Asibitin Baya Sciatica Chiropractic Team. Dokta Alex Jimenez ya shirya nau'o'in tarihin labaran da ke hade da sciatica, wani nau'i na yau da kullum da kuma akai-akai da aka ba da rahoton bayyanar cututtuka da ke shafar yawancin jama'a. Ciwon sciatica na iya bambanta sosai. Yana iya jin kamar tausasawa, raɗaɗi, ko jin zafi. A wasu lokuta, ciwon yana da tsanani sosai don sa mutum ya kasa motsawa. Mafi sau da yawa zafi yana faruwa a gefe ɗaya.
Sciatica yana faruwa lokacin da akwai matsa lamba ko lalacewa ga jijiyar sciatic. Wannan jijiyar tana farawa ne daga baya na baya kuma tana gudu zuwa bayan kowace kafa yayin da take sarrafa tsokoki na bayan gwiwa da ƙananan ƙafa. Har ila yau yana ba da jin dadi ga bayan cinya, wani ɓangare na ƙafar ƙasa, da tafin kafa. Dokta Jimenez ya bayyana yadda sciatica da alamunta za a iya sauƙaƙe ta hanyar amfani da maganin chiropractic. Don ƙarin bayani, don Allah jin daɗin tuntuɓar mu a (915) 850-0900 ko rubutu don kiran Dr. Jimenez da kansa a (915) 540-8444.
Ga mutanen da ke mu'amala da sciatica, shin ba za a iya jiyya ba na tiyata kamar kulawar chiropractic da acupuncture rage zafi da dawo da aiki?
Gabatarwa
Jikin ɗan adam wata na'ura ce mai rikitarwa wacce ke ba mai gida damar zama ta hannu da kwanciyar hankali lokacin hutawa. Tare da ƙungiyoyin tsoka daban-daban a cikin sassan jiki na sama da na ƙasa, ƙwayoyin da ke kewaye da su, tendons, jijiyoyi, da haɗin gwiwa suna ba da ma'ana ga jiki kamar yadda dukansu ke da takamaiman ayyuka don kiyaye aikin mai watsa shiri. Koyaya, mutane da yawa sun haɓaka halaye daban-daban waɗanda ke haifar da ayyuka masu ƙarfi waɗanda ke haifar da maimaita motsi ga tsokoki da jijiyoyi kuma suna shafar tsarin musculoskeletal. Ɗaya daga cikin jijiyoyi da mutane da yawa ke fama da ciwo shine jijiyar sciatic, wanda ke haifar da al'amurra da yawa a cikin ƙananan sassan jiki kuma, idan ba a bi da su ba nan da nan, yana haifar da ciwo da nakasa. Abin farin ciki, mutane da yawa sun nemi magungunan marasa magani don rage sciatica da mayar da aikin jiki ga mutum. Labarin yau yana mai da hankali kan fahimtar sciatica da kuma yadda hanyoyin kwantar da hankali ba kamar kulawar chiropractic da acupuncture na iya taimakawa rage tasirin sciatic-kamar tasirin da ke haifar da bayanan haɗarin haɗari a cikin ƙananan sassan jiki. Muna tattaunawa tare da ƙwararrun likitocin kiwon lafiya waɗanda ke haɓaka tare da bayanan marasa lafiyarmu don tantance yadda sciatica galibi ke da alaƙa da abubuwan muhalli waɗanda ke haifar da rashin ƙarfi a cikin jiki. Har ila yau, muna sanar da jagorar marasa lafiya game da yadda nau'o'in jiyya daban-daban ba na tiyata ba zasu iya taimakawa wajen rage sciatica da alamun da suka dace. Muna kuma ƙarfafa majinyatan mu da su tambayi ma'aikatan lafiyar su tambayoyi da yawa masu rikitarwa da mahimmanci game da haɗa nau'ikan hanyoyin kwantar da hankali marasa tiyata a matsayin wani ɓangare na ayyukansu na yau da kullun don rage dama da tasirin sciatica daga dawowa. Dr. Jimenez, DC, ya haɗa da wannan bayanin azaman sabis na ilimi. Disclaimer.
Fahimtar Sciatica
Kuna yawan jin zafi mai zafi wanda ke tafiya ƙasa ɗaya ko biyu ƙafafu lokacin da kuke zaune na dogon lokaci? Sau nawa ka fuskanci tingling sensations wanda ya sa ka girgiza kafa don rage tasirin? Ko kun lura cewa shimfiɗa ƙafafu yana haifar da sauƙi na ɗan lokaci? Duk da yake waɗannan alamun bayyanar cututtuka na ciwo na iya rinjayar ƙananan ƙafafu, mutane da yawa na iya tunanin cewa ƙananan ciwon baya ne, amma a gaskiya, shi ne sciatica. Sciatica wani yanayi ne na musculoskeletal na kowa wanda ke shafar mutane da yawa a duniya ta hanyar haifar da ciwo ga jijiyar sciatic da haskakawa zuwa kafafu. Jijiya na sciatic yana da mahimmanci wajen samar da aikin motsa jiki kai tsaye da kai tsaye ga tsokoki na ƙafa. (Davis et al., 2024) Lokacin da aka matsa jijiyar sciatic, mutane da yawa sun bayyana cewa ciwo zai iya bambanta da tsanani, tare da bayyanar cututtuka irin su tingling, numbness, da raunin tsoka wanda zai iya rinjayar ikon mutum na tafiya da aiki.
Duk da haka, wasu daga cikin tushen tushen da ke haifar da ci gaban sciatica na iya taka rawa a cikin abin da ke haifar da ciwo a cikin ƙananan ƙafa. Yawancin abubuwan da ke cikin jiki da na muhalli sau da yawa suna hade da sciatica, haifar da tushen tushen jijiya na lumbar akan jijiyar sciatic. Abubuwa kamar yanayin rashin lafiya mara kyau, damuwa na jiki, da aikin sana'a suna da alaƙa da haɓakar sciatica kuma suna iya tasiri na yau da kullum na mutum. (Gimenez-Campos et al., 2022) Bugu da ƙari, wasu daga cikin tushen abubuwan da ke haifar da sciatica na iya haɗawa da yanayin musculoskeletal kamar diski na herniated, kasusuwa na kasusuwa, ko stenosis na kashin baya, wanda zai iya daidaitawa tare da waɗannan abubuwan da suka dace da muhalli wanda zai iya rage yawan motsin mutane da ingancin rayuwa. (Zhou et al., 2021) Wannan yana sa mutane da yawa su nemi magunguna don kawar da ciwon sciatica da alamun da suka dace. Yayin da ciwon da ke haifar da sciatica zai iya bambanta, mutane da yawa sukan nemi magungunan marasa magani don rage rashin jin daɗi da jin zafi daga sciatica. Wannan yana ba su damar haɗa ingantattun mafita don sarrafa sciatica.
Bayan Gyarawa: Chiropractic & Haɗin Kiwon Lafiya- Bidiyo
Kulawar Chiropractic Don Sciatica
Lokacin da yazo da neman magungunan da ba a yi amfani da su ba don rage sciatica, maganin da ba a yi amfani da shi ba zai iya rage tasirin zafi yayin da yake taimakawa wajen dawo da aikin jiki da motsi. A lokaci guda, magungunan da ba na tiyata ba an keɓance su ga ciwon mutum kuma ana iya haɗa su cikin al'adar mutum. Wasu jiyya marasa aikin tiyata kamar kulawar chiropractic suna da kyau a rage sciatica da alamun cututtuka masu alaƙa. Kulawa na chiropractic wani nau'i ne na maganin da ba a yi amfani da shi ba wanda ke mayar da hankali ga maido da motsi na jiki yayin inganta aikin jiki. Kulawa na chiropractic yana amfani da fasaha na inji da na hannu don sciatica don daidaita kashin baya kuma ya taimaka wa jiki ya warke ta hanyar halitta ba tare da tiyata ko magani ba. Kulawa na chiropractic zai iya taimakawa wajen rage matsa lamba na intradiscal, ƙara girman sararin diski na intervertebral, da kuma inganta kewayon motsi a cikin ƙananan sassan. (Gudavalli et al., 2016) Lokacin da ake magana da sciatica, kulawar chiropractic zai iya rage matsalolin da ba dole ba a kan jijiyar sciatic kuma yana taimakawa wajen rage haɗarin sake faruwa ta hanyar jiyya a jere.
Tasirin Kulawar Chiropractic Ga Sciatica
Wasu daga cikin tasirin kulawar chiropractic don rage sciatica na iya ba da hankali ga mutum yayin da masu aikin chiropractors ke aiki tare da masu samar da kiwon lafiya masu haɗin gwiwa don tsara tsarin da aka keɓance don sauƙaƙe alamun bayyanar cututtuka. Mutane da yawa waɗanda ke amfani da kulawar chiropractic don rage tasirin sciatica na iya haɗawa da farfadowa na jiki don ƙarfafa tsokoki masu rauni. kewaye ƙananan baya, shimfiɗa don inganta sassauci kuma ku kasance da hankali ga abubuwan da ke haifar da ciwon sciatic a cikin ƙananan ƙafar su. Kulawa na chiropractic na iya jagorantar mutane da yawa akan ergonomics masu dacewa, da kuma motsa jiki daban-daban don rage yiwuwar dawowar sciatica yayin bayar da sakamako mai kyau ga ƙananan jiki.
Acupuncture don Sciatica
Wani nau'i na maganin da ba a yi amfani da shi ba wanda zai iya taimakawa wajen rage ciwo-kamar tasirin sciatica shine acupuncture. A matsayin mahimmin sashi a cikin magungunan gargajiya na kasar Sin, maganin acupuncture ya ƙunshi ƙwararrun ƙwararrun sanya allura masu sirara masu ƙarfi a takamaiman wurare a jiki. Idan ya zo ga rage sciatica, maganin acupuncture na iya haifar da tasirin analgesic akan acupoints na jiki, daidaita microglia, da daidaita wasu masu karɓa tare da hanyar jin zafi zuwa tsarin jin tsoro. (Zhang et al., 2023) Acupuncture far mayar da hankali a kan maido da jiki na halitta makamashi kwarara ko Qi don inganta waraka.
Tasirin Acupuncture Ga Sciatica
Game da tasirin maganin acupuncture akan rage sciatica, maganin acupuncture zai iya taimakawa wajen rage siginar jin zafi da sciatica ke samarwa ta hanyar canza siginar kwakwalwa da kuma sake mayar da motar da ta dace ko abin da ke damun yankin da abin ya shafa. (Yu et al., 2022) Bugu da ƙari, maganin acupuncture zai iya taimakawa wajen samar da jin zafi ta hanyar sakin endorphins, mai jin zafi na jiki na jiki, zuwa ƙayyadaddun acupoint wanda ya dace da jijiyar sciatic, rage kumburi a kusa da jijiyar sciatic, don haka rage matsa lamba da zafi da kuma taimakawa wajen inganta aikin jijiya. Dukansu kulawar chiropractic da acupuncture suna ba da zaɓuɓɓukan magani masu mahimmanci waɗanda ba za su iya ba da taimako a cikin tsarin warkaswa da rage ciwo da sciatica ke haifarwa. Lokacin da mutane da yawa ke fama da sciatica kuma suna neman mafita masu yawa don rage tasirin zafi, waɗannan jiyya guda biyu waɗanda ba a yi amfani da su ba na iya taimakawa mutane da yawa magance abubuwan da ke haifar da sciatica, haɓaka tsarin warkarwa na jiki, da kuma taimakawa wajen ba da taimako mai mahimmanci daga. zafi.
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Bita na yau da kullun da meta-bincike na tasiri da abubuwan da suka faru na gabapentin da pregabalin don ciwon sciatica. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Inganci da aminci na acupuncture far don sciatica: nazari na yau da kullun da meta-bincike na hanyoyin sarrafawa bazuwar. Neurosci na gaba, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Lokacin da sciatica ko wasu radiating jijiya zafi gabatar, iya koyo don bambanta tsakanin ciwon jijiya da kuma daban-daban na jin zafi taimaka mutane gane lokacin da kashin baya jijiya Tushen ya yi fushi ko matsa ko mafi tsanani matsaloli da bukatar likita?
Kowane bangare yana da tushen jijiya a dama da hagu wanda ke ba da injina da ayyukan azanci ga gaɓoɓi.
Reshen sadarwa na gaba da na baya sun haɗu don samar da jijiyoyi na kashin baya waɗanda ke fita daga canal na kashin baya.
Sassan kashin baya na 31 suna haifar da jijiyoyi 31 na kashin baya.
Kowannensu yana watsa shigarwar jijiya mai hankali daga takamaiman yanki na fata a wancan gefe da yanki na jiki.
Waɗannan yankuna ana kiransu dermatome.
Ban da jijiya na kashin baya na farko na mahaifa, dermatomes suna wanzuwa ga kowane jijiyar kashin baya.
Jijiyoyin kashin baya da dermatoma masu alaƙa suna samar da hanyar sadarwa a duk faɗin jiki.
Manufar Dermatomes
Dermatomes sune wuraren jiki/ fata tare da shigar da hankali da aka ba wa jijiyoyi na kashin baya. Kowane tushen jijiya yana da dermatome mai alaƙa, kuma rassa daban-daban suna ba da kowane dermatome daga tushen jijiya ɗaya. Dermatomes hanyoyi ne ta inda bayanai masu ban sha'awa a cikin fata ke watsa sigina zuwa kuma daga tsarin juyayi na tsakiya. Hankalin da ake jin jiki, kamar matsa lamba da zafin jiki, ana yada su zuwa tsarin kulawa na tsakiya. Lokacin da tushen jijiya na kashin baya ya zama matsa lamba ko fushi, yawanci saboda ya shiga cikin wani tsari, yana haifar da radiculopathy. (Cibiyoyin Kiwon Lafiya na Ƙasa: Cibiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru. 2020).
Radiculopathy
Radiculopathy yana bayyana alamun bayyanar cututtuka da ke haifar da jijiyar da aka dade tare da kashin baya. Alamu da jin daɗi sun dogara ne akan inda aka tsinke jijiyar da girman matsi.
mahaifa
Wannan ciwo ne na raɗaɗi da / ko na'urar jijiya lokacin da aka matsa tushen jijiya a cikin wuyansa.
Yana sau da yawa yana ba da ciwon da ke gangarowa hannu ɗaya.
Hakanan ma daidaikun mutane na iya samun jin daɗin wutar lantarki kamar fil da allura, firgita, da ƙonawa, da kuma alamun motsi kamar rauni da rauni.
lumbar
Wannan radiculopathy yana haifar da matsawa, kumburi, ko rauni ga jijiyar kashin baya a cikin ƙananan baya.
Hankali na ciwo, rashin jin daɗi, tingling, lantarki ko jin zafi, da alamun motsi kamar raunin tafiya ƙasa ɗaya kafa ɗaya ne na kowa.
ganewar asali
Wani ɓangare na gwajin jiki na radiculopathy yana gwada dermatomes don jin daɗi. Mai aikin zai yi amfani da takamaiman gwaje-gwaje na hannu don tantance matakin kashin baya wanda alamun suka samo asali. Gwaje-gwaje na hannu sau da yawa suna tare da gwaje-gwajen hoto na bincike kamar MRI, wanda zai iya nuna rashin daidaituwa a cikin tushen jijiya na kashin baya. Cikakken nazarin jiki zai ƙayyade idan tushen jijiya na kashin baya shine tushen alamun.
Magance Dalilai masu Mahimmanci
Yawancin cututtuka na baya za a iya bi da su tare da magungunan ra'ayin mazan jiya don samar da ingantaccen jin zafi. Don faifan diski mai rauni, alal misali, ana iya ba wa ɗaiɗai shawarar su huta kuma su ɗauki maganin hana kumburin da ba na istiroidal ba. Acupuncture, jiyya na jiki, chiropractic, raunin da ba a yi ba, ko decompression hanyoyin kwantar da hankali za a iya kuma rubuta. Don ciwo mai tsanani, ana iya ba wa daidaikun mutane allurar steroid na epidural wanda zai iya ba da jin zafi ta hanyar rage kumburi. (Cibiyar Nazarin Orthopedic ta Amurka: OrthoInfo. 2022) Don ƙwanƙwasa na kashin baya, mai badawa zai iya fara mayar da hankali kan farfadowa na jiki don inganta lafiyar gaba ɗaya, ƙarfafa ciki da tsokoki na baya, da kuma kiyaye motsi a cikin kashin baya. Magunguna masu raɗaɗi, ciki har da NSAIDs da corticosteroid injections, na iya rage kumburi da kuma rage zafi. (Kwalejin Rheumatology ta Amurka. 2023) Masu ilimin motsa jiki na jiki suna ba da magunguna daban-daban don rage alamun bayyanar cututtuka, ciki har da aikin hannu da na'ura mai kwakwalwa da ƙwaƙwalwa. Ana iya ba da shawarar tiyata don lokuta na radiculopathy waɗanda ba su da amsa ga jiyya na mazan jiya.
Rauni Medical Chiropractic da Ayyukan Magungunan Kulawa na Kulawa na Clinical tsare-tsaren kulawa da sabis na asibiti sun ƙware kuma suna mai da hankali kan raunin da ya faru da cikakken tsarin dawowa. Yankunan aikinmu sun haɗa da Lafiya & Gina Jiki, Jin zafi na yau da kullun, Rauni na mutum, Kula da Hatsari na Auto, Rauni na Aiki, Raunin Baya, Ciwon Ƙarƙashin Baya, Ciwon Wuya, Ciwon kai na Migraine, Raunukan wasanni, Sciatica mai tsanani, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ciwo, Rauni mai rikitarwa, Gudanar da Damuwa, Jiyya na Magungunan Aiki, da ka'idojin kulawa a cikin iyaka. Muna mayar da hankali kan maido da ayyukan jiki na yau da kullun bayan rauni da raunin nama mai laushi ta amfani da Ka'idojin Chiropractic na Musamman, Shirye-shiryen Lafiya, Ayyuka da Haɗin Gina Jiki, Ƙarfafawa, da Koyarwar Fitness na Motsi, da Tsarin Gyarawa ga duk shekaru daban-daban. Idan mutum yana buƙatar wani magani, za a tura shi zuwa asibiti ko likita wanda ya fi dacewa da yanayin su. Dr. Jimenez ya haɗu tare da manyan likitocin tiyata, ƙwararrun likitoci, masu bincike na likita, masu kwantar da hankali, masu horarwa, da masu samar da gyaran gyare-gyare na farko don kawo El Paso, manyan magungunan asibiti, ga al'ummarmu.
Mayar da Motsin ku: Kulawar Chiropractic Don farfadowa da Sciatica
Ga mutanen da ke fuskantar ko sarrafa ƙananan ciwon baya da / ko sciatica, za su iya taimakawa wajen maganin ƙwayar cuta na lumbar don ba da taimako mai dacewa?
Ƙunƙarar Lumbar
Lumbar traction far don ƙananan ciwon baya da sciatica na iya zama zaɓin magani don taimakawa wajen dawo da motsi da sassauci kuma a amince da dawowar mutum zuwa matakin aiki mafi kyau. Yawancin lokaci ana haɗa shi tare da motsa jiki na warkewa da aka yi niyya. (Yu-Hsuan Cheng, et al., 2020) Dabarar ta shimfiɗa sararin samaniya tsakanin kashin baya a cikin ƙananan kashin baya, yana kawar da ƙananan ciwon baya.
Ƙunƙarar lumbar ko ƙananan baya yana taimakawa wajen rarraba wurare tsakanin kashin baya.
Rarrabe kasusuwa yana dawo da wurare dabam dabam kuma yana taimakawa rage matsa lamba akan jijiyoyi masu tsinke kamar jijiyar sciatic, rage zafi da haɓaka motsi.
Bincike
Masu bincike sun ce motsin lumbar tare da motsa jiki bai inganta sakamakon mutum ba idan aka kwatanta da motsa jiki na jiki a kan kansu (Anne Thackeray et al., 2016). Binciken ya bincika mahalarta 120 tare da ciwon baya da kuma tushen tushen jijiya wanda aka zaba ba tare da izini ba don yin amfani da lumbar tare da motsa jiki ko motsa jiki mai sauƙi don jin zafi. Ayyuka na tushen tsawa sun mayar da hankali kan karkatar da kashin baya. Ana ɗaukar wannan motsi yana da tasiri ga mutanen da ke da ciwon baya da jijiyoyi masu tsinke. Sakamakon ya nuna cewa ƙara haɓakar lumbar zuwa motsa jiki na motsa jiki ba ya ba da fa'idodi masu mahimmanci akan motsa jiki na tushen tsawo kawai don ciwon baya. (Anne Thackeray et al., 2016)
Wani bincike na 2022 ya gano cewa ƙwayar lumbar yana taimakawa ga mutanen da ke da ƙananan ciwon baya. Binciken ya binciki hanyoyin fasaha guda biyu daban-daban na lumbar kuma ya gano cewa sauye-sauye mai mahimmanci na lumbar da ƙwayar cuta mai ƙarfi ya taimaka wajen rage ciwon baya. An kuma sami raguwa mai ƙarfi na lumbar don rage rashin aikin aiki. (Zahra Masood et al., 2022) Wani binciken da aka gano ƙwayar lumbar yana inganta kewayon motsi a cikin gwajin ɗaga kafa madaidaiciya. Binciken ya bincika ƙungiyoyin ƙungiyoyi daban-daban akan fayafai na herniated. Duk matakan sun inganta motsin motsin mutane, amma saitin motsa jiki na rabi na jiki yana hade da mafi mahimmancin jin zafi. (Anita Kumari et al., 2021)
Jiyya
Ga mutanen da ke da ƙananan ciwon baya kawai, motsa jiki, da gyaran gyare-gyare na iya zama duk abin da ake bukata don samar da taimako. Bincike ya tabbatar da motsa jiki na motsa jiki na iya taimakawa rage ciwo da inganta motsi (Anita Slomski 2020). Wani binciken kuma ya nuna mahimmancin saka hannun jari sciatic bayyanar cututtuka yayin motsi masu maimaitawa. Ƙarƙashin tsakiya yana motsa zafi zuwa kashin baya, wanda alama ce mai kyau cewa jijiyoyi da fayafai suna warkarwa kuma suna faruwa a lokacin motsa jiki na warkewa. (Hanne B. Albert et al., 2012) Mai chiropractor da ƙungiyar motsa jiki na jiki na iya ilmantar da marasa lafiya akan hana ciwon baya. Chiropractors da masu kwantar da hankali na jiki sune ƙwararrun motsi na jiki waɗanda zasu iya nuna wace motsa jiki mafi kyau ga yanayin ku. Fara shirin motsa jiki wanda ke keɓance alamun bayyanar cututtuka na iya taimakawa mutane su koma salon rayuwarsu cikin sauri da aminci. Tuntuɓi mai ba da lafiya kafin fara kowane shirin motsa jiki don ciwon baya.
Magungunan motsi: Chiropractic
References
Cheng, YH, Hsu, CY, & Lin, YN (2020). Tasirin motsi na inji akan ƙananan ciwon baya a cikin marasa lafiya tare da diski na intervertebral herniated: nazari na tsarin da meta-bincike. Gyaran asibiti, 34 (1), 13-22. doi.org/10.1177/0269215519872528
Thackeray, A., Fritz, JM, Childs, JD, & Brennan, GP (2016). Ingantacciyar Jarrabawar Injiniya Tsakanin Rukunin Ƙungiyoyin Marasa lafiya Masu Ƙarƙashin Ciwon Baya da Ciwon Ƙafa: Gwajin Bazuwar. Jaridar Orthopedic da wasanni na motsa jiki, 46 (3), 144-154. doi.org/10.2519/jospt.2016.6238
Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Tasirin ƙwayar lumbar a kan ƙananan ciwon baya na discogenic ta amfani da maɗaukakin ƙarfi. Farashin JPMA. Jaridar Ƙungiyar Likitoci ta Pakistan, 72(3), 483-486. doi.org/10.47391/JPMA.453
Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Tasirin Daya-biyar, Daya-Uku, da Daya-Rabin Nauyin Jiki na Lumbar Traction akan Madaidaicin Ƙafar Ƙarfafa Gwajin Ƙafa da Raɗaɗi a cikin Marasa lafiya na Intervertebral Fayil: Gwajin Sarrafa Rarraba. BioMed bincike na kasa da kasa, 2021, 2561502. doi.org/10.1155/2021/2561502
Slomski A. (2020). Farkon Farkon Farkon Jiki yana Sauƙaƙe Nakasa Sciatica da Raɗaɗi. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673
Albert, HB, Hauge, E., & Manniche, C. (2012). Ƙaddamarwa a cikin marasa lafiya tare da sciatica: suna jin zafi ga maimaita motsi da matsayi da ke hade da sakamako ko nau'in raunin diski?. Jaridar Bayar da Bikin Turai: Jama'ar Jami'in Bulus na Turai, Kungiyar ta Turai ta Turai ta Cervical Societing ta jama'a, 21 (4), 630-636. doi.org/10.1007/s00586-011-2018-9
Shin magungunan da ba na tiyata ba kamar acupuncture da kashin baya na iya ba da taimako ga mutanen da ke fama da sciatica?
Gabatarwa
Lokacin da mutane da yawa suka fara jin zafi yana gudana ƙafafu bayan dogon lokaci na ayyuka, yana sa su sami iyakacin motsi da wahalar samun wurin hutawa. Mutane da yawa suna tunanin cewa kawai suna fama da ciwon ƙafafu, amma yana iya zama mafi mahimmanci yayin da suka gane cewa ba kawai ciwon ƙafar da suke fama da shi ba ne amma sciatica. Yayin da wannan dogon jijiya ta fito daga baya baya kuma tana tafiya zuwa ƙafafu, zai iya shiga cikin zafi da rashin jin daɗi lokacin da fayafai masu ɓarna ko tsokoki suna matsawa kuma suna tsananta jijiya. Lokacin da wannan ya faru, zai iya rinjayar motsin mutum da ingancin rayuwa, don haka ya sa su nemi magani don rage zafi daga sciatica. Abin farin ciki, an yi amfani da wasu hanyoyin kwantar da hankali kamar acupuncture da kashin baya don ba kawai rage yawan ciwon sciatic ba amma kuma suna samar da sakamako mai kyau, mai amfani. Labarin yau yana kallon sciatica, yadda raguwar kashin baya da acupuncture na iya taimakawa sciatica, da kuma yadda haɗa waɗannan jiyya guda biyu ba tare da tiyata ba na iya haifar da sakamako masu amfani. Muna magana da ƙwararrun likitocin kiwon lafiya waɗanda ke ƙarfafa bayanan marasa lafiyarmu don tantance yadda sciatica zai iya tasiri sosai ga lafiyar mutum da ingancin rayuwa. Har ila yau, muna sanar da jagorar marasa lafiya game da yadda haɗawa da maganin acupuncture da ƙwannafi na kashin baya na iya rage sciatica da kyau. Muna ƙarfafa marasa lafiyar mu su tambayi masu ba da lafiyar su tambayoyi masu mahimmanci da mahimmanci game da haɗa magungunan marasa tiyata a cikin aikin yau da kullum don kawar da sciatica da alamun da aka ambata. Dr. Jimenez, DC, ya haɗa da wannan bayanin azaman sabis na ilimi. Disclaimer.
Fahimtar Sciatica
Shin sau da yawa kuna fuskantar ƙumburi ko tingling sensations daga ƙananan baya zuwa kafafunku? Kuna jin kamar tafiyarku tana jin rashin daidaituwa? Ko kun shimfiɗa kafafunku bayan an zauna na ɗan lokaci, wanda ke ba da taimako na ɗan lokaci? Yayin da jijiyar sciatic ke taka muhimmiyar rawa a cikin aikin motsa jiki a cikin ƙafafu, lokacin da abubuwa daban-daban, irin su fayafai na herniated har ma da ciki, sun fara tsananta jijiya, zai iya haifar da ciwo. Sciatica wani yanayi ne na jin zafi wanda aka saba da shi sau da yawa a matsayin ƙananan ciwon baya ko ciwon ƙafar radicular saboda waɗannan yanayin musculoskeletal guda biyu. Waɗannan su ne cututtukan cututtuka kuma ana iya ƙara su ta hanyar sauƙi da juyawa. (Davis et al., 2024)
Bugu da ƙari, lokacin da mutane da yawa ke yin motsi mai maimaitawa ko kuma magance sauye-sauye na lalacewa a cikin kashin baya, fayafai na kashin baya sun fi dacewa da herniation. Suna iya danna kan jijiyoyi na kashin baya, haifar da siginar neuron don kiran ciwo da rashin jin daɗi a cikin ƙananan sassan. (Zhou et al., 2021) A lokaci guda kuma, sciatica na iya zama duka kashin baya da kuma karin maɓuɓɓuka a cikin yanki na lumbar, wanda ya sa mutane da yawa su kasance cikin ciwo mai tsanani da kuma neman taimako. (Siddiq et al., 2020) Lokacin da ciwon sciatica ya fara rinjayar ƙananan ƙafar mutum, yana haifar da al'amuran motsi, mutane da yawa suna neman jiyya don rage tasirin zafi na sciatica.
Kimiyyar Motsi-Video
Acupuncture Don Rage Ciwon Sciatica
Lokacin da yazo da maganin sciatica, mutane da yawa za su iya duba cikin magungunan da ba a yi amfani da su ba saboda iyawarta da tasiri wajen rage sciatica da alamun cututtuka masu kama da ciwo. Magungunan da ba na tiyata ba za a iya keɓance su ga zafin mutum kuma a haɗa su don dawo da ingancin rayuwar mutum. Jiyya guda biyu marasa aikin tiyata wanda zai iya taimakawa wajen rage sciatica shine acupuncture da kashin baya. Acupuncture yana da dogon tarihi na samar da gagarumin tasiri mai kyau akan rage ciwon sciatic da inganta rayuwar mutum. (Yuan et al., 2020) Ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙayyadaddun ƙaƙƙarfan sun haɗa da ƙananan allura masu ƙarfi don ba da taimako nan take daga alamun cututtukan sciatica. Wannan shi ne saboda acupuncture yana yin tasirin analgesic ta hanyar daidaita tsarin kunna microglia, hana amsawar ƙwayar cuta ta jiki, da daidaita masu karɓa tare da hanyar jin zafi a cikin tsarin jin tsoro. (Zhang et al., 2023) Har zuwa wannan lokaci, acupuncture na iya motsa acupoints na jiki don mayar da ma'auni.
Tasirin Acupuncture
Ɗaya daga cikin sakamakon acupuncture don kawar da sciatica shi ne cewa zai iya rage yawan zafin jiki ta hanyar canza tsarin aikin kwakwalwa lokacin da masu karɓar raɗaɗi suka rushe. (Yu et al., 2022) Bugu da ƙari, lokacin da acupuncturists suka fara motsa jijiyoyi a cikin tsokoki da kyallen takarda, sun saki endorphins da sauran abubuwan da ke haifar da neurohumoral waɗanda ke taimakawa canza tsarin ciwo a cikin tsarin jin tsoro. Acupuncture yana taimakawa wajen rage kumburi yayin inganta ƙwayar tsoka da motsi na haɗin gwiwa ta hanyar ƙara microcirculation don rage kumburi yayin da yake toshe ciwon sciatica daga rinjayar ƙananan sassan.
Rushewar Kashin baya Don Rage Ciwon Sciatica
Wani nau'i na maganin ba tare da tiyata ba shine raguwa na kashin baya, kuma zai iya taimakawa wajen rage tasirin sciatica da alamun cututtuka masu alaƙa. Rushewar kashin baya yana amfani da tebur mai jujjuyawa don shimfiɗa kashin baya a hankali don haifar da mummunan matsa lamba a cikin diski na kashin baya kuma ya 'yantar da jijiyoyin da abin ya shafa. Ga mutanen sciatica, wannan maganin ba tare da tiyata ba yana kawar da jijiyar sciatic kamar yadda kashin baya ya taimaka wajen rage yawan zafin jiki da kuma inganta aikin motsi a cikin ƙananan ƙafa. (Choi et al., 2022) Babban maƙasudin raguwa na kashin baya shine don ƙirƙirar sararin samaniya a cikin canal na kashin baya da kuma tsarin jijiyoyi don saki jijiyar sciatic mai tsanani daga haifar da ƙarin ciwo. (Burkhard et al., 2022)
Illar Rushewar Kashin baya
Mutane da yawa za su iya fara jin sauƙi daga haɗawa da ɓacin rai a cikin maganin lafiyar su. Wannan maganin da ba na tiyata ba yana haɓaka ruwaye da abubuwan gina jiki zuwa diski na kashin baya don fara aiwatar da tsarin warkarwa na jiki. Lokacin da aka shimfiɗa kashin baya a hankali, akwai ƙananan matsa lamba akan jijiyoyi na sciatic, wanda zai iya rage zafi da inganta motsi. Bugu da ƙari, mutane da yawa za su ji sassauci da motsin su a cikin yankin lumbar su.
Haɗin Acupuncture da Ragewar Kashin baya Don Taimako
Don haka, lokacin da mutane da yawa suka fara haɗawa da lalatawar kashin baya da kuma acupuncture a matsayin cikakke kuma ba tare da tiyata ba don kawar da sciatica, sakamakon da amfani suna da kyau. Yayin da ƙwayar cuta ta kashin baya ta haifar da maganin inji na diski na kashin baya da kuma rage karfin jijiya, acupuncture yana mai da hankali kan kawar da ciwo da rage kumburi a matakin tsarin. Wannan yana haɓaka tsarin warkarwa na jiki kuma yana ba da tasirin haɗin gwiwa don haɓaka sakamakon jiyya. Magungunan da ba a yi amfani da su ba kamar acupuncture da kashin baya na iya samar da kyakkyawan sakamako ga mutane da yawa da ke neman taimako daga ciwon sciatic ba tare da yin amfani da hanyoyin tiyata ba. Wadannan jiyya suna ba da damar mutum ya sake dawo da motsin su a cikin ƙananan ƙafafu, rage zafi, da inganta yanayin rayuwarsu ta hanyar sa mutane su kara tunawa da jikinsu da rage yiwuwar sciatica daga dawowa. Ta yin haka, mutane da yawa za su iya rayuwa mafi koshin lafiya da salon rayuwa mara raɗaɗi.
References
Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Rushewar kashin baya tare da takamaiman jagororin haƙuri. Kashin baya J, 22(7), 1160-1168. doi.org/10.1016/j.spine.2022.01.002
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Tasirin rashin nasara na rashin nasara akan tsananin zafin ciwo da kuma ƙarfin daftarin da aka yi a cikin lumbar lumbar herniated Disc. Jarida ta Ƙasashen Duniya na Ayyukan Clinical, 2022, 6343837. doi.org/10.1155/2022/6343837
Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). Acupuncture don lumbar diski herniation: yarjejeniya don bita na yau da kullun da meta-bincike. Magunguna (Baltimore), 99(9), e19117. doi.org/10.1097/MD.0000000000019117
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Inganci da aminci na acupuncture far don sciatica: nazari na yau da kullun da meta-bincike na hanyoyin sarrafawa bazuwar. Neurosci na gaba, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Mutanen da ke fama da harbi, ciwo mai raɗaɗi a cikin ƙananan ƙafafu, da ciwon kafa na tsaka-tsaki na iya zama masu fama da ciwon neurogenic claudication. Shin sanin alamun bayyanar cututtuka na iya taimakawa ma'aikatan kiwon lafiya su samar da ingantaccen tsarin kulawa?
Neurogenic Claudication
Neurogenic claudication yana faruwa lokacin da jijiyoyi na kashin baya sun zama matsa lamba a cikin lumbar ko ƙananan kashin baya, yana haifar da ciwo na ƙafa. Ƙunƙarar jijiyoyi a cikin kashin baya na lumbar na iya haifar da ciwo na ƙafafu da ƙuƙwalwa. Ciwo yawanci yakan tsananta tare da takamaiman motsi ko ayyuka kamar zama, tsaye, ko lankwasa baya. An kuma san shi da pseudo-claudication lokacin da sarari a cikin kashin lumbar ya ragu. Yanayin da aka sani da lumbar spinal stenosis. Duk da haka, claudication neurogenic ciwo ne ko rukuni na alamun bayyanar cututtuka da ke haifar da jijiyar kashin baya, yayin da stenosis na kashin baya ya kwatanta raguwar sassa na kashin baya.
Alamun
Alamun Neurogenic claudication na iya haɗawa da:
Ciwon kafa.
Numbness, tingling, ko jin zafi.
Gajiyar ƙafa da rauni.
Jin nauyi a cikin kafa/s.
Kaifi, harbi, ko radadi mai zafi wanda ke yaduwa zuwa ƙananan sassan, sau da yawa a kafafu biyu.
Hakanan ana iya samun ciwo a cikin ƙasan baya ko gindi.
Neurogenic claudication ya bambanta da sauran nau'in ciwon ƙafar ƙafa, kamar yadda zafin ya canza - dainawa da farawa ba tare da izini ba kuma ya tsananta tare da takamaiman motsi ko ayyuka. Tsaye, tafiya, saukowa matakala, ko jujjuya baya na iya haifar da ciwo, yayin da ake zaune, hawa matakan hawa, ko jingina gaba yana ƙoƙarin rage zafi. Duk da haka, kowane lamari ya bambanta. A tsawon lokaci, claudication neurogenic zai iya rinjayar motsi yayin da mutane ke ƙoƙarin guje wa ayyukan da ke haifar da ciwo, ciki har da motsa jiki, ɗaga abubuwa, da kuma tafiya mai tsawo. A cikin lokuta masu tsanani, claudication neurogenic na iya sa barci mai wahala.
Neurogenic claudication da sciatica ba iri ɗaya ba ne. Neurogenic claudication ya ƙunshi jijiyar jijiyoyi a cikin tsakiyar canal na kashin baya na lumbar, yana haifar da ciwo a kafafu biyu. Sciatica ya haɗa da matsawa tushen jijiya da ke fitowa daga sassan kashin baya na lumbar, yana haifar da ciwo a ƙafa ɗaya. (Carlo Ammendolia, 2014)
Sanadin
Tare da claudication neurogenic, matsananciyar jijiyoyi na kashin baya sune tushen dalilin ciwon ƙafa. A lokuta da yawa, ƙwayar katako na katako - LSS shine sanadin jijiyar tsinke. Akwai nau'i biyu na lumbar kashin baya.
Tsakanin stenosis shine babban dalilin claudication neurogenic. Tare da wannan nau'in, tsakiyar canal na kashin baya na lumbar, wanda ke zaune a cikin kashin baya, ya ragu, yana haifar da ciwo a kafafu biyu.
Lumbar stenosis na kashin baya za a iya samu kuma ya ci gaba daga baya a rayuwa saboda lalacewar kashin baya.
Haihuwa yana nufin an haifi mutum da yanayin.
Dukansu na iya haifar da claudication neurogenic ta hanyoyi daban-daban.
Foramen stenosis wani nau'i ne na ƙwanƙwasa na lumbar wanda ke haifar da kunkuntar wurare a kowane gefe na kashin baya na lumbar inda tushen jijiya ke reshe daga kashin baya. Ciwon da ke tattare da shi ya bambanta da cewa yana cikin dama ko hagu.
Ciwon ya yi daidai da gefen kashin baya inda ake danne jijiyoyi.
An Samu Lumbar Spinal Stenosis
Lumbar stenosis na kashin baya yawanci ana samun su ne saboda lalacewa na kashin baya na lumbar kuma yana kula da rinjayar tsofaffi. Abubuwan da ke haifar da raguwa na iya haɗawa da:
Raunin kashin baya, kamar daga karon abin hawa, aiki, ko raunin wasanni.
Ankylosing spondylitis - wani nau'i na cututtuka na kumburi wanda ke shafar kashin baya.
Osteophytes - kasusuwa spurs.
Ciwon daji na kashin baya - marasa ciwon daji da ciwon daji.
Ciwon Lumbar Spinal Stenosis
Nakasar kashin baya na mahaifa na nufin an haifi mutum tare da rashin daidaituwa na kashin baya wanda bazai bayyana a lokacin haihuwa ba. Saboda sarari a cikin canal na kashin baya ya riga ya kunkuntar, kashin baya yana da rauni ga kowane canje-canje kamar yadda mutum ya tsufa. Ko da mutanen da ke da ƙananan ƙwayar cuta na iya samun alamun bayyanar cututtuka na neurogenic claudication da wuri kuma su ci gaba da bayyanar cututtuka a cikin 30s da 40s maimakon 60s da 70s.
ganewar asali
Bincike na claudication neurogenic ya dogara ne akan tarihin likitancin mutum, nazarin jiki, da kuma hoto. Binciken jiki da sake dubawa sun gano inda zafi ke nunawa da kuma lokacin. Mai ba da lafiya na iya tambaya:
Shin akwai tarihin ciwon ƙananan baya?
Shin ciwon kafa ɗaya ne ko duka biyun?
Ciwon yana dawwama?
Ciwon ya zo ya tafi?
Shin ciwon yana samun sauki ko muni lokacin tsaye ko zaune?
Shin motsi ko ayyuka suna haifar da bayyanar cututtuka da jin zafi?
Shin akwai abubuwan da aka saba gani yayin tafiya?
Jiyya
Jiyya na iya ƙunsar jiyya ta jiki, alluran steroid na kashin baya, da magungunan jin zafi. Tiyata hanya ce ta ƙarshe lokacin da duk sauran hanyoyin kwantar da hankali ba za su iya ba da taimako mai inganci ba.
jiki Far
A tsarin kulawa zai ƙunshi jiyya na jiki wanda ya haɗa da:
Mikewa kullum
Ƙarfafawa
Ayyukan motsa jiki
Wannan zai taimaka ingantawa da daidaita ƙananan tsokoki na baya da kuma daidaita matsalolin matsayi.
Maganin aikin aiki zai bada shawarar gyare-gyaren aiki wanda ke haifar da alamun ciwo.
Wannan ya haɗa da ingantattun injiniyoyi na jiki, adana makamashi, da kuma gane alamun zafi.
Hakanan ana iya ba da shawarar takalmin gyaran kafa na baya ko bel.
Injections Steroid na Spinal
Masu ba da lafiya na iya ba da shawarar allurar steroid na epidural.
Wannan yana sadar da kwayar cutar cortisone zuwa mafi girman sashe na kashin baya ko sararin epidural.
Ana amfani da magungunan raɗaɗi don magance claudication neurogenic na lokaci-lokaci. Waɗannan sun haɗa da:
Analgesics kan-da-counter kamar acetaminophen.
Magungunan anti-inflammatory marasa steroidal ko NSAIDs kamar ibuprofen ko naproxen.
Za a iya rubuta NSAIDs na magani idan an buƙata.
Ana amfani da NSAIDs tare da ciwon neurogenic na kullum kuma ya kamata a yi amfani da shi kawai lokacin da ake bukata.
Yin amfani da NSAID na dogon lokaci zai iya ƙara haɗarin ciwon ciki, kuma yawan amfani da acetaminophen zai iya haifar da gubar hanta da gazawar hanta.
Surgery
Idan jiyya masu ra'ayin mazan jiya ba su iya ba da taimako mai mahimmanci da motsi da / ko ingancin rayuwa sun shafi, tiyata da aka sani da laminectomy na iya ba da shawara don ƙaddamar da kashin lumbar. Ana iya aiwatar da hanyar:
Laparoscopically - tare da ƙananan ɓangarorin, scopes, da kayan aikin tiyata.
Bude tiyata - tare da fatar fata da sutures.
A lokacin aikin, an cire sassan vertebra a wani bangare ko gaba daya.
Don samar da kwanciyar hankali, wasu lokuta ana haɗa ƙasusuwan da sukurori, faranti, ko sanduna.
Adadin nasara ga duka biyun sun fi ko ƙasa da haka.
Tsakanin 85% da 90% na mutanen da ke yin aikin tiyata sun sami taimako na dindindin na dindindin da / ko dindindin. (Xin-Long Ma et al., 2017)
Magungunan Motsi: Kulawa na Chiropractic
References
Ammendolia C. (2014). Degenerative lumbar spinal stenosis da imposters: nazari uku. Jaridar Ƙungiyar Chiropractic ta Kanada, 58 (3), 312-319.
Munakomi S, Foris LA, Varacallo M. (2024). Spinal Stenosis da Neurogenic Claudication. [An sabunta 2023 Agusta 13]. A cikin: StatPearls [Internet]. Tsibirin Treasure (FL): Bugawa na StatPearls; 2024 Jan-. Akwai daga: www.ncbi.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Ingancin tiyata tare da jiyya na ra'ayin mazan jiya don ƙwanƙwasawa na lumbar: nazari na tsarin da meta-bincike na gwajin sarrafawa bazuwar. Mujallar tiyata ta duniya (London, Ingila), 44, 329-338. doi.org/10.1016/j.ijsu.2017.07.032
Shin ka'idojin maganin jiyya na jiki da ke nufin inganta kewayon motsi da sassauci a kusa da hip da kuma kawar da kumburi a kusa da jijiyar sciatic zai taimaka wa mutanen da ke fama da ciwo mai zurfi ko ciwo na piriformis?
Ciwon gindi mai zurfi
Piriformis ciwo, aka. zafi mai zurfi, an kwatanta shi azaman jijiyar jijiyar sciatic daga tsokar piriformis.
Piriformis wani ƙananan tsoka ne a bayan haɗin gwiwa na hip a cikin gindi.
Yana da kusan santimita ɗaya a diamita kuma yana aiki a cikin jujjuyawar waje ko juyawa waje.
Ƙwararrun piriformis da tendon suna kusa da jijiyar sciatic, wanda ke ba da ƙananan ƙafafu tare da motsi da ayyuka na hankali.
Dangane da bambancin jikin mutum na tsoka da tsoka:
Biyu sun haye, ƙarƙashin, ko ta juna a bayan haɗin gwiwa na hip a cikin zurfin gindi.
Ana tunanin wannan dangantaka ta fusata jijiyar, wanda ke haifar da alamun sciatica.
Piriformis Syndrome
Lokacin da aka gano tare da ciwo na piriformis, ana tunanin cewa tsoka da tendon suna ɗaure da / ko spasm a kusa da jijiya, haifar da fushi da alamun zafi.
Ka'idar da aka goyi bayan ita ce lokacin da tsokar piriformis da jijiyar ta ta karu, jijiyar sciatic ya zama matsawa ko tsinke. Wannan yana rage yaduwar jini kuma yana fusata jijiyoyi daga matsa lamba. (Shane P. Cass 2015)
Tausayi tare da matsa lamba akan tsokar piriformis.
Rashin jin daɗi a bayan cinya.
Ciwon gindi mai zurfi a bayan kwatangwalo.
Hannun wutar lantarki, girgiza, da raɗaɗi suna tafiya ƙasa da baya na ƙananan ƙarshen.
Numbness a cikin ƙananan ƙarshen.
Wasu mutane suna ci gaba da bayyanar cututtuka ba zato ba tsammani, yayin da wasu ke karuwa a hankali.
ganewar asali
Likitoci za su ba da umarnin haskoki na X-ray, MRIs, da nazarin tafiyar da jijiya, wanda yake al'ada.
Saboda ciwo na piriformis na iya zama ƙalubalanci don ganewar asali, wasu mutanen da ke da ƙananan ciwon hip na iya samun ganewar cututtuka na piriformis ko da ba su da yanayin. (Shane P. Cass 2015)
Wani lokaci ana kiransa ciwon gindi mai zurfi. Sauran abubuwan da ke haifar da irin wannan ciwo sun haɗa da matsalolin baya da na kashin baya kamar:
Harsiated fayafai
Ƙwararriyar cututtuka
Radiculopathy - sciatica
Hip bursitis
Ana ba da ganewar cutar ta piriformis lokacin da aka kawar da waɗannan wasu dalilai.
Lokacin da ganewar asali ba shi da tabbas, ana yin allura a cikin yankin tsokar piriformis. (Danilo Jankovic et al., 2013)
Ana iya amfani da magunguna daban-daban, amma ana amfani da allurar kanta don taimakawa wajen ƙayyade takamaiman wurin rashin jin daɗi.
Lokacin da aka ba da allura a cikin tsokar piriformis ko tendon, sau da yawa ana gudanar da shi ta hanyar jagorancin duban dan tayi don tabbatar da allurar ta ba da magani zuwa wurin da ya dace. (Elizabeth A. Bardowski, JW Thomas Byrd 2019)
Gujewa ayyukan da ke haifar da bayyanar cututtuka na akalla ƴan makonni.
jiki Far
Jaddada mikewa da ƙarfafa tsokoki rotator na hip.
Ragewar da ba na tiyata ba
A hankali yana jan kashin baya don saki duk wani matsawa, yana ba da damar samun ruwa mai kyau da wurare dabam dabam da kuma ɗaukar matsa lamba daga jijiyar sciatic.
Dabarun Massage na warkewa
Don shakatawa da saki tashin hankali na tsoka da haɓaka wurare dabam dabam.
acupuncture
Don taimakawa shakata da tsokar piriformis, jijiyar sciatic, da kewayen yanki.
Sauke ciwo.
Shirye-shiryen Chiropractic
Daidaitawa yana sake daidaita kashin baya da tsarin musculoskeletal don rage zafi.
Maganin Maganin Ciwo
Don rage kumburi a kusa da jijiya.
Injections na Cortisone
Ana amfani da allura don rage kumburi da kumburi.
Injection Botulinum Toxin
Allurar gubar botulinum tana gurgunta tsokar don rage zafi.
Surgery
Ana iya yin tiyata a lokuta da ba kasafai ba don sassauta jigon piriformis, wanda aka sani da sakin piriformis. (Shane P. Cass 2015)
Tiyata hanya ce ta ƙarshe lokacin da aka gwada magunguna masu ra'ayin mazan jiya na aƙalla watanni 6 ba tare da ɗan jin daɗi ba.
Farfadowa na iya ɗaukar watanni da yawa.
Sciatica Sanadin da Jiyya
References
Cass SP (2015). Ciwon ƙwayar cuta na Piriformis: dalili na sciatica nondiscogenic. Rahoton magungunan wasanni na yanzu, 14 (1), 41-44. doi.org/10.1249/JSR.0000000000000110
Jankovic, D., Peng, P., & van Zundert, A. (2013). Brief bita: ciwo na piriformis: etiology, ganewar asali, da gudanarwa. Jaridar Kanada na maganin sa barci = Jaridar canadien d'anesthesie, 60 (10), 1003-1012. doi.org/10.1007/s12630-013-0009-5
Ga mutanen da ke yin la'akari da acupuncture don taimako na sciatica da gudanarwa, na iya sanin yadda yake aiki da abin da za a yi tsammani a lokacin zaman yana taimakawa wajen yanke shawara?
Acupuncture Sciatica Zaman Jiyya
Acupuncture don sciatica magani ne mai aminci da inganci don sauƙaƙewa da sarrafa alamun ciwo. Nazarin ya nuna yana da tasiri kamar sauran dabarun jiyya kuma yana haifar da ƙarancin illa. (Zhihui Zhang et al., 2023) Yawan acupuncture don taimakawa ciwon sciatica ya dogara da tsananin yanayin da rauni, amma yawancin rahotanni sun inganta a cikin makonni biyu zuwa uku. (Fang-Ting Yu et al., 2022)
Sanya allura
Matsalolin kewayawa na iya haifar da kuzarin jiki don tsayawa a cikin ɗaya ko fiye meridians/tashoshi, haifar da zafi a ciki da kewayen yankin. (Wei-Bo Zhang et al., 2018)
Manufar acupuncture ita ce mayar da mafi kyawun wurare dabam dabam ta hanyar ƙarfafa takamaiman maki a cikin jiki da ake kira acupoints.
Bakin ciki, bakararre allura suna motsa acupoints don kunna iyawar warkarwa ta jiki da kuma kawar da zafi. (Heming Zhu 2014)
Wasu masu aiki suna amfani da su electroacupuncture - Ana amfani da wutar lantarki mai sauƙi, mai sauƙi a kan allura kuma ya wuce ta kyallen takarda don kunna tsarin jin tsoro. (Ruixin Zhang et al., 2014)
Acupoints
Acupuncture sciatica magani ya ƙunshi takamaiman acupoints tare da mafitsara da gallbladder meridians.
Mafitsara Meridian – BL
Mafitsara meridian/BL yana gudana a baya tare da kashin baya, hips, da kafafu. Abubuwan da ke cikin meridian don sciatica sun haɗa da: (Fang-Ting Yu et al., 2022)
BL 23 -Shenshu - Wuri a kan ƙananan baya, kusa da koda.
BL 25 - Dachangshu - Wuri a kan ƙananan baya.
BL 36 - Chengfu - Wuri a bayan cinya, kusa da gindi.
GB 33 - Xiyangguan - Wuri na gefe zuwa gwiwa, a gefe.
Ƙwararrun acupoints a cikin waɗannan meridians yana ƙara yawan jini zuwa yankin, yana rage kumburi, kuma yana sakin endorphins da sauran ƙwayoyin cuta masu raɗaɗi don rage alamun bayyanar cututtuka. (Ningcen Li et al., 2021) Musamman acupoints bambanta dangane da bayyanar cututtuka da tushen dalilin. (Tiaw-Kee Lim et al., 2018)
Misali mara lafiya
An misali na zaman jiyya na acupuncture sciatica: Mara lafiya tare da ciwon harbi mai tsayi wanda ke shimfiɗa baya da gefen kafa. Daidaitaccen magani ya ƙunshi abubuwa masu zuwa:
Acupuncturist ya wuce sosai akan tarihin likitancin mai haƙuri da alamun bayyanar cututtuka kuma yana da ma'anar mai haƙuri zuwa inda zafin yake.
Bayan haka, suna zazzagewa da kewaye wurin don gano inda ciwon ke ƙaruwa kuma ya ragu, suna sadarwa da majiyyaci yayin da suke tafiya.
Dangane da wurin da tsanani, za su iya fara sanya allura a ƙananan baya, suna mai da hankali kan wurin da aka samu rauni.
Wani lokaci, sacrum yana da hannu, don haka acupuncturist zai sanya allura a kan waɗannan acupoints.
Daga nan sai su koma bayan kafa su sanya allura.
Ana ajiye allurar na tsawon mintuna 20-30.
Likitan acupuncturist yana barin ɗakin ko wurin magani amma a kai a kai yana dubawa.
Mai haƙuri na iya jin zafi, tingling, ko nauyi mai sauƙi, wanda shine amsa ta al'ada. Wannan shi ne inda marasa lafiya suka ba da rahoton sakamako mai kwantar da hankali. (Shilpadevi Patil et al., 2016)
Ana cire allura a hankali.
Mai haƙuri na iya jin annashuwa sosai kuma za a shawarce shi ya tashi a hankali don guje wa dizziness.
Ana iya samun ciwo, ja, ko ɓarna a wurin saka allura, wanda yake al'ada kuma yakamata a warware cikin sauri.
Za a bai wa majiyyaci shawarwari game da guje wa aiki mai ƙarfi, shayar da ruwa yadda ya kamata, da yin tausasawa.
Amfanin Acupuncture
An nuna acupuncture a matsayin ƙarin magani don jin zafi da kulawa. Amfanin acupuncture:
Inganta Yanayin
Acupuncture yana motsa jini, wanda ke ciyar da jijiyoyi masu lalacewa ko haushi kuma yana inganta warkarwa.
Wannan yana taimakawa wajen kawar da alamun sciatica, kamar numbness, tingling, da zafi. (Song-Yi Kim et al., 2016)
Yana fitar da Endorphins
Acupuncture yana haifar da sakin endorphins da sauran sinadarai masu raɗaɗi na yanayi, waɗanda ke taimakawa rage zafi. (Shilpadevi Patil et al., 2016)
Yana daidaita Tsarin Jijiya
Acupuncture yana sake daidaita amsawar tausayi da rashin tausayi, wanda ya rage damuwa, tashin hankali, da zafi. (Xin Ma et al., 2022)
Yana kwantar da tsokoki
Ciwon jijiya sau da yawa yana tare da tashin hankali na tsoka da spasms.
Acupuncture yana kwantar da tsokoki masu tsauri, rage matsa lamba kuma yana ba da taimako. (Zhihui Zhang et al., 2023)
Daga Alamu zuwa Magani
References
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Inganci da aminci na acupuncture far don sciatica: nazari na yau da kullun da meta-bincike na hanyoyin sarrafawa bazuwar. Ƙididdiga a cikin ilimin kimiyyar ƙwaƙwalwa, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Zhang, WB, Jia, DX, Li, HY, Wei, YL, Yan, H., Zhao, PN, Gu, FF, Wang, GJ, & Wang, YP (2018). Fahimtar Qi Gudu a cikin Meridians azaman Ruwan Tsakanin Tsakanin Yana Gudu ta Wurin Tsararru na Ƙarƙashin Ƙarƙashin Ruwa na Hydraulic. Mujallar likitancin Sinanci, 24(4), 304-307. doi.org/10.1007/s11655-017-2791-3
Zhu H. (2014). Acupoints sun ƙaddamar da Tsarin Waraka. Acupuncture na likita, 26 (5), 264-270. doi.org/10.1089/acu.2014.1057
Zhang, R., Lao, L., Ren, K., & Berman, BM (2014). Hanyoyin acupuncture-electroacupuncture akan ciwo mai ɗorewa. Anesthesiology, 120 (2), 482-503. doi.org/10.1097/ALN.0000000000000101
Perreault, T., Fernández-de-Las-Peñas, C., Cummings, M., & Gendron, BC (2021). Bukatar Matsalolin don Sciatica: Zaɓin Hanyoyin da aka Gina akan Hanyoyin Ciwo na Neuropathic-Bita na Bincike. Jaridar Likitan Magunguna, 10 (10), 2189. doi.org/10.3390/jcm10102189
Li, N., Guo, Y., Gong, Y., Zhang, Y., Fan, W., Yao, K., Chen, Z., Dou, B., Lin, X., Chen, B., Chen, Z., Xu, Z., & Lyu, Z. (2021). Ayyukan Anti-Inflammatory da Hanyoyin Acupuncture daga Acupoint zuwa Target Organs ta Hanyar Neuro-Immune Regulation. Jaridar bincike na kumburi, 14, 7191-7224. doi.org/10.2147/JIR.S341581
Lim, TK, Ma, Y., Berger, F., & Litscher, G. (2018). Acupuncture da Neural Mechanism a cikin Gudanar da Ƙananan Ciwon Baya-An sabunta. Magunguna (Basel, Switzerland), 5(3), 63. doi.org/10.3390/magungunan5030063
Kim, SY, Min, S., Lee, H., Cheon, S., Zhang, X., Park, JY, Song, TJ, & Park, HJ (2016). Canje-canje na Gudun Jini na Gida a cikin Amsa don Ƙarfafa Acupuncture: Bita na Tsari. Madaidaicin shaida da madadin magani: eCAM, 2016, 9874207. doi.org/10.1155/2016/9874207
Patil, S., Sen, S., Bral, M., Reddy, S., Bradley, KK, Cornett, EM, Fox, CJ, & Kaye, AD (2016). Matsayin Acupuncture a Gudanar da Ciwo. Rahoton ciwon kai da ciwon kai na yanzu, 20(4), 22. doi.org/10.1007/s11916-016-0552-1
Ma, X., Chen, W., Yang, NN, Wang, L., Hao, XW, Tan, CX, Li, HP, & Liu, CZ (2022). Hanyoyi masu yiwuwa na acupuncture don ciwon neuropathic bisa tsarin somatosensory. Ƙwararren Ƙwararren Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru, 16, 940343. doi.org/10.3389/fnins.2022.940343
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