Peroneal ezinzwa peripheral: Izimbangela Nemiphumela

Isimiso sezinzwa iqoqo eziyinkimbinkimbi emzimbeni womuntu. It siqukethe le asebuchosheni nomgogodla, kanye namahlumela eziningi. Lesi sakamuva ukunikeza amaza osheshayo wonke umzimba. Ukwephula eyodwa emsipheni cishe akunamthelela ukusebenza yonke inethiwekhi. Nokho, kungase kufake hlangana Ukuwohloka impilo ngabanye kuzo zonke izingxenye zomzimba.

Peripheral - isifo libhekene izilonda ze-non-sokuvuvukala impumuzo. Ukuthuthukiswa Its kungaba nomthelela izinqubo esiwohlozayo, ukuhlukumezeka noma kokucindezelwa. Indima esasizibekele yona eyinhloko inqubo sokugembula ngokuvamile aphume ashone nemilenze aphansi.

Okubizwa ngokuthi izinyawo peripheral ihlukaniswe izinhlobo ezilandelayo:

• peroneal ezinzwa zokugula;
• ezinzwa tibial;
• uthinte.

Ngamunye amafomu lesi sifo Sinesithakazelo esikhulu phakathi kodokotela. Phakathi kwazo zonke pathologies ka-peripheral neuropathy nerve peroneal unendima ekhethekile. Yilokho ngakho futhi kuyofeza esihlokweni.

Incazelo isifo

Ngaphansi peroneal emsipheni peripheral kubhekisela esenzakalweni esiyisimangaliso sokugembula disorder syndrome ephelezelwa ensimbi alenga ngezinyawo. Esikhathini izincwadi ungathola elinye igama lesi sifo - peripheral peroneal.

Njengoba emsipheni peroneal siqukethe imicu nge isendlalelo umxhwele obukhulu emgodleni myelin, kuba lula ngokwengeziwe uma iphazamiseka umzimba. Cishe, lesi yisikhathi futhi kubangela ovame kakhulu lesi sifo. Kubikwa ukuthi izenzo izinqubo sokugembula ebonwe 60% neminyango iziguli ukuhlukumezeka, futhi kuphela 30% izimo lihlotshaniswa ukulimala kwenzwa eyinhloko.

Ngokulandelako, cabangela izici yokwakheka isakhiwo echazwe esihlokweni. Kuyadingeka ukuba uqonde izizathu ekuthuthukiseni peripheral nerve peroneal (ICD-10 code G57.8 Izifo ukhishwa).

inkomba yokwakheka

ezinzwa Peroneal elisukela sciatic ngehora lesithathu engezansi ethangeni. isakhiwo sayo imelelwa Imicu yotshani ezahlukene. lezi zinto abahlukene kule ezivamile ezinzwa peroneal ezingeni we fossa popliteal. Kuvunguza Yena ugwema eponymous ikhanda ithambo. Kuleli qophelo, emsipheni amanga phezu futhi embozwe isikhumba kuphela, yingakho yimaphi zici angaphandle emcindezela.

Khona-ke ezinzwa peroneal ihlukane amagatsha amabili: olukha phezulu futhi ngokujulile. Lezi zici ngokuthi ngenxa isiqondiso sayo. legatsha okukha phezulu obangela innervation kwemisipha isakhiwo, ukujikeleza unyawo futhi nozwela ingxenye yayo labaqaphi elingemuva. I ezijulile ezinzwa peroneal inikeza eqondisa iminwe, kanye lokujabulela ubuhlungu bese uthinta kule ndawo.

Kokucindezela igatsha elithile kuhambisana esephule ukuzwela ezindaweni ezahlukene ngezinyawo, ukungakwazi qondanisa ndlela yokuhlasela yokuhlanganisa izihlangu. Ngakho-ke, izimpawu peripheral ingase yehluke kuye ngesistimu lokho izakhiwo qanda amakhulu kakhulu ahlukanisiwe lilimele. Kwezinye izimo, ulwazi izici zayo yokwakheka kuncuma inqubo sokugembula phambi ngokufuna usizo lodokotela.

Ziyini izimbangela eziyinhloko zalokhu lesi sifo

Ukuthuthukiswa inqubo sokugembula kungadalwa izinto eziningi. Phakathi kwabo kukhona odokotela ezilandelayo:

• Kokucindezela we emsipheni at yinoma yiyiphi ingxenye yayo ukulandela. Lokhu okuthiwa Umhubhe peripheral peroneal emsipheni. It ihlukaniswe yaba amaqembu amabili. Upper syndrome ngemuva ngicindezeleka isakhiwo ingxenye lenqwaba semithambo. Lesi sifo ngokuvamile kutholakala abantu kabani msebenzi uhilela ukuhlala isikhathi eside sesimweni ungakhululekile. Lokhu pickers berry, stackers amapulangwe aphansi, umthungi wezingubo owayenekhono. Lower Umhubhe syndrome ibangelwa kokucindezelwa botwa ezinzwa peroneal endaweni okhiqizwayo ezinyaweni. Lesi sithombe sokucindezeleka ejwayelekile ntu uncamela izicathulo ungakhululekile.
• Ukwephula igazi eligciniwe ukuze esitho.
• ukuma engafanele nasemilenzeni ngenxa operation okuqhubeka isikhathi eside noma isimo esibi lesiguli ephelezelwa immobilization.
• Xhumana ne yezinzwa imijovo esicutshini esifundeni gluteal.
• izifo ezinzima ezithathelwanayo.
• Ukulimala (tibia Waphuka, Ukwenyela unyawo umsipha ukulimala, isenyelo). Ngenxa yalokho, kukhona yayiyolimaza ukuvuvukala enamandla. It kuholela kokucindezelwa Izinzwa amaza futhi Ukuwohloka conductivity. Isici esiphawulekayo lolu hlobo sifo ukushonelwa esitho eyodwa kuphela. Uma kungenjalo, ibizwa ngokuthi ukucindezeleka kwangemva kwenhlekelele peripheral peroneal emsipheni.
• Umdlavuza izilonda nge Ukudlulela.
• pathologies Toxic (isifo sikashukela, ukuhluleka kwezinso).
• izifo lefundo libhekene ekwandeni ezicutshini (osteoarthritis, sifo, i-rheumatoid arthritis).

Zonke izizathu ukuthuthukiswa inqubo sokugembula kungase kuhlukaniswe ezindaweni ezinhlanu: ukuhlukumezeka, kokucindezelwa, iziyaluyalu semithambo, ezithathelwanayo kanye izilonda anobuthi. Kungakhathaliseki ukuthi kungenxa iqembu trigger zihlanganisa peripheral nerve peroneal, ikhodi ye-ICD-10 kule isifo esisodwa - G57.8.

Yiziphi izimpawu ahambisana umkhuhlane?

ukubonakaliswa Clinical lesi sifo incike ngezinga yenqubo kanye nokunganakwa izindawo zokucabanga okubangelwa isifo ukulimala kwenzwa. Zonke izimpawu zingahlukaniswa zibe eyisisekelo kanye nesikhonzi. Iqembu lokuqala sephula ukuzwela esitho ethintekile. izici ehlobene ingahluka ngamunye endabeni ethile. Nokho, iziguli eziningi kakhulu esekhala:

• ukuvuvukala kwemilenze;
• umuzwa zesikhathi "izikhonkwane kanye izinaliti";
• zibe kanye nokugoqana;
• ubuhlungu lapho uhamba.

Vele ngenhla yaphawula ukuthi isithombe emitholampilo ye isifo futhi incike indawo ukulimala kwenzwa. Ngokwesibonelo, ezivamile stem lesion isandiso ukwephulwa manifest yenqubo unyawo. Ngenxa yalokhu, uqala droop phansi. Sick of ukuhamba njalo ugobise umlenze ineminyaka kwedolo, ukuze ukubamba unyawo phansi. Lapho-ke lehliselwa, waqale uthola eminweni yakho, bese idlulisela isisindo emaphethelweni lateral ematheni kanye kuphela emva isithende phansi. Lokhu ngendlela ukunyakaza sifana iqhude noma ihhashi, futhi ngenxa yalokho ezinamagama afanayo.

Movement iziyaluyalu ehlangana abanokukhubazeka sezinzwa. Iziguli ngokuvamile ukubika ukubukeka ubuhlungu ngaphandle umlenze, okuyinto kuphela namandla lapho nokuzikhulula. Ngokuhamba kwesikhathi, le ndawo ethintekile eba imisipha yoma. isici okunjalo lesi sifo iyabonakala, ikakhulu lapho uqhathaniswa esitho enempilo.

Yini peripheral peroneal izimpawu ezinzwa izilonda legatsha ezijulile? Kulokhu, izinyawo elengayo uzwakalise kancane ngokucacile. Nokho, izimpawu sezinzwa kanye motor bukhona. Uma lesi sifo zingelashwa, it is nzima yoma kwemisipha encane.

Peripheral nge izilonda peroneal amagatsha emsipheni ebusweni ephelezelwa ukulahlekelwa sezinzwa futhi ubuhlungu obukhulu emlenzeni aphansi. Phakathi ukuhlolwa zeziguli ngokuvamile banalesi buthakathaka pronation senyawo.

izindlela ukuxilongwa

Ukuthola Isikhathi esijwayelekile yenqubo sokugembula kanye ekuqedeni isifo eyisisekelo - zombili lezi zici ngokhiye yokwelapha yimpumelelo. Kangakanani sitholakele peripheral?

Okokuqala, udokotela iqoqa umlando wezempilo wesiguli. Phakathi nale nqubo, utadisha izifo ibalazwe lakhe futhi cwaningo ukuze acacise ulwazi. Udokotela wabe wabe izindlela wezinsimbi ukuxilongwa. Ukulinganisa amandla kwemisipha kuvivinywa iqhutshwa ukuzwela ukuhlaziywa kwesikhumba Kwenziwa ngenaliti ekhethekile. Ngaphezu kwalokho wasebenzisa electromyography futhi electroneurogram. Lezi zinqubo zikuvumela ukuba usethe izinga lomonakalo we emsipheni. Ayikho indlela kancane ulwazi of luhlolo ubhekwa ultrasound, phakathi kwesikhathi lapho udokotela angayihlola isakhiwo lilimele.

Peripheral nerve peroneal njalo kudinga ukuxilongwa umehluko nge nezinye izifo babe ukubonakaliswa emitholampilo efanayo. Lezi isifo zihlanganisa isifo sikaCharcot-Marie-Izinyo, syndrome, peroneal yoma kwemisipha, isimila palsy.

Ezimweni sina ngokukhethekile, babonisana ongoti. Ngokwesibonelo, lokhu kuhlukunyezwa. Ngokusekelwe imiphumela kakade sitholwe Udokotela angase anikeze isiguli ukuhlolwa noma X-ray amathambo joint kwedolo.

Peripheral nerve peroneal: ICD

Ukuze uqonde okushiwo ukuxilongwa udokotela, kudingeka uzijwayeze uhlelo olukhethekile amakhodi. Zilotshwe International Ukwahlukanisa Diseases (ICD). Uhlelo yakhiwa kakhulu ukumane. Okokuqala kukhona ekubizweni uhlamvu Latin, esichaza leqembu lezifo. Lokhu kulandelwa ikhodi yenombolo elikhombisa isifo esithile. Ngezinye izikhathi ungase uthole omunye uphawu. Uthwala ulwazi mayelana izinhlobo isifo.

Iziguli eziningi banesithakazelo kulokho ikhodi (ICD) peripheral peroneal emsipheni. Kufanele kuqashelwe ukuthi njengoba namagama enjalo baye bachaza lesi sifo alikho. Ngu isigaba G57 kuhlanganisa mononeuropathy emikhawulweni aphansi. Uma lokumba ukutadisha pathologies fanele kuze lo ekilasini, isifo yethu ihlangabezane khona. Nokho, singasho sithi ikhodi G57.8, obhekisela nezinye esitho mononevralgii aphansi.

Ukwazi ukuthi iyona International Ukwahlukanisa Diseases, kungenzeka ukuthola noma yiluphi ulwazi ku uphethwe. Lokhu kusebenza futhi isifo esinjengo izinzwa peripheral peroneal. ICD-10 code G57.8 ukhishwa kuye.

izimiso yokwelapha

ukuphathwa Clinical we zokugula wathi ebizwa ngokuthi ibangelwe yini. Ngezinye izikhathi kwanele ukufaka esikhundleni ukhonkolo usimende, okuyinto licindezele emsipheni. Uma njengesici esibangela i ingqondo izenzo izicathulo ungakhululekile, izicathulo ezintsha kungaba futhi ikhambi lenkinga.

Ngokuvamile iziguli kudokotela nge "isixha" izifo ezihlobene. Ngifundise ngesifo sikashukela, umdlavuza noma ukungasebenzi kwezinso - lezi zinkinga kungabangela isifo esinjengo peripheral nerve peroneal. Ukwelashwa kulokhu ukususa izifo kuqala. Izinyathelo asele kuyoba engaqondile kakade.

Ukwelashwa nge izidakamizwa

Izidakamizwa ezinkulu ezisetshenziswa ekwelapheni peripheral zihlanganisa ejenti elandelayo:

• izidakamizwa Nonsteroidal eqeda ukuvuvukala ( "diclofenac" "nimesulide" "Ksefokam"). Basiza ukunciphisa ukuvuvukala futhi ubuhlungu, nisuse izimpawu ukuvuvukala. Ama-NSAID ngokuvamile ezinqunyiwe uphethwe "peripheral axonal peroneal emsipheni."
• B amavithamini
• Antioxidants ( "Valium", "Thiogamma").
• Okukushoyo ekuthuthukiseni conduction inkanuko kanye nerve ( "Neostigmine", "Neuromidin").
• Amalungiselelo nokuvulwa kwegazi endaweni ethintekile ( "cavitons", "Trental").

Lolu hlu luqukethe kuphela eminye imishanguzo. Esimweni ngasinye, kukhethwa izidakamizwa incike isithombe emitholampilo esandulele ke izifo.

izinqubo ukwelashwa ngokomzimba

imisebenzi ehlukahlukene sokuvivinya umzimba amiswa ekwelapheni peripheral kahle. Ngokuvamile iziguli ukuncoma le nqubo elandelayo:

• Ukwelapha magnetic;
• electrostimulation;
• massage;
• reflexology;
• LFK.

Ikakhulukazi ngempumelelo ngesikhathi ezahlukene massage peripheral nerve peroneal. Kodwa ekhaya lapho efeza lo kunemidanti inadmissible. Massage kufanele kwenziwe nguchwepheshe oqeqeshiwe. Kungenjalo, awukwazi nje ukuyeka umsebenzi ukuphathwa, kodwa futhi zilimaze impilo yakho.

Izincomo efanayo ziboniswa yokuzivocavoca. It is wawufuna ukuba amaseshini wokuqala kufanele ubanjwe ngaphansi kweso Umqeqeshi abanolwazi. Bese uphinda kusetshenziswe kungaba ekhaya.

kokungenela kuhlinzwa

Uma yokwelapha olandelanayo phakathi namasonto ambalwa imibukiso eyizehluleki, udokotela enquma ukuqhubeka nomsebenzi. Ngokuvamile, iqondiswa esimweni ukulimala kwenzwa esibuhlungu. Kuye isithombe emitholampilo isimo jikelele isiguli angase aqhube decompression kwenzwa neurolysis noma sepulasitiki.

Ngemva kokuhlinzwa kudinga isikhathi yokutakula eside. Ngalesi sikhathi, isiguli kumele inciphise umsebenzi ngokomzimba ukuze bahlanganyele athole ukwelashwa komzimba. Kuyadingeka usuku ngalunye ukuze ahlole esitho ethintekile ukuze imifantu futhi izilonda. Uma wathola, umlenze kumele baqinisekise lokuphumula okuphelele. Ngenxa yale njongo, isebenzise izinduku ekhethekile, kanye amanxeba ziphathwe isinqandakuvunda. Ezinye izindaba zika-izincomo udokotela unika umuntu ngamunye.

imiphumela

Yini elindele umphumela iziguli kwathiwa unesifo "peripheral nerve peroneal"? Ukwelashwa lesi sifo ngokuyinhloko inquma Izibikezelo ukutakula. Uma isikhathi ukuqala ukwelashwa futhi senze izincomo zonke likadokotela, sathandaza angaba nethemba lokuthethelelwa Chile oqondile. isifo yokugula kwabantu kanye nokwelashwa imisiwe senze isimo sishube. Kulokhu, iziguli kaningi bangalahlekelwa ukukwazi kwabo ukusebenza.

kafushane lokho

peripheral Peroneal isifo esiyingozi. Sisho olele iziyaluyalu semithambo, ukudakwa kanye izilonda anobuthi. Nokho, isizathu esiyinhloko ukuthuthukiswa inqubo sokugembula namanje kubhekwa uhlukunyezwe imisuka ehlukahlukene.

Izimpawu zayo eziyinhloko ezihlobene nokusebenzelana kahle motor umsebenzi nasemilenzeni, kanye nenqubomgomo ukwelashwa buvezwa izici eziye zabangela ukuvela kwalesi sifo. Udokotela angase akunikeze imithi yokwelapha yezokwelapha noma Physiotherapy. Ezimweni ezingavamile, ukuhlinzwa liyadingeka.