Cov mob lumbosciatica yog kev sib koom ua ke ntawm ob qhov tsos mob, Dab tsi yog qhov mob nraub qaum thiab sciatica?. Nws yog ib qho tsos mob, yog li nws txhais tau hais tias muaj ntau yam pathologies uas tuaj yeem ua rau nws.
Cov mob lumbar nws yog hu ua ib tug nyob rau hauv lub cheeb tsam uas khiav ntawm lub gluteal cheeb tsam mus rau thawj lumbar vertebra, txog rib qhov siab. Qhov no yuav ua tau mechanical lossis inflammatory.
Cov mob sciatica, rau koj ib feem, Nws yog hu ua qhov mob uas yog tshwm sim los ntawm irritation ntawm lub paj hlwb sciatic, mob neuropathic, tus cwj pwm los ntawm qhov mob hnyav khiav ntawm ceg thiab cuam tshuam nrog ceg cramps, tsis muaj zog thiab kev hloov hauv kev xav. Feem ntau, kev khaus khaus tshwm sim nyob rau theem ntawm lub lumbar qaum..
Index
Hom lumbosciatica
Cov mob lumbosciatica tuaj yeem raug cais raws li lub sijhawm pib ntawm cov tsos mob. Nws yog suav hais tias yog ib tug mob lumbosciatica thaum nws kav tsawg tshaj li rau lub lis piam; thiab nws tau txiav txim siab tias muaj mob lumbosciatica nyob rau hauv cov kev tshwm sim uas cov tsos mob nyob rau lub sij hawm dhau peb lub hlis.
Yog nws kav li ntawm peb mus rau rau lub hlis, yog suav tias yog ib subacute lumbosciatica.
Ua rau lumbosciatica
Muaj ntau yam pathologies uas tuaj yeem ua rau koj raug kev txom nyem los ntawm mob lumbosciatica, cov tseem ceeb yog cov hauv qab no:
Disc herniation
Lub intervertebral disc yog tsim los ntawm ib tug fibrous collagen nplhaib uas muaj ib tug nucleus pulposus nrog ib tug gelatinous sib xws.. Thaum ib tug rupture ntawm lub nplhaib hais tshwm sim, cov khoom tseem ceeb no tuaj yeem tawm, yog li ua rau qhov uas hu ua herniated disc.
Lub annulus fibrosus yog ib puag ncig los ntawm cov hlab ntsha sib txawv., thiab thaum cov fibers ntawm lub annulus tawg thiab cov nucleus los rau hauv kev sib cuag nrog cov endings nws irritates lawv., yog li ua rau mob nraub qaum, thiab yog dab tsi yog irritated yog cov paj hlwb, dab tsi yuav raug kev txom nyem yuav ib mob sciatica. Nyob ntawm qhov cuam tshuam cov hlab ntsha hauv paus, cov tsos mob uas yuav raug kev txom nyem ntawm ceg yuav txawv..
Spondylolisthesis
A spondylolisthesis yog qhov kev hloov ntawm ib lub vertebra tshaj lwm tus. Qhov no yog qhov hu ua spinal instability.. Thaum muaj ntau dhau ntawm kev txav mus los hauv vertebra, qhov mob qis rov qab pib., Thaum lub vertebra txav, lub caliber ntawm lub lumbar kwj dej yog txo, Yog li muab nce mus rau compression ntawm nws cov paj hlwb thiab ua rau sciatica.
pob txha pob txha
Thaum lub vertebra tawg nws tuaj yeem ua rau mob nraub qaum.. Qee lub sij hawm nws tuaj yeem tshwm sim tau tias ib qho ntawm cov seem ntawm cov vertebra tuaj yeem ua rau cov hlab ntsha hauv paus thiab yog li ua rau ib qho mob sciatica.
Cov qog nqaij hlav
Plaub ua rau mob lumbosciatica yog tus kab mob qog, hais tias thaum nws loj hlob nws weakens lub vertebra, tuaj yeem ua rau tus txha caj qaum. Dab tsi ntxiv, cov qog thaum nws loj hlob tuaj yeem ua rau cov txheej txheem neurological, Thiab qhov ntawd yog thaum sciatica ncaws hauv.
Kev kuaj mob
Rau kev kuaj mob ntawm a mob lumbosciatica resorts rau kev siv ntawm:
- x-rays. Los ntawm kev xoo hluav taws xob, qhov muaj ntawm pob txha tuaj yeem raug ntsuas., Ntxiv rau qhov muaj peev xwm soj ntsuam qhov muaj nyob ntawm qee qhov tsis ruaj khov, qib ntawm vertebral degeneration thiab qee zaum cov qog tuaj yeem kuaj tau.
- TAC. Los ntawm CT, cov pob txha sib txawv tuaj yeem ntsuas nrog ntau lub ntsiab lus ntau dua li hauv X-ray, Ntxiv rau qhov muaj peev xwm ntsuas seb puas muaj disc herniations thiab paub txog txoj kab uas hla ntawm medullary kwj dej. CT yog suav tias yog qhov kev sim zoo tshaj plaws uas los txiav txim seb koj puas muaj pob txha pob txha.
- Sib nqus resonance. Cov magnetic resonance Nws yog qhov kev sim zoo tshaj plaws kom muaj peev xwm ua tau qhov kev ntsuam xyuas ntawm tus txha caj qaum thiab disc herniations.. Los ntawm MRI nws tuaj yeem tshawb xyuas qhov muaj cov qog thiab kev ntsuam xyuas ntawm cov pob txha tawg uas thaum lawv me me tuaj yeem tsis pom hauv X-rays..
Kev kho mob ntawm mob lumbosciatica
Thaum nqa tawm kev kho mob ntawm mob lumbosciatica Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm ob hom kev kho mob:
kev kho mob
Ntawm cov kev kho mob conservative mob lumbosciatica peb pom cov hauv qab no:
- Tshuaj. Nws yog qhia rau lub sij hawm uas tsis pub tshaj ob lub lis piam thiab nyob rau hauv exacerbations ntawm mob lumbosciatica. Rau qhov no, kev siv cov tshuaj analgesics thiab tshuaj tiv thaiv kab mob tuaj yeem siv tau., thiab txawm tias cov leeg nqaij so tuaj yeem siv tau.
- Kev kho lub cev. Txuas rau tshuaj, Nws yog ib qho kev qhia txog kev kho physiotherapy, xws li qhuav needling lossis mesotherapy, ntawm lwm tus.
- infiltrations: Muaj ntau hom kev txhaj tshuaj uas tuaj yeem siv los txhim kho a mob lumbosciatica. Koj tuaj yeem siv rau kev siv facet blocks lossis nqa tawm rhizolysis uas yuav kho qhov mob qis, epidural infiltration los yog foraminal infiltration uas pab txhim kho sciatica.
Kev kho mob phais
Muaj ntau ntau cov tswv yim uas tuaj yeem siv los kho qhov teeb meem ntawm mob lumbosciatica, xaiv rau ib qho lossis lwm qhov nyob ntawm qhov laj thawj uas tshwm sim nws. Qee qhov kev xaiv uas tuaj yeem siv tau:
- Nucleolisis. Nws muaj lub cev qhuav dej ntawm intervertebral disc, thiaj li hais tias lub siab nws exerts ntawm cov hlab ntsha xaus yog txo. Nws yog qhia rau muaj protrusions thiab hernias.
- tus txha caj qaum endoscopy. Nws yog cov txheej txheem tshaj plaws los kho mob lumbosciatica, muaj peev xwm kho cov neeg uas tshwm sim los ntawm herniated disc, rau kwj dej stenosis los yog ua ib tug txha caj qaum fusion.
- Discectomy thiab laminectomy: Yog cov txheej txheem phais ib txwm, uas yog siv los decompress paj hlwb. Cov no xav tau ib qho incision 4-5 centimeters thiab nkag mus rau lub kwj dej thiab txiav cov leeg thiab ib feem ntawm lub ntsej muag sib koom ua ke.
- Vertebral fusion. Hauv cov xwm txheej ntawm spondylolisthesis, Nyob rau hauv uas lub disc degeneration yog heev advanced los yog decompress cov hlab ntsha lug ntau ntawm cov pob txha yuav tsum tau muab tshem tawm, ib tug spinal fusion yuav tsum tau txuam nrog lub discectomy los yog laminectomy.. Hauv qhov kev nkag siab no, muaj ntau txoj hauv kev los ua tus txha caj qaum., uas nyob ntawm seb tus neeg mob tau txais cov kab mob pathology, zoo li los ntawm tus kws phais tus kheej qhov kev paub.