Kazhinji peroneal nerve kusagadzikana

Kazhinji peroneal nerve kudzvinyirira kuri nekuda kwekukuvara kweiyo yegaoneone inotungamira mukurasikirwa kwekufamba kana kwekunzwa mutsoka negumbo.

Iyo yegaoneone nerve ibazi reiyo sciatic nerve, iyo inopa kufamba uye kunzwa kune iro repazasi gumbo, tsoka nezvigunwe. Zvakajairika peroneal nerve kusagadzikana imhando yechipenga neuropathy (kukuvara kwemitsipa kunze kwehuropi kana musana). Izvi zvinogona kukanganisa vanhu vezera ripi zvaro.

Kusashanda kweimwe tsinga, senge yakajairika peroneal nerve, inonzi mononeuropathy. Mononeuropathy zvinoreva kukuvara kwetsinga kwakaitika munzvimbo imwechete. Humwe mamiriro epamuviri akazara anogona zvakare kukuvadza tsinga imwe chete.

Kukuvadza kune tsinga kunokanganisa iyo myelin sheath iyo inovhara iyo axon (bazi retsinga sero). Iyo axon inogona zvakare kukuvara, iyo inokonzeresa zvakanyanya zviratidzo.

Zvinowanzoitika zvikonzereso kune yegaone nerve zvinosanganisira zvinotevera:

• Kushungurudzika kana kukuvara pamabvi
• Kutsemuka kweiyo fibula (pfupa regumbo repazasi)
• Kushandiswa kwesimbi yakasimba (kana imwe yekumisidzana kwenguva refu) yegumbo repasi
• Kuyambuka makumbo nguva dzose
• Kugara akapfeka bhutsu refu
• Kumanikidza kusvika pamabvi kubva pazvinzvimbo panguva yehope huru kana pakoma
• Kukuvara panguva yekuvhiyiwa kwemabvi kana kubva pakuiswa munzvimbo isingafadzi panguva yeanesthesia

Kazhinji peroneal nerve kukuvara kunowanzoonekwa muvanhu:

• Ndivanaani vakaonda kwazvo (semuenzaniso, kubva kune anorexia nervosa)
• Ndivanaani vane mamwe mamiriro ekuzvimiririra, senge polyarteritis nodosa
• Ndivanaani vane kukuvara kwemitsipa kubva kune mamwe matambudziko ekurapa, akadai seshuga kana kushandisa doro
• Ndivanaani vane chirwere cheCharcot-Marie-Tooth, chirwere chakagarwa nhaka chinokanganisa tsinga dzese

Kana tsinga ikakuvara uye ikonzera kusagadzikana, zviratidzo zvinogona kusanganisira:

• Kupera kwekunzwa, kugwinha, kana kugwinha kumusoro kwetsoka kana chikamu chekunze chegumbo repamusoro kana rezasi
• Tsoka rinodonha (risingakwanise kusimudza tsoka kumusoro)
• "Kurova" gait (nzira yekufamba iyo nhanho yega yega inoita ruzha rwekurova)
• Zvigunwe zvinokweva uchifamba
• Matambudziko ekufamba
• Kushaya simba kwemakumbo kana tsoka
• Kupera kwemhasuru nekuti tsinga hadzisi kusimudzira mhasuru

Iye wekuchengetedza hutano achaita bvunzo dzepanyama, dzinogona kuratidza:

• Kurasikirwa kwemhasuru kudzora mumakumbo epasi nemakumbo
• Atrophy yetsoka kana mhasuru dzemberi
• Zvakaoma kusimudza tsoka netsoka uye kuita zvigunwe-kunze kufamba

Miedzo yeitsinga chiitiko inosanganisira:

• Electromyography (EMG, bvunzo yemagetsi musimba)
• Mitsipa conduction bvunzo (kuti uone kukurumidza kwemasaini emagetsi kupfuura nemutsinga)
• MRI
• Tsinga ultrasound

Dzimwe bvunzo dzinogona kuitwa zvichienderana nechinofungidzirwa chikonzero chekusashanda kwemitsipa, uye zviratidzo zvemunhu uye nemabatiro avanoita. Kuyedza kunogona kusanganisira kuongororwa kweropa, x-ray uye scans.

Kurapa kunovavarira kugadzirisa kufamba uye kuzvimirira. Chero chirwere kana chimwe chikonzero cheiyo neuropathy chinofanira kurapwa. Kupeta mabvi kunogona kudzivirira kumwe kukuvara nekuyambuka makumbo, uku uchishandawo sechiyeuchidzo chekuti usayambuke makumbo ako.

Mune zvimwe zviitiko, corticosteroids inopindwa munzvimbo iyi inogona kudzora kuzvimba uye kumanikidza kune tsinga.

Ungangoda kuvhiyiwa kana:

• Dambudziko racho haripere
• Une matambudziko nekufamba
• Pane humbowo hwekuti nerve axon yakanganisika

Kuvhiya kubvisa kumanikidza kwetsinga kunogona kudzikisa zviratidzo kana kusagadzikana kuchikonzerwa nekumanikidza kwetsinga. Kuvhiya kubvisa tumarara pane tsinga kunogona kubatsira.

DZIDZISO DZINODZORA

Iwe ungangoda pamusoro-e-pikisheni kana mushonga wepiritsi unoderedza kudzora marwadzo. Mimwe mishonga inogona kushandiswa kudzikisa marwadzo inosanganisira gabapentin, carbamazepine, kana tricyclic antidepressants, senge amitriptyline.

Kana kurwadziwa kwako kwakanyanya, nyanzvi yemarwadzo inogona kukubatsira kuti uongorore zvese zvingasarudzwa pakurerutsa kurwadziwa.

Kurapa kwepanyama kurovedza muviri kunogona kukubatsira iwe kuchengetedza simba remhasuru.

Zvirongwa zveOrthopedic zvinogona kusimudzira kugona kwako kufamba nekudzivirira zvibvumirano. Izvi zvinogona kusanganisira mabhureki, zvimedu, shangu dzemabhonzo, kana zvimwewo zvigadzirwa.

Kuraira kwounyanzvi, kurapa kwekuita basa, kana zvimwe zvirongwa zvakafanana zvinogona kukubatsira kuti uwedzere kufamba kwako uye kuzvimirira.

Mhedzisiro inoenderana nechakonzera dambudziko. Kubudirira kurapa chikonzero kunogona kubvisa kusagadzikana, kunyangwe zvingatora mwedzi yakati wandei kuti tsinga dziwedzere.

Kana kukuvara kwetsinga kwakakomba, hurema hunogona kugara zvachose. Iwo marwadzo etsinga anogona kunge asinganetsi. Ichi chirwere hachiwanzo kupfupisa hupenyu hwakatarisirwa hwemunhu.

Zvinetso zvinogona kukura nemamiriro aya zvinosanganisira:

• Yakadzikira kugona kufamba
• Kuderera kusingaperi kwekunzwa mumakumbo kana tsoka
• Kusingaperi kushaya simba kana kuoma mitezo kana makumbo
• Migumisiro yechirwere yemishonga

Fonera mupi wako kana iwe uine zviratidzo zveakajairika peroneal nerve kusagadzikana.

Dzivisa kuyambuka makumbo ako kana kuisa kumanikidza kwenguva refu kumusana kana padivi pemabvi. Rapa kukuvara pagumbo kana ibvi ipapo ipapo.

Kana kukanda, kupwanya, kupfeka, kana kumwe kumanikidza pagumbo repazasi kuchikonzera kunzwa kwakasimba kana chiveve, fonera mupi wako.

Neuropathy - yakajairika peroneal tsinga; Peroneal nerve kukuvara; Peroneal tsinga palsy; Fibular neuropathy

• Kazhinji peroneal nerve kusagadzikana

Katirji B. Kukanganisika kwemitsipa yekunze. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 107.

Toro DRD, Seslija D, King JC. Fibular (peroneal) neuropathy. Muna: Frontera WR, Sirivha JK, Rizzo TD Jr, eds. Zvakakosha zvePhysical Medicine uye Rehabilitation: Musculoskeletal Dambudziko, Marwadzo, uye Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: chits. 75.