Malangizo Othandiza Kusankha Zochita
Matenda a msana amapezeka pamene malo amodzi kapena asanu ndi awiri (msinkhu wanu wamtsempha, kapena intervertebral foramen) amachepa, kawirikawiri chifukwa cha nyamakazi. Ngakhale kuti mankhwalawa amatha kupweteka kwambiri, ndiye kuti sciatica ndi yotheka. Ngati stenosis yanu imakhudza mitsempha yamtsempha (yotchedwa radiculopathy ) mumsana wanu, mukhoza kumva ululu wokhudzana ndi mimba yomwe imatuluka mwendo wanu, wotchedwa sciatica.
Ngakhale kuti kafufuzidwe sichikupezeka ndi ndondomeko yeniyeni ya masewero olimbitsa thupi pofuna kuthetsa zizindikiro za sciatica zomwe zimayambitsa matendawa, anthu ambiri - kuphatikizapo akatswiri a zaumoyo - tengani njirayi. Ngati mukuganizira njira yogwiritsira ntchito masewero olimbitsa thupi, chinthu choyamba kukumbukira ndi chakuti zizindikiro zimayipiraipira pamene mukugwedeza msana wanu. Mosiyana ndi zimenezi, amayamba kusintha mukamasinthasintha msana wanu. Izi zimatchedwa chisokonezo .
Sankhani Zochita Zomwe Zilimbikitseni Chitonthozo ndi Pewani Malo Amene Amachititsa Ululu
Ngakhale podziwa zambiri zowonjezereka, ndibwino kuti musankhe malo (ndiyomwe mukuchita) pogwiritsa ntchito chitonthozo. Pewani malo omwe amachititsa ululu - ngakhale atadziwika kuti athetse zizindikiro za matenda anu. Ndipo ndithudi, funsani ndi wodwalayo wanu kapena dokotala kuti mutsimikizire kuti mwasankha zochitika zoyenera - ndipo mukuzichita moyenera.
Ndinayankhula ndi Dr. Naomi Betesh, physiatrist ndi acupuncturist yemwe amadziwika bwino ku ululu wa ululu ku Union County Orthopedic Group ku New Jersey ponena za masewera olimbitsa thupi a sciatica ambiri komanso za kusankha masewera olimbitsa thupi pamene masoka a sciatica amayamba chifukwa cha msana. Anandidziwitsa kuti m'mbuyomo, madokotala ambiri a maphunziro ndi opaleshoni athandizidwa pazithunzi zowonjezereka.
Betish akunena motero, mtundu wa machitidwe mu pulogalamu yanu makamaka amadalira kuvulaza kwanu. Ndikhoza kuwonjezera kuti msana umene umapangitsa kuti zizindikiro zanu ziwonjezere komanso zimakuwonetsani kusankha masewera olimbitsa thupi. Koma zinthu zikhoza kusintha. "Posachedwapa, akuti odwala aliyense ayenera kuchiritsidwa pogwiritsa ntchito malo omwe samapweteka," anatero Betesh.
Komabe, chimodzi mwa zolinga zazikulu zogwiritsira ntchito masewera olimbitsa thupi pofuna kuthetsa zizindikiro za sciatica ndizokulitsa msinkhu wa msana (mwachitsanzo, kugwedeza kumbuyo kwanu), akuti Jill Murphy, yemwe ali mtsogoleri wa MotionWorks Physical Therapy ku Neenah, WI. Kugwira ntchito kuti mukhale osasinthasintha ndi kotheka, Murphy akupitiriza. "Kukulitsa kusinthasintha m'magulu anu apansi kungapangitse kuti pang'onopang'ono kutayika kwa msana kumapangidwanso," adandiuza. (Kawirikawiri, mawu akuti "kumapeto kwenikweni" amatanthauza (kukwapula, bondo ndi minofu, ndi mapazi anu.)
Dr. Judith Glaser, physiatrist ndi katswiri wa zachipatala ku Restorative Medicine ku New Hyde Park, New York akuwonjezera kuti kumalimbitsa minofu, komanso kukulitsa mphamvu za thupi lanu (kuteteza thupi lanu pamene mukuzisuntha) ndizofunikira zochita masewera olimbitsa thupi mapulogalamu omwe amawunikira zizindikiro za sciatica zokhudzana ndi stenosis.
Zochita za Sciatica zochokera ku Stenosis
Nanga ndi zochitika ziti zomwe muyenera kuchita? Kodi pali zofanana zomwe madokotala ndi opaleshoni amapereka kwa odwala omwe ali ndi sciatica yokhudzana ndi stenosis? Yankho lalifupi ndilo - ayi. "Ngati mumapempha opaleshoni 20 zomwe akuchita chifukwa cha kupweteka kwapweteka, mutha kumva mapulogalamu 20," Betesh akunena. Koma muzochitikira zanga, pali chikhulupiliro china pakati pa zifukwa za odwala. M'munsimu muli ochepa omwe Glaser, Murphy, ndi ena amasonyeza. Kumbukirani kuti izi sizinthu zokha zomwe zingathandize ndi zizindikiro.
Kulimbikitsa Zochita
- Kupweteka m'mimba.
- Zosakaniza zapelvic , zomwe zingathandizire kumbuyo ndi kupaka minofu ya extender. Glaser imati mapiritsi amtunduwu amathandizanso kuthandizira kuima kwa thupi.
- Mbalame ya mbalame , yomwe ingathandize kuthana ndi zofooka m'misamaliro ya msana chifukwa cha chizoloƔezi cha msana wamtundu wamba womwe umapezeka mwa anthu omwe ali ndi stenosis.
Kukhazikika Maganizo
- Kutambasula kwala
- Flank amatambasula
- Hip flexor imatambasula
- Mapulotechete aang'ono omwe ali ndi chidwi chofuna kuyenda m'malo molimbikitsa.
Betesh akusonyeza kuti yoga imayambitsa sciatica yokhudzana ndi stenosis, kuphatikizapo mazira a pakhosi, galu akuyang'ana pansi, ndi ena. Akunena kuti pulogalamu ya pakhomo, yokhala ndi ziwalo zosavuta kungapangitse mwayi wochita popanda kuvulala.
Zotsatira:
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.