Ucwaningo luhambisana nomama mayelana nokuthi yikuphi - noma uma kukhona, ngaleyo ndlela yokuzivocavoca kanye nokuyisisekelo iyasebenza ekuphatheni izimpawu ze-sciatica. Ngokufanayo, abantu abaningi, kubandakanya abahlinzeki bomzimba nabadokotela, babika imiphumela emihle ngenqubo esekelwe ekuhambeni. Eqinisweni, iqembu lezokusebenza elivela eNyakatho Melika Spine Society lincoma inkambo elinganiselwe yokuzivocavoca njengendlela yokukhetha lapho kunesidingo esincane futhi esilinganiselwe nge-radinipathy izimpawu.
Esinye sezizathu zokunciphisa izincomo zokuzivocavoca ngenxa yokuphulukiswa kobuhlungu be-sciatica zingase zihlobene negama ngokwayo. Uma utshela umngane noma ilunga lomndeni unayo i-sciatica ingakusiza ukuthi uthole ukuqonda noma uzwela, empeleni, akuyona indlela enembile yokuchaza izinguquko ezenzeka ngaphakathi komgogodla wakho ongase ube nesibopho sezimpawu zakho. Ngamanye amazwi, "sciatica" yigama elihle kakhulu. Iqiniso, livame ukusetshenziselwa ukuchaza ubuhlungu kanye / noma izimpawu zikagesi eziwela phansi umlenze owodwa. Kodwa khumbula ukuthi izimpawu ezinjalo zingabangelwa izinto eziningana.
Esinye isizathu esivamile "sciatica" yi-radiculopathy ngenxa ye-disc ye-herniated emgodini wakho we-lumbar.
Ngamafuphi, i-disc ye-herniated yenzeka uma izingxenyeni zangaphandle ze-intervertebral dis fray noma ukuhlukana, okuvumela ukuthi into efana ne-jelly-like iphakathi nendawo yokubalekela. Ngokuvamile le nto, ebizwa ngokuthi i-nucleus pulposus, ihlala emhlabathini wezimpande zomgogodla.
Ngenxa yokuthi izimpande zesisu zomgogodla zizwela kakhulu ekucindezelekeni, uma zihlangana no-nucleus pulposus, izimpawu zomsindo we-radiculopathy zingase ziholele. Izimpawu zomsindo we-radiumblathy lumbar zingafaka ubuhlungu obukhiphayo kanye / noma ezinye izinzwa ezihlobene nerve eziwela phansi umlenze owodwa. Abantu abaningi abangekho emkhakheni wezokwelapha babhekisela ku-radiciopathy lumbar njenge-sciatica, kodwa njengoba manje uyazi ngokufunda le ncazelo emfushane, i-radiculopathy lumbar iyinkqubo yesifo emgodleni - okungenzeka ngenxa ye-disc yakhe noma esinye isimo.
Ubuhlobo Phakathi kohlobo lwe-Sciatica nohlobo lokuzivocavoca
Ulwazi oluthola ekutholeni "izimpawu ze-sciatica" olutholwe udokotela wakho lungathonya ukhetho lwakho lokuzivocavoca.
Ngokwesibonelo, ngokusho kukaDkt. Judith Glaser, udokotela we-osteopathic, i-acupuncturist yezokwelapha kanye nomqondisi weMithi Yokubuyisela Imithi e-New Hyde Park, eNew York, uthi, "ukujwayela okuguquguqukayo kuvame ukukhuphula izimpawu ze-disc."
Lokhu kusho ukuthi izimpawu ze-disc ezenziwe nge-disc ngokuvamile zivame ukwanda nakakhulu uma uphonsa phambili, futhi ngcono uma uvala umhlane wakho. Uma uthola ukuthi une-disc ye-herniated ne-radiculopathy, lokhu kukhonjiswa phakathi kwezimpawu kanye nezenzo zomgogodla zokuguqa noma ukugubha kungakusiza wena kanye / noma isazi sakho somzimba ukuthola ukuthi yikuphi ukunyakaza okufanele ukwenze nokuthi yini okufanele uyenqabe.
Kodwa uDkt. Naomi Betish MD, i-physiatrist kanye ne-acupuncturist e-Union County Orthopedic Group eNew Jersey ingitshela ukuthi ukukhetha izivivinyo zokuxoshwa kwe-sciatica kanye / noma i-radiculopathy-kungakhathaliseki imbangela - ingahle ibekwe phambili ngokusekelwe ezikhundleni ezingenabuhlungu. Ngamanye amazwi, usikisela, ungazivivinyi ngenkathi ebuhlungu, ngoba lokhu kungase kube okungahambi kahle ngokuphatha noma ukunciphisa izimpawu zakho.
I-Sciatica Exercises for Disc Herniated neRadioculopathy
Ngakho-ke inhloso yokwenza umsebenzi we-sciatica, kunjalo? UDkt. Glaser uthi i-disc ye-herniated ivame ukuhambisana nobuthakathaka nokulahlekelwa ukulawulwa kwemisipha. "Ngakho-ke," kusho yena, "ukukhulula izimpawu kungase kube indaba yokuzivocavoca okubili kokuqinisa imisipha yakho futhi kuthuthukise amandla (okunamandla okubhekisela ekulawuleni umzimba).
Ukugcina lezi zingcebiso engqondweni, ngezansi kukhona imibono embalwa yokuzivocavoca okungakusiza ukuphatha izimpawu ze-sciatica kanye / noma i-radiculopathy ezihlobene ne-disc herniated. Izwi lesilumkiso: Njengoba uBetish ephakamisa, musa ukusebenza ebuhlungu.
Uma ukuzivocavoca kwandisa izimpawu zakho, yiyeke ukukwenza futhi uxoxe nodokotela wakho noma uchwepheshe wezempilo. Eqinisweni, kuwumqondo omuhle ukubona umhlinzeki wezempilo onelayisense ohlelweni lwesenzo sciatica noma kunjalo. Uma kungenakwenzeka, okungenani, ubonise lolu hlu lwazivivinyo kudokotela wakho, futhi mvumele akuqondise ngokuqondene nezifaneleke kakhulu ukuzenza, unikezwe isimo sakho.
Uhlu Lokuzivocavoca lwe-Sciatica Ngenxa yeDiski ye-Herniated
- I-Bracing ye-Abdominal iqinisa ukuguqulwa nokunye okuyisisindo, okungase kusize ukusimamisa emuva kwakho okuphansi.
- Usizo lwe- Pelvic Tilts luqinisa ukubuyela emuva futhi luqede imisipha - kubalulekile ukuma ngokugcwele, amazwana we-Glaser.
- I-Glute Bridge Njengendlela yokuzivocavoca kwe-pelvic, ibhuloho eliyigugu liqinisa iziqhenqo zakho, ikakhulukazi imisipha yakho emiseleni ngemuva kwethanga kanye nesifuba. Ukugcoba kungenye yemisipha ye-hip edlala indima ebalulekile ekusimeni okumile okunempilo, okumile.
- Izinyoni zezinyoni . Ukuzivocavoca okwenzeka "kuwo wonke ama-4" (okungukuthi izandla zakho namadolo), inja yezinyoni iqinisa imisipha eyandisa umgogodla wakho, ongasiza ekugwemeni umgogodla oguquguqukayo (obalulekile ekunciphiseni izimpawu njengoba sesivele sixoxile). Njengokwenyuka kwe-pelvic kanye nebhuloho, inja yezinyoni ingase ibe nomthelela ekwenzeni kwakho ukuma ngokugcwele.
Shintsha Ukuzivocavoca Kwakho Sciatica Ukuze Ufanelwe Isimo Sakho
Abanye abathintekayo banikeza amabhuloho ohlangothini olushintshiwe (owaziwa nangokuthi amapulangwe ohlangothini) ezigulini zabo eziye zahlukanisa i-disc nezimpawu ze-radiculopathy. Amapulangwe angaphandle aqinisa imisipha ye-quadratus lumborum engumsizi womfutho othi, uma unamandla, usiza nge-spinal -xionxion (ukuqhubekela phambili). Ibuye ibambe iqhaza elibalulekile lokugoba. Qaphela ukuthi iplanethi egcwele egcwele "efanele" kuyindlela enhle kakhulu yokuzivocavoca - futhi ayinconywa kubantu abanezinhlungu noma izimo emuva; yingakho inguqulo eguquliwe isetshenziswa kabanzi.
UBetish uyanezela ukuthi, ukuhlala nokuzivocavoca lapho uguqa khona esifubeni sakho kungasebenza ngokumelene nawe. "Iningi labantu linzima ukwenza lezi zinhlobo zokuzivocavoca. Ngaphandle kwalokho, ingozi yokukhipha i-disc iyakhula uma ubenza ngokungalungile."
I-Glaser iphinde iphakamise ukugcina isimiso esisheshayo nesivumelana nezimo. Imisipha okubhekiswe kuyo ihlanganisa izimpande zakho ze-hip ( illiopsoas ), imisipha yakho yangemuva kanye nemisipha yakho.
> Imithombo:
> Society of North America Spine Society. Ukuxilongwa nokuphathwa kwe-lumbar disc herniation nge-radiculopathy.
> I-imeyili Ingxoxo. Betesh, N., MD, Ukuphathwa Kwezinhlungu kanye Nemithi Yomzimba / Isazi Sokuvuselelwa Kwamanzi, I-Acupuncturist. I-Union County Orthopedic Group, eNew Jersey. Feb. 2014.
> I-imeyili Ingxoxo. I-Glaser, J., DO, uMqondisi Wezokubuyisela Imithi, i-New Hyde Park, eNew York. Februwari 2014.
> I-imeyili Ingxoxo. UMurphy, J. DPT, uMqondisi, i-MotionWorks Physical Therapy. Neenah, WI.
> Burr Ridge (IL): UmNyango weNyakatho YaseNyakatho Melika; 2012.