Uxinzelelo lweNerve Edolweni

I-nerve iba iphinwe/ ixinzelelwe xa uxinzelelo olongezelelweyo lubekwe kuyo ngezakhiwo ezijikelezayo ezingabandakanya imisipha, amathambo, iigaments, i-tendon, okanye inhlanganisela. Oku kulimaza kwaye kulimaze i-nerve ebangela iingxaki zokusebenza kunye neempawu kunye neemvakalelo kuloo ndawo okanye ezinye iindawo zomzimba ezibonelelwa yiloo nerve. Abasebenzi bezonyango babhekisela kule nto njengokunyanzeliswa kwemithambo-luvo okanye ukubanjwa. Nangona imithambo-luvo ecinezelekileyo ixhaphake kakhulu kwi entanyeni, iingalo, izandla, i-elbows, kunye nomqolo ophantsi, nayiphi na i-nerve emzimbeni inokufumana ukucaphuka, i-spasms, ukuvuvukala, kunye nokunyanzeliswa. Izizathu kunye nonyango lwe-nerve ecinezelekileyo emadolweni.

Uxinzelelo lweNerve Edolweni

Inye kuphela imithambo-luvo ehamba edolweni enomngcipheko owonyukileyo woxinzelelo. Lisebe le-nerve ye-sciatic ebizwa ngokuba yi-peroneal nerve. I-nerve ijikeleza ngaphandle kwedolo ngaphambi kokuba ihambe phantsi ngaphandle komlenze ophantsi. Emazantsi edolo, ilala phakathi kwethambo kunye nesikhumba, okwenza kube lula ukucaphuka okanye ukunyanzeliswa yiyo nayiphi na into enokubeka uxinzelelo ngaphandle kwedolo.

Izizathu

Ukulimala okubuhlungu ngokuhamba kwexesha kunokukhokelela kuxinzelelo kwi-nerve ngaphakathi kwedolo. Izizathu eziqhelekileyo ze-nerve compressed in the knee ziquka:

Ukuwela Imilenze rhoqo

• Ukunyanzeliswa ngamadolo achaseneyo, ngelixa imilenze igqitywe yimbangela eqhelekileyo.

Idolo Brace

• Ibrace eqinile kakhulu okanye eyomeleleyo inokucinezela umlenze kunye nemithambo-luvo.

Emathangeni-High Compression Stockings

• Yenzelwe ukugcina uxinzelelo emilenzeni, ukuba iqinile kakhulu ezi zitokisi zinokucinezela i-nerve.

I-Squatting Posture kangangexesha elide

• le indawo ibeka uxinzelelo kwicala ledolo.

Izahlulo

• Ukuqhekeka kwethambo lomlenze ongezantsi omkhulu / i-tibia okanye ngamanye amaxesha ithambo elincinci / i-fibula kufuphi nedolo inokubamba i-nerve.

Lower Leg Cast

• Inxalenye ye-cast ejikeleze idolo inokuqiniswa kwaye icinezele i-nerve.
• Xelela ugqirha ukuba isamente okanye izihlangu zezilima ezidityanisiweyo ziziva ziqinile okanye zibangela ukuba ndindisholo okanye intlungu emlenzeni.

Iibhutsi eziphakamileyo emadolweni

• Umphezulu webhuthi unokuhlala ezantsi kwedolo kwaye uqine kakhulu ucinezela i-nerve.

I-Knee Ligament Ukwenzakala

• I-nerve inokucinezelwa ngenxa yokopha okanye ukudumba kwi-ligament eyenzakele.

Iingxaki zoTyando lwedolo

• Oku kunqabile, kodwa i-nerve inokubethelwa ngokungazi ngexesha lotyando lokutshintshwa kwamadolo okanye inkqubo ye-arthroscopic.

Ibhedi yokuphumla ixesha elide

• Xa ulala phantsi imilenze ivame ukujikeleza ngaphandle kwaye amadolo aguquguqukayo.
• Kule ndawo, i-mattress inokubeka uxinzelelo kwi-nerve.

Amathumba okanye ama-cysts

• Amathumba okanye ama-cysts angakhula ngqo phezulu okanye ecaleni kwe-nerve ecasulayo kunye nokucinezela indawo.

Uqhaqho lwesisu okanye iGynecologic

• Izixhobo ezisetyenziselwa ukugcina imilenze ijikelezwe ngaphandle kwaye amadolo aguquguqukayo kwi-gynecologic kunye nokuhlinzwa kwesisu kunokunyanzelisa i-nerve.

iimpawu

I-peroneal nerve inikezela ukuva kunye nokunyakaza ukuya ngaphandle komlenze ophantsi kunye nonyawo oluphezulu. Xa ucinezelekile, uvutha, obangela iimpawu ze-nerve compressed. Ngokuqhelekileyo, kuphela i-lining / sheath ye-myelin ejikeleze i-nerve yiyo eyenzakalayo. Nangona kunjalo, xa umthambo wonakele, iimpawu ziyafana kodwa ziqatha. Iimpawu eziqhelekileyo ziquka:

• Ubuthathaka obuthintela ukukwazi ukuphakamisa unyawo ukuya emlenzeni aka idorsiflexion.
• Oku kubangela ukurhuqa unyawo xa uhamba.
• Ikhono lokuguqula unyawo ngaphandle kunye nokwandisa inzwane enkulu nayo ichaphazelekayo.
• Iimpawu zinokuvakala ngaphandle komlenze ongezantsi kunye nangaphezulu kweenyawo kwaye zibandakanya:
• Ukubetha okanye izikhonkwane kunye neenaliti ukuziva.
• Amandla
• Ukuphulukana nemvakalelo.
• Ubuhlungu.
• Ukutsha.
• Kubantu abane-nerve epinkiweyo iiveki ezimbini okanye ngaphezulu, izihlunu ezibonelelwa yi-nerve zinokuqala ukumosha okanye i-atrophy.
• Iimpawu zinokuba ngamaxesha athile okanye ziqhubeke ngokuxhomekeke kunobangela.
• Esinye isizathu esiqhelekileyo yi-nerve pinched in the lumbar / low spine.
• Xa le yimbangela, ukuva, kunye neentlungu ziya kubakho kumqolo ophantsi okanye ngasemva nangaphandle kwethanga.

Ukuqondwa

Ugqirha uya kujonga imbali yezonyango kwaye enze uviwo ukwenza ukuxilongwa, ukufumanisa unobangela, kwaye abeke isicwangciso sonyango lomntu. I-nerve emadolweni inokuvakala njengoko ijikeleza phezulu kwi-tibia, ngoko ugqirha unokucofa kuyo. Ukuba kukho intlungu yokudubula phantsi komlenze, i-nerve pinched ingaba khona. Uvavanyo ugqirha anokuthi alu-odole lunokubandakanya:

Idolo X-reyi

• Ibonisa nakuphi na ukwaphuka kwamathambo okanye ubunzima obungaqhelekanga.

I-MRI yedolo

• Inokuqinisekisa ukuxilongwa
• Ibonisa ubunzima ngaphakathi kwi-nerve.
• Ibonisa iinkcukacha zokuphuka okanye ezinye iingxaki emathanjeni.

Electromyogram - EMG

• Uvavanya umsebenzi wombane kwizihlunu.

Uvavanyo lweNerve Conduction

• Ivavanya isantya somqondiso wemithambo-luvo.

impatho

Unyango lujolise ekunciphiseni intlungu kunye nokuphucula ukuhamba.

Unyango lweentlungu ezingaphaya kwe-Counter

• Amayeza e-OTC anokunciphisa ukudumba kwaye aphucule iimpawu zexesha elifutshane.

Ice kunye noHu

• Ukusebenzisa ubushushu okanye umkhenkce kangangemizuzu eli-15 ukuya kwengama-20 ngexesha kunokunika isiqabu kwiimpawu.
• Ipakethe yeqhwa inokwenza iimpawu zibe zibi nakakhulu ukuba zongeza uxinzelelo olungakumbi kwi-nerve.

I-Chiropractic kunye noNyango loMzimba

• I-Chiropractic kunye nonyango lomzimba lunokukhulula i-nerve ecinezelweyo, ukulungelelanisa izakhiwo, ukuqinisa imisipha, kunye nokubonelela ngoqeqesho lwe-gait.

I-Orthotic Boot

• Ukuba ukuhambahamba kuchaphazeleka ngenxa yokuba unyawo alukwazi ukugoba, i i-orthotic boot no kunceda.
• Le yinkxaso egcina unyawo kwindawo engathathi hlangothi ukuhamba ngokuqhelekileyo.

Isitofu seCorticosteroid

• Inaliti ye-corticosteroid inokunciphisa ukuvuvukala kunye nokunciphisa uxinzelelo kwi-nerve.

Ukuhlinzwa

• Imithambo-luvo inokonakala ngokusisigxina ukuba ibipiniwe ixesha elide.
• Ukuba oko kuyenzeka, utyando alukwazi ukulungisa umonakalo.
• Ugqirha unokwenza utyando ukulungisa i-fracture, i-tumor, okanye enye ingxaki ephazamisayo ebangela i-nerve compressed.
• Ukuba unyango olulondolozayo alusebenzi, inkqubo ye-peroneal nerve decompression inokwenziwa ukususa uxinzelelo.
• Ukuba utyando luyafuneka, iimpawu zinokuphela kwangoko, kodwa kuthatha malunga neenyanga ezine ukuchacha nokubuyela kwisimo sangaphambili.

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Ukubuyiselwa kwisimo sesiqhelo sokwenzakala

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Ucaphulo

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I-Lezak B, i-Massel DH, i-Varacallo M. I-Peroneal Nerve Injury. [Ihlaziywe 2022 Nov 14]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK549859/

USoltani Mohammadi, Sussan, et al. "Ukuthelekisa indawo ye-squatting kunye nendawo yokuhlala yendabuko ukuze kube lula ukubeka inaliti yomgogodla: uvavanyo lweklinikhi olungahleliwe." I-Anesthesiology kunye neyeza leentlungu vol. 4,2 e13969. 5 Epreli. 2014, doi:10.5812/aapm.13969

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Xu, Lin, et al. Zhongguo gu Shang = Ijenali yaseTshayina ye-Orthopedics kunye neTraumatology vol. 33,11 (2020): 1071-5. doi:10.12200/j.issn.1003-0034.2020.11.017

UYacub, uJennifer N et al. "Ukulimala kwe-nerve kwizigulane emva kwe-hip kunye ne-knee arthroplasties kunye ne-knee arthroscopy." Ijenali yaseMelika yeyeza lomzimba kunye noHlengahlengiso vol. 88,8 (2009): 635-41; imibuzo 642-4, 691. doi:10.1097/PHM.0b013e3181ae0c9d