ISciatica

I-Sciatica ibhekisa kwintlungu, ubuthathaka, ukuba ndindisholo, okanye ukubetha emlenzeni. Kubangelwa ukwenzakala okanye uxinzelelo kwi-nerve ye-sciatic. I-Sciatica luphawu lwengxaki yonyango. Ayisiyonyango imeko yodwa.

I-Sciatica yenzeka xa kukho uxinzelelo okanye umonakalo kwi-nerve ye-sciatic. Le mithambo-luvo iqala ngasemva kwaye ihle ihle umva womlenze ngamnye. Le luvo ilawula izihlunu zomqolo wamadolo kunye nomlenze ongezantsi. Ikwabonelela ngovuyo kumqolo wethanga, inxenye engaphandle nangasemva yomlenze ongezantsi, kunye nonyawo kuphela.

Izizathu eziqhelekileyo ze-sciatica zibandakanya:

• Isilayidi sediski esitshixekileyo
• Umqolo wesisu
• I-Piriformis syndrome (ingxaki yentlungu ebandakanya umsipha omxinwa ezinqeni)
• Ukulimala kwepelvic okanye ukuphuka
• Amathumba

Amadoda aphakathi kweminyaka engama-30 nengama-50 ubudala kunokwenzeka ukuba abe ne-sciatica.

Intlungu yeSciatica ingahluka ngokubanzi. Isenokuvakala ngathi kukurhawuzelela kancinci, ukuba buthuntu, okanye ukuvutha. Ngamanye amaxesha, iintlungu zinzima ngokwaneleyo ukwenza ukuba umntu angakwazi ukuhamba.

Iintlungu zihlala zenzeka kwicala elinye. Abanye abantu baneentlungu ezibukhali kwilungu elinye lomlenze okanye inyonga kunye nokuba ndindisholo kwezinye iindawo. Intlungu okanye ubundindisholo bunokuvakala ngasemva kwethole okanye onyawo. Umlenze ochaphazelekayo unokuziva ubuthathaka. Ngamanye amaxesha, unyawo lwakho lubanjiswa emhlabeni xa uhamba.

Intlungu ingaqala kancinci. Inokuba mbi:

• Emva kokuma okanye ukuhlala
• Ngamaxesha athile emini, njengasebusuku
• Xa uthimla, ukhohlela okanye uhleka
• Xa uguqa umva okanye uhamba ngaphezu kweeyadi okanye iimitha ezimbalwa, ngakumbi ukuba zibangelwa ngumqolo wesisu
• Xa uxinekile okanye ubambe umphefumlo wakho, njengaxa uhambisa amathumbu

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Oku kungabonisa:

• Ubuthathaka xa ugoba idolo
• Kunzima ukugoba unyawo ngaphakathi okanye ezantsi
• Kunzima ukuhamba kwiinzwane zakho
• Kunzima ukugoba ngaphambili okanye ngasemva
• Ingqondo engaqhelekanga okanye ebuthathaka
• Ukuphulukana nemvakalelo okanye ukuba ndindisholo
• Ubuhlungu xa uphakamisa umlenze ngokuthe ngqo xa ulele kwitafile yoviwo

Iimvavanyo zihlala zingafuneki ngaphandle kokuba iintlungu zinzima okanye zihlala ixesha elide. Ukuba iimvavanyo ziyalelwe, zinokubandakanya:

• IX-reyi, iMRI, okanye ezinye iimvavanyo zokucinga
• Uvavanyo lwegazi

Njengoko i-sciatica luphawu lwenye imeko yezonyango, unobangela osisiseko kufuneka uchongwe kwaye uphathwe.

Ngamanye amaxesha, akukho nyango lufunekayo kwaye ukubuyela kwimeko yesiqhelo kuyazenzela.

Unyango lwe-Conservative (olungatyandi) lungcono kwiimeko ezininzi. Umboneleli wakho unokuncoma la manyathelo alandelayo okuzola iimpawu zakho kunye nokunciphisa ukudumba:

• Thatha ngaphezulu kwe-counter-counter-relievers efana ne-ibuprofen (Advil, Motrin IB) okanye i-acetaminophen (iTylenol).
• Faka ubushushu okanye umkhenkce kwindawo ebuhlungu. Zama umkhenkce kwiiyure zokuqala ezingama-48 ukuya kwezingama-72, emva koko usebenzise ubushushu.
  

Amanyathelo okunyamekela umva wakho ekhaya unokubandakanya:

• Ukuphumla kokulala akukhuthazwa.
• Ukuzivocavoca kwangoko kuyacetyiswa kwangoko ukomeleza umqolo wakho.
• Qala ukuzilolonga kwakhona emva kweeveki ezi-2 ukuya kwezi-3. Bandakanya imithambo yokuqinisa isisu sakho (esingundoqo) semisipha kunye nokuphucula ukuguquguquka komqolo wakho.
• Nciphisa umsebenzi wakho kwiintsuku zokuqala. Emva koko, qalisa kancinci imisebenzi yakho yesiqhelo.
• Musa ukwenza ukuphakamisa okunzima okanye ukujija umqolo wakho kwiiveki zokuqala ezi-6 emva kokuba intlungu iqale.

Umboneleli wakho unokucebisa nangonyango. Unyango olongezelelekileyo luxhomekeke kwimeko ebangela i-sciatica.

Ukuba la manyathelo awancedi, umboneleli wakho unokucebisa ngenaliti zamayeza athile ukunciphisa ukudumba okujikeleze imithambo-luvo. Amanye amayeza anokumiselwa ukunceda ukunciphisa iintlungu zokuhlaba ngenxa yokucaphuka kwentliziyo.

Iintlungu zemithambo-luvo kunzima ukunyanga. Ukuba uneengxaki eziqhubekayo zentlungu, unokufuna ukubona ugqirha wemithambo-luvo okanye ingcali yentlungu yokuqinisekisa ukuba unokufikelela kuluhlu olubanzi kakhulu lweendlela zokhetho.

Utyando lunokwenziwa ukunciphisa uxinzelelo lwee-luvo zakho zomqolo, nangona kunjalo, ihlala iyindlela yokugqibela yonyango.

Rhoqo, i-sciatica iba bhetele iyodwa. Kodwa kuqhelekile ukuba ibuye.

Iingxaki ezinzulu zixhomekeke kwisizathu se-sciatica, esinjengokutsalwa kwediski okanye isifo somqolo. I-Sciatica inokukhokelela ekubeni ubuthathaka ngokusisigxina okanye ubuthathaka bomlenze wakho.

Shayela umnikezeli wakho ngokukhawuleza ukuba unayo:

• Umkhuhlane ongachazwanga oneentlungu ezibuya emva
• Umqolo obuhlungu emva kokubethwa kanobom okanye ukuwa
• Ububomvu okanye ukudumba emqolo okanye emqolo
• Intlungu ehla ngemilenze yakho ngezantsi kwedolo
• Ubuthathaka okanye ukuba ndindisholo ezinqeni zakho, ethangeni, emlenzeni, okanye esinqeni
• Ukutshisa ngokuchama okanye igazi kumchamo wakho
• Ubuhlungu obubi ngakumbi xa ulala phantsi, okanye ukuvusa ebusuku
• Intlungu ebuhlungu kwaye awunako ukuhlala kamnandi
• Ukuphulukana nolawulo lomchamo okanye isitulo (incontinence)

Biza kwakhona ukuba:

• Uphulukana nobunzima bungaqondanga (hayi ngenjongo)
• Usebenzisa ii-steroids okanye iziyobisi ezifakwa emithanjeni
• Ubukhe wanomqolo obuhlungu ngaphambili, kodwa esi siqendu sahlukile kwaye siziva sisibi
• Esi siqendu seentlungu zangasemva sihlale ixesha elide kuneeveki ezi-4

Uthintelo luyahluka, kuxhomekeka kwisizathu sokonakala kwentliziyo. Gwema ukuhlala ixesha elide okanye ukulala noxinzelelo ezinqeni.

Ukuba nemisipha yomqolo kunye neyesisu kubalulekile ukunqanda i-sciatica. Njengoko usiya ukhula, licebo elilungileyo ukwenza imithambo ukomeleza undoqo wakho.

Neuropathy - inzululwazi ye-sciatic; Ukungasebenzi kakuhle kwentliziyo; Iintlungu ezisezantsi ezisezantsi - i-sciatica; I-LBP - isciatica; I-Lumbar radiculopathy - isciatica

• Uqhaqho lomqolo-ukukhutshwa

• Inzululwazi yesayensi
• Cauda equina
• Umonakalo wentsholongwane

IMarques DR, uCarroll WE. Neurology. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 41.

IRopper AH, iZafonte RD. ISciatica. N Engl J Med. Ngo-2015; 372 (13): 1240-1248. IINKCUKACHA: 25806916 pubmed.ncbi.nlm.nih.gov/25806916/.

UYavin D, uHurlbert RJ. Ulawulo lwe-Nonsurgical kunye ne-posturgical yentlungu ephantsi. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 281.