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Injury

IQela leKliniki eliNzalisa iNerve. Imithambo-luvo ibuthathaka kwaye inokonakala ngenxa yoxinzelelo, ukolula, okanye ukusika. Ukwenzakala kwimithambo-luvo kunokumisa imiqondiso eya nokusuka ebuchotsheni, nto leyo ebangela ukuba izihlunu zingasebenzi kakuhle kwaye ziphulukane nemvakalelo kwindawo eyonzakeleyo. Inkqubo yemithambo-luvo ilawula uninzi lwemisebenzi yomzimba, ukusuka ekulawuleni ukuphefumla komntu ukuya ekulawuleni izihlunu zabo kunye nokuva ubushushu nokubanda. Kodwa, xa ukuxhwaleka kokwenzakala okanye imeko ephantsi ibangela ukulimala kwemithambo-luvo, umgangatho wobomi bomntu unokuchaphazeleka kakhulu. UDkt Alex Jimenez uchaza iingcamango ezahlukahlukeneyo ngokusebenzisa iqoqo lakhe lee-archives ezijikelezayo malunga neentlobo zokulimala kunye nemeko enokubangela iingxaki ze-nerve kunye nokuxoxa ngeendlela ezahlukeneyo zonyango kunye nezisombululo zokunciphisa intlungu ye-nerve kunye nokubuyisela umgangatho wobomi bomntu.

I-Disclaimer Gabalala *

Ulwazi olulapha ayenzelwanga ukuba luthathe indawo yobudlelwane bomntu nomntu kunye nengcali yezempilo eqeqeshiweyo okanye ugqirha onelayisensi kwaye ayiyongcebiso yezonyango. Siyakukhuthaza ukuba wenze izigqibo zakho zokhathalelo lwempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano kunye neengcali zempilo eziqeqeshiweyo. Umda wethu wolwazi ukhawulelwe kwi-chiropractic, musculoskeletal, amayeza omzimba, impilo, imiba yezempilo ebuthathaka, amanqaku amayeza asebenzayo, izihloko kunye neengxoxo. Sinikezela kwaye sibonise intsebenziswano yeklinikhi kunye neengcali ezivela kuluhlu olubanzi lwezifundo. Ingcali nganye ilawulwa ngumsebenzi wabo wobugcisa kunye negunya labo lokufumana iphepha-mvume. Sisebenzisa iiprothokholi ezisebenzayo zempilo kunye nempilo entle ukunyanga nokuxhasa ukhathalelo kumonzakalo okanye ukuphazamiseka kwenkqubo ye-musculoskeletal. Iividiyo zethu, izithuba, izihloko, imixholo, kunye nokuqonda kugubungela imiba yezonyango, imiba, kunye nezihloko ezinxulumene nenkxaso, ngokuthe ngqo okanye ngokungathanga ngqo, umda wokuziqhelanisa wekliniki.* I-ofisi yethu yenze umzamo ofanelekileyo wokunika ucaphulo oluxhasayo kwaye ichonge. isifundo sophando esifanelekileyo okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zokuxhasa izifundo zophando ezifumanekayo kwiibhodi ezilawulayo kunye noluntu xa ziceliwe.

Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; ke, ukuqhubeka nokuxoxa ngombandela ongentla, nceda ukhululeke ukubuza UDkt Alex Jimenez okanye qha ga mshelana nathi 915-850-0900.

UDkt Alex Jimenez D.C., I-MSACP, I-CCST, IFMCP*, I-CIFM*, I-ATN*

email: qeqeshi@elpasofunctionalmedicine.com

Ilayisenisi kwi: Texas & New Mexico*

I-Fiber Neuropathy encinci: Yintoni ekufuneka uyazi

by UGqr Alex Jimenez | Injury, Neuropathy

Abantu abafunyaniswa benesifo se-peripheral neuropathy, okanye abane-fiber neuropathy encinci, banokuqonda iimpawu kwaye babangele uncedo ngonyango olunokubakho?

IFayibha encinci Neuropathy

I-fiber neuropathy encinci yi-classification ethile ye-neuropathy, njengoko kukho iintlobo ezahlukeneyo, ezinobungozi be-nerve, umonakalo, izifo, kunye / okanye ukungasebenzi. Iimpawu zinokubangela intlungu, ukulahlekelwa yimvakalelo, kunye neempawu zokugaya kunye nomchamo. Uninzi lweziganeko ze-neuropathy ezifana ne-peripheral neuropathy zibandakanya iintsinga ezincinci nezinkulu. Izizathu eziqhelekileyo ziquka isifo seswekile sexesha elide, ukunqongophala kwesondlo, ukusetyenziswa kotywala, kunye ne-chemotherapy.

I-fiber neuropathy encinci ifunyaniswa emva kovavanyo lokuxilonga olubonisa kucacile ukuba i-nerve fibers encinci ibandakanyeka.
Imicu encinci ye-nerve ibona ukuvakalelwa, ubushushu, kunye nentlungu kwaye inceda ukulawula imisebenzi engabonakaliyo.
I-neuropathy ye-fiber encinci ekwanti inqabile, kodwa uphando luyaqhuba kuhlobo lomonakalo wemithambo-luvo kunye nonyango olunokubakho. (UStephen A. Johnson, et al., 2021)
I-fiber neuropathy encinci ayiyongozi ngokukodwa kodwa luphawu/uphawu lonobangela/imeko eyonakalisa imithambo-luvo yomzimba.

iimpawu

Iimpawu ziquka: (UHeidrun H. Krämer, et al., 2023)

Ubuhlungu - iimpawu zinokuthi zisuse ekuphatheni okuncinci okanye okuphakathi ukuya kwiintlungu ezinzima kwaye zingenzeka nanini na.
Ukuphulukana nemvakalelo.
Ngenxa yokuba imicu encinci ye-nerve inceda ekutyeni, uxinzelelo lwegazi, kunye nolawulo lwesinyi-impawu zokungasebenzi kakuhle kwe-autonomic zinokwahluka kwaye zinokubandakanya:
Ukuqunjelwa, isifo sohudo, ukungahambi kakuhle, ukugcinwa komchamo - ukungakwazi ukukhupha ngokupheleleyo i-bladder.
Ukuba kukho umonakalo oqhubekayo we-nerve, ubuninzi beentlungu buya kuncipha, kodwa ukulahlekelwa kwemvakalelo eqhelekileyo kunye neempawu zokuzimela kunokuba nzima. (UJosef Finsterer, uFulvio A. Scorza. 2022)
I-Hypersensitivity ekuthinteni kunye neentlungu zentlungu zingabangela intlungu ngaphandle kwe-trigger.
Ukulahlekelwa kwemvakalelo kungenza abantu bangakwazi ukubona ngokuchanekileyo ukuvakalelwa, ukushisa, kunye nentlungu kwiindawo ezichaphazelekayo, ezinokuthi zikhokelela kwiintlobo ezahlukeneyo zokulimala.
Nangona uphando olongezelelweyo lufunekayo, ukuphazamiseka okuthile okungazange kuthathwe njenge-neuropathies kunokuba neenxalenye ezincinci ze-fiber neuropathy ezibandakanyekayo.
Uphononongo lucebise ukuba i-neurogenic rosacea, imeko yesikhumba, inokuba nezinto ezithile ze-fiber neuropathy encinci. (UMin Li, et al., 2023)

IiFayibha zeNerve ezincinci

Kukho iindidi ezininzi ze-nerve fibers ezincinci; ezimbini kwi-fiber neuropathy ezincinci ziquka i-A-delta kunye ne-C.UJosef Finsterer, uFulvio A. Scorza. 2022)
Le micu encinci ye-nerve isasazwa kuwo wonke umzimba kubandakanywa phezulu kweminwe kunye neenzwane, i-trunk, kunye nezitho zangaphakathi.
Le micu idla ngokufumaneka kwiindawo ezingaphaya komzimba, njengakumphezulu wolusu. (Mohammad A. Khoshnoodi, et al., 2016)
Imicu emincinci ye-nerve eyonakaliswayo ibandakanyeka ekudluliseleni iintlungu kunye neemvakalelo zobushushu.
Uninzi lwemithambo-luvo inohlobo olukhethekileyo lokugquma olubizwa ngokuba yi-myelin oluyikhuselayo nokwandisa isantya semithambo-luvo.
Imicu emincinci yemithambo-luvo inokuba ne-sheath ebhityileyo, ibenze babe sesichengeni sokwenzakala kunye nomonakalo kumanqanaba angaphambili eemeko kunye nezifo. (UHeidrun H. Krämer, et al., 2023)

Abantu Abasemngciphekweni

Uninzi lweentlobo ze-peripheral neuropathy zibangela umonakalo kwi-peripheral nerve fibers ezincinci kunye ezinkulu. Ngenxa yoku, uninzi lwe-neuropathies luxube lwe-fiber encinci kunye ne-fiber neuropathy enkulu. Imiba eqhelekileyo yomngcipheko we-fiber neuropathy edibeneyo ibandakanya: (UStephen A. Johnson, et al., 2021)

Diabetes
Ukunqongophala kwezondlo
Ukusela utywala ngokugqithisileyo
Izifo ezizenzekelayo
Ubuthi beyeza

I-neuropathy ye-fiber encinci ekwanti inqabile, kodwa kukho iimeko ezaziwa ngokuba negalelo kunobangela kwaye ziquka: (UStephen A. Johnson, et al., 2021)

Sjogren Syndrome

Le ngxaki ye-autoimmune ibangela amehlo omile kunye nomlomo, iingxaki zamazinyo, kunye neentlungu ezidibeneyo.
Isenokubangela umonakalo wemithambo-luvo kuwo wonke umzimba.

Isifo sikaFabry

Le meko ibangela ukwakhiwa kwamafutha / lipids athile emzimbeni onokukhokelela kwimiphumo ye-neurological.

Amyloidosis

Esi sisigulo esingaqhelekanga esibangela ukwakheka kweeprotheyini emzimbeni.
Iiprotheni zingonakalisa izicubu ezinjengentliziyo okanye imithambo-luvo.

Lewy Body Disease

Esi sisiphazamiso semithambo-luvo esibangela ukuphambana kwengqondo kunye nokuphazamiseka kokuhamba kwaye kunokukhokelela kumonakalo wemithambo-luvo.

Lupus

Esi sisifo se-autoimmune esichaphazela amalungu, ulusu, kwaye ngamanye amaxesha izicubu zemithambo-luvo.

Ukosuleleka yintsholongwane

Olu sulelo ludla ngokubangela ukubanda okanye ukucaphuka kwesisu/i-GI.
Kancinci kaninzi zinokubangela ezinye iziphumo ezifana ne-fiber neuropathy encinci.

Ezi meko ziye zabonwa zibangela ukuba i-neuropathy encinci ye-fiber okanye iqale njenge-neuropathy ye-fiber encinci ngaphambi kokuba iqhubele phambili kwi-nerve fibers. Basenokuqala njenge-neuropathy edibeneyo, kunye neentsinga ezincinci nezinkulu.

Inkqubela

Ngokufuthi umonakalo uhambela phambili ngesantya esilinganiselweyo, nto leyo ekhokelela kwiimpawu ezongezelelekileyo kwiinyanga okanye iminyaka. Imithambo-luvo yefiber echatshazelwa yimeko esisiseko idla ngokuwohloka ngokuthe ngcembe, kungakhathaliseki ukuba ibekwe phi na. (Mohammad A. Khoshnoodi, et al., 2016) Amayeza anokunceda ukunciphisa umonakalo kwiimbilini ze-peripheral. Kubantu abafunyanwe kwisigaba sokuqala, kunokwenzeka ukuyeka ukuqhubela phambili, kwaye kunokuthintela ukubandakanyeka kwemicu emikhulu.

Unyango

Unyango olubhekiselele ekuthinteleni ukuqhubela phambili lufuna ukulawula imeko yonyango esisiseko ngeendlela zonyango ngokuxhomekeke kunobangela. Unyango olunokuthi luthintele ukuqhubela phambili lubandakanya:

Ulawulo lweswekile yegazi kubantu abanesifo seswekile.
Ukongezwa kwezondlo kunyango lokunqongophala kwevithamini.
Ukuyeka ukusetyenziswa kotywala.
Uxinzelelo lwamajoni omzimba ukulawula izifo ezizimelayo.
I-Plasmapheresis - igazi lithathwa kwaye i-plasma iphathwa kwaye ibuyiselwe okanye itshintshelwe unyango lwezifo ezizimele.

Unyango lweempawu

Abantu ngabanye banokufumana unyango lweempawu ezingayi kubuyisela umva okanye ukunyanga imeko kodwa ezinokunceda kwisiqabu sexeshana. Unyango lweempawu lungabandakanya: (UJosef Finsterer, uFulvio A. Scorza. 2022)

Ukulawulwa kweentlungu kunokubandakanya amayeza kunye / okanye i-analgesics ye-topical.
Unyango lomzimba - ukuzolula, ukuthambisa, ukuthoba, kunye nohlengahlengiso ukugcina umzimba ukhululekile kwaye ubhetyebhetye.
Ukubuyisela kwimeko yokunceda ukuphucula ukulungelelaniswa, okunokuthi kuphazamiseke ngokulahlekelwa yimvakalelo.
Amayeza okunciphisa iimpawu ze-GI.
Ukunxiba iimpahla ezikhethekileyo ezifana neekawusi ze-neuropathy ukunceda kwiimpawu zentlungu yonyawo.

Unyango kunye nolawulo lwezonyango lwe-neuropathies ludla ngokubandakanya i-neurologist. I-neurologist inokumisela amayeza okunceda ukunciphisa iimpawu zentlungu kunye nokubonelela ngongenelelo lwezonyango olufana ne-immunotherapy ukuba kukho inkxalabo yokuba inkqubo ye-autoimmune ingaba yimbangela. Ukongezelela, unyango lunokubandakanya ukunyamekelwa kweyeza lomzimba kunye nogqirha wokubuyisela okanye iqela lonyango lomzimba ukubonelela ngezolula kunye nokuzivocavoca ukunceda ukuqinisa umzimba kunye nokugcina ukuhamba kunye nokuguquguquka.

I-Peripheral Neuropathy iintsomi kunye neenyaniso

Ucaphulo

Johnson, SA, Shouman, K., Shelly, S., Sandroni, P., Berini, SE, Dyck, PJB, Hoffman, EM, Mandrekar, J., Niu, Z., Lamb, CJ, Low, PA, Singer , W., Mauermann, ML, Mills, J., Dubey, D., Staff, NP, & Klein, CJ (2021). Isehlo se-Fiber Neuropathy encinci, ukuxhaphaka, ukukhubazeka kwexesha elide, kunye nokukhubazeka. I-Neurology, i-97 (22), e2236-e2247. doi.org/10.1212/WNL.0000000000012894

Finsterer, J., & Scorza, FA (2022). I-fiber neuropathy encinci. I-Acta neurologica Scandinavica, i-145 (5), i-493-503. doi.org/10.1111/ane.13591

Krämer, HH, Bücker, P., Jeibmann, A., Richter, H., Rosenbohm, A., Jeske, J., Baka, P., Geber, C., Wassenberg, M., Fangerau, T., Karst , U., Schänzer, A., & van Thriel, C. (2023). I-Gadolinium i-agent echaseneyo: i-dermal deposits kunye nemiphumo enokubakho kwi-epidermal encinci ye-nerve fibers. Ijenali ye-neurology, i-270 (8), i-3981-3991. doi.org/10.1007/s00415-023-11740-z

Li, M., Tao, M., Zhang, Y., Pan, R., Gu, D., & Xu, Y. (2023). I-neurogenic rosacea inokuba yi-fiber neuropathy encinci. Imida yophando lwentlungu (Lausanne, Switzerland), 4, 1122134. doi.org/10.3389/fpain.2023.1122134

Khoshnoodi, MA, Truelove, S., Burakgazi, A., Hoke, A., Mammen, AL, & Polydefkis, M. (2016). Uvavanyo lweLongitudinal ye-Fiber Neuropathy encinci: Ubungqina be-Distal Axonopathy engaxhomekekanga kubude. I-JAMA ye-neurology, i-73 (6), i-684-690. doi.org/10.1001/jamaneurol.2016.0057

Ukunciphisa Intlungu ye-Somatosensory kunye ne-Spinal Decompression

by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, Ubuhlungu obungapheliyo, Injury, Unyango lokuthotywa koMnqonqo, Uncedo Lwezityalo, Unyango, I-Viscerosomatic Reflex

Inceda njani i-spinal decompression ekunciphiseni iintlungu ze-somatosensory ezinxulumene nabantu abajongene nentlungu yomqolo kunye nomlenze?

intshayelelo

Njengoko sonke sisazi, umzimba womntu yinkqubo enzima esebenza kunye ukwenza izenzo ezahlukeneyo ngaphandle kokuva intlungu okanye ukungakhululeki. Ngemisipha, amalungu, izicubu, iigaments, amathambo, kunye neengcambu zemithambo-luvo, icandelo ngalinye linomsebenzi walo kwaye lisebenzisana namanye amalungu omzimba. Ngokomzekelo, umqolo usebenzisana nenkqubo ye-nervous central ukuyalela izihlunu kunye namalungu ukuba asebenze ngokuchanekileyo. Okwangoku, iingcambu ze-nerve kunye nezihlunu zisebenza kunye ukuze zibonelele ukuhamba, ukuzinza, kunye nokuguquguquka kumzimba ophezulu nangaphantsi. Nangona kunjalo, njengoko ixesha lihamba, umzimba uguga ngokwemvelo, kwaye oku kunokukhokelela kwimibandela engafunekiyo. Izinto eziqhelekileyo kunye nezibuhlungu zinokuphazamisa iimpawu ze-neuron ezivela kwingqondo kwaye zibangele intlungu ye-somatosensory kwindawo ephezulu nangaphantsi. Le mvakalelo efana nentlungu inokuchaphazela icandelo ngalinye lomzimba, okwenza umntu abe lusizi. Ngethamsanqa, kukho iindlela zokunciphisa intlungu ye-somatosensory kunye nokubonelela ngesiqabu kumzimba. Inqaku lanamhlanje liphonononga indlela iintlungu ze-somatosensory ezinokuchaphazela ngayo imilenze engezantsi, ngakumbi imilenze kunye nomqolo, kunye nendlela unyango olungasebenzisi utyando olufana noxinzelelo lomgogodla olunokuthi luthobe intlungu ye-somatosensory kumazantsi. Ngexesha elifanayo, sisebenza ngesandla kunye nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwesigulane sethu ukunyanga nokunciphisa intlungu ye-somatosensory echaphazela imilenze kunye nomqolo. Sikwabazisa ukuba unyango olungasebenzisi utyando olufana nokuthotywa komnqonqo lunokunceda ukuthomalalisa iimpawu ezishiyekileyo ezifana neentlungu ezisuka kumazantsi. Sikhuthaza izigulane zethu ukuba zibuze imibuzo ebalulekileyo kunye nebalulekileyo ngelixa zifuna imfundo kubaboneleli bethu bezonyango ezinxulumene neentlungu zabo. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yemfundo. isikhanyeli

Ngaba iintlungu zeSomatosensory ziyichaphazela njani imilenze kunye nomqolo?

Ngaba uziva ndindisholo okanye ukubetha emilenzeni okanye ngasemva okunyamalalayo emva kwemizuzu embalwa? Ngaba uziva iintlungu ezithandabuzekayo kwi-lumbar spine emva komsebenzi? Okanye ngaba uziva ukufudumala emva kwemilenze yakho ejika ibe yintlungu ebukhali yokudubula? Le miba inokunxulumana nenkqubo ye-somatosensory ngaphakathi kwenkqubo ye-nervous central, ebonelela ngee-reflexes zokuzithandela kumaqela emisipha. Xa ukunyakaza okuqhelekileyo okanye imikhosi ephazamisayo ibangela iingxaki kwinkqubo ye-somatosensory ngokuhamba kwesikhathi, kunokukhokelela kwiintlungu ezichaphazela iziphelo zomzimba. (UFinnerup, uKuner, kunye noJensen, ngo-2021) Le ntlungu inokuhamba kunye nokutshisa, ukubethelwa, okanye ukucinezela iimvakalelo ezichaphazela ummandla we-lumbar. Izinto ezininzi zinokudibaniswa neentlungu ze-somatosensory, eziyinxalenye yenkqubo ye-nervous central kwaye isebenza kunye nentambo yomgogodla. Xa intambo yomgogodla ixinzezeleka okanye igxininisekile ngenxa yokulimala okanye izinto eziqhelekileyo, kunokukhokelela kwintlungu ephantsi kunye nomlenze. Ngokomzekelo, i-disc ye-herniated kwindawo ye-lumbosacral inokubangela ukuba iingcambu ze-nerve zithumele iimpawu zentlungu kwingqondo kwaye zibangele ukungaqhelekanga kwi-back and imilenze. (Aminoff & Goodin, 1988)

Xa abantu bejongene neentlungu zomqolo kunye nomlenze kwintlungu ye-somatosensory, kunokubangela ukuba bahlupheke ngokunciphisa umgangatho wobomi kunye nokukhokelela kubomi bokukhubazeka. (URosenberger et al., 2020) Ngelo xesha, abantu abajongene neentlungu ze-somatosensory baya kuqala ukuva imiphumo yokuvuvukala ukusuka kwindawo echaphazelekayo yemisipha emilenzeni nasemva. Ekubeni ukuvuvukala kuyimpendulo yendalo yomzimba xa ujongene neentlungu, i-cytokines evuthayo ingabangela umphumo ovela kwingqondo ngokusebenzisa intambo yomgogodla, ebangela umlenze kunye neentlungu zangasemva. (UMatsuda, Huh, & Ji, 2019) Ukuza kuthi ga ngoku, intlungu ye-somatosensory ihambelana nokuvuvukala okubangelwa yizinto eziqhelekileyo okanye ezibuhlungu ezinokubangela ukugqithiswa kwezinto ezinobungozi ezibangela umlenze kunye nentlungu emva. Ngethamsanqa, unyango oluninzi lunokunciphisa le miba yengozi edlulanayo ebangelwa yintlungu ye-somatosensory kwaye incede ukubuyisela umsebenzi ophantsi womzimba.

Hamba Ngcono, Phila Ngcono- Ividiyo

Xa umzimba ujongene neentlungu ze-somatosensory, kunokubangela ukuba abantu abaninzi bacinge ukuba bajongana nomthombo omnye weentlungu kwindawo enye yezihlunu. Sekunjalo, kunokukhokelela kwimiba emininzi echaphazela iindawo ezahlukeneyo zomzimba. Oku kwaziwa ngokuba yintlungu ekubhekiselwa kuyo, apho elinye icandelo lomzimba lijongene neentlungu kodwa likwindawo eyahlukileyo. Intlungu ebhekiswayo inokudibaniswa ne-somato-visceral / visceral-somatic pain, apho i-muscle echaphazelekayo okanye ilungu lichaphazela enye okanye enye, ibangela imiba efana nentlungu. Nangona kunjalo, unyango oluninzi lunokunciphisa intlungu ye-somatosensory ekubangeleni iingxaki ezininzi zomlenze kunye nomqolo. Unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic kunye noxinzelelo lomgogodla lunokunceda ukunciphisa imiphumo yeentlungu ze-somatosensory ezichaphazela iziphelo zomzimba ezisezantsi ezibangela umlenze kunye neentlungu zangasemva. Olu nyango luvumela ingcali yeentlungu ukuba ifake iindlela ezahlukeneyo zonyango zokolula izihlunu ezichaphazelekayo kunye nokulungelelanisa umqolo kwindawo yawo yokuqala. Abantu abaninzi banokubona ukuphucula ukuhamba kwabo kunye nemisebenzi yemihla ngemihla njengoko iimpawu ezinjengeentlungu ezinxulumene neentlungu ze-somatosensory ziyancipha. (Gose, Naguszewski, & Naguszewski, 1998) Xa abantu abajongene neentlungu ze-somatosensory beqala ukucinga ngempilo yabo kunye nokuphila kakuhle ukuze banciphise intlungu abayifumanayo, banokujonga unyango olungenalo utyando njengoko lungabizi kakhulu, lukhuselekile, kwaye lubonelela ngesiphumo esihle. Ukongezelela, unyango olungelulo utyando lunomntu ngamnye kwintlungu yomntu kwaye luqale ukubona ukuphucuka emva kweeseshoni zonyango ezimbalwa. (Saal & Saal, ngo-1989) Jonga le vidiyo ingentla ukuze ufunde kabanzi malunga nendlela unyango olungenalo utyando lunokudibaniswa ngayo kunye nolunye unyango ukuze kuphuculwe impilo-ntle yomntu.

Ukuthotywa koMnqongo kunciphisa iintlungu zeSomatosenosory

Ngoku i-spinal decompression yonyango olungenalo utyando olunokunceda ukunciphisa intlungu ye-somatosensory echaphazela imilenze kunye nomva. Ekubeni intlungu ye-somatosensory ihambelana nentambo yomgogodla, inokuchaphazela i-lumbosacral spine kwaye ikhokelela kwintlungu yomqolo kunye nomlenze. Ngokudodobala komqolo, isebenzisa ukutsalwa okuthambileyo ukutsala ngobunono umqolo, nto leyo enokunciphisa iimpawu ezinxulumene nentlungu ye-somatosensory. Uxinzelelo lwe-Spinal decompression lunokunceda ukuphucula inkqubo ye-somatosensory ngokunciphisa iintlungu kunye nokunciphisa ukunyanzeliswa kweengcambu zemithambo-luvo ukuze ukhulule imilenze kunye nomqolo. (UDaniel, ngo-2007)

Ukongezelela, ukunyanzeliswa komgogodla kunokudibaniswa nolunye unyango olungenalo utyando, njenge-chiropractic, njengoko lunokunceda ekunciphiseni imiphumo ye-nerve entrapment kunye nokunceda ukubuyisela i-ROM ye-joint (uluhlu lokunyakaza). (Kirkaldy-Willis kunye noCassidy, ngo-1985) Ukunyanzeliswa komgogodla kunokudala amava amahle kubantu abaninzi abajongene nomlenze kunye neentlungu zentlungu ezinxulumene nentlungu ye-somatosensory ngelixa bebuyisela impilo yabo kunye nokuphila kakuhle.

Ucaphulo

Aminoff, MJ, & Goodin, DS (1988). I-dermatomal somatosensory ikhuphe amandla kuxinzelelo lweengcambu zelumbosacral. J Neurol Neurosurg Psychiatry, 51(5), 740-742. doi.org/10.1136/jnnp.51.5.740-a

UDaniel, DM (2007). Unyango olungazenzisiyo lonyango lokuthomalalisa umqolo: ngaba uncwadi lwenzululwazi luxhasa amabango asebenzayo awenziwe kumajelo entengiso? Chiropr Osteopat, 15, 7. doi.org/10.1186/1746-1340-15-7

Finnerup, NB, Kuner, R., & Jensen, TS (2021). Iintlungu zeNeuropathic: Ukusuka kwiiMechanism ukuya kuNyango. Physiol Rev, 101(1), 259-301. doi.org/10.1152/physrev.00045.2019

Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). Unyango lwe-axial decompression ye-Vertebral yentlungu ehambelana ne-disc ye-herniated okanye i-degenerated okanye i-facet syndrome: isifundo sesiphumo. Neurol Res, 20(3), 186-190. doi.org/10.1080/01616412.1998.11740504

Kirkaldy-Willis, WH, & Cassidy, JD (1985). Ukuguqulwa komqolo kunyango lweentlungu ezisezantsi. Ngaba Fam Gqirha, 31, 535-540. www.ncbi.nlm.nih.gov/pubmed/21274223

www.ncbi.nlm.nih.gov/pmc/articles/PMC2327983/pdf/canfamphys00205-0107.pdf

Matsuda, M., Huh, Y., & Ji, RR (2019). Iindima zokuvuvukala, ukuvuvukala kwe-neurogenic, kunye ne-neuroinflammation kwiintlungu. J Anesth, 33(1), 131-139. doi.org/10.1007/s00540-018-2579-4

Rosenberger, DC, Blechschmidt, V., Timmerman, H., Wolff, A., & Treede, RD (2020). Imingeni yeentlungu ze-neuropathic: gxininisa kwi-diabetes neuropathy. J Neural Transm (Vienna), 127(4), 589-624. doi.org/10.1007/s00702-020-02145-7

Saal, JA, & Saal, JS (1989). Unyango olungasebenziyo lwe-herniated lumbar intervertebral disc kunye ne-radiculopathy. Uphononongo lwesiphumo. Isihlwele (Phila Pa 1976), 14(4), 431-437. doi.org/10.1097/00007632-198904000-00018

isikhanyeli

Imigaqo yeeNzululwazi zeNerve: Radiculopathy, Radiculitis, Neuritis

by UGqr Alex Jimenez | Injury, Sciatica Nerve Pain

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.

Sciatica Ngexesha lokukhulelwa

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

I-Radial Nerve: I-Peripheral Upper Extremity

by UGqr Alex Jimenez | Ukulimala koluhlu, Injury

I-plexus ye-brachial yinethiwekhi yemithambo-luvo eqala kumqolo wesibeleko/intamo kwaye ihambe ihla i-cervicoaxillary umjelo kwikhwapha. Ukwenziwa kwindawo yegxalaba ekudibaneni kwesebe le-brachial plexus, I-nerve ye-radial isuka ezantsi ingalo, ngokudibanisa i-elbow, ukuya kwi-forearm, ngaphesheya kwesihlahla, kunye neengcebiso zeminwe. Imithambo-luvo ichaphazeleka kukwenzakala okunokubangela ukusebenza okungaqhelekanga okukhokelela kwiimvakalelo ezingaqhelekanga kunye nokungasebenzi kakuhle kwezihlunu.

Umtya wemithambo

Enye yemithambo-luvo enkulu yecala eliphezulu.

Kukho i-brachial plexus enye kwicala ngalinye lomzimba ethwala imithambo-luvo kwingalo nganye.
I-nerve ye-radial inemisebenzi emibini emikhulu.
Enye kukunika iimvakalelo ezandleni, kwiingalo, ezingalweni nakwiminwe.
Enye kukuhambisa imiyalezo kwizihlunu malunga nexesha lokudibana.

Umsebenzi weMoto

I-nerve ye-radial idlulisela imiqondiso kwizihlunu ezingasemva kwengalo kunye ne-forearm xa kufuneka ifinyeze.
Abantu abanomsebenzi ongaqhelekanga we-radial nerve banokufumana ubuthathaka bemisipha kunye neempawu ezinje ukuwa kwesihlahla.
Ukuwa kwesandla kwenzeka xa izihlunu ze-forearm zangasemva azikwazi ukuxhasa isandla, okubangela ukuba umntu abambe i-wrist kwi-posture eguquguqukayo.
Ukusebenza okungaqhelekanga kwe-nerve ye-radial kunokubangela iimpawu ze-numbness okanye ukubetha ngasemva kwesandla.

Conditions

Iimeko ezinxulumene ne-nerve ye-radial ziquka ukukrala, ukuqhawuka, ukuphuka, kunye nokukhubazeka.

Ukuphazamiseka kweNerve

Uqhankqalazo ludla ngokubakho ngenxa yomonzakalo wamandla angacacanga anokuthi atyumze kwaye atyumze indawo yemithambo-luvo.
Oku kubangela ukungaqhelekanga okanye ukungabikho komsebenzi.
I-nerve contusion ingenzeka kumntu, umsebenzi, okanye ukulimala kwezemidlalo okanye ezinye iimeko ezivelisa uxinzelelo olunamandla kwi-nerve / s.

IiNerve Lacerations

Inxeba lenzeka xa kukho ukwenzakala okugqobhozayo okusika kunye/okanye ukuqhawula umthambo.
Le nzakala inokuthi yenzeke kumanxeba ahlatywayo okanye inqunywe ngeglasi ephukileyo, isinyithi, njl.

Izahlulo

Amathambo aphukileyo angaphezulu angakhokelela kumonakalo owandisiweyo kwimithambo-luvo kufuphi nethambo elonakeleyo.
Olona hlobo luqhelekileyo lokuphuka olunxulumene nokungasebenzi kakuhle kwe-nerve ye-radial kukuphuka kwithambo le-humerus.
I-nerve igoqa ngokuqinileyo kwi-humerus kwaye inokulimala ngokuphuka.
Uninzi lwamanxeba anxulumene nokuqhekeka kwe-radial nerve aphilisa ngokwawo kwaye ayifuni utyando.
Nangona kunjalo, indlela yokulimala ephilisayo ingaba ngumahluko phakathi komsebenzi oqhelekileyo kunye neentlungu ezingapheliyo.

I-Crutch Palsy

I-crutch palsy luxinzelelo lwemithambo-luvo ekwikhwapha olubangelwa kukusebenzisa iintonga ngendlela engafanelekanga.
Ukuze asebenzise iintonga ngokufanelekileyo, umntu ngamnye kufuneka axhase ubunzima bomzimba wakhe ngezandla.
Nangona kunjalo, abaninzi bavame ukubeka uxinzelelo malunga ne-armpit phezulu kwi-crutch, kubangela ukucaphuka kwi-nerve kuloo ndawo.
Ukukhwela phezulu kweentonga kunye nokusebenzisa ifom efanelekileyo kunokuthintela imeko.

NgoMgqibelo Night Palsy

NgoMgqibelo ebusuku ndikhubazekile ngumsebenzi ongaqhelekanga we-nerve ye-radial emva kokulala kwindawo ebangela uxinzelelo oluthe ngqo kwi-nerve.
Oku kaninzi kwenzeka xa umntu elala ebeke ingalo yakhe phezu kwe-armrest esitulweni.
Igama livela xa abantu benxilile kwaye balala kwindawo engeyiyo ibhedi kunye neendawo ezingathandekiyo.

impatho

Ukulimala kwe-nerve kudla ngokubangela iimpawu kwiindawo ezahlukeneyo ngaphandle kwalapho umonakalo we-nerve ukhona, unzima ukuxilongwa. Ukumisela indawo ethile yomonakalo we-nerve yinyathelo lokuqala ekuphuhliseni isicwangciso sonyango esifanelekileyo. Emva kokuba indawo ichongiwe, amanyathelo anokuthathwa ukuze kuthintelwe umonakalo ombi kwi-nerve.

Injongo kukunciphisa uxinzelelo olusuka ekucaphukeni okanye ekucinezeleni.
Unyango lweChiropractic inokuphelisa iimpawu kwaye ibuyisele ukusebenza ngoku:
I-massage yokukhulula indawo kunye nokwandisa ukujikeleza kwegazi.
Ukunciphisa ukubuyisela ukulungelelaniswa komzimba.
Uhlengahlengiso lokubuyisela ukulinganisela komzimba.
Ukuzivocavoca kunye nokwelula ukugcina unyango, ukuqinisa imisipha, kunye nokukhusela ukulimala.
Kwiimeko apho kukho umonakalo wesakhiwo, utyando lunokufuneka ukususa uxinzelelo okanye ukulungisa umonakalo.

Kulumkele Utyando

Ucaphulo

Ansari FH, Jurgens AL. NgoMgqibelo ebusuku Palsy. [Ihlaziywe ngo-2023 ku-Epreli 24]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK557520/

Barton, N J. "Izilonda zemithambo-luvo." Isandla vol. 5,3 (1973): 200-8. doi:10.1016/0072-968x(73)90029-6

UDaly, uMichael, kunye noChris Langhammer. "I-Radial Nerve Injury kwi-Humeral Shaft Fracture." Iiklinikhi ze-Orthopedic zaseMntla Melika vol. 53,2 (2022): 145-154. doi:10.1016/j.ocl.2022.01.001

DeCastro A, Keefe P. Wrist Drop. [Ihlaziywe 2022 Jul 18]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK532993/

Eaton, CJ, kunye noGD Lister. "Uxinzelelo lwe-radial nerve." Iiklinikhi zezandla vol. 8,2 (1992): 345-57.

IGlover NM, uMurphy PB. I-Anatomy, iGxala kunye neLungu eliPhezulu, iNerve yeRadial. [Ihlaziywe ngo-2022 ngo-Agasti 29]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK534840/

Ljungquist, Karin L et al. "Ukulimala kwemithambo yemitha." Ijenali yotyando lwesandla vol. 40,1 (2015): 166-72. doi:10.1016/j.jhsa.2014.05.010

UWęgiel, uAndrzej, kunye nabanye. "Uxinzelelo lwe-nerve yeRadial: umbono we-anatomical kunye neziphumo zeklinikhi." Uphononongo lwe-Neurosurgical vol. 46,1 53. 13 Feb. 2023, doi:10.1007/s10143-023-01944-2

Uxinzelelo lweNerve Edolweni

by UGqr Alex Jimenez | Ukunyamekela, Injury

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.