Radiculopathy - chii? Radiculopathy: Zviratidzo neMarapirwo

Back marwadzo - akapararira chinoshamisa. Kurwadziwa kwakadaro vanhu vakawanda vanoona kanenge kamwe muupenyu hwavo. Hafu kushanda nevanhu, zvaitika ose gore uye pakupedzisira, kumuduku rimwe zuva. Chikonzero kwavari kukuvara, siyana zvirwere, kusanganisira radiculopathy (Sciatica).

Chii radiculopathy?

Kunzwa nechirwere chakaitwa chiremba, varwere havagoni kubatsira kubvunza: "Radiculopathy - chii, ndezvipi zvikonzero zvayo uye nemigumisiro?" The Generic rokuti "radiculopathy" muna Neurology dzinomiririra zviratidzo chokuita kukuvara, kana lesion clamping musana tsinga. Kana ongororo kungaratidza kuva ukama nomuzongoza uye wandei.

Zviratidzo zviri runoratidzwa soreness kumashure kupfura kana rakapinza zvakasikwa, pamwe nenungo pamusoro tsandanyama, tingling, chiveve mu wamativi innervated munzvimbo. Radicular urwere, radiculopathy akaratidza soreness pa nzvimbo dzakasiyana-siyana.

Marwadzo chirwere kwakazara pamutsipa, tikarega shure, maoko nemakumbo uye dzimwe nhengo dzomuviri. Akawana Somuenzaniso, munzvimbo iri mwoyo kana mudumbu. Ashandiswa rokuongorora Sciatica unogona chiremba chete.

Radiculopathy aro zvinokonzera

Dzakasiyana-siyana uye chinopedza Disc chirwere - chikonzero chikuru radiculitis. Chirwere unogona kuva mhedzisiro chisingaperi kukuvara, pathologies kuti yakatanga muna zvomukati, kuzvimba, kukanganisa nomuzongoza, anomera. vaikurudzira ayo mupfungwa, metabolic kusaenzana, zvirwere, hypothermia, nokusimudza masimbi.

Kazhinji riwedzere kuti kukura chirwere anova intervertebral heniya. Intervertebral Disc, akapiwa elasticity, kutamba basa nehana absorb. Dzichiri pasi musana marwadzo kunotungamirira chinopedza pezvakaitwa kuti ashandurire kupinda protrusion (vemunyika protrusion yacho Disc). Somugumisiro, mashoko protrusion runoyerera munzvimbo intervertebral heniya, zvichitungamirira compression uye akashatirwa pedyo nemidzi.

Root chikonzero kutsamwa tenda osteophytes uye stenosis - kuderedza ari musana "mugero" kana migero foraminal (apo tsinga mbudo). Kazhinji Foraminal stenosis kunokanganisa lumbar nharaunda, izvo vanotambura compression nemidzi kuti kuchiwana kune sciatic etsinga.

Chirwere radiculopathy - chii, chii zvayo zviratidzo? Midzi vanosangana kuramba compression, vane ashatirwa uye zvomoto. Izvi zvinoguma marwadzo, kukonzera kusagadzikana mune mitsipa uye tikarega shure, uye projected pamwe etsinga fibers iri kwemisha rokubvisa. Compression mudzi anopedzisa kutyora conduction pamusoro nomunhu, kurasikirwa basa, chinonzi dystrophy.

Zviratidzo Sciatica

Kukurira zviratidzo chirwere, ticharamba kubvunza mubvunzo zvakare: "Radiculopathy - chii?" Sciatica haisi yakazvimirira chirwere. Iye chete chiratidzo yakaoma, kubatanidza unyoro, ungaderedza nehanya, chinonzi dystrophy kunotanga musana uye vakaburukira wamativi.

Varwere nehanya mbeya marwadzo, projected kubva pamutsipa kusvika ruoko kana muchiuno kutsoka, vakaidzwa wanda kuchinja (nemakumbo unoshaya simba, tingling uye nokupisa navo), uye kurasikirwa tsandanyama simba zvatichakurukura muviri. Zvikuru-siyana zviratidzo radiculopathy vakanga rechirume mumapoka:

1. Soreness. Pain zvinozarurwa-siyana kubva kupomhodza nguva nenguva zvichiitika pamberi zvachose rairwadza pakuvapo irradiation.
2. Dzakachinjwa utetsa. Spine - kunzwisisa STRUCTURAL chairema dzemuviri. Nemhaka kwaari, vanhu vanoita guru chavanoziva zvaitika mapato mazhinji. Kubvumirana kufamba kunopa kupangidza uropi, tsandanyama uye hunorangarira Recipes. Radiculopathy, zviratidzo izvo akazviratidza kukonzera compression pakati kumidzi. Izvi zvinoguma kuti kupomba yedzimudzangara kunoitika muna zvose mirayiridzo pamwe havachanyatsogoni uye aikanganiswa kuchinja.
3. Chinonzi dystrophy. Dzaparadzwa tsinga hatikwanisi kuramba maviri-nzira kupararira pulses (kubva tsandanyama kuuropi uye musana ndiEzekieri). Naizvozvo, tsandanyama kurega kushanda zvakanaka. Long-izwi vachivavhiringidza nokubata nomunhu kukonzera muutera, atrophy uye kunyange chekawo simba netsandanyama.

mhando radiculopathy

Vanachiremba akaratidza akawanda mhando Sciatica. Zvichienderana nzvimbo njodzi etsinga radiculopathy, zviratidzo zviri pachena, dzimwe nguva remuromo, thoracal, lumbosacral kana yakavhenganiswa.

Hama kuti lesion kusiyanisa discogenic Sciatica (spondylogenic) vertebrogenic uye yakavhenganiswa mhando. Izvi kupatsanura chirwere inopa Kusiyanisa zvakajeka huru zviri Sciatica mune imwe murwere.

discogenic Sciatica

Varwere kazhinji chirwere chikuru discogenic radiculopathy nokuda deformation yacho shwashwa rinenge richikura riri intervertebral discs. Panyaya iyi, midzi ikadziviswa, akacherechedza panguva kushoma, icho pamwe kuzvimba uye marwadzo simba.

Pane kurasikirwa nedzimwe mashandiro chokuita innervation yomupfungwa pasi kukanganisa. Banal Sciatica kunoperekedzwa nemarwadzo, injini uye autonomic nenyonganiso kushatiriswa njodzi nemidzi.

vertebral Sciatica

Cherechedza kuti Vertebrogenic radiculopathy anogara yechipiri. It Anomhanyira necheshure raikura stenosis yakarova foramen, apo nhema nzira etsinga midzi.

Spinal midzi pakukoka achitevedza "mugero", izvo zvinoumba siyana rusvingo zvivako (intervertebral hernias, yellow shwashwa, osteophytes, etc.) vari compressed uye ashatirwa. "Tunnel" todzokera pasi pokudzora zera-chokuita uye chinopedza transformations. Somugumisiro yacho clamping munzvimbo muzongoza kweropa chirwere kunoitika pamwe tevera kuzvimba.

Marwadzo distally disperses chichipinda nomuzongoza muruoko kana rutsoka. Zviratidzo dysfunction nemidzi denominated maronda, kurasikirwa manzwiro uye ungaderedza hunenge, havasi kuonekwa pakarepo. Zvisinei, kuti maitiro unyoro - uchapupu hwakajeka radicular syndrome.

mhando iyi Sciatica achabatsirwa munhu raidudzwa kwetsandanyama, yekudyidzana vakaomerwa motokari basa. Kazhinji, Vertebrogenic radiculopathy ndedzoupenyu nguva refu (kanenge 2-4 months) uye kunoda kukurumidza vanachiremba.

remuromo radiculitis

Remuromo radiculopathy ari kukonzerwa imwe heniya, mumwe protrusion kana Disc degeneration, osteoarthritis, foraminal stenosis nezvimwe pathologies. Kazhinji radiculopathy remuromo nomuzongoza kunoitika zvisingatarisirwi, kutaura kupfura kurwadza. Pakuongorora utetsa, tsandanyama simba, hunenge, iva nechokwadi chokuti chirwere chacho chetsinga zvakasikwa.

Nokuti chirwere dzinoratidzwa panowanikwa marwadzo mutsipa zvichiratidza kuti tsandanyama ari maoko uye minwe. Localization kurwadziwa nokuda chirwere nomuzongoza. Vanogara kamwe uye unopinza kwazvo, kukonzerwa pamutsipa flexion. Soreness mitigated ne nokungwarira pakona kana tilting musoro mumwe divi kana mumwe. Kundikana kufamba ndivo chikonzero fuma yaro.

Varwere vanotamburira kuwana hwomutambarakede akarara chinzvimbo. hope dzavo kuvhiringidzwa kubaya marwadzo ari pamutsipa uye maoko. Varwere vanotsutsumwa pamusoro kurasikirwa manzwiro ari ruoko, tingling uye chiveve panguva imwe chete inokosha zvinoderedza tsandanyama simba.

thoracal radiculopathy

mhando iyi Sciatica anooneka pakati shure, panzvimbo zamu nzvimbo nomuzongoza. Localization kurwadziwa iri kuchengetwa munzvimbo intercostal tsinga. Kuwedzera marwadzo kunoitika apo motokari uye afeme zvakadzika.

With bhokisi radiculopathy akamisidzana zvishoma kazhinji pane pamwe lumbosacral kana remuromo. Thoracal inozivikanwa nokuda hama Rigidity. Kuchinja ari dhipatimendi iri diki, saka Zvifambiso vanosangana zviduku kuchinja.

Zvisinei, pamusoro kuonekwa kuti maitiro zviratidzo zvokurega Mhedziso anosiiwa ndechokuti murwere kuremedzwa thoracal radiculitis. Kazhinji asingatani chirwere chakadai kunokonzera nhoroondo pamwe akuvara wakaiswa mariri.

Zvinogona kukonzera thoracal radiculopathy zvinosanganisira zvinhu chokuita chinopedza transformations, protrusion uye Disc herniation, osteoartitami, osteophytes, stenoses. Zvinonzi anokonzerwa zvinotapuriranwa, zvakajairika hypothermia, pasi musana marwadzo, mumuviri kukuvara, netsa masangano.

Sciatica

Chinonyanya kwakapararira lumbosacral radiculopathy. Rine zvinhu akafanana ukama zvirwere. Lumbar Sciatica kunoitika vanotogara. Chinowanzoonekwa vakaremerwa chakasimba zvazvo. Mutumbi kana ufambe, varwere vanorwadziwa amplification.

Localization kuti maronda anokonzerwa innervation nharaunda. Wevasungwa kurwadziwa kunoenderana kunobva chokutsva. Varwere kuzvinzwa munzvimbo yacho lumbar uye gluteal nharaunda, hudyu, ayo posterolateral uye Anterior perednenaruzhnoy wongoramba mhuru. Pain azara rutsoka neshure, chitsitsinho kunosvika, napagumwe roruoko, kurira gastrocnemius tsandanyama uye kuona panguva rwokunze neketani.

Soreness zvakasimba akaratidza kana midzi vari compressed mhou outgrowths disks, akasiyana gobvu rinenge semuenzaniso, heniya kuti intervertebral aumba. The marwadzo anokonzerwa nyoro zvinyama (tsandanyama, mapfupa), bata tsinga dzako hazvina simba. It kunoratidzwa ne kukura rinomutsa kungotevera vakaratidza.

Chagumbura radiculopathy pakati lumbosacral nomuzongoza kazhinji dzinoparadza pezvakaitwa ari nemarunda, articular maronda ari nomuzongoza. It kunokonzerwa zvinetso zviri intervertebral discs chinopedza Disc chirwere vave mugumisiro, heniya nezvimwe zvirwere.

Mhando lumbar radiculopathy

Kazhinji zvinooneka mhando nhatu lumbar Sciatica. Idzi dzinosanganisira:

1. Lumbago. Marwadzo pfungwa iri lumbar nharaunda. Soreness vanotsamwisa kukwana kurovedza muviri, zvichikonzera overvoltage lumbar tsandanyama, jeko hypothermia. Uyezve kurwisa zvinokonzerwa herniated lumbar uye remuromo dislocation.
2. Lyuboishelgiya - mumwe radiculopathy lumbar achiperekedzwa kurwadziwa kuti rikaitika lumbar nharaunda, zvichiratidza kupinda makumbo mumwe kana vaviri. Soreness kupararira magaro uye posteroexternal norutsoka, Dzinoburukira nemimwe. Marwadzo chirwere se achirwadza, pomoto uye kuzvimba.
3. Sciatica. Marwadzo pfungwa iri magaro nzvimbo, vanobata nebandauko uchingodzikira gumbo kubva shure, kusvikira chemabhazi. Kuwedzera marwadzo pfungwa tsandanyama kwakaderera anokonzerwa pakukuvara kana kutsamwa ari sciatic etsinga. Soreness Sciatica ari kupfura hunhu, akafanana wemagetsi kuvhunduka. Dzimwe nguva pane mawa zvinoratidza tingling, chiveve uye "nembambo uye tsono." Marwadzo chirwere vakasiyana muna dhigirii uye zvikuru. Hwevanhu vanorwara zvichisiyana nyoro kuti chaizvo simba. The murwere kunyimwa hope, marwadzo anomupa kufunganya kana amire, vagere, achifamba, haabvumiri kufonyora uye vatendeuke.

Kukonzerwa imwe lumbar radiculopathy, izvo kurapwa pakutanga chete kuchinja kurapa, arthritis, chinopedza okunatsiridza vertebral stenosis, compression mitswe, heniya uye protrusion pamusoro Disc, spondylolisthesis.

Kuchinja Mabatirwo radiculopathy

Kana chirwere "radiculopathy" kurapwa kuri ushandiswe yakavakirwa zviratidzo (marwadzo, kutsinga dzinouya kurasikirwa, injini zvirwere). Chokutanga, varwere kubatwa kuchinja kurapa nzira:

1. Achibatsirwa mishonga yokuderedza kuzvimba uye kuzvimba kuti kumbowanikwa dambudziko munyama, soreness.
2. Physiotherapeutic nzira normalize kweropa iri rinenge yakapoteredza nomuzongoza, kuderedza marwadzo, kukurudzira conduction kuti mafungiro.
3. Kubva kwetsandanyama inoperera uye kuraswa, kuita masaja uye kuitisa Chinyorwa kurapa.
4. Acupuncture unyanzvi anogona kudzorera tsinga nomunhu.
5. Exercise jekiseni rine chipimo chemushonga mavhoriyamu anodzoreredza biomechanics ari nomuzongoza. Kurovedza, redistributing mutoro vectors, kazhinji uderedze compression pakati kumidzi. Nokuda yokurovedza muviri uye kurovedza pamusoro simulators kuzadzisa kumbomira chinopedza pezvakaitwa ari nomuzongoza, kuwedzera elasticity kuti tsandanyama nemarunda. Somugumisiro, motokari iri kuwedzera inzwi. Kunze dzose makirasi - chakanakisisa nyevero zvazvo chokudzivirira kusiyanisa kuchinyanya kwakakonzera kukodzera kushanda nomuzongoza.

Dzakanyorwa nzira kubatwa zvakanaka discogenic radiculopathy chisingaperi hunhu. Zvinoitwa podza varwere kubva chirwere nokusingaperi, achiadzosa dzose upenyu.

Kuvhiya Mabatirwo Sciatica

Kuvhiya kunoda kuoma radiculopathy. Chii - kushanda pamwe radiculitis? The mhando kuuya oparesheni rinokanganisa nomuzongoza ezvinhu, zera uye utano. The zvairatidza nokuti zvava kuramba marwadzo, kunaka yezvokurapwa mufananidzo.

The nzira ine mukuita munhu kuvhiya decompression pamusoro nomuzongoza, pachibviswa bulging Disc kana pfupa yakabatana etsinga rinenge uye achiita diskorastvoryayuschih evanhu (hemonukleolizisa) uye mamwe woshanda mabasa.

Nzira Mabatirwo Sciatica vertebrogennogo

Vertebrogenic radiculopathy inofanira kubatwa pakarepo. Kurapa anosarudzwa, kufunga etiology kuti radicular syndrome. Chokutanga, kutsakatisa chikuru chirwere - marwadzo. Zvinonzi kubva boka Anti-anogumbura vamiririri vasiri steroidal zvinodhaka. Nokusarudza mishonga yakakodzera nokungwarira, nekuti vanogona zvokonzera dzingavapo.

Kana murwere vakaremerwa intervertebral heniya, compression nokutyora, kenza zvokurwara, haana kudzivisa kuvhiyiwa. Postoperatively kuronga kuchenjerera zvokurapa achitarisirwa.

Varwere vakatambura munhu radicular chirwere, zvinopa nzwisisika vapore. Vari akadzorerwa utano nzvimbo, vanogamuchira kuchirapa masaja purogiramu, achiita jimunasitikisi.