Page 23 - journal_12-3_Full
P. 23
∫∑ª√‘∑—»πå
°“√√—°…“Õ“°“√ª«¥ª√– “∑‰´·Õμ‘° (Sciatica)
¥â«¬°“√Ωí߇¢Á¡ μ“¡»“ μ√å°“√·æ∑¬å·ºπ®’π
∏«—™ ∫Ÿ√≥∂“«√ ¡*
∫∑§—¥¬àÕ
Õ“°“√ª«¥ª√– “∑‰´·Õμ‘° ‡ªìπ≈—°…≥–¢ÕßÀ¡Õπ√Õß°√–¥Ÿ° —πÀ≈—ß‚ªÉ߬◊Ë𠇪ìπªí≠À“Õ¬à“ßÀπ÷Ëß∑’Ë
æ∫‰¥â∫àÕ¬„π°≈ÿà¡Õ“¬ÿ 45-64 ªï ‚¥¬ª√–¡“≥√âÕ¬≈– 5-10 ¢ÕߺŸâªÉ«¬ª«¥À≈—ß à«π≈à“ß∑—ÈßÀ¡¥ ¡’Õ“°“√
ª«¥ª√– “∑‰´·Õ쑧 ªí®®—¬‡ ’ˬߢÕß°“√‡°‘¥‚√§ ‰¥â·°à Õ“¬ÿ §«“¡ Ÿß πÈ”Àπ—°μ—« ¿“«–‡§√’¬¥ °“√ Ÿ∫∫ÿÀ√’Ë
°“√∑”ß“πÀπ—° ‚¥¬‡©æ“–°“√¬°¢ÕßÀπ—°„π∑à“°â¡·≈–°“√∫‘¥μ—« °“√μ√«®·≈–√—°…“„π°≈ÿà¡ acute sciatica
‰¥âº≈¥’æÕ ¡§«√ ªí®®ÿ∫—πæ∫«à“Õ“°“√ª«¥ª√– “∑‰´·Õ쑧π’È¡’°“√π”»“ μ√å°“√·æ∑¬å·ºπ®’π¡“„™â„π°“√
μ√«®«‘π‘©—¬·≈–√—°…“¥â«¬°“√Ωí߇¢Á¡·≈–‰¥âº≈‡ªìπ∑’Ëπà“æÕ„® ∫∑§«“¡π’ȉ¥â𔇠πÕ·π«°“√μ√«®«‘π‘®©—¬
‚√§·≈–·π«°“√√—°…“Õ“°“√ª«¥ª√– “∑‰´·Õμ‘°¥â«¬°“√Ωí߇¢Á¡μ“¡»“ μ√å°“√·æ∑¬å·ºπ®’π∑’Ë¡’°“√„™â∫àÕ¬
§” ”§—≠ : ª«¥ª√– “∑‰´·Õμ‘°, °“√Ωí߇¢Á¡, À¡Õπ√Õß°√–¥Ÿ° —πÀ≈—ß‚ªÉ߬◊Ëπ
∫∑π” atica ∑’Ë¡’ “‡Àμÿ®“°À¡Õπ√Õß°√–¥Ÿ° —πÀ≈—ß„π
2
Õ“°“√°àÕ𪫥ª√– “∑‰´·Õμ‘° (sciatica) ª√–™“°√∑—Ë«‰ªª√–¡“≥√âÕ¬≈– 2.2 √“«√âÕ¬≈–
‡ªìπÕ“°“√ª«¥∫√‘‡«≥À≈—ß à«π≈à“ß·≈– –‚æ° ·≈– 5-10 ¢ÕߺŸâªÉ«¬ª«¥À≈—ß à«π≈à“ß∑—ÈßÀ¡¥¡’Õ“°“√
3
ª«¥√â“«‰ªμ“¡·π«∑“߇¥‘π¢Õ߇ âπª√– “∑‰´·Õμ‘° sciatica ·≈–¡“°°«à“√âÕ¬≈– 90 ¢ÕߺŸâªÉ«¬°≈ÿà¡
1
(sciatic nerve) §«“¡™ÿ° (prevalence) ¢Õß sci- π’È ¡’ “‡Àμÿ®“°À¡Õπ√Õß°√–¥Ÿ° —πÀ≈—ß‚ªÉ߬◊Ëπ (her-
1
niated disc) ‰ª°¥∑—∫‚§πª√– “∑ à«π∑’ˇÀ≈◊Õ
Õ“®‡°‘¥®“°°“√μ’∫·§∫¢Õß™àÕ߉¢ —πÀ≈—ß (spinal
* ∂“∫—π°“√·æ∑¬å·ºπ‰∑¬ - ®’π °√¡æ—≤π“°“√·æ∑¬å
stenosis) °“√μ‘¥‡™◊ÈÕ ‡π◊ÈÕßÕ° À√◊Õ°√–¥Ÿ°À—°
·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ° °√–∑√«ß “∏“√≥ ÿ¢
∫∑§«“¡π’È®–°≈à“«∂÷ß sciatica ‡©æ“–∑’Ë¡’ “‡Àμÿ
ºŸâ√—∫º‘¥™Õ∫∫∑§«“¡ E-mail: tawat_us@yahoo.com
Received date 17/01/14 Accepted date 22/10/14 ”§—≠®“°À¡Õπ√Õß°√–¥Ÿ° —πÀ≈—ß‚ªÉ߬◊Ëπ‡∑à“π—Èπ
223