Sciatica yog ib txoj haujlwm ntawm cov tsos mob uas ua nrog tus mob ntawm cov hlab ntsha sciatic - lub paj hlwb loj tshaj plaws hauv tib neeg lub cev ua lub luag haujlwm ntawm daim tawv nqaij ntawm pob tw thiab ceg, thiab lub cev muaj zog. Raws li txoj cai, sciatica tau tshwm sim los ntawm kev kub nyhiab thiab kos nraub qaum sab nraub qaum, muab rau lub pob tw thiab ceg, tingling nyob rau hauv cov leeg, ib feem ntawm txoj kev hno.
Cov neeg txom nyem los ntawm sciatica, ua ntej ntawm tag nrho cov, yog xav paub yuav ua li cas tshem tawm qhov mob, uas, ntawm chav kawm, txo cov ua hauj lwm muaj peev xwm thiab zoo ntawm lub neej feem ntau. Txawm li cas los xij, ib tug yuav tsum paub tias qhov mob yog ib qho kev ua rau lub cev tsis zoo, thiab nws yuav kho tau cov kab mob tom qab thaum muaj tus kab mob kis tau tawm lawm. Cia peb sim seb yuav ua li cas kom zoo thiab zoo rau kev kho mob sciatica.
Kev kuaj mob thiab kev kho mob ntawm sciatica
Zoo li ntau yam kab mob, sciatica raug kho hauv txoj kev kho kom zoo thiab txoj kev phais. Tau kawg, ua ntej koj mus rau kev phais, koj yuav tsum sim tag nrho cov kev tau txais kev kho mob uas tsis yog phais. Tab sis ua ntej qhov no, nws yog ib qhov tsim nyog yuav tau nrhiav kom paub qhov ua rau ntawm tus kab mob sciatic lesion thiab pib qhov mob ntawm tus mob. Rau qhov no, ib qho kev ntsuam xyuas txhij txhua yog ua tiav, uas yog:
- duab hluav taws xob;
- computed tomography;
- magnetic resonance kawm;
- radioisotope scanning ntawm qaum thiab lwm txoj hau kev.
Ua rau sciatica, feem ntau, yog cov kab mob ntawm qaum (osteochondrosis, intervertebral hernia, thiab lwm yam), nyob rau hauv uas keeb kwm yog infringed nrog kev loj hlob ntawm neuralgia ntawm sciatic paj hlwb. Txawm li cas los xij, ib tug yuav tsum paub tias qhov paj hlwb sciatic yog qhov tseem ceeb tshaj plaws ntawm cov hlab ntsha sacalt plexus, uas ua kom qhov hauj lwm ntawm lub plab hnyuv pelvic. Yog li ntawd, qhov ua rau mob sciatica tej zaum yuav kis tau thiab kab mob ntawm cov hauv nruab nrog cev. Tsis tas li ntawd, lub hauv paus rau cov tsos ntawm kev mob sciatica tuaj yeem ua qog, raug mob, trombus, thiab lwm yam. Yog li, nws tseem ceeb heev uas yuav tsum kuaj kev kuaj lub cev thaum kho sciatica.
Kho kev kho mob ntawm sciatica
Tiv thaiv kom tsis txhob mob thiab txo cov mob hauv ischias, tshuaj pleev, tshuaj pleev, tshuaj noj.
Ntawm cov tshuaj feem ntau yog:
- cov tshuaj tiv thaiv uas tsis yog steroidal: cebebex, ketoprofen, proprofen, indomethacin, orthophene, thiab lwm yam;
- steroidal anti-inflammatory drugs: dipisane, hydrocortisone, prednisolone, metipred, kenalog, dexamethasone, lwm yam.
Nws yog ib qho tseem ceeb kom to taub tias cov tshuaj no muaj qhov tsis haum thiab cov kev mob tshwm sim, yog li lawv tsuas yog raug coj los ntawm kev saib xyuas ntawm ib tus kws kho mob uas yuav txiav txim siab siv pes tsawg thiab siv sijhawm tsawg.
Ntxiv nrog rau kev noj haus hauv qhov ncauj, cov tshuaj yuav raug txhaj. Piv txwv, kom tshem tawm cov mob hnyuv, siv cov tshuaj steroid rau hauv qhov chaw nqus dej, uas yog siv los ntawm lumbar puncture, yog siv.
Raws li ib tug tonic thiab ua metabolic kev nyob rau hauv lub paj hlwb, cov neeg siv tshuaj siv cov tshuaj ntawm cov vitamins B1 thiab B12.
Nyob hauv lub duav, pob tw thiab lwm qhov chaw mob hnyav tshiav cov tshuaj pleev ua rau muaj kev cuam tshuam rau cov kab mob: diclofenac, forprofen, etc.
Txoj kev ntawm kev kho mob ntawm sciatica
Ua ke nrog kev kho mob ntawm kev kho mob, txoj hauv qab no yog siv tau zoo.
Physiotherapeutic txoj kev kho mob
- electrophoresis;
- UHF-kev kho;
- magnetotherapy ;
- ultraviolet irradiation, thiab lwm yam.
Tsis tas li ntawd, zaws, phau ntawv kho mob, cov txheej txheem dej, kho qhov kev xyaum ntaus kis las.
Lwm cov kev kho mob
Nws kuj muaj ntau ntau hom kev kawm,
- cov tshuaj tua kab mob (kev kho mob nrog cov kab txaij);
- apitherapy (kev kho mob nrog cov muv);
- kab mob acupuncture (acupuncture).
Phais txoj hauv kev kho mob
Qee zaum, nws tsuas yog ua tsis tau yog tias tsis muaj kev phais. Feem ntau cov kev siv phais mob rau kev kho mob sciatica yog:
- microdiscectomy ( nrog ib lub disc herniated );
- lumbar laminectomy (nrog spinal stenosis).