Demystifying Spinal Nerve Roots uye Zvavanoita Pahutano

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.

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Dzorera Kufamba Kwako: Chiropractic Care For Sciatica Recovery

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