Imigaqo yeeNzululwazi zeNerve: Radiculopathy, Radiculitis, Neuritis

 Ngaba unyango luphumelele ngakumbi xa izigulane zazi amagama aphambili achaza iintlungu zabo zangasemva kunye neemeko ezinxulumene nazo?

Iintlobo zeentlungu zeNerve

Xa abantu kufuneka baqonde ngcono ukuxilongwa komqolo wabo, ukukwazi ukwahlula phakathi kwamagama aphambili kunokwenza umahluko omkhulu ekuqondeni uphuhliso lwesicwangciso sonyango lomntu. Imiqathango echaza intlungu yomqolo kunye neemeko ezahlukeneyo ezinxulumene nazo zinokubandakanya:

• Sciatica
• Ukusasazeka kunye neentlungu eziBoniswayo
• Radiculopathy
• I-Radiculitis
• Neuropathy
• Neuritis

Iimbangela zentlungu emva

Iimpawu zentlungu emva ngokuqhelekileyo zibangelwa yinkqubo eqhubekayo yokungahambi kakuhle / ukungahambi kakuhle kunye nokugqithisa kunye nezihlunu ezibuthathaka. Nangona abantu abasebenzisa rhoqo, ukhetho lokunyakaza olwenziwa yonke imini lunokuphazamisa indlela imisipha, iintambo, iigaments, kunye ne-fascia zisebenza ngayo ukugcina ukulungelelaniswa komzimba okufanelekileyo.

• Ukulimala, kunye neemeko, izakhiwo zekholamu yomgogodla njengamathambo, iidiski kunye nemithambo-luvo, ngokuqhelekileyo zibi kakhulu kuneengxaki zokuma kunye neentlungu ezinxulumene nezicubu ezithambileyo.
• Ngokuxhomekeke kwi-diagnostic, iingxaki zesakhiwo zingabangela iimpawu ezinxulumene nokunyanzeliswa kwe-nerve, ukucaphuka, kunye / okanye ukuvuvukala. (EMichigan Medicine, ngo-2022)

Umqolo kunye neNervous System

• Iimbilini ze-peripheral zifikelela kwiindawo eziphakamileyo kunye neemvakalelo kunye nokukwazi ukuhamba.
• Iingcambu zemithambo-luvo ziphuma kumngxuma womqolo oyinxalenye ye-peripheral nervous system.
• Ingcambu yomgogodla emva koko iphuma kwikholamu yomgogodla ngokusebenzisa i-foramen. (I-American Academy of Neurological Surgeons, ngo-2023)
• I-branching ye-nerve evela kwintambo yomgogodla kunye nokuphuma ngaphandle kwe-foramina kwenzeka kuwo onke amanqanaba omqolo.

ngokwemiqathango

Kukho amagama ahlukeneyo onyango xa ufumana ukuxilongwa komqolo okanye uhamba kwinkqubo yonyango.

Radiculopathy

• I-Radiculopathy ligama le-ambrella, elichaza nayiphi na inkqubo yesifo echaphazela ingcambu yomgogodla kwaye yinto eyenzekayo emzimbeni.
• Xa umboneleli wezempilo ekwazisa ukuba intlungu yakho ibangelwa i-radiculopathy, inani lokuxilongwa ngokuthe ngqo, iimpawu zekliniki, kunye neempawu zingabandakanywa njengenxalenye yenkcazo.
• Izizathu eziqhelekileyo ze-radiculopathy ziquka i-disc / s ye-herniated kunye ne-spinal stenosis.
• Izizathu ezingaphantsi eziqhelekileyo zingabandakanya i-cyst synovial okanye i-tumor ecinezela ingcambu ye-nerve. (Johns Hopkins Medicine, ngo-2023)
• I-Radiculopathy ingenzeka entanyeni, ephantsi, okanye kwindawo ye-thoracic.
• Ngokuqhelekileyo, i-radiculopathy iziswa ngolunye uhlobo lokunyanzeliswa kwengcambu ye-nerve.
• Umzekelo, imathiriyeli eyongeziweyo kusuka kwi disc disc inokuwela kwingcambu yemithambo-luvo, ibangele uxinzelelo lokwakha.
• Oku kunokubangela iimpawu ezinxulumene ne-radiculopathy, kubandakanywa ukuphazamiseka, ubuthathaka, intlungu, okanye ukuvakalelwa kombane. (Johns Hopkins Medicine, ngo-2023)

Nangona kukho ingcambu yemithambo-luvo kulo naliphi na icala lomqolo, ukwenzakala, ukwenzakala, okanye imiba ebangelwa kukuwohloka ichaphazela imithambo-luvo ngendlela engafaniyo. Utshintsho oluguquguqukayo, olwaziwa njengokunxiba okuqhelekileyo kunye nokukrazula, luyenzeka ngale ndlela. Ukusebenzisa umzekelo we-disc ye-herniated yangaphambili, izinto eziphuma kwi-disc structure zivame ukuhamba ngendlela enye. Xa kunjalo, iimpawu zivame ukuba namava kwicala apho ingcambu ye-nerve idibanisa ne-disc material, kodwa kungekhona kwelinye icala. (Umbutho waseMelika wooGqirha beNeurological, ngo-2023)

I-Radiculitis

• I-Radiculitis luhlobo lwe-radiculopathy kodwa lumalunga nokuvuvukala kwaye kungekhona ukunyanzeliswa. (Johns Hopkins Medicine, ngo-2023)
• Radicu– ibhekisa kwingcambu yemithambo-luvo.
• Isimamva - yi ibhekisa ekudumbeni.
• Eli gama libhekisa kwingcambu yemithambo yomqolo ethi sidikwe kunye / okanye ukucaphuka ngaphandle kwe Unyanzelekile.
• Kwi-disc herniations, yinto ye-gel equkethe iikhemikhali ezahlukeneyo ezivuthayo.
• Xa i-gel i-substance idibanisa neengcambu ze-nerve, impendulo yokuvuvukala ibangelwa. (Rothman SM, Winkelstein BA 2007)

I-Radiating or Referred Pain

• Iintlungu eziphumayo zilandela indlela yenye yemithambo-luvo ehambisa ulwazi olufana nobushushu, ukubanda, izikhonkwane kunye neenaliti, kunye neentlungu.
• Esona sizathu sixhaphakileyo sokuqaqamba kweentlungu kukunyanzeliswa/uxinzelelo lwengcambu yomthambo. (I-American Academy ye-Orthopedic Surgeons. OrthoInfo)
• Iintlungu ezibhekiswayo zifunyanwa kwindawo eyahlukileyo yomzimba ekude nomthombo wentlungu ovame ukuba lilungu. (Murray GM., 2009)
• Inokuziswa ngamanqaku e-myofascial trigger okanye umsebenzi we-visceral.
• Umzekelo weentlungu ezigqithisiweyo ziimpawu emhlathini okanye engalweni xa umntu ehlaselwa yintliziyo. (Murray GM., 2009)

ingcambu

• Amagama entlungu ebuhlungu kunye ne-radiculopathy idla ngokudideka.
• Ubuhlungu beRadicular luphawu lwe-radiculopathy.
• Iintlungu ezibuhlungu ziphuma kwingcambu ye-spinal nerve ukuya kuyo nayiphi na inxalenye okanye yonke indlela ezantsi kwelungu / ekupheleni.
• Nangona kunjalo, intlungu ye-radicular ayibonisi iimpawu ezipheleleyo ze-radiculopathy.
• Iimpawu ze-Radiculopathy zikwabandakanya ukuphazamiseka, ubuthathaka, okanye ukuvakalelwa kombane njengezikhonkwane kunye neenaliti, ukutshisa, okanye ukutshitshiswa okuhamba phantsi komda. (Johns Hopkins Medicine, ngo-2023)

Neuropathy

• I-neuropathy lelinye igama leambrela elibhekiselele kuko nakuphi na ukungasebenzi okanye isifo esichaphazela imithambo-luvo.
• Idla ngokuhlelwa ngokwesizathu, njenge-diabetes neuropathy, okanye indawo.
• I-neuropathy ingenzeka naphi na emzimbeni - kubandakanywa i-peripheral nerves, i-autonomic nerves / i-organ nerves, okanye i-nerve ebekwe ngaphakathi kwi-skull kwaye ingabonakali amehlo, iindlebe, impumlo, njl.
• Umzekelo we-peripheral neuropathy yi-carpal tunnel syndrome. (I-American Academy ye-Orthopedic Surgeons. OrthoInfo. 2023)
• Enye imeko yomgogodla eyaziwayo ngokubangela i-peripheral neuropathy yi-spinal stenosis. (Bostelmann R, Zella S, Steiger HJ, et al., 2016)
• Kule meko, utshintsho kwi-foramina lunefuthe elincinci kwisithuba esiqala ukuxinzelela iimbilini njengoko ziphuma.
• I-neuropathy inokuchaphazela imithambo-luvo enye okanye imithambo-luvo emininzi ngaxeshanye.
• Xa kubandakanyeka imithambo-luvo emininzi yaziwa ngokuba yipolyneuropathy.
• Xa inye, yaziwa ngokuba yi-mononeuropathy. (Iklinikhi yaseCleveland. 2023)

Neuritis

• I-neuritis luhlobo lwe-neuropathy olubonisa ukuvutha kwe-nerve. (Umbutho waseMelika wezilwanyana zezilwanyana)
• I-Neuritis ichaza ukudumba kwee-peripheral nerves emva kokuba ziphumile kwikholamu yomqolo. (Amaziko eSizwe ezeMpilo. Ithala leencwadi lase-US leSizwe lezoNyango. Medline Plus. 2022)
• I-peripheral nerves yimisonto emide, ebhityileyo enikezela imvakalelo, imvakalelo, kunye nentshukumo yentshukumo kuzo zonke iindawo zomzimba ezingaphandle kwenkqubo yemithambo-luvo.
• I-Neuritis inokukhokelela kwiintlungu ezinzulu, kunye nezinye iimpawu ze-nerve. (Amaziko eSizwe ezeMpilo. Ithala leencwadi lase-US leSizwe lezoNyango. Medline Plus. 2022)

Sciatica

• I-Sciatica ichaza iimpawu ezibandakanya iintlungu ezikhuphayo kunye neemvakalelo ezihamba kwi-hip, i-buttock, umlenze kunye nonyawo.
• Esinye sezizathu eziqhelekileyo ze-sciatica yi-radiculopathy.
• Enye i-spinal stenosis. (Iklinikhi yaseCleveland. 2023)
• I-Piriformis syndrome yilapho i-buttock eqinile / i-piriformis muscle ithintela i-nerve ye-sciatic, ehamba ngaphantsi. (ICass SP. 2015)

Chiropractic

Uhlengahlengiso lweChiropractic, ukuthotywa kwe-non-utyando, I-MET, kunye neendlela ezahlukeneyo zonyango ze-massage zinokukhulula iimpawu, zikhulule i-nerve ebambekileyo okanye ebanjwe kunye nokubuyisela umsebenzi. Ngokusebenzisa unyango, i-chiropractor kunye nabanyangi baya kuchaza oko kwenzekayo kwaye kutheni basebenzisa ubuchule obuthile. Ukwazi okuncinci malunga nendlela inkqubo ye-neuromusculoskeletal system esebenza ngayo inokunceda umboneleli wezempilo kunye nesigulane ekuphuhliseni nasekulungiseni iindlela zonyango ezisebenzayo.

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Sciatica Ngexesha lokukhulelwa

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Ucaphulo

Michigan Medicine. Iintlungu eziPhezulu kunye noMphakathi.

I-American Academy ye-Neurological Surgeons. I-Anatomy yoMnqongo kunye ne-Peripheral Nervous System.

Johns Hopkins Medicine. Iimeko zempilo. I-Radiculopathy.

Umbutho waseMelika wooGqirha beNeurological. I-Herniated Disc.

I-American Academy ye-Orthopedic Surgeons. OrthoInfo. I-Cervical Radiculopathy (I-Pinched Nerve).

Rothman, SM, & Winkelstein, BA (2007). Izithuko zeekhemikhali kunye neengcambu ze-nerve ze-mechanical zibangela ukungafani kokuziphatha kokuziphatha kunye nokusebenza kwe-glial okuphuculweyo ngokudibeneyo. Uphando ngengqondo, 1181, 30-43. doi.org/10.1016/j.brainres.2007.08.064

UMurray GM (2009). UHlelo loNdwendwe: iintlungu ezigqithiselweyo. Ijenali yesayensi yomlomo esetyenzisiweyo: Revista FOB, 17 (6), i. doi.org/10.1590/s1678-77572009000600001

I-American Academy ye-Orthopedic Surgeons. OrthoInfo. I-Carpal Tunnel Syndrome.

Bostelmann, R., Zella, S., Steiger, HJ, & Petridis, AK (2016). Ngaba i-Spinal Canal Compression ingaba ngunobangela wePolyneuropathy? Iiklinikhi kunye nokusebenza, i-6 (1), i-816. doi.org/10.4081/cp.2016.816

Iklinikhi yaseCleveland. I-Mononeuropathy.

Umbutho waseMelika wooGqirha beNeurological. Uluhlu lwesigama seNeurosurgical Terminology.

Amaziko eSizwe ezeMpilo. Ithala leencwadi lase-US leSizwe lezoNyango. Medline Plus. I-Peripheral Nerve Disorders.

Iklinikhi yaseCleveland. I-Spinal Stenosis.

I-Cass SP (2015). I-Piriformis syndrome: imbangela ye-non-discogenic sciatica. Iingxelo zangoku zamayeza ezemidlalo 14(1), 41–44. doi.org/10.1249/JSR.0000000000000110