Kev ua txhaum ntawm cov hlab ntsha sciatic yog ib qho mob pathological uas tshwm sim los ntawm compression ntawm cov hlab ntsha no, tab sis myelin sheath tsis tawg. Cov paj hlwb sciatic yog cov hlab ntsha ntev tshaj plaws hauv tib neeg lub cev, pib ntawm lub sacrum thiab ncav mus rau cov ntiv taw thiab pob taws. Nws muaj lub cev muaj zog heev thiab cov hlab ntsha xaus uas ua rau lub duav thiab lub hauv caug pob qij txha.
Cov tsos mob thiab kev kho mob ntawm kev ua txhaum ntawm lub paj hlwb sciatic yuav tau tham hauv kab lus no.
Qhov laj thawj
Herniated discs yog suav tias yog ib qho ntawm cov laj thawj tseem ceeb ntawm cov kab mob no. Feem ntau, cov hlab ntsha pinched tshwm sim hauv thaj tsam ntawm cov leeg piriformis, nyob rau hauv lub lumen ntawm sciatic foramen lossis intervertebral discs. Tus kab mob no nrog rau mob hnyavmob nyob rau hauv qis kawg nkaus. Feem ntau, pinching yog nyob rau hauv qhov xwm ntawm unilateral o, txawm li cas los xij, muaj cov xwm txheej thaum ob leeg ceg ceg koom nrog cov txheej txheem pathological, tab sis qhov no tsis tshua muaj tshwm sim. Cov mob no tuaj yeem ua rau muaj kev mob tshwm sim (sciatica), uas feem ntau yog nrog los ntawm qhov mob hnyav heev thiab mob hnyav. Qhov cuam tshuam tshaj plaws rau kev ua txhaum ntawm cov hlab ntsha sciatic yog cov txiv neej koom nrog lub cev hnyav.
Ua rau tus mob pathological
Kev ua txhaum cai feem ntau tshwm sim thaum lub sijhawm ua haujlwm ntawm lub cev ua si uas cuam tshuam nrog kev txav tam sim ntawd, nrog rau qhov tshwm sim ntawm kev nyob ntev hauv qhov tsis xis nyob, txwv kev ua si lub cev, nce load hauv thaj tsam lumbar. Feem ntau, kev ua txhaum cai yog tsim tawm tsam keeb kwm yav dhau los ntawm qee qhov lwm yam pathologies, uas, raws li txoj cai, suav nrog:
- Herniated discs.
- Kev raug mob txha caj qaum cuam tshuam nrog kev hloov chaw ntawm vertebrae.
- Pathological neoplasm nyob rau thaj tsam ntawm cov hlab ntsha sciatic.
- Txoj kev hloov ntawm cov qauv ntawm tus txha caj qaum (spondylolisthesis).
- Osteochondrosis hauv lumbosacral qaum.
- Pathologies ntawm qhov mob ntawm lub plab hauv plab;
- Sepsis.
- Hypercooling.
- Gout.
- Ntau yam kab mob sib kis (fluenza, rubella, hnoos hawb pob, pob txha tuberculosis, malaria).
- Multiple sclerosis.
- Kev mob ntshav siab.
Ntaus nqaij ntuag
Tsis tas li ntawd, cov leeg nqaij spasms raws li cov hlab ntsha tuaj yeem ua rau cov hlab ntsha sciatic. Hauv cov poj niam, cov hlab ntsha sciatic feem ntau cuam tshuam thaum cev xeeb tub vim muaj kev nce siab ntawm lub tsev menyuam loj ntawm cov khoom nruab nrog cev thiab nce load ntawm tus txha caj qaum, vim muaj kev hloov pauv hauv nruab nrab ntawm lub ntiajteb txawj nqus, thiab nyob rau hauv cov ntaub ntawv uas ib tug poj niam feem ntau siv sij hawm ib tug. tsis xis nyob thaum cev xeeb tub.
Lwm lub sijhawm ntawm kev pheej hmoo ntawm cov tsos mob ntawm cov poj niam tuaj yeem suav hais tias yog poj niam tsis muaj hnub nyoog, thiab qhov no yog vim muaj kev hloov pauv hauv hormonal tshuav.
Risk factors
Cov xwm txheej pheej hmoo tuaj yeem suav nrog:
- cawv lom.
- Intoxication nrog cov hlau hnyav lossis cov tshuaj lom neurotropic lom.
- Smoking.
- Herpes zoster in the sciatic nerve.
- Kev rog.
- Tsis muaj zaub mov.
Cov ntaub ntawv tseem ceeb ntawm pathology
Txawm li cas los xij, nyob ntawm seb qhov mob hnyav npaum li cas hauv txhua kis, muaj peb hom kab mob tseem ceeb ntawm cov hlab ntsha sciatic, uas suav tias yog qhov hnyav, nruab nrab thiab mob me.
Daim ntawv mob hnyav ntawm cov hlab ntsha feem ntau yog nrog los ntawm cov cim qhia ntawm kev tsis sib haum xeeb hauv tus txha caj qaum thiab immobilization ntawm tus neeg mob. Yeej, kev ua txhaum cai yog ib sab, tsawg dua ob leeg ceg ceg tau koom nrog cov txheej txheem pathological.
Symptoms of disease
Cov cim tseem ceeb ntawm kev ua txhaum ntawm cov hlab ntsha sciatic tuaj yeem yogsuav:
- Tus mob mob hnyav, uas yog tus yam ntxwv tshaj plaws ntawm kev ua txhaum ntawm cov hlab ntsha no. Qhov mob hauv qhov no yog qhov sib txawv - ntse, tua, mob, rub, throbbing.
- Feem ntau, qhov mob tshwm sim hauv pob tw thiab sab nraub qaum. Hauv qhov xwm txheej no, nyob rau sab nraub qaum ntawm tus ncej puab, qhov mob tau nqis mus rau sab ceg thiab pob taws, thiab tuaj yeem tawm mus rau cov ntiv tes ntawm tus ntiv tes.
- Ib txhia zaum, muaj loog ntawm daim tawv nqaij raws cov hlab ntsha, nrog rau tingling los yog kub hnyiab.
- Tej zaum yuav muaj qhov mob ntxiv thaum zaum, luag, hnoos, mob leeg, thiab lwm yam.
- Ntxiv rau qhov mob mob, muaj qhov tawv thiab nyuaj thaum taug kev, sawv ntev ntev, lameness tuaj yeem tshwm sim (nrog rau kev ua txhaum ntawm ib sab - ntawm ib ceg lossis ob leeg - nrog ob sab pathology).
Pain syndrome yog suav tias yog lub cim tseem ceeb ntawm cov hlab ntsha pinched. Hauv cov txiv neej, cov tsos mob no yuav zoo ib yam li kev tshwm sim ntawm prostatitis. Cov tsos mob ntawm cov hlab ntsha pinched hauv cov poj niam txawv nyob ntawm seb qhov ua rau cov txheej txheem pathological no thiab qhov kev puas tsuaj rau cov hlab ntsha sciatic.
Cov poj niam paub tias tsis muaj mob nraub qaum. Cov tsos mob feem ntau ntawm cov hlab ntsha pinched suav nrog:
- Muscle nkim.
- Muscle tsis muaj zog.
- Kev ua txhaum ntawm kev nkag siab - txo qis lossis nce ntxiv.
- Dry skin surface.
- Zoontau yam pathological reflexes.
- Nyob hauv ko taw tawm hws.
- xav nkag hauv lub sacrum.
- Kev txwv thiab nruj ntawm kev txav ntawm ob txhais ceg lossis ib ceg.
Ntxiv rau qhov mob, muaj lwm yam tsos mob ntawm cov txheej txheem inflammatory hauv cov hlab ntsha sciatic, uas dhau los ua ib feem ntawm kev ua txhaum cai, thiab lawv feem ntau cuam tshuam nrog kev cuam tshuam ntawm cov hlab ntsha impulses nrog kev hnov qab thiab lub cev muaj zog fibers. Cov cim tshwj xeeb ntawm cov hlab ntsha pinched yog li suav nrog:
- Paresthesia (kev cuam tshuam ntawm rhiab heev) - thaum pib theem, nws tuaj yeem tshwm sim los ntawm kev hnov qab ntawm daim tawv nqaij ntawm pob tw, loog ntawm txhais ceg raws nws sab nraub qaum. Raws li cov tsos mob tshwm sim, lwm hom kev rhiab heev kuj txo, kom txog thaum lawv ploj tag.
- Tsis ua haujlwm hauv lub cev muaj zog uas tshwm sim los ntawm kev ua txhaum ntawm lub cev muaj zog tshwj xeeb hauv cov hlab ntsha sciatic. Hauv tib neeg, qhov no tuaj yeem ua rau tsis muaj zog ntawm cov leeg nqaij femoral, gluteal thiab ceg thiab qhia tau hais tias muaj kev hloov pauv hauv kev taug kev thaum lub sij hawm unilateral inflammatory txheej txheem (limping ntawm ib tug mob ceg).
- Kev ua txhaum ntawm kev ua haujlwm ntawm qee lub hauv nruab nrog cev, uas tshwm sim vim compression ntawm cov fibers ntawm parasympathetic thiab sympathetic paj hlwb dhau los ntawm cov hlab ntsha sciatic. Cov teeb meem zoo sib xws tshwm sim nyob rau hauv daim ntawv ntawm cov kev hloov hauv tso zis, piv txwv li, urinary incontinence, nrog rau kev tso zis, piv txwv li, cem quav. Cov tsos mob zoo li no tshwm sim, raws li txoj cai, nyob rau hauv cov xwm txheej hnyav ntawm cov paj hlwb nrog qhov tseem ceebsqueezing tus txha caj qaum.
Nrog rau kev txhim kho ntawm cov tsos mob saum toj no, kev kho rau cov kab mob no yuav tsum tau pib tam sim ntawd, txij li thaum pinching ntawm cov hlab ntsha sciatic qee zaum ua rau qhov tsis hnov tsw ntawm qhov qis qis.
Kev kuaj mob dab tsi yog tsim rau cov tsos mob ntawm sciatic paj hlwb entrapment?
YKev kuaj mob ntawm cov txheej txheem pathological
Kev kuaj mob rau kev txiav txim siab ua txhaum cai, raws li txoj cai, yog classical vim qhov tseeb tias daim duab kho mob ntawm tus kab mob no tshwj xeeb heev. Raws li txoj cai, tus kws kho mob tshwj xeeb tuaj yeem kuaj xyuas lub hom phiaj ntawm tus neeg mob, nrog rau kev sau cov anamnesis thiab cov lus tsis txaus siab. Txawm li cas los xij, txhawm rau kom tsis txhob muaj teeb meem ntawm tus kab mob thiab nws rov tshwm sim, nws yog ib qho tsim nyog los txiav txim siab txog cov xwm txheej tshwj xeeb uas ua rau muaj kev cuam tshuam ntawm cov hlab ntsha sciatic. Txhawm rau txiav txim siab cov laj thawj uas ua rau muaj kev txhim kho ntawm cov txheej txheem pathological, cov kev kuaj mob hauv qab no thiab cov cuab yeej kuaj mob tau siv:
- Kev kuaj dav dav - tso zis thiab ntshav.
- X-ray kuaj ntawm lub plab thiab sab nraub qaum.
- Sib nqus resonance lossis xam tomography ntawm thaj tsam lumbar.
- YUltrasound.
- Radioisotope scanning ntawm tus txha caj qaum, uas feem ntau yog ua nyob rau hauv cov neeg mob uas xav tias benign los yog malignant neoplasms.
- Electroneuromyography.
- Biochemical ntshav kuaj.
Kev kuaj mob ntawm cov hlab ntsha pinched sciatic muaj xws li yuav tsum x-ray ntawm lub plab mog thiab sab nraub qaum. Txoj kev tshawb fawb ntawm reflexes kuj tau ua tiav, lub xub ntiag ntawm Lasegue cov tsos mob thiab cov tsos mob Bonnet tau txiav txim siab, qhov txo qis hauv Achilles, plantar thiab lub hauv caug reflexes yog nqa tawm, thiab qib ntawm rhiab heev hauv thaj tsam ntawm sciatic. paj hlwb kuj raug soj ntsuam.
Mob Syndrome tuaj yeem suav tias yog qhov tshwm sim zoo tshaj plaws ntawm cov hlab ntsha pinched. Hauv qhov no, kev kuaj mob sib txawv yog qhov tsim nyog kom tsis suav nrog lub xub ntiag ntawm herniated disc, uas yog tus cwj pwm los ntawm kev txhim kho ntev ntawm cov txheej txheem pathological thiab exacerbation ntawm qee qhov tshwm sim neuralgic. Dab tsi yog kev kho mob rau cov hlab ntsha pinched sciatic?
Txoj Kev Kho Mob
Kev kho mob ntawm cov kab mob no feem ntau muaj nyob rau hauv cov txheej txheem ib txwm muaj, uas suav nrog kev siv tib lub sijhawm ntawm kev kho lub cev thiab kev kho tshuaj.
Kev phais yuav tsum tau muaj nyob rau qee kis. Hauv cov kab mob me me thiab nruab nrab, tsis tas yuav mus pw hauv tsev kho mob. Raws li tus kws kho mob cov lus qhia, cov kab mob no tuaj yeem kho tau hauv tsev. Nrog rau qhov mob hnyav uas tiv thaiv tus neeg taug kev los yog sawv ntev ntev, pw tsaug zog yog qhia.
Thaum xav tau lub cev ruaj khov thaum lub sijhawm mob hnyav, pom zoo kom lub txaj ruaj khov.
Tshuaj
Kev kho mob ntawm cov hlab ntsha sciatic nrog tshuajyog cov tshuaj tiv thaiv kab mob uas tsis yog tshuaj steroidal uas tuaj yeem sau rau hauv daim ntawv ntsiav tshuaj lossis hauv daim ntawv txhaj tshuaj intramuscular.
Nrog rau qhov ncauj siv cov tshuaj uas tsis yog-steroidal anti-inflammatory, muaj qhov tshwm sim siab ntawm qee yam teeb meem nrog rau txoj hnyuv, xws li kev loj hlob ntawm gastritis lossis plab ulcers, yog li ntawd, kev teem caij ntawm proton twj tso kua mis inhibitors rau cov neeg mob. yog qhia.
Yog hais tias thaum lub sij hawm pinching tus neeg mob muaj cov leeg nqaij spasms, qhov kev kho mob tuaj yeem ua tiav los ntawm kev siv cov khoom kho mob uas txhim kho cov ntshav ncig hauv cov hlab ntsha - lub npe hu ua "venotonics". Thaum cov leeg mob hnyav tshwm sim, cov tshuaj antispasmodic thiab cov leeg nqaij so kuj tau sau tseg.
Ntxiv rau, kev noj cov vitamin complexes, nrog rau cov tshuaj uas txhim kho cov metabolism hauv lub cev.
Kev kho mob ntawm pathology yog ntxiv los ntawm cov neeg hauv zos - tshuaj tiv thaiv kab mob thiab ua kom sov yog siv rau hauv cov tshuaj pleev thiab gels. Dab tsi ntxiv yog kev kho mob rau cov hlab ntsha pinched sciatic?
Physiotherapy
Kev kho lub cev kho mob kuj tau sau tseg los ntxiv cov tshuaj tseem ceeb. Cov no suav nrog:
- Electro-, phonophoresis ntawm cov tshuaj tshuaj.
- UHF txoj kev kho.
- Magnetotherapy.
- daim ntawv thov Paraffin.
- Laser kho.
- Kev kho av.
- YHirudotherapy.
- Hydrogen sulfide lossis radon da dej.
- Ultraviolet irradiation ntawm thaj chaw cuam tshuam ntawm cov hlab ntsha.
Acupressure thiab acupuncture nrog rau kev kho phau ntawv kuj tseem siv tau.
Nyob rau lub sijhawm kho kom rov zoo, muaj txiaj ntsig zoo tuaj yeem ua tiav nrog kev pab ntawm lub cev qoj ib ce, ua luam dej, yoga, lossis Pilates, tab sis cov txheej txheem no tsuas yog siv tau yog tias tus neeg mob tsis mob hnyav.
Kev tawm dag zog rau pinched sciatic paj hlwb
Pib nrog tsib reps, ua kom tiav nrog kaum tsib reps tom qab ib pliag.
- Taug kev hauv lub hauv caug siab. Kev ua kom zoo yog qhov tseem ceeb.
- Sawv ntsug ncaj, tig mus rau ntawm phab ntsa, lean ntawm koj txhais tes, viav koj ob txhais ceg mus rau sab thiab nraub qaum.
- Torso qaij. Ua ntej, rau sab xis thiab sab laug, thaum tsis muaj mob, khoov rau pem hauv ntej tau ua.
- Puag koj ob txhais ceg ncaj, rub koj nkawm thom khwm ntawm koj ntau li ntau tau. Tom qab ntawd ua lub voj voog ncig nrog txhua ko taw tig clockwise.
- Tuag koj nraub qaum, khoov koj lub hauv caug, ua ntej nqa koj txhais ceg sab xis mus rau sab, ces sab laug.
- Tuag ntawm koj ib sab, sab ceg qis ntawm lub hauv caug, ceg sab sauv nthuav mus rau pem hauv ntej. Ces sab saum toj yog rub rov qab. Kev tawm dag zog yog ua ntawm txhua sab.
Kev kho mob ntawm cov hlab ntsha ntawm cov hlab ntsha hauv tsev tuaj yeem ua tau zoo.
Home treatments
Dhau li ntawm kev tawm dag zog thiab noj tshuaj, nws yuav tsis yog superfluous siv tshuaj hauv zos. Siv los kho pinching tom tsevCov tshuaj uas tsis yog-steroidal tshuaj tiv thaiv kab mob:
- "Betalgon" - vim li ntawd, cov ntshav muab rau ntawm daim tawv nqaij hauv thaj chaw cuam tshuam tau qhib.
- "Viprosal" - txo qhov mob thiab mob.
- "Karmolis" - mob mob nres sai heev.
- "Finalgon" - tshem tawm qhov mob, txo qhov mob.
Koj tseem tuaj yeem yuav qhov kev pab cuam video "Kev cuam tshuam ntawm cov hlab ntsha sciatic" los ntawm Alexandra Bonina ntawm Skladchina (warehouse for courses, training, seminars). Nov yog CD nrog cov lus qhia video txog kev kho mob thiab rov qab los siv cov kev kho mob qoj ib ce.
Lub rooj sib tham muaj tag nrho cov kev paub tsim nyog los kho qhov ua rau sciatic paj hlwb nkag. Alexandra Bonina ntseeg hais tias cov teeb meem ntawm lumbosacral txha nraub qaum raug tshem tawm nrog kev pab los ntawm kev tawm dag zog tshwj xeeb.
Qhov nyuaj suav nrog kev ua haujlwm zoo tshaj plaws, tsim nyog tshaj plaws los tawm tsam qhov teeb meem no thiab nws ua rau. Ib txheej ntawm kev tawm dag zog tau muab tso ua ke los ntawm tus kws kho lub cev muaj peev xwm. Ua ib feem ntawm kev tawm dag zog uas txhua tus tuaj yeem ua.
Seminar "Kev cuam tshuam ntawm cov hlab ntsha sciatic" los ntawm Bonina, raws li kev tshuaj xyuas, yog nrov heev.
Y Kev tshwm sim thiab teeb meem ntawm pathology
Yog tias kev kho mob tsis ua tiav, nws yuav ua rau muaj qhov tshwm sim. Kev ua txhaum ntawm cov hlab ntsha sciatic yog qee zaum nyuaj los ntawm cov xwm txheej hauv qab no:
- mob siab heev.
- Ua txhaum txoj haujlwm ntawm qee lub cev hauv nruab nrog cev.
- Insomnia.
- Txuag libido.
- Kev ua txhaumkev coj khaub ncaws.
- Kev tsis muaj menyuam.
- Kev mob hnyav ntawm qee yam kab mob ntev.
- Kev ua txhaum ntawm kev khiav tawm ntawm lub zais zis thiab txoj hnyuv.
- Txo qis hauv lub cev muaj zog.
- Immobilization.
Peb tau saib cov tsos mob thiab kev kho mob ntawm lub paj hlwb pinched sciatic. Cov tshuaj kuj tau nthuav tawm.
