Te Maimoatanga Whānui mō te Sciatica hei Whakaora Mamae Tuturu
Ko te mamae e pupuhi ana mai i tō tuara o raro ki raro i tō waewae te tohu o te sciatica—he mate e pāngia ana e te miriona tāngata i ia tau. Ko te maimoatanga o te sciatica e aro ana ki te pūtake o te riri o te io sciatic, ahakoa he herniated disc, he spinal stenosis, he raruraru hanganga rānei. Ahakoa he kino, he whakamataku hoki te mamae, he pai te urupare a te nuinga o ngā take ki te maimoatanga tika me te kore e hiahiatia he pokanga.
I Madison Medical, he tohunga mātou ki te tiaki tuaiwi whānui e tautuhi ana i te pūtake o tō sciatica me te whakawhanake i tētahi mahere maimoatanga takitahi. Ka whakakotahihia e tā mātou huarahi ngā tātaritanga matatau me ngā maimoatanga kua whakamātauhia, mai i te whakaora tinana me ngā werohanga ki ngā tikanga iti rawa te whakaekenga ina hiahiatia. Ko te whāinga ko te whakakore i tō mamae me te ārai i te hokinga mai.
Te Mārama ki te Sciatica
Ko te Sciatica e pā ana ki te mamae e horapa ana i te ara o te io sciatic, e rere ana mai i tō tuara o raro mā roto i ō hope me ō papa, ā, heke iho i ia waewae. Ko te io sciatic te io nui rawa atu o tō tinana, i hangaia e ngā pakiaka io e puta ana i te tuaiwi o raro o te hope me te tuaiwi o runga o te sacral. Ina pēhia, ina riri rānei ēnei pakiaka, te io rānei, ka kaha te mamae e puta mai ana.
Ko te sciatica tūturu e whai ana i tētahi tauira motuhake, e pā ana ki te waewae kotahi, kaua ki ngā waewae e rua. Ko te mamae ka horapa i raro i te turi—he maha ngā wā ka tae ki te waewae, ki ngā māikuku rānei—mā te whai i te ara o te io. Mā tēnei ka wehewehea ai tēnei mai i ētahi atu take o te mamae o te tuara me te waewae kāore e pā ki te io sciatic.
Kei roto i tēnei āhuatanga te maha o ngā mamae, mai i te āhua hōhā ki te tino ngoikore. Ka pāngia ētahi tūroro e te mamae wā-poto nā ngā mahi motuhake, ko ētahi he mamae kino tonu. Mā te tauira me te kaha o te mamae ka ārahi i ngā whakatau maimoatanga.
Tohu Noa
Ko te mamae te tohu matua, e whakaahuatia ana he wera, he pupuhi, he hiko rānei. Ka tīmata te mamae i te tuara o raro, i te papa rānei, ka horapa ki muri o te huha, i ētahi wā ka haere tonu ki te kuao kau, ki te pona waewae rānei. Mā te maremare, te tihe, te whāwhā rānei ka kino ake ngā tohu.
He maha ngā wā ka haere tahi te ngenge me te mākūkū me te mamae, ā, he rite tonu te horapa. Tērā pea ka kite koe i te ngoikore o te kare ā-roto i tō waewae, tō waewae, ō tō matimati rānei. Ko ēnei huringa kare ā-roto e tohu ana i te pānga o ngā io, ā, me arotake.
Ka uaua te hikoi i te ngoikore o te waewae e pāngia ana. Tērā pea ka kite koe i te hekenga o te waewae—he uaua ki te hiki i te mua o tō waewae—he ngoikore rānei i te pana atu i ō matimati. Me arotake wawe te ngoikore haere, nā te mea he tohu pea tēnei i te pēhanga nui o te io.
He aha ngā take o te Sciatica?
Ko te hernia o te kōpae hope te tino take, koia te nuinga o ngā take sciatica. Ina pana te pokapū ngohengohe o te kōpae mā roto i tōna paparanga o waho, ka taea e ia te pēhi i ngā pakiaka io tata. Ko ngā taumata kōpae L4-L5 me L5-S1 te nuinga o te wā e pāngia ana nā te mea ko rātou te kawenga nui rawa atu, ā, ko rātou te mea e neke haere ana.
Ko te whakawhāiti o te awa tuaiwi o te lumbar spinal stenosis—te pēhi i ngā pakiaka io i a rātou e puta ana i te tuaiwi. I te nuinga o te wā ka tipu haere tēnei āhua pirau, ā, ka kino haere i te pakeketanga. He maha ngā wā ka kino haere ngā tohu i te hikoi me te tū, ka pai ake i te noho, i te piko whakamua rānei.
Ko ētahi atu take ko te spondylolisthesis (te paheke o te tuaiwi), te piriformis syndrome (te pēhanga o te uaua o te io), ngā pukupuku, me ngā mate pāwera. Ka taea e te hāputanga te puta te sciatica nā te nui haere o te kawenga tuaiwi me ngā huringa tū.
Ngā Take Mōrearea mō te Sciatica
- Age: Ka tino piki te uaua o te kōpae i waenganui o te ora; ka piki haere te uaua o te kōpae i te pakeketanga
- Mahi: Ngā mahi e hiahia ana kia hiki taumaha, kia takahuri, kia noho roa rānei
- Te noho noho: Kāore e taea e ngā uaua ngoikore te tautoko i te tuaiwi
- Te nui: Ka whakanui te taumaha nui i te ahotea o te tuaiwi
- Diabetes: Ka whakanui ake i te mōrearea o te kino o te io
- Smoking: Ka whakaiti i te kai o te kōpae, ka tere ake te pirau
Aromatawai Tātaritanga
Kei roto i te whakamātautau tinana he whakamātautau io mō te kaha, te kare ā-roto, me ngā urupare o te waewae e pāngia ana. Ko te whakamātautau hiki waewae tika—te hiki i tō waewae tika i a koe e takoto ana—he maha ngā wā ka puta anō ngā tohu sciatica mēnā kei te pēhia te pakiaka io.
Mā te MRI ka kitea te āhua o te tuaiwi, ka kitea ngā whara o te kōpae, te piko o te puku, me te pēhanga o ngā io. Mā tēnei whakaahua ka whakaū te mate, ka tautuhia hoki te taumata me te mate e puta ai ngā tohu. Mā te MRI ka ārahi i ngā whakatau maimoatanga me te whakamahere pokanga ina hiahiatia.
Tērā pea ka tonoa he rangahau kawe io me te EMG hei aromatawai i te mahi a te io me te whakaū ko ēhea pakiaka e pāngia ana. Ka aromatawaihia e ngā hihi-X te hanganga me te tūnga o te wheua. Ka whakaratohia e ngā karapa CT he taipitopito koi o te wheua ina hiahiatia.
Maimoatanga Conservative
Ka ea te nuinga o te sciatica mā te maimoatanga ātaahua mō ngā wiki e 4-6. Mā te whakarerekē i ngā mahi—te karo i ngā nekehanga e whakararuraru ana i ngā tohumate me te noho pukumahi tonu—ka taea ai te memeha haere o te mumura. Tērā pea ka āwhina te okiokinga poto i ngā tohumate kino, engari kāore e whai hua te okiokinga roa i runga i te moenga.
Ka arohia e te whakaora tinana ngā āhuatanga matua e whai wāhi ana ki te pēhanga o ngā io. Ka whakaitihia e ngā mahi whakakori tinana motuhake te pēhanga ki ngā io e pāngia ana, ka whakapakari i ngā uaua tautoko, ka whakapai ake i te ngāwari. He tino whai hua ngā mahi whakakori tinana McKenzie me ngā tikanga nekeneke io mō te sciatica.
Ka whakahaerea e ngā rongoā te mamae i te wā e ora ana. Ka whakaitihia e ngā NSAID te mumura i te taha o ngā io kua pēhia. Ka āwhina ngā rongoā whakangāwari uaua mēnā ka haere tahi mai te māuiui me te sciatica. Ka tohua pea te Gabapentin, te pregabalin rānei mō te mamae io kāore e pai ki ētahi atu rongoā.
Ngā Maimoatanga Wawao
Ka tukuna tika ngā rongoā ārai-mumura e ngā werohanga steroid epidural ki te wāhi e pāngia ana. Mā te whakamahi i te fluoroscopic hei whakahaere i te tika, ka taea e ēnei werohanga te whakaiti i te mumura me te mamae, ā, he maha ngā wiki ki ngā marama e whakaora ana. Tērā pea ka whakakorea katoatia ngā tohu i roto i ētahi tūroro.
Ka arotahi ngā werohanga epidural transforaminal ki ngā pakiaka io motuhake, he mea whai hua ina kitea te taumata tika o te pānga. Ka āraihia e ngā werohanga epidural whiriwhiri te tātaritanga me te rongoā i te pēhanga o ngā pakiaka io takitahi.
Kowhiringa Huringa
Ka whakaarohia te pokanga ina kore e angitu te maimoatanga pūmau i muri i ngā wiki 6-12, ina puta he ngoikoretanga pūnaha io, ina kitea rānei te mate cauda equina. Ka tangohia te wāhanga o te rauemi kōpae e pēhi ana i te io i te microdiscectomy—te pokanga tino noa mō te sciatica e pā ana ki te kōpae.
Ka whakatikahia te stenosis mā te tango i te wheua me te kiko, ka pēhi i ngā io. Ka whakaitihia e ngā tikanga whakaeke iti te wā whakaora me ngā raruraru. He nui te whakapainga o te nuinga o ngā tūroro pokanga.
He aha i whiriwhiria ai a Madison Medical mō te maimoatanga o te sciatica?
He tohungatanga whānui ā mātou tohunga tuaiwi ki te tātaritanga me te rongoā i te sciatica. Neke atu i te 1,200 ngā tūroro e tirohia ana e Madison Medical ia wiki, me te whai wāhi atu ki ngā whakaahua matatau, ngā maimoatanga werohanga, me te tuku pokanga ina hiahiatia. Ka aro nui mātou ki te tiaki ā-pūmau i te tuatahi, me te whakarato i ngā kōwhiringa katoa e tika ana.
Mā tā mātou huarahi whakauru ka taea te whakarite i te whakaora tinana, te whakahaere mamae, me ngā kōwhiringa pokanga. Ko te nuinga o ngā mahere inihua nui e whakaaetia ana i ō mātou wāhi watea i New Jersey.
Mātakihia kia nui ake ai te mōhio
Kimihia te Whakaora mai i te Mamae Sciatic
Ahakoa te kino o te sciatica, kei te wātea tonu te rongoā whai hua. Ka pai ake te nuinga o ngā tūroro me te kore e pokanga, ā, he pai rawa ngā hua o ngā pokanga. Mā te rongoā wawe ka ārai i ngā tauira mamae mau tonu, ka tere ake hoki te ora.
Whakapā atu ki a Madison Medical ki te whakarite i tō aromatawai tuaiwi. Ma ā mātou tohunga e tātari te pūtake o tō sciatica, ka waihanga i tētahi mahere maimoatanga hei whakakore i tō mamae, hei whakahoki anō hoki i a koe ki ngā mahi o ia rā.