Sidee buufiska u yareeyaa xanuunka dareemaha sciatic ee shakhsiyaad badan oo shaqeeya oo leh cillad lumbar?
Contents
Saxanka u dhexeeya laf dhabarta laf dhabarta waxay u shaqeeyaan sidii barkin marka cadaadiska lagu daro jidhka. Saxanadahani waxay isku cadaadinayaan marka jidhku socdo. Jidhkayaga iyo laf dhabartayadu waxay sidoo kale da'aan marka aan da'eyno, taas oo keenta saxanka laf-dhabarka ee laf-dhabarka inuu xumaado wakhti ka dib. Qaybta sare ee saxanka laf-dhabarka ayaa laga yaabaa inay dillaacdo cadaadis, taasoo keenta in qaybta gudaha ay soo baxdo oo ay ka xanaajiso xididdada dareemayaasha laf-dhabarka. Tani waxay sababi kartaa xanuunka neerfaha sciatic, kaas oo laga yaabo inuu keeno xanuunka lugaha, barida, iyo dhabarka hoose. Tani waxay sababi kartaa arrimaha dhaqdhaqaaqa iyo naafanimada, taas oo adkeynaysa shakhsiyaadka shaqeeya inay gutaan shaqadooda. Daawaynta aan qaliinka ahayn, sida jiidashada badbaado iyo jilicsan, waxay kaa caawin kartaa yaraynta xanuunka dareemayaasha sciatic iyada oo la yareeyo cadaadiska laf dhabarta iyo ilaalinta dhererka saxanka. Iyaga oo hoos u dhigaya horumarka disc disc lumbar, shakhsiyaadka waxay yareyn karaan inta jeer ee booqashooyinka dhakhaatiirtooda daryeelka aasaasiga ah oo ay iska ilaaliyaan naafanimada. Maqaalka maanta wuxuu bixiyaa dulmar guud oo ku saabsan cilladda laf-dhabarka, xiriirka uu la leeyahay xanuunka dareemaha sciatic, iyo faa'iidooyinka hoos u dhigista dib u soo celinta dhererka saxanka iyo yaraynta xanuunka. Markaan la shaqeyneyno bixiyeyaasha caafimaadka ee shahaadeysan ee isticmaala macluumaadka bukaannadayada si ay u daaweeyaan shakhsiyaadka la kulma xanuunka dareemaha sciatic ee la xidhiidha cilladda saxanka lumbar. Waxaan ku ogeysiineynaa in daawaynta aan qalliinka ahayn sida depression ay kaa caawin karto yareynta horumarka disc lumbar iyo hoos u dhigista xanuunka dareemayaasha sciatic. Isla mar ahaantaana, waxaanu sidoo kale u sharaxnaa iyaga sida ku darida depression ee hawlahooda caadiga ah ay u yareyn karto calaamadaha xanuunka u eg. Waxaan ku dhiirigelinaynaa bukaanadayada inay waydiiyaan su'aalaha muhiimka ah markay raadinayaan waxbarasho bixiyayaashayada caafimaadka ee la xidhiidha xaaladdooda. Dr. Alex Jimenez, DC, wuxuu macluumaadkan u bixiyaa adeeg waxbarasho ahaan. Afeef
Miyaad bilawday inaad dareento sida lugahaaga, barida, iyo cagahaagu ay si joogto ah ula kulmaan dareemo jilicsan oo adkeynaya in la sameeyo ficillo maalinle ah? Miyaad dareemeysaa xanuun aad u daran lugahaaga markaad taagan tahay, kaliya si aad u hesho nasasho nasasho? Mise ma dareentaa in aad ka dareemayso xanuun iyo muruqyo dhaq-dhaqaaqa caadiga ah sida foorarsiga, qallooca, iyo leexashada ka dib markaad subaxdii soo toosto? Shakhsiyaad badan, gaar ahaan dadka waaweyn ee shaqeeya, ayaa la kulma arrimahan sababtoo ah cilladda saxanka lumbar. Hadda cilladda saxanka lumbar waxay caadi ahaan u dhacdaa si dabiici ah marka uu jirku da'da yahay, taas oo markaa keenta in saxanka intervertebral uu xirto oo dillaaco si joogto ah cadaadis, ka dibna dildilaaca oo keena in saxanka herniate. Maaddaama saxanka intervertebral uu bixiyo taageero qaabdhismeed iyo nuugista naxdinta leh ee ka soo horjeeda culeysyada farsamada ee gobolka lumbar, marka arrimaha caadiga ah ama dhaawacyada ay keenaan isbeddello, waxay keeni kartaa cillad iyo xasillooni la'aan lafaha lumbar. (Mohd Isa iyo al., 2022)
Marka saxannada intervertebral ay bilaabaan inay dillaacaan cadaadiska, waxay keeni karaan calaamado xanuun u eg oo saameeya qaybaha sare iyo hoose. Intaa waxaa dheer, cilladda saxanka lumbar waxay sababi kartaa dabacsanaanta laf dhabarta si ay u yareyso oo ay u yareyso ROM-ka laf-dhabarka (kala duwanaanshaha dhaqdhaqaaqa), taas oo keenta walaac badan oo ku saabsan muruqyada ku hareeraysan, seedaha, iyo unugyada. Xumaanta saxanka lumbar waxay ka soo kicin kartaa dhacdooyinka ka soo baxa saxanka ilaa xanaaqa xididada dareemayaasha. (Leew, 2020) Tani waxay ka dhigan tahay in marka ay jiraan isbeddello horumarsan oo isbeddel ah oo ku yimaadda kala-goysyada wajiga lumbar iyo unugyada jilicsan ee ku hareeraysan, waxay keeni kartaa kanaalka laf-dhabarka si uu u cidhiidhiyo oo u cadaadiyo xididka dareemayaasha ku xiga. Halkaa marka ay marayso, waxay u horseedi kartaa hoos u dhigista dhererka saxanka waxayna u horseedi kartaa xanuunka dareemayaasha sciatic.
Hadda sidee buu xumaanshaha saxanka lumbar ula xiriiri karaa xanuunka dareemaha sciatic? Marka saxanka intervertebral uu ku cadaadiyo cadaadis aan loo baahnayn, wuxuu dillaaci karaa wakhti ka dib wuxuuna ka saari karaa meeshii uu asalka ahaa, ka dibna wuxuu ku cadaadi karaa xididka dareemayaasha taasoo keenaysa xanuunka shucaaca inuu u socdaalo aagga murqaha ee saameeya. Maaddaama dareemaha sciatic ay ku yaalliin gobolka lumbosacral, waxay ka socotaa xagga sare ee muruqyada gluteus iyo hoos xagga dambe ee murqaha iyo weylaha. Marka cadaadiska aan loo baahnayn uu keeno saxanka intervertebral herniate oo uu bilaabo inuu saameyn ku yeesho dareemaha sciatica, wuxuu keenaa calaamado soo noqnoqda oo loo yaqaan lumbar sciatica, halkaasoo saxanka herniated uu ku cadaadiyo dareemaha sciatica. (Zitouna iyo al., 2019) Ilaa heerkaas, waxay keeni kartaa shucaac, toogashada xanuunka ilaa lugta, taas oo adkeynaysa shakhsiyaadka leh shaqooyinka u baahan inay helaan gargaar. Maaddaama saxanka intervertebral-ka ee lumbar ay xiriir la leeyihiin habka dhexe ee neerfayaasha, xididada dareemayaasha ee ku wareegsan saxanka laf-dhabarka waxay caawiyaan bixinta calaamadaha neerfaha muruqyada ku dhow, taas oo u oggolaanaysa gacmaha, gacmaha, lugaha, iyo cagaha inay dhaqaaqaan. (Bogduk, Tynan, & Wilson, 1981Si kastaba ha ahaatee, marka saxannada intervertebral herniated, waxay carqaladeyn kartaa neerfaha calaamadaha murqaha waxayna sababi karaan xanuunka loo gudbiyo cidhifyada hoose ama sare. Marka tani dhacdo, dad badan ayaa doorta inay raadsadaan daaweyn.
Shakhsiyaad badan oo la tacaalaya xanuunka dareemaha sciatic ee la xidhiidha cillad-beelka lumbar waxay badanaa heli doonaan gargaar ku-meel-gaar ah si ay u sii wataan shaqadooda inkastoo xanuun joogto ah. Tani waxay sabab u tahay cadaadiska aan loo baahnayn ee keenaya culeys dheeraad ah oo ku yimaada saxanka laf-dhabarka si ay u keenaan inay xumaadaan oo ay u yeeraan xanuunka gobollada hoose. Isla mar ahaantaana, da'da iyo isbeddellada qaabdhismeedka hoos u dhaca ayaa leh xiriir dhow oo sababi kara saameyn weyn oo ku saabsan qaybinta diiqada dhabarka hoose. (Adams, McNally, & Doolan, 1996) Tani waxay keenaysaa muuqaalada khatarta ah ee is-dhaafsiga ah ee ka qayb qaadanaya xanuunka dareemayaasha sciatic ee la xidhiidha cillad-beelka lumbar sababtoo ah arrimaha caadiga ah iyo dhaawacyada. Si kastaba ha noqotee, shakhsiyaad badan maaha inay la kulmaan calaamadaha xanuunka la midka ah ee la xidhiidha cilladda saxanka lumbar maadaama ay jiraan daaweyno badan oo lagu soo celinayo dhererka saxanka iyo yaraynta xanuunka dareemayaasha sciatic. Daawaynta aan qaliinka ahayn waxay u fiican tahay shakhsiyaad badan oo raadinaya waxtarka kharash-ku-oolnimada waxaana loo qaabayn karaa xanuunka qofka. (Louis-Sidney iyo al., 2022) Daaweynta aan qalliinka ahayn sida daryeelka xanuunka loo yaqaan 'chiropractic care', duugista iyo daaweynta jireed, iyo laf-dhabarka laf-dhabarka ayaa caawin kara shakhsiyaad badan oo qaba cillad-beelka lumbar ee la xidhiidha xanuunka neerfaha sciatic. Daaweyntani waxay ku daraan farsamaynta farsamada iyo gacanta ee lafdhabarta si ay dib ugu hagaajiyaan jirka oo ka soo baxa subluxation iyada oo lagu darayo farsamooyin kala duwan si ay u fidiyaan unugyada jilicsan iyo murqaha si ay u xoojiyaan dhererkooda oo ay u yareeyaan xannibaadda dareemayaasha. Fiidiyowga kor ku xusan wuxuu sharxayaa xoogaa dheeraad ah oo ku saabsan sida daaweyntan ay u soo celin karaan dhaqdhaqaaqa jirka, yareeyaan bararka, oo ay yareeyaan murqaha murqaha ee ay sababaan cilladda saxanka lumbar ee la xidhiidha xanuunka neerfaha sciatic.
Hadda daawaynta aan qaliinka ahayn sida kala-baxa laf-dhabarka ayaa kaa caawin kara yaraynta horumarka saxanka lumbar iyadoo dib loo soo celinayo dhererka saxanka. Kala-baxa laf-dhabarku wuxuu isticmaalaa jiid-jiid jilicsan oo lafdhabarta ah si loogu oggolaado nafaqooyinka lagama maarmaanka ah, dareeraha, iyo dhiigga in dib loogu celiyo laf dhabarta. Waxay awood u siin doontaa saxanka herniated inuu ku soo laabto booskiisii hore oo uu fuuqceliyo. (Yu et al., 2022) Tan iyo markii laf-dhabarta iyo jirku si dabiici ah u da'da, kala-baxa laf-dhabarku wuxuu soo celin karaa dhererka saxanka isagoo abuuraya cadaadis taban si uu dib ugu soo celiyo dhaqdhaqaaqa oo uu u fidiyo murqaha saameeya ee ku wareegsan lafdhabarta.
Intaa waxaa dheer, hoos u dhigista waxay kaa caawin kartaa yaraynta xanuunka dareemayaasha sciatic maadaama ay ka caawin karto saxanka herniated inuu yareeyo cadaadiska dareemaha sciatic wuxuuna dib u soo celin karaa dhaqdhaqaaqa jirka. Isku-buufinta laf-dhabarku waxay noqon kartaa natiijo wanaagsan oo loogu talagalay shakhsiyaad badan oo shaqeeya maaddaama ay u oggolaanayso shakhsiyaadka inay aad uga taxadaraan caadooyinkooda kuwaas oo sabab u ahaa xanuunka ay la kulmeen. (Brogger iyo al., 2018) Daaweynta aan qalliinka ahayn sida laf-dhabarka laf-dhabarka, shakhsiyaad badan ayaa noqon kara kuwo waxtar u leh shaqada iyaga oo aad uga digtoonow waxa keena xanuunka. Tani, waxay u oggolaanaysaa inay diiradda saaraan wanaaggooda oo ay ku xoojiyaan dhibcahooda daciifka ah qorshe shakhsiyeed kaas oo u suurtagelinaya inay isbeddel yar ku sameeyaan nolol maalmeedkooda oo ay noqdaan kuwo aan xanuun lahayn ka dib dhowr daaweyn oo isku xigta.
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Brogger, HA, Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Waxtarka isbarbardhigga iyo arrimaha saadaasha ee natiijada qalliinka iyo maaraynta aan qalliinka ahayn ee laf-dhabarka laf-dhabarka ee dadka waayeelka ah: borotokoolka daraasad indho-indhayn ah. BMJ Open, 8(12), e024949. doi.org/10.1136/bmjopen-2018-024949
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Mohd Isa, IL, Teoh, SL, Mohd Nor, NH, & Mokhtar, SA (2022). Xanuunka dhabarka hooseeya ee Discogenic: Anatomy, Pathophysiology iyo Daawaynta Xumanaanta Saxanka Intervertebral. Int J Mol Sci, 24(1). doi.org/10.3390/ijms24010208
Yu, P., Mao, F., Chen, J., Ma, X., Dai, Y., Liu, G., Dai, F., & Liu, J. (2022). Astaamaha iyo hababka dib-u-celinta ee herniation disc lumbar. Arthritis Res Ther, 24(1), 205. doi.org/10.1186/s13075-022-02894-8
Zitouna, K., Selmene, MA, Derbel, B., Rekik, S., Drissi, G., & Barsaoui, M. (2019). etiology lama filaan ah ee lumbosciatica. Tunis Med, 97(12), 1415-1418. www.ncbi.nlm.nih.gov/pubmed/32173813
Macluumaadka halkan ku qoran "Burburinta saxanka Lumbar ayaa lagu nasiyay hoos u dhac"looma talagelin in lagu beddelo xiriirka qof-ka-qof ah ee leh xirfadle daryeel caafimaad oo u qalma ama takhtar shati haysta mana aha talo caafimaad. Waxaan kugu dhiirigelineynaa inaad sameyso go'aamo daryeel caafimaad oo ku saleysan cilmi-baaristaada iyo iskaashigaaga xirfadle daryeel caafimaad oo u qalma.
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Baaxadda macluumaadka waxay ku kooban tahay Chiropractic, murqaha, dawooyinka jireed, fayoobida, gacan ka geysata etiological khalkhalka viscerosomatic gudaha bandhigyada kiliinikada, dhaqdhaqaaqa kiliinikada ee somatovisceral reflex ee la xidhiidha, dhismooyinka subluxation, arrimaha caafimaadka xasaasiga ah, iyo/ama maqaallada daawada shaqaynta, mowduucyada, iyo doodaha.
Waanu bixina oo soo bandhignaa iskaashiga bukaan-socodka oo leh takhasusyo ka kala socda qaybo kala duwan. Khabiir kastaa waxa lagu maamulaa baaxadda ku-dhaqankooda xirfadeed iyo awooddooda shatiga. Waxaan isticmaalnaa borotokoolka caafimaadka iyo fayo-qabka shaqada si aan u daaweyno oo u taageerno daryeelka dhaawacyada ama cilladaha habka muruqyada.
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Xafiiskayagu waxa uu si macquul ah isku dayay in uu bixiyo tixraacyo taageero ah waxana uu aqoonsaday daraasadda cilmi-baadhiseed ee la xidhiidha ama daraasadaha taageeraya qoraaladayada. Waxaan siinaa nuqulo ka mid ah daraasadaha cilmi-baarista ee taageeraya ee loo heli karo golayaasha sharciyeynta iyo dadweynaha marka la codsado.
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Waxaan halkan u nimid inaan kaa caawinno adiga iyo qoyskaaga.
Barako
Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
email: Tababaraha@elpasofunctionalmedicine.com
Ruqsad u haysta sidii Dhakhtar Chiropractic (DC) gudaha Texas & New Mexico*
Shatiga Texas DC # TX5807, Shatiga New Mexico DC # NM-DC2182
Ruqsad u haysta Kalkaaliso Diiwaangashan (RN*) in Florida
Shatiga Florida ee RN # RN9617241 (Maamulka No. 3558029)
Xaaladda is haysta: Shatiga Dawlad-goboleed badan: Loo oggolaaday inuu ku tababarto Gobollada 40*
Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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