I-Pinched Nerve ku-Lower Back: Konke Okufanele Ukwazi
-Delile
- Izimpawu
- Izimbangela
- Ukuxilongwa
- Ukwelashwa
- Ukwelashwa okuyisisekelo
- Imithi
- Ukwelashwa ngokomzimba
- Amakhambi asekhaya
- Izindlela zokwelashwa ezisezingeni eliphakeme
- Ama-steroid anomjovo
- Ukuhlinzwa
- Ukwelula nokuzivocavoca umzimba
- 1. Amadolo esifubeni
- 2. Ukugqugquzela ukwelula
- 3. Ukwelula okukhazimulayo
- Ukubonana nodokotela nini
- Okubalulekile
I-nerve pinched in your back back, noma i-lumbar radiculopathy, ingaba buhlungu futhi iqede amandla. Lesi simo senzeka lapho okuthile kufaka ingcindezi emithanjeni eseduze nama-vertebrae amahlanu okugcina emhlane wakho.
Izimpawu zalesi simo zingathinta yakho:
- emuva
- okhalweni
- imilenze
- amaqakala
- izinyawo
Imvamisa, ungaselapha lesi sifo ngokudambisa izinhlungu okweqile, ukwelashwa ngokomzimba, nokunye ukulungiswa kwendlela yokuphila. Kwesinye isikhathi udokotela wakho uzodinga ukwelapha imizwa ephinyiwe ngezinyathelo ezihlasela kakhulu, njengokujova komgogodla noma ukuhlinzwa.
Izimpawu
Kunezimpawu eziningana ongahlangabezana nazo nge-nerve pinched emhlane wakho ophansi:
- i-sciatica, efaka phakathi ubuhlungu, ukuncinza, ukuba ndikindiki, nobuthakathaka obenzeka ku:
- emuva emuva
- okhalweni
- izinqa
- imilenze
- amaqakala nezinyawo
- ubuhlungu obukhali
- ubuthakathaka
- ukuphazamiseka kwemisipha
- ukulahleka kwe-reflex
Izimbangela
Lesi simo singavela singabonakali noma kungaba yimbangela yokulimala okubuhlungu. Kungenzeka ukuthi uhlangabezane nezimpawu uma uphakathi kweminyaka yobudala engama-30 nengama-50. Lokhu kungenxa yokuthi umgogodla wakho ucindezela ngobudala kanye nama-discs emgogodleni wakho wehla ngokuhamba kwesikhathi.
Ezinye izimbangela zesibindi esikhonjiwe emhlane ongezansi zifaka:
- i-disc ye-herniated
- idiski eqhumayo
- ukuhlukumezeka noma ukulimala, njengokuwa
- stenosis yomgogodla
- ukwelula ngomshini
- ukwakheka kwamathambo, okwaziwa nangokuthi ama-osteophyte
- i-spondylolisthesis
- i-foraminal stenosis
- ukonakala
- isifo samathambo
Isizathu esivamile se-pinched nerve emhlane ongezansi yi-disc ye-herniated. Ungabhekana nalesi simo ngenxa yokuguga, ukukhubazeka emgogodleni, noma ukuguga.
Ukuxhunyaniswa phakathi komgogodla wakho kuncipha njengoba ukhula futhi kungavuza, okuholele ebuhlungwini bezinzwa. I-Bone spurs nezinye izimo ezonakalisayo zingenzeka njengoba uneminyaka yobudala futhi, okuholele ku-nerve pinched.
Ukuxilongwa
Udokotela wakho uzoqala enze ukuhlolwa komzimba ukuthola isimo sakho. Udokotela wakho uzohlola izimpawu eduze komgogodla. Lokhu kufaka phakathi:
- ububanzi obulinganiselwe bokunyakaza
- izinkinga zokulinganisela
- izinguquko ekuguquleni emilenzeni yakho
- ubuthakathaka emisipheni
- izinguquko ekuzweleni emaphethelweni aphansi
Udokotela wakho kungenzeka angakwazi ukuxilonga imithambo ecindezelweyo ekuhlolweni komzimba kuphela. Ngokwengeziwe, bangahle bafune ukwazi okwengeziwe ngembangela yenzwa encinzelweyo.
Udokotela wakho angasebenzisa izivivinyo ezilandelayo ukuthola eminye imininingwane:
Ukwelashwa
Lapho nje udokotela wakho esehlolisise imizwa eboshiwe emhlane ongezansi, ungaqala ukubheka izinketho zokwelashwa.
Ukwelashwa okuyisisekelo
Udokotela wakho cishe uzoncoma ukwelashwa okungavumelekile, okuyisisekelo kwe-nerve yakho eboshiwe kuqala. Ezimweni ezingamaphesenti angama-95, izinyathelo ezingezona ezokuhlinzwa zizonciphisa izimpawu zakho.
Imithi
Ungazama izidakamizwa ezingezona ukuvuvukala (ama-NSAIDs) we-nonsteroidal ukwelapha i-nerve pinched kuqala. Lezi zinhlobo zemithi zinganciphisa ukuvuvukala futhi zinciphise ubuhlungu.
Udokotela wakho angaphinde anikeze i-steroids yomlomo ukuphatha lesi simo uma ama-NSAID nezinye izindlela zokwelapha zingasebenzi.
Ukwelashwa ngokomzimba
Ungahle usebenze nodokotela owelapha ngokomzimba ukukhomba izimpawu ezibangelwa yimizwa yakho encinzelwe. Umelaphi wakho womzimba uzokunikeza imiyalo yokwelula nokuzivocavoca okuzosimamisa umgogodla wakho.
Amakhambi asekhaya
Udokotela wakho angancoma ukuthi wenze ukulungiswa kwendlela yokuphila ukuze usize ngezimpawu zesibindi esikhonjiwe emhlane wakho ophansi. Ezinye zalezi zindlela zokwelapha zingasiza ohlelweni lwakho lokuphatha.
- Phumula. Ungathola ukuthi izikhundla ezithile ezihleliwe noma imisebenzi edala ukuthi uphendukezele noma uphakamise yenza imizwa yakho ecinwisiwe ibe yimbi kakhulu. Udokotela wakho angancoma ukuphumula kombhede usuku olulodwa noma ezimbili noma ukugwema imisebenzi isikhathi esithile ukunciphisa izimpawu.
- Iqhwa nokushisa. Ukufaka iqhwa noma ukushisa imizuzu engama-20 izikhathi ezimbalwa ngosuku kunganciphisa ubuhlungu nokuqaqamba kwemisipha.
- Ukunyakaza njalo. Ukuvivinya umzimba njalo kungasiza ukugwema ukuqala kobuhlungu bezinzwa noma ukukhumbula izimpawu.
- Ukuguqulwa kwesimo sokulala. Ukulala kwakho kungakhuphula izimpawu zobuhlungu bakho bezinzwa. Xoxa ngendawo yokulala engcono kakhulu yobuhlungu nodokotela wakho bese unquma ukuthi ungayisebenzisa kanjani imikhuba efanele yokulala. Lokhu kungabandakanya ukulungisa indawo yakho yokulala noma ukulala ngomcamelo phakathi kwemilenze yakho.
Izindlela zokwelashwa ezisezingeni eliphakeme
Lapho ukwelashwa okuyisisekelo kwe-nerve ecindezelwe kunganikeli ukukhululeka, udokotela wakho angancoma amasu anolaka kakhulu wokwelashwa.
Ama-steroid anomjovo
Udokotela wakho angancoma i-steroid ejojoweyo uma izimpawu zakho ziqhubeka. Ungelapha ubuhlungu obukhulu ngokuthola umjovo we-epidural we-steroids ehhovisi likadokotela wakho noma ngaphansi kwe-fluoroscopy emnyangweni we-X-ray. Lokhu kunganciphisa ukuvuvukala nezinye izimpawu endaweni ethintekile.
Ukuhlinzwa
Indawo yokugcina yokwelapha i-nerve pinch emhlane wakho ongezansi wukuhlinzwa. Kunezindlela eziningi zokuhlinza, futhi udokotela wakho uzoncoma inqubo ezokhomba imbangela yalesi simo.
Isibonelo, labo abane-disc ye-herniated emhlane wabo ongezansi bangaba ukhetho lwe-microdiscectomy. Le nqubo ifaka imbobo encane emhlane wakho.
Khumbula ukuthi ukuhlinzwa kuza nezingozi futhi kwesinye isikhathi kube nezikhathi zokululama isikhathi eside, ngakho-ke uzofuna ukuzama izindlela ezingekho ngaphansi kokuhlasela ngaphambi kokukhetha ukuhlinzwa.
Ukwelula nokuzivocavoca umzimba
Xoxa ngalokhu kunweba nokuzivocavoca nodokotela wakho ngaphambi kokuzama. Qiniseka ukuthi awuzenzi zibe zimbi izimpawu zakho noma wenze noma yini edala ubuhlungu obuningi.
Sebenzisa umata we-yoga, ithawula, noma ukhaphethi ukuze ulale lapho uhlanganyela kulokhu kunweba. Kufanele uphindaphinde kabili noma kathathu kwalokhu kunwebeka isikhathi ngasinye, futhi uqiniseke ukuthi uphefumula kanzima ngenkathi welula.
1. Amadolo esifubeni
- Lala phansi.
- Phakamisa ikhanda lakho kancane ngomcamelo noma enye into bese ufaka esifubeni sakho.
- Gobisa amadolo womabili bese uwakhomba phezulu ophahleni. Izinyawo zakho kufanele zibe phansi.
- Letha idolo elilodwa esifubeni sakho bese ulibamba lapho imizuzwana engama-20 kuye kwangama-30.
- Dedela umlenze wakho bese uphinda ukwelula komunye umlenze wakho.
2. Ukugqugquzela ukwelula
- Gcina indawo efanayo engasebenzi njengasemadolweni kuye esifubeni.
- Esikhundleni sokuletha idolo lakho esifubeni sakho, nweba umlenze wakho ukuze unyawo lwakho lukhombe ophahleni - ungakhombisi uzwane lwakho.
- Yibambe emoyeni imizuzwana engama-20 kuye kwangama-30 bese udedela ukubamba.
- Phinda lokhu ngomunye umlenze.
3. Ukwelula okukhazimulayo
Lokhu kuvivinya umzimba nakho kuqala endaweni efanayo ngokuxhaswa kwekhanda namadolo akhombe ophahleni.
- Letha umlenze wakho owodwa phezulu bese uphumuza unyawo lwakho komunye umlenze wakho ogobile. Idolo lomlenze wakho ophakanyisiwe lizobonakala emzimbeni wakho.
- Bamba ithanga elibambe unyawo lwakho ulidonsele esifubeni nasekhanda.
- Bamba isikhundla imizuzwana engama-20 kuye kwangama-30 bese uyadedela.
- Phinda lokhu kolunye uhlangothi lomzimba wakho.
Ukubonana nodokotela nini
Kufanele ubone udokotela uma izimpawu zesibindi sakho esiphiniwe ziphazamisa impilo yakho yansuku zonke noma uma izimpawu zakho ziqhubeka ngemuva kokuzama ukwelapha lesi simo ekhaya.
Okubalulekile
Kunezindlela eziningi zokwelapha ezingahle zenziwe nge-pinched nerve emhlane wakho ophansi. Uzofuna ukuzama izindlela eziyisisekelo ekhaya ngaphambi kokuphishekela ezinye izindlela zokwelashwa ezingenasidingo.
Ukusebenzisa ama-NSAID, ukunweba nokuhlala usebenza, nokuphumula umhlane wakho kungaba umugqa wokuqala wokwelashwa kwesimo sakho. Udokotela kufanele ahlolisise futhi alaphe ubuhlungu obuphikelelayo noma obunzima obubangelwa imisipha eboshiwe emhlane ongezansi.