Vanhu vakawana makore makumi matatu, vanowanzotarisana nechiratidzo chakadai sekurwadziwa kwakanyanya mumushure kumashure. Radiculitis munzvimbo inonzi lumbosacral nokukurumidza inowana chimiro chisingaperi nekudzokororazve. Kunyatsorapa chirwere chinonetsa, asi zvinogona kuitika uye kuzvimisa.
Chii chinonzi sciatica ye lumbosacral musana?
Kufungidzira kunoratidza zviratidzo zvehutachiona hwehutachiona hunoshandiswa neuropi. Kana pane chero kukanganisa mairi, munhu anonzwa marwadzo. Radiculitis yenharaunda yakakonzera ndeyekukonzera kana kupindira midzi yehutachiona yakagadzirirwa iri muzasi. Nokuda kwekukuvadza kwemagetsi, vanogona kupisa, izvo zvinotungamirira kumiganhu yakakura yekufamba uye kushanduka kwemashure.
Discogenic lumbosacral radiculitis
Ichi chimiro chechirwere chinonziwo spondylogic, inokurudzirwa nechekuita kwekuchinja kwekuchinja kunowanikwa mumagetsi. Lumbosacral radiculitis inotanga nekunatswa, kurasikirwa kwekusimba, kubra kwe intervertebral discs. Apo ruvara rwavo runobhururuka zvachose, girasi-ganda rinenge rakasvibirira rinopinda munzvimbo isina mahwanda. Inoshungurudza midzi yemigunwe yemupfupa munharaunda ye lumbosacral, inokonzera discogenic radiculitis. Nekufambira mberi kwekudzivirira uye hutachiona, kuoma kwechirwere uye kuoma kwemarwadzo ekurwadziwa kuwedzerwa.
Vertebrogenic lumbosacral radiculitis
Ihwo hutachiona hunotsanangurwa hunova chiratidzo chemwe zvirwere zve dystrophic kana degenerative. Chronic vertebrogenic lumbosacral radiculitis inosanganisira osteochondrosis uye osteophyte kukura. Nzira miviri yakagadzikana inokonzerwa nezvinetso zvemugadziro uye kushandiswa kwemitumbi yakadzika. Radiculitis yakadaro inogona kusanganiswa nekuputika kwema discs munharaunda ye lumbosacral. Muzviitiko izvi, chirwere chakavhenganiswa chinowanikwa.
Lumbar sciatica - zviratidzo
Iko kliniki yekuratidzwa kwechinetso ichi inonzi chirwere chirwere. Lumbosacral sciatica inofambidzana nemhando dzakasiyana dzesingafadzi tsitsi:
- lumbago (lumbulgia, "kamuri") - munzvimbo yakaderera yekunze;
- sciatica (ischialgia) - muhudyu, pfuti, gumbo rezasi kana tsoka;
- lumbosciatica - munzvimbo idzi dzose.
Nemhaka yekutambudzika, zviratidzo zvinotevera zveSciatica muvakadzi nevarume zvinowanikwa:
- kuora kwekufamba kwezvigunwe;
- kushungurudzika nemitambo ye trunk;
- kuchinja mukuonekwa kwemashure (kuputika munzvimbo ye lumbosacral);
- kupera kwekugadzirisa;
- misuli spasms.
Kuti zviongororwe zvakajeka zve radiculitis, mimwe miedzo yakananga munzvimbo inonzi lumbosacral inofanira kuitwa, kuve nechokwadi kuti kuonekwa kwechirwere chezviratidzo zvinoshamisa kune iyi chirwere. Kuvapo kwechigadziro chakakwana chezviratidzo zvakadaro kunoratidza chiitiko chakasimba chekufambira mberi kwe radiculitis, kukanganisa kwakanyanya kumidzi yemagunha.
Symptom Bechterew
Kuti uone zvakaratidzwa zvinoratidzika kuti zvinotarisirwa kurara panzvimbo yakanyanyisa (kumashure), zorora kwema 2-3 maminitsi, uye wobva wagara pasi. Chirwere chemakiriniki che lumbosacral radiculitis maererano neBechterew ndechokukanganisika kwegumbo panguva ino. Izvo zvinosimuka kubva kumativi apo nharo ine midzi yakadziviswa inopfuura.
Chiratidzo cheDejerine
Ichi chiitiko chinosanganiswa nemigumisiro yemisumbu inobvumirana nehutachiona hwemutsipa. Kuongorora chirwere chisingaperi chinonzi lumbosacral radiculitis, chiremba angakumbira murwere kuti afukidze. Maererano nekutsvakurudza kwaDejerine, chirwere chinorwadza pasi pechiito ichi chichawedzera zvinoshamisa pamusana pemazuva mashoma. Saizvozvowo, lumbosacral radiculitis inowedzera kuzivikanwa panguva yekunyunyuta, kufamba kwechirwere, kunyanya kana munhu achifanira kusundira.
Lacega's tension stress
Kuonekwa kwechiratidzo chinopiwa kunotanga nekutora nzvimbo yechema (kumushure). Kana sciatica yechokwadi yedunhu re-sacro-lumbar ichifambira mberi, saka kana rutsoka rwakarurama ruchamutswa, kunyange zvishoma nezvishoma, kurwadziwa kwakanyanya, kunorwadza kunowanikwa munharaunda yepamusoro uye kumusoro kwayo. Izvo zvinoshamisa zvinongoratidzwa chete kubva kune rumwe rutivi rwehutachiona hwemutsipa.
Symptom Bonnet
Nzira yakakura ye lumbosacral radiculitis inobatanidza nechisimba chakasimba chekufamba. Nemhaka yeizvi, mishonga inononoka kukanganisa kukwanisa kubvumirana, iyo hypotension uye atrophy inozivikanwa. Chimiro chezvinhu zvinosanganisira lumbar sciatica - kunyangarika zvachose kana kuonekwa zvakasimba kune pfupa iri pasi pechipfuva chimwe chete, maitiro avo. Chiratidzo chacho chinowanikwa pane hafu yakakanganiswa, yechipiri musumbu inogara mumamiriro ezvinhu chaiwo.
Nzira yekurapa lumbosacral radiculitis?
Therapy yeanorondedzwa chirwere inogadziriswa maererano nekutsungirira kwayo uye yakananga (yakasimba kana yakaoma). Zvakakosha kuziva nguva isati yasvika kuti nei lumbosacral radiculitis yatanga - kurapwa kunofanirwa kutarisa zvinokonzera kuvhara kana kuvhara maitiro emutsipa. Pakutanga matanho ekudzokazve kwehutano inokurudzirwa:
- mubhedha wezororo;
- kupera simba kana kugadziriswa kwemutsara wepinini (akafuka corset munharaunda inobatwa ne radiculitis);
- traction;
- physiotherapeutic manipulations.
Kubudirira kubvisa lumbosacral radiculitis rubatsiro:
- misha uye maitiro emishonga;
- special exercises;
- manual therapy;
- mishonga chaiyo.
Ointments for lumbar sciatica
Vaya vanoshandiswa kunze kwekushanda vanobudirira chete pakunetseka kwakadzika kana kurwadziwa kunononoka. Kurapa kwemunharaunda ne radiculitis ye lumbosacral musana inorayirwa sekuwedzera kuhutungamiri hwemishonga inoshandiswa. Zvose zvinonhuwira, zvisikwa kana gel zvinodzivisa kutapurirwa kwepfungwa dzemarwadzo ehupfungwa kuuropi, asi hazvigadziri chinokonzera chikonzero chechirwere.
Nokuda kwekubviswa kwekuputika ne radiculitis uye kwenguva pfupi anesthesia yenzvimbo ye lumbosacral, vanauropathologist vanokurudzirwa kushandisa mishonga iyi inotevera:
- Gymnastal;
- Efkamon;
- Diclofenac;
- Capsicam;
- Deep Relief;
- Voltaren;
- Fastum;
- Virapine;
- Dolobien;
- Bystrum gel;
- Finalgon;
- Ketonal;
- Espol;
- Indomethacin;
- Viprobel;
- Camphocin;
- Olfen;
- Dolgit nevamwe.
Iyi mishonga yemunharaunda inoderedza lumbosacral radiculitis, inogumbura, inopesana nekuvhiringidza, inoratidzika uye inopisa. Vanopa ruvara rwemisungo yakaoma, iyo inoderedza zvishoma simba rekudzikisa midzi yemagunha. Shandisa maitiro anobva kunze zvichida pamwe chete nemishonga yemuromo.
Mapiritsi kubva ku lumbar sciatica
Nezvo kuongororwa, maviri maitiro emishonga ehurongwa anorayirwa. Nokuda kwekunonoka kwekurwadziwa ne radiculitis, anesthetics ne anti-inflammatory properties anoshandiswa:
- Nimesulide;
- Diclofenac;
- Movalis;
- Voltaren;
- Nimesiri;
- Ketanov;
- Indomethacin;
- Meloksikam;
- Iko ethanol;
- Ibuprofen;
- Olfen;
- Naise uye zvakafanana.
Mukuwedzera, kurapwa kwe lumbosacral radiculitis mumukana wakaoma kunoda kushandiswa kwemishonga nekunakidza, mutezo dzinozorodza:
- Baclofen;
- Midokalm;
- Sirdalud;
- Midostad;
- Tolperil;
- Arduan;
- Trakrium;
- Aperomide;
- Listenon;
- Tizanil;
- Dysport nevamwe.
Physiotherapy ne lumbosacral radiculitis
Special gymnastics inobatsira kuderedza kuoma kwezvinhu zvakashata zviri mumashupiti emusana, zvichivandudza zvirongwa zvemagetsi uye kushandiswa kweropa. Chero maitiro ekudzidzira ne radiculitis ye lumbosacral musana inofanira kusimbiswa nechiremba anokwanisa. Chero chiremba achakwanisa kusarudza zvakanakisisa zvakaoma, mitsara inotevera yakatorwa pakufunga paunenge uchiiunganidza:
- nguva yevanhu;
- utano hwakanaka;
- chimiro chechikwata chechirwere;
- danga rekudzivirira;
- kukwirira kwekutambudzika.
Kuita muviri we lumbosacral radiculitis kunoitwa kunze kwekudzoka zvakare, apo marwadzo anenge asipo, uye muviri hauna kuvhiringidza maitiro. Kana iwe uchiita gymnastics munguva yekuwedzera, kana kusarudzwa zvisina kukodzera maitiro, mukana wekusimbisa kudzvinyirira kwehutano hwehutano uye kuwedzera kwehuwandu hunowedzera.
Kushamba ne lumbosacral radiculitis
Kurapa kuburikidza nehuwandu hwehuwandu hunotsanangurwa huriwo hunongorongedzerwa chete mukuregererwa kwemashure kana mune nzira yakasara yehutachiona husingaperi. Kana ukasarudza rudzi rwekusimbisa, rinotanga kuziva kuti rudzi rwechirwere runokurudzirei: vertebrogenic kana discogenic lumbosacral radiculitis - kurapwa uye nzvimbo dzomunharaunda dzenharaunda dzinoenderana nezvinokonzera kukanganisa kwezvivako zvehutano. Manual therapy inowanikwa chete neunyanzvi, maitiro epamba anogona kungokuvadza.
Kururamisa kusungirirana ne radiculitis munharaunda yeLumbosacral kunounza zvinotevera zvinobudirira:
- kuenzanisa kwemuviri uye neropa;
- tsvina yekuzorora;
- kudzorerwa kwekushandura uye kufamba;
- kuderedza marwadzo munzvimbo ye lumbosacral.
Unyanzvi ane ruzivo anoteerera mitemo inokosha yekushandiswa mukurapa radiculitis:
- Zvose zvinoshandiswa pakukwiza muviri kwe lumboacral zvinokonzera kusagutsikana kune munhu. Matanho anoshandiswa akadai sa stroking, kubhabhatidza uye kubvisa, pasina kusimba kwakasimba.
- Nguva yenguva yacho inobva pamaminitsi 8 kusvika ku25. Kubvira kwenguva refu manotsi ekurapa ne radiculitis kune ngozi.
- Murwere anofanirwa kunge ari munzvimbo yakanyanyisa. Kuisa mumiriri mumire kana kugara panzvimbo hazvibvumirwi mumamiriro ezvinhu aya.
Lumbosacral radiculitis - kurapwa nevanhu vese remishonga
Mishonga inopesana inopa mikana yakawanda yehutano hwehutano syndrome. Nzira dzakadaro dzinongobatsira lumbar radiculitis - zvinokurudzirwa kubata mishonga yevanhu pamwe chete nehutano nehutano hwehutano. Nzira iri nyore yekuvandudza hupenyu hwako ndeye compress yakaitwa kubva kuBuddock mashizha. Zvitsva zvinhu zvakasvibirira zvinoda kushambidzwa uye zvishoma zvakanyoroveswa, zvino zvinoshandiswa kumucheto kumashure ne "rutsigiro rwakashata" uye akasunganidzwa nejira rinodziya.
Iropepe ye analgesic kubvisa ne lumbosacral radiculitis
Zvisungo:
- doro - 300-320 ml;
- Pepper inopisa gore negore - 2 pods.
Kugadzirira, shandisa
- Shamba uye upe pasi zvigadzirwa zvezvirimwa zvakanaka.
- Isa gruel mugiya chegorosi (sterilized), dururira newaini yakasimba uye cork.
- Inopa mushonga kwemavhiki maviri, kutarisa kuti haibatanidzwi ne ultraviolet uye kutonhora mhepo. Zuva rimwe nerimwe, shandisai mhinduro yacho zvakasimba. Neine mishonga, zvinyoro zvinyorosira mushure wako apo unonzwa kurwadziwa.
Iyo kamukira yeanesthetic lotion kubva sciatica mu sacral uye lumbar region
Zvisungo:
- midzi sabelnik - inenge 20 g;
- mvura 80-90 ml.
Kugadzirira, shandisa
- Mishonga yemishonga inofanira kucheneswa uye kunatswa.
- Geda midzi, unogona kushandisa blender kana nyama grinder.
- Bika mvura, uise mukati mayo gadziriro yakagadzirirwa.
- Isai musanganiswa pamubhedha wewashiya kwemaminitsi 25-35.
- Mushure meizvi, siya mhinduro yacho kwemazuva makumi mashanu, uifukidze nevharuko.
- Kana chigadzirwa chacho chikagadziriswa, shingairira uye uidururire mune imwe imwe yakachena. Shandisa mvura yekusvina kana kupisa.
Kunyange zvakadaro ane analgesic effect ne radiculitis muchikamu che lumbosacral chekushambadza kunokosha. Inenge 60 g yemidzi yakashata inofanira kupwanyika uye kuiswa mu rag pouch kana kona kubva pamutsiro. Chikamu ichi chinoderedzwa mumudziyo wakagadzirwa nemvura inodziya (anenge 36,5-37.5 degrees). Nzira yacho inoitwa vasati vavata, usiku, nzvimbo dzinobatwa ne-radiculitis, iwe unofanirwa kuvhara shure kwako nechechi inopisa kana bhandi.