He aha ka Radiculopathy, nā ʻōuli a me ka pehea e mālama ai

Anter

• Nā ʻōuli e kū aʻe paha
• Nā kumu nui
• Pehea e hōʻoia ai
• Pehea e hana ai i ka lāʻau

Hoʻohālikelike ʻia ka Radikulopathy e ka ʻeha a hōʻino ʻole paha o hoʻokahi a ʻoi paha nā aʻa a me nā aʻa aʻa a lākou e hele i loko o ke kuamoʻo, e alakaʻi ana i ke ʻano o nā ʻōuli e like me ka ʻeha, ʻūlū ʻana, ka haʻalulu a me ka nāwaliwali o nā lālā, ke komo ʻana o ke aʻalolo sciatic, no ka laʻana.

ʻO nā aʻa a me nā aʻa aʻa kahi ʻāpana o ka ʻōnaehana ʻōnaehana, a he kuleana no ka lawe ʻana i ka ʻike ma waena o ka lolo a me nā ʻaoʻao o ke kino, e like me ka noʻonoʻo, ka ikaika a me ka neʻe. ʻO ka maʻamau, kumu ʻia ka radikulopathy e ke kaomi ʻana o nā aʻa aʻa ma muli o nā maʻi e like me nā herniated discs a i ʻole spinalrosrosis, akā hiki ke ala aʻe ma muli o nā kumu ʻē aʻe e like me ka mumū, ischemia, trauma i ka iwi kuamoo a i ʻole infiltration e kahi tumo.

Hiki ke hoʻopili ʻia i kēlā me kēia wahi o ka iwi kuamoo, akā naʻe, ʻoi aku ka nui o nā lumbar a me nā cervical, a ua hana ʻia ka lapaʻau e like me ke kumu, e pili ana i ka physiotherapy, ka hoʻohana ʻana i ka analgesic a i ʻole nā ​​lāʻau anti-inflammatory no ka ʻeha a, i nā hihia. ʻoi aku ke koʻikoʻi, ʻoki kino.

Nā ʻōuli e kū aʻe paha

ʻO nā ʻōuli nui o ka radikulopathy pili i ke aʻalolo i hoʻopilikia ʻia, ka hapa nui o ka manawa, pili i ka ʻeha o ka iwi a lumbar paha, a hui pū me:

• ʻEhaʻeha;
• ʻŪlili;
• Numbness manaʻo;
• Hoʻoemi i nā reflexes;
• ʻAtope Muscle.

Hoʻohui ʻia i ke kuamoʻo, hōʻike pinepine nā ʻōuli o ka radikulopathy i nā wahi o ke kino i hoʻopili ʻia e ke aʻalolo i hoʻopilikia ʻia, e like me nā lima, nā lima, nā wāwae a me nā wāwae. ʻO kēia wahi e kūlike me ka ʻaoʻao o loko o kahi nerve i kapa ʻia he dermatome. E ʻike i nā kikoʻī e pili ana i nā dermatome a ma hea lākou e noho ai.

ʻO ka maʻamau, ʻeha ka ʻeha a me nā ʻōuli ʻē aʻe i nā hanana kahi e hoʻonui ʻia ai ke kaomi o ke aʻalolo, e like me ke kaʻe ʻana. Hoʻohui ʻia, i nā hihia ʻoi loa, aia paha ka emi ʻana o ka ikaika a i ʻole ke lōlō ʻana o ka māhele like.

ʻO kahi laʻana maʻamau o radiculopathy ʻeha ʻeha sciatic, i kapa ʻia ʻo sciatica, ka mea maʻa mau o ke kaomi ʻana o nā aʻa o kēia aʻa i loko o ka iwi kuamoʻo, akā hiki ke hoʻomālamalama ma ke ala holoʻokoʻa o ke aʻalolo i ka wāwae. E aʻo hou e pili ana i ka ʻike ʻana pehea e mālama ai i ka ʻeha sciatic nerve.

Nā kumu nui

ʻO nā kumu nui o ka radikulopathy:

• Nā diski herniated;
• Stenosis canal iwi kuamoʻo;
• Spinal arthrosis, ʻike ʻia ʻo spondyloarthrosis;
• Nā nuipaʻa i ka iwi kuamoʻo, e like me nā tumors a i ʻole nā ​​abscesses;
• Nā maʻi, e like me herpes zoster, syphilis, HIV, cytomegalovirus a i ʻole tuberculosis, no ka laʻana;
• Radikulopikō diabetic;
• ʻO Ischemia, i hoʻokumu ʻia e nā loli i ke kahe o ke koko, i ka vasculitis, no ka laʻana;
• Nā hoʻāla, e like me nā mea i loaʻa i nā hihia o ka polyradiculoneuropathy ākea a me ka maʻi maʻamau a i ʻole sarcoidosis, no ka laʻana.

Hoʻohui ʻia, hiki ke hoʻokumu ʻia ka radikulopathy ma hope o kahi ulia pōpilikia e hōʻeha ai i ka ʻōiwi nui.

Pehea e hōʻoia ai

No ke kuhikuhi ʻana i ka radikulopathy, pono ke kauka e ʻike i nā ʻōuli, hana i ka loiloi kino, e ʻimi ana i nā kiko ʻeha nui, a kauoha i nā hoʻokolohua, e like me radiography a i ʻole MRI o ka iwi kuamoʻo e ʻike i nā loli i ka iwi kuamoʻo, e ʻike ai i ke aʻa ʻeha a me kāna kumu.

Hiki ke hoʻohana pono ʻia ka hoʻokolohua electroneuromyography (ENMG) i nā manawa he nui, no ka mea loiloi ia i ke alo o nā leona e hoʻopili ai i nā aʻa a me nā mākala, hiki ke hoʻopaʻa i ka conduction o kahi impulse uila i ke aʻalolo. Hōʻike nui ʻia kēia hoʻokolohua ke kānalua ʻia e pili ana i ke kumu o nā hōʻailona, ​​a hiki ke hōʻoia inā aia kekahi ʻino nerve a i ʻole inā aia kekahi ʻano o nā maʻi neurological e pili ana. E aʻo hou e pili ana i ka hana a me nā ʻike no ka electroneuromyography.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana i ka radikulopathy ma muli o ke kumu, i hōʻike ʻia e ka orthopedist a i ʻole neurosurgeon, a e hoʻopili pū ʻia me ka hoʻōla kino, me ka hoʻolōʻihi ʻana i ka vertebrae a me ka hoʻoikaika ʻana i nā mākala, no ka laʻana, hiki ke alakaʻi i ka hoʻōla o nā hōʻailona a i ʻole, e hoʻomaha lākou.

Eia hou, hiki i ke kauka ke koi aku i ka hoʻohana ʻana i nā lāʻau analgesic, e like me Paracetamol, Dipyrone, Tramal a i ʻole Codeine, a i ʻole nā ​​lāʻau anti-inflammatory, e like me Diclofenac, Ketoprofen a i ʻole Nimesulide, no ka laʻana, e kaohi i ka ʻeha a me ka hōʻoluʻolu ʻole.

I ka poʻe me ka ʻeha mau, hiki i nā lāʻau ʻē aʻe ke hoʻopili ʻia e hoʻomaikaʻi i ka kaohi o ka ʻeha a me nā ʻano pili ʻē aʻe, e like me ka hiamoe a me ke kaumaha, a ʻo lākou nā: antidepressants, e like me Amitriptyline; nā anticonvulsants, e like me gabapentin a me pregabalin; aiʻole nā ​​mea hoʻomaha musele, e like me cyclobenzaprine.

I nā hihia ʻoi aku ka paʻakikī, hiki i ke kauka ke koi aku i ke ʻoki ʻana, keu hoʻi no ka decompression o ke aʻa aʻa.