I-Sciatica Izizathu: I-Genetics, iingxaki ezisezantsi, i-Piriformis, i-Arthritis

Izizathu ze-Sciatica: Iifom ze-nerve ze-sciatic ngumanyano we-Lumbar4 ukuya kwiingcambu ze-Sacral31 ze-nerve kwaye ziphuma kwi-pelvis ngokusebenzisa enkulu sciatic foramen, ngaphantsi kwesihlunu se-piriformis esisezantsi kwiimpundu. I-nerve ibaleka ihla ngasemva kwethanga, iye emlenzeni, iphele elunyaweni. I-nerve ye-sciatic iyavutha, icaphuke, kunye / okanye ixinzelelwe ngomatshini. Naluphi na uhlobo lwentlungu kunye / okanye i-neurological symptom / s evela kwi-nerve ye-sciatic ibizwa ngokuba yi-sciatica. I-Sciatica luhlobo lwe i-lumbar radiculopathy, oku kuthetha ukuba intlungu ivela kumqolo ophantsi kunye / okanye iingcambu ze-sacral nerve.

Sciatica Causes

Amandla omzimba kwi-nerve anokubangela ukunyanzeliswa koomatshini ngenxa yezi meko zilandelayo:

Iidiski zeHerniated

• I-disc kwi-back back inokuthi ikhuphe okanye i-herniate, ibangele ukucaphuka kunye / okanye ukunyanzeliswa kwengcambu ye-nerve ye-sciatic.

I-Foraminal Stenosis

• I-stenosis, ukuvuleka kwe-intervertebral ehamba ngayo iingcambu ze-nerve, iqala ukucutha / ukuvala ngaphakathi, inokucinezela okanye ukucaphukisa i-nerve ye-sciatic.

Ukuhlaziywa

• Utshintsho oluguquguqukayo kumqolo onjengokuqina kwee-capsules ezidibeneyo kunye / okanye iigaments zinokucinezela i-nerve ye-sciatic.

Ukungazinzi kweCandelo

• Ukungazinzi kwecandelo le-vertebral ye-spinal vertebral eyenzekayo ukuba i-vertebra enye idlula ngaphantsi kwayo - spondylolisthesis
• Iziphene kumqolo - spondylolysis
• Ukuchithwa ngokupheleleyo kwe-vertebrae enye okanye ngaphezulu kunokucinezela ingcambu ye-nerve / s ye-nerve.

Ezinye izizathu ze-Sciatica

• Amathumba, ama-cysts, usulelo, okanye amathumba kumqolo osezantsi okanye ummandla we-pelvic nawo anokubangela uxinzelelo lwe-nerve ye-sciatic.

Ukudumba kwemichiza

• I-Chemical irritants inokubandakanya i-hyaluronic acid kunye / okanye i-fibronectin/ amaqhekeza eprotheyini aphuma kwiidiski ezonakeleyo okanye ezine-herniated. Ezi zinto zicaphukisayo zinokubangela ukuvuvukala kunye / okanye ukucaphuka kwe-nerve ye-sciatic.
• Iidiski ezihlanjululweyo zingabangela ukuba izicubu ze-nerve zikhule zibe kwi-disc, zingene kwiindawo zangaphandle kunye nezangaphakathi zediski, ezibangela i-sciatica. Iimpendulo ze-immune system zinokufaka isandla kwiintlungu xa zibonakaliswe kwi-disc fluid.
• Izinto ezinje nge glycosphingolipids/amafutha kunye neurofilaments /Iipolymers zeprotheyini ezifihliweyo yi-immune system zonyuka kubantu abane-sciatica. Ezi zinto zikhutshwa kwi-reaction phakathi kweengcambu ze-nerve kunye ne-disc eveziweyo, ebangela ukuvuvukala.

Umsebenzi woMsebenzi

Abantu abanemisebenzi ethile banomngcipheko owongeziweyo wokuphuhlisa i-sciatica. Imizekelo ibandakanya:

• Abaqhubi beelori
• Abasebenzi bedesika
• Ootitshala
• Abasebenzi baseWarehouse
• Abasebenzi bomatshini
• Iplumbers
• Oombane
• Abachweli
• Abaqeqeshi bokufaneleka

Ukuhlala nokuma ixesha elide, ukusebenzisa i-posture engafanelekanga, ukugoba rhoqo, ukujija, ukufikelela, kunye nokuphakamisa rhoqo yimiba yengozi ye-sciatica.

Piriformis Syndrome

I-Piriformis syndrome yimeko apho i-piriformis muscle ihluma kunye ne-spasms ukusuka ekusebenziseni ngokugqithiseleyo okanye ukuvuvukala okucaphukisa i-nerve ye-sciatic elungile ngaphantsi. I-nerve inokubanjwa kwisihlunu esibangela iimpawu ezinjenge-sciatica ezibandakanya:

• Iintlungu zilandela ipateni efanayo emlenzeni njengengcambu ye-nerve compressed sciatic.
• Ukulinganisa
• Ubungqina

Ukukhathazeka kwi-piriformis syndrome kuvakalelwa kufana ne-sciatica, kodwa ayibangelwa yingcambu ye-nerve ye-sciatic. Iintlungu zePiriformis zivela kuxinzelelo lwe-nerve ye-sciatic kufuphi ne-piriformis muscle.

Iimbangela ze-Genetic Sciatica

I-Sciatica ebangelwa yi-degenerated kunye / okanye i-disc ye-herniated ingaba yimfuza. Uphando lubonise ukuba izinto ezithile zofuzo zixhaphake kakhulu kubantu abaneengxaki zomqolo kunye nomqolo. Ezi ziphene zokuzalwa zingabangela ukuba iidiski zibe buthathaka kwaye zichaphazeleke kuxinzelelo lwangaphandle. Ngokuhamba kwexesha iiprotheyini kwi-disc zidiliza, ziphazamise ingqibelelo kunye nomsebenzi.

I-arthritis kunye neMiba edibeneyo

I-arthritis okanye ezinye iimeko ezivuthayo ezijikeleze umgudu we-hip zingabangela intlungu phantsi komlenze, ngokufanayo sciatica. Oku kubhekiswa kwiintlungu ezisasazeka ukusuka kumthombo kwaye azikho iintlungu ze-nerve radicular ezivela kwiingcambu zemithambo-luvo.

• Iimeko ezifana i-sacroiliac edibeneyo or sacroiliitis kunokubangela intlungu efana ne-sciatica ehamba ezantsi emva kwethanga kodwa idla ngokuphela ngaphambi okanye emadolweni.
• Intlungu ingaba yinto enzima kwaye iyancipha, njenge-sciatica kodwa ibangelwa ukunyakaza okungaqhelekanga okanye ukungahambi kakuhle kwe-joint sacroiliac.

UkuBumbiswa kweBhunga

Iintlobo zeKholesterol eqhelekileyo

I-cholesterol ephezulu inokukhokelela kwiziphumo ezibi xa ingaphathwanga, kodwa kunokuba nzima ukuyibona ngaphandle kweempawu ezilumkisayo. Yiyo loo nto kubalulekile ukujonga amanqanaba e-cholesterol ngovavanyo lwegazi, ngakumbi ukuba kukho umngcipheko owongeziweyo. Umzekelo we amanqanaba e-cholesterol aqhelekileyo kubantu abadala abaneminyaka engama-20 ubudala nangaphezulu:

• Iyonke i-cholesterol 125-200 mg / dL
• LDL <100 mg/dL
• HDL > 40 mg/dL amadoda, > 50 mg/dL abafazi

yokuPhila

• Ukungabikho kokusebenza komzimba kunegalelo kumanqanaba aphezulu e-cholesterol.
• Ukutya okubandakanya ikakhulu ukutya okucutshungulwayo kunye namafutha ahluthayo kwandisa umngcipheko wamanqanaba aphezulu e-LDL.
• Ukutshaya kunokuthoba amanqanaba e-HDL.

Ukuguga

• Umngcipheko womntu ngamnye wokuphuhlisa i-cholesterol ephezulu udla ngokunyuka njengoko umzimba uhambela phambili ngobudala. Kungenxa yoko le nto kucetyiswa ukuba kubekho iimvavanyo zenyama kunye negazi rhoqo.

Genetics

• Abanye abantu batyekele ngakumbi ngokwemfuza ekuphuhliseni i-cholesterol ephezulu kunye nesifo sentliziyo.
• Ukwazi imbali yosapho lwezonyango kunokunceda ukuqikelela ukuba ingaba yingxaki na.

Ucaphulo

UDavis D, uMaini K, uVasudevan A. Sciatica. [Ihlaziywe ngo-2021 ngoSeptemba 2]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK507908/

Giuffre BA, Jeanmod R. Anatomy, Sciatic Nerve. [Ihlaziywe 2021 Jul 29]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK482431/

Hicks BL, Lam JC, Varacallo M. Piriformis Syndrome. [Ihlaziywe 2021 Jul 18]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK448172/

Raj MA, Ampat G, Varacallo M. Intlungu edibeneyo yeSacroiliac. [Ihlaziywe ngo-2021 ngo-Agasti 30]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK470299/