Ciladeynta iyo Daaweynta
Ma waxaad ka shakisan tahay in dareemaha dareemaha qafiifka ah ee qoortaagu yahay dambiilka ka dambeeya madax xanuunkaaga? Dareemaha dareemaha ee qoorta - oo loo yaqaan ' medicenter radiculopathy' - waxaa sababa mid ka mid ah xaaladaha caafimaad ee soo socda:
• Dareerka herniated : dillaacdey daaqada ku dhex taal vertebrae ee laf dhabarkaaga
• Geerashada laf-dhabarka ilmo-galeenka : cirridka laf-dhabarka
• Cudurka fuuq-baxa: cirridka ama xanuunka dareenka by lafaha lafaha marka arthritis uu ku dhaco laf dhabarta
Astaamaha Nirqiga Pinched ee Ceeriga
Inkastoo inta badan calaamadaha ugu horreeya aan la sheegin, shaqsiyaadka badan ee qaba dareemaha bararsan ee qoorta ayaa ku xanuunaya madax xanuun. Marka xididdada dareemayaasha sare ay ku lug yeeshaan, madax xanuunka waxaa lagu sharaxay madax xanuunka ilma-galeenka . Madax xanuunka keena qanjirrada hoose ee qoorta ayaa ah mid caadi ah. Caadi ahaan, xanuunka wuxuu ku yaalaa dhinaca isku midka ah sida xididka dareemayaasha ee saameeya. Xanuunka waxaa badanaa lagu tilmaamaa inuu cuncunayo oo ka soo baxa dhinaca dambe ee madaxa ilaa wejiga. Badanaa waxaa jira dareen ah marka cadaadiska loo isticmaalo muruqyada qoorta ee dhinaca dhinac ah sida dareenka bararsan. Isku-buufinta muruqyada sidoo kale waa caan.
Calaamadaha dheeraadka ah ee dareemaha bararsan ee qoorta waxaa ku jiri kara:
- garabka iyo gacmaha isku midka ah
- kabuubyo iyo muruqyo
- daciifnimo
Ciladeynta Nirfire Nadaafadeed ee Neck
Dhakhtarkaaga daryeelka aasaasiga ah ee baaritaanka jirka oo dhan ayaa laga yaabaa inuu ahaado dhammaan wixii aad u baahan tahay si aad u ogaato dareemaha dareemaha qoortaada.
Mid ka mid ah tijaabada baaritaanka waxaa loo yaqaan 'Spurling maneuver', kaas oo bixiyahaaga daryeelka caafimaadku hoos u riixi doono xagga sare ee madaxaaga marka loo rogo dhinaca saameysa. Haddii cadaadiska hooseeya uu calaamadahaaga ku soo celiyo (sida xanuunka, kabuubka, ama murqaha), markaa tani waxay soo jeedinaysaa dareemaha jajaban. Takhtarkaaga ayaa sidoo kale eegaya xasaasiyadahaaga, sababtoo ah calaamadaha maskaxda ee hoos u dhaca (gaar ahaan shiceps) ayaa caadi ahaan la arkaa.
Sawirada sida sawirka maan-dooriyaha (MRI) ama miisaanka sawir-qaadista (CT myelography) ayaa xaqiijin kara calaamadaha qanjirada la jiido laakiin had iyo jeer lama huraan. Sawirka waxaa inta badan loo isticmaalaa in lagu xakameeyo sababaha halista ah ama xitaa nolosha nafta khatar gelineysa ee qoortaaga ku xanuunsan sida jeexitaanka laf-dhabarka ama calaamadaha caabuqa, istaroogga, ama kansarka, ama haddii uu dhaco dhaawac (sida shil baabuur kadib).
Haddii aad aaminsan tahay in madax xanuun uu calaamad u yahay dareemaha dareemaha , fadlan arag dhakhtarkaaga, sidaa darteed qiimeyn habboon ayaa la samayn karaa. Waxaa jira xaalado caafimaad oo kale oo la macno ah in ay dareemayaan dareemaha jilicsan, sidaas darteed hubi inaad ka soo qaadato xirfadle daryeel caafimaad.
Daaweynta Neerka Neefsashada ee Neck
Daawooyinka sida non-steroidal anti-inflammatory ama nasashooyinka muruqyada , sida Flexeril (Cyclobenzaprine) ayaa guud ahaan loo qoraa xanuunka xanuunka ba'an ee ka yimaada dareemaha bararsan ee qoorta.
Isticmaalidda steroids afka ayaa mararka qaarkood loo isticmaalaa, laakiin isticmaalka muddada dheer waa in laga fogaadaa sababtoo ah waxyeelo soo gaara. Sida had iyo jeer, fadlan la tasho dhakhtarkaaga kahor intaadan qaadan daawo, maaddaama ay dhamaantood leeyihiin saameyno saameyn leh.
Daaweyn jireed waa daaweyn dhammaystir ah daaweynta, sida duugista. Qalabka xididada xididada ilmagaleenka, oo steroids lagu duro dareemaha saameynta leh si loo yareeyo caabuqa, ayaa mararka qaarkood loo isticmaalaa haddii qofku sii wado xanuunka inkastoo daaweyn iyo daaweyn jireed.
Haddii dadka qabo xinjirowga ilmo-galeenka afkiisa (ilmo-galeenka) ay sii wadaan inay yeeshaan calaamado inkastoo daaweynaha kor ku xusan (badanaa afar illaa lix toddobaad), waxaa badanaa loo soo gudbiyaa sawirrada lafdhabarta (haddii aan hore loo sameynin) iyo / ama qoob-ka-shaqeynta dhabarka.
Ereyga
Haddii aad ka shakido dareemaha bararsan sida ilaha madax-xanuunkaaga, kala hadal bixiyahaaga daryeelka caafimaadka. Ha u oggolaanin in madax-xanuunkani uu carqaladeeyo noloshaada oo uu xaddido waxqabadyada aad ku raaxaysato.
Inkastoo aysan taasi noqon karin xaalad la daaweyn karo, iyada oo caawimaadda takhtarkaaga daryeelka caafimaadka aasaasiga ah, lafdhabarka takhasuska leh, iyo daaweeyaha jireed , waxaad heli kartaa habka daaweynta ama xalka si fiican kuu shaqeynaya.
> Ilo:
> Childress MA, Becker BA. Maareyn aan la hubin ee radiculopathy ku dhaca ilmo-galeenka. Am Dr. Dhakhtarka . 2016 May 1; 93 (9): 746-54.
> Madaxa Guddiga Iskuduwidda Ururka Caalamiga ah ee Madaxa Madaxa ee Caalamiga ah. "Qeybinta Caalamiga ah ee Cudurka Madaxa-Baxsan: Koobka 3aad (version beta)". Cephalalgia 2013; 33 (9): 629-808.
> Persson L, Carlsson J, & Anderberg L. Madax xanuunka ku dhaca bukaanada leh xinjirowga ilmagaleenka ilmo-galeenka: daraasad mustaqbalka ah oo leh xayawaanka xidhan ee xididada 275 bukaan. Eur Spine J .2007 July, 16 (7): 953-9.