Dab tsi yog sciatica thiab yuav kho li cas

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Cia peb hais tam sim ntawd: qhov no tsis yog kab mob, tab sis tsuas yog cov tsos mob xwb.

Dab tsi yog sciatica

Ua ntej, cia peb txhais cov ntsiab lus. Niaj hnub nimno science yuav luag tsis siv lo lus "radiculitis". Nyob rau hauv lwm yam - radiculopathy Radiculopathy.

Qhov txawv yog maj mam, tab sis tseem ceeb. "Radiculitis" qhia ib yam ntawm cov kab mob ywj pheej - o ntawm cov paj hlwb ntawm tus txha caj qaum (los ntawm Latin cov hauv paus radicula - "hauv paus" thiab qhov kawg - nws, lub ntsiab lus inflammatory txheej txheem). Tab sis nyob rau hauv kev muaj tiag, cov hlab ntsha tsis ua mob los ntawm lawv tus kheej. Qhov no tsuas yog ib qho tsos mob ntawm qee yam kab mob lossis kev tsis sib haum xeeb uas muaj nyob hauv lub cev. Yog li ntawd, radiculopathy, uas yog, pathology ntawm cov paj hlwb tshwm sim los ntawm qee qhov laj thawj thoob ntiaj teb, yog lub tswv yim tseeb dua.

Tab sis rau qhov yooj yim, peb tseem yuav siv lo lus "radiculitis" hauv qab no. Kev paub tib lub sijhawm uas qhov teeb meem tsis txwv rau ib qho kev mob ntawm cov hlab ntsha.

Qhov twg sciatica tuaj ntawm

Yuav kom paub meej, koj yuav tsum nco ntsoov tias tus txha caj qaum ua haujlwm li cas. Yuav tsum paub dab tsi txog radiculopathy? … Nws yog ib pawg ntawm 33–34 cov pob txha sib npaug (vertebrae) uas tiv thaiv tus txha caj qaum los ntawm kev raug mob lossis lwm yam kev puas tsuaj. Los ntawm qaum qaum mus rau lwm qhov chaw ntawm lub cev - tib lub caj npab, ob txhais ceg - tag nrho cov hlab ntsha sib txawv. Ib feem ntawm cov hlab ntsha nyob ze ntawm tus txha caj qaum thiab vertebrae yog hu ua lub hauv paus.

Feem ntau, tus txha nraub qaum muaj S-zoo li khoov, uas muab qhov tsim nyog poob siab thiab ruaj khov rau tag nrho lub cev. S "khoov" hu ua tus txha nraub qaum. Muaj tsib ntawm lawv:

• ncauj tsev menyuam - suav nrog 7 vertebrae;
• hauv siab - 12 vertebrae;
• lumbar - 5 vertebrae;
• sacral (qhov chaw txuas cov nqaj qaum mus rau lub duav) - 5 vertebrae;
• coccygeal - 4-5 vertebrae.

Nyob nruab nrab ntawm tag nrho cov pob txha uas ua rau qhov no los yog seem, muaj "txheej txheem" - elastic intervertebral discs. Lawv tiv thaiv cov pob txha los ntawm kev puas tsuaj thiab hnav sai.

Qhov system no tau xav zoo thiab ua haujlwm zoo. Tab sis qee lub sij hawm nws tshwm sim hais tias intervertebral disc rau qee yam pib protrude tshaj nws qhov chaw npaj thiab nias rau ntawm tus txha caj qaum hauv paus hniav nyob ib sab ntawm nws. Qhov no ua rau o, uas yog, sciatica.

Txawm li cas los xij, cov pob txha vertebral lawv tus kheej tuaj yeem tso siab rau cov hauv paus hniav yog tias lawv tau hloov chaw lossis hloov kho. Muaj lwm txoj kev xaiv thiab.

Dab tsi tuaj yeem ua rau sciatica

Nov yog cov npe ntawm Radiculopathy cov kab mob thiab cov kab mob uas feem ntau ua rau cov paj hlwb compression:

Herniated disc. Qhov no yog qhov laj thawj nrov tshaj plaws. Ib qho hernia tuaj yeem tshwm sim vim kev tawm dag zog lub cev (tej zaum koj tsis tu ncua ib yam hnyav), raug mob, lossis hnyav dhau

• Scoliosis. Lub cev tsis zoo kuj tuaj yeem ua rau cov leeg txha caj qaum.
• Degenerative hloov nyob rau hauv lub intervertebral disc (kwv yees, piv txwv li, nrog kev laus).
• Compression tawg ntawm tus txha nqaj qaum.
• Spinal stenosis. Qhov no yog lub npe ntawm ib tug kab mob nyob rau hauv uas tus txha caj qaum nqaim - tib yam uas cov pob txha pob txha lies.
• Pob txha spurs. Qee lub sij hawm cov pob txha ntawm cov vertebrae hauv qee qhov chaw nce qhov loj. Xws li spurs tuaj yeem ua rau ob qho tib si txha caj qaum thiab cov leeg txha caj qaum.
• Tus txha caj qaum.
• Osteoarthritis los yog mob caj dab ntawm tus txha caj qaum.
• Thickening (ossification) ntawm vertebral ligaments.
• Mob ntshav qab zib. Hauv qhov no, o tshwm sim vim qhov tseeb tias cov paj hlwb tau txais cov ntshav tsawg.
• Cauda equina Syndrome. Qhov no yog lub npe ntawm kev puas tsuaj rau cov paj hlwb txuas los ntawm sab qaum qaum qaum.

Yuav ua li cas paub sciatica

Cov tsos mob pom tseeb tshaj plaws ntawm sciatica yog qhov ntse thiab nrawm, tua mob nraub qaum. Cov cim qhia ntawm radiculopathy, Dab tsi yuav tsum paub txog radiculopathy? tej zaum yuav txawv nyob ntawm seb ib feem ntawm tus txha caj qaum cov paj hlwb nyob rau hauv.

• Cervical radiculopathy yog tshwm sim los ntawm qhov mob ntawm lub xub pwg nyom, sab nraub qaum, lossis caj npab, sab laug lossis sab xis. Tsis tu ncua tsis muaj zog, loog loog, tingling nyob rau hauv cov ntiv tes ntawm ib tug ob txhais tes, raws li zoo raws li kev mob tshwm sim thaum tig lub taub hau los yog qaij lub caj dab kuj yog cov tsos mob ntawm sciatica nyob rau hauv cov cheeb tsam no.
• Thoracic radiculopathy tsis tshua muaj. Cov tsos mob muaj xws li kub hnyiab lossis tua mob hauv ib qho ntawm tav, sab, lossis plab, thiab loog thiab tingling nyob rau hauv cov cheeb tsam no. Hom no yooj yim tsis meej pem nrog cov teeb meem tshwm sim los ntawm herpes zoster, mob plawv, gallbladder, thiab lwm yam kab mob hauv plab.
• Lumbar radiculopathy feem ntau yog. Nws ua rau nws tus kheej muaj kev kub nyhiab, tua mob hauv qab sab nraub qaum, mob thiab loog hauv qab sab nraub qaum, ncej puab, pob tw, ceg lossis taw. Cov tsos mob feem ntau zuj zus nrog zaum ntev lossis taug kev.

Radiculitis nyob rau hauv cheeb tsam sacral thiab coccygeal yog qhov tsawg tshaj plaws thiab feem ntau zoo ib yam li lub lumbar.

Yuav ua li cas kho sciatica

Tsuas yog nrog kws kho mob xwb. Pib nrog kev mus ntsib tus kws kho mob - nws yuav mloog koj cov lus tsis txaus siab txog kev mob nraub qaum thiab ceg thiab, yog tias tsim nyog, yuav pom zoo rau tus kws kho mob nqaim.

Feem ntau, cov lus piav qhia ntawm cov tsos mob thiab kev kuaj lub cev yog txaus los kuaj xyuas. Tab sis qee zaum koj xav tau X-rays thiab electromyography (ib qho kev sim uas pom tias cov paj hlwb ua cov cim).

Tus kws kho mob yuav kho sciatica raws li hom kab mob lossis kev tsis haum xeeb ua rau nws. Nws yog tseeb hais tias cov tshuaj rau scoliosis, qog thiab ntshav qab zib yog txawv. Qee qhov xwm txheej (piv txwv li, nrog pob txha pob txha), kev phais phais yog qhov tseem ceeb.

Tab sis muaj cov lus pom zoo dav dav thiab. Lawv suav nrog:

• Noj cov tshuaj txo qhov mob los yog cov leeg mob kom txo tau qhov mob. Thaum xaiv cov tshuaj, cia siab rau koj tus kws kho mob.
• Poob poob. Koj tus kws kho mob yuav pom zoo kom noj zaub mov los yog tawm dag zog kom pab koj poob phaus ntxiv.
• Physiotherapy. Nws lub hom phiaj tseem ceeb yog txhawm rau ntxiv dag zog rau cov leeg nqaij thiab tiv thaiv kev ntxhov siab tsis tsim nyog ntawm tus txha nraub qaum. Tsis txhob hnov qab txog kev tawm dag zog uas yuav ua rau koj mob nraub qaum.