Radiculopathy - kuyini? Radiculopathy: Izimpawu kanye Ukwelashwa

ubuhlungu Emuva - into okwandile. Lobo buhlungu abantu abaningi ukuzwa okungenani kanye ezimpilweni zabo. Isigamu sabantu ukusebenza, minyaka yonke futhi lokugcina, okungenani usuku olulodwa. Imbangela kubo ukulimala, izifo ezihlukahlukene, kuhlanganise radiculopathy (sciatica).

Kuyini radiculopathy?

Ukuzwa uphethwe eyenziwe udokotela, iziguli azikwazi ukusiza ngokubuza: "Radiculopathy - kuyini, iziphi nezimbangela zayo nemiphumela?" Igama elithi ejwayelekile "radiculopathy" e Neurology lumelela izimpawu ezihambisana ne ukulimala, noma lesion clamping izinzwa emgogodleni. Lapho luhlolo kungase kwembule njengoba umgogodla ezilimele futhi eziningana.

Izimpawu eshiwo ku soreness bedubula emuva noma eyenza umuntu acabange eseZwini nemvelo, kuhlangene namandla imisipha, ukuluma, ndikindiki emikhawulweni innervated izindawo. Radicular syndrome, radiculopathy wabonakaliswa soreness ezizindeni ezihlukahlukene.

Ubuhlungu syndrome kwandile entanyeni, wehlise back, izitho zomzimba ezithile kwezitho. Wathola, isibonelo, endaweni lapho itholakala inhliziyo noma isisu. Kahle ukuxilonga sciatica can udokotela kuphela.

Radiculopathy nezimbangela zayo

Okunhlobonhlobo isifo disc esiwohlozayo - imbangela eyinhloko radiculitis. Ukugula kungaba umphumela ukulimala okungamahlalakhona, pathologies ezaqala izibilini, ukuvuvukala, ezithinta yomgogodla, izimila. abangobhongoza zako ziyizindlela ukucindezeleka, ukungalingani umzimba, isifo esithathelwanayo, hypothermia, nokuphakamisa izinsimbi.

Ngokuvamile umfutho sokuthuthukiswa sifo iba hernia intervertebral. Intervertebral disc, wanika kuyaqina, ukudlala indima ukushaqeka mfutho. Ukuthuthukisa ukhwaliti ubuhlungu emuva kuholela izinqubo esiwohlozayo ukuthi olimini protrusion (protrusion yenziwe yaba yasendaweni ye disc). Ngenxa yalokho, i-protrusion agelezela hernia intervertebral, okuholela kokucindezelwa kanye ukucasuka eduze izimpande.

Imbangela ukucasuka bakholwe osteophyte futhi stenosis - olugcwele ku umgogodla "Umhubhe" yaseBhabhiloni noma imiselekazi foraminal (lapho izinzwa ephumayo). stenosis Foraminal ngokuvamile kuthinta esifundeni lumbar, okuyinto uhlushwa kokucindezelwa izimpande ukuthi ukuxhuma emsipheni sciatic.

radiculopathy Okungalapheki - kuyini, ziyini izimpawu zaso? Izimpande ibhekane kokucindezelwa okuqhubekayo, bayabacasukela futhi avuvukele. Lokhu kuphumela ubuhlungu chronic, ibakhathaze entanyeni wehlise back, futhi afakwa eduze izinzwa ekususweni eningi. Kokucindezela impande uphela ukwephulwa conduction inkanuko, ukulahlekelwa umsebenzi, iphethwe isifo sokuwohloka kwemisipha.

Izimpawu ze-sciatica

Ukubhekana ne izimpawu zesifo, sizocela umbuzo futhi: "Radiculopathy - kuyini?" Sciatica akusona isifo ezimele. Yena nje eziyinkimbinkimbi uphawu, ekuhlanganiseni isisa kwehle ukuzwela, sokuwohloka kwemisipha ukuthi iqala yomgogodla wehlele emikhawulweni.

Iziguli ukhathazekile izinhlungu ezidukayo esivezwa kusukela entanyeni kuya ingalo noma okhalweni kuya ezinyaweni, kwavele izinguquko sensitivity (nemilenze ndikindiki, esibuhlungu kanye nokubashisa), futhi ukulahlekelwa amandla kwemisipha ezindaweni ezithile zomzimba. Izimo zethu zihluke kakhulu ezihlukahlukene izimpawu radiculopathy yahlanganiswa emaqenjini:

1. Soreness. Ubuhlungu ziyabonakala ezihlukahlukene kusukela kuluthuntubeze udosi ngezikhathi ezenzeka ngaphambi yokubakhona ngemisebe futhi ugxile unomphela.
2. ukuzwela Eshintshile. Emgogodleni - iyunithi eziyinkimbinkimbi kwesakhiwo zomzimba womuntu. Siyabonga kuye, abantu ukwenza ukunyakaza othomathikhi eminengi equlekile. Ukuvumelana ukunyakaza ihlinzeka reflection of ubuchopho, imisipha kanye zokupheka ebucayi. Radiculopathy, izimpawu eyabonakala kubangele kokucindezelwa izimpande. Lokhu kuphumela ukuthi ukudluliswa ishayela senzeka zombili izinkomba nge kahle futhi ukuzwela kokushintsha.
3. sokuwohloka kwemisipha. Ezilimele nezinzwa akanamandla okuqhubekayo ezimbili-indlela yokudlulisela pulses (kusukela imisipha kuya asebuchosheni nomgogodla kanye vice kowesilisa). Ngakho-ke, imisipha ziyeke ukusebenza ngokujwayelekile. Yesikhathi eside yokuphazamiseka ukudluliswa inkanuko kuholele ubuthakathaka, yoma ngisho Imi imisipha ebuthaka.

izinhlobo radiculopathy

Odokotela namanesi ezikhonjwe Kunezinhlobo eziningi sciatica. Kuye indawo ethintekile emsipheni radiculopathy, izimpawu zazo zisobala, ngezinye izikhathi wesibeletho, thoracic, lumbosacral noma oxubile.

Isihlobo kuya lesion ukuhlukanisa sciatica discogenic (spondylogenic) uhlobo vertebrogenic futhi edidayo. Lokhu kuhlukaniswa isifo ihlinzeka kwamangqamuzana ecacile izici eziyinhloko sciatica e isiguli esithile.

sciatica discogenic

Iziguli ngokuvamile zazisho kutholakala ukuthi uphethwe yini eyinhloko radiculopathy discogenic ngenxa ukusonteka ijwabu uqwanga, ezikhula akwazi ukugcina intervertebral. Kulokhu, izimpande izibambe, waphawula phakathi ukuvuvukala, okuyinto kuhambisana ukuvuvukala kanye ubuhlungu obunamandla.

Kukhona ukulahleka kwemisebenzi ethile ezihlobene innervation of izinzwa owabeka umthetho. sciatica banal kuhambisana ubuhlungu, motor neziyaluyalu autonomic cuphuluza izimpande abathintekayo.

sciatica vertebral

Qaphela ukuthi Vertebrogenic radiculopathy uhlale yesibili. Lisebenza ngemuva okuyinto athuthukiswe stenosis okuye kwagadla foramen, lapho itholakala emkhondweni izimpande emsipheni.

izimpande Spinal kuyoshaya eduze "Umhubhe", akha izakhiwo ahlukahlukene odongeni (hernias intervertebral, ophuzi umsipha, osteophyte, njll) ziya onomfutho futhi ucasukile. "Umhubhe" zincipha bedle ezihlobene nokukhula futhi esiwohlozayo kugucuka. Ngenxa yalokho we clamping endaweni yomgogodla disorder kwegazi kwenzeka nge ukuvuvukala okwalandela.

Ubuhlungu distally baxoshe ekujuleni emgogodleni esandleni noma unyawo. Izimpawu nezinkinga izimpande anikezwe ukusikeka, ukulahlekelwa ukuzwa futhi kwehle ikhaliphe, musa njalo avele ngokushesha. Nokho, isici ngesisa - ubufakazi obucacile radicular syndrome.

Lolu hlobo sciatica kuhambisana evelele kwemisipha izinhlungu zibe, kakhulu nokukhawulela motor umsebenzi. Njengomthetho, Vertebrogenic radiculopathy ihlala isikhathi eside (okungenani izinyanga 2-4) futhi edinga ophuthumayo odokotela.

radiculitis wesibeletho

radiculopathy wesibeletho is senziwa umbhunu, a protrusion noma disc ukonakala, i-osteoarthritis, stenosis foraminal nezinye pathologies. Ngokuvamile radiculopathy nomgogodla wesibeletho kwenzeka kungalindelekile, ukukhuluma izinhlungu sokudubula. Ihlola ukuzwela, amandla kwemisipha, ingqondo, qiniseka ukuthi lesi sifo zezinzwa ngokwemvelo.

Ukuze lesi sifo libhekene okuvela nobuhlungu entanyeni imbuthuma ukuze imisipha izingalo neminwe. Kwasendaweni ubuhlungu ngenxa abaphethwe emgogodleni. Bahlale bekulungele okuzumayo ebukhali kakhulu, senziwa entanyeni flexion. Soreness mitigated ngu kokuphenduka ngokucophelela noma ngokutshekisa ikhanda nganxanye noma enye. ukunyakaza Akuphumelelanga kukhona isizathu inzuzo yayo.

Iziguli zikuthola kunzima ukhululekile ingalali isikhundla. nobuthongo babo iphazamisekile wagwaza ubuhlungu entanyeni izingalo. Iziguli esekhala ukulahlekelwa ukuzwa esandleni, ukuluma nokudungeka ngesikhathi esifanayo ukuncipha eziphawulekayo amandla kwemisipha.

radiculopathy thoracic

Lolu hlobo sciatica livela phakathi emuva, esikhundleni webele indawo emgogodleni. Kwasendaweni ubuhlungu siyenzeka esifundeni izinzwa intercostal. Ukwandisa ubuhlungu kwenzeka uma ushayela futhi Donsa.

Nge esifubeni radiculopathy ihlangabezane kancane njalo kuka nge lumbosacral noma wesibeletho. Thoracic libhekene rigidity isihlobo. Ukuvumelana nezimo emnyangweni incane, ngakho-ke ngemoto nezinguquko ezincane.

Nokho, lapho ukuthola izimpawu nobuntu uyeke ngaphandle ngokuphelele yokuthi isiguli abadliwa radiculitis thoracic. Ngokuvamile othambekele kokutshelwa ngokukhubazeka kwengane kubangela umlando ukulimala fixed kuwo.

izinto ezingabangela radiculopathy thoracic zihlanganisa nezici ezihlobene kugucuka esiwohlozayo, protrusion kanye disc herniation, osteoartitami, osteophyte, stenoses. Sibangelwa yizifo ezithathelwanayo, hypothermia evamile, ukhwaliti ubuhlungu emuva, ukulimala ngokomzimba, ukunyakaza esiyinkinga.

Sciatica

I obanzi kunayo radiculopathy lumbosacral. It has izici afana izifo ezihlobene. sciatica lumbar kwenzeka onesifo. Kuvame abadliwa uyahluleka uma elwa nokuphuza oyingozi. Torso noma uqale ukuhamba, iziguli ubuhlungu okhulisa.

Kwasendaweni izilonda kubangelwa innervation ndawo. I lokuhlushwa ubuhlungu incike umthombo ukuvuvukala. Iziguli ukuwuzwa endaweni ye lumbar futhi gluteal esifundeni, hip, posterolateral futhi anterior zone perednenaruzhnoy ithole yayo. Ubuhlungu igcwala ngezinyawo ezingemuva, esithendeni liphela isithupha, clatter gastrocnemius muscle Kutholwe ngesikhathi iqakala yangaphandle.

Soreness kakhulu lwabonakaliswa lapho izimpande ziya onomfutho bony amaqhubu amadiski, izicubu ezahlukene obukhulu, isib, umbhunu we intervertebral kwakhiwa. Nobuhlungu obubangelwa izicubu zomzimba ezithambile (imisipha, nemisipha), ukubamba imizwa yakho akuzona njengoba enamandla. It libhekene Dynamics ukukhula sokuwela wazwakalisa.

radiculopathy sokucasuka ka emgogodleni lumbosacral izinqubo ngokuvamile elibhubhisayo nemisipha, izilonda articular sokukhubazeka komgogodla. Sibangelwa iziyaluyalu we akwazi ukugcina intervertebral, esiwohlozayo disc isifo abaye umphumela, umbhunu kanye nezinye izifo.

Izinhlobo lumbar radiculopathy

Ngokuvamile azibonakali ezintathu izinhlobo lumbar sciatica. Lezi zihlanganisa:

1. Lumbago. Ubuhlungu bagxila esifundeni lumbar. Soreness avuse umsebenzi singenele ngokomzimba, okubangela imisipha lumbar overvoltage, a hypothermia abukhali. Ngaphezu kwalokho, ukuhlasela zibangelwa lumbar herniated futhi dislocation wesibeletho.
2. Lyuboishelgiya - omunye radiculopathy lumbar ephelezelwa ubuhlungu ezenzeka esifundeni lumbar, imbuthuma zibe munye noma imilenze yomibili. Soreness sisakazeka ezinqeni posteroexternal senyawo, abehlela phansi iminwe. Ubuhlungu syndrome echazwe njengo bezwe izinhlungu, ukushiswa nokuvuvukala.
3. Sciatica. Ubuhlungu bagxila kule izibunu ndawo, ubambe ethangeni nasemlenzeni ephansi ngemuva, phansi stop. Ngaphezu iphuzu ubuhlungu kuyadamba kwemisipha okubangelwa ukulimala noma ukuluma kwesikhumba we emsipheni sciatic. sciatica soreness kuyinto uhlamvu sokudubula, kepha efaniswe shock ngogesi. Ngezinye izikhathi kukhona ukubonisa ngesikhathi esisodwa ukuluma, ukuba ndikindiki futhi "izikhonkwane kanye izinaliti." Ubuhlungu syndrome ezahlukene degree futhi ufake umfutho owengeziwe. Abagulela ukufa kuhluka imnene enamandla kakhulu. Isiguli engalali kahle, ubuhlungu umnikeza nokukhathazeka lapho mile fofobala ukuhamba, ayivumeli ukugoba futhi ujike.

Senziwa radiculopathy lumbar, okuyinto ukwelashwa okokuqala kungagcini yokwelapha olandelanayo, samathambo, ukuhlela kabusha esiwohlozayo stenosis vertebral, kokucindezelwa waphuka, umbhunu futhi protrusion we disc, spondylolisthesis.

ukuphathwa okulondoloza ka radiculopathy

Uma kutholakala ukuthi uphethwe yini "radiculopathy" impatho ezinqunyiwe esekelwe izimpawu (ubuhlungu, ukulahlekelwa sezinzwa, motor iziyaluyalu). Okokuqala, iziguli ziphathwe izindlela yokwelapha olandelanayo:

1. Ngosizo nemithi ukunciphisa ukuvuvukala nokuvuvukala okwenzeka emisipheni engaphansi, soreness.
2. izinqubo Physiotherapeutic kujwayeleke kwegazi nezicubu eziseduze yomgogodla, ekunciphiseni izinhlungu, ukukhuthaza conduction inkanuko.
3. Kusukela kwemisipha izinhlungu zibe emabhuloki bese kulahlwa konke eyayakhiwe ngako, enza massage and uqhuba yokwelapha mathupha.
4. amasu acupuncture Ungayibuyisa emsipheni amaza.
5. Ukuzivocavoca yokwelapha nge umthamo amavolumu sivuselela Biomechanics sokukhubazeka komgogodla. Obonisa, ukuphinde sihambise umthwalo zithwala, ngokuvamile akhulule kokucindezelwa izimpande. Ngenxa ejimini nokuqeqeshwa simulators sifinyelele kokumisa izinqubo esiwohlozayo kabuhlungu emgogodleni, okwandisa kuyaqina imisipha kanye nemisipha. Ngenxa yalokho, i-traffic luyanda emqulwini. Ngaphandle amakilasi elivamile - kakhulu zokuvimbela isixwayiso uyahluleka uma elwa nokuphuza okushiyashiyanayo ngamandla kubangelwa ukusebenza okungafanele sokukhubazeka komgogodla.

izindlela leseluhleni iphathwa kahle discogenic radiculopathy imvelo ezingamahlalakhona. Imizamo akhulule weziguli ezivela isifo phakade, azibuyisele ukuphila okuvamile.

ukuphathwa Steel ka sciatica

Ukuhlinzwa kudinga radiculopathy kuyinkimbinkimbi. Kuyini - eyohlinzwa ne radiculitis? Uhlobo ukusebenza uyeza kuthinta isimo emgogodleni, ubudala noma impilo yabo. I izinkomba ngoba kuba buhlungu ophikelelayo, omubi isithombe emtholampilo.

Inqubo siqukethe ekufezeni a decompression kuhlinzwa yomgogodla, kokukhipha disc ezinkulu noma ithambo eseduze izicubu kwenzwa nokungenwa kokwenza zokukhwabanisa diskorastvoryayuschih (hemonukleolizisa) nezinye imisebenzi.

Izindlela ekwelapheni sciatica vertebrogennogo

radiculopathy Vertebrogenic kufanele aphathwe ngokushesha. Ukwelashwa ikhethwa, ucabangela etiology ka radicular syndrome. Okokuqala, ukuqeda lesi sifo main - ubuhlungu. It esuswa kuneqembu labasebenzi eqeda ukuvuvukala izidakamizwa ezingekho steroidal. Ngokukhetha imithi efanelekayo ngokuqapha, ngoba zingase zibe nemiphumela engemihle.

Uma isiguli abadliwa hernia intervertebral, kokucindezelwa ukwa, umdlavuza zokugula, akazange ugweme ukuhlinzwa. Postoperatively ahlele kweso lwezokwelapha ngokucophelela.

Iziguli senihluphekile syndrome radicular, ukunikeza nokuvuselelwa esibanzi. Basuke ibuyiselwe ku izikhungo zezempilo, ukuthola zokwelapha massage amaseshini, ukwenza i-gymnastics.