Ese ni Sciatica? Ibimenyetso, Impamvu, n'Ubuvuzi

Ese ni iki sciatica?

Sciatica ni ububabare butembera mu mugongo wawe, uhereye mu mugongo hasi ugana mu kibuno no mu birenge. Si uburwayi ubwo bwite, ahubwo ni ikimenyetso cy'ikibazo kiri inyuma gifata uwo mugongo.

Tekereza ku mugongo wawe nk'umuhanda munini uvuye mu mugongo ujya ku birenge. Iyo hari ikintu gikanda cyangwa gikomeretsa uwo mugongo, wumva ububabare mu nzira yawo. Inkuru nziza ni uko abenshi mu barwaye sciatica bakira mu byumweru bike gusa bakurikije ubuvuzi bukwiye.

Ubu bwoko bw'ububabare bw'imigongo bugira abantu babarirwa muri za miriyoni buri mwaka. Nubwo bushobora kuba bubabaje cyane, gusobanukirwa ibiri kuba mu mubiri wawe bishobora kugufasha kubigenzura neza no kumenya igihe ukwiye gushaka ubufasha bundi.

Ni ibihe bimenyetso bya sciatica?

Ikimenyetso nyamukuru cya sciatica ni ububabare buva mu mugongo hasi bugana mu kirenge kimwe. Ubu bubabare bushobora kuba ububabare buke cyangwa ububabare bukabije, butuma bigoye kwicara cyangwa guhagarara neza.

Dore ibimenyetso bisanzwe ushobora kugira:

• Ububabare bukabije, butembera uhereye mu mugongo hasi ujya mu kirenge
• Kumva ubushyuhe cyangwa ukururuka mu kirenge cyangwa ikirenge
• Kubabara cyangwa kugira intege nke mu kirenge kibabaye
• Ububabare buzamuka iyo wicaye, ugihumeka cyangwa ukikohoka
• Gukora nabi mu kirenge cyangwa ikirenge
• Ububabare buhoraho ku ruhande rumwe rw'ikibuno

Abantu benshi bagira sciatica ku ruhande rumwe rw'umubiri wabo. Ububabare bushobora kuza no kugenda cyangwa bukaba buhoraho, kandi akenshi burushaho kuba bubabaje iyo wicaye igihe kirekire cyangwa ukora imyitozo imwe n'imwe.

Mu bihe bidasanzwe, ushobora kugira ibimenyetso bikomeye nko kubura ubushobozi bwo kunnya cyangwa kwinnya, cyangwa intege nke zikomeye mu kirenge. Ibi bimenyetso bisaba ubuvuzi bw'ihutirwa kuko bishobora kugaragaza uburwayi bukomeye bwitwa cauda equina syndrome.

Ni iki gatera sciatica?

Sciatica iterwa n'ikintu gitsinda cyangwa gikomeretsa umugongo wawe. Ikintu gisanzwe cyabiteza ni disiki yavunitse mu mugongo hasi, ariko ubundi burwayi butandukanye bushobora gutera ibi bimenyetso.

Reka turebe impamvu zitandukanye, dutangiriye ku zisanzwe:

• Disiki yavunitse cyangwa yamanutse ikafata umugongo
• Spinal stenosis, ariyo gutomba kw'umwanya w'umugongo
• Piriformis syndrome, aho umusuli mu kibuno cyawe uhindagurika ukakomeretsa umugongo
• Spondylolisthesis, aho umugufi umwe uramanuka hejuru y'undi
• Ibiso by'amagufwa bikura ku mugongo wawe
• Umusuli wakomeretse cyangwa watututse mu mugongo hasi

Bidasanzwe, sciatica ishobora guterwa n'ibitotsi, indwara, cyangwa imvune mu mugongo wawe. Gutwita bishobora kandi gutera sciatica kubera ibiro byiyongereyeho n'impinduka mu myanya yawe bishirika umuvuduko ku mugongo wawe.

Rimwe na rimwe, icyasa nka sciatica gishobora kuba ububabare buva mu kibuno cyangwa mu kibuno cya sacroiliac. Niyo mpamvu kubona ubuvuzi bukwiye ari ingenzi cyane kugira ngo ubone ubuvuzi bukwiye.

Ni ryari ukwiye kubona muganga kubera sciatica?

Abenshi mu barwaye sciatica barakira bonyine mu byumweru bike bakiruhutse kandi bakoresheje ubuvuzi bw'iwabo. Ariko rero, hari igihe runaka ukwiye gushaka ubuvuzi bw'abaganga vuba bishoboka.

Hamagara muganga wawe niba ububabare bwawe bukomeye kandi budakira nyuma y'icyumweru cy'ubuvuzi bw'iwabo. Ugomba kandi guhamagara muganga niba ububabare bugukoma mu mirimo yawe ya buri munsi cyangwa niba ufite intege nke zikomeye mu kirenge.

Shaka ubuvuzi bw'ihutirwa niba ufite ibimenyetso by'uburwayi bikurikira:

• Ububabare bukabije, buhita buza nyuma y'imvune cyangwa impanuka
• Kubura ubwenge mu kirenge kibabaye
• Intege nke bituma bigoye guhagurutsa ikirenge cyangwa intoki
• Kubura ubushobozi bwo kunnya cyangwa kwinnya
• Ububabare mu birenge byombi
• Umuhumeka hamwe n'ububabare bw'umugongo

Ibi bimenyetso bishobora kugaragaza uburwayi bukomeye busaba ubuvuzi bw'ihutirwa. Ntutegereze kureba niba bizakira byonyine.

Ni ibihe bintu byongera ibyago bya sciatica?

Hari ibintu bimwe na bimwe bishobora kongera ibyago byo kurwara sciatica. Gusobanukirwa ibyo bintu bishobora kugufasha gufata ingamba zo kurinda ubuzima bw'umugongo wawe no gukumira ibindi bibazo.

Dore ibintu by'ingenzi bikongerera ibyago:

• Imyaka, cyane cyane kuba uri hagati y'imyaka 30 na 50
• Imilimo isaba imirimo ikomeye, guhindura cyangwa kwicara igihe kirekire
• Umuntu ukabana, ushirika umuvuduko ku mugongo wawe
• Diabete, ishobora kwangiza imiyoboro y'umubiri wose
• Kwica igihe kirekire cyangwa imibereho idakora
• Imvune z'umugongo cyangwa ibyabaga byabanje

Bimwe mu bintu byongera ibyago, nka myaka n'imiterere, ntushobora kubigenzura. Ariko rero, byinshi muri byo bishobora gucungwa binyuze mu guhindura imibereho. Kugira ibiro byiza, kuguma ukora imyitozo ngororamubiri, no gukoresha uburyo bukwiye bwo guhagurutsa bishobora kugabanya cyane ibyago byawe.

Niba ufite ibintu byinshi byongera ibyago, ntukagire ubwoba. Kugira ibintu byongera ibyago ntibivuze ko uzagira sciatica, ariko kumenya ibyo bintu bishobora kugufasha gufata ibyemezo byiza bijyanye n'ubuzima bwawe.

Ni ibihe bibazo bishoboka bya sciatica?

Nubwo abantu benshi bakira sciatica batagize ibibazo birambye, hari ibibazo bimwe na bimwe bishobora kubaho, cyane cyane niba uburwayi budacungwa neza cyangwa niba impamvu ziri inyuma zidatabwaho.

Ikibazo gisanzwe ni ububabare buhoraho buramara amezi cyangwa imyaka. Ibi bishobora kubaho iyo imvune yambere idakira neza cyangwa iyo hari umuvuduko uhoraho ku mugongo.

Ibindi bibazo bishoboka birimo:

• Kwibasira burundu kw'imigongo bituma ugira intege nke cyangwa kubabara
• Kubura ubwenge mu kirenge kibabaye
• Gukora nabi imyitozo imwe n'imwe cyangwa kugenda
• Ububabare buhoraho bugira ingaruka ku mibereho yawe
• Kugira agahinda cyangwa guhangayika kubera ububabare buhoraho

Mu bihe bidasanzwe cyane, gukanda cyane kw'imigongo bishobora gutera cauda equina syndrome, itera kubura ubushobozi bwo kunnya no kwinnya. Iyi ni uburwayi bw'ihutirwa busaba kubagwa vuba.

Inkuru nziza ni uko ibibazo bikomeye bidasanzwe, cyane cyane iyo sciatica ivuwe uko bikwiye. Abantu benshi bakurikiza gahunda yabo y'ubuvuzi kandi bitaye ku buzima bw'umugongo wabo barakira neza.

Sciatica ishobora gukumirwa gute?

Nubwo udashobora gukumira sciatica yose, cyane cyane iyiterwa n'imyaka cyangwa imiterere, ibibazo byinshi bishobora kwirindwa witaye ku mugongo wawe kandi ukagira imyifatire myiza.

Gukora imyitozo ngororamubiri buri gihe ni kimwe mu bintu byiza byo kugumisha umugongo wawe ukomeye kandi uhinduka. Ibanda ku mirimo ikomeza imitsi yawe y'imbere, ishyigikira umugongo wawe, kandi ugumane uburyohe mu kibuno cyawe no mu birenge.

Dore ingamba zizewe zo kugabanya ibyago byawe:

• Kugira imyanya myiza iyo wicaye n'iyo uhagaze
• Koresha uburyo bukwiye bwo guhagurutsa, ugapfukamira aho kugendera umugongo
• Fata ibiruhuko buri gihe uvuye kwicara ugahaguruka ukagaruka
• Ryamira ku buriri bufasha umugongo wawe
• Kugira ibiro byiza kugira ngo ugabanye umuvuduko ku mugongo wawe
• Kuguma ukora imyitozo ngororamubiri buri gihe, nko kugenda cyangwa koga

Niba akazi kawe gasaba kwicara igihe kirekire, shaka intebe ikwiranye n'umubiri wawe kandi ufate ibiruhuko buri saha kugira ngo ugendere. Iyo uhagurutsa ibintu biremereye, buri gihe saba ubufasha aho kwibasira imvune.

Ibi bintu byo kwirinda biba byiza cyane niba warigeze kugira sciatica, kuko ushobora kuba ufite ibyago byinshi byo kugira ibindi bibazo.

Sciatica imenyekanwa gute?

Muganga wawe azatangira akubaza ibibazo bijyanye n'ibimenyetso byawe n'amateka yawe y'ubuzima, hanyuma akore isuzuma ry'umubiri kugira ngo asobanukirwe icyateye ububabare bwawe. Uyu mucyo ufasha gukuraho ubundi burwayi no kumenya aho umugongo wawe wakomerekeye.

Mu gihe cy'isuzuma ry'umubiri, muganga wawe azapima imbaraga z'imitsi yawe, imikorere y'imitsi, n'uburyohe. Ashobora kukubaza kugenda ku ntoki cyangwa ku birenge, cyangwa gukora imyitozo imwe n'imwe kugira ngo arebe uko bigira ingaruka ku bubabare bwawe.

Niba ibimenyetso byawe bikomeye cyangwa bidakira nyuma y'ubuvuzi bwa mbere, muganga wawe ashobora gutegeka ibizamini by'amashusho:

• X-rays kugira ngo arebe ibiso by'amagufwa cyangwa ibindi bibazo by'umugongo
• MRI scan kugira ngo abone amashusho arambuye y'imiterere yoroheje nka disiki n'imigongo
• CT scan niba MRI idahari cyangwa ikukwiriye
• Electromyography kugira ngo apime imikorere y'imigongo mu bihe bidasanzwe

Abenshi mu barwaye sciatica bashobora kumenyekana bitewe n'ibimenyetso byabo n'isuzuma ry'umubiri gusa. Ibizamini by'amashusho bisanzwe bikorerwa mu gihe kubagwa bishobora kuba bikenewe cyangwa iyo ubuvuzi budasobanutse.

Muganga wawe azakubaza kandi ibibazo bijyanye n'ibimenyetso by'uburwayi bukomeye nko gutakaza ubushobozi bwo kunnya cyangwa kwinnya, bishobora kugaragaza uburwayi bukomeye busaba ubuvuzi bw'ihutirwa.

Ni iki kivura sciatica?

Ubuvuzi bwa sciatica busanzwe butangira hakoreshejwe uburyo bworoshye bufasha kugabanya ububabare n'uburyohe mu gihe umubiri wawe ukomeza gukira. Abantu benshi babona impinduka nziza mu byumweru bike batangiye ubuvuzi.

Ubuvuzi bwa mbere busanzwe burimo kuruhuka mu mirimo yongerera ububabare bwawe, hamwe n'imiti igabanya ububabare nk'ibuprofen cyangwa acetaminophen. Iyi miti ishobora gufasha kugabanya ububabare n'uburyohe hafi y'umugongo wakomerekeye.

Muganga wawe ashobora kugutegurira ubuvuzi butandukanye:

• Ubuvuzi bw'umubiri kugira ngo ukomeze umugongo wawe kandi wongeze uburyohe
• Imiti y'abaganga kububabare bukabije cyangwa guhindagurika kw'imitsi
• Injisi za Steroid kugira ngo zigabanye ububabare hafi y'umugongo
• Ubuvuzi bw'ubushyuhe n'ubukonje kugira ngo ugenzure ububabare n'uburyohe
• Gukora imyitozo myoroheje n'imyitozo nk'uko ubyumva
• Ubuvuzi bwo gusiga kugira ngo ugabanye umuvuduko w'imitsi

Kubagwa ntabwo bikenewe cyane kuri sciatica kandi bisanzwe biterwa gusa niba ubuvuzi bworoshye budafashije nyuma y'amezi menshi, cyangwa niba ufite ibimenyetso bikomeye nko kugira intege nke cyangwa gutakaza ubushobozi bwo kunnya/kwinnya.

Uburyo busanzwe bwo kubaga harimo discectomy yo gukuraho igice cya disiki yavunitse, cyangwa laminectomy yo kugabanya umuvuduko ku mugongo. Muganga wawe azakuganiraho byimbitse kuri ibyo bisobanuro niba bibaye ngombwa.

Urashobora gucunga sciatica ute mu rugo?

Ubuvuzi bw'iwabo bugira uruhare rukomeye mu gucunga sciatica kandi bushobora kwihutisha cyane gukira kwawe. Ikintu nyamukuru ni ukubona uburyo bukwiye bwo kuruhuka n'imirimo myoroheje kugira ngo ufashe gukira udatumye ibimenyetso byawe biba bibi.

Tangira ushyire igikonjo ku gice kibabaye iminota 15-20 inshuro nyinshi ku munsi mu minsi mike ya mbere. Nyuma y'ibyo, ushobora guhindura ubuvuzi bw'ubushyuhe, bushobora gufasha kuruhuza imitsi ikomeye no kunoza amaraso muri ako gace.

Dore imiti yo mu rugo ukwiye kugerageza:

• Fata imiti igabanya ububabare nk'uko byanditswe ku kibaho
• Kora imyitozo myoroheje idakomeza ububabare bwawe
• Genda intera ngufi nk'uko ubyumva kugira ngo ugumane ugenda
• Ryamira mu myanya iboneye ufite ibyuma byo gushyigikira
• Kwirinda kwicara igihe kirekire cyangwa kuruhuka mu buriri
• Kugira imyanya myiza umunsi wose

Nubwo bishobora kugaragara nk'ibidasanzwe, kuruhuka mu buriri igihe kirekire bishobora gutuma sciatica iba mbi. Kugenda buhoro buhoro n'imirimo, nk'uko ubyumva, bifasha gukira no kwirinda gukomera.

Tega amatwi umubiri wawe kandi ntukomeze ububabare bukabije. Niba ubuvuzi bw'iwabo budafashije nyuma y'icyumweru, cyangwa niba ibimenyetso byawe biri kuba bibi, igihe kirageze cyo kuvugana n'abaganga bawe.

Wategura gute inama yawe na muganga?

Gutegura inama yawe bishobora gufasha guhamya ko uzabona byinshi mu ruzinduko rwawe kandi utange amakuru muganga wawe akeneye kugufasha neza. Tangira ukomeze gukurikirana ibimenyetso byawe iminsi mike mbere y'uruzinduko rwawe.

Andika igihe ububabare bwawe bwatangiye, icyabiteye, n'ibikorwa bikubabaje cyangwa bikubabarira. Bandika kandi ubwoko bw'ububabare ufite n'aho ubwumva.

Zana amakuru akurikira mu nama yawe:

• Urutonde rw'imiti yose n'ibindi byongerwamo ukoresha
• Amakuru yerekeye igihe n'uburyo ibimenyetso byawe byatangiye
• Amakuru yerekeye icyongera ububabare bwawe cyangwa gikubabarira
• Imvune z'umugongo cyangwa ubuvuzi warigeze kugira
• Ibibazo ushaka kubaza muganga wawe
• Amakuru y'ubwisungane bwawe n'irangamuntu

Tekereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe kwibuka ibyo muganga avuze kandi bagutere inkunga mu ruzinduko rwawe.

Ntuzuyaze kubaza ibibazo bijyanye n'uburwayi bwawe, ubuvuzi, cyangwa icyo witeze mu gihe cyo gukira. Muganga wawe ashaka kugufasha gusobanukirwa uburwayi bwawe kandi ukumva ufite icyizere mu gahunda yawe y'ubuvuzi.

Ni iki gikuru wakura kuri sciatica?

Sciatica ni uburwayi busanzwe butera ububabare ku mugongo wawe, ariko ni ingenzi kwibuka ko abenshi mu barwaye bakira bonyine bafite ubuvuzi bukwiye n'igihe. Nubwo ububabare bushobora kuba bukabije kandi buteye impungenge, ntabwo ari ikimenyetso cy'ikintu gikomeye.

Ikintu gikomeye cyo gusobanukirwa ni uko kuguma ukora imyitozo ngororamubiri, mu buryo bumwe, bisanzwe biruta kuruhuka rwose. Kugenda buhoro buhoro bifasha gukira no kwirinda gukomera bishobora gutuma gukira bitinda.

Abantu benshi babona impinduka nziza mu byumweru bike batangiye ubuvuzi. Ariko rero, ntukirengagize ibimenyetso by'uburwayi bukomeye nko kugira intege nke, gutakaza ubushobozi bwo kwinnya, cyangwa ibimenyetso biri kuba bibi, kuko bisaba ubuvuzi bw'ihutirwa.

Wibuke ko buri gihe cya sciatica kitandukanye, kandi icyakorera umuntu kimwe gishobora kudakora undi. Gira umwanya mu gihe cyo gukira kandi ukorane na muganga wawe kugira ngo umenye uburyo bw'ubuvuzi bukubereye.

Ibibazo byakenshi bibazwa kuri sciatica

Sciatica iramara igihe kingana iki?

Abenshi mu barwaye sciatica barakira mu byumweru 4-6 bafite ubuvuzi bukwiye n'ubuvuzi bw'iwabo. Ariko rero, bamwe bashobora kugira ibimenyetso mu mezi menshi, cyane cyane niba hari uburwayi buri inyuma nka disiki yavunitse isaba igihe cyo gukira. Igihe gishobora gutandukana cyane ukurikije impamvu n'uburemere bw'umuvuduko ku mugongo.

Sciatica ishobora gukira burundu?

Sciatica ishobora gukira neza, cyane cyane iyo iterwa n'ibintu by'igihe gito nko gukomeretsa umusuli cyangwa ibibazo bito bya disiki. Ariko rero, niba ufite uburwayi bw'umugongo nka arthritis cyangwa degenerative disc disease, ushobora kugira ibindi bibazo. Inkuru nziza ni uko, ukurikije ubuvuzi bukwiye, abantu benshi babaho batagira ububabare nubwo bafite ibyo bibazo.

Kugenda ni byiza kuri sciatica?

Yego, kugenda buhoro buhoro bisanzwe ari byiza kuri sciatica igihe bitongera ububabare bwawe cyane. Kugenda bifasha kugumisha amaraso muri ako gace, kwirinda gukomera kw'imitsi, kandi bishobora gufasha kugabanya ububabare. Tangira intera ngufi kandi uzamuke buhoro buhoro nk'uko ubyumva, ariko uhagarare niba kugenda bituma ibimenyetso byawe biba bibi.

Ni iyihe myanya yo kuryama ikwiye kuri sciatica?

Uburyo bwiza bwo kuryama butandukana ukurikije umuntu, ariko benshi babona impinduka nziza baryamye ku ruhande bafite igikonjo hagati y'amavi kugira ngo bagumane umugongo uhagaze. Niba ukunda kuryama ku mugongo, shyira igikonjo munsi y'amavi kugira ngo ugabanye umuvuduko ku mugongo wawe. Irinde kuryama ku nda, kuko bishobora guhindagurika umugongo wawe n'ijosi.

Ndagomba gukoresha ubushyuhe cyangwa ubukonje kuri sciatica?

Koresha igikonjo mu masaha 48-72 nyuma y'ibimenyetso byatangiye, ubishyireho iminota 15-20 inshuro nyinshi ku munsi kugira ngo ugabanye ububabare. Nyuma y'igihe cya mbere cy'uburwayi, hindukira ku buvuzi bw'ubushyuhe, bushobora gufasha kuruhuza imitsi ikomeye no kunoza amaraso. Bamwe babona gusimbuza ubushyuhe n'ubukonje ari byo bifasha cyane, rero gerageza kureba icyakubereye.