Iindlela zokumodareyithwa kwezibuko iindlela ezikhoyo e-El Paso, TX

Uninzi, ukuba akunjalo konke, izifo zomzimba zenza intlungu. Ubuhlungu ityhilwa kwaye iqondwe kwingqondo. Ubuhlungu buyilungelelaniswa ezimbini iintlobo ezibalulekileyo zeziyobisi ezisebenza kwiingqondo: i-analgesics kunye ne-anesthetics. Igama elithi analgesic libhekisela kwiyeza elithintela intlungu ngaphandle kokulahlekelwa yintliziyo. I-central anesthesia ibhekiselele kumachiza okuphazamisa i-CNS. Iyabonakala ngokusilela kwayo yonke imbono yendlela yokuziphatha, ngokomzekelo, ukulahlekelwa kwengqondo ngaphandle kokulahlekelwa yimisebenzi ebalulekileyo.

I-Opiate Analgesia (OA)

Impumelelo yeeklinikhi ezisetyenziswa kakhulu ukuvelisa i-analgesia yesikhashana kunye nokukhululeka kwintlungu yintsapho ye-opioid, equka i-morphine kunye ne-heroin. Kukho okwangoku akukho zonyango ezinamandla zokhetho lwezonyango kwii-opiates. Iziphumo ezininzi ezibangelwa ukusetyenziswa kwe-opiate zibandakanya ukunyamezela nokuxhomekeka kweziyobisi okanye umlutha. Ngokubanzi, la machiza ukuliguquguqula ulwazi intlungu engenayo kule umnqonqo kunye nenkqubo luvo, ukongeza kuphele iintlungu okwethutyana, kwaye nazo ngokuba opiate evelisa analgesia (OA). ochasene Opiate sisiyobisi ukuba antagonizes iziphumo opioid, ezifana naloxone okanye maltroxone, njl njl .. Aba bachasene lokhuphiswano receptor opiate. Nangona kunjalo, ubuchopho bunesiphaluka se-neuronal kunye nezinto ezingapheliyo ezijongene neentlungu.

Oogoids Endogenous

I-opioidergic neurotransmission ifumaneke kuyo yonke ingqondo kunye nomthambo womgudu kwaye ikholelwa ukuba ifuthe kwimisebenzi emininzi yenkqubo ye-nervous system, okanye i-CNS, njenge-nociception, imisebenzi ye-cardiovascular, i-thermoregulation, ukuphefumula, imisebenzi ye-neuroendocrine, imisebenzi engenziwayo, ukusetyenziswa kokutya, umsebenzi wesondo, ukhuphiswano indlela yokuziphatha kunye neememori nokufunda. I-opioids yenza imiphumo ephawulekayo kwimvakalelo kunye nefuthe kwaye ivelise umvo wokuvuya.

Iiklasi ezintathu zezamkeli ze-opioid zichongiwe: ?-mu, ?-delta kunye ne?-kappa. Zonke iiklasi ezi-3 zisasazwe ngokubanzi kwingqondo. Ufuzo olufaka ikhowudi nganye kwezi luye lwenziwa lwaza lwafunyanwa lusebenza njengamalungu e-G protein receptors. Ngaphezu koko, iintlobo ezintathu eziphambili ze-endogenous opioid peptides ezisebenzisana ne-opiate receptors ezingentla ziye zaqatshelwa kwinkqubo ye-nervous central, kubandakanywa, ?-endorphins, enkephalins kunye needynorphins. Ezi peptide ze-3 ze-opioid zithathwe kwi-protein receptor enkulu ngamacandelo amathathu ahlukeneyo, njenge-proopiomelanocortin, okanye i-POMC, i-gene, i-proenkephalin gene kunye ne-prodynorphin gene. ukukhululwa ngokuthintela ukungena kwe-Ca2 + kwi-terminal ye-presynaptic, okanye okwesibini, bavula iziteshi ze-potassium, eziphazamisa i-neurons kwaye inqanda umsebenzi we-spike. Basebenza kwii-receptors ezahlukeneyo ngaphakathi kwengqondo kunye nentambo yomgogodla.

I-Enkephalins ithathwa njenge-puative ligands ye-? abamkeli, ? ii-endorphins ze-?-receptors zayo, kunye needynorphins ze-? abamkeli. Iindidi ezahlukeneyo ze-opioid receptors zisasazwa ngokwahlukileyo ngaphakathi kwi-peripheral kunye ne-central system ye-nervous, okanye i-CNS. Kukho ubungqina bomahluko osebenzayo kula ma-receptors kwizakhiwo ezahlukeneyo. Oku kuchaza ukuba kutheni iziphumo ebezingalindelekanga ezininzi zenzeka emva konyango lwe-opiate. Umzekelo, ii-receptors ze-mu (?) zixhaphakile kwi-brain stem parabrachial nuclei, apho iziko lokuphefumla kunye nokuthintela ezi neurons kunokubangela into eyaziwa ngokuba kukudandatheka kokuphefumla.

I-terminals ephakathi okanye ye-peripheral ye-nociceptive afferent fibers ibonisa i-opiate receptors apho i-opioids engaphandle kunye ne-endogenous inokuthi isebenze ukulungelelanisa ukukwazi ukuhambisa ulwazi lwe-nociceptive. Ukongezelela, ukuxinana okuphezulu kwe-opiate receptors kufumaneka kwi-periaqueductal grey, okanye i-PAG, i-nucleus raphe magnus, okanye i-NRM, kunye ne-dorsal raphe, okanye i-DR, ukusuka kwi-rostral ventral medulla, kwintambo yomgogodla, i-nucleus ye-caudate, okanye i-CN, i-nucleus ye-septal, i-hypothalamus, i-habenula kunye ne-hippocampus.�I-opioids elawulwa ngokucwangcisiweyo kwiidosi ze-analgesic zisebenzisa iindlela zomnqonqo kunye ne-supraspinal ngokusebenzisa ?, ?, kunye ? uhlobo lwe-opioid receptors kunye nokulawula iimpawu zentlungu ukulungelelanisa iimpawu.

Ii-Circuits ze-Neuronal kunye ne-Pain Modulation

Kwiminyaka emininzi kwakucetyiswa ukuba kwindawo ethile kwinkqubo yesistim ephakathi kukho isiphaluka esinokuyilungisa iinkcukacha zentlungu engenayo. Isango lokulawula i-theory kunye nenkqubo yokunyuka kweentlungu ezikhuphukayo / zehlayo zimbini iingcebiso zesekethe. Ngezantsi, siza kuxubusha zombini ngeenkcukacha ezingaphezulu.

Isango loLawulo lweSango

Inkqubo yokuqala yohlengahlengiso ebizwa ngokuba yiyo ukulawula isango, kucetyiswa nguMelzack kunye neWold phakathi ne-1960. Ingcamango yokulawula isango kukuba i-input non-painful input ivala amasango ukuba ibe negalelo elibuhlungu, elibangela ukuphepha ukuvalelwa kwintlungu ekuhambeni ukuya kwi-CNS, umzekelo, ukungenazixhala, okanye ukuvuselela intlungu.

Iingcamango zibonisa ukuba iimbumba ezininzi zengqondo eziphethe i-sensory input input activate interneurons, ezivimbela nokulawula idatha yokudlulisa iintlungu ezithathwe kwiintlungu zentlungu. Igalelo elingaxhamliyo lithintela intlungu, okanye igalelo lomsindo, kwaye livala isango kwigalelo elixhalabisa. Isango lokulawula i-theory ibonisa ukuba kwinqanaba lomgca, umonakalo ongabonakaliyo uya kudala ukukhuseleka kwe-presynaptic kwiingcambu ze-nociceptor eziqhotyoshelweyo ezichanekileyo kwi-nociceptors spinal neurons (T). Le ndlela yokukhusela i-presynaptic iya kunqanda ulwazi olungenayo into enobungozi ekufikeleleni kwi-CNS, umzekelo, iya kuvimba isango kwimininingwane engcolileyo.

Isango lokulawula i-theory yinto esengqiqo yembono emva komveliso kunye nokusetyenziswa kwe-transcutaneous electrical nerve stimulation, okanye i-TENS, ngenxa yokukhululeka kwentlungu. Ukuze usebenze ngempumelelo, i-TENS iyunithi ivelisa iifom e zimbini ezahlukeneyo ngaphantsi kwesithintelo sentlungu esingathathwa ngumguli. Le nkqubo ifumene iqondo lokuphumelela kwonyango lwangaphantsi.

Ukuqulunqiswa kobuhlungu: I-Theory Control Theory

Ukukhuthazwa kuveliswe i-Analgesia (SPA)

Ubungqina bokuba inkqubo ye-analgesia efunyenwe yenziwe ngokuvuselelwa kwamandla kagesi kwezinye iindawo eziphilileyo zobuchopho. Ezi ndawo ziza kuba yi-gray-piredqueductal grey, okanye i-PAG, ne-nucleus raphe magnus, okanye i-NRM, i-rase ye-dorsal, okanye i-DR, i-nucleus ye-cassate, okanye i-CN, i-nucleus ye-septal, okanye i-Spt, kunye nezinye iisuclei. Ukuvuselela okunjalo okanye iimpawu zengqondo, kuvimbela intlungu, ukwenza i-analgesia ngaphandle kokunciphisa ukuziphatha, ngelixa i-touch, izinga lokushisa kunye noxinzelelo lwexinzelelo luhlala luhambelana. Ngokweziphumo zophando, i-SPA, okanye i-stimulated analgesia ekhuthazwayo, ibonakala ngakumbi kwaye iqhubeka ixesha elide emva kokukhuthaza abantu kunokuba zizilwanyana zokulinga. Ukongeza, ngexesha le-SPA, izifundo, nangona kunjalo, zisaphendula ngokuvuselela okungapheliyo njengobushushu kunye nokuthintela ngaphakathi kwinqanaba le-analgesia. I-CNS yeyona ndlela iphumelelayo, okanye inkqubo ye-nervous system ye-SPA, iya kuba kwi-PAG kunye ne-raphe nuclei, okanye i-RN.

Ukuvuselelwa kombane kwe-PAG okanye i-NRM kuvimbela iiseli zomnxeba zomnxeba, okanye i-neurons yomgogodla eyenza i-monosynaptically i-thalamus, kwi-laminae I, ii-II kunye ne-V ukuqinisekisa i-noxiice information evela kwi-nociceptors ekugqibeleni ilandelelwe kwinqanaba lomqolo. Ngaphezu koko, i-PAG inxibelelwano lwe-neuronal kwi-nucleus raphe magnus, okanye i-NRM.

Umsebenzi we-PAG kakhulu unokwenzeka ngokusebenza kwendlela ehlayo esuka kwi-NRM kwaye mhlawumbi kwakhona ngokusebenza kwenyuka ukunxibelelana okwenza kumanqanaba amakhulu angaphantsi kweCSS. Ukongezelela, ukuvuselelwa kwamandla ka-PAG okanye i-NRM kuvelisa i-analgesia yokuziphatha, okanye ukuvuselelwa kwe-analgesia eyenziweyo. Ukukhuthazwa okuveliswe nge-analgesia, okanye i-SPA ibangela ukukhululwa kwe-endorphins engavinwa yi-opiate yecawaxone.

Ngexesha le-PAG kunye / okanye ukuvuselelwa kwe-RN, i-serotonin, ebizwa ngokuba yi-5-HT, inokuthi ikhutshwe ngokunyuka iphinde ihlahle i-axon kwi-nuclei engaphantsi, kwi-nuclei yomgogodla kunye nasentanjeni yomgcini. Ukukhululwa kwe-5-HT iyakumodareyitha kwaye ilawule ukuhanjiswa kwentlungu ngokuvimbela okanye ukuvimbela inyathelo elingahambiyo le-neural. Ukukhutshwa kwe-5-HT ngecala lombane le-nuclei okanye i-lesion ye-neurotoxic eyenziwa yilenki yekhemikhali efana ne-parachlorophenylalanine, okanye i-PCPA, iphumela ekunqandeni amandla opiate, kokubambisana kunye ne-systemic, kunye ukuvuselela ugesi ukwenzela ukuvelisa i-analgesia.

Ukuqinisekisa ukuba ukuvuselela ugesi kuvelise i-analgesia ngokusebenzisa ukukhutshwa kwe-opiate kunye ne-dopamine, ngoko ummandla ungaphantsi kwe-microfowine kunye ne-morphine okanye i-5-HT. Yonke le microinjections ekugqibeleni yenza i-analgesia. Ezi nkqubo zinika indlela yokufumanisa iinkalo zengqondo ezinxulumene nokunciphisa intlungu kunye nokuncedisa ukuvelisa imephu yeendawo ezibuhlungu. Indlela efanelekileyo kakhulu yokuvelisa i-opiate analgesia, okanye i-OA, i-injection injection ye-morphine kwi-PAG.

I-PAG kunye ne-RN kunye nezinye izakhiwo zobuchopho apho i-analgesia ikhiqizwa, nazo zizityebi kwi-opiate receptors. I-intracerebral ulawulo lwe-opioid eveliswe nge-analgesia kunye ne-SPA inokuvinjelwa kwinkqubo okanye kwi-microinjections yendawo ye-naloxone, umphikisi we-morphine, kwi-PAG okanye kwi-RN. Ngenxa yoko, kuphakanyisiwe ukuba zombini, i-OA kunye ne-SPA, isebenza ngokusetyenziswa rhoqo.

Ukuba i-OA ne-SPA ziziphatha ngendlela efanayo, i-hypothesis yokuba i-opiates isebenze inqubo yokunciphisa intlungu ininzi kakhulu. Njengokuba kunjalo, ubungqina bokuba bukhoyo bubonisa ukuba i-microinjections ye-opiate ibe yi-PAG isebenze inkqubo efanelekileyo ye-brainstem ekhubaza ukutshatyalaliswa kweentlungu kumanqanaba omgca womgca. Ezi mbono zibonisa ukuba i-analgesia efunyenwe kwi-gray-pedqueductal grey, okanye i-PAG, ifuna umgwaqo wehla ukuya kumgca wesipelini.

Insight of Dr. Alex Jimenez

Ukumodareyithwa kobuhlungu kwenzeka ngenkqubo yokuvuselela ingqondo yombane eyenzeka ngenxa yokusebenza kwee-fibers inhibitory, ezilawula okanye ezivimbela igalelo kunye nemveliso ye-neurons ethile. Into echazwe njenge-opioid kunye ne-serotonergic, zikholelwa ukuba ziguqula zombini i-opiate analgesia yendawo kunye ne-brain-stimulation generated analgesia. Izibonakaliso zengqondo okanye iimpembelelo kwinkqubo yesistim ephakathi zilawulwa ngokunyuka kokuhla kweenkqubo zokuvimbela izixhobo, ukusebenzisa i-opioids engapheliyo okanye ezinye izinto ezinokuphela, ezifana ne-serotonin njengabalamli abavimbelayo. Ubunzima bubona bunzima obunokuthi bube nefuthe kwiintlobo zezinye izinto, kuquka isimo sengqondo.

Iinkqubo zoLungiso lweMpawu

Ukunyuka nokuhla kweNqanaba lokuPhukisa iNtlu

Iintsinga eziphambili ezinyukayo, ezifana ne-A? kunye ne-C fibers, zifikelele kwiphondo le-dorsal yentambo yomgogodla ukusuka kwiindawo ze-nerve ze-peripheral ukwenzela ukuba i-innervate i-nociceptor neurons kwi-Rexed laminae I & II. Iiseli ezivela kwi-Rexed lamina II zenza uxhulumaniso lwe-synaptic kwi-Rexed layers IV ukuya kwi-VII. Iiseli, ngakumbi kwi-laminae I kunye ne-VII yophondo lwedorsal, zibangela ukunyuka kwamaphecana e-spinothalamic. Kwinqanaba lomgogodla, i-opiate receptors ifumaneka kwi-presynaptic endings ye-nocineurons yabo kunye nenqanaba le-interneural layers IV ukuya kwi-VII ukusuka kwiphondo le-dorsal.

Ukusebenza kwe-opiate receptors kwinqanaba le-interneuronal kuvelisa i-hyperpolarization ye-neurons, ekhokelela ekuvinjweni kokusebenza kunye nokukhululwa kwe-substance P, i-neurotransmitter ebandakanyekayo ekugqithiseni intlungu, ngaloo ndlela ikhusela ukuhanjiswa kweentlungu. Isekethe equkethe i-periaqueductal grey, okanye i-PAG, into ekwisiqu esiphezulu sobuchopho, i-locus coeruleus, okanye i-LC, i-nucleus raphe magnus, okanye i-NRM, kunye ne-nucleus reticularis gigantocellularis, okanye i-Rgc, ikhokelela kwiintlungu ezihlayo. indlela yokunciphisa, evimbela idatha yentlungu engenayo kwinqanaba lomgogodla.

Njengoko kushiwo ngaphambili, i-opioids iyadibana ne-opiate receptors kwimilinganiselo ye-nervous system central. Ezi i-opiate receptors ziindawo eziqhelekileyo ezijoliswe kuzo kunye nama-opiate endogenous, njenge-endorphins kunye ne-enkephalins. Ngenxa yokubopha kwi-website yeewebhusayithi ezincinci, utshintsho lwesibini olubangelwa utshintsho oluthile kwiimpahla ze-electrophysiological ze-neurons kunye nokulawulwa kolwazi lwabo olusenyukayo.

Yintoni eyenza iPAG isebenzise imiphumo yayo? Kwafunyaniswa ukuba ukuvuselela okwethukisayo kubangela i-neurons kwi-nucleus reticularis gigantocellularis, okanye kwi-RGC. I-nucleus Rgc ingabonakali kokubili i-PAG ne-NRM. I-PAG ithumela i-axons kwi-NRM, kwaye iimbulunga kwi-NRM zithumela i-axons yayo kumgca wesipelini. Ukongezelela, i-funiculus, okanye i-DLF, iilors, ebizwa ngokuba yi-DLFX, ikhusela i-analgesia eyenziwa ngokuvuselelwa kombane kunye nokuncinciwa kwe-opiates ngqo kwi-PAG ne-NRM, kodwa bavele banakekele i-systemic effects analgesic of opiates. Ezi mbono zixhasa i-hypothesis ukuba i-DLF idibeneyo yehla efunekayo kuzo zombini i-OA ne-SPA.

I-DLF iqulethwe ngamafayili avela kwiintlobo ezininzi zeengqondo ze-brainstor, ezinokuthi zibe yi-serotonergic, okanye i-5-HT, ukusuka kwiimbulunga eziphakathi kwe-nucleus raphe magnus, okanye i-NRM; i-neurons ye-dopaminergic evela kwindawo ye-ventral tegmental, okanye i-VTA, kunye ne-nerenons e-adrenergic evela kwi-locus coeruleus, okanye i-LC. Ezi zifayili ezihlayo zikhupha igalelo elinomdla kwi-nociceptive umthambo we-neurons kwi-laminae I, II, ne-V.

I-opiate receptors sele ifunyenwe kwiphondo lokuguqulwa kwentambo yomgogodla, ngokukodwa kwi-Rexed laminae I, ii-II kunye ne-V, kwaye i-receptor ye-spinal opiate iziphumo ezinokuthi ziphazamise i-neorons ye-rorsal idlulisa ulwazi lwe-nociceptive. Isenzo se-morphine sibonakala sisebenza ngokulinganayo kwintambo yomgogodla kunye nuclei yenethiwekhi, kuquka i-PAG ne-NRM. I-morphine yesimo sisebenza kwiingcambu zombini kunye nomgca we-spinal cord opiate receptors ukuvelisa i-analgesia. I-Morphine ibopha i-brainstem receptors, eyabangela ubuchopho be-brainstream ukuya kwintambo yomgogodla kunye ne-DLF, kwaye ezi zine-opioid-mediated-mediated-level in the level of the spinal cord.

Lo mboniso ubonisa ukuba izinto ezixhalabisayo, kunokuba kungabikho ukukhathaza okungabonakaliyo, kugqithise indlela yokulawula isango, ebaluleke kakhulu ekusebenziseni isiphaluli se-modulation yesiganeko apho intlungu ikhubaza intlungu ngokuhla kweDLF. Ukongezelela, kukho ukunyuka okuxhomekeke kwi-PAG kunye ne-nuclei kwi-PF-CM. Ezi ziindawo ze-thalami ziyingxenye yesimiselo sokunyuka kwentlungu kwi-diencephalon degree.

Uxinzelelo lwe-Analgesia olukhutshwe (SIA)

I-Analgesia inokuveliswa kwiimeko ezithile ezixinzelelekileyo. Ukuboniswa kweziganeko ezininzi ezixinzelelekileyo okanye ezibuhlungu zivelisa impendulo. Le ngxaki iyaziwa ngokuba yi-analgesia, okanye i-SIA. Ukuxinwa kweengxaki ezibangelwa i-analgesia kuye kwakholelwa ukuba inika ingqiqo kwimibandela yenyama kunye nengqondo eyabangela ukulawulwa kweentlungu eziqhubekayo kunye neenkqubo ze-opiate. Ngokomzekelo, amajoni alimala ekulweni okanye abagijimi bebuhlungu kwimidlalo ngamanye amaxesha bachaza ukuba abava buhlungu okanye baxakeke ngexesha lemfazwe okanye umdlalo, noko ke, baya kuhamba intlungu emva koko imeko eyekile. Kuye kwaboniswa kwizilwanyana ukuba ukutshitshiswa kwamagetsi kubangela ukuba i-analgesia yongcinezelo. Ngokusekelwe kulolu vavanyo, kucingelwa ukuba uxinzelelo amajoni kunye nabadlali abaye bafumana ukuxinzelela intlungu ababeza kuba nayo kamva.

Kukholelwa ukuba ii-opiate eziphelile ziveliswa ekuphenduleni uxinzelelo kwaye zivimbela intlungu ngokubangela ukuba i-midbrain ihlawule inkqubo. Ukongezelela, enye i-SIA ibonise ukunyamezela okugqithiseleyo kunye ne-opiate analgesia, ebonisa ukuba le SIA idluliselwe nge-opiate receptors. Iingcamango zokusebenzisa iiparitha ezahlukeneyo zokukhuthaza ukutshatyalaliswa kwamandla kubonakalisa uxinzelelo olunjalo lwe-analgesia kunye nezinye zezoxinzelelo ezivelisa i-analgesia zingavinjelwa yi-opioid antagonist naloxone, kanti ezinye zazingavinjelwa yi-naloxone. Ekugqibeleni, ezi zikhokelo zikhokelela kwisigqibo sokuba ii-opiate kunye ne-non-opiate ifomu ze-SIA zikhona.

I-Somatovisceral Reflex

I-reflex ye-somatovisceral i-reflex apho imisebenzi ye-visceral isebenze okanye ingavinjelwa ukuvuselelwa kwe-somatic sensation. Kwizilwanyana zokulinga, kokubili ukuxhaswa kokungcola kunye nokungabikho kokungabikho kokungabikho kwamangqungquthela e-somatic kubonakaliswe ukuvusa utshintsho lwe-reflex kumsebenzi onobubele kwaye, ngoko ke, ukusebenza komzimba. Ezi ziqhamo ziye zaboniswa kwiindawo ezinjengezondlo zesisu, i-urinary tract, i-adrenal medulla, iiseli ze-lymphatic, intliziyo kunye neempahla zengqondo kunye neentsholongwane zomhlaba.

Uninzi kuninzi, iziganeko zifunyenwe ngokuzama ukukhuthazwa kwezinto ezincinci, nangona omnye umsebenzi uye waqhutyelwa kwiimisipha kunye neengqungquthelwano, ezibandakanya ezo zintsholongwane. Iimpendulo eziphambili ziza kubandakanya ukuhlanganiswa kweempembelelo ezininzi kunye nefuthe kwaye zingabonakalisa i-laterality kunye neendlela ezihlukeneyo kunye nokukhawuleka okuguquguqukayo ngokuhambelana nemibutho echaphazelekayo. Ngenxa yokuxakeka kunye nokuphindaphinda kweendlela ezibandakanyekayo kwisigqibo sokugqibela sempendulo yokuphendula, iinzame zokugqithisa kwiimeko zeekliniki kufuneka ziqhutyelwe ukulungiselela izifundo eziqhubekayo zokufunda umzimba.

Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu kunye nemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .

Ikhutshwe nguDkt. Alex Jimenez

Imixholo eyongezelelweyo: iSciatica

Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.

INGXELO EBALULEKILEYO: I-Chiropractor Sciatica Symptoms

IINKCUKACHA EZINYE Ukhathalelo lweNtlungu kunye noNyango