I-neuropathy ye-neroneal nerve: ezibangela nemiphumo

Inkqubo yenzwa iyinkimbinkimbi eyinkimbinkimbi emzimbeni womntu. Iqulethwe yingqondo kunye nomthambo womgudu, kunye namasebe amaninzi. Ezi zilandelayo zibonelela ngokutshintshana kwangoko kwimizimba emzimbeni. Ukuchithwa komsebenzi wentsholongwane enye ayichaphazeli ukusebenza komnatha wonke. Nangona kunjalo, oku kungakhokelela ekudakaleni kokusebenza kwamalungu omzimba ngamnye.

I-neuropathy isifo esichazwe ngumonakalo ongenalo ukuvuvukala. Uphuhliso lwayo lunokubangela inxaxheba kwiinkqubo eziphazamisayo, ukuphazamiseka okanye ukunyanzeliswa. Iinjongo eziphambili zeenkqubo zentsholongwane ngokuqhelekileyo ziqhelekileyo.

Okubizwa ngokuba yi-neuropathy yemilenze iyahlula kwiindidi ezilandelayo:

• I-Pathology ye-neroneal nerve;
• I-nervous nerve;
• Efanelekileyo.

Ngayinye yesimo sesi sifo sinomdla kakhulu oogqirha. Phakathi kwazo zonke iipathologies zengingqi, i-neuropathy ye-neroneal nerve ithatha indawo ekhethekileyo. Kuthetha ngentetho yakhe kwaye iya kuqhubeka kwinqaku.

Inkcazo yesifo

Ngaphantsi kwe-neuropathy ye-neroneal nerve iqondwa yintlupheko yesifo, ihamba kunye nesifo seenyawo. Kwiincwadi ezizodwa, unokufumana elinye igama lesi sifo - i-peroneal neuropathy.

Ekubeni i-neroneal nerval iqukethe iifayili ezinqamlekileyo kunye necandelo elimangalisayo le- myelin sheath, liyakwazi ukuphazamiseka. Inokwenzeka ukuba, lo mzuzwana umisela ukusazeka kwesifo. Ngokweenkcukacha ezifumanekayo, ukubonakaliswa kwenkqubo ye-pathological kuphawulwe kwi-60% yezigulane zamasebe okuthungatha i-traumatology, kwaye kuphela kwi-30% yamatyala enxulumene nomonakalo we-nerve oyintloko.

Emva koko, qwalasela iimpawu ze-anatomical zesakhiwo esichazwe kwinqaku. Oku kuyimfuneko ukuqonda ukuba kungani i-neuropathy ye-neroneal nerve ikhula (i-ICD-10 ikhethe idilesi yesifo G57.8).

Uncedo lweAnatomic

I-nerbular nerve isuka kwi-sciatic kwinqanaba lesithathu elingaphantsi kwethanga. Isakhiwo salo simelwa yimida ehlukahlukeneyo. Kwinqanaba le-popliteal fossa, ezi zinto zihlukaniswe kwi-neroneal nererve. Ujikeleza entloko yegama elinye igama. Ngeli nqanaba, iimbilini zisebusweni kwaye zihlanganiswe kuphela ngesikhumba, ngenxa yokuba nayiphi na into engaphandle ingabangela uxinzelelo kuyo.

Emva koko i-nerveal pererveal ihlukaniswe ngamasebe amabini: engaphelelanga kwaye enzulu. Ezi zinto zibizwa ngokuba zikhokelo. Isebe elingenasisiseko lijongene nokugcinwa kwezakhiwo ze-muscular, ukujikelezwa kweenyawo kunye nobuzwe obusemva. I-nerveal deeper neroneal inikeza ukunweba kweminwe, kunye neentlungu zentlungu kunye nokuthintela kule ndawo.

Ukunyanzeliswa kwesinye okanye elinye isebe kuhambelana nokuphulwa kobuthathaka kwimimandla eyahlukeneyo yonyawo, ukungakwazi ukuvula ii-phalanges. Ngoko ke, iimpawu ze-neuropathy ziyahlukahluka ngokubhekiselele kwiphi isebe lesakhiwo esonakalisiweyo. Kwezinye iimeko, ulwazi lweempawu zalo zendalo luyakuvumela ukuba uqikelele ubungakanani benkqubo yokugula ngaphambi kokubiza ugqirha.

Izizathu ezibalulekileyo zesifo

Ukuphuhliswa kwenkqubo ye-pathological inokubangelwa ziintlobo ezahlukeneyo. Phakathi kwabo, oogqirha bahlukanisa oku kulandelayo:

• Ukunyanzeliswa kwamanqanaba kuyo nayiphi na inxalenye yalo. Oku kubizwa ngokuba yi-tunneling neuropathy ye-peroneal nererve. Ikwahlula ngamaqela amabini. I-syndrome ephezulu ivela kwimvelaphi yoxinzelelo kwizakhiwo kwisithambiso se-vascular. Esi sifo sivame ukuxilongwa kubantu abasemsebenzini wabo odibeneyo nokuhlala ixesha elide kwisimo esingenakulungeleka. Laba baqoki beejikijolo, iziqendu zeepetenti, iziqhumiso. I- tunnel syndrome ephantsi ivela ngenxa yokunyanzeliswa kwentsholongwane engqongileyo yendawo yokuphuma kwinqanaba. Umfanekiso weklinikhi uqobo kubantu abakhetha izicathulo ezingenakuthathaka.
• Ukuphazamiseka kwegazi kwiinkomfa.
• Indawo engafanelekanga yemilenze ngenxa yokusebenza ixesha elide okanye imeko enzima yesigulane, ihamba kunye nokunyanzelisa.
• Ingena kwiimbilini ze-nervous injection injection kwingingqi ye-gluteal.
• Izifo ezithintekayo.
• Ukulimala (ukuphulwa kwe-tibia, ukuchithwa kweenyawo, ukulimala kwiitoni, ukuhlaselwa). Ngenxa yesikhubekiso esinzima, kukho ukuvuvukala. Ikhokelela ekunyanzeleni kwentsholongwane kunye nokuphazamiseka kolawulo lweempembelelo. Into ehlukile yale fomu yesifo kukuba kukutshatyalaliswa kwesinye isigxina. Ngaphandle koko, kuthiwa yi-posttraumatic neuropathy ye-neroneal nerve.
• Izilonda ze-ecological nge metastasis.
• I-pathologies yetyhefu (isifo sikashukela, ukungaphumeleli kwezintso).
• Izifo eziqhelekileyo ezibonakalisa ukwandisa kwezicubu ezixhamlayo (i-osteoarthritis, igulut, i-rheumatoid arthritis).

Zonke izizathu zokuphuhliswa kwenkqubo ye-pathological zingafakwa kwiindawo ezintlanu: ukunyamekela, ukunyanzeliswa, ukuphazamiseka kwemisipha, iintsholongwane ezithintekayo kunye neziyobisi. Kungakhathaliseki ukuba yiliphi iqela elenza i-neuropathy ye-peroneal nererve, ikhowudi ye-ICD-10 yesi sifo ngu-G57.8.

Ziziphi iimpawu ezihambelana nokugula?

Ukubonakaliswa kwezonyango zesi sifo kuxhomekeke kwinqanaba lokungahoywa kwenkqubo yokugula kunye nesayithi lomonakalo wento. Zonke iimpawu zingahlukana zibe zizinto eziphambili kwaye zihamba kunye. Iqela lokuqala libandakanya ingxaki yokukhathazeka kwilungu elithintekayo. Iimpawu zomgcini ziyahluka kwiimeko ezithile. Nangona kunjalo, amaninzi izigulane zikhalaza malunga:

• Ukuvulela emilenzeni;
• Uvakalelo lwangaphambili lwe "goosebumps";
• I-Spasms kunye noxinaniso;
• Ukuphazamiseka xa uhamba.

Ngaphezulu, kwaqatshelwa ukuba umfanekiso weklinikhi wesifo kwakhona kuxhomekeke kwisiza somonakalo wamantongomane. Ngokomzekelo, ukutshatyalaliswa kwethambo eliqhelekileyo kubonakala ngokuphulwa kwenkqubo yokwandiswa kweenyawo. Ngenxa yoko, iqala ukuxhoma. Isigulane sinyanzeliswa ukuba siguqule umlenze wakhe emadolweni xa uhamba, ukuze ungabambeli unyawo phantsi. Xa kuncitshiswa, okokuqala kuvela kwiminwe, ize idlulisele umthwalo kwisilinganiselo sokutsalwa kwetyala kwaye emva koko yinciphisa isithende. Olu hlobo lokuhamba lukhumbuza iqhude okanye ihashe, ngoko ke linamagama afanayo.

Iziphazamiso zeenqwelo zezixhobo zidibene neengxaki zengqondo. Izigulane zihlala ziqaphela ukubonakala kweentlungu kwindawo yangaphandle ye-shin, ekhuphuka kuphela ngama-squats. Ngokuhamba kwexesha, indawo echaphazelekayo ivelisa i-atrophy ye-muscle. Olu hlobo lwesifo luyabonakala ngokucacileyo, ngakumbi xa kuthelekiswa nomlenze onempilo.

Yintoni i-neuropathy yeempawu zesifo se-peroneal ekunqothulweni kwesebe eliphantsi? Kule meko, ukulinyelwa kweenyawo akuchazwa kancinci. Nangona kunjalo, iziphazamiso zengqondo kunye neemoto zikhoyo. Ukuba eso sifo asikhatywanga, kuyinkimbinkimbi nge-atrophy ye-muscle encinci.

I-neuropathy ye-nerveal pererveal xa isalathiso esiphezulu sithinteka kuhambelana nokuphulwa kobubele kunye nentlungu enzima kwingxenye engezantsi ye-shin. Ngethuba lokuhlolwa, izigulane zivame ukuba zifumane ukutyhutyha kweenyawo.

Iindlela zokuxilonga

Ukubona ngokukhawuleza kwenkqubo yokugula kunye nokupheliswa kwesifo esisisigxina - ezi zinto zibini ziphambili kwonyango eliphumelelayo. Unjani ukuxilongwa kwegazi?

Okokuqala ugqirha uqokelela i-anamnesis yesigulane. Ngethuba le nkqubo, uhlola imephu yakhe yesifo aze enze uphando, ukuze acacise ulwazi. Emva koko ugqirha uya kwiindlela ezisetyenziswayo zokuxilonga. Ukuvavanya amandla omzimba, iimvavanyo ezithile zenziwa, kwaye ukuhlalutya kwesikhumba kuqhutyelwa ngokusebenzisa inaliti ekhethekileyo. Ukongeza, i-electromyography kunye ne-electroneurography zisetyenziswa. Ezi nkqubo zivumela ukuba ugqibe umlinganiselo we-nerve damage. Indlela engabonakaliyo yoviwo i-ultrasound, ngexesha apho ugqirha unokukwazi ukuhlola izakhiwo ezonakalisiweyo.

I-neuropathy ye-neroneal nervous ifuna ukuxilongwa ngokungafaniyo kunye nezinye izifo ezinokubonakaliswa kolu hlobo lweklinikhi. Ezi ziquka isifo uCharcot-Marie-toot, isifo se-muscular atrophy syndrome , iiswini ze-cerebral.

Kwiimeko ezithile ezibucayi, kuthethwa iingcebiso ngeengcali ezincinci. Ngokomzekelo, i-traumatologist. Ngokusekelwe kwiziphumo zeemvavanyo esele zifunyenwe, ugqirha unokumisela i-radiography yamathambo okanye idolo.

I-neuropathy ye-peroneal nererve: ICD

Ukuze uqonde intsingiselo yokugqithwa kwegqirha, kufuneka uzenzele inkqubo ekhethekileyo yekhowudi. Zibhaliswe kwiSigaba soHlabathi samaZwe (ICD). Inkqubo yakhiwe ngokulula. Okokuqala kuza ukutyalwa kwencwadi yesiLatini, echaza iqela lezifo. Emva koko ulandela ikhowudi yenani ebonisa isigulo esithile. Ngamanye amaxesha unokuhlangana nomnye umlingiswa. Lithatha ulwazi malunga neentlobo zesifo.

Izigulane ezininzi zinomdla ukuba yintoni ikhowudi (MKB) neuropathy ye-neroneal nererve. Kufuneka kuqatshelwe ukuba, ngokungenjalo, akukho mqondiso wesifo esichazwe. Udidi lwe-G57 luquka umda ophantsi we-mononeuropathies. Ukuba sifunda kwisifundo seepatrilogi zeli klasi, isifo sethu asiyi kuba khona. Nangona kunjalo, inokubhekisela kwikhowudi ye-G57.8, ebhekisela kwezinye i-mononeuropathies zesigxina esisezantsi.

Ukwazi ukuba uluhlu lwamaZiko eSifo saMazwe ngamazwe, ungayifumana nayiphi na ingcaciso malunga nokuxilongwa. Oku kusebenza kwisifo esinjenge-neuropathy ye-neroneal nerve. I-ICD-10 yamnika ikhowudi G57.8.

Iimigaqo zonyango

Amaqhinga okuphatha le pathology ayinqunyiwe yeso sizathu. Ngamanye amaxesha kunokwanela ukutshintshela ibhanti ye-plaster, ephikisana nesibindi. Ukuba indima yokubangela inkanuko izicathulo ezingakhawulezileyo, izicathulo ezintsha zingasisombululo.

Ngokuqhelekileyo izigulane zibuyela kugqirha kunye "nezimbali" zezifo ezithintekayo. Isifo sikashukela, i-oncology okanye ukungaphumeleli kwezintso - ezi ngxaki zingabangela ukugula, njengengqondo ye-neroneal nerve. Unyango kulolu hlobo luyancitshiswa ukuphelisa isifo esiyintloko. Amanyathelo aseleyo aya kuba yinto engangqaliyo.

Unyango ngamachiza

Iziyobisi eziphambili ezisetyenziselwa unyango lwe-neuropathy zilandelayo:

• Izidakamizwa ezingekho-steroidal ezichasayo (Diclofenac, Nimesulide, Xsefokam). Banceda ukunciphisa ubuqhophololo nentlungu, kususe iimpawu zokuvuvukala. Ii-SAs zihlala zichongiwe ukuxilongwa "kwe-axonal neuropathy ye-neroneal nerve".
• IiVithamini zeqela B.
• I-Antioxidants ("i-Berlition", "Tiogamma").
• Kuthetha ukuphucula ukuqhutyelwa kweempembelelo kunye nomdla ("Proserin", "Neuromidine").
• Ukulungiselela ukubuyiswa kwegazi kwindawo echaphazelekayo ("iCaviton", "Trental").

Amachiza ambalwa kuphela adweliswe kuloluhlu. Kwimeko nganye, ukukhethwa kweziyobisi kuxhomekeke kwiphepha lekliniki yesifo kunye nezifo ezandulelayo.

Inkqubo zePhysiotherapeutic

Amanyathelo e-physiotherapy ahlukeneyo azibonakalise ngokonyango lwe-neuropathy. Ngokuqhelekileyo, izigulane zicetyiswa ngale ndlela ilandelayo:

• Magnetotherapy;
• I-Electrostimulation;
• Ukuhlawula;
• Reflexotherapy;
• Ukusebenzisa unyango.

Ukuxilisa nge-neuropathy ye-neroneal nervous is effective. Kodwa le nqubo ekhaya ayimkelekanga. Ukuhlawula kufanele kwenziwe ngutitshala oqeqeshiwe. Ngaphandle koko, awukwazi nje ukumisa inkqubo yonyango kuphela, kodwa ukonakalise impilo yakho.

Iziphakamiso ezifanayo ziboniswa ukuba zisebenzise unyango. Kubalulekile ukukhankanya ukuba iiklasi zokuqala mazibe phantsi kweliso lomqeqeshi owaziwayo. Emva koko unokuphinda ubuyekeze umzimba.

Inyango yokuphanda

Ukuba unyango olulondolozayo luninzi lweeveki lubonisa ukungasebenzi kwalo, ugqirha unquma ukuqhuba ukusebenza. Ngokuqhelekileyo kunqunywe xa kwenzeka umonakalo obangela umonakalo kwiimbilini ze-nerve. Ngokuxhomekeka kwimifanekiso yekliniki kunye nesimo esipheleleyo sesigulane, kunokwenzeka ukuba wenze ukugqithiswa kwe-nervous, neurosis okanye iplastiki.

Emva kokuhlinzwa, ixesha elide lokubuyisela liyadingeka. Ngeli xesha, isigulane kufuneka silinganise umsebenzi wokuzilolonga, senze inyango yokunyanga. Yonke imihla kuyimfuneko ukuhlola isilathintelo esithintekayo kwiintlungu kunye namanxeba. Xa kuthe kwafunyanwa, umlenze kufuneka unikezele ngokuphumla okupheleleyo. Kule nto, sebenzisa iinqumle ezikhethekileyo, kunye namanxeba aphathwa ngeendlela zokuchasana. Ugqirha unikeza ezinye iingcebiso kumntu ngamnye.

Iziphumo

Sisiphi isigqibo isigulane esinokuxilongwa "nge-neuropathy ye-neroneal nerve" ekulindele? Ukonyango kwesi sifo kunyanzelisa ukuba i-prognosis yokubuyisela. Ukuba uqala ngokuqala kwonyango kwaye ulandele zonke iingcebiso zogqirha, unethemba lokuba nemiphumo emihle. Inkambo eyinkimbinkimbi yesifo kunye nokulibaziseka unyango kwandisa imeko. Kule meko, izigulane zihlala zilahlekelwa amandla okusebenza.

Iincwadana ezimfutshane

I-neuropathy ye-neroneal nerval isifo esibi. Inokusekelwe kwiingxaki ze-vascular, utywala kunye nomonakalo onobungozi. Nangona kunjalo, imbangela ebalulekileyo yokuphuhliswa kwenkqubo ye-pathological isacingelwa ukulimala kweentlobo ezahlukeneyo zentsholongwane.

Ukubonakaliswa kwayo okuphambili kuhambelana nomsebenzi ongenakukhubazeka kwemoto yesilungu, kunye neendlela zobuchwephesha zixhomekeke kakhulu kwizinto ezibangela ukuphuhliswa kwesifo. Ugqirha unokunikezela ngamachiza okanye physiotherapy. Kwiimeko ezinqabileyo, kungenelelo lokungenelela.