Nigute ushobora kumenya ububabare bukabije, bwumye kandi bwa cluster?

Umuzi wa Lumbosacral uva mu muyoboro wumugongo winjira muri sacral plexus, hamwe no gukusanya imitsi ya sciatic nervice, iyo rero muri kimwe muri bitatu kirimo, birashobora gutera ibimenyetso nibimenyetso bimwe. Ahanini bigaragarira mububabare bwo mu kibuno no ku kuguru, kunanirwa, kugenda no gukora nabi kwa reflex hamwe n'ikizamini cyiza cyo kuzamura ukuguru, nibindi, bimwe mubiranga akenshi biragoye kubatangira kubimenya, biganisha ku gusuzuma nabi. Mubyukuri, ibibanza bya pathoanatomique nibiranga ibikomere bitatu ntabwo bihuye. Usibye imanza zidasanzwe aho ebyiri cyangwa eshatu zishobora kubaho icyarimwe, ibyo biranga mubisanzwe mubumwe kandi bitandukanye.

Ububabare bukabije bukunze kuba bifitanye isano na disiki yo mu bwoko bwa disiki, umugongo wumugongo (harimo na fossa stenosis kuruhande), hamwe nibibyimba byumugongo.

. Ububabare bwumye hamwe nububabare bwa cluster ntibusanzwe bugaragaza ububabare bukabije.

. Ibibyimba byo munda bishobora nanone gutera urwego rutandukanye rwo kugabanuka kwumugongo mugihe cyindwara zitandukanye. Nyamara, ububabare bwumye nububabare bwa plexiform ntibugaragaza iyi miterere.

(3) Ikizamini cy'imitsi y'inkondo y'umura: Zhao Dinglin n'abandi. yakoze ikizamini cya nyababyeyi ku barwayi 200 bafite ububabare bukabije, kandi igipimo cyiza cyari hejuru ya 95%. Ibi biterwa nuko uruti rwumugongo ruri muburyo bwo guhindagurika imbere, byongera impagarara nigitutu kumizi yanduye yanduye binyuze mumasaho ya dural na cuff cuff, bikongera ububabare. Ubushakashatsi bwasanze nta kimenyetso cyerekana ububabare bwumye cyangwa ububabare bwa plexiform.

. Kurugero, uruhu rwa dorsal rwunvikana kumano yambere na kabiri yamaguru yikirenge ahanini yinjizwa numuzi wumutima wigitereko, mugihe uruhande rwuruhande rwikirenge hamwe nuru ruto ruto rwinjijwe numuzi wa sakrale 1. Ububabare bukabije, ibyiyumvo, hamwe na refleks bigira uruhare runini kuruta ububabare bwumye hamwe nububabare bwa cluster.

Mu bihe byashize, kwisuzumisha kwa muganga ububabare bwumye bakunze kwita 'sciatica' cyangwa 'sciatic neuritis'. Nyamara, bourse iheruka kwerekana ko ibikomere byo mu mitsi yo mu mitsi ya sciatic, nk'ibibyimba, ibifata, kwikuramo imitsi ya pudendal, hamwe no kubyutsa umuriro, aribyo bitera ububabare bwumye. Ibintu nyamukuru biranga ububabare bwumye ntabwo bigira ingaruka kubisuzuma bifatika kandi birangwa no kubura ubushuhe.

. Ububabare bwo hasi bwa radioaktivi bubaho iyo hashyizweho umuvuduko wimbitse waho, kandi biragaragara ko ari binini kuruta ububabare bukabije. Hafi ya 60% byuruhande rurwaye ruherekejwe na rouge point (tibial nervice course) hamwe na peroneal point (bisanzwe peroneal nervice) hamwe nububabare bukabije. Nta muvuduko ugaragara n'ububabare bwa percussion mu gice cyo hepfo.

(2) Ikizamini cyo kuzenguruka ingingo yo hepfo: Ikizamini cyo kuzenguruka imbere ni cyiza niba giterwa gusa no gusohoka. Niba imitsi ya pudendal nayo irimo, kuzenguruka hanze nabyo ni byiza.

Ibimenyetso byaho byumye bigaragarira nkibyiyumvo, moteri, na reflex deficits mumitsi ya tibial nervice ya peroneal nervice yimbere. Uruhare rwuruhare rwagutse kandi rugarukira kumuzi yumugongo yumugongo uri hagati yigitereko cya 4 kugeza kuri sakrale 2.

. Icyakora, ukurikije Zhao Dinglin hamwe n’indi mibare, ibice birenga 90% by’ububabare bwumye byerekana ububobere.

Ububabare bwa Plexus: bushobora guterwa n'ibibyimba, gutwika indwara zidakira, n'indwara zidasanzwe zifata mu mitsi, zishobora kugira ingaruka ku mitsi ya sakrale bikavamo ibimenyetso. Imyakura ikunze kwibasirwa ni sciatic nervice tronc, tronc nerval femural, na nervice gluteal nervice.

. Ibi bimenyetso birashobora kugaragara icyarimwe cyangwa ubundi buryo, bitewe nuburemere bwibisebe. Hashobora kubaho itandukaniro murwego rwo kugira uruhare hagati yimitsi myinshi.

. Ibinyuranye, ibisebe bifata umwanya munini bitera ububabare, akenshi bikabije.

(3) Isuzuma rya pelvic: Ububabare bwo munda bukunze kugaragara ku barwayi b'abagore; kubwibyo, isuzuma ryabagore rirakenewe kugirango wirinde indwara zabagore mbere yo kwisuzumisha. Byongeye kandi, kugirango ukureho ibibyimba, pelvic palpation kandi nibiba ngombwa, hagomba gukorwa isuzuma rya anal. Orthopantomogrammes na firime ya oblique ya pelvis bigomba gufatwa nyuma yo kweza. Barium enema cyangwa cystografiya irashobora gukoreshwa kubakekwaho kuba bafite ibibyimba byo munda cyangwa inkari.

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