An yi kashin baya da kasusuwa da ake kira vertebrae, tare da kashin baya yana gudana ta hanyar kashin baya a tsakiya. Igiyar tana da jijiyoyi. Wadannan tushen jijiya sun rabu daga igiya kuma suna tafiya tsakanin kashin baya zuwa sassa daban-daban na jiki. Lokacin da waɗannan tushen jijiya suka zama tsinke ko lalacewa, alamun da ke biyo baya ana kiran su, radiculopathy. El Paso, TX. Chiropractor, Dr. Alexander Jimenez ya rusheradiculopathy,� tare da su haddasawa, bayyanar cututtuka da magani.

• Jijiya mai tsinke na iya faruwa a wurare daban-daban na kashin baya (cervical, thoracic ko lumbar).
• Dalilan gama gari sune kunkuntar ramin da tushen jijiya ke fita, wanda zai iya faruwa stenosis, ƙasusuwan kashi, ɓacin rai da sauran yanayi.
• Alamun sun bambanta amma galibi sun haɗa da zafi, rauni, numbness da tingling.
• Ana iya sarrafa alamun tare da jiyya ba tare da tiyata ba, amma ƙananan tiyata kuma na iya taimakawa.

Radiculopathy

Yaduwar & Pathogenesis

• Ana iya bayyana diski mai lalacewa azaman herniation na tsakiya pulposus ta hanyar filaye na fibrosus annulus.
• Yawancin ɓarkewar diski suna faruwa a cikin shekaru na uku da na huɗu na rayuwa yayin da ƙwayar pulposus ta kasance har yanzu gelatinous.
• Mafi kusantar lokacin rana da ke hade da ƙara ƙarfin diski shine safiya.
• A cikin yankin lumbar, perforations yawanci suna tasowa ta hanyar lahani kawai a gefe zuwa tsakiyar layi na baya, inda ligament na baya ya fi rauni.

Cutar cututtuka

Lumbar Spine:

• Alamun lumbar disc herniation yana faruwa a tsawon rayuwar kusan 2% na yawan jama'a.
• Aƙalla 80% na yawan jama'a za su fuskanci ciwo mai tsanani a lokacin da ake amfani da diski na herniated.
• Ƙungiyoyin da ke cikin haɗari mafi girma don herniation na diski na intervertebral sune ƙananan mutane (ma'anar shekaru 35)
• Gaskiya sciatica a zahiri tasowa a kawai 35% na marasa lafiya da diski herniation.
• Ba sau da yawa ba, sciatica yana tasowa 6 zuwa 10 shekaru bayan farawar ƙananan ciwon baya.
• Lokaci na ciwon baya na gida yana iya dacewa da maimaita lalacewa ga filaye na anular wanda ke fusatar da jijiyar sinuvertebral amma baya haifar da zubar da diski.

Cutar cututtuka

Kashin mahaifa:

• Matsakaicin abin da ya faru na shekara-shekara na radiculopathies na mahaifa bai wuce 0.1 a cikin 1000 mutane ba.
• Tsabtataccen faifan diski mai laushi ba su da yawa fiye da rashin daidaituwar diski mai wuya (spondylosis) a matsayin sanadin ciwon hannu mai radicular.
• A cikin nazarin marasa lafiya na 395 tare da cututtuka na tushen jijiya, radiculopathies ya faru a cikin mahaifa da lumbar a cikin 93. (24%) kuma 302 (76%), bi da bi.

Pathogenesis

• Canje-canje a cikin biomechanics intervertebral disc biomechanics da biochemistry a kan lokaci suna da illa ga aikin diski.
• Faifan ba shi da ikon yin aiki azaman mai sarari tsakanin jikin kashin baya ko azaman haɗin gwiwa na duniya.

Pathogenesis - LUMBAR SPINE

• Matakan da aka fi sani da su don zubar da diski sune L4-L5 da L5-S1, wanda ke lissafin 98% na raunuka; Pathology na iya faruwa a L2-L3 da L3-L4 amma ba a saba gani ba.
  overall, 90% na faifan diski suna a matakan L4-L5 da L5-S1.
• Rarraba diski a L5-S1 yawanci zai lalata tushen tushen jijiya na sacral na farko, rauni a matakin L4-L5 zai fi sau da yawa damfara tushen lumbar na biyar, kuma herniation a L3-L4 akai-akai ya ƙunshi tushen lumbar na huɗu.

• Har ila yau, ƙwayar diski na iya tasowa a cikin tsofaffin marasa lafiya.
• Fayil ɗin da ke haifar da matsawa a cikin tsofaffin marasa lafiya sun ƙunshi annulus fibrosus da kuma sassan ƙarshen cartilaginous (hard diski.)
  Ƙunƙarar guringuntsi tana jin daɗi daga jikin kashin baya.
• Ƙaddamar da wasu tasirin matsawa akan sifofin jijiyoyi na buƙatar resorption na tsakiya pulposus.

• Resorption Disc wani bangare ne na tsarin warkarwa na halitta wanda ke hade da diski herniation.
• Ingantacciyar ikon resorb fayafai yana da yuwuwar magance alamun asibiti da sauri.
• Resorption na kayan diski na herniated yana da alaƙa da haɓakar haɓakar infiltrating macrophages da kuma samar da matrix metalloproteinases (MMPs) 3 da 7.
• Nerlich da masu haɗin gwiwa sun gano asalin ƙwayoyin phagocytic a cikin fayafai na intervertebral lalata.
• Binciken ya gano sel waɗanda suka canza sel na gida maimakon mamaye macrophages.
• Fayafai masu lalacewa sun ƙunshi sel waɗanda ke ƙara wa ci gaba da narkewa.

Pathogenesis - KAYAN UWA

• A farkon shekarun 1940, rahotanni da dama sun bayyana inda aka kwatanta rashin lafiyar mahaifa na intervertebral tare da radiculopathies.
• Akwai haɗin kai tsaye tsakanin tsarin jiki na kashin baya na mahaifa da wuri da kuma ilimin cututtuka na ƙwayar diski.

• Tushen jijiyoyi takwas na mahaifa suna fita ta hanyar intervertebral foramina waɗanda ke da iyaka ta anteromediaally ta diski na intervertebral da na baya ta hanyar haɗin gwiwar zygapophyseal.
• Foramina sun fi girma a C2-C3 kuma suna raguwa cikin girman har zuwa C6-C7.
• Tushen jijiya ya mamaye 25% zuwa 33% na girma na foramen.
• Tushen C1 yana fita tsakanin occiput da atlas (C1)
• Duk tushen tushe suna fita sama da daidaitattun kashin mahaifarsu (tushen C6 a tsakiyar sararin C5-C6), sai C8, wanda ke fita tsakanin C7 da T1.
• Matsakaicin girma daban-daban yana rinjayar alaƙar kashin baya da tushen jijiya da kashin mahaifa.

• Yawancin ɓangarorin diski mai mahimmanci suna faruwa a baya kuma a cikin marasa lafiya a cikin shekaru goma na rayuwa, lokacin da tsakiya har yanzu gelatinous.
• Mafi yawan wuraren da aka fi sani da faifan diski sune C6-C7 da C5-C6.
• C7-T1 da C3-C4 disc herniations ba su da yawa (kasa da 15%).
• Harshen diski na C2-C3 yana da wuya.
• Marasa lafiya tare da haɓakar diski na sama a cikin yankin C2-C3 suna da alamun bayyanar cututtuka waɗanda suka haɗa da ciwon suboccipital, asarar ƙarancin hannu, da paresthesias akan fuska da hannu ɗaya.
• Ba kamar fayafai na lumbar ba, fayafai masu ɓarna na mahaifa na iya haifar da myelopathy ban da raɗaɗin raɗaɗi saboda ƙwayar ƙwayar cuta a cikin yankin mahaifa.
• Shahararrun abubuwan da ba a gano su ba suna taka rawa a wurin da kayan fayafai da suka fashe.
• Ƙungiyar uncovertebral tana ƙoƙarin jagorantar kayan diski da aka fitar a tsakiya, inda matsin igiya na iya faruwa.

• Ƙwararrun diski yawanci suna shafar tushen jijiya da aka ƙidaya mafi yawan caudally don matakin diski da aka ba; misali, C3 � C4 diski yana rinjayar tushen jijiya na huɗu na mahaifa; C4-C5, tushen jijiya na mahaifa na biyar; C5 � C6, tushen jijiya na mahaifa na shida; C6 � C7, tushen jijiya na mahaifa na bakwai; da C7 � T1, tushen jijiya na mahaifa na takwas.

• Ba kowane diski na herniated ba yana da alamun bayyanar cututtuka.
• Ci gaban bayyanar cututtuka ya dogara da ajiyar ajiyar ƙwayar ƙwayar ƙwayar cuta, kasancewar kumburi, girman herniation, da kuma kasancewar cututtuka masu rikitarwa irin su samuwar osteophyte.
• A cikin tsagewar diski, fitowar kayan nukiliya yana haifar da tashin hankali a kan filaye na shekara da damfara akan dura ko tushen jijiya yana haifar da ciwo.
• Hakanan mahimmanci shine ƙaramin girman sagittal diamita, canal na kashin mahaifa na kashin mahaifa.
• Mutanen da diski herniated na mahaifa ya haifar da rashin aikin motsa jiki suna da rikitarwa na diski na mahaifa idan canal na kashin baya ya kasance. stenotic.

Tarihin asibiti - LUMBAR SPINE

• A asibiti, babban gunaguni na majiyyaci shine mai kaifi, mai raɗaɗi.
• A yawancin lokuta ana iya samun tarihin baya na lokuta masu tsaka-tsaki na ƙananan ƙananan baya.
• Jin zafi ba kawai a baya ba har ma yana haskaka ƙafar ƙafa a cikin rarrabawar jiki na tushen jijiya da ya shafa.
• Yawancin lokaci za a kwatanta shi a matsayin mai zurfi da kaifi kuma yana ci gaba daga sama zuwa ƙasa a cikin ƙafar da ke ciki.
• Farkon sa na iya zama na yaudara ko kwatsam kuma yana da alaƙa da tsagewa ko tsinkewa na kashin baya.
• Lokaci-lokaci, lokacin da sciatica ke tasowa, ciwon baya zai iya warwarewa saboda da zarar annulus ya rushe, bazai kasance cikin tashin hankali ba.
• Harshen diski yana faruwa tare da ƙoƙarin jiki kwatsam lokacin da gangar jikin ke jujjuya ko juyawa.
• A wani lokaci, marasa lafiya da L4-L5 disc herniation suna da zafi mai zafi. A cikin binciken 512 marasa lafiya na lumbar diski, 4.1% ciwon makwanci.
• A ƙarshe, da sciatica na iya bambanta da tsanani; yana iya zama mai tsanani sosai cewa marasa lafiya ba za su iya yin motsi ba kuma za su ji cewa an "kulle" baya.
• A gefe guda, zafin zai iya iyakance ga rashin jin daɗi wanda ya karu da ƙarfi tare da ambulation.
• Ciwo yana kara tsanantawa a cikin matsayi mai sassauci kuma an sauƙaƙa ta hanyar tsawo na kashin baya na lumbar.
• Characteristically, marasa lafiya da 'yan kwalliya sun ƙara zafi tare da zama, tuƙi, tafiya, kwanciya, atishawa, ko damuwa.

Tarihin Likitanci - KAFIN CIKI

• Ciwon hannu, ba ciwon wuya ba, shine babban korafin majiyyaci.
• Ana jin zafi sau da yawa kamar farawa a cikin wuyansa sannan kuma yana haskakawa daga wannan batu zuwa kafada, hannu da gaba kuma yawanci a cikin hannu.
• Farkon ciwon radicular sau da yawa a hankali, ko da yake yana iya zama kwatsam kuma yana faruwa tare da haɗuwa da tsagewa ko tsintsaye.
• Yayin da lokaci ya wuce, girman ciwon hannu a fili ya zarce na wuyansa ko ciwon kafada.
• Hakanan ciwon hannu na iya zama mai canzawa cikin ƙarfi kuma ya hana kowane amfani da hannu; yana iya kamawa daga zafi mai tsanani zuwa maras kyau, raɗaɗi a cikin tsokoki na hannu.
• Yawanci zafi yana da tsanani sosai don tada majiyyaci da dare.
• Bugu da ƙari, mai haƙuri na iya yin gunaguni game da ciwon kai mai alaƙa da kuma ƙwayar tsoka, wanda zai iya fitowa daga kashin mahaifa zuwa ƙasa da scapulae.
• Hakanan zafi na iya haskakawa ga ƙirji kuma ya kwaikwayi angina (pseudoangina) ko zuwa nono.
• Alamun kamar ciwon baya, ciwon ƙafa, rauni na ƙafafu, tashin hankali, ko rashin natsuwa suna nuna matsawa na kashin baya (Myelopathy).

Jarrabawar Jiki - LUMBAR SPINE

• Binciken jiki zai nuna raguwa a cikin kewayon motsi na kashin baya na lumbosacral, kuma marasa lafiya na iya lissafin zuwa gefe ɗaya yayin da suke ƙoƙarin karkatar da gaba.
• Gefen faifan diski yawanci yayi daidai da wurin jerin scoliotic.
• Koyaya, takamaiman matakin ko digiri na herniation bai dace da matakin lissafin ba.
• A kan ambulation, marasa lafiya suna tafiya tare da wani maganin antalgic a cikin abin da suke riƙe da ƙafar ƙafar da ke da hannu a cikin sassauƙa don sanya ɗan ƙaramin nauyi kamar yadda zai yiwu a kan iyakar.

• Gwajin Neuro:

• Binciken neurologic yana da mahimmanci kuma yana iya haifar da haƙiƙanin shaida na tushen tushen jijiya (Ya kamata mu kimanta gwajin reflex, ƙarfin tsoka, da gwajin jin daɗi na mai haƙuri).
• Bugu da ƙari, ƙarancin jijiyoyi na iya samun ɗan lokaci kaɗan saboda yana iya danganta da harin da ya gabata a wani matakin daban.
• Matsi na tushen jijiya na kashin baya ɗaya yana haifar da sauye-sauye a cikin mota, azanci, da aikin reflex.
• Lokacin da aka matsa tushen sacral na farko, mai haƙuri na iya samun raunin gastrocnemius-soleus kuma ya kasa yin tadawa akai-akai akan yatsan ƙafar.
• Atrophy na maraƙi na iya zama aperent, kuma idon (Achilles) reflex yakan ragu ko ba ya nan.
• Rashin hankali, idan akwai, yawanci ana iyakance shi ne zuwa bangaren baya na maraƙi da gefen ƙafa.

• Shiga tushen jijiya na lumbar na biyar zai iya haifar da rauni a cikin tsawaita babban yatsan yatsan hannu kuma, a wasu ƴan lokuta, rauni na madaidaicin kafa da dorsiflexors na ƙafa.
• Rawancin azanci zai iya bayyana a gaban kafa da kuma sashin dorsomedial na ƙafa zuwa babban yatsa.

• Tare da matsawa na tushen jijiya na lumbar na huɗu, ƙwayar quadriceps ta shafi; mai haƙuri na iya lura da rauni a cikin gwiwa gwiwa, wanda sau da yawa yana hade da rashin zaman lafiya.
• Atrophy na musculature na cinya za a iya alama. Ana iya bayyana hasarar ji a kan gefen cinya na anteromedial, kuma za a iya raguwar reflex na jijiya.

 

• Tushen jijiya na iya haifar da hankali ta kowace hanya da ke haifar da tashin hankali.
• Gwajin ɗaga ƙafafu madaidaiciya (SLR) shine wanda aka fi amfani dashi.
• Ana yin wannan gwajin tare da majinyacin kwance.

Jarrabawar Jiki - KAFIN CIKI

Gwajin Neuro:

• Binciken neurologic wanda ke nuna rashin daidaituwa shine mafi mahimmancin taimako na aikin bincike, kodayake jarrabawar na iya zama al'ada duk da yanayin radicular na yau da kullun.
• Kasancewar atrophy yana taimakawa wajen rubuta wurin da raunin ya faru, da kuma tarihin sa.
• Kasancewar sauye-sauye na zahiri yana da wuyar fassarawa sau da yawa kuma yana buƙatar majiyyaci mai haɗin kai da haɗin kai don zama darajar asibiti.

• Lokacin da tushen mahaifa na uku ya matsa, ba za a iya gano wani canji na reflex da raunin mota ba.
• Jin zafi yana haskakawa zuwa baya na wuyansa kuma zuwa ga tsarin mastoid da pinna na kunne.
• Shiga tushen jijiya na huɗu na mahaifa yana haifar da babu wani canje-canje da za a iya ganowa da sauri ko raunin motsi.
• Jin zafi yana haskakawa zuwa baya na wuyansa da kuma mafi girman al'amari na scapula.
• Lokaci-lokaci, ciwon yana haskaka bangon kirji na gaba.
• Sau da yawa zafi yana kara tsanantawa ta hanyar wuyan wuyansa.
• Ba kamar na uku da na huɗu tushen jijiya na mahaifa ba, na biyar zuwa takwas tushen jijiya na mahaifa suna da aikin motsa jiki.
• Matsi na tushen jijiya na mahaifa na biyar yana nuna raunin raunin kafada, yawanci sama da digiri 90, da rauni na tsawo na kafada.
• Hanyoyin biceps sau da yawa suna tawayar kuma zafi yana haskakawa daga gefen wuyansa zuwa saman kafada.
• Ana lura da raguwar jin daɗi sau da yawa a cikin gefen gefe na deltoid, wanda ke wakiltar yanki mai cin gashin kansa na jijiyar axillary.

• Shiga tushen jijiya na mahaifa na shida yana haifar da rauni na tsokoki na biceps tare da raguwar reflex na brachioradial.
• Jin zafi yana sake fitowa daga wuyansa zuwa gefen gefen hannu da gaɓoɓin hannu zuwa gefen radial na hannu (yatsa, dogon yatsa, da babban yatsa).
• Ƙunƙwasawa yana faruwa lokaci-lokaci a cikin ƙarshen yatsan hannu, yanki mai cin gashin kansa na tushen jijiya na mahaifa na shida.

• Matsi na tushen jijiya na mahaifa na bakwai yana haifar da sauye-sauye a cikin gwajin jerk na triceps tare da asarar ƙarfi a cikin tsokoki na triceps, wanda ke shimfiɗa gwiwar hannu.
• Jin zafi daga wannan rauni yana haskakawa daga gefen gefe na wuyansa zuwa tsakiyar yankin zuwa tsakiyar yatsa.
• Canje-canje a hankali yana faruwa sau da yawa a saman yatsan tsakiya, yanki mai cin gashin kansa don jijiya ta bakwai.
• Har ila yau, ya kamata a gwada marasa lafiya don fuka-fuki na scapular, wanda zai iya faruwa tare da C6 ko C7 radiculopathies.

• A ƙarshe, shigar da tushen jijiya na takwas na mahaifa ta hanyar C7-T1 diski mai rauni yana haifar da babban rauni na musculature na ciki na hannu.
• Irin wannan shigar na iya haifar da saurin zubewar tsokoki na interosseous saboda ƙananan girman waɗannan tsokoki.
• Asarar da interossei yana haifar da hasara mai yawa na motsin hannu mai kyau.
• Ba a sami sauƙi ba, kodayake flexor carpi ulnaris reflex na iya raguwa.
• Ciwon radicular daga tushen jijiya na takwas na mahaifa yana haskakawa zuwa iyakar ulnar hannun da zobe da ƙananan yatsu.
• Ƙunƙarar ɗan yatsa sau da yawa yana nuna raguwar jin daɗi.

• Za'a iya samun sauƙin jin zafi na radicular na biyu zuwa faifan mahaifar mahaifa ta hanyar satar hannun da abin ya shafa.
• Ko da yake waɗannan alamun suna taimakawa idan akwai, rashin su kadai ba zai kawar da ciwon tushen jijiya ba.

Bayanan Laboratory

• Gwajin gwaje-gwaje na likitanci (ƙididdigar jini, ƙimar sinadarai na erythrocyte sedimentation rate [ESR]) na al'ada ne a cikin marasa lafiya da diski mai rauni.

• Gwajin bincike na Electro

• Electromyography (EMG) ƙarin lantarki ne na gwajin jiki.
• Babban amfani da EMG shine don bincikar radiculopathies a lokuta na asalin neurologic.
• Sakamakon EMG na iya zama tabbatacce a cikin marasa lafiya da tushen jijiya.

Ƙimar Radiyo - LUMBAR SPINE

• Hoton x-ray na iya zama na al'ada gaba ɗaya a cikin majiyyaci tare da alamu da alamun raunin tushen jijiya.

• Tomography da aka lissafa

• Ƙimar radiyo ta CT scan na iya nuna ɓarkewar faifai amma maiyuwa bazai daidaita da matakin lalacewar jijiya ba.

• Magnetic rawa Hoto

• Hoton MR kuma yana ba da damar hangen nesa na kyallen takarda masu laushi, gami da fayafai a cikin kashin lumbar.
• Ana iya gano fayafai masu ɓarna cikin sauƙi tare da ƙimar MR.
• Hoto na MR wata dabara ce mai mahimmanci don gano ɓarna a gefe da na gaba.

Ƙimar Radiyo - KYAUTATA KARYA

• Harkokin X

• Filayen x-ray na iya zama na al'ada gabaɗaya a cikin marasa lafiya tare da faya-fayan fayafai na mahaifa.
• Akasin haka, �70% na mata masu asymptomatic da 95% na maza masu asymptomatic tsakanin shekarun 60 zuwa 65 suna da shaidar cututtukan diski na degenerative akan roentgenograms.
• Ra'ayoyin da za a samu sun haɗa da anteroposterior, a gefe, sassauƙa, da tsawo.

• Tomography da aka lissafa

• CT yana ba da izinin hangen nesa kai tsaye na matsawa tsarin jijiyoyi don haka ya fi daidai da myelography.
• Fa'idodin CT akan myelography sun haɗa da mafi kyawun hangen nesa na abubuwan da ba a saba gani ba kamar su ƙwanƙwasawa na ƙwanƙwasa da rashin daidaituwa na caudal zuwa toshe myelographic, ƙarancin bayyanar da hasken rana, kuma babu asibiti.

• Maganar Magnetic

• MRI yana ba da damar gani mai kyau na kyallen takarda masu laushi, gami da fayafai na herniated a cikin kashin mahaifa.
• Gwajin ba shi da haɗari.
• A cikin nazarin marasa lafiya na 34 tare da raunuka na mahaifa, MRI ya annabta 88% na cututtukan da aka tabbatar da su ta hanyar tiyata 81% don myelography-CT, 58% don myelography, da kuma 50% don CT kadai.

Bambance-bambancen Bincike - LUMBAR SPINE

• Ana yin ganewar asali na farko na diski na herniated akan tarihin tarihi da jarrabawar jiki.
• Hanyoyin rediyo na fili na kashin baya na lumbosacral ba zai ƙara ƙarawa zuwa ganewar asali ba amma ya kamata a samu don taimakawa wajen kawar da wasu abubuwan da ke haifar da ciwo kamar kamuwa da cuta ko ciwon daji.
• Sauran gwaje-gwaje irin su MR, CT, da myelography tabbatacce ne ta yanayi kuma suna iya zama yaudara lokacin amfani da su azaman gwaje-gwajen nunawa.

Spinal Stenosis

• Mara lafiya tare da kashin baya na iya sha wahala daga ciwon baya wanda ke haskakawa zuwa ƙananan sassan.
• Marasa lafiya tare da kashin baya sun fi girma fiye da waɗanda diski na herniated ya haɓaka.
• A dabi'a, marasa lafiya tare da ƙwanƙwasa na kashin baya suna fuskantar ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan (pseudoclaudication = neurogenic claudication) bayan tafiya don nisa da ba a bayyana ba.
• Har ila yau, suna kokawa game da ciwon da ke daɗaɗawa ta hanyar tsayawa ko tsawaita kashin baya.
• Ƙididdigar rediyo yawanci yana taimakawa wajen bambance mutane masu ɓarnawar diski daga waɗanda ke da hawan jini na kasusuwa da ke da alaƙa da stenosis na kashin baya.
• A cikin binciken da aka yi na marasa lafiya 1,293, jijiyar kashin baya na gefe da fayafai na intervertebral herniated sun kasance a ciki. 17.7% na daidaikun mutane.
• Za a iya haifar da ciwo na radicular ta hanyar tsarin pathologic fiye da ɗaya a cikin mutum.

Facet Syndrome

• Facet ciwo wani dalili ne na ƙananan ciwon baya wanda zai iya haɗuwa da radiation na zafi zuwa tsarin da ke waje da iyakokin kashin baya na lumbosacral.
• Ragewar sifofin articular a cikin facet haɗin gwiwa yana haifar da ciwo don ci gaba.
• A mafi yawan lokuta, zafi yana raguwa a kan yanki na haɗin gwiwa da ya shafa kuma yana tsanantawa ta hanyar tsawo na kashin baya (tsaye).
• Za a iya lura da wani zurfi, rashin lafiya, rashin jin daɗi a cikin haɗin gwiwa na sacroiliac, gindi, da ƙafafu.
• Yankunan sclerotome da abin ya shafa suna nuna asalin amfrayo iri ɗaya kamar haɗin gwiwa na facet mai lalacewa.
• Marasa lafiya da ciwo na biyu zuwa cututtukan haɗin gwiwa na facet na iya samun sauƙin bayyanar cututtuka tare da allurar apophyseal na maganin sa barci na gida mai tsawo.
• Matsayi na gaskiya na cututtukan haɗin gwiwa na facet a cikin samar da ciwon baya da ƙafa ya rage don ƙayyade.
• Sauran abubuwan da ke haifar da injiniya na sciatica sun haɗa da abubuwan da ba su da kyau na tushen jijiya na lumbar, matsawa na waje na jijiyar sciatic (walat a cikin aljihun wando na baya), da kuma murƙushe ƙwayar jijiyar (piriformis syndrome).
• A cikin yanayi mai wuya, ya kamata a yi la'akari da ciwon mahaifa ko thoracic idan kashin lumbar ya fita daga rashin daidaituwa.
• Hanyoyin kiwon lafiya na sciatica (ciwon daji na jijiyoyi ko cututtuka, alal misali) yawanci suna hade da alamun tsarin tsarin ban da ciwon jijiya a cikin rarraba sciatic.

Ganewar Bambance-Bambance – KAYAN YANZU

• Babu wani ma'auni na bincike don ganewar asibiti na diski na mahaifa.
• Ana yin ganewar asali na wucin gadi na diski na herniated ta hanyar tarihi da jarrabawar jiki.
• A sarari x-ray yawanci ba a gano, ko da yake lokaci-lokaci faifai sarari kunkuntar a abin da ake zargin interspace ko kunkuntar foraminal a kan faifai fina-finai ana ganin.
• Darajar x-ray shine ware wasu abubuwan da ke haifar da wuyansa da ciwon hannu, kamar kamuwa da cuta da ƙari.
• MR Hoton da CT-myelography sune mafi kyawun gwaje-gwajen tabbatarwa don zubar da diski.
• Ƙunƙarar fayafai na mahaifa na iya shafar sifofi ban da tushen jijiya.
• Ƙunƙarar faifai na iya haifar da matsewar jirgin ruwa (jijiya ta vertebral) da ke da alaƙa da raunin jijiya na vertebrobasilar kuma a bayyana shi azaman hangen nesa da dizziness.

• Sauran abubuwan da ke haifar da ciwon hannu yakamata a cire su.
• Mafi na kowa shine wani nau'i na matsawa akan jijiya na gefe.
• Irin wannan matsawa na iya faruwa a gwiwar hannu, gaba, ko wuyan hannu. Misali shine matsawa na jijiyar tsaka-tsaki ta hanyar ligament na carpal wanda ke haifar da ciwo na rami na carpal.
• Mafi kyawun gwajin gwaji don yin watsi da waɗannan cututtukan neuropathy na gefe shine EMG.
• Ƙunƙasa da yawa akan hannu na biyu zuwa nauyi mai nauyi na iya haifar da raɗaɗin raɗaɗi ba tare da matsewar diski na tushen jijiya ba.
• Dole ne a yi la'akari da rashin daidaituwa na kashin baya idan alamun myelopathy sun kasance tare da radiculopathies.
• An gano cututtukan kashin baya irin su syringomyelia ta MRI, kuma EMG ya gano cutar neuron.
• Ya kamata a yi la'akari da sclerosis mai yawa a cikin mai haƙuri tare da radiculopathies idan alamun jiki sun nuna raunuka sama da magnum na foramen. (na gani neuritis).
• A cikin yanayi da ba kasafai ba, raunuka na lobe na parietal daidai da hannu na iya yin kwaikwayi binciken radiculopathy na mahaifa.

Rauni Clinic Clinic: Jiki Far da Chiropractic