Cov kab mob no yog ib qho ntawm feem ntau, thiab nws qhov peculiarity nyob rau hauv qhov tseeb tias nws tsuas yog ib sab xwb. Feem ntau, cov neeg muaj hnub nyoog 40 txog 65 xyoos tuaj rau cov kws kho mob tshwj xeeb nrog sciatic paj hlwb neuropathy, thiab tus kab mob tshwm sim sib npaug ntawm ob leeg poj niam txiv neej. Tus neeg mob muaj unilateral loog ntawm ko taw thiab sab ceg, tuag tes tuag taw ntawm cov ntiv tes thiab ko taw yuav tsim nyob rau hauv ib feem ntawm lub cev qhov twg cov hlab ntsha sciatic cuam tshuam. Sciatic neuropathy hauv ICD-10 yog teev nyob rau hauv tus lej G57.
Qhov laj thawj tseem ceeb
Cov hlab ntsha sciatic tuaj yeem cuam tshuam los ntawm kev txwv (squeezing, irritation) ntawm intervertebral hernia, spasm ntawm cov leeg piriformis, gluteus maximus nqaij.
Qhov tseem ceeb ntawm kev mob ntawm cov hlab ntsha sciatic tuaj yeem yog hypothermia, kab mobKev raug mob ntawm tus txha caj qaum, pob qij txha, mob ntshav qab zib mellitus, hnyav physiological overload, ntau yam kab mob.
kab mob dab tsi ua rau pathology?
Cov kab mob no tuaj yeem tshwm sim los ntawm ntau yam kab mob loj thiab txaus ntshai, xws li:
- cov txheej txheem qog nqaij hlav;
- mob ntshav qab zib mellitus;
- haus ntau dhau;
- herpes;
- AIDS.
Tsis tas li ntawd, kev puas tsuaj rau cov hlab ntsha ntawm cov hlab ntsha sciatic kuj tuaj yeem txhim kho tom qab qhov pom ntawm kev txiav lossis lacerations hauv tus ncej puab, nrog rau vim muaj phom phom nyob rau tib qhov ntawm lub cev. Cov kab mob no feem ntau tshwm sim nrog kev cuam tshuam, pob txha pob txha ntawm lub plab thiab lwm yam kev raug mob uas cov hlab ntsha sciatic cuam tshuam.
Cov kws kho mob kuj tseem nco ntsoov tias neuropathy ntawm cov hlab ntsha sciatic tuaj yeem tsim tawm tsam keeb kwm yav dhau los ntawm cov kab mob los yog kis tau cov kab mob ntawm tus txha caj qaum, xws li, piv txwv li, herniated disc lossis scoliosis. Tsis tas li ntawd, raws li cov ntaub ntawv kho mob, yuav luag 54% ntawm cov neeg mob uas raug mob los ntawm discogenic lumbar sciatica muaj tus kab mob zoo li no.
Tsis tshua muaj, sciatic paj hlwb neuropathy tsim tom qab txhaj tshuaj tsis raug rau hauv qhov quav. Qhov no pathology feem ntau pom nrog liab liab kub taub hau, tuberculosis ntawm ib theem, nrog rau qhua pias. Nws muaj peev xwm ua kom puas lub paj hlwb nrog kev haus dej cawv ntev ntev, kev siv yeeb tshuaj, nrog rau kev lom arsenic hnyav.
Symptoms
Cov tsos mob thiab cov tsos mob ntawm tus kab mob no nyob ntawm qhov chaw thiab qib ntawm kev puas tsuaj rau ob txhais ceg, tab sis yuav luag txhua tus neeg mob sciatic neuropathy yws yws ntawm qhov tsis hnov tsw hauv thaj chaw cuam tshuam ntawm ceg. Muaj lwm cov tsos mob ntawm sciatic neuropathy, thiab cov no suav nrog cov hauv qab no:
- ceg yuav yog me ntsis concave sab hauv;
- tsis muaj peev xwm ua kom ywj pheej tsis khoov lossis khoov cov ntiv taw;
- kub hnyiab hauv cov nqaij ntshiv los yog hauv cov ntiv taw;
- qaug zog heev ntawm ib leeg lossis ob txhais ceg.
Mob raws li cov tsos mob tseem ceeb
Ntxiv rau, tus neeg mob yuav raug mob hnyav thaum sim zaum. Cov tsos mob zoo li no tuaj yeem ua rau muaj kev xav ntawm kev hloov pauv tam sim ntawd los ntawm txias mus rau cua sov, uas tshwm sim hauv thaj tsam qis ntawm cov ceg. Yog hais tias tus kab mob yog nyob rau theem kawg, ces muaj ib tug ua tiav atrophy ntawm cov nqaij ntshiv nyob rau hauv ib feem ntawm lub limb nyob qhov twg cov neuropathy ntawm lub paj hlwb sciatic tshwm sim.
Lwm cov paib
Muaj lwm cov tsos mob ntawm tus kab mob no, xws li kev hloov pauv ntawm kev mus los, cov neeg mob feem ntau raug yuam kom nyob rau hauv txoj hauj lwm uas cov ceg qis yog khoov ntawm lub duav sib koom. Nrog neuropathy ntawm lub paj hlwb sciatic, qhov kev xav ntawm qhov hnyav yuav hnov hauv qhov qis ntawm cov ceg ceg raug mob, uas feem ntau nrog rau qhov mob hnyav thiab npub.
Nws yuav tsum tau muab sau tseg tias qhov mob saum toj no yog hnyav los ntawm txham lossis hnoos. Yog sciatic hlab ntshatau cuam tshuam rau hauv tus ncej puab, tom qab ntawd tus neeg mob muaj teeb meem nrog khoov lub hauv caug, qhov no kuj ua rau muaj kev hloov pauv, txij li tus neeg mob yuav tsum taug kev nrog ob txhais ceg ncaj. Thaum kuaj xyuas sab nraud los ntawm tus kws kho mob thiab thaum lub sij hawm palpation ntawm cov ntsiab lus txuas ntawm cov leeg, tus neeg mob yuav hnov qhov mob hnyav, ntxiv rau, qhov mob kuj tuaj yeem dhau mus rau ntawm lub pob tw qhov twg cov hlab ntsha sciatic tawm hauv qab cov leeg piriformis.
Diagnosis
Kev kuaj mob feem ntau yog ua tiav thaum lub sijhawm kuaj mob paj hlwb los ntawm tus kws kho mob tshwj xeeb. Tus kws kho mob hlwb feem ntau ua tib zoo kawm seb tus kab mob no tshwm sim li cas ntawm qhov mob, tshuaj xyuas cov ntoo ntawm hypesthesia, xyuas qhov hnyav thiab muab piv nrog nws ua ntej thiab saib tus neeg lub siab. Ua tsaug rau kev kawm ntxaws ntxaws ntawm cov ntsuas no, nws muaj peev xwm tsim kom muaj tus kab mob cuam tshuam rau lub cev li cas. Kev lees paub ntawm cov lus txiav txim los ntawm tus kws kho mob yog ua los ntawm kev siv electromyography thiab electroneurography, ua tsaug uas nws tuaj yeem paub qhov txawv ntawm sciatic mononeuropathy los ntawm lumbar plexopathy thiab qee qhov radiculopathies.
Tam sim no, txhawm rau tshuaj xyuas cov hlab ntsha hauv lub cev thiab tsim tau, hais txog kev siv lub cev, kev kho mob ultrasound yog siv, ua tsaug uas nws tuaj yeem txiav txim siab seb puas muaj cov qog nqaij hlav ntawm cov hlab ntsha, seb nws puas yog compressed lossis puas. muaj lwm yam kev hloov pauv. Tsis tas li ntawd, nws muaj peev xwm txiav txim siab qhov genesis ntawm neuropathy nrog kev pab los ntawm x-ray ntawm tus txha nraub qaum, qee zaum koj tuaj yeem ua kev kho magnetic resonance, x-ray ntawm cheeb tsam pelvic lossiskuj ua ultrasound ntawm cov cheeb tsam no, ntxiv rau, koj tuaj yeem kuaj xyuas seb cov piam thaj hauv cov ntshav.
Kev kho mob
Kev tshem tawm cov chaw mob uas tshwm sim nrog sciatic paj hlwb neuropathy yuav tsum tau ua haujlwm hnyav los tshem tawm tus kab mob no. Txhawm rau thaiv qhov mob mob, nrog rau txo qhov mob hauv cov hlab ntsha, thiab rau koj tus kheej tiv thaiv, koj yuav tsum tau ua ib qho kev kho me me rau sciatic paj hlwb neuropathy. Ua ntej koj yuav tsum sab laj thiab mus ntsib kws kho mob. Feem ntau, thaum raug mob thiab qhov txhab, phais yas ntawm cov pob txha tawg thiab immobilization yog ua. Xav tau ib chav kawm ntawm kev tawm dag zog thiab kev kho mob zaws.
Kev tawm dag zog
Nyob hauv tsev, cov kev tawm dag zog kho mob muaj txiaj ntsig zoo rau kev txhim kho koj txoj kev noj qab haus huv, nrog rau kev kho mob ntawm cov hlab ntsha. Cov kev qhia uas kws kho mob pom zoo:
- Yuav tsum tau so thiab pib twist lub xub pwg kom sov cov leeg.
- Koj yuav tsum tau pw ntawm koj lub nraub qaum, khoov koj lub hauv caug thiab tso koj txhais taw rau hauv pem teb, hla koj txhais tes hla koj lub hauv siab. Thaum nqus tau, nco ntsoov tsa lub cev kom lub xub pwg nyom tawm hauv pem teb. Thaum exhaling, rov qab mus rau qhov chaw pib. Kwv yees li 10-15 zaug koj yuav tsum rov ua qhov kev tawm dag zog no.
- Tau tag nrho plaub thiab pib arching thiab arching koj nraub qaum. Qhov kev tawm dag zog no zoo heev rau koj tus mob.
- Yog tias koj mob, muaj qhov kev tawm dag zog yooj yim tshaj plaws uas yuav tsis ua rau koj tsis xis nyob. Zaum ntawm lub rooj zaum, ncab koj nraub qaum, hla koj ob txhais ceg, thiab tsa koj txhais tes tom qab koj lub taub hau thiab pib tig mus rau sab. Nws yog tsim nyog los ua 5-10 lem nyob rau hauv txhua txoj kev. Siv koj lub sijhawm, sov so nrog kev mob siab, tab sis ua rau koj lub peev xwm zoo tshaj plaws.
Cov no yog cov kev tawm dag zog yooj yim, tab sis koj tuaj yeem siv kev tawm dag zog kom ncab cov leeg, uas tshem tawm qhov mob spasms thiab so lub cev. Ua tib zoo saib cov khaub ncaws koj hnav! Nws yuav tsum tsis txhob cuam tshuam koj lub zog, thiab tseem cuam tshuam rau cov ntshav dawb.
Massage, uas yog tsom rau kev txhim kho cov ntshav ncig, pab tau zoo. Cupping massage pab tau ntau heev. Lub sijhawm ntawm cov txheej txheem no yuav tsum tsis pub tshaj 15 feeb. Los ntawm pej xeem zaub mov, ib decoction ntawm calendula, rosehip, parsley yog zoo heev. Koj tuaj yeem rub rau hauv qhov chaw mob sib xyaw ntawm cov kua txiv hmab txiv ntoo thiab zib ntab, noj hauv qhov sib piv ntawm ib mus rau ib qho. Nws yog ib qho tsim nyog yuav tsum suav sauerkraut hauv kev noj haus, vim nws muaj cov vitamins tseem ceeb uas pab ua kom cov txheej txheem metabolic. Yog tias koj tau kuaj pom tus kab mob no, koj yuav tsum pib kho tam sim no. Kev tawm dag zog, noj kom raug thiab noj qab nyob zoo.
