Sciatica

Sciatica inoreva kurwadziwa, kushaya simba, chiveve, kana kugwinha gumbo. Izvo zvinokonzerwa nekukuvara kana kumanikidza kune iyo sciatic nerve. Sciatica chiratidzo chechinetso chekurapa. Haisi yekurapa yega.

Sciatica inoitika kana paine kumanikidza kana kukuvara kune iyo sciatic nerve. Iyi tsinga inotangira muzasi kumashure uye inomhanya ichidzika neshure kwegumbo rega. Iyi tsinga inodzora mhasuru dzekumashure kwebvi uye gumbo repazasi. Inopawo kutapurika kuseri kwechidya, chekunze uye chekumashure chikamu chegumbo rezasi, uye iro chete tsoka.

Zvinowanzoitika sciatica zvinosanganisira:

• Yakatsvedza herniated disk
• Spinal stenosis
• Piriformis syndrome (chirwere chinorwadza chinosanganisira mhasuru nhete mumatako)
• Kukuvara kwepelvic kana kutyoka
• Mamota

Varume pakati pemakore makumi matatu kusvika makumi mashanu ekuberekwa vane mukana wekuti vave nesciatica.

Sciatica kurwadziwa kunogona kusiyana zvakanyanya. Inogona kunzwa sekutetepa zvinyoro-nyoro, kutonhora kurwadziwa, kana kupisa shungu. Mune zvimwe zviitiko, kurwadziwa kwacho kwakanyanya kuita kuti munhu atadze kufamba.

Marwadzo anowanzoitika kune rumwe rutivi. Vamwe vanhu vane kurwadziwa kwakapinza mune chimwe chikamu chegumbo kana chiuno uye chiveve mune zvimwe zvikamu. Kurwadziwa kana chiveve zvinogona kunzwikawo kumusana kwemhuru kana pasi petsoka. Gumbo rakabatwa rinogona kunzwa kupera simba. Dzimwe nguva, tsoka yako inobatwa pasi kana uchifamba.

Marwadzo anogona kutanga zvishoma nezvishoma. Zvinogona kuwedzera.

• Mushure mekumira kana kugara
• Pakati pedzimwe nguva dzezuva, senge husiku
• Pakuhotsira, kukosora, kana kuseka
• Kana uchikotama uchidzokera kumashure kana kufamba kupfuura mayadhi mashoma kana metres, kunyanya kana zvichikonzerwa nespinal stenosis
• Kana uchimanikidza kana kubata mweya wako, senge panguva yekufamba kwematumbu

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinogona kuratidza:

• Kuneta kana kukotama ibvi
• Zvakaoma kukotama tsoka mukati kana pasi
• Zvakaoma kufamba pazvigunwe zvako
• Zvakaoma kukotama kumberi kana kumashure
• Kusanzwisisika kana kushaya simba mafungiro
• Kurasikirwa kwekunzwa kana kuvevesa
• Marwadzo kana uchisimudza gumbo wakananga kumusoro paunenge wakarara patafura yebvunzo

Bvunzo hadziwanzo kudikanwa kunze kwekunge kurwadziwa kwakanyanya kana kusingaperi. Kana bvunzo dzikarairwa, dzinogona kusanganisira:

• X-ray, MRI, kana imwe bvunzo yekufungidzira
• Kuongororwa kweropa

Sezvo sciatica iri chiratidzo cheimwe mamiriro ekurapa, chikonzero chiri kukonzera chinofanira kuzivikanwa nekurapwa.

Mune zvimwe zviitiko, hapana kurapwa kunodiwa uye kupora kunoitika pachako.

Kuchengetedza (kusiri-kuvhiya) kurapwa kwakanyanya mune dzakawanda zviitiko. Wako mupi anogona kukurudzira anotevera matanho kudzikamisa zviratidzo zvako uye kudzikisira kuzvimba:

• Tora zvinopfuura-the-counter zvinodzora marwadzo senge ibuprofen (Advil, Motrin IB) kana acetaminophen (Tylenol).
• Isa kupisa kana chando kunzvimbo inorwadza. Edza chando kwemaawa 48 kusvika 72 ekutanga, wozoshandisa kupisa.
  

Matanho ekutarisira musana wako kumba anogona kusanganisira:

• Zororo rekurara harikurudzirwe.
• Kudzidzira kumashure kunokurudzirwa kutanga kusimbisa musana wako.
• Kutanga kurovedza muviri zvakare mushure memasvondo maviri kusvika matatu. Sanganisira kurovedza muviri kuti usimbise dumbu rako (musimboti) mhasuru uye nekuvandudza kushanduka kwemuzongoza wako.
• Deredza basa rako kwemazuva maviri ekutanga. Wobva, zvishoma nezvishoma tanga zvako zvakajairwa zviitiko.
• Usaite kusimudza zvine mutsindo kana kumonyorora musana wako kwemavhiki matanhatu ekutanga mushure mekunge kurwadziwa kwatanga.

Mupiki wako anogona zvakare kuratidza kurapwa kwemuviri. Mimwe mishonga yekurapa inoenderana nemamiriro ari kukonzera iyo sciatica.

Kana matanho aya asingabatsire, mupi wako anogona kukurudzira majekiseni emimwe mishonga kudzikamisa kuzvimba kwakatenderedza tsinga. Mimwe mishonga inogona kupihwa kubatsira kubatsira kudzikisa marwadzo ekubaikana nekuda kwekutsamwa kweitsinga.

Kutambudzika kwekushushikana kwakanyanya kurapa. Kana iwe uine zvinetswa zvinoramba zvichirwadza, iwe ungangoda kuona chiremba wezveuropi kana wezvekurwadziwa kuti uve nechokwadi chekuti iwe unokwanisa kuwana kune yakanyanya kuwanda nzira yekurapa sarudzo.

Kuvhiya kunogona kuitwa kuti ubvise kumanikidzwa kwepelinha yako, zvisinei, kazhinji ndiyo yekupedzisira nzira yekurapa.

Kazhinji, sciatica inova nani pachayo. Asi zvakajairika kuti idzoke.

Mamwe matambudziko akakomba anoenderana nechikonzero cheiyo sciatica, senge yakatsvedza diski kana musana stenosis. Sciatica inogona kutungamira mukusingaperi kupera kana kushaya simba kwegumbo rako.

Fonera mupiki wako ipapo kana uine:

• Fivha isingatsanangurike nemarwadzo kumashure
• Kushungurudzika kumashure mushure mekurohwa kwakanyanya kana kudonha
• Kutsvuka kana kuzvimba kumusana kana musana
• Marwadzo achifamba uchidzika nemakumbo ako pazasi pemabvi
• Kushaya simba kana kugwinha mumatako ako, chidya, gumbo, kana chiuno
• Kutsva nekuita weti kana ropa mune yako weti
• Marwadzo akaipisisa kana iwe ukarara pasi, kana anomutsa iwe usiku
• Kutambudzika kwakanyanya uye haugone kugadzikana
• Kurasikirwa kwekudzora kweweti kana chetsoka (incontinence)

Zvakare fona kana:

• Wanga uchirasikirwa nehuremu husingadi (kwete nechinangwa)
• Iwe unoshandisa steroid kana intravenous drug
• Wakatomborwadziwa nemusana, asi chiitiko ichi chakasiyana uye chinonzwa zvakanyanya
• Ichi chiitiko chekurwadziwa kumashure chakatora nguva yakareba kupfuura mavhiki mana

Kudzivirira kunosiyana, zvichienderana nechinokonzera kukuvara kwetsinga. Dzivisa kugara kwenguva refu kana kunyepera kumanikidza magaro.

Kuve wakasimba musana uye mudumbu mhasuru kwakakosha kudzivirira sciatica. Sezvaunokura, ipfungwa yakanaka kuita maekisesaizi ekusimbisa moyo wako.

Neuropathy - sciatic tsinga; Sciatic tsinga kusagadzikana; Kutambudzika kwakadzoka shure - sciatica; LBP - sciatica; Lumbar radiculopathy - sciatica

• Kuvhiya musana - kubuda

• Sciatic tsinga
• Cauda equina
• Sciatic tsinga kukuvara

Marques DR, Carroll WE. Neurology. Mune: Rakel RE, Rakel DP, eds. Chinyorwa cheMhuri Mishonga. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 41.

Ropper AH, Zafonte RD. Sciatica. N Engl J Med. 2015; 372 (13): 1240-1248. PMID: 25806916 pubmed.ncbi.nlm.nih.gov/25806916/.

Yavin D, Hurlbert RJ. Nonsurgical uye posturgical manejimendi ekurwadziwa kwepashure. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 281.