Uma unemihelo ephansi ye-back and sciatica, kungenzeka ukuthi uzame ukwelashwa okuhlukahlukene ukuze uthole ukukhululeka nokuthuthukisa ikhono lakho lokusebenza. Udokotela wakho angase anikeze imithi, ukwelashwa ngokomzimba, noma ukucindezeleka komgogodla ukuze uzame ukuphatha inkinga yakho.
I-epidural steroid injection yindlela enye evamile yokuphulukisa okungezona ubuhlungu obuphansi emuva nangomlenze obuhambisana ne-sciatica.
Imithi ngokuvamile i-steroid ejojelwa emgodleni wakho eduze kwesigungu se-lumbar esivuthayo. Le steroid isisiza ukunciphisa ubuhlungu nokuvuvukala ezungeze izimpande zesisindo, futhi ngaleyo ndlela, zinikeza impumuzo ku- sciatica .
Ingabe i-Steroid iduduza ukhetho oluhle?
Ucwaningo olusanda kushicilelwa ku- Annals of Internal Medicine luhlolisise umphumela wezijovo ezintathu ezihlukene emgodleni. Abacwaningi bahlezi ngeziguli ezingu-85 ezine-radiculopathy ezingenamkhawulo ezinyangeni ezingaphansi kwezinyanga eziyisithupha zibe amaqembu amathathu. Iqembu elilodwa lathola ama-steroids, iqembu elilodwa lathola i-etanercept (imithi ye-arthritis negama lokuhweba nge-Enbrel), futhi iqembu lesithathu lathola ama-saline ajwayelekile. Bonke abahlanganyeli bathola imijovo emibili behlukaniswe amasonto amabili.
Umphumela oyinhloko olinganisiwe kulolu cwaningo kwakuyizinhlungu zomlenze inyanga inyanga ngemuva kokuba umjovo wesibili uhlinzekwe.
Imiphumela ibonisa ukuthi kukhona ukuthuthukiswa okuphawulekayo kwezimpawu nge-epidural steroids, kodwa ukuthuthuka kwakungabonakali kakhulu uma kuqhathaniswa ne-etanercept noma i-saline.
Kulungile-udokotela wakho angase ajobe amanzi ensawoti emhlane wakho ukuze aphathe i-radiospathy yakho ye-lumbosacral, futhi lokhu kungasiza ukuthuthukisa izinga lakho lobuhlungu ngendlela ephumelelayo njenge-steroids. Yiqiniso, udokotela wakho akasoze enza into enjalo, kodwa umcabango uthakazelisa kakhulu.
Ngezansi: iqembu elithile leziguli, umjovo we-steroids emgodleni ungasiza ngobuhlungu obuhambisana ne-sciatica.
Ubuqili bukhomba labo bantu, futhi babone lezo ziguli ezingeke zizuze kule nqubo.
Yini Okufanele Uyenze?
Ingabe lolu cwaningo lusho ukuthi kufanele ufunge ukuthi ungalokothi ube nesifo se-epidural steroid sokudubula sciatica yakho? Cha. Abanye abantu bazuzwa ngamagciwane emhlane uma bephethe i-sciatica. Uma unemva ebuhlungu noma i-sciatica, udinga ukuthola ukwelashwa okulungile ngesimo sakho esithile.
Yini esiza ubuhlungu obuphansi be-sciatica? Ucwaningo oluningi lubonisa ukuthi ukuzivocavoca kanye nemfundo yilezi zindlela ezingcono kakhulu zokuphepha kwe-lumbosacral radiculopathy. Yikuphi ukuqeqeshwa okungcono kakhulu? Ukuvakashela umhlinzeki wakho womzimba kungasiza ukuthola izivivinyo ezifanele kuwe. Abantu abaningi abanezinhlungu zasemuva bazuza ngokubuya emuva okuphansi njengohlelo lwe- McKenzie Exercise . Ezinye iziguli zithola impumuzo ekuqiniseni imisipha yazo yomzimba kanye neyomfutho, kanti abanye badinga ukuhlanganisa nokuqinisa ukusiza ukuphatha ubuhlungu babo emuva.
Ukuzivocavoca ukuzama ubuhlungu besikhathi emuva kungafaka:
- I- pressed up up
- I- press up ne-hips ishiya isikhungo
- Ukwelula kokujikeleza kwe-flexion
- I- lumbar side igxilile
- Ukuthambekela kwe-pelvic
Qiniseka ukuhlola nodokotela wakho ngaphambi kokuqala noma iyiphi imithi yokwelashwa kwakho emuva noma i-sciatica. Angakuqondisa ekwelapheni okufanele ukuze uthole ukukhululeka okwanele ebuhlungu futhi angabuyela ezingeni lakho elivamile lomsebenzi.
Into ebaluleke kakhulu ongayenza ngezinhlungu zasemuva ukusebenzisana eduze nodokotela wakho kanye nodokotela wakho wezempilo ukuze uthole inhlanganisela efanele yokuzivocavoca (noma ukujova nokuzivocavoca) okungasiza ekuthuthukiseni ukunyakaza komgogodla nokunciphisa noma ukuqeda ubuhlungu bakho.
> Umthombo:
> McKenzie, uRobin. Phatha Emuva Kwakho. 8. I-Raumati Beach: I-Spinal Publications New Zealand, 2006. Phrinta.