Tšebeliso ea radiculopathy ea mokokotlo ke sesosa se tloaelehileng sa bohloko, lipane, le lisebelisoa le / kapa bofokoli letsohong la hao, hammoho le bohloko ba molala le matšoao a mang. Ka tloaelo ho hlahisoa ha motsoako oa methapo ea mokokotlo o hatelloa, ebang o na le likhahla tse bohloko kapa tse sa foleng tsa likhahla kapa ka liphetoho tse senyehang libokeng tsa mokokotlo. Mehlala ea spondylosis , e leng lebitso le leng bakeng sa liphetoho tse senyang mokokotlong, le ka kenyeletsa matšoao a amanang le ramatiki a kang sebete se kopantsoeng kapa lefu la bone, kapa ho senyeha ha disc.
Haeba o na le radiosispathy ea mokokotlo, u ka 'na ua iphumana u utloa bohloko haholo, haholo-holo qalong (libeke tse seng kae tse qalang ka morao). Hape u ka 'na ua hlokomela lipane le lisebelisoa (joalokaha ho boletsoe ka holimo) kapa tse ling tse nang le methapo ea kutlo ka forearm le letsoho.
E rarahaneng, ho joalo? Ngaka ea hau e tseba joang hore matšoao a hau a bolela'ng, hantle? Haeba e se radiculopathy, joale ke eng? O ka tseba joang hore na motsoako oa methapo ea mokokotlo ke ofe o baka matšoao a hau? Hona ho bohlokoa hakae ts'ebetsong ea phekolo ea bohloko ea kakaretso?
Haeba matšoao a hao a fokolloa ke bohloko feela, sena se bitsoa bohloko bo boholo ba mokokotlo.
Ho Etsa Tlhahlobo
Ha u le teng, ngaka ea hau e ka 'na ea nka histori' me eu fa tlhahlobo ea 'mele. Lintho tseo u mo bolellang tsona ka matšoao ao u nang le 'ona li tla mo tsebisa ka mokhoa oa bohloko, e leng mohato oa bohlokoa molemong oa ho hlahloba.
Tlhahlobo ea bukana e tla thusa ngaka ea hau hore e khetholle li- dermatomes le / kapa myotomes tseo matšoao a hau a leng ho tsona.
Boitsebiso bona bo mo thusa hore a tsebe hore na motsoako oa methapo ea mokokotlo o hatelloa kapa o halefile. Teko ea ho nahana ka litšoantšo (ka mohlala, MRI) hangata ha e nkoe e hlokahala, ntle le maemo a ikhethileng (ho hlalositsoe ka tlase).
Matšoao a Bontšang Khoneha Radiculopathy ea Cervical e Tsejoa
Hangata lingaka li fumana lefuba la radiculopathy ha u fana ka bohloko ba letsoho, bohloko ba molala, bohloko bo pota-potileng bone (mahetleng a lehetla) kapa ho pota-potile bone.
Lintho tse ling tsa matšoao tse sebetsang e le folakha ho ngaka ea hau mabapi le monyetla oa ho ba le lefuba la radiculopathy li akarelletsa lintja le lisebelisoa tseo ho buuoang ka tsona ka holimo hammoho le liphetoho tse utloahalang letsohong la hao tse kang ho senyeha.
Matšoao a likoloi a ka hlokomelisang ngaka ea hau a kenyelletsa bofokoli ba letsoho le / kapa ts'ebetso e sa tloaelehang ea tendon ka letsoho la hao. Bofokoli mesifa ea hao ea marang-rang (e leng mesifa e kang ea cap-e potolohileng lehetla le letsoho le ka holimo), bofokoli ba mesifa ea letsoho la hao, le / kapa mapheo a mangata le tsona ke lintho tse ka hlahang. Ho na le mapheo a mangata a ka hare-hare (ka hare) moeli oa kahare oa lehetla-tse tsejoang e le bone ea hau-ea ho robala ka likhopo tsa hau.
Leha ho le joalo, matšoao a mang a ka 'nang a lemosa ngaka ea hao e kenyeletsa sefuba kapa bohloko bo tebileng ba matsoele le / kapa hlooho e bohloko.
Hang ha o tseba matšoao a mokuli a lumellana le radiculopathy ea mokokotlo, lingaka tse ngata li tiisa sena ka ho hlahlojoa ka mokhoa o bitsoang Spurling's. Lithuto tse 'maloa li fana ka tlhahiso ea hore tlhahlobo ea Spurling-e thehiloe boemong ba eona e le tekanyo ea ho hlahloba-e ka tiisa hore boteng ba radiolopathy ea mokokotlo bo teng.
Le hoja tlhahlobo ea Spurling (ha e le hantle, ho tsamaisa) e totobetse, ha e na bothata haholo bakeng sa ho hlahlojoa ha radiolopathy ea mokokotlo ka lebaka la mokokotlo ka lebaka la sephetho sa tlhahlobo se fosahetseng (se bolelang hore pontšo ha e bontše) ha se felise ho hlahlojoa ha lefuba la radiosispathy.
Leha ho le joalo, Mokhatlo oa North America Spine o bolela hore tlhahlobo ea Spurling, hammoho le liteko tse tšoanang le tse tsosang takatso, e ka nkoa e le karolo ea tlhahlobo; ho fapana le lithuto tsa liteko tsa pro-Spurling, leha ho le joalo, NASS e khaotsa ho tiisa hore letšoao le letle la tlhahlobo ea Spurling le tiisa hore o hlahlojoa.
Tlhahlobo ea Tlhahlobo Pele ho ho Buuoa
Haeba o rerile ho buuoa , 'me lefuba la hao la radiculopathy le bakoa ke ramatiki kapa liphetoho tse fokolang (spondylosis), ngaka ea hau e ka' na ea batla ho tiisa ka ho hlahloba litšoantšo tse lekaneng tsa mokokotlo ho tloha moo matšoao a hao a hlahang teng.
Mokhatlo oa North America Spine o bolela feela hore ho khetholla lesea le tobileng leo ho lona mahlaba, mesifa ea maikutlo le / kapa bofokoli ba likoloi li nang le phihlelo ha ho lekaneng ho etsa hore ho fumanoe hantle hore na lefu la radiculopathy le tsoa hokae.
Ka lebaka lena, ba kgothaletsa computed tomography (CT scan), CT myelography (CTM) kapa MRI (magnetic imaging resonance test) pele e etsoa opereishene ea ho tlōla moriana. Hlokomela hore NASS e khothaletsa liteko tsena feela ka mor'a hore ho be le phekolo ea tlhokomelo ea kalafo e hlokang tlhokomelo ea ho fokotsa matšoao.
Litaba tse monate ke hore boholo ba meriana ea radiosispathy e ikemela ka boeona kapa ka phekolo ea meriana ntle le tlhokahalo ea ho buuoa.
Lisebelisoa:
Corey DL1, Comeau D. Cervical radiculopathy. Med Clin Clinic North. 2014 Jul; 98 (4): 791-9, xii. doi: 10.1016 / j.mcna.2014.04.001.
Li-Eubanks, JD, radiosispathy ea mokokotlo: ho se sebetse hantle ha bohloko ba molala le matšoao a maholo. Ke Mooki oa Lefu. 2010 Jan 1; 81 (1): 33-40.
Kuijper B. [Cervical radiculopathy]. Ned Tijdschr Tandheelkd. 2014 Oct; 121 (10): 483-6. doi: 10.5177 / ntvt.2014.10.14134.
Mokhatlo oa North American Spine (NASS). Ho lemoha le ho phekoloa ha radiculopathy ea mokokotlo ho tsoa ho mathata a sithabetsang. Burr Ridge (IL): Mokhatlo oa North American Spine (NASS); 2010. 179 leq.
Ryan M., David E. Fish, David E. Ho phefumoloha ha likhahla: tlhahlobo ea li-anatomical, ho hlahlojoa, le phekolo. Curr Rev Musculoskelet Med. 2008 Mar.