Abantu abaye bafikelela kwiminyaka engama-35 ubudala, bahlala bejamelana nesimo esinjengeentlungu ezinzima kumqolo osezantsi. I-Radiculitis kwingingqi ye-lumbosacral ngokukhawuleza ifumana ifomu engapheliyo ngokuphindaphindiweyo kwakhona. Ukunyanga ngokupheleleyo ukukhubazeka kunzima, kodwa kunokwenzeka ukulawula nokuyeka.
Yintoni i-sciatica ye-lumbosacral umqolo?
Iimvakalelo zibonakaliso zenkqubo ye-nervous system, eguqulwa yingqondo. Ukuba kukho umonakalo kuyo, umntu uyava intlungu. I-Radiculitis yendawo eselungileyo yimbangela yokucwina okanye ukuphulaphula iingcambu zeembilini ze-nerve ezikwindawo engaphantsi yomgudu. Ngenxa yokulimala kombane, ziyakwazi ukutshabalalisa, ezikhokelela ekunciphiseni ukuhamba kunye nokuguquguquka kwemva.
Discogenic lumbosacral radiculitis
Le fomu yesifo ikwabizwa ngokuba yi-spondylogic, ivela kwimvelaphi yeenguqu ezonakalisa ukuguqulwa kwizakhiwo ze-vertebral. I-radiculitis yeLumbosacral iqala ngokucutha, ukulahleka kwe-elasticity, ukuchithwa kweediski ze-intervertebral. Xa i-membrane yabo idibanisa ngokupheleleyo, i-nucleus efana ne-gel iya kwiindawo ezikhululekile. Iyakuchukumisa iingcambu zemiqolo yomgogodla kummandla we-lumbosacral, uvuselele i-radiculitis ye-discogenic. Ngenxa yokuqhubela phambili kwenkcenkceshe kunye ne- hernia, ubunzima besifo kunye nobuchopho be-syndrome buhlungu.
I-vertebrogenic lumbosacral radiculitis
I-pathology echazwe ngokuqhelekileyo ibonakaliso lwezinye izifo ezinobunzima okanye eziguguzayo. I-vertebrogenic lumbosacral radiculitis ihamba ne-osteochondrosis kunye ne-osteophyte ukukhula. Uxinzelelo lweengcambu lweengcambu ngenxa yeengxaki zesakhiwo kunye nokusebenza kwamalungu omzimba. I-radiculitis enjalo inokudibaniswa nokukhutshwa kwama-discs kwingingqi ye-lumbosacral. Kule meko, isifo esixubeneyo sifumaneka.
Lumbar sciatica - iimpawu
Ubonakaliso obunzulu bekliniki yale nkinga kubonakalisa isifo sesifo. I-sumboatica yeLumbosacral ihamba kunye neentlobo ezininzi zokuvakalelwa:
- lumbago (lumbulgia, "igumbi") - kwindawo engezantsi yomva;
- sciatica (ischialgia) - emthangeni, kwisithambiso, umlenze ophantsi okanye unyawo;
- lumbosciatica - kuzo zonke iindawo.
Ngenxa yentlungu, le miqondiso elandelayo ye-sciatica kubasetyhini kunye namadoda iyaqwalaselwa:
- ukungonakaliswa kokuhamba kwezinzwane;
- ubunzima kunye nomso we trunk;
- utshintsho kwimbonakalo yangemva (ukukhawuleka kwendawo ye-lumbosacral);
- ukunciphisa ukusebenza;
- izihlunu zesistim.
Ukuxilongwa ngokuchanekileyo kwe-radiculitis, iimvavanyo eziliqela ezikummandla we-lumbosacral kufuneka zenziwe, ukuqinisekisa ukufunyanwa kwemiboniso yeklinikhi ekhethekileyo kuphela kule syndrome. Ubunzima obunzima beempawu ezinjalo kubonisa isigaba esichukumisayo sokuqhubela phambili kwe-radiculitis, umonakalo omkhulu kwiingcambu zemiqolo yomgudu.
ISimptom Bechterew
Ukujonga ubungqina obonakalisiweyo kufuneka ukuba ulale endaweni ejikelezayo (ngasemva), phumula imizuzu 2-3, uze uthathe indawo yokuhlala. Uphawu lweklinikhi ye-lumbosacral radiculitis ngokubhekiselele kuBechterew kukuba ukuguqa komlenze ngeli xesha. I-reflex ivela kwinqanaba apho iimbilini zihamba khona.
Isibonakaliso seDejerine
Le ngxaki idibene nefuthe lekhontrakthi ye-muscle kwiimeko zemigulane. Ukufumanisa i-lumbosacral radiculitis engapheliyo, ugqirha unokucela ukuba isigulane sikhohlela. Ngokutsho kophando lukaDejerine, i-syndrome yesifo phantsi kwesi senzo iya kwandisa ngokukhawuleza ngenxa yokuxhatshazwa kwemizimba. Ngokufanayo, i-lumbosacral radiculitis iyaxatyiswa ngakumbi ngexesha lokunyunyuza, ukunyakaza, ikakhulukazi ukuba umntu ufanele achukumise.
Uphawu lwexinzelelo lukaLacega
Ukufumanisa isibonakaliso esinikezwayo kuqala ngokuthatha indawo yokulala (ngasemva). Ukuba i-sciatica yinyaniso yesigqeba se-sacro-lumbar iyaqhubeka, ngoko ke xa kuphakanyiswa umlenze ochanekileyo, kwantyantya, intlungu ebukhali kakhulu, ibuhlungu kakhulu ebonakalayo kwindawo yesigxina kunye ngaphezu kwayo. Le nzekayo ibonwa kuphela ukusuka kwicala leengcambu ezichaphazelekayo.
Uphawu lweBhonet
Ixesha elide le-lumbosacral radiculitis linxulumene nomda onqabileyo wokuhamba. Ngenxa yoko, izihlunu zilahleka ngokukhawuleza ukukwazi ukwenza isivumelwano, i-hypotension kunye ne-atrophy. Iimpawu zobunzima be-lumbar sciatica - ukusabalalisa ngokupheleleyo okanye ukukhangela ngokugqithisileyo kwintambo phantsi kwelinye inkunzi, i-asymmetry yabo. Iimpawu zifunyaniswa kwisiqingatha esonakele, isisundu sesibini sihlala kwimeko eqhelekileyo.
Indlela yokuphatha i-lumbosacral radiculitis?
Ulwaphulo lwezifo ezichazwe lukhutshwe ngokuhambelana nobuqili balo kunye nenkambo ethile (engapheliyo okanye eqhelekileyo). Kubalulekile ukufumanisa kwangaphambili ukuba kutheni i-lumbosacral radiculitis iqalile - unyango kufuneka luqwalasele izizathu zokubamba okanye ukucinywa kweengcambu zentliziyo. Kunconywa kumanyathelo okuqala okuphinda abuyele kwi-pathology:
- ukuphumla kombhede;
- ukuchithwa okanye ukulungiswa kwikholamu yomgcini (egqoke i-corset kwindawo echaphazelekayo yi-radiculitis);
- umzila;
- izidalwa ze-physiotherapeutic.
Ngokuphumelelayo ukunqanda i-lumbosacral radiculitis uncedo:
- mayeza kunye neenkqubo;
- uqeqesho olulodwa;
- yonyango lonyango;
- mayeza.
Iigcoba ze-lumbar sciatica
Iishenxi zesicelo sangaphandle zisebenza kuphela kwiintlungu eziphantsi okanye iintlungu eziphakathi. Unyango lwengingqi kunye ne-radiculitis ye-lumbosacral umgudu lubekwe njengesongezelelo ekulawuleni iziyobisi. Nawaphi na amafutha, i-creams okanye i-gel ikhusela ukutshatyalaliswa kweengxaki zentlungu kwi-brain, kodwa ayichaphazeli isizathu esibangela isifo.
Ukuze kususwe ukuvuvukala nge-radiculitis kunye ne-anesthesia yesikhashana ye-lumbosacral, i-neuropathologists bayacetyiswa ukuba basebenzise amayeza angaphandle alandelayo:
- Gymnastal;
- Efkamon;
- Diclofenac;
- ICapsicam;
- Uncedo olunzulu;
- Voltaren;
- Fastum;
- Virapine;
- Dolobien;
- I-gel ye-Bystrum;
- Finalgon;
- Ketonal;
- Espol;
- Indomethacin;
- Viprobel;
- Camphocin;
- Olfen;
- IDolgit nabanye.
La mayeza asekuhlaleni anciphisa i-lumbosacral radiculitis, evelisa iziphumo ezivuthayo, ezichasayo, ezichasayo kunye nezifudumalayo. Banikezela ukuphumla kwezihlunu ezincinci, okunciphisa ngokunciphisa amandla okucoca iingcambu zemiqolo yomgogodla. Sebenzisa amanxusa angaphandle ngokukhethekileyo ngokunxulumene nemilomo yomlomo.
Iipilisi ezivela kwi-lumbar sciatica
Ngolu hlobo lokuxilongwa, kukho imimiselo emibini yamachiza enkqubo. Ukuphuthuma ngokukhawuleza kwentlungu kunye ne-radiculitis, i-anesthetics enezixhobo ezichasayo ziyasetyenziswa:
- Nimeslide;
- Diclofenac;
- Movalis;
- Voltaren;
- Nimesil;
- Ketanov;
- Indomethacin;
- Meloksikam;
- I-ethanol;
- Ibuprofen;
- Olfen;
- Iintlanzi kunye nezinye.
Ukongeza, unyango lwe-lumbosacral radiculitis kwinqanaba elimfuneko ludinga ukusetyenziswa kwamachiza kunye nemiphumo ephumayo, i-muscle relaxants:
- Baclofen;
- Midokalm;
- Sirdalud;
- Midostad;
- Tolperil;
- Arduan;
- ITrakri;
- Aperomide;
- Umphulaphuli;
- Tizanil;
- IDysport nabanye.
I-Physiotherapy ne-lumbosacral radiculitis
I-gymnastics ekhethekileyo iyanceda ukunciphisa ubunzima bezinto eziphazamisayo kwizicubu zomgudu, ukuphucula iinkqubo zamanzi kunye nokujikeleza kwegazi. Naluphina uqeqesho olwenziwe nge-radiculitis lwesigxina se-lumbosacral kufuneka luphuhliswe ngugqirha ofanelekileyo. Ugqirha kuphela uya kukwazi ukuchonga ubunzima obunzima, iiparameters ezilandelayo ziqwalaselwe xa ziqulunqwa:
- ubudala bomntu;
- impilo;
- uhlobo lwesifundo sesi sifo;
- kwinqanaba lokugula;
- ubunzima beentlungu.
Ukuzivocavoca kwe-lumbosacral radiculitis kwenziwa kuphela ngaphandle kokuphindaphinda, xa intlungu ingabikho, kwaye umzimba awunayo inkqubo yokuvuvukala. Ukuba ujoyina i-gymnastics ngexesha lokuxhatshazwa, okanye ukwenza izinto ezikhethiweyo ezingaqhelekanga, umngcipheko wokuqinisa ukucinywa kweengcambu zomonakalo kunye nokunyuka kokunyuka kweemeko.
Ukusilalisa nge-lumbosacral radiculitis
Ulwaphulo ngokuchazwa kwezinto ezicacileyo luyalelwe kuphela kwisigaba sokuxoxwa okanye kwixesha eliqhelekileyo lokugula okungapheliyo. Xa ukhetha uhlobo lobuthathaka, okokuqala kuluhlobo luni lwesifo eso lukhula: i-vertebrogenic okanye i-discogenic lumbosacral radiculitis - unyango kunye nemimandla yempembelelo yendawo ixhomekeka kwiimeko ezibangela ukuphulwa kwezakhi zamathambo. Ulwaphulo lwencwadi luqhutyelwa kuphela ngabaqeqeshi, inkqubo yekhaya inokulimaza kuphela.
Ukulungelelanisa ukuhlaselwa kwe-radiculitis kwisithili se-lumbosacral kuvelisa oku kulandelayo:
- ukuqheleka kwe-lymph kunye nokuhamba kwegazi;
- ukuphumula kwemizimba;
- ukubuyiselwa kokuguquguquka nokuhamba;
- ukunciphisa intlungu kwi-lumbosacral zone.
Iingcali ezifanelekileyo zihambelanayo nemithetho ekhethekileyo yokuphathwa kakubi kwindlela yokwelapha i-radiculitis:
- Zonke iintshukumo ngexesha lokuxilwa kwendawo ye-lumbosacral azibangela ukuba umntu angabi ncamango. Amasu asetyenzisiweyo afana ne-stroking, ukuxoka nokuxubha, ngaphandle kwengcinezelo eqinile.
- Ubude beeseshoni luvela kumzuzu ukuya ku-25. Unyango olunexesha elide lonyango kunye ne-radiculitis luyingozi.
- Isigulane sifanele sibe kwindawo echanekileyo. Ukuzihlaziya kwindawo yokuma okanye ukuhlala endaweni ayivumelekanga kule meko.
I-Lumbosacral radiculitis - unyango kunye nezilwanyana zomntu
Elinye ilanga linika unyulo oluninzi lokulawula intlungu yesifo. Ezi ndlela zenza kuphela i-lumbar radiculitis-Kunconywa ukuba uphathe amachiza abantu ngokudibanisa neyeza zonyango kunye neyonyango. Indlela elula yokuphucula inhlalakahle yakho yi-compress eyenziwe ngamacembe e-burdock. Izinto ezisetyenzisiweyo ezifunekayo kufuneka zihlanjwe kwaye zifakwe kancinci, kwaye zifakwe kwi-back back "necala elingalunganga" kwaye ziboshwe ngendwangu efudumeleyo.
I-recipe ye-analgesic yokuxubha nge-lumbosacral radiculitis
Izithako:
- utywala - 300-320 ml;
- Iipilisi zonyaka ezifudumele - ii-pods ezi-2.
Ukulungiselela, sebenzisa
- Geza utyumbe isityalo semifuno kakuhle.
- Beka i-gruel kwisitya seglasi (inzalo), uthele ngotywala oluqinileyo kunye ne-cork.
- Ukunika isilwanyana kwiiveki ezi-2, ukubeka iliso ukuba akuchaphazelekanga ngomoya obandayo. Nsuku zonke, gubungula isisombululo ngokunyanisekileyo. Ngamachiza, gcoba ngenyameko umqolo wakho osezantsi xa uziva uhlungu.
I-recipe ye-anesthetic lotion evela kwi-sciatica kwingingqi ye-sacral ne-lumbar
Izithako:
- iingcambu ze- sabelnik - malunga ne-20 g;
- amanzi 80-90 ml.
Ukulungiselela, sebenzisa
- Izinto zokuvelisa izimbizo kufuneka zihlanjululwe kwaye zihlanjwe.
- Gaya iingcambu, ungasebenzisa i-blender okanye i-grinder yenyama.
- Ubilise amanzi, ufake kuyo isiseko esilungisiweyo.
- Beka umxube kwibhayisi yokuhambisa umbane iminyaka emi-25-35.
- Emva koko, shiya isisombululo kwiintsuku ezingama-0.5, usibethe nge-liver.
- Xa umkhiqizo uhleli, unxinxe kwaye uwuthulule kwisitya esinye esicocekileyo. Sebenzisa i-liquid ukuze uhlambe okanye ucoce.
Kusenokuba nefuthe le-analgesic kunye ne-radiculitis kwicandelo le-lumbosacral lokuhlambela okukhethekileyo. Phantse i-60 g yeengcambu ezinqabileyo kufuneka zichithwe kwaye zifakwe kwi-pog pouch okanye nje kwikona ukusuka kwi-pillowcase. Esi siqwenga sithengiswa kwisitya sokuhlamba esigcwele ngamanzi afudumele (malunga nama-36.5-37.5 degrees). Inkqubo eyenziwa ngaphambi kokulala, ebusuku, iindawo ezichaphazelekayo yi-radiculitis, kufuneka ufihle umqolo wakho ngesibhakabhaka esifudumele okanye ingubo.