I-radiculitis ye-Lumbosacral yindlela yokwelapha ephumelela kakhulu

Abantu abafinyelele eminyakeni yobudala engama-35, bavame ukubhekana nesifo esinzima njengokubuhlungu okunzima emhlane. I-Radiculitis esifundeni se-lumbosacral ngokushesha ithola ifomu elingapheli ngokuphindaphindiwe kabusha. Kunzima ukuphulukisa ngokugcwele ukwelashwa, kepha kungenzeka ukuthi ukulawula nokuyeka.

Iyini i-sciatica yomgogodla we-lumbosacral?

Ukuzizwa kuyisignali yesistimu yezinzwa zomzimba, eguqulwa ubuchopho. Uma kukhona umonakalo kuwo, umuntu uzizwa ebuhlungu. I-Radiculitis yesifunda se-lumbar iwumphumela wokucindezela noma ukuphulukisa izimpande zezintambo zezinzwa ezisemngceleni ongaphansi. Ngenxa yokulimala okwenziwe ngomshini, bangakwazi ukuvuvukala, okuholela emkhawulweni omkhulu wokuhamba nokuguquguquka komhlane.

I-Discogenic lumbosacral radiculitis

Leli fomu lesi sifo nalo libizwa ngokuthi i-spondylogic, liqala ngokumelene nenguquko yezinguquko eziguqukayo ezakhiweni ze-vertebral. I-radiculitis ye-Lumbosacral iqala ngokuqothula, ukulahleka kwe-elasticity, ukuchithwa kwama-disc intervertebral. Lapho i-embrasi yabo iphela ngokugcwele, i-nucleus enjenge-gel efana negalelo igxila endaweni engenazo. Icasula izimpande zamagciwane omgogodla esifundeni se-lumbosacral, okwenza i-radiculitis i-discogenic. Njengoba kuqhubekela phambili kokunyakaza nokuhamba kwayo , ukuqina kwesifo kanye nokuqina kwesifo sobuhlungu kwanda.

I-vertebrogenic lumbosacral radiculitis

I-pathology echazwe ngokuvamile iwuphawu lwezinye izifo ezinama-dystrophic or degenerative. I-vertebrogenic lumbosacral radiculitis engapheli ihambisana ne-osteochondrosis nokukhula kwe-osteophyte. Ukucindezeleka kwezimpande kungenxa yezifo zesakhiwo kanye nokusebenza kwamagciwane we-vertebral. I-radiculitis enjalo ingahlanganiswa ne-protrusion yama-discs esifundeni se-lumbosacral. Kulezi zimo, kutholakala isifo esixutshwe.

I-Lumbar sciatica - izimpawu

Ukubonakaliswa okusemtholampilo okuyinhloko yale nkinga kubizwa ubuhlungu be-syndrome. Sciatica Lumbosacral ihambisana nezinhlobo eziningana zezizwa ezingathandeki:

lumbago (lumbulgia, "ikamelo") - endaweni engezansi engemuva;
i-sciatica (ischialgia) - ethangeni, umuthi, umlenze ophansi noma unyawo;
lumbosciatica - kuzo zonke lezi zindawo.

Ngenxa yobuhlungu, izibonakaliso ezilandelayo ze-sciatica kwabesifazane nabesilisa ziyabonakala:

ukuwohloka kokuhamba kwezinzwani;
ukubunzima ne-torso ye-trunk;
izinguquko ekubukeni kwesasemuva (ukuvinjelwa endaweni ye-lumbosacral);
ukunciphisa ukusebenza kahle;
imisipha ye-muscle.

Ukuze uthole ukuxilongwa okulungile kwe-radiculitis, ukuhlolwa okuningana okukhethekile esifundeni se-lumbosacral kufanele kwenziwe, ukuqinisekisa ukutholakala kwemibonakaliso yemitholampilo ekhethekile kuphela kule syndrome. Ukuba khona kwezinto ezibonakalayo eziyinkimbinkimbi ngokuphelele kubonisa isigaba esicacile sokuqhubekela phambili kwe-radiculitis, umonakalo omkhulu ekumpandeni kwemizwa yomgogodla.

Isibonakaliso Bechterew

Ukuhlola into ekhonjisiwe kuyadingeka ukuba ulale endaweni engemuva (emuva), uphumule imizuzu engu-2-3, bese uthatha indawo ehlezi. Izimpawu zomtholampilo ze-lumbosacral radiculitis ngokusho kweBechterew ukugoqa okungahambi kahle komlenze ngalesi sikhathi. I-reflex ivela ohlangothini lapho i-nerve enezimpande ezivinjiwe.

Isibonakaliso se-Dejerine

Lesi simo sihlotshaniswa nomthelela wokuthengiswa kwemisipha esimweni sezinzwa zomgogodla. Ukuhlonza i-lumbosacral radiculitis engapheli, udokotela angase acele isiguli ukuba sikhophe. Ngokusho kocwaningo lukaDejerine, ubuhlungu be-syndrome ngaphansi kwalesi senzo buyokhula ngokuphawulekayo ngenxa yokungezwani kwamasipha okusheshayo. Ngokufanayo, i-lumbosacral radiculitis iyakhula kakhulu ngesikhathi sokunyundela, ukunyakaza kwamathumbu, ikakhulukazi uma umuntu ephoqa.

Uphawu lwezinkinga ze-Lacega

Ukutholakala kwesimiso esinikeziwe kuqala ngokuthatha indawo yamanga (ngemuva). Uma i-sciatica yangempela yesifunda se-sacro-lumbar iqhubekela phambili, lapho-ke lapho umlenze oqondile uphakanyiswa, ngisho kancane kancane, ubuhlungu obubukhali obuhlabayo buya endaweni yesigungu futhi ngenhla nje. Lo mcimbi ubonakala kuphela ohlangothini lwezimpande zesisulu esithintekile.

I-Bonnet ye-Symptom

Inkambo ende ye-lumbosacral radiculitis ihlotshaniswa nomkhawulo oqinile wokuhamba. Ngenxa yalokhu, imisipha kancane kancane ilahlekelwa ikhono lokubambisana, i-hypotension kanye ne-atrophy. Isici sici se-lumbar sciatica - ukunyamalala ngokuphelele noma ukukhinyisa ngokujulile kwesikhwama ngaphansi kwesinye isikhumba, ukufana kwazo. Lesi sibonakaliso sitholwa engxenyeni ewonakele, isisipha sesibili sihlala esimweni esivamile.

Indlela yokuphatha i-lumbosacral radiculitis?

Ukwelashwa kwezifo ezichazweyo kuthuthukiswa ngokuhambisana nobuqili bawo kanye nenkambo ethile (okungapheli noma okunamandla). Kubalulekile ukuthola kusengaphambili ukuthi kungani i-lumbosacral radiculitis iqalile - ukwelashwa kufanele kucabangele izimbangela zokuchofoza noma ukucindezela izimpande zesisindo. Ekuqaleni kokuphindaphindiwe kokukhubazeka kunconywa ukuthi:

ukuphumula kombhede;
ukuphoqeleka noma ukulungiswa kwekholomu yomgogodla (egqoke i-corset endaweni echaphazelekayo yi-radiculitis);
i-traction;
ukuphathwa kwe-physiotherapeutic.

Ngokuphumelelayo ukucindezela usizo lwe-lumbosacral radiculitis:

imithi yendawo kanye nemihlelo;
izivivinyo ezikhethekile;
ukwelapha okubhaliwe;
imithi yemvelo.

Amafutha we-lumbar sciatica

Ama-agent wesicelo sangaphandle asebenza kuphela ekuhluphekeni okuphansi noma ngokunciphisa ubuhlungu. Ukwelashwa kwendawo kanye ne-radiculitis yomgogodla we-lumbosacral kunqunywe njengokungeza ekulawulweni kwezidakamizwa zesistimu. Noma yikuphi ukugcoba, ama-creams noma ama-gel kuphela okuvimbela ukudluliselwa kwemizwa yesifo senzwa ebuchosheni, kodwa angathinti imbangela eyisizathu yesifo.

Ukuze kususwe ukuvuvukala nge-radiculitis ne-anesthesia yesikhashana yendawo ye-lumbosacral, izazi ze-neuropathologists zeluleka ukusebenzisa lemithi elandelayo yangaphandle:

I-Gymnastal;
Efkamon;
Diclofenac;
I-Capsicam;
Ukuxolisa Okujulile;
I-Voltaren;
Fastum;
I-Virapine;
Dolobien;
I-gel ye-Bystrum;
I-Finalgon;
I-Ketonal;
U-Espol;
Indomethacin;
I-Viprobel;
Camphocin;
Olfen;
I-Dolgit nabanye.

Le mithi yendawo iyanciphisa i-lumbosacral radiculitis, ikhiqiza imiphumela ecasulayo, elwa nokuvuvukala, e-analgesic nokufudumala. Banikeza ukuphumula kwemisipha enomzimba, okunciphisa kancane amandla okucindezela izimpande zomgogodla. Sebenzisa ama-agent wangaphandle ngokukhetha ngokuhambisana nemithi yomlomo.

Amathebulethi avela ku-lumbar sciatica

Ngalolu cwaningo, kunezinhlobo ezimbili zemithi ehlelekile. Ukuze uthole ukuphumula okusheshayo kobuhlungu nge-radiculitis, i-anesthetics enezakhiwo eziphikisayo isetshenziswa:

I-Nimesulide;
Diclofenac;
I-Movalis;
I-Voltaren;
I-Nimesil;
Ketanov;
Indomethacin;
Meloksikam;
Kuyinto ethanol;
Ibuprofen;
Olfen;
I-Naise ne-analogues.

Ngaphezu kwalokho, ukwelashwa kwe-lumbosacral radiculitis esigabeni esisemqoka kudinga ukusebenzisa imithi ngenomphumela ophumuzayo, imisipha yokuphumula:

Baclofen;
I-Midokalm;
Sirdalud;
Midostad;
I-Tolperil;
I-Arduan;
I-Trakrium;
I-Aperomide;
Umlayezo;
I-Tizanil;
Dysport nabanye.

I-Physiotherapy ne-lumbosacral radiculitis

Ukuzivocavoca okukhethekile kusiza ukunciphisa ubukhulu bezinto eziqhubekayo ezinhlakeni zomgogodla, kuthuthukise izinqubo ze-metabolic kanye nokujikeleza kwegazi. Noma yikuphi ukuzivocavoca nge-radiculitis yomgogodla we-lumbosacral kufanele kuthuthukiswe udokotela oqeqeshiwe. Udokotela kuphela ozokwazi ukuchaza ubunzima obunzima, imingcele elandelayo ithathwe ngokubhaliwe lapho iqoqa:

iminyaka yobudala;
inhlalakahle;
uhlobo lwesigaba sesifo;
isigaba sokukhubazeka;
ubukhulu bezinhlungu.

Ukuzivocavoca kwe-lumbosacral radiculitis kwenziwa kuphela ngaphandle kokuphindaphindiwe, lapho ubuhlungu bungasekho, futhi umzimba awunayo izinqubo zokuvuvukala. Uma ujoyina ama-gymnastics ngesikhathi sokukhukhumeza, noma wenza imishanguzo engakhethi kahle, ingozi yokuqinisa ukucindezela kwezimpande zesisindo esonakalisiwe nokwanda kwenhlalakahle.

Ukubhusa nge-radiculitis ye-lumbosacral

Ukwelapha ngokuchazwa kwebhuku kuyabhalwa kuphela esigabeni sokuxoxwa noma esimweni esilandelayo sokugula okungapheli. Uma ukhetha uhlobo lokusikhipha, kutholwa ukuthi uhlobo luni lwesifo luqala: i-vertebrogenic noma i-discogenic lumbosacral radiculitis - ukwelashwa kanye nezindawo zethonya lendawo kuxhomeke ezintweni ezibangela ukwephulwa kwezakhi zezinzwa. Ukwelashwa kwezincwadi kwenziwa kuphela yizinqubo zomsebenzi, izindlu zasekhaya kuphela ezingalimaza.

Ukuxoshwa kahle nge-radiculitis esifundeni se-lumbosacral kuveza imiphumela emihle elandelayo:

ukujwayelekile kwe-lymph nokugeleza kwegazi;
imisindo yokuphumula;
ukubuyiselwa kokuguquguquka nokuhamba;
ukunciphisa ubuhlungu endaweni ye-lumbosacral.

Ochwepheshe abanekhono banamathela emithethweni ekhethekile yokuxhaphaza ekwelapheni i-radiculitis:

Zonke ukuhamba ngesikhathi sokusikhipha kwendawo ye-lumbosacral azibangela ukuzwa okungathandeki kumuntu. Amasu asetshenziswa njenge-stroking, ukugcoba nokuxubha, ngaphandle kwengcindezi eqinile.
Ubude beseshini livela kumaminithi angu-8 kuya kwangu-25. Ukwelashwa okunamandla okude kakhulu ne-radiculitis kuyingozi.
Isiguli kumele sibe sesimweni esingezansi. Ukumisa endaweni yokuma noma ehlezi akuvumelekile kule simo.

I-radiculitis ye-Lumbosacral - ukwelashwa ngamakhambi abantu

Imithi ehlukile inikeza izinketho eziningana zokuphatha ubuhlungu be-syndrome. Izindlela ezinjalo zenza kuphela i-lumbar radiculitis - Kunconywa ukuphatha izikhambi zabantu ngokuhambisana nokwelashwa kwezokwelapha kanye nokwelashwa. Indlela elula yokuthuthukisa inhlalakahle yakho i-compress eyenziwe ngamacembe e-burdock. Izinto ezisetshenzisiwe ezintsha kufanele zihlanjwe futhi zifakwe kancane, bese zisetshenziselwa emuva emuva "ngecala elingalungile" futhi ziboshwe ngendwangu efudumele.

Iresiphi ye-analgesic yokubhoboza nge-lumbosacral radiculitis

Izithako:

utshwala - 300-320 ml;
Ikhasi elimnandi lonyaka - ama-pod 2.

Ukulungiselela, sebenzisa

Geza bese ugaya isitshalo semifino kahle.
Faka i-gruel engxenyeni yesilazi (inzalo), uthele ngo-utshwala obuqinile kanye nesikhombi.
Ukunika imithi emasontweni amabili, ukuqaphela ukuthi ayithintekile emoyeni we-ultraviolet nebandayo. Nsuku zonke, sishukumise isixazululo. Ngomuthi, gwema ngobumnene emuva kwakho lapho uzwa ubuhlungu.

I-iresiphi ye-lotic anesthetic evela ku-sciatica esifundeni se-sacral nase-lumbar