Radiculopathy - ndichiyani? Radiculopathy: Zizindikiro ndi Chithandizo

Back ululu - chodabwitsa ambiri. Zopweteka anthu ambiri kuona kamodzi pa moyo wawo. Theka la anthu ntchito, zidzachitika chaka ndi wotsiriza, osachepera tsiku lina. Chifukwa iwo choipa, matenda osiyanasiyana, kuphatikizapo radiculopathy (sciatica).

radiculopathy ndi chiyani?

Kumva matenda yotentha ndi dokotala, odwala sangatithandize kuti: "Radiculopathy - ndichiyani, ndi zimayambitsa ndi zotsatira chiyani?" The generic akuti "radiculopathy" mu ubongo kutanthauza zizindikiro kugwirizana ndi kuwononga, kapena chotupa clamping misempha msana. Pamene Kupenda angasonyeze ngati msana kuonongeka ndi angapo.

Zizindikiro ndi m'kukoma soreness mu kuwombera kapena ozama chikhalidwe, pamodzi sluggishness minofu, kumva kulasalasa, dzanzi ku malekezero m'madera innervated. Radicular syndrome, radiculopathy akuwonetseredwa soreness malo osiyanasiyana.

Ululu matenda ambiri khosi, kuchepetsa kumbuyo, miyendo ndi zina ziwalo. Iye anapeza Mwachitsanzo, m'dera limene lili mtima kapena m'mimba. Molondola matenda sciatica angakhoze kokha dokotala.

Radiculopathy ndi zimayambitsa

Zosiyanasiyana matenda osachiritsika chimbale - chinthu chachikulu chomwe radiculitis. matenda ungakhale chifukwa cha kuvulala aakulu, pathologies kuti yapangidwa ziwalo mkati, kutupa, okhudza msana, zotupa. instigators ake ndi nkhawa, kagayidwe kachakudya vutoli, matenda opatsirana, hypothermia, kunyamula zitsulo.

Kawirikawiri kutsogolera kwa chitukuko cha matenda amakhala intervertebral chophukacho. Intervertebral chimbale, anapatsidwa elasticity, ndi mbali ya absorber mantha. Akutukuka ululu otsika kumbuyo kumabweretsa njira osachiritsika kuti kumasulira mu protrusion (isanafalikire protrusion ya chimbale cha). Chifukwa cha zimenezi, protrusion amalowa chophukacho intervertebral, zikubweretsa psinjika ndi mkwiyo pafupi mizu.

Chimayambitsa kuyabwa mukukhulupirira osteophytes ndi stenosis - kuchepetsa mu msana "mumphangayo" kapena kuti ngalande foraminal (kumene misempha kuchoka). Foraminal stenosis zambiri zimakhudza lumbar dera, amene amadwala mizu psinjika kuti kugwirizana kwa mitsempha sciatic.

Matenda radiculopathy - chimene chiri, zomwe zizindikiro zake? The mizu kukumana psinjika yopitilira, iwo sanamve ndi chofuna. Izi zimachititsa ululu aakulu, chifukwa kusapeza mu khosi ndi kuchepetsa kumbuyo, ndipo ntchito limodzi ndi ulusi mitsempha kuchotsa ndi yokulirapo. Psinjika mizu ikutha kuphwanya conduction kwa zikhumbo, kusowa ntchito, akulu dystrophy.

zizindikiro za sciatica

Kuthana ndi matenda, tikhoza kufunsa funso kachiwiri: "Radiculopathy - ndichiyani?" Sciatica si nthenda palokha. Iye ndi chizindikiro zovuta, kulumikizanitsa mwachikondi, utachepa tilinazo, akulu dystrophy kuti kumayambira msana pita malekezero.

Odwala nkhawa zowawa zosokera, ntchito kuyambira pakhosi ndi mkono kapena mchiuno mpaka kumapazi, anavomereza kusintha osiyanasiyana (miyendo dzanzi, kumva kulasalasa ndi moto iwo), ndi imfa ya mphamvu minofu m'madera zenizeni za thupi. Ndithu zosiyanasiyana zizindikiro za radiculopathy anali amaphatikiza magulu:

1. Soreness. Ululu ali akuwonetseredwa mu zosiyanasiyana kuchokera kuchepetsa nthawi zikuchitika pamaso ofooketsa okhazikika kukhalapo kwa walitsa.
2. Asintha tilinazo. Msana - kuipidwa structural unit wa thupi. Kumuyamikila, anthu kuchita waukulu magulu ambiri chikomokere basi. Kugwirizana kayendedwe imapereka chithunzithunzi cha ubongo, minofu ndi maphikidwe tcheru. Radiculopathy, zizindikiro za amene anaonekera kupangitsa psinjika a mizu. Izi zimachititsa kuti kufala zimachitika chikuchitika mu mayendedwe onse ndi mkhutu ndi tilinazo kusintha.
3. Akulu dystrophy. Kuonongeka misempha sangathe mosalekeza ziwiri kufala kwa nyemba (ku minyewa ubongo ndi msana ndi mosemphanitsa). Choncho, minofu kusiya kugwira ntchito bwinobwino. msokonezo yaitali mu kufala kwa zikhumbo kuyambitsa kufooka, manja ndipo ngakhale odulidwa minofu ofooka.

mitundu ya radiculopathy

Clinicians kuzindikiridwa mitundu yambiri ya sciatica. Malinga ndi malo wathuyo mitsempha radiculopathy, zizindikiro zimene ziri zoonekeratu, nthawi zina khomo lachiberekero, thoracic, lumbosacral kapena losanganikirana.

Wachibale kuti chotupa cha kusiyanitsa discogenic sciatica (spondylogenic) vertebrogenic kuphatikizapo mtundu. Gawo matenda amapereka zosiyanasiyana bwino mbali yaikulu ya sciatica wodwalayo makamaka.

discogenic sciatica

Odwala pafupipafupi matenda chachikulu discogenic radiculopathy chifukwa mapindikidwe wa chichereŵechereŵe minofu, kukula pa zimbale intervertebral. Pankhaniyi, mizu odzilamulira, anaona pa ndondomeko yotupa, amene anatsagana ndi kutupa ndi ululu wamphamvu.

Pali imfa ya ntchito zina zokhudzana ndi innervation wa misempha pansi siudzalandilidwa ngathi lamulo. Banal sciatica limodzi ndi ululu, galimoto ndi zipolowe autonomic chikwiyire mizu akhudzidwa.

vertebral sciatica

Onani kuti Vertebrogenic radiculopathy ndi nthawi yachiwiri. Ilo liri pa maziko kumene stenosis kuti anagunda foramen, kumene kuli njira ya mizu mitsempha.

mizu msana anakafika pamodzi "mumphangayo", limene nyumba zosiyanasiyana khoma (hernias intervertebral, chikasu mitsempha, osteophytes, etc.) ali wothinikizidwa ndi sakumvetsa. "Ngalande" m'mbuyo mchikakamizo cha zaka okhudzana ndi osachiritsika kusinthika. Chifukwa cha clamping mu malo msana magazi matenda amapezeka ndi kutupa wotsatira.

Ululu distally umabalalitsa ozama msana mu dzanja kapena phazi. Zizindikiro za mizu kukanika chipembedzo mabala, imfa ya kutengeka ndi utachepa bongo, si nthawi zonse nthawi yomweyo. Komabe, khalidwe mwachikondi - umboni bwino syndrome radicular.

Mtundu uwu wa sciatica limodzi ndi spasms kutchulidwa minofu, kwambiri kuchepetsa galimoto ntchito. Monga ulamuliro, Vertebrogenic radiculopathy zimatha nthawi yaitali (pafupifupi miyezi 2-4) ndipo amafuna mwamsanga phukusi la madokotala.

radiculitis khomo lachiberekero

Khomo lachiberekero radiculopathy kumayambika ndi chophukacho, ndi protrusion kapena chimbale alibe, nyamakazi, foraminal stenosis ndi pathologies ena. Kawirikawiri radiculopathy khomo lachiberekero msana amapezeka mosayembekezera, kulankhula ululu kuwombera. Poona tilinazo, mphamvu minofu, bongo, onetsetsani kuti matenda ndi ubongo m'chilengedwe.

Matendawa yodziwika ndi pakutchulidwa ululu khosi yochokera kwa minofu ya manja ndi zala. Kutanthauzira ululu chifukwa akudwala msana. Nthawi zonse mwadzidzidzi lakuthwa kwambiri, amayamba ndi khosi flexion. Soreness mitigated ndi kutembenuza mosamala kapena tilting mutu mbali imodzi kapena wina. kayendedwe zinalephereka ndi chifukwa phindu lake.

Odwala amavutika kupeza omasuka kugona malo. tulo tawo ndi linasokonekera kubaya kupweteka kwa khosi ndi manja. Odwala amadandaula kufa kumverera mu dzanja, kumva kulasalasa ndi dzanzi pa nthawi yomweyo kuchepetsa kwambiri mphamvu minofu.

thoracic radiculopathy

Mtundu uwu wa sciatica akupezeka pakati pa nsana, mu malo a chifuwa malo msana. Kutanthauzira ululu zimawonedwa m'dera la misempha intercostal. Kuwonjezeka ululu kumachitika pamene galimoto ndi mpweya kwambiri.

Ndi chifuwa radiculopathy anakumana kamodzikamodzi kuposa ndi lumbosacral kapena khomo lachiberekero. Thoracic yodziwika ndi chinthu chimodzimodzi wachibale. Kusinthasintha dipatimenti zazing'ono, choncho abulusa zimasintha zazing'ono.

Komabe, pa kudziwika zizindikiro khalidwe kupewa kupatulapo mtheradi chakuti wodwalayo ali wolemedwa thoracic radiculitis. Nthawi zambiri sachedwa matenda amenewa amachititsa mbiri ndi kuvulala anakonza izo.

zomwe zingatichititse radiculopathy thoracic monga zinthu kugwirizana ndi kusinthika osachiritsika, protrusion ndi chimbale herniation, osteoartitami, osteophytes, stenoses. Iwo amayamba ndi matenda opatsirana, hypothermia wabwinobwino, ululu otsika kumbuyo, kuvulala thupi, kayendedwe kovuta.

Sciatica

Kwambiri ambiri lumbosacral radiculopathy. Iwo ali mbali ofanana ndi matenda okhudzana. Lumbar sciatica amapezeka aakulu. Nthawi wolemedwa ndi musabise pachimake. Torso kapena kuyamba kuyenda, odwala kubva amveke.

Kutanthauzira a zotupa chifukwa cha m'dera innervation. The ndende ya ululu zimadalira gwero la kutupa. Odwala kumva mu malo ya lumbar ndi dera gluteal, ntchafu chake posterolateral ndi zapambuyo zone perednenaruzhnoy ng'ombe. Ululu wafala phazi kumbuyo, chidendene chimafikira, chala chachikulu, phokoso gastrocnemius minofu wapezeka pa bondo lakunja.

Soreness kwambiri anasonyeza pamene mizu ndi wothinikizidwa Bony outgrowths mbale, osiyana wandiweyani minofu, mwachitsanzo, chophukacho wa intervertebral anapanga. The ululu chifukwa cha zofewa minofu (minofu, Mitsemphayi), kugwira misempha anu amphamvu. Iwo amakhala ndi mphamvu kukula kwa ofooka chionetsedwe.

Chikwiyire radiculopathy wa lumbosacral msana njira zambiri zowononga Mitsemphayi ndi, articular zotupa msana. Iwo amayamba ndi matenda a zimbale intervertebral, osachiritsika chimbale matenda amene akhala zotsatira, chophukacho ndi matenda ena.

Mitundu ya lumbar radiculopathy

Kawirikawiri zimapezeka mitundu itatu lumbar sciatica. Njirazi ndi monga:

1. Lumbago. Ululu anaikira mu dera lumbar. Soreness imfayo kuchepa zolimbitsa thupi, kuchititsa overvoltage lumbar minofu, ndi hypothermia lakuthwa. Komanso, kuukira chifukwa cha lumbar herniated ndi dislocation khomo lachiberekero.
2. Lyuboishelgiya - wina radiculopathy lumbar limodzi ndi ululu amenewa amapezeka m'dera lumbar, yochokera ku miyendo limodzi kapena onse. Soreness kufalikira pa matako ndi posteroexternal phazi, akupita ku zala. Ululu syndrome anafotokoza monga kupweteka, yoyaka ndi kutupa.
3. Sciatica. Ululu wambiri m'dera matako, kuwagwira ntchafu ndi mwendo m'munsi kuchokera kumbuyo, mpaka amasiya. Kuwonjezera pa mfundo ululu akulu kufooka chifukwa cha kuvulala kapena mkwiyo wa mitsempha sciatic. Soreness sciatica ndi khalidwe kuwombera, chokhala ndi mantha magetsi. Nthawi zina pali munthawi yomweyo kuwonetsera kumva kulasalasa, dzanzi ndi "zikhomo ndi masingano." Ululu syndrome ndi osiyana mu digiri ndi mphamvu. Odwala zimasiyanasiyana mofatsa za mphamvu yoposera. Wodwala akapanda tulo, ululu zimamuthandiza nkhawa pamene AH chiimire ali chikhalire, kuyenda, salola zosinthira ndi kutembenukira.

Zinayambitsa ndi lumbar radiculopathy, amene mankhwala poyamba okha mankhwala ndiwofatsa, nyamakazi, osachiritsika zosintha vertebral stenosis, psinjika fractures, chophukacho ndi protrusion ya chimbale cha, spondylolisthesis.

chithandizo ndiwofatsa wa radiculopathy

Ngati matenda "radiculopathy" chithandizo Kwalamulidwa zochokera zizindikiro (zopweteka, imfa kwenikweni, matenda galimoto). Choyamba, odwala kuchizidwa ndi njira ndiwofatsa mankhwala:

1. Mothandizidwa ndi mankhwala kuchepetsa kutupa ndi kutupa kuti akupezeka zimakhala zilirimu, soreness.
2. njira Physiotherapeutic matenda magazi aziyenda bwino mu minofu ozungulira msana, kuchepetsa ululu, kulimbikitsa conduction kwa zikhumbo.
3. Kuyambira minofu spasms zotchinga ndi kuwataya, kuchita kutikita ndi kuchititsa mankhwala Buku.
4. njira kutema mphini angathe kubwezeretsa zikhumbo mitsempha.
5. Chitani mankhwala ndi mabuku mlingo imatsitsimula biomechanics msana. Zochita, redistributing katundu zamoyo zina, nthawi zambiri kuthetsa psinjika a mizu. Chifukwa cha masewero olimbitsa maphunziro pa simulators kukwaniritsa wotseka njira osachiritsika mu nsana, kuwonjezera elasticity minofu ndi Mitsemphayi. Chifukwa, magalimoto zikuchulukirachulukira mu Volume. Kuwonjezera makalasi zonse - kwambiri njira chenjezo musabise osiyanasiyana mwamphamvu anayambitsa ntchito molakwika msana.

njira Chipatso bwino ankachitira discogenic radiculopathy aakulu chikhalidwe. Kuyesetsa kuthetsa odwala matenda kwamuyaya, kuwabweretsa ku moyo wabwinobwino.

Opaleshoni mankhwalawa sciatica

Opaleshoni amafuna radiculopathy zovuta. Ndi chiyani icho - opareshoni ndi radiculitis? Mtundu wa ntchito kubwera amakhudza msana chikhalidwe, zaka ndi thanzi. The zikuonetsa kuti amakhala kulimbikira ululu, zoipa matenda chithunzi.

Ndondomeko tichipeza mu upeleka decompression opaleshoni ya msana, kuchotsa oumbidwa chimbale kapena fupa pafupi ndi mitsempha minofu, ndi kuchita diskorastvoryayuschih mpheto (hemonukleolizisa) ndi zinthu zina ntchito.

Njira ya chithandizo cha sciatica vertebrogennogo

Vertebrogenic radiculopathy ayenera kulandira chithandizo msanga. Therapy amasankhidwa, kuganizira etiology wa syndrome radicular. Choyamba, kuthetsa vuto lalikulu - ululu. Iwo atachotsedwa gulu la wothandizira odana ndi yotupa mankhwala si steroidal. Mwa kusankha mankhwala oyenera ndi kusamala, chifukwa angathe kuyambitsa zotsatira zina zoyipa.

Ngati wodwala wolemedwa ndi chophukacho intervertebral, psinjika wovulala, khansa kudwala, iye sanali kupewa opaleshoni. Postoperatively bungwe mosamala achipatala.

Odwala amene zowawa syndrome radicular, kupereka konzanso mabuku. Iwo wabwezeretsedwa ku chipatala, kulandira magawo achire kutikitirako kuchita olimbitsa.