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Last Updated: Nov 15, 2024
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साइटिका - लक्षण, उपचार और कारण

उपचार क्या है? कारण और जोखिम कारक उपचार

उपचार क्या है?

साइटिका वह दर्द है जो बड़े गृघ्रसी तंत्रिका में होता है, जो हमारे कमर निचले हिस्से से पैरों के पीछे तक चला जाता है। यह एक ऐसी बीमारी है जो गंभीर दर्द और कमजोरी का कारण बनती है। कमर में उत्पन्न होने वाली साइटिका दर्द नीचे की ओर बढ़ता है और हमारे नितंबों के माध्यम से गृघ्रसी तंत्रिका के मार्ग के साथ यात्रा करता है,जिससे हमारे पैरों में सुन्न, संवेदना या कमजोरी का अनुभव होता है। यह तंत्रिका हमारे शरीर में सबसे बड़ा एकल तंत्रिका है और व्यक्तिगत तंत्रिका जड़ें जो नीचे की पीठ में हमारी रीढ़ की हड्डी से फैलती हैं और फिर 'गृघ्रसी तंत्रिका' बनाने के लिए मिलती हैं। इस बीमारी के लक्षण उठते हैं, जब इस बड़े तंत्रिका को उत्पत्ति के बिंदु पर या उसके पास दबाब या परेशान किया जाता है।

कारण और जोखिम कारक

सायटिका दर्द से पीड़ित मरीज़ दुर्लभ मामलों में ही 20 वर्ष से कम आयु के होते हैं। यह बीमारी 40 वर्ष की उम्र के बीच मध्यम आयु के लोगों में आम है। जबकि कटिस्नायुशूल दर्द अक्सर सभी प्रकार के पैर दर्द का वर्णन करने के लिए उपयोग किया जाता है, लेकिन शोधकर्ताओं का अनुमान है कि तक 43% वैश्विक आबादी इस बीमारी से प्रभावित होती है। हालांकि एक पिंच तंत्रिका से दर्द कमजोर हो सकता है, लेकिन सायटिका से पीड़ित अधिकांश रोगी, कुछ हफ्तों के भीतर, दवा के साथ खुद को बेहतर महसूस करते हैं।

साइटिका एक ऐसी स्थिति है जो शायद ही कभी किसी विशेष चोट के कारण होती है, बल्कि यह दर्दनाक स्थिति समय के साथ विकसित होती है।

निम्नलिखित 6 निचले हिस्से के चिकित्सा मुद्दे सायटिका के सबसे आम कारण हैं:

  • लम्बर हर्निएटेड डिस्क
  • Isthmic spondylolisthesis
  • डीजेनरेटीव डिस्क डिजीज
  • पिरिफोर्मिस सिंड्रोम
  • लम्बर स्पाइनल स्टेनोसिस और
  • सैक्रोइलिअक जॉइंट डिसफंक्शन

उपरोक्त 6 सबसे आम कारणों के अलावा, कई अन्य स्थितियों में भी सायटिका हो सकता है, जिसमें निम्न शामिल हैं:

  • प्रेगनेंसी
  • घाव का निशान
  • मांसपेशियों में तनाव
  • स्पाइनल ट्यूमर
  • कमर में संक्रमण
  • लंबर वेर्टेब्रा में फ्रैक्चर और
  • आंक्यलोसिंग स्पॉन्डिलाइटिस

उपचार

साइटिका का शल्य चिकित्सा और गैर शल्य चिकित्सा दोनों माध्यम से इलाज किया जा सकता है। नॉनर्जर्जिकल सायटिका उपचार के लिए उपलब्ध विकल्पों की एक विस्तृत श्रृंखला है, जैसे प्रभावित साइट पर बर्फ और गर्मी संपीड़न, तीव्र दर्द से राहत के लिए ओवर-द-काउंटर दर्द दवाएं और एपिड्यूलर स्टेरॉयड इंजेक्शन देना शामिल है। आम तौर पर इन सभी उपचारों को विशिष्ट अभ्यास के साथ निर्धारित किया जाता है। इसके अलावा, इन सामान्य चिकित्सा उपचारों, वैकल्पिक उपचारों की एक विस्तृत संख्या ने भी इस रोग को कम करने के लिए कई रोगियों के लिए प्रभावी साबित कर दिया है। सायटिका के इलाज के लिए वैकल्पिक देखभाल के कुछ सबसे स्वीकार्य रूपों में से कुछ में एक्यूपंक्चर थेरेपी, कैरोप्रैक्टिक हेरफेर, मालिश और संज्ञानात्मक व्यवहार चिकित्सा शामिल है।

लोकप्रिय प्रश्न और उत्तर

My mom is 70 years and has been taking pregabalin & methyl cobalamin 75/750 mg and gabapentin 400 mg with nortryptline 10 mg together for almost 12 years for diabetic neuropathy. Is it ok to stop any on of the medications like for like alternative days initially and eventually increase the gap. Which one should she stop if she decides to stop any one of it? Please advise.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, thanks for the query. I have seen the details mentioned. Please understand that diabetic neuropathy is a long term complication of diabetes. Therefore, unless blood glucose are in strict control, just taking other medications will not give ...
1 person found this helpful

I am almost 41. About 2 months ago I started having trouble swallowing solids. 6 weeks ago I had an anterior cervical discectomy with spinal fusion and since after the surgery I was struggling with even liquids that has gotten better and I can swallow some very soft solids however I take 3 spoonfuls or sips of something and feel bloated and uncontrollably full for hours. I alternate between diarrhea and constipation. I have frequent uti’s diabetic neuropathy, general fatigue. A few months ago I had what I think was a canker sore under my tongue all the way in the back together with an earache also on the left side and it took a month for it to go away I have the exact same thing in the exact same spot also with an earache on the same side x 10 days, medication for sore not helping hurts when I swallow. I also have not been able to regulate my body temperature for a while. For a few weeks I was sweating profusely but since my surgery i’ve been constantly freezing and about a week ago I started having cold sweats again. I’m either sweating, freezing or both at the same time and it changes from minute to minute. It was suggested that I may have autonomic neuropathy. I’m a breast and ovarian cancer survivor 3 1/2 years in remission. I receive botox injections for migraines every 90 days. I also have severe gerd but no heartburn that’s all I can think of off the top of my head.

ENT Specialist, Srinagar
You have basically gluten sensitivity to gluten allergy of gut and resistant iron deficiency anemia causing dysphagia. I want to see you and consult on mobile.

I am 70 years old with diabetes for last 22yrsi have been taking pregabalin 75, 2 capsules a day for last 13 yrs. Recently I am experiencing stomach ache and fatigue. Pl advise. Rama devi hyd.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
buscogast 10mg మూడు సార్లు ఏస్కోండి తగ్గకుంటే డాక్టర్ దగ్గరరికి వెళ్ళండి

Hello doctor I have been taking afoglip m 500 mg in the morning after breakfast and carbophage 1000xr in the night for 7 years. Then last whole year with diet and exercise I slowly came off these medications was only taking carbophage xr 250 mg in the night past 3 months. Last month my hba1c was 6.9 and fasting 110, so now I have been taking carbophage xr 500 mg last 3 weeks now my fasting is 109 and 2 hrs pp after lunch or dinner is 170. Besides I have developed some numbness, tingling pain in feet .can you please suggest what I can do any medicine to take lower sugar.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, thanks for the query. Madam, I have gone through the details mentioned. It is good to know you have been able to control the glucose levels better since some time. The levels mentioned (fasting & pp) are quite good so is the hba1c%. As rega...
1 person found this helpful

Hi Dr. I am diabetic for 15 yrs. My height is 5 feet 10 inch and weigh 93 kg. Have signs of neuropathy. My calf muscles aches and and my foot can detect vibration only when exposed to 30 volts through the machine. Should I take diabetone pn instead of bevon since it targets neuropathy or take both. I also take human mixtard 50 / 50. Morning and afternoon 35 iu each time. My sugar reading before breakfast 170 and pp is 220. Kindly advice. Thank you.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, thanks for the query. In a patient with long standing diabetes peripheral neuropathy is quite common. This can happen even with a fairly good control. Because high blood glucose affects peripheral nerve functions. Treatment is to achieve st...
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