Iziningi Zimbangela Ezivamile ZaseSciatica

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Masichaze Incazelo

I-Sciatica yigama elivame ukusetshenziselwa ukuchaza izimpawu ezisemthethweni zomzimba nezomlenze eziwela phansi komunye umkhawulo kuphela (ngokuphambene nomibili), futhi lokho kubangelwa izimpande zomshukela owodwa noma ngaphezulu ovuthiwe emgodleni we-lumbar.

Okunye okungaqondakali kahle mayelana ne-sciatica ukuthi njalo kubangelwa i-disc ye-herniated. Nakhu okunye: Ngokuphambene nalokho abantu abaningi abakubakholelwayo, i-sciatica ayifaki izinkinga nge-nerve enesisindo.

Funda ukuze ufunde ngezimbangela ezivame kakhulu ze-sciatica nendima ngayinye edlala ekudaleni ubuhlungu ku-butt yakho noma phansi komlenze wakho.

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I-Disc Herniated

I-disc ye-herniated iyona evame kakhulu - nakuba ayiyona imbangela kuphela ye-sciatica. Ukukhuluma ngokweqile, uhlobo lwe-sciatica oluvela kwi-disc yakhethiwa yi-radiculopathy.

"I-rad" e-radiculopathy isho ukuthi "izimpande," futhi ibhekisela emmpandeni we-spinal nerve, okuyizicubu ezivela emthonjeni womgogodla (kuzo zonke izigaba) ngaphambi kokuhlanganisa ama-nervo ephuma emzimbeni wonke. Izimpande zezinzwa ziphuma emigodini ohlangothini olunye lwekholomu lomgogodla eyaziwa ngokuthi i- intervertebral foramen .

I-Radiculopathy ingenzeka uma i-nucleus pulposus ye-herniated (izinto ezilula ezitholakala ngaphakathi ngaphakathi kwe-disc) ziphunyuka kwi-disc futhi zicindezela emmpandeni we-spinal nerve. Ngokuvamile, i-nucleus pulposus ihamba ngezinyembezi ezenzeka emicimbini yangaphandle ye-disc. Izinyembezi ezinjalo ziyaziwa ngokuthi izinyembezi ezingapheliyo. Uma i-nucleus ixhumana nomsuka womgogodla, ingase iyithukuthele, ibangele ubuhlungu kanye / noma ezinye izimpawu eziwela phansi umlenze noma isilwane - okusho, i-sciatica.

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Ukuqina kwesisu

Ngokuvamile okuhlobene nobudala kanye / noma i-arthritis, ukugwinya komgogodla kukunciphisa umgogodla womgogodla noma i-intervertebral foramen. (Igama elithi stenosis yigama elivamile elibhekisela ekunciphiseni.)

Izinhlobo zoStinal Stenosis

I-stenosis yomgogodla ivela ezinhlobonhlobo ezimbili eziyinhloko: i- canal stenosis , lapho ukugcoba kwenzeka khona emgodini womgogodla, kanye nesimo se-neuroforaminal stenosis , lapho ukugoba kwenzeka khona emaceleni ohlangothini lwekholomu lomgogodla.

Ake sikhulume i-canal stenosis kuqala; umgogodla womgogodla uyindawo ephakathi nendawo lapho umgogodla udlula khona. Uma ilula, ingase icasule intambo yomgogodla engabangela i-sciatica nezinye izimpawu (njenge-claudication ye-neurogenic.)

Nge-stenosis ye-neuroforaminal, ukugxilwa kwenzeka emigodini ehlangothini lokholomu lomgogodla. Izicubu eziphuma emgodini womgogodla emgwaqweni ukuya emzimbeni wakho kuqala ziba yingcambu yomuthi futhi, lapho kuqhutshwa phambili, izibopho zamafayili esivame ukubiza izinzwa. Izinzwa zidlula kulezi zintambo (ie, izimbobo) njengoba ziphuma kukholomu lomgogodla. Njenge-central cord stenosis, lapho ukuvulwa kwe-foraminal kuvinjelwa (ngisho nangokwengxenye), izicubu zezinzwa zingase zihlangane ne-bone spurs enesibopho sokunciphisa. Lokhu, kungase kuthukuthelise izimpande zomgogodla, okuholela ekubonisweni kwe-sciatica-like.

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I-Piriformis Syndrome

I-Piriformis syndrome yisimo esingavamile esingabangela izimpawu ezifana ne-sciatica. Ngokungafani nezinye izimbangela ezimbili (isib. I-stenosis ne-disc herniated njengoba kuchaziwe ngaphambili) womlenze owodwa kanye / noma ubuhlungu be-buttock, i-sciatica ehlobene ne-piriformis syndrome ayifuni emgodini. Ngenxa yalesi sizathu, ngezinye izikhathi kuthiwa yi "pseudo-sciatica."

Esikhundleni salokho, isisindo samasongo - okuthiwa yi-piriformis ngokufanele, futhi sitholakala phezu kwe-nerve emsana ngemuva kwe-hip - igcizelela le nerve, ebangela ubuhlungu kanye nezimpawu zikagesi kulelo bhokisi kanye / noma phansi phansi umlenze ofanayo.

> Imithombo:

> I-imeyili Ingxoxo. Fishman, Loren, MD, uMqondisi wezokwelapha uManhattan Physical Medicine > kanye > Ukuvuselelwa. ENew York, NY. Januwari 2014.I-imeyili Ingxoxo.

> Fishman, L., MD, Saltonstall, E. Yoga yeSciatica. I-YogaU inkambo ye-intanethi.

> Gonzalez-Arias, uSergio MD, uMqondisi Wezokwelapha, Isikhungo se-Baptist Health Neuroscience, eMiami, eFlorida. Januwari 2014.

> I-imeyili Ingxoxo. I-Toerge, i-JDO, uMqondisi Wezokwelapha, Isibhedlela Sokubuyiselwa Kwesizwe SikaMusculoskeletal Institute, eWashington, DC. Januwari 2014.