Ngaba wakha waba nentlungu enzima evakala ngathi kukudutyulwa ngumbane ukusuka emqolo, ukuya ezimpundu, ukuya emlenzeni? Okanye uziva ngathi umlenze wakho uyarhawuzelela, okanye kukho into ekuhlabayo? Le yingxaki abantu abaninzi abajongene nayo. Namhlanje sithetha ngale meko ibizwa ngokuba yi-sciatica, abantu abaninzi abajongene nayo. Ungakhathazeki, ukuba unolwazi olufanelekileyo ngale nto, inokuhlala inyangeka.
Ngamafutshane, yintoni i-sciatica?
I-Sciatica yintlungu yemithambo-luvo ebangelwa kukwenzakala, umonakalo, okanye ukurhawuzelelwa yimithambo-luvo yakho ye-sciatic. Ayisiyontlungu yomqolo kuphela.
Khawucinge nje, umthambo omde nomkhulu emzimbeni wethu yi-sciatic nerve. Ulingana nomunwe wethu omncinci. Enyanisweni awungomthambo omnye, kodwa yinqwaba yemithambo-luvo evela kwi-spinal cord yethu.
Sinemithambo-luvo emibini ye-sciatic kwicala ngalinye lomzimba wethu, enye ingasekunene nenye ingasekhohlo. Le mithambo-luvo isuka emqolo ongezantsi, idlule ezimpundu, yehle ngomlenze, ize yahlukane ibe yimithambo-luvo emincinci ngaphantsi kwedolo. Le mithambo-luvo mincinci idibana nomlenze wethu osezantsi, unyawo, kunye neenzwane.
Ngoko ke, ukuba kukho uxinzelelo okanye ucinezelo naphi na kule mithambo-luvo inde, ungaziva iimpawu ezifana nentlungu, ukungaziva, kunye nokulahlekelwa yimvakalelo kuloo ndlela yonke.
Ziziphi iimpawu ze-sciatica?
Iimpawu ze-sciatica zinokwahluka kumntu nomntu. Abanye abantu banokufumana ukungonwabi okuncinci, ngelixa abanye banokufumana iintlungu ezinganyamezelekiyo. Makhe sijonge iimpawu eziphambili.
| Uphawu | Ivakalelwa njani loo nto? |
|---|---|
| Intlungu | Olu lolona phawu luphambili. Abantu abaninzi bayichaza njengentlungu evuthayo okanye efana nombane. Le ntlungu ihamba ukusuka emqolo ukuya emlenzeni. Le ntlungu inokwanda xa ukhohlela, uthimla, okanye ugoba phambili . |
| Imvakalelo yokurhawuzelela okanye yokurhawuzelela (iParesthesia) | Kufana nokurhawuzelelwa emlenzeni wakho. Kungavakala ngathi ziimbovane ezibaleka zijikeleza, njengokuhlatywa ziinaliti. |
| Ukuba ndindisholo | Ukuziva kuncipha kwezinye iindawo zomlenze okanye umqolo. Oku kwenzeka kuba imiqondiso evela kwimithambo-luvo eya engqondweni ayihambi kakuhle. |
| Ubuthathaka bemisipha | Olu luphawu olunzima kakhulu. Kuvakala ngathi umlenze wakho uyaphelelwa ngamandla. Kunokuba nzima ukuhamba okanye ukuma. |
| Ukulahlekelwa kulawulo lwamathumbu okanye isinyi | Le yimeko enzima kakhulu nengxamisekileyo. Ukuba uvuza ilindle okanye umchamo ungaqondanga, oko kuthetha ukuba imiqondiso yemithambo-luvo elawula isinyi kunye namathumbu iyaphazamiseka. Ukuba unezi mpawu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. |
Kutheni sifumana i-sciatica? Zithini izizathu?
Akukho sizathu sinye se-sciatica. Nantoni na echaphazela i-sciatic nerve okanye iingcambu ze-nerve ezibonelela ngayo inokubangela loo nto. Nazi ezinye zezizathu eziphambili:
- Iidiski ezifakwe i-Herniated: Le yeyona nto ixhaphakileyo. Ngamafutshane, inxalenye yomqolo wethu efana nejeli (idiski) ephakathi kwamathambo omqolo iyavuthuluka ize icinezele umthambo okufutshane.
- Isifo sediski esiwohlokayo / i-Spinal stenosis: Njengoko sikhula, utshintsho luyenzeka emgogodleni, nto leyo enciphisa indlela yemithambo-luvo kwaye ibangele ukuba icinezelwe.
- I-Spondylolisthesis: Ithambo elinye lomqolo (i-vertebra) lityibilika phezu kwelinye, nto leyo enokubangela ukucinezeleka kwemithambo-luvo.
- I-Osteoarthritis: Ukonakala kwamalungu kunokubangela utshintsho kumathambo omqolo kunye nemithambo-luvo ebuhlungu.
- Ukwenzakala: Le meko ingenzeka ngenxa yengozi okanye ukwenzakala komqolo.
- Ukukhulelwa: Ngexesha lokukhulelwa, utshintsho lweehomoni emzimbeni kunye nobunzima bomntwana lunokubangela ukucinezelwa kwemithambo-luvo.
- Amaqhuma okanye amaqhuma: Amaxesha amaninzi, iqhuma emqolo linokubangela umthambo oxineneyo.
Ngubani osengozini enkulu yokuphuhlisa i-sciatica?
Kukho izinto ezininzi ezinokubangela umngcipheko ezinokubangela i-sciatica.
- Ubudala: Umngcipheko uyanda njengoko umqolo utshintsha njengoko sikhula. Akuqhelekanga ukuba umntu ongaphantsi kweminyaka engama-20 abe nesifo se-sciatica ngaphandle kwengozi.
- Ukuba nobunzima obukhulu okanye ukutyeba kakhulu: Umqolo wethu ufana ne-crane. Okukhona sithwala ubunzima obuninzi, kokukhona ubeka uxinzelelo olungakumbi kumqolo wethu. Oku kwandisa umngcipheko wokuba neengxaki zomqolo kunye ne-sciatica.
- Umsebenzi: Abantu abasebenza kwimisebenzi equka ukuphakamisa izinto ezinzima, ukugoba rhoqo, okanye ukusebenza kwiindawo ezingaqhelekanga basengozini enkulu. Kwakhona, abo basebenza kwindawo efanayo ixesha elide basengozini enkulu.
- Ukungazilolongi: Xa umzimba ungasebenzi, inkxaso enikwa umqolo iyancipha, ingakumbi xa izihlunu ezijikeleze umqolo nesisu zibuthathaka.
- Isifo seswekile: Isifo seswekile sinokubangela umonakalo kwimithambo-luvo. Oku kubizwa ngokuba yi-"Peripheral Neuropathy". Lo monakalo ungachaphazela nemithambo-luvo ye-sciatic.
- Ukutshaya: Ukutshaya kuyaphazamisa ukuhanjiswa kwegazi. Oku akulunganga kwimpilo yomqolo.
Gqirha, wazi njani ukuba le yi-sciatica?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Indlela eziqala ngayo iintlungu, zivela phi, kwaye bezikhona nini. Emva koko uza kwenza uvavanyo lomzimba.
Kolu vavanyo,
- Ndiyayibona indlela ohamba ngayo.
- Uza kulaliswa ebhedini kwaye imilenze yakho iya kuphakanyiswa ngqo nganye nganye ukuze kubonwe ukuba kukho na intlungu. Oku kubizwa ngokuba yi-"Straight leg raise test".
- Amandla kunye nokuziva kwemisipha emilenzeni kuyavavanywa.
Kwiimeko ezininzi, olu vavanyo lunokuxilonga isifo. Nangona kunjalo, ukuze ufumane unobangela ochanekileyo okanye ukhuphe enye imeko, ungathunyelwa kwiimvavanyo ezifana nezi:
- Ii-X-ray okanye ii-CT scans zomqolo
- Iiskeni zeMRI
- Izifundo zokuqhuba imithambo-luvo
Ziziphi iindlela zonyango lwe-sciatica?
Kukho iinjongo ezimbini eziphambili zokunyanga i-sciatica. Enye kukunciphisa iintlungu . Enye kukwandisa intshukumo kunye nokusebenza . Unyango oluninzi lunokwenziwa ekhaya.
Izinto onokuzenza ekhaya
Iimeko ze-sciatica ezithambileyo okanye eziphakathi zihlala zithomalaliswa zezi zinto zilula.
1. Iipakethi zomkhenkce: Kwiintsuku ezimbini ukuya kwezintathu zokuqala emva kokuba intlungu iqalile, faka ipakethi yomkhenkce kwindawo ebuhlungu malunga nemizuzu engama-20. Oku kuya kunciphisa ukudumba kunye nentlungu.
2. Iipakethi zokufudumala: Emva kweentsuku ezimbalwa, faka ibhotile yamanzi ashushu okanye itawuli eshushu malunga nemizuzu engama-20. Oku kuya kukhulula izihlunu kwaye kunciphise iintlungu. Abanye abantu bafumana isiqabu ngokutshintshana phakathi kokubanda nobushushu.
3. Iintlungu: Amayeza angengo-steroidal anti-inflammatory (NSAIDs) (umz., ibuprofen, i-diclofenac) angasetyenziselwa ukuphelisa intlungu okwethutyana ngaphandle kwemvume kagqirha. Nangona kunjalo, kubalulekile ukufuna iingcebiso zonyango ngaphambi kokuba uqhubeke nokuzisebenzisa.
4.Ukuzolula nokwenza umsebenzi: Ukungalali ebhedini ngokupheleleyo kunokunyusa iintlungu. Kungoko ke, kubaluleke kakhulu ukuhamba kancinci kunye nokuzolula kancinci kwinqanaba elinokunyamezeleka kwiintlungu.
Kodwa khumbula, ukuba iintlungu zinzima, ukuba imilenze yakho iyaqaqamba, okanye ukuba uziva ngathi ulahlekelwa yibhalansi yakho, musa ukuhlala nje ekhaya wenze ezi zinto. Ngokuqinisekileyo bonana nogqirha.
Unyango ngoncedo lukagqirha
Ukuba amayeza asekhaya awancedi, okanye ukuba intlungu inzima, ugqirha wakho unokucebisa unyango olufana nolu:
- Amayeza asetyenziswa ngugqirha: Kunokunikwa amayeza anamandla okuthomalalisa iintlungu, izihlunu eziphumzayo, okanye amayeza akhethekileyo eentlungu zemithambo-luvo.
- Unyango lomzimba: Olu lonyango olubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo efanelekileyo kunye nokuzolula. Oku kuya kunceda ukunciphisa uxinzelelo kwimithambo-luvo, kuqinise izihlunu zomqolo, kwaye kuncede ukuthintela ukuba imeko ingaphindi ivele kwixesha elizayo.
- Inaliti yomqolo: Ukulawula iintlungu eziqatha, iyeza le-steroid elibizwa ngokuba yi-corticosteroid lifakwa kwindawo yentlungu. Oku kunokubonelela ngokunciphisa iintlungu kangangeenyanga eziliqela.
- Ezinye iindlela zonyango: Abanye abantu bafumana isiqabu kwi-yoga, i-acupuncture, okanye unyango lwe-massage.
Utyando
Utyando luyimfuneko kubantu abambalwa kakhulu. Utyando luqwalaselwa xa kungekho nyango lumbi oluye lwanceda, xa kukho iintlungu ezinganyamezelekiyo, okanye xa kukho umonakalo omkhulu wemithambo-luvo kunye nobuthathaka bemisipha.
Kukho iintlobo ezimbini eziphambili zotyando:
- I-Diskectomy: Ukususwa ngotyando kwenxalenye ecinezela imithambo-luvo yediski ehluthwe yi-herniated.
- I-Laminectomy: Ukuba indlela yemithambo-luvo inciphile, icandelo elincinci le-vertebra liyasuswa ukuze kuvulwe indawo yemithambo-luvo.
Usenokuba nale mibuzo.
Ngaba i-sciatica ingenzeka kwimilenze yomibini?
Uninzi lwexesha, i-sciatica ichaphazela umlenze omnye kuphela. Nangona kunjalo, kunqabile kakhulu, ukuba kukho ingxaki ngendlela imithambo-luvo yomgogodla ehamba ngayo kumacala omabini, inokuchaphazela imilenze yomibini.
Kutheni i-sciatica isenzeka ngexesha lokukhulelwa?
Ngexesha lokukhulelwa, utshintsho lweehomoni emzimbeni lubangela ukuba amalungu omqolo akhululeke. Kwakhona, ubunzima kunye nendawo umntwana ahlala kuyo zinokucinezela imithambo-luvo. Kodwa iindaba ezimnandi zezokuba le ntlungu idla ngokuphela emva kokuba umntwana ezelwe.
Uyazi njani ukuba oku kubuhlungu emqolo okanye yingxaki yesinqe?
Ngokwesiqhelo, iintlungu ezivela kwingxaki efana ne-hip arthritis zivakala emqolo. Nangona kunjalo, ukuba iintlungu ziqala emqolo zize zihambe ngomlenze zidlule empundu, kwaye zihamba nokungaziva okanye ukuphelelwa zimvakalelo, kusenokwenzeka ukuba yi-sciatica.
Ufanele uye nini kugqirha uze uye esibhedlele ngoko nangoko?
Oku kubaluleke kakhulu. Akuyonto yonke ebuhlungu emqolo ekufuneka yoyikwe. Kodwa qaphela ezi mpawu.
| Imeko | Kwenziwe ntoni |
|---|---|
| Bona ugqirha wakho. | |
| Ukuba intlungu iphakathi okanye ingaphezulu | Nokuba kuthatha iiveki ezimbalwa zonyango lwasekhaya, akukho phuculo. |
| Ukuba unezinhlungu okanye ulahlekelwe yimvakalelo emilenzeni yakho | Kubalulekile ukufuna iingcebiso kuba ezi zinokuba ziimpawu zomonakalo wemithambo-luvo. |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko. | |
| Ukuba uziva uphelelwa ngamandla (ubuthathaka bemisipha) emilenzeni yakho | Oku kungaba luphawu lokuba kukho umonakalo omkhulu owenzekayo kwimithambo-luvo. |
| Ukuba ulahlekelwa lulawulo lwamathumbu okanye umchamo wakho | Le yimeko enzima kakhulu kwaye ifuna unyango olukhawulezileyo. |
| Ukuba ufumana iintlungu eziqatha okanye ukuqina emva kwengozi (ukuwa, ingozi yemoto) | Kufuneka ihlolwe ngoko nangoko kuba isenokuba ibangelwa kukwenzakala komqolo. |
Umyalezo Wokuya Ekhaya
- I-Sciatica ayisiyontlungu yomqolo kuphela, yintlungu ebangelwa kukucinezelwa kwe-nerve ye-sciatic.
- Ixesha elininzi, le meko iyaphela kwiiveki ezimbalwa ngonyango olulula lwasekhaya. Musa ukukhathazeka.
- Ukugcina ukuma okufanelekileyo, ukulawula ubunzima bomzimba, kunye nokuzilolonga rhoqo kunokunceda ukuthintela i-sciatica.
- Ukuba uneempawu eziqatha ezifana nokungaziva mnandi emilenzeni yakho, ukulahlekelwa yindlela yokulawula amathumbu okanye isinyi, yimeko engxamisekileyo leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngokukhawuleza ngaphandle kokulibazisa.
- Ukuba unamathandabuzo malunga nentlungu yakho, musa ukubandezeleka wedwa kwaye ubone ugqirha ukuze akunike ingcebiso.
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