Ake sifunde nge-Spurling Test ukuze sithole imbangela yobuhlungu bentamo yakho.

Sawubona! Unjani? Ubuhlungu bentamo buyinkinga abantu abaningi abanayo kulezi zinsuku, akunjalo? Ngezinye izikhathi lobu buhlungu buya engalweni, bube ndikindiki, bese buphazamisa nengqondo. Ngakho-ke namuhla sizokhuluma ngokuhlolwa okulula udokotela wakho azokwenza ukuthola imbangela yobuhlungu bentamo yakho. Kubizwa ngokuthi ukuhlolwa kwe-Spurling. Uma uzwa lokhu, ungase ucabange, "O, kuyini lokhu?" Kodwa ungakhathazeki, ake sixoxe ngakho kalula.

Uyazi ukuthi iyini i-Spurling Test?

Kalula nje, ukuhlolwa kwe-Spurling kuwukuhlolwa ngokomzimba udokotela wakho azokwenza ukuhlola ukucindezelwa kwezimpande zemizwa okungase kubangele ubuhlungu entanyeni yakho. Imizwa egijima kusukela entanyeni yakho iye ezingalweni zakho ivela kumathambo entanyeni yakho (okubizwa nangokuthi umgogodla wesibeletho). Ngakho-ke, uma enye yalezi mizwa icindezelwe ngandlela thile, ibizwa ngokuthi i-cervical radiculopathy, okuyinkinga yomthambo entanyeni yakho. Ukuhlolwa kwe-Spurling kusetshenziselwa ukuxilonga lesi simo.

Odokotela bangase futhi bakubize lokhu ngokuthi "ukuhlolwa kokucindezela komlomo wesibeletho okuphezulu" noma "ukuhlolwa kokucindezela kwe-foraminal". Lawa magama angase azwakale ehlelekile futhi ewukuhlolwa okukhulu. Kodwa ungacabanga nje njengokuhlolwa okwenziwa udokotela ukuze ahlole ubuhlungu bentamo. Ngemva kwalokhu, kungadingeka futhi wenze "ukuhlolwa kwezithombe" ukuqinisekisa isimo. Kodwa lesi isinyathelo sokuqala esibalulekile.

I-Spurling Test yenziwa nini?

Ngokuvamile, udokotela uzokwenza lokhu kuhlolwa uma ube nezimpawu ze-cervical radiculopathy, noma i-nerve ecindezelwe entanyeni, cishe inyanga. Ziyini lezi zimpawu? Bheka:

• Ubuhlungu bentamo, ihlombe, kanye/noma ingalo. Ngokuvamile, lobu buhlungu buqala entanyeni buhambe buze bufike engalweni. Ngezinye izikhathi bungazwakala njengokushaqeka kukagesi noma umuzwa wokushisa. Lokhu sikubiza ngokuthi ubuhlungu obukhipha imisebe.
• Ukuzwa ukuqaqamba noma ukuhlaba esandleni. Kungase kuzwakale sengathi isandla sakho siyalala, noma sengathi izintuthwane ziyagijima. Ngezinye izikhathi iminwe iyaba ndikindiki.
• Ubuthakathaka kanye nokuba ndikindiki ezandleni naseminweni. Uma ubamba noma uphakamisa into ethile, ungase uzizwe sengathi awunamandla anele, futhi ungase uyilahle leyo nto.

Cabanga ukuthi ubulokhu uzwa ubuhlungu entanyeni cishe inyanga, futhi ngesikhathi esifanayo, iminwe yesandla sakho sokunene ayizwakali, futhi uzizwa ubuthakathaka uma uzama ukuphakamisa ingilazi yamanzi... Ngesikhathi esinjengalesi, udokotela angenza lolu "hlolo lwe-Spurling" ukuze athole ukuthi ngabe kukhona yini imizwa entanyeni yakho ethintekile.

Ngingalungiselela kanjani lolu vivinyo?

Lena yinto engcono kakhulu, ungesabi, ayidingi ukulungiselela okuningi! Lokhu ukuhlolwa komzimba okulula, ngakho-ke akukho okukhethekile ongakukwenza.

Kodwa, kunezinto ezimbalwa ezincane okufanele uzikhumbule.

• Uma kungenzeka, gqoka izingubo ezikhululekile nezikhululekile entanyeni yakho . Isibonelo, kungcono ukugwema amajezi e-turtleneck, ama-scarf amakhulu, kanye nemigexo esindayo, njengoba udokotela uzofuna ukuhlola intamo yakho ngokucophelela.
• Uma ugqoke isembozo sekhanda, akudingeki usisuse.
• Ngaphambi kokwenza lolu hlolo lwe-"Spurling", udokotela uzokwenza ukuhlolwa okujwayelekile komzimba bese ebuza ngomlando wakho wezokwelapha.

Futhi, uma kunezimo ezithile zezokwelapha, udokotela angase acabange kabili ngokwenza lokhu kuhlolwa, noma angakuthumelela kolunye ukuhlolwa. Isibonelo:

• Uma kukhona ukungazinzile komgogodla womlomo wesibeletho.
• Uma unesifo esibizwa ngokuthi i-cervical spondylotic myelopathy (lokhu kuyinkimbinkimbi kancane, udokotela wakho uzokuchazela).
• Uma usanda kuba nengozi entanyeni yakho, okungukuthi, umgogodla wakho.
• Uma unesifo sokuvuvukala kwamalunga njenge-rheumatoid arthritis.
• Uma kukhona ukusola ukuthi amangqamuzana omdlavuza asakazekele kwezinye izindawo (ukusabalala kwezicubu noma umdlavuza osabalele).

Kumuntu onalezi zimo, udokotela angase anqume ukwenza isivivinyo esihlukile kunesivivinyo se-Spurling. Konke kungenxa yokuphepha kwakho nokwenza ukuxilongwa okunembile.

Kwenzekani uma wenza i-Spurling Test? Kwenziwa kanjani?

Lokhu kuyinto evame ukwenziwa ehhovisi likadokotela ngemizuzu embalwa. Akukho mishini esezingeni eliphezulu edingekayo. Nakhu okwenzekayo:

• Okokuqala, udokotela uzokutshela ukuthi ume noma uhlale esihlalweni. Bese, uzokutshela ukuthi uhlale uthule futhi uphumule.
• Okulandelayo, udokotela uzobeka izandla zakhe ngobumnene ekhanda lakho nasentanyeni yakho.
• Bese, jika kancane ikhanda lakho nentamo yakho kusukela ohlangothini kuya kolunye (kwesokudla, kwesobunxele), litshekise kancane ohlangothini, mhlawumbe ulijikelezise kancane, bese ulidonsa kancane. Konke lokhu kwenziwa ngokulawulwa kakhulu nangobumnene.
• Ngesikhathi intamo yakho isesikhundleni ngasinye, udokotela uzofaka ingcindezi ephansi esuka phezulu ekhanda lakho.

Ngalesi sikhathi, udokotela ufuna izimpawu zesimo sezokwelapha esingaphansi. Ngakho-ke kubalulekile ukutshela udokotela ukuthi uzizwa kanjani ngokushesha. Udokotela uzokwenza lokhu ngokukhuluma nawe. Bangase bakubuze imibuzo efana nokuthi, "Uzizwa kanjani manje?" noma "Ingabe uzwa ubuhlungu?" Ungacelwa ukuthi uphakamise isandla sakho uma uzwa ubuhlungu, noma ungacelwa ukuthi uchaze ukuthi uzizwa kanjani. Ungesabi ukukusho.

Injani i-Spurling Test?

Lena inkinga abantu abaningi abanayo. Ungase ungezwa ukungakhululeki noma ubuhlungu. Uma kunjalo, kulungile.

Kodwa-ke, ngezinye izikhathi, ikakhulukazi uma une-nerve ecindezelwe, ungase uzizwe ubuhlungu obuncane, ukungazweli, noma ubuthakathaka engalweni yakho ngesikhathi sokuhlolwa. Lobuhlungu bungase bufane nobuhlungu owawunabo ngaphambili, buvela entanyeni yakho buye phansi engalweni yakho.

Into ebaluleke kakhulu ukutshela udokotela wakho ngokushesha nje lapho uzizwa ungakhululekile. Udokotela uzobe esemisa ukunyakaza bese enza ukuhlolwa ngendlela engebuhlungu kakhulu kuwe. Ungase ucelwe ukuthi uphendule ikhanda lakho liye kwelinye icala ukuze ubone ukuthi izimpawu zikude kangakanani, kodwa hhayi ngendlela eyandisa ubuhlungu bakho.

Khumbula, inhloso yalolu vivinyo akukhona ukukubangela ubuhlungu obengeziwe, kodwa ukukusiza uthole imbangela yobuhlungu bakho. Udokotela uhlala ecabanga ngawe.

Ingabe zikhona izingozi ngalolu vivinyo?

Uma udokotela enza lokhu kuhlolwa "kwe-Spurling", ukwenza ngokucophelela okukhulu, ecabanga ngokuphepha kwakho. Lokhu ngokuvamile kuwukuhlolwa okuphephile kakhulu.

Kodwa-ke, nakuba kungavamile kakhulu , kunethuba elincane lokulimala unomphela noma ukulimala kwemizwa. Amathuba okuba lokho kwenzeke mancane kakhulu, ngoba odokotela bakwenza lokhu ngokucophelela nangokulawula okukhulu. Uma uzwa ubuhlungu, bayayeka ngokushesha, ngakho-ke mancane amathuba okulimala okukhulu.

Iyini imiphumela yokuhlolwa kwe-Spurling?

Uma ukuhlolwa sekuqediwe, udokotela angathola omunye wemiphumela emibili: ukuhlolwa kungaba ``positive`` noma kungaba ``negative``.

• Ukuhlolwa kwe-Spurlin okuhle kusho ukuthi uzwa ubuhlungu noma ezinye izimpawu (njengokungezwani okukhulunywe ngakho ekuqaleni, ubuhlungu obuwela engalweni yakho) ngesikhathi sokuhlolwa. Lokhu kusho ukuthi kunethuba elikhulu lokuthi une-nerve ecindezelwe entanyeni yakho (cervical radiculopathy). Uma lokhu kwenzeka, udokotela wakho angase acele ukuhlolwa okwengeziwe kwezithombe, njenge-CT scan noma i-MRI, ukuqinisekisa ukuxilongwa.
• Ukuhlolwa kwe-Spurlin okungekuhle kusho ukuthi awuzange uzwe ubuhlungu, izimpawu ezintsha, noma ukwanda kwesibonakaliso esivele sikhona ngesikhathi sokuhlolwa. Uma kunjalo, cishe awunayo i-cervical radiculopathy, isimo esibangela ukucinana kwemizwa entanyeni. Kodwa-ke, udokotela wakho kungadingeka enze ezinye izivivinyo ukuqinisekisa ukuxilongwa, njengoba kuzodingeka akhiphe ezinye izimbangela.

Ngizoyazi nini imiphumela yalolu vivinyo?

Lena enye into enhle! Lapho nje ukuhlolwa sekuqediwe, udokotela uzokutshela imiphumela. "Ukuhlolwa kwakho kuqondile/kunegethivu" kuzotshelwa ngokushesha. Uzochaza nokuthi yini okufanele uyenze ngokulandelayo, ukuthi kudingeka yini ukuhlolwa okwengeziwe, ukuthi hlobo luni lokwelashwa olutholakalayo. Lesi futhi yisikhathi esihle sokubuza noma yimiphi imibuzo ongase ube nayo.

Uma i-Spurling Test ikhombisa ukuthi ikhona, kuzokwenzekani ngokulandelayo?

Kulungile, ake sithi ukuhlolwa kwakho kwe-Spurling "kulungile." Lokho kusho ukuthi udokotela usola ukuthi kungenzeka ukuthi une-nerve ecindezelwe entanyeni yakho.

Okulandelayo, udokotela angase ancome ezinye izivivinyo ukuqinisekisa ukuxilongwa, ikakhulukazi izivivinyo zezithombe ezifana ne-CT scan noma i-MRI. Lokhu kungabheka ukuthi kwenzekani ngaphakathi entanyeni, lapho inzwa icindezelwa khona, nokuthi iqine kangakanani.

Uma ukuxilongwa sekuqinisekisiwe, udokotela uzoqala ukwelashwa okufanele. Lokhu kwelashwa kungahluka kumuntu nomuntu. Ezinye izindlela zokwelapha ezivamile zifaka:

• Ukusetshenziswa kwemithi: Kungase kunikezwe imithi yokunciphisa ubuhlungu, imithi ekhethekile yokunciphisa ubuhlungu bemizwa, kanye nemithomalalisi yemisipha.
• Ukuphumula kanye nokuguqulwa komsebenzi: Ungase utshelwe ukuthi uyeke noma unciphise imisebenzi enzima entanyeni (njengokuphakamisa izinto ezisindayo noma ukuhlala endaweni efanayo isikhathi eside) isikhashana.
• Ukwelashwa ngokomzimba: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Udokotela wezifo zomzimba uzokufundisa izinto ezifana nokuzivocavoca entanyeni, ukuzivocavoca ukuqinisa imisipha yentamo yakho, kanye nokuma kahle (ukuhlala, ukuma, ukulala). Lokhu kungasiza ekunciphiseni ubuhlungu nokuvimbela lesi simo ukuthi singaphinde sivele.
• Ukuhlinzwa: Ezimweni eziningi, lesi simo singaphathwa ngemithi kanye nokwelashwa ngokomzimba. Kodwa-ke, ezimweni ezimbi kakhulu, njengalapho ubuhlungu bungabekezeleleki, isandla siphelelwe amandla amaningi, noma lapho ezinye izindlela zokwelapha zingasizi, ukuhlinzwa kungadingeka.

Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe ngokusekelwe esimweni sakho, izimpawu zakho, kanye nemiphumela yokuhlolwa kwakho.

Ngingayibona nini udokotela?

Uma uke waba nobuhlungu entanyeni (noma yiziphi izimpawu zomthambo ocijile esikhulume ngazo - ubuhlungu obuvela engalweni yakho, ukungazweli, ubuthakathaka) amasonto ambalwa, uma buba bubi kakhulu, noma uma bungadluli, qiniseka ukuthi ubona udokotela. Futhi, uma ubuhlungu bukwenza kube nzima ukwenza imisebenzi yakho yansuku zonke noma uma unenkinga yokulala, tshela udokotela wakho ngakho.

Udokotela wakho angakuhlola futhi, uma kudingeka, enze "ukuhlolwa kwe-Spurling" ukuze asize ekutholeni imbangela yezimpawu zakho.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Kulungile, manje usuyazi okuningi mayelana ne-`(Spurling test)`, akunjalo?

Kalula nje, ukuhlolwa kwe-Spurling kuwukuhlolwa okubalulekile nokulula okungasiza odokotela ukuthola imbangela yobuhlungu bentamo yakho ngaphambi kokuba baye kokuhlolwa kwezithombe okungathi sína, njenge-MRI. Uma uya kudokotela unezinhlungu, kuvamile ukuzizwa ukhathazekile kancane, njengokuthi, "O, ingabe lokhu kuhlolwa kuzokwenza izinto zibe zimbi kakhulu?" Ngiyaqonda lokho.

Kodwa-ke, udokotela ukwenza lokhu ngokukhuluma nawe futhi ame ngokushesha uma uzizwa ungakhululekile.Uma ukuhlolwa "kunomphumela omuhle," okusho ukuthi kukhombisa ukuthi kunenkinga, udokotela uzokutshela ukuthi yini okufanele uyenze ngokulandelayo nokuthi yiziphi izindlela zokwelapha ezingakunikeza impumuzo.

Ngakho-ke, uma unezinhlungu zentamo noma ukuba ndikindiki esandleni sakho, ungakuzibi. Ungacabangi nje ukuthi "kuzophela." Kungcono ngaso sonke isikhathi ukubona udokotela bese uthola iseluleko. Ngaleyo ndlela, ungathola impumuzo ngokushesha.

Ngikufisela ukululama okusheshayo!

Ubuhlungu bentamo , ukuhlolwa kwe-Spurlin, ukucindezelwa kwemizwa, ukucindezelwa kwezimpande zemizwa yomlomo wesibeletho, ukuba ndikindiki, ukuhlolwa kwezokwelapha, i-radiculopathy yomlomo wesibeletho, umgogodla womlomo wesibeletho, ubuhlungu bentamo