The lumbosciatica ndi mgwirizano wa zizindikiro ziwiri, Kodi ululu wammbuyo ndi sciatica ndi chiyani?. Ndi chizindikiro, kotero zikutanthauza kuti pali ma pathologies osiyanasiyana omwe angayambitse.
The kupweteka kwa lumbar imatchedwa yomwe ili m'dera lomwe limachokera kumalo a gluteal kupita ku lumbar vertebra yoyamba., za kutalika kwa nthiti. Izi zitha kukhala zamakina kapena zotupa.
The sciatica, kwa mbali yanu, Amatchedwa ululu umene umayamba chifukwa cha kukwiya kwa mitsempha ya sciatic, ululu wa neuropathic, yodziwika ndi ululu waukulu kuthamanga pansi mwendo ndi kugwirizana ndi mwendo kukokana, kufooka ndi kusintha kwa kumverera. Nthawi zambiri, kukwiya kumayambira pamlingo wa lumbar msana..
Mlozera
Mitundu ya lumbosciatica
The lumbosciatica akhoza kugawidwa molingana ndi nthawi yomwe zizindikiro zimayambira. Zimaganiziridwa kuti pali a lumbosciatica pamene zimatenga zosakwana masabata asanu ndi limodzi; ndipo zimaganiziridwa kuti zilipo matenda aakulu a lumbosciatica ngati zizindikiro zimatha pakapita miyezi itatu.
Ngati itenga pakati pa miyezi itatu ndi isanu ndi umodzi, imatengedwa kuti a subacute lumbosciatica.
Zifukwa za lumbosciatica
Pali ma pathologies osiyanasiyana omwe angakupangitseni kuvutika lumbosciatica, zazikuluzikulu kukhala zotsatirazi:
Diski herniation
The intervertebral disc imapangidwa ndi mphete ya collagen ya fibrous yomwe ili ndi nucleus pulposus ndi gelatinous consistency.. Pamene kuphulika kwa mphete yotchulidwayo kumachitika, chinthu chachikulu ichi chikhoza kutuluka, motero kumayambitsa zomwe zimadziwika kuti herniated disc.
The annulus fibrosus wazunguliridwa ndi mathero osiyanasiyana a mitsempha., ndipo ulusi wa annulus ukasweka ndipo phata likakumana ndi malekezero amawakwiyitsa., motero kumayambitsa kupweteka kwa msana, ndipo ngati chomwe chakwiyitsidwa ndi mizu ya mitsempha, zomwe zidzamve zowawa zidzakhala a sciatica. Malingana ndi mizu ya mitsempha yomwe yakhudzidwa, zizindikiro zomwe zidzapweteke mwendo zidzasiyana..
Spondylolisthesis
A spondylolisthesis ndiko kusamuka kwa vertebra imodzi pamwamba pa inzake. Izi ndi zomwe zimatchedwa kusakhazikika kwa msana.. Pakakhala kusuntha kwakukulu mu vertebra, ululu wochepa wammbuyo umayamba., pamene vertebra imayenda, caliber ya lumbar canal imachepetsedwa, motero kumayambitsa kukanikiza kwa mitsempha yake ndikuyambitsa sciatica.
kuthyoka kwa msana
Pamene vertebra imasweka imatha kuyambitsa kupweteka kwa msana.. Nthawi zina zimatha kuchitika kuti chimodzi mwa zidutswa za vertebra zimatha kupondereza muzu wa minyewa ndikupangitsa sciatica.
Zotupa
Chifukwa chachinayi cha lumbosciatica ndi matenda a chotupa, kuti ikakula imafooketsa msana, kungayambitse kuthyoka kwa msana. Ndi chiyaninso, chotupa pamene chikukula akhoza compress minyewa nyumba, ndipo ndipamene sciatica ikuyamba.
Matenda
Kwa matenda a lumbosciatica malo ogwiritsira ntchito:
- x-ray. Kupyolera mu X-ray, kukhalapo kwa fracture kungayesedwe., kuphatikiza pakutha kuwona kukhalapo kwa kusakhazikika kwina, mlingo wa kuwonongeka kwa vertebral ndipo nthawi zina zotupa zimatha kupezeka.
- TAC. Kupyolera mu CT, mafupa osiyanasiyana amatha kuyesedwa ndi kutanthauzira kochulukirapo kuposa X-ray, kuphatikiza pakutha kuwunika ngati pali ma disc herniations komanso kudziwa kukula kwa ngalande ya medullary. CT imatengedwa kuti ndiyeso yabwino kwambiri yodziwira ngati muli ndi fractures ya msana.
- Magnetic resonance. The maginito resonance Ndilo mayeso abwino kwambiri kuti athe kupanga kafukufuku wa msana wa msana ndi ma disc herniations.. Kupyolera mu MRI n'zotheka kutsimikizira kukhalapo kwa zotupa komanso kuwunika kwa fractures kuti pamene ali pang'ono amatha kusadziwika mu X-ray..
Chithandizo cha lumbosciatica
Pochita chithandizo cha lumbosciatica Ndikofunika kusiyanitsa pakati pa mitundu iwiri ya chithandizo:
Chithandizo chodziletsa
Mwa ndiwofatsa mankhwala lumbosciatica tikupeza zotsatirazi:
- Mankhwala. Zimasonyezedwa kwa nthawi zomwe sizidutsa masabata awiri komanso kuwonjezereka kwa matenda aakulu a lumbosciatica. Pazifukwa izi, kugwiritsa ntchito analgesics ndi anti-inflammatory drugs zitha kugwiritsidwa ntchito., ndipo ngakhale zotsitsimula minofu zitha kugwiritsidwa ntchito.
- Physiotherapy. Zogwirizana ndi mankhwala, ndizofala kuti chithandizo cha physiotherapy chiyambitsidwe, monga kusowa youma kapena mesotherapy, mwa ena.
- kulowa mkati: Pali mitundu yosiyanasiyana ya jakisoni yomwe ingagwiritsidwe ntchito kukonza a lumbosciatica. Mutha kugwiritsa ntchito zida zamagulu kapena kupanga rhizolysis kuti muchepetse ululu wammbuyo, epidural infiltrations kapena foraminal infiltrations yomwe imathandizira kukonza sciatica.
Chithandizo cha opaleshoni
Pali njira zambiri zomwe zingagwiritsidwe ntchito pochiza vuto la lumbosciatica, kusankha chimodzi kapena china kutengera chomwe chidayambitsa. Zina mwazosankha zomwe zingagwiritsidwe ntchito:
- Nucleolysis. Zimakhala ndi kuchepa kwa madzi m'thupi la intervertebral disc, kotero kuti kupsyinjika komwe kumapanga pamitsempha kumachepetsedwa. Amasonyezedwa kuti ali ndi protrusions ndi hernias.
- endoscopy ya msana. Ndi njira zapamwamba kwambiri zochizira lumbosciatica, kutha kuchiza omwe amachokera ku disc ya herniated, kwa canal stenosis kapena kupanga maphatikizidwe a msana.
- Discectomy ndi laminectomy: Ndi njira zachikhalidwe zopangira opaleshoni, zomwe zimagwiritsidwa ntchito kuti zichepetse mizu ya mitsempha. Izi zimafuna chocheka 4-5 centimita ndi kulowa mu ngalande ndi kudula minofu ndi mbali ya mbali ya olowa.
- Kuphatikizika kwa Vertebral. Muzochitika za spondylolisthesis, momwe kuwonongeka kwa disk kumapita patsogolo kwambiri kapena kusokoneza mitsempha ya mitsempha yambiri ya mafupa iyenera kuchotsedwa, kusakanikirana kwa msana kuyenera kugwirizanitsidwa ndi discectomy kapena laminectomy.. M'lingaliro ili, pali njira zosiyanasiyana zopangira fusion ya msana., zomwe zimadalira pathologies yomwe wodwalayo amadwala, komanso chifukwa cha zimene dokotalayo anachita.