Sciatica

Sciatica hais txog qhov mob, ua kom tsis muaj zog, loog, lossis caj dab hauv txhais ceg. Nws tshwm sim los ntawm kev raug mob rau lossis siab nias ntawm cov leeg sciatic. Sciatica yog qhov tsos mob ntawm kev muaj teeb meem kho mob. Nws tsis yog yam mob ntawm nws tus kheej.

Sciatica tshwm sim thaum muaj lub siab lossis puas tsuaj rau ntawm cov leeg sciatic. Cov hlab ntsha no pib hauv qis sab nraub qaum thiab sau nraub qaum txhua ceg. Txoj hlab ntshav no tswj cov leeg ntawm caj dab sab nraud ntawm lub hauv caug thiab sab ceg qis. Nws kuj tseem muaj qhov txaus siab rau sab nraum qab ntawm tus ncej, sab nraud thiab sab nraud ntawm sab ceg qis, thiab tib tus taw.

Cov teeb meem tshwm sim ntawm sciatica suav nrog:

• Plam herniated disk
• Cov leeg txha caj qaum
• Cov tsos mob Piriformis (qhov mob tsis zoo uas cuam tshuam nrog cov leeg nqaim hauv pob tw)
• Pelvic raug mob lossis pob txha lov
• Lub pob hlav

Cov txiv neej ntawm 30 thiab 50 xyoo muaj hnub nyoog ntau dua yuav muaj sciatica.

Kev mob Sciatica tuaj yeem sib txawv. Tej zaum nws yuav zoo li mob sib khuav me me, npus mob ib ce, lossis qhov hnov ​​yus mob. Muaj qee kis, qhov mob hnyav hnyav txaus uas ua rau tus neeg txav tsis taus.

Qhov mob feem ntau tshwm sim rau ntawm ib sab. Qee tus neeg muaj mob hnyav nyob rau hauv ib feem ntawm txhais ceg lossis lub ntsag thiab lub cev loog ntawm lwm qhov chaw. Qhov mob los yog loog kuj yuav hnov ​​nyob tom qab plab hlaub los yog ntawm tus taw ntawm taw. Cuam tshuam ceg yuav hnov ​​tsis muaj zog. Qee zaum, koj txhais taw tau khis rau hauv av thaum taug kev.

Qhov mob yuav pib qeeb. Nws tuaj yeem mob hnyav ntxiv:

• Tom qab sawv ntsug lossis zaum
• Thaum qee lub sijhawm nruab hnub, xws li thaum tsaus ntuj
• Thaum txham, hnoos, lossis luag
• Thaum khoov khoov rov qab los yog taug kev ntau dua ob peb mev lossis meters, tshwj xeeb yog tias mob los ntawm pob txha txha caj qaum
• Thaum rub tawm lossis tuav koj cov pa, xws li thaum tso quav

Tus kws kho mob yuav kuaj xyuas lub cev. Qhov no yuav qhia:

• Tsis muaj zog thaum khoov lub hauv caug
• Teeb meem khoov lub taw taw sab hauv lossis sab hauv
• Nyuaj taug kev hauv koj cov ntiv taw
• Nyuaj khoov rau pem hauv ntej lossis rov qab
• Txawv tsis zoo los yog tsis muaj zog reflexes
• Plam lossis hnov ​​loog
• Mob thaum nqa cov ceg ncaj ncaj thaum koj dag saum lub rooj soj ntsuam

Cov kev sim no feem ntau tsis xav tau tshwj tsis yog tias mob hnyav lossis kav ntev. Yog tias kev xeem tau txiav txim, lawv yuav suav nrog:

• Xoo hluav taws xob, MRI, lossis lwm yam kev sim duab
• Kuaj ntshav

Xws li sciatica yog qhov tsos mob ntawm lwm qhov mob, qhov pib hauv qab yuav tsum qhia thiab kho.

Hauv qee kis, tsis muaj kev kho mob uas yuav tsum tau ua thiab kev rov zoo los ntawm nws tus kheej.

Kev txuag tshwj xeeb (tsis yog phais mob) yog qhov zoo tshaj plaws hauv ntau kis. Koj tus kws kho mob yuav qhia cov hauv qab no los pab kom koj tus mob nqig thiab txo qhov mob o:

• Noj tshuaj tom khw ntau xws li ibuprofen (Advil, Motrin IB) lossis acetaminophen (Tylenol).
• Siv dej kub lossis dej khov rau thaj chaw mob. Sim dej khov rau thawj 48 txog 72 teev, tom qab ntawd siv cua sov.
  

Cov kev ntsuas saib xyuas koj lub nraub qaum hauv tsev kuj yuav suav nrog:

• Tsis xav kom pw so.
• Kev tawm dag zog rov qab yog pom zoo kom ntxov ua rau koj lub nraub qaum.
• Pib qoj ib ce ntxiv tom qab 2 txog 3 asthiv. Xws li kev tawm dag zog kom ntxiv dag zog koj lub plab (cov leeg) cov leeg thiab txhim kho qhov yooj yim ntawm koj tus txha nraub qaum.
• Txo koj cov kev ua ub no rau thawj ob peb hnub. Tom qab ntawd, maj mam pib koj cov haujlwm yam ib txwm muaj.
• Tsis txhob ua lub nra hnyav lossis rub koj lub nraub qaum rau thawj 6 lub lis piam tom qab qhov mob pib mob.

Koj tus kws kho mob tseem yuav hais kom kho lub cev. Cov kev kho ntxiv yog nyob ntawm tus mob uas ua rau sciatica.

Yog tias cov kev ntsuas no pab tsis tau, koj tus kws kho mob yuav pom zoo kom txhaj ib co tshuaj los txo qhov o ntawm cov leeg. Lwm yam tshuaj tuaj yeem raug xaj kom pab txo qis qhov mob pob txha vim yog cov hlab ntsha tsis xis nyob.

Kev hnov ​​mob leeg yog qhov nyuaj los kho. Yog tias koj muaj teeb meem txuas nrog kev mob, koj yuav xav ntsib tus kws kho mob hlwb lossis tus kws paub txog mob kom paub meej tias koj tau txais kev xaiv dav dav ntawm kev kho mob.

Kev phais mob tuaj yeem ua tau kom txo qhov hnoos qeev ntawm koj tus txha caj qaum, txawm li cas los xij, nws feem ntau yog qhov kawg rau kev kho.

Feem ntau, sciatica tau zoo dua ntawm nws tus kheej. Tab sis nws nquag muaj rau nws rov qab los.

Cov teeb meem loj dua yog nyob ntawm qhov ua rau ntawm sciatica, xws li swb pob zeb los yog pob txha txha caj qaum. Sciatica tuaj yeem ua rau lub zog ua kom loog lossis tsis muaj zog ntawm koj txhais ceg.

Hu rau koj tus kws khomob sai sai yog tias koj muaj:

• Yam tsis mob tob hau nrog mob duav
• Mob nraub qaum tom qab tshuab cua daj cua dub lossis poob
• Liab lossis o ntawm sab nraub qaum lossis txha nraub qaum
• Hnov mob mus hauv koj ob sab ceg hauv qab hauv caug
• Tsis muaj zog lossis loog hauv koj lub pob tw, ncej puab, ceg, lossis lub plab mog
• Hlawv nrog tso zis lossis ntshav hauv koj cov zis
• Qhov mob hnyav dua thaum koj pw, lossis thaum koj pw tsaug zog thaum hmo ntuj
• Mob hnyav thiab koj tsis tuaj yeem xis nyob
• Tsis tswj qhov tso zis los yog cov quav (tswj tsis taus)

Kuj tseem hu yog:

• Koj tau poob ceeb thawj tsis txaus ntseeg (tsis yog rau lub hom phiaj)
• Koj siv cov tshuaj steroid los yog cov tshuaj tiv thaiv
• Koj tau mob nraub qaum ua ntej, tab sis cov ntu lus no no sib txawv thiab hnov ​​zoo dua
• Qhov mob rov zoo li no tau siv sijhawm ntev dua 4 lub lim tiam

Kev tiv thaiv sib txawv, nyob ntawm qhov ua rau ntawm lub cev puas. Zam kev zaum ntev lossis pw nrog lub siab ntawm lub pob tw.

Muaj lub zog rov qab thiab mob plab yog qhov tseem ceeb kom tsis txhob sciatica. Raws li koj tau laus dua, nws yog ib lub tswv yim zoo kom ua kev tawm dag zog kom ntxiv dag zog rau koj cov tub ntxhais.

Neuropathy - hlab ntsha sciatic; Sciatic hlab ntsha tawg; Qes rov qab mob - sciatica; LBP - sciatica; Lumbar radiculopathy - sciatica

• Kev phais pob qij txha - tawm paug

• Sciatic hlab ntsha
• Cauda equina
• Sciatic hlab ntsha puas tsuaj

Marques DR, Carroll PEB. Neurology. Hauv: Rakel RE, Rakel DP, eds. Phau Ntawv Qhia Txog Tshuaj Tsev NeegCov. 9le ed. Philadelphia, PA: Elsevier Saunders; 2016: chaaj 41.

Ropper AH, Zafonte RD. Sciatica. N Engl J MedCov. Xyoo 2015; 372 (13): 1240-1248. PMID: 25806916 pubmed.ncbi.nlm.nih.gov/25806916/.

Yavin D, Hurlbert RJ. Nonsurgical thiab kev tswj hwm kev sib tw ntawm cov mob duav. Hauv: Winn HR, ed. Youmans thiab Winn Neurological phaisCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: cha 281.