Sciatica. Zizindikiro, Zoyambitsa ndi Chithandizo

Mitsempha sciatic, akutsikira pansi pa gluteus Maximus minofu, lagawidwa nthambi zing'onozing'ono ndi kuthamangira pansi lonse m'munsi nthambi, kupereka ndi kuyenda ndi tilinazo. Izi ndi mbali yaikulu ya plexus sacral, kumene kumakhudza ntchito yachibadwa pafupifupi onse ziwalo mafupa a chiuno ndi. kutupa ake amadziwika kuti sciatica. Zizindikiro zimakhala ndondomeko pathological, malingana ndi zimene zimayambitsa matenda.

Ambiri sciatic mitsempha innervation m'dera anachititsanso kuti mawonetseredwe matenda a sciatica. Zizindikiro zimadalira amene makamaka kudera la mitsempha zotupa muzu chinayamba. Kwambiri khalidwe Mbali kutupa ndi ululu sciatica, localizes mu breech, mu tibia kapena kumbuyo kwa ntchafu. Nthawi zambiri kumawonjezera ndi kayendedwe aliyense kovuta. Khalidwe la ululu akhoza looneka mosiyana ndi kuwonetseredwa mu mawonekedwe a kuwombera ululu, kumva kulasalasa, moto, dzanzi ndi "zikhomo ndi masingano."

Sciatica nthawi zambiri chizindikiro kuposa matenda osiyana. Osteochondrosis, akuwuka pa maziko a sciatica mu lumbar msana, intervertebral chophukacho, njira chotupa msana stenosis, mimba - izi ndi zifukwa zambiri kwa osauka sciatica. zizindikiro mawonetseredwe ake anasonyeza ululu syndrome chifukwa psinjika za molekezera mitsempha. Kugonjetsedwa kwa mitsempha sciatic ngati sciatica m'dera lumbosacral chimakwirira lonse m'munsi malekezero. Ululu isanafalikire mu lumbar msana ndi kufalikira mu mwendo. A lumbago otchedwa ndi sciatica, amene amakhala ndi ululu m'dera ipsilateral wa matako ndi yochokera kumbuyo padziko nthambi.

zomverera zopweteka zambiri zimachitika pambuyo zosiyanasiyana thupi overvoltage microtraumas meningeal kuyabwa matenda mitsempha. Lumbago ndi sciatica ungadziwike mu pachimake (lumbago), subacute (lyumbalgiya), (lyumboishalgiya) mitundu aakulu. Zizindikiro zenizeni ubongo anazindikiritsidwa mu gawo aakulu a matenda.

Malinga ndi etiology za ndondomeko pathological m'kagulu sciatica chachikulu, chikwiyire chinthu opatsirana (poizoni mitsempha kuwonongeka), ndi ukapezeka chifukwa zotupa a m'chiuno kapena femur sciatica sekondale. zizindikiro anasonyeza kwambiri, kupweteka kwambiri, zomwe zambiri kwa masiku angapo. Waukulu matenda mawonetseredwe: backache ku dera lumbar kumapazi, kupweteka kwambiri ndi kugirigisha moto, kumva kulasalasa, kuletsa kayendedwe, dzanzi, mkhutu zoyendayenda, imfa ya kumverera mapazi. Nthawi zambiri wodwalayo madandaulo za kufooka mu miyendo, zizindikiro matumbo kukanika, dongosolo mkodzo.

matenda zambiri akufotokozera kusintha pathological zina ziwalo. zifukwa zosiyanasiyana achititsa pakuwonekera kwake ndi mawonetseredwe zosiyanasiyana matenda zomwe sciatica. Zizindikiro za ululu akhoza kufika m'njira zosiyanasiyana: ku ululu kuwombera kwa dzanzi. Izo sizingakhoze akuwonetseredwa mu lumbar msana, ndi kukhala mu mawonekedwe a kusapeza yekha mu thako kapena ntchafu, phazi kapena zala. Sciatica zambiri zimakhudza nthambi imodzi, koma pangakhale ululu miyendo.

Inu simungakhoze kuchoka popanda chidwi kuwonekera kwa matenda, monga matenda ili m'kati nthawi, kuti kale pa siteji patsogolo zidzakhala zosatheka kupirira ululu. Zimakhala mphamvu ndi unachitikira zoopsa zotere zopweteka zimene munthu amavutika kuyenda, weramitsani, kuima, kukhala. Ululu likusautsabe wodwala usiku, kuteteza tulo.

Yoyenera chithandizo cha matenda n'zosatheka kuchita nthawi yochepa. Kuti kutupa m'malo olumikizirana mafupa, kuthetsa minofu kuphipha, ululu yoikidwiratu NSAIDs, analgesics, n'kumawotha mafuta ndi angakhale angelo. Mu ndondomeko ya kuchepetsa njira analimbikitsa zina, malire kuyenda mu nthambi akhudzidwa kuchotsa mkwiyo wa mizu mitsempha. Nditamaliza njira zachipatala analimbikitsa kutema mphini mankhwala thupi, kutikita ndi mankhwala thupi. A zingamuthandize mankhwalawa sciatica kwa masiku 2 kumafuna okha njira zina kuti atsogolere ululu amphamvu Mwachitsanzo, pogwira mndandanda wa jekeseni.