Radiculopathy - ke eng? Radiculopathy: Matšoao le Phekolo

Back bohloko - le lipono tse makatsang atile. bohloko bo joalo batho ba bangata ba ba le bonyane hang bophelong ba bona. Halofo ea baahi ba sebetsa, ba ile ba etsahala selemo le selemo 'me a ho qetela, bonyane letsatsi le le leng. Etsa hore ba kotsi, mafu a sa tšoaneng, ho akarelletsa le radiculopathy (sciatica).

radiculopathy ke eng?

Utloang fumanoe e entsoeng ka ngaka, bakuli ba sitoa ho thusa ho botsa: "Radiculopathy - ke eng, ke bakang lona le liphello life?" The karela lentsoe "radiculopathy" ka Neurology bontša matšoao a amanang le tshenyo, kapa lethopa clamping methapo lesapo la mokokotlo. Ha ho hlahloba ka 'na tsa senola ka lesapo la mokokotlo senyehileng le tse' maloa.

Matšoao a ba a bolela hore ka soreness ka ho thunngoa morao kapa tse fatang maikutlo tlhaho, ho kopantswe le sluggishness tsa mesifa, tingling, shoohlo lipheletsong le libakeng tse innervated. Radicular lefu, radiculopathy bonahatsa soreness libakeng tse sa tšoaneng.

Bohloko lefu tletse molaleng oa hae, ka morao, lipheletsong le makala a motho ka mong. O ile a fumana, ho etsa mohlala, sebakeng seo e teng pelo kapa mala. Ka nepo hlahloba sciatica khonang feela ngaka.

Radiculopathy le bakang lona

Mefuta e fapaneng ya lefu le holofatsang disk - sesosa se ka sehloohong sa radiculitis. ho kula e ka ba le lebaka la likotsi foleng pathologies hore ntshetswa pele ka litho tsa ka hare, ho ruruha, amang lesapo la mokokotlo, lihlahala. instigators lona ke khatello ea kelello, tshilong ya dijo imbalance, mafu a tšoaetsanoang, hypothermia, ho phahamisa litšepe.

Atisa ho ba susumetsa bakeng sa ntshetsopele ya lefu lena le fetoha intervertebral hernia. Intervertebral disk, re filoe elasticity, ho bapala karolo ea absorber makala. Ho ntshetsa pele bohloko tlaase morao isang dithulaganyo holofatsang hore fetolela ka protrusion (localized protrusion ea disk le). Ka lebaka leo, ho protrusion phallang ka hernia intervertebral, ea isang ho compression le ho teneha haufi metso.

Sesosa teneha lumela osteophyte le stenosis - narrowing ka lesapo la mokokotlo "kotopo" kapa likotopo foraminal (moo methapo tsoa). Foraminal stenosis hangata ama lumbar sebakeng, e leng bothata ba ho metso compression hore hokela ho methapo ea kutlo sciatic.

Foleng radiculopathy - hore na ke eng, seo matšoao a lona? Metso feta compression tsoelang pele, ba halefa 'me a ruruhileng. Sena se fella ka bohloko le sa foleng, etsang hore boemong bo sa thabiseng ka molaleng le theola khutlela, 'me thulametse hammoho le likhoele methapo ea kutlo ho tloswa e mohlomong. Compression motso fella ka tlōlo conduction la litakatso, ho lahleheloa ke mosebetsi, mesifa dystrophy.

matšoao a sciatica

Ho sebetsana le matšoao a lefu lena, re tla ho botsa potso eo hape: "Radiculopathy - ke eng?" Sciatica hase lefu le ikemetseng. O feela letšoao rarahaneng, kopanya mosa, fokotseha nahanela, mesifa dystrophy se qalang ka lesapo la mokokotlo le theohela lipheletsong ena.

Bakuli ba amehile ka bohloko ba lelera, thulametse ho tloha molaleng ho ea letsoho kapa thekeng ho maoto, ka buuoa ka makhetlo liphetoho nahanela (maoto le matsoho ke matla, tingling le tukang ba), le ho lahleheloa ke matla a mesifa libakeng tse itseng tsa 'mele. Haholo mefuta e fapaneng ya matshwao a radiculopathy ne kopanngoa ka lihlopha:

1. Soreness. Bohloko li bonahatsoa ka litsela tse sa tšoaneng ho tloha hlabang nako le nako etsahala pele fokolisang ka ho sa feleng ho ba teng ha ts'ebetso ea ho lelefatsa bophelo ba lijo.
2. Fetoloang nahanela. Lesapo la mokokotlo - e rarahaneng mehaho ya ka yuniti ya 'mele oa motho. Thanks ho eena, batho ba etsa e khōlō mekhatlo ngata ilibane jarolla ka ho iketsa. Ho lumellana ha mekhatlo e fana ka pontšo ea boko, mesifa le diresepe hlokolosi. Radiculopathy, matšoao a se hlahileng ho baka compression ea metso. Sena se fella ka hore phetiso pulse length etsahala litaelo bobeli le nang le bokooa le ba nahanela ho fetola.
3. Muscular dystrophy. Senyehile methapo khone ho tsoelang pele tse peli-tsela phetiso ya linaoa (ho tloha ka mesifa ho boko le lesapong la mokokotlo 'me sekgoeng). Ka lebaka leo, mesifa ea khaotsa ho sebetsa ka tsela e tloaelehileng. meferefere ea nako e telele ka phetiso ea litakatso tsa lebisa bofokoli, felloa ke matla esita le sehiloeng mesifa fokola.

mefuta radiculopathy

Baoki tsejoa mefuta e 'maloa ea sciatica. Ho itšetlehile ka lefelo la e amehang, methapo ea kutlo radiculopathy, matšoao a tse totobetseng, ka linako tse ling cervical, thoracic, lumbosacral kapa e tsoakiloeng.

Amanang le ho lethopa le phapang discogenic sciatica (spondylogenic) vertebrogenic bile ba kopanya mofuta. tlhophiso ena lefu e fana ka khethollo ea e hlakileng ea lintho tse ka sehloohong sa sciatica ka mamello ho khetheha.

discogenic sciatica

Bakuli ba hangata fumanoa mathomo discogenic radiculopathy ka lebaka la ho deformation ea lefufuru dinama tse nyenyane tse, ho hōla ka discs intervertebral. Ka nako e tšoanang e ho hatakela metso, o ile a re ka nako ya tshebetso a hlabang, e leng e tsamaea le ho ruruha le bohloko e matla.

Ho na le ho felloa ke mesebetsi e itseng e amanang le ho innervation tsa methapo ea behoa tlas'a itlhokomoloso. Banal sciatica e tsamaea le bohloko, dilenaneo le meferefere autonomic halefisoa ke metso anngoeng ke likoluoa.

vertebral sciatica

Hlokomela hore Vertebrogenic radiculopathy ke kamehla se mahareng. Ho matha ka semelo eo pele stenosis hore otla foramen, moo larileng ka tsela ea metso methapo ea kutlo.

metso lesapo la mokokotlo extending hammoho le "kotopo", eo theha dibopeho tse sa tšoaneng leboteng (hernias intervertebral, bosehla ligament, osteophyte, joalo-joalo) li a petetswa le hlohlonang. "JW" ntseng le nyenyefala tlas'a tšusumetso ea lilemo tsa bona-amanang le holofatsang lengths. Ka lebaka la ho clamping sebakeng lesapo la mokokotlo ho potoloha ha mali ho hloka taolo le hlaha ka ho ruruha morago ga moo.

Bohloko distally hangalasaka phunyeletsang lesapo la mokokotlo ka letsoho kapa leoto. Matšoao a metso ho se sebetse denominated fokotsa ho, ho lahleheloa ke boikutlo le ho fokotseha reflexes, hase kamehla hlaha hang-hang. Leha ho le joalo, e bath bonolo - bopaki bo hlakileng ba lefu radicular.

Ea mofuta ona e sciatica e tsamaea le spasms phatlalletsoang mesifa, haholo fokotsa dilenaneo mosebetsi. E le busa, Vertebrogenic radiculopathy nka nako e telele (bonyane likhoeli tse 2-4) le hloka e potlakileng kenella lingaka.

radiculitis cervical

Cervical radiculopathy e bakoa ke hernia, e leng protrusion kapa disk degeneration, tabanan, foraminal stenosis le pathologies tse ling. Hangata radiculopathy cervical lesapo la mokokotlo le hlaha ka tšohanyetso, ho bua bohloko bo ho thunngoa. Hlahloba nahanela, matla a mesifa, reflexes, etsa bonnete ba hore le lefu lena e methapo ea kutlo tsa tlhaho.

Bakeng sa lefu lena le tšoauoa ka sa ketsahalo e ea bohloko molaleng radiating ho mesifa ea matsoho le menoana. Diriswa la bohloko ka lebaka la ho utloa bohloko ho tswa ho lesapo la mokokotlo. Ba kamehla ka tšohanyetso le bohale haholo, bakoa ke molala flexion. Soreness mitigated ke reteleha hloko kapa ho sekamisetsa hlooho ka lehlakoreng le leng kapa e 'ngoe. mekhatlo atleha ke lebaka la ho rua ho lona.

Bakuli ba thatafalloa ho fumana phutholohile robalang maemo a. robala bona e sitisoa hlabang bohloko ka molala le matsoho. Bakuli ba tletleba ba felloa ke a ikutloa joang ka letsoho, tingling le shoohlo ka nako e tšoanang e le phokotso bohlokoa ka matla a mesifa.

thoracic radiculopathy

Ea mofuta ona e sciatica bonahala ka bohareng ba ka morao, ka ho sebaka sa letsoele sebakeng lesapo la mokokotlo. Diriswa la bohloko e hlokometse ka sebakeng sa methapo intercostal. Eketsa bohloko ho etsahala ha ho khanna le breaths tebileng.

Le sefubeng radiculopathy kopana tlase hangata ho feta ba nang le lumbosacral kapa cervical. Thoracic tšoauoa ka e tenyetsehe e lekanyelitsoeng. Tenyetsehe lefapha le monyenyane, kahoo, ho kganna feta liphetoho tse nyenyane.

Leha ho le joalo, ha ba bonoa ba matšoao a khethollang ho qoba ho mokhelo ho feletseng e le hantle hore ho ba le mamello e imetsoe thoracic radiculitis. Hangata e le tsekamelo ea ho hlahloba joalo e etsa hore histori le likotsi tsitsitseng ka eona.

bakang ba radiculopathy thoracic kenyeletsa lintlha tse amanang le lengths holofatsang, protrusion le disk herniation, osteoartitami, osteophyte, stenoses. E bakoang ke mafu a tšoaetsanoang, hypothermia tloaelehileng, bohloko tlaase morao, mo ntša kotsi 'meleng, mekhatlo sa phutholoha.

Sciatica

Ka ho fetisisa ho atile lumbosacral radiculopathy. Ho na le makgetha a ho tse tšoanang le mafu a amanang le. Lumbar sciatica le hlaha chronically. Hangata e imetsoe ke relapses hlobaetsang. Mele kapa qala ho tsamaea, bakuli ba bohloko kholiso.

Diriswa ya diso bakoa ke sebaka innervation. Ea mahloriso ea bohloko bo itšetlehile ka mohloli oa ruruha. Bakuli ba ikutloa e ka sebaka sa lumbar le sebakeng gluteal, liqholo, lona posterolateral le anterior libaka perednenaruzhnoy namane. Bohloko o susumetsa leoto morao, serethe fetela, o motona, clatter gastrocnemius mesifa le lemoha ka leqaqailaneng le ka ntle.

Soreness ka matla a bontša ha metso ba a petetswa masatsoana a hlomelang a manyenyane disks, fapaneng le letšo-letšo dinama tse nyenyane tse, mohlala, hernia tsa intervertebral thehoa. Bohloko a bakoang ke bonolo dinama tse nyenyane tse (mesifa, ligaments), le tšoare ka methapo ea kutlo ea hao hase eona e matla. E tšoauoa ka dipharologanyo kgolo ya length of bontša.

Halefile radiculopathy tsa lumbosacral lesapo la mokokotlo e hlophisitsweng, hangata a ho timetsa ka ligaments e, articular diso la mokokotlo. E bakoang ke mafu a sa discs intervertebral, holofatsang disk lefu ba 'nileng ba le ka liphello, hernia le maloetse a mang.

Types of lumbar radiculopathy

Hangata bontša maphelong a bona mefuta e meraro ea lumbar radiculitis. Tsena li akarelletsa:

1. Lumbago. Bohloko concentrated sebakeng lumbar. Soreness qholotsa sa tšoanelehe ho ikoetlisa, a etsa hore overvoltage lumbar mesifa, e hypothermia hlabang. Ho phaella moo, litlhaselo tseo li bakoa ke lumbar herniated le dislocation cervical.
2. Lyuboishelgiya - mong radiculopathy lumbar tsamaea le bohloko seo se etsahala sebakeng se lumbar, radiating ka maoto e mong kapa ka bobeli. Soreness ata ka lebaka la ho maraong le posteroexternal ba leoto, theohelang menoana ea. Bohloko syndrome, ba hlalosoa e le opang, o tukang le ho ruruha.
3. Sciatica. Bohloko concentrated sebaka maraong, tšoara serope le leoto tlaase ka morao, ho tla fihlela setopong. , Ho phaella ho ntlha bohloko mesifa fokolisang bakoa ke kotsi kapa ho teneha tsa methapo ea kutlo sciatic. Soreness sciatica ke botho ba ho thunngoa, tšoanang e tsositse motlakase. Ka linako tse ling ho na le ke tsoa hong ponahatso ea tingling, shoohlo le "Pinów le linale." Bohloko syndrome, e fapaneng ka ho isa tekanyong le tiisetso. Matsoai a hlokoang fapana ho le bonolo ho e matla ka ho fetisisa. Mokuli e amohuoa robala, bohloko mo fa ho tšoenyeha ha a eme, a lutse, tsamaea, ha a lumelle hore a khopamise le ho retelehela.

Bakoa ke lumbar radiculopathy, eo kalafo qalong feela phekolo mekhoa e tloaetsoeng, ramatiki, holofatsang diphetolo vertebral stenosis, compression fractures, hernia le protrusion ea disk e, spondylolisthesis.

kalafo mekhoa e tloaetsoeng ea radiculopathy

Ha fumanoa hore o tšoeroe "radiculopathy" kalafo e hlophisitsweng e thehiloeng matšoao a (bohloko, tahlehelo kutlo, mafu dilenaneo). Pele, bakuli ba tšoaroa ka mekhoa mekhoa e tloaetsoeng phekolo:

1. Ka thuso ea meriana ho fokotsa ho ruruha le ho ruruha seo se etsahala ka lisele tse ka sehloohong, soreness.
2. mekgwa ya tshebetso Physiotherapeutic normalize ajoa mali ka lisele tse haufi le lesapo la mokokotlo, fokotsa bohloko, li buella conduction la litakatso tsa.
3. From mesifa spasms diboloko le tlosa phetha sililoa le ho khanna phekolo pukwanana.
4. dithekeniki hlaba motho ka linalete ka tsosolosa takatso ea methapo ea kutlo.
5. Ho ikoetlisa phekolo le meqolo litekanyetso li behoa tsosolosa le biomechanics la mokokotlo. Tsa boitlhakiso, redistributing mojaro vectors, hangata imolla compression ea metso. Ka lebaka la ho ikoetlisetsa ho le thupelo ka simulators finyella emisa dithulaganyo holofatsang ka mokokotlo, eketsa elasticity ea mesifa le ligaments. Ka lebaka leo, sephethephethe e eketseha ka bophahamo ba modumo. Ho phaella moo, ho ikoetlisa kamehla - e babatsehang e thibelang e ka ba ela hloko temoso relapses sa tšoaneng e matla bakileng tshebetso e sa lokang la mokokotlo.

litsela tsa ho tse thathamisitsoeng hantle tšoaroa discogenic radiculopathy foleng tlhaho. Boiteko ba imolla bakuli ho tloha le lefu lena ka ho sa feleng, ba tlisa ba khutlisetsa bophelo bo tloaelehileng.

Ho buoa kalafo ya sciatica

Buoa hloka radiculopathy rarahaneng. ha e le seo - e tshebetsong le radiculitis? Mofuta oa tshebetso tla ama lesapo la mokokotlo ka lebaka la boemo, ea lilemo li le bophelo bo botle. The bontšang bakeng sa e ba phehellang bohloko, mpe ea tleleniki setshwantsho.

Tsamaiso li entsoe ka ho phetha ka decompression buoa la mokokotlo, ho tlosa ho bulging disk kapa lesapo lebagane le methapo ea kutlo dinama tse nyenyane tse, 'me a etsa diskorastvoryayuschih mellwane (hemonukleolizisa) le lintho tse ling tse tshebetso.

Mekhoa ea phekolo ea sciatica vertebrogennogo

Vertebrogenic radiculopathy lokela ho tšoaroa hang-hang. Phekolo e khethileng, ho hlahloba etiology ea syndrome, radicular. Pele ho tsohle, felisa lefu ka sehloohong - bohloko. E tlosoa sehlopha sa baemeli ba-ba khahlanong le a hlabang ea lithethefatsi bao e seng steroidal. Ka hore re khethe meriana loketse hlokolosi, hobane ba ne ba ka etsa hore liphello tse batlang li tebile-morao.

Ha mokuli e imetsoe ke hernia intervertebral, compression fracture, bakeng sa kankere bolwetse, ha aa ka qoba ho buoa. Postoperatively hlophisa hloko tlhokomelo ea meriana.

Bakuli ba le utloe bohloko ka lefu radicular, fana ts'okollo akaretsang. Di khutlisetsoa litsi tsa bophelo bo botle, fumana mananeo phekolo sililoa, etsa gymnastics.