članak: 1 od 1  
Aktuelnosti iz neurologije, psihijatrije i graničnih područja
2007, vol. 15, br. 1-2, str. 28-34
jezik rada: srpski
iskustva iz prakse
Radikulopatije
Klinički centar Novi Sad

Sažetak

Disfunkcija korena perifernih nerava u kičmenom kanalu, ili radikulopatija, se najčešće dešava u cervikalnom i lumbalnom segmentu kičmenog stuba i veoma je čest poremećaj. Zajednički imenitelj radikulopatija nevezano za zahvaćeni segment su bolovi, koji se javljaju lokalno, ali i u ekstremitetima. Najčešći uzrok radikulopatije je kompresija korena u kičmenom kanalu bilo i.v. diskom ili degenerativnim promenama. Radikulopatija dovodi do radne onesposobljenosti, grubo narušava kvalitet života bolesnika, te posledično dovodi do gubljenja socijalno-ekonomske pozicije pacijenta. Ovo je razlog zbog koga je neophodno pravilno i na vreme dijagnostikovati ovakav poremećaj. Zato je neophodno poznavanje preciznih kliničkih postupaka, kao i pomoćnih dijagnostičkih metoda, neurofizioloških (naročito EMNG) i radioloških (Rtg, CT i MRI) da bi se procenilo da li je pacijentu potrebna hirurška ili konzervativna terapija. Pravilan pristup konzervativnom tretmanu sa poznavanjem palete delotvornih medikamenata, pre svega lekova koji deluju na bol, omogućava brz oporavak bolesnika, sa ili bez minimalnog zaostatka radne onesposobljenosti.

Ključne reči

radikulopatija; bolovi; cervikalna i lumbalna kičma; EMNG; medikamentna terapija

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