Yintoni iRadiculopathy, iimpawu kunye nendlela yokunyanga

Umxholo

• Iimpawu ezinokuvela
• Izizathu eziphambili
• Uqinisekisa njani
• Unyango lwenziwa njani

I-Radiculopathy ibonakaliswa ngokwenzakala okanye ukuphazamiseka kwethambo elinye okanye nangaphezulu kunye neengcambu zazo ezidlula emqolo, zikhokelela ekubonakaleni kweempawu ezinjengentlungu, ukurhawuzelela, imvakalelo yokothuka kunye nokuba buthathaka kwamalungu, njengentlungu ebangelwa ukubandakanyeka kwe-nerve ye-sciatic, umzekelo.

Imithambo-luvo kunye neengcambu zemithambo-luvo ziyinxalenye yenkqubo yemithambo-luvo, kwaye linoxanduva lokuthwala ulwazi phakathi kwengqondo kunye neziphelo zomzimba, ezinje ngovakalelo, ukomelela kunye nentshukumo. Ngokubanzi, i-radiculopathy ibangelwa kukucinezelwa kweengcambu zesisu ngenxa yezifo ezinje ngeediski ze-herniated okanye i-arthrosis yomqolo, kodwa inokuvela ngenxa yezinye izizathu ezinje ngokudumba, ischemia, ukwenzakala emqolo okanye ukungena kwithumba.

Naliphi na indawo yomgudu inokuchaphazeleka, nangona kunjalo, ixhaphake kakhulu kwimimandla ye-lumbar kunye nomlomo wesibeleko, kwaye unyango lwenziwa ngokwesizathu salo, kubandakanya i-physiotherapy, ukusetyenziswa kweyeza lokuthomalalisa iintlungu okanye lokuthomalalisa iintlungu kwaye, kwiimeko kakhulu, utyando.

Iimpawu ezinokuvela

Iimpawu eziphambili ze-radiculopathy zixhomekeke kwi-nerve echaphazelekayo, uninzi lwamaxesha, ichaphazela indawo yomlomo wesibeleko okanye ye-lumbar, kwaye ibandakanya:

• Ache;
• Ukulinganisa;
• Imvakalelo yobudenge;
• Ukuhla kwengqondo;
• Ukubetha kwezihlunu.

Ukongeza ekubekeni emqolo, iimpawu zeradiculopathy zihlala zikhanya kwiindawo zomzimba ezingafakwanga yimithambo-luvo ethintelweyo, njengeengalo, izandla, imilenze okanye iinyawo. Lo mmandla ohambelana nokugcinwa kwentliziyo ubizwa ngokuba yidermatome. Fumana iinkcukacha ezithe kratya malunga nokuba zeziphi iidermatomes kwaye zibekwa phi

Ngokubanzi, iintlungu kunye nezinye iimpawu ziya zisiba mandundu kwiimeko apho kukho ukonyuka koxinzelelo lwe-nerve, njengokukhohlela. Ukongeza, kwiimeko ezinzima kakhulu, kunokubakho ukwehla kwamandla okanye ukukhubazeka kwendawo ehambelana nayo.

Umzekelo oqhelekileyo we-radiculopathy ngu iintlungu zentlungu, ekwabizwa ngokuba yi-sciatica, edla ngokubangelwa kukucinezelwa kweengcambu zolu luvo zisemqolo, kodwa ezinokuthi ziqaqambe kuyo yonke indlela yovalo emlenzeni. Funda nzulu ngendlela yokuchonga indlela yokunyanga iintlungu zentlungu.

Izizathu eziphambili

Oonobangela abaphambili be-radiculopathy zezi:

• Iidiski zeHerniated;
• Ulusu lomgogodla stenosis;
• I-arthrosis yomqolo, ekwabizwa ngokuba yi-spondyloarthrosis;
• Ubunzima kwintambo yomqolo, njengamathumba okanye amathumba;
• Usulelo, njenge-herpes zoster, igcushuwa, i-HIV, i-cytomegalovirus okanye isifo sephepha, umzekelo;
• Radiculopathy seswekile;
• Ischemia, ebangelwe kukutshintsha kokuhamba kwegazi, kwi-vasculitis, umzekelo;
• Ukudumba, njengaleyo yenzekayo kwimeko ye-acute kunye ne-infrafu yokuvuvukala kwe-demyelinating polyradiculoneuropathy okanye kwi-sarcoidosis, umzekelo.

Ukongeza, i-radiculopathy inokubangelwa emva kwengozi ebangela ukwenzakala okukhulu kumqolo.

Uqinisekisa njani

Ukuchonga i-radiculopathy, ugqirha kufuneka achonge iimpawu, enze uvavanyo lomzimba, abone eyona ndawo iphambili yeentlungu, kunye noku-odola iimvavanyo, ezinje nge-radiografi okanye i-MRI yomqolo ukufumana utshintsho emqolo, ichonge i-nerve echaphazelekayo kunye nesizathu sayo.

Uvavanyo lwe-electroneuromyography (ENMG) lunokuba luncedo kwiimeko ezininzi, njengoko kuvavanya ubukho bezilonda ezichaphazela imithambo-luvo kunye nezihlunu, ukubanakho ukurekhoda ukuqhuba kwesistim sombane kwi-nerve. Olu vavanyo lubonakaliswa ngokukodwa xa kukho amathandabuzo malunga nonobangela weempawu, ukukwazi ukuqinisekisa ukuba kukho nokuba nomonakalo wemithambo-luvo okanye ukuba kukho ezinye iintlobo zezifo zemithambo-luvo ezinxulumene noko. Funda ngakumbi malunga nokuba yenziwa njani kunye nokubonakaliswa kwe-electroneuromyography.

Unyango lwenziwa njani

Unyango lwe-radiculopathy luxhomekeke kwisizathu sayo, esiboniswe ngugqirha wamathambo okanye i-neurosurgeon, kwaye kubandakanya unyango lomzimba, ngokuzolula umzimba, ukuphathwa kwamathambo omzimba kunye nokomeleza izihlunu, umzekelo, oko kunokukhokelela kunyango lweempawu okanye, ubuncinci, ukunciphisa kubo.

Ukongeza, ugqirha unokucebisa ngokusetyenziswa kwamayeza e-analgesic, anje ngeParacetamol, iDipyrone, iTramal okanye iCodeine, okanye iziyobisi ezichasayo, ezinje ngeDiclofenac, Ketoprofen okanye iNimesulide, umzekelo, ukulawula iintlungu nokungonwabi.

Kubantu abaneentlungu ezinganyangekiyo, amanye amayeza angadibaniswa nolawulo lweentlungu kunye nezinye iimeko ezinxulumene noko, ezinje ngokuqaqanjelwa sisifo kunye nokudakumba, kwaye zezi: izinto zokuthomalalisa uxinzelelo, ezinje nge-Amitriptyline; ii-anticonvulsants, ezinjenge-gabapentin kunye ne-pregabalin; okanye izihlaziyisi zemisipha, ezinje ngecyclobenzaprine.

Kwiimeko ezinzima kakhulu, ugqirha unokucebisa utyando, ngakumbi ukunciphisa uxinzelelo lweengcambu.