Peroneal mitsempha neuropathy: Zoyambitsa ndi Zotsatira

Mantha dongosolo ndi zovuta mu thupi la munthu. Amakhala ubongo ndi msana, komanso offshoots ambiri. Yotsirizira kupereka zilakolako yomweyo thupi lonse. Kulakwila mitsempha limodzi ndi pafupifupi ziribe mphamvu pa kugwira ntchito kwa maukonde lonse. Komabe, mwina zikuphatikizapo kuwonongeka wa thanzi ziwalo payekha.

Neuropathy - matenda yodziwika ndi zotupa sanali yotupa ya mitsempha. chitukuko angathandize kuti njira osachiritsika, zoopsa kapena psinjika. Chandamale yaikulu ya ndondomeko pathological zambiri protrude miyendo m'munsi.

Otchedwa mapazi neuropathy ogaŵikana mitundu zotsatirazi:

• peroneal mitsempha kudwala;
• tibial mitsempha;
• kukhudza.

Aliyense wa mitundu ya matenda ndi chidwi chachikulu pakati pa madokotala. Pakati pa pathologies onse neuropathy zotumphukira peroneal mitsempha lofunika kwambiri. Ndicho za izo ndipo adzapita zina m'nkhani.

Kufotokozera za matenda

Mu peroneal mitsempha neuropathy amatanthauza pathological matenda syndrome limodzi ndi dangling phazi. Mu mabuku mungapeze dzina lina la matenda - peroneal neuropathy.

Popeza mitsempha peroneal imakhala ulusi ndi chidwi nkhungu wosanjikiza wa myelin m'chimake, ndi sitichedwa chisokonezo kagayidwe kachakudya. Ambiri mwina, ino ndi nthawi ndipo amachititsa anthu ambiri odwala matendawa. Akuti maonekedwe a njira pathological anamuona pa 60% m'madi- odwala mwakayakaya, ndipo okha 30% ya zoterezi amagwirizana ndi kuwonongeka yaikulu mitsempha.

Tsopano tiyeni tikambirane mbali anatomical ya kapangidwe anafotokoza m'nkhani. M'pofunika kudziwa zifukwa osauka neuropathy peroneal mitsempha (ICD-10 kachidindo G57.8 Disease kupereka).

Buku anatomical

Peroneal mitsempha chochokera sciatic koloko m'munsi mwa ntchafu. akuphatikizapo ukufanizidwa ndi ulusi osiyana. zinthu izi anasiyanitsidwa mu peroneal mitsempha wofala pa mlingo wa fossa popliteal. Iye mwauzimu amapeŵa eponymous mutu fupa. Pa nthawi imeneyi, mitsempha lagona padziko lonse khungu yekha, nchifukwa chake zinthu kwina mwina amaumiriza iye.

Ndiye peroneal mitsempha ukugawa mu nthambi ziwiri: ofunika komanso chozama. zinthu zimenezi zimatchedwa chifukwa cha malangizo ake. Zachiphamaso nthambi ndi amene innervation dongosolo minofu, ndi kasinthasintha wa phazi ndi tilinazo mbali kumbuyo. Zozama peroneal mitsempha amapereka kuwongola zala, komanso kumva ululu ndi kukhudza mderali.

Psinjika wa nthambi makamaka limodzi ndi kuswa tilinazo m'madera osiyana phazi, kulephera limbitsani phalanx. Choncho, zizindikiro za neuropathy zingasiyane malingana ndi zimene nyumba anapambulwa kuonongeka. Nthawi zina, chidziwitso mbali yake anatomical ntchito kudziwa ndondomeko pathological pamaso kukaonana ndi adokotala.

The chikuchititsa mavuto a matenda

Kukula kwa ndondomeko pathological bwino zimayamba ndi zinthu zambiri. Ena mwa iwo ndi madokotala zotsatirazi:

• Psinjika ya mitsempha pa mbali iliyonse kwake kutsatira. Izi otchedwa mumphangayo neuropathy peroneal mitsempha. Iwo m'magulu awiri. syndrome Upper akufotokozera mu maziko a kuthamanga pa kapangidwe ka mbali ya mtolo mtima. Matendawa zambiri anapezeka anthu amene ntchito kumaphatikizapo yaitali mu malo wovuta. pickers izi mabulosi, stackers parquet, zovala. M'munsi syndrome mumphangayo amayamba ndi psinjika mwakuya peroneal mitsempha m'dera la linanena bungwe ake kumapazi. Izi chithunzi matenda ndi mmene anthu amene amakonda nsapato wovuta.
• Kulakwila kusowa magazi nthambi.
• Kusagwiritsa pamalo wa miyendo chifukwa ntchito yaitali kapena chikhalidwe aakulu wodwalayo limodzi ndi immobilization.
• Lumikizanani ndi ulusi mitsempha jekeseni mu mnofu m'dera gluteal.
• Aakulu opatsirana matenda.
• Ngozi (zikukhudza tibia, sprains phazi tendon choipa, sprain). Chifukwa, pali amphamvu yotupa kutupa. Zimadzetsa ku psinjika kwa zikhumbo za mitsempha ndi kuwonongeka kwa madutsidwe. Chinthu chapadera cha mawonekedwe matenda ndi imfa ya nthambi imodzi yokha. Apo ayi, umatchedwa chokumbukira zoopsa neuropathy peroneal mitsempha.
• zotupa Cancer ndi metastasis.
• pathologies poizoni (shuga, aimpso kulephera).
• matenda zokhudza zonse yodziwika ndi kuchuluka kwa minofu connective (nyamakazi, gout, nyamakazi).

zifukwa zonse chitukuko cha ndondomeko pathological akhoza wachinsinsi m'madera asanu: zoopsa, psinjika, matenda mtima, matenda ndi matenda oopsa. Kaya ndi gulu la akapsa monga neuropathy peroneal mitsempha, malamulo a ICD-10 matenda ichi - G57.8.

Kodi zizindikiro ndi limodzi mwa malaise?

Chipatala kuwonekera kwa matenda zimadalira mlingo wa pathological ndondomeko ndi kunyalanyaza malo kuwonongeka kwa mitsempha. Zizindikiro zonse zikhoza kugawidwa mu zikuluzikulu ndi mtumiki. Gulu loyamba ndi kuphwanya tilinazo nthambi akhudzidwa. mbali zokhudzana zingasiyane pa nkhani iliyonse makamaka. Komabe, odwala ambiri amadandaula:

• kutupa mu miyendo;
• zodziwitsa maganizo "zikhomo ndi masingano";
• spasms ndi khunyu;
• kusapeza poyenda.

Basi pamwamba pa izo anali kudziŵika kuti chithunzi matenda a matenda chimadaliranso malo cha kuwonongeka kwa mitsempha. Mwachitsanzo, wamba tsinde chotupa kutambasuka kuwonetseredwa kuphwanya ndondomeko phazi. Chifukwa cha zimenezi, iwo amayamba kugwa kunsi. Wodwala kuyenda kwa nthawi zonse kukhotetsa mwendo pa bondo, kuti agwire phazi la pansi. Pamene adatchithisira, choyamba afika pa zala zanu, kenako Zosintha kulemera kwa m'mphepete lateral wa yekha ndi pokhapokha chidendene pansi. mwanjira imeneyi gulu akufanana tambala kapena hatchi, ndipo limakhala ndi mayina ofanana.

matenda Movement amaphatikizidwa ndi olumala imalandira. Odwala zambiri lipoti maonekedwe a ululu kunja kwa mwendo, umene okha kwambiri pamene kutchire kukakumba ndikafuna kudzithandiza. M'kupita kwa nthawi, zinkakhala m'dera akufotokozera minofu ya manja. Chotero mbali ya matenda kumaoneka, makamaka poyerekeza ndi nthambi wathanzi.

Kodi neuropathy peroneal zizindikiro mitsempha zotupa nthambi kwambiri? Pankhaniyi, mapazi dangling anafotokoza zochepa motsimikizira. Komabe, zizindikiro kwenikweni ndi galimoto komanso alipo. Ngati nthendayo sanalandire chithandizo, ndi kobvuta ndi manja a minofu yaing'ono.

Neuropathy ndi zotupa za nthambi peroneal mitsempha pamwamba limodzi ndi imfa kwenikweni ndi ululu mu mwendo m'munsi. Pa anayendera odwala zambiri anapezeka ndi chifooke pronation phazi.

njira matenda

Panthawi yake kudziwika ndondomeko pathological ndi kuthetsa matenda chimapangitsa - mfundozi awiri amene ali ofunika mankhwala bwino. Kodi matenda a neuropathy?

Choyamba, dokotala likamva mbiri kuchipatala wodwalayo. Pa njirayi, amaphunzira matenda mapu ake ndi kafukufuku kuti kulongosola mfundo. Ndiyeno adokotala akupitiriza njira malangizo a matenda. Chaka mphamvu akulu mayesero ena imachitika, ndi tilinazo kusanthula wa khungu ikuchitika ndi singano wapadera. Komanso ntchito electromyography ndi electroneurogram. ndondomeko izi amakulolani anapereka digiri ya kuwonongeka kwa mitsempha. Palibe njira zochepa zothandiza pa Kupenda amati ultrasound, imene adokotala akhoza kufufuza kapangidwe kuonongeka.

Neuropathy peroneal mitsempha nthawi zonse amafuna matenda masiyanidwe ndi matenda ena ofanana mawonetseredwe matenda. matenda awa monga matenda Charcot-Marie-dzino, matenda, peroneal akulu manja, chotupa muubongo.

Nthawi makamaka kwambiri, kukambirana akatswiri. Mwachitsanzo, zoopsazo. Kuchokera pa zotsatira kale ndi dokotala mankhwala mayeso kapena X-ray a mafupa a bondo olowa.

Neuropathy peroneal mitsempha: ICD

Kuti timvetse akamanena za matenda dokotala, muyenera mutidziwe bwino dongosolo wapadera wa zizindikiro. Iwo analembedwa mu gulu mayiko a Matenda (ICD). Kachitidwe inamangidwa zapamwamba. Choyamba pali zoti kalata Latin, amene amati gulu la matenda. Pamakhala kachidindo M'ndandanda limanena kuti matenda makamaka. Nthawi zina mungathe kupeza chizindikiro china. Amachichita zokhudza mitundu ya matenda.

odwala ambiri amachita chidwi ndi zimene malamulo (ICD) neuropathy peroneal mitsempha. Tikumbukenso kuti mayina amenewa anafotokoza matenda palibe. Ndi G57 gulu zikuphatikizapo mononeuropathy m'munsi malekezero. Ngati inu wofufuza kuphunzira pathologies yoperekedwa kwa kalasi, matenda athu anakumana kumeneko. Komabe, akhoza zimachitika G57.8 code, kutanthauza ena mononevralgii nthambi m'munsi.

Podziwa kuti ndi gulu la International wa Matenda, n'zotheka kudziwa kulikonse pa matenda. Izi imakhudzanso matenda monga neuropathy peroneal mitsempha. ICD-10 kachidindo G57.8 kupereka iye.

mfundo mankhwala

kasamalidwe chipatala cha kudwala anati limanenedwa ndi mavutowo. Nthawi zina zokwanira m'malo pulasitala, amene compresses mitsempha. Ngati chinthu n'zothandiza amachita nsapato wovuta, nsapato zatsopano ungakhalenso njira yothetsera vutolo.

Nthawi zambiri odwala kubwera kwa dokotala ndi "maluwa" matenda kugwirizana. Shuga, khansa kapena kulephera impso - matenda amenewa akhoza kudwala matenda monga neuropathy peroneal mitsempha. Chithandizo mu nkhani iyi ndi kuchotsa matenda patsogolo. The miyeso otsala adzakhala kale zina.

Therapy ndi mankhwala

The mankhwala zikuluzikulu zimene zimagwiritsidwa ntchito pa matenda a neuropathy zikuphatikizapo wothandizila zotsatirazi:

• Nonsteroidal odana ndi yotupa mankhwala ( "diclofenac" "nimesulide" "Ksefokam"). Amathandiza kuchepetsa kutupa ndi ululu, chotsani zizindikiro za kutupa. NSAIDs zambiri analamula kuti matenda "axonal neuropathy peroneal mitsempha."
• mavitamini B
• Antioxidants ( "Valium", "Thiogamma").
• Zikutanthauza kuti chikusintha conduction kwa zikhumbo pamodzi mitsempha ( "Neostigmine", "Neuromidin").
• Kukonzekera ayambe magazi mu zinkakhala m'dera ( "cavitons", "Trental").

mndandanda uli kokha ena mankhwala. Pa mayesero onsewa, kusankha mankhwala zimadalira chithunzi matenda ndi yapitayi izo matenda.

Thupi ndondomeko mankhwala

Various thupi ntchito mankhwala ngotsimikiziridwa bwino pa matenda a neuropathy. Kawirikawiri wodwala amalangiza ndondomeko izi:

• maginito mankhwala;
• electrostimulation;
• kutikita;
• reflexology;
• LFK.

Maphunziro othandiza pa osiyana kutikita neuropathy peroneal mitsempha. Koma kunyumba kuchita njirayi ndi inadmissible. Kutikita zizichitidwa ndi katswiri wodziwa bwino. Apo ayi, inu simungakhoze basi kulepheretsanso chithandizo, komanso kuwononga thanzi lanu.

Kuvomereza chomwecho amaoneka kuti olimbitsa. Izo analamula kuti magawo choyamba ayenera kuonedwa kuyang'aniridwa wa mphunzitsi odziwa. Kenako abwereza zolimbitsa thupi ndi akhoza kukhala kunyumba.

alowererepo opaleshoni

Ngati mankhwala ndiwofatsa mwa milungu ingapo mapulogalamu kukhala operewera, dokotala wasankha Zitatero ndi ntchito. Childs, ndi kutumikiridwa mu nkhani ya mitsempha kuwonongeka zoopsa. Malinga ndi chithunzi matenda ndi wodwala matenda ambiri akhoza kuchititsa mitsempha decompression, neurolysis kapena mapulasitiki.

Pambuyo pa opaleshoni pamafunika nthawi yaitali ndinachira. Panthawi imeneyi, wodwala ayenera kuchepetsa zolimbitsa thupi kuchita mankhwala thupi. M'pofunika tsiku lililonse kuyendera nthambi motani ming'alu ndi mabala. Ngati iwo azindikira kuti mwendo awonetsetse lopuma. Chifukwa chaichi, ntchito ndodo wapadera, ndipo mabala ankachitira ndi antiseptic. Ena a malangizo dokotala amapereka maziko payekha.

zotsatira

Kodi n'chiyani chidzachitikire zotsatira za odwala ndi matenda a "neuropathy peroneal mitsempha"? Chithandizo cha matenda kukuchitika alinga kuti madokotala ananena zawo kuti apeze. Ngati nthawi kuyamba chithandizo ndi kugwira kuwapempha dokotala onse, timangokhala ndi zabwino. matenda odwala ndi mankhwala mochedwa kukulitsa nkhaniyo. Pankhaniyi, odwala zambiri kutaya luso ntchito.

mwachidule mwachidule

Peroneal neuropathy ndi matenda. Pa mtima wake akunama matenda mtima, kuledzera ndi matenda oopsa. Komabe, chifukwa chachikulu kukula kwa mchitidwe pathological ali amaona zoopsa za chiyambi zosiyanasiyana.

Zizindikiro zikuluzikulu imakhudzana ndi galimoto ntchito mkhutu a nthambi, ndi ndondomeko chithandizo makamaka anatsimikiza ndi zinthu zimene zachititsa kuti chitukuko cha matenda. dokotala angakupatseni mankhwala mankhwala kapena physiotherapy. Nthawi zina, opaleshoni chofunika.