ʻO ka lumbosciatica ʻo ia ka hui o nā hōʻailona ʻelua, He aha nā ʻeha haʻahaʻa a me ka sciatica?. He hōʻailona ia, No laila, aia nā pathologies like ʻole e hiki ai ke hoʻokō.
ʻO ka ʻeha lumbar ua kapa ʻia ʻo ia ka mea i loaʻa ma ka ʻāina e holo ana mai ka ʻāpana gluteal a i ka vertebra lumbar mua., pili i ke kiʻekiʻe iwi ʻaoʻao. Hiki i kēia ke hana mechanical a inflammatory paha.
ʻO ka sciatica, no kou aoao, Ua kapa ʻia ʻo ia ʻeha i hana ʻia e ka ʻeha o ke aʻalolo sciatic, ʻeha neuropathic, ʻike ʻia e ka ʻeha nui e holo ana ma ka wāwae a pili pū me ka ʻeha wāwae, nāwaliwali a me nā loli o ka manaʻo. I ka hapanui o nā hihia, hoʻomaka ka huhū ma ka pae o ka lumbar spine..
Papa kuhikuhi
Nā ʻano lumbosciatica
ʻO ka lumbosciatica hiki ke hoʻokaʻawale ʻia e like me ka manawa o ka hoʻomaka ʻana o nā hōʻailona. Ua manaoia aia he lumbosciatica ke emi iho malalo o eono pule; a ua manaoia aia lumbosciatica mau i ka hopena o nā hōʻailona ma mua o ʻekolu mahina.
Inā lōʻihi ma waena o ʻekolu a me ʻeono mahina, ua manaoia he a subacute lumbosciatica.
ʻO nā kumu o ka lumbosciatica
Aia nā pathologies like ʻole e hiki ke hoʻopilikia iā ʻoe lumbosciatica, ʻo nā mea nui e like me kēia:
ʻO ka herniation disc
Hoʻokumu ʻia ka disc intervertebral me kahi apo collagen fibrous i loaʻa kahi nucleus pulposus me kahi ʻano gelatinous.. I ka wā e haki ai ke apo i ʻōlelo ʻia, hiki i kēia mea kumu ke kahe i waho, pela i puka mai ai ka mea i ikeia disc herniated.
Hoʻopuni ʻia ka annulus fibrosus e nā aʻalolo like ʻole., a i ka wā e haki ai nā kaula o ka annulus a pili ka nucleus me nā wēlau, hoʻonāukiuki ia iā lākou., pela ka eha o lalo, a ina o na aa aalolo ka mea i hoonaukiuki, ʻo ka mea e ʻeha ʻia a sciatica. Ma muli o ke aʻa aʻalolo i hoʻopilikia ʻia, ʻokoʻa nā hōʻailona e ʻeha ʻia ma ka wāwae..
Spondylolisthesis
A spondylolisthesis ʻo ia ka neʻe ʻana o kekahi vertebra ma luna o kekahi. ʻO kēia ka mea i kapa ʻia ʻo spinal instability.. Ke nui ka neʻe ʻana i ka vertebra, hoʻomaka ka ʻeha haʻahaʻa., i ka neʻe ʻana o ka vertebra, hoʻemi ʻia ka caliber o ka canal lumbar, no laila e hoʻoulu ai i ka paʻi ʻana o kāna mau hana neurological a hoʻoulu i ka sciatica.
haʻi kuamoʻo
Ke haki ka vertebrae hiki ke hōʻeha i ke kua o lalo.. I kekahi mau manawa, hiki i kekahi o nā ʻāpana o ka vertebra ke hoʻopaʻa i kahi aʻa aʻa a no laila ke kumu sciatica.
ʻO nā ʻōpū
He kumu eha o lumbosciatica ʻo ia ka maʻi o ke koko, i ka wa e ulu ai, nawaliwali ia i ka vertebra, hiki ke alakaʻi i ka haʻi kuamoʻo. He aha hou aku, hiki i ke koko i kona ulu ʻana ke hoʻopaʻa i nā ʻōnaehana neurological, a ʻo ia ka manawa e hoʻomaka ai ka sciatica.
ʻIkepili
No ka hōʻoia ʻana o kahi lumbosciatica hoʻohana i ka hoʻohana:
- x-ray. Ma o ka X-ray, hiki ke ʻike ʻia ka loaʻa ʻana o kahi haki., ma waho aʻe o ka hiki ke nānā i ka noho ʻana o kekahi mau ʻano kūʻokoʻa, ka degeneration o ka vertebral degeneration a i kekahi manawa hiki ke ʻike ʻia nā maʻi koko.
- TAC. Ma o CT, hiki ke loiloi ʻia nā ʻano iwi like ʻole me ka wehewehe ʻana ma mua o ka X-ray, ma waho aʻe o ka hiki ke loiloi inā he disc herniations a me ka ʻike i ke anawaena o ka canal medullary. Manaʻo ʻia ʻo CT ka hoʻāʻo maikaʻi loa e hoʻoholo ai inā loaʻa iā ʻoe nā haʻihaʻi vertebral.
- ʻO ka hoʻopaneʻe mākēneki. ʻO ka hoʻopāhaʻi magnetic ʻO ia ka hoʻāʻo maikaʻi loa e hiki ai ke hana i kahi loiloi o ka canal spinal a me nā herniations disc.. Ma o ka MRI hiki ke hōʻoia i ka loaʻa ʻana o nā maʻi koko a me ka loiloi o nā haʻihaʻi i ka wā liʻiliʻi hiki ke ʻike ʻole ʻia i nā hihi X..
Lapaau o lumbosciatica
I ka hana ana i ka lapaau ana o lumbosciatica He mea nui ka hoʻokaʻawale ʻana ma waena o ʻelua ʻano lāʻau lapaʻau:
nā mālama mālama
Ma waena o nā lāʻau conservative lumbosciatica ʻike mākou i kēia:
- Laau lapaau. Hōʻike ʻia ia no nā manawa ʻaʻole iʻoi aku ma mua o ʻelua pule a me nā exacerbations o lumbosciatica mau. No kēia, hiki ke hoʻohana i nā analgesics a me nā lāʻau anti-inflammatory., a hiki ke hoʻohana ʻia nā mea hoʻomaha ʻiʻo.
- Physiotherapy. Hoʻopili ʻia i ka lāʻau lapaʻau, he mea maʻamau ka hoʻokomo ʻana i nā lāʻau lapaʻau physiotherapy, e like me ke kui maloʻo a me ka mesotherapy, mawaena o na mea e ae.
- infiltrations: Aia nā ʻano ʻokoʻa i hiki ke hoʻohana ʻia no ka hoʻomaikaʻi ʻana a lumbosciatica. Hiki iā ʻoe ke hoʻohana i nā poloka facet a i ʻole e hana i kahi rhizolysis e mālama ai i ka ʻeha haʻahaʻa, epidural infiltrations a i ʻole foraminal infiltrations e kōkua i ka hoʻomaikaʻi ʻana i ka sciatica.
Nā lāʻau lapaʻau
Nui nā ʻenehana hiki ke hoʻohana ʻia no ka mālama ʻana i kahi pilikia lumbosciatica, ke koho ʻana i kekahi a i ʻole ma muli o ke kumu i hoʻomaka ai. ʻO kekahi o nā koho e hiki ke hoʻohana:
- Nucleolisis. Aia i loko o ka dehydration o ka intervertebral disc, i emi iho ai ke kaomi ana ma na aalolo. Hōʻike ʻia ia no nā protrusions a me nā hernias.
- hoʻopaʻa ʻana o ka iwi kuamoʻo. ʻO ia ka ʻenehana holomua loa e mālama ai lumbosciatica, hiki ke mālama i nā mea i loaʻa mai kahi disc herniated, no ka stenosis canal a i ʻole ka hana ʻana i kahi hui spinal.
- Discectomy a me ka laminectomy: ʻO nā ʻenehana hana kuʻuna, i hoʻohana ʻia e hoʻopau i nā aʻa aʻalolo. Pono kēia i kahi incision 4-5 kenimika a no ke komo ʻana i ke kahawai a ʻoki i ka ʻiʻo a me ka ʻāpana o ka hui facet.
- Hoʻohui ʻana o Vertebral. Ma na hihia o spondylolisthesis, kahi i ʻoi loa ai ka degeneration disc a i ʻole e hoʻohaʻahaʻa i nā hale aʻalolo he nui ka iwi e pono e wehe ʻia, pono e hoʻopili ʻia kahi hui spinal me ka discectomy a i ʻole laminectomy.. Ma kēia manaʻo, aia nā ʻano like ʻole e hana ai i kahi hui spinal., e pili ana i ka pathology i loaʻa i ka mea maʻi, a me ka ʻike ponoʻī o ke kauka.