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Masicacise iNcazeloI-Sciatica ibinzana eliqhelekileyo lisetyenziselwa ukuchaza iimpawu ezisetyenzisiweyo kunye nomlenze ezithe zaphela komgca kuphela (ngokuchasene nezo zombini), kwaye oko kubangelwa kwesinye okanye ngaphezulu kweengcambu zentsholongwane kwi-lumbar spine.
Enye into engaqhelekanga ngokungaqondi kakuhle malunga ne-sciatica kukuba ihlala ibangelwa yile diski. Nantsi enye into: Ngokuchasene noko abantu abaninzi bakholelwa, i-sciatica ayibandakanyi imiba ne-nertic sciatic.
Funda ukuze ufunde ngezizathu eziqhelekileyo ze-sciatica kunye nendima nganye edlala ekudaleni intlungu kwi-butt yakho okanye phantsi komlenze wakho.
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Disc DiscI-disni ye-herniated yinto eqhelekileyo-nangona kungeyona yodwa imbangela ye-sciatica. Ukuthetha ngokufanelekileyo, uhlobo lwe-sciatica olusuka kwi-disc ye-herniated lubizwa ngokuba yi-radiculopathy.
I "rad" kwi-radiculopathy ithetha "ingcambu," kwaye ibhekisela kwingcambu yomgudu womgcini, into ebonakalayo evela kwintambo yomthambo (kuwo onke amanqanaba) ngaphambi kokubambisa kwiimbilini ezandiselela umzimba wonke. Iingcambu zeembilini ziphuma emingxeni ngapha nangapha kwimiqolo yomgudu eyaziwa njenge- intervertebral foramen .
I-Radiculopathy ingenzeka xa i-nniyus pulposus (i-softened material ebonakalayo ngaphakathi ngaphakathi kwidiski) iphuma kwi-disc kunye ne-press on the root root. Ngokuqhelekileyo, i-nucleus pulposus ihamba ngeenyembezi ezivela kwimibhobho yangaphandle yediski. Iinyembezi ezinjalo ziyaziwa njengezinyembezi zonyaka. Xa i-nucleus idibanisa ingcambu yomgudu, ingayicasula, ibangele intlungu kunye / okanye ezinye iimpawu eziwela emlenzeni omnye okanye kwisithambiso-oko kukuthi, i-sciatica.
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IStinal StenosisAmaxesha amaninzi anxulumene nobudala kunye / okanye i-arthritis, isisu somgogodla kukunciphisa umgca we-spinal or intervertebral foramen. (Igama elithi stenosis lixesha eliqhelekileyo elibhekiselele kumncinci.)
Iintlobo ze-Spinal Stenosis
I-spinal stenosis ivela kwiintlobo ezi-2 eziphambili: i -canal stenosis , apho kuncitshiswa khona emgodini womgogodla, kunye ne- neuroforaminal stenosis , apho ukuxinwa kwenzeka kwimingxuma ehlangothini lomqolo wesipelini.
Makhe sikhulume i-canal stenosis yokuqala; umgca womgudu umgca ophakathi kwendawo apho umgca wesigxina uhamba khona. Xa iyancipha, inokucasula intambo yomthambo ongabangela i-sciatica kunye nezinye iimpawu (ezifana ne-neurogenic claudication.)
Nge-stenosis ye-neuroforaminal, ukuxinwa kwenzeka kwiimingxuma ezisezantsi kumqolo womgcini. Izishubhu ezisuka kumgca womgca ojikelezayo ukuya emzimbeni wakho kuqala ziba yingcambu yomgca kwaye, xa zihamba phambili, iimbobo zefibesi siyazibiza ngokuba neentsholongwane. Iimbilini zidlula kule mibhobho (oko kukuthi, imingxuma) njengoko iphuma kumqolo wesipelini. Njengokuba kunjalo ne-stenosis yentambo, xa kuvulwa i-foraminal (i-even partially), i-tissue ye-nerve ingadibana ne-bone spurs ejongene nokunciphisa. Oku, kunokwenzeka, kunokucaphukisa ingcambu yomgulane, okukhokelela kwiimpawu ezinjenge-sciatica.
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Piriformis SyndromeI-Piriformis syndrome yimeko engavumelekanga enokubangela iimpawu ezinjenge-sciatica. Ngokungafani nezinye izimbangela ezibini (oko kukuthi i-stenosis kunye ne-discnial disney njengoko kuchaziwe ngaphambili) yomlenze osisigxina kunye / okanye intlungu yomzimba, i-sciatica enxulumene nesifo se-piriformis ayiveli kwimpumputhe. Ngenxa yoko, ngamanye amaxesha kuthiwa "pseudo-sciatica."
Esikhundleni saloo nto, i-muscle ye-buttock - ebizwa ngokuba yi-piriformis, kwaye ifumaneke kwi-nerve ye-sciatic ngemuva kwe-hip - ixininisa le nerve, ibangela intlungu kunye neempawu zombane kuloo ndawo kunye / okanye phantsi kwelo mlenze omnye.
> Imithombo:
> I-Email Interview. I-Fishman, uLoren, MD, uMlawuli wezoNyango uManhattan Physical Medicine > kunye > Ukuvuselelwa. ENew York, NY. Ja nuwari 2014.Email ngeNtetho.
> Fishman, L., MD, Saltonstall, E. Yoga yeSciatica. YogaU inthanethi kwiklasi.
> Gonzalez-Arias, uSergio MD, uMlawuli wezeMpilo, iZiko leNzululwazi lezeMpilo yeBaptisti, iMiami, eFlorida. Ja nuwari 2014.
> I-Email Interview. I-Toerge, i-JDO, uMlawuli wezeMpilo, iSibhedlele seMisculoskeletal Institute of Rehabilitation Hospital, eWashington, DC. Ja nuwari 2014.