Inzululwazi yeNzululwazi

I-nerve ye-sciatic yeyona inkulu emzimbeni kwaye idalwe ziingcambu ezintlanu zemithambo-luvo ezidibana kwaye ziphume kumqolo ongezantsi.. Ingena ezimpundwini macala omabini ihle emathangeni iyokutsho ezithendeni nasezinyaweni. I-sciatic I-nerve idibanisa intambo yomgogodla kwizihlunu zethanga, umlenze kunye nonyawo. Naluphi na uhlobo lwentlungu kunye / okanye i-neurological symptom / s evela kwi-nerve ye-sciatic eyaziwa ngokuba yi-sciatica. Iimpawu zinokuvakala ecaleni kwendlela yemithambo-luvo. Oku kunokuba:

• Phantsi ngasemva
• Iintonga
• Amathanga
• Amathole
• iinyawo
• Okanye ingaba yindibaniselwano yazo zonke iindawo

 

Iimpawu zeNeurological

Xa i-nerve icinezelekile, iimpawu ze-neurological zingahamba kunye neentlungu. Ezi ziquka:

Ubuthathaka bemisipha yethanga

Ukuba izihlunu zamathanga zichaphazeleka, ubuthathaka bunokuvakala xa ugoba okanye uguqa ngamadolo.

Ubuthathaka bomlenze kunye nonyawo lwesihlunu

Ubuthathaka bunokuvakala xa uzama ukugoba idolo okanye ukhomba unyawo/iinzwane phezulu/ezantsi. Oku kunokukhokelela ekubeni ukuhla kweenyawo, eyenza ukuphakamisa indawo engaphambili yonyawo xa uhamba nzima. Ubunzima bunokubonakaliswa xa uphakama kwindawo ehleliyo okanye uhamba ngeengcebiso.

Ubungqina

Ukuphulukana nokuziva kunokwenzeka xa imithambo-luvo/ukudluliselwa kwemithambo-luvo kungenakudlula kuyo yonke indlela. Iindawo eziqhelekileyo ezichatshazelwa bubundisholo zezi:

• Icala lethole
• Icala lesithende
• Emazantsi onyawo
• Phezulu konyawo

IParesthesia

Le i imvakalelo engaqhelekanga esikhumbeni. Iziswa ngokugqithiswa kwemithambo-luvo engafanelekanga. Olu luvo lungabandakanya:

• Ukulinganisa
• Ukuqina
• Izikhonkwane-kunye-neenaliti
• Ukukhasa imvakalelo ngasemva kwethanga kunye/okanye umlenze

I-Sciatic Nerve iyachaphazeleka

I-nerve ye-sciatic ingaba:

• Ndinomsindo
• Icinezelwe
• Ukutsha
• Le lumbar / umqolo ophantsi radiculopathy indlela ukuba intlungu iqala kwaye ijikeleze i-lumbar kunye / okanye isakram/sacrum iingcambu zemithambo-luvo.

Ukunyanzeliswa

Amandla omzimba anokuchaphazela i-nerve elandelayo iimeko eziqhelekileyo:

I-Disc Herniation

I-disc kumqolo osezantsi inokugqabhuka okanye i-herniate. Oku kubangela ukucaphuka okungakhokelela kuxinzelelo lwengcambu yemithambo-luvo.

Stenosis

I-stenosis ithetha indawo yokuvula apho i-nerve ye-sciatic ephuma kwiimpundu iqala ukuba mxinwa ngobungakanani. Oku kudala i-clog kunye nezinye iingcambu ze-nerve ezicinezela okanye ezicaphukisa i-nerve ye-sciatic. Utshintsho oluguquguqukayo kumqolo onjengokuqina kwe-facet joint capsules kunye/okanye ii-ligaments zinokucinezela i-nerve ye-sciatic.

Ukukhubazeka

Ukungazinzi kwecandelo le-vertebral kwenzeka xa i-vertebra enye ityibilika phezu kwengaphantsi kwayo, eyaziwa ngokuba spondylolisthesis. Kukho kwakhona iziphene zomqolo ezifana spondylolysis nto leyo kukuchithwa ngokupheleleyo kwe-vertebrae enye okanye ngaphezulu. Oku kunokucinezela ngokuthe ngqo iingcambu ze-nerve sciatic.

Impendulo evuthayo

Iikhemikhali zomzimba ngokwazo zinokuwucaphukisa umthambo-luvo obangela ukudumba. Ezi zithukuthezi zeekhemikhali ziquka:

• IHyaluronic acid
• IFibronectin amaqhekeza eprotheyini avuza kwiidiski ezonakeleyo okanye eziphantsi kwe-herniated kwaye zijikeleze iingcambu zemithambo ye-sciatic.
• Kukho amaxesha apho ii-discs ezichithwayo zingabangela ukuba izicubu ze-nerve zikhule zibe yidiski. I-tissue ingena kwiindawo zangaphandle nangaphakathi zediski, ezibangela ukuvuvukala kunye nentlungu.
• Olunye uphando lubonise indlela impendulo ye-immune system inokuba negalelo ngayo kwiintlungu ze-sciatic xa kukho ukuvezwa kwezinto zediski ezivela kwi-disc / s ye-herniated.

Glycosphingolipids ezingamanqatha, kwaye neurofilaments eziziiprotein polymers. Zifihliwe yi-immune system kwaye zifunyenwe zinezinga eliphezulu kubantu abane-sciatica. Kukholelwa ukuba bakhululwa ngokusabela kwiingcambu ze-nerve kunye nezinto ezibonakalayo zediski. Oku kunokukhokelela ekudumbeni kwe-nerve ye-sciatic.

UkuBumbiswa kweBhunga

Iimpawu zomzimba zomntu zinokuchaphazela i-nerve ye-sciatic. Uphando lubonise ukwanda komngcipheko we-sciatica ku:

• Abantu abatyebe kakhulu
• Abantu abatyebe ngokugqithiseleyo
• Abantu abadala
• Abantu abade

Ukulimala Komsebenzi

Abantu abanemisebenzi ethile banokunyusa umngcipheko wokuphuhlisa i-sciatica. Imizekelo ibandakanya:

• Abaqhubi be-Semi-Lori
• Abaqhubi boomatshini
• Abasebenzi bokwakha
• Iinwele zeenwele
• Abasebenzi beofisi
• Iimbaleki eziphakamisa iintsimbi

Oku kuvela:

• Ukuhlala ixesha elide
• Ukunyanzeliswa okubi
• Ukugobela phambili okanye emacaleni rhoqo
• Ukuphakamisa rhoqo iingalo ngaphezu kwinqanaba lamagxa
• Zonke zizinto eziyingozi.

Ukunqongophala kweVitamin B12

Amanqanaba aneleyo e-vitamin B12 abalulekile kwimpilo ye-nerve. I-Vitamin B12 ixhasa i-myelin sheath egquma kwaye ikhusela imithambo-luvo. Ibalulekile ekusebenzeni kwemithambo-luvo nasekudluliseleni iimpembelelo. I-Sciatica inokuvela kwi-vitamin B12 yokunqongophala. Nangona kunjalo, oku kuxhaphake ngakumbi kubantu abangama-60+.

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Uhlalutyo Lomzimba

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Ukunciphisa Iintlungu zeNerve Ngokusebenzisa Isondlo seKlinikhi

Isondlo seklinikhi sisixhobo esinamandla sokunceda ukunciphisa i-sciatica. Abantu abaninzi banokuthomalalisa iintlungu zabo ngohlengahlengiso lokutya. Nazi iingcebiso ezimbalwa zokutya zokunciphisa iintlungu ze-nerve ye-sciatic ngesondlo seklinikhi:

• Ngamanye amaxesha, i-sciatica inokubangelwa kukunyanzeliswa kokutya okungenampilo
• Ukudibanisa ukutya okunefayibha
• Iziqhamo kunye nemifuno ziya kuthintela ukuqhina
• Iintlanzi ezinamafutha afana nesalmon kunye nehalibut zizityebi kwi-omega 3 fatty acids
• Ipayinapile ezintsha kunye namaqunube zi-anti-inflammatories ezixhasa ukuphilisa kunye nokunyusa amajoni omzimba
• 2-3 iikomityi zeti eluhlaza
• Yongeza i-turmeric, i-ginger, kunye negalikhi ekutyeni
• B-iivithamini zibalulekile ukuba zithathe xa uhamba nge-sciatica kwaye zifumaneka kwi-peas eluhlaza, isipinatshi, iimbotyi ze-navy, amantongomane, iibhanana.
• Ukutya okutyebileyo kwiiVithamini A njengemveliso yobisi, imifuno enamagqabi amnyama, iziqhamo ezinombala o-orenji, amaqanda, kunye neentlanzi ezinamafutha
• Ukutya okutyebileyo kwi-C-Vithamini, njenge-citrus kunye neetumato
• IiVithamini ze-K ezifana ne-broccoli kunye nesipinatshi
• Sela amanzi amaninzi, phakathi kweeglasi ezi-6 ukuya kwezisi-8 ngosuku

Ukutya ekufuneka sikuphephe

• Iingcali zezondlo zincoma ukuba zinqumle iimveliso zenyama ngaphandle kweentlanzi ezinamafutha kwiiveki ezimbini zokuqala.
• Ukutya okuqulathe ioli yejongilanga, ioli yengqolowa, ioyile yesesame, imajarini, kunye neoyile enehydrogenated.
• Ukutya okucinezelayo okufana necaffeine, ukutya okucutshungulweyo, isoda, iswekile esulungekileyo, kunye netshokholethi.
• Utywala

Ucaphulo

Giuffre BA, Jeanmod R. Anatomy, Sciatic Nerve. [Ihlaziywe 2018 Dec 16]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK482431/.

Heuch I, Heuch I, Hagen K, Zwart JA. Umbutho phakathi kobude bomzimba kunye neentlungu ezingapheliyo ezisezantsi: ukulandelwa kwiSifundo sezeMpilo saseNord-Trøndelag [ukulungiswa okupapashiweyo kubonakala kwi-BMJ Open. 2015;5(10):e006983]. BMJ Vula. 2015;5(6):e006983. Ipapashwe 2015 Jun 15. doi:10.1136/bmjopen-2014-006983.

Kumar, M. Epidemiology, i-pathophysiology kunye nonyango lweempawu ze-sciatica: Uphononongo. nt. J. Pharm. Ubomi. Arch. 2011, 2.

Quero L, Klawitter M, Schmaus A, et al. Amaqhekeza e-asidi ye-Hyaluroniki aphucula impendulo yokuvuvukala kunye ne-catabolic kwiiseli zediski ze-intervertebral zabantu ngokumodareyitha kweendlela zokubonisa i-toll-like receptor 2. I-Arthritis Res Ther. 2013;15(4): R94. Ipapashwe 2013 Aug 22. doi:10.1186/ar4274.

UShiri R, uLallukka T, uKarppinen J, uViikari-Juntura E. Ukutyeba njengoMngcipheko weSciatica: Uhlalutyo lweMeta. Ijenali yaseMelika ye-Epidemiology. 2014;179(8):929-937. doi:10.1093/aje/kwu007.