Umlenze wesigwebo, ukulinganisa, nokubala okuvela ku-Nerve Irritation
Ukuxilongwa kwe-sciatica kusho ukuthi kukhona ukucasuka kwesibindi sciatic. I-ncious sciatic ithumela ulwazi futhi kusuka ebuchosheni bakho. Ubuchopho buyathumela imilayezo emisipha, futhi le nerve idlulisela izibonakaliso emuva mayelana nobuhlungu nokuzwela. I-sciatic nerve ikhulu kakhulu, empeleni, iyona nerve enkulu kunawo wonke emzimbeni.
I-ncious sciatic isakhiwe kusukela ezingxenyeni ezingezansi zomthambo womgogodla ; lenziwa emifuleni ye-lumbar ne- sacral emgodleni.
I-sciatic nerve iphuma engxenyeni engezansi yensimu yomgogodla, idlula ngemuva kokuhlangana kwe-hip, iphinde ihlasele emuva kwethanga.
I-sciatic nerve, njengezinye izinzwa eziningi , yenza imisebenzi emibili eyisisekelo: kuqala, ithumela amasignali emisipha yakho ebuchosheni; futhi okwesibili, iqoqa imininingwane enolwazi emilenzeni bese idlulisela emuva ebuchosheni bakho. Izimo ezinjenge-sciatica ezithinta izinzwa zizoshintsha lezi zinto ezijwayelekile. Izimpawu ezijwayelekile ze -sciatica zifaka:
- Ukudabuka kwamandla kagesi phansi komlenze
- Ubumbulu nokuzwa okugubhayo
- Ubuthakathaka bemisipha
Ngaphezu kwalokho, iziguli ezine-sciatica zingase zibone ukuwohloka kwezibonakaliso zabo ngokuhamba ngendlela efana nokweqa noma ukukhwehlela. Lezi zindlela zingaphakamisa ukucindezeleka ezungeze le nerve futhi zikhulise izimpawu ze-sciatica.
Izimbangela zeSciatica
Isizathu esivame kakhulu sciatica yi- disc herniated spinal . Uma lokhu kwenzeka, umkhumbi ovamile phakathi kwe-vertebra yokuphulukisa komgogodla.
Lokhu kubangela ukuthi i-disc iqhubekele ezindaweni ezivame ukuhlala lezi zinzwa. Izinzwa zicindezelekile futhi abantu babhekana nezibonakaliso zobuhlungu, ubuthakathaka, nokungabi namandla. Ezinye izimo, njenge- stenosis yomgogodla , i-spondylolisthesis, noma i- piriformis syndrome nayo ingabangela izimpawu ze-sciatica ngokucasula isisindo sciatic .
I-Sciatica ingathinta cishe noma ubani, kodwa kuvamile kakhulu ezinganeni nasezigulini ezincane. I-Sciatica ngokuvamile ithinta iziguli ezingama-30 kuya ku-50 ubudala. Ngokuvamile kukhona ukuqala okungazelelwe okungahle kuthathwe ngokuthi kusetshenziswe ngokweqile noma ukulimala emuva .
Ukwelashwa kwe-Sciatica
Ukuze uphathe kahle izimpawu ze-sciatica, udinga ukuthola imbangela yenkinga. Udokotela wakho uzothatha umlando ophelele, enze ukuhlolwa ngokomzimba, futhi avivinye imisebenzi eminingana ethile ye- nerve enesisindo . Ezinye izimo eziningana zingabangela ubuhlungu be-hip nenhlama, futhi kudingeka zicatshangelwe. Kubalulekile ukunquma imbangela efanele yezimpawu zakho ngaphambi kokuqala ukwelashwa kwe-sciatica. Ezinye izivivinyo, kufaka phakathi ama- x-ray noma mhlawumbe i-MRI ingaba usizo, kodwa kungenzeka ukuthi ayidingi.
Ukwelashwa ekuqaleni kuhlose ukubhekana nokuvuvukala okuhlobene ne-sciatica. Ukuphumula, imishanguzo yokulwa nokuvuvukala (njenge-Motrin noma i-Celebrex), futhi abaphumuli be-muscle ngokuvamile bayindawo enhle yokuqala. Ezinye iziguli zidinga ukwelashwa okunamandla okulwa nokuvuvukala futhi zinikezwa imithi yesifo steroid yomlomo. Lezi steroids zinemiphumela emibi engaba khona, kodwa umthelela omkhulu onamandla wokuvuvukala ungaba usizo ekwelapheni kwe-sciatica .
Lapho ubuhlungu buyeke, ukuvivinya umzimba kanye nokwelapha ngokomzimba kuyasiza. Abantu abaningi bathola ukuthi ukushisa nokupakisha amaphakethe kunciphisa imisipha ebuhlungu ku-sciatica. Abanye odokotela bangase banikeze umjovo we- epidural steroid ongakwazi ukuletha imithi elwa nokuvuvukala ngqo endaweni evulekile ezungeze izinzwa.
Ukwelashwa kokuhlinzwa kwe-sciatica ngokuvamile akudingeki, kodwa kubantu ngabanye abathola izinyathelo ezingenhla, futhi banezimpawu eziqhubekayo, ukuhlinzwa kungacatshangwa. Inqubo yokuhlinza yinye evumela ukuthi igumbi eliningi lezinzwa endaweni licindezeleke. Lokhu kungase kusho ukukhipha i-disc ruptured, ukuvula ithambo eduze kwenduku, noma ukuhlanganiswa kokubili.
Abantu abaningi (80-90%) babuyiselwa ngokugcwele ku-sciatica ngaphandle kokuhlinzwa. Ezikhathini eziningi isibindi asilimazi unomphela, futhi abantu ngabanye baphuthuma evikini lesithathu kuya ku-3-nyanga.