Jiki na Abun Wuya da Saurin Buka
Mafi yawan jijiyoyin da ke aikawa bayanai zuwa kuma daga kwakwalwa ta kwakwalwa da bayanin ta hanyar layin daji, wanda aka nannade a cikin ɓangaren karewar kwayar cutar , tsakanin waccan hanyoyi (ƙwararrun) ya ba da izinin satar tushen asusu. Wadannan jijiyoyi suna ci gaba da samar da tsarin jin dadin jiki.
Wasu lokuta wadannan nau'o'in sutura zasu iya matsawa ta hanyar bunkasa kwayar halitta daga kogin, ko slipping daya daga cikin kwayoyi a kan sauran rudun buɗewa (ƙwararru) ta hanyar da jijiyoyin ke gudana.
Lokacin da wannan ya faru, tushen jijiya ya ji rauni a abin da ake kira radiculopathy . Sakamakon bayyanar cututtuka ya bambanta, dangane da wurin da tushen jijiya yake.
Anatomy na Spinal Column
Duk da yake akwai bambancin tsakanin mutane, saboda mafi yawancin, muna da bakwai a cikin wuyanmu, wanda ake kira ciwon ƙwayar mahaifa. A ƙasa da waɗannan akwai ƙwayoyin thoracic (a haɗe zuwa hamsin), sa'an nan kuma biyar lumbar vertebrae. Likita na karshe na lumbar yana haɗe da sacrum, babban kashi wanda zai taimaka wajen yin zagaye na pelvic.
Ana amfani da ƙididdigar sau ɗaya zuwa lamba da wasika, yana ƙidaya daga saman kashin baya zuwa ƙasa. Alal misali, C5 yana nufin ƙwaƙwalwar ƙwaƙwalwa na biyar na sama daga kashin baya. T8 na nufin 8th thoracic vertebra saukar daga C7 (na karshe ƙwallon ƙafa vertebra).
Gaba ɗaya, an ambaci tushen asibiti bayan kashi sama da su. Alal misali, tushen daji wanda yake fita tsakanin 4th da 5th lumbar vertebrae za a kira L4.
Kwayoyin jijiyoyi daban-daban suna da bambanci, ko da yake: ko da yake akwai kwayar cutar ne kawai, akwai tsohuwar jijiyoyin jijiyoyin jiki 8, wanda shine na farko wanda ya kasance a sama da ƙwayar mahaifa na farko. Saboda haka a cikin wuyansa, ana jijiyoyin jiji bayan bayanan da ke ƙarƙashin su. Domin ya bayyana, yawanci mafi kyau ya bayyana tushen asalinsu ta hanyar rubutun kalmomin vertebrae, misali (C7-T1), amma mafi yawan likitoci ba su yin haka a aikin yau da kullum.
Ƙirƙiri na kashin baya kawai yana zuwa L1 a cikin manya, inda ya ƙare a cikin tsarin da ake kira conus medullaris. Kwayoyin na ci gaba da raguwa daga wannan batu, duk da haka, suna iyo a cikin jakar ruwa. Wannan rukunin jijiyoyi ana kiransa labaran equina, Latin don "wutsiyar doki," wanda magungunan da aka kwantar da shi sunyi kama har sai sun fita daga cikin jumlar lumbar.
Radiculopathy cututtuka
Kowace tushen daji wanda ya fita daga cikin ƙananan ƙwayar yana ɗauke da sakonni daga kwakwalwa don yin tsokotani na musamman, kuma yana karɓar saƙonni daga wasu sassan fata. Saboda wannan gaskiyar, yana yiwuwa a cire shi a inda matakin yake nuna rashin tausayi, bisa ga alamun da aka gani. Bugu da ƙari, radiculopathies kusan kusan ciwo, alhăli kuwa da yawa wasu ciwon nasu ba.
Yawancin cututtuka da dama suna lalacewa ta hanyar daɗaɗɗɗa a cikin gine-gine na skeletal na shafi na vertebral. An hana ƙwayar thoracic daga canzawa da yawa saboda an sa su ta hanyar riba. A saboda wannan dalili, mafi yawan abin da ke faruwa a cikin kwakwalwa da na lumbar.
Cervical Radiculopathies
Jijiyoyin da ke tashi a cikin wuyansa sun fita daga cikin ƙwararren ƙwayoyin maganganu don su zama wani abu mai rikitarwa wanda ake kira plexus na brachial.
Daga can, jijiyoyi suna ci gaba da bautar fata da tsokoki na hannu. Don dalilai masu mahimmanci, mafi mahimmancin asalinsu a cikin hannu shine C5, C6, da C7. Yana da kyau sanin cewa kimanin kashi 20 cikin 100 na dukan kwayoyin radiculopathies sun ƙunshi biyu ko fiye matakan.
C5: Dabar deltoid (tsohuwar tsoka wadda ta ɗaga hannun daga jiki) ta jijiyoyin da ke fitowa daga C5. Bugu da ƙari, rauni na rauni, wannan radiculopathy na iya haifar da ɓarna a cikin kafada da kuma babba.
C6: C6 radiculopathy iya haifar da rauni a cikin biceps da kuma wuyan hannu extensors. Bugu da ƙari, akwai ƙwayoyin mawuyacin hali a cikin ƙididdiga da yatsunsu na tsakiya, har ma da ɓangaren gaba.
C7: Kusan rabin (kashi 46 cikin dari) na dukkan kwayoyin radiculopathies sun hada da wannan tushen asalin. Babban rauni shi ne cikin tsoka mai ƙwanƙwasa wadda ke daidaita hannun. Akwai yiwuwar samun hasara na asali a wani ɓangare na hannun, kamar yatsan yatsa.
Lumbar Radiculopathies
Jijiyoyin da ke fitowa daga cikin ƙananan hanyoyi a cikin layin lumbar suna ci gaba da samar da plexus na lumbar, ƙwayar cuta ta jiki daban-daban. Daga can, wadannan jijiyoyi suna ci gaba da bautar fata da tsokoki na kafa.
L4: Iliopsoas , wanda yake gyaran hanji, yana iya zama rauni, kamar yadda quadriceps ke shimfiɗa kafa a gwiwa. Koda za'a iya kirki gwiwa da wani ɓangare na ƙananan kafa.
L5: Da'awar tada matashin kafa a kasa zai iya ragewa, kuma saman saman kafa na iya ƙidaya. Wannan tushen asalin ya ƙunshi kusan 40 zuwa 45 bisa dari na lumbosacral radiculopathies.
S1: Halin iya nuna ƙafa zuwa kasan (kamar dai za ku tsaya a kan samfurin) ya raunana, kuma akwai ƙananan ƙananan yatsun da ƙafafun kafa. Wannan tushen tushen jijiya yana cikin kimanin kashi 45 zuwa 50 na lumbosacral radiculopathies.
Mun kawai nazarin irin kwayar jijiyoyi da suka fita daga kashin baya. Duk da yake mun tattauna wasu daga cikin alamun bayyanar, ba mu fara gano magungunan da ke tattare da neuropathy ko magani ba. Duk da yake mafi yawan ciwon baya ya ci gaba da kansa, idan raunin yana tasowa, alama ce da za a iya kiran karin ci gaba mai tsanani.
Sources:
Alport AR, Sander HW, Hanyar Bincike zuwa Tsakanin Neuropathy: Yanayin Harkokin Abinci da Gwajin Kwance. Ci gaba; Volume 18, Nu 1, Fabrairu 2012
Blumenfeld H, Neuroanatomy ta hanyar Cutar Clinical. Sunderland: Sinauer Associates Publishers 2002