I-Neurology Clinic
INkxaso yokuNgeniswa kweKlinikhi yeNeurology. El Paso, TX. I-Chiropractor, uDkt. Alexander Jimenez uxoxa neurology. UDkt. Jimenez unikeza ukuqonda okuphambili kophando oluchanekileyo lwezikhalazo eziqhelekileyo neziyinkimbinkimbi ezinjengeentloko, utywala, ubuthathaka, ugugu, kunye ne-ataxia. Ugxininiso luya kuba kwi-pathophysiology, i-symptomatology, kunye nokuphathwa kwentlungu ngokuphathelele intloko kunye nezinye iimeko ze-neurologic, enekhono lokuhlukanisa ubunzulu obuvela kwiintlungu zesifo sengqondo.
Ujoliso lwethu lweklinikhi kunye neenjongo zethu zobuqu kukunceda umzimba wakho uziphilise ngokwendalo ngokukhawuleza nangendlela esebenzayo. Maxa wambi, kusenokubonakala ngathi yindlela ende; nangona kunjalo, ngokuzibophelela kwethu kuwe, ngokuqinisekileyo iya kuba luhambo olunika umdla. Ukuzinikela kuwe empilweni kukuba, ungaze uphulukane nonxibelelwano lwethu olunzulu kwisigulana ngasinye kolu hambo.
Xa umzimba wakho usempilweni ngokwenene, uya kufika kwinqanaba lokufaneleka elilelona lifanelekileyo lobume bomzimba. Sifuna ukukunceda uphile ubomi obutsha nobuphucukileyo. Kwiminyaka eyi-2 edlulileyo ngelixa uphando kunye neendlela zokuvavanya kunye namawaka ezigulane siye safunda oko kusebenza ngokufanelekileyo ekunciphiseni intlungu ngelixa kwandisa amandla omntu. Ukuze ufumane iimpendulo kuyo nayiphi na imibuzo onokuba nayo nceda ufowunele uDkt Jimenez kwi-915-850-0900.
by UGqr Alex Jimenez | I-Neurology Clinic
Iimbilini ze-Human Cranial ziyi-set of 12 imithambo-luvo edityanisiweyo evela ngqo kwi ngengqondo. Ezokuqala ezimbini (i-optic and optic) zivela kwi-cerebrum, kunye nelishumi eseleyo ivela kuyo ubuchopho buya. Amagama alezi zithintelo zihambelana noluphi umsebenzi abawenzayo kwaye zichongiwe ngenani kumanani omtshato (I-XII).�Ibe�Imithambo-luvo isebenza kwimisebenzi yevumba, yokubona, intshukumo yamehlo, kunye nemvakalelo ebusweni. EziKwakhona imithambo-luvo ilawula ukulungelelana, ukuva nokuginya.
Iimpawu zomnxeba: Hlaziya
- CN mna � Olfactory
- CN II � Optic
- CN III � Oculomotor
- CN IV � Trochlear
- CN V � I-Trigeminal
- CN VI � Abducens
- CN VII � Ubuso
- CN VIII � Vestibulocochlear
- CN IX � Glossopharyngeal
- CN X � Ivagus
- CN XI � Isincedisi
- CN XII - Hypoglossal
Indawo Yemiqolo
CN I � I-olfactory
CN I Clinically
- Izilonda ezibangelwa i-anosmia (ukulahlekelwa kwesiphumo) kungabangelwa ngu:
- Ukwenzakala entloko, ngakumbi isigulana sibetha umva wentloko yaso
- Iimpahla zangaphambili ze-lobe / i-tumors / i-SOL
- Khumbula ukuba ukulahlekelwa kwentswelo yevumba ngumnye weempawu zokuqala ezibonwa kwii-Alzheimer kunye neentsholongwane zokugula ngengqondo
Ukuvavanya CN I
- Ngaba isigulana siphendule amehlo abo kwaye sivale enye ikhefu ngexesha
- Baye baphumele ngaphandle ngeempumlo zabo, BENZELE ukubeka iphunga phantsi kwekhefu xa bephefumula.
- Babuze �unuka nto?�
- Ezi mvavanyo ukuba le nerving isebenza
- Ukuba bathi yebo, bacele ukuchonga
- Ezi mvavanyo ukuba indlela yokucwangcisa (i-lobe yesikhashana) isebenza
I-Cranial Nerve II � Optic
I-Cranial Nerve II I-Clinically
Izilonda kule ntsho zingabangela ukuba:
- Isifo se-CNS (njenge-MS)
- I-CNS izifo kunye ne-SOL
- Uninzi lweengxaki kunye neenkqubo ezibonakalayo zivela kwiintlungu ezichanekileyo, izifo zesifo okanye isisulu
- I-FOV elahlekile kwimihlaba ingathetha ukuba i-SOL ichaphazele i-optic chiasm efana nesifo se-pituitary
Uvavanyo lwe-Cranial Nerve CN II
-
- Ukuba isigulane sinombono kwiso nganye, imbilini iyasebenza
- Ukuvavanywa kwamathambo
- Ishadi leSnellen (iliso elinye ngexesha, ngoko amehlo amabini kunye)
- Umbono webala
- Ishadi laseRosenbaum (iliso elinye ngexesha, ngoko amehlo amabini kunye)
- Umbono o kufuphi
UkuVavanywa okuHlangeneyo kwiNkqubo yoBoniso
- Uhlolo lwe-Ophthalmoscopic / iFunduscopic
- Uvavanyo lwe-A / V nomlinganiselo kunye nempilo / imitha yempilo
- Uvavanyo lwekombe kwi-disc ratio
- Ummandla wokuvavanywa kombono
- Uvavanyo loxinzelelo lwe-intraoccular
- Vavanyo lwe-Iris
I-Cranial Nerve III � I-Oculomotor
I-Cranial Nerve III
- Diplopia
- I-latal strabismus (engagxiliyo i-rectus m.).
- Ukujikelezwa kwentloko (yaw) kude necala lelonda
- I-Dilated Pupil (i-dilator pupillae engapheliyo).
- I-Ptosis ye-eyelidi (ukulahlekelwa komsebenzi we-leverator palpebrae superioris m.)
- Izilonda kule ntsho zingabangela ukuba:
- Izifo ezivuthayo
- I-meningitis ene-Syphilitic kunye ne-tuberculous
- Aneurysms ye-cerebral post okanye cerebellar ephezulu.
- I-SOL kwi-cavernous sinus okanye isusa i-cerebral peduncle ukuya kwelinye icala
Uvavanyo lwe-Cranial Nerve CN II & III
- Uvavanyo lwePupillary reflex
- Hambisa ukukhanya phambi komfundi ukusuka kwelinye icala kwaye ubambe imizuzwana ye6
- Jonga ngokuthe ngqo (iliso eliphambili) kunye ne-consensual (iso lokubambisana) i-pirillary constriction
Uvavanyo lwe-Cranial Nerve CN II & III
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commons.wikimedia.org/wiki/File:1509_Pupillary_Reflex_Pathways.jpg%5B/caption%5D
I-Cranial Nerve IV � Trochlear
Cranial Nerve IV Clinically
- Umonde une-diplopia kunye nobunzima bokujonga ezantsi
- Ngokusoloko ukhononda ngobunzima bokuhamba ezitebhisini, ukunqumla, ukuwa
- Ukunyangwa kwabachaphazelekayo iso (ukungathandabuzeki obuncinci ob. m.)
- Ukunyuka kwentloko (umqulu) kwicala elingathintekiyo
- Izilonda kule ntsho zingabangela ukuba:
- Izifo ezivuthayo
- I-Aneurysms ye-posterior cerebral okanye i-cerebellar ephezulu.
- I-SOL kwi-sinus cavernous okanye i-fissure ye-orbital ephezulu
- Umonakalo ophandwayo ngexesha lolawulo lwe-mesencephalon
Ukunyamezela kweNtloko kwi-Superior Oblique Palsy (ukuhluleka kwe-CN IV)
[I-id ye-capt = "encamathiselwe_64880" align = "aligncenter" wide = "700"]
Pauwels, uLinda Wilson, et al. Iimvumba ze-cranial: I-Anatomy kunye neengcebiso zeCliniki. Decker, 1988.
I-Cranial Nerve VI � Abducens
I-Cranial Nerve VI
- Diplopia
- I-strabismus ephakathi (i-rectus m.
- Ukujikelezwa kwentloko (yaw) kwicala lesilonda
- Izilonda kule ntsho zingabangela ukuba:
- I-Aneurysms ye-posterior cerebellar engaphantsi okanye i-basilar aa.
- I-SOL kwi-cavernous sinus okanye i-4th ventricle (njenge-tumor cerebellar)
- Izahlulo ze-posterior cranial fossa
- Ukunyuswa kwengcinezelo engaphezulu
Uvavanyo lwe-Cranial Nerve CN III, IV & VI
- Uvavanyo lwe-H-Pattern
- Ngaba isigulane silandela into engekho ngaphezu kweeyunithi eziyi-2
- Izigulana zinokuba nobunzima bojoliso ukuba into leyo inkulu kakhulu
- Kukwabalulekile ukuba into leyo ungayibambi kufutshane kakhulu nesigulana.
- Ukuguquka nokuhlala
- Sondeza into kufutshane nebhulorho yempumlo yesigulana kwaye ubuyisele ngaphandle. Yenza ubuncinane amaxesha ama-2.
- Khangela impendulo ye-pupillary kunye ne-convergence yamehlo
I-Cranial Nerve V � I-Trigeminal
I-Cranial Nerve V Clinically
- Ukunciphisa amandla okuluma kwi-side side of lesion
- Ukulahlekelwa kwesiseko kwiV1, V2 kunye / okanye ukuhanjiswa kweV3
- Ukulahleka kwe-reflex corlex
- Izilonda kule ntsho zingabangela ukuba:
- Aneurysms okanye i-SOL echaphazela iipon
- Iimpawu ezikhethekileyo kwi-angle cerebellopontine
- Iingxabano zeSkull
- Amathambo ebuso
- Imonakalo yokukhupha i-ovale
- Tic doloureux (Trigeminal neuralgia)
- Intlungu ebuhlungu kwi-V1-V3
- I-Tx ne-analgesic, anti-inflammatory, stimulational
Uvavanyo lwe-Cranial Nerve CN V
- V1 � V3 iintlungu kunye novavanyo olulula lokuchukumisa
- Uvavanyo lwenziwe kakuhle ngokubhekisele kwiindawo eziphakathi okanye ezingaphaya kobuso, apho iV1, V2 kunye neV3 zichazwe ngcono
- Uvavanyo lwe-Blink / Corneal reflex
- Umquba womoya okanye intombazana encinci esuka kwinqanaba le-lateral yeso kwi-cornea, ukuba iqhelekileyo, isigulane sigxuma
- I-CN V inikeza i-arc ye-refc ye-reflex
- Amandla okubamba
- Isigulana silume phantsi kuxinzelelo lolwimi kwaye uzame ukususa
- I-Jaw jerk / Masseter Reflex
- Ngomlomo wesigulana uvule kancinci ubhontsi esilevini somguli kwaye ucofe ubhontsi wakho ngehamile
- Ukuvalwa okunamandla komlomo kubonisa iilonda ze-UMN
- I-CN V inikeza zombini imoto kunye neengcinga zalo mfanekiso
upload.wikimedia.org/wikipedia/commons/a/ab/Trigeminal_Nerve.png%5B/caption%5D
I-Cranial Nerve VII � ebusweni
I-Cranial Nerve VII
- Njengawo onke amaninzi, iimpawu zichaza indawo yesikhumba
- I-lesion kwi-nerve ye-lingual iya kukhokelela ekuphulukaneni nokungcamla, uvakalelo ngokubanzi kulwimi kunye nokugcinwa kwamathe
- I-lesion ekuxhomekeke kwi-branching ye-chorda tympani efana ne-canal ye-face iya kubangela iimpawu ezifanayo ngaphandle kokulahlekelwa kwintsholongwane jikelele yolwimi (ngenxa yokuba i-V3 ingazange ijoyine i-CN VII)
- I-Corticobulbar innervation iyimilinganiselo engxenyeni engenhla kunye nezantsi kwe-Facial Motor Nucleus
- Ukuba kukho i-lesion ye-UMN (i-lesion kwiimpawu ze-corticobulbar) isigulane siya kuba nokukhubazeka kwezihlunu zobuso bombonakalo kwi-quadrant engezantsi
- Ukuba kukho i-LMN lesion (i-lesion kuya nesifo somzimba ngokwawo) isiguli siya kuba nokukhubazeka kwezihlunu zobuso buso kwinqanaba elincinane lobuso
- Ukukhubazeka kweBell s
Uvavanyo lwe-Cranial Nerve CN VII
- Cela umguli ukuba akulingise okanye ulandele imiyalelo ukuze wenze ubuso obuthile
- Qinisekisa ukuba uvavanya zonke ezine ezine-quadrants zobuso
- Phakamisa iinki
- Iidama
- uncumo
- Vala amehlo
- Khangela amandla omzimba we-buccinator ekuchaseni
- Buza isigulane ukuba ubambe umoya emahlathini njengoko ucofa ngobumnene ngaphandle
- Umonde kufuneka akwazi ukugcina umoya ngaphandle kokuchasene
I-Cranial Nerve VIII - Vestibulocochlear
I-Cranial Nerve VIII Clinically
- Utshintsho kwintetho yedwa yinto edlalwa ngenxa
- Izifo (i-otitis media)
- Iphunga leSkull
- I-lesion eqhelekileyo kule ntsho ibangelwa yi-neuroma yama-acoustic
- Oku kuchaphazela i-CN VII kunye ne-CNVIII (i-cochlear ne-vestibular divisions) ngenxa yokusondela ngaphakathi eziphicothiweyo inyama
- Iimpawu ziquka isicaphucaphu, ukugabha, isiyezi, ukungeva kakuhle, i-tinnitus, kunye ne-bell palsy njl.njl.
Uvavanyo lwe-Cranial Nerve CN VIII
- I-Otoscopic Exam
- Test Test
- Ingaba isigulane sinokuva ngokulinganayo kumacala omabini?
- Uvavanyo lwe-Weber
- Iimvavanyo zokuxhaswa
- 256 Hz ifolokhwe yokulungisa ibekwe phezu kwentloko yesigulana embindini, ingaba ingxola ngakumbi kwelinye icala kunelinye?
- I-Rinne Test
- Uthelekisa ukuqhutshwa komoya ukuqhubela amathambo
- Ngokuqhelekileyo, ukuqhuba umoya kufuneka kudlule i-1.5-2 ngexesha elide lokuqhuba amathambo
Uvavanyo lwe-Cranial Nerve CN VIII
informatics.med.nyu.edu/modules/pub/neurosurgery/cranials.html%5B/caption%5D
I-Cranial Nerve IX � I-Glossopharyngeal
I-Cranial Nerves IX Clinically
- Le nerve ayifane yonakaliswe yodwa, ngenxa yokuba kufutshane ne-CN X & XI.
- Jonga imiqondiso yomonakalo we-CN X & XI nokuba ukubandakanyeka kwe-CN IX kuyarhanelwa
I-Cranial Nerve X � iVagus
I-Cranial Nerve X Clinically
- Umonde unokuba ne-dysarthria (kunzima ukuthetha ngokucacileyo) kunye ne-dysphagia (ubunzima bokugwinya)
- Ngamana ungabonisa ukuba ukutya / uketshezi kuphuma kwimpumlo okanye ukukhahlela rhoqo okanye ukukhwehlela
- Ukunyaniseka kwe-motor component ye-visceral kungabangela ukuxhatshazwa kwe-acastric acid ekhokelela kwizilonda
- Ukuvuselela ngokukodwa kweengqungquthela zengqondo kunokubangela ukukhwehlela, ukuphazamiseka, ukuhlanza kunye nokusebenza kwemoto ye-visceral
- Icandelo le-visceral sensory le nerve linika kuphela iimvakalelo eziqhelekileyo zokungazinzi kakuhle, kodwa intlungu ebonakalayo iqhutyelwa kwintlungu
Uvavanyo lwe-Cranial Nerve IX & X
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- Gag reflex
- I-CN IX inikeza i-arc ehambelanayo
- I-X X inikeza i-arc
- ~ 20% yezigulane zinomlinganiselo omncinci okanye ongekho kwi-gag reflex
- Ukutshitshisa, ukugada, njl
- Kudinga i-CN X umsebenzi
- Ukuphakama kwePalatal
- Kudinga i-CN X umsebenzi
- Ngaba iyingqungquthela?
- I-Palate iphakamisa kwaye ivula ilahleka ngokubhekiselele kwicala elonakalisiweyo
- Ukuhluthwa kwentliziyo
- R I-X iyalungisa i-node yaseMzantsi Afrika (umgaqo-mgangatho ophezulu) kunye ne-CN CN i-AV node (umgaqo-mnye we-rhythm)
I-Cranial Nerve XI � Isincedisi
I-Cranial Nerve XI Clinically
- Izilonda zingabangela ukuhlinzwa ngokugqithiseleyo kwingingqi yentamo, njengokuba kususwe i-laryngeal carcinomas
Uvavanyo lwe-Cranial Nerve XI
- Uvavanyo lwe-SCM mandla.
- Umonde uya kuba nzima ukuguqula intloko ngokuchasene nokubhekiselele kwicala elichasene nesilonda
- Uvavanyo lwezandla trapezius m.
- Umonde uya kuba nobunzima kunye nephakamileyo eliphezulu kwicala lesilonda
I-Cranial Nerve XII � Hypoglossal
I-Cranial Nerve XII
openi.nlm.nih.gov/imgs/512/71/4221398/PMC4221398_arm-38-689-g001.png%5B/caption%5D
- Ngolwimi olunqamlekileyo, ulwimi luyekela kwicala le-genioglossus engasebenzi.
- Oku kunokuba yintlupheko kwi-corticobulbar (UMN) yesilonda OKANYE i-hypoglossal n. (LMN)
Uvavanyo lweCranial Nerve XII
- Buza isigulane ukuba unamathele ngolwimi lwabo Jonga ukuphambukisa njengokweslayidi esingentla
- Yiba nolwimi lwesigulane ngaphakathi kwesitye kwaye usebenzise ukunyanzela ukukhanya, elinye icala ngelo xesha
- Umonde kufuneka akwazi ukumelana nokunyusa ulwimi ngoxinzelelo
Uvavanyo lwezonyango - I-CN ngu-VI (i-CN engaphantsi)
Uvavanyo lweZliniki - I-CN nguVII - XII
imithombo
Blumenfeld, Hal. I-neuroanatomy ngokusebenzisa iiKliniki zeeKliniki. Sinauer, 2002.
Pauwels, uLinda Wilson, et al. Iimvumba ze-cranial: I-Anatomy kunye neengcebiso zeCliniki. Decker, 1988.
by UGqr Alex Jimenez | Chiropractic, I-Neurology Clinic, Unyango
Phantse wonke umntu unokuthi bave imvakalelo yokungazithembi okanye yokujija / imvakalelo yokujikeleza entloko ngexesha elinye ebomini babo. Ngokwesiqhelo kuncitshiswe ukuba isiyezi, ukungcola lixesha elibanzi elithetha izinto ezahlukeneyo kubantu abahlukeneyo. Isikhalazo esiqhelekileyo esinokuthi sinzulu. Utywala alukho nkcazo ethile yezokwelapha, kodwa kukho imeko ezine eziqhelekileyo ezinokuthi ziqwalaselwe njengeentlobo zengxengxongo:
- Vertigo. Imvakalelo yokushukuma apho kungekho ntshukumo, ngokungathi uyajikeleza okanye imeko yakho iyajikeleza. Ukujija / ukuzula-zula ngapha nangapha, emva koko uyema ngequbuliso, kunokuvelisa vertigo yethutyana. Nangona kunjalo, xa isenzeka ngalo lonke ixesha lokuphila kwesiqhelo, oko kunokuthetha ukuba kukho umba ophantsi wempilo kwinkqubo ye-vestibular yendlebe yangaphakathi, inkqubo yokulingana yomzimba ekuxelela ukuba yeyiphi indlela ephezulu okanye ephantsi kunye nokuva isikhundla intloko. Malunga nesiqingatha sazo zonke izikhalazo ziziyezi zifunyaniswa njenge-vertigo.
- Lightheadedness. Ikwabizwa ngokuba yi-syncope ekufuphi okanye pre-syncope, ukukhanyisela ukukhanya yimvakalelo yokuba sele uza kuyeka. Yinto eqhelekileyo ukukholelwa ukuba yenzeka ngokungxama ngokukhawuleza okanye ngokuphefumla amaxesha aneleyo ukuvelisa uvakalelo.
- IDisquilibrium. Ingxaki yokuhamba. Abantu abanesifo sokugula bayaziva bezinzile kwiinyawo zabo okanye bazive ngathi baya kuwa.
- Ukuxhalabisa. Abantu aboyikayo, abanxungupheleyo, abanxungupheleyo, okanye boyika iindawo ezivulekileyo banokusebenzisa igama elithi “isiyezi” ukubonisa ukothuka, uxinzelelo, okanye ixhala.
Abantu abazihlala benengxaki yokufumana isiyezi banokukhalaza ngaphezulu kolunye uhlobo lwesiyezi. Umzekelo, abantu abane-vertigo banokuziva benxunguphalo. Isiyezi sinokuba ngumcimbi wexesha elinye, okanye kunokuba yinto engapheliyo, ehlala ihleli. Phantse wonke umntu ohlangabezana nohlobo oluthile lwesiyezi uya kululama ekuhambeni kwexesha. Kungenxa yokuba imeko yomntu yokulinganisa kukunxibelelana okungenangqondo phakathi kwengqondo, inkqubo nganye yendlebe eyahlukeneyo, izisihlunu kwimisipha, kunye nembono yokubona. Xa elinye icandelo libona ukungasebenzi kakuhle, abanye banokufunda indlela yokubuyisa. Apha ngezantsi, siza kunciphisa iintlobo ezine eziqhelekileyo zesiyezi.
I-Vertigo, ukuvakalelwa okanye ukujikeleza, ikwahlula kwiindidi ezimbini ezahlukeneyo: i-vertigo yembambano kunye ne-vertigo ephakathi. I-vertigo yomda weyona ndawo ixhaphake ngaphezu kwe-vertigo ephakathi kwaye iqhubela phambili ngenxa yomonakalo kwindlebe yangaphakathi okanye i-CN VIII. Olu hlobo lwe-vertigo luvelisa ukunyuka kwamehlo okungaqhelekanga, okubhekiswe kuthiwa yi-nystagmus, enokuthi ibe yindawo ejikelezayo okanye ejikelezayo.
I-Nystagmus ihlala ijerky kwindalo enesigaba esikhawulezayo nesicothayo, nangona kunjalo ihlala ibizwa ngegama lesikhokelo sigaba esikhawulezayo. I-vertigo yecala inokuqina xa isiguli sijonga kwicala lesigaba se-nystagmus. Ngapha koko, ubukrakra be-nystagmus bunokulungelelana nobungqatha bokubamba isigulana. I-vertigo yecala ikwaphawuleka njengengenazo ezinye iimpawu kunye / okanye iimpawu zokungasebenzi kakuhle kwe-CNS. Isigulana sinokuchaza ukuba sinempawu zesikhaphukhaphu okanye sinokubangela ubunzima xa uhamba, kodwa ngenxa yengxaki yokungasebenzi kakuhle. Isigulana sinokubakho ukulahleka kokuva okanye i-tinnitus ukuba ngaba inkqubo ye-CN VIII okanye inkqubo yokuphicotha yonakaliswe.
Unobangela we vertigo yecepher zihlala zingabalulekanga, kubandakanya: i-benign paroxysmal posti vertigo, okanye i-BPPV, i-cervicogenic vertigo, i-acute labyrinthitis / vestibular neuronitis, isifo se-Meniere, i-perilymph fistula, kunye ne-acoustic neuroma. Ukuchonga unobangela wesigulana i-vertigo kunokugqitywa ngokunciphisa iimpawu ngokuxilongwa ngokuchanekileyo kwengcali yezempilo. Ukuba iintshukumo, ngakumbi zentamo kunye nentloko, i-vertigo ekhulayo, inokuthi yenzeke ngenxa ye-BPPV, i-vertebrobasilar artery insuffence okanye i-cervicogenic vertigo. Ukuba ingxolo ibonisa iziqendu ze-vertigo, inokuthi ibangelwe sisifo se-Meniere okanye i-perilymph fistula.
Iimbangela eziqhelekileyo zoTywala
I-Vertigo iyakwenziwa ngezinto ezininzi:
- Izifo, ezinjengezo zinto ezibangela ukuba kubanda kakhulu okanye uhudo, kunokukhokelela kwisitrogo sentsholongwane ngokusuleleka kwindlebe. Izifo zendlebe zangaphakathi ngokuqhelekileyo zintsholongwane, zinobungozi, kwaye zihlala zihamba kwiiveki enye ukuya kweyesibhozo, nangona kunjalo, iziyobisi kunye / okanye imichiza ifumaneka ngokukhawuleza ukuba ezi zinzima kakhulu.
- I-Benign paroxysmal post vertigo, okanye i-BPPV, kubangelwa kukushukuma kwe-otolith engafakwanga ndawo, isuntswana lecalcium encinci enobungakanani beenkozo zentlabathi, ukusuka kwinxalenye yendlebe engaphakathi eva ubunzima bokungena kwinxalenye evakalelwa yintloko entloko. Umntu ngamnye uziva ngathi intloko yabo iyajika xa ingekho. Emva kokuxilongwa kwe-BPPV usebenzisa iindlela ezizodwa ezaziwa njengovavanyo lwe-Dix-Hallpike, unyango olwenziwe ngokufanelekileyo kwiofisi kagqirha lunokunceda ukuhambisa i-otolith ibuyele apho ikhoyo kwaye ilungise umba wezempilo. Olu nyango, lwaziwa ngokuba yi-Epley maneuver, luye lwabikwa ekunyangeni i-vertigo 80 yepesenti yexesha.
- Isifo sikaMeniere kukungalungiseki okuphawulwa ziimeko ezingapheliyo ze-vertigo ezinzima. Ezinye iimpawu zesifo sika-Meniere sisifo i-tinnitus, okanye ukukhala ezindlebeni, ukulahleka kwendlebe, kunye nokuzalisa okanye uxinzelelo endlebeni.
- Isifo sikaDandy Uvakalelo lwezinto zonke ezihlaselwa phantsi. Kungenzeka kubantu abathile bathatha i-antibiotics enetyhefu kwindlebe. Nangona kunjalo, kudla ngokuphucula ngexesha.
- Ngaphantsi kwexesha, izifo ezibulalayo nazo zingabangela ukuba i-vertigo, njengaye izibilini okanye isisu.
Ngezantsi, siza kunciphisa ezinye zezizathu eziqhelekileyo ze-vertigo, echazwe ngasentla, ngeenkcukacha ezingaphezulu.
Benign Paroxysmal Positional Vertigo (BPPV)
I-Benign paroxysmal post vertigo, okanye i-BPPV, ingahlakulela ngokukhawuleza, ngokukodwa kubantu abadala. Kwakhona kungaqhelekanga ukuphuhliswa ngenxa yesifo senzakala okanye ukulimala kwentloko, njengaleyo eyabangela ingozi yemoto. Iziqulatho ezithintekayo ezinxulumene ne-BPPV zingabonakalisa ngokunyakaza okuthe ngqo, kubandakanyeka, ukujonga kwi-shelf ephakamileyo, ekubhekiselwe kuyo njenge-vertigo ephezulu, ukuguqa ngaphezulu, nokugqithisa ebhedini ebusuku. Ukuqalisa kwe-vertigo kunye ne-BPPV kungaqalisa imizuzwana embalwa emva kokunyakaza kwaye ihlala isombulula kwisithuba seminithi. Njengoko kukhankanywe ngasentla, uvavanyo lovavanyo lokuxhaphaza oluqhelekileyo olusetyenziswayo ukuxilonga i-BPPV yi-Dix-Hallpike. Iinkqubo zokwelapha ukuphatha i-BPPV ziquka ukuhamba kwe-Epley kunye ne-Brandt-Daroff Exercises. Ukongezelela, i-vertigo enobungozi obunobungozi inokuthi isombulule ngokwawo njengoko i-crystals evulekile entlebeni yangaphakathi ichithekile, nangona kunjalo, kuthatha inyanga kunye ne-otoliths ezitsha zingasuswa.
Vervicogenic Vertigo
I-Cervicogenic vertigo yenzeka emva kokulimala kwentamo okanye entloko, nangona kunjalo ayiqhelekanga kakhulu. Ihlala ihamba kunye nentlungu kunye / okanye isithintelo esidibeneyo apho i-vertigo kunye ne-nystagmus zingaphantsi kakhulu kunezo kwi-BPPV. I-Cervicogenic vertigo ibonakaliswa ngotshintsho kwindawo yentloko kodwa ayixhasi ngokukhawuleza njengoko isenza nge-benign paroxysmal posional vertigo.
I-Vertebrobasilar Artery Ukungakwazi
Ukungabikho ngokwaneleyo kwe-artebrobasilar artery kwenzeka ukuba umthambo we-vertebral ucinezelwe ngexesha lokujikeleza kwentloko okanye ukongezwa. Kule meko, ukuqala kwe-vertigo kulibazisekile ngaphezulu kwe-BPPV okanye i-cervicogenic vertigo ngenxa yokuba ischemia ihlala ithatha imizuzwana eli-15 ukuba yenzeke. Uvavanyo lwe-Orthopedic lwe-vertebrobasilar artery insufficiency lunokunceda ekufumaneni isifo. Uvavanyo lokuchonga lubandakanya uphawu lweBarre? -Lie? Ou, Uvavanyo lweDeKlyn okanye iDix-Hallpike Maneuver, uvavanyo lweHautant, uvavanyo lwe-Underberg kunye ne-vertebrobasilar emva kokusebenza ngokukuko.
I-Labyrinthitis eyiyo neVestibular Neuronitis
I-labyrinthitis efanelekileyo kunye ne-vestibular neuronitis ayiqondwa kakuhle, nangona kunjalo, kukholelwa ukuba ikhula njengesiphumo sokudumba. Ezi meko zilandelwa ngokubanzi emva kokosuleleka yintsholongwane okanye zinokubonakala ngathi akukho sizathu.I-labyrinthitis echanekileyo kunye ne-vestibular neuronitis ibonakaliswa ngohlaselo olunye, lwe-monophasic ye-vertigo ethi isombulule ngeentsuku ukuya kwiiveki ezimbalwa kwaye ngokubanzi ayiphinde yenzeke.
Izifo zeMeneere
Isifo se-Meniere sibonisa ngokunyuka koxinzelelo kwi-endolymph ebangela ukuqubuka kolusu kunye nomxube wequbuliso we-endolymph kunye ne-perilymph. Ngesifo sika-Meniere, iziqendu ze-vertigo zingahlala ukusuka kwimizuzu ye-30 ukuya kwiiyure ezininzi, okanye kude kube nokulingana phakathi kolwelo kwiindlebe zangaphakathi ukuba zifikeleleke. Ixesha elingaphezulu, ezi ziqwengana zinokonakalisa iiseli ze-vestibular kunye ne-cochlear yeeseli, kubangele i-tinnitus esezantsi kunye nokulahleka kokuva kweethoni eziphantsi. Xa uthelekisa isifo sika-Meniere, isifo se-Meniere sisifo apho kufunyaniswa ukuba iimpawu zesifo se-Meniere sibekwa kwenye imeko, ezinje nge: hypothyroidism, acoustic neuroma, i-semicircular canal dehiscence okanye i-SCDS, okanye i-perilymph fistula. Isifo sikaMeniere esiyinyani sisifo idiopathic.
Perilymph Fistula
I-Perilymph fistula lunxibelelwano olungaqhelekanga, okanye iinyembezi, ezibangela ukuvuza okuncinci ngaphakathi kwendlebe yangaphakathi ngenxa yokuqaqanjelwa okanye ukonzakala, ngakumbi i-barotrauma. I-Perilymph fistula ingajongeka njengophawu olufana nesi sifo / isifo sikaMeniere kwaye ihlala ivuselelwa lutshintsho kuxinzelelo lwezinto ezikhwela inqwelomoya okanye ukukhwela ukunyuka. Olunye uphawu lwefistula ye-perilymph fistula lubandakanya uphawu lukaHennebert, apho i-vertigo okanye i-nystagmus episode iziswa khona ngokutywinwa kwendlebe, njengokufaka i-otoscope.
I-vertigo esembindini, lolunye udidi lwe-vertigo, ixhaphake kakhulu kune-peripheral vertigo, njengoko kuchaziwe ngasentla. Kubangelwa ngumonakalo kwiziko lokuqhubekeka lolwazi lwe-vestibular kwingqondo yengqondo kunye ne-cortex yecerebral. Nangona kunjalo, iziqalo zesisiba sithathwa njengento engathanga kakhulu kune-peripheral vertigo ngelixa iziqendu ze-nystagmus zinzima kakhulu kunesikhalazo okanye inkcazo yesigulana. Le nystagmus ethile edibene ne-vertigo ephakathi inokuhamba ngeendlela ezininzi, kubandakanya nkqo. I-vertigo ephakathi inokuthi okanye ingabi nayo enye into efunyenwe kwi-CNS kwisifo ekuxilongwa okanye kuviwo kwaye akukho lutshintsho kwindlebe olunokulindelwa ngale ndlela ye-vertigo. Ezona zinto zibangela ukuba kubekho i-vertigo ephakathi zibandakanya: isifo se-cerebrovascular, esifana nokuhlaselwa kwe-ischemic okwexeshana, isifo sokuqina kwesifo esiqhelekileyo, ukungalunganga kwe-Arnold-Chiari, ukonakaliswa kwengqondo ye-caudal okanye i-vestibulocerebellum kunye / okanye imeko ye-migraine.
Ukukhanya kwentloko, okanye isiyezi sangaphambi kokuvumelanisa, kubangelwa ikakhulu yimeko ejikeleze ukungahambi kakuhle kwegazi kungena kwingqondo xa umntu emi. Isola le ngxaki kookhokho bethu abaye bafunda ukuhamba nkqo, bebeka ubuchopho bethu ngaphezu kwentliziyo yethu. Umceli mngeni kwentliziyo yakho ukugcina ingqondo ibonelelwe ligazi kwaye kulula ukuba le nkqubo yehle. Xa imithambo yegazi kwingqondo iye yancipha, okanye yandiswa, ngenxa yokuphakama komkhuhlane, ukonwaba okanye i-hyperventilation, ukunxiliswa kotywala, okanye amayeza kagqirha kunye / okanye amayeza, anjengee-antidepressants, ayothusi into yokuba umntu aqhele ukufumana intloko. Zisenokubakho izinto ezimbi, nangona kunjalo, ezinesifo soxinzelelo kunye nesifo sentliziyo.
I-pre-syncope izondlo zivela ngqo kwimvelaphi yenyama, njengengxaki yeziphumo, i-arrhythmias, i-Holter iliso lokuhlola. Kwakhona kungabangelwa yimizimba yesikhokelo / i-orthostatic hypotension, ezinokuthi zibe zisekondari kwezinye izinto zempilo ezifana ne-diabetes neuropathy, i-adrenal hypofunction, i-Parkinsons, iziyobisi ezithile kunye / okanye imithi, njl njl. Ukukhanya kokukhanya kunokubandakanya iziqwenga ze-vasovagal ezihamba kunye nentliziyo ephantsi. Uxinzelelo oluphantsi lwegazi lubangelwa kukuxinezeleka, ukuxhalaba okanye ukuxhatshazwa. Ekugqibeleni, ukungena kwe-syncope ukungcola kungabangelwa yi-migraine ikhanda ngenxa yokungazinzi kwe-cerebrovascular ne-sugar sysregulation.
IDisequlibrium, kunokubangelwa ngu:
- Uhlobo lwe-arthritis entanyeni ebizwa ngokuba yi-cervical spondylosis, ebeka uxinzelelo kumgca womgca.
- Isifo sikaParkinson okanye iingxaki ezinxulumene nazo ezibangela umntu ukuba aqubude phambili.
- Iziphazamiso ezibandakanya inxalenye yengqondo eyaziwa ngokuba yi-cerebellum. I-cerebellum yinxalenye yengqondo ejongene nokulungelelanisa nokulingana.
- Izifo ezifana nesifo sikashukela esinokubangela ukungabikho kwintlungu kwimilenze.
I-Disequilibrium ininzi kakhulu kwi-asebekhulile yaye ivela ngokubanzi ngenxa yokulahlekelwa kweengxaki. Ukongeza, i-disquibrium ihamba ngokuthe ngcembe eyona nto ibuhlungu ngombono omncinci, ubumnyama, amehlo avulekileyo kunye nokulahlekelwa kwezinto ezibonakalayo. Nangona kunjalo, kuphuculwe ngokuchukumisa into ehleliweyo edlalwa ngokuzithoba njengokuba utyingwane luphucula ngesistim sokuncedisa njenge-cane, walker, njl njl.
U-Dr. Alex Jimenez's Insights
Ukuba ukhe ukhe wakuva ukuqubha ngequbuliso okanye ukuziva uthandabuza okanye waziva utyhafile, woya okanye ungazinzanga, awuwedwa. Isiyezi ligama elisetyenziselwa ukuchaza uluhlu lweemvakalelo kwaye sesinye sezizathu ezixhaphakileyo zokuba kutheni abantu abadala bebatyelela abasebenzi babo bezempilo. Ngelixa ezi mvakalelo zobuxoki zinqabile ukuchaza imeko esongela ubomi, iziqendu ezixhaphakileyo zinokuchaphazela kakhulu ubomi bomntu. Uxilongo kunye nonyango lwesiyezi kunokuxhomekeka ikakhulu kwisizathu seempawu. Ngethamsanqa, iindlela ezininzi zonyango ezisetyenziselwa ukunyanga isiyezi zithathwa njengekhuselekileyo kwaye zisebenza.
Ezinye izinto ezibangela ukuba nesiyezi zinokubangelwa luxinzelelo lwengqondo. Kule meko, isigulana siza kuchaza isiyezi njengesiqhelo "sokudada." Isiyezi kuhlobo loxinzelelo lihlala, kodwa hayi rhoqo, sibangelwa luxinzelelo. Ukongeza, inokubangelwa kukuphazamiseka koxinzelelo okanye uxinzelelo. Amayeza ahlukeneyo anokubangela ukuba nesiyezi njengempembelelo yecala. Kubalulekile ukuba uchwepheshe wezempilo akhuphe olu hlobo lwesiyezi olubangelwa kukungasebenzi kakuhle kunye nezinye iintlobo zesiyezi. Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nokulimala komqolo kunye neemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi ku 915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Imixholo eyongezelelweyo: iSciatica
Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.
by UGqr Alex Jimenez | Umvakalelo yokitazo, Chiropractic, I-Neurology Clinic, Unyango
Ataxia ligama lonyango elisetyenziselwa ukuchaza ukungabikho kokulawulwa kwemisipha okanye ukulungelelaniswa kweminyango yokuzithandela, kuquka nemisebenzi yemihla ngemihla ehambahambayo okanye eqokelela izinto. Ngokuqhelekileyo kuthiwa yimpawu zempilo, i-ataxia inokuchaphazela ukuhamba okuhlukeneyo, kubangela ubunzima ngeendlela zokuthetha kunye nolwimi, ukunyuka kwamehlo kunye nokugwinya.
Ukuqhubeka kwe-ataxia ngokubanzi kubangelwa ngumonakalo kwinxalenye yengqondo elawula ukuxhatshazwa kwemisipha, eyaziwa ngokuba yi-cerebellum. Unobangela obuninzi kunye neemeko zingakhokelela kwi-ataxia, njengokusetyenziswa kakubi kotywala, iziyobisi ezithile kunye / okanye imithi, isifo, izilonda, ukukhubazeka kwesiberebhu, ukubola kwesifo sengqondo kunye ne-multiple sclerosis. Izahlulo ezilahlekileyo ezizalisiweyo ziye zadibana nokukhokelela kwi-ataxia.
Ukuxilongwa kunye nokunyangwa kwe-ataxia kuxhomekeke kakhulu kwiimeko kunye / okanye imeko. Izixhobo ezithintekayo, ezibandakanya abahambahambayo okanye iimboyi, zinokunceda izigulane ezine-ataxia zigcina ukuzimela. Ukhathalelo lweChiropractic, unyango lwezonyango, unyango lomsebenzi, unyango lwentetho kunye nokwelula kwe-aerobic kunye nokuzivocavoca nako kunokukunceda ukuphucula iimpawu ezihambelana nale ngxaki yempilo.
Iimpawu zeAtaxia
I-Ataxia yinkinga yempilo enokukhula ngokuthe ngcembe kwithuba okanye ingafika ngokungalindelekanga. Njengomqondiso wenani leengxaki zegazi, i-ataxia ingadlulisela ku:
- Ukungasebenzi ngokufanelekileyo
- Ukuhamba ngokungahambiyo kunye nomkhwa wokukhubeka
- Ubunzima ngemisebenzi emihle yemoto, njengokutya, ukubhala okanye ukukhenqa ihembe
- Iinguqu kwiintetho
- Ukufuduka kwamehlo okuphuma emva kokuphuma, okubizwa ngokuba yi-nystagmus
- Unzima ukugwinya
Xa Ukutyelela Ugqirha
Kwimeko apho isigulane engazi ukuba ingaba yinkxalabo yempilo ebangela ukuba i-ataxia, njenge-multiple sclerosis, kubalulekile ukutyelela ugqirha ngokukhawuleza ukuba isigulane:
- Ukwenza ulingano
- Ihambisa umxube we-muscle esandleni, umlenze okanye ingalo
- Kunzima ukuhamba
- Slurs yabo intetho
- Unenkathazo yokugwinya
Izizathu zeAtaxia
Ukulimala, ukuchithwa okanye ukulahlekelwa kweeseli ze-neural kwicandelo lobuchopho obulawula ukuxhatshazwa kwemisipha, okanye i-cerebellum, kaninzi kubangela i-ataxia. I-cerebellum yenziwe ngamacandelo amabini e-pingpong-ball of parts of folded tissue ephantsi kwengqondo ecaleni kwengqondo. Icala lokunene le-cerebellum lilawula ukulungelelanisa kwicala elifanelekileyo lomzimba; kwicala lesobunxele lolawulo lwe-cerebellum ukulungelelanisa kwicala lasekhohlo lomzimba. Izifo eziwonakalisa intambo yomgca kunye nemisipha ye-peripheral edibanisa i-cerebellum kwiimisipha ingakhokelela ekwenzeni i-ataxia. Izizathu zeAtaxia ziquka:
- Intlungu yentlekele. Ukulimala kwengqondo okanye umthambo womgudu ngenxa yokubethelwa kwentloko, njengokuba kwenzeka kwingozi yemoto, kunokudala i-cerebellar acacia acyxia, ezayo ngokungalindelekanga.
- Stroke. Emva kokunikezelwa kwegazi kwinxalenye yengqondo iphazamisekile okanye iyancitshiswe kancinci, ukulahla izicubu zengqondo zezondlo kunye ne-oksijeni, iiseli zengqondo ziyafa.
- Umvakalelo yokitazo. Le nto ingaba lixesha eliqhelekileyo kwiqela leengxaki ezilethwe ngumonakalo kwengqondo yengane ngexesha lokuphuhliswa kwangaphambili, ngaphambi, ngexesha okanye emva nje kokuzalwa, okuchaphazela amandla omntwana wokulungelelanisa ukunyakaza komzimba.
- Izifo ezizenzekelayo. I-Multiple sclerosis, i-sarcoidosis, isifo se-celiac kunye nezinye iimeko ezizimeleyo zingenza i-ataxia.
- Izifo. I-Ataxia ingaba yinkcenkcesha engavamile yokhukhukazi kunye nezinye izifo zentsholongwane. Ingabonakalisa kwizigaba zokuphulukisa kwaye usenokuhlala iintsuku okanye iiveki. Ngokuqhelekileyo, i-ataxia isombulula ixesha.
- I-Paraneoplastic syndromes. Ezi zizinto ezinqabileyo, ezinokukhubazeka kwempilo ezibangelwa ngumzimba womzimba wempendulo yomzimba wesifo somhlaza, obizwa ngokuba yi-neoplasm, ngokuqhelekileyo ukusukela kumphunga, umvini we-ovari, isifuba okanye isifo somhlaza. I-Ataxia ingabonakala inyanga okanye iminyaka ngaphambi kokuba umhlaza ufumaneke.
- Izidumbu. Ukukhula kwengqondo, umdlavuza, okanye unobungozi, okanye unobuncwane, okanye unobungozi, kunokulimaza i-cerebellum, ekhokelela ku-ataxia.
- Ukusabela okunobuthi. I-Ataxia yinkqubela yamacandelo athile kunye / okanye amayeza, ngokukodwa ama-barbiturates, afana ne-phenobarbital; izidalwa, njenge-benzodiazepines; kunye nezinye iintlobo ze-chemotherapy. Oku kubalulekile ukuxilonga ngenxa yokuba iziphumo zivame ukuguqulwa. Kwakhona, ezinye iziyobisi kunye / okanye amayeza kunokubangela iingxaki ubudala, oko kuthetha ukuba umntu unokufuna ukunciphisa umthamo okanye ukuyeka ukusebenzisa. Utywala kunye neziyobisi; inetyhefu enesinyithi enzima, njenge-mercury okanye iphambili; kunye nokusombulula ukutyhefuza, kufana nepeyinti, kwaye kunokudala i-ataxia.
- I-Vitamin E, i-vitamin B-12 okanye i-thiamine. Ukungatholi ngokwaneleyo kwezi zondlo, ngenxa yokungakwazi ukuzithatha ngokwaneleyo, ukusetyenziswa kakubi kotywala okanye ezinye izizathu, kunokugqibeleni ukukhokelela kwi-ataxia.
Kubantu abaninzi abadala abahlakulela i-ataxia ye-sporadic, akukho nto efunyenweyo. I-ataxia ye-sporadic inokuthatha iifom ezininzi, kuquka i-atrophy ye-multiple system, isifo esiqhubekayo kunye nesifo esilaphayo.
U-Dr. Alex Jimenez's Insights
I-cerebellum ngummandla wengqondo ophethe ukulawula ukunyakaza emzimbeni. Izimpawu zombane zithunyelwa ukusuka kwingqondo ngokusebenzisa umgca womgogodla kunye neentambo zomhlaba zokuvuselela umsizi ukuya kwisivumelwano kunye nokuqalisa ukuhamba. Iimvumi ezinomdla nazo ziqokelela idatha ukusuka kwimo engqongileyo ngokumalunga nokuma kunye nokwaziswa. Xa enye okanye enye yalezi zixhobo zihamba neengxaki, iyakwazi ukukhokelela kwi-ataxia. I-Ataxia yigama lonyango elisetyenziselwa ukuchaza ukungabikho kokuhlanjululwa kwemisipha xa kuqhutywa inzame yokuzithandela. Ingenza nasiphi na isisombululo esenza ukuba imisipha isebenze umngeni, ukususela ekuhambeni ukuya ekukhetheni into, kwanokugwinya. Ukuxilongwa kunye neyeza kunokunceda ukulawula nokuphucula iimpawu ezihambisana ne-ataxia.
Ukuxilongwa kweAtaxia
Ukuba umntu uye wavelisa iimpawu ze-ataxia, i-professional carecare ingenza i-diagnostic ukuze ikhangele isizathu esinokunyanga. Ngaphandle kokuqhuba uvavanyo lweemvelo kunye nokuhlolwa kwengqondo, kuquka ukuvavanya imemori yesigulane kunye nokugxininisa, umbono, ukuvalelwa, ukulingana, ukulungelelanisa, kunye nokucinga, ugqirha wakho unokucela iimvavanyo zesebe, kuquka:
- Izifundo zokucinga. I-CT scan okanye i-MRI yengqondo yesigulane inganceda ukuqonda iimeko ezinokubangela i-ataxia. I-MRI ingachaza ngamanye amaxesha ukutshatyalaliswa kwe-cerebellum kunye nezinye izakhiwo zobuchopho kubantu abane-ataxia. Ingabonisa kwakhona ezinye iziphumo eziphathekayo, ezifana ne-blood clot okanye i-tumor ye-bladder, engayicinezela kwi-cerebellum.
- Ukugqitywa kweLumbar (intonga yomthambo). Inaliti ifakwe kwisigxina esingaphantsi, okanye i-lumbar spine, phakathi kwamathambo ama-lumbar okanye i-vertebrae, ukususa isampuli ye-cerebrospinal fluid. I-fluid, ejikeleze kwaye ikhusela ingqondo kunye nomthambo womthambo, ithathwa kwi-laboratory ukuvavanywa.
- Uvavanyo lwamaGenesis. Unonophelo lwezempilo unokuncoma ukuhlolwa kofuzo ukuqinisekisa ukuba umntwana unentshukumo yomzimba eyenza i-ataxia yefa. Iimvavanyo zeGene ziyafumaneka ezininzi kodwa akuzona zonke ii-ataxias ezifa.
Ngapha koko, ukuxilonga i-ataxia kunokuxhomekeka ekubeni yeyiphi na inkqubo echaphazelekayo. Umzekelo, ukuba ingxaki yezempilo ilele kwinkqubo ye vestibular, isigulana siya kuba nesiyezi, mhlawumbi sibe ne-vertigo okanye i-nystagmus. Basenokungakwazi ukuhamba kumgca othe tye kwaye xa behamba, baya kuhlala becala kwelinye icala. Ukuba umba wezempilo ulele kwinkqubo ye-cerebellar, ii-cerebellar gaits ezikhoyo ngesiseko esibanzi kwaye ngokubanzi kubandakanya ukugxadazela kunye nokubizwa. Isigulana siya kuba nobunzima ekwenzeni uvavanyo lweRhomberg ngamehlo avulekileyo okanye avaliweyo, kuba abanakuma kunye neenyawo kunye, njengoko kuchaziwe ngezantsi.
Ukuvavanya i-Vestibular System
Ukuvavanya inkqubo ye-vestibular yokufumanisa isifo se-ataxia kunokubandakanya uvavanyo lweFakuda lokuNgena kunye noVavanyo lweRhomberg. Uvavanyo lwe-Fakuda lokuNgena lwenziwa ngokwenza ukuba umngcelele wesigulana endaweni uvale amehlo kwaye iingalo ziphakanyiselwe kuma-90 degrees phambi kwabo. Ukuba bajikeleza ngaphezulu kwama-30 degrees, uvavanyo luthathwa njengolulungileyo. Kubalulekile ukuba uqaphele ukuba isigulana siya kujikeleza kwicala le-vestibular dysfunction. Uvavanyo lweRhomberg luza kuqinisekisa ukuxilongwa kwe-ataxia ukuba isigulana sijika kwicala elahlukileyo ngalo lonke ixesha amehlo evaliwe, njengoko oku kunokubonisa ukungasebenzi kakuhle.
Ukuvavanya iCerebellar System
Ukuvavanya i-cerebellar system ukuqinisekisa ukuba ukuxilongwa kwe-ataxia kunokubandakanya uvavanyo lokudlala ipiyano kunye nokuhlolwa kwe-hand-patting kunye nokuhlolwa komnxeba. Uvavanyo lokudlala ipiyano kunye novavanyo lwe-hand-patting test kokubili luvavanyo lwe-dysdiadochokinesia. Kwakhona kwiimvavanyo zombini, isiguli siya kuba nzima ukuhambisa isalathiso kwicala le-cerebellar ukungasebenzi. Ngokuvavanywa komunwe-mpumlo, isigulane sinokuthi sihlambulule / i-hypo metric ekunyuseni kunye nenyikima yenjongo ingatyhilwa.
Isikhundla Sokuhlangana
Kwizigulana ezinotshintsho kwindawo yazo yokudibana, ukuqonda okuqinisekileyo kunokuncitshiswa, ngakumbi kwizigulana esele zikhulile nakwizigulana ezine-neuropathy. Izigulana ezinendawo yokuhlangana yokulahleka kwengqondo zihlala zixhomekeke kulwazi olubonakalayo ukunceda ukubuyekeza. Xa igalelo elibonakalayo lisusiwe okanye linciphile, ezi zigulana ziye zayibaxa i-ataxia.
Amandla oMbane kunye nokuBambisana
Ukuba isigulane sinciphise ukulawulwa kwe-lobe yangaphambili, sinokuphelisa nge-apraxia ye-gait, apho kunzima khona ukulawulwa kwemigudu yokuhamba. Izifo ze-Extrapyramidal, ezifana nesifo se-Parkinson, zibangelwa ukungakwazi ukulawula umbane. Ubuthakathaka obunamaqanda obunqabileyo obunobumba ngenxa ye-myopathy kulo mzekelo kuza kuvelisa i-pattern ye-gait engavamile.
Unyango lwe-Ataxia
Akukho nonyango oluthile lwe-ataxia. Kwezinye iimeko, ukunyangwa kwempembelelo yempilo ihlala ixazulula i-ataxia, njengokushiya ukusebenzisa iziyobisi kunye / okanye amayeza anokubangela. Kwezinye iimeko, ezifana ne-ataxia ephumela kwi-inkukhu okanye enye intsholongwane yentsholongwane, kunokusombulula ngokwayo. Unonophelo lwezempilo unokuncoma unyango ukulawula iimpawu, ezinjengeentlungu, ukukhathala okanye ukukhwabanisa, okanye banokuncoma ukusebenzisa izixhobo zokusebenza okanye iindlela zokuncedisa ukunceda i-ataxia. Ukunyamekela kwe-Chiropractic yindlela ekhuselekileyo nesebenzayo, yonyango ejolise kunyango lwezinto ezahlukeneyo zokulimala kunye / okanye iimeko ezinxulumene nenkqubo ye-musculoskelet and nervous system. I-chiropractor isebenzisa ngokutsha ukulungiswa komgudu kunye neendlela zokuziphatha ngokufanelekileyo ukuze ulungise nayiphi na indlela yokuguqulwa kwamagciwane, okanye ukuxilongwa, okungabangela iimpawu zesigulane. Ukongezelela, ugqirha we-chiropractic, okanye i-chiropractor, unokucebisa uchungechunge lweendlela ezifanelekileyo zokuguqula indlela yokuphila, kuquka ukucebisa okunomsoco kunye nezicwangciso zokuzilolonga, ukwenzela ukubuyisela amandla omguli, ukuhamba kunye nokuguquguquka. Ukunyamekelwa kwe-Chiropractic kunye kunye nesimo esifanelekileyo somzimba kunokunceda ukukhawuleza inkqubo yokubuyisela isiguli.
Izixhobo ezithintekayo
I-Ataxia eziswe ngeemeko ezinjenge-multiple sclerosis okanye ukukhubazeka kwe-cerebral kungenzeka ukuba ayinakuphilisa. Kwimeko enjalo, uchwepheshe wezempilo uya kuba nako ukuncomela izixhobo zokusebenza. Ezi ziquka:
- Ukuhamba ngezintambo okanye iintambo zokuhamba
- Izinto zokuguqulwa zokutya
- Iinkcukacha zonxibelelwano zokuthetha
Olunye unyango
Isigulane esinama-ataxia sinokuzuza kwiinkqubo ezithile zonyango, kubandakanywa: unyango lomzimba ukunceda ukuphucula ukulungelelanisa nokuphucula ukuhamba; unyango lwabasebenzi ukuze bancede ngemisebenzi yokuphila imihla ngemihla, njengokutya ngokwabo; kunye nonyango lokuthetha ukuphucula intetho kunye nokuncedwa ngokugwinya.
Ukunyamezela kunye nenkxaso
Imingeni umntu abhekane nayo xa ehlala ne-ataxia okanye nomntwana enesi simo angenza isigulane sizive siselulu okanye sinokubangela ukudandatheka nokuxhalaba. Ukuthetha nomcebisi okanye umgqirha unokunceda. Okanye mhlawumbi isigulane sinokufumana isikhuthazo kunye nokuqonda kwiqela elinika inkxaso, mhlawumbi kwi-ataxia okanye ngesimo esithile esisisigxina, njengomhlaza okanye i-multiple sclerosis.
Nangona amaqela enkxaso ayengekho kuwo wonke umntu, angaba yimithombo emihle yeengcebiso. Amalungu eqela ngokuqhelekileyo ayazi malunga nonyango olutsha kwaye ajwayele ukwabelana ngamava abo. Ukuba unomdla, umqeqeshi wakho wezezempilo unakho ukuphakamisa iqela kwindawo yakho. Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu nemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Imixholo eyongezelelweyo: iSciatica
Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.
by UGqr Alex Jimenez | Chiropractic, I-Neurology Clinic, Unyango
I-Benign paroxysmal post vertigo, okanye i-BPPV, yinkomfa yinkqubo kwindlebe yangaphakathi. Kuyenzeka xa ezinye ze-crystal carbonate (i-otoconia) eziqhelekileyo zifakwe kwi-gel kwi-utricle zikhutshwe kwaye zifudukela ubuncinane kwi-canal ye-3 egcwele amanzi, apho kungabi khona. Xa ezaneleyo zalezi zinhlayiya ziqokelelwa kwelinye lamanxiba ziphazamisa ukunyakaza okuqhelekileyo okukhuphayo ukuba le mijelo isebenzise ukuqonda ukunyakaza, ukudala indlebe yangaphakathi ukuthumela iimpawu zamanga engqondweni.
I-flux kwiimitshini zesekondari aziqhelekanga ukusabela kwisantya. Nangona kunjalo, i-crystals iyaqhubeka nokunyamezela, ngaloo ndlela iguqula umbane xa iqhelekile. Xa i-fluid ishukumisa, ukuphela kweentliziyo kwi-canal kuyakulangazelela kwaye kuthumela umyalezo kwingqondo ingqondo ishukunyiswa, nangona ayikho. Ulwazi olubuxoki aluhambelani nenye enye indlebe eyaziwayo, kunye kunye nento abona ngayo amehlo, okanye kunye neentlobo kunye nezihlunu ezenzayo, kwaye le ngcaciso engahambelaniyo ibonakala ngengqondo njengento yokujika, okanye i-vertigo, ngokuqhelekileyo ihlala ngaphantsi komzuzu omnye. Phakathi kwe-vertigo ichaza abanye abantu namhlanje banomuvo ongenalo uphawu, ngelixa abanye beziva bengenalucalulo.
Umqeqeshi wezempilo uya kuqhuba iqoqo leemvavanyo kunye nokuvavanya ukuze ahlolisise kakuhle i-BPPV yomntu. Ukucinga ngonyango rhoqo (umz. I-MRI) akunakunceda ekufumaneni i-BPPV, kuba ayibonisi iikristali eziye zafudukela kwii-canal ze-circular. Kodwa xa umntu ophethe i-BPPV enekhanda lakhe liye lafudukela kwisikhundla esikhiqiza iikristali ezikhutshiwe zihamba ngaphakathi kwiphubhu, iimpawu zephutha zenza ukuba amehlo ahambe kwipateni ekhethekileyo, ebizwa ngokuthi "nystagmus".
I-nystagmus iya kuba neempawu ezahlukileyo ezivumela ugqirha oqeqeshiweyo ukuba achonge ukuba yeyiphi na indlebe iikristale ezifuduselweyo ngaphakathi, emva koko imisele (okanye) ezifudukele kuyo. Iimvavanyo ezinje nge-Dix-Hallpike okanye iiRoll Tests zibandakanya ukuhambisa intloko iye kwizikhombisi ezithile, ukuvumela amandla omxhuzulane ukuhambisa iikristali ezilahliweyo kunye nokwenza i-vertigo ngelixa ubuchwephesha bobuchwephesha bokuhamba kwamehlo, okanye i-nystagmus. Uvavanyo lweHallpike, ingcali yezempilo iya kucela isigulana ukuba sihlale kwitafile yovavanyo kunye nemilenze yabo yoluliwe. Emva koko baya kuguqula intloko i-45 degrees kwelinye icala, eyahlula i-canal yangemva kwesemicircular efanelekileyo kunye nenqwelomoya yomzimba, emva koko baya kuvumela isigulana ukuba silale ngokukhawuleza, ngelixa amehlo evulekile, ukuze intloko yabo ixhoma kancinane ngaphezulu komda wedesika.
Xa umboneleli wezempilo uyigqibile ukuxilongwa, ngoko banokwenza uhambo olufanelekileyo lwezonyango. Iimpawu zenza ukusetyenziswa kombane ukuba zikhokhelele iikristali kwakhona kwigumbi apho kufuneka ukuba zilandelwe ngokulandelelana kweentloko, ezibizwa ngokuba yi-Repositioning Maneuvers. Ukubuyiselwa kwemisebenzi kusebenza kakhulu ekuphatheni i-BPPV, engabizi, kwaye kulula ukuyisebenzisa.
U-Dr. Alex Jimenez's Insights
Nangona ukusetyenziswa kwamanyathelo okugqirha kunye nezobisi kunye / okanye amayeza kunconywa ngamanye amaxesha ukukhupha iimpawu ezinxulumene ne-vertigo enobungozi obunobungozi, okanye i-BPPV, abayiphathi ingxaki yezempilo. Ukuhlelwa kwakhona kweendlela, njengokuba ziboniswe ngezantsi, zibhekwa njengezikhuselekileyo kodwa zikhetho zonyango olusebenzayo kwi-BPPV. Kukho ubungqina obuhle bokuxhasa unyango lwe-BPPV kunye ne-Epley maneuver. Nangona uphando oluncinci lweengxelo zophando luye lwaqhutyelwa kwezinye iindlela zokulungisa izinto, iindlela zokwenza iziganeko zezigulane ngeBPPV ziye zazuza kwezinye iindlela zokwelapha ezizenzekelayo nge-vertigo yangaphakathi.
Ukuqwalasela ukuba ukuphumelela kweempembelelo phakathi kwendlela yonxibelelwano yonxibelelwano yonxibelelwano kuyo yonke into, ukukhetha ukonyango ngokuqhelekileyo kuchazwa kwintsholongwane, ukuchithwa kweendlela eziziphetheyo, ukuphendula unyango kwiindlela ezithile zokuhamba, kunye neengcamango zesifo se-musculoskeletal, ezifana nokuguqulwa kwamathambo kunye nokuhamba kwesantya yomlomo wesibeletho. Ngaphantsi, ezininzi iindlela zokubeka izinto ezibonakalayo zibonakaliswa, umzekelo, ingqondo engqongqo yokuxhoma, i-Lempert (BBQ) kunye ne-Epley maneuver.
Umongo onzulu oxhomekeke ekuqhubekeni kwindlela yokusebenza ngokuphindaphindiweyo esisetyenziselwa enye yezona ndawo eziqhelekileyo apho i-BPPV ikhona khona, isalathisi esiphezulu se-setyhula, efikelela kwipesenti ze-2 kuphela zezona zihlandlo ezinobungozi be-vertigo. Nangona kunjalo, inzuzo yentloko ephezulu yokuxhoma i-intambo kukuba iyakwenziwa ngokuphumelelayo ngaphandle kolwazi lwabachaphazelekayo. Iqukethe amanyathelo amathathu kunye neenguqu ezine zenguqu kwixesha elifutshane malunga nemizuzwana ye-30.
Intloko enzulu ejingayo yenziwa ngesigulana kwindawo yokuhlala ixesha elide, ngelixa intloko iziswa kubuncinane be-30 ngaphantsi kwe-tye kunye nentloko ethe nkqo. Xa i-nystagmus ebangelwa leli nyathelo igqityiwe, intloko inyuswa ngokukhawuleza ukuba ichukumise isifuba ngelixa isiguli sihlala siphezulu, kwaye emva kwemizuzwana engama-30, umntu lowo ubuyiselwe kwindawo ahleli kuyo enentloko eguqulweyo. Okokugqibela, isigulana siya kubuyiselwa kwimeko yentloko engathathi hlangothi.
Umqhubi we-Lempert, obizwa ngokuba ngumqhubi weBarqueque okanye u-Roll maneuver, ngumsebenzi wokuphindaphinda oqhelekileyo usetyenziselwa ukunyanga i-canilithiasis yomsele ongasemgangathweni kunye nesikhokelo. Kungenzeka njengenkcenkcesho ye-Canal ye-post-canal repositioning maneuvers. Icala le-nystagmus ephawulekayo echanekileyo yicala elichaphazelekayo.
Ukwenza i-Lempert maneuver, isigulana kufuneka silale phantsi kwetafile yovavanyo, sisebenzisa indlebe echaphazelekayo ejonge ezantsi. Emva koko, ingcali yezempilo iya kuguqula intloko i-90 iye kwicala elingachaphazelekiyo, ijonge phezulu, ilinde imizuzu eli-15 ukuya kwengama-20 phakathi kwentloko nganye. Ingcali yezonyango iya kuthi emva koko ijike intloko i-90 ukuze indlebe echaphazelekayo ijonge ngoku. Isinyathelo esilandelayo kubandakanya ukuba umntu afake iingalo zakhe kwi-torso yabo, ukwenzela ukuba avumele ugqirha ukuba agqithise isigulane kwindawo enokulinganisela kunye nentloko. Umntu kufuneka ajikwe kwicala labo ukusukela oko ugqirha ugoqa intloko yabo 90 (ebabuyisela kwindawo yabo yoqobo, ngendlebe echaphazelekayo ijonge ezantsi). Ekugqibeleni, ugqirha kufuneka abeke isigulana ukuze bajongane kwaye babangenise kwindawo yokuhlala.
Unyango kunye ne-Lempert uhamba kakuhle malunga ne-75% yesikhashana, nangona kunjalo, ukuphumelela kuyahlukahluka kumntu ngamnye. Kubalulekile ukugcina engqondweni ukuba ixesha elide lexesha phakathi kwentloko lijika lingakuchukumisa isicasuliso. Olu hlobo lokuqhubekisa ukulungiswa kwakhona akufanele lwenziwe kwizigulane apho kungakhuselekanga ukuhambisa ingqondo yabo, kubandakanyeka kwimeko yokulimala komlomo.
Epley Maneuver yeBPPV
Indlela eqhelekileyo yokuphindaphinda ukulungiselela unyango lwe-vertigo enobungozi obunobungozi, okanye i-BPPV, yaziwa ngokuba yi-Epley maneuver. I-Epley maneuver, ngezinye izihlandlo ekubhekiswe kuyo njenge-canalith yokuphindaphinda ukuqhuba, yinkqubo ebandakanya uchungechunge lweentshukumo zentloko, ngokuqhelekileyo eyenziwa ngumqeqeshi wezempilo oye wafumana amava kunye nokuqeqeshelwa ekwenzeni unyango lwe-vestibular, ukuze akhuphe iimpawu ezihambelana ne-BPPV , kuquka ukungcola.
I-Epley maneuver isenziwa ngokubeka ingqondo yesigulane kwinqanaba apho ukucima amandla kunokunceda ukunciphisa iimpawu. Ukucima ingqondo kunokunyusa ama-crystals ngaphandle kweengqungquthela zemizimba yeendlebe zangaphakathi. Oku kuthetha ukuba baya kuyeka ukufuduka komkhuhlane, ukukhulula isisu kunye neentlanzi ezinokuba zibangele. Ngale ndlela, u-Epley uhamba unciphisa iimpawu ze-BPPV. Kodwa, kunokuthi iphinde iphindwe kaninzi, njengokuba ngezinye izihlandlo, ukuhamba kweentloko kungaphinda kukhishwe iikristal ezincinci zendlebe yangaphakathi, xa bebe behlala emva kokufumana unyango lokuqala.
Uphando luye lwabonisa ukuba uhambo lwe-Epley luyinkqubo ekhuselekileyo neyinkqubo yesifo esithile se-vertigo, esinikeza uncedo lwexesha elide kunye nangoko. I-Epley maneuver, ebizwa ngokuba nguDkt. John Epley, ibizwe ngokuba yi-canalith yokumisa ukulungiswa komsebenzi kuba inceda ukubeka iincinci ezincinci kwindlebe yomntu ongaphakathi, oku kunokubangela ukuba utywabile.
Ukubeka ezi kristali zincinci zibizwa ngokuba yi-otoconia kunceda ekunciphiseni iimpawu ze-BPPV: zimbini iintlobo ze-BPPV: enye apho iikristali ezikhululekileyo zinokuhamba ngokukhululekileyo kulwelo lomsele (canalithiasis), kwaye, kunqabile, enye apho acinga ukuba ziikristale Yiba hung up kwinyanda yemithambo-luvo eqonda ukuba intshukumo yolwelo (cupulolithiasis) .Kubalulekile ukwenza lo mahluko, njengoko indlela nganye yokumisela inokuthi ichaphazele ukwahluka ngalunye ngokwahlukileyo. Ubungakanani bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nokulimala komqolo kunye neemeko. Ukuxoxa ngomxholo, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi apha 915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Imixholo eyongezelelweyo: iSciatica
Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.
by UGqr Alex Jimenez | Chiropractic, I-Neurology Clinic, Unyango
Benign paroxysmal post vertigo uhlobo oluqhelekileyo lwe-vertigo, uvakalelo lwe-spinning or whirling and loss of balance, oluye lwaxelwa kwi-akhawunti kubaninzi njengepesenti ye-17 yazo zonke iimeko zengxondorha. I-Benign paroxysmal post vertigo, okanye i-BPPV, ikholelwa ukuba ibangelwa yinkinga yempilo entle engaphakathi. Nangona ngokuqhelekileyo kuhlotshaniswa nokuguga, ukulimala kwentloko kuye kwafunyanwa kubangela iBPPV.
I-BPPV iyenzeka xa eziliqela zamakristal amancinci afunyenwe kwindlebe yangaphakathi, eyaziwa ngokuba yi-otoconia, zikhululekile kwaye ziphephe kwi-one okanye ngaphezulu kwezi zintathu zamanzi zendlebe. Nanini na xa ezi kristali zijikeleza ngeendlebe zangaphakathi, zingenza ukuba amanzi asemanqeni angama-moya aphephe. Oku ekugqibeleni kubangela ukutshintsha okanye ukuvakala komsindo, kungenjalo kuthiwa yi-vertigo. Iimpawu ze-BPPV zidla ngokuza ngokukhawuleza xa umntu one-vertigo enobungozi be-paroxysmal ishukumisela intloko yabo kwindawo ethile. Ngokomzekelo, iimpawu zingabangela xa uguqa ngexesha lokulala ngexesha lobusuku. Iimpawu zeBPPV zinokuhlala phi ukusuka kumasekhondi ambalwa ukuya kwimininzi imizuzu, kwaye ingaquka:
- Utywala;
- Uvakalelwa kukuba iindawo ezijikelezayo zihamba okanye zihamba (vertigo);
- Ukulahlekelwa kwesilinganisi okanye ukulinganisela;
- Isisindo; kwaye
- Ukuvutha.
Ukwelashwa kweBPPV
Nangona abaninzi abaqeqeshi bempilo bahlala bebeka iziyobisi kunye / okanye imithi ye-BPPV, akukho ubungqina obaneleyo bokuxhasa ukusetyenziswa kwabo njengonyango kule meko. Kwamanye amaxesha amanqabileyo, amanyathelo angenelelo athatyathwa. Nangona kunjalo, kwiimeko ezininzi, i-BPPV ikwazi ukulungiswa ngokufanelekileyo nangokufanelekileyo.
Emva kokuba unonophelo lwezonyango oluxhomekeke kwiingxaki ze-vestibular, ezinjenge-vestibular rehabilitation therapist, chiropractor, Ugqirha oqeqeshiwe ngokomzimba, ingcali kwezomsebenzi okanye i-audiologist, okanye i-ENT (indlebe, impumlo kunye nomqala oyingcali eneengxaki ze-vestibular), uye wafumanisa ngokufanelekileyo uhlobo lomntu we-vertigo ye-paroxysmal positional vertigo ngokwenza iimvavanyo ezinje Uvavanyo lwe-Dix-Hallpike, ngoko baya kuba nako ukuqonda ukuba yeyiphi i-canal okanye i-cryalals ye-semicircular in, kunye nokuba ingaba yi-canalithiasis, apho i-cryalals ehambayo ingahamba ngokukhululekile kwi-tube, okanye i-cupulolithiasis, apho kukholwa khona i-crystals ukuba 'uxhonywe' kwintonga yeentsholongwane ezivakalelwa ukunyakaza kwamanzi, ngoko ziyakuncoma ukuba usebenze ngokufanelekileyo.
Olunye uVavanyo lokuSebenza lokuVavanya kunye neVestibular
I-Dix-Hallpike Test isetyenziselwa ukuxilonga i-BPPV, nangona kunjalo, ukuba ukuxilongwa kukubi, abaqeqeshi bezempilo bangasebenzisa iintlobo ezahlukeneyo nezinye iimvavanyo zomsebenzi wokuhlola kunye ne-vestibular ukuze kuhlolwe kakuhle umthombo wezigulane zabo.
Unyango oluqhelekileyo unyango lwe-vertigo enobungozi obunobungozi, okanye iBPPV, ubizwa ngokuba yi-Epley maneuver. I-Epley maneuver, ngamanye amaxesha ebizwa ngokuba yi-canalith repositioning, yinkqubo ebandakanya ukulandelelana kwentloko, eqhutyelwa ngunyango wezempilo oqeqeshelwayo kunye nolwazi kwiinkatho ze-vestibular, ukwenzela ukukhulula iimpawu ezinxulumene ne-BPPV.
Izifundo zophando zibonise ukuba indlela ye-Epley lunyango olukhuselekileyo nolusebenzayo kwimeko leyo, enikezela ngoncedo lwangoko kunye nexesha elide. I-Epley maneuver, ethiywe ngegama likaGqirha John Epley, ibizwa ngokuba yi-canalith yokuphinda isebenze kwakhona kuba inceda ukumisa iikristale ezincinci endlebeni yomntu, ezinokuthi zibangele uvakalelo lokuba nesiyezi. Ukubeka ezi kristali zincinci, zikwabizwa ngokuba yi-otoconia, ekugqibeleni kuyanceda ekunciphiseni iimpawu ze-BPPV.
I-Epley maneuver isenziwa ngokubeka intloko yesigulane kwinqanaba ukusuka apho ukuvutha komhlaba kunokunceda ukunciphisa iimpawu. Ukucinywa kwentloko kunokunyusa ama-crystals kwiimingxube zeemicircular zendlebe yangaphakathi. Oku kuthetha ukuba baya kuyeka ukufuduka komkhuhlane, ukukhulula ukuzondla kunye neentlanzi ezenzekayo. Ngale ndlela, u-Epley uhamba unciphisa iimpawu ze-BPPV. Kodwa, kunokudinga ukuphindaphindiwe ngaphezu kweyodwa, njengokuba ngamanye amaxesha, ukunyuka kweentloko kunokuphinda kukhishwe iikristali ezincinci zeendlebe zangaphakathi, xa sele sele zihlala zihlala emva kokunyanga okokuqala.
Xa unonophelo lwezezempilo uphatha u-Epley maneuver, baya kwenza amanyathelo alandelayo:
- Buza isiguli ukuba sihlale sigxininise kwitafile zeemviwo, sandisa ngokupheleleyo imilenze phambi kwabo.
- Ukuguqula intloko yesigulane kwinqanaba le-45-degree ukuya kwicala abajongene ne-vertigo ebi kakhulu.
- Ngokukhawuleza ugxotha isigulane emva koko, balala kunye namahlombe abo achukumisa itafile. Intloko yesigulane igcinwa ibhekiswe kwicala elichaphazelekayo elibi kakhulu yi-vertigo kodwa kwi-angle ye-30-degree, ukuze iphakanyiswe kancane kwitafile. Umqeqeshi wezempilo uya kugulisa isigulane kule ndawo phakathi kwemizuzwana ye-30 kunye nemizuzu emibini, kude kube lula ukuba iimpawu zabo zime.
- Yitshintshela intloko yesigulane intloko ye-90 ukusuka kwinqanaba elingaphambeneyo, ukuma xa enye indlebe i-30 degrees kude netafile. Kwakhona, ugqirha ugcina isigulane kule ndawo phakathi kwemizuzu ye-30 kunye nemizuzu emibini, de ivele impawu zazo ziphele.
- Emva koko, umqeqeshi wezezempilo uza kugulisa isigulane ngokuchanekileyo kwindlela ejongene nayo, ecaleni. Umzuzwana xa bafumana i-vertigo eyona nto iya kubheka phezulu. Ugqirha ugcina isigulane kule ndawo phakathi kwemizuzu ye-30 kunye nemizuzu ye-2, de ide iimpawu zabo zime.
- Ekugqibeleni, umqeqeshi wezezempilo uza kusibuyisela isiguli kwisithuba sokuhlala.
- Inkqubo yonke iphinda iphindwe kathathu, kude kube ziimpawu zezigulane zikhululwe ngokupheleleyo.
Iingcali zonyango ezixhomekeke kwiingxaki ze-vestibular, ezifana ne-chiropractor okanye umphathiswa wezonyango, ziya kusebenzisa u-Epley maneuver ukuncedisa ukunciphisa isisu somntu kunye nesiphithiphithi, phakathi kwezinye iimpawu, xa zigqibile ukuba i-BPPV yimbangela. Njengoko kuthethwe ngaphambili, i-Epley maneuver ayifanelekanga ukunyanga i-vertigo evezwe ngenye ingxaki yempilo ngaphandle kwe-BPPV. Ukuba umntu akaqinisekanga yintoni ebangela i-vertigo yabo, bafanele bathethe nodokotela baze bacele ukuba bafumaneke kakuhle. Ezinye izizathu ze-vertigo zingabandakanya:
- Intloko ye-Migraine
- Izifo zentloko
- IAnemia
- Ulwaphulo lweCerebellar
Emva kokwenza u-Epley maneuver, ugqirha uya kucebisa isigulane esine-BPPV ukukhusela ukunyakaza okuthile okungawacima i-crystals. Ezi ntshukumo ziquka:
- Ukukhawuleza ngokukhawuleza
- Ukulala phantsi ngokukhawuleza
- Ukuncika kwentloko
- Ukuhambisa intloko emva nangaphambili
Ucwaningo oluninzi luye lwenziwe ngokukhuselekileyo nokusebenza kweendlela zokwenza unyango lwe-BPPV, njenge-Epley maneuver, kunye neziphumo kunye namanyathelo okuphumelela okubonisa ukuba amazinga okubuyiswa abuyele kwi-90 yeepesenti ye-1 kwi-3. I-cupulolithiasis engapheliyo, okanye 'i-hung-up' inguqu yeBPPV, ingaba yinkathazo encinane yokulungisa, njengoko olu hlobo lweBPPV ngokubanzi lubangelwa yintlungu okanye ukulimala.
Insight of Dr. Alex Jimenez
Ukuba uke wabuyela ngokukhawuleza okanye uvakalelo lwenkwenkwezi, utywala kunye nesicefe xa usenza ukuhamba kweentloko ezithile, ngokukodwa xa ujikeleza ebhedini ebusuku okanye xa uphuma ebhedeni ekuseni, unokufumana ubunzima obufanayo i-vertigo enobungozi obunobungozi, okanye i-BPPV. Olu hlobo lwe-vertigo lunokukhungathekisa ukujongana kwaye lunokuchaphazela kakhulu umgangatho wobomi bomntu. Iingcali zonyango ezijoliswe kwiingxaki ze-vestibular, kubandakanywa izigulane kunye neengcali zomzimba, zihlala zixilonga i-BPPV isebenzisa i-Dix-Hallpike Test phambi kokulandela unyango lwe-vertigo enobungozi obunobungozi usebenzisa i-Epley maneuver.
I-Benign Paroxysmal Positional Vertigo, okanye i-BPPV, yinkinga yezempilo rhoqo, kwaye iya kuhlanganiselwa ngokuphindaphindiweyo njengabantu bethu beminyaka. Isiphumo sichasana nokucaphukisa okunyamekayo kwimeko ephosakeleyo, kwaye inokusichaphazela umsebenzi kunye nokhuseleko kunye nokwandisa umngcipheko wokuwa. Ngethamsanqa, iimpawu zivame ukunciphisa ubuninzi ngaphezu kwexesha njengoko ingqondo igqithisa ngokuthe ngqo ukubonakaliswa kwamangqina angaqhelekanga ayifumanayo, okanye njengoko imeko ixazulula yona. Nangona kunjalo, kunye neengcali zonyango oqeqeshekileyo kunye nolwazi malunga nokuxilongwa kunye nokunyangwa kwe-BPPV, ezininzi izigulane ziya kufumana ukukhululeka kwengxaki yazo xa zilungiswa ngokukhawuleza kwaye ihlabathi labo liyeka ukujikeleza okanye ukuhamba. Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu kunye nemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Imixholo eyongezelelweyo: iSciatica
Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.
by UGqr Alex Jimenez | Chiropractic, I-Neurology Clinic
Benign Paroxysmal Positional Vertigo, okanye i-BPPV, iyona nto ixhaphakileyo ye-vestibular disorder kwaye yinto ebaluleke kakhulu kwi-vertigo, inkolelo yokuxoka yokujikeleza okanye ukujikeleza. I-BPPV ayisongelo lobomi, ingafika ngokungalindelekanga ngefestile ezimfutshane kwaye inokubangela izikhundla ezithile zentloko okanye iinjongo. Oku kuya kwenzeka rhoqo xa uphakamisa ikhanda lakho phantsi okanye phezulu, xa ulala phantsi, okanye xa uphahla okanye uhleli ebhedini.
I-BPPV yinkinga yomatshini kwindlebe yangaphakathi. Iyakwenzeka xa ezinye ze-crystal carbonate crystals, ezibizwa ngokuba yi-otoconia, eziqhelekileyo zifakwe kwi-gel kwi-utricle, zitshintshwe kwaye zifudukela zingenani enye ye-canal ze-3 ezizaliswe ngamanzi ezinje, ezingafaneleki. Xa ezaneleyo zalezi zinhlayiya ziqokelela phakathi kwamanzi, ziphazamisa ukunyakaza kwamanzi okusebenzisa izikhumbuza ukuqonda ukunyakaza kwintloko, okwenza ukuba indlebe yangaphakathi ithumele iimpawu ezingamanga kwingqondo.
I-Fluid esuka kuma-canals ayisoloko isabela kwisantya. Ngakolunye uhlangothi, i-crystals idibanisa kunye nokunyamezela, ngaloo ndlela ishintshe umbane xa ngokuqhelekileyo iya kuhlala ihleli. Emva kokuhamba kwamanzi, ukuphela kwezibilini kwi-canal kubangelwa kwaye uthumele umyalezo kwingqondo ekhangela ikhanda, nangona kungenjalo. Ulwazi olubuxoki aluhambelani nento enye enye indlebe enokuyiqonda ngayo, kunye kunye nento abona ngayo amehlo, okanye ukusebenzisa oko iisiphako kunye namalungu ayenzayo, kwaye le ngcaciso engahambelaniyo iyabonakala ngengqondo njengento yokutshintsha, okanye i-vertigo, eqhelekileyo ihlala ngaphantsi komzuzu omnye. Phakathi kwe-vertigo ichaza abanye abantu banokuziva bengenazo iimpawu, ngelixa abanye bevakalelwa ngengqondo yokungalingani okanye ukugula.
Iimpawu zeBPPV
Iimpawu kunye neempawu ze-vertigo enesimo sengqondo se-paroxysmal, okanye i-BPPV, ingaquka:
- Utywala
- Uvakalelwa kukuba wena okanye ujikeleze indawo yakho okanye uhamba (vertigo)
- Ukulahleka kokulingana okanye ukulinganisela
- I sizathu
- Ukuvutha
Iimpawu kunye neempawu zeBPPV ziza kwaye zihambe, ezi zihlala zingaphantsi komzuzu omnye. Iziqwenga ze-vertigo ezinobungozi ezinobungozi zingaphelelwa ixesha elithile kwaye zibuye. Imisebenzi eyenza ukuba iimpawu neempawu ze-BPPV zitshintshe ukusuka kumntu ukuya komntu, kodwa zihlala zisoloko ziziswa ngokutshintshwa kokufakwa kwentloko. Abanye abantu banokuziva bengabalulekanga xa bemi okanye behamba. Ukunyakaza kwesantya esingaqhelekanga, esaziwa njenge-nystagmus, ngokuqhelekileyo kulandelelanisa iimpawu zangaphandle ze-vertigo, okanye i-BPPV.
Kubalulekile, nangona kunjalo, ukuba uqonde ukuba i-BPPV ayiyi kukunika ukuzondla okuqhubekayo okungenakuchukunyiswa yi-motion okanye nokuba utshintsho kwindawo. Kwakhona, akuyi kuphazamisa ukuva okanye ukuvelisa ukuphazamiseka, intloko yesifo okanye iimpawu ze-neurological, ezifana ne-numbness, inzwa "yezikhonkwane kunye neenaliti," kunzima ukuthetha okanye ubunzima ukudibanisa ukuhamba kwakho. Ukuba unayo okanye enye yale miqondiso eyongezelelweyo, xelela uncedo lwezempilo unyango ngokukhawuleza. Ezinye iziphazamiso zingenakuqala ukungazi kakuhle njenge-BPPV. Ngokutshintsha uqeqesho lwezempilo malunga naluphi na iimpawu kunye neempawu onokuhlangabezana nazo kunye ne-vertigo, banokuphinda bahlolisise ukugula kwakho kwaye bacinge malunga nokuba unobunye uhlobo lwesifo, endaweni ye-BPPV.
I-BPPV ifanelekile, ngokuxhomekeke kwe-107 nge-100,000 ngonyaka kunye nokuxhaphaka kwexesha lokuphila kwepesenti ze-2.4. Kucingelwa ukuba akunqabile kubantwana kodwa kunokuchaphazela abantu abadala, nokuba ngabadala. Ubuninzi beemeko zenzeka ngenxa yesizathu esicacileyo, kunye nabantu abaninzi bachaza indlela abaye bahamba ngayo ekuphumeni kombhede kwaye igumbi laqala ukujikeleza. Nangona kunjalo, imibutho yenziwe ngokulimala, i-migraine ikhanda, ukusulelwa kwindlebe kwangaphakathi okanye isifo, isifo sikashukela, i-osteoporosis, intubation, mhlawumbi ngenxa yexesha elide elilele embhedeni, kunye nokunciphisa ukuhamba kwegazi. Kukho nokuba kukho ulungelelwano kunye nebala lomntu obuthandayo.
Ukuxilongwa kweBPPV
Ngokuqhelekileyo oogqirha badlulisela izigulane kwiinkonzo zonyango eziqeqeshwe ngokukodwa ukuba zikhathalele iingxaki ze-vestibular, ngokuqhelekileyo i-vestibular rehabilitation therapist, njenge-chiropractor, ugqirha oqeqeshwe ngokukodwa, okanye ngamanye amaxesha ugqirha wezobugcisa okanye i-audiologist. Ingcali ye-ENT (indlebe, impumlo kunye nomqala) egxile kukuphazamiseka kwe-vestibular inokuchonga i-BPPV.
Ukucatshulwa kwezonyango eziqhelekileyo (umz. I-MRI) akusebenzi kakuhle ekufumaneni i-BPPV, kuba ayibonisi iikristali eziye zafudukela kwii-canal ze-circular. Nangona kunjalo, xa umntu ophethe i-BPPV enekhanda lakhe liye lafudukela kwisikhundla esenza i-crystals ekhutshiwe ingene kwi-canal, isalathiso sephutha saziwa ngokuba wenza ukuba amehlo ahambe kwipateni ethile, eyaziwa ngokuthi "nystagmus".
Ubambiswano phakathi kweendlebe zangaphakathi kunye nezihlunu zamehlo yinto evumela ukuba sihlale sigxininise kwimo esingqongileyo ngelixa ikhanda lihamba. Ekubeni i-crystals ekhutshiwe yenza ingqondo icinge ukuba umntu uhamba xa engabikho, kubangela ukuba amehlo ahambe, okwenza kubonakale ngathi igumbi lihamba. Ukunyuka kwamehlo kukubonakalisa ukuba into eyenzeka ngokuzenzekelayo ukwenzela ukuhambisa umbane ngaphakathi kwindlebe yangaphakathi xa ingafaneleki.
I-nystagmus iya kuba neempawu ezahlukileyo ezivumela uchwepheshe wezempilo ukuba aqonde ukuba yeyiphi indlebe yokukhishwa kwamakristali angaphakathi, kunye nokuba yeyiphi imingxuma abaye bangena kuyo. Uvavanyo olufana novavanyo lwe-Dix-Hallpike lubandakanya ukuhambisa intloko kwiindawo ezizimeleyo, ukuvumela ukuvutha komdaka ukuhambisa ama-crystals ekhutshiwe kwaye kusebenze i-vertigo ngelixa i-professional carecare ijonge ukunyuka kwamehlo, okanye i-nystagmus.
I-Dix-Hallpike Test for BPPV
Abasebenzi bezonyango, njengezonyango ezizodwa kwizifo zesibhedlele, basebenzisa i-Dix-Hallpike test, ngezinye izihlandlo zibizwa ngokuba yi-Dix-Hallpike yokuhamba, ukuvavanya i-vertigo ye-postigo, okanye i-BPPV. Ukuphumeza uvavanyo lwe-Dix-Hallpike, ugqirha wakho uya kukucela ukuba uhlale etafileni yokuvavanya kunye nemilenze yakho yoluliwe. Uya kuguqula ikhanda lakho i-45 idilesi kwicala elinye, ehluke umgca wesigxina esingasemva kwesigxina se-sagittal yomzimba, ngoko baya kukuvumela ukuba ubuyele ngokukhawuleza, ngelixa amehlo evulekile, ukuze intloko yakho ixhomeke ngaphaya komda wedeski.
Esi sinyathelo singenza ukuba izikristali ezivulekileyo zingene ngaphakathi kweengqungquthela zakho zamanzi. Umqeqeshi wezempilo uya kubuza ukuba uvakalelwa iimpawu ze-vertigo kwaye uqaphele amehlo akho ukuba afune ukuba ahamba njani. Ngokukhawuleza ukuba unemizuzu embalwa ukufumana kwakhona, ugqirha wakho unokukwenza uvavanyo kwinqanaba leentloko zakho.
Ukubambezeleka, ubude kunye nolwalathiso lwe-nystagmus, ukuba ikho, kunye nokuhamba kunye nobude be-vertigo, ukuba ikho, kufanele kuqatshelwe. Ukuba ngaba uvavanyo alunabungqina, luyakubonisa ukuba i-vertigo yesimo sokuqina separoxysmal sisifo esingaqondakaliyo kwaye ukubandakanyeka kwenkqubo ye-neva kufuneka kuthathelwe ingqalelo. Zimbini iintlobo ze-BPPV: Enye apho iikristali ezingahambelaniyo zinokuhamba ngokukhululekileyo kulwelo lomsele (canalithiasis), kwaye, ngokufuthi, enye apho kukholelwa ukuba amakristali 'asongelwe' kumqolo weentsholongwane eziva ngathi Ukuhamba kolwelo, okanye i-cupulolithiasis.
Nge-canalithiasis, idinga ngaphantsi komzuzwana ukuba loo makristali ayeke ukuhamba emva kokuba utshintsho oluthile kwisikhundla senhloko luye lwabangela i-twist. Emva kokuba ama-crystals ayeke ukuhamba, ukunyakaza kwesiphumo kuyagcina kwaye i-nystagmus ne-vertigo iphela. Nge-cupulolithiasis, i-crystals ebanjwe kwiphakheji yeentsholongwane zengqondo iza kwenza i-nystagmus kunye ne-vertigo ihlale ixesha elide, de kube ikhankaso isuswe kwisithuba esiphosayo. Kubalulekile ukwenza ukuxilongwa ngokufanelekileyo, kuba unyango luhluke kuyo yonke into eyahlukileyo. I-BPPV ingaphathwa ngokusetyenziswa kweendlela ezahlukeneyo zonyango, enye yezona ziqhelekileyo ziyi-Epley Maneuver.
Insight of Dr. Alex Jimenez
Ukhathalelo lweChiropractic yindlela yokwenza unyango ekhethiweyo isetyenziswa ngokubanzi ukunceda ulwaphulo lweemeko kunye neemeko ezinxulumene nokulungelelaniswa okufanelekileyo komgudu. Ngamanye amaxesha, ukungahambisani nokugqithiswa kwemigulane, okanye ukuhlukumeza, kungaphuhlisa ibe yimicimbi emininzi yempilo, kubangele ukuba kukho impawu ezininzi zokuba zingashiywanga ixesha elide. Nangona kunjalo, abaninzi abatyholo bezonyango banokuphatha ezinye izifo ezininzi ezingahambelani ngokuthe ngqo nomgudu. Kwimeko yeklinikhi, ukunakekelwa kwe-chiropractic iye yasetyenziselwa ukulawulwa kwe-vertigo enobungozi obunobungozi, okanye i-BPPV. Iingcali zonyango ziya kusebenzisa Uvavanyo lwe-Dix-Hallpike ukuxilonga isigulane esilandelayo Epley uhamba ukunceda baphathe izigulane ngeBPPV. Izigulane ezininzi ziye zaxela ukunciphisa impawu.
Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu kunye nemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Imixholo eyongezelelweyo: iSciatica
Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.
by UGqr Alex Jimenez | I-Neurology Clinic, Neuropathy
Umboniso weNeuropathy II: El Paso, TX. I-Chiropractor, uGqirha Alexander Jimenez uyaqhubeka nokujonga ngokubanzi nge-neuropathy inxenye II. Iyaqhubeka zezona neuropathies zixhaphakileyo ukuba zibonwe xa zisenziwa. Kungenxa yokuba umzimba womntu ubunjwe ziintlobo ezininzi zeemithambo ezenza imisebenzi eyahlukeneyo, ukonakala kwemithambo-luvo kudweliswe kwiindidi ezininzi. Neuropathy Ikwahlulwa kwakhona ngokubhekiselele kwindawo ekukhuseleni ngayo imizwa kwaye ngokutsho kwesifo esibangela. Ngokomzekelo, i-neuropathy ebangelwa isifo sikashukela ibizwa ngokuba yi-diabetes neuropathy. Ukongezelela, kuxhomekeke ekubeni zeziphi iingxaki ezichaphazelekayo ziya kuxhomekeka kwiimpawu eziza kubonakala. Iingxaki ezilandelelana ne-neuropathy zixhomekeke kuhlobo lwamathambo abonakaliswe. Ngokutsho kukaDkt. Jimenez, ezahlukeneyo neuropathies inokubangela ukuphazamiseka kwamanzi kunye / okanye ukuva, ukunyuka intlungu okanye ukulahlekelwa ukukwazi ukuva intlungu, ubuthathaka obuthathaka kunye nokuqhaqhaqhaza kunye neenkampu, nokuba utywala kunye / okanye ukulahleka komsebenzi wokulawula i-bladder.
Sciatic Nerve Entrapment
- Piriformis Syndrome
- I-Peroneal Nerve Entrapment
- ITarsal Tunnel Syndrome
Sciatic N. Piriformis Syndrome
Izizathu
- Uhlobo lweAnatomic
- Ukusetyenziswa kakubi kwePiriformis / ukuxhatshazwa
Uviwo
- Uvavanyo oluqinisekileyo lokuNciphisa?
- Ugqirha wandisa umlenze wesigulana ngokungakhathali, ngelixa isiguli silele siphakamisa uvavanyo oluqinisekileyo ukuba ukuqhuba kuthintelwe ziintlungu
- Ukunyamezela kunye nokuxhatshazwa okwenzisayo kwi-piriformis muscle eyenza iimpawu
I-Sciatic N. I-Peroneal Nerve Entrapment
- Isebe lePeroneal okanye leFilibula leNerve ye-Sciatic ibanjwe entloko
- Uphawu lweTinel lunokubakho kwintloko / entanyeni ye-fibular
- Ngokuqhelekileyo ithinta i-nerone ye-peroneal, ngoko-ke iimpawu neempawu zengqondo ziyabonakala
- Ubuthakathaka be-ankle dorsiflexion ne-eversion (tibialis yangaphambili m.)
- Ukuphazanyiswa ngokuphawulekayo kwisigxina seenyawo kunye nomxholo wecala
I-Sciatic N. Tarsal Tunnel Syndrome
- I-nervous nerve ephasanyelwe kwi-tarsal tunnel
- Utshintsho olubonakalayo kwinqanaba lonyawo
- Uphawu lweTinel lunokubakho kunye ne-percussion posterior kwi-medial malleolus
Radiculopathy
- I-mononeuropathy ibekwe kwindawo ethile
- I-neuropathy equka iingcambu zesisu
- Ukunikezela njengenguqu kwimisebenzi ye-sensory kunye / okanye yemoto echaphazela enye okanye iimbali ezincinci zeengcambu (level)
- Ininzi ebonakalayo i-radiculopathies iquka:
- Sciatica
- I-radiculopathy yomlomo wesibeleko
Izizathu eziqhelekileyo zoRadioculopathy
- Ukunikezelwa kwe-Disc
- Osteophytes
- IStinal Stenosis
- I ngxaki
- Diabetes
- I-epidural abscess okanye i-metastasis
- Iimvumba zesisu (i-schwannomas neurofibromas)
- Guillain-Barre? isifo
- I-Herpes Zoster (izibonda)
- Isifo seLyme
- Cytomegalovirus
- I-Myxedema / i-Thyroid disorder
- Idiopathic neuritis
Ukunciphisa izizathu eziqhelekileyo ezibangelwa yiRadioculopathy
-
I-Disc Herniation
- Uninzi lweengcambu ezichaphazelekileyo zii-C6, C7, L5 & S1
-
IStinal Stenosis
- I-Lumbar stenosis inokuvelisa i-neurogenic claudication
- Intlungu kunye nobuthathaka ngokuzimisela
- I-stenosis yesibeleko ingabonisa ngemifanekiso edibeneyo ye-radiculopathy kunye ne-myelopathy ngenxa yokubandakanyeka kwephepha elide
-
I ngxaki
- Inokubangela ukuxinwa, ukuxhatshazwa okanye ukuxoshwa kweengcambu zentliziyo
-
Diabetes
- Kungenzeka ukuba kubangele i-polyneuropathy, kodwa i-mononeuropathy inokwenzeka
-
I-Herpes Zoster (i-Shingles)
- Ininzi idla ngokuhlala kwisitye, ihamba kunye nezilonda ze-vesicular kwisidanga esisodwa
- Ukuba intlungu iqhubeka i-vesicular regression = i-postural herpetic neuralgia
Imbali yeMonde yeRadioculopathy
- Isigulane liya kusoloko ezikhala ovuthayo intlungu okanye ukuluma obubonakala okanye luphinde ludubuleke phantsi kummandla ochaphazelekayo ngokomfuziselo dermatomal.
- Ngamanye amaxesha isigulane siyakhala isikhalazo sobuthakathaka bemoto, nangona ukuba sisandul
Uvavanyo lweRadioculopathy
- Ngokuqhelekileyo i-hypoesthesia kwinqanaba lembali lechaphazelekayo
- Eyona ndlela ilungileyo yokuvavanya iintlungu, njengoko ukubamba ukukhanya kunokuba nzima kwezi zigulana ukwahlulahlula
- Fasciculations kunye / okanye yome ukuze kubonwe ukuba radiculopathy singapheli, ngenxa yokuba impinged motor neuron asezantsi
- Ubuthakathaka obuthathakayo bubonakala kwiimisipha ezingenakulungelelaniswa nezinga elifanayo
Uvavanyo lwe-Orthopedic:
-
Uvavanyo lokuphakamisa umlenze ochanekileyo (SLR)
- Ubunzima phakathi kwe-10-60 degrees mhlawumbi lubonisa ukuxinzezela kwengcambu yesondlo
-
Ukuphakanyiswa komlenze / ukuwela umlingo wokuphakamisa umlenze wecala (WLR)
- Ukuba i-positive, i-90% inkcazo ye-L / S ingcinezelo yeengcambu zesisu
-
Valsalva Maneuver
- Okulungileyo ukuba ukwanda kweempawu ezinzulu
-
Umngcipheko woMgcini
- Ubuhlungu bungabonisa isifo se-metastatic, i-abscess okanye i-osteomyelitis
Iimviwo: I-Merck Manual Professional
Indlela yokuvavanya
Indlela yokwenza uvavanyo oluvakalayo
Indlela yokwenza i-Motor Motor Examination
Dermatomes
Ukuvavanya i-Cervical Nerve Roots
Ukuvavanya iLumbosacral Nerve Roots
I-Radiculopathy Iifomathi ezithile
-
I-T1 radiculopathy inokubangela isifo seHorner
- Oku kubangelwe ukuchaphazela kwi-ganglia enobubele bomlomo
- I-Ptosis, i-miosis, i-anhidrosis
-
Ngezantsi kweL1, i-radiculopathies inokubangela iCauda Equina syndrome
- I-anesthesia ye-Saddle (ukulahlekelwa kwintliziyo kwi-S2-S5 distribution)
- Ukugcinwa kwe-Urinary okanye ukungcola ukungafihla
- Ukugqithiswa, ukunciphisa ithoni ye-rectal okanye ukunganyaniseki kwe-fecal
- Ukulahleka komsebenzi we-erectile
- Kumelwe uthunyelwe ngokunyamekela ngononophelo ngokukhawuleza ukukhusela ukungasebenzi ngokusisigxina
Ezinye iipatheni ze-Neuropathy
-
Ukusasazwa kweCape / Shawl yeempawu
- I-intramedullary lesion
- Syringomyelia
- Isifo se-Intramedullary
- Umonakalo wentambo ephakathi
-
UkuThengisa kunye neGlove Ukuhanjiswa kweMpawu
- Iswekile yemellitus
- B12
- Utywala / i-hepatitis
- HIV
- I-thyroid ingasebenzi / i-myxedema
Isibonelo seCape / Shawl
- I-intramedullary lesion njenge-tumor, syringomiaa okanye ukulimala kwe-hyperextension kwisigulane nge-C / S spondylosis
- Ukulahlekelwa yintlungu kunye nefuthe lexesha kwiimpawu ze-C / T ngenxa yelungiselelo le-spinothalamic tract
Ukugcina kunye neModeli yeGlavu
- I-polyneuropathy ye-Symmetrical
- Iinyawo / imilenze isithintela kuqala, ilandelwa ngezandla / iingalo
- Lokungcangcazela imvakalelo kwi iinzwane lincinane idla into yokuqala lost and neuropathy iinkqubela lonke unyawo nakubhontsi uze phezulu ngokusebenzisa amaqatha kunye nomlenze, izandla, iingalo kunye ekugqibeleni esiqwini ukuba Sever
- Uninzi imbangela yale unikezelo na isifo seswekile sinwenwa, kodwa ezinye izinto kunokwenzeka ziquka B12 imibala, butywala,-HIV, unyango ichemotherapy, lengqula kwekhono kunye nezinye izizathu ezininzi
I-Diabetes Neuropathy
- I-diabetism neuropathy ivame ukubonisa njenge-polyneuropathy kodwa ingabonisa njengendlela yokuzimela, ngokuqhelekileyo ngokuqala
- Eyona nto ixhaphakileyo kwi-CN III, izibilini zentombi kunye ne-sciatic
Ukuxhatshazwa kweeuropathies
- Ukuchaphazeleka komzimba okuchaseneyo nedyneneopathy (Guillain-Barre? Syndrome)
- Isifo esingapheliyo sokutshatyalaliswa kwezinto ezinokudambisa i-polyneuropathy
Guillain-Barre? Isifo sengqondo (AIDP)
- Ukusetyenziswa kwee-1-2 iiveki emva kokusuleleka kwintsholongwane
- Ubuthakathaka obuqhubekayo
- Ukulahlekelwa kweDTRs / areflexia
- I-Pherehesia ezandleni nasezinyaweni
- Ukubandakanyeka kweemoto ezingakumbi kunokuzibona
- Ukubandakanywa kwefayili yokuzimela
- Iprotheni ephakamileyo ye-CSF
- Izifundo ze-EMG / NCV zibonisa ukuthungulwa komzimba
- Unokufuna unyango nge-plasmapheresis okanye kwi-IV Ig
Ukunyanyeka okungapheliyo Ukuhlaziya i-Polyneuropathy
- Kubonakala kufana ne-AIDP kodwa ayilandelanga isifo
- Iimpawu kufuneka zibe khona ubuncinane kwiiveki ze-8 zokuxilongwa kwezi ngxaki
- Ukunyanga okuchasayo kunokunceda
NgokuURachel Klein, ND, DC, iDACNB
IYunivesithi yeSizwe yezeNzululwazi yezeMpilo (i-MS) -Ukuziqhelanisa neKlinikhi ePhambili (ACP) MS ACP 551: I-Clinical Neurology 2018
imithombo
Blumenfeld, Hal. I-neuroanatomy ngokusebenzisa iiKliniki zeeKliniki. Sinauer, 2002.
U-Evans, uRonald C. Umzekeliso we-Orthopedic Physical Assessment. Mosby / Elsevier, 2009.
EntUkufakwa kwamathambo eRadial Nerve: Imvelaphi, iAnatomy, iPathophysiology. iMedscape, nge-25 Okt.
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