I-Sciatica ePhambili: Ukuqaphela iimpawu zokulimala kweNerve

Kubantu abajongene ne-sciatica engapheliyo, xa intlungu kunye nezinye iimpawu zichaphazela kakhulu imisebenzi yemihla ngemihla kunye nokukwazi ukuhamba, ngaba umboneleli wezempilo we-musculoskeletal unokunceda ukukhulula nokulawula iimpawu ngokusebenzisa isicwangciso sonyango lwe-multidisciplinary?

I-Sciatica engapheliyo

I-Sciatica yimeko eqhelekileyo ebangelwa ukunyanzeliswa kwe-nerve ye-sciatic kumqolo ophantsi okanye emlenzeni. I-sciatica engapheliyo yenzeka xa iimpawu zihlala kwiinyanga ze-12 okanye ngaphezulu.

Iimpawu eziphambili zeSciatica

I-Advanced okanye i-sciatica engapheliyo ngokuqhelekileyo ivelisa intlungu ephumayo okanye ehamba phantsi ngasemva komlenze. Uxinzelelo lwe-nerve ye-sciatic ixesha elide lunokubangela:

• Intlungu yomlenze
• Ubungqina
• Ukulinganisa
• Ukuziva kombane okanye ukutshisa
• Ubuthathaka
• Ubuthathaka
• Ukungazinzi kwemilenze, enokuchaphazela ukukwazi ukuhamba.

1. Ukunyanzeliswa kwe-nerve enzima kunokuqhubela phambili ekukhubazekeni komlenze ukuba i-nerve yonakaliswe kakhulu kuxinzelelo olungapheliyo. (UAntonio L Aguilar-Shea, et al., 2022)
2. I-Sciatica inokuqhubela phambili kumonakalo we-nerve we-nerve ezincinci kwaye uhambe ukuya emilenzeni nasezinyaweni. Ukonakala kwemithambo-luvo/i-neuropathy kunokubangela iintlungu, ukuntlitheka, kunye nokulahlekelwa yimvakalelo. (UJacob Wycher Bosma, et al., 2014)

Ukukhubaza iiKhetho zoNyango lweSciatica

Xa i-sciatica iba ikhubaza, ichaphazela ukukwazi komntu ukuhamba, unyango olubandakanyekayo lufunekayo ukuzisa isiqabu. Iimeko ezininzi ze-sciatica ezingapheliyo kunye nezikhubazayo zibangelwa iingxaki nge-lumbar spine. Ukunyanzeliswa kweengcambu ze-nerve ezenza i-nerve ye-sciatic ingenzeka kwi-bulging okanye kwiidiski ze-herniated okanye i-spinal stenosis. Ukuba iimpawu ze-sciatica ziqhubeka ngaphaya kweenyanga ze-12 ngokukhululeka okuncinci okanye akukho nto kunyango lomzimba, ukuchithwa kwe-mechanical non-ukuhlinzwa, ukunweba kunye nokuzivocavoca, okanye iindlela zokulawula iintlungu, iinkqubo zotyando zingafuneka. (ULucy Dove, et al., 2023)

Utyando lwe-Lumbar decompression lubandakanya iinkqubo ezininzi zokudala indawo eninzi kwi-lumbar spine kunye nokunciphisa uxinzelelo lwe-nerve. Utyando lokuthotywa kweLumbar lungabandakanya: (Iklinikhi yaseMayfield. 2021)

Ukuqonda

• Le nkqubo isusa inxalenye yediski eyonakalisiweyo phakathi kwe-vertebrae ukunciphisa ukunyanzeliswa kweengcambu kwi-disc bulging okanye i-herniated disc.

Laminectomy

• Le nkqubo isusa i-lamina, inxalenye ye-vertebrae ebangela ukunyanzeliswa kwe-nerve, ngakumbi ukuba kukho i-bone spur ngenxa ye-arthritic kunye neenguqu eziguqukayo kumqolo.

Foraminotomy

• Le nkqubo yandisa i-foramina, izivulo kwi-vertebrae apho iingcambu ze-nerve ziphuma ukuze zikhulule ukunyanzeliswa.

Ukudibana kwespinal

• Le nkqubo ithatha ama-vertebrae amabini okanye ngaphezulu ukuwadibanisa kunye neentonga zentsimbi kunye nezikrufu zokuzinzisa.
• Inkqubo inokwenziwa ukuba:
• Idiski yonke iyasuswa.
• Iilaminectomi ezininzi zenziwe.
• Enye i-vertebra iye yahamba phambili enye.

Ulawulo loNcedo lwemihla ngemihla lwe-Advanced Sciatica

Ukufumana isiqabu kwiimpawu eziphambili ze-sciatica ekhaya kunokubandakanya iindlela zokuziqhelanisa rhoqo njengokuthatha ibhafu eshushu okanye i-massage yeshawa, kunye nokusebenzisa ipaneli yokufudumeza kumqolo ongezantsi okanye i-glutes ukukhulula izihlunu eziqinileyo ukunceda ukukhulula ukuqina okujikeleze i-nerve ye-sciatic.

• Umthambo olungisayo okanye wokunyanga onje nge-sciatic nerve glides unokunceda ukunciphisa uxinzelelo ecaleni kwemithambo-luvo ngelixa imithambo esezantsi ngasemva ehambisa umqolo ukuya phambili okanye ukugoba ngasemva kunokunciphisa uxinzelelo. (UWitold Golonka, et al., 2021)
• Amayeza afana ne-nonsteroidal anti-inflammatory drugs/NSAIDs, iziphumlisi zemisipha, okanye amayeza entlungu yemithambo-luvo anokucetyiswa. (UAntonio L Aguilar-Shea, et al., 2022)
• I-sciatica ephucukileyo ayinakuphendula kwiindlela zonyango ezilondolozayo, njengoko ukulimala kubekwe kwaye i-nerve kunye nezicubu ezijikelezayo ziye zathintelwa kakhulu.
• Iimpawu ze-Sciatica ezihlala ixesha elide kuneenyanga ze-12 zifuna unyango olubandakanyekayo ngakumbi njengenaliti okanye utyando ukujongana neempawu ngokufanelekileyo. (UAntonio L Aguilar-Shea, et al., 2022)

Ukuphilisa iSciatica engapheliyo

Ukuba isizathu esisisiseko sinokunyangwa ngokufanelekileyo ke i-sciatica engapheliyo inokuphiliswa. I-sciatica engapheliyo ihlala ivela kwiimeko zomgogodla ezifana neediski ze-herniated okanye i-lumbar spinal stenosis. Ezi meko zinciphisa indawo ejikeleze iingcambu ze-nerve eziphuma kwintambo yomgogodla kwaye zidibanise ukwenza i-nerve ye-sciatica. Utyando lwenziwa ukuvula isithuba kumqolo. (Iklinikhi yaseMayfield. 2021) Ngamanye amaxesha i-sciatica iziswa ngenxa yezizathu eziqhelekileyo ezifana ne-tumor okanye isifo somgogodla. Kwezi meko, iimpawu aziyi kusombulula kude kube ngunobangela oyintloko. Amathumba angadinga ukuba asuswe ngotyando ngelixa usulelo lufuna i-antibiotics enobundlobongela ukukhusela ukusasazeka kwezinye iindawo zomzimba. (Isibhedlele soTyando oluKhethekileyo. 2023)

Uphuhliso lweSicwangciso soNyango lweeNgcali zeeNtlungu

Iintlungu eziqhubekayo, ukuphazamiseka, ukubetha, kunye nobuthathaka zizo zonke iimpawu ezimele zijongwe kunye nomboneleli wezempilo. Ingcali yeentlungu inokunceda ukwenza isicwangciso sonyango esibandakanya: (Isibhedlele soTyando oluKhethekileyo. 2023)

• Ulungiso lwenyama
• Unyango lokunyanga
• Chiropractic Uxinzelelo kunye nohlengahlengiso lomqolo
• Ukolula okujoliswe kuko kunye nemithambo
• Ukuthunyelwa kubaboneleli bezempilo abakhethekileyo
• Injections
• Mayeza

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Izizathu ze-Sciatica kunye noNyango

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Ucaphulo

Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-González, R., & Paredes, I. (2022). Sciatica. Ulawulo lwamagqirha eentsapho. Ijenali yezonyango zentsapho kunye nokunyamekela okuphambili, i-11 (8), i-4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21

Bosma, JW, Wijntjes, J., Hilgevoord, TA, & Veenstra, J. (2014). I-sciatic neuropathy ekwanti eyodwa kakhulu ngenxa yemo yelotus elungisiweyo. Ijenali yehlabathi yeemeko zeklinikhi, i-2 (2), i-39-41. doi.org/10.12998/wjcc.v2.i2.39

Dove, L., Jones, G., Kelsey, LA, Cairns, MC, & Schmid, AB (2023). Ngaba lusebenza kangakanani ukungenelela kwe-physiotherapy ekuphatheni abantu abane-sciatica? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-32 (2), i-517-533. doi.org/10.1007/s00586-022-07356-y

Iklinikhi yaseMayfield. (2021). I-laminectomy ye-Spinal decompression kunye ne-foraminotomy.

Golonka, W., Raschka, C., Harandi, VM, Domokos, B., Alfredson, H., Alfen, FM, & Spang, C. (2021). Isolated Lumbar Extension Resistance Exercise in limited Range of Motion for Patients with Lumbar Radiculopathy and Disk Herniation-Clinical Outcome and Influenceing Factors. Ijenali yezonyango zonyango, i-10 (11), i-2430. doi.org/10.3390/jcm10112430

Isibhedlele soTyando oluKhethekileyo. (2023). Sciatica.

Isibhedlele soTyando oluKhethekileyo. (2023). ulawulo Pain.