Cikikar radiculopathy shine mawuyacin dalilin ciwo, fil, da kuma buƙata da / ko rauni a hannunka, kazalika da zafi wuyansa da sauran alamun bayyanar. An kawo shi ne a lokacin da aka ci gaba da tushen jijiya na asalinsu, ko ta hanyar wani mummunan lalata ta hanyar lalata ko ta hanyar maye gurbi a cikin sassan layi. Misalan spondylosis , wanda shine wani suna don canzawar degenerative a cikin kashin baya, zai iya haɗawa da alamun cututtuka na arthritis kamar kamannin haɗin jini ko kashi-kashi, ko ragewar disc.
Idan kana da maganin jinya, za ka iya samun kanka cikin ciwo mai tsanani, musamman a farkon (a farkon makonni bayan farawa). Kuma zaka iya lura da fil da buƙatun (kamar yadda aka ambata a sama) ko wasu jijiyoyin jiji a cikin gaba da hannu.
Ciki, daidai? Ta yaya likitan ku san abin da alamunku ke nufi, daidai? Idan ba radiculopathy ba ne, to me menene? Yaya za ta san abin da tushen asalin jijiyar ita ce ke haifar da bayyanar cututtuka? Kuma yaya wannan mahimmanci yake a cikin tsarin kula da jin zafi?
Idan bayyanar cututtuka ta iyakance ne kawai ga ciwo kawai, ana kiran wannan zafi ciwon zuciya.
Yin ganewar asali
A lokacin ganawarku, likitanku zai iya yin tarihi kuma ya ba ku jarrabawar jiki. Abubuwan da kuke gaya mata game da jijiyoyinku sune zasu sanar da ita game da yanayin ciwo, wanda shine muhimmin mataki a cikin tsarin bincike.
Matsalar jarrabawar za ta taimaka wa likitan ku gano abubuwan da suka samo asali da / ko myotomes wanda aka samo asalin ku.
Wannan bayani yana taimakawa ta gano abin da ake fama da ciwon jijiyar ƙwayar asali ko kuma fushi. Ana gwada gwajin gwaji (alal misali, MRI) ba dole, sai dai a yanayi na musamman (tattauna a ƙasa).
Kwayoyin cututtuka da ke nuna alamar ƙwayar cutar kwayar cutar
Doctors suna jin dadin ganewar asibiti na jinji a yayin da ka gabatar da ciwo mai zafi, wuyar wuyanka, zafi a ko kusa da sashin lakabin ka (sca shoulder).
Sauran alamun bayyanar cututtuka da suka zama likita ga likitanku game da yiwuwar cututtuka na ƙwayar jijiyoyin jiki sun haɗa da fil da magunguna da aka tattauna a sama tare da sauye-sauye na sirri a hannunka kamar numbness.
Magungunan motsa jiki wanda zai iya faɗakar da likitanku ya hada da rauni da ƙarfin hannu da / ko ƙarancin hanzari mai zurfi a hannunka. Rashin rauni a cikin ƙwayar jikinka (wanda shine tsoka mai kama da kama da ke kewaye da kafada da hannunka na sama), rauni a cikin tsokoki na hannunka, da / ko suturar ƙafa mai mahimmanci kuma alamomi ne. Sulapular winging shi ne rashin iyawa na ciki (ciki) gefen ciki na kafadar ruwa-in ba haka ba ana sani da sashin layinka na scapula - zuwa kwance a kan haƙarƙarinka.
Duk da haka, wasu bayyanar cututtuka waɗanda za su iya faɗakar da likitan ku sun hada da kirji ko jin zafi na ciki da / ko ciwon kai.
Da zarar ka san abin da alamun ya faru da mai haƙuri ya dace da maganin ƙwayar cuta, mahaifiyar sun tabbatar da wannan ganewar ta hanyar binciken jarrabawar da ake kira Spurling. Yawan karatu ya nuna cewa gwajin Spurling dangane da ƙayyadaddunsa a matsayin ma'auni na bincike - zai iya tabbatar da kasancewa da jinƙan ƙwayar mahaifa.
Kodayake gwajin Spurling (ainihin abin da yake nunawa) yana da mahimmanci, ba abu ne mai mahimmanci ga bincikar maganin ƙwaƙwalwar ƙwayar mahaifa saboda sakamakon gwajin da yake da mummunar (ma'anar alamar ba ta nuna ba) ba ya hana fitar da ganewar asibiti.
Hakazalika, Cibiyar Lafiya ta Arewa ta Arewa tace cewa gwajin Spurling, tare da gwaje-gwajen irin wannan gwagwarmaya, ana iya la'akari da shi a matsayin ɓangare na gwaji; Sabanin nazarin gwajin gwajin na Spurling, duk da haka, NASS ya dakatar da nuna cewa alama mai kyau a kan gwajin Spurling ya tabbatar da ganewar.
Gwajin gwaji Kafin yin aiki
Idan kuna shirin yin aikin tiyata , kuma likitancin ku na mahaifa ne saboda cututtukan zuciya ko gyaran fuska (spondylosis), likitanku na son tabbatarwa ta hanyar daya ko fiye da hotunan hotunan bincikar gwaje-gwaje wanda ke nuna alamar cututtuka.
Cibiyar Labaran Arewacin Amirka ta bayyana cewa kawai gano ainihin abin da ya faru wanda cutar, jijiyar jiki da / ko rashin ƙarfi na motsa jiki bai isa ba don tabbatar da ganewar ƙwayar cutar jinya.
A saboda wannan dalili, sun bada shawara a kan kirkirar hoto (CT scan), CT myelography (CTM) ko MRI (gwajin gwajin yanayin haɓaka) kafin a jure warar tarar ƙwararre. Lura cewa NASS yana bada shawarar waɗannan gwaje-gwaje ne kawai bayan wata hanya ta magungunan ra'ayin mazan jiya bai sami ikon taimakawa bayyanar cututtuka ba.
Bishara ita ce, mafi yawan lokuta na maganin ƙwaƙwalwar ƙwaƙwalwar ƙwayoyin cuta a kan kansu ko kuma ta hanyar jiki ba tare da bukatar yin aikin tiyata ba.
Sources:
Corey DL1, Comeau D. Cervical radiculopathy. Med Clin North Am. 2014 Jul, 98 (4): 791-9, xii. Doi: 10.1016 / j.mcna.2014.04.001.
Eubanks, JD, Cervical radiculopathy: ba tare da gudanar da gudanar da wuyansa zafi da radicular bayyanar cututtuka. Am Fam Likita. 2010 Janairu 1; 81 (1): 33-40.
Kuijper B. [Cervical radiculopathy]. Ned Tijdschr Tandheelkd. 2014 Oktoba; 121 (10): 483-6. Doi: 10.5177 / ntvt.2014.10.14134.
Ƙungiyar Wuta ta Arewacin Amirka (NASS). Sanin asali da kuma maganin cututtukan daji daga cututtuka daga cututtuka. Burr Ridge (IL): Cibiyar Labaran Arewacin Amirka (NASS); 2010. 179 p.
Ryan M., David E. Fish, David E. Scapular winging: nazarin anatomical, ganewa, da kuma jiyya. Curr Rev Musculoskelet Med. 2008 Mar.