Advanced Sciatica: Kuziva Mitsipa Yekukuvadza Zviratidzo

Kune vanhu vane chirwere chisingaperi sciatica, apo kurwadziwa uye zvimwe zviratidzo zvinonyanya kukanganisa mabasa ezuva nezuva uye kukwanisa kufamba, musuloskeletal healthcare provider ingabatsira here kugadzirisa uye kugadzirisa zviratidzo kuburikidza nehurongwa hwekurapa huzhinji?

Chronic Sciatica

Sciatica inowanzoitika iyo inokonzerwa nekumanikidzika kwe sciatic nerve muzasi kumashure kana gumbo. Chronic sciatica inoitika apo zviratidzo zvinogara kwemwedzi ye12 kana kupfuura.

Advanced Sciatica Zviratidzo

Advanced kana chronic sciatica inowanzobudisa marwadzo anopenya kana kufamba achidzika kumashure kwegumbo. Kwenguva refu sciatic nerve compression inogona kukonzera:

• Kurwadziwa kwegumbo
• Numbness
• Tingling
• Magetsi kana kupisa kunzwa
• Kushaya simba
• Kushaya simba
• Kusagadzikana kwemakumbo, izvo zvinogona kukanganisa kukwanisa kufamba.

1. Kutsikirirwa kwetsinga kwakanyanya kunogona kufambira mberi kusvika kumakumbo emakumbo kana tsinga yakakuvadzwa zvakanyanya kubva mukumanikidzwa kusingaperi. (Antonio L Aguilar-Shea, et al., 2022)
2. Sciatica inogona kufambira mberi kusvika pakukuvadzwa kwetsinga dzetsinga diki uye kufamba mumakumbo netsoka. Kukuvara kwetsinga/neuropathy kunogona kukonzera kurwadziwa, kurira, uye kurasikirwa kwekunzwa. (Jacob Wycher Bosma, et al., 2014)

Kudzivisa Sciatica Kurapa Sarudzo

Apo sciatica inova inoremadza, inokanganisa kukwanisa kwemunhu kufamba, zvakanyanya kubatanidzwa kurapwa kunodiwa kuunza zororo. Zviitiko zvakawanda zvechisingaperi uye chinokanganisa sciatica zvinokonzerwa nezvinetso ne lumbar spine. Kudzvinyirirwa kwetsinga midzi inoumba sciatic nerve inogona kuitika kubva kune bulging kana herniated discs kana spinal stenosis. Kana zviratidzo zve sciatica zvichiramba zvichipfuura mwedzi ye12 nekusununguka kuduku kana kusina kubva pakurapa kwepanyama, kusina kuvhiyiwa mechanical decompression, kutambanudza uye maitiro, kana maitiro ekugadzirisa marwadzo, maitiro ekuvhiya angadiwa. (Lucy Dove, et al., 2023)

Kuvhiyiwa kweLumbar decompression kunosanganisira maitiro akati wandei ekugadzira nzvimbo yakawanda mu lumbar spine uye kusunungura tsinga. Lumbar decompression kuvhiyiwa kunogona kusanganisira: (Mayfield Clinic. 2021)

Discectomy

• Iyi nzira inobvisa chikamu chedhisiki yakakanganisika pakati pe vertebrae kuti ideredze midzi yekumanikidza kubva kune bulging kana herniated disc.

Laminectomy

• Iyi nzira inobvisa lamina, chikamu che vertebrae chinokonzera kudzvinyirirwa kwetsinga, kunyanya kana pane pfupa rinoputika nekuda kweArthritic uye kuderera kwekuchinja mumusana.

Foraminotomy

• Iyi nzira inowedzera foramina, mazaru ari muvertebrae uko midzi yetsinga inobuda kuti ibvise kudzvanywa.

Spinal Fusion

• Iyi nzira inotora maviri kana anopfuura vertebrae achiabatanidza pamwechete nesimbi tsvimbo uye screws kuti agadzikane.
• Iyo nzira inogona kuitwa kana:
• Dhisiki rose rinobviswa.
• Multiple laminectomies yakaitwa.
• Imwe vertebra yakatsvedza mberi pane imwe.

Daily Relief Management yeAdvanced Sciatica

Kuwana zororo kubva kune advanced sciatica zviratidzo kumba kunogona kusanganisira kugara uchidzidzira nzira dzakadai sekutora bhati inopisa kana yekugezesa yekugezera, uye kushandisa pedhi yekudziya kuzasi kumashure kana glutes kuti uzorodze mhasuru dzakasimba kubatsira kuburitsa kusimba kwakatenderedza sciatic nerve.

• Kugadzirisa kana kurapa maekisesaizi senge sciatic nerve glides inogona kubatsira kuderedza kushushikana pamwe netsinga ukuwo kudzika-kumashure maekisesaizi anofambisa musana kuenda kumberi kana kumashure kukotama kunogona kuderedza compression. (Witold Golonka, et al., 2021)
• Mishonga yakaita senonsteroidal anti-inflammatory drugs/NSAIDs, muscle relaxants, kana nerve-pain mishonga inogona kukurudzirwa. (Antonio L Aguilar-Shea, et al., 2022)
• Advanced sciatica inogona kunge isingaite seyakagadziriswa nzira dzekurapa dzekuchengetedza, sezvo kukuvara kwakamira uye tsinga uye matishu akapoteredza zvakave zvakanyanya kudziviswa.
• Zviratidzo zveSciatica zvinogara kwenguva yakareba kupfuura mwedzi ye12 zvinoda kunyanya kubatanidzwa kurapwa semajekiseni kana kuvhiyiwa kugadzirisa zviratidzo zvinobudirira. (Antonio L Aguilar-Shea, et al., 2022)

Kuporesa Chronic Sciatica

Kana chikonzero chinokonzera chinogona kurapwa zvinobudirira saka chronic sciatica inogona kuporeswa. Chronic sciatica inowanzoguma kubva kumamiriro emusana senge herniated discs kana lumbar spinal stenosis. Aya mamiriro anopfupisa nzvimbo yakatenderedza tsinga midzi inobuda kubva mumuzongoza uye inobatanidza kuumba sciatica nerve. Kuvhiya kunoitwa kuvhura nzvimbo mumusana. (Mayfield Clinic. 2021) Dzimwe nguva sciatica inounzwa nezvikonzero zvishoma zvinowanzoitika sebundu kana chirwere chemusana. Muzviitiko izvi, zviratidzo hazvigadzirike kusvikira chikonzero chikuru chagadziriswa. Mabundu angangoda kuvhiyiwa kubviswa apo hutachiona hunoda maantibioti ane hasha kudzivirira kupararira kune dzimwe nzvimbo dzemuviri. (Hospital for Special Surgery. 2023)

Pain Specialist Treatment Plan Development

Marwadzo anoenderera mberi, chiveve, kurira, uye kushaya simba zviratidzo zvese zvinofanirwa kugadziriswa nemupi wehutano. Nyanzvi yemarwadzo inogona kubatsira kugadzira chirongwa chekurapa chinosanganisira: (Hospital for Special Surgery. 2023)

• Physical therapy
• Kurapa kurapa
• Chiropractic kudzvinyirira uye kugadziriswa kwemusana
• Targeted stretches uye maekisesaizi
• Referrals kune nyanzvi dzehutano vanopa
• Injections
• Mishonga

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Sciatica Zvinokonzera uye Kurapa

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References

Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-González, R., & Paredes, I. (2022). Sciatica. Kutarisira vanachiremba vemhuri. Nyaya yemishonga yemhuri uye kunyanya kutarisira, 11 (8), 4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21

Bosma, JW, Wijntjes, J., Hilgevoord, TA, & Veenstra, J. (2014). Yakakomba yakasarudzika sciatic neuropathy nekuda kwekugadziriswa lotus chinzvimbo. World Journal of Clinical Cases, 2(2), 39–41. doi.org/10.12998/wjcc.v2.i2.39

Dove, L., Jones, G., Kelsey, LA, Cairns, MC, & Schmid, AB (2023). Inobatsira sei physiotherapy kupindira mukurapa vanhu vane sciatica? Ongororo yakarongeka uye meta-analysis. European spine magazine: kuburitswa kwepamutemo kweEuropean Spine Society, European Spinal Deformity Society, uye Chikamu cheEuropean cheCervical Spine Research Society, 32 (2), 517-533. doi.org/10.1007/s00586-022-07356-y

Mayfield Clinic. (2021). Spinal decompression laminectomy & foraminotomy.

Golonka, W., Raschka, C., Harandi, VM, Domokos, B., Alfredson, H., Alfen, FM, & Spang, C. (2021). Isolated Lumbar Extension Resistance Exercise in Limited Range of Motion yeVarwere vane Lumbar Radiculopathy uye Disk Herniation-Clinical Outcome uye Influencing Factors. Chinyorwa chemushonga wekiriniki, 10 (11), 2430. doi.org/10.3390/jcm10112430

Hospital for Special Surgery. (2023). Sciatica.

Hospital for Special Surgery. (2023). Pain management.