I-Lumbar radiculitis iyinkimbinkimbi yezibonakaliso ezihambisana nokuvuvukala kwezimpande zesisindo ezingena ngaphakathi kwe-frontquarter ye-intervertebral yesifunda se-lumbosacral somgogodla. I-pathology iqala ngokushelela futhi ngokuvamile iphenduka ifomu elingapheli ngezikhathi ezithile ezikhungethe ukukhula kwesikhathi. Ngokuvamile, i-radiculitis ihlotshaniswa ne-osteochondrosis yomgogodla. Cabanga ukuthi yiziphi izimpawu ze-lumbar (lumbosacral) radiculitis, futhi yimiphi imithi ephumelelayo kulokhu.
Izimpawu ze-lumbar (lumbosacral) sciatica
Nge-radiculitis yalesi simo sangakini, izinzwa ezibuhlungu zigxila esifundeni se-lumbosacral kanye ne-buttock futhi zinikezwa ukuhlunga, u-hip, u-foot, nezinyawo nezeluleko zezinyosi. Ubuhlungu buvela ngokungazelelwe, ngokungalindelekile. Kulesi simo, iziguli ziqaphela ukuthi ubuhlungu buyanda ngokuhamba komuthi noma umlenze, ukuguqula ikhanda phambili, ukuhlunga, ukukhwehlela nokukhipha. Ukuze kunciphise lesi simo, iziguli zivame ukuthatha isikhundla esicindezelekile esisekhondweni enempilo yomzimba ngomlenze olimale ucindezelwe esiswini.
Njengoba i-pathology iqhubeka, lezi zimpawu zilandelayo:
- ukwephulwa kobuzwe besikhumba ngesikhathi sokulimala kwamantombazane, kubonakaliswa ukuzwa kwe-numbness, ukugubha, ukuvutha;
- ukucwilisa, ukupholisa nokushisa kwesikhumba eduze kwenzalo ethintekile ngenxa yezintuthwane ze-trophism;
- ukuphikisana okubonakalayo kwemisipha esifundeni se-lumbar, kamuva esiba mncane futhi sibe buthakathaka.
Ukwelashwa kwe-lumbar spine sciatica ngemithi
Ukuphathwa kwezidakamizwa ngokusebenzisa izidakamizwa zamaqembu ahlukene namafomu anezimpawu ze-sciatica kuyisici esibalulekile sokwelapha okuyinkimbinkimbi, kuhlanganise nezinqubo ze-physiotherapy, ukubhusa, ukuvivinya umzimba, njll. Ukuqokwa kwemithi kufanele kuthathwe udokotela ngemva kokuhlola isiguli, ukwenza uchungechunge lwezifundo zokuxilonga. Ezimweni ezimbi ze-radiculitis lumbar, ukwelashwa kwenziwa esikhungweni sesibhedlela kanti imithi isetshenziswa njengemijovo ye-intramuscularly, futhi izinto zokwelapha zingasetshenziswa ngokuqondile ngaphakathi kwendawo ye-epidural yomgogodla.
Njengomthetho, amalungiselelo ohlelweni lamaqembu alandelayo asetshenziswa:
- Izidakamizwa eziphikisana nezidakamizwa (Ibuprofen, Diclofenac, Ketorolac, Indomethacin, Naproxen, njll), okusiza ukunciphisa ukusabela okuvuthayo endaweni yokucindezela kwempande yesisindo nokunciphisa ubuhlungu.
- Ama-Miorelaxants (Midokalm, Sirdalud, Baksolan, njll) - ukuphumula imisipha ye-spasmodic, ukunciphisa ubuhlungu nokwandisa umsebenzi wemoto.
- Amavithamini amalungiselelo (amavithamini B, P) - ukuthuthukisa ukuziphatha kwemizwa, bese ubuyisela izicubu zesisindo.
- Ama-biostimulants (i-aloe extract, i-Plasmol, i-FBS, njll), ekhuthaza ukuqaliswa kwezinqubo zamathambo ekugxilweni kokuvuvukala.
- Imithi ye-steroid (i-Hydrocortisone, i-Prednisolone, i-Dexamethasone, njll) - ngokungasebenzi kahle kwezidakamizwa ezingezona ukuvuvukala ukuze kunganciphisi inqubo yokuvuvukala, kunciphise ubuhlungu, kuqede ukukhukhumeza.
Emithini yasendaweni ene-radiculitis ngokuvamile evame ukusetshenziswa ngamafutha, ama-gel kanye nama-creams
- Ijubane le-Fastum;
- I-Voltaren ;
- I-Finalgon;
- I-Viprsal;
- Apisatron nabanye.