Yonke into ekufuneka uyazi ngeSciatica

Umxholo

• Ushwankathelo
• Iimpawu zesciatica
• Yintoni ebangela isciatica?
• Iidiski eziHerniated
• Umqolo wesisu
• I-Spondylolisthesis
• Isifo sePiriformis
• Imiba yomngcipheko wokuphuhlisa i-sciatica
• Nini ukufuna unyango
• Isifo seCauda equina
• Ukuchonga i-sciatica
• Ukhetho kunyango lwe-sciatica
• Kuyabanda
• Kushushu
• Ukolula
• Amayeza eekhawuntareni
• Ukuzilolonga rhoqo
• Ulungiso lwenyama
• Amayeza kagqirha
• Unyango lwe-Epidural steroid
• Ugqirha
• Olunye unyango
• Ungayikhusela njani i-sciatica

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ushwankathelo

I-nerve yakho ye-sciatic iqala kwintambo yakho yomgogodla, ibaleka esinqeni nasezimpundu, kwaye emva koko amasebe phantsi komlenze ngamnye.

I-nerve ye-sciatic yeyona mithambo mide yomzimba wakho kwaye yenye yezona zibalulekileyo. Inempembelelo ethe ngqo kumandla akho okulawula nokuziva imilenze yakho. Xa le nerve icatshukisiwe, uya kuva i-sciatica.

I-Sciatica yimvakalelo enokuthi izibonakalise njengemodareyitha kwiintlungu ezibuhlungu kumqolo wakho, ezimpundu nasemilenzeni. Unokuziva ubuthathaka okanye ubundindisholo kwezi ndawo.

I-Sciatica luphawu olubangelwa kukwenzakala okungaphantsi kwentliziyo yakho ye-sciatic okanye indawo echaphazela i-nerve, efana ne-vertebrae yakho, engamathambo entanyeni nasemqolo wakho.

Ngama-40 eepesenti abantu abaya kuyifumana ngaxa lithile ebomini babo. Iba rhoqo ngakumbi njengoko uneminyaka yobudala.

Iimpawu zesciatica

I-Sciatica luhlobo olwahlukileyo lweempawu. Ukuba uhlangabezana nentlungu ephuma kumqolo wakho osezantsi ngokusebenzisa indawo yakho yempuphu kunye nasemilenzeni yakho esezantsi, yinto eqhelekileyo i-sciatica.

I-Sciatica sisiphumo somonakalo okanye ukwenzakala kwi-nerve yakho ye-sciatic, ke ezinye iimpawu zomonakalo wemithambo-luvo zihlala zikhona nentlungu. Ezinye iimpawu zingabandakanya oku kulandelayo:

• Unokuba nentlungu eba nzima ngokuhamba.
• Unokuba nobundindisholo okanye ubuthathaka emilenzeni nasezinyaweni zakho, ezihlala zivakala kwindlela yakho ye-sciatic nerve. Kwiimeko ezinzima, unokufumana ukulahlekelwa yimvakalelo okanye ukunyakaza.
• Unokuziva uziva izikhonkwane kunye neenaliti, ezibandakanya ukubetha okubuhlungu kwiinzwane zakho okanye iinyawo.
• Unokuba namava okungakwazi ukuzibamba, nto leyo ukungakwazi ukulawula isinyi okanye amathumbu akho. Olu luphawu olunqabileyo lwe-cauda equina syndrome (CES), echazwe apha ngezantsi, kwaye ifuna ingqalelo engxamisekileyo kwangoko.

Yintoni ebangela isciatica?

I-Sciatica inokubangelwa ziimeko ezininzi ezibandakanya umqolo wakho kwaye inokuchaphazela iimbilini ezihamba ngasemva kwakho. Inokubangelwa kukwenzakala, umzekelo xa usiwa, okanye umnqonqo okanye imithambo-luvo ye-sciatic.

Iimeko eziqhelekileyo ezinokubangela i-sciatica zichazwe apha ngezantsi.

Iidiski eziHerniated

I-vertebrae yakho, okanye amathambo omqolo, ahlukaniswe ngamaqhekeza e-cartilage. I-Cartilage igcwele izinto ezinobunzima, ezicacileyo ukuqinisekisa ukuguquguquka kunye nokukhusela xa uhamba. Iidiski zeHerniated zenzeka xa umaleko wokuqala wengqwayi uhlahlela.

Izinto ezingaphakathi ngaphakathi zinokucinezela i-nerve ye-sciatic, ekhokelela kwiintlungu ezisezantsi zelungu kunye nokuqaqamba. Kuqikelelwa ukuba kubo bonke abantu baya kuba neentlungu zangasemva ezibangelwe yidiski esityibilikileyo ebomini babo.

Umqolo wesisu

I-spinal stenosis ibizwa ngokuba yi-lumbar spinal stenosis. Iphawuleka ngokuncipha okungaqhelekanga komjelo wakho ongezantsi womqolo. Oku kuncipha kubeka uxinzelelo kumqolo wakho womqolo kunye neengcambu zakho zesayensi.

I-Spondylolisthesis

I-Spondylolisthesis yenye yeemeko ezinxulumene nokudakumba kwidiski. Xa elinye ithambo lomqolo, okanye i-vertebra, liqhubela phambili ngaphezulu kwelinye, ithambo lomqolo elandisiweyo linokucofa imithambo-luvo eyenza i-nerve ye-sciatic.

Isifo sePiriformis

Isifo sePiriformis sisifo esingaqhelekanga se-neuromuscular disorder apho izihlunu zakho ze-piriformis ngokungazibandakanyi nezivumelwano okanye ziqinisa, zibangela i-sciatica. Imisipha yakho ye-piriformis sisihlunu esidibanisa icandelo elisezantsi lomqolo wakho kumathambo akho.

Xa iqinisa, inokubeka uxinzelelo kwi-nerve ye-sciatic yakho, ekhokelela kwi-sciatica. I-Piriformis syndrome inokuba mandundu ukuba uhlala ixesha elide, usiwa, okanye uhlangabezana nengozi yemoto.

Imiba yomngcipheko wokuphuhlisa i-sciatica

Iimpawu ezithile zokuziphatha okanye izinto zinokuphakamisa umngcipheko wokuphuhlisa i-sciatica. Ezona zinto zixhaphakileyo zokuphuhlisa i-sciatica zibandakanya oku kulandelayo:

• Njengokuba umzimba wakho uguga, kuya kusiba lula ukuba amalungu aphele okanye aphule.
• Eminye imisebenzi ibeka uxinzelelo olukhulu emqolo, ngakumbi ezo zibandakanya ukuphakamisa izinto ezinzima, ukuhlala ixesha elide, okanye ukujija iintshukumo.
• Ukuba nesifo seswekile kunokunyusa umngcipheko wokonakala kwentliziyo.
• Ukutshaya kunokubangela ukuba umaleko ongaphandle weediski zakho zomqolo wonakale.

Nini ukufuna unyango

Funa unyango ngokukhawuleza ukuba ufumana ezi mpawu zilandelayo:

• Intlungu yakho iza emva kokulimala kakhulu okanye ingozi.
• Unesiquphe, iintlungu ezibuhlungu kumqolo wakho osezantsi okanye emlenzeni edityaniswa nobundindisholo okanye ubuthathaka bemisipha kwakulo mlenze.
• Awunakho ukulawula isinyi okanye amathumbu akho, eziziimpawu ze-cauda equina syndrome.

Isifo seCauda equina

Kwiimeko ezinqabileyo, idiski ye-herniated inokucinezela kwimithambo-luvo ebangela ukuba uphulukane nolawulo lwesisu okanye isinyi. Le meko yaziwa ngokuba yi-cauda equina syndrome.

Inokubangela nokuba ndindisholo okanye ukubetha kwindawo yakho yokugcuma, ukunciphisa uvakalelo lwesondo, kunye nokukhubazeka ukuba kungashiywanga kunganyangwa.

Esi sifo sihlala sikhula kancinci. Kubalulekile ukuba uye kugqirha wakho okanye kwigumbi likaxakeka ngokukhawuleza ukuba iimpawu ziyavela.

Iimpawu zesi sifo zinokubandakanya:

• ukungakwazi ukulawula isinyi okanye amathumbu akho, nto leyo enokubangela ukungabinakho ukuzibamba okanye ukugcina inkunkuma
• intlungu komnye okanye kwimilenze yakho yomibini
• Ukuba ndindisholo komnye okanye kwimilenze yakho yomibini
• ubuthathaka komnye okanye kwimilenze yakho yomibini, kusenza ukuba kube nzima ukuphakama emva kokuhlala
• ukukhubeka xa uzama ukuphakama
• ukuqhubela phambili okubonakalayo okanye ukulahleka ngokukhawuleza kwemvakalelo emzimbeni wakho osezantsi, kubandakanya indawo phakathi kwemilenze yakho, iimpundu, amathanga angaphakathi, izithende, kunye nonyawo lonke

Ukuchonga i-sciatica

I-Sciatica luphawu olwahluka ukusuka komnye umntu ukuya komnye kwaye kuxhomekeke kwimeko ebangela oko. Ukufumanisa i-sciatica, ugqirha wakho uya kufuna kuqala ukufumana imbali yakho yezonyango.

Oku kubandakanya ukuba ngaba ukhe wanokonzakala kutshanje, apho uziva khona iintlungu, kwaye nendlela oziva ngayo. Bazofuna ukwazi ukuba yintoni eyenza ibengcono, yintoni eyenza ukuba ibe mandundu, kwaye yaqala njani kwaye nini.

Isinyathelo esilandelayo kukuhlolwa komzimba okuza kubandakanya ukuvavanya amandla akho omzimba kunye neengcamango. Ugqirha wakho usenokukucela ukuba wenze imithambo eyoluliweyo nehambayo yokufumanisa ukuba yeyiphi na imisebenzi ebangela iintlungu.

Umjikelo olandelayo wokuchonga isifo ngabantu abajongane ne-sciatica ixesha elingaphezulu kwenyanga okanye abagula kakhulu, njengomhlaza.

Uvavanyo lwemithambo luza kuvumela ugqirha wakho ukuba ahlole indlela ezisebenza ngayo iimbilini zakho zenzululwazi kwaye ufunde ukuba kukho naziphi na izinto ezingaqhelekanga. Olu vavanyo lunokunceda ekufumaneni indawo ebandakanyekayo kunye nenqanaba lokunyanzelwa kokuhamba.

Ukujonga iimvavanyo kuyakuvumela ugqirha wakho ukuba ajonge umqolo wakho, oya kuthi ubancede baqonde unobangela weSciatica yakho.

Ezona mvavanyo zixhaphakileyo zisetyenziselwa ukufumanisa isifo se-sciatica kwaye zifumane unobangela wazo zii-X-ray zomqolo, ii-MRIs kunye ne-CT scans. I-X-ray eziqhelekileyo aziyi kuba nakho ukubonelela ngomonakalo we-nerve e-sciatic.

I-MRI isebenzisa iimagnethi kunye namaza erediyo ukwenza imifanekiso eneenkcukacha zomqolo wakho. Iskena se-CT sisebenzisa imitha ukwenza imifanekiso eneenkcukacha zomzimba wakho.

Ugqirha wakho angayalela i-myelogram ye-CT. Kolu vavanyo, baya kutofa idayi ekhethekileyo kumqolo wakho ukunceda ukuvelisa imifanekiso ecacileyo yomqolo wakho kunye neentsholongwane.

Ukhetho kunyango lwe-sciatica

Emva kokufumanisa isifo se-sciatica, ugqirha wakho uya kukunika iingcebiso zokunyanga iintlungu zakho ze-sciatica. Kuya kufuneka uqhubeke nemisebenzi yakho yemihla ngemihla kangangoko kunokwenzeka. Ukulala ebhedini okanye ukuthintela imisebenzi kunokwenza imeko yakho ibe mandundu.

Olunye unyango olucetyiswayo ekhaya luchazwe ngezantsi.

Kuyabanda

Ungathenga iipakethi zomkhenkce okanye usebenzise iphakheji yemifuno ekhenkcezisiweyo.

Songela ipakethe yomkhenkce okanye imifuno efriziwe kwitawuli kwaye uyisebenzise kwindawo echaphazelekayo kangangemizuzu engama-20 ngosuku, amatyeli aliqela ngemini, kwiintsuku zokuqala zentlungu. Oku kuya kunceda ukunciphisa ukudumba kunye nokunciphisa iintlungu.

Kushushu

Unokuthenga iipakethi ezishushu okanye iphedi yokufudumeza.

Kuyacetyiswa ukuba usebenzise umkhenkce ngexesha leentsuku ezimbalwa zokuqala ukunciphisa ukudumba. Emva kweentsuku ezimbini okanye ezintathu, tshintshela kubushushu. Ukuba uqhubeka unentlungu, zama ukutshintshiselana phakathi komkhenkce kunye nonyango lobushushu.

Ukolula

Ukolula ngobunono umva wakho osezantsi kunokuba luncedo. Ukufunda ukolula ngokufanelekileyo, fumana ngokwakho, unyango lomntu ngamnye okanye imiyalelo yeyoga evela kunyangi okanye umqeqeshi oqeqeshelwe ukujongana nokwenzakala kwakho.

Amayeza eekhawuntareni

Amayeza angaphaya kwamayeza, anje nge-aspirin kunye ne-ibuprofen, anokunceda kwintlungu, ukudumba kunye nokudumba. Kulumkele ukusebenzisa iasprini kakhulu, kuba inokubangela iingxaki, njengokuphuma kwesisu kunye nezilonda.

Ukuzilolonga rhoqo

Okukhona uhlala usebenza, kokukhona endorphins ikhutshwa ngumzimba wakho. Ii-Endorphins ziziphelisa iintlungu ezenziwe ngumzimba wakho. Bambelela kwimisebenzi enefuthe eliphantsi ekuqaleni, njengokuqubha kunye nebhayisikile emileyo.

Njengoko intlungu yakho iyancipha kwaye ukunyamezela kwakho kuphucula, yenza irejimeni yokuzivocavoca equka i-aerobics, ukuzinza okubalulekileyo kunye nokuqeqeshwa kwamandla. Irejimeni enala macandelo inokunciphisa umngcipheko weengxaki zakho zangomso.

Ulungiso lwenyama

Ukuzivocavoca kunyango lomzimba kunokunceda ukuphucula ukuma kwakho kunye nokomeleza izihlunu zakho zangasemva.

Amayeza kagqirha

Ugqirha wakho unokuyalela izihlaziyi zemisipha, ukuphelisa iintlungu, okanye ukuthomalalisa uxinzelelo. I-anti-depressants inokunyusa imveliso ye-endorphin yomzimba wakho.

Unyango lwe-Epidural steroid

Amayeza e-Corticosteroid atofelwe kwindawo ebizwa ngokuba yindawo yesithuba, ngumjelo ojikeleze intambo yakho yomqolo. Ngenxa yeziphumo ebezingalindelekanga, ezi zitofu zinikwa ngokuthe ngcembe.

Ugqirha

Utyando lunokufuneka kwiintlungu eziqatha okanye iimeko apho uphulukene nolawulo lwamathumbu kunye nesinyi okanye ukhule ubuthathaka kumaqela athile emisipha esezantsi.

Ezi ndidi zimbini zotyando zixhaphake kakhulu yi-discectomy, apho inxenye yediski icinezela kwimithambo-luvo eyenza i-sciatic nerve isuswe, kunye ne-microdiscectomy, apho ukususwa kwediski kwenziwa ngokusikwa okuncinci ngelixa ugqirha wakho esebenzisa imicroscope.

Olunye unyango

Olunye unyango luyakhula ekuthandeni. Kukho iindlela ezizezinye zonyango lwe-sciatica. Oku kubandakanya oku kulandelayo:

• I-acupuncturist inokufaka iinaliti zentsholongwane kwiindawo eziphambili ezichaphazela ukuhamba kwamandla emzimbeni wakho. Le nkqubo ayinabuhlungu.
• I-chiropractor inokusebenzisa umqolo wakho ukufezekisa ukuhamba okuphezulu komgogodla.
• Ingcali eqeqeshiweyo inokubangela i-hypnosis, ejolise kukubeka kwimeko ekhululekileyo, egxile kwingqondo, ekuvumela ukuba ufumane iingcebiso kunye nemiyalelo esempilweni. Kwimeko yeentlungu zesayensi, imiyalezo inokubandakanya ukukhululeka kwentlungu.
• I-massage Therapist inokufaka intshukumo, uxinzelelo, uxinzelelo, okanye ukungcangcazela emzimbeni wakho ukunciphisa uxinzelelo kunye nentlungu.

Ungayikhusela njani i-sciatica

Amanyathelo alandelayo anokukunceda uthintele i-sciatica okanye uyigcine ingenzeki kwakhona:

• Zilolonge rhoqo. Ukomeleza izihlunu zakho zangasemva kunye nesisu sakho okanye izihlunu ezingundoqo sisitshixo sokugcina umqolo usempilweni.
• Cinga ngokuma kwakho. Qinisekisa ukuba izitulo zakho zinika inkxaso efanelekileyo yomqolo wakho, beka iinyawo zakho phantsi xa uhleli, kwaye usebenzise indawo yakho yokubeka iingalo.
• Cinga ngendlela ohamba ngayo. Phakamisa izinto ezinzima ngendlela efanelekileyo, ngokuguqa ngamadolo kunye nokugcina umqolo wakho uthe nkqo.