Kodi Radiculopathy, Zizindikiro ndi Momwe Mungachiritsire

Zamkati

• Zizindikiro zomwe zingayambike
• Zoyambitsa zazikulu
• Momwe mungatsimikizire
• Momwe mankhwalawa amachitikira

Radiculopathy amadziwika ndi kuvulala kapena kuwonongeka kwa imodzi kapena zingapo mitsempha ndi mizu yawo yamitsempha yomwe imadutsa mumsana, zomwe zimayambitsa kuwonekera kwa zowawa monga kupweteka, kulira, kumva mantha komanso kufooka kwa miyendo, monga kupweteka kwa kutenga nawo mbali pamitsempha ya sciatic, mwachitsanzo.

Mitsempha ndi mitsempha ya mitsempha ndi gawo la dongosolo lamanjenje, ndipo ali ndi udindo wonyamula zidziwitso pakati paubongo ndi malekezero a thupi, monga chidwi, mphamvu ndi kuyenda. Nthawi zambiri, radiculopathy imayamba chifukwa cha kupanikizika kwa mizu ya mitsempha chifukwa cha matenda monga ma disc a herniated kapena arthrosis ya msana, koma imathanso kuchitika chifukwa cha zifukwa zina monga kutupa, ischemia, kukhumudwa msana kapena kulowa mkati mwa chotupa.

Malo aliwonse a msana amathanso kukhudzidwa, komabe, amapezeka kwambiri m'chiuno ndi m'chiberekero, ndipo mankhwalawa amachitika malinga ndi chifukwa chake, kuphatikiza physiotherapy, kugwiritsa ntchito mankhwala a analgesic kapena anti-kutupa mankhwala opweteka ndipo, choopsa kwambiri, opaleshoni.

Zizindikiro zomwe zingayambike

Zizindikiro zazikulu za radiculopathy zimadalira mitsempha yomwe imakhudzidwa, nthawi zambiri, imakhudza dera lachiberekero kapena lumbar, ndipo imaphatikizapo:

• Ache;
• Kuyimba;
• Kumverera kwa dzanzi;
• Kuchepetsa malingaliro;
• Kutsekeka kwa minofu.

Kuphatikiza pakupezeka msana, zizindikiritso za radiculopathy nthawi zambiri zimawonekera m'malo amthupi omwe samangokhala ndi minyewa yotayika, monga mikono, manja, miyendo kapena mapazi. Malo awa omwe amafanana ndi kusungidwa kwa mitsempha amatchedwa dermatome. Pezani zambiri za ma dermatomes komanso komwe amapezeka.

Nthawi zambiri, kupweteka ndi zizindikilo zina zimawonjezeka pakagwa kuwonjezeka kwa kupanikizika kwa mitsempha, monga kutsokomola. Kuphatikiza apo, pakavuta kwambiri, pakhoza kuchepa mphamvu kapena kufooka kwa dera lolingana.

Chitsanzo chodziwika bwino cha radiculopathy ndi kupweteka kwa mitsempha yambiri, yomwe imatchedwanso sciatica, yomwe nthawi zambiri imayamba chifukwa cha kupsinjika kwa mizu ya mitsempha yomwe ili mkati mwa msana, koma yomwe imatha kuwonekera m'njira yonse yamitsempha ya mwendo. Dziwani zambiri za momwe mungadziwire momwe mungathandizire kupweteka kwa mitsempha.

Zoyambitsa zazikulu

Zomwe zimayambitsa radiculopathy ndi izi:

• Ma discs a Herniated;
• Msana canal stenosis;
• Msana arthrosis, wotchedwanso spondyloarthrosis;
• Masana pamtsempha wa msana, monga zotupa kapena zotupa;
• Matenda, monga herpes zoster, syphilis, HIV, cytomegalovirus kapena chifuwa chachikulu, mwachitsanzo;
• Matenda ashuga radiculopathy;
• Ischemia, yoyambitsidwa ndikusintha kwamagazi, mu vasculitis, mwachitsanzo;
• Zotupa, monga zomwe zimachitika pakakhala zovuta komanso zotupa zotupa zowononga polyradiculoneuropathy kapena sarcoidosis, mwachitsanzo.

Kuphatikiza apo, radiculopathy imatha kuchitika pambuyo pangozi yomwe imayambitsa zoopsa msana.

Momwe mungatsimikizire

Kuti adziwe matenda a radiculopathy, adotolo ayenera kuzindikira zizindikilozo, kuwunika thupi, kuzindikira zowawa zazikulu, ndikuyesa mayeso, monga radiography kapena MRI ya msana kuti izindikire kusintha kwa msana, kuzindikira mitsempha yomwe yakhudzidwa ndi zomwe zimayambitsa.

Kuyesa kwa electroneuromyography (ENMG) kumatha kukhala kothandiza nthawi zambiri, chifukwa kumawunika kupezeka kwa zotupa zomwe zimakhudza mitsempha ndi minofu, kutha kujambula kupangitsa mphamvu yamagetsi mu mitsempha. Kuyesaku kumawonetsedwa makamaka pakakhala kukayika pazomwe zimayambitsa zizindikirazo, kutha kutsimikizira ngati pali kuwonongeka kwamitsempha kapena ngati pali mitundu ina yamatenda amitsempha yomwe imalumikizidwa. Phunzirani zambiri zamomwe zimachitikira komanso zisonyezo zamagetsi zamagetsi.

Momwe mankhwalawa amachitikira

Chithandizo cha radiculopathy chimadalira chifukwa chake, chowonetsedwa ndi orthopedist kapena neurosurgeon, ndipo chimaphatikizapo chithandizo chamankhwala, ndikulimbitsa thupi, kusinthasintha kwa mafupa ndi kulimbitsa minofu, mwachitsanzo, zomwe zingayambitse kuchiritsa kwa zizindikiro kapena, osachepera, kuthetsa iwo.

Kuphatikiza apo, adotolo amalimbikitsa kugwiritsa ntchito mankhwala a analgesic, monga Paracetamol, Dipyrone, Tramal kapena Codeine, kapena mankhwala oletsa kutupa, monga Diclofenac, Ketoprofen kapena Nimesulide, mwachitsanzo, kuti muchepetse kupweteka komanso kusapeza bwino.

Kwa anthu omwe ali ndi ululu wosatha, mankhwala ena amathanso kuthandizidwa kuti azitha kuchepetsa ululu ndi zina zomwe zimachitika, monga kusowa tulo ndi kukhumudwa, ndipo ndi awa: antidepressants, monga Amitriptyline; anticonvulsants, monga gabapentin ndi pregabalin; kapena zotsekemera zaminyewa, monga cyclobenzaprine.

Milandu yovuta kwambiri, adokotala amalimbikitsa kuti achite opaleshoni, makamaka chifukwa cha kupsinjika kwa mizu ya mitsempha.