Kafufuzidwe ndi pafupi ndi amayi zomwe-kapena ngati zilipo, pazochitika zenizeni ndi zam'munsi zimathandiza kuchiza zizindikiro za sciatica. Mofananamo, anthu ambiri, kuphatikizapo opaleshoni zamankhwala ndi madokotala, amafotokoza zotsatira zabwino ndi njira yogwirizana. Ndipotu, Gulu Logwira Ntchito ku North American Spine Society limalimbikitsa njira yoperewera yogwiritsira ntchito masewera olimbitsa thupi ngati njira yowonongeka yochepetsedwa komanso yosavuta yothandizidwa ndi matenda a radiculopathy.
Chifukwa chimodzi chokhudzidwa ndi masewero olimbitsa thupi opatsirana chifukwa cha kupweteka kwa sciatica chingakhale chogwirizana ndi mawu omwewo. Pouza mnzanu kapena wachibale kuti muli ndi sciatica kungakuthandizeni kupeza kumvetsetsa kapena kumvetsa chisoni, kwenikweni, si njira yolondola yofotokozera kusintha komwe kumachitika mkati mwa msana wanu womwe ungakhale wodalirika pa zizindikiro zanu. M'mawu ena, "sciatica" ndi mawu osamveka bwino. Zoona, nthawi zambiri amagwiritsidwa ntchito polongosola ululu ndi / kapena zizindikiro zamagetsi zomwe zimadutsa mwendo umodzi. Koma kumbukirani kuti zizindikiro zoterezi zingayambidwe ndi zinthu zingapo.
Chinthu chimodzi chofala cha "sciatica" ndi radiculopathy chifukwa cha disc herniated mu lumbar msana wanu.
Mwachidule, dothi la herniated limapezeka pamene mawonekedwe apansi a intervertebral akulephera kapena kutuluka, kulola kuti mankhwala ofanana ndi odzolawa ali pakatikati kuti athawe. Nthaŵi zambiri, chinthuchi, chomwe chimatchedwa nucleus pulposus, chimakhala pamtunda wa msana.
Chifukwa mitsempha ya msana wamtsempha imakhala yovuta kwambiri kukanikizidwa, pamene imakhudzana ndi nucleus pulposus, zizindikiro za radiculopathy zimatha. Zisonyezero za lumbar radiculopathy zingaphatikizepo kupweteka kwapweteka ndi / kapena mitsempha ina yokhudzana ndi mitsempha ikudutsa mwendo. Anthu ambiri omwe sali m'chipatala amawatcha kuti sciatica, koma monga momwe mukudziwira tsopano powerenga tsatanetsatane wachisanu ndi chiwiri, kuvomereza kwa radiumpathy ndi matenda a msana - omwe angakhale chifukwa cha disc ornically.
Ubale Pakati pa Mtundu wa Sciatica ndi Mtundu wa Kuchita Zochita
Chidziwitso chomwe chinakupeza kuchokera ku "sciatica" zizindikiro zomwe dokotala wanu amapeza zingakhudze momwe mukugwiritsira ntchito mankhwala ochizira.
Mwachitsanzo, malinga ndi Dr. Judith Glaser, dokotala wodwala matenda a m'mimba, katswiri wa zamankhwala komanso mkulu wa zamalonda ku New Hyde Park, New York, anati, "kusintha kwake kumayambitsa zizindikiro zake zamatenda."
Izi zikutanthawuza kuti zizindikiro za disney zamtunduwu zimakhala zikuipiraipira pamene mukuweramitsa, komanso bwino mukamaliza msana wanu. Ngati mwapezeka kuti muli ndi disk ya herniated ndi radiculopathy, mgwirizano pakati pa zizindikiro ndi zochitika za msana za kugwedeza kapena kugwedeza zingakuthandizeni inu ndi / kapena wodwala wanuyo kuti mudziwe zoyenera kuchita ndi zomwe mungachepetse.
Koma Dr. Naomi Betish MD, physiatrist ndi acupuncturist ku Union County Orthopedic Group ku New Jersey amandiuza kuti kusankha masewera olimbitsa thupi la sciatica ndi / kapena radiculopathy - mosasamala chomwe chimayambitsa - chikhoza kuikidwa patsogolo chifukwa cha malo omwe alibe zopweteka. Mwa kuyankhula kwina, iye amasonyeza, musamachite masewera olimbitsa thupi pamene mukuvutika, chifukwa izi zingakhale zopanda phindu poyang'anira kapena kuthetsa zizindikiro zanu.
Zojambula za Sciatica za Herniated Disc ndi Radiculopathy
Kotero cholinga cha kuchita masewero olimbitsa thupi ndi chiyani? Dr. Glaser akuti kachilombo ka herniated kawirikawiri kumatsagana ndi kufooka ndi kutaya kwa mphamvu ya minofu. "Chifukwa chake," akutero, "kuthetsa zizindikiro kungakhale nkhani yosankha zolimbitsa thupi zomwe zimalimbitsa minofu ndi kusintha mphamvu (kutanthauza thupi likuyenda).
Kusunga malingaliro awa m'munsiyi ndi malingaliro angapo ochita masewero omwe angakuthandizeni kusamalira zizindikiro za sciatica ndi / kapena za radiculopathy zomwe zimagwirizana ndi disk ya herniated. Chenjezo: Monga Betish akuwonetsera, musamagwire ntchito mu ululu.
Ngati kuchita masewera olimbitsa thupi kumawonjezera zizindikiro zanu, yesani kuchita zimenezo ndipo funsani dokotala wanu kapena wodwalayo. Ndipotu, ndibwino kuwona wodwala wodwalayo wothandizira pulogalamu ya sciatica. Ngati sizingatheke, sungathe kuwonetsa mndandanda wa zochitikazi kwa dokotala wanu, ndipo mulole kuti akutsogolereni zomwe mukuyenera kuzichita.
Mndandanda wa Zolemba za Sciatica Chifukwa cha Dongosolo la Herniated
- Bracing ya m'mimba imalimbitsa mitsempha ndi minofu ina, yomwe ingathandize kuchepetsa kuchepa kwanu.
- Mapiritsi Apelvic amathandiza kulimbitsa minofu ndi kupachika minofu - yofunika kuti muime bwino, Glaser ndemanga.
- Mlatho Wodalitsika Monga momwe thupi limapangidwira mwamphamvu, mlatho wodzitetezera umalimba m'chiuno, makamaka minofu yanu yam'mbuyo kumapeto kwa ntchafu ndi pakhosi. Kupaka nsalu ndi chimodzi mwa minofu ya mchiuno yomwe imakhala ndi gawo lofunika kwambiri pa chikhalidwe chokhala ndi thanzi labwino.
- Mbalame ya Mbalame . Kuchita masewera olimbitsa thupi kumachitika pa "4s" (mwachitsanzo manja anu ndi mawondo), galu wa mbalame imalimbitsa minofu yomwe imakula msana wanu, zomwe zingakuthandizeni kupewa msana wamtundu wa msana (zofunikira kuti kuchepetsa zizindikiro monga tafotokozera kale). Mofanana ndi kugwedeza kwachitsulo ndi mlatho, galu mbalame ingathandizenso kuti mukhale oyenera.
Sinthani Zochita Zanu za Sciatica Kuti Mukwaniritse Chikhalidwe Chanu
Odwala ena amapereka milatho yowonongeka (yomwe imadziwikanso ngati matabwa) kwa odwala awo omwe amachititsa kuti adziwe kuti ali ndi zizindikiro za radiculopathy. Mitengo yonyamulira imalimbitsa mitsempha ya quadratus yomwe imakhala minofu yomwe, pamene imakhala yamphamvu, imathandizira kugona kwa msana (kubwerera patsogolo). Iwenso imasewera mbali yofunika kwambiri yopindika. Onani kuti mbali yonse ya "yoyenera" ndi ntchito yovuta - yosakondweretsedwa kwa anthu omwe ali ndi ululu kapenanso mikhalidwe; Ichi ndichifukwa chake mawonekedwe osinthidwa amagwiritsidwa ntchito.
Betish akuwonjezera kuti, kukhala pansi ndi kuchita masewera olimbitsa thupi pamene mukugwada pa chifuwa chanu kumatha kukutsutsani. "Anthu ambiri amavutika kuchita masewera olimbitsa thupi. Komanso, chiopsezo chotenga diski chimawonjezeka ngati mumazichita molakwika."
Glaser imasonyezanso kukhala ndi nthawi yowonongeka komanso yosinthasintha. Misampha yomwe ikuphatikiziridwa ndi msuzi yanu yamapiko ( illiopsoas ), minofu ya msana wanu ndi minofu yanu yopanda phokoso.
> Zotsatira:
> Society Society ya ku North America. Kuzindikira ndi chithandizo cha lumbar disc herniation ndi radiculopathy.
> Imelo Kucheza. Betesh, N., MD, Kupweteka kwa Mafupa ndi Mankhwala / Mankhwala Othandizira Akatswiri, Akatswiri a Acupuncturist. Gulu la Union County Orthopedic Group, New Jersey. Feb. 2014.
> Imelo Kucheza. Glaser, J., DO, Director Restorative Medicine, New Hyde Park, New York. February 2014.
> Imelo Kucheza. Murphy, J. DPT, Mtsogoleri, MotionWorks Physical Therapy. Neenah, WI.
> Burr Ridge (IL): Society of North America Spine Society; 2012.