Radiculopathy - ntoni na? Radiculopathy: Iimpawu and Treatment

iqolo - simanga ngokubanzi. Ezo iintlungu abantu abaninzi bafumana ubuncinane kanye ebomini babo. Isiqingatha sabantu ukusebenza, kwenzeka qho ngonyaka nezokugqibela, imini enye ubuncinane. Cause kubo ukwenzakala, izifo ezahlukahlukeneyo, kuquka radiculopathy (sciatica).

Yintoni radiculopathy?

Ukuva uxilongo eyenziwe ngugqirha, izigulane azikwazi ukunceda ngokubuza: "Radiculopathy - oko kukuthi, yintoni unobangela wayo kunye neziphumo?" Igama elithi generic "radiculopathy" kwi Neurology ukubonisa iimpawu ezinxulumene umonakalo, okanye sisilonda esidumbileyoesingaphakathi nokubotshwa luvo lialio. Xa yoviwo ukuze ndiyibonakalalise njenge umnqonqo ezonakeleyo eziliqela.

Iimpawu zibonakaliswa efakwe kwi ukudubula umva okanye uhlobo gaze, zidibene ne sluggishness izihlunu, ukuluma, antsi kwi yesiqephu innervated iindawo. Radicular syndrome, radiculopathy wabonakalisa kwindawo efakwe kuyo kwiisayithi ezahlukeneyo.

Intlungu syndrome sigcwele emqaleni, emva kuthoba, imilenze kunye amanye amalungu. Wafumana, umzekelo, kwindawo apho ibekwe intliziyo okanye isisu. ukuhlola ngokuchanekileyo sciatica ngayo gqirha kuphela.

Radiculopathy and kubangelwa

Ezahlukahlukeneyo izifo sisiba mandundu idiskhi - oyena nobangela radiculitis. Le sifo kuba ngenxa yokwenzakala esinganyangekiyo, ezimbi ezaqala enyama yangaphakathi, nangokurhala, achaphazela umnqonqo, nangezilonda. baphembeleli zayo ntshikilelo, ukungalingani metabolic, izifo ezosulelayo, emzimbeni, phakamisa iintsimbi.

Amaxesha amaninzi umfutho uphuhliso sifo iba Ithemba intervertebral. Intervertebral disc, sanikwa luthambe, kudlala indima ethukile absorber. Ukuphuhlisa iqolo ephantsi kukhokelela iinkqubo sisiba mandundu aguqulelayo aye Buze (Buze lwasekhaya disc). Ngenxa yoko, le Buze lungena ngokukhululekileyo Ithemba intervertebral, okukhokelela ucinezelo kunye ukuluma kufuphi iingcambu.

Root kubangele ubuhlungu bakholelwa osteophytes kunye stenosis - ukuvala kwi "etoneleni" nomqolo okanye misele foraminal (apho luvo uphume). stenosis Foraminal ngokuqhelekileyo luchaphazela kummandla empontshwa, leyo ubunzima ezingcanjini ucinezelo adibanayo ukuya luvo sciatic.

radiculopathy Chronic - oko kukuthi, yintoni iimpawu zayo? Iingcambu baye ucinezelo eqhubekayo, ukuba nyangatseka ebushushwini babo. Oku kukhokelela iintlungu ezingapheliyo, ukuba kabi entanyeni sehlise umva, kwaye kulindeleke ecaleni luvo ekususweni enkulu. Ucinezelo iingcambu iphela ukuhlukunyezwa Uhanjiso neemvakalelo, ukungabi umsebenzi, muscular dystrophy.

iimpawu sciatica

Ukujongana iimpawu zesi sifo, siza kubuza umbuzo kwakhona: "Radiculopathy - ntoni na?" Sciatica ayikho sisifo elizimeleyo. Yena nje isakhiwo uphawu, uhlanganise yokuba iling'awukazi, sinciphise novakalelo, muscular dystrophy eliqala kwi umnqonqo, uhle uye kwiziphelo.

Izigulane ochaphazelekayo malunga iintlungu eziphekuziweyo, eqikelelweyo ukusuka entanyeni ukuya ingalo okanye esinqeni ayinakuthi kwiinyawo, benze utshintsho uvakalelo (imilenze ndindisholo, ukuntlontlozela kunye kutshisa), kunye nelahleko amandla izihlunu kwiindawo ezithile apha emzimbeni. Lidla ezahlukeneyo iimpawu radiculopathy kwadityaniswa ngokwamaqela:

1. Bomzimba. Intlungu ziyabonakala ngeendlela ezahlukeneyo ukusuka ekudambiseni rhoqo lwenzeke phambi esinganyangekiyo isigxina phambi zokukhanya.
2. ubuntununtunu oluguqulweyo. Spine - iyunithi entsonkothileyo noshowo emzimbeni womntu. Ngenxa kuye, abantu ukwenza iintshukumo ezinkulu ezininzi zingqondweni oluzenzekelayo. Yokuvumelana iintshukumo inika kubonisa ingqondo, izihlunu kunye zokupheka ezibuthathaka. Radiculopathy, iimpawu esabonakalayo ukubangela ucinezelo beengcambu. Oku kubangela ukuba ugqithiso ukubetha lwenzeka kumacala omabini kunye kakuhle kunye ubuntununtunu nokutshintsha.
3. muscular dystrophy. luvo ezonakeleyo akakwazi okuqhubekayo transmission ndlela-ezimbini pulses (ukusuka izihlunu ingqondo kunye umnqonqo and vice versa). Ngoko ke, izihlunu bayeke ukusebenza ngokuqhelekileyo. ukuphazamiseka exesha elide ekudluliseni neemvakalelo kukhokelela buthathaka, yoma kwaye nkqu cut imisipha buthathaka.

iintlobo radiculopathy

Oonoklinikhi ezichongiweyo Iintlobo ezininzi sciatica. Kuxhomekeka indawo luvo radiculopathy ochaphazelekayo, iimpawu ezo zisekuhleni kanye, ngamanye amaxesha wesibeleko, thoracic, lumbosacral okanye oxutyiweyo.

Relative ukuya sisilonda esidumbileyoesingaphakathi umahluko sciatica discogenic (spondylogenic) uhlobo vertebrogenic kunye exutyiweyo. Oluhlobo sifo inika umahluko ocacileyo weempawu eziphambili sciatica xa umntu othile.

sciatica discogenic

Izigulane bene radiculopathy ephambili discogenic ngenxa deformation ye inwebu intlala, zintshula kuloo akwazi intervertebral. Kulo mzekelo, iingcambu ovalelweyo, waphawula ngexesha lenkqubo kwiintetho ezikralayo, nto leyo sikhatshwa ukudumba kunye neentlungu enamandla.

Kukho ilahleko imisebenzi ethile enxulumene innervation of luvo phantsi mthetho. sciatica Banal ihamba ziintlungu, iimoto kunye nokuphazamiseka yawo wamqumbisa iingcambu abachaphazelekayo.

sciatica vertebral

Qaphela ukuba Vertebrogenic radiculopathy usoloko aphakamileyo. Lisebenza kwisiqalo eyathi yaqulunqa stenosis liwubethileyo loo foramen, apho kukho umendo ezingcanjini-luvo.

iingcambu spinal uqhebeke ecaleni "itonela", nto leyo yenze izakhiwo ezahlukeneyo udonga (hernias intervertebral, lungu etyheli, osteophytes, njl.njl) zixinaniswe naswona. "Tunnel" lincipha phantsi kwempembelelo ezinxulumene-ubudala yaye sisiba mandundu zinguquko. Ngenxa yoko le nokubotshwa endaweni sigulo umnqonqo yokujikeleza kwenzeka kunye iindumbisa elandelayo.

Iintlungu distally azifuduse luchukumisa umnqonqo esandleni okanye ngonyawo. Iimpawu kweengcambu kwekhono esibizwa cuts, ukulahlekelwa koluvo nokwehla ikhaliphe, musa kusoloko kubonakala kwangoko. Noko ke, isisa uphawu - ubungqina obucacileyo radicular syndrome.

Olu hlobo sciatica uhamba aqaqambayo ngokukhawuleza, umda kakhulu umsebenzi motor. Njengomgaqo, Vertebrogenic radiculopathy ihlala ixesha elide (iinyanga ezili-2-4) kwaye ifuna ungenelelo engxamisekileyo oogqirha.

radiculitis wesibeleko

radiculopathy wesibeleko senziwa Ithemba, a Buze okanye disc ukuphela, osteoarthritis, stenosis foraminal kunye nezinye izinto ezimbi. Ngokuqhelekileyo umqolo radiculopathy wesibeleko kwenzeka ngokungalindelekanga, ukuthetha iintlungu ukudubula. Ukukhangela le onovakalelo, amandla kwezihlunu, ikhaliphe, qiniseka ukuba isifo luvo ngokwendalo.

Kuba sifo luphawulwa nasisihlo intlungu entanyeni ibonakala ukuba izihlunu iingalo kunye neminwe. Kwasendaweni ubuhlungu ngenxa abaphethwe emqolo. Basoloko ngesiquphe yaye elibukhali kakhulu, senziwa ngentamo flexion. Bomzimba kudanjisiwe ukuvala ngenyameko okanye tilting intloko ukuya kwicala elinye okanye elinye. iintshukumo abangaphumelelanga na isizathu inzuzo yalo.

Izigulane kunzima ukufumana kahle yokulala. ubuthongo iphazamisiwe lungqubano lomncedis ukuhlatywa intlungu entanyeni neengalo. Izigulane ezikhala ilahleko koluvo esandleni, ukuluma kunye antsi ngexesha elifanayo ukuhla okubonakalayo ngamandla kwezihlunu.

radiculopathy thoracic

Olu hlobo sciatica ivela embindini ngasemva, endaweni yendawo webele lomqolo. Kwasendaweni of iintlungu iqatshelwe kummandla luvo intercostal. Luyanda iintlungu kwenzeka xa uqhuba kunye Ukuphefumla nzulu.

Nge esifubeni radiculopathy adibene alufane kwe kunye lumbosacral okanye womlomo wesibeleko. Thoracic luphawulwa ngqongqo isalamane. Ukuba nokwenzeka kwisebe lincinane, ngoko drives enziwe iinguqu ezingephi.

Noko ke, xa efumanise iimpawu iimpawu ayeke ngaphandle ngokupheleleyo yokuba isigulane ukuhlutywa radiculitis thoracic. Amaxesha amaninzi angenwe isifo onjalo ebangela imbali kunye nokwenzakala ilungiswe kuyo.

ezingabangela radiculopathy thoracic ziquka nezinto ezinxulumene utshintshwano sisiba mandundu, Buze kunye idiskhi herniation, osteoartitami, osteophytes, stenoses. Oku kubangelwa zizifo ezosulelayo, emzimbeni eqhelekileyo, libya iqolo, njengokonzakala emzimbeni, iintshukumo nzima.

Sciatica

Le radiculopathy kunayo yonke lumbosacral. Kuye iimpawu ezifanayo kuzo izifo ezinxulumene. sciatica empontshwa kwenzeka onesifo. Idla ubunzima likakade bukhali. Emzimbeni okanye uqale ukuhamba, izigulane zifumana yokukhulisa iintlungu.

Kwasendaweni of izilonda okubangelwa indawo innervation. Uyondelelwano lwee- iintlungu kuxhomekeke umthombo komtshiso oko. Izigulane va kwayo kuloo ndawo empontshwa kunye kummandla gluteal, hip, posterolateral kunye sobuKristu perednenaruzhnoy izowuni nethole layo. Intlungu igcwala unyawo ngasemva, isithende liphela, nasesithupheni, zingahlokomi nje gastrocnemius kwezihlunu kwaye ukubonwa kwi amaqatha engaphandle.

Bomzimba wabonisa ngamandla xa iingcambu ziya zixinaniswe disks nokudleka outgrowths, ezahlukeneyo izihlunu ashinyeneyo, umz, Ithemba of intervertebral kwakhiwa. Ntlungu ezivuswa uthambile izihlunu (izihlunu, nemisipha), bamba luvo zakho azikho ezinamandla. Lubonakala yi nemiba ukukhula okwanamhlanje wavakalisa.

radiculopathy kwavusa spine lumbosacral iinkqubo ngokuqhelekileyo etshabalalisayo kwi nemisipha, izilonda articular yomqolo. Oku kubangelwa ukuphazamiseka le IiCD intervertebral, isifo idiskhi sisiba mandundu abaye kuye kwenzeka, Ithemba kunye nezinye izifo.

Types of empontshwa radiculopathy

Ngokuqhelekileyo azibonakalisa iintlobo ezintathu empontshwa sciatica. Ezi ziquka:

1. Lumbago. Intlungu zicukene kummandla empontshwa. Bomzimba bandiqumbise umsebenzi olunganelanga emzimbeni, ebangela izihlunu empontshwa overvoltage, a emzimbeni elibukhali. Ukongeza, zawahlasela kubangelwa empontshwa herniated kunye dislocation wesibeleko.
2. Lyuboishelgiya - esinye radiculopathy empontshwa kukhatshwe ntlungu kwenzeka kummandla empontshwa, obaneleyo emilenzeni omnye okanye zombini. Bomzimba uthatha ezimpundwini kunye posteroexternal kwenyawo, Zihla ziye iminwe. Iintlungu syndrome uchazwa ayeqaqanjelwa, otshisayo and ukudumba.
3. Sciatica. Intlungu zicukene kummandla ngeempundu, bamba nomlenze kunye umzantsi womlenze ngasemva, wehla waya engetelekeke. Ukongeza kwindawo intlungu buthathaka dystrophy zibangelwa ukwenzakala okanye ukukruquka le-luvo sciatic. sciatica bomzimba Ungumlinganiswa sokudubula, efana ukukhatywa ngumbane. Maxa wambi kukho umboniso ngaxeshanye esibuhlungu, imilenze "ziinaliti." Iintlungu syndrome yahlukile okukwiqondo kunye ngamandla. Nokudodobala yahluka ukusuka ngobulali abanamandla kakhulu. Isigulane engalali, iintlungu umnika ixhala xa umile, ehleli, ehamba, akavumeli ukuba ukugoba babuye.

Senziwa radiculopathy empontshwa, apho unyango ekuqaleni kuphela kuthomalaliso endala, samathambo, ulungiso sisiba mandundu stenosis vertebral, kwizaphuko ucinezelo, Ithemba kunye Buze we disc, spondylolisthesis.

unyango Conservative of radiculopathy

Ukuba une unyango "radiculopathy" emiselweyo esekelwe kwi iimpawu (iintlungu, ilahleko yovakalelo, ukuphazamiseka motor). Okokuqala, abanyangwa iindlela zonyango elondoloza:

1. Ngoncedo amayeza ukunciphisa nangokurhala, ukudumba okwenzeka ancedisana ingxaki, bomzimba.
2. iinkqubo Physiotherapeutic bunjani kwegazi igazi inwebu olungqonge umnqonqo, ukunciphisa iintlungu, ukukhuthaza Uhanjiso neemvakalelo.
3. Ukusuka imisipha aqaqambayo iibhloko ilahlwe, ukwenza yokuthanjiswa kunye nokuqhuba unyango manual.
4. ubuchule lokugqojozwa ukubuyisela azilawule luvo.
5. Ukuzilolonga therapy imiqulu idosi kubuyisela kwakhona ngoku- yomqolo. Uqheliso lomsebenzi, redistributing zithwala umthwalo, badla akumkhululi ucinezelo beengcambu. Ngenxa ejimini kunye noqeqesho kwi simulators bafumana ukuyeka iinkqubo sisiba mandundu kwi emqolo, ukwandisa luthambe izihlunu kunye nemisipha. Ngenxa yoko, izithuthi luyanda umthamo. Ngaphandle kwiiklasi rhoqo - elihle likakade isilumkiso othintelo ngegalelo lazo yabangela ukusebenza ngokungafanelekanga yomqolo.

iindlela Listed baphathwe kakuhle discogenic radiculopathy nature ezigulo ezondeleyo. Imizamo akumkhululi izigulane sesi sifo ngonaphakade, azibuyisele ubomi obuqhelekileyo.

unyango zoqhaqho sciatica

Surgery kufuna radiculopathy enzima. Yintoni na - utyando ne radiculitis? Uhlobo lo msebenzi esiza kuchaphazela imeko yomqolo, ubudala nempilo. I zibonisa kuba iba intlungu ezingisayo, picture ezimbi unyango.

Le nkqubo iqulathe ekuqhubeni ngaphandle decompression zoqhaqho yomqolo, ukhupha disc equmbile okanye ithambo emelene inwebu luvo, nangokwenza ukusebenzisa diskorastvoryayuschih (hemonukleolizisa) kunye neminye imisebenzi zokusebenza.

Iindlela zonyango lwe sciatica vertebrogennogo

radiculopathy Vertebrogenic kufuneka aphathwe ngoko nangoko. Therapy enyulwe, ucinga umyalezo we radicular syndrome. Kuqala kwinto zonke, ukuphelisa syndrome engundoqo - iintlungu. It liyasuswa kwiqela arhente anti-yokukrala iziyobisi ezingekho-steroidal. Ngokukhetha amayeza afanelekileyo kunye ngononophelo, kuba kunokubangela iziphumo zazo emva kodlwengulo.

Ukuba isigulane osindwa Ithemba intervertebral, ucinezelo ngokwaphulwa, umhlaza ngezifo, akazange ukuphepha uqhaqho. Postoperatively hlela kweliso zonyango ngenyameko.

Izigulane ubunzima radicular syndrome, zinika kwimo yangaphambili olubanzi. Bona buyisa kumaziko ezempilo, bafumana iiseshoni yokuthanjiswa enyangayo, ukwenza imithambo.