Nerve Injury
Back Clinic Nerve Injury Team. Tsinga hadzina kusimba uye dzinogona kukuvadzwa nekumanikidzwa, kutatamuka, kana kucheka. Kukuvadzwa kwetsinga kunogona kumisa masaini kuenda nekubva kuuropi, zvichiita kuti tsandanyama dzisashande zvakanaka uye kurasikirwa nekunzwa munzvimbo yakakuvara. Sisitimu yetsinga inodzora mashandiro mazhinji emuviri, kubva pakudzora kufema kwemunhu kusvika pakudzora tsandanyama dzavo pamwe nekuona kupisa uye kutonhora. Asi, kana kukuvadzwa kubva mukukuvadzwa kana mamiriro ari pasi kunokonzera kukuvara kwetsinga, hupenyu hwemunhu hunogona kukanganiswa zvikuru. Dr. Alex Jimenez anotsanangura pfungwa dzakasiyana-siyana kuburikidza nekuunganidza kwake zvinyorwa zvinotenderera kune marudzi ekukuvadzwa uye mamiriro ezvinhu anogona kukonzera kukanganiswa kwetsinga pamwe nekukurukura maitiro akasiyana-siyana ekurapa uye kugadzirisa kuderedza marwadzo ehutano uye kudzorera hupenyu hwomunhu.
General Disclaimer *
Ruzivo rwuri pano haruna kuitirwa kutsiva hukama hwemunhu-pamwe nenyanzvi yezvehutano ane hunyanzvi kana chiremba ane rezinesi uye harisi zano rekurapa. Tinokukurudzira kuti uzviitire sarudzo dzehutano maererano netsvagiridzo yako uye kudyidzana nenyanzvi yezvehutano inokwanisa. Ruzivo rwedu ruzivo rwakagumira kuchiropractic, musculoskeletal, mishonga yemuviri, hutano, nyaya dzehutano dzakasimba, zvinyorwa zvemishonga zvinoshanda, misoro, uye nhaurirano. Isu tinopa uye tinopa kushandira pamwe kwekiriniki nenyanzvi kubva kwakasiyana siyana yezvirango. Imwe neimwe nyanzvi inotongwa nehunyanzvi hwavo chiyero chekudzidzira uye kutonga kwavo kwerezinesi. Isu tinoshandisa inoshanda hutano & hutano mapuroteni kurapa uye kutsigira kuchengetedza kwekukuvadzwa kana kusagadzikana kwemusculoskeletal system. Mavhidhiyo edu, zvinotumirwa, misoro, zvidzidzo, uye ruzivo rwunobata nyaya dzekiriniki, nyaya, uye misoro inechekuita nerutsigiro, zvakananga kana zvisina kunanga, mamiriro edu ekurapa. Hofisi yedu yaedza zvine musoro kupa magwaro anotsigira uye yakaona. chidzidzo chetsvakiridzo chakakodzera kana zvidzidzo zvinotsigira zvatakatumira. Isu tinopa makopi ekutsigira zvidzidzo zvekutsvagisa anowanikwa kumabhodhi ekutonga uye neruzhinji pakukumbira.
Isu tinonzwisisa kuti tinofukidza zvinhu zvinoda imwe tsananguro yekuti ingabatsire sei mune imwe chirongwa chekutarisira kana yekurapa protocol; Naizvozvo, kuti uenderere mberi nekukurukura nyaya iri pamusoro, ndapota inzwa wakasununguka kubvunza Dr. Alex Jimenez kana taura nesu isu 915-850-0900 .
Dr. Alex Jimenez DC, Msacp , CCST , IFMCP *, CIFM *, atn *
email: qeqeshi@elpasofunctionalmedicine.com
Inobvumirwa mu: Texas & New Mexico *
by Dr Alex Jimenez Nerve Injury , Sciatica
Kana sciatica kana mamwe marwadzo etsinga anouya, kudzidza kusiyanisa pakati pemarwadzo etsinga nemhando dzakasiyana dzemarwadzo kubatsira vanhu kuziva kana musana wetsinga midzi inotsamwiswa kana kumanikidzwa kana mamwe matambudziko akakomba anoda kurapwa?
Spinal Nerve Roots uye Dermatomes
Mamiriro emusana akadai semadhisiki e-herniated uye stenosis anogona kutungamirira kumarwadzo anopenya anofamba pasi ruoko rumwe kana gumbo. Zvimwe zviratidzo zvinosanganisira kupera simba, chiveve, uye/kana kupfura kana kupisa kunzwa kwemagetsi. Izwi rekurapa repinched nerve zviratidzo ndeye radiculopathy (National Institutes of Health: National Institute of Neurological Disorders uye Stroke. 2020 ) Dermatomes inogona kukonzeresa kutsamwiswa mumusana, uko midzi yetsinga inokonzera zviratidzo kumashure nemakumbo.
Anatomy
Muzongoza une zvikamu makumi matatu nerimwe.
Chikamu chega chega chine nerve midzi kurudyi nekuruboshwe iyo inopa mota uye seya mabasa kumakumbo.
Matavi epamberi uye kumashure anotaurirana anobatana kuti aumbe tsinga dzemuzongoza dzinobuda mugero re vertebral.
Iwo 31 musana zvikamu zvinoguma 31 musana tsinga.
Imwe neimwe inotumira sensory nerve yekupinda kubva kune chaiyo ganda dunhu kudivi iro uye nzvimbo yemuviri.
Nzvimbo idzi dzinonzi dermatomes.
Kunze kweyekutanga cervical spinal nerve, dermatomes iripo kune yega yega musana.
Mitsipa yemusana uye dermatomes yakabatana nayo inoumba network mumuviri wese.
Dermatomes Chinangwa
Dermatomes inzvimbo yemuviri / yeganda ine yekunzwa yekupinza inopihwa kune yega musana tsinga. Imwe neimwe tsinga ine dermatome yakabatana, uye matavi akasiyana-siyana anopa dermatome imwe neimwe kubva kune imwechete nerve mudzi. Dermatomes inzira dzekuti ruzivo rwesensational muganda rinoendesa masaini kuenda nekubva kupakati tsinga system. Manzwiro anonzwa mumuviri, senge kudzvanywa uye tembiricha, anoendeswa kune yepakati tsinga system. Kana musana wetsinga midzi inomanikidzwa kana kutsamwiswa, kazhinji nekuti inosangana nechimwe chimiro, inoguma neradiculopathy. (National Institutes of Health: National Institute of Neurological Disorders uye Stroke. 2020 ).
Radiculopathy
Radiculopathy inotsanangura zviratidzo zvinokonzerwa nepinched nerve padyo nemuzongoza. Zviratidzo uye manzwiro zvinoenderana nekuti tsinga yakapinirwa kupi uye nehukuru hwekumanikidza.
Cervical
Ichi chirwere chekurwadziwa uye / kana sensorimotor kushomeka kana tsinga midzi mumutsipa yakamanikidzwa.
Inowanzo ratidza kurwadziwa kunodzika neruoko rumwe.
Vanhu vanogona zvakare kunzwa kunzwa kwemagetsi semapini netsono, kuvhunduka, uye kunzwa kupisa, pamwe nezviratidzo zvemota senge kushaya simba uye chiveve.
Lumbar
Iyi radiculopathy inokonzerwa nekumanikidzwa, kuzvimba, kana kukuvara kumusana wetsinga muzasi kumashure.
Manzwiro ekurwadziwa, kusanzwa, kurira, magetsi kana kupisa manzwiro, uye zviratidzo zvemotokari sekushaya simba kunofamba negumbo rimwe zvakajairika.
kuongorora chirwere
Chikamu cheradiculopathy chekuongorora chemuviri chiri kuyedza iyo dermatome yekunzwa. Murapi achashandisa bvunzo dzemanyorero kuti aone nhanho yemuzongoza kubva kunobva zviratidzo. Kuongororwa kwemaoko kunowanzo kuperekedzwa nekuongorora kufungidzira bvunzo seMRI, iyo inogona kuratidza kusagadzikana mumusana wetsinga midzi. Kuongororwa kwakakwana kwemuviri kuchaona kana musana wetsinga midzi ndiko kunobva zviratidzo.
Kurapa Zvikonzero Zvikuru
Zvirwere zvakawanda zvemusana zvinogona kurapwa nemishonga inochengetedza kuti ipe rubatsiro rwekurwadziwa. Kune herniated disk, semuenzaniso, vanhu vanogona kukurudzirwa kuzorora uye kutora nonsteroidal anti-inflammatory medication. Acupuncture, kurapa kwepanyama, chiropractic, kwete-kuvhiya traction, kana decompression therapies inogonawo kunyorerwa. Nekurwadziwa kwakanyanya, vanhu vanogona kupihwa jekiseni re epidural steroid iro rinogona kupa zororo rekurwadziwa nekuderedza kuzvimba. (American Academy of Orthopedic Surgeons: OrthoInfo. 2022 ) Kune spinal stenosis, mupi anogona kutanga atarisa pakurapa kwemuviri kuti avandudze kusimba kwese, kusimbisa madumbu uye kumashure mamhasuru, uye kuchengetedza kufamba mumuzongoza. Mishonga inobvisa marwadzo, kusanganisira NSAIDs uye majekiseni e corticosteroid, inogona kuderedza kuzvimba uye kubvisa marwadzo. (American College yeRheumatology. 2023 ) Varapi vepanyama vanopa marapirwo akasiyana siyana ekudzikisa zviratidzo, zvinosanganisira manyore uye mechanical decompression uye traction. Kuvhiya kunogona kukurudzirwa kune zviitiko zve radiculopathy iyo isingapinduri kune kurapa kwekuchengetedza.
Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injury, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol. Isu tinotarisa kudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwematishu akapfava tichishandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility, uye mobility Fitness Training, uye Rehabilitation Systems kwemazera ose. Kana munhu wacho achida kumwe kurapwa, anozoendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers kuti vauye neEl Paso, mishonga yepamusoro yekiriniki, kunharaunda yedu.
Dzorera Kufamba Kwako: Chiropractic Care For Sciatica Recovery
VIDEO
References
National Institutes of Health: National Institute of Neurological Disorders uye Stroke. (2020). Low back pain fact sheet. Zvakatorwa kubva www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf
American Academy of Orthopedic Surgeons: OrthoInfo. (2022). Herniated disk muzasi kumashure. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/
American College yeRheumatology. (2023). Spinal stenosis. rheumatology.org/patients/spinal-stenosis
by Dr Alex Jimenez Chiropractic , Nerve Injury , Sciatica
Vanhu vari kupfurwa, kurwadziwa kunorwadza mumigumo yezasi, uye marwadzo emakumbo epakati anogona kunge achitambura neurogenic claudication. Kuziva zviratidzo kungabatsira here vatapi vehutano kugadzira chirongwa chekurapa chinoshanda?
Neurogenic Claudication
Neurogenic claudication inoitika kana tsinga dzemuzongoza dzichimanikidzwa muchiuno kana pasi pemusana, zvichikonzera kurwadziwa kwemakumbo. Mitsipa yakamanikidzwa mulumbar spine inogona kukonzera marwadzo emakumbo uye makumbo. Marwadzo acho anowanzo wedzera nemafambiro chaiwo kana zviitiko zvakaita sekugara, kumira, kana kukotama kumashure. Inozivikanwawo se pseudo-claudication apo nzvimbo mukati me lumbar spine inotetepa. Chirwere chinozivikanwa se lumbar spinal stenosis. Zvisinei, neurogenic claudication is syndrome kana boka rezviratidzo zvinokonzerwa nepinched spinal nerve, nepo spinal stenosis inotsanangura kuderera kwemashure emusana.
zviratidzo
Neurogenic claudication zviratidzo zvinogona kusanganisira:
Gumbo cramping.
Chiveve, kurira, kana kunzwa kupisa.
Gumbo kuneta uye kushaya simba.
Kunzwa kurema mugumbo/s.
Yakapinza, kupfura, kana kurwadziwa kunorwadza kunosvika kuzasi, kazhinji mumakumbo ese.
Panogonawo kuva nemarwadzo muzasi kana matako.
Neurogenic claudication yakasiyana nemamwe marudzi emarwadzo emakumbo, sezvo marwadzo anochinja-kumira uye kutanga zvisizvo uye kuwedzera nekufamba kwakananga kana mabasa. Kumira, kufamba, kudzika masitepisi, kana kupenengura kumashure kunogona kukonzera marwadzo, ukagara, uchikwira masitepisi, kana kuzembera mberi kunoderedza marwadzo. Zvisinei, nyaya imwe neimwe yakasiyana. Nokufamba kwenguva, neurogenic claudication inogona kukanganisa kufamba sevanhu vanoedza kudzivisa mabasa anokonzera marwadzo, kusanganisira kurovedza muviri, kusimudza zvinhu, uye kufamba kwenguva refu. Muzviitiko zvakakomba, neurogenic claudication inogona kuita kuti kurara kuve kwakaoma.
Neurogenic claudication uye sciatica hazvina kufanana. Neurogenic claudication inosanganisira kudzvinyirira kwetsinga mukati memugero we lumbar spine, zvichikonzera marwadzo mumakumbo ose. Sciatica inosanganisira kudzvinyirirwa kwetsinga midzi inobuda kubva kumativi e-lumbar spine, zvichikonzera marwadzo mune rimwe gumbo. (Carlo Ammendolia, 2014 )
Zvinokonzera
Neneurogenic claudication, yakamanikidzwa spinal nerve ndiyo inokonzera marwadzo emakumbo. Muzviitiko zvakawanda, lumber spinal stenosis - LSS ndiyo inokonzera pinched nerve. Kune marudzi maviri e lumbar spinal stenosis.
Central stenosis ndiyo inonyanya kukonzera neurogenic claudication. Nemhando iyi, iyo yepakati canal ye lumbar spine, iyo inogara mutsara wemusana, inotetepa, ichikonzera marwadzo mumakumbo ose.
Lumbar spinal stenosis inogona kuwanikwa uye kukura gare gare muhupenyu nekuda kwekuderera kwemusana.
Congenital zvinoreva kuti munhu anozvarwa aine chirwere ichi.
Zvose zviri zviviri zvinogona kutungamirira kune neurogenic claudication nenzira dzakasiyana.
Foramen stenosis imwe mhando ye lumbar spinal stenosis inokonzera kutetepa kwenzvimbo kune rumwe rutivi rwe lumbar spine uko nerve midzi inobuda kubva kumusana. Marwadzo akabatanidzwa akasiyana pakuti angave ari mugumbo rerudyi kana kuruboshwe.
Marwadzo acho anoenderana nedivi remuzongoza uko tsinga dziri kudzvanywa.
Inowanikwa Lumbar Spinal Stenosis
Lumbar spinal stenosis inowanzowanikwa nekuda kwekuderera kwe lumbar spine uye inowanzobata vanhu vakwegura. Zvikonzero zvekuputika kweganda zvinogona kusanganisira:
Spinal trauma, senge kubva pakudhumhana kwemotokari, basa, kana kukuvara kwemitambo.
Disc herniation.
Spinal osteoporosis - kupfeka-uye-kubvarura arthritis.
Ankylosing spondylitis - rudzi rwechirwere chearthritis chinokanganisa musana.
Osteophytes - bone spurs.
Spinal tumors - kwete-kenza uye kenza.
Congenital Lumbar Spinal Stenosis
Congenital lumbar spinal stenosis zvinoreva kuti munhu anozvarwa aine hurema hwemuzongoza hunogona kusaoneka pakuzvarwa. Nokuti nzvimbo iri mukati memugero wepelinha yatove yakamanikana, musana wemuzongoza uri panjodzi kune chero shanduko sezera remunhu. Kunyange vanhu vane arthritis yakapfava vanogona kuona zviratidzo zveneurogenic claudication kutanga uye kutanga zviratidzo mu30s uye 40s yavo pane yavo 60s uye 70s.
kuongorora chirwere
Kuongororwa kweurogenic claudication kunonyanya kuenderana nenhoroondo yezvehutano hwemunhu, kuongororwa kwemuviri, uye kufungidzira. Kuongororwa kwemuviri uye kuongorora kunoratidza kuti marwadzo arikupi uye riinhi. Mutariri wehutano anogona kubvunza:
Pane nhoroondo yemarwadzo ekumusana here?
Kurwadza kwegumbo rimwe chete here kana kuti ose?
Kutambudzika kunogara kuripo here?
Marwadzo anouya oenda here?
Kurwadza kunowedzera here kana kuwedzera kana wakamira kana kugara?
Ko kufamba kana kuita zvinokonzeresa zviratidzo zvinorwadza uye manzwiro?
Pane chero manzwiro akajairika paunenge uchifamba?
mabatiro
Kurapa kunogona kusanganisira kurapwa kwemuviri, spinal steroid jekiseni, uye marwadzo meds. Kuvhiya inzira yekupedzisira apo mamwe marapirwo ese asingakwanisi kupa rubatsiro runoshanda.
Therapy Therapy
A kurapwa kuronga ichasanganisira kurapa kwemuviri kunosanganisira:
Zuva nezuva kutambanudza
Kusimbisa
Aerobic kurovedza
Izvi zvichabatsira kuvandudza uye kudzikamisa mhasuru dzepazasi uye kugadzirisa matambudziko ekumira.
Occupational therapy ichakurudzira kuchinja kwemabasa kunokonzera zviratidzo zvinorwadza.
Izvi zvinosanganisira ma mechanics akakodzera emuviri, kuchengetedza simba, uye kuziva zviratidzo zvinorwadza.
Mabhandi ekumashure kana mabhandi anogonawo kukurudzirwa.
Spinal Steroid Majekiseni
Vashandi vehutano vanogona kukurudzira epidural steroid majekiseni.
Izvi zvinopa cortisone steroid kune chikamu chekunze chemuzongoza kana epidural space.
Majekiseni anogona kupa zororo rekurwadziwa kwemwedzi mitatu kusvika kumakore matatu. (Sunil Munakomi et al., 2024 )
Kurwadziwa Medhi
Mishonga yemarwadzo inoshandiswa kurapa intermittent neurogenic claudication. Izvi zvinosanganisira:
Pamusoro-the-counter analgesics seacetaminophen.
Nonsteroidal anti-inflammatory drugs kana NSAIDs senge ibuprofen kana naproxen.
Mishonga yeNSAID inogona kunyorerwa kana ichidiwa.
NSAIDs dzinoshandiswa nekusingaperi neurogenic kurwadziwa uye inofanira kushandiswa chete kana ichidiwa.
Kushandiswa kwenguva refu kweNSAIDs kunogona kuwedzera njodzi yezvironda zvemudumbu, uye kunyanya kushandiswa kweacetaminophen kunogona kutungamirira kuhutu hwechiropa uye kukanganisa kwechiropa.
Surgery
Kana kurapa kwekuchengetedza kusingakwanisi kupa rubatsiro runoshanda uye kufamba uye / kana hupenyu hwehupenyu hunokanganiswa, kuvhiyiwa kunozivikanwa se laminectomy kunogona kukurudzirwa kuti decompress lumbar spine. Iyo nzira inogona kuitwa:
Laparoscopically - ine diki incisions, scopes, uye yekuvhiya chiridzwa.
Kuvhiya kwekuvhura - ne scalpel uye sutures.
Munguva yekuita, zvikamu zve vertebra zvinobviswa zvishoma kana zvachose.
Kuti ape kugadzikana, mapfupa dzimwe nguva anosanganiswa ne screws, ndiro, kana tsvimbo.
Mitemo yekubudirira yezvose zviri zviviri kana zvishoma zvakafanana.
Pakati pe85% uye 90% yevanhu vari kuvhiyiwa vanowana kwenguva refu uye / kana kusingaperi kurwadziwa. (Xin-Long Ma et al., 2017 )
Movement Medicine: Chiropractic Care
VIDEO
References
Ammendolia C. (2014). Degenerative lumbar spinal stenosis uye vanyengeri vayo: nyaya nhatu dzezvidzidzo. The Journal of the Canadian Chiropractic Association, 58 (3), 312-319.
Munakomi S, Foris LA, Varacallo M. (2024). Spinal Stenosis uye Neurogenic Claudication. [Yakagadziridzwa 2023 Aug 13]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Kubudirira kwekuvhiya kunopesana nekuchengetedza kurapwa kwe lumbar spinal stenosis: A system review uye meta-analysis ye randomized controlled trials. International magazini yekuvhiya (London, England), 44, 329-338. doi.org/10.1016/j.ijsu.2017.07.032
by Dr Alex Jimenez Nerve Injury , Neuropathy
Kune vanhu vari kubata nekurwadziwa kusingaperi, kuitisa nerve block process kunobatsira kuderedza uye kugadzirisa zviratidzo?
Tsinga Zvidhinha
Nerve block inzira inoitwa kukanganisa/kuvharisa masaini ekurwadziwa nekuda kwekusashanda zvakanaka kwetsinga kana kukuvara. Inogona kushandiswa pakuongorora kana kurapwa, uye mhedzisiro yavo inogona kuva pfupi kana kwenguva refu, zvichienderana nerudzi rwuri kushandiswa.
A temporary nerve block zvinogona kusanganisira kushandiswa kana jekiseni rinomisa zviratidzo zvekurwadziwa kubva pakutapurira kwenguva pfupi.
Semuenzaniso, pakuzvitakura, jekiseni re epidural rinogona kushandiswa panguva yekuzvara uye pakusununguka.
Permanent nerve blocks zvinosanganisira kucheka / kucheka kana kubvisa zvimwe zvikamu zvetsinga kumisa zviratidzo zvinorwadza.Izvi zvinoshandiswa mumatambudziko ane kukuvara kwakanyanya kana mamwe mamiriro ekurwadziwa asingagumi asina kuvandudzwa nedzimwe nzira dzekurapa.
Kushandiswa Kwekurapa
Kana vatapi vehutano vakaongorora chirwere chisingaperi chinokonzerwa nekukuvara kwetsinga kana kusashanda zvakanaka, vanogona kushandisa nerve block kuti vawane nzvimbo inogadzira zviratidzo zvinorwadza. Vanogona kuita electromyography uye/kana a nerve conduction velocity / NCV bvunzo kuratidza chikonzero chekusingaperi marwadzo etsinga. Nerve blocks inogona zvakare kurapa kusingaperi neuropathic kurwadziwa, sekurwadziwa kunokonzerwa nekukuvara kwetsinga kana kudzvanywa. Nerve blocks inogara ichishandiswa kurapa musana uye kurwadziwa kwemutsipa kunokonzerwa ne herniated discs kana spinal stenosis. (Johns Hopkins Mushonga. 2024 )
Types
Mhando nhatu dzinosanganisira:
Local
Neurolytic
Kugadzirwa
Zvose zvitatu zvinogona kushandiswa kumamiriro ezvinhu anokonzera kurwadziwa kusingaperi. Nekudaro, zvivharo zveurolytic uye zvekuvhiya ndezvechigarire uye zvinongo shandiswa pakurwadziwa kwakanyanya kwakawedzera nekumwe marapirwo asingakwanise kupa zororo.
Temporary Blocks
Chivharo chemunharaunda chinoitwa nekubaya kana kushandisa anesthetics emunharaunda, senge lidocaine, kune imwe nzvimbo.
An epidural is a local nerve block iyo inopinza steroids kana analgesics munzvimbo yakatenderedza musana.
Izvi zvinowanzoitika panguva yekuzvitakura, yekusununguka, uye yekusununguka.
Epidurals inogonawo kushandiswa kurapa mutsipa usingaperi kana kurwadziwa shure nekuda kwekumanikidzwa kwetsinga yemuzongoza.
Zvivharo zvemunharaunda zvinowanzova zvenguva pfupi, asi muchirongwa chekurapa, zvinogona kudzokororwa nekufamba kwenguva kuti zvigadzirise kurwadziwa kusingaperi kubva mumamiriro akaita seArthritis, sciatica, uye migraines. (NYU Langone Health. 2023 )
Permanent Blocks
A neurolytic block inoshandisa doro, phenol, kana thermal agents kurapa marwadzo etsinga asingaperi. (National Institute of Neurological Disorders uye Stroke. 2023 ) Maitiro aya anokuvadza dzimwe nzvimbo dzetsinga nzira nemaune kuitira kuti zviratidzo zvekurwadziwa zvisafambiswe. A neurolytic block inonyanya kushandiswa kune akanyanya kurwadziwa asingaperi kesi, sekurwadziwa kubva kugomarara kana yakaoma region pain syndrome/CRPS. Dzimwe nguva dzinoshandiswa kurapa kurwadziwa kunoramba kuripo kubva kukusingaperi kwepancreatitis uye kurwadziwa mumadziro echipfuva mushure mekuvhiyiwa. (Johns Hopkins Mushonga. 2024 ) (Alberto M. Cappellari et al., 2018 )
Iyo neurosurgeon inoita yekuvhiya nerve block iyo inosanganisira kuvhiya kubvisa kana kukuvadza nzvimbo dzakanangana dzetsinga. (National Institute of Neurological Disorders uye Stroke. 2023 ) Kuvhiya tsinga block inongoshandiswa kune zvakanyanya kurwadziwa kesi, sekurwadziwa kwekenza kana trigeminal neuralgia.
Kunyangwe neurolytic uye yekuvhiya nerve blocks ari maitiro echigarire, zviratidzo zvekurwadziwa, uye manzwiro anogona kudzoka kana tsinga dzikakwanisa kukura nekuzvigadzirisa. (Eun Ji Choi et al., 2016 ) Zvisinei, zviratidzo uye manzwiro zvinogona kusadzoka mwedzi kana makore mushure mekuvhiyiwa.
Nzvimbo dzakasiyana dzeMuviri
Inogona kupihwa munzvimbo zhinji dzemuviri, kusanganisira: (Hospital for Special Surgery. 2023 ) (Stanford Medicine. 2024 )
Scalp
uso
Neck
Collarbone
pamafudzi
maoko
shure
bhokisi
Ribcage
Madzi
Pelvis
magaro
makumbo
Ankle
Feet
Migumisiro Yechiri
Aya maitiro anogona kuve nenjodzi inogona kuitika yekusingaperi kukuvara kwetsinga. (Anthem BlueCross. 2023 ) Tsinga dzinonzwa uye dzinoita patsva zvishoma nezvishoma, saka kukanganisa kudiki kunogona kukonzera mhedzisiro. (D O'Flaherty et al., 2018 ) Zvinowanzoitika zvinosanganisira:
Kuoma mitezo
Kushaya simba
Kugaronzwa chiveve
Muzviitiko zvisingawanzoitiki, iyo block inogona kutsamwisa nerve uye kukonzera kuwedzera kurwadziwa.
Varapi vehutano vane hunyanzvi uye vane marezinesi vakaita savanachiremba vekuvhiya, varapi vekudzora marwadzo, anesthesiologists, uye vanachiremba vemazino vanodzidziswa kuita maitiro aya nemazvo.
Kune nguva dzose njodzi yekukuvadzwa kwetsinga kana kukuvara, asi ruzhinji rwetsinga dzinovhara zvakachengeteka uye zvinobudirira kudzikira uye kubatsira kubata marwadzo asingaperi. (Anthem BlueCross. 2023 )
Zvaunotarisira
Vanhu vanogona kunzwa chiveve kana kuvava uye/kana kucherechedza kutsvuka kana kushatirwa pedyo kana kutenderedza nzvimbo yenguva pfupi.
Ikoko kunogonawo kuve nekuzvimba, izvo zvinomanikidza tsinga uye zvinoda nguva yekuvandudza. (Stanford Medicine. 2024 )
Vanhu vanogona kukumbirwa kuti vazorore kwenguva yakati mushure mekuita.
Zvichienderana nerudzi rwemaitirwo acho, vanhu vangafanira kupedza mazuva mashoma vari muchipatara.
Mamwe marwadzo anogona kunge achiripo, asi hazvirevi kuti nzira yacho haina kushanda.
Vanhu vanofanirwa kubvunzana nevarapi vehutano nezve njodzi uye mabhenefiti kuti vaone kuti ichokwadi mabatiro .
Sciatica, Zvinokonzera, Zviratidzo, uye Mazano
VIDEO
References
Johns Hopkins Mushonga. (2024). Nerve blocks. (Utano, Nyaya. www.hopkinsmedicine.org/health/conditions-and-diseases/nerve-blocks
NYU Langone Health. (2023). Nerve block yemigraine (Dzidzo uye Tsvagiridzo, Nyaya. nyulangone.org/conditions/migraine/treatments/nerve-block-for-migraine
National Institute of Neurological Disorders uye Stroke. (2023). Marwadzo. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/pain#3084_9
Johns Hopkins Mushonga. (2024). Chronic pancreatitis kurapwa (Hutano, Nyaya. www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pancreatitis/chronic-pancreatitis-treatment
Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). Intercostal Neurolysis yeKurapwa kwePostsurgical Thoracic Pain: Nyaya Yenyaya. Tsandanyama & tsinga, 58 (5), 671-675. doi.org/10.1002/mus.26298
Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Neural Ablation uye Kuberekwazve muPain Practice. Magazini yeKorea yemarwadzo, 29 (1), 3-11. doi.org/10.3344/kjp.2016.29.1.3
Hospital for Special Surgery. (2023). Regional anesthesia. www.hss.edu/condition-list_regional-anesthesia.asp
Stanford Medicine. (2024). Mhando dze nerve blocks (Kune Varwere, Nyaya. med.stanford.edu/ra-apm/for-patients/nerve-block-types.html
Anthem BlueCross. (2023). Peripheral nerve blocks yekurapa marwadzo neuropathic. (Medical Policy, nyaya. www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_c181196.html
O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). Kukuvadzwa kwetsinga mushure meperipheral nerve blockade-yazvino kunzwisisa uye nhungamiro. BJA dzidzo, 18(12), 384–390. doi.org/10.1016/j.bjae.2018.09.004
Stanford Medicine. (2024). Mibvunzo yakajairika yevarwere nezve nerve blocks. (Kune Varwere, Nyaya. med.stanford.edu/ra-apm/for-patients/nerve-block-questions.html
by Dr Alex Jimenez Chiropractic , Nerve Injury
Vanhu vane zviratidzo zvekurwadziwa senge kupfura, kubaya, kana manzwiro emagetsi kune latissimus dorsi yekumusoro kumashure kunogona kukonzerwa nekukuvara kwetsinga kune thoracodorsal nerve. Kuziva anatomy uye zviratidzo zvinogona kubatsira varapi vehutano kugadzira chirongwa chekurapa chinoshanda?
Thoracodorsal Nerve
Uyewo anozivikanwa sa tsinga yepakati pescapular kana iyo yakareba subscapular nerve , inobuda kubva muchikamu chebrachial plexus uye inopa mota innervation/kushanda kune latissimus dorsi tsandanyama .
Anatomy
Iyo brachial plexus inetiweki yetsinga dzinobva muzongoza mumutsipa. Mitsipa inopa zvakanyanya kunzwa uye kufamba kwemaoko nemaoko, neimwe kune rumwe rutivi. Midzi yaro mishanu inobva munzvimbo dziri pakati pechishanu kusvika yechisere yekervical vertebrae uye yekutanga thoracic vertebra. Kubva ipapo, vanogadzira chimiro chakakura, vozopatsanura, kubatanidza, uye kupatsanura zvakare kuti vagadzire tutsinga tudiki uye tsinga dzetsinga pavanenge vachifamba vachidzika nehapwa. Kuburikidza nemutsipa nechipfuva, tsinga dzinozobatana dzoita tambo nhatu dzinosanganisira:
Lateral cord
Medial tambo
Shure tambo
Iyo posterior cord inoburitsa matavi makuru uye madiki anosanganisira:
Axillary nerve
Radial nerve
Madiki mapazi anosanganisira:
Superior subscapular nerve
Inferior subscapular nerve
Thoracodorsal nerve
Chimiro uye Chinzvimbo
Iyo thoracodorsal nerve matavi kubva kumashure kwetambo muhapwa uye inofamba ichidzika, ichitevera subscapular artery, kune latissimus dorsi muscle.
Inobatana nepamusoro peruoko, yotambanudzira kuseri kwehapwa, ichiita axillary arch, yobva yawedzera kuita gonyotatu hombe inomonerera mbabvu nekumashure.
Iyo thoracodorsal nerve inorara mukati me latissimus dorsi, uye mupendero wezasi unowanzosvika padyo nechiuno.
Kusiyana
Kune nzvimbo yakajairwa uye kosi ye thoracodorsal nerve, asi tsinga dzemunhu hadzina kufanana mumunhu wese.
Iyo tsinga inowanzotanha kubva kumashure kwetambo yebrachial plexus kubva pamapoinzi matatu akasiyana.
Nekudaro, akasiyana subtypes akaonekwa.
Iyo thoracodorsal nerve inopa teres hombe tsandanyama munenge 13% yevanhu. (Brianna Chu, Bruno Bordoni. 2023 )
Iwo ma lats anogona kunge ane isingawanzo anatomical musiyano inozivikanwa se a Langer's arch , chinova chikamu chekuwedzera chinobatana nemhasuru kana matishu epamusoro peruoko pasi penzvimbo inobatana.
Mune vanhu vane izvi zvisiri izvo, iyo thoracodorsal nerve inopa basa / innervation) kune arch. (Ahmed M. Al Maksoud et al., 2015 )
basa
Iyo latissimus dorsi muscle haigone kushanda pasina thoracodorsal nerve. The tsandanyama netsinga zvinobatsira:
Gadzirisa musana.
Dhonza huremu hwemuviri paunokwira, kushambira, kana kuita zvekudhonza.
Batsira nekufema nekuwedzera mbabvu panguva yekufema uye kubata kana uchifema. (Encyclopaedia Britannica. 2023 )
Tenderedza ruoko mukati.
Dhonza ruoko nechepakati pemuviri.
Wedzera mapepa nekushanda ne teres huru, teres minor, uye posterior deltoid muscles.
Hunza pasi bhanhire repafudzi nekukwenya musana.
Kukotama kudivi nekutsemura musana.
Isa chiuno kumberi.
Conditions
Iyo thoracodorsal nerve inogona kukuvadzwa chero kupi munzira yayo nekushungurudzika kana chirwere. Zviratidzo zvekukuvara kwetsinga zvinogona kusanganisira: (U.S. National Library yeMishonga: MedlinePlus. 2022 )
Marwadzo anogona kuva kupfura, kubaya, kana kunzwa magetsi.
Chiveve, kurira.
Kushaya simba uye kurasikirwa kwebasa mumasumbu akabatanidzwa uye nhengo dzemuviri, kusanganisira wrist uye kudonha kwemunwe.
Nekuda kwenzira yetsinga kuburikidza nehapwa, vanachiremba vanofanirwa kungwarira kune akasiyana eanatomical kuti varege kukuvadza tsinga panguva yekuitwa kenza yemazamu, kusanganisira axillary dissection.
Iyo nzira inoitwa kuongorora kana kubvisa malymph nodes uye inoshandiswa mukuita kenza yemazamu uye mukurapa.
Maererano neongororo, 11% yevanhu vane axillary lymph node dissection vakakuvadzwa kune nerve. (Roser Belmonte et al., 2015 )
Breast Reconstruction
Mukuvhiyiwa kwekuvakazve mazamu, ma lats anogona kushandiswa seflap pamusoro pekuisirwa.
Zvichienderana nemamiriro ezvinhu, iyo thoracodorsal nerve inogona kusiiwa yakasimba kana kuparadzaniswa.
Vezvechiremba havana kubvumirana kuti ndeipi nzira ine mhedzisiro yakanaka. (Sung-Tack Kwon et al., 2011 )
Pane humwe humbowo hwekuti kusiya tsinga yakasimba kunogona kuita kuti tsandanyama ibatane uye ibvise iyo implant.
An intact thoracodorsal nerve inogonawo kukonzera atrophy yemhasuru, iyo inogona kutungamirira kune kushaya simba kwefudzi uye ruoko.
Graft Inoshandiswa
Chikamu chethoracodorsal nerve chinowanzo shandiswa mukugadzirisa tsinga kudzoreredza basa mushure mekukuvara, izvo zvinosanganisira zvinotevera:
Musculocutaneous nerve
Accessory nerve
Axillary nerve
Iyo tsinga inogona zvakare kushandiswa kudzoreredza tsinga kushanda kune triceps tsandanyama muruoko.
Rehabilitation
Kana iyo thoracodorsal nerve yakakuvara kana kukuvadzwa, kurapwa kunogona kusanganisira:
Braces kana splints.
Physical therapy yekuvandudza huwandu hwekufamba, kuchinjika, uye simba remhasuru.
Kana paine kudzvanyirirwa, kuvhiyiwa kunogona kudikanwa kuderedza kumanikidza.
Kuongorora Integrative Medicine
VIDEO
References
Chu B, Bordoni B. Anatomy, Thorax, Thoracodorsal Nerves. [Yakagadziridzwa 2023 Jul 24]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK539761/
Al Maksoud, A. M., Barsoum, A. K., & Moneer, M. M. (2015). Langer's arch: isingawanzo anomaly inokanganisa axillary lymphadenectomy. Nyaya yekuvhiya nyaya mishumo, 2015(12), rjv159. doi.org/10.1093/jscr/rjv159
Britannica, Vapepeti veEncyclopaedia. “latissimus dorsi “. Encyclopedia Britannica, 30 Mbudzi 2023, www.britannica.com/science/latissimus-dorsi . Yakasvika 2 Ndira 2024.
US National Library yeMishonga: MedlinePlus. Peripheral neuropathy .
Belmonte, R., Monleon, S., Bofill, N., Alvarado, M. L., Espadaler, J., & Royo, I. (2015). Yakareba thoracic nerve kukuvara muvarwere vekenza yemazamu vanobatwa neaxillary lymph node dissection. Tsigiro yekuchengetedza mugomarara: yepamutemo magazini yeMultinational Association yeRutsigiro Kuchengeta muCancer, 23 (1), 169-175. doi.org/10.1007/s00520-014-2338-5
Kwon, S. T., Chang, H., & Oh, M. (2011). Anatomic nheyo ye interfascicular nerve splitting ye innervated partial latissimus dorsi muscle flap. Chinyorwa chepurasitiki, reconstructive & aesthetic surgery : JPRAS, 64(5), e109–e114. doi.org/10.1016/j.bjps.2010.12.008
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , chisingaperi Pain , Nerve Injury , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Ko vanhu vane tsinga yekusashanda zvakanaka vanogona kubatanidza decompression isiri yekuvhiya kudzorera kunzwa-kufamba kushanda kumiviri yavo?
ziviso
Iyo musana wemusculoskeletal system musculoskeletal system inosanganisira mapfupa, majoini, uye tsinga dzinoshanda pamwe neakasiyana mhasuru uye matishu kuti ive nechokwadi chekuti musana wakachengetedzwa. Mutsipa wemuzongoza chikamu chepakati tsinga system apo midzi yetsinga inopararira kunhengo dzepamusoro nedzezasi dzemuviri dzinopa sensory-motor mabasa. Izvi zvinobvumira muviri kufamba uye kushanda pasina kurwadziwa kana kusagadzikana. Nekudaro, kana muviri nemuzongoza zvakura kana kana munhu achinge abatwa nekukuvara, midzi yetsinga inogona kutsamwiswa uye ikonzerese manzwiro asina kujairika senge chiveve kana kurira, kazhinji achienderana nekurwadziwa kwemuviri. Izvi zvinogona kukonzera mutoro wemagariro nehupfumi kune vanhu vazhinji uye, kana zvikasarapwa ipapo, zvinogona kutungamirira kumarwadzo asingagumi. Kusvika ipapo, zvinogona kutungamira kune vanhu vazhinji vanobata nekurwadziwa kwemuviri kunoenderana nekunzwa kusagadzikana kwetsinga. Izvi zvinokonzeresa kuti vanhu vazhinji vari kubata ne musculoskeletal disorders kuti vatange kutsvaga kurapwa. Chinyorwa chanhasi chinoongorora kuti kusashanda zvakanaka kwetsinga kunokanganisa sei migumo uye kuti decompression isiri yekuvhiya inogona kubatsira sei kuderedza kusagadzikana kwetsinga kubvumira kufamba kudzokera kumusoro uye kuzasi maoko nemakumbo. Isu tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuti vape zvigadziriso zvisina kuvhiyiwa senge decompression kubatsira vanhu vane nerve dysfunction. Isu tinozivisawo varwere nzira yekusavhiya decompression inogona kudzoreredza kufamba-kunzwa kune kumusoro uye kuzasi migumo. Tinokurudzira varwere vedu kuti vabvunze mibvunzo yakaoma uye inodzidzisa kune vatinosanganisirwa varapi vekurapa nezve kurwadziwa-sezviratidzo zvavari kusangana nazvo zvinoenderana nekusashanda kwetsinga. Dr. Alex Jimenez, DC, anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Mabatiro Anoita Nerve Dysfunction The Extremities
Unonzwa kurira kana kusanzwa kwechiveve mumaoko ako kana tsoka dzisingade kuenda? Iwe unonzwa kurwadziwa muzvikamu zvakasiyana-siyana zvemashure zvinogona kusunungurwa chete kuburikidza nekutambanudza kana kuzorora? Kana kuti zvinorwadza here kufamba madaro marefu zvokuti unonzwa sokuti unofanira kugara uchizorora? Zvakawanda zvinorwadza-sezvinoitika zvinosanganiswa nekunzwa kusagadzikana kwetsinga inogona kukanganisa kumusoro uye kuzasi. Kana vanhu vazhinji vachiona kusagadzikana kwetsinga uye kubata nekunzwa kusinganzwisisike mumigumo yavo, vazhinji vanofunga kuti imhaka yemarwadzo emusculoskeletal mumutsipa, mafudzi, kana musana. Ichi chinongova chikamu chenyaya, sezvo zvakawanda zvezvakatipoteredza zvinogona kusanganiswa nekurwadziwa kwetsinga, sezvo midzi yetsinga iri kumanikidzirwa uye kubvongodzwa, zvichikonzera kusagadzikana kwehutano mumakumbo. Sezvo midzi yetsinga yakapararira kubva kumusana, uropi hunotumira ruzivo rweneuron kumidzi yetsinga kuti ibvumire kunzwa-kufamba kushanda mupamusoro nepamusoro pemigumo. Izvi zvinobvumira muviri kuti ufambe pasina kusagadzikana kana kurwadziwa uye kushanda kuburikidza nemabasa ezuva nezuva. Nekudaro, kana vanhu vazhinji vachitanga kuita kudzokorora mafambiro anoita kuti spinal disc isimbiswe nguva dzose, inogona kutungamirira kune inogona kuita disc herniation uye musculoskeletal kusagadzikana. Sezvo midzi yakawanda yetsinga ichipararira kune dzakasiyana-siyana, kana midzi huru yetsinga ichiwedzerwa, inogona kutumira zviratidzo zvinorwadza kune imwe neimwe. Nekudaro, vanhu vazhinji vari kubata nekusungwa kwetsinga kunotungamira kuzasi kumashure, matako, uye kurwadziwa kwemakumbo izvo zvinogona kukanganisa maitiro avo ezuva nezuva. ( Karl et al., 2022 ) Panguva imwecheteyo, vanhu vakawanda vane sciatica vari kutarisana nekunzwa kusagadzikana kwehutano hunokanganisa kukwanisa kwavo kufamba. Ne sciatica, inogona kusanganiswa nespinal disc pathology uye inokonzera vanhu vazhinji kutsvaga kurapwa. ( Bush et al., 1992 )
Sciatica Zvakavanzika Zvakazarurwa-Vhidhiyo
VIDEO
Kana zvasvika pakutsvaga kurapwa kuti kuderedze kusashanda zvakanaka kwetsinga, vanhu vazhinji vanozosarudza mhinduro dzisina kuvhiyiwa kuti vaderedze marwadzo-sezviratidzo uye kuderedza zviratidzo zvinorwadza izvo zviri kuita kuti kumusoro uye kuzasi kutambure. Nonsurgical treatment solutions like decompression inogona kubatsira kudzoreredza tsinga dzinonzwa kuburikidza nekubata zvinyoro nyoro nekuita kuti spinal disc ibvise iyo yakawedzera nerve midzi uye kutanga kupora kwemuviri. Panguva imwecheteyo, inobatsira kuderedza musculoskeletal kusagadzikana kubva pakudzoka. Vhidhiyo iri pamusoro inoratidza kuti sciatica yakabatana nekunzwa kusagadzikana kwetsinga inogona kudzikiswa kuburikidza nekusavhiyiwa marapirwo kubvumira nhengo dzemuviri kunzwa zviri nani.
Nonsurgical Decompression Reducing Nerve Dysfunction
Mishonga isina kuvhiyiwa inogona kubatsira kuderedza marwadzo ekudzokera kumashure anoenderana nekunzwa kusagadzikana kwetsinga kudzorera sensory-motor basa kumucheto wepamusoro uye wakaderera. Vanhu vazhinji vanosanganisa marapirwo asiri ekuvhiya senge decompression sechikamu chehutano hwavo uye magariro ehutano vanogona kuona kuvandudzwa mushure mekurapa kwakatevedzana. ( Chou et al., 2007 ) Sezvo varapi vazhinji vezvehutano vachibatanidza marapirwo asina kuvhiyiwa senge decompression mumaitiro avo, pave nekuvandudzwa kwakanyanya mukugadzirisa marwadzo. ( Bronfort et al., 2008 )
Kana vanhu vazhinji vatanga kushandisa decompression isiri yekuvhiya yekusashanda zvakanaka kwetsinga, vazhinji vanozoona kuvandudzwa mukurwadziwa kwavo, kufamba, uye zviitiko zvehupenyu hwavo hwezuva nezuva. ( Gose et al., 1998 ) Chii chinonzi spinal decompression kumidzi yetsinga ndechekuti inobatsira disc yakakanganisika iyo iri kuwedzera tsinga midzi, inokwevera iyo disc kumashure kwayo yepakutanga, uye inoidzosera. ( Ramos naMartin, 1994 ) Vanhu vakawanda pavanotanga kufunga nezveutano hwavo uye kugara kwavo zvakanaka, kurapwa pasina kuvhiyiwa kunogona kuvabatsira nekuda kwemutengo wavanodhura uye kuti vangasanganiswa sei nemamwe marapiro kuti vagadzirise zvirinani marwadzo ane chekuita nekusashanda zvakanaka kwetsinga kunokanganisa nhengo dzemuviri wavo.
References
Bronfort, G., Haas, M., Evans, R., Kawchuk, G., & Dagenais, S. (2008). Uchapupu-hunoziva manejimendi yekusingaperi kuderera kwemarwadzo ekudzokera shure nekugadzirisa musana uye kuunganidza. Spine J , 8 (1), 213-225. doi.org/10.1016/j.spinee.2007.10.023
Bush, K., Cowan, N., Katz, DE, & Gishen, P. (1992). Nhoroondo yechisikigo ye sciatica yakabatana ne disc pathology. Chidzidzo chinotarisirwa nekiriniki uye yakazvimirira radiologic yekutevera. Pine (Phila Pa 1976) , 17 (10), 1205-1212. doi.org/10.1097/00007632-199210000-00013
Chou, R., Huffman, LH, American Pain, S., & American College of, P. (2007). Nonpharmacologic therapies yekurwadziwa kwakanyanya uye kusingaperi kwemarwadzo ekudzokera shure: kuongororwa kwehuchapupu hweAmerican Pain Society / American College of Physicians Clinical Practice Guideline. Ann Intern Med , 147 (7), 492-504. doi.org/10.7326/0003-4819-147-7-200710020-00007
Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). Vertebral axial decompression therapy yekurwadziwa kunobatanidza ne-herniated kana degenerated discs kana facet syndrome: chidzidzo chemugumisiro. Neurol Res , 20 (3), 186-190. doi.org/10.1080/01616412.1998.11740504
Karl, HW, Helm, S., & Trescot, AM (2022). Superior uye Middle Cluneal Nerve Entrapment: Chikonzero cheKudzokera Kumashure uye Radicular Pain. Pain Physician , 25 (4), E503-E521. www.ncbi.nlm.nih.gov/pubmed/35793175
Ramos, G., & Martin, W. (1994). Migumisiro ye vertebral axial decompression pane intradiscal pressure. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Disclaimer
by Dr Alex Jimenez chisingaperi Pain , Nerve Injury
Kune vanhu vanotarisana nemarwadzo asingagumi vanogona kuva nekunzwisisa zviri nani kwenyanzvi dzekugadzirisa marwadzo kubatsira mukugadzira zvirongwa zvekurapa zvakasiyana-siyana?
Pain Management Nyanzvi
Pain management inyanzvi yekurapa inokura iyo inotora nzira dzakasiyana-siyana dzekurapa marudzi ese emarwadzo. Ibazi remushonga rinoshandisa nzira dzakaratidzwa nesainzi dzekudzikisa, kuderedza, uye kugadzirisa zviratidzo zvekurwadziwa uye manzwiro. Vanamazvikokota vepain management vanoongorora, kugadzirisa, uye kubata huwandu hwemamiriro ezvinhu, kusanganisira kurwadziwa kweuropathic, sciatica, kurwadziwa kwepashure, kurwadziwa kusingaperi, nezvimwe. Vazhinji vatapi vehutano hwekutanga vanoendesa varwere vavo kune nyanzvi dzekutarisira marwadzo kana zviratidzo zvekurwadziwa zvichienderera kana zvakakosha mukuratidzwa kwavo.
Nyanzvi
Vatariri vehutano vanonyanya kugadzirisa marwadzo vanoziva kuoma kwemarwadzo uye vanosvika kune dambudziko kubva kumativi ose. Kurapa pakiriniki yemarwadzo kunonyanyoenderana nemurwere asi kunoenderana nezvinowanikwa zvekiriniki. Parizvino, hapana mipimo yakatarwa yemhando dzechirango chinodiwa, chimwe chikonzero nzira dzekurapa dzinosiyana kubva kukiriniki kuenda kukiriniki. Nyanzvi dzinoti nzvimbo inofanirwa kupa varwere:
A coordinating practitioner specializing in pain management and consulting specialists akamiririra murwere.
Nyanzvi yekudzorera muviri.
Chiremba wepfungwa kuti abatsire munhu kutarisana nekuora mwoyo chero kupi zvako kunofambidzana kana kushungurudzika, kunyanya kana uchibata nekurwadziwa kusingaperi. (American Society of Regional Anesthesia uye Pain Medicine. 2023 )
Zvimwe Zvishongo Zvekurapa
Humwe hunyanzvi hunomiririrwa mukugadzirisa marwadzo ndeye anesthesiology, neurosurgery, uye mushonga wemukati. Anoronga wehutano hwehutano anogona kutumira munhu kune masevhisi kubva:
Mupi wehutano anofanirwa kunge apedza kudzidziswa kwekuwedzera uye kubvumidzwa mukurapa kurwadziwa uye kuve MD ane bhodhi certification mune imwe yeiyi inotevera (American Board of Medical Specialties. 2023 )
Anesthesiology
Kuvandudza muviri
Psychiatry
Neurology
Chiremba wekurapa marwadzo anofanirwawo kuita kuti maitiro avo ave mashoma kune hunyanzvi hwavanobata chitupa.
Zvinangwa Zvekutungamirira
Munda wekugadzirisa marwadzo unobata marudzi ese emarwadzo sechirwere. Zvisingaperi, zvakadai semusoro; acute, kubva pakuvhiyiwa, nezvimwe. Izvi zvinobvumira kushandisa sainzi uye kufambira mberi kwekurapa kwekunyaradza marwadzo. Ikozvino pane nzira dzakawanda, kusanganisira:
Mishonga
Kupindira maitiro ekugadzirisa marwadzo - nerve blocks, spinal cord stimulators, uye kurapa kwakafanana.
Physical therapy
Alternative medicine
Chinangwa ndechekuderedza uye kuita kuti zviratidzo zvigadzirike.
Vandudza basa.
Wedzera hupenyu hwehupenyu. (Srinivas Nalamachu. 2013 )
Kliniki yekutarisira kurwadziwa ichapfuura nekutevera:
Kuongorora.
Diagnostic bvunzo, kana zvichidikanwa.
Physical therapy - inowedzera huwandu hwekufamba, inosimbisa muviri, uye inogadzirira vanhu kuti vadzokere kubasa uye mabasa ezuva nezuva.
Kupindira kurapwa - majekiseni kana musana wekukurudzira.
Kuendesa kune chiremba anovhiya kana zvichiratidzwa nekuongororwa uye kuongororwa.
Psychiatry kubata nekuora mwoyo, kuzvidya mwoyo, uye / kana zvimwe zvinhu zvinoperekedza zviratidzo zvinorwadza zvisingaperi.
Mumwe mushonga wekutsigira uye kuwedzera mamwe marapirwo.
Vanhu vanoita zvakanaka nehurongwa hwekugadzirisa marwadzo
Vanhu vane:
Kutambudzika shure Neck marwadzo
Ndakavhiyiwa musana kakawanda
Kuvhiya kwakakundikana
Neuropathy
Vanhu vakasarudza kuti kuvhiyiwa hakubatsiri mamiriro avo.
Kunzwisisa kuri nani kwemarwadzo ekurwadziwa nenharaunda uye makambani einishuwarenzi uye kuwedzera marwadzo zvidzidzo zvichabatsira kuwedzera inishuwarenzi yekuvhara marapirwo uye tekinoroji yekuvandudza mhedzisiro yekupindira.
Chiropractic Kuchengetedza Kusagadzikana Kwemakumbo
VIDEO
References
American Society of Regional Anesthesia uye Pain Medicine. (2023). Ihwo hunokosha hwekugadzirisa marwadzo asingagumi .
American Academy yePain Medicine (2023). NezveAmerican Academy yePain Medicine .
American Board of Medical Specialties. (2023). Iyo Yakanyanya Kuvimbwa Medical Specialty Certification Organisation .
Nalamachu S. (2013). Mhedziso yekutarisira marwadzo: kiriniki efficacy uye kukosha kwekurapa. Magazini yeAmerica yekuchengetedzwa kwakachengetedzwa, 19(14 Suppl), s261–s266.
American Society of Interventional Pain Physicians. (2023). Pain Physician .
by Dr Alex Jimenez Nerve Injury , Sciatica
Vanhu vari kunzwa kurira kana mapini uye kunzwa tsono kunobata maoko kana makumbo vanogona kunge vachisangana neparesthesia, iyo inoitika kana tsinga yakadzvanywa kana kukuvara. Kuziva zviratidzo uye zvikonzero zvingabatsira here mukuongororwa uye kurapwa?
Paresthesia Muviri Sensations
Kunzwa chiveve kana kurira kana ruoko, gumbo, kana tsoka yarara haisi nyaya yekutenderera kweropa asi kushanda kwetsinga.
Paresthesia imanzwiro asina kujairika anonzwa mumuviri nekuda kwekudzvanywa kana kushatirwa kwetsinga.
Inogona kuve yekukonzeresa senge yakamanikidzwa / pinched nerve.
Kana kuti zvinogona kunge zvichikonzerwa nekurwara, kukuvara, kana kurwara.
zviratidzo
Paresthesia inogona kukonzera zviratidzo zvakasiyana-siyana. Zviratidzo izvi zvinogona kubva pane zvakapfava kusvika kune zvakanyanya uye zvinogona kuva zvenguva pfupi kana kwenguva refu. Zviratidzo zvinogona kusanganisira: (National Institute of Neurological Disorders uye Stroke. 2023 )
Tingling
Pini uye nesipo sensations
Kunzwa kuti ruoko kana gumbo rabatwa nehope.
Numbness
Itching.
Kunzwa kutsva.
Kunetsa kubata mamhasuru.
Kunetseka kushandisa ruoko kana gumbo rabatwa.
Zviratidzo zvinowanzogara kwemaminitsi makumi matatu kana pasi.
Kudzungudza nhengo yakabatwa kazhinji kunobvisa manzwiro.
Paresthesia inowanzobata ruoko rumwe chete kana gumbo panguva.
Zvisinei, zvose maoko nemakumbo zvinogona kukanganiswa, zvichienderana nechikonzero.
Bvunza varapi vehutano kana zviratidzo zvikapera kweanopfuura maminetsi makumi matatu. Kurapa kunogona kudiwa kana paresthesia body sensations inounzwa nechikonzero chakakomba chinokonzera.
Zvinokonzera
Kugara nemaitiro asina kunaka uye asina kunaka anogona kudzvanya tsinga uye kuburitsa zviratidzo. Nekudaro, zvimwe zvikonzero zvinonyanya kunetseka uye zvinogona kusanganisira:
Kutsvaga Rubatsiro Kuchipatara
Kana zviratidzo zvikasapera mushure memaminitsi makumi matatu kana kuramba uchidzoka nekuda kwezvikonzero zvisingazivikanwe, fonera varapi vehutano kuti vazive kuti chii chiri kukonzera kusanzwa zvakanaka. Mhosva iri kuwedzera inofanira kutariswa nemupi wehutano.
kuongorora chirwere
Mutariri wehutano achashanda nemunhu kuti anzwisise zviratidzo uye aite ongororo yakakodzera yekuongorora kuti aone chikonzero. Mutariri wehutano achasarudza bvunzo zvichienderana nekuongororwa kwemuviri. Maitiro akajairika ekuongororwa anosanganisira: (Merck Manual Professional Version. 2022 )
Magnetic resonance imaging - MRI yemuzongoza, uropi, kana magumo.
X-ray kuti ibvise kukanganisa kwemapfupa, sekutyoka.
Kuongororwa kweropa.
Electromyography - EMG zvidzidzo.
Nerve conduction velocity - NCV bvunzo.
Kana paresthesia ichiperekedzwa nemarwadzo ekumusana kana emutsipa, mupi wehutano anogona kufungidzira tsinga yakamanikidzwa / yakatsikirirwa.
Kana munhu wacho ane nhoroondo yechirwere cheshuga chisingadzoreki zvakanaka, vanogona kufungidzira peripheral neuropathy.
mabatiro
Kurapa kweparesthesia kunoenderana nekuongororwa. Mutariri wehutano anogona kubatsira kuona yakanakisa nzira yekuita kune chaiyo mamiriro.
huta System
Kana zviratidzo zvikakonzereswa nepakati tsinga mamiriro akaita seMS, vanhu vanozoshanda padhuze nemutarisiri wavo wehutano kuti vawane kurapwa kwakakodzera.
Physical therapy inogona kukurudzirwa kubatsira kuvandudza kufamba kwese kushanda. (Nazanin Razazian, et al., 2016 )
Spinal Nurve
Kana paresthesia inokonzerwa nekumanikidzwa kwetsinga yemuzongoza, senge sciatica, vanhu vanogona kutumirwa kune chiropractor uye timu yekurapa kwemuviri kusunungura tsinga nekumanikidza. (Julie M. Fritz, nevamwe, 2021 )
Murapi wepanyama anogona kuraira maekisesaizi emuzongoza kuti abvise kudzvanywa kwetsinga uye kudzoreredza kunzwa kwakajairika uye kufamba.
Kusimbisa maitiro ekudzorera kushanduka uye kufamba kunogona kurongerwa kana kushaya simba kuripo pamwe chete neparesthesia body sensations.
Herniated Disc
Kana herniated disc iri kukonzera manzwiro asina kujairika, uye hapana kuve nekuvandudzwa nematanho ekuchengetedza, mupi wehutano anogona kupa zano rekuvhiyiwa kuti abvise kumanikidzwa patsinga / s. (American Association yeNeurological Surgeons. 2023 )
Mukuvhiya senge laminectomy kana discectomy, chinangwa ndechekudzoreredza basa retsinga.
Mushure mekuvhiyiwa, vanhu vanogona kukurudzirwa kuna chiremba wepanyama kuti vabatsire kuwanazve kufamba.
Peripheral Neuropathy
Chii chinonzi Plantar Fasciitis?
VIDEO
References
National Institute of Neurological Disorders uye Stroke. (2023) Paresthesia .
American Association yeNeurological Surgeons. (2023) Herniated disc .
National Institute of Diabetes uye Digestive uye Kidney Zvirwere. (2018) Peripheral neuropathy .
Merck Manual Professional Version. (2022) Numbness .
Razazian, N., Yavari, Z., Farnia, V., Azizi, A., Kordavani, L., Bahmani, DS, Holsboer-Trachsler, E., & Brand, S. (2016). Kushandisa Maitiro Pakuneta, Kushungurudzika, uye Paresthesia muVarwere vechikadzi vane Multiple Sclerosis. Mushonga nesainzi mumitambo uye kurovedza muviri, 48 (5), 796-803. doi.org/10.1249/MSS.0000000000000834
Fritz, JM, Lane, E., McFadden, M., Brennan, G., Magel, JS, Thackeray, A., Minick, K., Meier, W., & Greene, T. (2021). Physical Therapy Referral From Primary Care for Acute Back Pain With Sciatica: A Randomized Controlled Trial. Annals yemishonga yemukati, 174 (1), 8-17. doi.org/10.7326/M20-4187
