Radiculalgia ciwo ne na asalin jijiya. Ana kiran wannan zafin radicular tunda yana shafar tushen jijiyoyi. Wannan yanayin yawanci yana haifar da matsawar jijiyar kashin baya (a haɗe zuwa kashin baya) a tushen sa. Irin wannan matsi na iya zama sakamakon osteoarthritis na kashin baya, diski na herniated ko ma kashi ko ƙwayar jijiya. A taƙaice, kalmar radiculalagie an samo ta ne daga Latin “radicula”, raguwar radix wanda ke nufin tushe, kuma daga asalin asalin Girkanci “algie” wanda ke nufin ciwo. Wannan ciwon sau da yawa yana da zafi sosai. Yana bayyana kanta gaba ɗaya ta hanyar jijiya. Farawa daga kashin baya, yana haɓaka zuwa babba ko ƙananan gabobin kuma galibi yana tare da rikicewar hankali.

Ciwo mai yawa

Radiculalgia, a zahiri, yana da abubuwa da yawa: yana haɗa abubuwa biyu na injiniya da sinadarai. Abubuwan da aka fi amfani da su na yau da kullun sune iri, kamar ɗaga nauyi mai nauyi, motsi na ƙarya kamar karkatar da jiki. Dangane da abubuwan sunadarai masu yawa, sun haɗa da sauƙin sadarwa na jijiya tare da nama da ke tsakanin fayafai, wanda ke da ikon haifar da kumburi. Wannan zai haifar da raguwar saurin jigilar jijiya.

Binciken ciwon zafi

Sakamakon radiculalgia ya dogara ne akan neuroimaging (lissafin tomography ko hoton resonance magnetic) na yankin da abin ya shafa. Wani lokaci ya zama dole don yin gwajin electrophysiological shima. Idan hoton bai gano wani rashin lafiyar jiki ba, nazarin ruwan cerebrospinal zai ba da damar nemo cututtukan da ke haifar da kumburi. Bugu da ƙari, za a kuma yi nazarin sukari na azumi don yiwuwar ciwon sukari.

Tushen canal na asali yana haifar da hauhawar jini ko hauhawar jini wanda ke shafar tushen jijiya a ko kusa da kashin baya. Ta haka ne ciwon ke zuwa, galibi, daga matsewar wannan tushen jijiya a matakin vertebra, kuma yana iya haifar da:

• wani ƙwayar intervertebral herniated. Wannan shine bayyanar diski na herniated a matakin diski da ke tsakanin vertebrae biyu;
• nakasar kasusuwa da ke haifar da amosanin gabbai ko osteoarthritis, wanda zai iya damƙa tushen jijiyoyin mutum. Don haka, saka diski na intervertebral da osteoarthritis ke haifarwa, alal misali, na iya haifar da radiculalgia;
• ƙuntataccen canal na kashin baya wanda ke tsakiyar tsakiyar kashin baya na baya, wanda ke haifar da pinching na tushen jijiya;
• ci gaban ƙashi ko ƙwayar jijiya;
• bugu da kari, bayyanar radiculalgia na bayan gida kuma na iya faruwa bayan tiyata.

Dalilin farko na radiculalgia: diski herniated

Disc herniated shine lamba ɗaya na tushen tushen ciwo. Bayani na yau da kullun shine na matsi na inji ko nakasa na tushen jijiya, wanda shine babban dalilin ciwo. Koyaya, ya kamata ku kuma sani cewa ƙari, radiculalgia na iya haifar da kumburi ko wani ɓangaren rigakafi wanda zai iya faruwa tare da diski na herniated. Sakamakon binciken kimiyya ya nuna cewa canje -canje a cikin rayayyun sel sel na sel T yana faruwa sakamakon ɓarkewar faifan invertebrate na lumbar. Marubutan binciken sun kammala da cewa hanyoyin rigakafin rigakafi na iya shiga cikin zafin da ke da alaƙa da diski. Bugu da ƙari, karuwa a cikin wasu cytokines na iya ba da gudummawa ga radicular zafi.

Mafi yawan alamun radiculalgia sune:

• sosai m zafi;
• tingling, numbness, tingling;
• raunin gabobin jiki ko ma inna;
• anesthesia na fata;
• bugu da kari, tari, atishawa, ko turawa na iya sanya zafin ya yi muni.

Yin maganin ciwo na yau da kullun yana da rikitarwa, tare da paracetamol da steroidal anti-inflammatory drugs galibi kawai yana da tasiri kaɗan da tsawaita amfani da NSAID wanda ke wakiltar babban haɗari.

Maganin radiculalgia yana nufin duka don rage zafin da kuma iyakance nakasar da take haifar. Maganin ya ta'allaka ne sama da duka akan maganin miyagun ƙwayoyi, kazalika da gyarawa daga likitan ilimin motsa jiki wanda zai sauƙaƙa tashin hankali na kashin baya.

Drug jiyya

• Analgesics (masu rage zafin ciwo): sau da yawa, paracetamol, matakin I analgesic, bai isa ba. Don haka ana iya haɗa shi da maganin kafeyin, codeine ko ma tramadol. Game da morphines (matakin III analgesics), yakamata a yi amfani da su sosai, kuma an keɓe su don hyperalgesic radiculalgia;
• Magungunan anti-inflammatory nonsteroidal (NSAIDs): ketoprofen, diclofenac, naproxen galibi ana ba da su a hade tare da mataki na II analgesics. Sakamakon su na rage radadin ciwo bai fi analgesics kadai ba. Kada a yi amfani da su fiye da kwanaki goma zuwa makonni biyu. Idan ciwon ya sake dawowa bayan tsayawa na wasu kwanaki, ana iya rubuta su na tsawon lokaci;
• Antiepileptics: pregabalin, gabapentin da pregabapentin sunadaran da ake amfani dasu saboda suna aiki akan filayen jijiya da kanta;
• Corticosteroid far: prednisone da prednisolone sune corticosteroids na biyu idan ba a nuna magungunan anti-mai kumburi masu tasiri akan zafi ba. Ana ba da su a cikin ɗan gajeren lokaci na kwana bakwai zuwa goma. Hakanan ana iya gudanar da su ta hanyar kutse, wanda ke ba da damar isar da babban samfuri mai aiki zuwa matakin zafi. Ana nuna su da gaske ne kawai idan babu haɓakawa bayan makonni uku na maganin miyagun ƙwayoyi.

Magunguna marasa magani

• Lombostat: ƙaƙƙarfan harsashi ne wanda ƙwararren masani ya yi don auna shi. A cikin filastik, fata da ƙarfe, har ma da filasta ko resin, ƙididdigar lumbar tana ba da damar raunin dangin lumbar vertebrae, ta hanyar tallafi wanda ya miƙa daga gefen ƙashin ƙugu zuwa haƙarƙarin ƙarshe. Ayyukansa shine cimma nasarar toshewar lumbar ta hanyar kulle akwati zuwa ƙashin ƙugu. A takaice, hakan yana ba da damar guje wa motsi na ƙarya tare da tabbatar da sauran baya. Bugu da kari, yana rage damuwar da ake fama da ita a kashin kashin baya;
• Gyaran baya: Zaman gyarawa ta likitan ilimin likitanci yana taimakawa rage tashin hankali a cikin kasusuwan kasusuwan baya, kuma ba da damar sake horarwa don yin ƙoƙari don mayar da baya kan ƙafafunsa. Ko da a cikin ciwo, yana da matukar mahimmanci a kasance cikin motsi da aiki. Makasudin wannan horon shine ƙarfafa tsokar sa, inganta ƙarfin ta na jiki, da kuma darussan da aka yi amfani da su daga hawan keke zuwa gudu, gami da sheathing, motsa jiki na ciki, da sauransu;
• Yoga da ninkaya: aikin waɗannan wasannin biyu zai kwantar da kashin baya, amma kuma yana sauƙaƙe kwangilar tsoka;
• Osteopathy: yana taimakawa rage matsawa. Don haka, wannan hanyar maganin da ba a saba amfani da ita ba yana da nufin sauƙaƙa matsalar rashin aiki. Ya dogara ne akan yin amfani da tsarin musculoskeletal da kuma dabarun sakin na myofascial;
• Tiyata: ana iya amfani da ita azaman mafaka ta ƙarshe.

Rigakafin radiculalgia

Don hana radiculalgia, ya kamata a tuna da wasu nasihu, kamar:

• ku guji karkatar da motsi na akwati lokacin da kuke son kama wani abu da ke bayanku;
• fifita jakunkuna akan jakunkuna kuma yi amfani da kafadu biyu don ɗaukar jakar baya;
• ko ɗaukar matsayi mai kyau yayin bacci, musamman ta samun katifa mai gamsarwa gami da matashin kai wanda baya haifar da babban kusurwa mai girman gaske a matakin wuyan.

Madadin hanyoyin kwantar da hankali

• Transcutaneous lantarki neurostimulation;
• Thermotherapy;
• Ciwon huhu;
• Shaƙatawa da tunani: waɗannan hanyoyi guda biyu suna ba da damar rage tsoro da ke haifar da tsoron motsi, amma kuma don rage damuwa da damuwa da ke da alaƙa da ciwo.