Qhov no lumbosciatica yog ob yam tsos mob ntawm tus mob no, uas tsis muaj mob rov qab thiab sciatica. Nws yog ib cov tsos mob ntawm tus mob, Li ntawd, nws txhais tau hais tias muaj ntau pathologies uas yuav ua rau nws.
Qhov no mob rov qab Hu ua ib tug uas nyob hauv thaj av ntawd uas sau los ntawm cheeb tsam ntawm lub buttocks rau tus thawj lumbar vertebra, kwv yees li ntawm qhov siab ntawm cov ribs. Qhov no yuav mechanical los yog inflammatory.
Qhov no sciatica, rau nws qhov, Nws hu ua mob uas yog tshwm sim los ntawm irritation ntawm lub paj hlwb sciatic, neuropathic mob, Nws yog characterized los khaus mob uas nqis los ntawm txhais ceg thiab txuas rau ceg cramps, tsis muaj zog thiab kev hloov hauv sensation. Feem ntau cov keeb kwm irritation originates ntawm theem ntawm tus lumbar spine.
Index
Hom lumbosciatica
Qhov no lumbosciatica Yuav tsum txwv kom muab zais raws li lub sij hawm ntawm cov tsos mob ntawm cov tsos mob. Nws yog ib tug uas muaj ib tug lumbosciatica Thaum nws kawg tsawg tshaj li rau (6) lub lis piam; thiab nws yog tias muaj ib tug chronic lumbosciatica Nyob rau hauv cov kev tshwm sim uas cov tsos mob dhau peb lub hlis tas los no.
Yog hais tias nws kawg ntawm peb thiab rau (6) lub hlis, xam tau tias yog ib tug subacute lumbosciatica.
Ua kom muaj lumbosciatica
Muaj ntau pathologies uas yuav ua rau koj raug kev txom nyem los ntawm lumbosciatica, Lub ntsiab yog cov nram qab no:
Spinal disc herniation
Tus intervertebral disc yog composed ntawm ib fibrous nplhaib ntawm collagen uas muaj ib tug nucleus pulposus nrog ib gelatinous consistency.. Thaum ib tawg ntawm lub nplhaib aforemented tshwm sim, Cov tub ntxhais no yuav raug exited, li no muab sawv los ua dab tsi yog hu ua txhab qaum.
Tus annulus fibrosus yog surrounded los ntawm ntau lub paj hlwb xaus, Thiab thaum lub fibers ntawm lub nplhaib so thiab cov nucleus los mus cuag nrog cov xaus nws irritates lawv, li no yuav ua rau mob rov qab mob, thiab yog hais tias irritates yog cov hauv paus hniav, Yuav raug kev nyuaj li cas yuav raug kev nyuaj siab sciatica. Nyob ntawm seb lub hauv paus hniav cuam tshuam dab tsi, cov tsos mob uas yuav raug kev nyuaj rau ntawm txhais ceg yuav sib txawv.
Spondylolisthesis
Ib Spondylolisthesis Yog lub displacement ntawm ib vertebra dua lwm. Qhov no yog hu ua ib vertebral instability. Thaum muaj ib qho ntau zog nyob rau hauv lub vertebra, tsawg rov qab mob keeb kwm, Thaum lub vertebra txav, tus caliber ntawm lub lumbar kwj dej yog txo, Li no muab sawv rau lub compression ntawm lawv neurological qauv thiab yuav ua sciatica.
Vertebral fracture
Thaum ib vertebra ruptures nws yuav ua rau mob rov qab mob. Tej zaum nws yuav tshwm sim uas yog ib lub fragments ntawm lub vertebra yuav compress ib lub hauv paus hniav thiab li no ua ib tug sciatica.
Tumors
Plaub ua kom muaj plaub ua kom muaj lumbosciatica Yog tus mob ntawm ib lub tumor, Uas thaum nws loj hlob weakens lub vertebra, ib vertebral fracture tej zaum yuav tshwm sim. Tsis tas li ntawd, Lub tumor thaum nws loj hlob yuav compress neurological qauv, thiab uas yog thaum sciatica tshwm sim.
kev tshawb nrhiav
Yog paub hais tias tus mob no yuav kuaj tau tus kab mob no lumbosciatica siv:
- xov tooj cua. Los ntawm ib tug xoo hluav taws xob xoo hluav taws xob, muaj ib tug fracture yuav raug ntsuam xyuas, Ntxiv rau qhov uas yuav tau soj ntsuam cov hav zoov ntawm tej instability, Tus kawm ntawv ntawm vertebral degeneration thiab tej zaum tseem tumors yuav kuaj tau.
- Tac. Los ntawm cov CT scan, cov pob txha txawv yuav raug ntsuam xyuas nrog ntau txhais dua nyob rau hauv ib qho xoo hluav taws xob xoo hluav taws xob, Ntxiv rau qhov uas yuav ntsuam xyuas tau yog hais tias muaj nws cov discs thiab paub cov diameter ntawm lub medullary kwj dej. Tus CT scan yog qhov zoo tshaj plaws uas yuav txiav txim seb vertebral fractures yog raug kev nyuaj.
- Magnetic resonance imaging. Qhov no magnetic resonance imaging Qhov zoo tshaj plaws yuav tau ua ib qho kev soj ntsuam ntawm lub medullary kwj dej thiab herniated discs. Los ntawm MRI nws tseem tau mus xyuas cov tumors thiab raws li qhov kev soj ntsuam ntawm fractures uas thaum lawv muaj mild yuav mus unnoticed rau x-rays.
Kev Kho lumbosciatica
Thaum nqa tawm mus kho txoj kev kho lumbosciatica Nws yog ib qho tseem ceeb heev los distinguish mas ntawm ob hom kev kho mob:
Txhag cia kho
Cov conservative kho ntawm tus lumbosciatica Peb nrhiav tau cov nram qab no:
- Tshuaj. Nws yog qhia rau lub sij hawm uas tsis tshaj ob lub lis piam thiab raws li nyob rau hauv cov exacerbations ntawm lub exacerbations ntawm lub chronic lumbosciatica. Rau qhov no koj yuav resort siv analgesics thiab los tiv thaiv inflammatories, Thiab koj yuav txawm thov cov nqaij so kom txaus.
- Physiotherapy. Txuas rau cov tshuaj, Nws yog ib hom rau physiotherapy kho kom tau nkag tau, xws li qhuav xav tau los yog mesotherapy, lwm tus.
- infiltrations: Muaj ntau hom infiltrations uas yuav siv tau los txhim kho ib tug lumbosciatica. Koj yuav resort siv lub ntsej muag blocks los yog nqa tawm ib rhizolysis uas ua tau ib txoj kev kho mob rov qab mob, epidural infiltrations los yog foraminal infiltrations uas pab txhim kho sciatica.
Surgical kho
Muaj cov txheej txheem countless uas yuav siv tau los kho ib qho teeb meem ntawm lumbosciatica, opting rau ib los yog lwm tus nyob ntawm seb ua rau keeb kwm nws. Tej cov kev xaiv uas koj yuav siv tau:
- nucleolysis. Nws consists ntawm lub cev qhuav dej ntawm lub intervertebral disc, Li ntawd, lub siab nws exerts rau lub paj hlwb xaus yog txo. Nws yog qhia rau protrusions thiab hernias muaj nyob.
- Spine endoscopy. Nws yog tus txheej txheem tshaj plaws los kho lumbosciatica, Tau kho cov keeb kwm uas keeb kwm los ntawm ib tug herniated disc, los ntawm ib tug kwj dej stenosis los yog ua tau ib tug txha nqaj qaum fusion.
- Discectomy thiab laminectomy: Lawv yog cov txheej txheem surgical txheej txheem, uas siv los decompress cov hauv paus hniav. Cov no yuav tsum tau muaj incision ntawm 4-5 centimeters thiab mus saib tau cov kwj dej thiab txiav nqaij thiab ib feem ntawm lub ntsej muag ob leeg.
- spinal fusion. tej zaum kuj raug rau cov neeg raug tus mob Spondylolisthesis, Uas cov disc degeneration heev heev los yog decompress lub paj hlwb ntau heev yuav tsum raug tshem tawm, ib vertebral fusion yuav tsum tau associated nrog discectomy los yog laminectomy. Nyob rau hauv qhov kev txiav txim zoo muaj ntau txoj kev los ua ib tug spinal fusion, Uas nyob ntawm tus pathology raug kev nyuaj los ntawm tus neeg mob, As Well as los ntawm tus kws phais tus kheej kev.