Momma yensua Spurling Test no ho ade mfa nhu nea ɛde wo kɔn mu yaw ba.

Hɛlo! Wo ho te sɛn? Kɔn mu yaw yɛ ɔhaw a nnipa pii wɔ nnansa yi, ɛnte saa? Ɛtɔ da bi a, ɛyaw yi kɔ abasa no mu, ɛyɛ mmerɛw, na afei ɛhaw adwene no nso. Enti ɛnnɛ yɛrebɛka sɔhwɛ tiawa bi a wo duruyɛfo bɛyɛ de ahu nea ɛde wo kɔn mu yaw ba no ho asɛm. Wɔfrɛ no Spurling sɔhwɛ. Sɛ wote eyi a, ebia wubesusuw sɛ, "Oo, dɛn ne eyi?" Nanso mma ɛnhaw wo, momma yɛnka ho asɛm tiawa.

So wunim nea Spurling Sɔhwɛ no yɛ?

Sɛ yɛbɛka no tiawa a, Spurling sɔhwɛ no yɛ nipadua mu nhwehwɛmu a wo duruyɛfo bɛyɛ de ahwɛ sɛ ntini ntini a ɛyɛ den a ebetumi ama wo kɔn ayɛ wo yaw anaa. Ntini a efi wo kɔn mu kɔ wo nsa so no fi akyi berɛmo a ɛwɔ wo kɔn mu (a wɔsan frɛ no awotwaa mu akyi berɛmo) no mu. Enti, sɛ wɔhyɛ saa ntini yi biako mu wɔ ɔkwan bi so a, wɔfrɛ no cervical radiculopathy, a ɛyɛ ɔhaw a ɛfa ntini bi a ɛwɔ wo kɔn mu ho. Wɔde Spurling sɔhwɛ no di dwuma de hu tebea yi.

Nnuruyɛfo nso betumi afrɛ eyi ``maximal cervical compression test'' anaa ``foraminal compression test''. Ebia saa din ahorow yi bɛyɛ te sɛ nea ɛyɛ nea wɔahyɛ da ayɛ kakra na ɛyɛ sɔhwɛ kɛse. Nanso wubetumi asusuw ho ara kwa sɛ sɔhwɛ a oduruyɛfo no yɛ de hu kɔn mu yaw. Eyi akyi no, ebia ɛho behia nso sɛ woyɛ ``mfonini sɔhwɛ'' de si tebea no so dua. Nanso eyi yɛ anammɔn a edi kan a ɛho hia.

Bere bɛn na wɔyɛ Spurling Sɔhwɛ no?

Mpɛn pii no, oduruyɛfo bɛyɛ nhwehwɛmu yi sɛ woanya cervical radiculopathy, anaasɛ ntini a ɛyɛ mmerɛw wɔ wo kɔn mu ho sɛnkyerɛnne bɛyɛ ɔsram biako a. Dɛn ne sɛnkyerɛnne ahorow yi? Hwɛ:

• Kɔn, mmati, ne/anaasɛ abasa mu yaw. Mpɛn pii no, ɛyaw yi fi ase wɔ kɔn mu na ɛkɔ fam wɔ abasa no mu. Ɛtɔ mmere bi a, ebetumi ayɛ te sɛ anyinam ahoɔden anaa ɔhyew. Yɛfrɛ eyi ɛyaw a ɛhyerɛn.
• Nsa a ɛyɛ mmerɛw anaasɛ ɛyɛ nsɔe. Ebia ɛbɛyɛ te sɛ nea wo nsa reda, anaasɛ nwansena retu mmirika akɔ akyirikyiri. Ɛtɔ mmere bi a, nsateaa ano yɛ mmerɛw.
• Nsa ne nsateaa a ɛyɛ mmerɛw na ɛyɛ mmerɛw. Sɛ wokura biribi mu anaa woma so a, ebia wobɛte nka sɛ wo ho nyɛ den, na ebia wobɛtow ade no mpo agu.

Fa no sɛ woayɛ kɔn mu yaw bɛyɛ ɔsram biako, na bere koro no ara mu no, wo nsa nifa nsateaa ayɛ mmerɛw, na wote nka sɛ woayɛ mmerɛw bere a wobɔ mmɔden sɛ wobɛma nsu kuruwa so... Wɔ bere a ɛte sɛ eyi mu no, ebia oduruyɛfo bi bɛyɛ saa ``Spurling sɔhwɛ'' yi de ahu sɛ ebia ntini bi a ɛwɔ wo kɔn mu no aka no pɛpɛɛpɛ anaa.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma sɔhwɛ yi?

Eyi ne ade a eye sen biara, nsuro, enhia ahosiesie pii! Eyi yɛ nipadua mu sɔhwɛ a ɛnyɛ den, enti biribi titiriw biara nni hɔ a ɛsɛ sɛ woyɛ.

Nanso, nneɛma nketenkete kakraa bi wɔ hɔ a ɛsɛ sɛ yɛma ɛtra yɛn adwenem.

• Sɛ ɛbɛyɛ yiye a, hyɛ ntade a ɛnyɛ den a ɛnyɛ den wɔ wo kɔn mu . Sɛ nhwɛso no, ɛbɛyɛ papa sɛ wobɛkwati turtleneck sweaters, scarf akɛse, ne kɔnmuade a emu yɛ duru, efisɛ oduruyɛfo no bɛpɛ sɛ ɔhwɛ wo kɔn mu yiye.
• Sɛ wokata wo ti so a, ɛho nhia sɛ wuyi fi hɔ.
• Ansa na ɔbɛyɛ saa ``Spurling sɔhwɛ`` yi no, oduruyɛfo no bɛyɛ nipadua mu nhwehwɛmu a ɛkɔ akyiri na wabisa wo aduruyɛ ho abakɔsɛm.

Afei nso, sɛ ayaresa tebea horow bi wɔ hɔ a, oduruyɛfo no betumi asusuw ho mprenu sɛ ɔbɛyɛ nhwehwɛmu yi, anaasɛ obetumi de wo akɔ nhwehwɛmu foforo mu. Nhwɛsoɔ:

• Sɛ awotwaa mu akyi berɛmo a entumi nnyina pintinn wɔ hɔ a.
• Sɛ wowɔ tebea bi a wɔfrɛ no cervical spondylotic myelopathy (eyi yɛ den kakra a, wo duruyɛfo bɛkyerɛkyerɛ mu akyerɛ wo).
• Sɛ nnansa yi ara woanya akwanhyia wɔ wo kɔn mu, kyerɛ sɛ, w’akyi berɛmo mu.
• Sɛ wowɔ nkwaa a ɛyɛ hyew te sɛ ntini mu yare a.
• Sɛ adwenem naayɛ bi wɔ hɔ sɛ kokoram nkwammoaa atrɛw akɔ mmeae afoforo (metastasis anaa metastatic cancer).

Wɔ obi a ɔwɔ saa tebea horow yi fam no, ebia oduruyɛfo no besi gyinae sɛ ɔbɛyɛ nhwehwɛmu foforo asen Spurling nhwehwɛmu no. Ne nyinaa yɛ w’ahobammɔ ne sɛnea ɛbɛyɛ a wubehu yare no pɛpɛɛpɛ.

Sɛ woyɛ Spurling Sɔhwɛ no a, dɛn na ɛba? Wɔyɛ no dɛn?

Eyi yɛ biribi a mpɛn pii no wobetumi ayɛ wɔ oduruyɛfo adwumayɛbea wɔ simma kakraa bi mu. Nnwinnade a ɛyɛ fɛ biara ho nhia. Nea ɛba ni:

• Nea edi kan no, oduruyɛfo no bɛka akyerɛ wo sɛ gyina anaa tena nkongua so. Afei, wɔbɛka akyerɛ wo sɛ tra hɔ dinn na gye w’ahome.
• Afei, oduruyɛfo no de ne nsa bɛto wo ti ne wo kɔn so brɛoo paa.
• Afei, dannan wo ti ne wo kɔn nkakrankakra fi ɔfã foforo (nifa, benkum), dannan no kakra kɔ nkyɛn, ebia dannan no kakra, na twe kɔ soro kakra. Wɔyɛ eyinom nyinaa wɔ ɔkwan a wɔahyɛ so yiye na wɔyɛ no brɛoo.
• Bere a wo kɔn wɔ gyinabea biara mu no, oduruyɛfo no de nhyɛso brɛoo bɛba fam afi wo ti atifi.

Saa bere yi de, oduruyɛfo no rehwehwɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ɔwɔ aduruyɛ mu tebea bi a ɛda adi. Enti ɛho hia sɛ woka nea wote nka kyerɛ oduruyɛfo no ntɛm ara. Oduruyɛfo no bɛyɛ eyi denam wo a ɔne wo bɛkasa so. Ebia wobebisa nsɛm te sɛ, "Wo te nka dɛn mprempren?" anaasɛ "So wote ɛyaw bi nka?" Ebia wɔbɛka akyerɛ wo sɛ sɛ wote ɛyaw bi a, ma wo nsa so, anaasɛ wɔbɛka akyerɛ wo sɛ kyerɛkyerɛ nea wote nka no mu. Nsuro sɛ wobɛka.

Dɛn na Spurling Sɔhwɛ no te nka?

Eyi yɛ ɔhaw a nnipa pii wɔ. Ebia worente ahometew anaa ɛyaw biara nka. Sɛ saa a, ɛno ye.

Nanso, ɛtɔ mmere bi a, ne titiriw no, sɛ wo ntini bi ayɛ wo yaw a, ebia wobɛte ɛyaw kakra, wo nsa ayɛ wo yaw, anaasɛ wo nsa ayɛ mmerɛw bere a woreyɛ sɔhwɛ no. Ebia ɛyaw yi te sɛ ɛyaw a na wowɔ kan no, na efi wo kɔn mu kɔ wo nsa so.

Ade a ɛho hia sen biara ne sɛ wobɛka akyerɛ wo duruyɛfo bere a wote nka sɛ wo ho nyɛ wo dɛ ara pɛ. Afei oduruyɛfo no begyae kankyee no na wayɛ nhwehwɛmu no wɔ ɔkwan a ɛnyɛ yaw dodo mma wo so. Ebia wɔbɛka akyerɛ wo sɛ dan wo ti kɔ ɔkwan foforo so na woahu baabi a yare no ho sɛnkyerɛnne no akodu, nanso ɛnyɛ ɔkwan a ɛbɛma wo yaw no ayɛ kɛse da.

Kae sɛ, ɛnyɛ sɛ sɔhwɛ yi atirimpɔw ne sɛ ɛbɛma woate yaw kɛse, na mmom ɛbɛboa wo ma woahu nea ɛde wo yaw no ba. Oduruyɛfo no dwen wo ho bere nyinaa.

So asiane ahorow bi wɔ sɔhwɛ yi mu?

Sɛ oduruyɛfoɔ bi yɛ saa ``Spurling test`` yi a, ɔyɛ no yie paa, na ɔdwene w'ahobammɔ ho. Mpɛn pii no eyi yɛ sɔhwɛ a ahobammɔ wom kɛse.

Nanso, ɛwom sɛ ɛntaa nsi koraa de , nanso hokwan ketewaa bi wɔ hɔ sɛ obi bepira daa anaasɛ ɔbɛsɛe ntini ahorow. Hokwan a ɛwɔ hɔ sɛ ɛno bɛba no sua koraa, efisɛ nnuruyɛfo de ahwɛyiye kɛse na ɛyɛ eyi na wodi wɔn so kɛse. Sɛ wote ɛyaw nka a, egyae ntɛm ara, enti hokwan a ɛwɔ hɔ sɛ ɛbɛsɛe kɛse no sua.

Dɛn ne nea efi Spurling Sɔhwɛ no mu ba?

Sɛ wɔyɛ nhwehwɛmu no wie a, oduruyɛfo no betumi anya nea efi mu ba abien no mu biako: nhwehwɛmu no betumi ayɛ ``asɛmpa`` anaasɛ ebetumi ayɛ ``adebɔne``.

• Spurlin nhwehwɛmu a ɛyɛ papa kyerɛ sɛ wote ɛyaw anaa sɛnkyerɛnne afoforo (te sɛ akisikuru a yɛadi kan aka ho asɛm no, ɛyaw a ɛkɔ wo nsa ase) bere a wɔreyɛ nhwehwɛmu no. Eyi kyerɛ sɛ hokwan kɛse wɔ hɔ sɛ wowɔ ntini a ɛyɛ mmerɛw wɔ wo kɔn mu (cervical radiculopathy). Sɛ eyi ba a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ mfonini mu nhwehwɛmu foforo te sɛ CT scan anaa MRI de si so dua sɛ woahu.
• Spurlin nhwehwɛmu a ɛnyɛ papa kyerɛ sɛ woannya ɛyaw biara, sɛnkyerɛnne foforo biara, anaasɛ sɛnkyerɛnne bi a na ɛwɔ hɔ dedaw no a emu asɛe wɔ sɔhwɛ no mu. Sɛ saa a, ebia wunni cervical radiculopathy, tebea a ɛma ntini a ɛyɛ mmerɛw wɔ kɔn mu. Nanso, ebia ɛho behia sɛ wo duruyɛfo yɛ nhwehwɛmu afoforo de si so dua sɛ woahu, efisɛ ebehia sɛ woyi nneɛma afoforo a ɛde ba no fi hɔ.

Bere bɛn na mehu nea ebefi sɔhwɛ yi mu aba?

Eyi yɛ adepa foforo! Sɛ wɔyɛ nhwehwɛmu no ara pɛ a, oduruyɛfo no bɛka nea ebefi mu aba no akyerɛ wo. "Wo sɔhwɛ no yɛ positive/negative" wɔbɛka akyerɛ no ntɛm ara. Ɔbɛkyerɛkyerɛ nea ɛsɛ sɛ woyɛ akyi, sɛ ebia nhwehwɛmu pii ho hia, ayaresa ko a ɛwɔ hɔ nso mu akyerɛ wo. Eyi nso yɛ bere pa a wubebisa nsɛm biara a ebia wowɔ.

Sɛ Spurling Test no yɛ papa a, dɛn na ɛba akyi?

Okay, momma yɛnka sɛ wo Spurling nhwehwɛmu no yɛ ``positive.'' Ɛno kyerɛ sɛ oduruyɛfo no susuw sɛ ebia wowɔ ntini a ɛyɛ pinched wɔ wo kɔn mu.

Afei, oduruyɛfo no betumi akamfo nhwehwɛmu afoforo akyerɛ de akyerɛ sɛ wɔahu yare no, titiriw mfoninitwa nhwehwɛmu te sɛ CT scan anaa MRI. Eyinom betumi ahwɛ nea ɛrekɔ so wɔ kɔn no mu, baabi a wɔremia ntini no, ne sɛnea ɛyɛ den no pɛpɛɛpɛ.

Sɛ wohu sɛ woahu yare no wie a, oduruyɛfo no befi ayaresa a ɛfata ase ama wo. Saa ayaresa yi betumi ayɛ soronko wɔ onipa biara ho. Ayaresa ahorow bi a wɔtaa yɛ no bi ne:

• Nnuru a wɔde di dwuma: Wobetumi de nnuru a wɔde kum ɛyaw, nnuru titiriw a wɔde tew ntini mu yaw so, ne ebia nnuru a ɛma ntini mu dwo.
• Ahomegye ne dwumadi mu nsakrae: Wɔkamfo kyerɛ sɛ wubegyae anaa wobɛtew dwumadi ahorow a ɛyɛ den wɔ kɔn mu (te sɛ nneɛma a emu yɛ duru a wobɛma so anaasɛ wobɛtra gyinabea koro no ara mu bere tenten) so kakra.
• Apɔw-mu-teɛteɛ: Eyi yɛ ayaresa a ɛho hia yiye. Apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo nneɛma te sɛ kɔn mu apɔw-mu-teɛteɛ, apɔw-mu-teɛteɛ a wode hyɛ wo kɔn mu ntini mu den, ne sɛnea wobɛtena hɔ yiye (tra ase, gyina hɔ, nna). Eyinom betumi aboa ma ɛyaw no so atew na asiw tebea no ano bio.
• Oprehyɛn: Mpɛn pii no, wobetumi de nnuru ne nipadua mu ayaresa adi tebea yi ho dwuma. Nanso, wɔ nsɛm a emu yɛ den, te sɛ bere a ɛyaw no ntumi nnyina ano, nsa no ahoɔden pii, anaa bere a ayaresa afoforo mmoa no, ebia ɛho behia sɛ wɔyɛ oprehyɛn.

Wo duruyɛfo no begyina wo tebea no, wo yare no ho sɛnkyerɛnne, ne nea ebefi wo nhwehwɛmu ahorow mu aba so asi ayaresa a eye ma wo ho gyinae.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ woanya kɔn mu yaw (anaasɛ ntini a ɛyɛ pintinn a yɛkaa ho asɛm no ho sɛnkyerɛnne biara – ɛyaw a ɛhyerɛn kɔ wo nsa so, wo ho ayɛ wo hyew, wo mmerɛwyɛ) adapɛn kakraa bi, sɛ ɛreyɛ kɛse, anaasɛ ɛnyɛ yiye a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn. Afei nso, sɛ ɛyaw no rema ayɛ den sɛ wobɛyɛ wo da biara da dwumadi ahorow anaasɛ worehyia ɔhaw wɔ nna mu a, ka ho asɛm nso kyerɛ wo duruyɛfo .

Wo duruyɛfoɔ bɛtumi ahwɛ wo na sɛ ɛho hia a, wayɛ ``Spurling sɔhwɛ'' no de aboa ama wɔahunu deɛ ɛde wo sɛnkyerɛnneɛ no ba.

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Okay, seesei wunim pii fa `(Spurling test)` no ho, ɛnte saa?

Sɛ yɛbɛka no tiawa a, Spurling sɔhwɛ no yɛ sɔhwɛ a ɛho hia na ɛnyɛ den a ebetumi aboa nnuruyɛfo ma wɔahu nea ɛde wo kɔn mu yaw no ba ansa na wɔakɔyɛ mfoninitwa nhwehwɛmu a emu yɛ den kɛse, te sɛ MRI. Sɛ wokɔ oduruyɛfo nkyɛn a wowɔ ɛyaw a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra, te sɛ, "Oh, so sɔhwɛ yi bɛma ayɛ kɛse?" Mete saa asɛm no ase.

Nanso, oduruyɛfo no yɛ eyi denam wo a ɔne wo bɛkasa na sɛ wote nka sɛ wo ho nyɛ wo dɛ a, ogyae ntɛm ara no so.Sɛ sɔhwɛ no yɛ ``positive,'' a ɛkyerɛ sɛ ɛkyerɛ sɛ ɔhaw bi wɔ hɔ a, oduruyɛfo no bɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi ne ayaresa ahorow a ebetumi ama woanya ahotɔ.

Enti, sɛ wo kɔn mu yɛ wo yaw bere nyinaa anaasɛ wo nsa mu yɛ wo yaw a, mmu w’ani ngu so. Mfa no sɛ "ɛbɛkɔ kɛkɛ." Ɛyɛ papa bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya afotu. Saa kwan no so no, wubetumi anya ahotɔ ntɛm.

Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Kɔn mu yaw, Spurlin sɔhwɛ, ntini mu nhyɛso, awotwaa mu ntini ntini a ɛhyɛ, akisikuru, aduruyɛ mu sɔhwɛ, awotwaa mu radiculopathy, awotwaa mu akyi berɛmo, kɔn mu yaw