Unyango olupheleleyo lweSciatica lokunceda intlungu ehlala ihleli
Ukuba intlungu yokudubula esuka emqolo wakho ongezantsi iye emlenzeni wakho luphawu lwe-sciatica—imeko echaphazela izigidi zabantu minyaka le. Unyango lwe-sciatica lujolise kwisizathu esiyintloko sokucaphuka kwemithambo-luvo ye-sciatic, nokuba ivela kwi-disc ye-herniated, i-spinal stenosis, okanye ezinye iingxaki zesakhiwo. Nangona intlungu inokuba nkulu kwaye yoyike, uninzi lweemeko lusabela kakuhle kunyango olufanelekileyo ngaphandle kokufuna utyando.
Apha eMadison Medical, sigxile kunyango olupheleleyo lomqolo oluchonga kanye into ebangela i-sciatica yakho kwaye siphuhlise isicwangciso sonyango esilungiselelwe umntu ngamnye. Indlela yethu idibanisa ukuxilongwa okuphambili kunye nonyango oluqinisekisiweyo, ukusuka kunyango lomzimba kunye neenaliti ukuya kwiinkqubo ezingangenisi kakhulu xa kufuneka. Injongo kukususa iintlungu zakho kunye nokuthintela ukuphinda kubuye.
Ukuqonda iSciatica
I-Sciatica ibhekisa kwintlungu ephuma kwindlela ye-sciatic nerve, eqala emqolo wakho ongezantsi idlule ezinqeni zakho nasemaqatheni ize yehle ngomlenze ngamnye. I-sciatic nerve yeyona nerve inkulu emzimbeni wakho, eyenziwe ziingcambu ze-nerve eziphuma kumqolo osezantsi kunye nomqolo ophezulu we-sacral. Xa ezi ingcambu okanye i-nerve ngokwayo icinezelwe okanye icatshukiswa, intlungu ebangelwayo inokuba nkulu.
I-sciatica yokwenyani ilandela indlela ethile, edla ngokuchaphazela umlenze omnye endaweni yomibini. Intlungu idla ngokuphuma ngaphantsi kwedolo—idla ngokungena ezinyaweni okanye ezinzwaneni—ilandela indlela yemithambo-luvo. Oku kuyahlula kwezinye izizathu zentlungu yomqolo nemilenze ezingabandakanyi imithambo-luvo ye-sciatic.
Le meko iqala ekucaphukiseni kancinci ukuya ekutyhafiseni ngokupheleleyo. Abanye abaguli bafumana iintlungu ezibangelwa zizinto ezithile, ngelixa abanye beneempawu eziqatha ezingapheliyo. Indlela kunye nobunzima zinceda ekulawuleni izigqibo zonyango.
Iimpawu eziqhelekileyo
Intlungu luphawu oluphambili, oludla ngokuchazwa njengokutsha, ukudubula, okanye umbane. Intlungu idla ngokuqala emqolo ongezantsi okanye ezinqeni ize idlulele ngasemva kwethanga, ngamanye amaxesha iqhubeke iye emathangeni, eqatheni, okanye ezinyaweni. Ukukhohlela, ukuthimla, okanye ukugoba kunokwenza iimpawu zibe zimbi ngakumbi.
Ukuba ndindisholo kunye nokurhawuzelela kudla ngokuhamba nentlungu, emva kokwahlulwa okufanayo. Usenokubona ukuncipha kwemvakalelo emlenzeni, ezinyaweni, okanye ezinzwaneni zakho. Olu tshintsho lweemvakalelo lubonisa ukubandakanyeka kwemithambo-luvo kwaye kufuneka luhlolwe.
Ubuthathaka emlenzeni ochaphazelekayo bunokwenza kube nzima ukuhamba. Ungaphawula ukuwa kweenyawo—ubunzima bokuphakamisa umphambili wonyawo lwakho—okanye ubuthathaka xa utyhala iinzwane zakho. Ubuthathaka obuqhubekayo bufuna uvavanyo olukhawulezileyo kuba bunokubonisa ukucinezelwa okukhulu kwemithambo-luvo.
Yintoni ebangela iSciatica?
I-herniated lumbar disc yeyona nto ixhaphakileyo, ibangela uninzi lweemeko ze-sciatica. Xa umbindi wediski othambileyo utyhala kumaleko wayo wangaphandle, unokucinezela iingcambu zemithambo-luvo ezikufutshane. Amanqanaba e-L4-L5 kunye ne-L5-S1 disc abandakanyeka rhoqo kuba athwala umthwalo omkhulu kwaye ahamba kakhulu.
I-Lumbar spinal stenosis—ukuncitshiswa komjelo womgogodla—kucinezela iingcambu zemithambo-luvo njengoko ziphuma emgogodleni. Le meko yokuwohloka idla ngokukhula kancinci kancinci kwaye iba mandundu ngokuhamba nokuma, iphucuke ngokuhlala okanye ukugoba phambili.
Ezinye izizathu ziquka i-spondylolisthesis (ukutyibilika kwe-vertebral), i-piriformis syndrome (ukucinezelwa kwemisipha yemithambo-luvo), iithumba, kunye nosulelo. Ukukhulelwa kunokubangela i-sciatica ngenxa yokwanda komthwalo womqolo kunye notshintsho lwesimo somzimba.
Izinto ezibangela umngcipheko kwiSciatica
- Age: Ukunyuka kweediski kufikelela kwinqanaba eliphezulu phakathi kobomi; i-stenosis iyanda ngokukhula
- Umsebenzi: Imisebenzi efuna ukuphakamisa izinto ezinzima, ukujikajika, okanye ukuhlala ixesha elide
- Indlela yokuphila yokuhlala phantsi: Izihlunu ezibuthathaka zomzimba azikwazi ukuxhasa umqolo
- Ubukhulu: Ubunzima obugqithisileyo buyandisa uxinzelelo lomqolo
- seswekile: Yandisa umngcipheko wokonakala kwemithambo-luvo
- Ukutshaya: Iyanciphisa ukutya kwediski kwaye ikhawulezise ukuwohloka
Uvavanyo lokuxilonga
Uvavanyo lomzimba luquka uvavanyo lwemithambo-luvo lwamandla, imvakalelo, kunye nokusabela kwimilenze echaphazelekayo. Uvavanyo lokuphakamisa umlenze othe tye—ukuphakamisa umlenze wakho othe tye ngelixa ulele phantsi—ludla ngokuvelisa iimpawu ze-sciatica ukuba kukho uxinzelelo lweengcambu zemithambo-luvo.
I-MRI ibonelela ngembonakalo eneenkcukacha zomqolo, ityhila ukuqhekeka kwediski, i-stenosis, kunye nokucinezelwa kwemithambo-luvo. Le mifanekiso iqinisekisa ukuxilongwa kwaye ichonga kanye ukuba loluphi na inqanaba kunye nokuba zeziphi izifo ezibangela iimpawu. I-MRI ikhokela izigqibo zonyango kunye nocwangciso lotyando xa kufuneka.
Izifundo zokuqhuba imithambo-luvo kunye ne-EMG zinokuyalelwa ukuvavanya ukusebenza kwemithambo-luvo nokuqinisekisa ukuba zeziphi iingcambu ezichaphazelekileyo. Ii-X-ray zivavanya ulwakhiwo lwamathambo kunye nokulungelelana kwawo. Ii-CT scans zibonelela ngeenkcukacha ezintle zamathambo xa kufuneka.
Unyango lwe-Conservative
Uninzi lwe-sciatica luyaphela ngonyango oluhlala ixesha elide kwiiveki ezi-4-6. Ukuguqulwa komsebenzi—ukuthintela iintshukumo ezenza iimpawu zibe zimbi ngakumbi ngelixa uhlala usebenza kangangoko kunokwenzeka—kuvumela ukudumba ukuba kuphele. Ukuphumla okufutshane kunokunceda iimpawu ezinzima kakhulu, kodwa ukuphumla ebhedini ixesha elide akuncedi.
Unyango lomzimba lujongana nezinto ezibangela ukucinezelwa kwemithambo-luvo. Uqheliso oluthile lunciphisa uxinzelelo kwimithambo-luvo echaphazelekayo, luqinisa izihlunu ezixhasayo, kwaye luphucule ukuguquguquka. Uqheliso lukaMcKenzie kunye neendlela zokutyibiliza imithambo-luvo zisebenza kakhulu kwi-sciatica.
Amayeza alawula iintlungu ngexesha lokuchacha. Ii-NSAID zinciphisa ukudumba okujikeleze imithambo-luvo ecinezelweyo. Iziphumzi zemisipha ziyanceda ukuba i-spasm ihamba ne-sciatica. I-Gabapentin okanye i-pregabalin inokumiselwa kwiintlungu zemithambo-luvo ezingaphenduliyo kwamanye amayeza.
Unyango oluNgxamisekileyo
Iinaliti ze-epidural steroid zihambisa amayeza okulwa nokuvuvukala ngqo kwindawo echaphazelekayo. Zenziwa phantsi kwesikhokelo se-fluoroscopic ukuze zichaneke, ezi naliti zinokunciphisa kakhulu ukudumba kunye nentlungu, zihlala zibonelela ngesiqabu kwiiveki ukuya kwiinyanga. Zinokuphelisa iimpawu ngokupheleleyo kwabanye abaguli.
Iinaliti ze-transforaminal epidural zijolise kwiingcambu zemithambo-luvo ethile, ziluncedo xa kuchongwa inqanaba elichanekileyo lokubandakanyeka. Iingcambu zemithambo-luvo ezikhethiweyo zithintela zombini ukuxilonga kunye nokunyanga ukucinezelwa kweengcambu zemithambo-luvo nganye.
Iinketho zoTyando
Utyando luqwalaselwa xa unyango oluhlala lungasebenzi emva kweeveki ezi-6-12, xa kuvela iingxaki zemithambo-luvo eziqhubekekayo, okanye xa kukho i-cauda equina syndrome. I-Microdiscectomy isusa inxalenye yezinto zediski ezicinezela i-nerve—olona tyando luqhelekileyo kwi-sciatica enxulumene ne-disc.
I-Laminectomy ilungisa i-stenosis ngokususa amathambo kunye nezicubu ezicinezela imithambo-luvo. Iindlela ezingasetyenziswa kakhulu zinciphisa ixesha lokuchacha kunye neengxaki. Uninzi lwezigulane ezityandwayo zifumana uphuculo olukhulu.
Kutheni iMadison Medical ifuna unyango lweSciatica?
Iingcali zethu zomqolo zizisa ubuchule obupheleleyo bokuxilonga nokunyanga i-sciatica. I-Madison Medical ibona izigulane ezingaphezu kwe-1,200 veki nganye, zinokufikelela kwimifanekiso ephucukileyo, unyango lwe-injection, kunye nokudluliselwa kotyando xa kufuneka. Sigxininisa kunyango olugcina indalo kuqala ngelixa sibonelela ngazo zonke iindlela ezifunekayo.
Indlela yethu edibeneyo idibanisa unyango lomzimba, ulawulo lweentlungu, kunye neendlela zotyando ngaphandle kokuphazamiseka. Uninzi lwezicwangciso zeinshorensi eziphambili zamkelwe kwiindawo zethu ezikufutshane eNew Jersey.
Bukela ukuze ufunde okungakumbi
Fumana Uncedo kwiNhlungu yeSciatic
I-Sciatica inokuba nzima, kodwa unyango olusebenzayo lukhona. Uninzi lwezigulane luyaphucuka ngaphandle kotyando, kwaye neemeko zotyando zihlala zineziphumo ezibalaseleyo. Unyango lwasekuqaleni luthintela iintlungu ezingapheliyo kwaye lukhawulezisa ukuchacha.
Nxibelelana neMadison Medical ukuze ucwangcise uvavanyo lomqolo wakho. Iingcali zethu ziza kuxilonga unobangela we-sciatica yakho kwaye zenze isicwangciso sonyango sokuphelisa iintlungu zakho nokukubuyisela kwimisebenzi yakho yesiqhelo.