Ukuqina Kwezinzwa Ze-Sciatica: Izimpawu, Izimbangela, Nokwelashwa

Iyini i-sciatica?

I-Sciatica ubuhlungu obuhamba phakathi komthambo wakho we-sciatic, oqala emathangeni akho aphansi, uqhubekele emathangeni nasemahlombe, bese uya ezinyaweni. Akuyona isimo ngokwayo, kodwa iyisibonakaliso sesimo esingaphansi esithinta lo mthambo.

Cabanga ngomthambo wakho we-sciatic njengendlela enkulu evela emathangeni akho kuya ezinyaweni. Uma kukhona okucindezelayo noma okuvusa ubuhlungu kulo mthambo, uzizwa ubuhlungu endleleni yawo. Izindaba ezinhle ukuthi izimo eziningi ze-sciatica ziyaphela ngokwazo emavikini ambalwa ngenxa yokunakekelwa okuqondile.

Lolu hlobo lobuhlungu bezinzwa luthinta izigidi zabantu minyaka yonke. Nakuba lungabi luhle, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukuba uluphathe kangcono futhi wazi ukuthi nini kufanele ucele usizo olwengeziwe.

Ziyini izimpawu ze-sciatica?

Isici esiyinhloko se-sciatica ubuhlungu obuvela emathangeni akho aphansi buye ezinyaleni. Lobu buhlungu bungaba ubuhlungu obukhulu noma ubuhlungu obukhulu, obukhulu, obushisa obukhulu okwenza kube nzima ukuhlala noma ukuqina.

Nazi izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ubuhlungu obukhulu, obukhulu obuvela emathangeni akho aphansi buye enyaleni
• Ukuvutha noma ukuthimula enyaleni noma enyaweni
• Ukuqina noma ubuthakathaka enyaleni yakho ethintekile
• Ubuhlungu obukhulu uma uhlala phansi, ukhwehlela, noma ukhwehlela
• Ubunzima bokuhambisa unyawo noma unyawo
• Ubuhlungu obuhlala njalo ngakwesinye uhlangothi lwehlombe lakho

Abantu abaningi bahlangabezana ne-sciatica ngakwesinye uhlangothi lomzimba wabo. Ubuhlungu bungafika buhambe noma buhlale njalo, futhi ngokuvamile bube bubi uma uhlala isikhathi eside noma wenza izinyathelo ezithile.

Kwezinye izimo ezingavamile, ungase uhlangabezane nezibonakaliso ezinkulu njengokulahlekelwa ukulawula kwamathumbu noma isithonga, noma ubuthakathaka obukhulu ngesikhathi esisodwa enyaleni yakho. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha njengoba zingase zibonise isimo esibi esibizwa nge-cauda equina syndrome.

Yini ebangela i-sciatica?

I-Sciatica ivela lapho kukhona okucindezelayo noma okuvusa ubuhlungu emthambeni wakho we-sciatic. Isizathu esivame kakhulu yi-disc ephukile emathangeni akho aphansi, kepha ezinye izimo zingase zibangele lezi zimpawu.

Ake sibheke izimbangela ezahlukene, siqale ngezivamile kakhulu:

• I-disc ephukile noma ephukile ecindezela impande yomthambo
• I-Spinal stenosis, okuyikunciphisa komthambo womgogodla
• I-Piriformis syndrome, lapho umsipha ehlombe lakho uqhuma futhi uvusa ubuhlungu emthambeni
• I-Spondylolisthesis, lapho i-vertebra eyodwa iphuma phambili kwenye
• Ama-bone spurs athuthukiswa emgogodleni wakho
• Ukuqina kwemisipha noma ukuvuvukala emathangeni akho aphansi

Ngokungavamile, i-sciatica ingase ibe yimphumela yama-tumors, ukutheleleka, noma ukulimala emgogodleni wakho. Ukukhulelwa kungase futhi kubangele i-sciatica ngenxa yesisindo esengeziwe nezinguquko ekuma lakho ezifaka ucindezele emthambeni wakho we-sciatic.

Ngezinye izikhathi, okubonakala sengathi yi-sciatica kungase kube ubuhlungu obuvela ehlombe lakho noma e-sacroiliac joint. Kungakho kubalulekile ukuthola ukuxilongwa okuqondile ukuze uthole ukwelashwa okuphumelelayo.

Kufanele ubona nini udokotela nge-sciatica?

Izimo eziningi ze-sciatica ziyaphila ngokwazo emavikini ambalwa ngokuphumula nokunakekelwa kwasekhaya. Noma kunjalo, kunezimo ezithile lapho kufanele ucele usizo lokwelapha ngokushesha.

Xhumana nodokotela wakho uma ubuhlungu bakho bubi futhi abulungi ngemuva kweviki lokwelashwa kwasekhaya. Kufanele futhi uhlele i-aphoyintimenti uma ubuhlungu buphazamisa imisebenzi yakho yansuku zonke noma uma uhlangabezana nobuthakathaka obukhula enyaleni yakho.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi lezi zibonakaliso zexwayiso:

• Ubuhlungu obukhulu, obukhulu ngemuva kokulimalala noma ingozi
• Ukwehluleka kokuzwa enyaleni yakho ethintekile
• Ubuthakathaka obenza kube nzima ukuphulukisa unyawo noma iminwe
• Ukwehluleka kokulawula kwamathumbu noma isithonga
• Ubuhlungu ezinyaweni zombili
• Ukuvuvukala kanye nobuhlungu emgogodleni

Lezi zimpawu zingase zibonise isimo esibi esidinga ukwelashwa ngokushesha. Ungalindi ukubona uma ziyaphila ngokwazo.

Ziyini izimbangela zengozi ze-sciatica?

Izici ezithile zingandisa amathuba akho okukhula kwe-sciatica. Ukuqonda lezi zimbangela zengozi kungakusiza ukuba uthathe izinyathelo zokuvikela impilo yomgogodla wakho futhi mhlawumbe uvikele izigameko zesikhathi esizayo.

Nazi izici eziyinhloko ezifaka engcupheni enkulu:

• Ubudala, ikakhulukazi ukuba phakathi kweminyaka engama-30 nama-50
• Imisebenzi edinga ukuphakamisa okunzima, ukugoqa, noma ukuhlala isikhathi eside
• Ukukhuluphala, okubekela ucindezelelo olukhulu emgogodleni wakho
• I-Diabetes, engalimaza izinzwa emzimbeni wakho wonke
• Ukuhlala isikhathi eside noma indlela yokuphila engasebenzi
• Ukulimala emgogodleni noma ukuhlinzwa kwangaphambili

Ezinye izimbangela zengozi, njengobudala nezinto zofuzo, azikwazi ukulawulwa. Noma kunjalo, eziningi zingaphathwa ngokwenza ushintsho ekuphileni. Ukugcina isisindo esinempilo, ukuhlala usebenza, nokusebenzisa amasu okuthwala afanele kunganciphisa kakhulu ingozi yakho.

Uma unezimbangela eziningi zengozi, ungesabi. Ukuba nezimbangela zengozi akusho ukuthi uzokuthola i-sciatica, kodwa ukwazi ngazo kungakusiza ukuba wenze izinqumo eziqondisiwe ngempilo yakho.

Ziyini izinhlanganisela ezingase zenzeke ze-sciatica?

Nakuba abantu abaningi baphila nge-sciatica ngaphandle kwezinkinga ezihlala njalo, ezinye izinhlanganisela zingase zenzeke, ikakhulukazi uma isimo singaphathwa kahle noma uma izimbangela ezingaphansi zingaxazululwa.

Inhlanganisela evamile kakhulu ubuhlungu obuhlala njalo obuhlala izinyanga noma ngisho neminyaka. Lokhu kungenzeka uma ukulimala okuqala kungaphili kahle noma uma kukhona ucindezelelo oluqhubekayo emthambeni.

Ezinye izinhlanganisela ezingase zenzeke zifaka:

• Ukulimala okungapheli kwezinzwa okuholela ebuthakathaka noma ekuqineni
• Ukwehluleka kokuzwa enyaleni ethintekile
• Ubunzima ngezinyathelo ezithile noma ukuhamba
• Ubuhlungu obuhlala njalo obuthinta ikhwalithi yokuphila kwakho
• Usizi noma ukukhathazeka okuhlobene nobuhlungu obuqhubekayo

Kwezinye izimo ezingavamile, ucindezelelo olukhulu lwezinzwa lungase lube yimbangela ye-cauda equina syndrome, ebangela ukwehluleka kokulawula kwamathumbu nesisithonga. Lokhu kuyisimo esiphuthumayo sezempilo esidinga ukuhlinzwa ngokushesha.

Izindaba ezinhle ukuthi izinhlanganisela ezinkulu azivamile, ikakhulukazi uma i-sciatica iwelashwa ngokufanele. Abantu abaningi abalandela uhlelo lwabo lokwelashwa futhi banakekela impilo yomgogodla wabo baphila ngokuphelele.

I-Sciatica ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo ze-sciatica, ikakhulukazi lezo ezihlobene nobudala noma izinto zofuzo, izigameko eziningi zingagwenywa ngokunakekela kahle umgogodla wakho nokugcina imikhuba enempilo.

Ukuzivocavoca njalo kuyindlela enhle kakhulu yokugcina umgogodla wakho uqine futhi ube nokuqina. Gxila emisebenzini eqinisa imisipha yakho ephakathi, esekela umgogodla wakho, futhi ugcine ukuqina okuhle emathangeni nasezinyaleni.

Nazi izindlela ezivunyiwe zokunciphisa ingozi yakho:

• Gcina isimo esihle uma uhlala phansi noma uqine
• Sebenzisa amasu okuthwala afanele, ugobe amadolo kunokuba ugobe umgogodla
• Thatha amaqhekeza njalo ekuhlaleni ukuze uqine futhi ugoqe
• Lala ebhedini elisekela elihlala umgogodla wakho uqondile
• Gcina isisindo esinempilo ukuze unciphise ucindezelelo emgogodleni wakho
• Hlalani niqine ngokuzivocavoca okuvamile, okungathinti njengokuhamba noma ukubhukuda

Uma umsebenzi wakho udinga ukuhlala isikhathi eside, yenza ibhedini le-ergonomic futhi uthathe amaqhekeza njalo ngehora ukuze uhambe. Uma uphakamisa izinto ezisindayo, cela usizo njalo kunokuba ubeke ingozi yokulimala.

Lezi zinyathelo zokuvikela ziyaba kubaluleke nakakhulu uma uke waba ne-sciatica ngaphambili, njengoba ungase ube sengozini enkulu yezigameko zesikhathi esizayo.

I-Sciatica ixilongwa kanjani?

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha, bese enza ukuhlolwa komzimba ukuze aqonde ukuthi yini ebangela ubuhlungu bakho. Lo mkhombandlela ukusiza ukukhipha ezinye izimo futhi ubonise umthombo wokucaphuna komthambo.

Phakathi kokuhlolwa komzimba, udokotela wakho uzovivinya amandla emisipha yakho, ama-reflexes, nokuqina. Ungase akucele ukuthi uhambe ngeminwe yakho noma izithende, noma wenze izinyathelo ezithile ukuze abone ukuthi zithinta kanjani ubuhlungu bakho.

Uma izimpawu zakho zinkulu noma azilungisi ngokwelashwa okuqala, udokotela wakho angase a-ode ama-imaging tests:

• Ama-X-rays ukuhlola ama-bone spurs noma ezinye izinkinga zomgogodla
• I-MRI scan ukuthola izithombe eziningiliziwe zezinto ezithambile njenge-discs nezinzwa
• I-CT scan uma i-MRI ingatholakali noma ifanele wena
• I-Electromyography ukuhlola umsebenzi wezinzwa kwezinye izimo ezingavamile

Izimo eziningi ze-sciatica zingaxilongwa ngokusekelwe ezimpawu zakho nasekuhlolweni komzimba kuphela. Ama-imaging tests avame ukugcinwa kwezimo lapho ukuhlinzwa kungase kudingeke noma lapho ukuxilongwa kungacaci.

Udokotela wakho uzobuza futhi ngezimpawu ezibonakalayo njengokulahlekelwa kokulawula kwamathumbu noma isithonga, okuyimbangela yesimo esibi esidinga ukunakekelwa ngokushesha.

Ukuphathwa kwe-sciatica kuyini?

Ukuphathwa kwe-sciatica ngokuvamile kuqala ngezindlela ezilula ezisiza ekuqedeni ubuhlungu nokuvuvukala ngenkathi umzimba wakho uyahlanza ngokwemvelo. Abantu abaningi bathola impumuzo enkulu emavikini ambalwa ngemuva kokuqala ukwelashwa.

Umgca wokuqala wokwelashwa ngokuvamile uhlanganisa ukuphumula emisebenzini eyenza ubuhlungu bakho bube bubi, kanye nezinhlungu zokwelapha ezingaphezulu kokuthengwa njenge-ibuprofen noma i-acetaminophen. Lezi zidakamizwa zingasiza ekuqedeni ubuhlungu nokuvuvukala emthambeni othintekile.

Udokotela wakho angase akukhuthaze ezinye izinketho zokwelashwa:

• I-Physical therapy ukuqinisa umgogodla wakho nokuthuthukisa ukuqina
• Imithi yokwelapha ubuhlungu obukhulu noma ukuqina kwemisipha
• Ukuqhafaza kwe-steroid ukuqeda ukuvuvukala emthambeni
• Ukwelashwa ngokushisa nokuqandisa ukulawula ubuhlungu nokuvuvukala
• Ukugoqa okuthambile nokuhamba njengoba kubekezeleleka
• I-Massage therapy ukuqeda ukuqina kwemisipha

Ukuhlinzwa akudingeki ngokuvamile nge-sciatica futhi ngokuvamile kucabangelwa kuphela lapho ukwelashwa okulula kungasizanga ngemuva kwezinyanga eziningi, noma uma unezimpawu ezinkulu njengobuthakathaka obukhulu noma ukwehluleka kokulawula kwamathumbu/isithonga.

Izindlela zokuhlinzwa ezivamile kakhulu zifaka i-discectomy ukususa ingxenye ye-disc ephukile, noma i-laminectomy ukuqeda ucindezelelo emthambeni. Udokotela wakho uzoxoxa ngalezi zinketho nawe uma ziba yizidingo.

Ungayiphatha kanjani i-sciatica ekhaya?

Ukuphathwa kwasekhaya kudlala indima ebalulekile ekulawuleni i-sciatica futhi kungasheshisa kakhulu impilo yakho. Ikhona ukufumana ibhalansi efanele phakathi kokupumula nomsebenzi oluthambile ukuze kuqhutshwe impilo ngaphandle kokwenza izimpawu zakho zibe zimbi.

Qala ngokufaka iqhwa endaweni ethintekile imizuzu engama-15-20 izikhathi eziningi ngosuku ezinsukwini ezimbalwa zokuqala. Ngemuva kwalokho, ungase ushintshe ukwelashwa ngokushisa, okungasiza ekuphumuleni imisipha eqinile nokuthuthukisa ukugeleza kwegazi endaweni.

Nazi izindlela zokwelapha zasekhaya eziphumelelayo ongazama:

• Thatha imithi yokwelapha ubuhlungu engaphezulu kokuthengwa njengoba kuqondiswe ephaketheni
• Yenza ukugoqa okuthambile okungawandisi ubuhlungu bakho
• Hamba ibanga elifushane njengoba kubekezeleleka ukuze uqhubeke uhamba
• Lala endaweni enhle ngama-pillows okusekela
• Gwema ukuhlala isikhathi eside noma ukuphumula embhedeni
• Yenza isimo esihle usuku lonke

Nakuba kungase kubonakale kungavamile, ukuhlala embhedeni isikhathi eside kungenza i-sciatica ibe zimbi. Ukuhamba okuthambile nomsebenzi, njengoba kubekezeleleka, kusiza ekuqhubeni impilo nokuvimbela ukuqina.

Lalela umzimba wakho futhi ungaphuli ubuhlungu obukhulu. Uma ukwelashwa kwasekhaya kungasizi ngemuva kweviki, noma uma izimpawu zakho ziyaqina, sekuyisikhathi soxhumana nomhlinzeki wakho wezokunakekelwa kwezempilo.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi unike udokotela wakho ulwazi abaludingayo ukuze akusize ngokuphumelelayo. Qala ngokugcina izimpawu zakho izinsuku ezimbalwa ngaphambi kokuhambela kwakho.

Bhala phansi ukuthi ubuhlungu bakho beqale nini, yini engase ibe yimbangela yabo, kanye nemisebenzi eyenza ibe ngcono noma ibe zimbi. Phawula futhi uhlobo lobuhlungu obuhlangabezana nalo nokuthi uzizwa kuphi ngempela.

Letha ulwazi olulandelayo e-aphoyintimenti yakho:

• Uhlu lwemithi yonke nezinhlanganisela ozithathayo
• Imininingwane mayelana nokuthi izimpawu zakho zaqala nini nokuthi kanjani
• Ulwazi mayelana nokuthi yini eyenza ubuhlungu bakho bube ngcono noma bube bubi
• Ukulimala kwangaphambili emgogodleni noma ukwelashwa obekukuwo
• Imibuzo ofuna ukuyibuza udokotela wakho
• Ulwazi lwakho loku-inshurensi kanye nokuhlonza

Cabanga ukuletha umngani noma ilungu lomndeni othembekile ukuze akusize ukukhumbula ukuthi udokotela uthini futhi unike ukwesekwa ngesikhathi sokuhambela kwakho.

Ungangabazi ukubuza imibuzo mayelana nokuxilongwa kwakho, izinketho zokwelashwa, noma ukuthi yini okulindelekile ngesikhathi sokuphulukisa. Udokotela wakho ufuna ukukusiza ukuqonda isimo sakho futhi uzizwe uqinisekile ngohlelo lwakho lokwelashwa.

Iyini into ebaluleke kakhulu mayelana ne-sciatica?

I-Sciatica isimo esivamile esibangela ubuhlungu emthambeni wakho we-sciatic, kodwa kubalulekile ukukhumbula ukuthi izimo eziningi ziyaphila ngokwazo ngokunakekelwa okuqondile nesikhathi. Nakuba ubuhlungu bungaba bubi futhi bukhulu, ngokuvamile akuyona uphawu lwesimo esibi.

Into ebaluleke kakhulu okumele uyiqonde ukuthi ukuhlala usebenza, ngaphakathi kwezinga lakho lokududuzeka, ngokuvamile kungcono kunokuphumula okuphelele. Ukuhamba okuthambile kusisiza ekuqhubeni impilo nokuvimbela ukuqina okwenza ukuphulukisa kube isikhathi eside.

Abantu abaningi babona ukuthuthuka okukhulu emavikini ambalwa ngemuva kokuqala ukwelashwa. Noma kunjalo, ungaziphikisi izibonakaliso zexwayiso njengobuthakathaka obukhulu, ukwehluleka kokulawula isithonga, noma izimpawu eziyaqina, njengoba lezi zidinga ukunakekelwa kwezokwelapha ngokushesha.

Khumbula ukuthi wonke umuntu onale sciatica uhlukile, futhi lokho okusebenza komunye umuntu kungase kungasebenzi komunye. Yiba nesineke ngenqubo yakho yokuphulukisa futhi usebenzisane eduze nomhlinzeki wakho wezokunakekelwa kwezempilo ukuze uthole indlela yokwelashwa efanele wena.

Imibuzo evamile ebuzwa mayelana ne-sciatica

I-Sciatica ihlala isikhathi esingakanani?

Izimo eziningi ze-sciatica ziyaphila emavikini angu-4-6 ngokwelashwa okuqondile nokunakekelwa kwasekhaya. Noma kunjalo, abanye abantu bangase bahlangabezane nezibonakaliso izinyanga eziningi, ikakhulukazi uma kukhona isimo esingaphansi njenge-disc ephukile edinga isikhathi sokuphulukisa. Isikhathi eside singase sihluke kakhulu kumuntu ngamunye ngokusekelwe esizathwini nasebubini bokucindezela komthambo.

I-Sciatica ingaphiliswa ngokuphelele?

I-Sciatica ngokuvamile ingaphiliswa ngokuphelele, ikakhulukazi uma ibangelwa izimo zesikhashana njengokuqina kwemisipha noma izinkinga ze-disc ezilula. Noma kunjalo, uma unezimo zomgogodla ezingaphansi njengokuqina kwamajozi noma isifo se-degenerative disc, ungase uhlangabezane nezigameko eziphindaphindayo. Izindaba ezinhle ukuthi ngokuphathwa okuqondile, abantu abaningi baphila impilo engenabuhlungu ngisho nalokhu kumele.

Ukuhamba kuhle yini nge-sciatica?

Yebo, ukuhamba okuthambile ngokuvamile kuwusizo nge-sciatica uma nje kungawandisi ubuhlungu bakho kakhulu. Ukuhamba kusisiza ekuqhubeni ukugeleza kwegazi endaweni ethintekile, kuvimbela ukuqina kwemisipha, futhi empeleni kungasiza ekuqedeni ukuvuvukala. Qala ngamabanga amafushane bese uyaqhubeka njengoba kubekezeleleka, kodwa yeka uma ukuhamba kwenza izimpawu zakho zibe zimbi kakhulu.

Isimo sokulala esihle kakhulu nge-sciatica yini?

Isimo sokulala esihle kakhulu sihlukahluka ngumuntu, kodwa abaningi bathola impumuzo uma belala ngecala labo nge-pillow phakathi kwamadolo abo ukuze bagcine umgogodla uqondile. Uma uthanda ukulala ngemuva, faka i-pillow ngaphansi kwamadolo akho ukuze unciphise ucindezelelo emgogodleni wakho. Gwema ukulala esiswini, njengoba lokhu kungase kuqine umgogodla wakho nokhala.

Kufanele ngisebenzise iqhwa noma ukushisa nge-sciatica?

Sebenzisa iqhwa ezinsukwini ezingu-48-72 zokuqala ngemuva kokuba izimpawu ziqale, uzifake imizuzu engama-15-20 izikhathi eziningi ngosuku ukuze unciphise ukuvuvukala. Ngemuva kwesigaba sokuqala esibuhlungu, shintshela ekwelapheni ngokushisa, okungasiza ekuphumuleni imisipha eqinile nokuthuthukisa ukugeleza kwegazi. Abanye abantu bathola ukuthi ukushintshana phakathi kokushisa neqhwa kunikeza impumuzo enkulu, ngakho zama ukuze ubone ukuthi yini esebenza kangcono kuwe.