Koj puas muaj tej lub sij hawm koj hnov mob hnyav heev uas pib ntawm koj nraub qaum qis thiab mus rau hauv koj ceg zoo li hluav taws xob poob? Qhov mob no puas zoo li hnyav zuj zus thaum koj zaum? Ces koj yuav muaj ib qho mob uas tshwm sim ntau zaus, tab sis ua rau koj ntxhov siab heev. Peb hu nws ua ' sciatica '. Tsis txhob txhawj, qhov no yog ib qho mob uas feem ntau kho tau. Cia peb tham txog nws kom meej.
Sciatica yog dab tsi?
Hais yooj yim xwb, mob sciatica yog qhov mob uas tshwm sim los ntawm kev khaus lossis kev puas tsuaj rau cov hlab ntsha sciatic, uas yog cov hlab ntsha ntev thiab loj tshaj plaws hauv peb lub cev. Cov hlab ntsha sciatic pib ntawm cov hlab ntsha hauv peb lub nraub qaum qis. Tom qab ntawd nws mus ncig los ntawm lub pob tw thiab nqis mus rau tom qab ntawm ob txhais ceg.
Yog tias cov hlab ntsha no raug nias qhov twg, qhov mob uas nws ua rau yuav mus rau hauv cov hlab ntsha. Xav txog nws zoo li ib tug neeg taug kev saum cov kav dej thiab thaiv cov dej ntws. Muaj ntau yam ua rau qhov mob no. Nws yuav yog los ntawm qhov xwm txheej, lossis nws yuav yog vim muaj kev hloov pauv hauv cov pob txha caj qaum thaum peb laus zuj zus.
Cov tsos mob ntawm sciatica yog dab tsi?
Cov tsos mob ntawm tus mob sciatica yuav txawv ntawm ib tus neeg mus rau ib tus neeg, tab sis muaj qee cov tsos mob uas pom ntau. Qhov mob yuav mob tas li lossis tuaj thiab mus.
Cov tsos mob feem ntau:
- Mob nraub qaum qis: Qhov no yog qhov pib.
- Qhov mob uas hnyav zuj zus thaum zaum: Qhov mob ntawm lub pob tw lossis ceg yuav hnyav zuj zus thaum zaum.
- Mob hauv thaj tsam lub duav .
- Muaj qhov kub hnyiab lossis tingling ntawm ceg: Nws yuav zoo li raug hluav taws xob poob lossis zoo li ceg loog.
- Nyuaj siab txav ceg lossis ko taw, tsis muaj zog, lossis loog.
- Mob hnyav heev uas tshwm sim tas li lossis qee zaum rau ib sab ntawm lub cev (lub pob tw, ceg, lossis lub duav).
Feem ntau, qhov mob sciatica tsuas yog cuam tshuam rau ib sab ntawm lub cev, txawm yog sab xis lossis sab laug ceg. Qhov mob no kuj tseem yuav hnyav zuj zus thaum hnoos lossis txham.
Rau qee tus, qhov mob no tuaj yeem mob heev ua rau nws tsis tuaj yeem ua tau. Nws tuaj yeem ua rau nws ua tsis tau tej haujlwm txhua hnub. Tab sis tsis yog txhua tus ua. Rau qee tus, qhov no tsuas yog qhov mob uas qee zaum ua rau koj ntxhov siab xwb. Tab sis yog tias tsis kho, nws tuaj yeem mob zuj zus tuaj raws sijhawm.
Cov cim ceeb toom uas xav tau kev kho mob tam sim ntawd
Yog koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no,Tsis txhob nkim sijhawm thiab mus ntsib kws kho mob lossis mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. Cov no yuav yog cov cim qhia tias muaj mob hnyav dua.
| Cov tsos mob ntawm tus chij liab |
|---|
| Mob nraub qaum nrog kub taub hau. |
| O los yog liab ntawm nraub qaum los yog tus txha nqaj qaum. |
| Tsis muaj zog los yog loog hauv ob txhais ceg, ob txhais ceg, lub duav, lossis lub pob tw. |
| Kub hnyiab thaum tso zis los yog ntshav hauv cov zis. |
| Mob heev. |
| Qhov tseem ceeb tshaj plaws: Tsis muaj peev xwm tswj tau txoj hnyuv lossis zais zis (kev xau tsis raug cai). |
Cov ua rau thiab cov yam ntxwv ntawm kev pheej hmoo ntawm sciatica
Qhov ua rau mob sciatica yog vim muaj cov disc herniated . Peb kuj hu qhov no ua 'slipped disc'. Cov discs yog cov khoom mos mos, zoo li jelly ntawm peb tus txha nqaj qaum ntawm cov vertebrae. Qhov no yog thaum lub disc tawg thiab nws cov sab hauv tawm los, nias rau ntawm cov hlab ntsha sciatic.
Lwm yam laj thawj uas feem ntau tshwm sim:
- Kev mob stenosis ntawm tus txha nqaj qaum: Kev nqaim ntawm tus txha nqaj qaum hauv qab nraub qaum thaum muaj hnub nyoog.
- Kab mob degenerative disk: Kev puas tsuaj ntawm cov discs thaum peb laus.
- Spondylolisthesis : Kev poob ntawm ib lub pob txha caj qaum hla lwm lub.
- Cev Xeeb Tub: Tus menyuam uas loj hlob tuaj yeem muab kev nyuaj siab rau cov hlab ntsha.
- Cov leeg nqaij ntswj hauv nraub qaum lossis pob tw.
Tej yam uas ua rau muaj kev pheej hmoo ntau ntxiv:
- Kev laus:Qhov kev pheej hmoo ntawm kev hloov pauv ntawm tus txha caj qaum (pob txha spurs, herniated discs) nce ntxiv nrog hnub nyoog.
- Kab mob ntshav qab zib: Kab mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Qhov hnyav nce: Qhov hnyav ntau dhau ua rau muaj kev nyuaj siab ntxiv rau ntawm tus txha nraub qaum.
- Zaum ib qho chaw tsis tawm dag zog (Sedentary lifestyle).
- Haus luam yeeb.
- Ib txwm hnav khau siab.
- Koj txoj haujlwm: Cov neeg uas zaum tas hnub, tsav tsheb, muaj cov haujlwm uas yuav tsum tau khoov lossis tsa cov hnyav ntau zaus muaj kev pheej hmoo siab dua.
- Cov mob xws li endometriosis .
Koj paub tseeb li cas tias qhov no yog sciatica?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug txog koj qhov mob. Piv txwv li:
- Cov tsos 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, tus kws kho mob yuav kuaj koj. Nws yuav kuaj koj cov reflexes thiab koj cov leeg nqaij lub zog. Nws yuav hais kom koj taug kev ntawm koj cov ntiv taw lossis pob taws. Qhov no yuav pab koj nkag siab qhov ua rau mob.
Yog tias qhov mob hnyav heev lossis muaj cov tsos mob xws li cov leeg tsis muaj zog, koj tus kws kho mob yuav xaj kom kuaj duab (scans).
- X-ray: Tshawb xyuas seb puas muaj teeb meem pob txha, xws li cov pob txha tawg.
- CT scan: Tau daim duab meej dua ntawm tus txha nqaj qaum thiab cov hlab ntsha.
- Kev kuaj MRI: Qhov no yog txoj hauv kev zoo tshaj plaws los saib xyuas cov pob txha caj qaum, cov discs, thiab cov hlab ntsha kom meej.
- Kev kuaj hluav taws xob ntawm lub cev (Electromyography - EMG): Ib qho kev kuaj uas ntsuas qhov ceev ntawm cov cim qhia mus los ntawm cov hlab ntsha. Qhov no tuaj yeem pab txiav txim siab seb lub disc uas raug mob puas tab tom nias cov hlab ntsha.
Cov kev kho mob rau sciatica yog dab tsi?
Zoo hmoo, muaj ntau txoj kev kho mob rau mob sciatica. Koj tus kws kho mob yuav txiav txim siab qhov kev kho mob zoo tshaj plaws raws li qhov hnyav ntawm koj tus mob.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Tshuaj | Ua ntej, yuav muab cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kev o xws li ibuprofen. Yog tias cov no tsis pab, koj tus kws kho mob yuav sau ntawv kom koj noj cov tshuaj ua kom cov leeg nqaij so thiab cov tshuaj mob hlab ntsha. |
| Kev kho lub cev | Qhov no tseem ceeb heev. Tus kws kho lub cev yuav qhia koj txog kev sawv ntsug kom raug, kev tawm dag zog uas txo qhov kev nyuaj siab rau cov hlab ntsha, thiab ua kom koj tus txha nqaj qaum muaj zog. |
| Kev txhaj tshuaj steroid | Yog tias qhov mob hnyav heev, koj tuaj yeem txhaj tshuaj steroid xws li cortisone rau hauv tus txha nraub qaum kom txo qhov o ntawm cov hlab ntsha. Cov teebmeem no yuav kav ntev li ob peb lub hlis. |
| Kev phais mob | Yog tias lwm yam kev kho mob tsis ua haujlwm, yog tias qhov mob hnyav heev, lossis yog tias koj muaj mob xws li tsis tuaj yeem tswj tau txoj hnyuv thiab zais zis, tej zaum yuav pom zoo kom phais. Qhov no suav nrog kev tshem tawm lub disc lossis pob txha uas nias rau ntawm cov hlab ntsha. |
Cov tshuaj kho mob hauv tsev
Ntxiv rau qhov kev kho mob uas koj tus kws kho mob muab, muaj ntau yam uas koj tuaj yeem ua tau hauv tsev.
- Cov ntaub qhwv txias thiab kub: Rau ob lossis peb hnub thawj zaug, muab ib lub hnab dej khov (khaub dej khov qhwv hauv phuam) rau ntawm qhov chaw mob li 20 feeb. Ua li no ob peb zaug hauv ib hnub. Tom qab ob peb hnub, muab lub raj mis dej kub rau ntawm qhov chaw mob yuav pab tau.
- Kev Taug Kev thiab Kev Ncab: Yog tias qhov mob hnyav heev, so ib lossis ob hnub. Tab sis tsis txhob pw hauv txaj txhua lub sijhawm. Kev txav mus los yog qhov tseem ceeb heev rau txoj kev kho mob. Kev taug kev luv luv thiab ua cov kev tawm dag zog yooj yim raws li koj tus kws kho mob lossis tus kws kho lub cev tau hais tuaj yeem txhim kho kev ncig ntshav thiab txo qhov mob. Tab sis tsis txhob ua ib qho kev tawm dag zog uas ua rau mob ntxiv.
Nco ntsoov, tsis txhob ua txhua yam uas koj xav ua xwb. Kev tawm dag zog tsis raug tuaj yeem ua rau mob hnyav dua. Ib txwm nrhiav kev qhia los ntawm koj tus kws kho mob lossis tus kws kho lub cev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Sciatica yog ib hom mob hlab ntsha uas kis mus rau sab nraub qaum mus rau ceg. Qhov ua rau mob no yog lub disc herniated.
- Mob, loog, o, thiab qaug zog ntawm ceg yog cov tsos mob tseem ceeb.
- Feem ntau, qhov mob no yuav zoo dua hauv ob peb lub lis piam nrog kev siv tshuaj thiab kev kho lub cev.
- Yog koj muaj cov tsos mob xws li kub taub hau, mob heev, lossis tso zis tsis tau , qhov no yog qhov xwm txheej ceev. Mus ntsib kws kho mob tam sim ntawd.
- Kev tswj tus cwj pwm kom zoo, tswj qhov hnyav, thiab ua cov kev tawm dag zog kom raug tuaj yeem pab tiv thaiv sciatica thiab ua kom rov zoo sai dua.
- Tsis txhob ntshai koj qhov mob, nrhiav kev kho mob kom zoo. Qhov ntawd yog txoj hauv kev zoo tshaj plaws kom rov zoo sai.
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