Radiculopathy - waa maxay? Radiculopathy: Calaamadaha iyo Daaweynta

dhabar xanuunka - arrin aad u baahsan. xanuun noocan oo kale ah dadka intooda badan la kulmaan ugu yaraan hal mar noloshooda. Bar dadka ka shaqeeya, waxay ku dhacaan sanad walba oo la soo dhaafay, ugu yaraan maalintii hal. Sababta iyaga dhaawac, cudurro kala duwan, oo ay ku jiraan radiculopathy (ronaanayaa).

Waa maxay radiculopathy?

Maqalka cudurka by dhakhtar sameeyey, bukaanka ma caawin kartaa weydiinaya: "Radiculopathy - maxay tahay, waa maxay sababaha iyo cawaaqibta ay?" The "radiculopathy" Ereyga generic in Neerfaha ee loogu yeero calaamadaha la xiriira dhaawac, ama nabar ku tirtirayaan dareemayaasha spinal. Marka baaritaanka muujiyo, sida dhabarta ah ay waxyeello iyo dhowr.

Calaamadaha waxaa lagu muujiyay in lagu muday in toogashada ka dib ama dabeecadda cabaar, weheliso socodka oo muruqyada, jidhidhico, kabuubyo in jirka meelaha innervated. Radicular syndrome, radiculopathy muujiyey xanuun goobaha kala duwan.

Xanuun syndrome ku fida qoorta, hoos u soo celin, addimada iyo xubnaha qaarkood. Waxa uu helay, tusaale ahaan, in meesha uu ku yaalaa wadnaha ama caloosha. Si sax ah u ogaado ronaanayaa dhakhtar oo kaliya awoodo.

Radiculopathy iyo sababaha

Kala duwan ee cudurka disc side - sababta ugu weyn ee radiculitis. cudurka wuxuu noqon karaa natiijo ah ee dhaawacyada joogtada ah, heley in la horumariyo ee xubnaha gudaha, caabuq, saamaynaya dhabarta, burooyin. dilaaliinta Its waa stress, dheelitir la'aanta dheefshiidka, cudurada faafa, hypothermia, kor u miisaanka.

Inta badan wadadii horumarka cudurka noqdo Sheelada intervertebral. Intervertebral disc, cilmiga la barti, kaalin ee absorber lama filaan ah. Horumarinta dhabar xanuunka hooseeyo keenaysaa in geeddi-side in turjumi protrusion (protrusion kooban ee disc ah). Sidaas darteed, protrusion ku qubanayo galay Sheelada ah intervertebral, taasoo keentay in riixo iyo cuncun u dhow xididada.

Root sababta cuncun rumaysan osteophytes iyo stenosis - gaabiso in "tunnel" dhabarta ama kanaalada foraminal (meesha ka bixitaanka dareemayaasha). stenosis Foraminal inta badan ku dhaco gobolka lumbar, taas oo ku xanuunsado oo xididdada ka riixo in xidhmaan dareemaha markeedii.

radiculopathy Chronic - waxa uu yahay, waxa calaamado ay? xididada mari riixo socda, iyagu waa lur iyo barar. Tani waxa ay keentey in xanuun joogto ah, waxay keeni raaxo qoorta iyo dhabarka hoos u, iyo saadaasha ay weheliyaan fiiloyin dareemayaasha in ka kaxayntu ay la taaban karo ah. xidid riixo dhamaado tabinta xad gudub ku ah falalkooda, luminta shaqada, Dystrophy muruqa ah.

calaamadaha ronaanayaa

Si la mid ah calaamadaha cudurka ka qaban, waxaan mar kale ku weydiin doonaa su'aasha ah: "Radiculopathy - waa maxay?" Ronaanayaa ma aha cudur madax banaan. Waa uun adag calaamad, midaynta danqasho, hoos u dareen, Dystrophy muruqa ah in uu bilaabo in dhabarta oo waxaad tagtaa jirka ah.

Bukaan-socodka walaacsan xanuun ambaday, ka qoorta in gacanta ama dhexda cagaha la saadaaliyey, maray isbedel dareenka (addimada kabuubyo, jidhidhico iyo iyaga gubanaya), iyo khasaaro of xoogga muruqa meelaha gaarka ah ee jidhka. Waxay jeelyihiin in noocyo kala duwan oo calaamadaha radiculopathy ayaa marka la isku daro ee kooxaha:

1. Caabuqa. Xanuunka waxaa lagu muujiyey in noocyo kala duwan oo ka urukaasi oo xilliyo dhaca ka hor laguna joogto ah si ay u joogaan jaho.
2. dareen doorsoon. Dhabarta - a unit adag dhismaha ee jirka aadanaha. Thanks isaga, dadka samayn a dhaqdhaqaaqa weyn si toos ah miyir badan. noolaanshaha ee dhaqdhaqaaqa bixisaa milicsiga ah ee maskaxda, muruqyada iyo cuntada sida xasaasi ah. Radiculopathy, calaamadaha kuwaas oo u muuqday in ay keeni riixo iyo xididdadiisa. Tani waxa ay keentey in in la isugu gudbiyo wadnaha qaadataa meel labada dhinacba la yaraada iyo dareen ka beddelo.
3. Dystrophy muruqa ah. dareemayaasha Waxyeello awoodi karin joogto ah gudbinta laba hab oo la karsado (ka muruqyada in maskaxda iyo laf-dhabarta iyo qeybsanaan ku xigeenka). Sidaa darteed, muruqyada joojin shaqaynayn si caadi ah. rabshooyin muddada dheer in gudbinta falalkooda keeni daciifnimo, atrophy iyo xataa cut muruqyada daciif ah.

noocyada radiculopathy

Shaqaalaha rugaha caafimaadku aqoonsaday noocyada dhowr ah oo soo ronaanayaa. Iyadoo ku xiran meesha uu radiculopathy ee dareemayaasha saameysey, calaamadaha, kuwaas oo cad, mararka qaar afka ilmo-galeenka, thoracic, lumbosacral ama isku qasan.

Qaraabo in dhaawaca kala soo ronaanayaa discogenic (spondylogenic) nooca vertebrogenic oo isku dhafan. kala soocidda cudurka waxay ku siinaysaa kala cad oo ka mid ah qaababka ugu muhiimsan ee soo ronaanayaa bukaan gaar ah.

ronaanayaa discogenic

Bukaanka inta badan laga helay radiculopathy discogenic aasaasiga ah ay sabab u tahay lahayo ku unugyada carjawda, sii kordhaya oo ku saabsan cajaladood intervertebral. Xaaladdan oo kale, oo xididdada ka hor joogsan, lagu arkay inta lagu jiro geedi socodka bararka, kaas oo la Ulasocto barar iyo xanuun xoog badan.

Waxaa jira khasaare hawlaha qaarkood la xiriira innervation ee dareemayaasha sakhiray jebinta. ronaanayaa banal waxaa ku weheliyay xanuun, motor iyo rabshooyin autonomic xanaajiyeen by xididada saameysey.

ronaanayaa vertebral

Ogsoonow in Vertebrogenic radiculopathy had iyo jeer waa sare. Waxaa waddaa on asalka ah kaas oo diyaariyey stenosis ay ku dhaceen kabsanayo, halkaas oo been Jidka xididdada dareemaha.

xididdada laf-kordhin weheliyaan "tunnel", taas oo samaysa qaababka kala duwan ee derbiga (hernias intervertebral, jilibka huruud ah, osteophytes, iwm) waxaa lagu Tifaftirayaasha iyo cun cun. "Tunnel" yaraanaya sarkhaansan transformations da'da la xiriira iyo side. Sidaas darteed of tirtirayaan oo ku jira meesha cudurka dhabarta wareegga dhiigga kaaga barar ku xiga.

Xanuun distally fidin cabaar dhabarta ee gacanta ama lugta. Calaamadaha iyo xididdadiisa cillad denominated jeexan, luminta dareenka iyo hummaag hoos, ma had iyo jeer markiiba soo muuqan doonto. Si kastaba ha ahaatee, danqasho ku caan - Xujo cad ee radicular syndrome.

Noocan ah ronaanayaa waxaa la socda a murqo fahmayaan, si weyn u la yareeyo dhaqdhaqaaqa baabuurta. Sida caadiga ah, Vertebrogenic radiculopathy muddo dheer (ugu yaraan 2-4 bilood) iyo waxay u baahan tahay faragelin deg deg ah dhakhaatiirta.

radiculitis afka ilmo-galeenka

radiculopathy Makaanka waxaa keena Sheelada ah, protrusion ama disc xumaanshaha ah, osteoarthritis, stenosis foraminal oo heley kale. Sida caadiga ah dhabarta afka ilmo-galeenka radiculopathy dhacdaa si lama filaan ah, hadlaya xanuun toogashada. Hubinta dareenka, muruqyada, hummaag, in la hubiyo in cudurku waa dareemayaasha ee dabiiciga ah.

Waayo, cudurka lagu gartaa dhacdo ee qoorta xanuun radiating in muruqyada gacmaha iyo faraha. Deegaamaynta xanuun ay sabab u tahay dhibaatada ka soo dhabarta. Waxay had iyo jeer waa kuwo lama filaan ah oo aad u af badan, huriyay flexion qoorta. Caabuqa yarayn by leexashada si taxaddar leh ama adigoo madaxa si ay hal dhinac ama mid kale. dhaqdhaqaaqa guuleysan waa sababta ay faa'iido.

Bukaan-socodka halgan si aad u hesho meel jiifka oo raaxo badan. hurdadoodana waa laga gooyey mindi xanuun qoorta iyo gacmaha. Bukaan-caban khasaaraha ka mid ah dareenka gacanta, jidhidhico iyo kabuubyo waqti isku mid ah hoos u dhac weyn oo xoog muruqa.

radiculopathy thoracic

Noocan ah ronaanayaa muuqataa dhexe ee daafaca ah, meel ka mid ah goobta naaska dhabarta. Deegaamaynta xanuun lagu arkay gobolka ee dareemayaasha intercostal. Kordhinta xanuun dhacdaa marka baabuur-wadidda iyo neefsasho qoto dheer.

Iyada oo xabadka radiculopathy la kulmeen inta badan ka yar la lumbosacral ama afka ilmo-galeenka. Thoracic lagu gartaa rigidity qaraabada. Dabacsanaan in waaxda uu yar yahay, sidaa daraadeed waxa drives mari isbedel yar.

Si kastaba ha ahaatee, ku dul ogaanshaha calaamadaha caan ka fogaadaan marka laga reebo buuxda xaqiiqada ah in bukaanka la culaysiyey radiculitis thoracic. Inta badan nugul cudurka noocan oo kale ah wuxuu keenaa taariikhda dhaawacyo go'an waxa ku jira.

sababaha la fili karo ee radiculopathy thoracic waxaa ka mid ah arrimo la xiriira transformations side, protrusion iyo sheelo disc, osteoartitami, osteophytes, stenoses. Waxaa keena cudurrada faafa, hypothermia caadiga ah, dhabar xanuunka hooseeyo, dhaawac jirka, dhaqdhaqaaqa sirgaxan.

ronaanayaa

The radiculopathy lumbosacral ugu baahsan. Waxay leedahay sifooyinka la mid yihiin cudurrada la xiriira. ronaanayaa Lumbar dhacdaa joogto ah. Waxaa inta badan dhibteen noqoshada ba'an. Jir ama bilaabaan socodka, bukaan la kulmaan xanuun cod.

Deegaamaynta ah lesions ay keento aagga innervation. fiirsashada of xanuun ku xiran tahay halka uu caabuq. Bukaan-socodka waxaa ay dareemaan in degaanka oo ka mid ah lumbar iyo gobolka Salalka, hip, ay kubka perednenaruzhnoy zone posterolateral iyo jilibka. Xanuun galay cagta danbe, cedhibta ku kordhiyay, suulka, muruqa gastrocnemius giringirihii oo la ogaado at canqowga dibadda.

Caabuqa si xoog leh ka muujiyay markii xididada yihiin Tifaftirayaasha saxannada lafaha outgrowths, nudaha cufan kala duwan, tus, Sheelada ah intervertebral sameeyay. Xanuunka uu keeno unug jilicsan (murqaha, seedaha), qaban dareemayaasha aysan sida awood badan. Waxaa lagu gartaa dhaqdhaqaaqa koritaanka kullanka ka muujiyay ka.

radiculopathy xanaajiyeen dhabarta lumbosacral hababka caadiga ah burbur ee ay seeduhu, lesions articular dhabarta. Waxaa keena xanuunada ah cajaladood intervertebral, cudurka disc side kuwaasoo natiijo, Sheelada iyo cudurada kale.

Noocyada radiculopathy lumbar

Sida caadiga ah isu muujin saddex nooc oo ronaanayaa lumbar. Kuwaas waxaa ka mid ah:

1. Lumbago. Xanuun ku urursan gobolka lumbar ah. Caabuqa cadhaysiinina dhaqdhaqaaqa jirka ku fillayn, keenaya muruqyada lumbar overvoltage, hypothermia af badan. Intaa waxaa dheer, weerarrada waxaa sababa lumbar herniated iyo barakacyo afka ilmo-galeenka.
2. Lyuboishelgiya - radiculopathy lumbar kale weheliyay xanuun ku dhaca gobolka lumbar ah, radiating galay mid ka mid ah ama labadaba lugaha. Caabuqa fidaa badan badhida iyo posteroexternal cagta, socotay inay faraha hoos. Xanuun syndrome tilmaamay xanuun, meeshii gubatay iyo barar.
3. Ronaanayaa. Xanuun ku urursan meesha dabada, qabsoomayn ah bowdada iyo lugta hoose ka dib, hoos si joogsiga. Waxa intaa dheer in dhibic xanuunka daciifaan muruqa dhaawac ama cuncun ee dareemaha markeedii sababay. ronaanayaa muday waa qof toogasho ah, eg shoog koronto. Mararka qaarkood waxaa jira qaab isku mar ah jidhidhico, kabuubyo iyo "musaamiirtooda iyo cirbadaha." Xanuun syndrome waa ka duwan yahay in degree iyo xoogga. Cudurada kala duwan ka fudud in aad u xoog badan. Bukaanka waa diiday, hurdo, xanuun isaga siinayaa walaaca marka taagan, oo fadhiya, socda, ma ogola in la leexiyo oo u soo jeesan.

Huriyay radiculopathy lumbar ah, taas oo daaweynta hore ku koobnayn therapy muxaafidka, arthritis, beddelka side stenosis vertebral, jab riixo, Sheelada iyo protrusion of disc ah, spondylolisthesis.

daaweynta Conservative ee radiculopathy

Haddii cudurka "radiculopathy" daaweynta waxaa qoray ku salaysan astaamaha (xanuun, dareenka oo luma, xanuunada motor). First, bukaanka lagu daweeyaa hababka daaweynta muxaafidka ah:

1. Iyada oo taageero ka daawo loo yareeyo bararka iyo barar ku dhaca unugyada ku lammaan, xanuun.
2. nidaamka duugduugis caadi wareegga dhiigga ee nudaha ku hareereysan dhabarta, yareeyo xanuunka, kor u tabinta ah falalkooda.
3. From xakameenta murqaha blocks iyo takhalusin, fulinta massage iyo qabashada therapy buugan.
4. farsamooyinka Irbadaha soo celin karaa falalkooda dareemayaasha.
5. therapy Layli la Muga qiyaasta soo celinayo ku biomechanics dhabarta. Layliyo, redistributing fallaadhaha load, inta badan caawin riixo iyo xididdadiisa. Maadaama uu gym iyo tababar ku saabsan lagtiisa gaaro joojinta hababka side ee dhabarta, sii kordhaya barti murqaha iyo seedaha. Sidaas darteed, gaadiidka sii kordhaya ee mugga. Ka sokow fasallada caadiga ah - noqoshada digniinta ka hortag fiican adag ee kala duwan sababay howlgalka aan habboonayn dhabarta.

siyaabo ku qoran si fiican loola dhaqmo nooca chronic radiculopathy discogenic. Dadaallada caawin bukaanka cudurka weligiis, iyaga dib loo soo celiyo si ay nolosha caadiga ah.

daaweynta Qalliinka ee ronaanayaa

Qalliinka u baahan radiculopathy adag. Waa maxay - qaliin la radiculitis? Nooca hawlgalka socda saameeyaa xaalad dhabarta, da'da iyo caafimaadka. Ififaalaha, waxaa ka noqdo xanuun joogto ah, sawir caafimaad oo xun.

Habka wuxuu ka kooban yahay fulinta decompression qalliin-dhabarta, ay ka saareen disc ferjiga ama lafaha ku xiga si ay unugyada neerfaha ah, iyo fulinta khalkhalgelinta diskorastvoryayuschih (hemonukleolizisa) iyo hawlaha kale ee hawl.

Hababka daaweynta ee ronaanayaa vertebrogennogo

radiculopathy Vertebrogenic waa in isla markiiba loola dhaqmo. Therapy la doortay, ka fiirsaneysa etiology ee radicular syndrome. First of dhan, la baabi'iyo syndrome ugu weyn - xanuun. Waxaa laga saaro kooxda reer wakiilada anti-bararka ah ee daawooyinka aan steroid ahayn. By doorashada daawooyinka ku habboon si taxadir leh, sababta oo ah waxay keeni kartaa waxyeelo halis ah.

Haddii bukaanka la dhibteen Sheelada intervertebral, jab riixo, cudurada kansarka, ma uu fogaado qaliin. Postoperatively abaabulo kormeer caafimaad taxadir.

Bukaanka ayaa gaaray a radicular syndrome, siiyaan dhaqan-hoose-dhexe. Waxaa loo soo celiyo xarumaha caafimaadka, heli fadhiyada massage-daweynta, samaynaya jimicsi.