Neuropathy: Kusiyanisa Kuziva uye Kutungamirirwa. American Family Physician . 2010 Apr 1; 81 (7): 887-92.
> Blumenfeld H. Neuroanatomy Kupinda Chikamu Chechipiri (2nd ed.). Sinauer Associates, Inc .; 2011.