I-Demystifying Spinal Nerve Roots kunye nempembelelo yazo kwiMpilo

Xa i-sciatica okanye ezinye iintlungu zemithambo-luvo ziveza, ngaba ukufunda ukwahlula phakathi kweentlungu zemithambo-luvo kunye neentlobo ezahlukeneyo zeentlungu kunokunceda abantu babone xa iingcambu zemithambo-luvo zicaphukile okanye zicinezelekile okanye iingxaki ezingakumbi ezifuna unyango?

Iingcambu zeNerve yoMnqongo kunye neDermatomes

Iimeko zomgogodla ezifana neediski ze-herniated kunye ne-stenosis zingakhokelela kwiintlungu ezikhuphayo ezihamba phantsi kwengalo enye okanye umlenze. Ezinye iimpawu ziquka ubuthathaka, ukuba ndindisholo, kunye/okanye ukudubula okanye ukuvutha kombane. Igama lezonyango kwiimpawu ze-nerve pinched yi-radiculopathy (AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. 2020). I-Dermatomes inokubangela ukucaphuka kwintambo yomgogodla, apho iingcambu zemithambo-luvo zibangela iimpawu kumqolo kunye nemilenze.

Anatomy

Umnqonqo unamacandelo angama-31.

• Icandelo ngalinye lineengcambu zemithambo-luvo ngasekunene nangasekhohlo ezibonelela ngemoto kunye nemisebenzi yeemvakalelo kumalungu.
• Amasebe angaphambili kunye nasemva anxibelelana adibanisa ukwenza i-nerve spinal ephuma kwi-vertebral canal.
• Amacandelo angama-31 omqolo abangela i-31 ye-spinal nerves.
• Ngamnye uhambisa igalelo le-nerve ye-sensory evela kwindawo ethile yesikhumba kweli cala kunye nommandla womzimba.
• Le mimandla ibizwa ngokuba ziidermatomes.
• Ngaphandle kwe-nerve yokuqala yomlomo wesibeleko, i-dermatomes ikhona kwi-nerve nganye yomgogodla.
• Imithambo yomqolo kunye needermatomes ezinxulumene nazo zenza inethiwekhi kuwo wonke umzimba.

Dermatomes Injongo

I-Dermatomes yimimandla yomzimba / yesikhumba kunye negalelo leemvakalelo ezinikezelwe kwimithambo-luvo yomqolo ngamnye. Ingcambu yemithambo-luvo nganye ine-dermatome ehambelana nayo, kwaye amasebe ahlukeneyo abonelela ngedermatome nganye kwingcambu yomthambo omnye. I-Dermatomes ziindlela apho ulwazi oluchukumisayo eluswini luthumela imiqondiso ukuya nokusuka kwinkqubo yemithambo-luvo. Iimvakalelo eziviwa ngokwasemzimbeni, njengoxinzelelo kunye nobushushu, zigqithiselwa kwinkqubo yemithambo-luvo. Xa ingcambu ye-nerve ye-spinal igxininiswe okanye inomsindo, ngokuqhelekileyo ngenxa yokuba idibana nesinye isakhiwo, ibangela i-radiculopathy. (AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. 2020).

Radiculopathy

I-Radiculopathy ichaza iimpawu ezibangelwa yi-nerve pinched kunye nomqolo. Iimpawu kunye neemvakalelo zixhomekeke apho i-nerve igxininiswe khona kunye nobukhulu boxinzelelo.

Umlomo wesibeleko

• Le yi-syndrome yentlungu kunye / okanye ukusilela kwe-sensorimotor xa iingcambu ze-nerve entanyeni zixinzelelwe.
• Idla ngokuba neentlungu ezehla ngengalo enye.
• Abantu ngabanye banokufumana imvakalelo yombane efana nezikhonkwane kunye neenaliti, ukothuka, kunye nokutshisa, kunye neempawu zemoto ezifana nokuba buthathaka kunye nokuba ndindisholo.

Lumbar

• Le radiculopathy ibangelwa ukunyanzeliswa, ukuvuvukala, okanye ukulimala kwi-nerve yomgogodla kwi-back back.
• Uvakalelo lwentlungu, ukuphazamiseka, ukubetha, ukuvakala kombane okanye ukutshisa, kunye neempawu zeemoto ezifana nobuthathaka obuhamba phantsi komlenze omnye ziqhelekileyo.

Ukuqondwa

Inxalenye yovavanyo lomzimba we-radiculopathy kukuvavanya i-dermatomes ukuva. Ugqirha uya kusebenzisa iimvavanyo ezithile zezandla ukufumanisa inqanaba lomgogodla apho iimpawu zivela khona. Iimviwo ezenziwa ngesandla zihlala zikhatshwa luvavanyo lokuxilonga olufana ne-MRI, enokubonisa izinto ezingaqhelekanga kwingcambu yemithambo-luvo. Uvavanyo olupheleleyo lomzimba luya kugqiba ukuba ingcambu ye-spinal nerve imvelaphi yeempawu.

Ukunyanga oonobangela

Uninzi lweengxaki zomqolo zinganyangwa ngonyango olulondolozayo ukubonelela ngokukhululeka kweentlungu. Kwidiski ye-herniated, umzekelo, abantu banokucetyiswa ukuba baphumle kwaye bathathe iyeza elichasene ne-nonsteroidal anti-inflammatory. I-acupuncture, unyango lomzimba, i-chiropractic, i-traction engeyiyo yokuhlinzwa, okanye unyango lokuthomalalisa inokumiselwa kwakhona. Kwiintlungu ezibuhlungu, abantu banokunikwa inaliti ye-epidural steroid enokubonelela ngesiqabu seentlungu ngokunciphisa ukudumba. (I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. 2022) Kwi-spinal stenosis, umboneleli unokuqala ugxininise kunyango lomzimba ukuze kuphuculwe ukufaneleka okupheleleyo, ukuqinisa izibilini kunye nemisipha yangasemva, kunye nokugcina ukunyakaza kumqolo. Amayeza okuphelisa iintlungu, kuquka ii-NSAID kunye neenaliti ze-corticosteroid, anokunciphisa ukuvuvukala kunye nokunciphisa intlungu. (IKholeji yaseMelika yeRheumatology. 2023) Iingcali zonyango zibonelela ngeendlela ezahlukeneyo zonyango ukunciphisa iimpawu, kubandakanywa ukuchithwa kwe-manual kunye ne-mechanical kunye ne-traction. Utyando lunokucetyiswa kwiimeko ze-radiculopathy ezingaphenduliyo kunyango olulondolozayo.

Izicwangciso zokhathalelo lwezonyango lweChiropractic kunye neFunctional Medicine Clinic kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Imimandla yethu yokuziqhelanisa ibandakanya i-Wellness & Nutrition, Intlungu engapheliyo, ukwenzakala komntu, ukuKhathalelwa kweNgozi ye-Auto, ukwenzakala komsebenzi, ukwenzakala ngasemva, iintlungu ezisezantsi, iintlungu zentamo, iMigraine Headaches, i-Sciatica enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia, i-Chronic Iintlungu, Ukwenzakala Okuntsonkothileyo, Ulawulo Loxinzelelo, Unyango Lwezonyango oluSebenzayo, kunye neeprothokholi zokhathalelo olukwi-scope. Sigxininise ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokulimala kunye nokulimala kwezicubu ezithambileyo usebenzisa iiProtocol eziKhethekileyo zeChiropractic, iiNkqubo zoBulungisa, iZondlo eziSebenzayo kunye nokudibanisa, i-Agility, kunye nokuhamba koQeqesho lweFitness, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. Ukuba umntu ufuna olunye unyango, uya kuthunyelwa kwiklinikhi okanye kugqirha oyilungeleyo imeko yakhe. UDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaqeqeshi, abaqeqeshi, kunye nababoneleli bokuvuselela i-premiere ukuzisa u-El Paso, unyango oluphezulu lweklinikhi, kuluntu lwethu.

---

Buyisela ukuHamba kwakho: Ukhathalelo lweChiropractic yokuBuyisa iSciatica

---

Ucaphulo

AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. (2020). Iphepha lenyaniso leentlungu ezisezantsi. Ifunyenwe kwi www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf

I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. (2022). Idiski yeHerniated kumqolo osezantsi. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/

IKholeji yaseMelika yeRheumatology. (2023). I-stenosis yomqolo. rheumatology.org/patients/spinal-stenosis