Isikhathi esiningi, udokotela ojwayelekile uyakwazi ukuxilonga nokwelapha i-cruralgia.

Phakathi kochwepheshe abaphethe lesi sifo, kuyadingeka ukubalula ngaphezu kwazo zonke izazi ze-rheumatologists, izazi ze-neurologists kanye nodokotela bokuvuselela (MPR). Ezinye izazi ze-radiologist nazo kwesinye isikhathi zingenza ukuthinta kokwelapha.

Izimo eziphuthumayo zokuhlinzwa zisingathwa odokotela be-neurosurgeon noma odokotela bamathambo.

Ezinye izimo ze-cruralgia ezibuhlungu kakhulu zingadinga ukubonisana esikhungweni sokukhulula ubuhlungu.

Yiziphi izivivinyo esizenzayo?

Ku-classical cruralgia, izimpawu zijwayelekile kangangokuthi ukuhlolwa ngokomzimba kwanele. Ukuqina kwenzwa ngendlela ehloselwe ukuthola uphawu lwe-Lasègue ehlanekezelwe noma uphawu lwe-Leri (okuthambekele, okunwetshiwe ngemuva komlenze) kubangela ukwanda kobuhlungu. Ukushoda kwemoto encane kanye nokuncipha kokuzwela okuhambisana nendawo ye-crural nerve nakho kungasiza ukuqinisekisa ukuxilongwa. Uma kuyi-L3 impande ye-lumbar ecindezelwe, indlela ebuhlungu ithinta i-buttock, isici sangaphambili sethanga kanye nesici sangaphakathi samadolo kanye nokuntuleka kwemisipha kuthinta i-quadriceps kanye ne-anterior tibial muscle yomlenze (ukuguquguquka umlenze. unyawo). Uma kuyimpande ye-L4 ecindezelwe, indlela ebuhlungu isuka esinqeni iye ebusweni bangaphambili nangaphakathi bomlenze, idlule ebusweni bangaphandle bethanga kanye nobuso bangaphambili nangaphakathi bomlenze.

Ukwanda kobuhlungu ngokukhwehlela, ukuthimula, noma ukuzikhulula kuyizimpawu zakudala zobuhlungu ngenxa yokucindezelwa kwempande yemizwa. Empeleni, ubuhlungu buyadamba lapho uphumule, kodwa kungase kube nokukhuphuka kwasebusuku.

Okunye ukuhlolwa kwenziwa kuphela uma kunokungabaza mayelana nemvelaphi ye-cruralgia noma ukungasebenzi kokwelashwa, noma ngisho nokuhlukunyezwa: ama-x-ray omgogodla, ukuhlolwa kwegazi, i-CT scan, i-MRI. Nokho, emazweni aseNtshonalanga, lezi zivivinyo ngokuvamile zenziwa ngendlela ehlelekile. Bese benza kube nokwenzeka ukubona ngeso lengqondo ukucindezelwa kwezimpande zemizwa. Okunye ukuhlola kungase, ngokungavamile, kudingeke njenge-electromyogram, isibonelo.