Peroneal tsinga neuropathy: Zvinokonzera uye Consequences

Tsinga chinhu chisinganzwisisiki yakatarwa mumuviri womunhu. Inoitwa uropi uye musana, uyewo vakawanda nenhungirwa. Ekupedzisira anopa pakarepo nomunhu rose muviri. Kutyora mumwe tsinga ndiye anenge hapana zvainoita kushanda yose network. Zvisinei, izvozvo zvinogona kunotoreva Kushatiswa utano munhu nhengo dzomuviri.

Neuropathy - chirwere dzinoratidzwa non-anogumbura maronda ose tsinga. kukura kwayo anogona kukonzera chinopedza urongwa, kunotevera kana compression. The vanonyanyonangwa ari pathological muitiro kazhinji protrude nemakumbo yakaderera.

Vanonzi neuropathy tsoka akakamurwa zvinotevera mhando:

• peroneal tsinga zvokurwara;
• tibial tsinga;
• kubata.

Imwe neimwe nzira hosha iri kufarira kukuru pakati n'anga. Pakati pathologies ose peripheral neuropathy peroneal tsinga chatinokoshesa. Ndizvo nezvazvo uye zvichakufambirai mberi munyaya.

Description of chirwere

Mukutonga peroneal etsinga neuropathy rinoreva pathological chirwere chirwere pamwe dangling norutsoka. Mumabhuku unogona kuwana rimwe zita chirwere ichi - peroneal neuropathy.

Sezvo peroneal etsinga rine fibers ane anoyevedza gobvu rukoko pamusoro myelin mumuhara, zviri tichikurumidza metabolic vachivavhiringidza. Ungangove, iyi ndiyo nguva uye kunokonzera soro Kupararira chirwere. Zvinonzi kuratidzwa pathological pezvakaitwa kuchengetwa 60% wevarwere kunotevera madhipatimendi, uye chete muna 30% nyaya kwakabatana zvikuru kukuvara etsinga.

Next, funga anatomical zviri nemamiriro zvinorondedzerwa munyaya. Zvakakosha kunzwisisa zvikonzero dzichiri neuropathy peroneal tsinga (ICD-10 Bumbiro G57.8 Chirwere paakavapa).

anatomical bhuku

Peroneal tsinga rinoenderera sciatic pajinga wechitatu yehudyu. mamiriro ayo chinomiririrwa fibers siyana. zvinhu izvi vanoparadzaniswa mune zvakafanana peroneal etsinga panguva ufanane popliteal fossa. Iye zononoka haambotauri kuti eponymous musoro mafupa. Panguva iyi, etsinga riri pamusoro akafukidza munhu ganda chete, ndokusaka chero zvekunze zvingakonzera vomanikidza pake.

Zvadaro peroneal tsinga rinokamukana kupinda pamatavi maviri: zvomene uye rakadzika. zvinhu izvi zvinonzi nokuda mirayiridzo yaro. Zvachero bazi iri anokonzera innervation kuti tsandanyama mamiriro, vachishandisa kutenderera netsoka uye aikanganiswa yaro mumashure chikamu. Pakadzika peroneal tsinga anonyaradza kuswatura minwe, uyewo kutekenyedzwa kurwadziwa uye nokubata munharaunda iyi.

Compression imwe bazi aine pakaputsika nehanya nenzira dzakasiyana nzvimbo netsoka, nekusagona kutwasanudza phalanx. Saka, zviratidzo neuropathy dzingasiyana zvichienderana chii zvivako akaparadzaniswa zvaparadzwa. Mune zvimwe zviitiko, ruzivo pamusoro wayo anatomical zvinhu zvinoshandiswa kuona pathological muitiro asati kutsvaka kurapwa.

The kukonzera chirwere

Kukura pathological muitiro zvinogona kukonzerwa zvinhu zvakawanda. Pakati pavo pane n'anga zvinotevera:

• Compression of etsinga chero mugove waro kutevera. Izvi zvinonzi tanera neuropathy peroneal tsinga. Rakakamurwa mapoka maviri. Upper chirwere ikabuda pakanyorwa kumanikidza sechivako chikamu vascular masumbu. The chirwere anowanzodanwa chirwere mune vanhu vane basa kunosanganisira pokugara kwenguva refu munzvimbo dzamira chinzvimbo. Izvi bheri vamapepa, stackers parquet, zvokusona. Lower tanera chirwere kunokonzerwa compression rakadzika peroneal etsinga munzvimbo goho rayo kuti tsoka. Mufananidzo uyu kurapwa ndizvo kuti vanhu vanosarudza dzamira shangu.
• Kutyora ropa wedzerai pabazi.
• Usava Positioning of makumbo nokuda mazhinji kushanda kana zvakakomba murwere nemamiriro achiperekedzwa immobilization.
• Contact pamwe tsinga fibers intramuscular majekiseni munzvimbo gluteal nharaunda.
• Zvakakomba zvinotapukira.
• Kukuvara (musoro tibia, sprains rutsoka mudzira kukuvara, kuminyuka). Somugumisiro, pane simba mbundishire kuzvimba. Inotungamirira kuti compression tsinga nomunhu uye Kuipa conductivity. A pachena kuchiitwa chimiro ichi chirwere ndiyo kurasikirwa richiripo mumwe chete. Zvikasadaro, inonzi post-dzechimwe neuropathy peroneal tsinga.
• Kenza maronda pamwe metastasis.
• Chepfu pathologies (chirwere cheshuga, renal kukundikana).
• Systemic zvirwere hwokuratidza yokuwedzera connective zvinyama (osteoarthritis, gout, dzinonzi rheumatoid arthritis).

All zvikonzero kukura pathological muitiro anogona Classified munzvimbo shanu: kunotevera, compression, vascular zvirwere, chirwere uye chepfu maronda. Pasinei nokuda boka ude zvinosanganisira neuropathy peroneal tsinga, bumbiro remitemo iri ICD-10 mune ichi chirwere chimwe - G57.8.

Ndezvipi zviratidzo zviri pamwe zvakawanda zvive?

Clinical zvinoratidza chirwere kuvimba dhigirii ari pathological kwacho uye hanya nzvimbo kukuvara tsinga. All zviratidzo inogona rakakamurwa dzinokosha uye mushandi. Boka rokutanga ari kutyora nehanya pakati njodzi richiripo. Related zvinhu ingasiyana neimwe kunyanya nyaya. Zvisinei, varwere vakawanda chokunyunyuta pamusoro:

• kuzvimba makumbo;
• nenguva dzirikure nemanzwiro "nembambo uye tsono";
• kurwadza kwacho nokugwinha;
• kusanzwa kana kufamba.

Just pamusoro payo Zvakacherechedzwa kuti kunotoda mufananidzo chirwere inobvawo pane nzvimbo kukuvara etsinga. Somuenzaniso, vakawanda hunde lesion kuwedzera pachena kutyora rutsoka kwacho. Nokuda kwaizvozvi, rwunotanga droop pasi. Sick vachifamba kuti nguva dzose zvakabaya gumbo panguva ibvi, kuti varege kubata Rutsoka paburiro. Kana kutura, anotanga anowana paminwe yako, uye ipapo Transfers kurema kuti lateral kumucheto sole uye chete pashure chitsitsinho pasi. saizvozvi rwokufamba chakafanana jongwe kana bhiza, uye saka ane mazita akafanana.

Movement Zvirwere ikashandiswa pamwe vakaremara kutsinga dzinouya. Varwere kazhinji dzinoshuma chitarisiko marwadzo ari kunze gumbo, izvo chete kwakawedzera apo squatting. Nokufamba kwenguva, njodzi nzvimbo hwapedyo tsandanyama atrophy. Kwakadaro chepfungwa chirwere chiri kuoneka, kunyanya kana zvichienzaniswa utano richiripo.

Ko neuropathy peroneal tsinga zviratidzo mu maronda yakadzika bazi? Muchiitiko chino, tsoka dangling akaratidza zvishoma zvakajeka. Zvisinei, kutsinga dzinouya uye injini zviratidzo zviri varipowo. Kana chirwere chakasara untreated, izvozvo rakaoma nokuda atrophy duku netsandanyama.

Neuropathy pamwe maronda ari peroneal mapazi etsinga huri pamwe kutsinga dzinouya kurasikirwa uye kurwadziwa zvikuru rezasi gumbo. Panguva rokuongorora wevarwere vanowanzotambura chirwere pamwe kwakaderera pronation norutsoka.

nzira nechirwere

Panguva Chaiyo kuonekwa pamusoro pathological kwacho uye kubvisa chichikonzera chirwere - izvi zviviri vari kiyi inobudirira kurapa. Sei nechirwere kuti neuropathy?

Chokutanga, chiremba anounganidza nhoroondo murwere zvokurapa. Panguva nzira iyi, Anodzidza mepu yake zvirwere uye kuitisa kuongorora kuti kujekesa ruzivo. Chiremba akabva mberi paku nzira nechirwere. Kuti kufungidzira tsandanyama simba zvimwe miedzo zvinoitiswa, uye aikanganiswa kuongorora ganda rinoitwa chaiwo tsono. Uyezve kushandiswa electromyography uye electroneurogram. Matanho aya vachikubvumira kuisa ukuru kuzotadzira etsinga. No zvishoma zvakwo nzira kunzvera runoonekwa kuti Ultrasound, panguva iyo chiremba anogona kuongorora ukama mamiriro.

Neuropathy peroneal tsinga dzose kunoda differential chirwere nevamwe zvinetso vane kunotoda kuratidzwa zvakafanana. chirwere izvi zvinosanganisira Charcot-Marie-Tooth chirwere, urwere, peroneal tsandanyama atrophy, chepfungwa bundu.

In kunyanya zvakakomba kacho, vakarangana kuti unyanzvi. Somuenzaniso, dambudziko. Zvichienderana migumisiro vakatowana nachiremba anogona mishonga miedzo kana maekisirei mapfupa ari ibvi rwakashodoka.

Neuropathy peroneal tsinga: ICD

Kuti tinzwisise musimboti nechirwere chiremba, unofanira uzive hunokosha ezvinhu Codes. Zvinonyorwa muna International kupatsanura kwezvirwere (ICD). The Hurongwa inovakwa chaizvo nyore. Chokutanga pane pakunzi tsamba rechiLatin, iro rinotsanangura boka zvirwere. Izvi zvinoteverwa munhu Numeric remitemo kuti rinoratidza chimwe chirwere. Dzimwe nguva unogona kuwana imwe chiratidzo. Iye anotakura ruzivo pamusoro mhando chirwere.

Varwere vakawanda vanofarira chii bumbiro (ICD) neuropathy peroneal tsinga. Zvinofanira kucherechedzwa kuti sezvo mazita vakadaro akarondedzera chirwere haamo. Pakazosvika G57 muchikwata zvinosanganisira mononeuropathy ezasi migumo. Kana yakawanda yokunyatsoongorora kudzidza pathologies enzvimbo kirasi iyi, chirwere yedu nazvo ikoko. Zvisinei, izvozvo zvinogona kunzi G57.8 code, iro rinoreva dzimwe mononevralgii yakaderera richiripo.

Kuziva kuti ndiye International kupatsanura zvirwere, zvinokwanisika kuti chero ruzivo zvokuongorora. Izvi zvinoshandawo chirwere akadai neuropathy peroneal tsinga. ICD-10 Bumbiro G57.8 paakavapa naye.

kurapa misimboti

Clinical kurapa akati zvokurwara chinorondedzerwa nenzira kwayo chikonzero. Dzimwe nguva zvakakwana kutsiva varinamire chakakandirwa, izvo anorumanya etsinga. Kana ari unotokonya chinhu anoita zvakanaka shangu, shangu itsva zvinogonawo kuva chinetso chacho.

Kakawanda varwere vanouya chiremba ane "bouquet" kuti chokuita nezvirwere. Chirwere cheshuga mellitus, kenza kana itsvo kukundikana - zvinetso izvi zvinogona kukonzera zvirwere zvakadai neuropathy peroneal tsinga. Treatment hazvisi kubvisa zvirwere kukoshesa. The matanho yasara achava kare zvisina kunanga.

Therapy zvinodhaka

Mishonga zvikuru zvinoshandiswa pakurapa neuropathy zvinosanganisira zvinotevera vamiririri:

• Nonsteroidal Anti-anogumbura zvinodhaka ( "diclofenac" "nimesulide" "Ksefokam"). Vanobatsira kuderedza kuzvimba uye marwadzo, bvisai zviratidzo chokutsva. NSAIDs anowanzodanwa nachiremba nechirwere "axonal neuropathy peroneal tsinga."
• B mavhitaminzi
• Antioxidants ( "Valium", "Thiogamma").
• Zvinoreva kuti kuvandudza conduction kuti nomunhu pamwe tsinga ( "Neostigmine", "Neuromidin").
• Kugadzirira kuzoita kweropa Munzvimbo ( "cavitons", "Trental").

Pamazita iri rine zvimwe mishonga chete. Muchiitiko chimwe nechimwe, pakusarudza zvinodhaka kunobva kunotoda mufananidzo uye yakapfuura nayo zvirwere.

Physical kurapa nzira

Various chaiko kurapa mabasa zvakanaka yakasimbiswa pakurapa neuropathy. Kazhinji varwere vanokurudzira zvinotevera nzira:

• rinobva kurapa;
• electrostimulation;
• masaja;
• reflexology;
• LFK.

Abudirire panguva dzakasiyana masaja neuropathy peroneal tsinga. Asi kumba achiita nzira iri inadmissible. Massage chinofanira kuitwa anokwanisa nyanzvi. Zvikasadaro, haugoni chete kumisa kurapwa kwacho, asi kukanganisa utano hwako.

Zvakafanana kurumbidza vanoonekwa kuti jimunasitikisi. Zvinonzi waiti yepurogiramu wokutanga dziitwe pasi pokudzora ane ruzivo murairidzi. Dzokororai yechiitwa uye anogona kuva pamba.

kuvhiya kupindira

Kana kuchinja kurapa mukati mashomanana vhiki anoratidza kuti basa, chiremba anosarudza mberi pamwe nokushanda. Kazhinji, izvozvo chinotarisirwa panyaya zvinorwadza kukuvara tsinga. Zvichienderana kunotoda mufananidzo uye murwere talk ezvinhu anogona kuitisa tsinga decompression, neurolysis kana mapurasitiki.

Ndavhiyiwa kunoda refu kupora nguva. Panguva ino, murwere vanofanira chete kurovedza muviri wokuita chaiko kurapa. Zvinokosha nerimwe zuva kuti aongorore zvakakanganisa mutezo nokuda makatsemuka uye maronda. Kana vari zvakwakafukurwa, nebandauko kuva nechokwadi rokuzorora. Nokuti chinangwa ichi, kushandisa madondoro, uye maronda kubatwa akambozvishandisa kuuraya utachiona. Vamwe kunenge chiremba anopa nomunhu.

migumisiro

Chii chakamirira magumisiro varwere chirwere kuti "neuropathy peroneal tsinga"? Pakurapa chirwere kunonyanya anosarudza kuti fungidziro hwokuponesa. Kana nguva kutanga kurapwa uye kuita zvose chiremba dzokurumbidza, tinogona kutarisira zvakanaka mugumisiro. Hwevanhu vanorwara chirwere uye kunonoka kurapwa chirwere zvinhu. Muchiitiko chino, varwere kazhinji kurashikirwa kugona kwavo kushanda.

Brief pfupiso

Peroneal neuropathy chirwere chakakomba. At mwoyo yayo nhema vascular zvinetso, kudhaka uye chepfu maronda. Zvisinei, chikuru chikonzero kukura pathological muitiro ichiri kunzi kunotevera-siyana mavambo.

Zviratidzo Its chikuru pamwe havachanyatsogoni gwenya nezvebasa maoko nemakumbo, uye kurapwa mitemo dzinongoita pakutsvaga zvinoita kuti zvakonzerawo kukura chirwere. Chiremba anogona mishonga yokurapa kurapa kana physiotherapy. Mune zvisingawanzoitiki Muzviitiko, kuvhiya kunodiwa.