Sciatica yog ib yam kab mob uas tshwm sim. Cov tsos mob ntawm tus mob pathology tuaj yeem cuam tshuam rau tus neeg txawm tias nyob hauv lub xeev ntawm kev so kom tiav. Nyob rau hauv lub sij hawm ntawm exacerbation, txhaj tshuaj yog suav hais tias yog tib txoj kev kho mob. Los ntawm sciatica, cov tshuaj uas muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob pab. Xav txog cov tshuaj uas nrov tshaj plaws siv los kho tus kab mob.
Sciatica yog dab tsi?
Sciatica tsis yog ib qho kab mob ywj pheej. Lo lus no yog hais txog tag nrho pawg ntawm cov tsos mob tshwj xeeb uas tshwm sim rau lawv tus kheej thaum khaus khaus (kev ua txhaum cai) ntawm cov hlab ntsha hauv nruab nrab ntawm qaum qaum. Muaj kev pheej hmoo yog cov neeg uas muaj keeb kwm ntawm degenerative-dystrophic hloov pauv hauv kab txha caj qaum: intervertebral hernia, protrusion, spondyloarthritis, scoliosis, kyphosis thiab kis kab mob thiab kab mob.
Cov mob feem ntau ntawm lumbar sciatica. Nws yog thaj av no ntawm tus txha nraub qaumntsib kev nyuaj siab tshaj plaws thiab hnav tawm sai dua. Thaum thawj qhov kev hnov mob tshwm sim, koj yuav tsum hu rau tus kws kho mob tshwj xeeb uas tuaj yeem txiav txim siab qhov tseeb ntawm qhov mob. Kev kho mob radiculitis (lumbar) nrog cov tshuaj, kev txhaj tshuaj yuav tsum tau ua ke nrog lwm txoj kev. Physiotherapy ce ua kom cov neeg mob zoo dua qub, uas pab txhawb cov leeg nqaij corset.
Yuav ua li cas mob?
Nrog rau qhov mob hnyav hauv thaj tsam lumbar tshwm sim los ntawm sciatica, kev txhaj tshuaj yuav ua rau kom sai sai. Kev txhaj tshuaj yog npaj rau kev txhaj tshuaj, hauv zos, intramuscular thiab parenteral tswj. Anti-inflammatory, vitamin, mob-relieving thiab cov leeg-txo cov tshuaj yuav pab txo cov tsos mob. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab seb yuav txhaj tshuaj rau sciatica rau tus neeg mob.
Rau qhov mob lumbar, kev siv cov tshuaj hauv qab no yog qhia:
- Ketonal;
- Movalis;
- "Milgamma";
- "Mydocalm";
- "Sirdalud";
- Voltaren;
- Y "Diclofenac";
- Y"Hydrocortisone";
- "Prednisolone";
- Neurubin.
Blockades rau sciatica
Ib txoj hauv kev zoo ntawm kev tso tseg tus mob hauv sciatica yog kev kho mob thaiv, qhov tseem ceeb ntawm qhov kev taw qhia ntawm cov tshuaj ncaj qha rau ntawm qhov mob. Txoj kev no yog siv thaum muaj mob hnyav heev. Blockade tuaj yeem siv los hloov cov tshuaj narcotic analgesics.
BRaws li tus naj npawb ntawm cov tshuaj siv, ib qho kev sib xyaw thiab cov blockades tau txawv. Hauv ib qho kev thaiv, tsuas yog siv tshuaj loog: Novocain, Lidocaine. Txhawm rau kom ua tiav cov txiaj ntsig kev kho mob mus ntev, kev txhaj tshuaj ntawm sciatica yog tsim (3 ampoules nyob rau hauv muaj pes tsawg leeg). Ua ke nrog tshuaj loog, tus neeg mob tau txhaj tshuaj hormonal, vitamin ntawm pab pawg B. Lawv kuj tau siv los ua ib feem ntawm cov blockades thiab cov tshuaj uas muaj kev daws teeb meem.
"Movalis": txhaj tshuaj los ntawm sciatica
Lub npe ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory siv tshuaj yog paub rau ntau tus neeg mob uas muaj ntau yam kab mob ntawm cov hlab ntsha musculoskeletal. Thaum lub sij hawm ntawm exacerbation ntawm tus kab mob, cov kws txawj pom zoo kom siv cov tshuaj "Movalis" nyob rau hauv txhaj tshuaj kom txo tau qhov mob.
Cov khoom xyaw nquag hauv cov tshuaj muaj pes tsawg leeg yog meloxicam (10 mg hauv 1 ml). Cov tshuaj muaj cov tshuaj tiv thaiv kab mob vim qhov tseeb tias nws inhibits qee cov enzymes uas ua rau cov txheej txheem inflammatory (COX-2). Ib hnub, tsuas yog 1 ampoule ntawm cov tshuaj raug tso cai rau muab rau tus neeg mob. Cov tshuaj tsuas tuaj yeem muab tshuaj intramuscularly. Thov kev kho mob ntawm "Movalis" nyob rau hauv daim ntawv ntawm kev txhaj tshuaj yuav tsum tsis pub dhau 2-3 hnub. Yav tom ntej, kev txhaj tshuaj yuav tsum tau hloov nrog cov ntsiav tshuaj lossis tshuaj suppositories.
Cov lus qhia rau kev teem sijhawm ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory yog cov mob xws li osteoarthritis, sciatica, rheumatoid mob caj dab thiab spondylitis. Hauv 15-20 feeb tom qab txhaj tshuajtshuaj, muaj ib tug tseem ceeb nyem ntawm qhov mob. Ntxiv nrog rau kev tshem tawm cov tsos mob ntawm sciatica, cov tshuaj pab tiv thaiv kev txhim kho ntawm cov teeb meem thiab kev puas tsuaj.
YContraindications
"Movalis" (tshwj xeeb) los ntawm sciatica yog muab rau cov neeg mob tsuas yog thaum tsis muaj contraindications hauv qab no:
- hypersensitivity (los yog intolerance) rau meloxicam, excipients;
- muaj mob hawb pob hauv anamnesis;
- mob siab, siab tsis ua hauj lwm;
- ulcerative colitis, Crohn's disease;
- gastric los ntshav tom qab kev kho mob nrog cov tshuaj uas tsis yog-steroidal anti-inflammatory;
- muaj polyps nyob rau hauv qhov ntswg kab noj hniav;
- ntshav siab;
- hnub nyoog qis dua 18.
Meloxicam muaj kev cuam tshuam tsis zoo rau lub cev ntawm tus poj niam cev xeeb tub thiab kev loj hlob ntawm tus menyuam hauv plab. Cov tshuaj muaj peev xwm provoke kev loj hlob ntawm congenital pathologies loj heev thiab yog li ntawd nws tsis raug sau tseg thaum lub sij hawm yug me nyuam.
Side effects
Kev kho cov kab mob ntawm cov kab mob musculoskeletal yog tsis yooj yim sua yam tsis siv cov tshuaj uas tsis yog-steroidal anti-inflammatory. Txawm li cas los xij, nrog kev siv ntev, cov tshuaj no tuaj yeem ua rau muaj kev phiv loj heev. Ib qho teeb meem loj ntawm tag nrho NVPS yog kev puas tsuaj rau cov mucous ntawm lub plab, hnyuv.
Rau ib feem ntawm txoj hnyuv, qhov tsis zoo rau kev siv tshuaj "Movalis" tshwm sim feem ntau. Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawmcov tsos mob xws li xeev siab, dyspepsia, cem quav, raws plab, ntuav. Tsis tshua muaj tshwm sim muaj xws li kev loj hlob ntawm gastroduodenal ulcers, colitis.
Lub paj hlwb kuj tuaj yeem raug kev txom nyem yog tias cov tshuaj lossis nws cov koob tshuaj raug xaiv tsis raug. Cov xwm txheej zoo li no yog qhov tshwm sim ntawm kiv taub hau, tinnitus, tsaug zog, mob taub hau.
Mydocalm yog ib qho kev kho mob zoo rau sciatica
Kev txhaj tshuaj, qhov kev txiav txim ntawm lub hom phiaj ntawm kev so lub suab ntawm cov leeg pob txha, kuj tau siv los tshem tawm qhov mob thaum lub sij hawm exacerbations ntawm lumbar sciatica. Mydocalm yog tshuaj los ntawm pab pawg ntawm cov leeg nqaij so.
Cov tshuaj muaj ob yam khoom xyaw - tolperisone thiab lidocaine. Thawj qhov zoo thaiv cov hlab ntsha impulses thiab txhim kho peripheral ncig. Lidocaine yog siv los ua tshuaj loog hauv zos.
Thaum teem caij?
Kev tawm tsam ntawm lumbar sciatica, nrog rau kev tua mob thiab loog ntawm sab qis - qhov qhia ncaj qha rau kev siv tshuaj Mydocalma. Cov leeg nqaij relaxant muaj peev xwm txo tau cov leeg nqaij spasms ntawm ntau yam etiologies. Feem ntau, nws tau muab rau cov neeg mob uas muaj kab mob hauv lub paj hlwb, cov leeg nqaij hypertonicity tawm tsam keeb kwm ntawm spondylosis, lumbago thiab lwm yam pathologies ntawm cov hlab ntsha musculoskeletal.
Lwm yam qhia rau kev teem caij ntawm "Mydocalm" yog cov kab mob xws li encephalomyelitis, angiopathy, spastic paralysis, myelopathy, ntau yam sclerosis, Raynaud's kab mob, kab mob autoimmune, trophic ulcers. Cov tshuaj muajCov nyhuv analgesic me me thiab suppresses rhiab heev ntawm cov hlab ntsha xaus.
Kev txhaj tshuaj
Cov tshuaj noj yog nyob ntawm qhov mob hnyav. Kev txhaj tshuaj rau radiculitis (lumbar, cervical) tuaj yeem siv tau ob qho tib si intramuscularly thiab intravenously. Hauv thawj kis, qhov koob tshuaj feem ntau yog 200 mg ntawm tolperisone ob zaug ib hnub. Nrog rau kev txhaj tshuaj ntawm Mydocalm, cov koob tshuaj txo qis rau 100 mg ib hnub ib zaug. Nws yuav tsum tau nco ntsoov tias cov leeg nqaij yuav tsum tau muab tshuaj maj mam.
Lub sijhawm kho yog txiav txim los ntawm tus kws kho mob. Ntxiv nrog rau kev siv tshuaj, tus kws kho mob tshwj xeeb tshaj tawm physiotherapy, massage, physiotherapy ce rau tus neeg mob. Nrog rau qhov tseem ceeb tshaj ntawm cov tshuaj tolperisone pom zoo, cov neeg mob yuav ntsib ataxia, ua tsis taus pa, qaug dab peg.
Cov lus pov thawj tus neeg mob
Kev kho mob ntawm sciatica yuav tsum pib nrog kev txiav txim siab ua rau ua rau mob hauv thaj tsam ntawm cov paj hlwb. Txhawm rau txo cov tsos mob, qhov mob hnyav, tus neeg mob yuav tsum tau sau tshuaj kho mob. Cov tshuaj, tshuaj pleev, tshuaj txhaj tshuaj los ntawm sciatica pab kom daws tau qhov mob sai sai, tab sis tib lub sij hawm lawv tsis tuaj yeem daws qhov qub ua rau tus mob pathological.
Thaum xaiv cov tshuaj rau kev kho mob radiculopathy, yuav tsum tau them nyiaj rau etiology ntawm tus kab mob. Nrog rau qhov mob tsis tu ncua uas nyuaj rau kho, nws raug pom zoo kom uatshuaj thaiv kab mob. Txoj kev no tuaj yeem hu ua kev pab thaum muaj xwm txheej ceev, qhov tshwm sim uas kav ntev li ob peb teev.
Hauv kev kho mob sciatica, ntau tus neeg mob ntsib teeb meem ntawm insomnia thiab kev nyuaj siab. Hauv qhov no, nws yuav tsum tau noj tshuaj sedative lossis antidepressants.
