Chilichonse Chimene Muyenera Kudziwa Zokhudza Sciatica

Zamkati

• Chidule
• Zizindikiro za sciatica
• Kodi chimayambitsa sciatica ndi chiyani?
• Ma disks a Herniated
• Matenda a msana
• Spondylolisthesis
• Matenda a Piriformis
• Zowopsa zakukula kwa sciatica
• Nthawi yoti mupite kuchipatala
• Matenda a Cauda equina
• Kuzindikira sciatica
• Njira zochiritsira za sciatica
• Kuzizira
• Kutentha
• Kutambasula
• Mankhwala owonjezera
• Kuchita masewera olimbitsa thupi nthawi zonse
• Thandizo lakuthupi
• Mankhwala akuchipatala
• Mankhwala a Epidural steroid
• Opaleshoni
• Njira zina zochiritsira
• Momwe mungapewere sciatica

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Chidule

Mitsempha yanu yam'mimba imayamba pamtsempha wanu, imadutsa m'chiuno ndi matako, kenako ndikunyamula mwendo uliwonse.

Mitsempha ya sciatic ndi mitsempha yayitali kwambiri mthupi lanu komanso imodzi mwazofunikira kwambiri. Zimakhudza mwachindunji kuthekera kwanu kuwongolera ndikumva miyendo yanu. Minyewa iyi ikakwiya, mudzakumana ndi sciatica.

Sciatica ndikumverera komwe kumatha kudziwonetsera kokha ngati kupweteka pang'ono kumbuyo kwanu, matako, ndi miyendo. Muthanso kumva kufooka kapena kufooka m'malo awa.

Sciatica ndi chizindikiro chomwe chimayambitsidwa ndi vuto lanu lamitsempha kapena malo omwe amakhudza mitsempha, monga ma vertebrae anu, omwe ndi mafupa m'khosi mwanu ndi kumbuyo kwanu.

Pafupifupi 40 peresenti ya anthu adzalandira nthawi ina m'miyoyo yawo. Zimakhala pafupipafupi mukamakula.

Zizindikiro za sciatica

Sciatica ndi chizindikiro chosiyana kwambiri. Ngati mukumva kuwawa komwe kumayenda kuchokera kumunsi kwanu kudutsa m'dera lanu lamatako ndikupita kumiyendo yanu yapansi, nthawi zambiri kumakhala sciatica.

Sciatica ndi zotsatira za kuwonongeka kapena kuvulala kwa mitsempha yanu yam'mimba, kotero zizindikilo zina zowononga mitsempha nthawi zambiri zimakhalapo ndi ululu. Zizindikiro zina zitha kukhala izi:

• Mutha kukhala ndi ululu womwe umakulirakulira poyenda.
• Mutha kukhala ndi dzanzi kapena kufooka m'miyendo kapena m'mapazi anu, omwe nthawi zambiri mumamvekera munjira yanu yamitsempha. Pazovuta zazikulu, mutha kutaya kumverera kapena kuyenda.
• Mutha kumva zokomera zikhomo ndi singano, zomwe zimakhudza kuluma kopweteka kumapazi kapena m'miyendo.
• Mutha kukhala ndi kusadziletsa, komwe ndikulephera kuwongolera chikhodzodzo kapena matumbo. Ichi ndi chizindikiro chosowa cha matenda a cauda equina syndrome (CES), omwe afotokozedwa pansipa, ndipo amafuna kuti athandizidwe mwachangu.

Kodi chimayambitsa sciatica ndi chiyani?

Sciatica imatha kuyambitsidwa ndi zinthu zingapo zomwe zimakhudza msana wanu ndipo zimatha kukhudza mitsempha yoyenda kumbuyo kwanu. Zitha kuyambidwanso chifukwa chovulala, mwachitsanzo kugwa, kapena zotupa za msana kapena zotupa.

Zinthu zomwe zingayambitse sciatica zafotokozedwa pansipa.

Ma disks a Herniated

Matenda anu am'mimba, kapena mafupa a msana, amasiyanitsidwa ndi zidutswa zamafupa. Cartilage imadzaza ndi zinthu zowoneka bwino, zowoneka bwino kuti zitsimikizike kuti kusinthasintha ndikumata mukamayenda. Ma disks a Herniated amapezeka pomwe gawo loyamba la karoti limang'amba.

Zomwe zili mkati zimatha kupondereza mitsempha yanu, zomwe zimayambitsa kupweteka kwamiyendo ndikumva kufooka. Akuyerekeza kuti mwa anthu onse adzakhala ndi ululu wammbuyo womwe umayambitsidwa ndi diski yomwe yatuluka nthawi ina m'miyoyo yawo.

Matenda a msana

Spinal stenosis amatchedwanso lumbar spinal stenosis. Zimadziwika ndi kuchepa kwachilendo kwa ngalande yanu yam'munsi ya msana. Kuchepetsa uku kumapangitsa kupanikizika kwa msana wanu komanso mizu yanu yaminyewa.

Spondylolisthesis

Spondylolisthesis ndiimodzi mwazomwe zimakhudzana ndi matenda opatsirana ndi diski. Pamene fupa la msana, kapena vertebra, lipitilira patsogolo pa linzake, mafupa owonjezera a msana amatha kutsina mitsempha yomwe imapanga mitsempha yanu.

Matenda a Piriformis

Matenda a Piriformis ndimatenda osowa am'mitsempha omwe piriformis minofu yanu imachita mwamphamvu kapena kumangika, kuchititsa sciatica. Minofu yanu ya piriformis ndi minofu yomwe imagwirizanitsa gawo locheperako la msana wanu ndi matumbo anu.

Ikakhazikika, imatha kukakamiza mitsempha yanu, ndikupita ku sciatica. Matenda a Piriformis amatha kuwonjezeka ngati mutakhala nthawi yayitali, kugwa, kapena kukumana ndi ngozi yamagalimoto.

Zowopsa zakukula kwa sciatica

Makhalidwe kapena zinthu zina zitha kukulitsa chiopsezo chokhala ndi sciatica. Zomwe zimafala kwambiri pakupanga sciatica ndi izi:

• Thupi lanu likamakalamba, zimakhala zotheka kuti ziwalo zidzatha kapena kuwonongeka.
• Ntchito zina zimakhala zovuta kumbuyo kwanu, makamaka zomwe zimakweza zinthu zolemetsa, kukhala kwakanthawi, kapena kupindika.
• Kukhala ndi matenda ashuga kumatha kukulitsa chiopsezo cha kuwonongeka kwa mitsempha.
• Kusuta kumatha kupangitsa kuti gawo lakunja la diski yanu ya msana iwonongeke.

Nthawi yoti mupite kuchipatala

Pitani kuchipatala mwachangu mukakumana ndi izi:

• Kupweteka kwanu kumadza pambuyo povulala kwambiri kapena ngozi.
• Muli ndi zowawa mwadzidzidzi, zopweteka m'munsi mwanu kapena mwendo womwe umalumikizidwa ndi kufooka kapena kufooka kwa minofu mwendo womwewo.
• Simungathe kuyendetsa chikhodzodzo kapena matumbo, zomwe ndi zizindikiro za matenda a cauda equina.

Matenda a Cauda equina

Nthawi zambiri, disc ya herniated imatha kukanikiza mitsempha yomwe imakupangitsani kuti muchepetse matumbo kapena chikhodzodzo. Matendawa amadziwika kuti cauda equina syndrome.

Zikhozanso kuyambitsa dzanzi kapena kumva kuwawa m'dera lanu loboola, kuchepa kwachisangalalo chogonana, komanso kufooka kwa thupi ngati simupatsidwa chithandizo.

Vutoli limayamba pang'onopang'ono. Ndikofunika kupita kwa dokotala wanu kapena chipinda chodzidzimutsa nthawi yomweyo ngati zizindikiro zikuwonekera.

Zizindikiro za matendawa zitha kuphatikiza:

• Kulephera kuwongolera chikhodzodzo kapena matumbo, zomwe zingayambitse kusadziletsa kapena kusungira zinyalala
• kupweteka kwa mwendo umodzi kapena zonse ziwiri
• dzanzi mu mwendo umodzi kapena zonse ziwiri
• kufooka mwendo umodzi kapena zonse ziwiri, zomwe zimapangitsa kuti zikhale zovuta kudzuka mutakhala
• kupunthwa mukamafuna kudzuka
• kupita patsogolo kodziwikiratu kapena kutaya mtima mwadzidzidzi m'thupi lanu, lomwe limaphatikizapo dera pakati pa miyendo yanu, matako, ntchafu zamkati, zidendene, ndi phazi lonse

Kuzindikira sciatica

Sciatica ndi chizindikiro chomwe chimasiyanasiyana kuchokera kwa munthu wina kupita kwina ndipo zimatengera zomwe zikuyambitsa. Kuti mupeze matenda a sciatica, dokotala wanu adzafuna kaye mbiri yanu yonse yazachipatala.

Izi zikuphatikiza ngati mwakhala mukuvulala posachedwa, komwe mumamva kupweteka, komanso momwe akumvera. Afuna kudziwa chomwe chimapangitsa kukhala bwino, chomwe chimapangitsa kuti chikhale choipa, komanso momwe zinayambira.

Gawo lotsatira ndikuwunika kwakuthupi komwe kumaphatikizira kuyesa kulimba kwa minofu yanu ndi malingaliro anu. Dokotala wanu amathanso kukupemphani kuti muchite masewera olimbitsa thupi osuntha kuti mudziwe zinthu zomwe zimapweteka kwambiri.

Chotsatira chotsatira cha matendawa ndi cha anthu omwe akhala akuvutika ndi sciatica kwa nthawi yoposa mwezi kapena ali ndi matenda akulu, monga khansa.

Kuyesedwa kwamitsempha kumalola dokotala kuti awone momwe mitsempha yanu imayendetsedwera ndi kuphunzira kwanu ngati kuli zovuta zina. Mayeserowa atha kuthandiza kuti mupeze dera lomwe likukhudzidwa komanso momwe zikuchepetsedwera.

Kuyesa mayeso kumathandiza dokotala kuti ayang'ane msana wanu, zomwe ziwathandize kudziwa zomwe zimayambitsa sciatica yanu.

Mayesero ofala kwambiri omwe amagwiritsidwa ntchito pozindikira sciatica ndikupeza chifukwa chake ndi ma X-ray a msana, MRIs, ndi ma CT scan. X-ray yabwinobwino sichitha kuwonetsa kuwonongeka kwa mitsempha ya sciatic.

MRI imagwiritsa ntchito maginito ndi ma wailesi kupanga zithunzi zambiri zakumbuyo kwanu. Kujambula kwa CT kumagwiritsa ntchito radiation kuti apange chithunzi chokwanira cha thupi lanu.

Dokotala wanu akhoza kuyitanitsa CT myelogram. Pakuyesaku, alowetsa utoto wapadera mumsana mwanu kuti athandizire kupanga zithunzi zowoneka bwino za msana wanu wam'mimba ndi misempha.

Njira zochiritsira za sciatica

Mukazindikira koyamba za sciatica, dokotala wanu angakupatseni malangizo othandizira kuthana ndi ululu wanu wa sciatica. Muyenera kupitiliza zochitika zanu za tsiku ndi tsiku momwe zingathere. Kugona pabedi kapena kupewa zochitika kumatha kukulitsa vuto lanu.

Ena mwa mankhwala omwe amapezeka panyumba afotokozedwa pansipa.

Kuzizira

Mutha kugula mapaketi oundana kapena kugwiritsa ntchito phukusi la masamba achisanu.

Manga mkaka wa ayezi kapena masamba achisanu mu thaulo ndikuwapaka kudera lomwe lakhudzidwa kwa mphindi 20 patsiku, kangapo patsiku, m'masiku ochepa opweteka. Izi zithandizira kuchepetsa kutupa ndikuchepetsa ululu.

Kutentha

Muthanso kugula mapaketi otentha kapena malo otenthetsera.

Ndikulimbikitsidwa kuti mugwiritse ntchito ayezi m'masiku angapo oyambilira kuti muchepetse kutupa. Pambuyo masiku awiri kapena atatu, sinthani kutentha. Ngati mupitiliza kumva kuwawa, yesetsani kusinthana pakati pa ayezi ndi mankhwala othandizira kutentha.

Kutambasula

Kutambasula modekha kumbuyo kwanu kungathandizenso. Kuti mudziwe momwe mungatambasulire bwino, pezani chithandizo chamunthu payekha, m'modzi kapena malangizo a yoga kuchokera kwa othandizira kapena ophunzitsira omwe aphunzitsidwa kuthana ndi kuvulala kwanu.

Mankhwala owonjezera

Mankhwala ogulitsa, monga aspirin ndi ibuprofen, amathanso kuthandizira kupweteka, kutupa, ndi kutupa. Samalani kugwiritsa ntchito aspirin mopitirira muyeso, chifukwa imatha kubweretsa zovuta, monga kutuluka magazi m'mimba ndi zilonda.

Kuchita masewera olimbitsa thupi nthawi zonse

Mukamakhalabe otanganidwa, m'pamenenso thupi lanu limatulutsa ma endorphin ambiri. Endorphins amathetsa ululu wopangidwa ndi thupi lanu. Khalani ndi zochitika zosafunikira poyamba, monga kusambira komanso kupalasa njinga.

Pamene ululu wanu umachepa komanso kupirira kwanu kumakulirakulira, pangani masewera olimbitsa thupi omwe amaphatikizapo ma aerobics, kukhazikika kwapakati, komanso kulimbitsa mphamvu. Kachitidwe kamene kamakhala ndi zinthuzi kumatha kuchepetsa chiopsezo chanu chamtsogolo.

Thandizo lakuthupi

Kuchita masewera olimbitsa thupi kungakuthandizeni kuti mukhale ndi thanzi labwino komanso kulimbitsa minofu yanu yam'mbuyo.

Mankhwala akuchipatala

Dokotala wanu akhoza kukupatsani mankhwala othandizira kupumula, kupweteka kwa mankhwala osokoneza bongo, kapena mankhwala opatsirana pogonana. Ma anti-depressants amatha kuwonjezera thupi lanu endorphin.

Mankhwala a Epidural steroid

Mankhwala a Corticosteroid amalowetsedwa m'dera lotchedwa epidural space, womwe ndi ngalande yozungulira msana wanu. Chifukwa cha zoyipa, jakisoni uyu amaperekedwa pang'ono.

Opaleshoni

Kuchita opaleshoni kungafunikire kupweteka kwambiri kapena zochitika zomwe mwalephera kuyendetsa matumbo anu ndi chikhodzodzo kapena mwakhala ofooka m'magulu ena am'munsi.

Mitundu iwiri yodziwika kwambiri ya opareshoni ndi discectomy, yomwe gawo la disk lomwe limakakamiza misempha yomwe imapanga minyewa yaminyewa limachotsedwa, ndi microdiscectomy, momwe kuchotsa disk kumachitika kudzera pang'onong'ono pomwe dokotala amagwiritsa ntchito microscope.

Njira zina zochiritsira

Njira zina zamankhwala zikukula mukutchuka. Pali njira zingapo zochiritsira za sciatica. Izi ndi izi:

• Katswiri wochita kubayira amatha kuyika singano zosawilitsidwa pamiyeso yayikulu kuti ikhudze mphamvu yamagetsi mthupi lanu. Njirayi ilibe vuto lililonse.
• A chiropractor amatha kugwiritsira ntchito msana wanu kuti akwaniritse bwino msana.
• Katswiri wophunzitsidwa bwino amatha kuyambitsa matenda osokoneza bongo, omwe cholinga chake ndikuti mukhale omasuka, osasunthika, kukulolani kuti mulandire malingaliro ndi malangizo oyenera. Pankhani ya ululu wamisala, uthengawo ungaphatikizepo kupumula.
• Wothandizira kutikita minofu amatha kuyika, kupanikizika, kupsinjika, kapena kugwedeza thupi lanu kuti muchepetse kupsinjika ndi kupweteka.

Momwe mungapewere sciatica

Njira zotsatirazi zitha kukuthandizani kupewa sciatica kapena kuti zisadzachitikenso:

• Chitani masewera olimbitsa thupi nthawi zambiri. Kulimbitsa minofu yanu yakumbuyo ndi mimba yanu kapena minofu yamkati ndiye chinsinsi chokhala ndi msana wathanzi.
• Ganizirani momwe mungakhalire. Onetsetsani kuti mipando yanu ikuthandizani moyenerera kumbuyo kwanu, ikani mapazi anu pansi mutakhala, ndikugwiritsanso ntchito mipando yanu.
• Zindikirani momwe mumasunthira. Kwezani zinthu zolemetsa m'njira yoyenera, mwa kugwada ndi kusunga msana wanu molunjika.