Cilmi baaris ayaa ku xigta hooyada - ama haddii ay jirto, waayo arintaas - dib-u-socodka iyo jimicsiyada waxay ku habboon yihiin daaweynta calaamadaha cudurka nafsiga. Isla la mid ah, dad badan, oo ay ku jiraan daaweeyayaasha jirka iyo takhaatiirta, waxay soo sheegaan natiijooyin fiican leh habdhaqan ku salaysan dhaqdhaqaaq. Xaqiiqdii, Koox Shaqo oo ka socota Jaamicada Waqooyiga Ameerika waxay ku talineysaa jimicsi kooban oo jimicsi ah sida ikhtiyaari ah kiisaska khafiifka ah ee dhexdhexaad ah oo dhexdhexaad ah oo leh calaamadaha radikulopathy.
Mid ka mid ah sababaha loogu talagalay talooyinka jimicsiga ee loogu talagalay samafalka xanuun joojiyaha ayaa laga yaabaa inay la xiriirto ereyga laftiisa. Markaad u sheegto saaxiib ama xubin qoyskaaga ah waxaad qabi kartaa cilmi-baaris kaa caawin karta inaad fahamto ama aad u fahanto, dhab ahaantii, maaha hab sax ah oo lagu qeexayo isbeddelada ku dhaca gudaha dhabarkaaga oo masuul ka ah calaamadahaaga. Si kale haddii loo dhigo, "sciatica" waa xilli aan caadi ahayn. Run, waxaa badanaa loo isticmaalaa in lagu tilmaamo xanuunka iyo / ama calaamadaha korantada ee hoos u dhaca hal lug. Laakiin maskaxda ku hay in calaamadahaasi ay sababi karaan waxyaabo badan.
Sababta ugu caansan ee "sciatica" waa radiculopathy sababtoo ah maqaarka herniated ee lafaha lumbar.
Si kooban, cirifka herniated wuxuu dhacaa marka fiilooyinka dibedda ee maqaarkaaga maqaarku uu jeexjeexo ama dillaacdo, u oggolaanaya walax jilicsan oo la mid ah oo ku yaal bartamaha si uu u baxsado. Marar badan walaxkan, oo loo yaqaan "pulposus nucleus", dhulalka ku yaal xididada lafdhabarta.
Sababta oo ah xididka dareeraha lafdhabarta ayaa aad u nugul cadaadiska, marka uu taabto naasaha nudleus, calaamadaha radikulopathy ayaa laga yaabaa inay keenaan. Astaamaha xajmiga 'lumbar radiculopathy' waxaa ka mid noqon kara xanuun ka yimaada iyo / ama dareemeyaasha kale ee dareenka la xiriira oo hoos u dhaca hal lug. Dad badan oo aan ku jirin goobta caafimaadka waxay tixraacayaan xajmiga lumbar-yada sida silica, laakiin sida hadda aad ka ogtahay inaad ka akhriso sharaxaaddan gaaban, xajmiga xajmiga lumbar waa nidaam cudur oo ku dhaca lafdhabarta - taas oo laga yaabo in ay sabab u tahay herniated disc ama xaalad kale.
Xiriirka u dhexeeya Nooca Dhaqanka iyo Nooca Jimicsiga
Aqoonta ayaa ka soo baxday helitaanka calaamadaha "cagaarshowga" ee lagu ogaado dhakhtarkaaga ayaa saameyn ku yeelan kara doorashooyinkaaga daaweynta.
Tusaale ahaan, sida laga soo xigtay Dr. Judith Glaser, dhakhtar osteopathic, dhakhtar daaweyn ah iyo agaasimaha Daawooyinka Dib-u-celinta ee New Hyde Park, New York wuxuu leeyahay, "durbadiiba jilicsan wuxuu u eg yahay in uu sii xumeeyo calaamadaha disc herniated."
Tani waxay ka dhigan tahay in calaamadaha herniated ee guud ahaan ay u muuqdaan kuwo ka sii daraya markaad hore u soo jeesto, iyo ka sii fiican markaad dhabarkaaga xirtid. Haddii lagugu ogaado qoorta herniated ee radiculopathy, xiriirka udhaxeeya calaamadaha iyo ficilada laf-dhabarka ee foorarsiga ama qashin-qaadashada ayaa ku caawin kara adiga iyo / ama takhtarkaaga jirka ayaa go'aaminaya dhaqdhaqaaqa uu sameynayo iyo kan xaddidan.
Laakiin Dr. Naomi Betish MD, dhakhtarka iyo akupunkuristaha ee Kooxda Gobolka Orthopedic ee New Jersey ayaa i ogeysiiya in laylisyada xulashada ah ee loogu talagalay gargaarka sciatica iyo / ama radiculopathy - iyadoon loo eegin sababta - waa loo kala hormarin karaa iyada oo ku saleysan boosaska aan xanuun lahayn. Si kale haddii loo dhigo, waxay soo jeedinaysaa, ha jimicsi inta lagu jiro xanuunka, maxaa yeelay taasi waxay noqon kartaa mid khatar ah marka laga hadlayo maareynta ama cirbadeynta calaamadahaaga.
Sciatica jimicsiyada loogu talagalay Dareerka Herniated ee Radikulopathy
Haddaba, maxay tahay hadafka loo yaqaan 'sciatica exercise,'? Dr. Glaser ayaa sheegay in qalabka herniated uu inta badan la socdo daciifnimo iyo luminta muruqa. "Sidaa darteed," ayay tiri, "Waxay tiraahdaa," cirbadeynta calaamadaha waxaa laga yaabaa in ay tahay arrin doorasho laylisyo ah oo labadoodaba xoojiya muruqyadaada waxayna hagaajinayaan dhaqdhaqaaqa (dhaqdhaqaaq ayaa ka hadlaya jidhka mooshinka).
Ku hayaan talooyinkan maskaxda, hoose waa dhawr fikrado ah laylisyo kaa caawin kara inaad maamusho sciatica iyo / ama calaamadaha radikulopathy kuwaas oo la xiriira qaylada herniated. Ereyga digniinta: Sida Betish soo jeediso, ha ka shaqeynin xanuun.
Haddii jimicsigu uu kordhiyo calaamadahaaga, iska jooji inaad sameysid oo aad la tashatid dhakhtarkaaga ama daaweeyaha jirka. Xaqiiqdii, waa fikrad wanaagsan in la arko dhakhtar shakhsi ahaaneed oo shati leh oo loogu talagalay barnaamijka jimicsiga nafsiga ah. Haddii aysan suurtagal ahayn, ugu yaraan, liistada liiska jimicsiga dhakhtarkaaga, oo ha kuu hanuuniyo sida kuwa ugu habboon ee loo sameeyo, marka la eego xaaladdaada.
Liiska jimicsiga ee Sciatica Sababtoo ah Herniated Disc
- Daaweynta caloosha ayaa xoojiya murqaha iyo kuwa kale ee abcaanka, kuwaas oo u badan inay kaa caawiyaan xasilinta dhabarkaaga hoose.
- Pelvic Tilts waxay gacan ka geysan kartaa xoojinta muruqyada dhabarka iyo muruqyada - muhiim u ah inay si buuxda u istaagaan, sharaxaadaha Glaser.
- Glute Bridge Sida oo kale jimicsiga jilicsan ee miskaha, buunshaha dhalaalaya ayaa xoojiya muruqyadaada, gaar ahaan muruqyada muruqyada dhabarka bowdada iyo miskaha. Hamstrings waa mid ka mid ah muruqyada muruqyada kuwaas oo kaalin muhiim ah ka ciyaara duruufaha caafimaad, toosan.
- Bird Dog Xeeldheer oo ku dhaca "dhamaan 4s" (ie gacmahaaga iyo jilbahaaga), eyga shimbiruhu wuxuu xoojiyaa murqaha fidinta dhabarkaaga, kaas oo kaa caawin kara inaad iska ilaaliso xayiraadda si caadi ah (oo muhiim u ah yaraynta calaamadaha sida aynu hore uga wada hadalnay). Sida lafaha miskaha iyo buundada, eeyga shimbir ayaa sidoo kale wax ka geysan kara awoodaada si aad si qumman u taagan.
Bedelista jimicsigaaga nafaqada si aad u xalliso xaaladdaada
Qaar ka mid ah daaweeyayaashu waxay siiyaan buundooyinkooda dhinac ah (oo sidoo kale loo yaqaano boorsooyinka dhinaca) bukaanadooda kuwaas oo leh herniated disc oo leh astaamaha radiculopathy. Goobaha kale waxay xoojiyaan muruqyada lakabus lumborum kaas oo ah muruqa dildillaac ah, marka, xoog leh, waxay caawisaa cirridka laf-dhabarka (horey u soco). Waxa kale oo ay ka ciyaaraan kaalin muhiim ah oo dhinac ah. Xasuuso in qorshaha dhinaca buuxa ee "saxda ah" uu yahay jimicsi aad u adag - oo aan lagu talinayn dadka qaba xanuunka ama xaaladaha dhabarka; Tani waa sababta loona bedelay nooca la bedelay.
Betish waxay ku dareysaa in, fadhiiso iyo jimicsiga meesha aad jilibka ku soo dhejisid xabadkaaga kaaga soo horjeeda. "Dadka intooda badan way ku adagtahay inay samaystaan noocyada noocyadaas ah." Waxaa intaa dheer, khatarta ah in laydhka maqaarku sii kordho haddii aad si aan sax ahayn u fuliso.
Glaser sidoo kale waxay soo jeedinaysaa in la sii wado jadwalka iyo jajabnaanta. Mushaarooyinka lagu beegsanayo waxaa ka mid ah isbeddelladaada muruqyada ( illiopsoas ), muruqyada dambe iyo murqahaaga muruqyada.
> Ilo:
> Ururka Waqooyiga Ameerika Ciladeynta iyo daaweynta faafinta lafaha ee lumbar leh radiculopathy.
> Wareysiga Email. Betesh, N., MD, Maareynta Xanuunka iyo Khabiirka Caafimaadka / Dhaqanka Baxnaanada, Acupuncturist. Union County Orthopedic Group, New Jersey. Feb. 2014.
> Wareysiga Email. Glaser, J., DO, Agaasimaha Dayactirka Agaasinka, New Hyde Park, New York. Febraayo 2014.
> Wareysiga Email. Murphy, J. DPT, Agaasime, MotionWorks Therapy Therapy. Neenah, WI.
> Burr Ridge (IL): Ururka Waqooyiga Ameerika; 2012.