Zomwe Zimayambitsa Sciatica

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Tiyeni Tifotokoze Tanthauzo

Sciatica ndilo mawu omwe nthawi zambiri amagwiritsidwa ntchito kufotokoza zizindikiro zomwe zimagwiritsidwa ntchito ndi ziwalo zomwe zimatsikira kumapeto komodzi (mosiyana ndi zonse), ndipo zimachokera ku chimodzi kapena zambiri zowopsya mizu ya mitsempha.

Cholakwika chimodzi chodziwika bwino cha sciatica ndikuti nthawi zonse zimayambitsidwa ndi disc. Pano pali china: Mosiyana ndi zomwe anthu ambiri amakhulupirira, sciatica sichikuphatikizapo nthendayi.

Phunzirani kuti mudziwe za zomwe zimayambitsa sciatica ndi gawo lomwe aliyense amachititsa popanga ululu pamtunda kapena pansi.

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Herniated Disc

Dothi la herniated ndilofala kwambiri - ngakhale osati chifukwa chokha cha sciatica. Poyankhula mwaluso, mtundu wa sciatica wochokera ku disni herniated amatchedwa radiculopathy.

"Mvula" ya radiculopathy imatanthawuza "mizu," ndipo imatanthawuza mizu ya msana, yomwe imachokera ku msana (pamtunda uliwonse) musanayambe kukhala mitsempha yomwe imatulutsa thupi lonse. Mizu ya mitsempha imachoka pamabowo kumbali zonse za mzere wa msana wotchedwa intervertebral foramen .

Mankhwala osokoneza bongo amatha kuchitika pamene khungu la herniated pulposus (zinthu zofewa zomwe zimapezeka mkatikati mwa diski) zimachoka mu diski ndipo zimayambira pamphuno wa msana. Kawirikawiri, nucleus pulposus imadutsa misozi yomwe imachitika kunja kwa ma diski. Misozi imeneyi imadziwika kuti ndi misozi yambiri. Pamene phokoso limayankhula ndi mitsempha ya msana, imatha kukhumudwitsa, kuwonetsa ululu ndi / kapena zizindikiro zina zomwe zimapita pansi pamtunda umodzi kapena mbuzi - mwachitsanzo, sciatica.

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Mimba Yam'mimba

Kawirikawiri zokhudzana ndi msinkhu komanso / kapena nyamakazi, msana wam'mimba ndiwong'onoting'ono wa ngalande ya msana kapena intervertebral foramen. (Liwu loti stenosis ndilo mawu omveka omwe amatanthawuza kupapatiza.)

Mitundu ya Spinal Stenosis

Mphuno ya m'mimba imabwera mu mitundu iwiri ikuluikulu: chimbudzi cha pakatikati , chomwe chimapezeka m'mphepete mwa msana, ndi nthenda yotchedwa neuroforaminal stenosis , komwe kumapezeka ming'oma yomwe ili kumbali ya msana.

Tiyeni tilankhule zoyamba za canal stenosis; Mng'oma wa msana ndi njira yomwe imapezeka pamtunda. Zikachepa, zikhoza kukhumudwitsa mutu wa msana umene ungayambitse sciatica ndi zizindikiro zina (monga neurogenic claudication.)

Ndi mpweya wotchedwa neuroforaminal stenosis, ming'oma imapangidwira m'mphepete mwa mzere wa msana. Minofu yomwe imachokera mumsana wa pamtunda kupita ku thupi lanu lonse imayamba kukhala ndi mitsempha ya mitsempha, ndipo pamapangidwe ena, nthambi zamatabwa timakonda kutchula mitsempha. Mitsempha imadutsa muzitsulo izi (ie, mabowo) pamene zimachoka pamphepete mwa msana. Monga momwe zimakhalira pakati pamtambo, pamene mitsempha yotseguka imatsekedwa (ngakhale pang'onopang'ono), mitsempha ya mitsempha imatha kugwirizana ndi fupa la fupa lomwe limapangidwira. Zimenezi, zingasokoneze mitsempha ya msana, imatsogolera ku zizindikiro za sciatica.

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Piriformis Syndrome

Matenda a Piriformis ndi achilendo omwe angabweretse zizindikiro monga sciatica. Mosiyana ndi zifukwa zina ziwiri (ie stenosis ndi disney herniated monga momwe tafotokozera poyamba) za mwendo umodzi kapena / kapena ululu wa nyama, sciatica yokhudzana ndi matenda a piriformis siimayambira msana. Pa chifukwa chimenechi, nthawi zina amatchedwa "pseudo-sciatica."

M'malo mwake, mfuti yamtengo wapatali - yomwe imatchedwa piriformis, komanso yomwe imapezeka pamtunda wa mchiuno, imapweteketsa mitsempha imeneyi, imayambitsa ululu ndi zizindikiro zamagetsi mumtambo umenewo komanso / kapena pansi pamtunda womwewo.

> Zotsatira:

> Imelo Kucheza. Fishman, Loren, MD, Mkulu wa zachipatala Manhattan Physical Medicine > and > Rehabilitation. New York, NY. January 2014.Email Interview.

> Fishman, L., MD, Saltonstall, E. Yoga wa Sciatica. YogaU pa Intaneti.

> Gonzalez-Arias, Sergio MD, Mkulu wa Zamankhwala, Bungwe la Baptist Health Neuroscience Centre, Miami, Florida. January 2014.

> Imelo Kucheza. Toerge, JDO, Mkulu wa Zamankhwala, Chipatala cha Musakloskeletal Institute National Rehabilitation Hospital, Washington, DC. January 2014.