Koj puas tau muaj ib qho mob txawv txawv, tingling, lossis kub hnyiab uas pib ntawm koj lub nraub qaum qis thiab mus rau hauv koj ceg, dhau ntawm koj lub pob tw, zoo li hluav taws xob poob siab? Tej zaum koj ceg yuav loog thaum koj sawv ntsug tom qab zaum ntev? Ces koj yuav muaj ib qho mob hu ua "Sciatica," uas yog ib qho uas ntau tus neeg pom. Muaj ntau tus neeg ntshai lub npe no, tab sis yog tias peb nkag siab nws zoo, nws yooj yim heev rau kev tswj hwm. Yog li hnub no, cia peb tham txog sciatica yog dab tsi, dab tsi ua rau nws, thiab peb tuaj yeem ua dab tsi hauv tsev.
Ua ntej tshaj plaws, cov hlab ntsha sciatic no yog dab tsi?
Hais yooj yim xwb, cov hlab ntsha sciatic yog cov hlab ntsha ntev tshaj plaws thiab loj tshaj plaws hauv peb lub cev. Nws zoo li cov xov hluav taws xob tseem ceeb hauv peb lub tsev. Nws pib ntawm qab ntawm peb tus txha nqaj qaum. Los ntawm qhov ntawd, nws khiav los ntawm peb lub pob tw, nqis mus rau tom qab ntawm peb lub duav, nqis mus rau peb ob txhais ceg, thiab mus rau hauv peb txhais taw. Peb muaj ob lub hlab ntsha no hauv txhua ceg.
Xav txog seb, yam uas pab peb taug kev, khiav, thiab sawv ntsug yog cov cim qhia uas los ntawm cov hlab ntsha sciatic no, uas muab kev xav rau peb ob txhais ceg. Qhov ntawd txhais tau tias nws tseem ceeb rau kev ua haujlwm ntawm peb ob txhais ceg. Cov hlab ntsha no tuab heev uas qee qhov chaw nws dav dua li qhov dav ntawm peb tus ntiv taw loj.
Yog li ntawd, 'sciatica' puas yog ib qho kab mob?
Qhov no yog qhov uas ntau tus neeg ua yuam kev. Sciatica tsis yog ib yam kab mob. Nws yog ib qho tsos mob . Yog li ntawd, thaum qee qhov laj thawj uas cov hlab ntsha sciatic uas peb tau tham txog ua ntej raug nias, nias, lossis o, peb hu nws tias sciatica.
Xav txog tias thaum ib tug neeg taug kev saum cov kav dej thiab cov dej ntws raug thaiv, thaum cov hlab ntsha no raug nias qhov twg, cov teeb liab uas taug kev raws cov hlab ntsha ntawd raug cuam tshuam. Thaum ntawd qhov mob thiab tingling zoo li hluav taws xob los.
Qhov tseem ceeb yog tias mob sciatica yog ib yam mob uas tshwm sim ntau heev. Feem ntau ntawm peb yuav muaj nws nyob rau qee lub sijhawm hauv peb lub neej. Tsis tas li ntawd, qhov mob no tsis tshua muaj los ntawm qhov ua rau loj, xws li mob qog noj ntshav lossis kev kis kab mob. Feem ntau, nws ploj mus ntawm nws tus kheej, lossis tuaj yeem kho nrog kev kho mob yooj yim.
Cov haujlwm tseem ceeb ntawm cov hlab ntsha sciatic yog dab tsi?
Raws li peb tau hais ua ntej lawm, cov hlab ntsha no muaj ob lub luag haujlwm tseem ceeb. Yog xav nkag siab qhov no zoo dua, saib lub rooj hauv qab no.
| Kev Ua Haujlwm | Hais yooj yim xwb... |
|---|---|
| Kev Ua Haujlwm ntawm Lub Cev Muaj Zog | Qhov no pab koj txav cov leeg nqaij hauv koj ceg thiab ko taw, uas txhais tau tias koj tuaj yeem taug kev, khiav, khoov, thiab ncab koj ceg. |
| Kev Ua Haujlwm ntawm Kev Xav | Qhov no ntawm koj ceg xa cov cim mus rau lub hlwb txog kev xav hauv koj ceg, xws li kub, txias, kov, thiab mob. |
Dab tsi yog cov ua rau mob sciatica?
Muaj ntau yam ua rau mob sciatic nerve impingement. Qee qhov ua rau mob feem ntau yog:
- Kab Mob Pob Txha Herniated: Qhov no yog qhov ua rau feem ntau. Muaj cov cushions zoo li jelly ntawm cov vertebrae (uas peb hu ua vertebrae) hauv peb tus txha nqaj qaum. Cov no hu ua disks. Yog tias ib qho ntawm cov disks no tawg, cov jelly hauv nws tuaj yeem xau tawm thiab nias rau ntawm cov hlab ntsha sciatic ze.
- Kab Mob Degenerative Disc: Thaum peb laus zuj zus, cov discs uas tau hais los saum toj no yuav lwj thiab cov pob txha caj qaum yuav ze zog ua ke. Qhov no tuaj yeem ua rau tsis muaj chaw rau cov hlab ntsha, uas tuaj yeem raug nias.
- Mob Qaum Qaum: Qhov no yog thaum txoj kev zoo li tus kwj dej hla tus txha nqaj uas cov hlab ntsha mus los nqaim zuj zus raws li hnub nyoog lossis vim lwm yam. Qhov no kuj tseem tuaj yeem ua rau cov hlab ntsha raug nias.
- Cov pob txha tawg / Cov pob txha tsis muaj zog: Cov pob txha tshiab uas tsis xav tau loj hlob ntawm cov pob txha caj qaum, uas tuaj yeem nias cov hlab ntsha.
- Kab mob Piriformis: Cov leeg nqaij piriformis yog ib qho leeg nqaij tob hauv peb lub pob tw. Cov hlab ntsha sciatic khiav hauv qab cov leeg nqaij no. Yog tias cov leeg nqaij no nruj lossis o, nws tuaj yeem nias cov hlab ntsha.
- Spondylolisthesis: Qhov no yog thaum ib lub pob qij txha (pob qij txha) hauv tus txha nqaj qaum txav mus rau pem hauv ntej hla lub pob qij txha hauv qab nws. Qhov no kuj tseem tuaj yeem ua rau cov hlab ntsha raug nias.
Cov tsos mob ntawm sciatica yog dab tsi?
Txoj kev uas mob sciatica tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg, tab sis muaj qee cov tsos mob tshwm sim.
| Cov tsos mob | Nws xav li cas |
|---|---|
| Mob ntse, zoo li hluav taws xob | Ib qho mob ntse uas khiav ntawm nraub qaum mus rau ceg, zoo li hluav taws xob co. |
| Kev o thiab kev kub hnyiab | Muaj kev kub hnyiab, zoo li kub hauv qee qhov ntawm ceg. |
| Kev tsis muaj zog thiab tingling | Qaug zog rau qee qhov ntawm ceg lossis ko taw, zoo li ceg tau pw tsaug zog lawm. |
| Cov leeg tsis muaj zog | Nyuaj siab txav ceg lossis ko taw, xav tias hnyav, lossis xav tias ceg sib tsoo thaum taug kev. |
| Lub sijhawm uas qhov mob nce ntxiv | Qhov mob yuav nce ntxiv thaum zaum ntev, sawv ntsug, hnoos, lossis txham. |
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Feem ntau qhov mob Sciatica yuav ploj mus li ob peb lub lis piam nrog kev kho mob yooj yim. Txawm li cas los xij, yog tias koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd .
- Yog tias qhov mob hnyav thiab nce zuj zus txhua hnub.
- Yog tias qhov mob pib tom qab muaj xwm txheej.
- Yog tias qhov loog thiab tsis muaj zog ntawm ceg nce ntxiv.
- Yog tias koj muaj teeb meem tso zis tsis tau (qhov no yog qhov xwm txheej ceev heev).
- Yog koj mob nraub qaum nrog rau kub taub hau.
Yuav ua li cas thiaj kuaj tau sciatica?
Thaum koj mus ntsib kws kho mob, thawj qhov uas nws yuav ua yog nug koj txog koj cov tsos mob thiab kuaj koj. Thaum no, nws yuav qhia koj kom:
- Nqa txhua ceg kom ncaj.
- Taug kev ntawm koj cov pob taws thiab cov ntiv taw.
- Ua ib lub squat.
Cov no tuaj yeem muab lub tswv yim zoo rau koj txog koj cov leeg nqaij thiab kev ua haujlwm ntawm cov hlab ntsha.
Feem ntau, kev kuaj mob sciatica tuaj yeem kuaj tau los ntawm kev kuaj no. Txawm li cas los xij, yog tias koj xav paub qhov ua rau mob, lossis yog tias qhov mob tsis ploj mus, koj tus kws kho mob yuav xa koj mus rau lwm yam kev kuaj xws li:
- X-ray: Txhawm rau nrhiav kev hloov pauv hauv cov pob txha ntawm tus txha nqaj qaum, xws li cov pob txha spurs.
- Kev Ntsuas MRI: Qhov no tuaj yeem tsim cov duab meej heev ntawm cov discs, cov hlab ntsha, thiab cov nqaij mos ntawm tus txha nqaj qaum. Qhov no tuaj yeem pab txiav txim siab seb puas muaj qhov ua rau, xws li herniated disc.
- CT Scan: Qhov no yog siv los tau txais cov duab peb-seem ntawm tus txha nqaj qaum.
- Electromyogram (EMG): Ib qho kev kuaj uas ntsuas cov teeb liab hluav taws xob los ntawm cov hlab ntsha mus rau cov leeg. Qhov no tuaj yeem pab txiav txim seb puas muaj kev puas tsuaj rau cov hlab ntsha.
Koj ua tau dab tsi los txo qhov mob thiab ua kom cov hlab ntsha sciatic noj qab nyob zoo?
Muaj qee yam yooj yim uas koj tuaj yeem ua tau hauv tsev thaum koj mob sciatica.
- So: So me ntsis thaum thawj hnub lossis ob hnub thaum mob hnyav tshaj plaws. Tab sis tsis txhob pw hauv txaj rau ntau hnub. Qhov ntawd tuaj yeem ua rau koj cov leeg tsis muaj zog.
- Cov ntaub qhwv txias thiab kub: Rau ob lossis peb hnub thawj zaug, muab ib lub hnab dej khov (qhwv rau hauv ib daim phuam) rau ntawm qhov chaw mob li 15-20 feeb. Tom qab ob lossis peb hnub, muab ib lub raj mis dej kub lossis phuam sov los npog. Qhov no yuav ua rau cov leeg so thiab txo qhov mob.
- Kev Ncab: Kev tawm dag zog maj mam yog qhov tseem ceeb heev. Kev ncab cov leeg ntawm koj nraub qaum, pob tw, thiab ob txhais ceg tuaj yeem pab txo qhov kev nyuaj siab rau koj cov hlab ntsha. Txawm li cas los xij, yog tias qhov mob nce ntxiv, tsum tsis txhob tawm dag zog . Nws yog qhov zoo tshaj plaws los nug tus kws kho mob lub cev lossis koj tus kws kho mob seb kev tawm dag zog twg yog qhov zoo rau koj.
- Ua tib zoo saib xyuas koj tus cwj pwm: Ua kom koj tus cwj pwm zoo thaum zaum, sawv ntsug, thiab tsa cov khoom hnyav. Thaum zaum, ua kom koj nraub qaum ncaj thiab koj txhais taw tiaj tiaj rau hauv pem teb.
- Tshuaj Tua Kab Mob: Koj tuaj yeem noj paracetamol lossis lwm yam tshuaj tua kab mob raws li koj tus kws kho mob qhia. Koj kuj tseem tuaj yeem siv cov gel los pleev rau thaj chaw mob.
Leej twg muaj feem yuav mob sciatica ntau dua?
Qee tus neeg muaj feem yuav mob sciatica ntau dua me ntsis.
- Hnub nyoog: Feem ntau nws tshwm sim rau cov neeg hnub nyoog ntawm 30 thiab 50. Qhov no yog vim muaj kev hloov pauv ntawm tus txha nraub qaum thaum peb laus zuj zus.
- Kev Ua Haujlwm: Cov neeg uas tsa cov khoom hnyav, khoov lawv nraub qaum ntau zaus, thiab ntswj lawv lub cev muaj feem yuav mob ntau dua. Cov neeg uas zaum ntev (piv txwv li, cov neeg ua haujlwm hauv chaw ua haujlwm, cov neeg tsav tsheb) kuj muaj feem yuav mob ntau dua.
- Kev rog dhau heev: Qhov hnyav ntawm lub cev ntau npaum li cas, qhov kev nyuaj siab ntau ntxiv rau ntawm tus txha nraub qaum.
- Kab mob ntshav qab zib: Kab mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas tsuaj, ua rau muaj kev pheej hmoo ntawm sciatica.
- Cev Xeeb Tub: Thaum cev xeeb tub, qhov hnyav ntawm tus menyuam thiab kev hloov pauv ntawm cov tshuaj hormones tuaj yeem ua rau muaj kev nyuaj siab rau cov hlab ntsha.
- Kev ua neej nyob tsis txav chaw: Cov neeg uas zaum hauv ib qho chaw ntev heev yam tsis tau tawm dag zog tuaj yeem ua rau lawv cov leeg nraub qaum tsis muaj zog thiab mob sciatica.
- Haus Luam Yeeb: Haus luam yeeb ua rau cov ntshav tsis txaus rau cov pob txha caj qaum, uas ua rau lawv puas sai dua.
Tam sim no koj paub lawm tias txawm hais tias mob sciatica yog ib qho mob uas mob heev los, feem ntau nws tsis yog qhov mob hnyav. Kev ua kom lub cev zoo, ncab koj lub cev tsis tu ncua, thiab ua kom koj lub cev nquag tuaj yeem pab tiv thaiv qhov mob no thiab tswj nws yog tias nws tshwm sim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Sciatica tsis yog ib yam kab mob, tab sis yog ib qho tsos mob tshwm sim los ntawm kev nias ntawm cov hlab ntsha sciatic, uas yog cov hlab ntsha ntev tshaj plaws hauv peb lub cev.
- Qhov mob no feem ntau kis mus los ntawm nraub qaum mus rau ceg thiab tuaj yeem zoo li mob plab, kub hnyiab, lossis loog.
- Qhov ua rau qhov no feem ntau yog herniated disc hauv tus txha nraub qaum, tab sis kuj tseem muaj lwm yam ua rau thiab.
- Kev kho mob yooj yim hauv tsev (so, dej khov/kub, kev tawm dag zog maj mam) feem ntau muab kev pab.
- Yog tias qhov mob hnyav heev, koj ob txhais ceg tsis muaj zog, lossis koj tsis tswj tau txoj hnyuv thiab zis , mus ntsib kws kho mob tam sim ntawd.
- Sciatica tuaj yeem tiv thaiv tau los ntawm kev tswj hwm tus cwj pwm kom zoo thiab ua neej nyob nquag.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus