Sciatica Nerve Pain
Ikliniki yangasemva ye-Sciatica Nerve Pain Chiropractic, iQela loNyango loNyango loMzimba. Isizathu esivakalayo sisisombululo okanye i-disk ruptured (disc disc) ekugxininiseni umlanjana kunye neengcambu zentsholongwane ezikhokelela kwi-nerve ye-sciatic. Intlungu yesifo se-Sciatica ingaba uphawu lwezinye iimeko ezichaphazela umlanjana, njengokunciphisa umgudu womgogodla (spinal stenosis), i-bone spurs (amancinci, ukukhula kwebony edibanisa kunye namajoyina) obangelwa yi-arthritis, okanye i-nerve root compression ) obangelwa yingozi. Kwiimeko ezinqabileyo, i-sciatica inokubangelwa zizimo ezingabandakanyeli umlenze, oko kukuthi izicathulo okanye ukukhulelwa.
Ziziphi iimpawu?
Ubunzima obuqala kumqolo wakho okanye kwisithambiso kwaye uhamba umlenze wakho kwaye unokuthi unyuke emanzini. Ubuthathaka, ukubetha, okanye ukuphazamiseka emlenzeni kuya kwenzeka.
Ukuhlala, ukuma ixesha elide, kunye nokunyakaza okubangela ukuba umlenze uguqule (njengokugqithisa ngamadolo) kungenza iimpawu zibe zibi nakakhulu.
Ukuhamba, ukulala phantsi, kunye nokunyakaza okwandisa umlanjeni (njengokuncinciza) kunokunciphisa iimpawu. Ngeempendulo kuyo nayiphi na imibuzo onokuba nayo nceda ufowunele uDkt Jimenez kwi-915-850-0900
by UGqr Alex Jimenez | Ukulimala koluhlu, Sciatica Nerve Pain
Ukulimala kwemisipha ye-Hamstring kuqhelekileyo, ngakumbi kwiimbaleki nakubantu abanemisebenzi enzima ngokomzimba. Ngaba kukho ithuba elingcono lokuchacha ngokupheleleyo ngokulungiswa kotyando kunye nokuvuselelwa kwe-post-op?
Ukunyakaza kweMisipha yokuHlala
Ngokuqhelekileyo, ukulimala kwemisipha ye-hamstring ziinyembezi eziyingxenye yesihlunu. Ezi ntlobo zokulimala zizihlunu ze-muscle ezenzeka xa iintambo ze-muscle zolulelwe ngaphaya kwemida yazo eqhelekileyo. Iinyembezi ezipheleleyo ze-hamstring muscle aziqhelekanga, kodwa zenzeke kubadlali bezemidlalo kunye nabangewona abadlali. Ukumisela isicwangciso sonyango esisiso sixhomekeke koku:
- Ubuqatha bokukrazuka komthambo
- Izinto ezilindelekileyo kumntu owenzakeleyo.
- Iinyembezi ezingaphelelanga kuxa i-hamstring muscle yoluliwe kakhulu, kodwa ayicalulwanga ngokupheleleyo.
- Ukuba ukukrazula kugqityiwe, ukulimala kubaluleke ngakumbi, njengoko iziphelo zingasadibanisi. (I-American Academy ye-Orthopedic Surgeons. 2021)
- Gqibezela iinyembezi ngokuqhelekileyo kwenzeka phezulu kwesihlunu apho i-tendon ikrazula kude ne-pelvis.
- Ukukrazula okupheleleyo ngokuqhelekileyo kwenzeka xa kukho ukunyanzeliswa ngokukhawuleza kwe-hip kunye nokwandiswa kwamadolo - xa i-muscle inkontileka kule ndawo, iyancipha ngaphaya kwemida yayo.
- Iinyembezi ezipheleleyo zibonwa njengokwenzakala okwahlukileyo kwaye kunokufuna unyango olungenelelayo. (I-American Academy ye-Orthopedic Surgeons. 2021)
- Abantu abagcina olu hlobo lokulimala bachaza ukuhlatywa okubukhali emva kwethanga.
- Ukulimala kunokwenzeka kwiimbaleki okanye kubantu abaneminyaka ephakathi. (I-American Academy ye-Orthopedic Surgeons. 2021)
Iintlobo ze-hamstring ezisisiseko zinokuphathwa ngamanyathelo alula - ukuphumla, iqhwa, amayeza achasene nokuvuvukala, kunye nonyango olulondolozayo.
iimpawu
Iimpawu ze-hamstring muscle strain zingabandakanya intlungu, ukubetha, ukuvuvukala, kunye nobunzima bokunyakaza. (I-American Academy ye-Orthopedic Surgeons. 2021) Abantu abagcina le nzakala badla ngokuba neentlungu ezibukhali ngesiquphe. Iimpawu zokukrazula zingabandakanya:
- Iintlungu ezibukhali apho impundu nethanga zidibana khona.
- Kunzima ukuhamba.
- Ukuhlala kunokuba nzima njengoko umda wesitulo unokubeka uxinzelelo ngokuthe ngqo kwingozi.
- I-Spasms kunye ne-cramping sensations emva kwethanga.
- Ubuthathaka emlenzeni, ngokukodwa xa uguqa idolo okanye uphakamisa umlenze emva komzimba.
- Ukuba ndindisholo okanye ukutshisa ngenxa ye ukucaphuka kwe-nerve sciatic.
- Ukudumba kunye nokugruzuka emva kwethanga - ekuhambeni kwexesha kunokuhamba ukuya kumqolo wedolo kunye nethole kwaye mhlawumbi ukuya ezinyaweni.
- Ngokukrazula okupheleleyo kwe-hamstring, ngokuqhelekileyo kukho ukudumba okuphawulekayo kunye nokulimala okwenzeka emva kwethanga.
Ukuqondwa
Iimpawu kunokuba nzima ukuzibona kumanqanaba okuqala yiyo loo nto i-X-reyi ye-hip okanye ithanga idla ngokufunyanwa.
Kwezinye iimeko, iqhekeza lethambo linokutsalwa kwi-pelvis kunye ne-hamstring muscle attachment. Uvavanyo lwe-MRI lunokwenziwa ukuvavanya isinamathiselo kwaye lunokuchaza iimpawu ezibalulekileyo zokukrazula kwemisipha ye-hamstring epheleleyo, kuquka: (I-American Academy ye-Orthopedic Surgeons. 2021)
- Inani lemisipha echaphazelekayo.
- Gqibezela ngokuchasene nokukrazulwa okungaphelelanga.
- Ubungakanani bokurhoxa - inani leetendon eziye zarhoxa.
- Oku kuya kukhokela uphuhliso lonyango.
impatho
Ukunyangwa kwenyembezi epheleleyo kuya kuxhomekeka kwizinto ezahlukeneyo. Enye into eguquguqukayo sisigulana kunye nezinto abazilindeleyo.
- Unyango lu ndlongondlongo ngakumbi kubantu abancinci njengabadlali abakwinqanaba eliphezulu.
- Unyango lu abanamandla kakhulu kubantu abakubudala obuphakathi.
- Ngokuqhelekileyo ukukrazuka komthambo omnye kunokunyangwa ngaphandle kotyando.
- Xa i-tendon enye ibandakanyeka, ayiqhelekanga ukutsalwa kude kakhulu kwi-attachment yayo eqhelekileyo kwaye iya kuphuhlisa izicubu ezibomvu kwindawo efanelekileyo.
- Ngokuchasene noko, xa imisipha emithathu ikrazukile, idla ngokutsala ngaphezu kweesentimitha ezimbalwa ukusuka ethanjeni. Ezi meko zineziphumo ezingcono ngokulungiswa kotyando. (UW Health. 2017)
- Oogqirha botyando baya kusebenzisa iimpawu zesigulana- iimbaleki ezikwinqanaba eliphezulu okanye abantu abangasebenziyo ngokwasemzimbeni - ukukhokela iingcebiso zonyango.
kwimo
- Ukubuyisela kwisimo sangaphambili emva kotyando kunokuthatha iinyanga ezi-3-6 okanye ngaphezulu.
- Iiveki ezintandathu zokuqala zinciphisa ubunzima ngokusetyenziswa kweentonga.
- Izigulane zinokucetyiswa ukuba zinxibe i-brace ukunciphisa uxinzelelo kwii-tendon ze-hamstring ezilungisiweyo.
- Ukomeleza akuqali de kube ziinyanga ezintathu emva kokuphuma, kwaye nemisebenzi elula idla ngokulibaziseka. (UW Health. 2017)
- Ngenxa yokuba le nzakala inokuba nexesha elide lokubuyisela, abanye abantu banokukhetha unyango ngaphandle kotyando.
- Ngamanye amaxesha aba bantu bafumana iimpawu zokungakhululeki ngokuhlala kwaye banokubonisa ubuthathaka bexesha elide le-hamstring muscle.
Ukuchacha ngokupheleleyo kwi-hamstring ye-muscle yokulimala kuthatha ixesha. Izifundo zibonise abadlali bezinga eliphezulu bayakwazi ukuqalisa kwakhona imidlalo ekhuphisanayo emva kokulungiswa kunye nokuvuselelwa kokulimala kwe-hamstring muscle. (USamuel K. Chu, uMonica E. Rho. 2016)
- Ukulibazisa unyango lotyando kusenokungasoloko kukhokelela kwiziphumo ezigqwesileyo.
- Xa i-tendon ikrazulwa kude ne-attachment yayo eqhelekileyo, iqala ukukrala malunga nezicubu ezithambileyo ezijikelezayo.
- Xa kukho ukulibaziseka kweeveki ezimbalwa emva kokulimala kokuqala, ukuphinda ufumane ubude obupheleleyo be-tendon kunye ne-muscle kunokuba ngumngeni.
- Oku kunokulibazisa inkqubo yokubuyisela kwisimo sangaphambili kwaye kunokunciphisa amandla okubuyisela ngokupheleleyo. (Ho Yoon Kwak, et al., 2011)
Ngomonzakalo onzima, kukho ithuba elingcono lokuchacha ngokupheleleyo ngokulungiswa kotyando kodwa kunokubandakanya ukubuyisela ixesha elide kunye nokuzibophelela kwisicwangciso sokubuyisela emva kwe-op.
Ucaphulo
I-American Academy ye-Orthopedic Surgeons. (2021) Ukulimala komsipha.
UW Health. (2017) Izikhokelo zokubuyisela kwisimo sangaphambili emva kokulungiswa okuphambili kwe-hamstring.
Chu, SK, & Rho, ME (2016). Ukulimala kwe-Hamstring kuMgijimi: Ukuxilongwa, Unyango, kunye nokuBuyela kuMdlalo. Iingxelo zangoku zonyango lwezemidlalo, i-15 (3), i-184-190. doi.org/10.1249/JSR.0000000000000264
Kwak, HY, Bae, SW, Choi, YS, & Jang, MS (2011). Ukulungiswa kwangoko kotyando lokuqhekeka okupheleleyo kwe-proximal hamstring tendons. Iiklinikhi kuqhaqho lwamathambo, i-3 (3), i-249-253. doi.org/10.4055/cios.2011.3.3.249
by UGqr Alex Jimenez | Injury, Sciatica Nerve Pain
Ngaba unyango luphumelele ngakumbi xa izigulane zazi amagama aphambili achaza iintlungu zabo zangasemva kunye neemeko ezinxulumene nazo?
Iintlobo zeentlungu zeNerve
Xa abantu kufuneka baqonde ngcono ukuxilongwa komqolo wabo, ukukwazi ukwahlula phakathi kwamagama aphambili kunokwenza umahluko omkhulu ekuqondeni uphuhliso lwesicwangciso sonyango lomntu. Imiqathango echaza intlungu yomqolo kunye neemeko ezahlukeneyo ezinxulumene nazo zinokubandakanya:
- Sciatica
- Ukusasazeka kunye neentlungu eziBoniswayo
- Radiculopathy
- I-Radiculitis
- Neuropathy
- Neuritis
Iimbangela zentlungu emva
Iimpawu zentlungu emva ngokuqhelekileyo zibangelwa yinkqubo eqhubekayo yokungahambi kakuhle / ukungahambi kakuhle kunye nokugqithisa kunye nezihlunu ezibuthathaka. Nangona abantu abasebenzisa rhoqo, ukhetho lokunyakaza olwenziwa yonke imini lunokuphazamisa indlela imisipha, iintambo, iigaments, kunye ne-fascia zisebenza ngayo ukugcina ukulungelelaniswa komzimba okufanelekileyo.
- Ukulimala, kunye neemeko, izakhiwo zekholamu yomgogodla njengamathambo, iidiski kunye nemithambo-luvo, ngokuqhelekileyo zibi kakhulu kuneengxaki zokuma kunye neentlungu ezinxulumene nezicubu ezithambileyo.
- Ngokuxhomekeke kwi-diagnostic, iingxaki zesakhiwo zingabangela iimpawu ezinxulumene nokunyanzeliswa kwe-nerve, ukucaphuka, kunye / okanye ukuvuvukala. (EMichigan Medicine, ngo-2022)
Umqolo kunye neNervous System
- Iimbilini ze-peripheral zifikelela kwiindawo eziphakamileyo kunye neemvakalelo kunye nokukwazi ukuhamba.
- Iingcambu zemithambo-luvo ziphuma kumngxuma womqolo oyinxalenye ye-peripheral nervous system.
- Ingcambu yomgogodla emva koko iphuma kwikholamu yomgogodla ngokusebenzisa i-foramen. (I-American Academy of Neurological Surgeons, ngo-2023)
- I-branching ye-nerve evela kwintambo yomgogodla kunye nokuphuma ngaphandle kwe-foramina kwenzeka kuwo onke amanqanaba omqolo.
ngokwemiqathango
Kukho amagama ahlukeneyo onyango xa ufumana ukuxilongwa komqolo okanye uhamba kwinkqubo yonyango.
Radiculopathy
- I-Radiculopathy ligama le-ambrella, elichaza nayiphi na inkqubo yesifo echaphazela ingcambu yomgogodla kwaye yinto eyenzekayo emzimbeni.
- Xa umboneleli wezempilo ekwazisa ukuba intlungu yakho ibangelwa i-radiculopathy, inani lokuxilongwa ngokuthe ngqo, iimpawu zekliniki, kunye neempawu zingabandakanywa njengenxalenye yenkcazo.
- Izizathu eziqhelekileyo ze-radiculopathy ziquka i-disc / s ye-herniated kunye ne-spinal stenosis.
- Izizathu ezingaphantsi eziqhelekileyo zingabandakanya i-cyst synovial okanye i-tumor ecinezela ingcambu ye-nerve. (Johns Hopkins Medicine, ngo-2023)
- I-Radiculopathy ingenzeka entanyeni, ephantsi, okanye kwindawo ye-thoracic.
- Ngokuqhelekileyo, i-radiculopathy iziswa ngolunye uhlobo lokunyanzeliswa kwengcambu ye-nerve.
- Umzekelo, imathiriyeli eyongeziweyo kusuka kwi disc disc inokuwela kwingcambu yemithambo-luvo, ibangele uxinzelelo lokwakha.
- Oku kunokubangela iimpawu ezinxulumene ne-radiculopathy, kubandakanywa ukuphazamiseka, ubuthathaka, intlungu, okanye ukuvakalelwa kombane. (Johns Hopkins Medicine, ngo-2023)
Nangona kukho ingcambu yemithambo-luvo kulo naliphi na icala lomqolo, ukwenzakala, ukwenzakala, okanye imiba ebangelwa kukuwohloka ichaphazela imithambo-luvo ngendlela engafaniyo. Utshintsho oluguquguqukayo, olwaziwa njengokunxiba okuqhelekileyo kunye nokukrazula, luyenzeka ngale ndlela. Ukusebenzisa umzekelo we-disc ye-herniated yangaphambili, izinto eziphuma kwi-disc structure zivame ukuhamba ngendlela enye. Xa kunjalo, iimpawu zivame ukuba namava kwicala apho ingcambu ye-nerve idibanisa ne-disc material, kodwa kungekhona kwelinye icala. (Umbutho waseMelika wooGqirha beNeurological, ngo-2023)
I-Radiculitis
- I-Radiculitis luhlobo lwe-radiculopathy kodwa lumalunga nokuvuvukala kwaye kungekhona ukunyanzeliswa. (Johns Hopkins Medicine, ngo-2023)
- Radicu– ibhekisa kwingcambu yemithambo-luvo.
- Isimamva - yi ibhekisa ekudumbeni.
- Eli gama libhekisa kwingcambu yemithambo yomqolo ethi sidikwe kunye / okanye ukucaphuka ngaphandle kwe Unyanzelekile.
- Kwi-disc herniations, yinto ye-gel equkethe iikhemikhali ezahlukeneyo ezivuthayo.
- Xa i-gel i-substance idibanisa neengcambu ze-nerve, impendulo yokuvuvukala ibangelwa. (Rothman SM, Winkelstein BA 2007)
I-Radiating or Referred Pain
- Iintlungu eziphumayo zilandela indlela yenye yemithambo-luvo ehambisa ulwazi olufana nobushushu, ukubanda, izikhonkwane kunye neenaliti, kunye neentlungu.
- Esona sizathu sixhaphakileyo sokuqaqamba kweentlungu kukunyanzeliswa/uxinzelelo lwengcambu yomthambo. (I-American Academy ye-Orthopedic Surgeons. OrthoInfo)
- Iintlungu ezibhekiswayo zifunyanwa kwindawo eyahlukileyo yomzimba ekude nomthombo wentlungu ovame ukuba lilungu. (Murray GM., 2009)
- Inokuziswa ngamanqaku e-myofascial trigger okanye umsebenzi we-visceral.
- Umzekelo weentlungu ezigqithisiweyo ziimpawu emhlathini okanye engalweni xa umntu ehlaselwa yintliziyo. (Murray GM., 2009)
ingcambu
- Amagama entlungu ebuhlungu kunye ne-radiculopathy idla ngokudideka.
- Ubuhlungu beRadicular luphawu lwe-radiculopathy.
- Iintlungu ezibuhlungu ziphuma kwingcambu ye-spinal nerve ukuya kuyo nayiphi na inxalenye okanye yonke indlela ezantsi kwelungu / ekupheleni.
- Nangona kunjalo, intlungu ye-radicular ayibonisi iimpawu ezipheleleyo ze-radiculopathy.
- Iimpawu ze-Radiculopathy zikwabandakanya ukuphazamiseka, ubuthathaka, okanye ukuvakalelwa kombane njengezikhonkwane kunye neenaliti, ukutshisa, okanye ukutshitshiswa okuhamba phantsi komda. (Johns Hopkins Medicine, ngo-2023)
Neuropathy
- I-neuropathy lelinye igama leambrela elibhekiselele kuko nakuphi na ukungasebenzi okanye isifo esichaphazela imithambo-luvo.
- Idla ngokuhlelwa ngokwesizathu, njenge-diabetes neuropathy, okanye indawo.
- I-neuropathy ingenzeka naphi na emzimbeni - kubandakanywa i-peripheral nerves, i-autonomic nerves / i-organ nerves, okanye i-nerve ebekwe ngaphakathi kwi-skull kwaye ingabonakali amehlo, iindlebe, impumlo, njl.
- Umzekelo we-peripheral neuropathy yi-carpal tunnel syndrome. (I-American Academy ye-Orthopedic Surgeons. OrthoInfo. 2023)
- Enye imeko yomgogodla eyaziwayo ngokubangela i-peripheral neuropathy yi-spinal stenosis. (Bostelmann R, Zella S, Steiger HJ, et al., 2016)
- Kule meko, utshintsho kwi-foramina lunefuthe elincinci kwisithuba esiqala ukuxinzelela iimbilini njengoko ziphuma.
- I-neuropathy inokuchaphazela imithambo-luvo enye okanye imithambo-luvo emininzi ngaxeshanye.
- Xa kubandakanyeka imithambo-luvo emininzi yaziwa ngokuba yipolyneuropathy.
- Xa inye, yaziwa ngokuba yi-mononeuropathy. (Iklinikhi yaseCleveland. 2023)
Neuritis
Sciatica
- I-Sciatica ichaza iimpawu ezibandakanya iintlungu ezikhuphayo kunye neemvakalelo ezihamba kwi-hip, i-buttock, umlenze kunye nonyawo.
- Esinye sezizathu eziqhelekileyo ze-sciatica yi-radiculopathy.
- Enye i-spinal stenosis. (Iklinikhi yaseCleveland. 2023)
- I-Piriformis syndrome yilapho i-buttock eqinile / i-piriformis muscle ithintela i-nerve ye-sciatic, ehamba ngaphantsi. (ICass SP. 2015)
Chiropractic
Uhlengahlengiso lweChiropractic, ukuthotywa kwe-non-utyando, I-MET, kunye neendlela ezahlukeneyo zonyango ze-massage zinokukhulula iimpawu, zikhulule i-nerve ebambekileyo okanye ebanjwe kunye nokubuyisela umsebenzi. Ngokusebenzisa unyango, i-chiropractor kunye nabanyangi baya kuchaza oko kwenzekayo kwaye kutheni basebenzisa ubuchule obuthile. Ukwazi okuncinci malunga nendlela inkqubo ye-neuromusculoskeletal system esebenza ngayo inokunceda umboneleli wezempilo kunye nesigulane ekuphuhliseni nasekulungiseni iindlela zonyango ezisebenzayo.
Sciatica Ngexesha lokukhulelwa
Ucaphulo
Michigan Medicine. Iintlungu eziPhezulu kunye noMphakathi.
I-American Academy ye-Neurological Surgeons. I-Anatomy yoMnqongo kunye ne-Peripheral Nervous System.
Johns Hopkins Medicine. Iimeko zempilo. I-Radiculopathy.
Umbutho waseMelika wooGqirha beNeurological. I-Herniated Disc.
I-American Academy ye-Orthopedic Surgeons. OrthoInfo. I-Cervical Radiculopathy (I-Pinched Nerve).
Rothman, SM, & Winkelstein, BA (2007). Izithuko zeekhemikhali kunye neengcambu ze-nerve ze-mechanical zibangela ukungafani kokuziphatha kokuziphatha kunye nokusebenza kwe-glial okuphuculweyo ngokudibeneyo. Uphando ngengqondo, 1181, 30-43. doi.org/10.1016/j.brainres.2007.08.064
UMurray GM (2009). UHlelo loNdwendwe: iintlungu ezigqithiselweyo. Ijenali yesayensi yomlomo esetyenzisiweyo: Revista FOB, 17 (6), i. doi.org/10.1590/s1678-77572009000600001
I-American Academy ye-Orthopedic Surgeons. OrthoInfo. I-Carpal Tunnel Syndrome.
Bostelmann, R., Zella, S., Steiger, HJ, & Petridis, AK (2016). Ngaba i-Spinal Canal Compression ingaba ngunobangela wePolyneuropathy? Iiklinikhi kunye nokusebenza, i-6 (1), i-816. doi.org/10.4081/cp.2016.816
Iklinikhi yaseCleveland. I-Mononeuropathy.
Umbutho waseMelika wooGqirha beNeurological. Uluhlu lwesigama seNeurosurgical Terminology.
Amaziko eSizwe ezeMpilo. Ithala leencwadi lase-US leSizwe lezoNyango. Medline Plus. I-Peripheral Nerve Disorders.
Iklinikhi yaseCleveland. I-Spinal Stenosis.
I-Cass SP (2015). I-Piriformis syndrome: imbangela ye-non-discogenic sciatica. Iingxelo zangoku zamayeza ezemidlalo 14(1), 41–44. doi.org/10.1249/JSR.0000000000000110
by UGqr Alex Jimenez | Sciatica Nerve Pain, I-Viscerosomatic Reflex
Ukuqunjelwa yimbangela ephambili yeentlungu ezisezantsi eMelika kwaye kunokubangela ukusabela kwekhonkco kuwo wonke umzimba. Xa i-digestional tract idumba, yenza uxinzelelo olongezelelweyo kumqolo kunye nemithambo-luvo ejikelezileyo. Ukuqunjelwa ixesha elide kunye noxinzelelo kunokubangela iimpawu ze-sciatica. Ukuqunjelwa kwe-sciatica kunokukhululwa ngonyango lwe-chiropractic, i-massage yonyango, ukuthotywa komnqonqo ongekho ngotyando, kunye neyeza elisebenzayo lokunciphisa iimpawu kunye nokubuyisela ukusebenza kakuhle komzimba.
Ukuqunjelwa kweSciatica
I-Sciatica inomsindo, ukunyanzeliswa, kunye nokuvuvukala kwe-nerve ye-sciatic, enika amathanga, imilenze ephantsi kunye neenyawo. Ngokuqhelekileyo kubangelwa i-pinched / compressed of one or more spinal nerve roots phakathi kwe-vertebrae ye-back back. Ukwakhiwa kwesitulo emathunjini kunokubangela ukuva okubuhlungu okubuhlungu kumqolo ophantsi onokuthi uphume kwiindawo ezikufutshane. Izizathu eziqhelekileyo zokuqunjelwa ziquka:
- Amanqanaba angonelanga amanzi/amanzi.
- Ukutya okungenampilo.
- Ukusilela kweVitamin.
- Ukuxinezeleka.
- Kancinci ukuba akukho msebenzi womzimba.
- Ukushukuma kwamathumbu ngamaxesha athile kunye nokungenampilo.
- Ukusetyenziswa ngokugqithiseleyo kwe-laxatives okanye i-enemas.
Ezinye izizathu zokuqunjelwa ziquka:
- Iimpendulo zamayeza.
- Ii-antacids eziqulethe i-aluminiyam okanye i-calcium.
- Izithinteli zesitishi seCalcium.
- izongezo zentsimbi.
- Amayeza eentlungu, ngakumbi ii-narcotic.
- Ukuhlala.
- I-Antispasmodics.
- Ukuxhatshazwa.
- IiAnticonvulsants.
iimpawu
Ukuhanjiswa kwamathumbu kuyahluka kumntu wonke, kwaye ukungabi nantshukumo yonke imihla akuthethi ukuba ukuqhina kuyenzeka. Abanye abantu baneentshukumo ezintathu kuphela ngeveki, ngelixa abanye beshukuma kaninzi yonke imihla. Isalathisi esicetyiswayo sokuqunjelwa kukuba kuye kwakho ukuhla ngesiquphe kwiintshukumo eziqhelekileyo zamathumbu. Umgudu wokugaya uthatha indawo ebalulekileyo ye-torso ephantsi. Iimpawu zentlungu ebuyayo zingabonisa emva kokuba i-rectum ivaliwe okanye izitulo ziye zaqina kwikholoni. Emva kokuba ukuqhina kuphuhlisiwe, i-blockage icinezela imithambo-luvo kunye nezihlunu zomqolo. Oku kubangela uluhlu lweempawu ezingathandekiyo ngengqondo, eziye zibe mandundu njengoko i-backup ikhula. Iimpawu ze ukuqunjelwa ngokubanzi ziquka:
- Ukuziva uhluthi nangona ungatyi nto.
- Ukuqhawula.
- Ukudumba.
- Ukuxinana esiswini.
- Ukuhamba kwamathumbu okungaqhelekanga.
- Ukungakhululeki okanye ubuhlungu xa uzama ukukhupha isitulo.
- Ilindle eliqinileyo kunye/okanye elineqhuma.
Ukuqhina kujongwa njengesifo esingapheliyo xa kukho iimpawu ezimbini okanye ngaphezulu kwezi zilandelayo kangangeenyanga ezintathu:
- Ukuhamba kwamathumbu kuyancipha ngakumbi.
- Ukutsala nzima ukuzithuma.
- Izitulo azikhululeki ngaphandle kokusetyenziswa kwe-laxatives.
- Ukudlula kwelitye lengqalutye eliqinileyo.
- Intlungu yesisu engaguqukiyo ekhululekayo nayintshukumo encinci.
- Ukuziva ngathi izibilini azikhutshwanga ngokupheleleyo okanye ukuvaleka kwi-rectum.
- Ukuziva isidingo sokuncedisa ukukhululwa ngokucinezela kwisisu.
Unyango lweChiropractic
Unyango lweChiropractic lunokulungelelanisa umqolo, ukukhulula imithambo-luvo ecinezelekileyo, ukonyusa ukuhamba kwamathumbu, kunye nokuthanjiswa kunye nokuphumla kwemisipha, ukunceda ukuthambisa izitulo.. Izihlunu zamathumbu zityhala isitulo kwi-anus, apho sishiya / sikhupha umzimba. Iiseli zemithambo-luvo ezikhethekileyo emathunjini, ezaziwa ngokuba iiseli zemigulukudu, innervate imisipha ukutyhala. Ezi mithambo-luvo zidibanisa kwi celiac ganglion, edibanisa kwi umqolo ngeengcambu zemithambo-luvo eziphuma kumqolo kwindawo esezantsi ye-thoracic kunye ne-lumbar ephezulu. I-celiac ganglion igcina isibindi, isisu, i-gallbladder, i-spleen, izintso, amathumbu amancinci, kunye nekholoni enyukayo kunye ne-transverse. Unyango lokuqunjelwa kunye neentlungu zangasemva kuxhomekeke kwisizathu seempawu. Ngokomzekelo, ukuba ukunyanzeliswa kubangelwa ukuchithwa kwamanzi, i-chiropractor iya kufundisa isigulane ngokuthathwa kwamanzi njengenxalenye yesicwangciso sonyango lomntu.
Uxilongo ukuBuyisa
Ucaphulo
Fernandes, Walkyria Vilas Boas, et al. "Isiphumo seeveki ezintandathu ze-osteopathic visceral manipulation kwizigulane ezineentlungu ezingapheliyo ezingapheliyo kunye nokunyanzeliswa komsebenzi: iprotocol yokufunda yolingo olulawulwa ngokungahleliwe." Iimvavanyo vol. 19,1 151. 2 Mar. 2018, doi: 10.1186 / s13063-018-2532-8
Panarese, Alba, et al. "Ukuqunjelwa okungapheliyo kunxulunyaniswa kakhulu nokusilela kwe-vitamin D." Ijenali yehlabathi ye-gastroenterology vol. 25,14 (2019): 1729-1740. doi:10.3748/wjg.v25.i14.1729
Kulungile, Monika. "Iimpembelelo zokhathalelo lwe-chiropractic kwisigulane esinesifo esingapheliyo." Ijenali yeCanadian Chiropractic Association vol. 45,3 (2001): 185-191.
Trager, uRobert James, et al. "Unxulumano phakathi kweentlungu ezibuhlungu ezisezantsi kunye nokuqunjelwa: isifundo se-retrospective cohort sisebenzisa isiseko sedatha yelizwe lokwenyani." Iingxelo zeentlungu vol. 6,3 e954. 26 Agasti 2021, doi:10.1097/PR9.0000000000000954
by UGqr Alex Jimenez | Umqolo obuhlungu, Chiropractic, Ubuhlungu obungapheliyo, impilo, Ubuhlungu Bokubuyisela, Iimpawu, Sciatica, Sciatica Nerve Pain, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
Impundu kunye ne ngasemva ube nobudlelwane obuqhelekileyo nomzimba, njengoko umqolo ongezantsi unemisipha eyahlukeneyo kunye nemithambo-luvo ejikeleze ikholamu yomgogodla. Ngokwahlukileyo, ummandla wempundu unemisipha emininzi kunye ne nerve ukugcina umzimba uthe tye. I-nerve ye-sciatic ihamba ukusuka kwi- ummandla we-lumbar yomqolo kwimisipha ye-gluteus kunye nokuhla ukuya emilenzeni. Izihlunu ze-gluteus ziquka i-Maximus, i-medius, kunye ne-minimus, kwaye zisebenza kunye ne-nerve ye-sciatic malunga nokuhamba kakuhle. Xa izinto eziqhelekileyo okanye ezibuhlungu ziqala ukuchaphazela umzimba, njengaye sciatica or ukuphosa, kunokukhokelela ekuphuhliseni amanqaku e-trigger ahambelana ne-gluteus minimus echaphazela i-nerve ye-sciatic. Inqaku lanamhlanje liphonononga i-gluteus minimus, ukuba amanqaku aqala njani afana neentlungu ze-sciatic kwi-gluteus minimus, kunye nonyango olwahlukeneyo lokuphelisa iintlungu ze-nerve ye-sciatic. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezininzi kwiindawo ezisezantsi zomzimba, ezifana nonyango lweentlungu ze-sciatic ezinxulumene namanqaku okuqalisa, ukunceda abantu abajongene neempawu zentlungu kunye ne-gluteus medius muscles ezinxulumene ne-sciatica. Siyazikhuthaza kwaye siyazixabisa izigulana ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuxilongo lwabo, ngakumbi xa kufanelekile. Siyaqonda ukuba imfundo sisisombululo esihle kakhulu sokubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana. UDkt Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Yintoni iGluteus Minimus?
Ngaba ukhe wafumana iintlungu ezikhuphayo ezihla ziye emlenzeni wakho? Ngaba unobunzima bokuhamba okanye ukuhlala phantsi? Ngaba uziva uthambile okanye iintlungu ezidluliselweyo kufutshane nommandla wakho wempundu? Eminye imiba ihambelana namanqaku e-trigger achaphazela i-gluteus minimus, ebangela intlungu kwi-nerve ye-sciatic. Njengesona sihlunu sincinci kwingingqi ye-gluteal ye-buttock, i igluteus minimus ukwabelana ngeempawu ezifanayo kwi-gluteus medius ngelixa ibekwe phantsi kwe-muscle medius. Omnye wemisebenzi ephambili ye-gluteus minimus kukuba isebenza kakhulu njenge-hip stabilizer kunye ne-abductor. Imithambo-luvo evela kwizihlunu ze-gluteal ziquka nerve, ephezu kwemisipha ye-gluteus kunye nezinye iintsholongwane zinceda ukubonelela izihlunu ukuba zisebenze kwindawo yangasemva komzimba. Uphando lutyhila ukuba ingqibelelo yesakhiwo se-gluteus minimus muscle iyisitshixo kwi-lateral hip muscle, enegalelo ekuzinzeni kwe-pelvic kunye nomsebenzi ophantsi. Nangona kunjalo, xa imiba echaphazela i-gluteal muscles 'posterior region ingabangela intlungu yokulinganisa i-sciatica.
Amanqaku e-Trigger aLingisa njani iintlungu ze-Sciatic kwi-Gluteus Minimus?
Xa amalungu omzimba asezantsi eqala ukubandezeleka ngenxa yemicimbi emininzi ebangela ukuba umntu abe nokungasebenzi kakuhle kokushukuma, izinto ezahlukeneyo zinokunxulumana nokungasebenzi kakuhle. Xa imisipha ye-gluteus minimus isetyenziswe ngokugqithiseleyo okanye ibe ngamava abuhlungu, inokuphuhlisa amanqaku e-trigger kunye nemicu ye-muscle kwaye ibangele i-nerve entrapment kunye ne-nerve ye-sciatic. I-Trigger points ecaleni kwe-gluteus minimus inokulinganisa intlungu ye-nerve ye-sciatic ukuya ngasemva okanye nakwicala lemilenze ebangela intlungu kunye neentlungu ezinzulu kwingingqi yangasemva. Uphononongo lubonisa ukuba intlungu kwingingqi ye-buttock yi-syndrome enzulu ye-gluteal ebangelwa yintlungu ye-non-discogenic eyenza i-sciatic nerve entrapment.
Incwadi ethi, "Myofascial Pain and Dysfunction," ebhalwe nguDkt. Janet G. Travell, MD, ichaza ukuba izigulane ezininzi ezineengongoma ezisebenzayo ezikwi-gluteus minimus ziza kukhononda malunga neentlungu ze-hip ezinokubangela ukuba zihambe xa zihamba. ukuya kwiindawo. Intlungu ebangelwa ngamanqaku e-trigger esebenzayo inokwenza kube nzima ukuma kwindawo ehleliyo ngenxa yeentshukumo ezibuhlungu. Intlungu ehambelanayo eyenziwa ngamanqaku e-trigger kwi-gluteus minimus ingaba rhoqo kwaye ibuhlungu; kwanezolula ezincinci azikwazi ukuthomalalisa iintlungu. Le ncwadi iphinde yakhankanya ukuba amanqaku abangela ukuba kubangele iintlungu ezibhekiselele kwi-gluteus minimus ezinokubangela imiba eyahlukeneyo ye-somato-visceral ezinqeni, emilenzeni, nasemadolweni ukuba intlungu iyancipha.
I-Sciatic Type Pain: I-Gluteus Minimus Trigger Points-Ividiyo
Ngaba ujongene neentlungu ezinqeni zakho, umva ophantsi, kunye nemilenze? Ngaba ukufumanisa kunzima ukuhamba okanye ukuma rhoqo? Okanye ngaba ufumana intlungu ye-sciatic nerve ephuma emlenzeni wakho? Zonke ezi zimpawu ezinjengeentlungu zinxulunyaniswa namanqaku e-trigger ecaleni kwe-gluteus minimus echaphazela i-nerve ye-sciatic. I-gluteus minimus yincinci encinci ye-gluteal muscles enomsebenzi ofanayo kunye ne-gluteus medius kwaye yenza ngokugqithiseleyo njenge-hip's stabilizer kunye ne-abductor. Xa imisipha ye-gluteus minimus isetyenziswe ngokugqithiseleyo kwiziganeko ezibuhlungu okanye izinto eziqhelekileyo, ziyakwazi ukuphuhlisa amanqaku e-trigger kwi-fibers muscle, zibambe i-nerve ye-sciatic kwaye zicaphukise i-nerve ebangela i-sciatica. Ividiyo engentla ichaza apho i-gluteus minimus ikhona kwaye ikhomba apho iinqununu ze-trigger zikhona kwimicu ye-muscle. Amanqaku e-Trigger ecaleni kwe-gluteus minimus angakwazi ukulinganisa i-sciatica ngokubangela intlungu echazwe ukuba ihambe phantsi komlenze. Oku kunokubangela ukuba umntu angakwazi ukuhamba okanye nokuma ngenxa yeentlungu ezingathethekiyo akuzo. Ngethamsanqa, iindawo ezibangela unobangela ziyanyangeka nangona kunzima ukuzixilonga.
Unyango olwahlukeneyo lokukhulula iintlungu zeNerve ye-Sciatic
Nangona amanqaku e-trigger ecaleni kwe-gluteus minimus akhohlisayo ukuxilonga, anyangwa ngeendlela ezahlukeneyo zonyango ukuthomalalisa iintlungu umntu ahlangabezana nazo kwaye anokunciphisa iintlungu ze-sciatic nerve ebangela imiba emininzi emilenzeni. Uphando lutyhila ukuba ukusebenza kokukhutshwa kwezicubu ezithambileyo ezisebenzayo kunye ne-trigger point block block unyango oludityanisiweyo lunokukhulula imithambo-luvo ebanjelwe kwi-gluteus minimus kwaye inciphise iintlungu ezisezantsi kunye neentlungu ze-sciatic ukusuka kwiindawo ezisezantsi. Ngoku unyango lodwa lunokwenza into eninzi kumntu ngamnye, njengoko oogqirha abaninzi bexelela izigulane zabo ukuba zithathe amanyathelo okulungisa okanye iindlela zokunciphisa amathuba okubangela ukuba kuqhutywe kwakhona kwi-gluteus minimus. Ubuchule obufana ne-glute stretches, i-ischemic compressions, okanye ukusebenzisa i-foam roller inokuphula i-myofascial triggers ukusuka kwi-gluteus minimus muscles kunye nokunciphisa intlungu kwi-glutes kunye nemilenze. Oku kuya kunceda ukubuyisela ukuhamba kwiindawo ezisezantsi.
isiphelo
Njengesona sihlunu sincinci kwingingqi ye-gluteal yomzimba, i-gluteus minimus ngumzimba osezantsi we-hip stabilizer kunye ne-abductor. I-gluteus minimus inegalelo ekuzinzeni kwe-pelvic kunye nokusebenza okungaphantsi kwesigxina esinokuthi sisetyenziswe ngokugqithiseleyo kwaye sinokuvelisa amanqaku okubangela ahambelana ne-sciatica. Amanqaku e-Trigger ecaleni kwe-gluteus minimus anokubangela iintlungu ezigqithisiweyo kwimilenze kunye nomqolo osezantsi ngelixa ulinganisa intlungu ye-nerve ye-sciatic. Ngombulelo iindlela ezahlukeneyo zonyango kunye nobuchule bunokunceda ukunciphisa amathuba okubangela ukuba enze i-gluteus minimus kunye nokukhulula i-nerve entrapment evela kwizihlunu ezibuhlungu ezicinezela i-nerve ye-sciatic, ukubuyisela ukuhamba okungaphantsi komzimba.
Ucaphulo
Greco, Anthony J, kunye noRenato C Vilella. "I-Anatomy, iBony Pelvis kunye neLimb esezantsi, iGluteus Minimus Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 29 May 2022, www.ncbi.nlm.nih.gov/books/NBK556144/.
Kameda, Masahiro, kunye Hideyuki Tanimae. "Ukusebenza kokukhutshwa kweTissue eSebenzayo kunye ne-Trigger Point Block yokuxilongwa kunye noNyango lwe-Low Back and Leg Pain ye-Gluteus Medius Imvelaphi: Ingxelo yeemeko ezili-115." Ijenali yoNyango lwezeMpilo, Umbutho weNzululwazi yoNyango lwePhysical, ngoFebruwari 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6382483/.
Martin, Hal David, et al. "I-Deep Gluteal Syndrome." Ijenali yoTyando lokuGcinwa kweHip, Oxford University Press, ngoJulayi 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4718497/.
Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 2:Iindawo ezisezantsi. Williams & Wilkins, ngo-1999.
U-Auther, uLisa, kunye nabanye. "I-Gluteus Medius kunye ne-Minimus Muscle Structure, Amandla, kunye noMsebenzi Kubantu Abadala Abanempilo: Ingxelo emfutshane." IPhysiotherapy eCanada. IPhysiotherapie eKhanada, IYunivesithi yaseToronto Press, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5963550/.
isikhanyeli
by UGqr Alex Jimenez | Sciatica Nerve Pain, Unyango lokuthotywa koMnqonqo
Abantu abaninzi bajongana nokungakhululeki kwe-nerve ye-sciatic kunye neentlungu eziphuma kumqolo osezantsi ukuya kwi-glutes, imilenze kunye neenyawo. Inokuchaphazela nabani na kwaye kube nzima ukujongana nayo kuba inokuvela ngequbuliso kwaye ingalindelekanga. Izandla zobuchwephesha kwi-massage yonyango inokudlala indima ebalulekileyo ekuthomalaliseni umqolo kunye neentlungu ze-sciatic kodwa ayisoloko ikhona. Oku kuxa isitulo se-massage esisemgangathweni sinokubonelela ngeentlungu kunye nokuphumla ekhaya.
Sciatica
Akuyena wonke umntu one-sciatica uya kuba neempawu ezifanayo. Kodwa iimpawu eziqhelekileyo ziquka:
- Ukubetha, ukuvakala kweemvakalelo kumqolo ongezantsi kunye nasezantsi emlenzeni.
- Iimvakalelo zombane ezihamba phantsi emlenzeni.
- Iintlungu ezisezantsi ezisasazeka kwiimpundu, amathanga, amathole kunye neenyawo.
- Ubuhlungu bunokuchazwa njengobuthambileyo, buthuntu, bubuhlungu kwaye bubukhali.
- Ukuthimla okanye ukukhohlela kunokunyusa intlungu.
- Ubuthathaka emlenzeni.
Usihlalo weMassage
Isitulo se-massage sinokunceda ngeentlungu ze-sciatic ngokuthoba izihlunu ezixineneyo kunye nokunciphisa uxinzelelo kwizicubu ezijikelezileyo. Xa izihlunu zangasemva zixinene, ziyavumelana kwaye zicinezele imithambo-luvo, kubandakanywa ne-sciatic nerve. Ukuphulula izihlunu eziqinileyo kunciphisa uxinzelelo kwi-nerve ye-sciatic kwaye kunceda ukunciphisa iintlungu. Uphando lubonise ezona zizathu ziphambili zokuba i-massage iluncedo:
Ukuphucula ukuhamba
- Ukuphulula izihlunu kwandisa ukuhamba kwegazi.
- Ukwandisa ukujikeleza kwegazi kunceda ukufunxa izondlo kwimisipha kunye nezicubu.
- Ukwanda ukujikeleza kwe-lymphatic isusa i-toxins kwiindawo ezibuhlungu.
- Ivuselela indawo.
Yehlisa Uxinzelelo kwaye Uphucula Ukuguquguquka
- Ukuphulula kunceda ukukhulula izihlunu eziqinileyo nezixineneyo.
- I-Percussive kneading kunye nokuqengqeleka kuvumela izihlunu ukuba ziphumle kwaye zonyuse amanqanaba e-endorphin.
- I-Endorphins ziikhemikhali zendalo ezibulala iintlungu zomzimba.
- Ukonyuka kwamanqanaba e-endorphin kukhawulezisa ukuchacha kunye nokunciphisa uxinzelelo.
Iimpawu kunye neMisebenzi
Izitulo zokuphulula zihambe indlela ende kwaye ziyahluka kwizakhono zazo, iimpawu kunye nemisebenzi.
Ukuskena uMzimba
- Izitulo zokuphulula ezikumgangatho ophezulu zihlala ziquka a imowudi yokuskena umzimba.
- Isitulo sinekhompyutha eyakhelwe-ngaphakathi eskena ubume bomzimba womntu ukuhambisa i-massage elungiselelweyo kwiindawo ezahlukeneyo zomzimba.
I-Massage kaninzi
- Uninzi lwezitulo zokuphulula ziza neerola kunye neenodi zokufikelela kwizihlunu ezibuhlungu.
- Izitulo ezininzi zibonelela ngeendlela ezahlukeneyo zokusilalisa ezicwangcisiweyo.
- Izitulo ezicwangcisiweyo eziphezulu zibonelela ngokuxova, i-reflexology, kunye neShiatsu, ukukhankanya ezimbalwa.
- Isenzo sokuphulula silungiselelwe ukunceda ukunciphisa ukungakhululeki kwemisipha.
Ukuphululwa okushushu
- Izitulo ezininzi eziphakamileyo zinika isihlalo esishushu esikhethiweyo kunye / okanye umva.
- Ezinye izitulo zibonelela ngobushushu obugcweleyo bomzimba we-infrared ukukhulula izihlunu.
Umsebenzi wokuNcama
- Uninzi lwezitulo zibonakalisa imisebenzi emininzi yokucofa.
- Zero-gravity ukungqengqa lukhetho oludumileyo.
- Nangona kunjalo, zonke iinketho zokuhla ziphucula ukuphumla.
iinketho
Ukukhetha enye kuya kusekelwa kwiimfuno ezithile kunye nohlahlo lwabiwo-mali. Amanye amacebiso okunceda ukufumanisa ukuba sesiphi isitulo se-massage esiluncedo kakhulu sibandakanya:
Dibana noGqirha
- Ugqirha, ingcali yomqolo, okanye chiropractor unokuncoma uhlobo olungcono lwesitulo se-massage ukwenzela ukwenzakala komntu, imeko, kunye / okanye ukuphazamiseka.
- Ugqirha uya kwazisa umntu ukuba isitulo sokuphulula siyindlela ekhuselekileyo kwiintlungu zabo ze-sciatica ukuba banemeko zempilo efana noxinzelelo lwegazi oluphezulu okanye i-neuropathy.
Iinjongo zesitulo
- Bonisa ukuba yintoni isitulo esiza kunceda ngexesha elifutshane kunye nexesha elide ngaphambi kokuthenga.
- Ngokomzekelo, ukuba injongo kukukhulula i-sciatica kunye ne-back back tension, i L-Track massage isitulo inokuhamba ngakumbi phantsi komqolo ukuya kwi-glutes kunye ne-hamstrings.
Ukwenzakala Medical DOC Spinal Decompression Table
Ucaphulo
Cygańska, Anna, et al. Iimpembelelo zokuzilolonga kunye nokuphululwa kwesitulo kwintlungu yeMusculoskeletal yeemvumi eziselula” Ijenali yamazwe ngamazwe yophando lwemo engqongileyo kunye nempilo yoluntu vol. 17,14 5128. 16 Jul. 2020, doi:10.3390/ijerph17145128
de Souza, Talita Pavarini Borges et al.”“Ukusebenza kweSitulo sokuphulula kuxinzelelo kunye neentlungu kwi-Oncology” Ijenali yamazwe ngamazwe yokuphululwa konyango kunye nokusebenza komzimba vol. 14,3 27-38. 2 Septemba 2021, doi:10.3822/ijtmb.v14i3.619
Hand, Mary et al. " "Iiseshoni zesiHlalo sokuphululwa: Iziphumo eziNgcono kuMongikazi weZiko loMhlaza we-Ambulatory" iNqanaba eliQonwayo loxinzelelo, uxinzelelo lwegazi, kunye nesantya sentliziyo" Ijenali yezonyango ye-oncology nursing vol. 23,4 (2019): 375-381. doi:10.1188/19.CJON.375-381
UKim, Seung-Kook, et al.” "Iziphumo zeklinikhi kunye neendleko-zokusebenza kwe-massage chair therapy ngokubhekiselele kwi-physiotherapy esisiseko kwizigulane ezibuhlungu ezisezantsi: isilingo esilawulwa ngokungahleliwe." Amayeza vol. 99,12 (2020): e19514. doi:10.1097/MD.0000000000019514
Kumar, Saravana, et al. "Ukusebenza konyango lwe-massage kunyango lweentlungu ezingachazwanga ezisezantsi: uphononongo olucwangcisiweyo lophononongo olucwangcisiweyo." Ijenali yamazwe ngamazwe yeyeza jikelele vol. 6 733-41. 4 Septemba 2013, doi:10.2147/IJGM.S50243
by UGqr Alex Jimenez | Sciatica Nerve Pain, Unyango lokuthotywa koMnqonqo
I-nerve ye-sciatic yeyona inde kakhulu emzimbeni kwaye yi-nerve esembindini emlenzeni. I-nerve ebalulekileyo ephuma kumqolo ibaleka kwi-pelvis, iye kwiimpundu, ihle ngasemva kwethanga ngalinye, kwaye ekugqibeleni iye ezinyaweni. Yi i-nerve edibeneyo oku kuthetha ukuba yenziwe zizo zombini iimoto/intshukumo) kunye nemicu yoluvo/imvakalelo. Imithambo-luvo idibana neengcambu zemithambo-luvo phambi kokuba ingene kwintambo yomqolo, apho ulwazi lweemvakalelo luhamba lusiya kwaye lusuka kwingqondo. Ukuba i-nerve ivutha, icinezelekile, ijijekile, yonakele, okanye yenzakele, oku kunokuchaphazela kakubi ukusebenza kwemisipha, okukhokelela kwiimeko ezibuhlungu ezingapheliyo. I-Chiropractors yokuBuyiselwa koMsebenzi wezoNyango wokulimala uya kwenza ngokuchanekileyo oko kwi-nerve ye-sciatic kunye nomzimba wonke.
Iingcambu zeNerve kunye namaSebe
Iingcambu ze-nerve ezahlukeneyo zenza i-nerve ye-sciatic, ezimbini ziqala kumqolo ophantsi kunye nezintathu emazantsi omqolo okanye i-sacrum. Emadolweni, i-nerve ihlukana ibe ngamasebe amabini:
- The i-peroneal nerve ibaleka ukusuka kwindawo engaphandle yedolo ukuya kwindawo engaphandle yonyawo kwaye iqhekeke ibe ngamasebe amabini aphambili phantsi kwedolo.
- The i-tibial nerve yehla ngasemva kwethole, idlulela kwisithende kunye neyodwa.
Kukho amasebe amancinci apha:
- I-Hips
- Amathanga angaphakathi
- Amathole
- iinyawo
Umsebenzi weSciatic Nerve
Injongo ye-sciatic nerve isebenza ngokuncedisa izihlunu emilenzeni nasezinyaweni ukuba zihambe, zihambe, zibaleke, kwaye zime. Kwaye ngenxa yomsebenzi weemvakalelo zokuziva emilenzeni nasezinyaweni kubandakanya intlungu, ukuphazamiseka, ukutshisa, kunye nokuziva kombane.
Motor Functions
I-nerve ibonelela ngemisebenzi yeemoto ezishukumisa amandla kwimisipha ehambisa amathanga, imilenze kunye neenyawo. Imisebenzi ebalulekileyo yemoto:
- Hlanganisa amathanga kunye ngaphakathi ukuya emzimbeni
- Ukushukuma konyawo ukuya emzimbeni.
- Ukushukuma konyawo kude/ukuya ngaphandle emzimbeni
- Ekhomba iinzwane phantsi.
- Ekhomba iinzwane phezulu.
Iimpawu zemoto yeengxaki ze-nerve ye-sciatic ziquka ubunzima okanye ukungakwazi ukuhamba, ukugoba umlenze, kunye / okanye ukuma kwi-tiptoe okanye isithende.
Imisebenzi yoluvo
I-nerve inikeza ukuva kwiindawo ezahlukeneyo; xa i-nerve yenzakele, indawo ehambelana nayo inokuziva ingaqhelekanga / imvakalelo engaqhelekanga kunye needigri ezihlukeneyo ze-numbness, izikhonkwane-kunye-neenaliti, kunye neentlungu. Iindawo ezidla ngokuchaphazeleka ziquka:
- Ngaphambili, ngasemva nangaphandle kwethanga.
- Ngaphambili, ngasemva, nangaphandle komlenze ongezantsi.
- Umphezulu kunye necala elingaphandle lonyawo.
- Emazantsi onyawo.
- Phakathi kweenzwane.
Njengokuphazamiseka komsebenzi wemoto, ukukhubazeka kweenzwa kuchongwa apho iingxaki zenzeke khona.
IChiropractor yokubuyisela umsebenzi
Ukuchaphazeleka, kuncitshiswe, kwaye kuthintelwe imisebenzi yeemoto kunye neemvakalelo kunokukhokelela kubuthathaka bemisipha, intlungu engapheliyo, kunye nomonakalo ongapheliyo we-nerve. I-chiropractor yokubuyisela umsebenzi kunye ne-massage yonyango yomzimba inokunceda ukulawula ukunyanzeliswa kwe-nerve kunye nokucaphuka. Ukunyanzeliswa komgogodla kubuyisela iidiski ze-vertebral ezingahambi kakuhle zithatha uxinzelelo kwi-nerve ekhulula intlungu, kunye nokubuyisela ukuhamba kwesignali ye-nerve kunye nokuhamba. Chiropractic iya kubangela ukuphumla okunzulu kwemisipha ukumisa i-spasms ye-muscle, ukukhulula uxinzelelo, ukuthomalalisa i-nerve, ukukhulula i-endorphins, kunye nokubuyisela ukusebenza kwe-nerve ye-sciatic.
Ukunciphisa Umzimba
Ucaphulo
Bouche, P. "Uxinzelelo kunye ne-neuropathies ebanjwayo." Handbook of Clinical neurology vol. 115 (2013): 311-66. doi:10.1016/B978-0-444-52902-2.00019-9
Cook, Chad Et al. "Imingcipheko yeziganeko zexesha lokuqala sciatica: ukuphononongwa okucwangcisiweyo." Uphando lwePhysiotherapy lwamazwe ngamazwe: ijenali yabaphandi kunye noogqirha kunyango lomzimba vol. 19,2 (2014): 65-78. doi:10.1002/pri.1572
Giuffre BA, Jeanmod R. Anatomy, Sciatic Nerve. [Ihlaziywe 2021 Jul 29]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK482431/
by UGqr Alex Jimenez | Chiropractic, Sciatica, Sciatica Nerve Pain, Unyango lokuthotywa koMnqonqo
intshayelelo
Kwisiqingatha esisezantsi somzimba, i-nerve enkulu idibanisa kwi-lumbar region yomqolo ohamba ukuya emilenzeni. Le yile nerve, kwaye umsebenzi wayo oyintloko kukubonelela ukuhamba kwemilenze. Imilenze isebenzisa i-nerve ye-sciatic ukuhamba, ukuva, kunye nokuzinzisa umzimba njengoko ushukuma. Xa ummandla we-lumbar womqolo uqala ukunxiba kunye nokukrazula kwendalo ngenxa yokulimala okanye izinto eziqhelekileyo ezifana nokuphakamisa izinto ezinzima kunokubangela ukuba i-spinal discs kumqolo ukuba i-herniate kwaye ucinezele kwi-nerve ye-sciatic. Xa oku kusenzeka, i-nerve ye-sciatic ithumela iimpawu zentlungu ezihamba phantsi emilenzeni kwaye zibuyele ebuchosheni, ezibangela ukuba iimpawu ezifana ne-sciatica zikhule. Ngethamsanqa ezinye iindlela zonyango zinokunceda ukukhusela i-sciatica ekuphuhliseni ngakumbi kwaye inike isiqabu kubantu abaninzi abahluphekayo. Inqaku lanamhlanje ligxininisa kwizinto ezibangela i-sciatica kunye nendlela unyango olufana nonyango lokunciphisa uxinzelelo lunokunceda ukukhusela izinto ezifana ne-sciatica ukuba ziqhubele phambili kubantu abaninzi. Ukubhekisa izigulana kubaboneleli abaqeqeshiweyo kunye nabanobuchule abakhethekileyo kunyango loxinzelelo lomgogodla. Sikhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo ibalulekile ekubuzeni imibuzo ecacileyo kubaboneleli bethu. UDkt Alex Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Ngaba i-inshorensi yam ingayihlawula? Ewe, kunokwenzeka. Ukuba akuqinisekanga, nali ikhonkco kubo bonke ababoneleli beinshorensi esibakhuselayo. Ukuba unemibuzo okanye iinkxalabo, nceda ufowunele uDkt Jimenez kwi-915-850-0900.
Yintoni i-Sciatica?
Ngaba uziva iintlungu zihla ngemilenze yakho? Ngaba kubuhlungu xa uhamba, nokuba umgama omfutshane? Kuthekani ngokuqina kwemisipha okwenzeka kumqolo ongaphantsi kunye nemilenze? Zonke ezi zimpawu ziyimpawu zokuba ufumana i-sciatica. Izifundo zophando ziye zachaza i-sciatica njenge-throbbing, iintlungu ezibukhali ezichaphazela elinye icala lomzimba kwaye zihamba phantsi komlenze ngamnye. Nanini na xa umntu ephethwe yi-sciatica, iimpawu zentlungu zihlala zihluka, kuxhomekeke kwindlela echaphazela ngayo imilenze. Sciatica ngokuqhelekileyo iifom xa umqolo uhlupheka kwi-disc ye-herniated, okanye i-piriformis muscle iqala ukuxinzelela kwi-nerve ye-sciatic, ibangela ukuba icaphuke. Ulwazi olongezelelweyo lubonisa ukuba iimeko ezahlukeneyo ezinokuchaphazela ngokwesakhiwo okanye zide zicinezele i-nerve ye-sciatic zingabangela iimpawu ze-sciatica ezinokuthintela ukukwazi komntu ukuhamba. Ukulimala kumqolo akuzona kuphela izinto ezinokubangela ukuba i-sciatica yenzeke, njengoko izinto eziqhelekileyo zinokuba ngumcimbi.
Izinto ezibangela iSciatica
Ngoku izinto ezininzi zinokubangela ukuba i-sciatica iphuhlise. Ezinye zezi zinto zinokuba yimikhwa eqhelekileyo yemihla ngemihla abaninzi abaye bayamkela abangaqondi ukuba ibangela intlungu ye-sciatica. Izifundo zophando zibonisile ukuba abantu abaninzi abaphethwe ziintlungu ezisezantsi ezivela kwiimeko zokusebenza ezinzima njengokuhlala phantsi emsebenzini wedesika ixesha elide kunokubangela umngcipheko wokuphuhlisa i-sciatica. Ukuhlala ixesha elide kunokubangela ukuba umntu enze i-posture embi, ekhokelela kwiintlungu ezisezantsi kwaye ngaloo ndlela aphuhlise i-sciatica. Enye into enokukhokelela kwi-sciatica kukuphakamisa izinto ezinzima. Uphononongo olongezelelweyo lophando luye lwabonisa ukuba xa abasebenzi bephethe ukuthwala okanye ukuphakamisa izinto ezinzima kunokuchaphazela umqolo wabo ongezantsi. Ubunzima bento bubangela uxinzelelo kunye noxinzelelo kwimisipha esezantsi ebangela ukuba umntu aqaqanjelwe yintlungu. Ezi zimpawu zibuhlungu zinokubangela ukuba izihlunu ezisezantsi zicinezele kwaye zikhulise i-nerve ye-sciatic. Ngethamsanqa ezinye iindlela zonyango zinokunceda ukukhusela ezi zinto ukuba zingacaphukisi i-nerve ye-sciatic kwaye zithintele i-sciatica ukuba iqhubele phambili.
Izinto ekufuneka uziphephe ngeSciatica-Video
Ngaba uziva uxinezeleka kwezihlunu xa uphakamisa okanye uphethe izinto ezinzima? Ngaba umqolo wakho ophantsi uqaqanjelwa emva kwexesha elide lokuhlala phantsi? Ngaba uziva iintlungu ezibuhlungu ngasemva kwemilenze yakho? Usenokuba uphethwe yi-sciatica, kwaye unyango lokuthomalalisa lunokukwazi ukunceda. Le vidiyo ingentla ichaza izinto ezilishumi onokuziphepha xa ujongene ne-sciatica. Unyango lwe-Decompression luvumela umntu ofumana i-sciatica ukuba azive ekhululekile kumqolo ongaphantsi. Isebenzisa i-traction ethambileyo kumqolo ukwenza ukuba i-sciatic nerve eyongeziweyo iphumle ngelixa ikhulula izihlunu ezomeleleyo ezibangela ukungashukumi kumqolo osezantsi. Ukubandakanya unyango lwe-decompression njengonyango lwempilo luyinzuzo. Oku ikhonkco liya kuchaza indlela i-decompression inikezela ngayo intuthuzelo kubantu abaninzi abaphethwe yi-sciatica ngelixa bebabuyisela kuhambo lwabo lwezempilo kunye nokuphila kakuhle.
Indlela i-Decompression inokunciphisa ngayo i-Sciatica Factors
Uninzi lwezonyango ziyafumaneka ukunceda ngeempawu ze-sciatica kunye neempawu ezibuhlungu ezisezantsi ezinokukhulula umntu obandezelekileyo. Izifundo zophando zibonisile ukuba unyango lwe-decompression ye-sciatica lunokuhanjiswa kubantu abaninzi ngokunciphisa intlungu ebanjwe yi-piriformis muscle. Xa umsipha we-piriformis ushukunyiswa ngobumnene kude ne-nerve ye-sciatic, iimpawu zentlungu ziya kuncipha ekuthumeleni ulwazi kwingqondo. Ezinye izifundo zophando zibonisile ukuba unyango lokuthomalalisa kwimithambo-luvo ye-sciatic olubanjiweyo luya kubonelela ngokunciphisa iintlungu kwimisipha yomlenze kunye nokukhulula imisipha ye-buttock ekubandezelekeni kwi-muscle spasms. Abantu abaninzi abanengxaki ye-sciatica baya kuziva bekhululekile kuxinzelelo olubi olunikezelwe ngunyango loxinzelelo.
isiphelo
Ngokubanzi, i-sciatica inokubangelwa yimiba enokuthi ibe yinto eqhelekileyo, njengokuhlala ixesha elide, ukuphakamisa, okanye ukuthwala izinto ezinzima. Ezinye izinto zinokuba lula njenge-disc ye-herniated okanye i-piriformis syndrome. Unyango lwe-Decompression luvumela umntu ukuba azive ekhululekile ngokukhawuleza kwi-sciatica ngokolula ngononophelo umnqonqo ukunciphisa uxinzelelo lwe-nerve ye-sciatic. Nje ukuba i-nerve ye-sciatic iqale ukuziva ngcono emva kokuba yenziwe mandundu, isiqingatha esisezantsi somzimba siya kuqala ukuphumla, kwaye umntu uya kuba buhlungu.
Ucaphulo
UDavis, uDavid, et al. "Sciatica-Statpearls-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 6 May 2022, www.ncbi.nlm.nih.gov/books/NBK507908/.
Euro, Ulla, et al. "Izinto eziBalulekileyo zoMngcipheko wokuSebenza kwi-Sciatica ekhokelela eSibhedlele." Iingxelo zeSayensi, Iqela loPapasho lweNdalo e-UK, 25 ku-Epreli 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6484005/.
Hogan, Elizabeth, et al. "INdlela eNcincisayo yoTyando yoNyango lwePiriformis Syndrome: Uthotho lweCase." Ijenali yaseTshayina yeNeurosurgical, BioMed Central, 30 Mar. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7398220/.
ULis, u-Angela Maria, kunye no-al. "Unxulumano phakathi kokuHlala kunye ne-LBP yoMsebenzi." I-European Spine Journal : Ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu le-Cervical Spine Research Society, Springer-Verlag, Feb. 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC2200681/.
Park, Myung-Sik, et al. "Iziphumo zeklinikhi ze-Endoscopic Sciatic Nerve Decompression ye-Deep Gluteal Syndrome: ithetha ukulandelelana kweminyaka eyi-2." Iingxaki ze-BMC zeMisculoskeletal, BioMed Central, 20 May 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4875686/.
Abasebenzi, iKliniki yaseMayo. "Sciatica." Clinical Mayo, Isiseko seMayo seMfundo yezoNyango noPhando, i-1 Agasti 2020, www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435.
isikhanyeli
