Shuruudaha Xanuunka Dareemaha: Radiculopathy, Radiculitis, Neuritis

 Daawadu miyay guulo badan yihiin marka bukaanadu ogaadaan ereyada muhiimka ah ee qeexaya xanuunka dhabarka iyo xaaladaha la xidhiidha?

Noocyada Xanuunka Dareemaha

Marka shakhsiyaadku u baahan yihiin inay si fiican u fahmaan cilad-sheegiddooda laf-dhabarta, awood u yeelashada inay kala soocaan ereyada muhiimka ah waxay samayn karaan farqi weyn oo fahamka horumarinta qorshaha daaweynta shakhsi ahaaneed. Shuruudaha qeexaya dhabar xanuunka iyo xaaladaha kala duwan ee la xidhiidha waxaa ka mid ah:

• ronaanayaa
• Shucaaca iyo xanuunka la tilmaamay
• Radikulopathy
• Radiculitis
• Neuropathy
• Cudurka Neuritis

Sababaha dhabar xanuunka

Calaamadaha xanuunka dhabarka waxaa inta badan sababa dhaqanka joogtada ah ee qaabka aan caafimaad qabin / liidata iyo murqaha oo daciifa. Xitaa shakhsiyaadka si joogto ah u jimicsada, doorashooyinka dhaqdhaqaaqa ee la sameeyo maalinta oo dhan waxay carqaladeyn karaan habka muruqyada, seedaha, seedaha, iyo fascia u shaqeeyaan si loo ilaaliyo isku-habboonaanta jirka ee saxda ah.

• Dhaawacyada, iyo xaaladaha, dhismayaasha tiirka laf-dhabarka sida lafaha, discs, iyo neerfayaasha, ayaa guud ahaan aad uga khatarsan dhibaatooyinka booska iyo xanuunka jilicsan ee la xiriira unugyada.
• Iyada oo ku xidhan ogaanshaha, dhibaatooyinka qaabdhismeedku waxay sababi karaan calaamado la xidhiidha cadaadiska neerfaha, xanaaqa, iyo/ama bararka. (Michigan Medicine, 2022)

Laf-dhabarta iyo Nidaamka neerfaha

• Dareemayaasha durugsan waxay u fidiyaan cidhifyada iyagoo leh awood dareen iyo dhaqdhaqaaq.
• Xididdada neerfayaasha ayaa ka soo baxa kanaalka laf-dhabarka kaas oo qayb ka ah habdhiska dareenka.
• Xididka dareemayaasha laf-dhabarta ayaa markaa ka soo baxa tiirarka laf-dhabarka iyada oo loo marayo faleebada. (Akademiyada Maraykanka ee Dhakhaatiirta Neerfaha, 2023)
• Laamaha dareemayaasha ee ka yimaada xudunta laf-dhabarka oo ka soo baxa foramina waxay ku dhacdaa heer kasta oo lafdhabarta ah.

Shuruudaha

Waxaa jira shuruudo caafimaad oo kala duwan marka la helo ogaanshaha laf dhabarta ama la marayo habka daaweynta.

Radikulopathy

• Radiculopathy waa erey dallad ah, oo sharxaysa hab kasta oo cudur ah oo saameeya xididka dareemayaasha laf-dhabarta waana wax ku dhaca jidhka.
• Marka bixiye daryeel caafimaad kuu sheego in xanuunkaagu uu sabab u yahay radiculopathy, tiro ka mid ah baaritaanno gaar ah oo gaar ah, calaamadaha bukaan-socodka, iyo calaamadaha ayaa laga yaabaa in lagu daro qayb ka mid ah sharraxaadda.
• Sababaha caadiga ah ee radiculopathy waxaa ka mid ah saxanka herniated iyo stenosis spinal.
• Sababaha aan caadiga ahayn waxaa ka mid noqon kara cyst synovial ama buro ku cadaadisa xididka dareemayaasha. (Johns Hopkins Medicine, 2023)
• Radiculopathy waxay ku dhici kartaa qoorta, dhabarka hoose, ama aagga thoracic.
• Badanaa, radiculopathy waxaa keena nooc ka mid ah isku-buuqa xididka dareemayaasha.
• Tusaale ahaan, wax soo baxay laga bilaabo a lakabada herniated waxay ku degi kartaa xidid neerfaha, taasoo keenta cadaadis inuu dhiso.
• Tani waxay keeni kartaa calaamado la xidhiidha radiculopathy, oo ay ku jiraan kabuubyo, daciifnimo, xanuun, ama dareenka korantada. (Johns Hopkins Medicine, 2023)

Inkasta oo uu jiro xidid neerfaha laf-dhabarta labada dhinac ee tiirka laf-dhabarka, dhaawac, dhaawac, ama arrimaha ka soo baxa xumaanshaha waxay saameeyaan neerfaha qaab asymmetric ah. Isbeddellada qallafsan, ee loo yaqaan xirashada iyo jeexjeexa caadiga ah, waxay caadi ahaan ku dhacaan qaabkan. Isticmaalka tusaalihii hore ee herniated disc, walxaha ka soo daadanaya qaab dhismeedka saxanka ayaa u janjeera hal dhinac. Marka ay taasi dhacdo, calaamaduhu waxay u muuqdaan inay la kulmaan dhinaca halka xididada dareemayaasha ay la xiriiraan walxaha disc, laakiin maaha dhinaca kale. (Ururka Maraykanka ee Dhakhaatiirta Neerfaha, 2023)

Radiculitis

• Radiculitis waa nooc ka mid ah radiculopathy laakiin waxay ku saabsan tahay bararka ee maaha cadaadis. (Johns Hopkins Medicine, 2023)
• Radicu- waxaa loola jeedaa xididka dareemayaasha laf dhabarta.
• Dabagalka - waa waxaa loola jeedaa bararka.
• Eraygu waxa uu tilmaamayaa xidid neerfaha laf dhabarta kaas oo ah gubtay iyo / ama xanaaq halkii ay ka ahayd isku buuqsan.
• Disk herniation, waa walaxda jel oo ka kooban kiimikooyin kala duwan oo barar ah.
• Marka walaxda jelku ay la xiriirto xididdada dareemayaasha, jawaab-celin barar ah ayaa kicisa. (Rothman SM, Winkelstein BA 2007)

Shucaac ama Xanuun la sheegay

• Xanuunka shucaaca ayaa raacaya dariiqa mid ka mid ah neerfayaasha durugsan ee gudbiya macluumaadka dareenka sida kulaylka, qabowga, biinanka iyo cirbadaha, iyo xanuunka.
• Sababta ugu badan ee xanuunka shucaaca waa cidhiidhi / cadaadis xididka laf dhabarta. (Akademiyada Maraykanka ee Dhakhaatiirta Lafaha. OrthoInfo)
• Xanuunka loo soo jeediyo waxa lagu arkay meel kale oo jidhka ka mid ah oo ka fog isha xanuunka oo u janjeerta inay noqoto xubin. (Murray GM., 2009)
• Waxaa keeni kara dhibco kiciya myofascial ama dhaqdhaqaaqa visceral.
• Tusaalaha xanuunka la soo sheegay waa calaamadaha daanka ama cududda marka shakhsigu uu wadno xanuun ku dhaco. (Murray GM., 2009)

xidid

• Ereyada xanuunka radicular iyo radiculopathy waxay u muuqdaan inay jahwareeraan.
• Xanuunka radicular waa calaamad muujinaysa radiculopathy.
• Xanuunka radicular wuxuu ka soo baxaa xididka dareemayaasha laf-dhabarka ilaa qayb ama dhammaan dariiqa hoos u dhaca addimada / cirifka.
• Si kastaba ha ahaatee, xanuunka radicular ma matalo calaamadaha dhamaystiran ee radiculopathy.
• Calaamadaha Radiculopathy sidoo kale waxaa ka mid ah kabuubyo, daciifnimo, ama dareenka korantada sida biinanka iyo cirbadaha, gubasho, ama shoog hoos u socda xagga cirifka. (Johns Hopkins Medicine, 2023)

Neuropathy

• Neuropathy waa dallad kale oo tilmaamaysa cillad kasta ama cudur kasta oo saameeya dareemayaasha.
• Caadi ahaan waxaa loo kala saaraa iyadoo loo eegayo sababta, sida neuropathy macaanka, ama goobta.
• Neuropathy wuxuu ku dhici karaa meel kasta oo jirka ka mid ah - oo ay ku jiraan neerfayaasha durugsan, neerfayaasha / neerfayaasha xubnaha, ama neerfaha ku yaal gudaha madaxa oo gudaha gelisa indhaha, dhegaha, sanka, iwm.
• Tusaale ahaan neuropathy durugsan waa carpal tunnel syndrome. (Akademiyada Maraykanka ee Dhakhaatiirta Lafaha. OrthoInfo. 2023)
• Hal xaalad laf dhabarta oo la og yahay in ay keento neuropathy peripheral waa stenosis laf dhabarta. (Bostelmann R, Zella S, Steiger HJ, iyo al., 2016)
• Xaaladdan oo kale, isbeddellada ku yimaada foramina waxay saameyn yar ku yeeshaan booska kaas oo bilaabaya inuu cadaadiyo dareemayaasha marka ay ka baxaan.
• Neuropathy wuxuu saameyn karaa hal neerfo ama dareemayaasha badan isku mar.
• Marka neerfyo badan ay ku lug leeyihiin waxaa loo yaqaan polyneuropathy.
• Marka ay mid tahay, waxaa loo yaqaan mononeuropathy. (Cleveland Clinic. 2023)

Cudurka Neuritis

• Neuritis waa nooc ka mid ah neuropathy oo tilmaamaya bararka neerfaha. (American Association of dareemayaasha Takhaatiirta Qaliinka)
• Neuritis-ku wuxuu qeexayaa bararka dareemaha durugsan ka dib markii ay ka soo baxeen tiirka laf-dhabarka. (Machadyada Caafimaadka Qaranka. Maktabadda Caafimaadka Qaranka ee Maraykanka. Medline Plus. 2022)
• Dareemayaasha durugsan waa xadhig dheer, dhuuban kuwaas oo siiya dareenka, dareenka, iyo dhaqdhaqaaqa dhaqdhaqaaqa dhammaan aagagga jidhka ee ka baxsan habka dhexe ee neerfayaasha.
• Neuritis waxay u horseedi kartaa xanuunka radicular, iyo sidoo kale calaamadaha kale ee neerfaha. (Machadyada Caafimaadka Qaranka. Maktabadda Caafimaadka Qaranka ee Maraykanka. Medline Plus. 2022)

ronaanayaa

• Sciatica waxay qeexaysaa calaamadaha ay ka mid yihiin xanuunka shucaaca iyo dareenka u socdaalaya sinta, barida, lugaha, iyo cagaha.
• Mid ka mid ah sababaha ugu badan ee sciatica waa radiculopathy.
• Mid kale waa stenosis laf dhabarta. (Cleveland Clinic. 2023)
• Piriformis syndrome waa meesha muruqa barida / piriformis ee cidhiidhi ah uu xannibo dareemaha sciatic, kaas oo hoos mara. (Cass SP. 2015)

Cirrhaafka

Dib-u-habaynta lafdhabarta, qalliin aan qalliin lahayn, MET, iyo daaweynta duugista ee kala duwan waxay yareyn kartaa calaamadaha, sii daayaan dareemayaasha xanniban ama xannibay waxayna soo celin karaan shaqada. Iyadoo loo marayo daawaynta, lafopractor iyo daaweeyayaasha ayaa sharxi doona waxa dhacaya iyo sababta ay u isticmaalayaan farsamo gaar ah. In yar oo la ogaado sida habka neuromusculoskeletal uu u shaqeeyo waxay ka caawin kartaa bixiyaha daryeelka caafimaadka iyo bukaanka horumarinta iyo hagaajinta xeeladaha daaweynta waxtarka leh.

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Sciatica Xilliga Uurka

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tixraacyada

Daawada Michigan. Xanuunka Dhabarka Sare iyo Dhexe.

Akademiyada Maraykanka ee Dhakhaatiirta Neerfaha. Anatomy ee Laf-dhabarta iyo Nidaamka Dareemaha Dareemaha.

Daawada Johns Hopkins. Xaaladaha Caafimaadka. Radiculopathy.

Ururka Maraykanka ee Dhakhaatiirta Neerfaha. Herniated Disc.

Akademiyada Maraykanka ee Dhakhaatiirta Lafaha. OrthoInfo. Radiculopathy afka ilmo-galeenka (Nerve qanjidhada).

Rothman, SM, & Winkelstein, BA (2007). Kiimikada iyo xididdada xididada makaanikada waxay keenaan dareenka dabeecadaha kala duwan iyo firfircoonida glial kuwaas oo la wanaajiyey marka la isku daro. Cilmi-baarista Maskaxda, 1181, 30-43. doi.org/10.1016/j.brainres.2007.08.064

Murray GM (2009). Tifaftirka Martida: xanuunka la soo gudbiyay. Joornaalka cilmiga afka ee la dabaqay: Revista FOB, 17(6), i. doi.org/10.1590/s1678-77572009000600001

Akademiyada Maraykanka ee Dhakhaatiirta Lafaha. OrthoInfo. Carpal Tunnel Syndrome.

Bostelmann, R., Zella, S., Steiger, HJ, & Petridis, AK (2016). Cadaadiska kanaalka laf-dhabarka ma noqon karaa Sababta Polyneuropathy? Rugaha caafimaadka iyo shaqada, 6(1), 816. doi.org/10.4081/cp.2016.816

Cleveland Clinic. Mononeuropathy.

Ururka Maraykanka ee Dhakhaatiirta Neerfaha. Qaamuuska Eray bixinta Neurosurgical.

Machadyada Caafimaadka Qaranka. Maktabadda Caafimaadka Qaranka ee Maraykanka. Medline Plus. Xanuunada Dareemaha ee Dareemaha.

Cleveland Clinic. Stenosis laf dhabarta.

Cass SP (2015). Piriformis syndrome: sabab u ah sciatica aan discogenic ahayn. Warbixinnada daawada isboortiga ee hadda 14(1), 41-44. doi.org/10.1249/JSR.0000000000000110