Koj puas tau muaj mob hnyav uas zoo li raug hluav taws xob los ntawm koj nraub qaum, hla koj lub pob tw, nqis koj ceg? Los yog koj puas xav tias koj ceg tingling, lossis muaj dab tsi chob koj? Qhov no yog ib qho teeb meem uas ntau tus neeg ntsib. Hnub no peb tab tom tham txog qhov mob no hu ua sciatica, uas ntau tus neeg raug kev txom nyem. Tsis txhob txhawj, yog tias koj paub zoo txog qhov no, nws feem ntau tuaj yeem kho tau.
Hauv lwm lo lus, sciatica yog dab tsi?
Sciatica yog mob hlab ntsha uas tshwm sim los ntawm kev raug mob, kev puas tsuaj, lossis kev khaus rau koj cov hlab ntsha sciatic. Nws tsis yog mob nraub qaum xwb.
Xav txog seb, cov hlab ntsha ntev tshaj plaws thiab loj tshaj plaws hauv peb lub cev yog cov hlab ntsha sciatic. Nws loj li peb tus ntiv tes me. Qhov tseeb, nws tsis yog ib txoj hlab ntsha xwb, tab sis yog ib pawg ntawm cov hlab ntsha uas los ntawm peb cov hlab ntsha qaum.
Peb muaj ob lub hlab ntsha sciatic nyob rau txhua sab ntawm peb lub cev, ib qho nyob rau sab xis thiab ib qho nyob rau sab laug. Cov hlab ntsha no khiav ntawm sab nraub qaum qis, hla lub pob tw, nqis ceg, thiab tom qab ntawd faib ua cov hlab ntsha me me hauv qab lub hauv caug. Cov hlab ntsha me me no txuas rau peb ceg qis, ko taw, thiab ntiv taw.
Yog li, yog tias muaj kev nias lossis kev nyuaj siab nyob qhov twg ntawm cov hlab ntsha ntev no, koj tuaj yeem ntsib cov tsos mob xws li mob, loog, thiab tsis hnov mob raws txoj kev ntawd.
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. Ib txhia neeg tsuas yog mob me ntsis xwb, thaum lwm tus neeg yuav mob hnyav heev. Cia peb saib cov tsos mob tseem ceeb.
| Cov tsos mob | Qhov ntawd xav li cas? |
|---|---|
| Mob | Qhov no yog cov tsos mob tseem ceeb. Muaj ntau tus neeg piav qhia tias nws yog qhov mob kub hnyiab lossis mob hluav taws xob. Qhov mob no kis mus rau sab nraub qaum mus rau ceg. Qhov mob no yuav nce ntxiv thaum hnoos, txham, lossis khoov rau pem hauv ntej . |
| Kev hnov mob tingling lossis trickling (Paresthesia) | Zoo li muaj qhov mob tingling hauv koj ceg. Nws zoo li cov ntsaum khiav ib ncig, zoo li raug koob chob. |
| Kev tsis muaj zog | Qee qhov ntawm ceg lossis nraub qaum tsis muaj kev xav zoo. Qhov no tshwm sim vim tias cov teeb liab los ntawm cov hlab ntsha mus rau lub hlwb tsis mus zoo. |
| Cov leeg tsis muaj zog | Qhov no yog ib qho tsos mob hnyav heev. Zoo li koj txhais ceg yuav loog. Nws yuav nyuaj rau taug kev lossis sawv ntsug. |
| Tsis muaj peev xwm tswj tau txoj hnyuv lossis zis | Qhov no yog ib qho teeb meem loj heev thiab ceev heev. Yog tias koj tso quav lossis zis tawm yam tsis paub txog, nws txhais tau tias cov hlab ntsha uas tswj lub zais zis thiab plab hnyuv raug cuam tshuam. Yog tias koj muaj cov tsos mob no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. |
Vim li cas peb thiaj mob sciatica? Dab tsi yog cov ua rau mob?
Tsis muaj ib qho ua rau mob sciatica. Txhua yam uas cuam tshuam rau cov hlab ntsha sciatic lossis cov hauv paus hlab ntsha uas muab nws tuaj yeem ua rau mob. Nov yog qee qhov ua rau mob sciatica:
- Cov discs herniated: Qhov no yog qhov ua rau feem ntau. Hais yooj yim xwb, ib feem zoo li jelly ntawm peb tus txha nqaj qaum (lub disk) uas nyob nruab nrab ntawm cov vertebrae bulge tawm thiab nias rau ntawm cov hlab ntsha ze.
- Kab mob degenerative disk / Spinal stenosis: Thaum peb laus zuj zus, cov kev hloov pauv tshwm sim hauv tus txha nqaj qaum, ua rau txoj kev rau cov hlab ntsha nqaim thiab ua rau lawv raug nias.
- Spondylolisthesis: Ib pob txha caj qaum (vertebra) plam hla lwm qhov, uas tuaj yeem ua rau cov hlab ntsha nias.
- Osteoarthritis: Kev puas tsuaj ntawm cov pob qij txha tuaj yeem ua rau muaj kev hloov pauv hauv cov pob txha ntawm tus txha nqaj qaum thiab cov hlab ntsha ntswj.
- Kev Raug Mob: Qhov mob no tuaj yeem tshwm sim los ntawm kev sib tsoo lossis kev raug mob rau tus txha nraub qaum.
- Cev Xeeb Tub: Thaum cev xeeb tub, kev hloov pauv ntawm cov tshuaj hormones hauv lub cev thiab qhov hnyav ntawm tus menyuam tuaj yeem ua rau cov hlab ntsha raug nias.
- Pob los yog pob: Tsis tshua muaj, pob hauv tus txha nraub qaum kuj tuaj yeem ua rau cov hlab ntsha raug ntswj.
Leej twg muaj feem yuav mob sciatica ntau dua?
Muaj ntau yam kev pheej hmoo uas tuaj yeem pab txhawb rau kev loj hlob ntawm sciatica.
- Hnub nyoog: Qhov kev pheej hmoo yuav nce ntxiv thaum tus txha nraub qaum hloov pauv thaum peb laus zuj zus. Nws tsis tshua muaj rau ib tus neeg hnub nyoog qis dua 20 xyoo uas muaj mob sciatica yam tsis muaj xwm txheej.
- Rog dhau los yog rog dhau: Peb tus txha nqaj qaum zoo li lub crane. Qhov hnyav ntau peb nqa, qhov hnyav ntau nws muab rau peb tus txha nqaj qaum. Qhov no ua rau muaj kev pheej hmoo ntawm kev mob nraub qaum thiab sciatica.
- Kev Ua Haujlwm: Cov neeg ua haujlwm uas muaj kev nqa khoom hnyav, khoov ntau zaus, lossis ua haujlwm hauv qhov chaw tsis zoo muaj kev pheej hmoo ntau dua. Tsis tas li ntawd, cov neeg ua haujlwm tib qho chaw ntev ntev muaj kev pheej hmoo ntau dua.
- Tsis tawm dag zog: Thaum lub cev tsis ua haujlwm, kev txhawb nqa rau tus txha nraub qaum yuav txo qis, tshwj xeeb tshaj yog thaum cov leeg nqaij nyob ib puag ncig nraub qaum thiab plab tsis muaj zog.
- Kab mob ntshav qab zib: Kab mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas tsuaj. Qhov no hu ua "Peripheral Neuropathy". Qhov kev puas tsuaj no kuj tseem tuaj yeem cuam tshuam rau cov hlab ntsha sciatic.
- Haus Luam Yeeb: Haus luam yeeb ua rau cov ntshav tsis txaus. Qhov no kuj tsis zoo rau kev noj qab haus huv ntawm tus txha nraub qaum.
Kws kho mob, koj paub li cas qhov no yog sciatica?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob. Qhov mob los li cas, nws los qhov twg, thiab nws tau mob thaum twg. Tom qab ntawd nws yuav kuaj koj lub cev.
Hauv qhov kev xeem no,
- Kuv pom txoj kev uas koj taug kev.
- Koj yuav raug yuam kom pw saum txaj thiab koj ob txhais ceg yuav raug tsa kom ncaj ib sab zuj ib sab kom pom seb puas muaj mob. Qhov no hu ua "Kev sim tsa ceg ncaj".
- Lub zog thiab kev xav ntawm cov leeg nqaij hauv ob txhais ceg raug sim.
Feem ntau, qhov kev kuaj no tuaj yeem kuaj pom tus kab mob. Txawm li cas los xij, txhawm rau txiav txim siab qhov ua rau muaj tseeb lossis tshem tawm lwm yam mob, koj yuav raug xa mus rau kev kuaj mob xws li:
- Cov duab X-ray lossis CT scans ntawm tus txha nqaj qaum
- Kev kuaj MRI
- Kev tshawb fawb txog kev coj ntawm cov hlab ntsha
Cov kev kho mob rau sciatica yog dab tsi?
Muaj ob lub hom phiaj tseem ceeb hauv kev kho mob sciatica. Ib qho yog kom txo qhov mob . Qhov thib ob yog kom ua rau koj txav tau yooj yim dua thiab ua haujlwm tau zoo dua . Muaj ntau yam kev kho mob uas koj ua tau hauv tsev.
Tej yam koj ua tau koj tus kheej hauv tsev
Cov mob sciatica me me lossis nruab nrab feem ntau raug txo los ntawm cov khoom yooj yim no.
1. Siv dej khov rau ntawm qhov chaw mob li ob mus rau peb hnub tom qab pib mob, muab dej khov rau ntawm qhov chaw mob li ntawm 20 feeb. Qhov no yuav txo qhov o thiab mob.
2. Cov hnab cua sov: Tom qab ob peb hnub, muab lub raj mis dej kub los yog phuam sov rau li 20 feeb. Qhov no yuav ua rau cov leeg so thiab txo qhov mob. Ib txhia neeg pom kev zoo los ntawm kev hloov pauv ntawm qhov txias thiab cua sov.
3. Tshuaj Tua Kab Mob: Cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) (piv txwv li, ibuprofen, diclofenac) siv tau rau kev pab luv luv yam tsis tas yuav muaj daim ntawv yuav tshuaj. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab tswv yim los ntawm kws kho mob ua ntej txuas ntxiv siv lawv.
4.Kev ncab thiab kev ua ub ua no: Kev pw hauv txaj tag nrho tuaj yeem ua rau mob ntxiv. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum taug kev me me thiab ncab maj mam ntawm qib uas mob tau.
Tiam sis nco ntsoov, yog tias qhov mob hnyav heev, yog tias koj ob txhais ceg tingling, lossis yog tias koj xav tias koj tsis muaj zog, tsis txhob nyob hauv tsev thiab ua cov no xwb. Mus ntsib kws kho mob kom zoo.
Kev kho mob nrog kev pab los ntawm kws kho mob
Yog tias cov tshuaj kho mob hauv tsev tsis pab, lossis yog tias qhov mob hnyav heev, koj tus kws kho mob yuav pom zoo kom siv cov kev kho mob xws li:
- Cov tshuaj uas kws kho mob sau ntawv kom yuav: Tej zaum yuav muaj cov tshuaj tua kab mob uas muaj zog dua, cov tshuaj ua kom cov leeg so, lossis cov tshuaj tshwj xeeb rau mob hlab ntsha.
- Kev Kho Mob Lub Cev: Qhov no yog ib qho kev kho mob tseem ceeb heev. Tus kws kho mob lub cev yuav qhia koj txog kev tawm dag zog thiab kev ncab koj lub cev kom raug. Cov no yuav pab txo qhov kev nyuaj siab rau ntawm cov hlab ntsha, ua kom cov leeg nraub qaum muaj zog, thiab pab tiv thaiv kom tus mob tsis txhob rov tshwm sim dua yav tom ntej.
- Kev txhaj tshuaj rau pob txha caj qaum: Txhawm rau tswj qhov mob hnyav, cov tshuaj steroid hu ua corticosteroid raug txhaj rau hauv thaj chaw mob. Qhov no tuaj yeem pab txo qhov mob tau ob peb lub hlis.
- Lwm txoj kev kho mob: Qee tus neeg pom kev pab los ntawm yoga, acupuncture, lossis massage therapy.
Kev phais mob
Kev phais tsuas yog tsim nyog rau cov neeg tsawg tsawg xwb. Kev phais yuav tsum tau ua thaum tsis muaj lwm yam kev kho mob pab tau, thaum muaj mob hnyav heev, lossis thaum muaj kev puas tsuaj loj heev rau cov hlab ntsha thiab cov leeg nqaij tsis muaj zog.
Muaj ob hom kev phais mob tseem ceeb:
- Diskectomy: Kev phais tshem tawm ntawm qhov uas nias cov hlab ntsha ntawm lub disc herniated.
- Laminectomy: Yog tias txoj hlab ntsha nqaim, ib feem me me ntawm cov pob txha caj qaum raug tshem tawm kom ua chaw rau cov hlab ntsha.
Tej zaum koj kuj muaj cov lus nug no thiab.
Puas muaj mob sciatica tshwm sim rau ob txhais ceg?
Feem ntau, mob sciatica tsuas yog cuam tshuam rau ib ceg xwb. Txawm li cas los xij, tsis tshua muaj, yog tias muaj teeb meem nrog txoj kev uas cov hlab ntsha ntawm tus txha caj qaum mus rau ob qho tib si, nws tuaj yeem cuam tshuam rau ob txhais ceg.
Vim li cas sciatica tshwm sim thaum cev xeeb tub?
Thaum cev xeeb tub, kev hloov pauv ntawm cov tshuaj hormones hauv lub cev ua rau cov pob qij txha hauv tus txha nraub qaum xoob. Tsis tas li ntawd, qhov hnyav thiab qhov chaw ntawm tus menyuam tuaj yeem nias rau ntawm cov hlab ntsha. Tab sis qhov xov xwm zoo yog tias qhov mob no feem ntau ploj mus tom qab tus menyuam yug los.
Koj paub li cas tias qhov no yog mob nraub qaum lossis teeb meem ntawm lub duav?
Feem ntau, qhov mob los ntawm qhov teeb meem xws li mob pob qij txha hauv lub duav feem ntau yuav hnov nyob rau hauv qhov chaw mos. Txawm li cas los xij, yog tias qhov mob pib ntawm nraub qaum thiab mus rau hauv ceg los ntawm lub pob tw, thiab nrog rau kev loog lossis tsis hnov dua, nws yuav yog sciatica.
Thaum twg koj yuav tsum mus ntsib kws kho mob thiab mus rau tsev kho mob tam sim ntawd?
Qhov no tseem ceeb heev. Tsis yog txhua yam mob nraub qaum yuav tsum ntshai. Tab sis yuav tsum paub txog cov tsos mob no.
| Xwm txheej | Yuav ua li cas |
|---|---|
| Mus ntsib koj tus kws kho mob. | |
| Yog tias qhov mob yog nruab nrab lossis loj dua | Txawm tias yuav siv sijhawm ob peb lub lis piam los kho mob hauv tsev los xij, tsis muaj kev txhim kho. |
| Yog tias koj muaj tingling lossis poob ntawm kev xav hauv koj ob txhais ceg | Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab tswv yim vim tias cov no yuav yog cov cim qhia tias cov hlab ntsha puas lawm. |
| Mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd. | |
| Yog koj xav tias koj ob txhais ceg tsis muaj zog (cov leeg tsis muaj zog) | Qhov no yuav yog ib qho cim qhia tias muaj kev puas tsuaj loj heev rau cov hlab ntsha. |
| Yog tias koj tsis tswj tau koj txoj hnyuv lossis zis lawm | Qhov no yog ib qho mob hnyav heev thiab xav tau kev kho mob tam sim ntawd. |
| Yog tias koj mob hnyav lossis mob nqaij tom qab muaj xwm txheej (poob, sib tsoo tsheb) | Yuav tsum tau kuaj xyuas tam sim ntawd vim tias nws yuav yog vim raug mob ntawm tus txha caj qaum. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Sciatica tsis yog mob nraub qaum xwb, nws yog qhov mob los ntawm kev nias ntawm cov hlab ntsha sciatic.
- Feem ntau, qhov mob no yuav ploj mus hauv ob peb lub lis piam nrog kev kho mob yooj yim hauv tsev. Tsis txhob txhawj.
- Kev tswj tus cwj pwm kom zoo, tswj qhov hnyav ntawm lub cev, thiab kev tawm dag zog tsis tu ncua tuaj yeem pab tiv thaiv kab mob sciatica.
- Yog tias koj muaj cov tsos mob hnyav xws li loog hauv koj ob txhais ceg, tsis tuaj yeem tso zis lossis tso zis tau, qhov no yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd yam tsis muaj kev ncua.
- Yog koj muaj lus nug txog koj qhov mob, tsis txhob raug kev txom nyem ib leeg thiab mus ntsib kws kho mob kom tau lus qhia.
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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