Kuyini i-Radiculopathy, Izimpawu nokuthi Ungaphatha Kanjani

-Delile

• Izimpawu ezingavela
• Izimbangela eziyinhloko
• Ungaqinisekisa kanjani
• Yelashwa kanjani

I-Radiculopathy ibonakala ngokulimala noma ukukhubazeka kwento eyodwa noma eziningi kanye nezimpande zazo zezinzwa ezidlula emgogodleni, okuholele ekuveleni kwezimpawu ezinjengobuhlungu, ukuncinza, ukuzwa ukwethuka nobuthakathaka bezitho, njengasezinhlungwini ngenxa ukubandakanyeka kwe-nerve ye-sciatic, isibonelo.

Izinzwa nezimpande zemizwa kuyingxenye yesistimu yezinzwa, futhi zibhekene nokuthwala imininingwane phakathi kobuchopho nemikhawulo yomzimba, njengokuzwela, amandla nokunyakaza. Ngokuvamile, i-radiculopathy ibangelwa ukucindezelwa kwezimpande zemizwa ngenxa yezifo ezinjengama-discs e-herniated noma i-arthrosis yomgogodla, kepha futhi kungavela ngenxa yezinye izimbangela njengokuvuvukala, ischemia, ukuhlukumezeka komgogodla noma ukungena ngesimila.

Noma yikuphi lapho kutholakala khona umgogodla kungathinteka, noma kunjalo, kuvame kakhulu ezindaweni ezisezingeni eliphansi nelomlomo wesibeletho, kanti ukwelashwa kwenziwa ngokuya ngesizathu sayo, okubandakanya i-physiotherapy, ukusetshenziswa kwezidakamizwa ze-analgesic noma ezilwa nokuvuvukala kobuhlungu futhi okubi kakhulu, ukuhlinzwa.

Izimpawu ezingavela

Izimpawu eziyinhloko ze-radiculopathy zixhomeke kunzwa ethintekile, isikhathi esiningi, zithinta isifunda somlomo wesibeletho noma se-lumbar, futhi zifaka:

• Ache;
• Ukulinganisa;
• Ukuzwela kobudoda;
• Ukunciphisa ukucabanga;
• Ukuncipha kwemisipha.

Ngaphezu kokutholakala emgogodleni, izimpawu ze-radiculopathy zivame ukuphuma ezindaweni ezisemzimbeni ezingenakutholwa yizinzwa ezithintekile, njengezingalo, izandla, imilenze noma izinyawo. Le ndawo ehambelana nokugcinwa kwenzwa ibizwa nge-dermatome. Thola imininingwane engaphezulu ngokuthi ayini ama-dermatomes nokuthi atholakala kuphi.

Ngokuvamile, ubuhlungu nezinye izimpawu ziba zimbi ezimweni lapho kukhona khona ukwanda kokucindezelwa kwemizwa, njengokukhwehlela. Ngaphezu kwalokho, ezimweni ezinzima kakhulu, kungenzeka ukwehla kwamandla noma ukukhubazeka kwesifunda esihambelanayo.

Isibonelo esivamile se-radiculopathy ubuhlungu bezinzwa zesayensi, ebizwa nangokuthi i-sciatica, evame ukubangelwa ukucindezelwa kwezimpande zale nzwa ezisemgogodleni, kodwa ezingakhipha kuyo yonke indlela yezinzwa emlenzeni. Funda kabanzi mayelana nokuthi ungabona kanjani ukuthi ungabelapha kanjani ubuhlungu be-sciatic nerve.

Izimbangela eziyinhloko

Izimbangela eziyinhloko ze-radiculopathy yilezi:

• Ama-disc e-Herniated;
• Umgogodla we-canal stenosis;
• I-arthrosis yomgogodla, eyaziwa nangokuthi i-spondyloarthrosis;
• Ubuningi entanjeni yomgogodla, njengezicubu noma amathumba;
• Izifo, njenge-herpes zoster, ugcunsula, i-HIV, i-cytomegalovirus noma isifo sofuba, isibonelo;
• I-radiculopathy yesifo sikashukela;
• Ischemia, okubangelwa izinguquko ekugelezeni kwegazi, ku-vasculitis, isibonelo;
• Ukuvuvukala, okufana nalokho okwenzeka ezimweni zokuvuvukala okunamandla nokuhlala njalo kwe-polyradiculoneuropathy noma ku-sarcoidosis, isibonelo.

Ngaphezu kwalokho, i-radiculopathy ingabangelwa ngemuva kwengozi edala ukuhlukumezeka okukhulu emgogodleni.

Ungaqinisekisa kanjani

Ukuxilonga i-radiculopathy, udokotela kufanele akhombe izimpawu, enze ukuhlolwa komzimba, athole amaphuzu abalulekile obuhlungu, futhi ahlole izivivinyo, njenge-radiography noma i-MRI yomgogodla ukuthola ushintsho emgogodleni, ukukhomba inzwa ethintekile nembangela yayo.

Ukuhlolwa kwe-electroneuromyography (ENMG) kungasiza ezimweni eziningi, njengoba kuhlola ubukhona bezilonda ezithinta izinzwa nemisipha, zikwazi ukurekhoda ukuqhutshwa komfutho kagesi enzwa. Lokhu kuhlolwa kukhonjiswa ikakhulukazi lapho kunokungabaza ngembangela yezimpawu, ukwazi ukuqinisekisa ukuthi kukhona yini ukulimala kwemizwa noma uma kukhona ezinye izinhlobo zezifo zemizwa ezihambisana nazo. Funda kabanzi mayelana nokuthi kwenziwa kanjani nezinkomba ze-electroneuromyography.

Yelashwa kanjani

Ukwelashwa kwe-radiculopathy kuncike embangela yayo, ekhonjiswe ngudokotela wamathambo noma i-neurosurgeon, futhi kufaka phakathi ukwelashwa ngokomzimba, ngokuzivocavoca umzimba, ukuphathwa kwe-vertebrae nokuqiniswa kwemisipha, ngokwesibonelo, okungaholela ekwelapheni izimpawu noma, okungenani, ukukhulula kubo.

Ngaphezu kwalokho, udokotela angancoma ukusetshenziswa kwemithi ye-analgesic, njengeParacetamol, iDipyrone, iTramal noma iCodeine, noma imishanguzo yokulwa nokuvuvukala, njengeDiclofenac, Ketoprofen noma iNimesulide, ngokwesibonelo, ukulawula izinhlungu nokungaphatheki kahle.

Kubantu abanezinhlungu ezingapheli, eminye imithi ingahlotshaniswa nokwenza ngcono ukuphathwa kobuhlungu nezinye izimo ezihambisanayo, njengokuqwasha nokucindezeleka, futhi yilezi: izidakamizwa zokucindezeleka, njenge-Amitriptyline; ama-anticonvulsants, afana ne-gabapentin ne-pregabalin; noma ukuphumula kwemisipha, njenge-cyclobenzaprine.

Ezimweni ezinzima kakhulu, udokotela angancoma ukuhlinzwa, ikakhulukazi ukwehliswa kwempande yezinzwa.