Koj puas muaj tej lub sij hawm koj hnov mob hnyav heev uas tawm ntawm koj nraub qaum qis, hla koj lub pob tw, mus txog koj ceg? Qhov mob no puas zoo li hnyav zuj zus thaum koj zaum, sawv ntsug, lossis txawm tias txham? Qhov no yog ib qho teeb meem uas ntau tus neeg ntsib. Hnub no peb tab tom tham txog qhov mob tseem ceeb uas ua rau qhov no, ' Sciatica '. Tsis txhob txhawj, cia peb piav qhia txhua yam txog qhov no hauv cov lus yooj yim.
Sciatica yog dab tsi tiag?
Hais yooj yim xwb, mob sciatica yog qhov mob uas tshwm sim los ntawm kev nias lossis teeb meem nrog cov hlab ntsha sciatic, uas yog cov hlab ntsha ntev tshaj plaws thiab loj tshaj plaws hauv peb lub cev. Cov hlab ntsha no pib hauv peb lub nraub qaum qis. Tom qab ntawd nws mus ncig los ntawm lub pob tw thiab mus rau tom qab ntawm ob txhais ceg.
Ib yam li cov yeeb nkab dej raug txhaws thiab cov dej ntws raug cuam tshuam, yog tias cov hlab ntsha sciatic raug nias rau qee qhov laj thawj uas nws tawm ntawm tus txha caj qaum, cov teeb liab taug kev mus rau ntawm cov hlab ntsha ntawd raug cuam tshuam. Thaum ntawd peb muaj cov tsos mob xws li mob thiab loog.
Cov tsos mob tseem ceeb ntawm sciatica yog dab tsi?
Qhov mob uas tshwm sim thaum muaj mob sciatica yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Rau qee tus, nws yog qhov mob tas li, thaum rau lwm tus, nws yuav tuaj thiab mus. Txawm li cas los xij, cov tsos mob no feem ntau tsuas yog hnov ntawm ib sab xwb.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob | Ib qho mob ntse uas kis mus rau sab nraub qaum qis los ntawm lub pob tw thiab nqis mus rau ceg. Ib txhia neeg piav qhia tias nws zoo li "hluav taws xob poob." Qhov mob no yuav hnyav dua thaum zaum. |
| Kev tsis muaj zog lossis kub hnyiab | Muaj qhov mob tingling (mob khaus khaus) lossis kub hnyiab ntawm ceg. Zoo li thaum koj ceg tsaug zog. |
| Cov leeg tsis muaj zog | Nyuaj siab txav ceg lossis ko taw uas mob, xav tias ceg tsis muaj zog. |
| Mob thaum hloov chaw | Mob sai sai thaum ua ub ua no xws li hnoos, txham, sawv ntsug, lossis zaum. |
Cov Cim Liab uas xav tau kev kho mob tam sim ntawd
Txawm hais tias qhov mob sciatica ib txwm yuav ploj mus raws sijhawm, yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no, mus ntsib kws kho mob lossis mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd. Cov no tuaj yeem yog cov cim qhia ntawm tus mob hnyav dua.
- Kub taub hau nrog mob nraub qaum.
- O los yog liab ntawm nraub qaum lossis thaj tsam ntawm tus txha caj qaum .
- Qhov mob kis mus rau ob txhais ceg los yog loog lossis tsis muaj zog heev hauv ob txhais ceg thiab lub duav.
- Kev kub hnyiab thaum tso zis lossis ntshav hauv cov zis.
- Mob hnyav heev uas tsis tuaj yeem ris tau .
- Qhov tseem ceeb tshaj plaws: Kev tso zis lossis quav tawm yam tsis xav tau, lossis tsis tuaj yeem tswj tau lub zais zis lossis txoj hnyuv.
Dab tsi yog cov ua rau thiab cov yam ntxwv uas ua rau mob sciatica?
Qhov ua rau mob sciatica yog herniated disc los yog slipped disc, uas yog qhov tawm ntawm lub disc ntawm cov vertebrae ntawm tus txha nqaj qaum, nias rau ntawm cov hlab ntsha sciatic.
Tsis tas li ntawd xwb, tej zaum yuav muaj ntau lwm yam laj thawj:
- Mob pob txha caj qaum lumbar stenosis: Kev nqaim ntawm cov kwj dej uas cov hlab ntsha caj qaum hla mus rau hauv qab nraub qaum.
- Kab Mob Degenerative Disk: Kev puas tsuaj ntawm cov discs ntawm cov vertebrae thaum peb laus zuj zus.
- Spondylolisthesis: Kev txav ntawm ib lub pob txha caj qaum mus tom ntej hla lwm lub.
- Cev Xeeb Tub: Qhov hnyav nce thiab kev hloov pauv hormonal thaum cev xeeb tub tuaj yeem ua rau cov hlab ntsha raug nias.
- Cov leeg nqaij ntswj: Cov leeg nqaij ntswj hauv lub pob tw lossis nraub qaum tuaj yeem ua rau cov hlab ntsha ntswj.
Tej yam uas ua rau muaj kev pheej hmoo ntawm tus mob no
- Kev laus: Thaum muaj hnub nyoog, kev hloov pauv hauv tus txha nraub qaum (pob txha spurs, disc degeneration) tshwm sim.
- Kab mob ntshav qab zib: Kab mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Qhov hnyav ntau dhau ntawm lub cev: Qhov hnyav ntau dhau ua rau muaj kev nyuaj siab ntau dua rau ntawm tus txha nraub qaum.
- Tsis Muaj Kev Tawm Dag Zog: Ib tug neeg uas tsis muaj zog ua haujlwm yuav muaj cov leeg nqaij nraub qaum tsis muaj zog.
- Kev sawv cev tsis zoo: hnav khau siab txhua lub sijhawm, tsa cov hnyav tsis raug.
- Kev Ua Haujlwm: Ua haujlwm uas yuav tsum tau zaum ntev, tsav tsheb, tsa khoom hnyav, lossis khoov nraub qaum ntau zaus.
- Haus luam yeeb.
- Endometriosis: Tus mob no, uas feem ntau tshwm sim rau cov poj niam, qee zaum tuaj yeem ua rau muaj cov tsos mob zoo li sciatica.
Tus kws kho mob kuaj mob li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob. Piv txwv li:
- Qhov mob no pib thaum twg?
- Koj puas tau raug mob nraub qaum tsis ntev los no?
- Koj ob txhais ceg puas tsis muaj zog lossis tsis muaj zog?
- Cov kev ua haujlwm twg ua rau qhov mob hnyav zuj zus/hnyav dua?
Tom qab ntawd, koj lub cev yuav raug kuaj xyuas. Koj cov reflexes thiab lub zog ntawm cov leeg nqaij yuav raug kuaj xyuas nrog kev sim xws li siv rab rauj me me los ntaus koj lub hauv caug. Tej zaum yuav hais kom koj taug kev, sawv ntawm koj lub pob taws, lossis sawv ntawm koj cov ntiv taw kom sim nrhiav qhov ua rau mob.
Yog tias qhov mob hnyav heev lossis muaj cov tsos mob xws li cov leeg tsis muaj zog, tus kws kho mob yuav xa koj mus kuaj ntxiv.
- X-ray: Txhawm rau kuaj xyuas seb puas muaj teeb meem pob txha, pob txha tawg, thiab lwm yam.
- CT Scan / MRI Scan: Cov no tuaj yeem tsim cov duab meej heev ntawm tus txha nqaj qaum, cov hlab ntsha, thiab cov discs herniated.
- EMG (Electromyography - EMG): Ib qho kev kuaj uas ntsuas seb cov teeb liab rau cov leeg nqaij qaug zog npaum li cas vim yog kev nias ntawm cov hlab ntsha.
Cov kev kho mob rau sciatica yog dab tsi?
Muaj ntau txoj kev kho mob rau mob sciatica. Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws raws li qhov hnyav thiab ua rau koj mob.
1. Tshuaj:
- Cov Tshuaj Tua Kab Mob: Ua ntej, cov tshuaj uas txo qhov mob thiab o, xws li Ibuprofen thiab Naproxen, yuav raug pom zoo.
- Lwm cov tshuaj: Yog tias qhov mob tsis raug tswj, cov tshuaj ua kom cov leeg so, cov tshuaj tshwj xeeb rau mob hlab ntsha, lossis tej zaum cov tshuaj antidepressants hauv cov koob tshuaj me me yuav raug muab. Tag nrho cov no yuav tsum tau noj tsuas yog raws li kev qhia ntawm kws kho mob xwb.
2. Kev Kho Mob Lub Cev:
Qhov no yog ib qho kev kho mob tseem ceeb heev. Tus kws kho lub cev yuav qhia koj txog kev tawm dag zog thiab kev ncab koj cov leeg nraub qaum thiab plab kom muaj zog, kho koj tus cwj pwm, thiab txo qhov kev nias ntawm cov hlab ntsha.
3. Kev Txhaj Tshuaj Steroid:
Yog tias muaj mob hnyav, yuav muab tshuaj steroid txhaj rau hauv thaj chaw uas cov hlab ntsha raug nias. Qhov no tuaj yeem txo qhov o thiab txo qhov mob tau ob peb lub hlis.
4. Kev phais:
Yog tias tsis muaj lwm txoj kev kho mob ua haujlwm, qhov mob tsis tuaj yeem ua tau, lossis muaj ceg qaug zog zuj zus lossis muaj mob hnyav xws li tsis tuaj yeem tswj tau txoj hnyuv/tso zis, tej zaum yuav pom zoo kom phais. Qhov no suav nrog kev tshem tawm cov pob txha spur lossis ib feem ntawm lub disc herniated uas nias rau ntawm cov hlab ntsha.
- Diskectomy: Tshem tawm ntawm qhov herniated ntawm lub disc.
- Laminectomy: Tshem tawm ib daim pob txha me me hauv cov pob txha caj qaum kom muaj chaw rau cov hlab ntsha.
Puas muaj tej yam uas koj ua tau hauv tsev?
Yog, yeej muaj tseeb. Koj tuaj yeem sim cov no nrog cov lus qhia ntawm tus kws kho mob.
- Siv rau qhov mob khaub thuas thiab kub: Thaum pib mob, muab ib yam dab tsi txias (ib lub hnab dej khov lossis ib lub thawv dej khov qhwv rau hauv daim ntaub) rau ntawm qhov mob li 15-20 feeb. Tom qab ob mus rau peb hnub, muab lub raj mis dej kub lossis lub hnab dej kub rau ntawm qhov mob tuaj yeem pab kom cov leeg so thiab pab kom zoo.
- So thiab txav mus los: Yog tias qhov mob hnyav heev, nws tsis ua li cas los so ib lossis ob hnub. Tab sis tsis txhob pw hauv txaj ib hnub. Kev pw hauv txaj tuaj yeem ua rau koj cov leeg nqaij nruj dua thiab ua rau koj qhov mob hnyav dua. Taug kev ncig thiab ua tej haujlwm me me kom ntau li ntau tau.
- Cov kev tawm dag zog yooj yim thiab kev ncab: Nug koj tus kws kho mob lub cev lossis kws kho mob kom qhia koj qee cov kev tawm dag zog yooj yim uas haum rau koj. Tej yam yooj yim xws li coj koj lub hauv caug mus rau koj lub hauv siab thiab kev khoov lub duav tuaj yeem pab tau zoo heev. Tsis txhob yuam koj tus kheej ua cov kev tawm dag zog uas ua rau mob ntxiv.
Rau cov neeg feem coob, cov mob sciatica yooj yim yuav ploj mus yam tsis muaj kev kho mob tshwj xeeb hauv 3-6 lub lis piam. Txawm li cas los xij, yog tias qhov mob tseem muaj lossis hnyav zuj zus, koj yuav tsum mus ntsib kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Sciatica yog ib hom mob ntawm cov hlab ntsha uas kis mus rau sab nraub qaum mus rau ceg. Nws feem ntau yog tshwm sim los ntawm lub disc herniated hauv tus txha nqaj qaum.
- Cov tsos mob tseem ceeb yog mob, loog, tingling, thiab qaug zog ntawm ceg. Cov no feem ntau tshwm sim rau ib sab ntawm lub cev.
- Yog koj muaj cov tsos mob xws li kub taub hau, mob tsis taus, qaug zog heev hauv koj ob txhais ceg, lossis tsis tswj tau koj txoj hnyuv/zaws zis, mus ntsib kws kho mob tam sim ntawd.
- Feem ntau cov mob sciatica daws tau hauv ob peb lub lis piam nrog kev so, kev tawm dag zog yooj yim, thiab tshuaj tua kab mob.
- Yog tias qhov mob tseem mob ntxiv, tej zaum koj yuav tau nrhiav kev kho mob xws li kev kho lub cev, kev txhaj tshuaj steroid, lossis kev phais. Koj tus kws kho mob yuav txiav txim siab zoo tshaj plaws txog qhov no.
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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