Ingabe Uzwa Ubuhlungu Bokudubula Nokungazwani Nomzimba Kusukela Emhlane Wakho Ongezansi Ezansi Komlenze Wakho? Kungaba yiSciatica!

Uke uzizwe ubuhlungu obubukhali, obuhlala buqala emhlane wakho ongezansi, budlule ezinqeni zakho, buhambe kuze kube semlenzeni wakho? Uma lokhu kungakhululeki kufika, kungakushiya uzibuza ukuthi yini ehambe kabi nokuthi ungayithola kanjani impumuzo. Ngokuvamile, lobu buhlungu obukhipha imisebe bubangelwa yisimo esaziwa ngokuthi i-sciatica. Ake sihlole ukuthi iyini i-sciatica, kungani yenzeka, nokuthi ungayiphatha kanjani.

Iyini Ngempela I-Sciatica? Ake Siqonde Izisekelo

Kalula nje, i-sciatica ubuhlungu bemizwa obuvela lapho i-sciatic nerve yakho icasulwa, icindezelwe, noma icindezelwe . Kanye nalokhu buhlungu, ungase ube nokungezwani, umuzwa "wokuthuthumela nezinaliti", noma ubuthakathaka bendawo emlenzeni wakho. Kwabanye abantu, ukungakhululeki kungasukela ebuhlungwini obuncane kuya ebuhlungwini obukhulu, obubukhali.

Ubuwazi ukuthi i -sciatic nerve iyona mthambo omude kakhulu futhi ojiyile emzimbeni wakho wonke ? Cishe ububanzi bayo buyingcosana! Nakuba siyibiza ngokuthi i-single nerve, empeleni iyinqwaba yemicu yemizwa evela ezimpandeni zemizwa ezinhlanu ezihlukene emgogodleni wakho ongezansi (i-lumbar kanye ne-sacral spinal cord).

Unezinzwa ezimbili ze-sciatic, eyodwa igijima ohlangothini ngalunye lomzimba wakho. Inzwa ngayinye ihamba isuka emhlane wakho ongezansi, idlule esinqeni sakho nasesinqeni sakho, yehle ngemuva komlenze wakho iye ngaphansi kwedolo lakho. Ukusuka lapho, ihlumela ibe yizinzwa ezincane ezixhuma esinqeni sakho, eqakaleni, onyaweni nasezinzwaneni.

Ngakho-ke, uma une-sciatica, ungathola izimpawu noma yikuphi kule ndlela ebanzi yemizwa—kusukela emhlane wakho ongezansi kuze kufike ezinzwaneni zakho. Lo muzwa ungasukela ebuhlungwini obuncane, obungajabulisi kuya ebuhlungwini obubukhali nobubuhlungu .

Izinhlobo Ezimbili Eziyinhloko zeSciatica

Ochwepheshe bezempilo bahlukanisa lesi simo ngezinhlobo ezimbili eziyinhloko, yize zingase zizizwe zifana kakhulu nawe:

1. I-Sciatica Yangempela: Lokhu kwenzeka lapho ukulimala noma isimo sithinta ngqo i-sciatic nerve uqobo.

2. Izimo ezifana ne-sciatica: Lezi zilingisa izimpawu ze-sciatica kodwa zibangelwa izinkinga emisipheni noma ezakhiweni eziseduze ezicasula i-sciatic nerve noma izimpande zayo ngokungaqondile.

Emtholampilo, odokotela bavame ukubiza kokubili ngokuthi "i-sciatica" ngoba kuvela ngendlela efanayo. Ukuhlukanisa phakathi kwazo kubaluleke kakhulu lapho kunqunywa uhlelo lwakho lokwelashwa oluthile.

I-Sciatica Ivame Kangakanani?

I-Sciatica ivame kakhulu . Ucwaningo lubonisa ukuthi abantu abangafika ku-40% bazobhekana ne-sciatica ngesikhathi esithile empilweni yabo. Nakuba ingavamile kubantu abangaphansi kweminyaka engu-20 ngaphandle kokuthi ibangelwe ukulimala, ingozi yakho iyanda njengoba ukhula.

Ziyini Izimpawu Ze-Sciatica?

Uma une-sciatica, ungase ubhekane nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Ubuhlungu: Bubangelwa ukucindezelwa kwemizwa, lobu buhlungu buvame ukuchazwa njengokuzwa ukushisa, ubuhlungu obukhulu, noma ukushaqeka kukagesi okungazelelwe . Lobuhlungu buvela emhlane wakho ongezansi, buyehla budlule ezinqeni nasemlenzeni. Bungaba bubi kakhulu uma ukhwehlela, uthimula, ugoba phambili, noma uphakamisa umlenze wakho ngenkathi ulele phansi.
• Ukuba ndikindiki noma "izikhonkwane nezinaliti" (i-Paresthesia): Lokhu kuzwakala kufana nomuzwa lapho umlenze wakho "ulala" ngemva kokuhlala endaweni eyodwa isikhathi eside kakhulu.
• Ukulahlekelwa umuzwa: Ungase ulahlekelwe ikhono lokuzwa ukuthintwa kwezinye izingxenye zomhlane noma umlenze wakho ngoba izimpawu zemizwa azikwazi ukuhamba ngendlela evamile ziye ebuchosheni bakho.
• Ubuthakathaka bemisipha : Lolu uphawu olubi kakhulu oludinga ukunakwa ngokucophelela. Lubonisa ukuthi izimpawu zokunyakaza ezivela ebuchosheni bakho ziya emisipheni yakho yemilenze ziyaphazamiseka.
• Ukulahlekelwa ukulawula amathumbu noma esinyeni (Ukungakwazi ukuzibamba ngomchamo noma ngendle): Lesi yisimo esiphuthumayo sezokwelapha . Kubonisa ukuthi imizwa elawula esinyeni sakho kanye namathumbu icindezelwe kakhulu. Uma uhlangabezana nalokhu, kufanele ufune usizo lwezokwelapha oluphuthumayo ngokushesha.

Yini Ebangela I-Sciatica?

I-Sciatica ingabangelwa yinoma yisiphi isimo esicindezela noma esonakalisa i-sciatic nerve noma izimpande ze-nerve ezinhlanu eziyakhayo. Izimbangela ezivamile zifaka:

• Ama-disc ane-herniated: Lena yimbangela evame kakhulu.
• Isifo sediski esiwohlokayo.
• I-stenosis yomgogodla.
• I-Foraminal stenosis.
• I-Spondylolisthesis.
• I-Osteoarthritis: Ukuguga nokudabuka kwamalunga omgogodla.
• Ukulimala: Ukulimala noma ukulimala emhlane ongezansi noma emgogodleni.
• Ukukhulelwa .
• Amathumba, ama-cyst , noma ezinye izimila.
• I-Conus medullaris syndrome.
• I-Cauda equina syndrome: Lesi yisimo esiphuthumayo sezokwelapha.

Ubani Osengozini Kakhulu Yokuthuthukisa I-Sciatica?

Ngenxa yokuthi kunezimbangela eziningi eziyisisekelo, izici eziningana eziyingozi zingandisa amathuba akho okuthuthukisa i-sciatica. Lezi zifaka:

• Ukulimala emhlane kwangaphambilini: Umlando wokulimala emhlane wakho ongezansi noma emgogodleni kwandisa ukuthambekela kwakho ku-sciatica.
• Ukuguga nokuguga: Njengoba ukhula, izinguquko zemvelo emgogodleni wakho, njenge-bone spurs, i-herniated disks, kanye ne-osteoarthritis, zingacindezela imizwa yakho.
• Isisindo esiningi noma ukukhuluphala ngokweqile: Cabanga ngomgogodla wakho njenge-crane. Isisindo osithwalayo ngaphambili komzimba wakho umthwalo okumele uphakanyiswe yi-crane, futhi imisipha yakho yangemuva iyawusekela. Isisindo esiningi sibeka umthwalo omkhulu emhlane wakho ongezansi, okuholela ezinkingeni zokuqondisa umgogodla kanye nobuhlungu.
• Imisipha ebuthakathaka yomzimba: "Imisipha" yakho ibhekisela emisipheni yesisu sakho kanye nomhlane. Ukuqinisa le misipha kusebenza njengokuqinisa uhlelo lokusekela lomzimba wakho lwemvelo, ukuvikela umgogodla wakho.
• Ukucindezeleka ngokomzimba emsebenzini: Imisebenzi edinga ukuphakamisa okunzima, ukusonta, noma ukugoba okuphindaphindiwe yandisa ingozi yakho. Ngakolunye uhlangothi, imisebenzi edinga ukuhlala isikhathi eside ngaphandle kokusekelwa okwanele kwe-lumbar nayo ingabeka ingcindezi emgogodleni wakho.
• Ukuma kabi kokuphakamisa: Ngisho noma uphilile ngokomzimba, ukwehluleka ukusebenzisa amasu okuphakamisa afanele ngesikhathi sasekhaya noma sokuzivocavoca kwansuku zonke kungabangela ukulimala kwediski ngokuzumayo.
• Isifo Sikashukela : Ukuba nesifo sikashukela kwandisa ingozi yokulimala kwemizwa (i-neuropathy), okungakwenza ube sengozini enkulu ye-sciatica.
• Indlela yokuphila yokungahlali phansi: Ukuhlala isikhathi eside kanye nokuntuleka kokuzilolonga njalo kungenza imisipha yakho ibe buthaka futhi kwandise ingozi.
• Ukusetshenziswa kukagwayi: I-Nicotine ingonakalisa ukugeleza kwegazi emithanjeni yakho yomgogodla futhi isheshise ukuguguleka, okwenza ubuhlungu obungapheli bomhlane kanye ne-sciatica kube nokwenzeka kakhulu.
• Amacala e-Idiopathic: Ngezinye izikhathi, i-sciatica ingakhula ngaphandle kwesizathu esibonakalayo noma esicacile.

Yiziphi Izinkinga Ze-Sciatica?

Nakuba abantu abaningi belulama ngokugcwele ku-sciatica, ngezinye izikhathi kungaholela ezinkingeni, njengobuhlungu obungapheli (besikhathi eside) .

Uma inzwa ethintekile icindezelwe kakhulu, ubuthakathaka bemisipha obuhlala njalo emlenzeni wakho bungaba khona. Isibonelo esiphawulekayo "ukuwa kwezinyawo," lapho ukulimala kwemizwa kwenza kube nzima noma kungenzeki ukuphakamisa ingxenye engaphambili yonyawo lwakho ngenkathi uhamba.

Ezimweni ezimbi kakhulu, ukucindezelwa kwemizwa okungaxazululwanga kungabangela ukulahlekelwa yimizwa unomphela (ukuba ndikindiki) emlenzeni othintekile.

I-Sciatica Itholakala Kanjani?

Udokotela uzohlonza i-sciatica esebenzisa inhlanganisela yezindlela. Okokuqala, bazobuyekeza umlando wakho wezokwelapha futhi baxoxe ngezimpawu zakho. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba, okungabandakanya:

• Ukuhlaziywa kokuhamba: Ukubuka indlela ohamba ngayo, njengoba i-sciatica ingashintsha ukunyakaza kwakho kanye nesimo sakho.
• Ukuhlolwa kokuphakamisa imilenze eqondile: Uzolala etafuleni lokuhlolwa imilenze yakho iqondile. Udokotela wakho uzophakamisa umlenze owodwa ngesikhathi bese ekucela ukuthi ubike uma uzwa ubuhlungu. Lokhu kusiza ekutholeni ukucasuka kwemizwa futhi kuqondise ukwelashwa.
• Ukuhlolwa kokuguquguquka nokuqina: Lokhu kusiza udokotela wakho ukuthi abone ubuthakathaka bemisipha, izinguquko ze-reflex, kanye nezinye izinto ezibangela lokhu.

Ukuhlolwa Kokuxilonga kwe-Sciatica

Ukuze kuqinisekiswe ukuxilongwa nokuqeda ezinye izimbangela ezingaba khona zobuhlungu bakho emhlane nasemlenzeni, udokotela wakho angase ancome ukuhlolwa kwezithombe noma ukuhlolwa kokuxilonga, okuhlanganisa:

• Ama-X-ray omgogodla noma ama-CT scan.
• Ukuskena kwe-magnetic resonance imaging (MRI).
• Izifundo zejubane lokuqhutshwa kwemizwa (i-NCV).
• I-Electromyography (EMG).
• I-Myelogram.

I-Sciatica Iphathwa Kanjani? Ingabe Ingelapheka?

Imigomo eyinhloko yokwelashwa kwe-sciatica ukunciphisa ubuhlungu bakho nokubuyisela ukuhamba kwakho . Amacala amaningi angaphathwa kahle ekhaya ngezinyathelo zokulondoloza.

Kodwa-ke, uma izimpawu zakho ziqhubeka noma zinzima kakhulu, kungase kudingeke ukungenelela kwezokwelapha. Ezimweni ezingaphenduli ekwelashweni okulondolozayo noma ezihilela ukucindezelwa okukhulu kwemizwa, kunezinketho zokuhlinzwa ezitholakalayo.

Ukwelapha Nokuzinakekela Ekhaya

Kuye ngembangela eyinhloko, i-sciatica encane ivame ukuxazululwa ngokuzinakekela njalo ekhaya.

Sicela uqaphele: Uma ubuhlungu bakho buphakathi kuya kobukhulu, noma buhambisana nokungazweli okuqhubekayo, ukuqaqamba, noma ubuthakathaka bemisipha, kubalulekile ukubonana nodokotela . Ungazami ukuzelapha izimpawu ezinzima.

Amasu okuphatha ikhaya asebenzayo ahlanganisa:

• Ukwelashwa ngeqhwa: Ezinsukwini zokuqala zokushaqeka, faka iphakethe leqhwa emhlane wakho ongezansi ukuze unciphise ukuvuvukala futhi uqede ubuhlungu. Ungasebenzisa iphakethe elibandayo elithengiswayo noma isikhwama semifino eqandisiwe esongwe ngethawula elihlanzekile. Faka imizuzu engama-20 ngesikhathi, izikhathi eziningana ngosuku.
• Ukwelashwa ngokushisa: Ngemva kwamahora angu-48 kuya kwangu-72 usebenzisa iqhwa, shintshela ekushiseni. Sebenzisa i-heating pad noma ibhodlela lamanzi ashisayo imizuzu engu-20 ngesikhathi. Uma usazizwa ungakhululekile, ungashintsha phakathi kokwelashwa ngokushisa nokubandayo ukuze ubone ukuthi yini enikeza impumuzo enkulu.
• Imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kwemithi kadokotela (OTC): Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) njenge-ibuprofen ivame ukusiza ekunciphiseni ubuhlungu, ukuvuvukala, kanye nokuvuvukala okutholakala endaweni ethile.
• Ukuzelula nokuhlala usebenza: Ukufunda amasu afanele okwelula kudokotela wezokwelapha umzimba kunganciphisa kakhulu ukungakhululeki kwakho. Bangakuqondisa ekuzivocavoceni okuqinisa imisipha kanye nemisebenzi ye-aerobic enomthelela omncane ukuze kuqiniswe umgogodla wakho.

Uma izimpawu zakho zingathuthuki ngemva kwamasonto ambalwa uzinakekela, kubalulekile ukubona udokotela wakho ukuze ahlolwe ngokusemthethweni.

Ukwelashwa Kwezokwelapha Nokugcina Impilo

Uma izindlela zokwelapha zasekhaya zinganele noma izimpawu zakho zidinga ukubhekwa eduze kwezokwelapha, udokotela wakho angase ancome izindlela zokwelapha eziqondiswe kakhulu, ezingafaka:

Lokhu kwelashwa kuvame ukuhlanganiswa nokunakekelwa ekhaya kodwa kuphathwa ngaphansi kwesiqondiso sezokwelapha. Izinketho zingafaka:

• Imithi kadokotela: Udokotela wakho angase akunike imithi yokuphumula imisipha enamandla noma imithi yokunciphisa ubuhlungu. Eminye imithi yokucindezeleka ye-tricyclic kanye nemithi yokulwa nokuquleka ingasebenza kahle ekulawuleni ubuhlungu be-neuropathic (obuhlobene nemizwa).
• Ukwelashwa ngokomzimba: Uchwepheshe wezokwelapha ngokomzimba angaklama uhlelo lokuzivocavoca oluqondene nawe ukuze anciphise ingcindezi emsipheni. Lokhu kuvame ukufaka ukwelula okuqondisiwe, i-aerobics engenamthelela omkhulu (njengokuhamba noma ukubhukuda), kanye nokwelashwa ngamanzi.
• Imijovo yomgogodla: Imijovo ye-epidural steroid (i-corticosteroids) inganikeza impumuzo yesikhashana (ngokuvamile kuze kube izinyanga ezintathu) ngokucindezela ukuvuvukala okuzungeze inzwa ecasukile. Lokhu kuvame ukwenziwa ngaphansi kwe-anesthesia yendawo ukuze kuncishiswe ukungakhululeki.
• Izindlela zokwelapha ezihlukile: Izindlela ezengeziwe zingaba usizo kakhulu kanye nokunakekelwa okuvamile. Lokhu kufaka phakathi ukulungiswa kwe-chiropractic, i-yoga, i-acupuncture, kanye nokwelashwa ngokubhucunga ukuze kuncishiswe ukucindezeleka kwemisipha. Ngaphezu kwalokho, i-biofeedback ingakusiza ukuphatha ukubona ubuhlungu nokunciphisa ukucindezeleka.

Izinketho Zokuhlinzwa ze-Sciatica

Ezimweni ezinzima noma eziqhubekayo ze-sciatica, ukuhlinzwa kungaba yindlela efanele kakhulu. Ngokuvamile, ukungenelela kokuhlinzwa kunconywa kuphela uma kunezimpawu zokulimala kwemizwa okuqhubekayo (njengobuthakathaka obandayo noma ukulahlekelwa yimizwa), uma ubuhlungu bukhulu ngokwanele ukuthi bungaphazamisa kakhulu imisebenzi yakho yansuku zonke, noma uma ungatholi impumuzo ngemva kwamasonto ayi-6 kuya kwayi-8 okunakekelwa okulondolozayo.

Izindlela ezimbili ezivame kakhulu zokuhlinzwa kwe-sciatica yilezi:

• I-Diskectomy: Le nqubo ihilela ukususa ingxenye yediski ye-herniated ecindezela inzwa.
• Ukususwa kwe-Laminectomy: I-lamina yingxenye yangemuva ye-vertebra emboza umsele wakho womgogodla. Ekususweni kwe-laminectomy, ingxenye yaleli thambo iyasuswa ukuze kuncishiswe ingcindezi emizweni ecindezelwe.

Ingabe Kukhona Imiphumela Engemihle Noma Izingozi Kulezi Zindlela Zokwelapha?

Imiphumela emibi engaba khona kanye nezinkinga kuncike kakhulu ekwelashweni okuthile okusetshenziswayo, ubukhali besimo sakho, kanye nembangela yaso eyisisekelo. Udokotela wakho ungumthombo ongcono kakhulu wolwazi mayelana nokuthi yimiphi imiphumela emibi ongase uyizwe nokuthi ungayiphatha kanjani, uyinciphise, noma uyivimbele.

Kuthatha Isikhathi Esingakanani Ukululama?

Isikhathi sokululama siyahlukahluka kuye ngokuthi imbangela, ubukhulu bezimpawu zakho, kanye nohlelo lokwelashwa olulandela. Ezimweni eziningi, i-sciatica encane iphela ngokwemvelo zingakapheli amasonto amane kuya kwayisithupha ngaphandle kokungenelela okukhulu kwezokwelapha.

Izimo ezinzima kakhulu zingathatha amasonto amaningana noma ngisho nezinyanga ukuze zelapheke ngokuphelele, ikakhulukazi uma kukhona ukucindezelwa okukhulu kwemizwa. Ukulibazisa ukwelashwa isikhathi eside (ngokuvamile isikhathi esingaphezu kwezinyanga eziyisithupha) kunganciphisa amathuba okululama ngokuphelele, yingakho kungafanele ungabaze ukufuna iseluleko sezokwelapha kusenesikhathi .

Ingabe i-Sciatica ingavinjelwa?

Nakuba ezinye izimbangela ze-sciatica zingalindelekile noma zingenakugwenywa, ungathatha izinyathelo eziningana ezisebenzayo ukuze unciphise kakhulu ingozi yakho yokuthola lesi simo.

Cabanga ngezinyathelo zokuvimbela ezilandelayo ukuze uvikele umgogodla wakho:

• Gcina ukuma okuhle: Naka ukuma kwakho lapho uhleli, umile, uphakamisa izinto, nalapho ulele.
• Gwema i-nicotine nokubhema: I-Nicotine ivimbela ukugeleza kwegazi emathanjeni akho nasema-disc omgogodla, okwenza buthaka ubuqotho bomgogodla wakho ngokuhamba kwesikhathi.
• Gcina isisindo esinempilo: Sebenzisana nodokotela wakho ukuze wakhe imikhuba yokudla okunempilo kanye nokuzivocavoca. Qiniseka ukuthi uthola i-calcium ne-Vitamin D eyanele ukusekela amandla amathambo.
• Hlala umatasa ngokomzimba:Zijwayeze ukwelula njalo nokuqeqesha amandla. Ukuqinisa imisipha yakho yangaphakathi neye-lumbar kuyazinzisa umhlane wakho, kuyilapho ukuzivocavoca okulinganiselwe kwe-aerobic kusiza ukulawula isisindo sakho.
• Vimbela ukuwa: Gqoka izicathulo ezisekelayo, gcina izindlela zokuhamba zingenazo izinto eziningi, futhi uqinisekise ukuthi izindawo zokuhlala zikhanya kahle. Faka izibambo ezitebhisini bese ubamba imigoqo ezindlini zangasese uma kudingeka.
• Vumela isikhathi sokululama: Ungacindezeli ubuhlungu bomgogodla, njengoba lokhu kungenza ukulimala kube kubi kakhulu. Kunalokho, hlala usebenza ngemisebenzi ephephile nengenamthelela omkhulu njengokubhukuda, ukuhamba, i-yoga, noma i-tai chi ngenkathi ululama.

Iyini Isibikezelo Se-Sciatica?

Umbono we-sciatica emnene ngokuvamile muhle kakhulu, njengoba izimo eziningi zixazululeka zodwa ngesikhathi kanye nokunakekelwa ekhaya okugcina isikhathi. Eqinisweni, cishe abantu abangu-80% kuya ku-90% abane-sciatica bayalulama ngokugcwele ngaphandle kokudinga ukuhlinzwa.

Kodwa-ke, uma izimpawu zakho zingaqali ukuthuthuka ngemva kwamasonto ambalwa okuzinakekela, noma uma unomuzwa wokuthi ukululama kwakho sekuye kwehla, kufanele uthintane nomhlinzeki wakho wezempilo.

Isikhathi Sokubona Udokotela vs. Ukufuna Ukunakekelwa Okuphuthumayo

Kufanele uthintane nodokotela wakho uma uzwa ubuhlungu obuphakathi noma obuqhubekayo , noma uma uba nokungezwani noma ukuqaqamba okubonakalayo emhlane noma emlenzeni wakho.

Funa usizo lwezokwelapha oluphuthumayo ngokushesha (njengokushayela ucingo izinsizakalo zezokwelapha eziphuthumayo noma ukuya emnyangweni wezimo eziphuthumayo oseduze) uma uhlangabezana nalokhu:

• Noma yikuphi ubuthakathaka bemisipha obungazelelwe noma obuqhubekayo emlenzeni noma onyaweni lwakho.
• Ukulahlekelwa ngokuzumayo ukulawula amathumbu noma esinyeni (ukungakwazi ukuzibamba noma ukuvimba).
• Ubuhlungu obukhulu, obungabekezeleleki obukuvimbela ukuma, ukuhamba, noma ukwenza imisebenzi eyisisekelo.
• Ubuhlungu obukhulu, ukungazweli, noma ubuthakathaka obuqala ngokuzumayo ngemva kokulimala okubuhlungu , njengokuwa noma ingozi yemoto.

Imibuzo Evame Ukubuzwa Nge-Sciatica

• Ingabe i-sciatica ingathinta imilenze yomibili ngesikhathi esisodwa?

Ngokuvamile, i-sciatica ithinta umlenze owodwa ngesikhathi. Kodwa-ke, ezimweni ezingavamile kakhulu, i-bilateral sciatica ingenzeka uma kukhona ukucindezelwa okukhulu enkabeni yomsele womgogodla.

• Ingabe i-sciatica ivele ngokuzumayo noma ikhula kancane kancane?

Lokhu kuncike embangela eyinhloko. I-Sciatica ebangelwa i-disc ebuhlungu noma ukulimala ngokomzimba ingavela ngokuzumayo, kanti izimo eziwohlokayo njenge-spinal arthritis zikhula kancane kancane ezinyangeni noma eminyakeni.

• Ingabe ukukhuluphala ngesikhathi sokukhulelwa kubangela i-sciatica?

I-Sciatica ivame kakhulu ngesikhathi sokukhulelwa, kodwa ayibangelwa nje kuphela ukukhuluphala. Kunezici ezimbili eziyinhloko: okokuqala, ama-hormone okukhulelwa akhulula imisipha kanye nezicubu ezixhumene nomgogodla wakho, okwenza amathambo aguquguquke kalula futhi athambekele ekushintsheni kwediski. Okwesibili, isisindo somzimba kanye nesimo sengane esakhula kungacindezela ngqo i-sciatic nerve.

Izindaba ezinhle ukuthi i-sciatica ebangelwa ukukhulelwa ilawuleka kalula futhi ivame ukuxazululeka ngokuphelele ngemva kokubeletha. Ukwelashwa ngokomzimba okuthambile, ukubhucungwa, ukugeza okufudumele, ama-heating pad, kanye nokulungiswa kwendlela yokuma kunganikeza impumuzo ephephile.

• Ngingazi kanjani ukuthi ubuhlungu be-hip yami buyinkinga ye-hip joint noma i-sciatica?

Izinkinga zamalunga ezinqeni, njenge-hip arthritis, zivame ukubangela ubuhlungu obutholakala endaweni yakho yezinqe noma ukungakhululeki lapho uthwala isisindo futhi ujikeleza umlenze.

Uma ubuhlungu bakho buqala emhlane wakho ongezansi, buphuma ezinqeni zakho nasemlenzeni, futhi buhambisana nokungazweli, ukuthuthumela, noma ubuthakathaka, kungenzeka kakhulu ukuthi kube yi-sciatica.

• Uyini umehluko phakathi kwe-sciatica ne-radiculopathy?

I-Radiculopathy yigama elibanzi lezokwelapha lanoma yiziphi izimpawu ezibangelwa impande yemizwa ecindezelwe emgogodleni. I-Sciatica imane nje uhlobo oluvame kakhulu, oluqondile lwe-lumbar radiculopathy, olubhekisela ngqo emgogodleni we-sciatic.

• Ingabe kufanele ngihlale embhedeni uma ngine-sciatica?

Nakuba ukuphumula usuku olulodwa noma ezimbili kungasiza ngesikhathi sokushaqeka okukhulu, ukuphumula embhedeni isikhathi eside akusizi ngalutho. Ukungenzi lutho empeleni kungaqinisa amalunga akho, kunciphise imisipha, futhi kulibazise ukululama kwakho. Umgomo uwukuhlala usebenza futhi uguquguqukayo ngangokunokwenzeka ngaphandle kokubangela ubuhlungu obukhulu. Udokotela wakho noma uchwepheshe wezokwelapha angakusiza ukuthola leli bhalansi.

• Ingabe i-sciatica ingadala ukuvuvukala kwemilenze neqakala?

Yebo, ukuvuvukala kwendawo noma ukuvikela imisipha ezimweni ezifana ne-herniated disc, i-spinal stenosis, noma i-piriformis syndrome kungaholela ekuvuvukeni emlenzeni noma eqakaleni elithintekile ngezinye izikhathi.

Umyalezo Wokuya Nawo Ekhaya

I-Sciatica ingaba yisimo esicasulayo nesibuhlungu esiphazamisa impilo yakho yansuku zonke. Ngenhlanhla, kunezindlela eziningi eziphumelela kakhulu zokuthola impumuzo. Iningi lamacala amancane asabela kahle kakhulu ekuzinakekeleni okunempilo. Ngisho noma izimpawu zakho zimbi kakhulu, ukwelashwa kwezokwelapha kwanamuhla kunikeza izindlela ezihlukile zokululama, kanti ukuhlinzwa kugcinelwe kuphela njengendlela yokugcina. Ukusebenza eduze nomhlinzeki wakho wezempilo ukubhekana nezimpawu zakho kusenesikhathi kuyindlela engcono kakhulu yokubuyela ekunyakazeni ngokunethezeka nokujabulela impilo yakho. Uma ubona lezi zimpawu, ungangabazi ukuxhumana nodokotela ukuze uthole ukuhlolwa okufanele kanye nohlelo lokunakekelwa komuntu siqu.